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0848 CEDAR STREET
3 UPC 12543 �y �� No.53LOR t,-.09' HASTINGS. YN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J Map Parcel O`7 Application�# Health Division Date Issued I Z-- Conservation Division ac Application Fee Planning Dept. Permit Fee &OCD Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village " Owner Address _0D,4-7 Telephone Permit Request OIL- v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure + - Historic House: ❑Yes ❑ No On Old King's HighwayqYYes ❑ No Basement Type: dA'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count, , a o Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wooW 'oal stove"' ❑ ❑ No w Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ e isting &nev�osize_ � z Attached garage:4existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ rn Commercial ❑Yes 4b'No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) V Name-!' �-�� Telephone Number _�� y 3 Address License # �6 `1 Home Improvement Contractor# Worker's Compensation #w<'C ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY � o APPLICATION# � . DATE ISSUED M9P/PARCEL NO. ADDRESS VILLAGE —OWNER t' `DATE OF INSPECTION: FOUNDATION FRAME f6 RYw*_ � X3.4,- INSULATION `sue Y </ is FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING t , _. r1)!C CCi 31 vii d: I DATE CLOSED.OUT ASSOCIATION PLAN NO" �Y .DepartmentofIndustrialAccidents Office of Investigations 600 Washington Street ti. Boston,MA 02111 y www.mass.gov/dies Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print L j � bly Name(Business om' nizationadividual):1�Z4�A •Address: �� � . �,►-• / -- City/Statevap:-0-, Phone.#: Are you an employer? Check the appropriate bog: F�E�J ject(requir7ed). ' I am a employer with / ' 4. .E I am a general contractor and I employees (full and/or part-time).* have hired fire stab-contractors construction 2.❑ I am a'sole proprietor or partaer- listed on the'attached sheet': deling ship and have no employees These sub-contractDrs have ' '8. Demolition working for me in any capacity: employees and have workers' co insurance•# 9• ❑Building addition [No workers' comp,insurance-. mP• -• required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all•work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL . 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑ Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. t Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.. $Contractors that check tfiis 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-contractnrs have employees,they must providb their workers,cwrrrp.policy number. T am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Nam ' Policy#.or Self-ins.Lic.k l-✓e< ��d7 yi/�/16/.Z Expiration Date: Job Site Address: City/State/Zip: ?�C/ Attach a copy of the workers' compensation policy declaration page'(shovving 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 civilpenaltiss 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 pa' an enalkes ofperjury that the information provided above is true and correct Si a Dater —'Oe Phone#: ffl cial use only. Do not write in this area, tb be completed by city or town official or Town: Perinit/License# Issuing Authority(circle one): Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5:PIumbing Inspector 6. Other Contact Person: . = Phone#: . ace CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 10/3012012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Blackstone Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O., BOX 3144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester, MA 01613 INSURERS AFFORDING COVERAGE NAIC 2 INSURED INSURER A: A.E.I.C. Linnell Enterprises INSURER R. 59 Freeboard Lane INSURER C: Yarmouth,MA 02675 INSURER D: INSURER I—' COVERAGES 111E 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 RESPECTTO WHICH THIS CERTIFICATE MAYBE 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. IWARFE LTR IN= TYPE OF INSURANCE POLICY NUMBER D I IMTTS G04ERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES R ocarenoe 6 CLAIMS MADE OCCUR MED EXP(Arty one person) 3 PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP OP AGG S POLICY M PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3 ANY AUTO (Es deddent) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BOORY., NRY N eeccccTT S Q NON-OWNED AUTOS IPer �E�Rde,,I(`) ca (per ac'rJQj r1DAMAGE O 8 GARAGE LIABILITY AUTO ONLY-EA ACC IDE4Tj S ANY AUTO OTHER;AN EA AUTO ONLY. AGG $ EXCESSIUNBRELIA LIABILITY EACH OCCURRENCE S L/) OCCUR CLAIMS MADE AGGREGATE �O S 70 DEOUCTIHLE $ RETENTION S F1711S WORKERS COMPENSATION AND TO LRu1ITS ER EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNERIEIECUTIVE WCC5007447012012 8/1/2012 8/1/2013 E.L.EACH ACCIDENT S 100,00�' OFFICERIMEMBEREXCLUDED7 ELMEA.BE-EAFMPLOYIE $ 10D,OD0 If yes,deecrlbe under SPECIAL PROVISIONS Wow E.L.DISEASE-POLICY LIMIT Is 500,000 OTM2R DuAd Linnell is CDverad by the workers Compensation policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OP THE ABOVE UE30MED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN Building Department 2OO Main Street NOTICE 1D THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMP03E NO OBLIGA110N OR LIABILITY OP ANY KIND UPON THE kNSURM ITS AGENTS OR Hyannis, M et REPRE66NTATIVES. AUTHORrZED REPRESENTATIVE ACORD 25(2001108) 0 ACORD CORPORATION 1988 I FROM L FAX NO. SOB3621294 Aug. 09 21312 07:05RJ P1 .0 FiY ROOF" OMLYWOURED PUNWO mom arrammulmmmum �w raw►. 04ME 9 .JFL JLPELM 1�poet W WQfs Property Owner Must Co p and S"I"m TWa won If Using A Bider is d own=miMim OD we&wAbmkmd by pmm* Daft Pion Nam T0 -d Wd ss: 9e zioz-6®—nnd ' i�9ass.achusctts- Dcp:u tmcnt of Public Sal'ct� Ekird of Buildinh Rclulatiuns and Standards Construction Supervisor License One-and Two-Family Dwellings License: CS 71507 DAVID J LINNELL JR "s 59 FREEBOARD LN s ' YARMOUTHPORT, MA 02675 Expiration: 8/11/2013 ('inuuissiuncr Tr#: 2398 Officeomer'. airs�Bvs�ines�"sitegu a L►cense or registration valid for individul use only i HOME IMPROVEMENT CONTRACTOR. before the expiration:date. If found return to:. _ _ + Registration: 1..20659 Type: Office of Consumer Affairs and Business Regulation Expiration: :ti1.9/2014 DBA 10 Park Plaza-Suite 5170 -_ Boston,MA 02116 LI LL ENTERPI�I:SE:S_ =_21.4 DAVID LINNELL R . 59 FREE BOARD LANE ; �4. YARMOUTHPORT,MA;Otifi75„y� Undersecretary Not valid without sign tune ;.. p`°4 a'Qy a Barnstable Old Kings Highway 01 s toric District Comm- 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 63A `0C °MAN p APPL ICATION9 CERTIFICATE OF APPROPRIATENESSN op Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Seeds hapt 6 of Cg 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photojt1phs accompanying this application for: c'? Check all categories that apply; 1. Building construction: ❑ New '119 Addition ❑ Alteration 2. Type of Building: ❑ House ❑ Garage/bam ❑ Shed ❑ Commercial ❑ Other 3_ Exterior Painting,roof ❑ new roof ❑ color/material change, of trim,siding,window, door 4. Si": ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date NOTE All applications must be signed by the current owner Owner(print):11 IG�CZIZ-[?1�rlr1�►�� Telephone#: - '79q J ZY� Address of Proposed work: Village .+ Map Lot#d� Mailing Address(if diffe nt _ Owner's Signature Description of Proposed Work: Give particulars of work to be done: Agent or Contractor(print): Telephone#:;t9M —74b Address: Contractor/Agent'signature: ®s comm inittee use only. This Cerfficate is hereby APB ➢�/ �t��D D Date 4"7 i Members signatures 1�NA ilE� GgorK y APPR® JUL 2 5 2012 login ot Barnstable Old Kings ritgnwdy Committee 1 Q:\Boardv and Cominission.A01d Kings Highway\OKHAppliratiwulOKH DRAFT 2011 Cert Appropriateness DRAFI:dor C CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard_ shingle other Material: red cedar white cedar other Color:)ATmAL Chimney Material: Color: Roof Material: (make&style) �� L'� Color: Roof Pitch(s): (7/12 minimum) (specify on Plans for ne►v buildings,major additions) Window and door trim material: wood _ other material,specify _V �►,1 - Size of cornerboards size of casings(1 X 4 min.h� color \ � Rakes Ist member' YR 2"d member]Y 'A _ Depth of overhang Window: (make/model) t r I' � color (Provide ivindow schedule on plan for new buildings, major additions) Window grills(please check all that apply_: true divided lights_ exterior glued grills_ grills between glass_removable interior'_\ None Door style and make: Q �1 � Color.: k 9� Garage Door,Style r Size of opening Material Color Shutter Type/Style/Material: Color:Gutter Type/Material: Color: u ,, L�L al; Deck material: wood other material,specify Color: Skylight,type/make/model/: material Color: Size: Sign size: Type/Materials: Color: R,ECEMD Fence Type(max 6' )Style material: OIL Retaining wall: Material: , ostabte pd Wn9�i� GROWTH ENT Lighting,freestanding on building Gom illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint s ers brochure of windows,doors,garage door,fences,lainp posts etc Signed: (plan preparer) Print Name & 2 Q.\Btiards-mrd COAnnissioits101d Kings Higlnvay\OKH ApplicatiotulOKll DRAFT 2011 Cert Appropriateness URAF l:doc Town of Barnstable Geographic Information System July 6,2012 1100z5009 110025010 110009 089004002 089005004 / 0 190' #350 11 008 #91 #104 110025008 089OD4001 #,95 r r 110025013 #59 089006003 110025411 Q �086 ♦ 110,25007 #164 •110046 5� #189 110025012 #, 089008�P 089005002 4E ♦110025006 10 110045 �P 068 �� #163 tl�p a S • 000l 0e9005001 `�� 1100�os ag = AR 5N 110044 #0 1#48 #30 110025004 q _ #z1 Sandwich 089#r #70 110025003 C 110042 ,•, BEY PA114 `#so r o043 19 #19 •� tto 11� 089006 V 110041 110007 089003, 089012 1 #0 " # 089007 110025002 #114 4 #4W #es #77 11111, ! #as • ,110038 11008 #111 #� • 0890111 ••• 46, 089013 #22� 088004 110025001 110039 0848 • #59 #80 110025014 089010 #0 #42 .c 9140 088004001 109005001 GAY" #832 #'05 109005003 E 088004002 • 109005002 Z #816 • 109001001 # 109005 08805 >� , #15r �109005004 d #71' 088002002 088002 • *► 109005009 #45 088002001 #15 088016 109005005 040 #35 088003 #9 109001002 • • #825 t#10 109002. 109005006 • #77q #35 ♦ RI 088007010 &'09 0 088008001 #BOS 088010 #851 1109004 #0 ♦ 088007011 #718 088009 109� #0 #11 #765� 1090g1 1109015001 088008002 088007009 #747 #690 #40 #336 C1,054 088008003 088007008 109016014 �S5 P- #43 #731 #51 / 1 088006005 10901 #77 1 M015002 0 143 Feet 088008004 08a 005 °��0* 08800 6004 #so ' � 109015012 #15 1090 4002 #39 # 10 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:088 Parcel:004 a boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:DIAMOND,VICTOR 8 TRICIA Total Assessed Value:$777400 Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map W +c are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:1.45 acres Abutters !! boundaries and do not represent accurate relationships to physical features on the map Location:848 CEDAR STREET I J/�� • such as building locations. Buffer 1 R�CEIVED GRowTR MANAGEMENT .��• � � �i � art. �i� �F _ _ 4 y _�1... .�.�M.i ♦ ,+�(' �1 ter, _ + `- a�r� R , D GROWTH MANAGEMENT Ao ilas *go i a s. �s x • RECErm JUL 02 2012 GROWTH 11 � w �,• 1 � .may _ - .�-!t� 4 y .:. i► rY} T + �� ♦t"a a C rk i i i i .. -7.L .Zt 8 c�Vto 0 0 �O�cE2's�00 . _ � l� m VEOp3 o3E o ` m W v �Po`kt2`oyE53U 8 5VE 3 0 APPRO . JUL 2 5 2012 L p i ° < < Town of Barnstable Old Kings Highway IL Committee d I A- I I c S } i nc I � L N R o I o IL Z Em W mm s co 111 W TOM III 4- m �i�1<=iGHT et evATioN 0 p I 1 2•_O" a. �d I � , tu ,I 90°<03 .. &LEFT ELEVATION I �1�gA�ELEVATION - M�iZ uQu \ \ rydm�.n5 ^mot -n � � ; •` c� c O 1 1 4 6 10 to OOy.u30 a-\ RECEIVED hGALG I/q"• 1'-O" e`oln��n m d m a. JUL 02 Z012 oFa_ou >A KddA GROWTH MANA(=IL LENT . 1 DRAWING TYPE: - � Ele�atianq. I 1 - SHEET NUMBER: o� �P f � n s m a Ir---- ------ ----- u ISO/ II 0 I i II =1 2. c m lam@ o j o II I f I I X I + I zZ I O rlei 11 I I Cxi.+inq raf+arc a l!o", / n z 1 °i o D m D I 1 / m `L� I �s l I i I 0 I I I I / 1 line vF --ion Above / 1 /®1 I l x•-o• 1 3 — R Q 3 0� Q; R is 0 13 ro P * 0 m r e' e 3 4 n a o q + P P < lil::: it hlidinq Aluminum careens � ; S T - � S 1 f. PP ailidinq Aluminum cars x d r - u a 2 F z xN hlidinq Aluminum care. n m 0 I hlidinq Aluminum sara � r.o.4'-B".�•_o"ass y CXIgTING PO�GH Cxis+inq 2 x 1 0 P.T.Jois+s a l(a"o.a. � 1 3^'i° oD S S 0 0 z i• S T og 6g r o�� �`c a j •� .vD uD 1 ro a3. 0 . + 3 0 z P (OE s Copyright020t2 by KSAdeelgn..: , DRAWN BY: = tf n a c /X TheseplannareprotectedunderFederal Fr4,jCCt # 186� PROJECT: I 2'x 2 2 Greened Fopreh for: m S,+3 b D copyright Lawn.The origlnal purchaser of this t�eNNeTH yAl7l-e�"1�• authorized to construct one end only Professional Building..'2esigner 't •> + one home using this plan.Modification or 3 ; ; euse is prohibited without express written `'IG r I��IA/� !) permleaion of the Designer. y rO� and TF-16A � MONI U � -( KSA design O fil D o 5.r1. Any dlsaepancles.errors and/or omleaicsln p m PROFESSIONAL BUILDING DESIGN LOCATION: nth.mce6.dim°^°'°^°'eW.r O REVISIONS: �rehen ee brought to the ecC noon of to Preliminary pesignE2/ COMMERCIAL•RESIDENTIAL the Designer prior to the comma wement 8 4 8 Cedar hkreek f conetruction Proceadng Ith Revised Planc Gape Cod•Massachusetts �t natructloncanetitutestheaceepts%eGons+ruc+ion Plan •Guanscaste•Costa Rica ys/esk 1�arns�able,Mrs oftheee errors ad/or dncrew,eth,erespoand/or fthe omissions cepecod0ksadesign.com•www.ksadeelgn.com become the responsibility of the P.O.Box l 1 4q•Hyannia.MA 0260 i•505.I gO.Sg22 building contractor. x 1 N 1 S N 3 v Q � i T w 3 3 .3n o 3 P < + 'a P o c t. 4 \ 4 p u + 0 D P o 0 P N - y O �• 1 p D 4 A 6.D y - - _ - _•.i _ �-sr_ ���..:5 nYiYe�:.� e� ---- - auaek. 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Any dleerepamuss.errors andror omissions mLOCATION: In[heats:.dimension%-Wor O REVISIONS: PROFESSIONAL BUILDING DESIGN ershaebe brought to ux atm lonnof is Preliminary P—igne 7/1&/1 I COMMERCIAL•RESIDENTIAL 8 4 8 Geelar�kree� the Designer prior to the commencement of construction Proceedng with �aviead Plane B/%/I I Cape God•Massachusetts constrvctlonconst¢ute$the acceptance GonetrucFion Plane 7/2/1 2 rauenacaste•Costa Rica Wes4'}�arnskable,M/a of these documentssand/or any i alerbep me the eresp aMror oMaelone cepecodokeedesign.com•wwwkeedesigncam become Ne responsibility of the P.O.Be.I 1 44•Myanni>,MA o2601•909.940.9922 WUN contrecter. i I 00 I s 9 P T I 1 T- � r a (D PER El tv Ll 1 0 p � z • a I • S e m _A. z I > ' 08 g S 'P P S • 1 � N a m - A 0 1 • 0 z N 0 • I N M Q Clopyrlght02012 by KSAdesign...: } q DRAWN BY: m A Theseplanawe protected under Federal Pr9jec # I lJb� PROJECT: I� 2'x 2 2'�JGreeneJ Papreh for: m A copyright Lews.The original purchaser of this I�BNNeTH h/417Le�.I�. plan le authorized to construct one and only A Professional Building Designer r Z } Z one home using this plan.Modification or 14 reuse ID prohibited wltM1out express Written `' �t t� �( t� 3 permission of Designer. y 16T (in A T—16A Pl Atle A m KSA design ,, Any mec epexles.<roro and/or omleslone O PROFESSIONAL BUILDING DESIGN LOCATION: II the o tamed aneinngend/Or REVISIONS: Renee be brouught eo the tt noon oi'n O Preliminary 0e.,ign�.7/1 9/1 I COMMERCIAL•RESIDENTIAL the of coDesigner urtlo o rocommg with t 8 4 8 Cedar�kreek of caner priori thecoamencN �evibed Plans B/9/1 I Gape God•Massachusetts ,�� conet—..'anetlWL<etheacceptanca Cons+ruction Pn la 7/2/1 2 Guanaceste•costa Rice 1A/es�'}3arns•I'able of theca Documents aim eny dl screpenclas.errors and/or omleelane cepecodoksadesign.com• uwksadeslgn.com became the responsibNty of the P.O.Box f 1 4 9•Nyannla,MA 02601•sO6.T 90.3 922 lowlding contractor. F NOTES �^�C 1 1. LOCUS'_IS A.M."88, PORTI OF PARCEL 4. co 2. ELEVATIONS SHOWN ARE ASS D. a 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. in ul THIS PLAN IS A VALID COPY ONLY IF IT BEARS Lo AN ORIGINAL RED STAMP AND SIGNATURE. OPEN SPACElee s4 a �H OF M 3g, q P� SS S �S• RO L i S m o CA I LA 79 �RNO SUR yy ti h 2J 00/%'�J• OPEN SPACE co ro 2' a°sG'Y a I _ `ti �00 YS • 9S BENCH MARK--TOP GALVANIZED SPIKE = 66.14 ASSIGNED Y 9S. "`CAUTION: THIS IS AN ASBUILT SURVEY, BY THIS OFFICE, WHICH RELIES UPON THE PLAN OF RECORD, PLAN BOOK 555, PAGE 88, AND �h NEW CONCRETE BOUNDS SET ON LOT 1 a � CEDAR STREET, WHICH MATCH THE �� . ti PLAN OF RECORD. HOWEVER 63,260±S.F. -p CONFLICTS IN THE ORDER OF 2 z. TO 3 FEET WERE FOUND IN THE LOT 2 FIELD WITH BOTH PLAN BOOK 368, cn PAGE 95 (TO WEST) AND LAND p COURT PLAN 40599B (TO EAST). N' tD'� l ■ = NEW CONCRETE BOUND FOUND BENCH MARK--TOP WOOD r� STAKE = 59.43 ASSIGNED %�,pl SITE PLAN s� FOR � W S ROD T. & COLLEEN M. SROCZENSKI ss�'. LOT 1, CEDAR STREET, (WEST) BARNSTABLE, MA IN,s'''•F JUNE 14, 2001 SCALE: 1"=60' RONALD J. CADILLAC. P.LS, RS PROFESSIONAL LAND SURVEYOR do REGISTERED SANITARIAN P.O. BOX 258 WEST YARMOUTH, MA 02673 ©2001 BY R.J.. CADILLAC (508) 775-9700 PAGE 1 OF-1 -' -q"T l S,r..,,.i,ti.:.5..;aL 1�'wJ' .�.,.. _ y ',�.�}; { ��•t ,r�,.. r ir.�;.. i1J'..�ti� . mot;;r 1r:1ti`..`-...v- r.,tc`�yeNc�. +r.. . tr .v-,.- .. The Town of Barnstable BARE.MASS. P y Department of Health Safety and Environmental Services �► 039. �0 ptEDMP Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location (FG/� Permit Number Owner nl 19�r ! Builder - G. N tj�� One notice to remain on job site,one notice on file in Building Department. The following items need correcting: �-Z-e-< r CC)C- 9xWa A- lOk PC) S7-s Gb Please call: 508-862-40M for re--inspection: Inspected by Date ' r e PROJECT NAME: )Zee-) ADDRESS: fqf lA-G� w PERMIT# 3 ���'� PERMIT DATE: 3 Vo 2, M/P: LARGE ROLLED PLA NS A RE IT: WX l� SLOT Data entered in MAPS program on: Yll 7 o i- BY:' �� TOWN OF BARRNSTABLE _0 p / CERTIFICATE OF'OCCUPANCY PARCEL ID 000 000 218- GEOBASE ID -ADDRESS .848 CEDAR STREET PHONE WEST BARNSTABLE T ZIP - LOT 1 BLOCK LOT SIZE ._ DBA DEVELOPMENT ' DISTRICT UNITTT 56gg20 -DESCgIPTION C RTIFIICATTEE ppgg ppCCCCUPAN Y BLDG.PMT.#52660 PERMIT TYPE . BC00 TITLE C RTIFICATN OF OCCUPAN�Y CONTRACTORS: Department of Health Safety I ARCHITECTS: - - P � f y 1. and Environmental Services TOTAL FEES: BOND $.:'00 .. INE CONSTRUCTION COSTS` . $.00i 756 CERTIFICATE OF OCCUPANCY ' 1 PRIVATE P ;�f,Fp' .. + .1ARN3TABLE, s ` MASS. 16 BUILDING DIVIS 60 , BY �'��--- --1 DATE ISSUED 01/31/2002 EXPIRATION DATE / U TOWN C��' BARN STABLE ' CERTIFICt�TE OF OCCUPANCY PARCEL, ID 000 000 218 • GEOBASE ID ` ADDRESS 848 CEDAR STREET PHONE WEST BARNSTABLE ZIP LOT 1. BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 58820 DESCRIPTION 30 DAY TEMP. CERTIFICATE OF OCCUPANCY #52660; PERMIT TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND '$.00 per !•CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P IQ7.F'°` s * BARNSTABLE, • MAW 039. . FD MIS BUILDING DIVISIO BY DATE ISSUED 01/31/2002 EXPIRATION DATE 02/2b4Z0Ul • ' T33,!W d F BARN STAB1.2 rr=., .•� $ ,'t BUItbING PERMIT , PARCEL ID 000 000 218. GEOBASE I.D 1, ADDRESS 848 CEDAR STREET' PHONR�� WEST BARNSTABLE ZIP LOT 1 BLOCK LOT SIZE _ DBA DEVELOPMENT Y;� .. DISTRICT PERMIT. 52880 DESCRIPTION NEW 4 BDRM SING_FAM.HOME SEWPT001-172 PERMIT TYPE BUILD TITLE -NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: -..t , and Environmental Services ww TOTAL FEES: $1,256.76, BOND Im CONSTRUCTION COSTS $405,085.00 :101___ «. STNGLE FAM :HOMER DETACH D 1 PRIVATE Pf'ffF:"' ; z * BARN3TABLE, • . MASS. i BUILIMNG DIVISBY ION DATE ISSUED 041/10/2001 EXPIRATION DATE I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY'OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS_WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION-RESTRICTIONS. - MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE.RETAINED ON.JOB AND WHERE APPLICABLE, SEPARATE • 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU (READY TO LATH)., ELECTRICAL,PLUMBING AND MECH- PANCY.IS REQUIRED,SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. 'BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 'Fo 04 �7 r 12 2 f tjvAL , 2 gqW 1/1-7/61 & I I 4g7 © �� 13a al 3 t HEATING INS ECTION APP OVALS ENGINEERING DEPARTMENT 1 v 2 �Bn0AR OF ALTH tp OTHER:��� ID i� = SITE PLAN REVIEW APPROVAL LVARIOUS SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS PECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- NOTED ABOVE. TION. r , c BUILDING PERMIIT �1\1- RIO L, 0-� TOWNAPPROVED OF BA WIRING El R STABLE 3 �` GAS ❑ PLUMBING . ❑ BUILDING APPROVED TOWN OF BARNSTABG E ❑ GAS 241,RIN 0 PLUMBING,, ❑ BUILDING j Town of Barnstable Regulatory Services BMWSTABLE, ` Thomas F.Geiler,Director '016039. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 10, 2012 Victor Diamond 848 Cedar St. West Barnstable, Ma.02668 Dear Mr: Diamond, As you may recall, permit application number 200803830 was issued to construct a pool and requires successful completion of all required inspections before use. The following items must be brought into compliance and successfully pass inspection before pool use is authorized: 1) Final electric inspection required. 2) Barrier must be installed in accordance with 780 CMR. Thank you for your immediate attention in this matter. Respectfully, WeL. auzon Local Inspector ieffrey.lauzon@town.barnstable.ma.us (508) 862-4034 - I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #;9 0A Health Division Date Issued C - Conservation*Division Application Fee Planning Dept. 00 Permit Fee �S' Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis o Project Street Address // Village l e�rx'�r;�` ,1 k Owner b�,W2n ,_d Address 06ee Telephone •���� 3 3 Permit Request v h , Race 'Ap. 4a A ✓i -U Square feet: 1 st floor: existing proposed :0 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `� Construction Type ^i of/. "'1 1 rj J Lot Size Grandfathered: ❑Yes EllNo If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No Type:Basement T e: ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 66t� Basement Unfinished Area (sq.ft) l 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: Oi Gas ❑Oil ❑ Electric ❑ Other Central Air: FZ/Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 24 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn- ❑ exi Iting 4ew size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: -- l _< J Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ "' > Commercial ❑Yes ❑ No If yes, site plan review# r: -------------Ta� � '13urrent Use Proposed Use - -- - r °" - _- __ 1. oti r__ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ' ZA 0b128 Telephone Number S63- .� S Address �' I� ( 'e4r ,dm License # �d aoo.y 6//e Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM TH S PROJECT WILL BE TAKEN TO Zang Yq11 SIGNATURE DATE 6`2>7 r FOR OFFICIAL USE ONLY APPLICATION# ; DATE ISSUED ' MAP/PARCEL NO. If ADDRESS VILLAGE OWNER I .'DATE OF INSPECTION: FOUNDATION E FRAME INSULATION •FIREPLACE - . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL ` FINAL BUILDING 1 DATE CLOSED OUT ASSOCIATION PLAN�NO.- 5 f f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bl Name(Business/Organization/Individual): Address: ('a t• ,� City/State/Zip: 0'4 6Z.r,63 Phone.#:— Are you an employer? Check the appropriate bog: Type of project(regtired): 1.❑ I am a employer with 4. F1 I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. El New construction � listed on the attached sheet 7. ❑Remodeling 2.❑ I am a'ole proprietor or partner- These sub-contractors have g, Demolition ship and have no employees employees and have workers' working for me in any capacity. 9. �Building addition [No workers' comp.-insurance comp.insurance.t ,�,/�equired-] 5. We are a corporation and its 10.[]Electrical repairs or additions 3.Llld I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right bf exemption per MGL 12.❑Roof repairs inc,=ce required]t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp.insurance required] *Any applicant that checks box#I 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&bowing the name of the sub-contractors and state whether or not those entities have employees. If the sub-.contractors have employ=,they must providt their workers'•comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins. Lie.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 tip 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 WA for insurance coverage verification. I do hereby cert6 hder ainstand penalties of perjury that the information provided above is true and correct: Si afore: Date: &" _ Phone#: Official use only. Do not write in this area, to be completed by city or town offi:ciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing.engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance-with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the nurrtber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should writs"all locations in (city or town)."A copy of the aff davit 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 (Le. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Ike 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 C6mmonwmM of Massachusetts Departrnmt of Industrial Accidents . Office of Investigations i 604 Washington Street Boston, MA 02111 Tel. # 617-727-490.0 ext 405 4r 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-770 www.mass..gov/dia l Town of Barnstable Epp 1HE tp�� Regulatory Services t BARNSPABLE, = Thomas F. Geiler,Director MASS. 039. Building Division rF0 MP't . Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 vt'ww.town.barnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION JJ Please Print DATE: JOB LOCATION: nu ber street /. L village "HOMEOWNER': name home plikine# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for-all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersig d"homeo er"certifies that he/she understands the Town of Barnstable Building Department m inimum 'nspe tion pro dares and requirements and that he/she will comply with said procedures and requirem ts. SignattWof H owner 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 Constriction 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. �oF1HET , Town of Barnstable Regulatory Services �>AMSSTABLE'o' Thomas F..Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstabl'e.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 authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. rl•Rr1RX,fQ•r)UJTlFR PPRMT.RRION I AUAMISSUE DATE 0110412008 'RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Jnited Insurance Agency Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE 30 Box 1013 DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3uaards Bay,MA 02532- COMPANIES AFFORDING COVERAGE NSURED Richard T Senoski 1413 Main Street COMPANY A A.I.M.Mutual Insurance Co 3amstable,MA 02630-1234 LETTER c CO•a+c AGJ S. ..f ..e. ?r $: F t h --.��ta R,.y$-M a§ 7r��T •a. ++ ah-�i 2 @.�. M. ». THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYA PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR-MAY-PERTAIN;THE-INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS-SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECITVE POLICY E"HtATION LIMITS LTR DATE(MM/DIVYY) DATE(MMLDD/YY) GENERAL LIABILITY GENERAL AGGREGATE Q COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGM O� 1M =OCCUR PERSONAL&ADV.(JURY ClAS MADE EACH OCCURRENCE OWNERS a CONIRACrows PROF. FIRE DAMAGE(Any—tie) MED.EXPENSE(Aoymepence) AUTOMOBILE LIABILr1Y COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Pff Pew) HIRED AUTOS NON.OWNED AUTOS BODILY INJURY GARAGE LIABILITY (Pa-dd-) PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE UMBREW►FORM AGGREGATE OTHERTHAN UMBRELLA FORM _ WORKERS COMPENSATION AND STATUTORY LIMITS *OTHER EMPLOYERS LIABILITY X THE PROPRIETOR/ EL EACH ACCIDENT 100,000 A ARNERS—ECU IvE FFI`IERS'RE` 7005575012007 11/17/2007 11/17/2008 EL DISEASE-POLICY LIMIT SOO,000 INCL ®EXCL EL DISEASE-EACH 100,000 EMPLOYEE COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS:. VO PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. GERTIFICAIEIHOIDI3R SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE TOWN OF YARMOUTH THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 15WRITTEN NOTICE TO THE CERTIFICATE OLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION R LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES 1146 RTE 28 az+ a'- SOUTH YARMOUTH,MA 02664 UTHORIZED REPRESENTATIVE /^'�•".�.. f%1S11NE CliNl(AM �/ >„ • Kffj ti m;tc 1K AAw,o H.lo.tmu_»•una % 1.Ilt[7 R[,0 PeD1C1 OOMH la•.UJ1Ut 1 Dort.N- ,_8 PROPOSED CONTWft // a> e.r wo oe lnxf tAa's.A.rEe trll 0-l4A roe EwA.Iwe " / 0 D-eCn fA1 W(.>ro M l!t'n 10R IPSI 1rK1 trCl. ® EXISTING URAINAGF CATCH BASIN / r ry nt OF Car-,'0 trot to aam J'.M ssrnP+o K-r M Pi.ACt E.. --�-- PROPOSED WATEN SERMCF / `s1 / >., 01K w V(ANRS ro MiNM 1'a'RtOI. t•ORIAA o�NIRCYS M►I 10' aH[La1CA a tAM�ro 11!•niHM r a Oa/•0E r. Z1 '1- 10 K 00.7e1'rA•111m J/1 10 1 1/2•MM 2'MR.1/e W 1/2•PVS701E u 1 �. tl.r O,rllAtepL acAl.l.Ge sws 0rIL11•,G tew tNC 60a lOC AA[rOtAo. (p,iACl ME ND•AO Or"M'M Al AJ.G.IW.C. LO CAUTION: THIS IS A SITE PLAN \ /' 'P ,r 12.r.n tMADK 1s c.um rat eftae.rnt'mcmi 1a!o't 310 o AND z Ot uA tc SURVEY, AND NOT A PROPERTY // D ro of otAn CAAMII•R SAND 1tURNG vtwx.nlAt:a ato QtN la.zx(J). LINE SURVEY BY THIS OFFICE.. ., a Au pr,s7leJctutt tD NO:7 nnJ 6 AK0 Lom XROeAIwG. LOT LINES'SHOWN ARE APPRO%- °iP° (MATE. 6/ / u RJ t HOIJ D.tr .p1 zX,.' // \\ P(Arattl,0.eY: ao.DOOaa.,JeA fwwala' f LOCUS IS IN AN III ZONING DISIMCI, \ rt711CSRD B1: [t.A.a Dory,N.Vrcl•' AN AGUIFFR PROTECTIDN OVERLAY DISTRICT, .�' "C ��.� 5catPLA RATE: q'-oo•MN(r.tofw) AND IS SUBJECT TO CONSTRUCTION LOT sat watcYitgqTa) ea•^-nrAouu comN•� OPEN SPACE. � e..^ as.ae Qa.OGIt M•►(IDNe): lo.oe><n,tyrant•atpwtM +: YARDS OF: t FROM YARD 30 6- Jti 4Yl Gw+M-. A.+1 a.w •f >x 63,260t S. , I. / E ee.ar aCpINXtXH 330'S SIDE YARD I! / i�'J .,. REAR YARD 15' S-tH"/H rnA..!'mt, cow �J MAX. BUILD HE)GHT OF 30' OR ye - -' S-t /B'/ll ,oP t4A xe.A 2 1/2 STORIES, WHICHEVER IS LESS. o^ A+aaW. b t/•/n ACTUAL ZONING DETERMINATIONS MUST BE MADE BY TOWN ZONING OFRCAL h _ n / w, •.�I a�''e oM1� U I 1wPe•t c/ � p I // wwn wcn .."oAlu t tD.t' D' 1A0.1 O 6.51u•N ar pocl 9��y� � $7.5 FpD•_.-.— i t--t]•.-_ i__.j,_{ twua,.lwt.,ne ' S; (o .•e. _ rwwiem nD-a.r t e7,0 o�M DESIGN DATA I a b 1 BO1CH MARK--TOP D ANIZEO GAR O"°M e' .. UA1AR AREA R D;1RO,r/AAOM 440 WN USI .Rf:(.M•A+CCH JaV'S Mites �. _. SPIKE.6(•.1,ASStGRCD STCNF ALL AROUND fCR A 3t'.7• i 71 fir. EIDM tANe: 1S1A fAl LCHC DY 1'l'-.'WNE DY 1 DEEP _,rI 'y 007100 tEAPWG NRA .f1.J 9 LEACH AKA. I(.N.'r A 1L431) 1 E LEAWKO AM& ibb N' OPTIOR T Iz .3Y+JA,171 A r OL P)) Uu a RECHARQCkS Mtn,'SIC04 DEVDN •a,Y: M9 VI: ON SIVES ANU 3'CAN ENDS.rUP A .>A •• •>, D^/'1 ry 1(•21. .IM 51)A J•a'U NT M'-P•%12'-A'A T DEEP MACH U \ \\Vy/ " C-� AREA- 5i6 Wil. (SHOW CM t1Nt) to 7a 6e S eL�c�v TH 2 ti S LOT 2 GUI t N 1 Lr r ci le i wl BENCH!A.K-^TOP MOOD t,. STAKE 'J9.43 ASNWCD �---�-� SITE PLAN \\•� N / FOR ' THIS PLAN IS A VALID COPY ONLY IF IT BEARS N AN ORIGINAL RED STAMP AND St.ATURE. wul ROD T. & -COLLEEN M. SRO LOT 1, CEDAR STREET, (WEST) BARNS no $ A AUGUST 11, 2000 SCALE: 14 \ \ S I a' V, -vy , ..nn N 1 p!75T79� RONALD J. CADILLAC, PLS, RS S 1 PROFESSIONAL LAND SURVEYOR h REGISTERED S, P.D. BOX 258 �1 � �O \ \S Qa�'40 14EST YARMOUTH. MA 0:2673 �� OJ \„ ' ��� i .,•. HEALTN AGENT JIPPROVAL DATE �(C�� » �C'�2000 BY R.J. CADILIAE �/'1�U� \� HEv, 1/IT/O+--HOUSE FW)FHMI k DXaK wAY �pptHETp�y Barnstable Old Kings Highway Historic District Committee O BAAHSfABL$ ; 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 Y �' 0p . a67q. s�0 rfDM APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑. ~ her 00 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window, door G3 v 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing SIF 5. Structure: Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other j� 6. Pool N swimming ❑ Other man-made pool Im Type or Print Legibly: Date: 6:S.03 Address of proposed work: House# Street: Village Assessors Map Lot# Description of Proposed Work: Give particulars of work to be done: z C� ® ✓ V Agent or Contractor(print): Telephone#: ,S `�(2—q 7 Address: Z O Contractor/Agent' signature: NOTE All applications must be signed by the current owner Owner(print): t'// C` Telephone#: Owners mailing address: 9,_�q _wvr 1. Gs/v 4 i InX6 Owner's signature: For committee use only. This Certificate is he� �A".PYRIOD/DloftD Date r Members signatures -- ___ en— LU10 3 t008 `;' ,� C/3 ` _E s o al:101JN OF BaRSTALL rA7nycon n O aK Tn'�!CPRP_SERV'1!O r'0 ` 1 Q:I GMD-Groups101d Kings HighwaylOKH New AppIOKH Cert Appropriateness 07.doc l r Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed) (material-brick/cement, other) Siding Type material: Color: Chimney Material: Color: Roof Material: (make& style) Color: Trim material Color: Roof Pitch: (7/12 minimum) Window: (make/model) material color Size(s): Door style and make: material Color: G Garage Door, Style Size Material Lr olor Shutter Type/Material: Colo : 00 Gutter Type/Material: Color: .osN,�a� �0 9�je Decks: material Size Color: p;d C,o Skylight, type/make/model/: material Color: Size: Sign size: Type/Materials: 1 _Color: Fence Type(max 6' ) Style ., ��material: t, ; Color: Retaining wall: Material: , Lighting, freestanding on building illuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows, doo e d� fences,lamp posts etc ADDITIONAL INFORMATION: Signed: (plan preparer) print name tel.no. Location of application: Street no. Street Village 2 Q:IGMD-Groups101d Kings HighwaylOKH New AppIOKH Cert Appropriateness 07.doc 3 N (C ' N O m FILE: 08052151 ro 36' °'T N CF 4 8 8 8 ��0 8 CF 30 6 4' 8 m 0. 0 81 40" a 81 DEEP 10, DEEP 1 18' LIGHT 40'-3" PANEL 4' g' 14' 12' r Ln O O 5 4. w W (D I w co w CF 4 8 8 8 SPCL0688 w SPECIAL CORNER STAIR LIN FT 108' CF-6" RADIUS CORNER FILLER w/ BENCH I n I _ CUSTOMER DATE r 81DN TURF REQUMD • IMPERIAL POOLS VNU "-6-- EXISTING CONTOUR e.caPOYEE to TD K AADo W.OUTLET RViu,. e PROPOSED CONTOUR •9a> T.MIET TFE to RELINE,haMYERw W.OUTLEi 1TE R EO AL / n r M OR uo11E To LEVEL TEST VIM FOR EQUAL FLOW ® t EXISTING DRAINAGE CATCH BASIN DEPTH F PIPES N K LLva FOR/DEBT IRO FEET. NR au ra � R.DEPTH a COMPONENTS NOT 7D°TOEID S.OR 1ENm,c Musr BE PROVIDED. —4r— PROPOSED WATER SERVICE, DUIU)DP COVERS To MU DE IN 1 OF OMA MORTAR CHMIE:1'6 N PL=. ' ' .«, J `�l'p• ONE W W,OF TANG TO BE WITHIN e•OF GRADL J• 10.STOP TO K DOUBLE WASHED3/4 10 1 1/2 MiH r ANN.1/6 To 1/2'PEASTONE ON IOF �B w •f„ 11.IF UNSUTTATRE 30"OR SOILS OFFERING FROM THE SOIL LOG ARE FOUND. LO CAUTIDN: THIS IS A SITE PLAN .Q OONTACT TO: IS BOARD K MEALTN,O R.J.CMATERIIA MR SURVEY, AND NOT A PROPERTY 12 a To BE ULM GRAN"SANOR D MEETING sr[a�iCATIOONS ar,T 0 CNIR is.s5a}�Aa�c LINE SURVEY BY THIS OFFICE, v< a„ 0,ALL CONSTRUCTION TO MEET TITLE 6 AND Lock RECIAATms• LOT LINES'SHOWN ARE APPROX- ' ` Don IMATE. xe ° LOCUS IS IN AN RF ZONING DISTRICT, a 4T TEST HOLE DATE: Ap9 R7,2000 PERFORMED Br Rcn COONo,:Sek Ev1. .' AN AQUIFER PROTECTION OVERLAY DISTRICT, e,•O NTr4Es6ED BT: Ed.ad 1kz(C I.GIa AND IS SUBJECT TO CONSTRUCTION A DPDSED To FOVNB. SOIIC RATE Q_oo MU(C 1myN) LOT 1 GE1L suRLEYP(193 B4m.-Ar,1,R,81 CO,nPI.i YARDS OF: OPEN SPACE w.wt es.2s cxaoac Mu(tBbah son6.lcn yGw.e,PGaM a FRONT YARD 30, A 4Mi c km w.n xm. 63,260fS.F. r'" , ,.1 , .,,,,, REaMARGa+33os SIDE YARD 15' a`REAR YARD YARD 15' / 4P 01 "' aa, s-1/t'/N In.9'mwl c.— da MAX. BUILD HEIGHT OF 30' OR 66 01 4/R� S-1 3/8'/It TOP PEA STOW 2 1/2 STORIES, VMICHEVER IS LESS. '+� 4f ACTUAL ZONING DETERMINATIONS MUST 't' 'a" � 0 JT: 1s00 Ga. 6.1/ --- 24' or MADE BY TOWN ZONING OFFICAL o�� o S.Ts Nn n um 1. e2M 5.0• Ma 0 yb.Ja aa. .Y, •r O 6• o°t •",�.�I tD.1' Id53 20' I I w l Dom I� Bo11an 1N1-ue S7A DESIGN DATA ' Be1a*'"A"40' r LEACH AREA C BENCH MARK--TOP GALVANIZED C.~OE CR9,DCR 1,. a6 •au \ `Y Arcmm O,yMm 440 GPD USE t ALL AR UN 3FOR WITH 4' A. SPINE-66.1E ASSIGNED STONE ALL AROUND FOR A EP 3DE e ' p >D .O SEPTK:TANK I500 CAL LONG BY BOTTOM LEAGNn G M,EA 421Z SF LEACH AREA.t'WIDE BY 2'MEP m.S ((3AIr k 12.33')) •a,. T SIDE LEAMNG/AEA: no or OP71ON \\\VlC/t// KM12 C.U.I Sr49 MD USE 6 RECHARGERS WITH 4'STONE 1(421.3 .1e5 SF)k.T4 GPO/SF1 ON SIDES AND 3'ON ENDS.FOR A \ g' H'—B•K 12'-4'X 2'DEEP LEACH 1M A- ' \ AREA. 576 GPD. (SHOWN ON PLAN) TH 2 fir!, •ant OF"" 4, . L.�—• LOT 2 N m \ N \` • a» BENCH MARK__TOP MOOD ,^ .nu STAKE 59.43 ASSIGNED -a•.2 SITE PLAN FOR THIS PLAN 15 A VALID COPY ONLY IF IT BEARS •n,A '' 'a`'r n'•' , AN ORIGINAL RED STAMP AND SIGNATURE. PD WELL AN T. & COLLEEN M. SROC LOT 1, CEDAR STREET, (WEST) BARNST. w> RO 5 A AUGUST 11, 2000 SCALE' *RAW, -L/� � `�. •n,A >r TD60 p 1i 357T9�\ n ,�\ v o f r , A•INI�/,R�M 4^"G cMTNE Dp RONALD J. CADILLAC, PLS, IRS PROFESSIONAL LAND SURVEYOR & REGISTERED SAN nn U� s J a'. I 17 O I P.O. BOX 258 WEST YARMOUTH. MA 02673 y�2 Ol \�•aaA, \\\�'>, a,.. (508) 775-9700 HEALTH AGENT APPROVAL DATE /n `� •eTm \� aA,T REV.1/17/01--HOUSE FOOTPRINT k DRIVEWAY ©20D0 BY R.J. CADILLAC ETUSTMG CONTOUR " e 'ET IT'Ts ro K u- to N-Io.IIIAI:S]Norco. 7.NU:1 RC $ PROJTCT 00M,13 011R,ET Rf 00ee,N•. PROPOSED CONTOUR ' a role u1T.,r+E"><sl o-w%FOR M'EQV nnr U1 0-IN r771 vV['+ro r[VolT TOP FIRST OR U4TI ® T EXISTING DANNACF.CATCH BASIN / ° • pp IN a<calla¢»n T TO EXCM]'.OR slNaw IAI]I K wRO,IDDD. TRIE0 w CON.A3 ro InITAN 1'or GRAPE. MORTAR 1aATn,ET•'N T•IACE. —v— PROPOSED WATER SERVICE o,E m TA,a TAAM To K ennaN r a fAAUC ».S / r, 10,sTOAK To K OOIR%r-3MCO 1/A l0 1 1/7-MTN R'Mw.1/O TO 1/2'PEAaIOII On IOF e », 11.f a,S1A1ADlL saEi DA sots Orrale,e FROM we s LOG ME rovra LID CAUTION: THIS IS A SITE PLAN •9 ~ •a„ Iz Cro".n'ACo',E Is uuco ro�R VEta.ani+n.iE>:.FOR s'A"w.'D'B+° 'u�,elc SURVEY, AND NOT A PROPERTY 0 to K CLEAN aAANUM sum Ic[RMc]PECrK:ARONS Cr 310 C Mt ts,xJ](J). LINE SURVEY BY THIS OFFICE. Q °] LL ALL caraTRucTa To Mal TITLL 0 AND Low REQMTIaN6. LOT LINES'SHOWN ARE APPROX- IMATE. /�O / nST Mac DATE APO 27.2000 LOCUS IS IN AN RF ZONING DISTRICT. "THIC'PEWO E" er. Ron C°Jpe<,foe cwwelo. r TM.o MTK55C0 Br: [hO,r Ba,y,M,pe<lo• AN AQUIFER PROTECTION OVERLAY DISTRICT, .►' - PEAC PRATE a'-go'M<^Ic 1e7r> AND IS SUBJECT TO CONSTRUCTION LOT ""'°�'o' Gal OOIC MT1YSJT. 0a6." IwN dw o OPEN SPACE. � .� ras aaoex MArlIDTak sm°,.1<n mpwe,e egw1. YARDS OF: s W e FRONT YARD 30• �+ art T:erl Aw. e...v Mw era 63,260tS. r• L" pEp/AROCR JJD's SIDE YARD T5' "• p1.~ REAR YARD 15' p'm�1.covr °'7•a MAX. BUILD HEIGHT OF 30' OR yp s-1 3/0'/n Tar rEA snAa 2 1/2 STORIES, WHICHEVER IS LESS. 1500 P, W. ..�: __ _ ACTUAL ZONING DETERMINATIONS MUST �' I .r. ZA ,o. BE MADE BY TOWN ZONING OFFICAL A3 a d ~~I a 1, •Ar. � o... ,P In.e11 W61 N•r1 NlO St w,e al< p°cl IAa+ {eTi Ns ! __7D.__ t--13y Ae.,s7Ao . DESIGN DATAy o T Q d -- Dconaal5; a LEACH AREA j BENCH MARK--TOP 0 ANIZED GW*OE n. Mo 4CUM CAPA01T: USE A ALLftECHARCERUN 1FOR 34.' •a1'• jN Ai, SPIKE 06,14 ASSIONEO H0�' STONE ALL AROUND FOR A JD DEEP j ]J slrM TAW: IST10 CAL. LCNG BY 17-1 MDE BY T DEEP Yrl pO7T0r UApeNa AAEA ,tt�9 LEACH AREA 1.T - I pear%Ia.a]•11 E tEAWNa A1aA: IN 6r OPTION ; ( .]]',ae.v7%7 oar)) USE 0 RECHAROERS VATHEN A•STONC •R .;y a,. pe O['JW AaYY: Me°P0 ON SIDES X AND 3'ON EMC FOR A / .e n 8 •e7.s u.• o,4_ (IA11.] •,Ttb s)%.7.ao/srJ AREA•x 12'-.'%Z•DEEP OFFLXACH m U (OJ�n AREA 376 Q•D. (SNOwN ON v1N,) �p 6 re rJC o� C co iv 6e SeLFc4s LOT 2 t) �� �• N m .,,� a ,7, �2a N-T— BENCH MARx--TOP WOOD ,,• a+., STAKE 59.43 ASSIGNED a.1 SITE PLAN � � \ °i' r THIS PLAN IS A VALID COPY ONLY IF IT BEARS FOR v '�+ �+ a,• AN ORIGINAL RED STAMP AND SIGNATURE. P sFb TMEli ROD T. & COLLEEN M. SRO e .1no,Ws ,,1Marw LOT 1, CEDAR STREET, (WEST) BARNS W \ ] RO A AUGUST 11, 2000 SCALE: qft 5 n, �T y r J5T79� 7 RONALD J. CADILLAC, PLS, RS ZO� rD \ �.,e� •�\ r1RIlAA1,.P °GUP•TE+ � I IZ'Oi PROFESSIONAL LAND SURVEYOR do REgSTERfA SI P.O. BOX 258 \' ae \ ` •e,• HF.ALTM AGEMT APPROVAL OATS ©2000 BY R.J. CADILIAC � V� �� '�'� REv. 1/17/oI--HOUSE FDOTPRwT a DmvFwAY BIBB I3/13/09 -Q/taXIINES Of SWIM-S Oi CaIAI[IN TH MIGIml N GL GALY.STLI aAGUN4L MACE _ o.[�.0 -SIOMrunE OF THE I16IMIR a tCIRD AE RM A NMKEO fM/E1 .- IYthIYh12GASTL L 70 SL uSCR FSI AO rlluas[. , �N 6A.GALK STEEL . l_ASEE SECT 93/2 AM JAT T.�C PANEL PLANS FDR LOCATIONS B Of1E31 REPS N BIiARE ..rT, r2 W ASH ER BOLTS AND L i Y 1R1L'iIQK TYPICAL 5-W*KBOLTS.NUTS ,_.I_N YA.CJ1L1/. 1 I.Aoct I EA.PANEL2WASHERS EEO TYP 51-EELFfY;IEL. w i I AIO 2 wAs+IERs TITNUTS Fm GA.GAR?E STEEL -� I DI.PA/ez EID, I S-ALA Y.BOLTS.NUTS j AND 2 WIRERS TIP. E 1 �P\SN F M�ss1 I EA PANEL EEO 7 N GA.GALM STEEL 11 �TT . I A N ` \J. •1 A: CORNER PIECE ^' M 4.6AlY STEEL \ / Try b VINYL LINER THICKNESS PIECE "CCN GA.SAM STEEL o I a GT A p�4N�'\�� �• �' - J11-- �.2 ' B LEEL.THINNESSL VMYL LINER L.THICKNESS `T• - 1-20 ELL.THICKNESS m VINYL LINER VINYL LEER SERIES 700 8 750 OCTAGONAL CORNER n SERIES I l(90G DORNER)j� M;dES 9008950(90M CORNER) n SERIES 550.100081 KW(TYP CORNER) 4 OA N GA.GALV STEEL 15-We EL BOLTS,WJTS TDL END OF RMEL CORNER PIECE /-•--1 AND 2 EL EMNDS TYP ®1� E FOR��AND O. 1 EA.PANEL END N GA.GALM EIM7L GIGALIE STL OTHER REPS IN BRAS =_ PANEL SEE 2 TYPICAL G� WEL An�: N BI WY 5-wo KBOLTS IAJTS '� mS PANEL \ SLL.TIRLTOES9 AND 2 WLSIET6 T{!P. Fil L/Qt EA.RANEl END 5-wo Y.BOLTS.NUTS' P.STD �PANEL WASHERS TYEP VMYL L/FJt Yo LL TNR,TDL S 5x VI ELINER 55 1N GA.CALK 57m T2.' �• VINYL THIC o \ IS GA.7! LIL'E �Rn � - = A/GLE.SEE SECT. >V e KIO•AT SECT.TA E n M12 AND PLMiS / L2WFOR LOCATIONS M 64 6AfLX STtEEl I /®E ��MD 20 vVINYL�L PAPER ----a PLANS FOR LOCATIONS a OTHER REVS N BRACE a fn C) m CD m a _ SERIES 1000 9 1050 EL CORNER n SERIES 700 9 750 EL CORNER n SERIES 700-750,1000a 1050ELCORNER �_ A SERIES 700 STAIR CORNER n O RA/Q SEE SECT. 20. 14 GA.GALX NEL AL SECT. SEE INSTALLATION I 1 ECK4 T S�8? '��IM C�K' 3LW�L 2 V 7 I`� 6/Y TYPKAL 2 1 11/2 TYPICAL 2 ARL NOTE AM SECT B02 -L - - L S J 4S IeL CLANG OEOE JA',� (t'R 4 I SEE WSTAlJA770N o m - V 6 P 0p EO0 m[ - I NUTS NO. of CD ,zo ELL. VA IER Aw•2 KWABOLT S TRIP. 1 _ PLAN - 1-B{H VA. o OTafYL LiER 5 NOTE:SEE SECT. T TYPICAL Elp� C m ` 20 ML THICKNESS 95/2 FO7 DIAGONAL TYP ••,�- #+ • A2%1/4'CLJP MILE • '. -� S-k•H VINYL LBQI AND/ORQpCTLL .Vi H x Ve' N SS f TY ROD Al1TNEAD GREdi1/1 ES, 14 GJL LV. ROD BOLTS.NUTS _ PLATE 6 CNNC. S •� EA PANEL END G IEL9ET15 I S_%*$CARRIAGE - q COLEAR NFORI&_ 14 GA.6LLV.STL WASHERS TYP AT10V. B PANEL TYPE'AL TO BE 1/4S 2-DWA049YE L_ (d1GONAL BRACE) � '"ALL srssooi): F O pia. � L-IMIIH*j 12 GkCGA"..& N W.6LLV.STET1 I'S-ALH M.BOLTS.NITS N GL GALV.STEEL N 6L GALV STEEL SEE PLAN VIER F- 113w.1 SAC.L4' FILER PIECE AID 2 WASHERS TYP FLIER PIECE �PA/Ei SEE SECT. S-B>.'0 K BOLTS, ABOVE I c B 1ti H KBOLTS.NUTS .N GA.GALLY ANGLE . J SL ES/z TYPICAL NUTS=2 M0.S1E3E5 I A/O 2 WASHERS TYP..=� EArJI wH x I/YL TYP EL PA/EL ENDJ I SERIES 800 1000 aKW s SERIES 600 81 1000 STAIR CORNER to RRNEL om EAraanGE eoL� I _ r�AROUNDCONCRE FULL COMPONENT NOTES .. 2 INSTALLATION INNERS 2 20 M7L_71BONESS w VINYL LIEN BACLL PERIMETER OF POOL SEE ADD( STTFFETER) L ALL GUNK STEEL S FORMED FROM MATOAAL a HFONMw i TD LTNE NLSIC ESQM OF TILE POOL C PRE7AGOLD OM A TTPKaL NTW.WPaI VM'1.LIEA .AT q.OF PANEL INSTLLLATION NOTE No.1 AlTll•.O1®fRTPI AM ABS 6ALVUBIID CGATNG. EY1G N SOILS MOf CORARANG ORSAMIC BAYS.PEAT.NIYUS 1aL OR AT Q OF PANEL.PF3L I TYPICAL N G4. 2 • - NoaY E]ORJLSw SaLs. T.�AL N 6I K212 fOtITTTEp FOR GALV. PANEL ETD -- 2 ALL S7El1 AI@lf(R.14 STFFEMERS AT PRATE KIRA¢S I. E.INSTALL AN R'THOU CONCRETE COLLAR AT THE SASE OF THE OVER 0=007 I GALV PANEL END CIARTTY) I BEND DwETIST01/� —— AAE ROLLED FROM MYTCRML CONF'OIMSIi TO ASTN A_Sd . RETM AR ASTII•-YET iALIA/sIm CUING A1tU.AliOVO THE fUl PERWETDI OF THE FOOL.T10 B SpN d RT1L BEET. OEM 1 ALL OATS AMC THREADED COEE'aE)?S ARE WI.EiCTu m 1.SA 'FTT�(7.fAR EARTH FREE OFT Alm OEBIBS HTAED SI I.I' I _ 2• 101 Ell p fR0.1 NATEYNK aMFORHsi TO ASTN A-SOY 11117TS-AN.3GA) NOT E7t0®Ni S.EAA71 LAYER$ARIL E FUDDLED ARD CAIE INSTAINSTALLEDEFVLLY TIPPED TO T N7l PILLT. _ - ., / AND ARE nIC RATE.FAS7Doli LSIERS ARf STAIOMO DC ELIMINATE VOM.FILL POOL RETR WETEIt OURINI AALRF4JMG WEI-ER LEVEL •� .. =_••..`:.. FUTFJl SHALL M Y DIFFER FROM BACFIl LEVEL SLY UWE TIME CIE FOOT. NI 4.A OOl[7A W1LAW0 OR/THAN SIUDE SMALL SLOPE AEAT FROM 2'3'e�ITYP.TOP 6 BOTH �-=-•� • �. �j�/M.BOLO 4,ALL YENNED AOSRS GAT 1M1E1 STlR1Q AMD AD.JVSTALE {HORN AT A LUTE MOT lisE 711N1 1/4_PER FOOT. 1 M.BOLTS I (LUWlt G PLATE) A-q Alt MAQ I.At OOATm IRT11 AM ALLAStAI PAAVT AFTER 04MOZOMAL MACE) YRpIMG 8.TO-POOL INNS LOT MO DI DESIGNED FOR A SURCHARGE LOM M IL L-2 Y 2•[h`R 2'-O' � -'� 5. I/Ia S V2Lt M GAl 2=0L GL .O ANGLE e tYIL.MU.EIY 1KOf Su11 IN INSPIRE EADD P9 m.FYESBnrE G GRADE SRE AROUND POOL AND Low INERT N&Cffu.L TO L1fT EDUULLm fTIETKGTII Sr D[srrl FLED►MEssIStF OF IIETAl1ED SOIL TD So P(S W LE4. T 1 f�R.HL WALL SEC71ON I K pr ALL STIFFENER U f UVGR I z=BL NVEREJGIJ1T10N T.THE POOL MUST E INHERE L ED IN LICEIBm.FaC1ORY TRAINED OtSTALAERS APPROVED BY IMPERIAL POOLS.WC. FOR 2 Ih PANEL I I AT MID. PANEL Iz TYPICAL WALL SEC-MN AT IA FRAME 13 I 2 2 i W w 6 4N i a �• h. r-A 0321 . �►— :::;;. 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'ram^ .su SROCZEN.DWC �./f��''��..ay.1y •was i3d7iG 'A 1.LOCUS IS AY 84 PORTION OF PARCEL a A' a 7.ELEVATIONS FAIOWN ARE A39GNM IN 1 TEST HOLE LOCATION,NUMBER doti a LOCUS IS Rt Floc°20NE C ON FIRM DATED AUGUST 19.19M 9.5 N EL7 EXISTING h PROPOSED ELEVATIONS('X MARKS POINT) OPEN SPACE a A.ALL PIPES TO BE a•SON 40.AND PIT04ED AT Ile PER FOOT.(1N UESS NOTED) EXISTING CONTOUR •� 6.IAWIWAL HATER E NOT TO N-10, j/ PROPOSED CONTOUR a COMPONENTS TEE T To BE AAOOV Ir. UTLET MONO. g ,c, 7.0 LEf TEE ro wlotcr OOYN 1r,OUTLET Ta DGw IB EXISTING DRAINAGE CATCH BASIN m IL Ir TWO O,MORE LPRES WATER LEST 0-809 FOR EOUAL now D-BOY EMT PIPES TO BE LEVEL FOR MST TWO FEET. Ip I.1 d 0.WIN OF COMPONENTS NOT TO DKCfED S.OR VENTING MUST BE PROY®ED. NOT TO —.— PROPOSED WATER SERVICE. $• awn LIP COVERS TO WTNIN 1'OF GRADE MORTAR CWWI Y5 INFLA' Mry2 6 SCALE S ..L, )y},,`�• ONE°°LQ NK 1 OF TA TO BE MMN, W OF ORAOL 4/OSA 10.STONE To BE DOUBLE WA9fn 3/4 70 1 1/r NTH 2'MN.IA TO%/2•PEASTONE ON T CAUTION: THIS IS A SITE PLAN 6 4 s,T n.IF UNsUTABE sods.OR SOILS OffFD WG FROM THE SON.LOc ARE FOUND. SURVEY, AND NOT A PROPERTY ® tz W CONMACTo1£RRDw80•CRDAt o mn MBE'LOW.OR RFiILL MATIRLAL FOP W AROUND AND UNDER tEA., LJ.CADILLAC- OCATION MAP LINE SURVEY BY THIS OFFICE. 15 To BE GEAR GRANULAR SAND MIXING SPECIMATIONS OF slD C1N ts.2x(3} LOT LINES SHOWN ARE APPROX- IMATE. 13•ALL CONSTRUCTION ro MEET TITLE 5 AND LOCAL REGULATIONS. Tf5T MOLE 1 Do"DNA..) ELEW(I..O LOCUS IS IN AN RF ZONING DISTRICT, TEST Mo TEST DABY: RonIS: R- 27.2000 ° • n O'8 4 d ME Coawat;SW Evoluotor r AN ApU1FER PROTECTION OVERLAY DISTRICT, sa.o YAT1MEsssD BY: Ea.ora aomy.Intp•eler AND IS SUBJECT TO CONSTRUCTION PROPOSED TOP FOUR. PERC RATE Q'-00'MFA(c.1) a YARDS OF: OPEN SPAN LOT 1 saL S INYEY(19s3k eo n-w,mw(n comp.. FRONT YARD 30' rwn saes GEOLOGIC YAP(1986}, SoeOwkN myTan•eAvewte AY P SIDE YARD 15' sx 63,260f S.F. . .• usL G•FI tm, o.~B�ela. .y+ n+n szBA REp1AR17ER SJ05 REAR YARD 15' MAX. BUILD HEIGHT OF 30' OR •au M S.1/6'/n mh,9•min cover S.t 3/B'/n ••� TOP ttA sTaNE Oze�ep 2 1/2 STORIES, WHICHEVER IS LESS. a d P-P„ie ACTUAL ZONING DETERMINATIONS MUST =' 'ssB I500 GW. 3.1/.'/rt BL MADE BY TOWN ZONING OFFICAL ti� 'O a I —--- 2a' ,sz ,�O •ur I �,1P-° b •s" Y $ /�° 6'SttNte aFl c p°ctawn saol w..,1 Bsao I 10.1' S.0' >das TEST NOLE 2 S7„0 37„S ) t--t3 i TN1fan dt.•s,e aEPo(NeNAl10r'3/3 EtE&(wAU 0 'ft 6t2 ,A, DESIGN DATA Bata TN2-•0.T r '.'" (e o d e It6/e UD)Roo s: + LEACH AREA •S,s `� R' g BENCH MARK--TOP CAIVAMIZED GNBAGE OM'DFR IMo AA, SPIKE.66.1A ASSIGNED REMAND)CAPACITY: ••0 cm USE 6 RECNARGER 33WS WITH a' � bF N 3o •0 SEPTIC TANG _ 130D G&L. STONE ALL AROUND FOR A 3/'-2' _ 111 3 BOTTOM IEAORNG AREA,- 421.3 SF LONG BY 12•-4•WIDE BY 2'DEEP T.] fV. ((3AIr X 1233')] LEACH AREA C W_L3,6/3 9DE LEAKwIO AREA: IN Sr OPTION w r:ro (2(12.3Y+3a17)X r°®)] ° Far DESIGN CAPACITY: M9 GPD USE 6 RECHARGERS WITH 6'STONE ((+21a A t. SF)X.7F LSO/SFJ ON SIDES AND 3'ON ENDS,FOR A 44'-6'X 12'-4'X 2'DEEP LEACH tar �T AREA 576 GPD. (SHOWN ON PLAN) Fr \ � 0 '� ue TH 2 2 t�y LOT 2 \� V cn BENCH NARX--TOP WOOD v3 STAKE.59.43 ASSIGNED O \ SITE PLAN \ •Sao ' xr THIS PLAN 15 A VALID COPY ONLY IF. IT BEARS FOR \x s�� � AN ORIGINAL RED STAMP AND SIGNATURE. �� �' WELL T. & COLLEEN M. SROCZENSKI ( "°` "°` LOT 1, CEDAR STREET, (WEST) BARNSTABLE, MA CO) 1L\ `9,�� RD 5 A ,v' AUGUST 11. 2000 SCALE: 4090356 35779�� n �1 OeOIST EIJ C EBB,° P RONALD J. CADILLAC. PLS.- RS 01 PROFESSIONAL LAND SURVEYOR t REGISTERED SANITARIAN P.O. BOX ZSB WEST YARMOUTH. MA 02673 �� A� ( )HEALTH AGENT APPROVAL DATE 508 775-9700 PAGE 1 OF'1 ' Y/ � '•'"+ REV. 1/17/0I--HOUSE FOOTPRINTk DRIVEWAY HEALTH 8Y R.J. CADILLAC 2 00 l' 03 2. TOTAL AREA OF PARCEL-201,232 SF-6.6197 Ac. NO ZONING OVERLAY DISTRICT 1 ASSESSORS MAP 88 PARCEL 4 RECORD OWNER:IOSEPH M.DIMARTINO,IR ZONING DISTRICT-RF 43,560 SF THERE IS NO WETLAND ON OR WITHIN 200'OF LOCUS REQUIRI:e:LNTS: LOCUS IS 1::THE OLD KINGS HIGHWAY HISTORIC DISTRICT AREA-43,560 SF FLOOD ZONE-C NO HAZARD FRONT YARD•30• NOT AN AREA OF CRITICAL ENVIRONMENTAL CONCERN SIDE AND REAR YARD-1 S CEDAR STREET IS A DESIGNATED SCENIC ROAD MIWTMUM FRONTAGE-ISO FF.FT NOT IN A DISTRICT OF CRITICAL PLANNING CONCERN NOT IN AN AREA OF CRITICAL HABITAT WEST PARRISH COMMUNITY ASSOCIATION OPEN SPACE S 55°4SIrE S 53°42'30'E 229.40' 89.84' r `4 FOR REGISTr.Y USE S 54°39'05'E 160.00' 6940' 7I56.IF i C r I f�;.� yU3 b LOT 2 LOT 3 D F J LOT I A=70,262 SF SF 3 a ^ " A s 63,266 SF A=67,704 1.6130 Ac. T 1.5543 Ac. _ os S.F.=20.3 A. 1.4524 Ae. S.F.=20.4 ^ a O .,i S.F.-19.6 A n N Vf n 7 ON - E 0 c i 17.1 LU CL e 1 7 �ej 160.19 N �J �QL .y� L=%.06' �l 160.82 C '�J-:i , 9e� ��°? ` $L►?1?9 91.3 16.NI57'45 3TW'13' 80.14' L=108.15 R=36529 N��68• 9t1 w 4, - Variable WidthN51°2S'11'W — < — — — EXISTING — STREET OF R=315.29 �— — 4 $1171-?9 80.14' L-93.35' 33,33. ROADWAY C> N 57° '3IrW lye, 102.71' !?93J, N 51°25'14'W X Lief Bottcher Approval under the Subdivision Control Law not required ' s BARNSTABLE PLANNING BOARD PLAN OF LAND in Barnstable, Massachusetts FOR:CEDAR STREET TO MEETINGHOUSE REALTY TRUST,PAUL R.O'CONNELL,TR. PO BOX 611 BARNSTABLE,MA 02630 LOCUS MAP AN ,ANUARY REVISED: FEO(BRRUARYALE 40'7 2000 . PREPARED BY: N � ADVANCED TECHNICAL SOLUTIONS plas(Ef• PARRISH WAY y P.O.BOX 99 No determination as to compliance with the Zoning Ordinance ,� a*TN �OtyRo EAST s(Mg) SA MA 02537 requirements has been made or intended by the above endorsement F e 0l GRAPFUC SCALE I certify that this-plan was prepared in �4R �// 40 0 4� 80 160 E conformity with the Rules and Regulations v`` ��,�,�_�� Ar r of the Massachusetts Registers of Deeds. (FEET) e cIPei Wl, (METERS) Allan C. Kip6bu � v► d i p. x r t' y. E Application to •a'""cos `" - 2 0 0 1 . 032 Old Kings Highway Regional Historic District Committee CLE-K fly` in the'Town of Barnstable fora ?f1f fc zC► PH3 CERTIFICATE OF APPROPRIATENESS Application Is hereby made. id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts. 1973, for proposed work as described below and on plans. drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: 99 New Building ❑ Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall . ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE Z:2" __01 ADDRESS OF PROPOSED WORK 041b CeDAiZ `=T• W ASSESSORS MAP NO. OWNER �n �� ASSESSORS LOT NO. HOME ADDRESS ��X-17�� -��� ��� �� TEL N0: - 77E FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR TEL NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side).including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. p e ate is reby .. Date a `9 TW R JAe p� t1d- �IIOE= REST ( RT NT: If Certificate is approved,approval Is subject to the 10 day appeal period OLD KING' % HIGHWAY provided In the Act. isappro � Town of Barnstable 2001 , 032 Old King's Highway Historic District Committee SPEC 'SHEET FOUNDATION (f-,C>N C.Rt=--TE Wf IT C-EDF)2 SfiiNC1L&5' SIDING TYPE (MAT) COLOR, CHIMNEY TYPE �"i�Shcs MY COLOR ROOF MATERIAL A I 7G;T0A•1- COLOR �jflek �;(ZOw I� PITCH 12 J 9 WINDOWS 84DG956Q COLOR SIZE SEE fLAM3 TRIM COLOR W t I R iM DOORS K� M-Q C A L c)AV- No O COLORS LT. O Vs� ,� C�P'r A M V-K Ct i E=—I1 SHUTTERS fKDA T' 4 SIDE COLORS ppT g - D Ar2k Ci IZe-f GUTTERS A L1 m lr�\J M COLORS ln�o l (t DECKS MATERIALS U .0 GARAGE DOORS �t X CIi STL COLORS 1.S (E r SKYLIGHTS Iy l7 i ' v SIZE COLORS AN 2 5 ZflQ1 SIGNS v COLORS TOWN OF 's Ht0L14\' p,Y IS (� Opp KING FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Your copies of this form are required for submittal of an application, along-with Four copies of the plot plan, landscape plan and elevation plane, when applicable. SPECSHT Revised 11/98 . , General Specifications2' 001 032 Proposed Dwelling For Rod & Colleen Sroczenski Lot I - 848 Cedar Street West Barnstable, MA Size Aprox 3280 square foot conditioned space. Aprox 1000 square foot garage. Aprox 600 square foot covered porch. Aprox 350 square foot deck. Concrete, Foundation and Slabs Foundation walls are approximately 8" thick poured concrete, on continuous footings, coated externally with a damp-proofing material, below finish grade. Basement floor slabs are approximately 3" thick poured concrete. Garage floor slabs are approximately 4" thick poured concrete, reinforced with wire mesh. Septic System Fifteen hundred gallon septic tank using a leaching system. Septic system to meet or exceed Title V requirements. See,engineering plans. Frame Structural wood frame, including joists, rafters, exterior wall and interior wall partitions, 3/4" CDX T&G plywood decking glued and nailed, 5/8" CDX plywood sheathing on roof and 1/2" CDX plywood sheathing on side walls. All exterior walls are insulated with six inches of insulation for an R-factor of 25 and wrapped with Tyvek. Ceilings are insulated with ten inches of insulation for an R-Factor of 30. Basement ceiling is insulated with six inches of insulation for an R-Factor of 19. Exterior Finish Exterior walls are natural white cedar shingles on sides and rear, and painted red cedar clapboards on front 4" exposure to weather. Trim is painted ponderosa pine. Roof shingles are 35 year architectural asphalt. Decks are pressure treated. Gutters are extruded aluminum with baked enamel finish. Windows, Doors and Sliders Windows are Anderson White Permashield Thermopane insulated glass with perminant colonial grills. Front door is natural color solid wood. Sliders are Anderson Frenchwood vinyl clad sliding door units. Garage doors are 9'x 8' textured panel insulated steel overhead doors. Interior passage, privacy and bifold doors are 1 3/8" solid two or six panel masonite doors. . schedule. t�: 4! WL il�'0i Q Heating Keating is multi-zoned gas fired forced hot air. Central electric A/C with reE water is supplied by a gas fired hot water heater. �AN 2 5 2041 Electrical The home will be serviced by underground utilities. It is pre-wired for smoke e a h`e `. ;ABLE .m tr,�p�Y detectors, and include GFI receptacles, front door chimes, washer/dryer outle s r `"=� " lighting, exterior flood lights and lights in all clothes closets. It is pre-wired fo vision and telephone. See electrical plan for details. r r� 2 001 032 Secu The home is pre-wired for future alarm system. Fireplace Fireplaces are custom masonry firebox with red brick surround and hearth and custom made mantel. Fire boxes are pre-plumbed for gas units. Interior Trim All doors, windows and cased openings are trimmed with custom made 1" x 3" royal Barry Wills style custom casing. Baseboards are 1"x 6" two piece custom-made baseboard. Bottom floor has two piece crown molding. Wire vented shelving in all closets. Stair& rails are finished with oak Balustrades and oak treads. Painting The interior walls are primed and painted with two coats of Benjamin Moore satin finish custom color washable latex paint. All interior trim will be painted with two coats of Benjamin Moore semi-gloss oil based paint. Kitchen Sink is single bowl Moenstone Designer Series with riser spout faucet. Kitchen cabinets are raised panel in medium oak, with custom wood edge Formica countertops. All General Electric Profile Model appliances, including a built in style refrigerator, dishwasher, gas range and microwave. Bathrooms Water closets are Kohler one and one half gallon water savers. Vanity cabinets are raised panel medium oak with custom wood edge Formica countertops. Bathtubs and showers are acrilic or custom tile. Flooring Ceramic tile in kitchen and baths, hardwood and carpet throughout. Driveway Bituminous concrete driveway (asphalt) from roadway to gable end of garage. Landscaping Landscaping includes hardy shrubbery along entire front of house with Birch Trees and flowering shrubs. Hydroseeded lawn, irrigated with a Toro five-zone automatic sprinkler system. Brick Paver walkway from the driveway to the front door. All other disturbed are ill be covered with mulch or wood chips. See landscape plan for details. O� S �pw id f � i l= .r i'N I N S U R A N C E A n A l l i e d A m e r i c a n c o m p a n y March 16, 2001 CAa Mr. Rod Sroczenski 14 Coolidge Road West Yarmouth, MA 02673 RE: Road Bond—Town-of_Hy_annis Lo t oac Location: Cedar Street,West Barnstable, Bond Amount: $750 Dear Rod: Enclosed you will find the Road Bond you requested for the home you are building in West Barnstable. As discussed, the bond was issued in the amount of $750 just in case there were a few extra feet of road frontage that we didn't account for. You will need to sign the enclosed bond on the bond coversheet in the space indicated for Principal. Once signed it can be forwarded to the Town of Hyannis with your other paperwork. An invoice will follow in the mail to you shortly for the minimum annual premium of $100. I put the invoice through as an agency bill so you will be remitting your payment to Allied upon receipt. If you have any questions in regards to the enclosed bond, please do not hesitate to call me. Best Re ards, Ellen J. Young 233 West-Central Street I Natick, MA 01760 1800-333-7234 1508-651-7700 I Fax 508-655-8853 I www.alliedamerican.com 1 a R Bond 08BSBAR7888 LICENSE OR PERMIT BOND KNOW ALL BY THESE PRESENTS,That we, Rod Sroczenski as Principal, of 14 cool i ae Road (Street and Number) West Yarmouth Massachusetts andthe Hartford Casualty Insurance Company (City) (State) a Indiana corporation, as Surety, are held and firmly bound unto Town of Barnstable as Obligee,in the sum of Seven Hundred Fifty Dollars(S 750 ) for which sum, well and truly to be paid, we bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. Sealed with our seals, and dated this 16th day of March , 2001 THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS, the Principal has been or is about to be granted a license or permit to do business as ROAD BOND - Location: 848 Cedar Street, West Barnstable, MA by the Obligee. NOW, THEREFORE, if the Principal well and truly comply with applicable local ordinances, and conduct business in conformity therewith,then this obligation to be void;otherwise to remain in full force and effect. PROVIDED, HOWEVER: 1. This bond shall continue in force: ] Until March 16 , 2002 , or until the date of expiration of any Continuation Certificate executed by OR the Surety ❑ Until canceled as herein provided. 2. This bond may be canceled by the Surety by the sending of notice in writing to the Obligee, stating when, not less than thirty days thereafter, liability hereunder shall terminate as to subsequent acts or omissions of the Principal. Rod Sroczenski Principal �a By Ellen J ou Attorney-in-Fact f THE HARTFORD HARTFORD PLAZA HARTFORD,CONNECTICUT 06115 0 Hartford Fire Insurance Company Twin City Fire Insurance Company 0 Hartford Casualty Insurance Company Hartford Insurance Company of Illinois 0 Hartford Accident and Indemnity Company Hartford Insurance Company of the Midwest 0 0 Hartford Underwriters Insurance Company Hartford Insurance Company of the Southeast 0 KNOW ALL PERSONS BY THESE PRESENTS THAT the Hartford Fire Insurance Company, Hartford Accident and Indemnity Company and Hartford Underwriters Insurance Company, corporations duly organized under the laws of the State of Connecticut; Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois; Hartford Casualty Insurance Company, Twin City Fire Insurance Company and Hartford Insurance Company of the Midwest, corporations duly organized under the laws of the State of Indiana; and Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida; having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the"Companies") do hereby make, constitute and appoint,up to the amount of UNLIMITED: DONNA M. ROBIE, FRANK W. ENGLAND, FRANK J. SMITH, ELLEN J. YOUNG, CHRISTINA D. HICKEY, CLAUDETTE PHILIPPON, EILEEN M. RYAN, WILLIAM J. DOBBINS, JR. OF NATICK, MASSACHUSETTS their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on September 12th, 2000, the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to. Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. I Ago �Y +,µ try��if s rF'�'�1� -�tpVO ;1C 9PS4 • • - _ ♦ 'yf ♦ log n f +r4a.s` t97 F€ 1 9 • tpCl3 rw' N..�� -i +tuwN' timats. Paul A.Bergenholtz,Assistant Secretary John P.Hyland,Assistant Vice President STATE Of CONE+-TIC T ss, Hartford C,DUl {TY OF HARTFO tD On this 19`h day of September,2000, before me personally came John P. Hyland,to me known,who being by me duly sworn,did depose and say:that he resides in the County of Hartford, State of Connecticut; that he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. l'/^ 2sc/ �vv� Jean H.Wozniak CEwnFICATE Notary Public My Commission Expires June 30,2004 I,the undersigned,Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of March 16, 2 0 01. Signed and sealed at the City of Hartford. « $ `I r�sQ • t * a t $ �,. :,•'� ���`Mntcti ..y AYFIyN `118T0 F ' 1879 Ie 0 ea Colleen Mastroianni,Assistant Vice President POA2000 NOTES 1. LOCUS IS A.M. 88, PORTlOw OF.� AaL 4. 00 2. ELEVATIONS SHOWN ARE ASSIG b. 6 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. D. Lo Lo THIS PLAN IS A VALID COPY ONLY IF IT BEARS Lo AN ORIGINAL RED STAMP AND SIGNATURE. OPEN SPACE d '(N OFAf4 Ss39b I` RO S o CA I 'A -4 79 su r°°4 IN'sBs" ti ti o' .c• OPEN SPACE co 43 BENCH MARK--TOP GALVANIZED S• 5 B' SPIKE = 66.14 ASSIGNED A *CAUTION: THIS IS AN ASBUILT SURVEY, BY THIS OFFICE, WHICH RELIES UPON THE PLAN OF RECORD, PLAN BOOK 555, PAGE 88, AND NEW CONCRETE BOUNDS SET ON LOT 1 CEDAR STREET, WHICH MATCH THE PLAN OF RECORD. HOWEVER 63,260±S.F. 5`O CONFLICTS IN THE ORDER OF 2 TO 3 FEET WERE FOUND IN THE LOT 2 FIELD WITH BOTH PLAN BOOK 368, N PAGE 95 (TO WEST) AND LAND COURT PLAN 40599E (TO EAST). A� ■ = NEW CONCRETE BOUND FOUND BENCH MARK--TOP WOOD rn STAKE = 59.43 ASSIGNED L •� % SITE PLAN Cz� FOR r" ROD T. & COLLEEN M. SROCZENSKI LOT 1, CEDAR STREET, (WEST) BARNSTABLE, MA JUNE 14, 2001 SCALE: 1"=60' RONALD J. CADILLAC, PLS. RS PROFESSIONAL LAND SURVEYOR do REMSTERED SANITARIAN P.O. BOX 258 WEST YARMOUTH, MA 02673 ©2001 BY R.J. CADILLAC (508) 775-9700 PAGE 1 OF 1 BAY�ID R Q S O R_T_ '-1 kA VA- C' -t- tj \nLe. ct.vL, Pv-e3b.0"J.3, 225 Main Street,Route 28,West Yarmouth,MA 02673 Reservations: 1-800-243-1114 •Telephone:508-775-5669 •Fax:508-775-8862 http://www.baysideresort.com RESIDENTIAL NEW HOUSE If located: North of Route 6 - needs certificate of appropriateness from OKH In Hyannis - Check to see if it's included in the Hyannis Historic Waterfront District - if so, it needs Certificate of Appropriateness from them If ZBA relief(Special Permit or Variance is required for project: ❑ Copy of Decision Documentation that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date. Sign-offs from: Engineering Health [� Conservation [� Planning Tax Collector Treasurer Street address Owner's name & address []� Permit request - full description of proposed project Square footage Building Detail for Assessor's office [a- Lot size - An undersized lot (i.e. <43,560 sq ft)requires an affidavit from an attorney attesting to its grandfathered status, plus copies of the deeds used in this determination (abutters) [� Valuation- must be the same as the total on the project cost worksheet Builder's information :Signature []� Estimated project cost worksheet Site plan (shows location & setbacks of house) c� Plan of record (from Registry) —� Deed (from Registry)'(to attest to ownership) Plans -4 sets measuring 11"x 17"including foundation, floor plan, cross section, framing schedule & smokes [� Worker's Comp form must include: Insurance company's name & Work. Comp. policy number. [� Energy Compliance Form Di Copy of Construction Supervisor's License OR Homeowner's License Exemption Form Check expiration date of license Road Bond($4/foot of road frontage) [� Signature of Principal required. Permit Fee ' v J q-forms:permitsl rev.08/30/00 r The Town. of Barnstable Department of Health Safety and Environmental Services Building Division _ BAMSPABM ' 367 Main Street,Hyannis MA 02601 MASS AIE�MAC Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: �) �I 0( JOB LOCATION: :FLA C eolc, cA.-e e - iN es k number street village "HOMEOWNER": 1�� C7(LOL�VIS�L-1 77K—`1 341 -7-75 CG(D`l name L home phone# work phone# CURRENT MAILING ADDRESS: . YA R_� rr-Tt4 M A- 0 Z(o-1"3 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 hue who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) —._ -----------— ---- ..The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply .with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN /1 03/16-01 FRI 16:49 FAX 0002 $O�d 08nS5AR70e8 LICENSE OR PERMIT BOND KNOW ALL 13Y THESE PRESLNTS, 1hat We, Rod sroc;enski - --- as Priacip4 of Ir rQ 21"- West Yarmcuth and the (Street and Number) _ (City) r a L�Sana, }State) 1! a Indian; •rewn of aT-ct_ble — oorporat On, as Sur: ; are held and firmly bow-ad unto l -Se 'en Uundrcas Obligee,in the sum.of (I for µmuch sure, well anal trul to be _ 17o.s,s c Asa _) Y paid, we bind ourselves,our heirs,executors, administrators,successors and assigns,lonrssy and scr-�:al1y, .Fimly b}�these presents. SeGi°d Aith. our seals, and dated this 1 t%_ day of March THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS, the Principal has been or is about to be granters a license or Fermat to do business as kAAD rson'D - LGcatiori: 848 Cedar street, West Parn$tabir, ?dlz by the Oblige;.;. NOW, 'I-FXRI;FOR--, if the Principal well and truly comply applicable local ordinances, and conduct business in conformity thtrewitli,they_this obligation to be void;otherwise tott nam m full force and efffeet. PROVIDED,HOWEVER- 1. Phis bond shall continue in force: L7 Until mare 16 Zooz or until the date; of expiration of auy Continuation Certificate executed by OR the Surety Until cancehA as herein proNzded. 2.This bond razy be.ca celed by ,he Swe 7v by the sens'ung of notice in writing to the Obligee,stati,-k3 when,not less t`�uu thirt�r I days thereafter,liability hereur�e:shall t"- nate as to subsequent acts or omissions of the Principal. FAX CjC?Y Or— Rod oc2 n i (�j-G t� �� 1��1�. � Principal i0� j 22� o"'S(1 L 2 -a oNer A-p4 l\{tS IN v T e ,. By L ao'\51) j f::0.Z 15 Ellen J' in p ° 5- Atioruzy- -Fact 118 F OAT• N 03/16/0.1 FRI 16:49 FAA 120003 HARTFORD PLAZA Hartford Fire insurance Company HARTFORD.CONNECTICUT 06115 Q Hartford Casualty fnsura;cce Company Twin City Fire Insurance Company ram' (� Hartford Accident and Indemnity Company Hartford Insurance Company of illinoi$ (� ❑ Hartford Insurance Company of the filidwest Hartford underwriters insurance Company C p y Hartford insurance Cotnpar►y of the Soutt;2ast Q KNOW ALL PERSONS 8Y THESE PRESENTS 'THAT the Ha-''ford Fir&' Insurance Company, Hartford ACrdent and Indemnity Cornpanyand H¢rttord Undenvrrters Insurance Company,corporations du%y organized under the laws of the State of Connecticut; Harr!ora insurance Company of liAlOis,a corporation duly organized under the laws of the State of glinois; Hartford Casualty irsurarce Coaro!01_ Stavin City Fire tnsudarrce Compaford luny and Hartford Insurance Company of the Midwest, corporations duly organized under the laws of the State tl Indiana; and i-rartlHa tford, Connc8 editCom arty of the Southeast• a corporation duly organized under the laws of the Stale of Florida; having their home office In Hartford, Connecticut, (hereinafter collectively referred to as the`Companies")do hereby make,corstitute and appoint, up to the amount of UNi,Ir'I'I•ED: DONNA M. ROBIE; FRANK W_ ENGLAND, FRAA-NX J. SMITH, ELI,F,N J. YOUiNG ItIND CHRIST,RTA 0. HICKFY,' OF NATICK, MASSACHUSETTS their true and lawful Attorneys]-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ©; and to Execute, seal and acknowledge any and all bonds, undenakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the pe^formanre of contracts and executing or guaranteeing bonds and undertakings required or permitted in any aciions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on September 121h,.'100o, the Companies have caused these presents to be signed by Its Assistant Vice President and its corporate seals to be hereto affixed,duly attested by Its Assistant Secretary,this 19th day of September,2000_ *_'x I ��� • gal .sy/�5 � I `t7 lF I p �IJ'f7 �F� '� O 7lftlll I �IIN� Paul A.Bergenholtz,Assistant Secretary John F,Hyland,Assistant Vice President Os C0NIdIECiit�? ss. Hartford COUNTY OF HARTFORD On this 19" day of September,2OU0,before me personally came John P. 'Hyland,to may known,who being by me duly sworn,did Uepose and say: that he resides in the County of Hartford,State of Connecticut;that he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument;that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals;that they were. affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by Ike authority. ... ,. �� dean H.Waznixlc urf Notary Public My conlai siQr.Expire.durc 30,2" 1,the undersigned,Assistant Vice President of the Companies,DO HEREBY CERTIFY that the abo andd for oin true and correct copy of t;a Bower of Attorney executed by said Companies,which is still in full force effective as of Parch I � ��,'� Signed and seated at the City Of Hartford. ��S � _ •r,.�� �a� .lam~ a ��� ! � . • ,lUron rhiM�, , Colleen Mastroianni,Assistant Vice President POA20a; 0 3/16,-01 FRI 16AS FAX fJUUl PACHIMILL TRANSMISSION ■ 233 West Central Sheer_ Natick,Massacjjusets 01760 Direct Line: 508-650-8890 ext. 1221 CARL N i N 5 U R A N C E F-11X 508 655-8853 a I I i G C1 A fr, e r i ; a r, C 0 n" P a n Y Email: eyoung@a1liedamehean.com Data March 16,2001 Page: I of 3 To. Rod Company: Fax Number: (508)790-7868 From: Ellen Young Compa-ay: Carlin Insurance—Surety Dept, Subject: To follow is a copy of the bond that was issued. It"U(10 DOE reveivE III!IMI)PS,We—cUIHM65D-8990 eF62221. Tll.nkyola. Apr-09-01 09:40A Vinick Associates 860 721 0244 P.01 Facsimile V inick Fax Number: 508 790-6230 Associate-s a ( ) Date: April 9, 2001 INCORPORATED Project: Gymboree # 174 Location: Cape Cod Mall Hyannis, MA Pages: 7 From: Donna Orlikowski To: Tom Perry cc: Nanci Gunning-Gymboree Hello Mr Perry, We spoke earlier today concerning the above referenced project. We propose to use one of the following systems. 1. Use a Class 1 fire-rated particleboard base material with a maple veneer. 2. Fabricate the storefront with conventional materials and finish with an . intumesces paint. This material will form a thick dense spongy foam layer. I have attached cut sheets on these two products. If you would like further information or would like to discuss this issue please do not hesitate to call me at 888-885-0045 ext, 112. Donna Orlikowski 2075 Silas Deane Highway Rocky Hill, CT 06067 (860)721-0045 phone (860) 721-0244 fax I Apr-09-01 09:40A Vinick Associates 860 721 0244 P.02 PROTECTIVE NIAINTSNANCE COATINGS DATA For Professional Application Only r ULTRA,HIDE"'INSUL-BLAZ ' raliddian Fire Retardant Varnish System. Sealer. No, 5042, Intumescent Coat No. 5043 S Overcoat No. 5044 Pwe Splash NU19.naM-A'(-I r For IntMor WoodWill < `. PRODUCT DESCRIPTION INSUL-SLAZE No.5043 is a ClaYs'A-('I rates clear, sa!;n,intumescentrype,tiro retdraanr vafntst),that Is suaaUle far appl,r o!+un to interior woos surfaces.Upon exposure to ttarrle o+ 6xces54ve hear,tno Coaling puffs up(Inturnesces)forming a ul,c�•aonsc, spongy foam layer.inat cnechs name spreacl ana WWOS, hear penetration.INSUL Bt.1ZE No.5043 anal to a sm0orn,Gea,. sawn t,nrsn,maintaining the ndt„ral wood appearanco S„rgesteo uses wooQen beams,columns,wa,nscot!ng,Ceiling ana wall Tt panels Nor racornmenoea for use on IIOOrS.doors,snolving, nangrais,lurnawre,efin areas wnore inere could ou erpusurve to C Dampness,ntgn numlalry,rno13rufe or ,wator,as the coating 15 90m8wn41 SOft8rMail Conventional varnunes,ana may turrt mirky if OAP05et7 10 damp Or h,umla conatoons (On nala us8 sunace:, or in areas where camp ana numid conast+ons coup) be encounrerea. we suggest INSUL-St-AZE No. 5040 ana No. 5;,,41 Class 'S'fire retardant varn,5n system oe ut,uzec.l when U appi+ed to properly ssalea SwrtaCSS.No.5043 dries to a clear velvety satin rrn,5n.All surtaces chat will be suc0& ucjl to nanol;ien a washing or where v IOW, sem or nI gloss trnrSn r5 acS+rea must pr Overcaat84 wtrn INSUL-BLAlk NG 5044 ULL rd!rr1 Iua Q letarGant varnr�n Overcoat.?'nit use of No.5044 overcaal greatly +rriprove5 the qurppdrty ana CleenS+Orpr/of Nn 5043 NOTE; INSuI_•BI AZE Vo.5044 varr,,S,ovelCOUt i ave,faale,n!Writs sheens i 0.Low-gross, Samr-gloss,ana tic Qlv$3 ~ ry SPECIFICATIONS o 5oe'Tests and Specdreatrars _ v TYPICAL USES c Vidooaen Adams,columns,ce+ung ana Wall panels. r 37 PRODUCT ADVANTAGES r INShU•Et.AZE Class •A- (•) fire retardant varnt3h aystcrn +.e Nos. 5042M43/5Cl�f'i maintains Ino ong naI grate ana owl _t rntenar'wOOG suriBCes It protecfs woos from,n!I+al cOMtu3g6n,ar+v reduces Clam&spread arq smoke Crve!opment SURFACE PREPARATION Ali swrfaces must De ar`y ana tied of a'a C,tt,dust, waA, gr+!s,e.ano olner lorat8n matter Previously tinrsna4 3urtaces mus;Did tnorougnly cleaned and/or sanclea, to oora,n goon aanas,on New Surfaces Sana smooth anC remove oust.Fill ana/or stain surface wtlh nonpleearng Type tillers ant:Stains All woo4 sr.rrarei �sr oe completely 5ealea with INSUL-6LAZE saaier No. 5042 oeforo applying INSUL•BLAZE tire retaroant varnish Nu..Z43.Allow sealer Ito SO42 to ehry overnignt otlfore applying No.5043 Previously Coated Surfaces l Sant or ct,erpicdlly Wuynen lit pr9vr0uS!y linrs(teL' surfaces.Wipe surface Gown wan mineral spirits to remove.11! n1�,pry 4,b, ail ana Otndr foreign ItlUltef, ana allow suriaCe to Morougnly cry. Seal ana f,nr5n as Wttn new surtacri_�. )v ootermrne aonesloA ana cCrnpatlp+l+ry, test patch a small are&tworc 5WIng 100. APPLICATION C . INSUL•BLAZE No 5042.NO.5043 ana No.5044 C8n 0o app!teo oy orush.airless or conventional t,eavy duty spray equipment It nrwi app!lao,use Only soft, natural pestle tx she>. lNStal. (3t.-r+«C lire relardant varnish Sealer No.50•1?-shoura 0e 8ppked by crush or spray,at 3 covers a rate of 300 Jr.) ;;t1 S, h; �I I US gailon�(7 4 Io 9 8 m'rL)aepenoing on the peros!ry of Intl wood Sal thoroughly�etors applying9 spray applleo. tnul No SOa2 octwc.n 75 and 20 percent watt IN.uL•BLAZE Spe;:,c,l Solvent No 5t�2. Allo:v to cry IS pours before applying Ntc ! 50a? IN':'UI-l3LAZE (rrn fu(Jr0ln1 varn,1,n No 5043, nlix lhOrougnty oy Doxmij or swrin Apply twc;,ntfoitr,euats. at the : ecsf.r't! 9 DPy p�- cover6gr- ru,c On.v,aco pcnet+ny anc Diner larr,6 s:,lari areas.spray app!,catlon IS suggsst2C as+! yield a more unrl0rrtl AniSn if mw5r. applied use !igr,i. even strokes. avo,ging e.r,-r�sGrve 'WLShowl• F=vr thinnduj NO ;Qa; uSd Only INSIJt H!Ai[ Sprr.+ar 5otvrn! pin 50C3.tNSt,t f3:JLZw No 043 sets Oust tree In 2-4'10urS. put allow 24 rn,u%ory+ng tavo 0nrwuen coals. Alluw INSL%k.-dLA.&F_ Nu 5043 10 Dry 41 !east 48 nou(�;tleforu appty+nq INSUL-1311_47.L varnisn ovt)rc'Oar No.504,4 f Apr-09-01 09 :40A Vinick Associates 860 721 0244 P. 03 ULTRA-HIUE® INSUL-BLAZE" Fire Retardant Coatings(confinued) APKICATION (conanuea) ASUL-BLAZE fire retardant varnrsl cvt:,coat NO. 50;q, ;!;! material well eelore wslog, then apply a uniform coat Dy Orusn 0r u re only at tic MinePal Spirits forcoverage an nn nt4 No 5r)g4 srcona coal of No.5044 ne df'si(Od.allow 24 nours crying t;frO t3etore reco3ung. Do not apply INSut.-S AZE Nos So42.5043 ano 5044 when surfar,fs and+cr air temperature rs outow 50'F(t0'C) Unger no ctrcumsiances shcula INSUL-OL AZe NQ'S,5042,5443.arq 5044 oe muted togetner a(rn,xee wttn any other varnishes. COVERAGE INSUL•BLAZE No.5042 -300 to 400 s:;. n/US gatfnn I7 a to 9.8 m'/L)(0.4 mlis Cry(5 3 mils wets) INSUL•BLAZE No. S043-3c o sq. It./uS al;on (7.4 m''.L)(2.5 mils cry (5.3 colts -Jet))per coal.Two coats are req,4treo INSUL•BLAZE No. 5044 -600 to 800 scl tl.US gallon 11 10 19.6 ;i-!L)(0 9 mils or)i I2 7 mils wcTlj DRYING TIME I,VSUL-BLAZE No 50a2 glws No Icucn rn apprvA„Mate!y 30 minutes ,kilow to dry 16 nours nefore app!yrng No 5043 iNSUL-BLAZE No 5043 piles to toucn rn appr"'Inate)y 4 hours Al;ow to qry 24 hours Oetween coats Of NO.5043. Aitar socono coat of No. 5043 is appllba.allow to cry 48 More epp,yIng No 5044, INSUL-BLAZE NO. 3044 nrles 4 loucn in apprommateiy 4 hours H8rcl dry in 24 to 48 flours CLEAN-UP INSUL-BLAZE No. 5042 usa onry INSLJL-oU1z�j Spe.,a; _z0r,ant No.5042. INSUL•dLAZE No 5043 _use Only INSUL,BL.AZE Special Solvent No. 5043 INSUL•BLAZE Nc 5044 - use only Mjrlef,� .j Sp,r,ts { )Wnen IcstcU in acco('aancc wall ASTI4" E-84.(NFFlA 255. UL 7?5 U81C 42-1,ANSI 2.5,ULC S 102, VLCAN 4-3 1021 f TESTS & SPECIFICATIONS ONDERV�AITERS' LABORATORIES OF CANADA LISTED FIRE RETARDANT COATING 5042, 5043 & 5044 INSUL•BLAZE VARNISH SYSTEM Finn rla,Z•ARG CLA5SIf,CATION'NiTn COATINGS APPLIED le.1w oil ,x:I4:eo has C4►All 100) ceasing it;yetemI oc%,if CittsakwtrOn or Rat rig Iwnen appp,ea to Ooa.gtas Fit) Flame Smoke I SEALER type 5042 dpptree rn One(:^al ai aoc 4q.>7 BASIC COAT Typo SU43 appueo if two coals al 2W sq.rt,u;y,rl l'• 4 rnyL) I 50 TOP COAT rVQrvE I SEALER Trpa 5042 applraG rn one coax a!4C0 sq n_US gal iD a In,,t,; I OASE COAT T4t+o SC41 aptrl'so m r.e eeers at 100 ad n;v9 yar per :oac 174 m'.,t.) TAr'COAT Type S044 appi'oc m v"nC CW al 800 Srt 'I)US qei :44 2 m'tL) Ft.A5n POINT(CLOSED Cw). ryu .042=21 2'C tpl'Fl. no W43a40 ti'C I1Vj-F).No 50.4.31 WC I1(7u'F) Ina SuRdCd 9urnmg=naracrenbucs oeteMnea tar ULC t At:rL I t CO ln3u1•8laz3:u. 5042 SO- T drip 5044 anau apply onr. .nen mercr,at a appr cO a: j ^�.- Duppllea Qy the ma!WlaClufer 3na,Q St/re:SCCl1Y1.Ir1('e v.dn in ap,aet,.ry;s�1�1ip Chaab a;V1e coverages ano or ma S,rr,aroi wacineo , Apr-09-01 09:40A Vinick Associates 860 721 0244 P.04 ULTRA-HIDE INSUL-BLAZE Fire Retardant Coatings(continuum FOR&fST RE5ULTS A;40 SAFEST USAGE,USER ItS SPEC!FICAu.r DIRECTED TO CONSULT THE CURAENT MATERIAL SAFM DATA SmEET FCII TTtIS PRODUCT, LIMITATION OF UABRJTY To ufa OHa,of a..r anawila ge»ta lectwo"data cuttarrW)twron are true arts icc.retq i4 pie ame of IslsuarrA put ara Sworm to r.ranye wrtftoul pro(nr,6 a.W0 p,y wm out proa,ts Ic oonfrorm to GG6ceIt's kpoc.bcapom W5 MAKE NO OTrIEA WARRANTY Off GUAAANT99 Of ANY KIND.EAPR ESS OR lw?wED. IpCj.Up1NG frMf pUjA.NtA8fLiTY AND FITNESS FOR pAATiC41..AA pURpM LACft.A"is km,; tt to raplacanlerlf of me pros et 0!retu(t0 of the ptrrCnx,W once La6OR OA COST OF LABOR ANO OTHER CONSEOuCKY AL 13AMAIIIES ARE HEREBY EXCLUDED. FOR 6029 CAUTION! COMBUSTIBLE,VAPOR I'1ARMFut. ANO 14AY IGNITE.CAN CAUSE IRRtTAnON OF EYES.SOL)N ►ND RESPIRATORY I'AACT.CONTAINS IMiMfRAL SPIFPrTs flap away from neat spams.aria acme 40 not%rnO*Ka `+apo(s nay gme EaunQwan ad llamas wmertl slo•oa nelrers anti pat)t hgflls ana q.&COfdMOCI ell eteevtc.al nn(ors srt0 IPtOltences oef�r.•s, sra nµ aG upon are i)One VapOfi may AP(e/d tan0 Oaallllcsl vjw bprfy epptrng in cont.ne0 or enclosed areas •.se porWtsa a.AIQ5'00A-p1`oof l.gnbny aria venGlaing conneCRO ro ealarrot Icols ana wear con0wcuve aria noin-wm.ng sr4es A areas.rva 4A1310S41)n um%tt.m. "Op csosSWYs trgnr a-,p(,Vt Ia p!evanl tll4ai;e Kim cgnta.net C1ase0 wnen act in oa.Stele 2o*w too F.Do not Tctnerate uosaq Cnntad)rrS as mey MAY e,p!o60..nen CA00S.e0 to e.rfen+e near a tyre to case w ipaatl,e aowrt 1(14 4,Wsa of.n&w4scance«(m IoCW eppacdola rop,,+ewnl AWA corac1,rats}aytts ano N+dt Imptlfr. 6 cl0(naig IOOfMoar art0 eQwprnenl ftclyQQay 4Wyes aA0 splaan-Prottf gJWdb VQ-44)Od 4011 eiptc4ally wftCn $01*f 1pplytng.00 not like anternaay Avore orliamm of vapor or Spray rn.sl cwu.of an.aonntenw roneenrrataans tyefo.wp"aae S(aravw Whore mayara(Ory prrxarwn 6 rcga.•roq v, c Ordy NIOStvpi,m .ADo("a reso•rators n accomance..In OSnA sm%arC 29CFA 1910 134. FIRS', Alp•In Case it w.n contact.Iwo.Iran ikm-at waw anq then,vdsn Ir,Oro.rgflly.oils«arm SW lop Water FOr aye CUMata (L.41)Itrtme91441y IiT large tl".Als of water to,al least I S m n.Aef aria yet ernergaltew rnedCAl Artennon 11 swartovred got emer9GACy meGteaf bltentlon.4 imaie0.move to*0 areneldt4111C 111"ad AM get AlrwrgerlCY RW.tat anentlan Admantater oxygen or afut.ctal(eap•rili'm tl ne 4wry HOTICE:Ted peog'' 1 eontaane solven(s Rations nave essCC Allsq rapcatep aria p(oro(tge0 oCCvpiFanaf e.ataapolure to su.Pots•,NI Pan114irl pram an0 nCrYjvS LYss���9e Imenaonaf ma6w6a oy ocl.oeratety conCC!11ramg LAO.briefing emients mAj ee narrntw+or taut USE ONLY wiTn AOEOuATE W ENTILATION KEEP OUT OF RF1 OF CHILDAEM. Far emergency Wormapo,t C&A(216;62"S6c PC5_M3 FCR 6ou 6 5071 CAUTION,a FF FROM FRE£ZSNG_ OO p n rape Atirnalfy Cme consamw snel oacn use IMPOMAP411 SO%t4Pment mast De Ope'"111e0-,if)care ara an still ICComifIte moral manulamrel I mstr,xl,ali writln SPlay appiylllq Ube(esi-A gory p,0WC%,q t tNI0jpvmSrw TC 23C or Ogto,atefSll eye;wwsman arc,pmtevz,re poll N { FIRST AID:In ease of tarn Centlin Rusts from skin wim.afer and Mn wayrt lylo(t uoy..M soap aril»alai For OYU rtttUl6t (I..,r.m1`11e04W.y w.III 4619C I anx,,n"pl wills,Ia,at wasf 1 S mantes am yet smergaincy mealcbl aRBM(on If swaaowtl(S soil emergency 7naalcal ane"11-t AEEP Ov'OF RkLCn OF CNN-OREN. Fa amaryeACT&4(maWn Calf f,21f5)926.i5tI6 P sat Glitid®n THE GLIDDEN COMPANY � _.,,.... MXVELANO, OHIO 4014115 �u tati w.:l i Apr-09-01 09:41A Vinick Associates 860 721 0244 P_05 . D uraf R) FR lake - UL Class I Fire-Rated Particleboard Proven success in a wide variety of applications In banks, otTice buildings, hospitals, hotels, court- rooms and more. Durafiake FR is the preferred substrate whenever stringent budding :ate cedes and public satetti` re- quiremernts are a factor. Applica;ions include c very- :;,;;, thing from ceilings and wall systems to furniture and fi--turcF. Excellent workability Durafiake can be: drilled. routed. builr%oseci, beveled or prt;ciston- machined. Screw-holding capability is untiurpassed. Building codes Technical data Underwriter Laboratories File ':ndenvrtters Laboratories, [tic. R4387, Control No,423[,A'�TM. Cla�;sif ed Wood Particleboard C-236. Material Equiprme.nt Ac- Suri'ar.e Burning is haracwristics: cept;mce Division of New York F�t,Fne Spread - 20 City, DAFA 177-78M. Calflbrnia Sr';oke Developed • 25 State. Fire Marshal Lt>;ting2660• ( See 1,1 ClasSifred Building Materials Ln;i(m) Cornpl�,tcc data avdllable Grades and sites A, Ircautrial�rrde.. `..I 1 :� Widths: 36". 42 . 48". 54 Suggested specifications Thickmr sses: 3/8" to 1.1/4- �` — gg P it-, I/I6'• increments '''' "All decorative surfaces exposed to view for Len ths: Arry p.)nei fengths or walis. partitions, (o►he.rs,specify) ;hall be solid tom is atinns which cart be matte itrz retardant panels. Pane15 to be D`rra4ake FK from 14)' to 218" mats; e.g.. - as ,nanufaciurcd by Duraflake Division. 218" proVde5 three 6 f. panels. Willamette Indu;trics, Inc.. Albany, Dragon.- Nationwide distributor network/ For the narne. of a distributor near you, j Willamette car; or V.nite: 111 Industries, Inc;. Gl:f:+flak!:UivijiUil i r';: :�Ioy 4218 i Apr-09-01 09: 41A Vin-ick Associates E360 721 0244 P. 06 t1. PRODUCT NAME Note: Some lzi-ninates applied to Duraflak FR may change the Fire-Rated P,rtic(ebo3rd Duraflake FR fiamt� spread rating of the com SPEC,,, - 2, MANUFACTLIRER polite panel. ApplicahlP Srdndards:ASTM E-134 this Spec•Oeta sheet conforms Willamette Industries, InC. tunnel test. Material and Equip- to editorial style prescribed by CUur.aflakl'. Division The Construction Specifications nlent Acceptance Division, New Burgling Materials Croup, York City. ASTM C-2 36, Guarded Institute.The manufacturer Is re• f, C) Box 42t3 i 21� sponsiblefortechnicalaccuracy. Hot Ro> test. E,i7F.. Test for Sur �, All,)any, Urc;�,un <t7.3?t - Phonts: (.503) 928 ;3a I Physical Properties ulf Duraflake FR_ J 3. PRODUCT DESCRIPTION Buraflake FR* Duraflake FR Basic Use: Duraflake I•R is a Clati:, are"s/er" t3/vr:'-11/0" IZ I rated fire retardant particleboard, - Density(Ihs./r_u. it,) �.5.0 44.1� t suitable for a variety of industrial ! ? ! Modulus of Ru tune 1600 psi 1300 psi �i and CrJn�lnlr.rCif!I huildins; ns)ptl• �.,.._ raric)rti where 5lrigent building modulusof Elasticity 3()0,UUO psi 250,000 psi L•i'= cod(-, and puhli:_ safety require GE✓ Internal Bond 80 psi GO psi C z!_ met!ts rc a f,wior. It is u5ed its a , " -- ,cibstr,ite fete woodrenecrs, high _ Elongat tin __ 0.35 ro t).S'!�� and lc)w pressure Liminales and vi• Screw guiding . 'i-,!= nvls in wail iwems, as wet{ a5 iur- Fair 250 250 Z� = niturc• and fixtures. It can he drilled, Edge 225 175 c-;c^ iol.fted. bulllloscd, iteveied anti 'C-nniorni.s to ANSI A208.v1987, Crane 7-M-1 prec:is ion-mac hi nt,d. Limitations: Duraflake FR should {ace Burning Characteristics of lions. Allr;w to stabilize prior to use. be specifivd fur interior use only. building Materials. Ideiflly those condition~ should W Compositmn and Materidls: Dur- the~ante as those expected after the drlake FR is made from Wpsteirn 4, T ECHNICAL DATA p;)nrl is installed. l.ttminates, if any, softwood porlic:les and highly efft'i Underwriters' Laboratories, inc. must be conditioned to the same tnrc tine retartianl cncmicais bonded - with special tnrntul<s of resins and Classified Wood Particleboard. sleie as Duraflake FR. On installi- Surface Burning (.:hir.ieteristics, lion, good priwtit'es standard to tine _ ,vanes. ;. g woodwork must ,ia used. Please Grades: Ir)clusUial Gride tIL72: , >c contact the Architectural Woodwo k U r: Sizes: Stanclifrd-.-:;'x 6', 3'n 9'. (F3ascc}on i i)J for untrcatcr3 red,oak) �� = � �' x h' }' x 8', 4' x 9', Flame Spread 2� Institute (AWI) (%(1;) 6''1-9't00 or r Woodwork Institute of California � - r 4'x 10', 5'x 8' Other sizes Smoke Developed 25 W 20 '2, c v � � (:) i_J3) 33-9035 for 5(?eC.ili ^- ••? available upon request � s;altdards. When used in walls 5 < See UL Ciassified Building Mated Y - n frorn manufacturt-r or tr.rits an integral vapor barrier must distributer—sec list tin ills Index, List-d under Wood Par- I he e P art of the wall if the wall is xle.- ticlebcard. f pages 2-3. ricer or the wall sepilrates spaces W Finishers: Duraflake FR is avail- conditioned uner,ually. c aplr. sanded UV-iilleri, primed or Thermal Conductivity (K)and rher• y Methods. Duraflake FP, can hie color coated. A distributor list a • mal Kesistan,e•(l/k=R)• A --- kiminate d wilh both hot and cold pears on page 2. From outside /e" - '/2' '/," 1" sirens latttutates. R:fLtne:ed corsrrUC- sources. Duraflakr- FR is available sc_ �,q 0.h} (1.;5 J 69 tion is adviti-d. Must standardly laminated with wood veneer and —"(� -�'� available wu(idw�orking gluey haveR=1.85 1.61 1 1.45 low pressure.. I:minates• It i5 also .82_ - been nicer :enrolls uses! in k,�K values utrt(ii`,?ir. uvin�aJT,Vi C--'?h available i (,.Iris 1 flame spread ,rin.tl <•:,ncri!t!d'riC S Ii,ul'mtiant.t tit b fullyrtaiili� I-',owever, surne adhesives riltN.ef In tTldn)' pillfefns of dCi:l)fii- (+uilFt.tt+ "/"(I a+rtirn•• i;tv sne.vis of Itx: have com. pats )ility problems With tive high pressure plastic lami c,t:.tr;tau Hot Bov' in lull, t_i,ncluervA by the chemit::al system used to treat x hates under the trade name of Nt,r:imvst Tc>ti ut;..!t,nr:;rnrr''' Duraflake FR. Any adhesive. should � r ;^ Dural Design FR. Please se)e se.pa- he wstec.i i(')r compatibility before I:> !v}�] rate CSt SPt(_ l:AfA sheet lot Uurn full scale loin'. I~�, Any question about ;T Desil,in FR, Ple.ise tali the marufa(c- Chemical Proprrties: AvailtIhle compatibility, spread r,jtes, lure m turf( at (50.3) 928-3341 for avail- uptii~ rcquc sl. Z times and press tc'nperature should ithility. or I ur.,t(: on laminated pon. be direcred to the glue supplier or rh. 5. INSTALLATION the manufacturer. � I Preparatory Work: DuraH kr FK Hot Pressing. When hot pressti:g is a wood ba;.ed and an(.l is con- laminates on Duraflike FR use :hv littered an in;�ttior product. It must shortt�st cycle time allowable within n- t:rac„ aa.: ':: Ucot ar•mme:: rc.. ncVer be stored or u1edl outsit}N. the range Sjtee;ifled by laminate ind a,r,m r:c,.,t :r:••:,�,::., '9eE :''i; + . .tin a^1 times under r c )r e t? Sore plat t dr.r eonstartc relative rylu sul ,)lit�rs. Extended cyi.I :,•, :-. humidihr ,;td tcrnhenture r_nndi- or high heist r'nay induce. blows, Clue f'..r!it lom—I,, ,r.inul.rt!un•tl m.,y rvdr.re,non na�b:`hlgtr. in Ittw rwcontro Him-.(xvltoM fp Ilqu}�+n dent l:ffJn Qvviah:orftcni ::Lun.ld,t;_+('�f:.fait ;'CU fonn.dd•±I,yd�•ran dt,.a Irin(,r+:+: Uvt••end:• !,irr0.i,v�rra,/i,y)!nil m,n•.rgf:N•d(C rr•gpi•iti rt+runt Lletm t;r dllwtuc:,Prow;r vPnitt;lu0!1 will fedv':•nvk ui>urn Ivtdr!rul>. 06200 Apr--09-01 09 :41A Vinick Associates 860 721 0244 P.07 mid at.vlil-:<AiOPS to tile in't,00iOn ot -fllg,-% heo! (Irld fo .rlzi�,. hr(� 1)('.r.e i City ot LOB An�;6c�s RR 2411 I13s rl.)Xitf- the chenikwil "eatmentf someand C.OLMIY Of SanFranci!-CO OtIlLq wafrai I presWrc lamiriateh "I'litY bo sual changes in op;lcily. In hot R. MAINTENANCE p t be taken to Ulcp; ressIv)g cctrk' must AVAILABILITY AND COST 11t)e panels 1(1 14(),J)ef(ye stackini;10 6. AVA ,alone ryiNired fur qqcrinr use wheri he on AvailI)i1ity: Duraflilkc IR is iw�lalled jr, (priforiw'.1ficC, With nQn- precludLe heal Llegu aW . nwide list of Cold Pressing: Uirea, (:asem and available iron) a natio ufactywer% inviructiow 7,lease slye pages 2 epoxies to jyn6 IMWrfatC IC) F)LIMI'take ir,.d for a cornpikte list. SoT-je conIaO cefTients mid j3VA's Cost:Current cows oi;w be ontoirl(-'d 9. TECHNICAL SERVICES ., are hwumb%. Their suit,ibihtY Icy C Ig yo"I'l 114'alcy dint6bu- .1; For dMa& cowem&S MIT WN - jould bly clTarccl bebre ushl" for. cj! zjsjiwcj�of Durilflakc-FR,dial(503) Will) resowinal glues certain k'on(fi• 928-3341. tiot*)s jjrc, rjeefieij Or hest rwhs dtw 7. VV4RXANT1y to the hGhdVttc.idii. naturt- 0i the ictaidint C�CM!icak which teri(l to The Durilflilk-C Di 10, FIIJNG SYSTEMS mytV, 11*1 cl, v,.-arr.lilts DOI- (JoWn (:Llrt' rcittS. SPLC-DATA1u 11 CS, 90CA. 1,113C. Wake I R w be frot'Of ryw.li"&'Ktulin�; ation, full Building Cod INI.Tial .in(i work- Additional procItIO i"(01111 (jejot:", both ill Ill, ) jt�chicll Is',is411"O.' .1 literoiure M Agenry Ap"ruvi. 1,5. City of Ne- D - 4 upw&) rKILKn- . 1)rd,-jn(U,(?with tile Spec Ificol i0l'i" MBA 177-78-NA: S�Jte of ..(:c STOCKING DISTRIBUTORS FOR DLJRAFLAKE FR AMZONA INDIANA Inc... R60 Brookvilic RQ phoenix Active Distributing, 518 S. 1601 sh, Indianapolis: Aetn;i Ply-wood. 46119..317-353-6281 CALIFORNIA MARYLAND (ji-Ijon City: 1. E. Hig4il,Lul-nl*r 170 , 600 Damet h%V&- Columbia: Socluclij, Supply, 7074 Oakland tyljils Kci, flue, 945B_-415-471.49-;1'1 2104 5.—301.596-2 550 r orw;flk: Sianlinc-,I!IC., I*26-,i Alonor;j Uiv(l., 9N50 2 13.921-0966 Rancho ChWngUc7: SCA1101"AM MASSACHuSETTS 4qO Rear S. Ahnwdo SL, 9n2P- .21 Vb 361891 (:hjrj-Lsjowr; (B,stony Ametj Mywood Qw, Fulier Rd., Q21 29- -617-'2411-93%, COLORADO C,W,6, Sprint;~: Wig,-3nd CO ;P... E150 Elklon 01"Vt, MICHIGAN 80907--303-599.RB87 Dofoit: All AmericanPlywood Curli., le,840 )c; DISTRICT OF COLUMBIA 48203-3 13-891-68W Ailicd intctriation;d, 20013-202-2(-)9-b690 MINNESOTA Svivan Pfo(iuCls, 11,3,210 Upper Uke [-Inv.) P0il)nCaP01is�: . FLORIDA W. I o1h 3rd, 1 2-777-8�46 Hialeah: S0nCTc";1 Inc., 0 N 3 30,C 305&2 h y, MISSOURI 0_I;Il-jci,:: FLM Ruildif)g Product,. Inc-, F5 H g C' Schaller irlaniwolldl Inc,. 4527 (7,reen ilark 32802-30S-843-6f-,i0Q nc., *2860 22nd SI. Lciwis� 5 Peternburty: FLNI BuiWing ProducIA, Rd. 6312>- jl4-894-1499 1%vajuv Vq, 33713-.513.323-2444 Hazelwaud (St. Louis); Ceorgia pac.ific Corp, 6025 Byasse.e Dr_ 63(92-314-731-0181 GEORGIA,)avannahi Box'232fi, NEW PORK I Brzdl�!YiDixie C.0. 31149&_-912-236-2100 Bronx: F,W. 1101"e"kamP Cc)- 11.1c" .500 Oak PoNt Ave- nue, 10474-212-T)89-9700 ILLINOIS Ridgewood (NYC): Centre Lurriber & Plywood Co.. Chicago: Aetna Plywood. Inc.. 1731 Elston 4wentie, Inc., 11385, 6555 Traffic-718-366-8888 '312 ()0621--- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r " . , . 0 P" o ' �J�fly 0e` e' �-r . -r oft ��'�� � �^ a 18 r-js Map IN? Parcel O i.5P S Permit# i -� rb`n F.-1 /�g Health Division C 67 .__ ,s i►�L Date Issued _S77 Q Conservation Division J J M-0, 'PLA-ri 8� `3`�C' Feed S• Tax Collector `3�oJ��d/ L .- b. h4a GG3 u iv ...•. Treasurer i.: ��E '.. INSTALLED IN �Oo9-:.., .. . . .. , VF WTITLE 5 Planning Dept: .:ONMENITAL CODE AND Date Definitive Plan Approved by Planning Board a V GW'i3 a`iyi ,ATIONS Uva L .2Q u ,rL 4� G'.-J Historic-OKH 21"1®t Preservation/Hyan is 2i L. Project Street Address E3 Cedar g•�-ram+. ��' Village vJ L'J c-,rn S4 t jai e-. �)e*vr •NO �US Owner P-C*J S P-0e-a CAS, i Address 1+ CWI 14$e (2A. Telephone 50'Z - -1S-41 43CH 50%- ,7-7S`- sir (vi) Permit Request N 60 `f Ise. tQ mE WP k TAcltEl) A(ZL i Square feet: 1 st floor: existing proposed N05 2nd floor:existing proposed )716 Total new_s/.s`s- Estimated Project Cost Zoning District Rr Flood Plain Groundwater Overlay AP Construction Type WQ1>11) Lot Size 1�3, 2lrQ Grandfathered: ❑Yes O No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes is No Basement Type: ❑Full ❑Crawl RfWalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) S 1 S Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new 4 Total Room Count(not including baths):existing new 9 First Floor Room Count `4 Heat Type and Fuel: ®Gas ❑Oil ❑ Electric O Other Central Air: 9f Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:Cl existing ❑new size Barn:Cl existing ❑new size Attached garage:❑existing a new size 190 5P Shed:0 existing O new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes eNo If yes, site plan review# Current Use Proposed Use gtS; em e e— BUILDER INFORMATION Name - (Lt' �¢Zc�G N -1 Telephone Number 60Z'113—9 34 Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��� DATE 0 1 FOR OFFICIAL USE ONLY Q PERMIT_ NO. DATE ISSUED •o i - MAP/PARCEL NO. " 51 ADDRESS VILLAGE ' OWNER e-�y 8 S ` DATE OF INSPECTION: FOUNDATION ,F c �e FRAME S INSULATION FIREPLACE OK1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH. FINAL GAS: ROUGI r , FINAL � a FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r, d vu The Commonwealth of Massachusetts s— ^ • ; _^�° �—. - Department of Industrial Accidents _ • Office 01//lYeSl/g8l/00S NP 600 Washington Street Boston,Mass. O2111 Workers Com ensation Insurance Affidavit 10 name: V-Q� S fl G2e✓►S�1 L i location: Ceckr-r city LA . phone# T)S— 3 C 1 am a homeowner performing all work myself. ❑ I am a sol netor and have no one world% in any, acity ���/%///////%//%%% '///%%/%%///////%////%%%% %/%%////%/% %%///////%/%%%%%%%%%%%%%//G%/%/%/%%%%%//%%%%%%�%%%�%%%%%%%%%%%%//%�%%//// rovidin workers' co ensation for my employees working on this job. :: :: I am an em 1 P g .mP. ....................... :.:..:::.:::::..:.:::.;;:;.::::::.::::.:.;>:.;:::::::::::::::.:;.;:::::::::::::::.:::::::::::.::::::::::::._::::;.;::::::::: % Xx- mnanv na me. 'dre ' d x. «. one h c of icv insuranc ® I am a sole proprietor,general contractor, or meown (circle one)and have hired the contractors listed below who have ' co ensation olices: kern :.>;;;:.> ........ :.;;:.;::.;:..:.<:>:<: <:>::>«:;<;:;»:>::>:«:::::><::>::::::«: the following workers' mP................P.. ::::::::::._::...:::.::::::.::::::: :: :.::. g _:::.::: ::.:::::::::..: W. t omoanv.nam ::.:.. . .... ::.. ie :<> ::� _ :;.;;::.:.. ;.:::.;:? ..:. :.:;:<:::;:..'.:::::: ;::;:<::<.;::.:.;;:.;;:.:.;.. hone.#....... ::::::. :....... 1° ... < > c anv nam ii:es ad r �bn li i t► ce c •'o inaran --------------- Faflare to secure coverage as regmdred under.Seetion 25A of MGL 152 can lead to the impositlon of erlmimsi penalties of a glue no to 00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a ene of S 100.00 a day against me I miderstaetstand that a copy of this statement may be forwarded to the OMce of Investigations o[the DIA for coverage veriScaflon. I do hereby certify under the pains and penalties of perjury that the.information provided above is trw and correct Date 3( lt I o( - � - Signature C� Print name P`-Ob 9RO M& N 5H phone# oiticial use only do not write in this area to be completed by city or town oiSdal or town: permit/license# ❑Building Department cit y ❑Licensing Board response is required ❑Selectmen's Offlee ❑check if immediate rap q ❑Health Department contact person: - • . phone#; -� ❑Other (revised 9/95 PIA) ' 1 Information and Instructions ., Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may-be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Ile affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. j//rr.' City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. i The Deparunent's address,telephone and fax number: The Commonwealth Of Massachusetts _ Department of Industrial Accidents Olfice of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 I 710OM A Table.15 16(continued) pjem iptire packages for Owe and Two-Fan*ReddeotW Baildiags Heated with Fossil Fuels MAXIMUM MENIMUM Wall Flaor Basement Slab Heatimg/Coolimg �) U valuer R Woes R value' Rrvaivat wall . P EgWpm= Efficieac/ Package I I I I R-vand R value' MI to 6600 Heating Degree Dar' Q 12% GA 13 19 10 6 Normal R 12% 032 30 19 19 10 6 Normal S 12% 0.30 38 13 19 10 6 85 AFUE T 150A 0.36 38 13 25 WA WA Normal U 159A 0.46 38 19 19 10 6 Normal V 159A OL 4 38 13 25 WA WA 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 199/0 032 38 13 25 N/A WA Normal Y IVA 0.42 38 19 25 WA WA Normal Z 18•/0 0.42 38 13 19 10 6 90 AFUE AA 18Y. 030 30 19 19 1 10 6 . 90 AFUE 1. ADDRESS OF PROPERTY: $ C ed GrPC� u • &-,r A SJA\pLe K4 d4 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �7 Z 3. SQUARE FOOTAGE OF ALL GLAZING: °� �• 4. %GLAZING AREA(#3 DIVIDED BY#2): -5 5. SELECT PACKAGE(Q—AA-see chart above): Q I NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a I 780 CMR Appendix J Footnotes to Table JS LM ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded fi+om a building design with 300 RZ of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.53a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For vendlated'ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frarne or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `TF.e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building-utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.21a NOTES: a)Glazing area and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b.If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(U4,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). " 43 CI BARNS TABLE, MiASS. 11 f' P 10 Pit 12: 28 ''� Town of Barnstable .Office of Town Manager Decision and Notice of Hardship Exemption Rod&Collenn Sroczenski Summary: ' Granted Applicant: Rod&Collenn Sroczenski Property Address: (848TCedaFStreet;,West-Barnstable,MA Assessor's Map/Parcel: Map 088,Parcel 604 Request: In accordance with Paragraph 13 of the Cape Cod Commission's Decision of "Acceptance of District of Critical Planning Concern (DCPC)Nomination", dated March 15th,2001,and the Regulations for Evaluating Hardship Applications dated March 29,2001,the applicants have requested that the Town Manager grant a hardship exemption to allow for the issuance of a Building Permit. Materials Submitted: 1. Completed Application for Building Permit Exemption Based Upon Substantial Hardship,dated April 03, 2001, including an attached signed statement,dated April 02,2001,summarizing hardships involved. 2. Copy of a receipt for deposit of$7,500 with JEM Construction dated January 08,2001,and a second sheet documenting deposits made to subcontractors by JEM Construction. 3. Copy of a May 02,2000 Promissory Note between Rod Sroczenski and Joseph E. Simonelli for the subject property, 848 Cedar Street,West Barnstable,MA. The note cites that the interest rate would increase to 18%after April 01,2001. 4. Copy of a February 14,2001, Certificate of Appropriateness from Old King's Highway Historic District Commission. Procedural &Hearing Summary: The hearing was opened in the Office of the Assistant Town Manager on April 09,2001. Present were Rod Sroczenski,the applicant,Joellen J.Daley,Assistant Town Manager and Art Traczyk,Principal Planner. Rod Sroczenski cited that he had been planning to build from May of last year when he contracted for the site by a promissory note for$94,500. .His intentions and budget were based upon having the home completed in 12 month. He had committed to the contractor and subcontractors a total of$7,500. Without being able to initiate construction on May 01,2001,he was in jeopardy of losing his deposits and the interest on the land would change to 18%unless he rolled that note into the construction finance. Conclusion At the conclusion of the hearing,Assistant Town Manager,Joellen J.Daley found that the applicants have'meet the criteria for an exemption and that prior to February 28,2001,they were in the process of seeking a building permit,had contracted for land and had contracted for construction services. The applicants would have a financial hardship if a Building Permit were not issued. Ordered: The applicants Rod&Collenn Sroczenski are to be issued a building permit. That permit shall count as a part of the annual capped total under the Implementing Regulations adopted. oy- /o-0/ 9je J.D ey,Assistant Tow ager Date Signed ESTIMA TEO PROJECT COST WORKSHEET Vah LIVING SPACE (high end construction) IDS square feet X S115/sq. foot= 2_ (above average construction) square feet X S961sq. foot (average construction) square feet X 5571sq. foot= GARAGE (UNFINISHED) �g� square feet TS25/sq. foot= r PORCH 6030 ' square feet X S20/sq. foot= DECK square feet X S15/sq. foot= vim l(90 OTHER square feet X S??/sq. foot= Total Estimated Project Value qa S 0o 4 BICIS0144 PG296 33999 i 06-01-2000 l? . i i =09. QUITCLAIM DEED Paul R. O'Connell,III,Trustee of Cedar Street to Meetinghouse Realty Trust u/d/t dated September 23, 1999 and recorded in the Barnstable County Registry of Deeds in Book 12559, . Page l98 for consideration of One Hundred and Four Thousand Nine Hundred and 00/100 ($104,900.00)Dollars hereby grants to Rod T. Sroczenski and Colleen M. Sroczenski,husband and wife,tenants by the entirety, of 14 Coolidge Road,West Yarmouth,with quitclaim covenants the,following parcel of land: w That lot of land shown as Lot 1 on Plan 555188 recorded at the Barnstable County Registry of Deeds. XQ141a OIGN Gook ;r<r,' Ctre $$ Subject to the Declaration of Protective Covenants,Restrictions,Rights,and Reservations recorded in Book 12944,Page 286. I hereby state that: 1. The above trust has not been altered or amended. V) 2. 1 am the sole trustee and I have been directed by the beneficiaries to sell Lot 1 for the amount stated above. Q j For my title see$ �� '� Book 12646,Page 183. Witness my hand and seal this 1" day of June,2000. Paul R. O'Connell,III,Trustee of Cedar Street to Meetinghouse Realty Trust jCommonwealth of Massachusetts Barnstable, ss. June 1,2000 Then personally appeared the above named Paul R. O'Connell,III,Trustee of Cedar Street to Meetinghouse Realty Trust as aforesaid, and acknowledged the foregoing to be his free act and dye{{i,before me, Ch ` X Q ~ X a ' Notary Public dk,�11 (-I.a0e c Qw 9�o-N ' © My commission expires:0 W O W BARNSTABLE REGISTRY OF DEEDS 6ARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REQISTER LEGEND • 3E,8 bIQTES SROGZEN.DWG to. • 39.5 1. LOCUS IS A.M. 88, PORTION OF PARCEL 4. gv 2. ELEVATIONS SHOWN ARE ASSIGNED. _ TH 1 TEST HOLE LOCATION, NUMBER ►� Lti 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. 97• F x EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT o- 4. ALL PIPES BE 4" SCH 40, AND 'PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) �•7 42OPEN SPACE TOoo 5. MUNICIPAL WATER IS NOT AVAILABLE.EXISTING CONTOUR M 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED.� ---- PROPOSED CONTOUR 43.3 • 54.7 7. INLET TEE TO PROJECT DOWN 13% OUTLET TEE DOWN 14" . / 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EOUAL FLOW ® EXISTING DRAINAGE CATCH BASIN 52'7 06 D-BOX EXIT PIPES TO BE LEVEL FOUR FIRST TWO FEET. 050.9 /' d 9. DEPTH OF COMPONENTS NOT TO EXCEED 3'. OR VENTING MUST BE PROVIDED. NOT TO W_ PROPOSED WATER SERVICE Sf. / BUILD UP COVERS TO WITHIN 1. OF GRADE. MORTAR CHIMNEYS IN PLACE. LL��L] E 5 46.9 7 ONE COVER OF TANK TO BE WITHIN 6" OF GRADE. S6 OS4 /� 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEASTONE ON TOP CAUTION: THIS IS A SITE PLAN '8' 59.1 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND. SURVEY, AND NOT A PROPERTY CONTACT THE BOARD CA OF HEALTH, OR R.J. CADILLAC. LOC A"SON MAP P 4 i2. IF AN OVERpIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING VI"1 Vi�1 /'1 LINE SURVEY BY THIS OFFICE. IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE � LOT LINES SHOWN ARE APPROX- • 51.0 6 • 61.3 13. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. (MATE. DEPTH (inches) ELEV.(feet) • 52.9 LOCUS IS IN AN RF ZONING DISTRICT, $ti TEST HOLE DATE: April 27, 2000 0 A layer 10yr 3/3 AN AQUIFER PROTECTION OVERLAY DISTRICT, �•'`� PERFORMED BY: Ron Cadillac, Soil Evaluator 6" sandy loam AND IS SUBJECT TO CONSTRUCTION 59.0 WITNESSED BY: Edward Barry, inspector PERYARDS OF: OPEN SPACE LOT '� SOIL RATE: <2'-00"finch (C layer) B layer 10yr 6/4 PROPOSED TOP FOUND. SOIL SURVEY(1993): Bam.-Plymouth Complex sandy loom 2 GEOLOGIC MAP(1986): Sandwich moraine deposits 42" 53.3 FRONT YARD '.0' ,a Invert s5.25 SIDE YARD 15' 52. 63,260±S.F. Exist Cast Iron Invert o 68"I 56.7 Use64.6 63.6 ° Gas0s s �0 ° Invert 52.84 REAR YARD 15 � / / m° . 62.s s4 " Proposed RECHARGER 330S c layer 2.5y 6/3 MAX. BUILD HEIGHT OF 30 OR S-1/4 /ft min. 9" min. cover 53.3 fine*and 2 1/2 STORIES, WHICHEVER IS LESS. hti S=1 3/8"/ft TOP PEA STONE ACTUAL ZONING DETERMINATIONS MUST ss.a 3i' -"t; 5,6 Proposed S=1/4"/ft BE MADE BY TOWN ZONING OFFIGAL. ^� "° 5' ' `' 1500 Gal. - -- -1 •� Invert $4.75 24" 132" no Toter 45.8 5.7 62.2 I Proposed h 54.4 Invert ".01 In 50•8 rJ7 r 3 66. ( 6" Stone or compact iroposed ropes d0 10.1' S'0 16.65 TEEST HOLE 2 66 _--20. I r---13. I I to I 2.� DEPTH (inches) ELEV.(taet) r .- sJ7 12 a 03 �°'; 62.9 I I I Bottom TN1=45.8 layer 10yr / 0 la 10 3 3 52.2 N 11 0 4 6 Bottom TH2-40.7 6" O �Z 66.4 �� DESIGN DATA °°ndy loam 0 B layer. 10yr 5/6 d l7 BEDROOMS: 4 sandy loom 57.9 .3 �' a' BENCH MARK--TOP GALVANIZED GARBAGE GRINDER: No LEACH AREA 6s.7 SPIKE 66.14 ASSIGNED REQUIRED CAPACITY: 440 GPO USE 4 RECHARGER 330'S WITH 4' 45" 48.4 {N, •••.. 7.0 SEPTIC TANK: 1500 GAL. STONE ALL AROUND FOR A 34'-2" : : pD LONG BY 12'-4" WIDE BY 2' DEEP a BOTTOM LEACHING AREA: 4�1 3 SF 7B• ¢6• [(34.17' X 12.33')] LEACH AREA. C layer 2.5y 6/3 • 57,7 9 SIDE LEACHING AREA: 186 SF OPTION tine sand • 55.3 57, "��' [2(12.33'+ 34.17') X 2' DEEP)] 's ^ mry • 6sz DESIGN CAPACITY: �449 GPO USE 6 RECHARGER5 WITH 4' STONE \ ,3 / \v 65.6 [(421.3 SF + 186 SF) X .74 GPD/SF] ON SIDES AND 3' ON ENDS, FORA no water \ 44'-8" X 12'-4" X 2' DEEP LEACH /38" �•7 e,3 p� \ AREA 576 GPO. (SHOWN ON PLAN) 49.8 � \ 9.9 tV 53. 58.9 4� • 49. � � � 63 50.7 R�•^3 �o • 52.5 TH 2 m ao . 52.2� A 9s13 � �4 .o • 51,7 � os "eta • 653 ; 45A 51.3 46.• 52.7 SRO QRt ,S 52.2 �P LOT 2 \4 0 63.4 • 49.6 � 51.4 tJ'1 0.0 .� P -1 53.9 4 .9 ko 55.8 Nf �s.et" 57.8 BENCH MARK--TOP WOOD $a 52'6 s4.3 STAKE = 59.43 ASSIGNED 49.86 50.6 \0 \ 51. SITE PLAN s''0 52 56,2 57.4 THIS PLAN IS A VALID COPY ONLY IF IT BEARS FOR • .1.36 71 PROPOSED WELL AN ORIGINAL RED STAMP AND SIGNATURE. ° 1.86 54 ROD To & COLLEEN M. SROCZENSKI o •y'1 52.07 \ vs' 83 0 �\jHOf MASS�11 ��z"°FMA �yG LOT 1 , CEDAR STREET, (WEST) 6ARNSTADLE, MA G \ \ 4 �9``� ROA Es �� A A AUGUST 11 , 2000 SCALE: 1 "=30' 's \ 9 ' 59.2 #1060 •a 41335779 'r-4 5.8 P 0 �0 2 413 5 .77 �NITAR Pa l�NO SUR"J RONALD J. CADILLAC, PLS, RS 5. s4.1� \ 54 s • s7s )Z 1 p PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN 'so, 59,3 P.O. BOX 258 • 55.60 \ s73, WEST YARMOUTH. MA 02673 \ 2 59.4 55.6 5` HEALTH AGENT APPROVAL DATE {508} 775-9700 58,47 ' 57.08 � REV. 1/17/01--HOUSE FOOTPRINT & DRIVEWAY ©2000 BY R.J. CADILLAC PAGE 1 OF 1 f I i I I