HomeMy WebLinkAbout0010 LAWTON LANE 0
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Oxford® NO. 1.52 ORA
ESSELTE 10°io
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TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
°' PARCEL ID 000 000 290 GEOBASE ID
ADDRESS 10 LAWTON LANE PHONE
WEST BARNSTABLE ZIP —
LOT 3 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT
PERMIT 88359 DESCRIPTION CERTIFICATE OF OCCUPANCY
PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of
ARCHITECTS: Regulatory Services
TOTAL FEES: $25.00
BOND $.00
CONSTRUCTION COSTS $.00
i •
* iARNSTABLE, •
MASS.
1639.
RFD MP'�a
BUM DIVISION
BY
DATE, ISSUED .11/15/2005 EXPIRATION DATE
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1
�t d.
S
Pt5a-M I T
"77QS' i
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Department of
Regulatory Services
• BARNSTABIA
MASS.
i639. 1
BUILDING DIVISION
BY
' 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
THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
1.FOUNDATIONS OR FOOTINGS I
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 1 SO IT IS VISIBLE
I
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
• I
?- 2 ram.
Esc -
3 r 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 J.• L`:- C. q-b BOARDO HEALTH
OTHER:da=Sl 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.
BUIL DING
PER. MIT
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' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
oco ocao a9® IF2 ;, �1,5'1
Map a K o?/ Parcel QA0
►-G is.{Permit# r T
Health Division I1 o QUO ��3 J Date Issued 7, O�
Conservation Division c'�. �> f'L,4N aQLO �� to F`App1 7ationl_, l f
by ®Cr,Tax Collector Permit Fee �l �'� �Y
Treasurer EVISED PLAN
STING SE<�TIC
Planning Dept.
Date: M TO_�OFBEDROOMS
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address ` L 67— `/4
Villag 2 (L+IA a-L + D o)
Owner Lei c� O a�-�- Address 1 6 q 7 ,
Telephone 56)� 77 ) 0 a �C�c1n �� &
Permit Request ex3-n S4 P OC4
Square feet: 1 st floor: existing .,groposed 2n oor: existing proposed ?9? Total new /6 8
2 .'Flood Plain J Zoning District � Grou dwater Overlay
Project Valuation ` Construction Type L005CA,
Lot Size e to Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure !1 yio Historic House: ❑Yes W,110 On Old King's Highway: ❑Yes Flo
Basement Type: �uii ❑Crawl ❑Walkout ❑Other C�
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new 9 Half:existing new
Number of'Bedrooms: existing new
Total Room Count(not including baths): existing new CO First Floor Room Count
Heat Type and Fuel: 4das ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 5 No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing O new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# n�/�- Recorded❑
Commercial ❑Yes Olo If yes, site plan review#
r �
Current UseVaca� p"
Proposed Use
I BUILDER INFORMATION
Name vin Telephone Number
Address \PWLicense# d ? 7
Home Improvement Contractor#
C9 3 a Worker's Compensation#ZL-r— 6b6�1/
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
v
SIGNATURE DATE
FOR OFFICIAL USE ONLY
""'PERMIT NO. `
r
DATE.ISSUED -
MAP/PARCEL,NO.
op
ADDRESS- VILLAGE -
OWNER
DATE OF INSPECTION `
FOUNDATION-
FRAMEa'1
ti
R' p
INSULATION
FIREPLACE
ELECTRICAL::... ROUGH FINAL
PLUMBING:' ROUGH FINAL
GAS: ROUG FINAL
FINAL BUILDING
) e4 w
co
DATE-CLOSEDrOUT_
- ASSOCIATION PLAN-NO. co
I
` .`a`.
AIONS
G REGU
OF BUILDINUPERVISOR89ARDRUCTIONS
License: CONST 05777D
Nurnb0f, CS
>;4:
``J` Brtsda 0?l102006 Tr.no: 17831
i
Restt ieted:..16.
JACQUES N MpR4f1
1597 FALMOUTH RD"� ' ml beer
CENTERVILLE. MA D2632 Acting
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $ 50.00
Alterations/Renovations $ 50.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
& 7-3 square feet x$96/sq.foot= to G x.0041= /
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0041=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.= x.0041=
ACCESSORY STRUCTURE>120 sq.ft. .
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch ( x$30.00 30, 00
(number) 7.
Deck �_x$30.00= �7 C,0 C
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable) '7 p
Permit Fee
Projcost
Rev:063004
r
--� The Commonwealth of Massachusetts +
�(7 Department of Industrial Accidents
�� — Ise 81y�s1�Sda�S +
600 Y3'ashington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit-General Businesses
name, - - .
address:
cite L° � (/L!/L state: 3 2 - yhone#
work site location(full address)' +
❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment
working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.)
❑I am an e a to er with em loyees(full&part time). ❑Other
211
�am an employer providing workers' compensation for my employees working on this job;
coui anv name:
city phone#:
C�
insurauce.cb:.: .. o13c. # O:
E] I am a sole proprietor and have hired the independent contractors listed below who have the following workers'
compensation polices:
comp ny name.
oddressi 4:
• •t r• -
city ph one
insurance co.
address
cili phone#
itistirence co.:.:r'•:.'': ?:' ::.:.; / c ,:;.":, olicv:#�,•.•:
Failure to secure co rage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'impriso nt as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me..I understand that R
copy of this st2temehinaybe forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify the pains and nalties erjury that the information provided above is true and co rec4
Signature \ Date �� /
7
Print name `T4-�Gd� 40 /ate Phone# Z Z
log
r official we only not write in this area to be completed by city or town official
city or town: permit/license# ❑Building Depar7el-
do
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(revered Sept 1003) _
��n'••�z�e' '��xn�'e�,`H� ''+sue'. �'
4•
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, of 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. Please.
supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted
to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the
affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being -
requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are
required to obtain a workers' compensationrpolicy,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 pernit/license number which will be used as a reference number. The affidavits.rnay be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would hike to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Me of Imsnpstlons
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 7274900 ext.406
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Preliminary, plans and layouts by D.C.D.are for the use Of their Customers Only.Any other use is strfcrly Prohibit[
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no CMR Appeada J
Table JS.Llb(continued)
prescriptive packages for one and Two-Family Resldential Buildings Seated eitb Foassl Fuels
MAXIMUM
Wall Floor I3aseateas Slab 'Heating/Cooling
Glaring Glaring Ceiling der Equipment Eifciency'
Area'(•/.) U-valual R-valuer R-value R-valuL' Wall R Perim Per
package
5701 to 6500 Hesting Degm Days' Normal
Q I2% 0.40 38 13 19 10 6 6 Normal
R 12% 0.52 30 19 19 !0 6 AS AFUE
S 12•/. 0.50 38 13 19 10 Normal
N/A
T 15% 0.36 38 13 N/A 6 Normal
U 15% 0.46 38 19 19 10 N/A 85 AFUE
V 15% 0.44 3E 13 25 N/A 6 95 AFUE
W 15% 0.52 30 19 19 13 25 1 A N/A Normal
x 18% 032 38 N/A Normal
y 19% 0.42 38 19 ?S N/A
13 19 (0 6 90 AFUE
Z 18% 0.42 38 6 90.AFUE
AA 18% 0.50 30 19 19 10
1. ADDRES
S OF PROPERTY:
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: •�.
3. SQUARE FOOTAGE OF ALL GLAZING: Z y�• �8
4, %GLAZING AREA(#3 DIVIDED BY#2): ��• r�
5. SELECT PACKAGE(Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF OR THIS INFORMATION'DETERMINING
ORGY REQUIREMENTS
ARE AVAILABLE. ASK US
r
BUILDING INS TOR APPROVAL:
YES: NO-.
q4orms4980303a '
i
780 CMR Appendix I
I
Footnotes to Table J8.2.1b:
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 from a building design with 300 if of glazing area.
Z 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 11.5.3a. U-values are for
whole units: center-of-glass U-values cannot be used.
The ceiUng.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 ventilated 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 l9 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-5 insulating sheathing. Wall requirements apply to
wood-frarime or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction.
S 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.
The 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
de,scribed in Note b.
'The R-value requirements are for unheated slabs.Add an additional R-2 far heated slabs.
' If the building utilizes elettric 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:efficiencyequired by the selected package.
'For Heating Degree Day requirements of the`dlosest city or town see-Table J5.2.1a
NOTES: :a:- •�
a) Glazing areas 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 0.35. 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 11.5.3b. 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(i.e.,may have a U-value greater than 0.35).
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(0.35 for doors).
A'1
The Rockport - Plan #8 Worksheet
Submitted by: Bayberry Building Co.,Inc.
Windows - Heat Loss
Manufacturer U R Quantity Sq. Ft. of Total Glass Area
Glass Area
Anderson 2442 .35 2.9 7 7.4 51.8
Anderson 2446 .35 2.9 11 8.1 89.1
Anderson 24210 .35 2.9 3 4.7 14.1
Anderson CTC-3 .29 3.4 2 12.3 24.6
Anderson C-15 .35 2.9 3 7.5 22.5
Total 202.1
Doors - Heat Loss Glazing
Manufacturer U R Quantity Sq. Ft. of Glass Total Glass
Area Area
FWG- 6068 .33 3.0 1 23.78 23.78
Stanley 9 Lite .38 1 6 6
Total 29.78
Skylights - Heat Loss
Manufacturer U R Quantity Sq. Ft. of Glass Total Glass
Area Area
Anderson SK-2838 .45 2.2 2 6.3 12.6
Skylight
Total 12.6
Exterior Door Gross Area
Qty, Width Height Sq. Ft.
4 3 7 84
I
0
Total S.f. 84
Buildin Wall Area Worksheet
Front Elevation
Width Height Gable Divide By 2 Sq. Ft.
12.5 8 100
21.5 17 ')65.5
21.5 9 2 96.75
Total S.f. 562.25
Right Elevation
Width Height Gable Divide By 2 Sq. Ft.
9 30 270
9 30 2 135
Total S.f. 405
Left Elevation
Width Height Gable Divide By 2 Sq. Ft.
21.5 18 387
5 8 40
21.5 7 2 75.25
Total S.f. 502.25
Rear Elevation
Width Height Gable Divide By 2 Sq. Ft.
33.5 18 603
0 0 2 0
Total S.f. 603
TOTAL SQUARE FOOTAGE ALL WALL ELEVATIONS 2072.5
Ceilings
Width Length Sq. Ft.
26.5 33.5 887.75
3.5 12.5 43.75
Total S.f. 931.5
Floors-'Over Unconditioned.Space _ : ...r
Width Length Sq. Ft.
21.5 33.5 720.25
8.5 12.5 106.25
0
Total S.f, 826.5
....-
w v , k(..Floors Over..0utdoor:T jr
Width Length Sq. Ft.
4.5 21 94.5
0
0
Total S.f. 94.5
�r.. EXterior Door.Gross Area
Qty, Width Height Sq. Ft.
4 3 7 84
0
Total S.f, 84
\\I14AIN-OFFICE\Drive C MahAMyFiles\.Job MaterialsMindow&Door ScheduleANVindow-Door Heat Loss.The Rockport-Plan S.wpd
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
: , a�6 square feet x$96/sq.foot= alai�56 x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
GARAGES(attached&detached)
3 0 8 square feet x$32/sq. ft.= 9, 8 S-4 x.0031= 30 . SS
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq. foot= x.0031=
STANDALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
projcost
The Corrimonweaith of Massachusetts
Department of Industrial Accidents
Office afluestfgatians
600 Washington Street
Boston,Mass. 02111 _
'Workers' Com ensation Insurance davit /
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VA*04
naII1e:
location: '�
C0 3 a hone# "&L a n
ci all work myself.
❑ I am a homeowner perfo�g
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21JI11�1tCe:CO.`iv:`iy°vy :w}�: }ka{,:.. ~ui}•s OO xndlor
Fie to secure coverage as required under Section 25A of MGL 152 can lead to the Imp
osition of eriz:dttal penalties of a line tip to S1,SQl1.
one years'imprisonment as reII as dvil penalties in the form of a STOP WORK ORDER and
evezis �e of 00 a day against me. I tatdexstsmd tbst a
copy of this statement may be forwarded,to the Office of Investigations o[the DIA for coverag
I do hereby certify under pains and penalties of erjury that the information provided above is trw.and carted
Date
Signature %/ @QC Phone# �7 a
Print name
omdal use only do not write in this area to be completed by city or town oMd9L1 C3Bi Depastznrnt
peradt/license# Licensing Bow
city or town: oSelectnen's Office
❑ ChPCl�iflmnt�f9f�responseisrequired ❑Health Department
"' ❑Other
phone#;
contact person:
orh"d 9/95 P7la
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 incnrance as all affidavits maybe
submitted to the Department of Industrial Accidents for confirmation of'insurance coverage. Also be sure to sign and
date the affidavit. 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 ygu 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 Permitllicense number which will be used as a reference number. The affidavits maybe returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions•
please do not hesitate to give us a call.
now
The Depart merrt's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
Affidavit of Substantial Financial Interest
of I [Da r r CO , on oath
depose and state as follows:
1. I 'am an applicant for a building permit for the property located at ap ��`� , Parcel
The address of the property is io CQ;1� Ac,
2. 1 have 160 % legal or equitable interest in the real property which is the
subject of the building permit application which is identified in paragraph 1 above.
3. Within in the last twelve months from today's date, which isQ�9 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
a ,C( _o , Qa
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 O building permit applications for property in
which I have a 1% legal or equitable interest.
8. Within this month, I have received building permits for property in which I have
a 1% legal or equitable interest.
Signed under the pains and penalties of perju , this _day of t , 200 J
2001-0050/affin 1
Q/LOTTERY/AFFIDAVIT
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BOARD OF BUILDING REGULATIONS
STRUCTION SUPERVISOR
License: CON
w= CS 057770
Numb ef.,
� � w Birthdater. 17831
ch Oj�16j2006 Tr.no:
Expires:
Restrieted:.'1G.
JACQUES N MORIN
1597 FALMOUTH R044. Ca .ml. Doer
CENTERVILL.E. MA 02632 Atting
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Western Surety C
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LICENSE AND PERMIT BOND
For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract,
Performance.Maintenance.Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond.
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KNOW ALL PERSONS BY THESE PRESENTS: BOND No. L&.P'4 3&1:.6 9�8 4 0.
That we, C. 9E
of the of 6&R;2i5$l _F,, State of S' (; � �TTS , as Principal, n
and - WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State
ofA 044 Qs5& S , as Surety, are held and firmly bound unto the
Of . , State of M 1156 i25-' , Obligee, in the amount
(Valid.only when a County,City,Town or Village is named as Obligee)
of r ruE TlAt)i96"I) poI. -aq DOLLARS ($l3P= ),
(NOT VALID FOR MORE THAN$25,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensedop
_ by the Obligee.
NQ,WI2HUREFORE, if the Principal shall faithfully perform the duties and comply with the laws and
ordinances..(i'ncluding all amendments), pertaining to the license or permit, then this obligation to be void,
oth� se�t�o�rema n full force and effect for a periodcommencing on the l�,l gnl day of
r • �t�`� '4a►;.+*= �T1 ),AZ�F' , and ending on the day
of�+:� N' =_ — , unless renewed by continuation certificate.
Vt,his&on maybe,=terminated at any time by the Surety upon sending notice in writing to the Obligee and to
1�" vi
tlaeincipal, in carreo1 the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tio O forty 1 e)�(3'5) days from the mailing of notice or as soon thereafter as permitted by applicable law,
whichever JA,a. eP,this bond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts or omissions of the Principal.
Dated this 1 'Tl-�day of
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neipal
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Principal
Countersigned WE STERN S U E T Y C O M N Y
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By By o
es nt Agent President' b
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ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA l ss (Corporate Officer)
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County of Minnehaha G
On this day of ,before me, the undersigned officer, personally
appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing ;
instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer. ;
IN WITNESS WHEREOF; I have hereunto set my hand and official seal.
D 9
D. KRELL A
FNOTARY PUBLIC 9
sRAT' SOUTH DAKOTA $RAi• Notary Public, South Dakota ;
My Commission Expires 11s0-2006 Western Surety Company • 101 S. Phillips Ave.
F Form 849A-2-2001 t° °p°'i° � yy �`�h + e
® Sioux Falls, SD 57104 • 1-605-336-0850
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ACKNOWLEDGMENT OF PRINCIPAL
(Individual or Partners)
F STATE OF
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County of
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On this day of ,before me personally appeared
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known to me to be the individual= described in and who executed the foregoing instrument "and
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acknowledged tome that Vie_executed the same.
My commission expires
_ Notary Public
ACKNOWLEDGMENT OF PRINCIPAL •'
(Corporate Officer)
STATE•OF
ss
County of
On this day of ,before me,
personally appeared , who acknowledged himself to be the
of , a corporation,
and that he as such officer being authorized Aso to do, executed,the foregoing instrument for the pur-
poses*therein contained by signing the name of the'corporation by himself as such officer.
My commission expires
Notary Public
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. ' TOWN OF BARNSTABLE BUILDING PERMIT AP LICATIONj
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Map /z( Parcel 0/(-0 Perito
Health Division (01 lqh-" / r � Date Issued Z fe
Conservation Division �" o �CC— � Application Fee
Tax Collector �e O� Permit Fee 7/ 3 . fi;"
y
Treasurer SEPTIC SYSTEM MUST BE
Planning Dept. INSTALLED IN COMPLIANCE
r;YV"- WITH TITLE 5
Date Definitive Plan Approved by Planning Board e ,� ENVIRONMENTAL CODE AND
� � n S�
C -<< �s e q� TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address (a,4-
Village Q
Owner Address �
Telephone �S - ��� •�g a �- 1(-e
Permit Request 69:2��
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jj Q 5,
Square feet: 1 st floor: existing proposed `'{ 2nd floor: existing proposed!/ Totaftieti �
Zoning District F Flood Plain Groundwater Overlay -o
Project Valuation Construction Type (OCOL Act,� ry y
.. ao
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting do umentaGin. rrn
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure (1 P-LO Historic House: ❑Yes &lo On Old King's Highway: ❑Yes M_<0
Basement Type: Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing — new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count 3
Heat Type and Fuel: X as ❑Oil ❑ Electric Cl Other
Central Air: ❑Yes )WNo Fireplaces: Existing New ASS Existing wood/coal stove: ❑Yes 9No
Detached garage:❑existing ❑new size Pool:❑existing Cl new size Barn:❑existing ❑new size
Attached garage:❑existing new size /yio^9 Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# N J►q Recorded❑
Commercial ❑Yes Po If yes, site plan review#
Current Use 1 tie -+.� Proposed Use
BUILDER INFORMATION
Name �� Telephone Number
Address /�`t 1 License# 5
l Home Improvement Contractor#
4 �� ao2C�3a Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
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SIGNATURE DATE . & D
FOR OFFICIAL USE ONLY
v
PERMIT NO.
9� •
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
1
FOUNDATION o 0 // 911,
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL ,
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL'
FINAL BUILDING
/ co co
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DATE CLOSED OUTrn
ASSOCIATION PLAN NO.— h-
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RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
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New Buildings L�'O . D O
Residential Addition $50.00
Alterations/Renovations $50.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
al � �S� Oo3f �� .S•7 9q// square feet x$96/sq.foot= 'x OW
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0044=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft._ `� x
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf. 75.00
>1000 sf= 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck.... ... x$30.00=
(number)
Fireplace/Chimney . �_x$25.0.0=
(number)
Ingrodnd Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable) l/
Permit
Pmjcost
Rev:063004
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QUITCLAIM DEED
I, RICHARD F. SCHIFFMANN, TRUSTEE OF THE LENOX TRUST under declaration
of trust dated August 10, 1998, as Document No. 746975 with the Barnstable Registry District of
the Land Court, having an address of 3220 Main Street, Barnstable, Massachusetts 02630, for
consideration paid of Eighty-Four Thousand Five Hundred ($84,500) Dollars, grant to
JACQUES N. MORIN,TRUSTEE OF LAWTON HILLS REALTY TRUST—I, under
declaration of trust of even date and record herewithhaving an address of 300 Bearses Way,
Hyannis, Massachusetts 02601,with QUITCLAIM COVENANTS, the land situated in West
Barnstable, Barnstable County, Massachusetts, shown as Lot 31 on subdivision plan 22556F,
prepared by Stephen J. Doyle and Associates, dated September 25, 1999, filed in the Land
Registration Office dBoston, a copy of which is filed with the Barnstable Registry District of
the Land Court in Land Registration Book , Page ,with Certificate of Title No.
Said land is subject to and has the benefit of the rights and easements as set forth in
Certificate of Title No. 31315, so far as io force and applicable.
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Said land is subject to a.taking of Shoot Flying Hill Road by the Town of Barnstable, �
dated November 16, 1967, filed with said Registry District as Document No. 117230.
. v
For my title, see Certificate of Title No. 16 y$5rI .
a
[signatures begin on next page]
0
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bARNSTABLE UNTY
REGISTRY "
COUNTY EXCISE T I(�T&&E-LE
D EEDy -
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------ J �
DATE 04.11.'02 TNU 04/ti/02 04
COGO09 46?29
TAX $192.66 FEE $208.901
TOTAL $192.66
CASH $192.66 a_PCH $288-?1?
CLERK 1 NO.011546
TIME 13:17 2222
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• DOG. Wo . CA 50
LAWTON HILLS REALTY TRUST I
THIS DECLARATION OF TRUST made as of the 11,+L day of ` , 2002
by Jacques N. Morin of Hyannis, Massachusetts (hereinafter called the "Trustee", which term
and any pronoun referring thereto shall be deemed to include their successors in trust
hereunder and to mean the trustee or the trustees for the time being hereunder, wherever the
context so permits),
WITNESSETH THAT
ARTICLE I. Name. The trust hereby created shall be known as Lawton Hills Realty Trust I
and under that name •so far as legal, convenient and practicable, shall all acts of the Trustee be
made and all instruments in writing by the Trustee be executed.
ARTICLE II. Trust Property. All property, real and personal, tangible and intangible,
conveyed-to the Trustee hereunder (hereinafter called the "trust property") shall vest in the
Trustee as trustee of this trust, in trust to manage, administer and dispose of the same for p the
sole benefit of the beneficiary or beneficiaries from time to time hereof with the powers and
subject to the limitations hereinafter contained concerning the same.
ARTICLE III. Section 1. Trustee Appointment and ResigLaation. Any Trustee may resign at
any time by instrument in writing signed and acknowledged in the manner required in
Massachusetts for the acknowledgement of deeds and such resignation shall take effect upon
the recording of such instrument with the Barnstable County Registry District of the Land
Court (hereinafter called the "Registry"). If and whenever (a) there shall be no trustee in
office hereunder, or (b) the beneficiary or beneficiaries hereof desire to appoint additional
trustees hereunder, a succeeding and/or additional trustee or trustees shall be appointed by (a)
an instrument in writing signed and acknowledged (in the manner required for the recording of
deeds in Massachusetts) by the beneficiary or all of the beneficiaries, if more than one,
hereunder, and delivered to the then Trustee, if any, hereunder, and (b) an acceptance of such
appointment, signed and so acknowledged by the person or persons so appointed. Any such
appointment and acceptance shall become effective upon the recording thereof with the
Registry or upon the recording with the Registry of a Certificate with respect thereto as
provided below in Article VI, Section 2, and the person or persons so accepting shall then be
and become such Trustee and shall be vested with title to the trust property,jointly with the
remaining or surviving Trustee, if any, without the necessity of any act of transfer or
conveyance. The foregoing provisions of this Section to the contrary notwithstanding, despite
any vacancy in the office of trustee, however caused and for whatever duration, the remaining
or surviving Trustee, if any, shall continue to exercise and discharge all of the powers,
discretion and duties hereby conferred or imposed upon the Trustee.
Section 2. Bond; Trustee Exculpation. No Trustee named or appointed as hereinbefore
provided, whether as original Trustee or as successor to or as substitute for another, shall be
obliged to give any bond or surety or other security for the performance of any of such
Trustee's duties hereunder, provided, however, that the beneficiary or all of the beneficiaries
hereof may at any time by instrument in writing signed by such beneficiary or beneficiaries and
delivered to the Trustee affected require that any one or more of the Trustees shall give bond
in such amount and with such sureties as shall be specified in such instrument. All expenses
incident to any such bond shall be charged as an expense of the trust. No Trustee hereinbefore
named or appointed as hereinbefore provided shall under any circumstances or in any event be
held liable or accountable out of such Trustee's personal assets by reason of any action taken,
suffered or omitted in good faith or be so liable or accountable for more money or other
property than such Tyxistee actually receives, or by reason of anything except such Trustee's
own personal and wilful malfeasance and defaults.
ARTICLE IV. Trustee's Powers. The Trustee shall have no power whatsoever to control,
manage; dispose of, or deal in or with the trust property or any part thereof except when, as
and in the manner and to the extent specifically directed in writing by the beneficiary or
beneficiaries hereof, being the owner or owners for the time being of all of the beneficial
interest hereunder. When, as and in the manner and to the extent so specifically directed, the
Trustee (or any one or more of them, if more than one) shall have full power and authority, at
any time and from time to time and without the necessity of applying to any court for leave so
to do:
(i) To retain the trust property, or any part or parts thereof, in the same form or
forms in which received or acquired by such Trustee so far and so long as such Trustee
shall'think fit;
(ii) To sell, assign, convey, transfer, exchange, and otherwise deal with or dispose
of, the trust property, or any part or parts thereof, free and discharged of any and all trusts,
at public or private sale, to any person or persons, for cash or on credit, and in such
manner, on such terms and for such considerations and subject to such restrictions,
stipulations, agreements and reservations, if any, as shall have been so specified by the
beneficiary or beneficiaries hereof, including the power to take back mortgages to secure
the whole or any part of the purchase price of any of the trust property sold or transferred
by such Trustee, and to execute and deliver any deed or other instrument in connection with
the foregoing;
(iii) To purchase or otherwise acquire title to, and to rent, lease or hire from others
for terms which may extend beyond the termination of this trust any property or rights to
property, real or personal, and to own and hold such property and such rights;
(iv) To borrow or in any other manner raise such sum or sums of money or other
property and to evidence the same by notes or other evidences of indebtedness, which may
mature at a time or times even-beyond the possible duration of this trust, and to execute and
deliver any mortgage, pledge, or other instrument to secure any such borrowing;
-2-
(v) To enter into any arrangement for the use or occupation of the trust property, or
any part or parts thereof, including, without thereby limiting the generality of the foregoing,
leases, subleases, easements, licenses, or concessions, even if the same extend beyond the
possible duration of this trust;
(vi) To invest and reinvest the trust property, or any part or parts thereof and from
time to time and to change investments, including power to invest in all types of securities
and other property; of whatsoever nature and however denominated, even though such
property or such investments.shall be of a character or in an amount not customarily
considered proper for the investment of trust funds or which does or may not produce
income; and
(vii) To declare a condominium or condominiums of the trust property or any part
or parts thereof;
PROVIDED ALWAYS, that the Trustee shall have no power or authority, by virtue
of any provision anywhere in this instrument contained or otherwise, either
A. To borrow money on the credit, or on behalf of the beneficiary or beneficiaries
hereof or any of them personally or to make any contract on behalf of, or binding, the
beneficiary or beneficiaries hereof or any of them personally or to incur any liability
whatever on behalf of, or binding, the beneficiary or beneficiaries hereof or any of them
personally or otherwise to bind the beneficiary or beneficiaries hereof or any of them
personally; or
B. To maintain a bank account, collect or receive rent or other payments, make
disbursements or pay bills, distribute income or other property, maintain books, or own
other assets in his own name as Trustee of this trust or in the trust name, other than as a
nominee for the beneficiary or beneficiaries, if more than one, hereunder, or to engage in
any activity which would subject this trust to Massachusetts taxation; it being hereby
expressly provided that any provision anywhere in this instrument contained which may be
construed as contrary to this clause shall be null and void and of no effect.
ARTICLE V. The Beneficiaries. The original cestuis que trustent or beneficiaries hereof are
the persons designated as beneficiaries of this trust in an instrument captioned "Designation of
Beneficiaries of Lawton Hill Realty Trust I," dated this day, executed by said beneficiaries
and the Trustee. The original beneficiaries and/or any subsequent beneficiary shall have the
right to assign and transfer the beneficial interest of such beneficiary hereunder in whole or in
part, by instrument in writing and under seal, executed by the beneficiary so assigning and
transferring, designating the beneficial interest so assigned and transferred (whether all or any
part of the beneficial interest of such beneficiary) and the person to whom the same is so
assigned and transferred, and any such instrument shall for all purposes take effect upon the
receipt thereof by the Trustee then in office hereunder. The beneficiary or beneficiaries hereof
at any time and from time to time shall be entitled to receive and collect all of the income and
profits of the trust and/or the trust property and assets then held by the Trustee. Any such
-3-
distribution of or from the trust property among the beneficiaries hereof, if more than one,
shall be according to the percentage of beneficial interest held by them respectively.
ARTICLE VI. Section 1. Reliance by Third Parties. No purchaser, mortgagee, lender or
other person dealing with the Trustee (as then appears of record with the Registry) shall be
bound to ascertain or inquire further as to the person or persons who are or is then Trustee
hereunder. The receipts of the Trustee (or any one or more of them, if more than one) for
money or things paid or delivered to the Trustee, or to the beneficiaries or beneficiary hereof,
shall be effectual discharges therefrom to the persons paying or delivering the same and no
person from whom such Trustee or beneficiaries shall receive any money, property or other
f
credit shall be requiredto see to the application thereof. No purchaser, mortgagee, lender or
other person dealing with such Trustee or with any real or personal property which then is or
formerly was trust property shall be bound to ascertain or inquire as to the existence or
occurrence of any event or purpose in or for which a sale, mortgage, pledge or charge is
herein authorized or directed, or otherwise as to the purpose or regularity of any of the acts of
such Trustee purporting to be done in pursuance of any of the provisions or powers herein
contained, or as to the regularity of the resignation or appointment of any trustee, and any
instrument of acceptance of appointment by a new Trustee shall be conclusive evidence in
favor of any such purchaser or other person dealing with the Trustee of the matters therein
recited relating to such discharge, resignation or appointment or the occasion thereof.
Section 2. Trustee's Certificates. This Declaration of Trust and any amendments hereto and
any certificate herein required to be recorded and any other certificate or paper signed by the
Trustee (or any one or more of them, if more than one) hereunder which it may be deemed
desirable to record shall be recorded with the Registry and such record shall be deemed
conclusive evidence of the contents and effectiveness thereof according to the tenor thereof,
and all persons dealing in any manner whatsoever with the Trustee or the trust property shall
be held to have notice of any alteration or amendment of this Declaration of Trust, or change
of Trustee, when the same shall be recorded with the Registry. Any certificate signed by the
Trustee (or any one or more of them, if more than one) in office at the time, or if there is no
Trustee then in office, signed by the most senior member (in point of age) of the law firm of
Nutter, McClennen & Fish (or of any firm successor thereto) now of One International Place,
Boston, Massachusetts 02110-2699, setting forth as facts any matters affecting the trust,
including statements as to what action has been taken by the beneficiary or beneficiaries
hereof, and as to matters determining the authority of the Trustee to do any act, when duly
acknowledged and recorded with the Registry shall be conclusive evidence as to the existence
of such alleged facts in favor of all third persons, including the Trustee, acting in reliance
thereon.
ARTICLE VII. Section 1. Amendments. This trust may at any time and from time to time be
amended in any manner or to any extent by instrument in writing signed and acknowledged by
the beneficiary or all of the beneficiaries, if more than one, hereunder, and delivered to the
Trustee hereunder. This trust may at any time be terminated by instrument in writing signed
and acknowledged by the beneficiary or any one or more of the beneficiaries, if more than
one, hereunder, and delivered to the Trustee hereunder. Any such amendment or termination
-4-
shall become effective upon the recording with the Registry of an instrument of amendment or
termination, as the case may be, signed, sealed and acknowledged in the manner required in
Massachusetts for the acknowledgment of deeds, by the Trustee (or any one or more of them,
if more than one) hereunder, setting forth in full the amendment or termination and reciting the
receipt of an instrument making such amendment or termination signed and so acknowledged
by the beneficiary or all of the beneficiaries hereof. Such instrument, so executed and
recorded, shall be conclusive evidence of the existence of all facts and of compliance with all
prerequisites to the validity of such amendment or termination upon all questions as to title or
affecting the rights of third persons and for all other purposes.
Section 2. Termination• The trust hereby created shall, unless sooner terminated pursuant to
other provisions hereof, terminate at the expiration of the period of ninety (90) years from this
date.
Section 3. Distribution of Trust Property Upon Termination. Upon the termination of this
trust, the Trustee may, if so directed by the beneficiary or all of the beneficiaries hereof, sell
and convert into money the whole of the trust property, or any part or parts thereof, and, after
the payment or retirement of all known liabilities and obligations of the Trustee, the proceeds
thereof, and all other property then held by the Trustee in trust hereunder, shall be distributed
and paid over to the beneficiary or beneficiaries hereof, according to their respective beneficial
interests if more than one. And in making any sale under this provision the Trustee shall have
the power, subject to such direction by the beneficiary or beneficiaries hereof, to sell by public
auction or private contract and to buy in or rescind or vary any contract of sale and to resell
without being answerable for loss and, for said purposes, to do all things, including the
execution and delivery of instruments, as may be necessary or desirable in connection
therewith. The powers of sale and all other powers herein given to the Trustee shall, subject
to such direction by the beneficiary or beneficiaries hereof, continue as to all property at any
time remaining in such Trustee's hands or ownership, even though all times herein fixed for
distribution of trust property may have passed.
Section 4. Removal of Trustee. Any Trustee hereunder may be removed at any time with or
without cause by the beneficiary or beneficiaries hereunder, being the owner or owners for the
time being of all of the beneficial interest hereunder, effective upon the recording with the
Registry of either: (a) an instrument evidencing such removal signed and acknowledged (in the
manner required in Massachusetts for the recording of deeds) by such beneficiary or
beneficiaries, or (b) a Certificate with respect to such removal as provided above in Article VI,
Section 2, in either case setting forth the fact of such removal and reciting that the Trustee so
removed has been notified of the same by instrument signed by the beneficiary or beneficiaries
hereunder. Such recording shall be conclusive evidence of the existence of all facts and of
compliance with all prerequisites of the validity of such removal upon all questions as to title
or affecting the rights of third persons and for all other purposes.
ARTICLE VIII. Construction. In the construction hereof, whether or not so expressed, words
used in the singular or in the plural respectively include both the plural and singular, words
denoting males include females and words denoting persons include individuals, firms,
-5-
associations, companies, trusts and corporations unless a contrary intention is to be inferred
from or required by the subject matter or context. All the trusts, powers and provisions herein
contained shall take effect and be construed according to the laws of the Commonwealth of
Massachusetts. The Article and-Section captions herein are used only as a matter of
convenience and are not to be considered a part of this Declaration of Trust or to be used in
determining the intent of the parties to it.
IN WITNESS WHEREOF said Jacques N. Morin has hereunto set his hand and seal as of
the day and year first hereinabove set fort
)acques N. Morin
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss. April ff, 2002
Then personally appeared the above-named Jacques N. Morin and acknowledged the
foregoing instrument to be his free act and deed, before me,
ff;
otary Public
My commission expires: SHAR1 L:"LOBE -
NOTINRY PUBLIC
MY CO)r'ION
065 1PI�S Yr=
1097567.1
7e� BAR►JS i ABLE COUNTY
REGISTRY OF DEEDS
A TRUE COPY,ATTEST fi
` JOHN F.MEADE_REGISTER J
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-6-
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� K ONC - s I I � 1 � 2r<e.K o_c.
1ANS L---------------J I (R90)FISEWAASS INSUL(TYP)
----------------- w GYP 8D ON Z
- 69 STRAPS•K'O.C. _ J
Y BEDROOM a BEDROOM
TYPICAL EXTERIOR WALL CONSTRUCTION. p�
i Z
W.C.9441WA 9 S Wt EXPOSURE/'TYPAR•OR e/4.0e8 TtG O O EQUAL NOU9FWRAPA/2'OW SUlN'IOOt
9NEATWNGA2 STUDS AT K'04-.S wr(101) t NAILED TO J015T8
Q W
2.801 i•O.G. 2U30 K•O.C. 0 Z
E0 STRAPS 1 K'O.C. �' d'7 E Z
FOUNDATION PLAN o ii g :,
SCALE. I/4 1'-O' « KITCHEN DINING RM. LL () 0
• PROVIDE DAPIPROOFIN6 F 1p ►- 9
TO LPERIPIETER OF NEW FDN. WALLS TO - N
HEIGHT OF NEW FINISHED GRADE. TYPICAL 9/4.O98 TTIG Z
GLUED t NaAILED To JOISTS j O .
ID®•tr O.C.
5-2d2 DROPPED 9 DROPPED W
NOTE oU 1 2:i P.T.SILL GIRT GIRT E0100
u
I.PRK7R TO CONSTRUCTION,CONTRACTOR o Cm' BASEMENT COL. -
eNOUL.D VEWPY All DI11E7NelONe AN, 1 BEY e'C.ot•K=
EXISTING Ca"ITIONS OR ASSUME TINE F FOUNDATION WALL TYP.
TY RESPONSIBILI FOR ANY D19CREPANGES - 20•a1C OMT.FOOTING
OR INCONSISTENMES NOT SROUQ4T TO THE
- ATTENTION OP THE DESIGNER.
4.CONCRETE SLAB
2.ALIGN DOUBLE JOIST
PNDER ALL PARALLEL
TpJ
ABOVEMALLS —.—.— —- �j.j•$/TtOf'7PACTED - - C
AVE ,/21SECTION THRU DINING RM. I BEDROOM
S.eUD-CoNTRACTm TO NOTE LOCATION OF
UTILITY SUOCK-OUT IN FOUKDATroW SCALE, I/4' 1'-0' z
COORINATE u✓GE)vgA_CONTRACTOR in cs
CdVI
I ,
i
SYSTEM PROFILE TEST HOLE LOGSTOP FNDN. AT EL. 54.0
ACCESS COVER TO WITHIN 6" OF FIN-GRADE (NOT TO SCALE) SERVICE ROAD
PROVIDE INSPECTION PORT WITHIN
6" OF FINISH GRADE
S. DOYLE
ACCESS COVER (WATERTIGHT) TO ENGINEER:
51 .0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 46.0' WITNESS: D. MIORANDI, IRS
2" DOUBLE WASHED PRONE\ DATE:_/1/00 LOCUS
RUN PIPE LEVEL
53.0' FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH
PROPOSEDQ0
0
GALLON SEPTIC t 48.75,
2
49.0' Ll 43.0 CLASS I SOILS P# 9721
TANK (H- 1O ) GAS
�� 42.28 maOO O Clara Z
BAFFLE 42.45 0 42.17' M M � � � M a O Cl 4' AROUND
LOCUS N
( 2 % SLOPE) �6" CRUSHED STONE OR MECHANICAL ��$ 2 0 E M 0 E � In 0 40,17 (� ELEV. 4 4 t>5 Wt•� oo�
4, COMPACTION. (15.221 [2]) Olt 44.5 Olt 4 .8 MPRtH h�
DEPTH OF FLOW = ( 5.67. SLOPE) ( 1 % SLOPE) 3/4 TO 1 1/2" DOUBLE WASHED STONE A
TEE SIZES:
A
INLET DEPTH = 10" SL SL
14" 4„ 1OYR 3/2
OUTLET DEPTH 4" 1OYR 3/2 LOCATION MAP NTS
FOUNDATION- 16' SEPTIC TANK 112' D' BOX 13 LEACHING FACILITY LS B
179 ASSESSORS MAP 214 PARCEL
4 6.67' 24" 2.5YR 3/4 42.5' LS ZONING DISTRICT: RF*
C 1 30" 2.5Y 3/4 42.3 YARD SETBACKS:
48.8 FS FRONT = 30'
47 2.5Y 7/2 C1 SIDE = 15'
�\ C2 FS REAR = 15
4 j 33.5' FS 2.5Y 7/2 FLOOD ZONE: C
i
4 44.1 5.8 10YR 4/6 „
v� 42 42 *OPEN SPACE SPECIAL PERMIT
4 UTIL. POL H 44 C3 G2 ALLOWS REDUCED SETBACKS
42---_ o 9 �� PROVIDE REQUIRED COVER PERC GRAVEL
/y q �.
_I_ 4 �� TH I OVER PIPING 120 2.5Y 6 1 PERC F$
l I r
4 ` so C4 2.5Y 6/1
40.0 GRAVEL
3
o 1 2.5Y ,
3 8 s .� + 50.5 132 33.5 132 33.8 NOTES:
UTIL POLE 37 ` \ NO GROUNDWATER ENCOUNTERED
3 L0 A
0; 0,148 j o 1. DATUM IS ASSUMED
AL)
s (5SEPTIC DESIGN: (GARBAGE DISPOSER Is NOT ALLOWED ) 2. MUNICIPAL WATER IS AVAII ARI F
{ 4.9 3. MINIMUM (PIPE PITCH TO BE 1/8" PER FOOT.
\ / DESIGN FLOW: _3 BEDROOMS ( 110 GPD) = 330 GPD
USE A 33.0 , GPD DESIGN FLOW - 4, DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10
oG 6 / /� \ 5. PiF E`JOIN T S_-TO BE -MADE WATERTIG1 T. _
j SEPTIC TANK: 330 GPD 2 - 660
c a (---) - 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
34.4 " ENVIRONMENTAL CODE TITLE V.
\ S o, A ° h,� h / USE A 1affl GALLON SEPTIC TANK
< s� . R LEACHING: 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT
c^ r� o Cho TO BE USED FOR ANY OTHER PURPOSE.
0 3 .7
\ do 2(25 + 12.83) 2 (.74) = 11
P ,c / ZA' / SIDES: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
5 0 �A W L NGSI + BOTTOM: 25 x 12.83 (.74) _ 237 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
35.3 / R s . '
Y H ) INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
S
TOTAL: 472 S.F. 349 GPD FROM BOARD OF HEALTH.
Al
3 \ �°' �y l r� o� USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR
\ / / EQUAL) WITH 4' STONE ALL AROUND
0 + 58. o
37 I 5 5�
i (� N
3 LEGEND 5 SITE PLAN
o W �� � TITLE
o00 / 100.0 PROPOSED SPOT ELEVATION OF LOT #3A LA\IVTON LANE
4
57.2 100x0 EXISTING SPOT ELEVATION F
PROP. E
� •� IN THE TOWN 0 .
R IONCONTRO ' � �' (CENTERVILLE) BARNSTABLE
ORK LIMIT U i 08.9 F�' -
100
� ASS o-- PROPOSED CONTOUR
PG
100 EXISTING CONTOUR PREPARED FOR: BAYBERRY BUILDING
� W --_ _� � o o 30 0 30 60 90
8.� 9 BOARD OF HEALTH
o 1 APPROVED DATE MA SCALE: 1 " = 30' DATE: MARCH 24, 2004
st 126.30 n
52.51, •7 n
off 508-362-4541
fox 508 362-9880
r' BENCH MARK - TOP OF CONC.
D _ tH OF '
BOUND ELEV. = 45.0 PROP. SHARED DRIVEWAY TO BE PAVED I �ZNOF �.
down cope engineering, inc, �� Ss9oti ��� ARNE '
O H.
Z
CIVIL_ ENGINEERS ,::Thl OJALA
r- LAND SURVEYORS 0. 30792 6 6�
z 02675
939 main st, yarmouth, moa OJA P.L.S. DATE
03- 108-3A
i
TOP FNDN. AT EL. 54.0' SYSTEM PROFILE TEST HOLE LOGS
ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN
s' of FINISH GRADE S. DOYLE seRVICE Raw
ACCESS COVER (WATERTIGHT) To ENGINEER:
52.0' MINIMUM .75' OF COVER OVER PRECAST T WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 46 0' WITNESS: D. MIORANDI, RS
z 2" DOUBLE WASHED P ONE
RUN PIPE LEVEL � DATE:
. \50V FOR FIRST 2'PROPOSED 1500 3' MAX. PERC. RATE _ < 2 MIN/INCH
� syo
GALLON SEPTIC
! , y
n 43.0 9721
JH-20 ti
49.0 \48.75CLASS SOILS P#
TANK (H- 20 ) GAS
BAFFLE � 42.28' 0 0 a O O 17 C] 0 Ad
4� 45 0 42.17 0 I1 11 0 0 0 I= 0 O o 4' AROUND
MIN 1
( 2 X SLOPE) �6" CRUSHED STONE- OR MECHANICAL 80 0 0 0 0 I� I� f� 0 °
2' 0 a ED a a 0 C] I� 0 40.17' Focus N
COMPACTION. (15.221 [21) 4 ELEV. 4 , W►Y
DEPTH OF FLOW = 4 ( 5 % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE �" 44.5' p 44.8 5 8
TEE SIZES: H-20 CHAMBERS A A
INLET DEPTH = 10" SL SL
OUTLET DEPTH B
_ 14" 4" 10YR 3/2
4" 10YR 3/2 LOCATION MAP NTS
-
FOUNDATION 13, LEACHING B
10' SEPTIC TANK 124' D' BOX FACILITY LS
48-- A9\ 6.67' 249' 2.5YR 3/4 42.5 LS ASSESSORS MAP 21* PARCEL
ZONING DISTRICT: RF
C1 30" 2.5Y 3/4 42.3' YARD SETBACKS:
FS FRONT = 30'
----� 47 C 1
35„ 2.5Y 7/2 SIDE = 5'
A_ 6
8 / �` >>. C2 FS REAR = 15'
4 ` 33.5' FS . 2.5Y 7/2 FLOOD ZONE: C
R
42" 10YR 4/6 ' 42"
4 ` U11L *OPEN SPACE SPECIAL PERMIT
C3
4 �`���c 2°r PROVIDE REQUIRED COVER PERC GRAVEL C2 ALLOWS REDUCED SETBACKS
_I_ 4 ( TH OVER PIPING " PERC
FS
120
G C4 2.5Y 6/1
GRAVEL
2.5Y
132" 33.5' 132" 33.8'
u-nL POLE 3 PR P. �Aw NOTES:
3 ��10'�O ��A ARt \ � NO GROUNDWATER ENCOUNTERED ..
148 S
_11.. DATUM IS ASSUMED
36 ( AL)
#s SEPTIC DESIGN: GARBAGE DISPOSER IS NOT ALLOWED
#3 #4 IlIS #7 .. ( ) 2. MUNICIPAL WATER IS ,van ,4F31 F i
330 3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT.
\ UN i RB e j DESIGN FLOW: 3 BEDROOMS ( 11 o GPD) GPD 4 / _ 20
USE A 330 GPD DESIGN FLOW . DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H
Eck' \ SEPTIC5. PIPE JOINTS TO BE MADE WATERTIGHT.
�� #e 1 PROP TANK: 330 GPD ( = 660
#Z sus. - / 2 e � _2_) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
s•0, so. �i. �� `� / USE A 1 Snn GALLON SEPTIC TANK ENVIRONMENTAL CODE TITLE V.
wDE � PROP. LEACHING: 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT
\ P LFTIDN. - 54.0' 6 SIDES: 2(25 + 12.83) 2 (.74) = 112 TO BE USED FOR ANY OTHER PURPOSE.
PE 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.ING
#13 #10 WP BOTTOM: 25 x 12.83 (.74) = 237 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
#12 ) INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
TOTAL: 472 S.F. 349 _GPD FROM BOARD OF HEALTH.
3�' ` '�°'�o �� �ti �.y �� so 0 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR 10. DRY WELLS PROPOSED FOR ROOF RUN-OFF.
EQUAL) WITH 4' STONE ALL AROUND
o
56 9hrO9 9Q
37 UNDISTURBED BU
P P 5
w LEGEND TITLE 5 SITE PLAN
MR9P. 050 OF PROPOSED SPOT ELEVATION
Lg', #3A LAWTO N LANE
Ih� 100xO EXISTING SPOT ELEVATION IN THE TOWN OF:
PROP. EROSION CONTRO ��
,D8.95' BARNORK LIMIT UjlP P .N p
(ALONG P � IS �� GG�sPROPOSED CONTOUR (CENTERVILLE) STABLE
r- PROP. �6WN W p P
EA* P b P� 100 EXISTING CONTOUR PREPARED FOR: BAYBERRY B U I LD I N G
� -
*LAWN TO BE UNDERLAIN
W
w - WITH 4 LOAM, WITH
- `-- 9 ---- 0� >>o�° SPECIMEN TREES 30 0 30 60 90
PLANTED WITHIN LAWN
AREA BARD OF HEALTH
1.
�0 APPROVED DATE MA SCALE: 1" = 30' DATE: MARCH 24, 2004
126.30'
52.51• _ REV. 5/10/04 (CONCOM)
n off 508-362-4541 REV. 9/18/04 (MOVE HSE)
'
fox 508 362-9880
r BENCH MARK - TOP OF CONC. �(NPFM,gs �ZHOF*s.
D BOUND ELEV. = 45.0 PROP. SHARED DRIVEWAY TO BE PAVED I �� S9� �``� sqc
clown cape engineering, inc, Boa ARNE H, y° ��� ARNE yy�
OJALA o H. '
Z
CIVIL ENGINEERS � No 0792 y U � No.633448� ti
LAND SURVEYORS � F�c/sTE� � �� 0 s�0
7 AL
m 939 main st, yarmouth, ma-b2675 03- > 08-3A ARNE H. OJALA, P.E., P.L.S. DATE
CB FM.
71.05 �k , . Ref. L C. 22556 F
Note: It is not the intent of this plan to represent '
I certifil that this actual surveil ri.�s that the property lines and electric easement lines are ,
{ made on the ground in accordance with in coincidence. t0
the Land Court Instructions of 1989 on or•bet wren 08,104,i99 a 08/ 7 01�Iurvex�
N�'
•'�"'1• JACQUES JfORINDate Registered Prof stone : LOT 14
COMM//ELECTRIC:.
�. NSA•
o LC. PLAN 225568
JACQUES MORLN .• \ b '
' \ N
CB �+oU,VD
4 %37 \ BGRRIF,D 0.4 Cti
Rw JACQZiES .'VORIN 1�y �6ge. ,� REMAINS OF
�� �� BRORW CB I
'. I SER i� •18 4O 00 '� FOUND I
d WATER LOCUS BURRIED 0.6'
_ , EN ss is � G Jso�
{ O NCR SHOOT F YIPS E f EN` 8 0
L 'G HILL RD. O , , 9 ��,�,
i ,
8
NIF _ 0., 8, SS f 91 ,
j JACQUES MORI.N 314• - ' ' P��E- _- ' -693' 0�,27i 01
P WEQUAQUET
SET •• y
LAKE ' C8 O ��
F.
LOCUS 1AAP SCALE: 1" = 2000' ;lb O
j 6 /
O
-
i .� R JR p •A2.OgOf
'
N
ASSF,S.>ORS .ttAP 214 PARCEL 15 & 16 0
r,� - ' - ' OWN •' oo q tip'
•
k- - •/Y� O , gtt cra, - O S
ZO.VIA'G DISTRICT- RF �ss
o -
GROG;VDr�'ATF,R, OIFR,1.11}; GP ca DISC, .� 3.63 CIO.
a' N/F' �o �• h� .W ~�
RF,QUIRFD L07' A eRA: 43,560 sq.ft. - - J
'17,692 sq.ft 0.40 a c. ,{ vN �40 0
' � CB END. .•' I - `rss o
_ - 9 9. b JOSF.P11 J. .VCLA UGHMN - - - � NOT
REQUIRED LOT FROA7AGh• 150' 65 2 ✓-
' _ ti THE PURPOSE. OF THIS PL+W IS TO CRF.ATF, SLV A W
85,18'AO '0 . `D✓�, p �j�, . \ .�ti LA11�D COURT LOTS
BIILDIII G SF,TBACKS. ' N ' - T
r � ao � � : LOTla AND LOT JB SHALL BE COMBINED TO CRF,ATF,
FROM T 30 r
0 BUILDABLE' LOT - BEINC LOT 1.
SIDE 15 ' Zr 'DISK A.
'� LOT12A AND LOT 2B SHALL BE' COMBDVF,D TO CRF.1 WE
" GrA►D ,. • ro ONL]' BUILDABLE LOT -- BEING LOT 2.
REAR 15 E- � �,� O N7 N867 1 E . \c+ (�
,rlt` A E, �0 I 3 �'/��� AND 4A HAYS' BEEN REVISED IN ACCORDANCE.
1 THA DATA n ��� E� O ' \, .?o Lo �.ds 0,24 �� �. y LO 3A O URT ROAD MA Y ABANDONMENT RF,Q UIRMNTS.
LOCUS DOES AOT LIE I-ti A FLOOD HAZARD ZOJVE F• �Z� F � -S 4 K7TH LAND C
C�'C A• „_, �/ 63.ih,V,,r ti8 ' ;, 4a' TCe sego' 0 O�
�1RL�i TO BE' SUBDLI7DF,D.
l� F� S 8• r o 14
v`9 acres E 'C 1p' '�� 9 ��.
�� THIS PLAY IS SLB✓ECT TO ALL CONDITIONS OF PLANNING
I,� Vn
2 J� r - b✓��� �'s'A• BOARD APPROVAL V.IL OF "LA R7Y Y I1=' DEF7XTrfVF. OPE.�'
T'OTAI, F3'ETLALVD f1REA _ 5;731-sq ft t 0.13 a c.. z\ ._- ,' r. Ba, 11 1st N - ,�, .9P.4 CI' DF,T Z�'LOPMEYT P,..i,Y ,LS,�D Rf'LA TFD CO 1 N:LYTS
TO YAI, ROAD AA t' ARRA � , 7,414 sq.ft. (0.17 ac.)
1 F _ OO s ft. 0.02 ac. ,• ., ...,,,_.,._._ .._...,. ... 1.33 F ��
r -
TOAnh DXALtAGf. 'LASE.►.F. T AR.A B q ( ) VAT • ,
•. ,, !� s 1
' T c• �', Less Wetland) \\\ •' � - � - 4 :''�a.23 a'o b•- �O.OB .�C.y, 9C � � I
O1'1L LOTS DE IG. FD ( ) o \ . o.J UR
- r s
q v 2.5.9 a ems. -
a. Sb'T 0 i i _ _ f
�c W B
F.
- .., ; C h b
T,fL OP, IF .,
LT3 , .
� � .
AOD WA} o _ , 0
LENGTH OF PROPOSED R 5.31 /06'-
( 177 L F• AT CF,NTERLIiVE) °� " " - ti .A
,92 F , . _� ->t _. = �ti� BRORT N CI3
Nsg�1 ,,,, .-• .• � , ,- • ors BG'RR.fF.D 1.2'
RF,F1�'RFNCE SUBDIT'7SION FILE # _ ✓ ,�� �lllc 22,092 sq. 0.51 ac.
,r A rotial of the Planning Board
-' ��s Wetland p (held) PP 3
APPLICA-ArP
Wetland L T �,- 0 ,h TO T1W OF BARIVSTA`BLF' PLANNING BOARD
B_A}BERRI' BUILDING 1.0
C0.1fP�liV}' � ,��
.T •�
BEA.RSE S Tfa Y L�1' �Ii�: _ ... _
• � � Dote of Hearing_' '�• ' 'Da SiQred , •�-'�- � r
H}'ANNIS, _ItA 02601 Czj r-� -• .
�L� Total Area 30,148 sq.ft (0.69 AC.) 1 N I
0TINER.' . -' 26,863 sq.fG 0.62 ec. tt 160 sq.tt wetland •�i `0.1 LOT 10 L --�--
LE11r01' TRCiST W oPortion of La wton Lane �, �o 29,998 s ft upland `a- 2� / ��t ti lotCA To Be Abandoned (Dotted) y q P 1` �, �• qb ►� 12440 F OCEAN Bl,1D26, ''� h L C. PLAN 22556H -- �APT. C-105 �,, - y '
r ti �'' i
STUART, A1A 34996 60. 4 127,,p1 �o• 04/27/Q1 ` ,
.
..� ..
Sri. 0 i V ipe SFT G¢ ANTONIO FERNANDES
•Z CERT. 15507E CH .E 95. c41, 00 CB t ND. -
RICHARD 1�' SHIFFaIAN �:. -,�-' SBq�4b9M1. f .5g'a9 I Aelb•91 ,�t' 1 LOT 9
�s sy ,�',-.� OB96 ;(59 50 00 ey�,e_ ce 25 le •65 F � - --
"`p? SB55004"A" ,r'�, ,;-,'6A1t;�0 6810 s f /0 5q.t g1 0.61 CB FIv� �-� --:_._
28.00 V787023 t.' 5P5�5 �0 �� +� 9 [ easement 5 LC. PLAN 22556B v .
68.86 �� 9 y 1p9 68 8.9�2 5 ' v
LOT 1B 2,955 sq.ft. , p ; ' S. ��6, �� NB6 1.14-89 0.10 41 ant r� i ,V,IF i. Nate: Approi l of this plan is subject to .r ,,.�_
�S o5 E asem ANTHONY MARTIN y here with
snth covenant to be recorded , .
Dritie;ray & Access Easement' 25l 5� , , 9`i ••,�``_ Access E
O N867740"fs' 20.00 0.00 / `
120.49 CB SET 04,127.-01 -`'�'-DrjirewaY & oo, -
: 4.
!•'� ,+
50.oo ' - 110 M . �...
CERT. 157381 '38,34 1+,
126.30'
-` ✓ACQUF,S N. MORIN ~�. p'A'BB7740"F, O N69
LOT
. S8677 4 •� .
0 A' ,: ., 1,Zy _;-clerk of the
Former '� Town of Barnstable hereby certify
. ' L C. PLA.: ..25561I -
"�� - . . . . . Lot Lines 6
_ � � I y'9 �� � .; 0 L� that the notice of approval of this r
16,283 sq.ft 0.30 ac. -1. o �'
gyp � plan by .the Planning Board has
N867T'40"F �� LOT 213 LOT 6 A1.fll:RT :ICOT}:RA 5 been received oa�d recorded at this r t ,
p Lot lA �� 151�.ft �W LOT 7 CA F.tiD g- office and no notice of appeal nas ,
o J3,328 sq.ft 3t'00 p
LC. PLAN 22556}3 received during the t><ventJ days
ti o � ti next after such 'receipt and recording
Drain o � N;iF L C. 'PLAN 22556D
� of said .notice. `• ,�. "'
Easement o o , , �� •
CB A OT FOUND
- 600 sq.ftJo r KUR'1' 'v%I+ t Z` - .6�
GRAPHIC SC_11.L � - .•»t�
�SIR ,_ 3 ;;p o° LARIVRERF: ROBERT NELSON �, 56 0 20 eo ,eo Dote Barnstable Torun Clerk l
179. 71 40
.i8.09 t O ' � R - 25.00 "� g � 17
1 .
CB END. O j A9677 �r� =_ , / - - - -- - ------. . ._. r--- ------ - ,
!0 f I. 39.27 y
123.00 ,
• , , lr-127 7q
IN FEET > I�A T1rT O 1V IIII-, ,S
N6677=f0 F 26.99 L-74.55
101.98 I inch = 40 tt
- 1 5!UBDrV1.SIOIV 11,TtODH ICATION, YL.LV OF l.A]\`D IN r
T/1.I�.� 7. I31A�?1'ti S T�L I3 LT'. U.
�ll'1
Prepared For _
BROKEN CB FOUVD
A'8677'-f0"E �T
I3��_YI_�.��.I2.��' BUILDING CO1�.tUr.1 Y �' R•
BURRIFD 2.0' CB WI DISK FOUND / 429.54
PORTION OF - Plan 22556 F' ,end tat 5 As Shown on Lend Court
BURRIF,D O.B LAAr�'q,V -_ -• � I ---- Being A Division of Lot 3C .Lv Shown on Land Court _
E CB TfiD1I 1,'OL:'VD
Plan 22.556 R
TO BF, ABANDO.YJ;D
' (held) .
(DOTTF,D) ! Date: Augu. 27, 2001 Srnle: 1"' 40'
CB I /DJI FOUND
N .1,, ..,� ti Prepared fly:
JOIIA' PA VA,VO N/FlIOTF,'hLO held .OF P ,
Stephen J. Doyle and Associates
CIIRLSTOPIIF,R J. �` . '•,� . •� I 42 Canterbutry Lane, Fast Falmouth, MA 02536
AND N,iA' ,JOItA' H7tITMAN
• .. -- ---. Telephone: ��OEi, 'S•40 -253•'V
LIA'DA BRO NN
Job R00017
• r 5�3��J�S iQ N PL-•AN I