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0004 GREAT MARSH ROAD
qn C II�I� �RECYCLFdoO UPC 12543 No. 53LOR HASTINGS, b7N f� i 4 o s=r TOWN OF!;BARNSTABLE BUILDING PERMIT PARCEL ID 089 003 GEOBASE ID 4334 ADDRESS 4 GREAT MARSH ROAD PHONE W BARNSTABLE ZIP - LOT PTPAR3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 73709 DESCRIPTION CONPLEATION OF PERMIT 0 57259 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: LOUI S J SEMINARA Department of ARCHITECTS: Regulatory ator Services TOTAL FEES: g y BOND $.00 THE I' CONSTRUCTION COSTS $.00 k' 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * (Al i * RAMSTABLE, * 1 039. FO MA'S BUILDING ' ISIO BY DATE ISSUED 12/19/2003 EXPIRATION DATE PARCEL ill QU9 003 GEOBASE ID 4334 ' ADDRESS 4 GREAT MARSH ROAD . :_ - PHONE. W BARNSTABLE ZIP - LOT PTPAH3 BLOCK 1.,01r ;;t Ul 06A - IDIWZLOPMEtN`i' b7 2 Jy DF;SCR L P`I'I()N 4 3R/ 31 /2 BA/ L;bt4/2CAR AT'I PHKil iT TY?vr r3Ui W, T ITLh MEW ktFS i D1:N'C�AI, HLDG 11NT Coo.,*VRAUTLPIti';: LOW"') .r Sb.M I NAA1\ Department of :'k('HITFCT', PH,P.IM `r L+')tTENSiu►: CE'.ANTFll Regulatory Services OTAr�, eVES_ .;I , lo'r . 02 a C0II'S'T RI JCT I0N COSTS u2 Hy ,0 40.00 U 1 S 1 N(1,Lk,' FAr; H(,Xh' D2TAC1D D I PRI VATN , 1' * BARNSTA1314 MASS. >t639� � 737W Fo 39r BUILDING`DIVISION BY 1SE'.JI-:D 11/20/2001 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS i VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 �„ ab► ' /witC�. V A 2 2 row 2 _/`nG 6�c P1J��:.•• /j, �� 3 1 HEATING I ECTION APPROVALS ENGINEERING DEPARTMENT fo N l�li�J�aa3 aK � l."A s 2 /Z p� BO D F HE TH 6 OTHER:' T SITE PLAN REVIEW A P OVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VAS' ' "AGES jC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- T' NOTED ABOVE. TION. j J r A` u`TOWW OF BARNSTABLE BUILDING PERMIT PARCEL. ID 089 003 GEOBASE ID 4334 ADDRESS 4 GREAT MARSH ROAD PHONE W BARNSTABLE ZIP - LOT PTPAR3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 73709 DESCRIPTION CONPLEATION OF PERMIT it 57259 PERMI'� TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: LOUIS J SEMINARA Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND $-00 VIE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * 0_ * BARNSrABM MASS. . RFD MA'S A BUILDING IVISIO t DATE ISSUED 12/19/2003 EXPIRATION DATE Y . 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). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 i 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i 2 BOARD OF HEALTH I I ' OTHER: SITE PLAN REVIEW APPROVAL I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I w a . 1 I f 1 K�i� Town of Barnstable F THE A Regulatory Services . . " Thomas F.Geiler,Director MASS, Building Division i63y. �0 Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.t�wn`.barnstable.ma.us - Officer 508=862-4038 � /,;t 0,/ � _. Fax: 508-790-6230 PERMIT# FEE: $ Q 00 SHED REGISTRATION 120 square feet or less Locati n of shed(address) Village IN r Property owner's na Telephone number X-PRESS PE _...� Size of Shed Map/Parcel# .,,.. 1 g 200u TOWN OF BARNS:. .__. Y►'1 -Sip'a e Date Hya*s'Main Street Waterfront Historic District? - - - Old King's_Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) -q o r � PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF OVEc COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATIO E. g _ - - PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. _ �. ao D D .- -THIS-THIS FORM MUST BE ACCOMPANIED BY co rn PLOT PLAN . Q-forms-shedreg REV:121901 Application to 3[gigbWay 3R.egirinal AIOtDric �Dli-qtrirt Committee In the Town of Barnstable D EC E O1 WY E CERTIFICATE OF APPROPRIATENESS MAY 0 5 2004 TOIN�`U Or E�,RNSTAP; NIC?n��r .,,.. Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropdateness suntler Seetim 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: L�l Addition ❑ Alteration '�v 1. Exterior building construction: New � � Indicate type of build^in� ❑ House ❑ Garage ❑ Commercial Other Shcd J - 2, Exterior Painting: Lf, 3. Signs or Billboards: ❑ New Sign ClExisting Sign ElRepainting Existing Sign > 4. Structure: El Fence El wall ❑ Flagpole ❑ Other DATE 51510'`l TYPE ORPRINT LEGIBLY: s °" rrea n�4 L,7Z1 . l,U. �rn� � ASSESSOR'S MAP NO. r N ADDRESS OF PROPOSED WORK �-I t� t ❑Y _ OWNER `1 If I�Tbet��utnn ASSESSOR'S LOT NO. HOME ADDRESS aocat TELEPHONE NO. B-D�yo FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) C AGENT OR CONTRACTOR l , V TELEPHONE NO -6 771- ADDRESS 3a L In rm n„Th pii Mnn�C,lh� ��L D 1 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. S, X 14 / S hed- "1 6 Cat 516.0-p -Pane- swbins 25�r• 11sp]'+alt ��NSIrS . Signed Owner- tractor-Agent For Committee Use Only This Certificate is hereby E:n Date ve / d Committee Members' S/i/Jg at ur 7 N1SI61111�- Town of Barnstable E Old King's Highway Historic District Committee D `� SPEC SHEET MAY 0 5 2004 TOWN OF BARNSTABLE FOUNDATION SlJho to Ina+in r c Hn IC PRESERVATION SIDING TYPE Ia ►� a S� COLOR Qn+ re�a¢�aA s64 CHIMNEY TYPE ('t�hn �on r o�ct— 1 L� COLOR ROOF MATERIAL 5 COLOR I PITCH I WINDOWS__ - COLOR SIZE 2.2 x a ff i TRIM COLOR .r DOORS 3 Ran J rd COLORS SHUT TBRS `I - COLORS GUTTERS COLORS DECKS` )C, MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS X COLORS FENCE x COLOR NOTES: Fill out completely, including measurements and materials colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11198 E C E E MIRY 0 5 2004 � ; OF BA STAEU � L �o \0 - � J.U ��j 1� o / Cn� G 3� �0 c 1 10-64 �Ojcl �� �79.s�' I certify that this pro arty is located CERTIFIED PLOT PLAN in flood hazard Zone C loutside the 500 year flood) as identified by the Depart- LOCATION ment of Housing.and Urban Development(HUD) . SCALE .• .r:�o.•,•. DATE ¢ Date`1z z Zaa �a or PLAN REFERENCE .,BE;Nc PAZZZ-z z.- o� EDL .PG•.. .. . . . .... . .... . . .. . . . . . .•,•.. Re so i CERTIFY THAT THE Z certify to its title insurance company ASHOWN ON THIS S SHOWN HEREON.N IS LOCATED ON THE GROUND that there are no visible encroachments or easements except as shown and that this plan was prepared under my immediate DATE !!A/-•�loa1* ..• f' supervision. ��N �- GoGDieiGK �/� A8e7V 47, REGISTERED LAND SURVVOR I • .n TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ _Parcel UOF FA NST,ABLE Permit# / Health Division ., , ;� �, Date Issued Conservation Division /Z, C73 Application Fee Tax Collector ___ _ Permit Fee /74 I 0 4 EPT10 SYS Treasurer )A'ST rEM Nun i9E Planning Dept. 1 COM�LMCEF Date Definitive Plan Approved by Planning Board F 0'V'WC<TA.CC0, U WPd 1EGUU Aft Historic-OKH Preservation/Hyannis 1S Project Street Address 4 ►4e5W RoAb Village � 4 1 s I '4 I r- Owner��c24RE!j�/' Qy/df/ ��s Q0107.%ar Address 53 6xlZioti Oteek Detta" Telephone 5*27 S-- 3 S•9' 4:; Permit Request I TQ,Ot19b I10*.3(. F'2LC COCA, LkmI i E �41� .. t.& 717-t O p �l�4- FOA Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new SSZ Zoning District Flood Plain Groundwater Overlay Project Valuation __-:Z Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new 19umber of Bedrooms: existing new ,,�. otal Room Count(not including baths): existing new First Floor Room Count �Ieat Type and Fuel: ❑Gas ❑Oil O Electric ❑Other lentral Air: O Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ElNo Detached garage:O existing ❑new size Pool:O existing Vnew size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site pin review# Current Use�J.S�,�T{r4� 7p46LAAe-INProposed Use 4574vw/ *,/ , pns� �� S/����,/� /�BU��ER INFORMATION Name !/'�/ Telephone Number Address 7 .IDG Zf S S �y��p— License# Home Improvement Contractor# Worker's Compensation# �/ ALL NSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO D(oAze-&S � SIGNATUREZei4DATE ILO^� 1 FOR OFFICIAL USE ONLY PERMIT NO. -- \S • SATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE'" > OWNER ' DATE OF INSPECTION: FOUNDATION A10 A/-4 of c ?/o n/ ,. : FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH- FINAL GAS: ROUGH `n--- , FINAL_ FINAL BUILDING Io o DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts �T_. _ Department of Industrial Accidents •Office oflayestigatioas _ 600 Washington Street = t Boston,Mass. 02111 . i Workers' Com ensation Insurance Affidavit location: ' hone# C. ❑ I am a homeowner performing all work myself ❑ I am a sole rietor and have no one workingin ca acrtp a sol//% / %%%//%/%// %//O////%%//G%%%%//G%%%%/%%%%%/% %%%O///G err co ensati)a for my employees working on this job. worker era 1 g ».n :.:.::n:..t.: �:<::.,:.{.,},`.�?.r:�:.:..�. ..>........ \...:.?,;:.... 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Y:':.•.,.:,)n.. ....w.:.......nw........::::.n...v.v•n..•u•.w::.,.,•••wY:;,,.x.•:.G::...v.......;.::.... v..........•:.v.!...:::::......•:......... ....n.. - ?.G:•}T:nG. > T:......•:•.:......v:r.:....•: x.:...: .w:•r.v.. ...v...r. ....:::v. ..r::w.4....••:•vnv....-w::::.:fin?;::?}'.v:•:;er.}:':::• :•:::::?•:fi.•:::.v:...t.v::::, .::.•n:-.h.v:{CYh.}....n...,.r{.v.::::::}iY'?•}............:.rw.v:........... {<{v:w:•: }v:v:?}}:;{.n••:nw::::•......riv::r:::':`•:;....r....:v ... ....:...:...:..... v..........;v ...... ?•.v};.:.•,:•r::•!.v::::::C"v:v:4:?}::x:x.f ::.GY<h:?•$'•}+:•r:4?;•rrri:�r:i:ii n{Y:Y::v!},?{;:r•:i4----------------------------- A- - -- - t:!:}::v):•r::.:v:nwn`}::1..: 0 usaraace�coz�:»::%;.Yr>;:.i:.Ysi;?:.:,,` aired raider Section 25 of MGL 152 can lead to the impos�tioa°f Oi penalties of a tine up to si im.00 and/or Fshon to scan'°coverage as req cisonment ss wen as civil penalties in the o STOP WORK ORDER and a One of 5100.00 a day against me I�derstaad a one years'imp the OfH of Inv atioas of the DIA for coverage veritiatlon copy of this statement may be to I des hereby certi the and allies o erjUry thaj the information provided above is trru and correct Date 7—1 Signs Phone# t name oflldal use only do not write in this area to be completed by city or town official permt/IIcense# ❑Building Department city or town: ❑Llcendng Board ❑selechn&s Office ❑check if immediate response is required (3Health Department phone#; _ ❑Other contact person: oreiud 9/95 PJA) 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 thereto shall not because of such employment be deemed to be an employer. ' building appurtenant = MGL chapter 152 section 25 also states that every`state or local licensngagency shall withhold the issuance or renewal of a license,or permit to.operate a:business or to construct.buildings intthe commonwealth foc any applicant who has not produced a_cceptable evidence of compliance with ttieansur4nce coverage required:.Additionally,neither the commonwealth or�any.of its political.subdivisions shall enter into any contract for the performance"of public work until acceptable evidence of compliance with the inmrance 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 is date the affidavit. 'The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers'..compensation policy,please call the Department at the number listed below. 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 permrt/hcense number which will be used as a reference number. The affidavits maybe retmrned'tn 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. ��������/�������j�jjjjj�jjjjj/���j�j/��jj�jjj���jjjjjjjj�j�/�j������j/������/��jj����jjjjjj����j���j��� The Department's address,telephone and fax number: _ The Commonwealth Of Massachusetts Department of Industrial Accidents gfflce of lavestlgatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 nhone#: (617) 727-4900 ext. 406, 409 or 375 i p*1HE Town of Barnstable Regulatory Services Geller Director t �xxsrl►sr.�, • Thomas F. , . XAM 16119 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 •Office: 508-862-4038 Fax: 508-790-6230• Permit no. Date • AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which.are adjacent to such residence or building be done by registered contractors,with certain exceptions, along othr requirements. c Type•of Work: AIL P C/ Estimated Cost 3 O�coo Address of Work: Ao, k- Owner's Name: Date of Application:_ I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law , ❑lob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE, PROGRAM OR GUARANTY FUND UNDER M HAVE 142A. ACCESS TO THE ARE SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Contractor Name Registration No. Date OR T,,fe Owner's Name y�FtME Tpk, Town of Barnstable VI ~O " Regulatory Services ` AM E ass.m ' Thomas F.Geiler,Director A,For,9. a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 41010049VOwnet of the subject property hereby authorize IL+ � l to act on my behalf, in all matters relative to work authorized by this building permit application for: 4 ��- d �l � � C� , �3�e��sf��l�• o (Address of Job) Signature of 6wner r� Date R • Q�lww JAN I'Yb� Id rt Print Name Q:FORM&OWNERPERMISSION ACORQ ,CERTIFICATE OF LIABILITY INSURANCE °04/07/2003 PRODUCER (603)432-3666 FAX (603)432-6076 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lakeside Insurance-Agency' , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One Wall Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Windham, NH 03087 INSURERS AEFORDING COVERAGE NAIC 9 INSURED South Shore Gunite Pool & Spa, Inc INSURERA Continental Casualty 20443C 7 Progress Avenue INSURERB Safety Insurance 39454 Chelmsford, MA 01824-3606 INSURER Transportation 20494C INSURER0. American Intl . Group INSURERE: Peerless Insurance Company COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINC ANY REOUIREMENT.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 SUC1- POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR OD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONI TO DATE(MM/r)Q[YYt LIMITS GENERAL LIABILITY C1043430331 04/01/2003 04/01/2004 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ _ 100.00( CLAIMS MADE a OCCUR MED EXP(Any one peroni S S.001. Aff-- PERSONAL&AOV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMROP AGG S 2,000,00(1 POLICY X 1 X ECT LOC AUTOMOBILE LIABILITY 3138S83 04/01/2003 04/01/2004 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S 1,000,00 t; ALL OWNED AUTOS BODILY INJURY S B X SCHEDULED AUTOS (Per Person) — X HIRED AUTOS BODILY INJURY S X NON-OWNED AUTOS (Per accident) X XS Auto-$1,000,000 SCOTTSDALE INSURANCE 04/01/2003 04/01/26a4 PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S A14Y AUTO OTHER THAN EA ACC S AUTO ONLY' AGG S EXCESS/UMBRELLA LIABILITY C1082102948 04/01/2003 04/01/2004 EACH OCCURRENCE S 1,000,000 X OCCUR F-1 CLAIMS MADE AGGREGATE S 1,000,000 C S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND WC9691539 04/01/2003 04/01/2004 wcSTATU• OTH- EMPLOYERS'LIABILITY ER I I D ANY PROPRIETOPUPARTNER/EXECUTIVE E.L.EACH ACCIDENT S 1,000,00(. OFFICER+MEMBER EXCLUDED? El DISEASE-EA EMPLOYE S 1,000,00'. If yes,describe under SPECIAL PROVISIONS below El DISEASE-POLICY LIMIT I S 1,000,006- OTHER IM9587411 04/01/2003 04/01/2004 Equipment Total : $414.162 E �quipment Floater eased/Rented Equip Leased/Rented: $S0,000 DESCRIPTION OF OPERATIONS 140CATIONS/VEFJICLE�I EXCLU31ONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS overing Installation of Swimming Pools and related operations of the insured during the policy period CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF+_ .. BUP FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE 140 OBLIGATION OR LIABILI I Y • l OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. • AUTHORIZED REPRESENTATIVE Edwin Duvall/HUSLO i •�: '��" ACORD 25 12001!081 -CACORD CORPORATION 191 I GT e �a�rria�uuealr� a�'✓�aasac/a..�aeG2 . - t r Board of Building Regulations and Standards License or registration valid for individul,u`se only IMPROVEMENT CONTRACTOR before the expiration date:If found return to: HOME IMP Board of Building Regulations and Standards Reglstration 105485 One Ashburton Place Rm 1301 i,Expiration:_7117/2004 Boston,Ma.02108 f,i It f Supplement Card SOUTH SHORE GUNITE POOL& PfWAkD BENOIT 7 Progress Ave. � �...�.��✓ — - ---•------ - ........_�_�.---— -- . Chelmsford.MA 01824 Administrator Not valid without sienature t .J ✓Z. {oanrmxoouaea a�•/�aaaac�ivael� BOARD OF BUILDING REGULATIONS L'feense: CONSTRUCTION SUPERVISOR` Ps ;NumbeWCS T 056174A. e f Birthdate: 03/16/1945 IExpires- 03/16/2005 Tr.no: 9504 iRestricted — ,) 9 '-" :RICHARD E gBEN' lr; '54'CUSHING HILL RD: t 1NORWELL, MA-02061`---' Administrator 4 t r ' Application to (91b�l7 -in' I� i knap Regional -3W5;toric Minuict Committee BARNSA�L In the Town� �B'airfsl CERTIFICATE OFAPPROPRIATENESS Application.is hereby made, with four 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 CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repaain ,ng Existing Sign 4. Structure: Fence ❑ Wall ❑ Flagpole LR'Other :r6Jr1>?m,,f4 boal TYPE OR PRINT LEGIBLY: DATE 6 �03 G3 ADDRESS OF PROPOSED WORK V CTn %/t-Ca-<.�-/� �r W5 ASSESSOR'S MAP NO. OWNER Oil�i��C- C�eet .-Tf9�✓e r 6; lal-� ASSESSOR'S LOT NO. 43 HOME ADDRESS `�3 ��^J �• �-�t� /��� TELEPHONE Na-9IAS-6t�l FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any 6 E T Sa �4n� Rl ,Ile fA ya6C�Q� .C� �e1 •J I� �e�lt.� O cry 77t .Q �e x It �S CfLJL n1f3- o�S3 �+ 1'�u td 6aen4j-,-ble. -4. e-2444 010 1v d�6-+a( �- �nc:cCu S �✓�: 1 z�-ru-c� ��' ' Yta-�- Ale, ` cQoz -�o tIC 4J AI'ns oQ. AGENT OR CONTRACTOR::57<YI1-/n4.t� TELEPHONE NOJJ?-�eSd2G0-5�1 ADDRESS k lZ!�1 �1)[. W IS / O ZLe 4 B DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. r � �� LPL - 0 �r✓C/�� �J .�-� C��cQ '� �fi' lQz,1�1` /"Vi 7— h � ` Signed x Q* r7,,�tlwne - o actor-Agent For Committee Use Only This Certificate is hereby Date troMied Committee Members' Signatur Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE_ COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d / Parcel "068 Permit# J/ 5 Health Division --5 ® /0 0�ITz_m-r Date c.Isas 16 �3 Conservation Division �' , OI,Ali� 10�,��0'� Ap lid' Fee Tax Collector by ' °z- -FzE'rm�t F •p Treasurer - SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. - VM_ TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REG6L:4t0N3 Historic-OKH Preservation/Hyannis Project Street Address C'F,rg't Village Owner /_L-Z14_ r3a fI�. (0 d av e r Ctn_,4_ �, ��� ���' Address ��`-"r-��c,;.,�. �,.�� %= %90,-Yi4 f, Telephone 3 Permit Request ILL r.-� oz1 S/,Z' Bi_1 A) 1=/1 a G Tz- 12e 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 1 Total:new .;r__ _ C Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type UDPI / �� N Lot Size � Grandfathered: O l"es O No If yes, attach supporting doc� entation� �{ .. o u7 rn Dwelling Type: Single Family a----'Two Family ❑ Multi-Family(#units) ��. Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: Q'Yes ❑No Basement Type: ull ❑Crawl ❑'Walkout ❑Other Basement Finished Area(sq.ft.) �ko %--j /'2- Basement Unfinished Area(sq.ft) �= I 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 '7 Heat Type and Fuel:-----Gas ❑Oil ❑Electric ❑Other Central Air: U es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes OT4'o—~ Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing O e size P ;3Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use _ BUILDER INFORMATION Name-.51 �/%`�a i4Li v/�.f�` Telephone Number S Address c> 1� `� �fr`/� f,�i✓�oF eyd4 Ldfcense# 4/,y R -2�,6 Home Improvement Contractor# /G 3(f�, Worker's Compensation# :Zp G t 7 3,P./C. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO j=Zr D1,✓�T�9"ft�� SIGNATU r DATE �- ? r- 0 FOR OFFICIAL USE ONLY PERMIT NO. f DATE-ISSOED MAP/PARCEL NO. • Y n ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION.,.-,6fo D /l�2 D ° FRAME �r/�h1 AK INSULATIONiN , _,FIREPLACE ELECTRICAL: ROUGH FINAL: ' PLUMBING: ROUGH w #; `" FINAL GAS: -ROUGH t a k` FINAL FINAL BUILDING 00,001 to DATE CLOSED OUT f1 e' ASSOCIATION PLAN NO. 4 • y- vAidvit of Substantial Financial Interest of c_. �'. r I�r>»:��n oath depose and state as follows: 1. I am an applicant for a building permit for the property located at Map Parcel o The address of the property is 2. I have : U� % legal or equitable interest in the real property which is the subject of the uilding permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is. , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address. 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 6.. Within the last ten days, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted 4-building permit applications for property in. which I have a 1% legal-or equitable interest. $. Within this month, I have received (2 building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury Is _ y r 2001-0050/affin 1 0/LOTTERY/AFFIDAVIT C The Coyrimonwealth of Massachusetts , - _-- ,Department of Industrial Accidents - - elfice o/inyestigalians -- 600'Washington Street - - Boston, Mass. 02111 r3 Workers' Com ensation Insurance Affidavit ' location: [] •I am a homeowner perfbzming all work myself I am a sole ro Ador,and have no one workin in ca achy %/ �/%%/%%/G%%/////%//%%///////////%///% ees w/orlQng/an/thisb�/%/%///%%%�/%/%%%%%//�%%%/�%%%%/G%///h com ensation for mY oy <., -},r.?;. {. r niA?:4:$G:}`,?j`i!}r`$,:$>.`>:r•?:i:•v':v:r?:i?wfi:• :}v.:,�Yh:}':{i•nj)V"nr,:1�>{�{:. eI_ rOvl workers' P {}•y;:{>:r{;'.`:`:.'••.: $:k'tk};,`i.:C?.k:; .. :-.•�tr:f.{ .}.r:: Y?',!t:;$£;2:.tYh'n}) :;•5:::3�.+��.:;;}::{�: an e 1 :.,,.,::r�}�•� (gypnirt:+:;n;.},it{,yx;r.xP.•fi:;?:iw::;;a+}:{:4;,?:.n;1}::}::y}t:..{.>...;:?•w2%^•.,,.}i%.o•:}3 a: r:v ..•d,}r.n..: ::+. 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Failure to secure coverage is requirednnder Section25Abf MGL ISZ canlead to theimposition of crlminalpea days of a f me. to deers( ni and/or one years'imprisonment as well as civil penalties in the form of a MY wORK ORD)ZR and a line of$100.00 a day agai:ut me I�tders(smd tlist a' e of Investigations of the DIA for coverage verification. copy of this statemeatinay be forwarded to the Offic ; hep 'ns-and- aloes-of-perjury-thy th ormation-praarsdedabn�!e_islr id coirecl I doh Y fYu ��-- •�• � � • Date Signs r_ . .. /l7�/�A�'�✓ � _., :Pfione# ••Pria{name, '/�iI �' �� � . official use only do not write in this area to be completed by city or town ofltdal ''permitUcense# • OBuildingDepartment city or town: ❑Licensing Board 08electmen'9 Office piton contact person: r 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 nay contract of hire,'express or implied, oral or written. artners , association, corporation or other legal entity, or any two or more of An employer is defined as an individual, li mP the for, engaged in a]Drat enterprise,-and including the legal representatives of a deceased employer, or the receiver or partnership, association or other legal entity, employing employees. However the owner.of a trustee of as individual,p P� dwelling house having not more thanthree apartments and who xesides 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 oathe grounds or building appurtenant thereto'shall not because of such employment be deemed to be an employer: c .. • . MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance br renewal .of compliance with the insurance of a license or permit.to operate a coverage business or to construct buildings in the commonwealth for any applicant who has not produ nse acceptable evidence required. Additionally, neither the- commonwealth nor any of its political subdivisions shall enter into any contract for the perfoanance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 0/00/10 Applicants please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and pply�g company names, address and phone numbers along with a certificate of insurance as all affidavits may be Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and submitted to the Department.Of date the affidavit. The•affidavit should'be returned to the city or town that the application for the permit or license is big requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law",or ifyQu lease calltlie D aitment atthe aitmber listed below:.' aie required,to obtain.a workers' compensatioh policy,p eP 61, City or Towns , .. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o e affidavit for you to fill out in event the Office of Investigations has to contact you regarding the applicant. Plse� {� th eraut"Tlicense nuinbei which wilLbe'us�d as a reference num. 'The affidavits racy b'e're �dt •. be sure to in @.P _ : ... b mail'or FAX iinle'ss other arrangements have been made. the Dep ^.,. artrn Y..z:,,.. .i , Investigations would like to thank you in advance for you cooperation and should you have any questions, . The Office of Investrg• _ Y. ..,. ,.. - .. please do not hesitate to g lye'us a'call. The Department's address,telephone and fax number: The'Commonwealth Of Massachusetts _Department of Industrial Accidents offlce of investfgatlons 600 Washington Street 4 Boston,Ma. 02111 fax#: (617) 727-7749 " : plione #: (617) 727-4900 ext. 406, 409 or 375 _ r BOARD OF BUILDING UILTING REGU LATIONS CONSTRUCTION SURERVISOR i Number-, j - 015836 j�I Birthd' ��atPAgWp jj;i `�12© 0 I P_res. � z� 3 Resfri�t `:' - i i Tr,no: 2824 i POUIS J SEMI NARA EN JC 1219 S D NIS, • Administrator j Ft r Town of Barnstable — Historic Preservation Division Pam° ti° Old King's Highway Historic District Committee 9 MASS. �! 1639. ♦0� QED MA'S a i . N MEMORANDUM- 1 N TO: Building Commissioner = ' , FROM: o DATE: C a o ;n SUBJECT: MODIFICATION TO PRIOR APPROVED PLAN A minor modification to a prior approved plan has been approved by the OKH Committee for the applicants) named below. The modification is briefly summarized and I have attached backup material for your records. �j��`�/�/2 S ✓r�ll�sl„���e� ew,��ly ApPlicant(s):_ ��, Address of Proposed Work: G R K /"ylia Assessor's Map & Parcel Number: Minor Modification: i .f ey 'Win, Chair i Date ,n of 'rnstable 's Highway Historic District Committee ► . It, ��. Bk 15354 P9136 =62275 j� fGi 07-19-2002 a 03' 21P QUITCLAIM DEED Property Address: Parcel 2 on Plan Book 278,Page 12,4 Great Marsh Road, West Barnstable and Sandwich,MA i t dated March 20 �R I;I J.Kevin O Haire as Trustee of Wing Farms Realty Trust u/d/ ,2000 and .I recorded with the Barnstable County Registry of Deeds in Book 12937,Page 6,with a mailing jaddress of Post Office Box 444,East Sandwich,Massachusetts 02537,for consideration paid of ONE HUNDRED SEVENTY FIVE THOUSAND AND NO1100(S175,000.00)DOLLARS, • + hereby grants to Janet M.Goldrick and Elizabeth A.Quinn,as Tenants in Common,both of4 _ ' 62 Nathaniel's Drive,Rochester,Massachusetts 02770, I I' with Quitclaim Covenants, A certain parcel of vacant land situated in Barnstable(West)and Sandwich,Barnstable County, r`± !'Ii Massachusetts described as follows: BeingPARCEL 2 and shown on a Ian of land entitled." Plan of Land in Sandwich,Mass. and I P Barnstable,Mass. for Edward W. Hoxie,Scale V=50',September 25, 1973,Barnstable Survey Consultants, Inc., West Yarmouth,Mass.",said plan being duly recorded with the Barnstable County Registry of Deeds in Plan Book 278,Page 12. ' Said land is conveyed subject to and with the benefit of all rights,rights of way,easements, :gam Y J I appurtenances,reservations and restrictions of record insofar as the same are in force and P applicable. t ' I further certify as follows: i, 1) I am the sole trustee; 2) The Declaration of Trust has not been altered,modified,amended or terminated since its ,yll recording,except as may already appear of record at said Registry Yof Deeds; 3) No beneficiary is a minor,incompetent,a corporation selling all or substantially all of its I assets,or a personal representative of an estate subject to tax liens; 4) The beneficiaries of the Trust have authorized and directed the Trustee to execute this Quitclaim Deed to Janet M. Goldrick and Elizabeth A. Quinn for the purchase price of i $175.000.00. For Grantor's title,see Deed recorded on November 16,2000 with the Barnstable County III Registry of Deeds in Book 13370,Page 195. ' I Bk 15384 Ps187 '-62875 ` WITNESS my hand and seal this_jg day of July,2002. I ' .� Wing Farms Realty Trust 'z Kevin O'Haire,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. July/f,2002 r° Then personally appeared the above named J.KEVIN O'HAIRE,TRUSTEE of Wing I Farms Realty Trust and acknowledged the foregoing instrument to be the trust's free act and i [ deed,before me.. F� l Not Public /l {� I i s o '• c � Notary �ViLu� itcc.ti j w T •T. I *� ; My Commission Expires: �dc!`.Z60 'I I c p s�k I 1 I Ti y Y1 �• 1 S LY fJ O E � O J.1 � I. b I • o O l�e �p W tJu LO i•. (•- o .t w a � a ~ W {k� LU r $ w <r U t l •I ' BARNSTABLE REGISTRY OF DEEDS ta Zk SEP-26-2002 THU 09:24 PM SEMINARA CONSTRUCTION 5083852605 P. 02 Town of Barnstable g g Regulatory Services um Thomas F.Geller,Director 6 " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 i NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, Douglas W. Lebel ,Construction Supervisor Ucense # CS 008124 ,hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # 57259 ,issued to (property address) 4 Great Marsh Road West Barnstable i Massachusetts on November 11, 200 01 I also certify that on, September 27 ,200 02 ,I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. LICENSE ITOLDER DATE q/f0TMVQCW0Mtr xchi ce R-5 780 CMR rev;080102 116 Town of Barnstable Regulatory Services • ► �BAMSrABLE MASS. 'g Thomas F.Geiler,Director �plE1639.16. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, -/,,o V1 S s1y/1-7//X1+-nA— , Construction Supervisor License # O/ �3' 3 hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 67 5'J ,issued to, (property address) Sh` on , 200-4. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) �p1 7,0 OFICENSE THWY5a DATE q/forms/newcontrb rev:080102 ��oF,► lo,,�o� Town of Barnstable Regulatory Services + BAMSMBLFE r Mass. g Thomas F.Geiler,Director n 9+ Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR T.4h����o�raR�Ne, owner of property located at hereby certify that Dy Cs'e' L-R nal, is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit#S 7a5 , issued on P 1c;za 2000 /. I understand that the project under construction must cease.until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. 9• •o Z PROPEKt OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:080102 A Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename: C:\Program Files\Check\MECcheck\Quinn.cck CITY:Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 08/20/02 DATE OF PLANS: 8/20/02 PROJECT INFORMATION: LOT 4 CEDAR STREET BARNSTABLE,MA. COMPANY INFORMATION: SEMINARA CONSTRUCTION CORP (508) 385-2605 NOTES: PREPARED BY CAD DESIGNS (508) 385-7685 COMPLIANCE:Passes Maximum UA=512 Your Home=505 1.4%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 2582 30.0 0.0 90 Wall 1:Wood Frame, 16" o.c. 2358 13.0 0.0 160 Window: 2446:Vinyl Frame,Double Pane with Low-E 119 0.340 40 Window: 24310: Vinyl Frame,Double Pane with Low-E 20 0.340 7 Window:2852: Vinyl Frame,Double Pane with Low-E 77 0.340 26 Window: A 41: Vinyl Frame,Double Pane with Low-E 16 0.330 5 Window:AW 21: Vinyl Frame,Double Pane with.Low-E 10 0.330 3 Window: G64: Vinyl Frame,Double Pane 48 0.350 17 Door: 2868: Solid 39 0.350 14 Door:PS 6: Glass 40 0.310 12 Door: 3068 W/SIDELTTES: Solid 34 0.350 12 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 2528 19.0 0.0 119 Furnace 1:Forced Hot Air,82.AFUE Table l: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to V Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 L0 Table 2: Afinimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0. 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air, 82 AFUE or higher Make and Model Number Air Leakage: [ J Joints,penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed.lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ J Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ) All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. i Heating and Cooling Piping Insulation: [ ] J HVAC piping conveying fluids above 120°F or chilled fluids below 55 OF must be insulated to the levels in Table 2. MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE: 08/20/02 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window: 2446: Vinyl Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors;describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 2. Window: 24310: Vinyl Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ J Yes[ ]No Comments: [ ] 3. Window:2852: Vinyl Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break?[ ]Yes[ )No Comments: [ ] 4. Window: A 41: Vinyl Frame,Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ J 5. Window: AW 21: Vinyl Frame,Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 6. Window: G64: Vinyl Frame,Double Pane,U-factor: 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ .]Yes[ ]No Comments: Doors: [ ] 1. Door: 2868: Solid,U-factor: 0.350 Comments: [ J 2. Door:PS 6: Glass,U-factor: 0.310 #Panes Frame.Type Thermal Break?[ ]Yes[ J No Comments: [ ] 3. Door: 3068 W/SIDELITES: Solid,U-factor: 0.350 Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss, Over Unconditioned Space,R-19.0 cavity insulation Comments: COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. The heating load for this building, and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250%6 of esi loa as specified in Sections 780CMR 1310 and AA Builder/Designe ,��� Date '- (3' i BOISE CASCADE - BC CALCTM 2001a DESIGN REPORT - US Sunday,August 18,2002 18:18 Double - 1 3/4" x 11 7/8"' V-L SP 2900 FileName: Quinn roof beam atsunroom.BCC Job Name - QUINN Customer - SEMINARA CONSTRUCTION CORP. Address - LOT 4 CEDAR STREET Specifier - Jay Malaspino Designer - Jay Malaspino City,State,Zip - BARNSTABLE,Ma. Company: - CAD Designs Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - (508) 385-7685 roof beam at sunroom Standard Load-25 PSF 115 PSF Tributary 194X-00 rr sy s+w z^r"x5xF a' `��".�.z�•� �'������� �:�y�' � �' �.x���.; v��g "c�..���. �'�"se,�f s g��Ny� ���E'^rs ?�' � �':s�.t�' r�r . �r r«€ BO 29F bs LL61 18Ibs DL 2969 Ibs LL Total Horizontal Length-12-06-00 1854 Ibs DL General Data Load-Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left M00-00 12-06-00 25 PSF 15 PSF 19-0D-00 115 Member Type: - Floor Beam Number of Spans - 1 Controls Summary Left Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Right Cantilever - No Moment 15072 ft-Ibs 65.9% @ 115% 2 1 -Internal End Shear 4059 Ibs 43.9% @ 115% 2 1 -Left Slope 0/12 Total Deflection U345(0.434") 69.4% 2 1 . Tributary 19-00-00 Live Deflection U561 (0.267") 64.1% 2 1 Repetitive n/a Max.Dell. 0.434"(Limit 1") 43.4% 2 1 Construction Type n/a Span/Depth 12.6 1 Live Load 25 PSF Dead Load 15 PSF Part Load 0 PSF NOTES: Duration 115 Design meets Code minimum(L/240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. Disclosure Design meets arbitrary(1' Ma)dmum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 1-5/8". the input must be verified by anyone Minimum bearing length for B1 is 1-5/8". who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide orrfyou have any questions,please call (800)232-0788 before beginning product installation. Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp. f BOISE CASCADE - BC CALC Tm 2001 a DESIGN REPORT - US Sunday,August 18,2002 17:36 File Double - 1 3/4" x 11 7/8" V-L SP 2900 Name: Quinn beam over foyer great room.BCC Job Name - QUINN Customer - SEMINARA CONSTRUCTION CORP. Address - LOT 4 CEDAR STREET Specifier - Jay Malaspino Designer - Jay Malaspino City,State,Zip - ' BARNSTABLE,Ma. Company: - CAD Designs Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - (508) 385-7685 BEAM 7 GREAT ROOM FOYER Standard Load-20 PSF 10 PSF Tributary 0&0& IG"°"yc�J:���,s ;a-;,•r�,'��` s�.°�a. ����� � a-q �tr:v �-xr^.s.��.' .v. r y„y' "" ";vs"-"r�::...�`��'-ra f'�`''"e "a's< ay.�ic 'R+se-�z s r ! st rr 3.,a.3x,`..- .�. r..c..4e:•r. ..zf�,.. ,.� r:..�b��, 4:S:e�,,�i,s x�'aS-..zn,,. a' r.,...�3 -�.:�a4ir� C1":.T:r..s�., ..�.2..„.:�".&.l,r�,a,.?�e*^a a,'�a��r.:�;iY.;�„'.,, },.�e.Y.«?s.i�"��w�"..",*;a�'sx'.��...: BO 131 12 4 Ibs ILL 1254 IbsILL 71 Ibs DL 713 Ibs PL Total Horizontal Length-14-09-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard UnfArea Load Left 00-00-00 14-09-00 20 PSF 10 PSF 08-06-00 100 Member Type: - Floor Beam Number of Spans - 1 Controls Summary Left Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Right Cantilever - No Moment 7253 ft-Ibs 36.4% @ 100% 2 1 -Internal End Shear 1703 Ibs 21.2% @ 100% 2 1 -Left Slope 0/12 Total Deflection U608(0.291") 39.4% 2 1 Tributary 08-06-00 Live Deflection U954(0.185") 37.7% 2 1 Repetitive n/a Max.Defl. 0.291"(Limit 1") 29.1% 2 1 Construction Type n/a Span/Depth 14.9 1 Live Load 20 PSF Dead Load 10 PSF Part Load 0 PSF NOTES: Duration 100 Design meets Code minimum(L240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 1-12". the input must be verified by anyone Minimum bearing length for B1 is 1-12". who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation., Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp. BOISE CASCADE - BC CALCTm 2001a DESIGN REPORT - US Sunday,August 18,200217:09 File Quinn beam 2 under MASTER BED Double - 1 3/4" x 91/2" V-L SP 2900 Name: #2.BCC Job Name - QUINN Customer - SEMINARA CONSTRUCTION CORP. Address - LOT 4 CEDAR STREET Specifier - Jay Malaspino Designer - Jay Malaspino City,State,Zip - BARNSTABLE,Ma. Company: - CAD Designs Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - (508) 3854685 BEAM UNDER MASTER BED#2 II SUndard Load-40 PSF 110 PSF Tributary 00 08-00 zk1 :•. S zS r. tar ,mac " .k?Akbl ..N a r �.«'� � .'.xa a i:..�5x�4t5 .Sr '�„�,,.,� ` 7B071 10-moo B1 11-00-00 B2 ��hh �� L 25 Ibs DL Total Honz..hlLength-21-00-00 14531bs DL General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 21-00-00 40 PSF 10 PSF 00-08-00 100 Member Type: - Floor Beam 1 CEILING LOAD Unf.Area Load Left 00-00-00 21-00-00 20 PSF 10 PSF 07-06-00 100 Number of Spans - 2 2 p.l.from ridge Conc.Pt.Load Left 19-00-00 19-00-00 2726 Ibs 1382 Ibs n/a 115 Left Cantilever - No Right Cantilever - No Controls Summary Control Type Value %Allowable Duration Loadcase Span Location Slope 0/12 Moment . 8269 ft-Ibs 55.1% @ 115% 5 2-Internal Tributary 00-08-00 End Shear 4190 Ibs 56.75 @ 115% 5 2-Right Repetitive n/a Cont,Shear 2534 Ibs 34.3% @ 115% 3 2-Left Construction Type n/a Uplift -19 lbs 5 1 -Left Total Deflection U511 (0.258' 46.9% 5 2 Live Load 40 PSF Live Deflection L 732(0118") 49.1% 5 2 Dead Load 10 PSF Total Neg.Defl. -0.066" 13.2% 5 1 Part Load 0 PSF Max.Defl. 0.258"(Limit:1") 25.8% 5 2 Duration 100 Span/Depth 13.9 2 Disclosure The completeness and accuracy of CAUTIONS: the input must be verified by anyone Uplift of-19 Ibs found at span 1 -Left. who would rely on the output as evidence of suitability for a particular application. The output above is NOTES: based upon building code-accepted Design meets Code minimum(U240)Total load deflection criteria. design properties and analysis Design meets Code minimum(U360)Live load deflection criteria. methods. Installation of Boise Cascade engineered wood products Design meets arbitrary(1' Maximum load deflection criteria. must be in accordance with the Minimum bearing length for BO is 1-12". current Installation Guide and the Minimum bearing length for B1 is 3". applicable building codes. To Minimum bearing length for B2 is 1-12". obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. Page 1 of 1 BCI@ and Versa-Lam@ are registered trademarks of Boise Cascade Corp. BOISE CASCADE - BC CALC Tm 2001 a DESIGN REPORT - US Sunday,August 18,2002 16:17 File Triple - 1 3/4" X 9 1/21' V-L SP 2900 Name: Quinn beam 1 under garage hall.BCC Job Name - QUINN Customer - SEMINARA CONSTRUCTION CORP. Address - LOT 4 CEDAR STREET Specifier - Jay Malaspino Designer -. Jay Malaspino City,State,Zip - BARNSTABLE,Ma. Company: - CAD Designs Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - (508) 385-7685 BEAM UNDER GARAGE HALL#1 2 1 Standard Load-40 PSF i 10 PSF Tributary O"8-00 �;.�,���,7Y.,�?m�aX hpa. r`a'�da .a:��:Yr Pig•«vr,::r ti�,,�y�.:rar�xr�r� n.>y.i�ax'a�:.to ,�.3� r��r ..�}i� �'�` ��s u" �"�"' e i�` x '"}'s""��r '���s^'�!w���; -r:<•a.v...,.....� . �.�'r,: �d.z"'.z .m.,;:. ss;? ,, .s: ,-a.,.,. .. ..<r-���-:a��' .'��s`«&��?'�x' �. �. � �,.m"` :... 't�k��a x-�„ rs.�,�.�� ��- �,�§' i BO 61 B2 27 2 Ibs LL 7021 Ibs LL -1871 lbs LL 1519 Ibs DL 12-09-00 3980 Ibs DL 04-03-00 -471 Ibs DL Total Horizontal Length-17-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load .Left 00-00-00 17-00-00 40 PSF 10 PSF 00-08-00 100 Member Type: - Floor Beam 1 ROOF LOAD Unf.Area Load Left 00-00-00 17-00-00 25 PSF 15 PSF 11-00-00 115 Number of Spans - 2 2 ceiling load Unf.Area Load Left 00-00-00 17-00-00 20 PSF 10 PSF 11-00-00 100 Left Cantilever - No Right Cantilever - No Controls Summary Control Type Value %Allowable Duration Loadcase Span Location Slope 0/12 Moment 12918 ft-Ibs 57.4% @ 115% 3 1 -Right Tributary 00-08-00 End Shear 3574 Ibs 32.2% @ 115% 4 1 -Left Repetitive n/a Cont.Shear 5577 Ibs 50.3% @ 115% 3 1 -Right Construction Type n/a Upri t -2342 Ibs 4 2-Right Total Deflection U428(0.357") 56.1% 4 1 Live Load 40 PSF Live Deflection U663(0.23") 54.2% 4 1 Dead Load 10 PSF Total Neg.Defl. -0.031" 6.2% 4 2 Part Load 0 PSF Max.Defl. 0.357"(Limit:1") 35.7% 4 1 Duration 100 Span/Depth 16.1 1 Disclosure The completeness and accuracy of CAUTIONS: the input must be verified by anyone Uplift of-2342 Ibs found at span 2-Right. who would rely on the output as evidence of suitability for a particular application. The output above is NOTES- based upon building code-accepted Design meets Code minimum g (L240)Total load deflection criteria. design properties and analysis Design meets Code minimum{U360)Live load deflection criteria. methods. Installation of Boise Cascade engineered wood products Design meets arbitrary(1 Maximum load deflection criteria. must be in accordance with the Minimum bearing length for BO is 1-12". current Installation Guide and the Minimum bearing length for B1 is 3". applicable building codes. To Minimum bearing length for B2 is 1-12". obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. Page 1 of 1 BCI®and Versa-Lam®are registered•trademarks of Boise Cascade Corp. BOISE CASCADE - BC CALCTm 2001 a DESIGN REPORT - US Sunday,August 18,2002 17:04 File Double - 1 3/4" X 14" V-L SP 2900 Name: Quinn ridge beam.BCC Job Name - QUINN Customer - SEMINARA CONSTRUCTION CORP. Address - LOT 4 CEDAR STREET Specifier - Jay Malaspino Designer - Jay Malaspino City,State,Zip - BARNSTABLE,Ma. Company: - CAD Designs Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - (508) 385-7685 RIDGE BEAM 11 0 12 Standard Load 25 PSF 15 PSF Tributary 19-00-00 z s�rz7Y"-7,��'�'r�a.,.v' 4k -r t � �e.�<zir r z:�""'�,xr�x"�he��,�,„a��`�9 � �. x1F �. ; "Y-y. `✓.w`�� n ,�c�,",+.^� _"".. :aF ..�.... c:�T�;.lT: Ak Bt) 3 14-09-00 B1 13-00-00 B2 17 0 Ibs DL 5199 s p L Total Horizontal Leng&-2�-09-00 1382 Ibs DL General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. Member Type: - Roof Beam S Standard Unf.Area Load Left 00-00-00 27-09-00 25 PSF 15 PSF 19-00-00 115 Number of Spans - 2 Controls Summary Left Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Right Cantilever - No Moment 18843 ft-Ibs 60.3% @ 115% 2 1 -Right End Shear 3845 Ibs 35.3% @ 115% 4 1 -Left Slope 0/12 Cont.Shear 6081 Ibs 55.8% @ 115% 2 1 -Right Tributary 19-00-00 Total Deflection U570(0.31") 31.5% 4 1 Repetitive n/a Live Deflection U820(0.216') 29.3% 4 1 Construction Type n/a Total Neg.Defl. -0.056" 7.5% 4 2 Max.Defl. 0.31"(Limit:1") 31.0% 4 1 Live Load 25 PSF Span/Depth 12.6 1 Dead Load 15 PSF Part Load 0 PSF Duration 115 NOTES: Disclosure Design meets Code minimum(U180)Total load deflection criteria. The completeness and accuracy of Design meets Code minimum(L240)Live load deflection criteria. the input must be verified by anyone Design meets arbitrary(1")Mabmum load deflection criteria. who would rely on the output as Minimum bearing length for BO is 1-5/8". evidence of suitability for a particular Minimum bearing length for B1 is 4-12". application. The output above is Minimum bearing length for B2 is 1-12". based upon building code-accepted Member Slope=0,consider drainage. design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp. i TOWN OF BARNSTABLE i EXTENSION GRANTED=05/20/02.� _ PARCEL ID 089 003 GEOBASE ID. 4334 ADDRESS 4 GREAT MARSH ROAD PHONE W BARNSTABLE ZIP - LOT PTPAR3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 57259 DESCRIPTION 4BR/ 31/2 BA/ SFH/2CAR ATT_ PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: LEBEL, DOUGLAS W. Department of Health Safety ARCHITECTS: PERMIT EXTENSION GRANTED y and Environmental Services TOTAL FEES: $1, 162.02 TO THE $.00 pIr CONSTRUCTION COSTS $299,040.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE s + •ARMABLE, • MA.93. 1639. A�O� ED IN/►� BUIL IN ISIOP� BY DATE ISSUED 11/20/2001 EXPIRATION DATE I r ' I [ ,.,TOWN OF -BARNSTABLE _aBUILDING :PERMIT PARCEL ID ,089 .003 GEOBASE. ID 433.4 "ADDRESS' - 4 'GREAT MARSH ROAD "" PHONE W BARNSTABLE ZIP LOT SIZE - PTPAR3 BLOCK SLOT DEVELOPMENT DISTRICT WB !° I DIE . T 57259 DESCRIPTION 4BR/ 31'2 BA/ SFH '2CAR ATT_ . PERM.�.7. T PERMIT TYPE BUILD TITLE NEW RES DENT AL B DG PMT .CONTRACTORS: LEBEL, DOUGLAS W. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $1, 137.02 Im BOND $.00 Ox is CONSTRUCTION COSTS $299,040.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P * BARNSTABLE, • 1:. MASS. 1639. BUILIIA G VISI 1 BY nnTW T.0 tgT]Rn 1 1 /2.001 EXPIRATION DATE _ I OF+tH1�o The Town of,.Barnstable HERITAGE CUSTOM TOWN OF OARNSTABLE BUILDING Co., INC. 2H2 MAY 13 PM T 32 GENERAL CONTRACTORS,DEVELOPERS&CUSTOM BUILDERS 72 PINE STREET• HYANNIS, MA 02601 (508)778-4700• FAX(508)778-2887 ----- I —is 1-0 May 13, 2002 Mr. Mitch Trout/ or Acting Building Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Mr. Trout, I am requesting an extension of the Building Permit #57259 that was issued for #4 Great Marsh Road in West Barnstable, MA. Due to an economic change in conditions with our pbtential customer, we have had to market the property and home to new clients. I am hopeful that we will be able to secure a new customer within the i next 6 months and hereby request an extension of this building permit. If you haveany� uestions, please do not hesitate to contact me at directly at �r Regard C 0 Douglas . Lebel r Wing Farms Realty Trust P.O. Box 444 East Sandwich, MA 02537 Totlin OF 8ARN8TABLE 2002MAY I3 PH 3: 3 May 13, 2002 �1 D! ISI ON Mr. Mitch Trout/ or Acting Building Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Mr. Trout, I am requesting an extension of the Building Permit#57259 that was issued for #4 Great Marsh Road in West Barnstable, MA. Due to an economic change in conditions with our potential customer, we have had to market the property and home to new clients. I am hopeful that we will be able to secure a new customer within the next 6 months and hereby request an extension of this building permit. If you have any questions, please do not hesitate to contact me at directly at 508-360-4733. Regards, J. Kevin O'Haire, Trustee i Application to ' ®� �.tttg'� �cg�j�aaip �i.egf Otta�[ �tgtOrlC ricx.�4Cuttttttttt�e 10 Ur l��ltr�,1A E In the Town of Barnstable 2002 AUG 30 Ph ! : 06 CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four 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 CATEGORIES THAT APPLY- 1. Exterior building construction: New El Addition ❑ Alteration Indicate type of building: House ❑ Garage . ❑ Commercial ❑ Other 2. Exterior Painting:. ❑ 3. Signs or Billboards: El New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑Other TYPE OR PRINT LEGIBLY: DATE d��/o /�� _ ADDRESS OF PROPOSED WORK�/ (7 <,ctJ- ,/j/J e_VJ /� ? �c ��11�� !'t KCY �'� ASSESSOR S MAP NO. d" OWNERU/ cue 6&ld �15 ASSESSOR'S LOT NO. ,l HOME ADDRESS 6 X (,t•� « y�.��r S TELEPHONE N0.3YtS arSrS/ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) re r ) va sa o ,tJ ccJ •J w o V<4W[1 6 14eury 77L tea �S t,[t A- oaL gl'�'% ` `L 8�.to 6 rol s �ccCu S ✓ ! e. v� vrtr�- IUe� not —�o tK n Z4.tt c..c..o kc� G►-e�,,�V►�ir�-s r, d�d tJ fit.-r,s d- �.�5� —�-�-�� AGENT OR CONTRACTOR Z_e r 4 -2 TELEPHONE NO.�c�����e15� ADDRESS PG &a t -"=yz /"Cj f S 4- 61.;)- 42 0 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. '1 e'J f�rzc�he Si ed _ O r- ontractor--Ag For Committee Use Only This_Certificate is hereby Date Approved/ n' Comm' Members'Sign l � APPlication to Jroiotaric �i�tri>� �amrttfttee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS �- -- - -_ Application is hereby made,with four complete sets,for the issuance of a Certificate of Appropriateness --E 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for work as described below , y L drawings,or photo ra undeP SeQ off-. 9 ph$accompanying this application for: ow and on ply CHECK CATEGORIES THAT APPL z 1. Exterior building construction: Indicate ew ❑Addition ❑ Alteration -type of building: House ❑ '. Exterior Painting: ❑ Garage. ❑ Commercial ❑ Ober Signs or Billboards: ❑ New Sign ❑ 'Existin Sign Structure: ❑ Fence ❑ Wall g g ❑ Repainting Existing Sign ❑ Flagpole ❑Other 'YPE OR PRINT LEGIBLY: DDRESS OF PROPOSED WORK DATE d, � � NNERP�1� t �6c � ASSESSOR'S MAP NO. )ME ADDRESS G u ASSESSOR'S LOT NO. Ct�✓�it ILL NAMES AND ADDRESSES OF ABUTTING OWNERS, includin TELEPHONE N0:3r1� blic street or way. (Attach additional sheet if necessary.) g those of adjacent property owners across any R� o er.7i2 D�c� 07e l i .c.� R_r �� o e- lw 'J/L �c�t.� FsY-0' 0 too Yc £S �1i9- o .va Zia - t.✓t �S 3 ri Z4u w lc� G � YVt�s t, toa _eo :NT OR CONTRACTOR ZCfm.i r? ,-tc n b- 02�4.J5� s `U� TELEPHONE NO. R E S S PG � v /� ✓� cJi S v CRIPTION OF PROPOSED WORK: Give particulars of work to be done, including ma le locations of proposed signs. g materials to be used. Please C.vYt a' 77u�-�rz.•-�. d f- c�-- �"1 e� 2 c� ,�c�ft - Q�' y�-�t �a-,,c_ c� i t-�. Si ed O r- ontractor-Ag �mmittee Use only This Certificate is hereby— S ove d Date Committee Members'Signatures: L—O C- 0S Bk 1-=:370 Pr 195 r 20 r -- 1 1 - 1 G---e--1000 1► 03 % 9 QUITCLAIM DEED We, Edward W. Hoxie, Sr. and Edward W. Hoxie, Jr., father and son, of Sandwich, MA for consideration paid of One Hundred Ten Thousand and 00/100 ($110,000.00) Dollars and other valuable consideration of a deed from Kevin O'Haire, Trustee of Wing Farm Realty'Trust to Edward W. Hoxie, Sr. and Edward W. Hoxie, Jr., being recorded contemporaneously herewith. grant to J. Kevin O'Haire, Trustee of Wing Farm Realty Trust u/d/t dated March 20, 2000, recorded with Barnstable County Registry of Deeds in Book 12937, page 6, with an address P.O. Box 444, East Sandwich MA 02537 with Quitclaim Covenants A certain parcel of woodland known as the "Dunning LOT" situated in Sandwich and Barnstable, Barnstable County, Massachusetts, bounded and described as follows: BEGINNING at a point on the Southwest corner of the same pile of stones and land formerly of Benjamin Ewer; THENCE running in a Northeasterly direction by land of said Ewer, to the Southwest corner of the same; THENCE Southeast by land of said Ewer to a stone monument by Hog Pond Road; THENCE Easterly by said road to the line that separates the Town of Sandwich from the Town of Barnstable, and land formerly of Joseph Howland; THENCE Southwest by said line and land formerly of Benjamin Ewer, to a pile of stones at the Southeast corner; THENCE Northwest by woodland formerly of H.T. Wing to the place of beginning. Being shown on a plan entitled "Plan of Land in Sandwich,-Mass. and Barnstable, Mass. for Edward W. Hoxie, Scale: 1"=50', September 25, 1973, Barnstable Survey Consultants, Inc., West Yarmouth , Mass.", recorded with said LAW OFFICE OF J. FORD O'CONNOR Deeds at Plan Book 278, page 12. 6 MAtARTHUR BLVO. , BOURNE, MA 02532 (SOB)759.4070 t �ti Said land is conveyed subject to and with the benefit of all rights, rights of way, easements, appurtenances, reservations and restrictions of record, insofar as the same are in force and applicable. For title reference see deed from Roger H. Freeman and Elinor M. Freeman, recorded with Barnstable County Registry of Deeds in Book 1595, page 124. See also Final Decree, dated August 27, 1976, recorded with said Deeds in Book 2391, page 254 on September 1, 1976. Witness our hands and seals this N9 day of November, 2000. Edward W. Hoxie, Sr. Edward W. Hoxie, Jr. COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. November , 2000 Then personally appeared the above-named f4u q4l w. Hoxs:F 5 r , and acknowledged the foregoing instrument to be free act and deed, before me Notary Public vwlUk•S� I My Commission Expires: - "Q.f RNSTABLE COUNTY - RY OF DEEDS C CISE TAvX ------ - --------- C�JGoF DEEDS Q # 01 v�Q ABLE DATE 11.16.'00 -fHU 11/16/00 4:iY'�' -TAX $250.80 LAW OFFICE OF 000000 49075 TOTAL $250.00 J. FORD O'CONNOR CASH $250.80 6 MACARTHUR BLVD. - FEE -76.20 CLERK 1 NO.01J IJ3 BOURNE,MA 02532 4508)759.4070 CASH S-_•76_ `0 TIME. 16:01 1111 BARNSTABLE REGISTRY OF DEEDS ___r — ==r —__ tik 4 i x - - -—_--�-_-_�_-_�___�-_� -_ ] �{•J J �J 1. {, ^t �. -----__ __- ------------ ----- -- -\-_ -- -----_� \� -- - all memo F.1 / 11111pp _ _ - O •j I�uu�ul� • - - • • m� j 00.0_ __ __==___=_=_=__=____--__IRA ------------ -------------- I — ■ -I- -I'- - - - - ■■J— ��■l!■■ _■!■■■■■■! inns FLOM,: .11 awl • -- --_=- ----------------------- ------------ :.: ...... , . _ ,......::: ons ,. :..■■■�■ ' :.. :: .._.... :: . :::sst::.�:.......,._.._..._ : toll■■� s............. : ._ : : : ,1 r1 � .._,._.. ..._...........,......::: ....... ... .. . ............ -. . . ::- _ ...................... ............ ._.:: ...................................................... ........... ll - I _ !II I I 11 • o rrr. _ _ --- -- - ----- - --- ------ ----- --- - -_ — .. - - - — -- �� - - - - ---- — — - --- - - ■■■ - ii ■■ �n ■■- :.■ ■■.F ■.■ -u ■. ■■ - _ _ _ a. - - _ IIJI�- _ �III� 1 T • - RE rm r , NEE _ —_ — -_ _ Y' - t ?i;•i I. .: _ ■■ .. nn rA t� •. :r — s — t e :■ 5 e;.e .r•. 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L1.0h7' ts/i�.v !xA rnrasrrbf'•v o,PZ.V,=.1 N'o7E GXZY 721 AV' SEZF Cl0LiY6 F 4Z•47GV1145. 3 .47?.l D=-.1T&l.V 404rU A .. o r7,fle L t Z44Z C01rR11W 7V JZ , ':a :• A�V Z0CG R�7lI/�ELIEiY�f: • • • FLA73r t • Xr,97T- 9PP4COF�60 R 0' 18LE AL49R/7S .7-0 1 ArAME ' . + �E .JfiVfr,94l" Qr VWWJEe .CEFG.PE i • -ot. e Bar W4rl .S7- oARo SWI Pool Fish d. : .o: •:•:Q: REFivE y OF sy /'!y • ,:: : .,.:• IWO G27LLzr7laW # r �aovfn BY eY� T oanvrN u�F F � �clvu � SCALE_ i✓0,v6 - Ift °`�jsp•6411 .<<'`' TtM01 Y WALKER WALKER - - CONSULTING 'ENGINEER o 117 19 WOODSIDE AVE., EsTPORTt CT 0688C r, CLM T E _MA/N U eN t M�6 OR A I1fI Dlt2 ucrx�c Ma- ar�wu+a Kuua� M 3 .7 7 S s 6 k IskBra �"fI i rb 411t n rn^o o L ' .. +�ffi t •\ ro,.J„,> � .aV� `4.9,pis,. - �.le - c."aK-r—r f � '�. 4�,. +ca„� Vc hi _c-n•w.c - ��'@� e � /1� .atn •+.r ,per _ . - __ �'es.E � tocc^y> •N°� > i f f'.!'9:vd. � • I n—I a _,... _ .tea\ '�:.'��o• .11� ��./ /9 �` .. � '-' - .'�t�ti��`•,\ � �� 3...Ctrf Be w _a �� I � .emcvr• 77.,v:°`1a '� S.�S' .9eGe.:s p:oxo> ��. 'b- `c..,`i ' ' GP. .. :�ti`.. uv ' ! �Ge7f�. y /v//--Y'e�.•c.�'. .r. . � r� � / � e 'a,��': v z.!ch.sr��y. sc.•9L-.e- i'. cc ' sE-�rc.:n�E-.r L•,-,.�T:'r r� !d .' r '. %. ..GiPd,.t4'av�.:.icGX.� .y.G t/b'/ CP...•..rG/<TfYNTS .r.✓c. .�� lY�•� .•R. r���s`i;���fl - �-� '. T e.�-sr .-s.a:�.�ciTr. � ..�.v.sa. rs �4�' f E.�t �.Lsa�ol�lsb�►��-+1'� Iea I / - =� .,+y�l�� ,�.� �f _. �..,,,,•.. •,dO �'- OFr 7".s- .E'.=;-i. .t.4NCl .r c%w:t/t-'S�^.-.F_' '. _ G G �t£R•/ /•�� �y�.. �"�ej� /rP.�i�'O✓`rL /./0 i' Ef.`-•'�-!J/.62 Bd'� F./'/•�A?O Y/'�.C. N!?T •E.•+�-QG//.�,.�—.!� . ��'i - :S- .E3.'9.£NST�G-3.e.� f?iK h/.'.i/N� •'�OFI.e�' .SR.t/L bt/i N o`-"A.ti'/.//�/cy^ .t->deir��.. F � ` �'Edt G, ` '.3'; t� p.9Ti( ^ �.��E��.X i'� tc�i�'rG rJ _G_.:"•..{S�w c.5•'c .'w•-::'ntt'�'r L.�rr�a. -- -- -------- { { I i I i i I 1 � QQ +110 PA�? / I ' I _ Exr::,TINC� �. ,..e—/ P I to i 13Dlolf5 T EP PLL/27 PLAN oGAroN: 4 GEDAR STREET WEST �ARNSTALE, MA ho - PREPA'.ED FOR: 5EM LNARA GONST. CORP. DRAWN PY: Tmw STEVE'.W. .1P� NI;M�ER: DATE: 6MEET: RUM 35791 A," L OZ NOVEMf5ER 15, ZD02 GPP-1 VVELLER & �oGi T S IGgS r-ALMOUTh RD - SUITE 46 OENTERVILLE, MA MiO ( - N TE! 5D8) 775-D�35 FAX: (5D8) T15-075q li PROFESSIONAL ENGINEERS & LAND SURVEYORS 1�1 f; 1 � c� 110 Qr I � PAR,-,El- 2 \ \ //,,,//jam �� � � � I � / / �i /� / � / l ' ► ( � PLOT AN / \ 1 LOGATM: 4 GEDAR STREET WEST fMRNSTA LE, MA 12° pREPARED FOR: �3EMINARA GONST. CORP. I SC--ALE: DRAWN P)Y: ���—x, �ytH OF _ � T s 1 — .40 MW STEVEN yN JOB Nl,CvipER: DA1`E: Sf'1EET: o ''.:FMB �^ �ULY/� zcsa3 ,� y OZ-114 NOVEM�ER 15, 2002 GPP-I (q�Q'Ess �P 0 SURV�� WELLER & A�5�50CII TT � - -------__------ 1645 FALMOUTh RD - SUITE 46 GENTERVILLE, MA OUM -- - -- -- -- -- TEL.: (508) 775-0735 FAX: 508 775-075� - --- - ---- -- PROFE5510NA- ENOIN`P"R5 & LAND SURVEYORS -- --- .�__--- -- - PR0:.-I L�- NOT TO SGALE _- TEST I"LAYER OF9 8 PEASTONE l GONTRAGTOR.TOM RESPONSPLE FOR THE LOGATONOF ALL UTLrES, �� FIR5r PIPE LENGTH OVER 3/A"'-i I%2"DOUP�LE A$) V AND UI PER&ROUND,PROR TO ANY EXGAVATON OR GON5TRUGTON, TOP FaNPATION GOVER5 TO WrrflIN TO M SET LEVEL WASHED STONE DATE: MARGh1 2001 EL= 6' OF FINIS / GRADE. FOR MIN. 2' TEST 15Y: 2.SEPTr 5Y5TEM TO>3E INSTALLED N GOMPLIANGE WfrH 30 GMR r5.00:TfLE V FINISH GRADE WITNESS: 3.THE PLAN 6 NOT TO�lE USED FOR PROPERTY LNE DETERMNATbN EL.= PERO RATE: <2 MN/N 4. ALL DI!5TURi5ED AREAS TO 6E LOANED AND SEEDED 66H 0 4„ Pv �4„ PVC,a- 5.GONTRAGTOR TO PROVDE 24 HOUR NOT6E FOR ANY REQURED NSPEGTI2N5 f 1 40 (3) 500 GAL.�YWELL r� i IN AU-OASOAfrLP� I INOUII.ETTEE DISr. �oX T 1500 GALLON 5' SEPARATION SEPrIO TANK graz f5ASE i i I � Q N I � P 5 ION PATA �. / z Z � � � � \ PA LY FLOW: (4)pEDROOMS x I{J 6PD=ADO 6PD USE: 6 TANK: 440LON RECASTS PTL TANK SSO C�PD LEAGIINO FAGLITY: E USE. (3)500 GALLON PRECAST DRYWELLS L I NED WITH A'OP DOUBLE WASHED STONE ALL AROUND CAPACITY: SIDEWALL: 93 x 2 x 0.74 = 137.,l POT TOM: 13' x 33.5 x 0.74 = 322.3 PARCEL 2 \ I TOTAL: 459-9 OPP 1.4(o ACRES 1 \ /,� 110 - �5ff-V\/`AaE PLAN 1 LO(AT ION: 4 CEDAR STREET WEST �ARNSTA�LE, MA _ - r PREPARED FOR: SEM I NARA GONST-. CORP. SGALE: N DRAWN f)Y: UM� _ JOI3 NUMBER: DATE: SHEET: 64 OGTOf�ER 3, W&n 5P-I Iv, 1 WELLER & A�55,06 I ATD5 120 1645 FALM0511 RP N SUITE 46 GENTERVILLE, MA 0'Uo32 TEL.- (508) 775-0735 N FAX: (505) 775-0754 -- -- - _ PROFESSIONAL ENGINEERS R, I AND ,I � C � ST cf LAG ACFT-5 EX r5T I NO FOUNDATION \ 1 Ilo Po _ _ \ 12,0 FLO T f�� l A* �+ { I LOCATION: 4 CEDAR STREET WEST �ARNSTABLE, x v � 1� 12o PREPARED FOR: 6EM I NARA OONST. OORP. DRAWN BY: t - TM STD W. RUM JOB =NLDATE: MEET: 35791 NOVEM�ER 15, 2002 OP WELLER-, & I�qS FALMOUTII RD N SUITE 46 GENTERVILLE, MA TEL.: (505) 775-0735 N FAX: (505) 775-c PROFESSIONAL ENGINEERS & LAND SURVEYOF