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HomeMy WebLinkAbout0065 ABEGALE SNOW ROAD Y , i O 1 I Oxford NO. 1.52 ORA ESSELTE 10% o d I d 0 ACTIVE 1 -". ` .. �. - ^"^"^ r—w'.,.�'t�""�"`.,''"7 -., 1 _ ""1ilw.. �pr^� '',! Lei i.duii47kadn�5e'sta'rrc:il.fdiiia' ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 66 t Application # Health Division Date Issued Me Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project ,St,,re1et Address 6Jr AS%AL� SNW O yW Village �- 3A RN�gL� Owner MiKI qn& LWYA BA'7TA► Address ,SAM•E Telephone 5ZA`2- 1-ZI S I Permit Request r QbOJ C y/W4,�- a/X a 3,9 s5 aWlIrS & one. e4d, l 3 76'�s6 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay )CProject Valuation 7 4 Oo J Construction Type Lot Size l,1 auv5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family > 1 Two Family ❑ Multi-Family (# units) Age of Existing Structure 5 46 Historic House: ❑Yes U No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing .3 new Half: existing � new Number of Bedrooms: existing —new Total Room Count (not including baths): existing 10 new First Floor Room Count �O Heat Type and Fuel: 9 Gas ❑ Oil ❑ Electric ❑ Other © nJ Central Air: M Yes ❑ No Fireplaces: Existing New Existing wo d/coal stove: ❑g-s (5f No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:O existing cO new size_ M'T Attached garage: Iexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ co Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed, Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name [M i KE 6ATTA Telephone Number Address [ol� 68%ALE SPEW RiD License # WBT ,BARA"OLEIAA 2L&V Home Improvement Contractor# V Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -rt7 ) DUMP SIGNATURE DATE / -3c)-2012 1 i . FOR OFFICIAL USE ONLY APPLICATION# — DATE ISSUED MAP/PARCEL NO. a ADDRESS n a VILLAGE OWNER a DATE OF INSPECTION: T FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 'c DATE CLOSED OUT ASSOCIATION PLAN NO.-,— s �,Hr T6wxr• of Barnstable . Regulatory S6r- dces Thomas F. GcOer,Director ` 23uilding DIykion , D Thomas Perry,-CB O,•BuEding coipm i.m over 26D Main Stet, Hyannis,I U 01260 I' Y.T vyW.fawr barnstabIt.ata_us 508-862-4Q3 S . Fax: 508-790-6230- r 'Officcc � . FLAN REW -A zlr> Owner: •%gi?''� � Map/P.arocl: 6�8 . . r pro'ect Address�s *-le �a Builder- `¢ The f6l1owing items were noted.on reviewing: : _ /CIAO 7- r�- ,,�R�s�le rnr-rv� /c�s���v tip Gl�egb e��� �o�'?��c�7'�oi✓ . rc f•e�.pn, Z009 Z.A,r a�Zart e /tit T 7-e-Z57- e aPS- Fwfc=W-/lf S r S �'o bra YK e- G<�Ae 4o Vas f R dewed b Dates The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations - 600 Washington Street ( Boston,AM 02111 "mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/organize ion/Individual):- Lert S14r,A .. -Address: V City/State/Zip:_ /,Q,��� = Phone.#: �50E, 2 � Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 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 8. ❑Demolition working for mein any capacity. employees and have workers'[No workers' comp.insurance*. comp.insurance.t• 9.. ❑Burildin. g addition required] 5. ❑ We are a corporation�and its 10.0 Electrical repairs or additions 3A I am a homeowner doing all•work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. - right of exemption per MGL . 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ 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. lContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. 'lam an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the 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 certify under the pains-and alties of perjury that the information provided above is true and correct t: Signature: [ / n Date: -30-: / Phone#: c7�J0 Official use only. Do not write in this area,to be completed by city or town offu ia1• City or Town: Permit/License# i Issuing Authority(circle one): .L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector 6.Other Contact Person: Phone#: . r oF'TKE ,. Town of Barnstable Regulatory Services L BARNST,BLE, : Thomas F.Geiler,Director MASS. 9� 1639. 10� Building Division ATED MA't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-7,90-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:—` )L. j C. 2 01 L JOB LOCATION: " /"*iubAL SNOW RD, w,�ARNsV�B� number street) village "HOMEOWNER": m yM B 7TA Pq 21 1 name C home phone# work phone# CURRENT MAILING ADDRESS: J 66 6& LE S(UQ io 1�p Wt� 1)�►QI�IS3'AB1.� /4A O &C2 9 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm'structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town.of Barnstable Building Department minimum inspection procedur nd requirements and that he/she will comply with said procedures and requirements. S at a Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt i CFTHE Tn- Town of Barnstable Regulatory Services BMWSTABLEMass, Thomas F.Geiler,Director 1639.ArED Ma+' 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 r Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature.of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 ew rage i Page 1 of 1 tvwly In�r nAxlvir a �1 �T C�J LOCATION If VII. 1,.L -SEWAGE VIIIAGE ASSESSOR'S &L ~' v. INSTALLER'S NAME&PHONE NO� AQ .. _.. . D s,� AA /kA SEPTIC ` �-- LEACHING FACILITY:{type) (s' NO.OF BEDROOMS BUILDER OR OWNER r PERMTI DATE: COMPLIANCE DATE: i Separation Distance Between the: N Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wens exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i r,goj?C r ZACk dF �-I aUSE . Jot g/. i . A- 2 a _ g, http://www.town.bamstable.ma.us/assessing/2010/IIMdisplay.asp?mappar=088001&seq=1 6/22/2010 r;� ids , ..I i- .-1 j .. � i1 �•aa .I I I � .. I� t. .f- -- ! I + ` . i I i _, . � j t_ I � I � ... t ..i ; . ; .- ' .. { I �. I ' T0�L�/����+ �•_• ���,r Sc, ��,i I . j � ' ;''; I i'� t ! �' i l . t. + � . _ � ' _ �. �_ I-IIr'IIG°►F-11" � � i ��� o ►- I�s' I, .; j + , + I ! j ' i• � i. "�' � _ A�Ck.I N C1- 'J�► rTl-1 I .•s��E x�(o j f���K ly un z))4(7 ( '2 1� 2.( I L)�N(7- JYS. �. I ' ksI Cry ► . i ,i i I W_ �. 011 t o . tw r._ -•1- I t fl i 5ONGTU8 5 ._' ( i . . i i I V-r� L12i1J�� 1a til l Sal .s I1.I. ! CtT' I ( ' C Tj ��CEI O.P P6,5 ii j\)C7 0ND OF DF k j M \� �;�iX' \�� � Tip- Aewee s � - p4c Kcck n 6' 25.8 5• . �O' a8 28' <v 00 0.0 2GOJ LOT 1 A a 49,306 SF_ CONCREIE FOUNDATION t �>>2� JOB u 00-109 LOT !A FOUNDATION PLOT ' PLAN FOR THE PURPOSE RPOSE OF OBTAINING A BUILDING PERMIT ONLY LOCATION : SABEGALE SNOW ROAD WEST BARNSTABLE, MA SCALE 1 " = 50' DATE JULY 21 , 2005 PREPARED FOR. REFERENCE : LOT 1 PB 558 PG 13 MARKW. �NOF dgg c ORP. � ss I-HEREBY CERTIFY THAT THE STRUCTURE o� TIMOTHY AyG SHOWN ON THIS PLAN IS LOCATED ON THE K M GROUND AS SHOWN HEREON. COVELL No.32035 o!f 508-362-4541 U fax 5 08 3o2-3H80 t oIR- down cape engineering, inc. _ CML ENGINEERS Z 1 1 zoo 5 REG. LAND SURVEYOR LAND SURVEYORS 939)mcir. st. yarmouth, ma 02675 S Anna, 41 Gsf �. oa � y N )i71 YL I P t 65 �A 94h IA41I54 PLN 111, ( ATR fOlrygG� J' F..Iif!IIj"}re �07 4 f DETAIL GT �e"f N35, 5$ 86E 0 �rb�i�i 4�� ` •OI'oiw ?.00' C TOWN LINE Diu y. BOUND ASSESSORS MAP 61 PARCEL I BF• M. / TOTALAReAOP PARCEL.176.�. 1.11/ TOWN LINE _ --•� d BOUND T�•��---------- --- Q ANNE D.SMITH,ETAL \' NSIroIOrw -_-._ �, -•- x3 i'� 3°SR'58% / 137.11 _._-Z-.__.__._ \ 4 � • 20.0 204.28' 1.1]5°SR'S8"E RAINABE C %ATA 51 S� 351.33' SNAPEPACr01L/i 33 a3' T N ROF� ROAD 8S :G Le 106.87 �. N35°58'58"E roltEtls BARNSTA$LE L•146AOP R�s2sD LOT2 774.IT \a• Lan1 R-52.50 L-24.60' A'43d41 Si '� EDWARD W.MOVE LINE % A-49.706SP R-30.00' 1.O.19.8 PARCfiL"A° •j > G LI RF-1996 U A-131,20;SF Cf IJ ISAe L-25.85' V DIOCB 3.012 A. .. F'''L , ��T' RP.19.6 R-30.0Y 6�� 18.99, DIME )76.51' [� Z I ` �41 �$ �� S36°I5'202' .•6 �r.� 101.72' S3631'32'W NOT TO BE CON9IUF.RF.DA ° 248.42' D=B / S£PARAT£LECAL BUILDING I.O'r $ � 976°01'48'W Dtucn I........... OWES .. �F' ......»,.. 861AT `66 OLD grer.ns EsrArrs RJEAL T F FA rar ff'-• SNOW uILL'ONI NINERS ASSOCIATION OPE ............. 1 d, APPROVED OAO ARLGS RSrArM RMLTY rRLDT O,� "'•••• 1 t"......,.....� STR B PLANNI ARD I ............... .. \ ` ` C��p�4 GRSL t............ ., �O4AD I I F� p9T This plan is subjcot to a covenant to bo mcorded herewith. •�• 1! d <.�.kdcuaidea-- Cluk of the ...................»................................_...»..` Tow o B to I hereby u 111j,Ural no Dut u of a pcnl was , reeanY d wellVhln tll�wenty(20)ddaYs cxl o r recp and .......... leeordi f e I'notice From dle Pranning Boars g the ......••"-" opprovo a P1 ........... A Rs Town Clerk LEIF BOTTCHLR I ccr�l{ify that Ulis CIon wu pr PP` I9 conlDnnlly with the roles ro0.0 auom of W9 Mo.=hus 10 ReBlete o ds. RECORD OWNER:PAULLEUh'L DEFINITIVE PLAN 7/jr/zp� TOTAL AREA OF PARCEL-1)6,1066P•SA27 AC. •.ls plan wns c ed CTo pions of rm1a%and field survey ROAD AREA-12.1IOSF•0.210 Aa al ASSESSORSMAPa9 PARCEL I ZONING DISTINCT•RP•41,s6n OF GREAT RILLS OF BARNSTABLE RFptaanA/a ON REGI6TEROPOEEDS ONLY MI.YINUM FRONTAGE-ISO' SUODIVISIONRUMRFA T1 AREA•u.W Sv IN BARNSTABLE,111ASSACHUSE77S FRONT YARD•50 SIDO AND REAR YARD-19 APPUCANT:PAUL LEDEL NO TONING OVERLAY OIST'RICT " 16ODFAIA10VnIROAD TIERR[SRO-ETUND ON On wRIIIH IOV OP LOCUS CFNn:RVILLE•MA • F'LOOU IS1.TI N OLD NKIINAD�11GHWAY HISTORIC DISTRICT MARCH 312000 SCALE11W REVIS�D:JUIX 7,2000 NOT AN AREA OF CRITICAL ETNVIRONMENrAL CONCERN PREPARED BY: COGAR STRE11T IS A DESIGNATEDSCE IC ROAD NOT IN A DISTRICr OF CRITICAL PLANNING CONCERN ADVANCED TECHNICAL SOLUTIONS' _ N{LOTUUINIIAN AF�REpANOCCF CRITCAppL66I��{rAB�INTATg1R 11, p 1y�[UH PA•BOX 99 ALf 9tA1U'Ep$WILL Oh `AINEU WRIIIM TG1IQ PNU(�OCUR0n1VpI LAyOUTDERGROUND MST BANOP.7EL MA O11lT' ' ATTHL as 0RA0aS0.THE P�ED ROAD WIU.OB APV0.0%IMATL3LY I/F Daa�6aF4029 PAo EDWi&y W�D�NISTANCOSWn LOE•250ORMORE - SIILLTfOPI ?0 - t.-IS .. Town of Barnstable Old King's Highway Historic District Committee ---- KAS& 200 Main Street, Hyannis,Massachusetts 02601 1659. (508) 862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts, 1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date � —30 - 12 Address of Proposed work, Assessor's Map and lot# House#�p5 Street A 6 eAa I e S 0W f,� Village: �� S This application is.for an exemption of the proposed construction on the grounds that work: Will not be visible from any way or public place ❑ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other Description of Proposed Work: h D / (P x 2S /q D or,O)q �d LX_ r aGe yu 1Woq W Agent or contractor(please print): Tel.no. Address Owner(please print): Tel no. Owners mailing address: Signed,Owner/Contractor/Agent For Committee Use Only This Certificate is hereby Approved/Denied Date: Committee Members Signatures: k Any conditions of approval: C.-Documents and SettingsldecollikV ocal SettingslTemporary Internet Files I0LK110KHExemption Form 07.doc Town of Barnstable Old King's Highway Historic District*Committee -- 200 Main Street, Hyannis, Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,Acts and Resolves of Massachusetts, 1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date AU(? �j/2 Address of Proposed work, Assessor's Map and lot#�LO(� � House# 6,5- Street AdE4,44E JNOw RD Village: K) 43 This application is.for an exemption of the proposed construction on the grounds that work: Will not be visible from any way or public place ❑ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other Description of Proposed Work: n�1 O T Q / X I Ci LcJ S tx 3 � r Agent or contractor(please print): Tel.no. Address ,a Owner(please print): Tel no. cO8 2 J/.5—1 Owners mailing address: Signed,Owner/Contractor/Agent For Committee Use Only This Certificate is hereby ApprovedlDenied Date: Committee Members Signatures: �08�4�l. APPRny/ n AUG 0 8.2nf2 Town of Barnstabln Old King's Any conditions of approval: Com Hmittreeway C.(Documents and Settings ldecollikV ocal SettingslTemporary Internet FileAOLK110KHExemption Form 07.doc Town of Barnstable o� x Building Department - 200 Main Street Hyannis, MA 02601 9 MASS. (508 1639• ) 862-4038 RFD MA'S A Certificate of Occupancy Application Number: 85213 CO Number: 20100136 Parcel ID: 088001 CO Issue Date: 08125110 Location: 65 ABEGALE SNOW ROAD Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: WEST BARNSTABLE Gen Contractor: MARKWOOD CORPORATION Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE BUILDINGa 1"El'I'MIT PARCEL If.) 088 OOJ. GEOBASE ID 4321 A D D RE 9 S 66 ABEGALE SNOW ROAD 'PHONI? W BARNSTABLE ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTkR'J' XR PERMIT 85"113 DESCRIPTION BUILD NEW HOUSE t: PERMIT TYPE BU I LD TITLE NFVI RESIDENTIAL BLDG PHT CONTRACTORS: MARKWOO'D CORPORATION Department of ARCH11"ECTS.- Regulatory Services TOTAL FEES: $1 ,389. 4' BONI) $-00 pir CONSTRUCTION COSATS $293,760-00 101 SINGLE FAM HOME DETACHR.'D I PRIVATE BARNSTABLE, • MASS. 039. BUIL NG SION BY DATE ISSURD 07/06/9005 EXPIRATION DAIM 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 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- ANICAL INSTALLATIONS. 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 V -0 t Z9, 2 y aj 2 Ij fiqjjyjxf J�� 2 g)/O)a/051 A A)o 7//reld 3 �,Cl S7 _ =Q I HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT CrK CAV 711 9,je 6 /;l7k�LL_ ,q7 B RDOFHEALTH ---Yie ,c) K iff=ok �)A_y T6��# 2 _,M co SITE PLAN REVIEW APPROVAL U6 OTHER: WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS HE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY V V RIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. INE 'TOWN OF BAkNSTABLE Building o� Application Ref: 85213* BA MSFABIE, f Issue Date: 07/05/05 Permit 9 MASS �Ar16 39. A�� Applicant: Permit Number: 85213 Proposed Use: SINGLE FAMILY HOME Expiration Date: Location 65 ABEGALE SNOW ROAD Zoning District RF Permit Type: NEW SINGLE FAMILY HOME Map Parcel 088001 Permit Fee$ 1,389.42 Contractor BRIGGS,JAY Village WEST BARNSTABLE App Fee$ 35.00 License Num Est Construction Cost$ 293,760 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BUILD NEW HOUSE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MARKWOOD CORP BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 110 BREED'S HILL RD INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY 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 CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 ttn� Z 'go 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 �,t'4 2 (S A S Board of Health . y i �`"E' ti Town of Barnstable Building Department - 200 Main Street anRxsrws�. Hyannis, MA 02601 9 MA3�C (508) 862-4038 �p16 Certificate of Occupancy Temporary Application 85213 CO Number: 20060087 Parcel ID: 088001 CO Issue Date: 07/26/06 Location: 65 ABEGALE SNOW ROAD, Zoning Classification: RESIDENCE F DISTRICT Owner: MARKWOOD COO Proposed Use: 110 BREED'S HILL RD HYANNIS, MA 02601 Village: WEST BARNSTABLE Gen Contractor: MARKWOOD CORPORATION Permit Type: RTCO RES TEMP CERT OF OCCUPANCY I Comments: 45 DAY TEMP CERTIFICATE OF OCCUPANCY - INCOMPLETE PLUMBING 09/08/06 Building Department Signature Date Signed Expiration Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel - UA- 1 Application # Health Division Date Issued l� Conservation Division Application F AI Planning Dept. Permit Fee Date Definitive Plan-Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Co_ 5 ABkrrAI SKI-OW/ P-JOA9 Village Vc/I✓-IRT qR AV-_NSTA GA—, - Owner w 0AYyC L t LEAS"A B A-iTA Address`PO t Vk 1MLZ. FibR 9TJ)4Vfl,M a pM Telephone o 2 21 S Permit Request CT�S t ter Square feet: 1 st floor: existing proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 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 0 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 0 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 ❑ �> LJ'• rt Commercial ❑Yes ❑ No If yes, site plan review# � Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name BR.16- S lan nnr� BuILJ) S t.LC, Telephone Number Sol -1 -4 0-119 Address y9 "T_- V_(2_1Ntr 'PoNO -12-DAI) License # CS 0­4 L27Z,AQX>S A"Y . MA 02S 32 Home Improvement Contractor# 1l0'Lo �-0 Worker's Compensation # SEE C.M.firs LIST ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Rc�,V9_t\1"E SIGNATURE - - DATE .leS�S 3O. 201 O i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/-PARCEL NO. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: ` FOUNDATION 'FRAME INSULATION FIREPLACE } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING7i3l, y b o f ` DATE CLOS.ED'.OUT ASSOCIATION PLAN NO. °PINE r Town of Barnstable Regulatory Services 9snxN "Bi.E$ Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, J A�( �Et 615-S , Construction Supervisor License. # hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# S S'7. 13 , issued to (property address) (n-S A SE-G-A LE St J DMZ/ R-OA4 . w E SST RA( -U STAt3 LE on JONI�- 3a , 2qf o. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) 23 Ol O LI SE HOD DATE I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ` &t(-3� aM T�>\LT')E2S LUX, Address: 1�zZp 1tJ7s- t�l�N® t�-QAO y P�iS?.�A 4� C3A�(� °� 0 Z S3� City/State/Zip: Phone M Are you an employer? Check the appropriate bgx: Type of roject(required): 1.El I am a employer with 4. I am a general contractor and I employees-(full and/or part-time). * have hired the sub-contractors,. 6. New construction 2.❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp. insurance.t required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 9.1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Siggature: Date: lO Phone#: U U 5 D� F only. Do not write in this area, to be completed by city or town officiaL n: Permit/License# hority (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, constriction 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.perfor Nance 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), addresses) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited.Liabihty 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 you have any questions regarding the law or if you are required to obtain a workers' Industrial Accidents. Should 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 willbe 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 (c)ty or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia 5/28/ 10 12 : 05 : 06 PM 4160 ® 03/05 Atc�® DATE(MMfDDIYYY'f) CERTIFICATE OF LIABILITY INSURANCE 5/28/2010 PRODUCER (508)540-2400 FAX: (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray 6 MacDonald Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 550 MacArthur Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bourne MA 02532 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Arbella Mutual Insurance 17000 Carpet Earn, Inc. BJL R Ealty LLC INSURER B Arbella Protection Insurance 41360 719 Main Street INSURERc:Mass Retail Merchants' 4TC INSURER D: Falmou MA 02540 1 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTAN DING ANY REQUIREMENT,TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA D' POLICY NUMBER POLICY EFFECnVE POLICY EXPIRATION LIMITS DATE MMnDD DATE MM1DD GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMDAMAG=TO RENTED MERCIAL GENERAL LIABILTY PREMISES(Ea oawiren-e $ 250 000 CLAIMS MPDE 1OCCUR 500046790 5/1/2010 5/1/2011 MED EYP(My one parson) $ 10,000 P=RSONX B ADJ IN fURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMITPPP-IESFER: PRODUCTS-COMP/OP AGG $ 1,000,000 r3�1 POLIC- PRO El LOC AUTOMOBILE LIABILITY COMBINEC SINGLE-IMIT ANY AUTO (Ea socidert) $ 1,000,000 B ALL OMEDAU-OS 29135400004 5/1/2010 5/1/2011 BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRMAUTOS BODILY INJURY X NON-0VMEDAUTCS (Persoddent) $ PRO-EIRTY DAMAGE $ (Per acddent) GARAGE LIABILITY AUTO ONLY-J,ACrIDENT $ ANY AUTO 1 EA ACC $ OTHER THAN AJTO ONLY: AGG $ EXCESSI UMBRELLA LIABILITY EACH OCCURRENCE $ 21000,000 OCCUR CLAIMS MADE A3GREGATE $ A DEDUCTIBLE 600046787 5/l/2010 5/1/2011 $ Rx RETENTION $ 10,000 $ C WORKERS COMPENSATION WC STA U- I O-H- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERUE ECLTDVE Y❑ EL.EACH ACCIDENT $ 500 000 OFFICER11r1EMBRER EXC LUDED'r (Mandatory In NH) 014000500212110 1/1/2010 1/1/2011 E.L.DISEASE-EA EMPLO $ 500 000 If yes,desod3e under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES IEXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (508)503-3632 SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESHECANCELLEDBEFORETHEEXPIRAT10N Briggs HOIDe Builders DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Attn: Jay Briggs NOTICE TO THE CERTIFICATE HOLDERNAMEDTO THE LEFT,BUrFAILURE TO DO SO SHALL 49 Herring Pond Road Buzzards Say, MA 02532 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE d C•cr_ !rc2.Cr�vA L�9 S Harrington, CIC/3MH � 1` ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(230901) The ACORD name and logo are registered marks of ACORD 7186 DATE(MM/DDfYYYY). /`•��� CERTIFICATE OF LIABILITY INSURANCE 11/24/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION R. H. Pike Insurance Agy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 360 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 480 Adams Street Milton, MA 02186 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ColonV Insurance Company Michael Jones INSURER B: Travelers Insurance Co DBA Custom Home Interiors INSURER 43 Cypress St. INSURERU. Braint ee, MA 02184 .-INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 TO A X COMMERCIALGENERALLIABILITY 3669054 4/25/10 4 25 11 PREMIISES( occurrence)aENTED $ 50,000 CLAIMS MADE ❑X OCCUR ME EXP(Arryone person) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIESPER PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO LOC AUTOMOBILE UA13UTY COMBINED SINGLE LIMB ANYAUTO . (Ea accident) $ ALL O WNED AUTOS BODILY INJURY SCHEDULEDALITOS (Per person) $ HIRED AUTOS BODILY INJURY NONOWNEDAUTOS (Peracciderd) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETORIPARTNERIEXECUTNE YIN 0597L01 5/22/10 5/22/11 E.L.EACH ACCIDENT $ 500,000 OFFICE(MandatoryEMBER n NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS fax 508-503-3632 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHEABOVE DESCRIBEDPOLICIES BECANCELLED BEFORE THEEXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN Jay Briggs NOTIC CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Briggs Home Builders I OSE NO O LIGA R LIABIIJ IND UPON THE INSURER,ITS AGENTS OR 49 Herring Pond Road REP NT � Buzzards Bay, MA 02532 AUTH E �SENTA� Tr ACORD 25(2009/01) © 8- 009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD FROM CWED)JUN 2 MO1O 22:47/ST.22:47/No.75000OO848 P 2 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE`WMNYYY) 06 03/2010 PRODUCER (781) 878-0120 THIS CERTIFICATE IS ISSUED AS A PATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Robert P. Virta Insurance Agency HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND. OR SAN Group, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2071 Washington Street Hanover NA 02339- INSURERS AFFORDING COVERAGE NAIC 9 INSURED muRERA:Preferred Mutual Ins Co. Atlantic Kitchen and Bath, Inc. INSURER B:Guard Ins Co. 300 Oak street INSURER c:pilgrim Ins Co. Suite 140 INSURERD: Pembroke NA 02359- INSURERE- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' PumYEFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE DAIS 4MMMDIM UMITS GENERALUABILIT/ / / / / EACH OCCURRENCE $ 11000,000 X COMMERCtAL GENERAL LIABILITY DES Ea�ooa enoe $ 50,000 A CLAIMS MADE ®OCCUR HOP 0100 57 72 64 04/01/2010 04/01/2021 ME �,® g 5,000 PERSONAL&AIN IMRY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENLAGGREGATEppLRIIM�IITAPPLIESPtR PRODUCTS-COMPIOPAGG s 1,000,000 7X POLICY JECT LOC AUTOMOBILE LIABILITY / / ! / COMBINED SINGLE LIMIT ���) s 1,000,000 ANY AUTO ALL OWNED AUTOS PGC10009725597 01/15/2010 01/15/2011 BODILY INJURY S X SCFffDULEDAUTOS (per Person) C X HIRED AUTOS / / / / BODILY INJURY s X NON-OWNED AUTOS (� 1 PROPERTY DAMAGE (Per ) s GARAGE"ABILITY AUTO ONLY-EA ACCIDENT s OTHER THAN EA ACC s AUTO ONLY. AGG $ EXCESSfUA6RELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR ❑CLAIMS MODE AGGREGATE 5 3 DEDUCTIBLE / / / / $ RETENTION $ $ wORKERSCDMPENSATIDNArm AT[7c1z5642 04/01/2010 04/01/2011 X T u"wars ER EMPLOYERS'UABRff Y ANY PROPRIETORIPARTNERIEXECUTIVE E.L E.LDISEASE-EAEMPLOEACHACCIDENT s 100,000 B OFFICER/MEMBEREXCLUDED? / / / / S 100,000 If yes,describe under 500,000 SPECIAL PROVISIONS below E.L DISEASE-POLICY LUT S OTHER DESCRIPTION OF OPERATIONSJWCATIOl6NENICIESIFXCWSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: work comp policy; the officers are included in coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FAX: 508-503-3632 EXPIRATION DATE THEREOF. THE ISSUING INSURER MALL ENDEAVOR TO MAIL 030 DAYS wRrr EN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT.BUT Briggs Home Builders FAILURE TO DD SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 49 Herring Pond Road INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R�ftEBFJNTA Buzzards Bay, NA 02532- ACORD 25(2001108) ®ACORD CORPORATION 1988 INS02S(0108)m ELECTRONIC LASER FORMS.INC.-(800)327-OW Page 1 of 2 ACQ® DATE IMM/DD/YYYY) '�� CERTIFICATE OF LIABILITY INSURANCE 7/7/2010 PRODUCER (508)888-2244 FAX: (508)833-0680 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION William Palumbo Insurance Agency Bryden ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 125 Route 6A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Sandwich MA 02563 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Travelers Indemnity Company 25658 CHAFFEE 6 ELLIS PLUMBING & HEATING INC INSURER 8:Hartford Casualty Insurance 29424 11 JAN SEBASTIAN WAY #1 INSURER C:. INSURER D: $ANDWICIi MA 02563 INSURER E: COVERAGES 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 OFSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA DD' POLICY EFFECTIVE POLICY EXPIRATION S C POLICY NUMBER p fpp LIMITS GENERALLUIBILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 IF—CLAIMS MADE X�OCCUR 6809586C716 2/1/2010 2/1/2011 MED EXP(Any one person) $ 5 000 PERSONAL 8 ADV INJURY $ 1 000,000 GENERAL AGGREGATE $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY n PRO- LOC JECT AUTOMOBILELIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION WC STY M TS ER AND EMPLOYERS'IJABWTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) 08WECIV3742 2/1/2010 2/1/2011 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (508)503-3632 , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Briggs Home Builders DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 49 Haring Pond Rd. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Buzzards Bay, MA 02563 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE J LaRocca, Sr/MWOLF d J` ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200901) The ACORD name and logo are registered marks of ACORD I oFIKE Ta, Town of Barnstable Regulatory Services rMA�erg` Thomas F. Geiler,Director 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 A Builder as Owner of the subject property hereby authoriz 5 „S to act on my behalf,- ' I in all matters relative to work authorized by this building permit application for: +W4A��A/ 1&0 (Address of Job) r� Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable OF SHE Tp� " Regulatory Services o� 1 BARNSrABLE. ; Thomas F.Geiler,Director tKASS, 9�p t639. a�0� Building Division rFD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,'provided thaf the owner acts as M supervisor. . DEFINITION OF HOMEOWNER r Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to°the Building.Official on a form acceptable to the Building Official,that he/she shall be responsible for all'such work performed under the building Permit. .(Section j09.1,A) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other. applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of constriction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You.may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Massachusetts- Department of Public Saf1, Bo:u-d of Building Regulations ;Ind St:tntlat'llti License: CS 72719 Restricted to: 00 JAY W BRIGGS 2 GREAT HILLS DR E SANDWICH, MA 02537 Expiration: 5/25/2010 ( uunti.�iun�'r Tr,: 27540 7/. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 162080 Expiration: 1/14/2011 TI# 279.745. Type: DBA BRIGGS HOME BUILDERS JAY .BRIGGS 2 GREAT HILL DRIVE EAST SANDWICH,MA•02537 Administrator OSHAL"� �j U.-Department of tabor Occupational Safety and Health Administration 3•; Jay W. Briggs a has successfully completed a 40 hour Occupational"Satetyand Health-A Training Course(n- stru n Safe Health ,a;ner) — (Date► Jay Briggs ':_-_ Construction Supervisor BRIG G S HOME BUILDERS te1(508)737-6729 Covering All Phases of Construction fax(508) 503-3632, Licensed&Insured CS 072719 00 HIC 162080 Member'N/1N8 Jay@BriggsHomeBuilders.com 2 Y 9 � 1 License or registration valid for individul use only t before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 hot valid it t ignature TOWA7MVARNSTABLE BUILDING PERMIT APPLICATION n Map Parcel Permit# Health Division � (�,�/D 5 ��io-wv� a-c� Date Issue ZN ✓3 0 ' Conservation Division . .S,(0�7 D l�9 �� �S�S 6jr�-,q44„ Fee Tax Collector ( �^ Application Fee a Treasurer l t Planning Dept. v Checked in By M Date Definitive Plan Approv d by PI nniinn Board —� — U�/ Approved By Historic-OKH �'Preservation/Hyannis c -I SEPTIC SYSTEM MUST BE rr /J 11►IQTAI I RYf 11�1 PI IAM . Project Street �=s dress �hc�� fmo U�d �R0��� 0DEAND Villa e U. fr.� A3EGP3� .� T�WNREGULATiONS W 9 Owner / 14r1U -r_0J Cur. Address 110(9rre,4 Fii I Yid I71r,P7)*A1u cza Telephone Permit Request _F0 V (AIV G P1CLD ofLu 0k,O)S. 1 Square feet: 1 stst floor: existing proposed 1� ,�/� 2nd floor: existing ' — proposed sy� Total new Valuation a ??3 71-^ Zoning District Flood Plain C Groundwater Overlay Construction Type Lot Size "/7 Xk� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure -------" Historic House: ❑Yes t�No On Old King's Highway: Yes ❑ No Basement Type: Oa Full ❑Crawl ❑Walkout Cl Other r(�// Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Roo oo Number of Baths: Full: existing new 3 Half:existing new Number of Bedrooms: existing — new H Total Room Count(not including baths): existing new b First Floor Room Count S Heat Type and Fuel: E Gas ❑Oil ❑ Electric ❑Other Central Air: 51"Yes ❑ No Fireplaces: Existing — New�_ Existing wood/coal stove: ❑Yes o netached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing �ew size rkxa" Shed:❑existing ❑new size Other: s70°01 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial El Yes Ud No If yes, site plan review# ! p Current Use J t by 11� IlG►+� Proposed Use n BUILDER INFORMATION Name hm 4L,3C.4 Telephone Number Address YQ VS rGx-4 14 P� Vfd UM, f- 10 License# ©/ CD � Home Improvement Contractor# v X � Worker's Compensation# (.,C 1-3 IS4Fti-iq-h1_� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �"��O FOR OFFICIAL USE ONLY k PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION:, FOUNDATION !C '7 -` G °. FRAME INSULATION P FIREPLACE ELECTRICAL_ ROUGH FINAL- PLUMBING: ROUGH m N FINAL : GAS: OUGH n,..� 3 NAL at FINAL BUILDING co-100 . CO f DATE CLOSED OUT ; ' ' m = 4 ASSOCIATION PLANaNO. t Application to ®rb Ringo 3�igbivap RegiDnal. 3 IfitDrfc MiotriPt CommittEe In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS ,lication is hereby made,with four complete sets,for the issuance of a Certificate of Appropriateness under Section Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, Nings,or photographs accompanying this application for. ECK CATEGORIES THAT APPLY: Exterior building construction: New 0�❑ Addition ❑ Alteration � cJ ndicate type of buildirg: House IIJJ Garage ❑ Commercial 0 Other Exterior Painting: LJ Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other PE OR PRINT LEGIBLY: :r' DATE- DRESS OF PROPOSED WORK (9S7 A 4� l7Ct-) n ct, ASSESSOR'S MAP NO. JNER *0 ASSESSOR'S LOT NO. VEADDRESS luUdr"as 14 11 (Ad L64— io 14$Gnnis HO lh,W/TELEPHONE NO. 7VDVJ, ( LL NAMES AND ADDRESSES OF ABUTTING OWNERS, Including those of adjacent property owners across any Ac street or way. (Attach additional sheet if necessary.) t I. STcuc i- i` cl 6r cnvic,! H s- fib CJ. rns fti IH�. Ual� �� • ), 9,,6 JOrIc"e— Sk4ne- r` &Xi Fghcs,L,5� d C..). rrs b JJ ;ENT OR CONTRACTOR �rr� �Gt�rSc n / I''(Gr� � CCU. TELEPHONE NO. 7 (DRESS IU gruis Pi if f►Jal l/11�►T"1� ���fGnn,S, �'7� (,yYa�� :SCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please Iude locations of proposed signs. Signed Owner-Contractor-Agent �r Co, mittee Usel Onty I - P u APR 1 9 200 11 his Certificate is hereby ROVED Date , 6., pr d/Denied TOWN OF BARf43TAc_E ea embers' Signatu lG HISTORIC PRESERVA', ON The Commonwealth of Massachusetts --- - Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses address' L ' ai fr (,e state: 1 6'T. zi hone# 7 Y-63 1 work site location full address: CA ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑Sales(including Real Estate,-Autos etc.) ❑I an ern toyer with eta I e//Js(full& art time). ❑Other ///// 7/l//i/'///l//%/%///////�'/%�//�i�/////�//J// J 1am an employer providing workers' comvensation form employees worldag on this job; L coin flu 'sine: _ ' _ :.,;: -.. ,, •• 10 hone cl .instii-ence.cot•.�:t��"'•• "'' •�• ,// I am-a-sole-proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: address: .• •z::: ••� '.;::�;. .. •.?• •.�..,•. hone'#5 .•,.'`. .. insurance co. • . WIN MAKINIZIM / %%%O/'101%% coin en. tsaaie. •':::";•,•:. :...•.•'• � , address .. . Rol -Y Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one yearn imprisonment as well as ctvilpenalties in the form of a STOP WORK ORDER and a tine orS100.00 a day against me- I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification. L do here c : un er t�andpenaltiesof perjury that the information provided above is true correct Signature Date C/,�(/9•i�/J[�,� ' Print name / / fie,,-SyrJ Phone# official we only do not write in this area to be completed by city or town official city or town: permit/ticense# ❑BuUding Department ❑Licensing Board ❑check if immediate ropoase is required []Selectmen's Office k ❑Health Department contact person: phone#; ❑Other (revved Sept 2DM) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service'of another under any contract , i oral or written. of hire,express or implied, . An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives'of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or .. building appurtenant thereto shall not because of such employment be deemed to be an employer. ` MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the, 1 commonwealth nor any of its political subdivisions shall enter urto any contract far the performance of public work unU1 . acceptable evidence of compliance with the'insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address andphoiie numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. -ale affidavit shouldbe returned to the city or town that the application for the permit or license is being Accidents. Should you have any questions regarding the"law" or if you are requested, not the Department of Industrial required to obtain a workers' compensation policy,please call the Department at the number listedbelow. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill.out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which wi11 b'e used as a reference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would hike to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. NR The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents WN of Nesdeadons 600 Washington Street Boston,Ma 02111 fax#: (617)727-7749 phone#: (617)7274900 ext.406 Affidavit of Substantial Financial Interest 1 / of l Lrk6x CUP, on oath depose and state as follows: 1.. 1 am an applicant for a building permit for the r pe I cated -it Map , P cel The address of the property is J �d 2. 1 have % legal or equitable interest in the real property which is'the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the.last twelve months, from today's date, which is - , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. .Within this calendar year, I have submitted ­y building permit applications for property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days, I have submitted —u— building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted —&'building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received —0"building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury, this day of 2001-0050/affin Q/LOTTERY/AFFIDAVIT e Sk 13594 Plg94 #13005 02-27-2001 @ 01 :56p QUITCLAIM DEED Property Address: Lot 1 Abeeale Snow Road West Banistable,Massachusetts JEFFERY JOHNSON,Trustee of OLD FIELDS ESTATES REALTY TRUST, under declaration of trust dated June 3, 1999 and recorded at Barnstable County Registry of Deeds in Book 12324, Page 264,of 1550 Pulmouth Road, Centerville, Massachusetts 02632, for consideration of SrVF..NTY-FOtJR THOUSAND and 00/100($74,000.00) DOLLARS paid, hereby grant to MARKWOOD CORPORATION, a Massachusetts corporation with its usual place of business at 110 'Breed's l-fill Road, Ilyannis, MA 02601 with QUIT"CL.AiM COVl,-:NANTS The land and the buildings (if any)thereon situate in (West)'Barnstable,Barnstable County, Massachusetts, and being further described as follows: Lot 1 as shown on a plan of land entitled"Definitive Plan of Great Hills of Barnstable Subdivision Number 774 in Barnstable, Massachusetts, Applicant: Paul Lebel, 1600 Falmouth Road,Centerville, MA;dated March 31,2000, Scale: 1"=60',Prepared by. Advanced'fechnical Solutions, P.O. liox 99, East Sandwich, MA 02537", which plan is duly recorded at Barnstable Comity Registry of feeds in Plan[Book 558, Page 13,together with a right of way for the benefit of these lots only, over Abegale Snow Road for foot and vehicular travel and utility purposes for which ways are customarily used in the Town of Barnstable. I further certify as follows: 1) 1 am the sole trustee; 2) The Declaration 6f"Trust has not been altered, modified,amended or terminated since its recording, except as may already appear of record at said Registry of needs; 3) No beneficiary is a minor, incompetent,a corporation selling all or substantially all of its assets, or a Personal representative of an estate subject to tax liens; 4) The beneficiaries of the Trust have authorized and directed the Trustee to execute this document.. For grantor's title reference see deed from Paul T. Lebel and Suzette M. Lebel dated June 15,2000 and recorded at Barnstable County Registry of needs in Book 13126, Page 336. WTTNF.,SS my hand and sea] day of February, 2001. OLD !:MELDS 1`:STATES REALTY TRUST i By- J� ery n, ee►-- I �lind o in v' uAl y COMMONWEALTH OF MASSACHUSETTS Barnstable, ss February J..'? , 2001 Then personally appeared before me the above-named JI:FFERY JOHNSON,TRUSTEE of OLD FIELDS ESTATES REALTY TRUST and acknowledged the foregoing instrument to be Ws free act and deed as trustee aforesaid,before me. Notary Public- N N P f•I ( .kMA 6 My commission expires: i g:Ideedslabegale jetf=niarkwd.lotI MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-23-2005 PROJECT INFORMATION: 65 Abegale Snow Road West Barnstable, MA COMPANY INFORMATION: Markwood Corporation 110 Breed's Hill Rd. # 10 Hyannis, MA 02601 COMPLIANCE: PASSES Required UA = 723 Your Home = 524 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA _ ------------------------------------------------------------------------------- CEILINGS 1784 30.0 0.0 63 WALLS: Wood Frame, 16" O.C. 3501 13.0 3.0 249 GLAZING: Windows or Doors 254 0.310 79 DOORS 138 0.350 48 FLOORS: Over Unconditioned Space 1784 19.0 0.0 85 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- 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 requirements of the Massachusetts Energy Code. 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 1250 of the design load as specified in Sections 780CMR 1 / Builder/Designer Date ,.AAScl eck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 5-23-2005 Bldg. 1 Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.31 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0.35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 90.0 AFUE or higher Make and Model Number AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following 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 cfm (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/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed 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-values, and heating 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 for 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 off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: ( ] 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. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping •conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-111 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- � �vv�L 13q, `1 TnWN r16 nAPW.CTARtr G DI ewur;RrIAOn i FORM d j RELEASE OF LOTS UNDER COVENANT 8 Barnstable,Massachusetts: date.. ,) —iv. Tho undersigned,being an authorized agent of the Planning Board of Bamstable,Massachusetts,hereby certifies that Lt thafnlnwtnnrnbvnwned_byJePfery Joh1 non. Tr, of. Old Fields Gstatea RTfterur(ngthe �.L t�)YtllSgfiitigltlU .ii1i.Y 1 u i¢e s11;„Huucieiint pSiii9ta{`4e uiyYitl UMtiuy,oiybRi 3 i 2 (Or registered on Certificate,of Tifte No. _ .Documontf ),and shown on a plan entlUaT Definitive Plan of Great: Hi.l_Is of Barnstable n ana fecoraeo with said Deeds, Plan Book .58 .Page 13 (or regl5tored In said land Registry District L C.#------J,are hereby released ...51 1:..-z as I----a'a$4-�t..,:1.1:.. �.....JF�!^.�W'�I' Ca!d 1..`.,.� ��1i1 ViV 1{7J41vUUi.J w w v...,..oa.:pc......,., v�:s.^� ...v follows: Lot 1, Lv L L �' ctlnnnnetnw► 77(a .,r..{� --.,d^G �y,�wv,tiw�A..ew� Pl.�ww.lw.aP.w�vRl�ke vvci u.•wwlur,� - rw1•y. 1 1.y va v /0011 Raymond Lang, Chairman To ±otga.},.f.r.Je Je COMMONWEALTH OF MASSACHUSETTS Barnstable,Massachusetts,ss^ J — 7� itreu pei36nt5ii �n---taco , t;y rii i ins i-iannuiy r PPS an iituii[x+si a u waiv vi u10 /vnT1 v�volTlSiau�o,1 aaiaulu�c�u W.d aclim,616% cv'u` oyGr�iy n15ud1�icii iv uc u v 1io$oCl O11N a_Ir�Dra�nlnl�p��.r1 1 rafrr�me `n) "ICII If NOT PUBLIC My commission expires: Yt1 KlCIA G. 1V1ACI'% iY After recording,return to: NUI—ARY PUBiAC My i;omrruneton mattes uec ts.Aiiu (own of Barnstable manning Board 230 South Street Hyannis,MA026UJ r 6IC 13126 P0326 +4362? TOWN OF BARNUABLE SUBOAAM N RUM AND REOUIJITION6 COVE W KNOW ALL MON BY THESE PRESENTS Jeffery Johnson, Trustee of Old fields 8atates Realty Trust yyHEREM .. / of Centervills �,{� abfT�tted �kOtjOn(0 Vle PIS Bafrd d Ihs Tawn a Bternottsla raft ICI •d fia hn c lomsted o!f Q p00 MAW 612 al: n� � Rand�p��p ��weoitft vUP� WHMEAS TM P&vdM Bond and N Apptktant hM snared Into a Developnwd AW wrtwa dated 1�}Q/00 Ws oow+srd k atatdted tterese afd frtede a pwt otwaef Ihs Dsaatopfttertt AWmmwv to umn fe pw}atnwtos ftwee! NOW THEREFORE B1 CONBIUERA?10N that wtld PtanNrtp Board a fw Twvnt d Bamataba rteiMs Ow i ragAvrertu to so=tf as proOded In Beofan all d chapter 41 d fw eam Lean o(Masfaore wft(Ter. Ed) i as wtwdid and far ofwr good end tt,kme aoratdemdan WE hwwy COVENANT WITH THE MIMBITANTS OF THE TOWN OF BARNBTABLE as fa0ows: i 1. We are fte mmm of moord dite prwniw an add p*L 2 We wS not s0rnray VV lot of sreot of plea an any lot any bcrk ft towwsfat or Oomwru bildrq WWI the Nak an IM round moess"b KWMIW sww VAlt lot tip OW ooMWW ka to f ~Waded In fta DetretgmwtAgreantwt dated 7 10 0-PROVIDED hWter how ,w,On Bwd my tetsw a W or IOU upon fte N tW*v d wMdmt smNW es mmkod and approved ptsstwtt to OM prot4*m d ChWW 41.Sudan 81U,of the Masaadww b Ow"Le". P: 3. Wa sane to nowd Ws oovwtmt es a p l fwreof Ow DwoIoprrdm AW wrwtl,t a the Bantsmhly County i Reglaay of Doak.end 10 fowad leoasbd ooptas d fr DrAkpwnt Aprew.m efd CoMmtwti to Ute ofioa d fta Plaminp t'!o W rrWar►MtM1y(!�riye d fta PWvrYtp f>laaete srtdoreentant d approvd d fh. Bibdvisbn vkwL or dte mprouei d fte&+b&Adwt Pbn7ttali be rea and vdd 4. The w0naht so be ad Is 04ww twos our hft aavotraM adr*hasare,twos or ar n"ars to "! InIsmad wd ow grantee or m aoeaaare In Ift R b*V Ow agnu btlan9, wd wubrewdhp and spnemwtl I*IN$aotwwtant anal aotwdarta a ssvuwrti Us"vAIh ON bard rl 8. NoOthtq herMn dul be obemsd b p ohM a mo ve tee MtW to No Coma end the Oawlapmem i Aoeemwtt by a tlngle deed o(?n wAre pefoN d Iwo ahm on mId aftduWon am 8. TMa aotrertant NWI aloe&%a upon wprwd d sold plsn by Ow Parft Bowd d Ow add Town o1 bantawtie. Paul T. Lebel and eusette M. Label For IN In fw ham to Jeffary Johnson,Trustes of Old fields Estates Realty Tru! s_ � 6/19/00 ydN His Bwnstade Rsgteay of Ovoids,Book• _Peps ar rephtwad 1n ate.twnd Cool ea Damamru Na and noted an ow gaftab of Ofe no. N Raplatreaan Book page )d (AdMwt 8wtwnhla Nd look b dead at ON15 ab of reoadsd N ON Ragwdm inBtiok -~ N he Utnd ReoMy a Dootmattt mo.�~,and j noted an to MOM of we no. Bttak ,Pepe Wona+re l mrtnt to"). sppOoent feisty spa afar such atMea as I.we may hm sw be I 6K13126 P0927 49627 u0jW to eu praftw a of VU oomwd and Infedr ea to neosemy r deaaa tU rltda of lsrwwy by dower or homestead and cOw lifteata Uw*m I(�) by to earrLvat a,.ways an0 7 10/oUSUIS In ft idepuh 9 hOd MUM In ecoidWM wftn all the +0 terme d am oevehMawd Agrserrrent deter toow In wffneaa whereof we have herwnto set our lurnde end sedte MIS 10th (d")and July owners Aooeptenoe by a M%Wry of Ptt vV4 GWd eem J f n, zuetoe d i d atacea Realty v. E(L) �. 'S OF 8pouaea d awro e ti I unfll peltied I saes a and e Co my (Plenein9 ooardl he C0MMONWEALTH OF MASSACHUSETTS of Oro GARNSTA&E 98 . July 10 tt 1000 as In Then Por=W*appeared bebre me the ebas nanwd lobe Vv iree a Oro bropolh9 Ine9umerd ct end d tald Hemel end Bamstabfs,MA PlefWrq 8001d fa he Town"o1 not AV cC- �, tary Pubde Myaonvrdeebn e�lroa PAMCIA G.NW MACt�,Y To"d f �~�• ARYKMUC �: . 4 ®"Dec >,t,9pm f JAPP rcatae Asal ; � '." rl "• 1 04' , f?� COMMONWEALTH OFMASSACNUt81T6 r10. ^' .'�AlWST r LE,SS .lu y in ts-2= j Then WWI*4V eredbeforemeheebaenoaad Jatfery Johnson. Trustee of Old Fields in Estates Realty Trust: Odd wm)w4 a*:nft edpad fhe ftxtpal, piabum tt to be(hW hem and (Skw sot aid desert r { ` Notm Pubtlo my w rdwim agrhee: 5 r-3 -0 Z_ be , NAa04 t^_WOI y 9 J. I � OF REGULATIONS # ► BOARD OF B License: ,CONSTRUCTION SUPERVISOR CS 005867 Number { 53 1 Tr.no: 8243.0 s,y 1111?J2005 Expim�r . j "" �L �+ y► TIMOTHY . ` PO.BOX 519 ` 02832% i Administrator t CENTERVILLE, MA j f i i i i l 5084201637 06/07 105 11 :52 N0.430 01 The Fredericks Insurance Agency Inc. I W plain Street—P.().BOX 427 Ostcrville,Ma 02655-0427 I cl:508-428.8999 Fux:5OR-420-16.17 Ent ai I; Si18tl5.tC4'St�l]Si�iS(i Oon C C:U t iI J�a e.c o m TO: Town of Barnstable Building Department FROM: F. Diane Fredericks, President DATE: June 7, 2005 RE: Bond#06S 103661997 BCM 65 Abigale Snow Road, W. Barnstable The above bond issued on The 12th of July, 2001 remains in full force and effect until released by the Obligee, Town Of Barnstable, The bond renews annually until the release is received by this office, To date, no release has been received and the bond continues to be billed. If we may be of further service, please do not hesitate to call me directly, i Thank you. R. FDF:hs Encs. &Fving,(:ape Cod's uuwrame needy wire 1981 __ Daniel E Braman, P.E. CO k� tG &Lt 1 (:—> C4 vj V.Q 189 Harbor Point ft W€S T ,�a,t..�-�,p,FS L f ,Q Cammaqu4 MA 02637.0361 .soY.t o fl CoR.P• Q7A-o5 ►�lI,A�SS ST�-cE ��t�ot�c, CooC L-c �,,.rc c3: �i. � '�.L .a�'S s -•� C.:P 4c� G c �Aj L49.S5 0m- wlA K38 SP.a.r , -79.t S25. ap z 24/2, w c.c.. l5x /2 3 !moo e�. �C12= 480 Y- W 4 ��why drrk��ls, ����s or ,,►�•-•.. . 0f rgsf � cc OVe V"C> t i t i o�+� DANIEL E. BRAMAN �. 3T AL H TE �� a t RAMSBEAM V2 . 0 - Gravity Beam Design .,Licensed to: Dan Braman, P.E. Job: 68Abigale Snow,W Barnstable Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W14X38 Fy = 36. 0 ksi Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 038 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 24 . 00 0. 180 0 . 180 0. 000 0 . 000 0 . 480 0. 480 SHEAR: Max V (kips) = 8 . 38 fv (ksi) = 1. 92 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb . Fb fb Fb Center Max + 50 . 3 12 . 0 0. 0 1. 00 11 . 05 24 . 00 11 . 05 24 . 00 Controlling 50 . 3 12. 0 0. 0 1 . 00 11 . 05 24 . 00 --- REACTIONS (kips) : Left Right DL reaction 2 . 62 2 . 62 Max + LL reaction 5 . 76 5. 76 Max + total reaction 8 . 38 8 . 38 DEFLECTIONS: Dead load (in) at 12 . 00 ft = -0. 146 L/D = 1975 Live load (in) at 12 . 00 ft = -0. 321 L/D = 897 Total load (in) at 12 . 00 ft = -0 . 467 L/D = 617 JUL-01-2005 FRI 08:42 AM Botello Lumber Co, FAX N0, 5084774279 P. 01 i BC CALC®2003 DESIGN REPORT- US Friday,July 01,2005 09:35 Double 1v3/4'�.•X i4 718"—VERSA-LAM®3100 SP FFiille�N�amn Markwood Corp.,65 Abigale Snow Rd:Fioor2lB�I Job Name: Abigale Snow Rd. Specifier Botello Lumber Co,Inc. C-Address. Designer. Devlin Custom Designs City,State,Zip: ,Ma. Company: Customer. Markwood Corp. Misc: Code reports: ICBO 5512,NER 629 1 Stard3rd Load 40 psf I t0 Pat Tn6ulary 0900 a0 s ;y r{ � _ .4 4++.p, ''�'�,� ��1.y s,F',t.` .",y�1�''5. '���� � ` fi�a±S{•�'r!•F'7F Rt .�dq, ��� v"�+?+i t 9yi+ . ,t ruck+ 1r+�,(��t,�n� -v�-+a•3 ..r'�'r [�•:� + v e�. aai'1'i`P�t S��.Jk+,��,..�,�° � ye i :K�Y'"a�'7aj�j`.-";f'_+��g.Feq+;A'.�?. `f.:.:.r ' x4 ;��J } t>�1 ++�a�Krt�'nr'l,�,��•�Yt'���j,S.0 �(P+t{i +.,,i a'+�r r: y 3 r`u� r t';J�U;rip, c�'»..�'' �?r'�=.,..,.d �'�8.. .� .. - B1 4412 tbs LL BO 2213 Ibs DL 4433 Ibs LL s 2213 ibs DL ,. Total Horizontal Length-09100-00 General Data Load Summary Value Trib. Dur. Version: us imperiai ID Description Load Type Ref. Start End Tive 40 psf 09-00-00 1011% S Standard Load Unf.Area Left 00-00-00 09-00-00 Dew t 0 psi 09-00.00 9)% Member Type: Floor Beam 0 plf nia to 1°y Number of Spans: i 1 wall icad. Unf.Lin. Lett 00 00-00 a9 00-00 Dead 60 pif nla 9 toy Left Cantilever: No - 25 psf 0940-00 10�l% Right Cantilever: No 2 calling load. Unf.Area Left 00-00-00 09 00 00 e Dad 10 psi 09-00-00 01% Unf.Area Left 00-m-oO 09-" Live 25 pst 16-00-00 113 Slope: 0/12 3 roof load. Dead 15 psf 16 00 00 9)% 4b Tributary: 09-00-00 Controls Summary n Locati,In Control Type Value %Allowable% Duration Load Case $-internal Live Load: 40 I� Moment 14952 ft-ibs 61.11 1 i 10 Dead Load: 10 psf Neg.Moment 0 ft-lbs 1% 3 1-Let Partition Load: 0 psf End Shear 5184ibs 58.196 115°6%k 3 1 Duration: Total Load Deli. L/484(0.223') 49.6% 3 1 Live Load Defl. L/726(0.149-) 22.� 3 1 Disclosure Max Dell. 0223" The completeness and accuracy of the input must be verified by anyone Notes who would rely on the output as Design meets Code minimum(1-1240)Total load deflection criteria. evidence of suitability for a Design meets Code minimum(U3611)Live load deflection criteria. particular application. The output Design meets arbitrary(V)Maximum load deflection criteria. above Is based upon building Minimum bearing length for BO is 2-114". code-accepted design properties Mull iUM betiififig l61ip tof B1%2-1l4". and analysts methods. Installation Entered0splayed Horizontal Span Lenitth(s)=Clear Span+12 min,end bearing+12 intermediate heart tg of BOISE engineered wood products must be in accordance Comm6an Diagiram with the current Installation Guide Consult project design professional of record or BOISE technical representative for connection design and the applicable building codes. Member has no side loads_ To obtain an Installation Guide or if you have arty quesiions,please call Connectors are:l6d Sinker Nails (800)232-0788 before beginning d product installation. a-2" b b=3" Be CALC®,Be FRAMERS,BCIS, c o 4" a \. Be RIM BOARD-,Be OSB RIM d=12" T BOARD-,BOISE G3LULAMTM ` VERSA-LAM®,VERSA-RIMS, C VERSA-Rlfdi PLUS®, VERSA-STRAND AL i VERSA-STUDS, ALLJOiSTS and AJSTM'are trademarks of • Boise Cascade Corporation. Page 1 of 1 r JUL-01-2005 FRI 08:43 AM Botello Lumber Co. FAX NO, 5084774279 P. 02 •j BC CALC®2003 DESIGN REPORT- US Friday,July 01,2005 09:35 Single 11 718" AJSTM 20 MSR Flle Name: Markwood Corp„65 Abigale Snow Rd:Floor 2W 117 Desjob Name: Apigale Snow Rd. Specifier Spedfler. Botello Lumber Co.Inc. Address: Designer: Devlin Custom Designs City,State,Zip: ,Me. Company,: Customer: Markwood Corp. MIsc: Code reports: ISR-1144 i--� — smnda�d Load-4o pet 1 to pd oc spaun9 t s• /�( ���,�y ��y�"�::��,.. -DF .�LEE)) ,�y'.� .!R111`r'S..�KCP �.n1 t, I,i 1 N;°r��. ryi 'M1;;l}J •'V9+",✓ L M1'. 4 17-11-00 82 1-1/2" t3 tt oo B1,3-112" 411 We LL B0,1-1/2" 1075 Ibs LL 9 i Ibs OL 331 Ibs LL 269 Ibs DL 61 Iba DL Toted Horizontal Length-31-10-00 General Data Load Summary value Ocs Our. Version: US Imperial S Description Load lLfinf.Area Left 0"0-00 31 Ref- start -110-W L� 40 psf 18" 100% Dead 10 psf 16" 911% Member Type: Joist Number of Spans: 2 LeftCantitever: No Controls Summary %Allowable Duration Load Case Span Locatlrm Right Cantilever: No Control Type Value 2 2-Loft Moment 2211 ft•lbs 50.2 to% 2 1-Right Slope: 0/12 Neg,Moment -2211 ft Ibs 44.2%2% 10 0%0% 5 2-Right 16" End Reaction 505 ibs 4. 10 OC Spacing: 45�,� 100gt 2 2-Left Repetitive: Yes Int.Reaction 1343lbs 48.4% 100% 2 2-Lett Construction Type:Glued Cont.Shear 721 Ibs n/a 5 1-Left Uplift 26lbs 28.2% 5 2 Live Load: 40 psf Total Load Deft. L/852(0.25Lr) 48. % 5 2 Dead Load: 10 psf Live Load Defl. U1019(0211") 13.6% 5 1 rttti Paan Load: 0 psf Total Neg.Del. -0.068" 252% 5 2 Duration: 100 Max Defl. 0.262" nla 2 Span/Depth 18.1 Disclosure The completeness and accuracy of Notes the input must be verified by anyone Design masts Code minimum(L/24D)Total load deflection criteria. who would rely on the output as Design most User specified(U480)Live IDad deflection criteria. evidence of suitability for a Design meets arbitrary(I-)Maximum load deflection criteria. particular application. The output Minimum beartng length for BO is 1-t2"- above is based upon building Minimum bearing length for B1 Is 3-1 2". code-accepted design properties Minimum bearing length for 82 is 1-1Wa +112 Intermediate bead rg and analysis methods. Installation Entered/Displayed Horizontal Span Length(s)=Clear Span+112 min.end bearing of BOISE engineered wood products must be in accordance with the current lnsiallation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please cal (800)232-0788 before beginning product installation. BC CALC®,BC FRAMER®,BCIO, BC RIM BOARD-,BC OSB RIM BOARD-,9015E GLULAMTM. VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND Tm, VERSA-STUD®,ALLJOISTS and AJS'N are trademarks of Boise Cascade Corporation. Page 1 of 1 JUL-01-2005 FRI 08:43 AM Botello Lumber Co, FAX NO. 5084774279 P. 03 BC CALC®2003 DESIGN REPORT-US Friday,July 01,20115 09:35 Single 11 7/8" AJSTm 20 MSR File Name: Markwood Corp.,63 Abigale Snow Rd:Floor 2\J_39 Description: Job Name: Abigale Snow Rd. Specifier: Botello Lumber Co.Inc. Address: Designer: Devlin Custom Designs City,State,Zip: ,Mo. Company. Customer. Markwood Corp. Misc: Code reports: ISRA 144 Standard Load 40 psf 110 Pd 0C"kv 16" 1 ,- o'f �'�F .Ih 4�+ryi h✓�� 7` �] n, kT7'1,p'ya c Y.�1 ..Y 'W+.2Y'.iJ:'f'•�' '? i;; S'', .L'!i ' ¢ tk Y -4.+.1'f3.,�'.,,.rrs 7 ..', u t s �., .rr a't.. 4^..,. �< .- !•,; ,.< 09-0$-04 11-11 ao 62.3-1/2" 2 1 1-112^ Bo,1-112^ 61,5-11a" 665IbsLL 2- s DL LL 280�s LL 748 lbs LL 146 Ibs DL �9 Ib b 178 63 Ibs DL Iba DL Total Horizontal Length-32-10-00 General Data Load Summary end Type Value OCS [lur. Versfan: US Imperial ID Description Load Type Ref. Start 40 psf 18^ fOD96 S Standard Load Unf.Area Left t�00 00 32-f0-00 Dead 10 pal 16" 90% Member Type: Joist Number of Spans: 3 Left Cantilever: No Controls Summary %Allowable Duration Load Case Span Location Right Cantilever; No Control Type Value 23 8% 1 OD% 6 2-Left Moffiefit 1048 ft-lbs 23.8% 100% 6 1-Right Slope: 0112 Neg.Moment -1048 ft-lbs 4 1 -Left 16" End Reaction 343 Ibs 30.0% 100% I -Right Repetitive'- Yes hhL Reaction 926 lba g 1-Right OC 31.8% 100% Construction Type:Glued Cont.Shear 495 Ibs 32J6% 100% 4 1 Total Load Deft. L12395(0.061 10.0% 4 1 Live Load: 40 psf Live Load Defl. L12835(0.05") 16.9% 4 2 Dead Load: 10 psf Total Neg.Defi. -0.025" 5.0% 4 1 Partition Load: 0 Pat Max Defl. 0.08" 6.0% 1 Duration: 1Im Span/Depth 12.0 We Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/240)Total load deflection criteria. the input must be verified by anyone Design meets User specified(L/480)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1')MaArrWm load deflection criteria. evidence of suitability for a Minimum bearing length for 80 is 1-10. particular application. The output Minimum bearing length tot B1 is 5-114". above is based upon building Minimum bearing length for 82 Is 3-1/7. code-accepted design properties Minimum bearing leno for 83 Is 1-1/2": and analysis methods. Installation EnteredlDlsplayed Horizontal Span Length(q) Clear Span+1/2 min.end bearing+1 R intermediate be rig of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before baginnfng product Installation. SC CALC®,SC FRAMER®,SCI®, BC RIM BOARDTM,BC OSB RIM BO'ARDT",BOISE GLULAMTm, VERSA-LA W,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDT"' VERSA-STUDS,ALLJOISTO and AJSTm are trademarks of Bow Cascade Corporation. Page 1 of 1 JUL-01-2005 FRI 08:44 AM Botel lo Lumber Co, FAX NO, 5084774279 P. 04 Z BC CALCOD 2003 DESIGN REPORT -US Friday,July 01,2015 09:35 Single 11718" AJST" 20 IVISR File Name: Markwood Corp.,65 AbigaI9 Snow Rd:Floor IU-38 Job Name: Abigale Snow Rd. Description: Spscffier Botelto Lumber Co.Inc. Address: Designer. Devlin Custom Designs City,State,Zip: ,Me. Company! Customer: Markwood Corp. Wisc: Code reports: ISR-1 144 Startderd Load 740 psi I Opsf 0C8RqN I P11-I m-5 5. W ik 5 13-11-00 00 82,3-1/2" Bi,3-10 411 Ibs LL B0,3-1/2" 1075 lbs LL 95 lbs DL 331 lbs LL 269 M DL lbs DL Total Horizontal Length-31-10-00 General Data Load Summary start End Type Value OCS E ur. Version: US Imperial ID Description Load TYPO ROC 40 pst 16" 10)% S standard Load Unf Area Left ()0-00-00 31-10-00 Live Dead 10 psf is" 9)% Member Type: joist Number of Spans: 2 1 Left Cantilever. No Controls Summary %Allowable Duration Load Case Span Loca#)n Right Cantilever. No Control Type Value 50.2% 100% 2 2-Loft Moment 2211 11-11IS; 2 1-Right 0/12 Neg.Moment -2211 it 50.2% 100% Slope: 36.4% 100% 5 2-Right OC sparing*. 16" End Reaction 505 lbs 2-Left Yes Int Reaction 1343 lbs 45.9% 100% 2 Repeffr4e: ".4% IGO% 2 2-Left Construction Type,Glued Cont.Shear 721 lbs Na 1-Left Uplift 26 lbs 282% 5 2 Live Load: 40 psf Total Load Defl. U852(0.252) 10 psf Live Load Defl. U1 DI 9(02111') 47.1% 5 2 Dead Load: 6% 5 1 Partition Load:' 0 Psf Total Neg.Dell. -0.068, 13. 5 2 100 Max Defi. 0.252" 262% 2 Duration: Span I Depth 18.1 nfa Disclosure - The completeness and accuracy Of Notes the Input must be verified by anyone Design meets Code minimum(Lj240)Total load deflection criteria. who would rely on the output as Design meets User specified(U480)We load deflection criteria. evidence of suitability for a Design meets arbitrary(1')Maximum load deflection oriteria. particular application. The output Linimum bearing length for 80 is 3-1 W- above is based upon building Minimum bearing length for 81 Is 3-Ir2'. code-accepted design properties Minimum,bearing length for 8219 3-1 IT. Clear Span+If2 min.end bearing+1/2 Intermediate beari ng and analysis methods. Installation Entered/Displayed Horizontal Span Length(s) of BOISE engineered wood products must be in accordance with the current insiallsion Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions, please call (800)232-0788 before beginning product Installertl0n. BC CALCO,BC FRAMERS).BCIG), BC RM BOARD"',BC OSS RIM BOARD-,BOISE GLULAM-, VERSA4AM,VERSA-RIM®, VERSAaM PLUS®, VERSA-STRAND", VERSA-STUD®,ALLJOISTO and AJS10 are trademarks of Boise Cascade Corporation. JUL-01-2005 FRI 08:44 AM Botello Lumber Co, FAX NO, 5084774279 P, 05 BC CALCOD 2003 DESIGN REPORT-US Friday,July 01,20115 09:35 Single i 1718"AJSTM 20 MSR FiieName: Markwood corp..65 Abigale snow Rd:Floor 1\J-15 Description: Job Name: Abigale Snow Rd. Specifier: eatello Lumber Co.Inc. Address: Designer: Devlin Custom Designs City,State.Zip: ,Mo. company: Customer: Markwood Corp. Code reports: ISR-1 144 I larnwdl"Load- �T 81.3-1/2" l 31S be LL 80,}tom„ -1 W % be DIL 378 bs LL I 94 lbs DL Total Horizontal Length-14-02-00 General Data I Load Summary End Type value OCS E-ur. Version: US Imperial ID Description Load TYPO Rat Start 14-02-M LIM 40 psf Is- 10)% S Standard Load Unf.Area Left MOD-00 Deed 10 psf -is" 93% Member Type: Joist Number of Spans: i Left Contlever: No Controls Summary) % Allowable Duration Load Case Span Locatl)n Right Cantilever: No control Type vaue 38.0% 100% 2 1-Internal Moment 1672 fl-lbs n/a 100% Slope: 01M 2 Neg.Moment 0 ft4bs; 34.0% 100% 2 1-Left OC Spacing: Is" End Reaction 472lbs 22.9% 2 1 Repetitive: Yes Total Load Dail. LtI 047(0.1 W) UJ309(QAW) 36.7% 2 Construction Type:Glued Live Load D9". 0.167 162% 2 Max Dot. n1a Live Load: 40 psf Span/Depth 14.3 Dead Load: 10 psf Partition Load: 0 Pat Notes Duration: 100 Design meets Code rnlrdmum(L240)Total load deflection criteria. Design meets User"tidied(U480)Live load deflection criteria. Disclosure Design meets arbitrary(1')Maxlmurn load deflection CAGIrlai- The completeness and accuracy of Minimum bearing length for 80 Is 3-12". the input must be verified by anyone Minimum bearing length for 81 Is 3-1)2". n+112 min.and bearing+1/2 intermediate bead ig who would rely on the output as Entered/Displayed Horizontal Span Length(s) Clear S pa evidence of suitability for a particular application. The output above Is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Insiahation dulde and the applicable building codes. To obtain an Installation Guide or if you have any questions,Please Call (800)232-0788 before beginning product Installation. BC CALC40,5C FRAMER®,SCIS, BC RIM BOARD",BC OSB RIM BOARDTm,BOISE GLULAMTO, VERSA-LAMV,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND-, VERSA STUDG,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. w7 - i . �1�� ��e�� r.msn li�W ilrtznwwigM wl�r�r f1BJrO0!WMr11 T lutD t0 UNL90 rM Id �'t Al•IfM'!s TTvt Jw xa er.my•v emu Ywt1i 31" nac [rosrry / 4 dtiau,nue..rw�oi«i•.�i�n��'r�uraoob...-�.wa.a (/( ,..�vayoavn,.vrir�i+ay.vovu�avwi era.r.l.�rr.+wr� v.v�na¢.�,:wnrv.aswua.orn;vou aOt 1.1M:-,n Wr I.LIPOA�gr,O'r01tx Sl.l3SY�1'lr >VL9Y71'i/il l�oMarVntM•]s rc rl�rr.la/Y� tf-mrA UlOrl s^j nnttr•vrw 37Q►19N71"il�ST(181►�8'J a�•w.............. •notmo�omms 1Cererr���1]01{yp o�,m ti /JVII3�LlfMl3Q , ml.erov mmo°�' �A.aa�aw°s.wwge wo—t -0 X _ . ..... _... 4�per®�9q�p!'sid 31 •mr� ap _ 1T�Or+R�9 v ®we r a seye o qd yqy aanOMAOEMV Lo p esb unrnarsaav mrt¢1sta. ,1 .sM�vD09Sti C<'NwWw"T7®r0!6 M Lei u I N K OSC Sl axo e i -� a m.o .esvic ee'u •ma•� fw:lrs� ~ •sort •� nrr(o`r flla tl Jt fY Y -\ Kdf Oj UL:s=a 1 m �nrl , cim is llrirl,t ta.�. Awl �v ov� QVOM �Spl-ta �\ \ 3I9ylS.N1Y9 !1°iCM .. ~� uera.s.� �� l-7>urevrns .<elii S 3��•: :�l 1 3mn.,Lsw COM C11M i ram:awta-avwtovsrTtim .-•t 38axtal 6 �' ixsvwwsa •-' m 'elate arz moK� 11Sx`��_ _ CV O aL NOPYl �� cti Zhd7o J9 r' m _,e z y� i L ; 7 L S _ �. . 9C�C` 461 �°tea ��25.85 0 ' 48.28' 00 ti LOT 1 A w• 49,306 .SFt A) 0- CONCRETE FOUNDATION OHO S zo JOB 00-109 LOT 1 A F 0 UNDA TION PL 0 T PLAN FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT ONLY LOCATION : SABEGALE SNOW ROAD WEST• BARNSTABLE, MA SCALE : 1 " = 50' DATE JULY 21 , 2005 PREPARED FOR: REFERENCE : L 0 T 1 PB 558 PG 13 MARKW ORP. ��P k OF MASs9c I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE _� TIMOTHY tiG GROUND AS SHOWN HEREON. H COVELL 1 off 508-362-4541 No.38035 v' fax 508 362-9880 10 down cape engineering, inc. ' Sli CIVIL ENGINEERS Z LAND SURVEYORS REG. LAND SURVEYOR 939 main st. yarmouth, ma 02675 PROJECT NAME: lU� 4�v%*x (a>-A5 `� P ADDRESS: PERMIT# PERMIT DATE: M/P: CC) s LARGE ROLLED PLANS ARE IN: BOX I LS SLOT "i� 3 Data entered in MAPS program on: BY: q/wpfiles/forms/archive i ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONe, Z (� Map Parcel --W/ Permit# �f�6 Health Division Ake l- -2-6"7&Apl. Date Issued O Conservation Division % .S 7 /7�D/fi�v 6hli� o�'6y � Fee X667, �y Tax Collector EPTIC Y S STEM MUST E_. � Treasurer 1 G I STALLED IN COMPLIANC- WITH TITLE 5 °fi` Planning Dept. E VIRONMENTAL CODE Ai°D tr...^ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/ . annis . II aQ,� Li rrnn Project Street Ad ess 4ry '1,� Y:� � ..�:. :.. Villa e V-S g (,tms Owner 1"I6m, a) IL A ress Telephone Permit Request if f l Square feet: 1 st floor: existing d y 2nd floor: existing proposed / �'—� Total new aZY q g P g p p Valuation o n i District K Flood Plain Groundwater Overlay Construction Type L Lot Size � icto Grandfathered: Cl Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family V/1" Two Family ❑ Multi-Family(#units) Age of Existing Structure _ Historic House: ❑Yes ON On Old King's Highway: M<es ❑No Basement Type: 9-'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing newU Half: existing `— new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Yas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 9/No Fireplaces: Existing New Existing wood/coal stove: ❑Yes I'lo Detached garage:❑existing ❑k�new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing &new size a� Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 2 oo If yes, site p n review# Current Use J, ImL Proposed Use BUILDER INFORMATION Name / rn Telephone Number �7�y73�I Address V ) License# 1(O 9 / Home Improvement Contractor# »0 6V!aml Worker's Compensation# ALL CONSTRUCTION DE IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED. `' MAP/PARCEL NO, 666�rrn.��I , ADDRESS VILLAGE ��\ OWNER - h DATE OF INSPECTION; FOUNDATION FRAME INSULATION ._ FIREPLACE ELECTRICAL: RO,UGI e -FINAL,----- --.- PLUMBING: ROUGH= FINAL GAS: ROUGH- FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i PROJECT NAME: ADDRESS: PERMIT# PERMIT DATE: P, D. M/P: Q LARGE ROLLED PLANS ARE IT: BOX SLOT Data entered in MAPS program on: . q L . B Y: /`�'� r 1 - SMOKE DETECTORS REVIEWED �• • � , , •: � •' BARNSTABLE BUILDING DEPT. DATE .fo�umt,Fi�n�t+nwon� , -_nsrw aAcCct F)-- p� FIRE DEPARTMENT DATE ? I 10TH SIGNATURES ARE ,WIRED I"PERWMNO R ' - Z-i-nv\Y."i�... 9^.,l'P•a'RtiOk._ -.__ ._._— \� i I . •- .. .. 1g5c welt _ _ .__._ .. f i - 508;428.6191 zadQ\Y.Ca.— AY/Eoun.T��in . _ I o eviin @ustom o ns __> .. .. co peq ht�A1Nd 0.e eyed . 24e2`t Ca 1 .. 0 J e y 11111-nary plans and layouts by D.C.D.are for the use of the,r CU3t0pler5 Only.Any other use is stfrctly prohlbi Ce i j j •_-____—_' -14..b,. alb" .._Ic.A... ... ..._ .. .. 0 1 j IbREaLKF/SST... .; . 0� r4 i i � �-— -. � .. .��?n;crr.off.` ,. Z'�'� - .v 'a•_ .. t O ..iny' K, T 6,W , � I , w i 61 �I p' f - ..._. i .... . ... .. ... .. '. tae.' .. ',. .j- 2a 4.. 'T.1�_' ae.•. � �oe :•6a ,..:f_ � .. �N� � � .. 3'c-o.'. 1 .l�y-�`� '�srG5 — — SME � 7>�U17L:`_'. I._ ,:._ + - - - 508.428.6191, Sea I o evlin } @Ust6m — b . a esigns � • ` u copyright 6 2004 '.: All Rights 0 '��•. LL I) Reserved To s _F-'• _. t � .i - ..:- ._.. . . __.-_ _ ..-.. _ �:6...._..___ I __..��- __ i .s a- __ ^ 14 24'p Preliminary plans and layouts by DC D.are for the use of their customers only.Any other use if strictly Prohl y 1 to 2' �I.IO: f.IO 4.6« ._..�.._.._._...•..__..�: . � r i 2` � of Ad tJUGtu.csuErs _ � _ •. 508.428.6191 j r , 7 a? z @uston'1 CcZX_C'. ..._ ' o es igns . aa> . .' .. Q�N _ r copyri9h"'O 20N All Rl4fts • � __� � _ _ ._ —_ -- - -_._ � O--. ....�__ Ji. Reserved' I. 1 90. nG re A AI4.61 . Preliminary plans and layouts by aco.are for the use of their customers only.Any other use is i[rlCtly P�.Ohj bite ' I - i ' _ 1 i. zx�a..t%>F;�e .ivr.•cxKs . : " �. �, I } .�: {�.: s. t I � ,• I I t r i ! t � i t,..i z &, - _ _ I I. a ,I I -:! #'.• _- --......_ ._ _. __. • , _:-.R,39]YSOI:�_'L:.b[A.C�•.3LSls(S,' .`� •. ' . TT Al it W 2.10 F:l{GTER f. ' cAr- A N • 1 i •�4"T45�5�8.•f-I!.'P.fl- .. i - Y4T4S 5Jgr100Y. ' 64.1P1155E5`_.- - - ttci.A�'n:vSStiS.. -4:Lq TI AX - ._. �"•---_..._W_... ! iYasP.Provo N4..:... .._... 771 # .SECT(ONcF�•�._ .. ...._.._...__. •vmww r. twwww ev wn.la-1 ,.ww f ft� i I� i ��`v�v.---.. .._ . c�_•r_-__.� _�- '' � � j get: _ -z�.ina�. _. 1 ni�a'�dK �avom l 14;16 P7.<rfL%,Y/Se%�.t. . r l7i•:m'tiNWCIR'9uLTi:c.'.�'- fi05T_\vim LL SllLt?ET�IL.- —4--1r✓ 140`. I q��_ ..52,. S-2...: - ly.b•• _. °:q.• r� i 1 0 CD 4� '; 'I � le, �1 I ;� • iee�• I ,Q SME DATE I ? '-..-u.L•c ...:y ca 1 -—o'a 6:0 ._ _b:o:• :: ! ao:.'_ o-, 508.428.6191 �—� � o evl i n Custom 0; (a esigns OI ( •tn ss I ._—.. 1 .Q d copyright O 2W4- ' _ o. All Rights i ryl i I �— eAa.1 'x f-tu: .. .. d'o-i, j Reserved L 111 0' yr. , P r s I a Cp: .0 8� �jS1ef 3► �1 a • Pr ellminary plans and layou[s by D.C.D.are for the use of [heir customers only.Any other use is strictly Prohi bite ��' TOP FNON. AT EL. 120.0' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: A.H. OJALA, PE 119.0' MINIMUM .75, OF COVER OVER PRECAST WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 19.76 WITNESS: HA,RRINGTON, RS . RUN PIPE LVEL 2" DOUBLE WASHED PF. O E DATE: 3/20/011 I f I 117.30' FOR FIRST 2' 3' MAX. PERC. RATE _ < 5 MIN/INCH PROPOSED 1500Ll 117.0' GALLON SEPTIC 116.75' 116.76' CLASS I SOILS P# TANK (H- 10 ) GAS 16.21 116.04 8AF 1 115.93' D D O Q Q Q 0 0 0 c 4' AROUND ( 2 R SLOPE) �60 CRUSHED STONE OR MECHANICAL 0 0 0 0 0 0 00 , COMPACTION. (15.221 (2]) 2' 00 0 0 0 0 0 0 0 113.93' 3 ELEV. 4 DEPTH OF FLOW = 4 ( 1 % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE .......-... . TEE slzEs: MIN �" A 122.5' 125.0' '•0� A INLET DEPTH a 10" LS LS OUTLET DEPTH = 14" 8" 1OYR 4/4 6" 1OYR 2/1 LOCATION MAP NTS E FOUNDATION 15' SEPTIC- TANK 54' D' BOX 13' LEACHING 9.4' E MS FACILITY ASSESSORS MAP 88 PARCEL 1 2.5Y 5/6 8" 10YR 4/2 ZONING DISTRICT: RF 36"• _ BOTTOM TH2 ELEV. 104.5' Bw YARD SETBACKS:BW FRONT = 30' ± N A&eG BENCHMARK LS & LS SIDE = 15' P ENT�uNAcr: EASEMENT toq�E CATCH BASIN GRAVEL REAR - -�- SNO{ti R ELEV = 128.26' " 7.5YR 5/8 � 32" .3' PLAN REF. - 55813 & 55638 2.5Y 5/6 1221 014 48 118.5 / / C FLOOD ZONE: C 00 ��'� C PERC MED/COS MED/FINE 5' REMOVAL OF UNSUITABLE SOIL A. REQUIRED AROUND PERIMETER OF -� SAND - -_ 2.5Y 7/4 LEACHING FACILITY, DOWN TO ``�' __ 7.5YR 8/1 SUITABLE SOIL LAYER. REPLACE 4b 9' WITH CLEAN MED. SAND. ENGINEER TO INSPECT AND CERTIFY REMOVAL PRO SED 120"/ 112.5' 120" 1 115.0' W NO GROUNDWATER ENCOUNTERED NOTES: CONFIRM SUITABLE Q' TI SOILS IN AREA OF � � LISTER �^ SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED 1. DATUM IS APPROX. NGVD LEACHING FACILITY ELEC, TEL, CAN PRIOR TO INSTAL LATION DESIGN FLOW 4 BEDROOMS ( 110 GPD) = 440 GPD 2. MUNICIPAL WATER IS NOT AVAILABLE ` ��I�YI;,Ukj PIoE P!TCH TO BE 1 /8" PER F60T. . L 1 A USE A 440 GPD''DESIGN 1+•L�JW _ _ ----__-- ___._ _ f 9, 6 SEPTIC TANK: 440 GPD ( 2 ) = 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 1. A Et 1500 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LEACHING: ENVIRONMENTAL CODE TITLE V. 1 2(33.5 .+ 12.83) 2• (.74) = 137 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT SIDES:. TO BE USED FOR ANY OTHER PURPOSE. BOTTOM: 33.5 x 12.83 (.74) = 318 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. .A a S. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT SLAB EL \� TOTAL: 615 S.F. 455 GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 119.5' USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. CO EQUAL) WITH 4' STONE ALL AROUND PROPOSED DWELLING TOP OF FNDN = 120.0' �� o DECK LEGEND TITLE 5 SITE PL AIT ry� 100.0 PROPOSED SPOT ELEVATION OF 120 ------- LOT 1 A ABEGALE SNOW ROAD RE _ '� 100x0 EXISTING SPOT ELEVATION L�1 _ --- --- - - IN THE TOWN OF: �. _.! 100 PROPOSED CONTOUR (WEST)T H3 BAR N STAB LE -� -�-�"�- 24 122- 123 1 pp EXISTING CONTOUR PREPARED FOR: MARKWOOD CORP. 0 0'126 30 0 30 60 90 -'' HOARD OF HEALTH - �28 MA SCALE: 1" = 30' DATE: MAY 9, 2004 APPROVED DATE 130 REV 3/25/05 (HSE) 1 77 27s' off 5OB-362-4541 imp 5w 362-9m -132 PROP. LEACHING FACILITY IS GREATER vA OF i--- THAN 150' TO ABUTTING WELLS down cape engineering, inc. �tHOFngs ARNE �� APR ARNE H H. I 9 1005 1 �j CIVIL ENGINEERS OJALA OJALA CIVIL No.28348 LAND SURVEYORS o. 30762 f J dr srs r g�F 4 939 main st. yarmouth, ma 02675 a�� ����`'►� 00 >09 LOT 1 A "� H. P.E., P.L.S. DATE i