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0114 LOTHROP'S LANE
ILA LOT f?ms L-W rneado y UPC 12543 Now HASTINGS, MN ��•.1`vkY +Y`' ' .:ssT+ :�`F-x:S, c ` l.r�� , �'.+1r'`i�j1Y. e. `�v�...•�'Y•:Fy�,::y_,t. i TOWN OF BARNSTABLE Permit No. ...3.31.9,3.... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .... 679 ` Jl ..HYANNIS.MASS.02601 Bond .x CERTIFICATE OF USE AND OCCUPANCY Issued to Barnstable Assoc. , Inc. Address Lot #18. 114 Lothrops Land West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. November 18., 19......91...... Q, ........................ ........ ............. Building Inspector TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � I � Parcel �. � F .�y ,; Permit# Health Division ��' U'7 le7 f 2 3 i d3 Sul POOL- bra i�`f, 10`AP., D ate Issued Fi eC Gov 3 1� - J kit Conservation Division !o 23 �S)A -� ' j Al-'Application Fee Tax Collector Permit Fee l/ Treasurer EP't eWSTEM MUST EE Planning Dept. INSTALLM IN'rCOMPL 5 fA��� Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AN-1 I 1 Historic-OKH tW Preservation/Hyannis TOWN REGuLP TION1 Project Street Address- o-4), ro os Village S Owner TO e- 0 Gr,-n (J Address / !* Kalb ro os l.G_ W,(' cr s+c,tiIe_ ma,, Telephone _60R - 4 2 2 ,- 1800 Permit Request Xhsfc.11 ok. /8'x 36' V; h v/ /; ►, ��- ; -sfeC-I wc�tl Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I_!5,nc)o Construction Type 5-le-el wr,il< tiyl l; h e, Lot Size 3 A of IV 7 s,F Grandfathered: ❑Yes ❑ No If yes, attach supporting'documentation. Dwelling Type: Single Family I� Two Family ❑ Multi-Family(#units), Age of Existing Structure Historic House: ❑Yes (dNo On Old King's Highway: ❑Yes 4 No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new ' Total Room Count(not including baths): existing new First Floor Room Count • Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size rp—ooUb existing [ new size 3b Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use - Proposed Use - - --- - _ / BUILDER INFORMATION Name The. PnnL. Telephone Number _508-586-3552 Address i,/2 1 r3rV l 4w -te_r r. License# 2 3 6 W, e),^i a r Le�c r /11c.. Home Improvement Contractor# %'•3 6 S 3 r Worker's Compensation# 6y Zt y 934'5 d D 13,8-b3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO • SIGNATURE �! DATE /O d p .S FOR OFFICIAL USE ONLY PERMITWO. i DATE ISSUED MAP/PARCEL NO. 1 4 ADDRESS VILLAGE OWNER a 4 i DATE OF INSPECTION: f .\� FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ',. FINAL BUILDING77 t t' DATE CLOSED OUT ASSOCIATION PLAN NO. _t The Commonwealth of Massachusetts " Department of lndustrial Accidents -- = Office 01/oYestigOONS 600 Washington Street Boston,Mass. 02111 Workers' ComiDensation Insurance Affidavit r name J ©L ►. J v ►r ' r1 s, e, w _ T a te o o location `t j-• o r��S �.o • 1 city n 5 1 c116 1 ems' I&A phone# J O$-_5 86 .3'S 5 7 ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one worlii m' cap achy %%% %%//%// ///% /%/I� (S am an employer raviding workers' compensation for my employees working on this job. X. t< ` 'rodany name` �.� XX •.`atl�tx <'•''• >' �y; s:>.: ... � :::.::.......:.......::::.::...................... . atw r X. %//i, ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: `compsnynam :::. :.:.:..::::.: ::::..:.:.....:.:.:.....:....:::::::...:.:::::.::::;.:...:...:..:.::.,..::.:::.::::::.:::::r. :•Yr:•Y:;�:•::::::::::::.�:::•::::::::::::::.»YY:�:'•>:•>::::�i:%2::::-:>:::::�;:•::::'::•::Y:•::•::Y:>;:::;•i:i:;?•::;•;i:::::::�:<•Y:?:::>:•:::::::.�.�:•.�:•:.::::.�:.::�:;;?•iYY;::. ??:;:::i:-i:::i:�i:;YYY:•YY:?:::;•:;:Y::•i:;�:::�::•:';;•::::?:.:;::•:�.: ................................. .. ........................:......:-:::::::•:.� +Y>:ii:-::.::�:.�:.�:•::;-::-:�Y>Y:•:;;-r:.�:::YY:•:::.YYi:•::i:;•:::•.;•>Y:::;;;:;;Y:»Y:L:•Y:::.is........:.::..:.......:...:.... ....... .................:............t.,.... .............................................. ..r. .:;..:•,.:.:;;>:;;.::;::::•>:.::::.:::;;YY:.L:<;::.rr::;•:.;:Y;:::..;:::Y:•:;.;:?;:.i:.iiii:.;:•::::::;Y;Y:?;•Y:•:•Y:.Y:-;:;.;;;;;:.:;.is;;:•:•;:?•<:z.:i;i;i::;•Y:.:i?;•;:•Y:::;i:;•;>:.:::.;::::h clay .:.:::.;:.::...::. .::.;:::;...:::?.;:.::.::::.::.:::..:r...........i ...:... .... ........... ..............................;:•.........................:......... ....:.................:::•::•::::r.../........... ........................, ?•:::•i?::•ii::-:;'{•Y:r.....iY.;:.vr:::::::i:::.vp:•Y:•........ :....... vr..tY:.:.,.:.�::::!•. ::.::.:...........,......, , ::::.........................:.:::::.::.:: �.,....r.... ........ :............................ :.:::........::.. .........L............... .. :.. .................................,•:.............. ........................:.::. ..: .: ...... err. ,•..::: .v.......................... .................. .. .... .......{... ......r ............................... .:..:w::::r.•:•::n::r;,'•vii'•.v:n•m::n:•;:::;.}::•:::•v:::••t.:,:::r.•.v. v:.:...............................t:•:.vv: ..r.v .......v..,...... v....... ...:......:............_............ ............... •'v::F.i?::vnvCv.M.-J,w,JJ:jJ.•.:.:,^:•w::- .. ............................... ...................::::::::::::.:v v................ ........................................ � :. :::•w:•:::...........................:::.:i:v:::?•Yi:•Y:::n.......:.:.:...:.::.v........ hstlt'shee�ca;::>::»:;:::?:.::.:?.:;r;.�.::;•':?<`;;,':?#;?•Y:•:.Y:<-+;••:»•<•::::�::.:::::::::.:>::...................................... :::::::::::::.::.::::.::.::.::.::..:.. :.... .. ... ohct+.�-...:...:..:.:VRENE .,::.::::.:.�::.�::::::::.::::.::::.:..............:.:..:.::..:..:;•::::::•:::::•::.c i >< adiU ........:::.:...::.....:........::.................. ...... .......: fi '`h 8II <b :sir:::::»:':::i:>:z:::::::>::>::><>:::s�:>::::::?>:>'::;:><::<::<::%:::'<:r:>«:>:`•so>:::<z:<:::#�>::s>�'r�:#::: ii:Ji:its::ii:}:f:;i.i:;ii:<+vijj:9;:}:•:.4.vw:v:;{n•n;::•?'.Y}v.}v:.� :.v{:::.v;4:-:n.+}..:rw:r:v:i':::..i:v':v'w;ti•�;;..::::::•:}:•::..::ni•.:.;{:::.•i•Lvi?.:.:;:::}w::.;::.v::.::;:.::..vi:v...::::::�:i'?::::.i::::.i::v::ni':::nv.�:..::.. ;;•},;•Y:4:::'+:vY:v:?viY:i:•iv:.:vY:•>i>:.v';•.5:::::r v::;-YYY:;•i:v>YiY';;•>::iii::Yii::4::;•.v:}:•.v'•^:4:4:iY:Y>:?;•Yi>:?:r:;•Y:is?•>i?•iv:•-Yiiiii:{4:?�i'Fiiiii:i�:•i:;4:8iiii:fi:�:•:;v:y:::::•:v::::.v:::::y:: .......................................::.:v:::•::.v:.v:::nvvnvv:::v.:.v::::::::.::.�::::::{:q:Yriiy,...:., ::::::. ?•Y:•:�YYi}:�:<??L:•i�•Y:9:9:•:;?ry}>: .::::.........................::v.:v::::v•.n.n. ..........v:::•:v::.:v::::::•..:.:...........................:........................L............ .............................:::::..............::;:......:v:�::.v.n Y.v.�:::.v.:.:::.::.:...::.v:. Fame to secure coverage as requited wider Section i5A otMGL 152 can lead to the imposiition of criminal penalties of a 8ne up to 51,500.00 and/or one years'imprisonment weII a,dvd penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day agaitut me: I miderstaad that a copy of thb statement may be forna:ded to the Office of Investigations of the DIA for coverage veriScation. I do hereby certify under the pains d pen of perjury that the information provided above is trru and correct signature ��- Date /o%o/0 3 Print name J o e. c e-+ Phone# S - Jr 8 G -3 S 5 9 - oiHdal use only do not write in this area to be completed by city or town o>Bdal city or town: perndt/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other�� (mead 9/95 eJn) Information and Instructions s Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or.other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state.or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the.insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants . Please fill in the workers'.compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and L- 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 Depart r 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 Permit/license number which will be used as a reference number. The affidavits may be returned io 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. 'lye Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents . OQtce of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 r FIMET Town of Barnstable Regulatory Services BAMSfABLE. ' Thomas F.Geiler,Director 9�A1$ASs. 0.39. p`0$, . ,f 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 IMTROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. p Type of Work: Zng,r \ c,o k Estimated Cos 15 000 Address of Work: f �,n��, r S 1,c CA), r r&-N s c_h e- a. Owner's Name: J r e Vl r O Date of Application: /01.2 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 E]Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MUROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the,agent of the owner: 0 2 0 0 /La l 3 33 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav °F Town of Barnstable Regulatory Services sn MASS.i e Thomas F.Geiler,Director 9�A i639, ,0$' rED3+� 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 I, jo e— o. r r o , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: AO-�"// YoaS 4cO v%e- LJ (3c•rncic.61t (Address of Job) �S nature of Owner Date Print Nam i Q:FORM&OWNERPERMISSION KUYA 18' x36' - 2' Radius �y 36' � I I 32 ( , 2,R 8 8 8 8 2'R 4' _ 1 6 6 4 LIGHT 36'5 3/4, 5TEP PANEL 10' UNIT , OPTION •• 8 I 8 3 ? f■` i. 4' 2'R g 8 8 8 8' 8 STEP 2 R UNIT 1 1 i I ' 1 t 3'4" WATER DEPTH MUST BE t 8 MINIMUM 7'6" 'Y ♦ MINIMUM��2" PARED BOTTOM If- 4' �'f� 6' 4 14' 12' NOTE:On:pools,with.a,&iermoptast ::s4t p;ail. a A-frame is required on each side'of step unit, 18 x 36 COPING LAYOUT 18 x 36 w/Center Ste 1. Stiuuwe a dgigiied fa use:tielow gr,de atiA only inuem where the ground water. 12 12 8 tihiiiiso"m'Td4'V.W6"mep°pae°dfi"1c1'°°g'ade 8 x 36 w/S•ide Ste2:'Baetddl wab elm eart.K*.ofroets,ttd debris.Do na,nowthe betghi ofbadtfdlto6mdthebeightofthewateriatepoolbymon:thanti r!wwwwt6cxoxLbackfill'84-RADIU5CORNER5 g DESCRIPTION PART# 3.• Po'u2sooPsi:000aae fooung arum emte penot uitotmum g":deep. 5-12SECT10N5 7 6[61 8'PLAIN PANEL 05102 4::3'waegooaaaaedc"btobeyaoodalraurmiclmwam,ilapeor.lra?.m��awaq:hdm� 6 4-&5ECTION5 6 8'SKIMMERPA L 05104 mepnm, 2 12 8'RETURN PANEL 05108 5.-.F&iWtW b000m iito be r minimum of suitable material or mciii bcd ea'th 05110 6.. A'aafay hue;wbb buoy,•u w be pemta,tently,nached-t 0"rodte ahanow aide of'. T PLAIN PANEL thepdmtorfuasbpe'ehww 12 12 8 2 1 2 6'PLAIN PANEL 05112 7. "wag:coping kngtbs an;epprosungte twits mgy ix needed on . ka ; e:ar . s mtw6ions toroRdiuieoron AL iw ADJUSTABLE - E.imfMuDnwtg: Tese dgwrogs adnota PANEL1 °nd:wxa+doner�aY 2 TPLAIN PANEL 051 28N:nrmbyandsUepw3gity6ftheaomm.whois ratan 2&w ofthe;.. PLAIN PA NEL 05129 ": mmuftimer of the tprnpaent psei.'.::; •t '9..'Lutallatioo i3 to-be.done,in aocardaaa wiltIr' 14 atd heal buildt r' eodp;u.we0 si NSP1:suggested ttairdardsr .. SAFETYNOTE, 414 4 2'RADIUS PANEL 05161 Pool Donnm coohgguurauons aie forulusbiativapmposesonly 71ie:t�nligu`: r MIN. 8 19 10 1 A-FRAME �; radon shown twnforms with,current N SPI suggested mmimumstatrdards,. 26M P.S.I. : for p'oois:*!ovw.for,use-with manyfactuied.dlying•equipmeat if'drving CONCRETE 1'6"PLAIN PANEL 05131 aWmedusinsmHed•followtheequipmenimanufacturersiastaltm.ioti use FOOTING 190*Ft FILLER 05197 + ' and may msquuigac 1 1 1 NUT&BOLT PAK 05202 g permiffid fr 2'srr 1 1 1 STRAIGHT COPING PAK only`from designated diving area... OVERDIG I Per. 104'6" Sq.Ft.644 Gallons 27391 -25- t TM wIm ear s e QUAD - CLUSTERTM CART RID ,GPFILTERS i P Hayward SwimClearTM cartridge � filters establish new horizons in high G� performance and operating convenience. Utilizing a cluster of four reusable polyester cartridge elements,they provide a choice of 200,300,400 and HAYWAR_ now 500 ft.Z of heavy duty dirt- �] -- holding capacity and extra long filter cycles—proven to handle an entire o -- season without cleaning. v SwimClearfilter tan ks are now molded i from new and stronger PermaGlass XLTM r ' an improved glass reinforced copolymer, CH t providing the ultimate in o P • � + �®����� strength,durability,and � I long life for even the toughest applications and environmental conditions. For crystal clear water and easy maintenance,step up to SwimClear. You and your family will be glad you did —all season long. r ■ C5020 SwimClear'"'500 ftZ large-capacity cartridge filter , for crystal clear water with minimal care. ■ New High-Profile Manual Air Relief provides an easy way ., to manually purge air trapped in filter. Featuring PermaGlass,-Va Filter Tank Material HAYWARDO , wim IearTM Quad - CIusterTMCartridge Filters New High-Profile Manual Air Relief provides an easy way to manually purge air trapped in filter. • a Non-Corrosive Top Closure Plate prevents elements from lifting and allowing unfiltered water to by-pass back to pool or spa during operation. Quad-Cluster`""Cartridge Elements provide 200,300,400 or 500 ft.2 of filter area and extra dirt-holding capacity for long filter cycles.Precision-engineered extruded core provides extra strength and superior flow. " Self Aligned Tank Top and Bottom make access to servicing Quad-Cluster cartridge r . elements fast and simple. Heavy-Duty Tamper-Proof One-Pi eceC lamp sec urelyfastenstank top � and bottom together and allows quick access to all internal components without ~' disturbing piping or connections. Improved High-Strength FilterTank moldedfrom newand stronger PermaG lass XL' I material for extra durability for dependable,corrosion-free performance. Uniform Low Profile Tank Base Design makes removal of cartridge elements 1 III II fast and simple. Full Size lV Integral Drain provides fast,100%clean out and easierflushing of tank. 3 I l Noryl®Bulkhead Fittings for extra strength and heat resistance. Union Coupling Connection provides plumbing options of 1%"or 2"piping.2"internal piping for maximum flow performance. r • r � r • • FILTER TYPE: Quad-Cluster cartridge elements: 200,300,400 and 500 ft2 total(18.6,27.9,37.2,and 46.5 m2). FILTER TANK: Injection molded PermaGlass XUI FILTER ELEMENTS: Reinforced Polyester PERFORMANCE RANGE: Y2 to 3 HP(30 to 120 GPM) _- 10.37 to 2.24 KW(114 to 454 LPM) DIMENSIONS: C2020—32"H x 23"W(81 cm x 58 cm) C3020—34"H x 23"W(87 cm x 58 cm) C4020—40"H x 23"W(102 cm x 58 cm) NSF® C5020—46"H x 23"W(107 cm x 58 cm) NSF is a registered trademark of the National Sanitation Foundation. r 1 Effective Design Turnover Filtration Area Flow Rate' Gallons Kilo Liters Removable Clamp Tool makes tightening and Model Number h.Z m2 GPM LPM 8 Hr. 10 Hr. 8 Hr. 10 Hr. loosening of clamp quick and simple,providing C2020 200 18.6 75 284 36,000 45,000 136 170 easy access to filter internals. C3020 300 27.9 112 424 53,760 67,200 204 255 C4020 400 37.2 150* 568 72,000 90,000 273 341 C5020 500 46.5 150* 568 72,000 90,000 273 341 'Based on NSF recommended flow rate for commercial at.375 GPM/ft' *Determined by pump size and piping system hydraulics. 2°piping is recommended for flow rates equal to or greater than 90 GPM(341 LPM). Hayward doesn't recommend flow rates above 150 GPM. HAYWARD SWC03 1-888-HAYWARD www.haywardnet.com ©2003 Hayward Pool Products,Inc. f TM MaxiiiiiiiiiiiiiiFlo HIGH - PERFORMANCE PUMP SERIES - • • • t: ■Max-Flo:high performance and value with quiet operation. Max-F JOTM is a series of high technology duty high-performance motor, and exclusive pumps that combine performance and value "service-ease" design for extra convenience with durable corrosion-proof construction. and easier operation. Designed for pools of all types and sizes, The Max-Flo pump series sets a new higher `d and as an ideal replacement pump, Max-Flo standard for has an upgraded design with incorporates ,. a,��®a - performance, swing-aside knobs for easy access to the durability, and strainer compartment and value. Max-Flo — rotally a debris basket that's 50% the best just got a larger: Max-Flo also features better. a "see-thru" cover, a heavy- . HAYWAR D® Max-FIO"" High - Performance Pump Series Exclusive,Swing- N'Lexan®See-Thru All Components Heavy-Duty,High- Aside Hand Knobs Strainer Cover lets you Molded of Corrosion- Performance Motor • make strainer cover see when basket needs Proof PermaGlass'' with air-flow ventilation for removal easy.No tools cleaning. Heavy-duty cover for extra durability and quieter,cooler operation. required.:.no loose gasket assures positive long life. parts...rio clamps. seating for dependable Heat Resistant,Industrial Service-Ease Design gives simple sealing. I Size Ceramic Seal. access to all internal parts.Motor Long wearing,and 100% and entire drive group assembly drip proof.For fresh or salt can be removed,without disturbing . water use. pipe or mounting connections,by —= disengaging just four bolts. Rugged,One-Piece Housing with full-flow ports,assures rapid, priming and continuous operation. " Totally Balanced x. Corrosion-Proof No"V Impeller has smooth,wide Mounting Base provides openings to_prevent fouling or stable,stress-free support,plus clogging.Energy-efficient versatility for any installation design produces more flow at requirement.Adapts 48 and 56 equivalent horsepower. frame motors. Model HP, Pipe Dimension Overall Dimensions SP2800X5 '/2 1'/2" 10 254 m.- 1 O SP2805X7 3/a 1/2" 105/a 270 I '.... . SP2807X10 1 11/2'. 11 279 ' SP281OX15 1'/2 1'/z" 121/e 308 SP2815X20 2 1 Y2'. 13'/e 333 Max-Flo Pumps are also available with dual speed motors. 30 100 27 90 24 80 0 21 70 W 18 60 EXTRA LARGE 60 CUBIC INCH BASKET is 50% a15 50 larger than before for extra leaf-holding capacity 0 12 40 and longer time between cleanings. Rigid (zxP— construction with load-extender ribbing assures 9 30 6 20 free flowing operation for heavy debris loads. S X5 p�07 0 S 10X15 3 10 1I.xP— o.a Kw) ('/,HP 0.56 )0.75 ) Max Flo Series Pumps are listed by: 0 0 0 1 2 30 40 50 60 70 80 90 100 110 120 GPM InI I � NSF® ft. ( —�- —I —ice—I 1 i I I C 0 38 76 114 151 189 227 265 303 341 379 416 454 LPM CAPACITY PER MINUTE ; HAYWARD" ` 2097 1-888-HAYWARD www.haywardnet.com ©2003 Hayward Pool Products,Inc. f i Application to• I ' ®� Zttt�' tg�J Rp a tDttA� J�iotDrtt �Btotritt Committee In the Town of Barnstable. CERTIFICATE OF APPROPRIATENESS pplication is hereby made,with four complete set ,for the e woak aste f desc ibedtbelow and under plans, of Chapter 470, Acts and Resolves of Massachusetts, 1973 for proposed rawings, or photographs accompanying this application for. ;HECK CATEGORIES THAT APPLY: Exterior building construction: ❑ New l Addition ❑ Alteration n type ❑ House ❑ Garage ❑ Commercial ❑ Other �royncQ Indicate typ ❑ ?. Exterior Painting: 3. Signs or 8iilbo ds: El Sign ❑ Existing Sign ❑ Repainting Existing Sign �. Structure: Fence ❑ wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORK Ps l,G f,�- �r,sf�.61�_ ASSESSOR'S MAP NO. OWNER �D e- r o ASSESSOR'S LOT NO. HOME ADDRESS J_ H J%o_fh rQ r25 ��� TELEPHONE NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR OfL --� TELEPHONE NO. .668-862-2387 ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. (� a iB`x 36 1 5 P Q S w °'`' "5 eo d I rr Q ii (J`flt� rGhGC. �QOI 0' r¢ q cJlJl 410yyl A""� 0rinC%M[.Pl AI r�PC-; y � �� �,9r,•t- �,��, S�I•i` cios,:�y 'e5(.f�-S Signed 0 0��c- --•�' �— Owner-Contractor-Agent For Committee Use Only This Certificate is hereby Date Approved/Denied Committee Members' Signatures: &ssss+oasadw. BOARD OF®UILDINO REGULATIONS LleWM. CONSTRUCTION SUPERVISOR N >~ CS O42236 - -- !�:07/2MOS Te.no: 359 JOSEPH R ANGEkO 10 ARBORVIEW TERR ( W SRIDGEWATER. MA 02379 Admu>Istrator OL t mamcaoasta�G� o�✓�t'aaiaclE. Q'i f @otsrd of Building Regulations and Standards ; ;} HOME IMPROVEMENT CONTRACTOR Reptstratlon: 136336 ExP lrta tlo n: 7/12/2004 Type: DBA SRICGWATER POOLCO. XSEPH ANGELO . 13 CRESCENT St. i I BROCKTON.MA 02301 AdretOWjWor __. � I qr ex Ple G�I-Vwi 0� ,. i�o<E-R,?�\ ' � I 1' � I •� - F %fEN➢/xmac 'A DO Y. /00 CARR4LL RrDNC -- E\1 4'L �•�Tcu� 7� / f0('. 1 14 ILOTH.ROP'S LAND WEST --- Gc G�Lv GOrJ4Ct�ti �\ L;,o,�s: ` �::ep ;BARNS'TABLE,.MA xo,o ��.r�Poyeo yPoT runt �J�- <�lll.�//� t �� 1Dv '� �— 102, SCAI,_E: 1 10,-0,, / DATE. SEPTEMBER 15.?003 I POOL&TERRACE PLAN t Notes: - ^REV: Dax mup cte+ued Crom plans by Yonl:ee Survey Concultnnis,June 26,2000,.-ritte V a Upgrade Plan-and the Architectural plans for the building addition dated May 2,2003 b9 Rescom Architectural.lac. - Actual Sitc conditions may vary from thou on the plun. Verify all dimensions aad grades in the field. ; MARY L L@BLANC LANDSCAPE DESIGN -� Building Contractor is John Agricola,Agricola COnsvuction,Mashpee,MA BOX 1422,40 CRAW FORD ROAD,COTUIT,MA . , see separate specifications for planting,pool and terrace. �r - �' 02635 PHI 50§-428-1274 FAX:508-428-4447 MnrvPewiantgsol cam �M51lM G� \ �,� �tl� •�6NG,• JN I , .. f / G lit - 1 Q {�o qc2 `90 _ J B 51o,Jrs \ .— f -. _. V _ .. .'� ' , Anvlrrr-r- �� L aa�—, ter--." __ � .-. � .. � •-fir•- - - - - _ - � � a 1 Sri \ __ ✓ �a '�� J , �...._._ Oc'J, --__. Oh[� E���. ' 1- h_ I ,' _ •. sJ_... i CFt>.0 Yw1� csi,y2fi.__ _A I f %fENp y.rrK. x f. ` 40 QiSw'f'V•rL_ fb- t. X Jol.tS 160 Nr CARROLL RESIDENC -- Fc�•F�7r.a Gorr-out t/�l� / t 14 LOTHROP'S LANE WEST t U �/ to. Yo•O Fr Po�'bL7 g��(L FY01= ^, ( �\r-\ BARNSTABLE,MA `e SCALE: 1"= 1 O'-0" M C DATE: SEPTEMSER 15;2003 i- POOL&TERRACE PLAN errs: 'RCV: Bass map created from plans by Ymdcee Survey Consultants.June 26,2000,'title V - s Upgrade Plan"and the Architecture!plans for the building addition dated May 2,2003 by - a ca Architectural.Inc. p Actual s site conditions may vary from those on the pion.Verify all dimensions and grades i L.LeBLANC LAJNDSCM DESIGN in the field. Building Contractor is John Agricola,Agricola Construction,Mmhpee,MA -BQX 1422.•40 CRAWFORD RQAP,CQTUIT, MA See separate specifications for planting,pool end terrace. - } 02635 EP:§08 28J274 FAX•508-428-4447 Mprypeniunerahol tt I LA I ShM I OF 2 a t . CD R w Application to. �' o 3?,eotonar iotorcc Intotrtct Comfi ffitteeBARkSjgkaLE, In the Town of Barnstable. 2 0119 3 0CT 23 AM 2 r �.' CERTIFICATE OF APPROPRIATENESS M DIVISIDN rpl icatlon is hereby made,with four complete sets, for the issuance of proposed woak aste descrlbed belowteness aodeon Section of Chapter 470, Acts and Resolves of Massachusetts, 167 p p awings, or photographs accompanying this application for HECK CATEGORIES THAT APPILYn. �t ® New ❑ Alteration Exterior building construction: ® House ❑ Garage ® Commercial ❑ Other rla.�'_C Q , co. =c� indicate type of building: c.., Exterior Painting: r-- Signs or Silibo ds: ❑ New Sign ® Existing Sign ❑ Rep❑ Ong Existing Sign Structure: C1Q Fence ❑ Wait ❑ Flagpole DATE �a O%o3 -YPE OR PRINT L>EGIBLYt l POSED WORK -ASSESSOR'S MAP NO.�-� ADDRESS OF PRO ASSESSOR'S LOT NO. OWNER G - -- --(�------- %,o thseos 1 u�c. l.J• c,�n ��.�i�e. �a.. TELEPHONE NO. DOME ADDRESS 4 - FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, Including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR i1 - TELEPHONE NO. .5�8 �2 -2 38 7 ` O u ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work tp be done, including materials to be used. Please include locations of proposed signs. 1 n S fA 1p 0. l9n9 36 .1 r 5 o r 14 S l� P"o 1 (AnA FGnc.e- PQOi �r¢.c�: fcJ•ir� .''f1J✓'''�nur►+ �rni•.r+�n�ai t'ene;�� ,�Y1^1p1�n�Q'L vJ. l}N Sc:l;' CIoS�ny P a'w}ah.�y c�u.1'45 1 l Signed s Owner-Contractor-Agent For Committee Use Only Date This Certificate is hereby ;approved/ enied Li Committee Members' Signatures: i Town of Barnstable Old King's HJghway Historic District Committee SPEC SHEET gOUNDATI Old COLOR gYDgNG- TYPE COLOR. CHzMN3Y TYPE COLOR ROOF MATERIAL PITCH COLOR SIZE WINDOWS TRIM COLOR COLORS DOORS COLORS SHUTTERS COLORS GUTTERS MATERIALS DECKS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS COLORS SIGNS FENCE v ^ -- + �t DOLOR_ _ to be wad. Your aapioa of this Till out completely, iaeludis4 rfteasursmests Lad satariald/oolars T10TY8� with Year copias of the plot plow, landscape loan are required for submittal of as application, along r Plan end elevation plaae, wbas applicable. 6pECSHT vmv4 ead 11198 ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel Q�Q) Permit# 7 6-p®4 alth Division 3 Date Issued ur/.1�A �oy `3L U�% , ! 2414AR 3 i Conservation Division Fee � U PH 1: 45 -ax Collector Fze—A 5t TreasurerD�l115t0i� 1I e;?UST E'f. ��C� 4:7 CSC PLBl NCIF Planning Dept. 71 i r TIT' E 5 Date Definitive Plan Approved by Planning Board � PSENTAL CODE AMA Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village Owner f yvis Address v'Itfte- Telephone Permit Request ;5V11r C1-W,_40�0v2 4&�S- e 7",-eP,--wY ! - _ /go s J Square f t:.1 st floor: existing proposed 2nd floor: existi g proposed .J Total ew Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfatliered: ❑Yes ❑ No If yes, attach supporting documentation. I Dwelling Type: Single Family U;il/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: O'Fultul ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ��( � ''' IY15*0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing �. neidnew Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: GI/Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: Cl Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address � ir'- ���`- License# fJ CJ 19/o, Home Improvement Contractor# f/�D��✓7 Worker's Compensation# ALL CONS CTION 9 BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �L SIGNATURE DATE F- V' r FOR OFFICIAL USE ONLY •l , •y LRMIT NO. • „s° DATE ISSUE12 f MAP/PARCEL NO. ADDRESS VILLAGE t OWNER aY DATE OF INSPECTION: , FOUNDATION FRAME ,g,Ff2lP INSULATIONS' S// FIREPLACES ELECTRICAL: ROUGH FINAL 3 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL p FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. Cr �oF�"E r�ti Town of Barnstable Regulatory Services • anattsT"M + MAM Thomas F.Geiler,Director 16J9. TFo ,r Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I� D SeD GZ �'�® , as Owner of the subject property hereby authorize John �• �q�4 co �� _. to-act on my behalf,.in all matters relative to work authorized by this building permit application for: _. I q (Address of Job) f� 03 tore If Owner Date Print Name r Q:F0RMS:0WNERPERMISS10N .' .....: of Massachusetts : ...:.: . ,• The�Commo. . nlEveaTth. � • Department of Industrial Accidents` • . 660'WashingtOn Strict _ Boston;Mass. . 02111 Workers'..C m ensation.Insurance Affidavit-General Busine§tses ' state, zi h e# _ -- work site locatioli fii11 address e []Retail D*RestaurantBai/ tying Establishment �] I n•a sole proprietor.and have no one± $psiness Th Autos etc. working in any capacity. [] Uffice[]Sales Cmcluding Rt;al-Fg e, )- I em to er with • etn to ees full 8c' art time . ❑Other ' .'t.////%/%%%Z /%///%/////j //y %%%%%y�%/�%%%/%/%///////%�%////////%%/ i ///// %�/%��/� cbmvt ation for y employ �worlan� 9 , ,em�3loyer 'roviding v4orkers t , f• <.. :��..�' ..t.,;: :t�.:• tit;a-<•et•, .•tt• "• -` .tt. td •'',i t.L'}:,r`,"�:ti•,'.' •t, :t�.a.:Nt,'Y�S.. :�'�%'1•:•1'^�+:i. 'yiy� a�'`:rr .::tj'' .:{'' COrp•eII 8ZII .,� r .z. •1•, it t. •. t:;v..T:�'ty�� !..• :n:' •�� �iti•. .••'r•t: ••'•t .+�''' r• • ''•• anti..:. t t :;,, .4';i�. 1.`'•� ,..• ' l� t: '.y�.5 "t'.3:'.. •ra...','�a�5':fi:.ri••t y:,Sv�t:M1H'. t t�:; .t'^ik:.�tl�r;t•� t• am an ' dddress•. '/' + :..t\t. ',�,'• yrr .jtt f.,il•.� � i';{':2• ♦'. •: t'• 4:y.:1 .,'Y 5"•.:3- Y•�' ��f''S'.t, ,�';� •''•'•+• ... tii';'' i. t, Yt•`lJ• �C•',,r .' one. :�'..�•d•=.f'� Wit ' '.•tl. „ra'•:' :•��r , dl' :.:i �� ftt'i '�th.i '. .j l . {:,'. ,t�,. ...'• �' i��('�' ' � � j�/,��, 'tt'• t' •, 't'- X. y.l" ,•,'. 1. •Ol1C.•.tt�' f•••dLY�%�dL!c t •a/"•'• +ilQ'/. •t �irisurai ce.cOd't ' below•who have the following lworkers. • ' rietor have hired the independent contractors listed I am a sole prop , .compensation polices: .t: ,, ' :4•"t {i�r=t�i.,iyi{••:S.• :�r+i•�tPh;yt!j!.t�'t.t••'ii�r 7.�.�'-.�1 .�t ' ,' t. `. ::try :.�• .�; 'tt\:��• r,t•'•. t r,t i...( 'nii, •t Ji:'tit:"i18I11��. .t':i. �' •:. .:.' 't, ..Y is ';P.•r• ''�i,•:' „v.,y'''G.I•,fit;,• •• i Coal 8n •.a 4,• .'...�Y ;, :dfi:t�' :::�•�ift,\t�?`;`' 't••�.. ... •� S i 7f::":•'' 't:' 'r,.;tri+••.'� .•r :., j7,:i; :t'. Z: .•• r•� ',r. •i i t ,: '•fir•. : '.� : •.'•., . `;<.''i.,iti.a tt +::t t.t ��.r' �ii;v X.i�`^ y' .�is r •;i t• _ • ti:; r �, '+,:•r,}„'•.:1''''r+•:., '• • : 8cdteSs:.t Y' q. , •Nt :�'t,.Yt�;�. •'j.. t +t.' �it.•4{ot rtl. ..r. •r,• .'l 4 ,• •,17 '.V•i'• * ::l..tj' •'A' r.�i•••.•S=.iY`p,:ot''I':.'.iS;yt;t h�t'• �• r t'•'' l' i�it' '1'•�.i..+ ipy� t•,p�.�,t0..t't' . i' 't^ ::, ;.•t36 ne ,.• ;!- a `• t. , „ ... •. ^yi`:l l.:•• : :^,r•.;j�iaY.:�,}•d:is^' .it?•�'''�:•t, '•t•. 1t • '' •' .• v} 1.t,'+••>,j..;..:' rf♦t.;i;: arT '.tom' •, i, r ti ,5:. .. Civtt:t:., H,•i :Ca.i%yr,i�.• .:S Jl��L :.. ti, it R.p•. .i 5 i,yt:i �� rJ(•. f:.i,,e +'a• 't' , ti>Y' r.P.•''`>:`D4 N'Yl,t,^n:, S.t• .♦ / '' .•liti •� ,t.;t ":t :,' r; .:4tr-4;.' 1 't il.'G >r.:';7+P L•. ;.:is.r . • �' .:p't•t t�tt:'i•j`.Y •4•• •. 't:•^ •tit++•A: �•�! '• •'t •i• 't.�';t:..•.' 6.t'Ji'?'i•°'+Yt. ti....t..+t:i::tts. :i••v'vs .c. .,t:.t:.: ' :.�q" a• ` 't: •' .%;..:'� t ••ty''i'a '� 'i,'' '•a '.,. :•• t .' 7� ,S,t ••t. ...:t ftl,.n �,:•'iC .: .t `7.•,.�'•,tiq r... r t,. r' .'• -,]„•. t '!9li• 218IIIC.+Grr t.•..:r - '•t - .f , .,; �: coin ,t• .r• '�; .j .. eAdresS: ;y .,yu<.t�'.r .:� •r 4 a• .,0.. .ri. j.t,•h�`y -+;i'i 't t� t+tttl•'•.•<;'j:,t C: ,�' N !!... { t' ,a. `t•' 'i j•' '• r•,' •' i,�• T '�•. +��i.t .:i•�•• ,T'••,''r t:4. '''•`R''.. fit,,:��•7;'i,,,' ':t,,. t .i, • .�,,. :i E4. •5:���i.: •:•✓t.•i.,: •:J;.. .t ...''t: '.f• r'.v ..tt '. t ,t,:.,i• ...�'.;., :+ .i�,ll•'t�.St,K.l. :t'i?,:'t:':.'.:.'tit' •i:, t •t, �ii;... :+ '%"{'.t,;:''•�' r,::i;. r. e�� �.ar`:: }:;i,1'}S•'.tE•l.3,- o11C: sv :t�,�'' . r. . ati+l'I''t:•S''' .fi•::b'• .y�' :}.:::••l•':tti•:•: •.,-i .: .: IIISV I {; Failure togsure coverage as required under Section 2e oYm of as 6TOP WORK ODE snd a fino of$10�OOee d,y againstmme�I und to erataad that it Oise years'imprisonment as Well cfviipenalties nth f t copy o f this statement maybe forwarded to the Office of Investigations of the DTAfor coverage verification I do hereby certi uder the p and penalties ' perjury that the inform provided above is true and cart© ., Signature �� hone# official we only do not write in this area to be completed by city or town Official permit/license# []Building Department city or town: C)Licensing Board ❑Selectmen's Office (�checkif immediate response is required []Health Department , phone#; []Other contact person: (revised Sept 20Q3) Information'and Instructions- on .ter 152 section 2- requires all employers to provi$c workers' compensation for'their. ` Y Massar,14tett$GcdcJ Laws'• . p , i:;t. employees: .As quoted•fromthe f`l vP an employee is.defned as every person in the service of another under any contract of hire,express or in*l ed; oral or written. An employer is defined as an individual,parhaership, association, corporation or other legal entity, or any two or mare 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,parta-ershipx association or other legal entity, employing tmployees. 'Howevei.the owner of a dwelling house haying-not'inore than three apartments and who resides therein, or the occupantbf the;dwelling house bf another who nplbyspeTsb to do:mainkenance, construction or repair work on such dwelling 6ie':tr on the grounds or r an thereto shall not ause : of suchemploym dto ent.be deemebe aii employer.••,. building gpp er n. :t ;t bec :, •_' • r . . ter.152 sectibn 25 also'state5 thafevery. state or Local licensing agency shall withhold the issuance or renewal MGL chap Y Pl?. of a license or pern3 to operate a business or to construct buildings in the.commonweaIth for an a licant who has not pt-oduced acceptable•evidence of complianire with the insurance coverage required.' Additionally;neither the' commonwealtlinor.any.of its political subdivisions shall enter into any contract for the perfonnance'of public work untf acceptable evidence of compliance with t�e insurance requirements of this-chapter have been presented to the contracting i authority: . I F ON Applicants Please M the workers''coupensat�x a€ddavit corr�iletely,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 nt of Industrial A:ecideAts. Should you have any questions regaz requested, not the pepartme dirig the'"lave'or if you are required to obtain a•workers'.compensgimpolicy,please call theDepartment at the number liste3below. OM City or Towns . Please be sure that the affidavit is ebmplete anclprmted legibly. The Department has provided a space at the bottom of the affidavit for you to fi11 out in-the event the Office of Investigations has to contact you regarding the applicant Please affidi-sure to r YOU the pe���e number Bich will be used as a reference number. The.affidavits may.be•returned to. be mail *FAXunhss othe'r'ariangem m entshavebeenade• the;Deparimentbj�. or' . . . .. would like to tank you in advance for you cooperation and should you have airy questions, The Office of Investigations please do nothesitate to give us a•call.. The Departrnenes address,telephone and fax number. , The Commonwealth Of Massachusetts- Department.of Industrial Accidents . . Bihce of tl3�tes�tiena ' 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 u. ii-drn FT.•PT.Af%r1A __-L '.U1G Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 110033 Expiration: 10/2/2004 Type: Private Corporation AGRICOLA CONSTRUCTION CO. INC. JOHN AGRICOLA P.O.BOX 765/19 PUNKHORN POI ^� WRA"PEE,MA 02649 �i !►�jStFalor BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR IIi Number: CS O40642 Birthdate: 03/21/1960 i Expires: 03/21/2005 Tr. no: 9649 :.-.- Restricted: 00 JOHN P AGRICOLA PO BOX 765 � MASHPEE, MA 02649 Administrator i �E t Town of Barnstable o� Regulatory Services e yr $ Thomas F.Geller,Director 9 1639, Building Division �'�rFD MP•4 R Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no- Date AFFIDAVIT HOME]IMPROVEMENT CONTRACTOR LAW SUppLEMENT TO PERINIIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization, ier ion, •improvement,removal,demolition,or construction of an addition to any pre-existing owr� occuP bg containing at least one but not more than four dwelling units or to structures w�lu'ng are adjacent ther nt to such residence or building be done by registered contractors,with certain excepti'o�s, requirements. Estim4ted Cost k©&oeo 'Type of Work:_ Address of Work:_ Owner's Name: Date of Application: '� D I hereby certify that: Registration is not required for the following reas on(s): Work excluded by law []lob Under S 1,000 []Building not owner-occupied (]Owner pulling own permit Notice is hereby given that: EALING WITH OWNERS PULLING TEEIR OWN P HOME]MPROVEMENT WO OR D �RKDO�NOT SAYE CONTRACTORS FOR APPLI A ACCESS TO THE ARBITpkTION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY Ihereby apply of apermit as the agent of the owmer: I' / Contracto ame Registration No. D to OR Owner's Name t.-.F • l �� Tc a 1�• ✓•tom �.,�p��i�v.!Vq�p��(Ir ��' .t''i\•�*+j����� �+Va —� WN �7�.�Ke2 qR f m"N J ���tt�t . t< .f L.FJ .� , •'R� 7 • ^•' � A80VE(TO BE LOGATEA:�s��Jw -� xJ�, _ J � �,'� 'f �;;.� y�,w`^.•.+��+��/p� /1GGORG/�11'ICiE+o•n�.4.t,\,2,,. ;NOTE���5y"vp�� �` �''�� 1 (;• "y.YTH r1�M"•V Si S�-�.A ,i arJ1 )r pn_ r y t ;•\ y ALL C* R�i.T�PIER, `k'c� }.+i" r• �y, R 1. tocAnoN3 To ee.vew�l�BY�oNrwTOF \ PRIOR TO POURING BASED ON GONSTRUGTION MET}i0pi1ND°SPA,► kv i • { rJi? - . - c -•+ !� if�,••+�! . :� r .'es J.fe'T. •qaX . _Y,t p� � � ...�,\ .•• -t l�1 j'� .s��i"'it'1. yy��'>t "i ' -' �N �V� �' \ \a ,♦ , r 4r ..tt$3 t J(Y"i�'�jy,� '.jy1+ •F fit I 8'C^NG1tETE FOUNDATION YMLI. NUTH a'X Ib'CONCRETE FOOTING T ) ". MIK 46'BELOA FINISH GRADE F—PROVIDE 4'CONCRETE SLAB MTN KIN.F•AT MID-DEPTH OVER \ b MIL POLY-VAPOR BARRIER SET ON \ \ A_BE0 OF SAND \ PROVIDE 50'X 50'X 15' : CONCRETE FOOTINGS FOR q JA 'iWoo. \ 5 1/2' VIA,LALLY COLUhM TYP. �A•�'/ �\ .�� '>> .\ 1GTOR �\ •�' EXISTING BNT4: \` • 'A♦.��/•�\\,v%,���' NE/l `�°� /• BASEMENT y J 'NEW STAIRS -- -----•---- ,. ABOVE r t EXISTING BASEMENT Y x` ALIGN TOP OF ADDITION AND \ / \, •� ' \ Q HOVSE FOUNDATION +' L ----------- — �F .! .. •.t��av ,�. i+'k�k? 4 J �����gg�, �)tJ11� 61 } SF A,, y.eft• Iff 104 DIA.CONCRETE 1 I/4 . PIERS FOR DECK FRAMING '.t ---- - --=-- _-ABOVE(TO BE LOCATED .. -• . ._'���:. a'T<:{;�"�s;�t i ►V. VIA.GQri TE ' ' . PIERS FOKxm FRAMING r k ABOVE!TO BE LOCATED " `�' BY CONTRACTOR IN ACCORDANCE \` NOTE. NTH 180 � ALL CONCRETE PIER LOCATIONS TO BE VERIFIED BY CONTRACTOF PRIOR TO POURING BASED ON CONSTRUCTION METHOD AND SPANS ' • f b'014GRETE FOUNDATION KALL \\ NTH 8' X Ib'CONCRETE FOOTING MIN.46' BELOM FINISH GRADE \ - �-PROVIDE 4'CONCRETE 5LA13 MTN Y'KF.AT MID-DEPTH OVER .6 MIL POLY-VAPOR BARRIER SET ON "v \ '\ A BED OF SAND- > ;r PROVIDE 50' X 50' X 15' CONCRETE FOOTIN66 FOR 5 1/2' DIA.LALLY COLUMNS,TYP. 4NTRACTOR EX15TINS BASEMENT EXI5TIN6 \ NO HOUSE / N ELEVATIONS \ A•'N / NEY'I BASEMENT -� \\ NEW STAIRS ABOVE } EXISTIN6 BASEMENT a. AL16N TOP OF --•-_..__.: ADDITION AND HOUSE FOUNDATION . -- -- - - - b 1 - 10' VIA.CONCRETE 1 1/4' PIERS FOR DECK FRAMING i ABOVE (TO BE LOCATED �,� i °FTM`T°w� The Town of Barnstable N 8"p14 �`gyp Department of Health Safety and Environmental Services i0j9• ,tee . '�.eMPY► Building Division 367 Main Street,Hyannis,MA 02601 :e: 508.862-4038 508-790-6230 PLAN TaEVIEw Owner: -Te 5 If RH C/3IZ2 JCL Map/Parcel: Project Address: _ �Z11 L 4TiN/z�f'S Builder: A,-R Cr)L,q The following items were noted on reviewing: iff CHccA" /ate C(e4,eI9,41ce5 yuw(� �R 9es3�y ll WOO .Zplt/ Ct.-VI-/9cT W- ie A- e�TeO C'I-lee/ ���U oo �c V",07-1 of . s T�q,'ems 70 �Seyc.►�r �la/9✓sT f,Qo M � O OS�U s� �T ,/7,,PecT j ovTS.,O� Reviewed by: loor Date:__ J f RESIDENTLAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 ,�Zrsrrvn2 Alterations/Renovations $25.00 Buikling Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE # 36 square feet x$64/sq.foot �O x .003 i= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0031= 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= STAND ALONE 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Pargel OL! 1 Permit# T)a yZ Health Division 2)0 — 401 $'�-03 3 &DkR Oti Ly Date Issued 06 Z.o103 Conservation Division Application Fe Tax Collector #IQ a Permit Fee $21 , 2-7 J29- Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTA!LED IN COMPLIANCE TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGUL K.rIONS Project Street Address J 1 H LC4-1 rO PS L4--rn 9 Village bax r1,S+a_,b LL Owner moo S 2 p h LG r- rD I Address I 1 H L6 H, cops L-" / Q, Telephone l50,$) 3o yl io Permit Request Aug I d aez4 Fq m,1 a opm an �++'h�,,, &7 zt_SZ �( � /�1llid J60Y)7 A1�11 QXIS�`lnoy �Q i� /riQ &' i-Ca/1 Sa✓Square feet:feet: 1st floor: existing 105 proposed 7 SS 2nd floor: existing /40 b proposed 3 36 Total new I09 Zoning District Flood Plain Groundwater Overlay Project Valuation 100,D00.60 Construction Type -(Mod 4&m Q Lot Size a��' �/ V 7— Grandfathered: O Yes 0 No If yes, attach supporting documentation. 1 � Dwelling Type: Single Family IJ/ Two Family 0 Multi-Family(#units) o w Age of Existing Structure j D 4r-s Historic House: Byes ❑ No On Old King's Highway: 0--'Yes ©< c) co Basement Type: Bull 0 Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I 7oL � r Number of Baths: Full: existing �2 new Half:existing :rrew D Number of Bedrooms: existing 3 new t" Total Room Count(not including baths): existing ZO new Z First Floor Room Count Heat Type and Fuel:, U6as 0 Oil ❑ Electric ❑Other Central Air: ElYes No Fireplaces: Existing 1 NV►4s Existing wood/coal stove: ❑Yes ®'No Detached garage:(lexisting 0 new size Pool:0 existing ❑new size Barn:0 existing 0 new size Attached garage:0 existing 0 new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name any i"ILL Cotns�ru `hon Co, hi G Telephone Number 4.17 (OS y9 Address P O, A0x 1 its License# 6L4 0 (o qCJ M,A,Sh 04 l? M 4 DZIA9 Home Improvement Contractor# 1 l CD3 3 V Worker's Compensation# W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sc'ryi ce_ 13 uS DLS.Rv&r1 L SIGNATURE DATE �ct-I y 1(DI eZ®D� FOR OFFICIAL USE ONLY ' PERMIT N.O. DAT&ISSUED t, ; MAP/PARCEL NO. ' ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: " FOUNDATION 3 tbil 16? , FRAME SF 9s9 0,K INSULATION 619SY/ tTK FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH R 'r : FINAL GAS: ROUGH- ^ x FINAL c a FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a ME�� The Town of Barnstable �mAaw Department of Health Safety and Environmental.Services lAss. i63 1, Building)ivision DM►� 367 Main Street,Hyannis,MA 02601 ;08-8624038 ;08-790-6230 PLAN REVIEW Dwner: Car ro I Map/Parcel: f L/ l Project Address: ��y ��s �� Builder:—�ri c_a�4 • The following items were noted on reviewing: � ' �' �revs � h de�3 � 'i its�.'�a�-! • A 5-47�J ee. Reviewed by: °FTME rati Town of Barnstable Regulatory Services rMASS.Le.g+ Thomas F.Geiler,Director 019. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder b as Owner of the suprop . .. � l ect.. AY J h n �. �jr 1co f�herebyauthorize to-act-on my.behalf,: in all matters relative to work authorized by this building permit application for: _. rI Lof�(Dp� S L4w€ (Address of Job) tare 9f Owner Date Print Name QTORMS:OWNERPERNIISSION p� ✓1ze v�om�rxoruuea a�,! aaaa�,�uaelld =- - Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 110033 Expiration: 10/2/2004 Type: Private Corporation AGRICOLA CONSTRUCTION CO. INC. JOHN AGRICOLA P.O-BOX 765/19 PUNKHORN POI UgHTPEE, MA 02649 ,ALtisitutnr iull M M, ��ze U�omvinoruvea l a�! p4oac�z�cael�d / BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR II Number: CS O40642 1 Birthdate: 03/21/1960 Expires: 03/21/2005 Tr. no: 9649 Restricted: 00 JOHN P AGRICOLA PO BOX 765 (.•Ei+«e 6 ' MASHPEE, MA 02649 Administrator _ The Commonwealth of Massachusetts -- =- -Department o Industrial Accidents ,. p .f ' Office alloy. gallaas _ 600 Washington,Street - ' Boston,Mass. 02111, Workers' Com ensation Insurance davit SEEM name: location: . one# city ❑ I am a homeowner performing all work myself. 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N;.?;'..{fi:,•}:;r g+P�,.•.�d Ntv.;?n:',}y::+t•iF�{ta•S•?<,:;l:,�,.:i{h.y+rY+4y �:;;�<.�r$•;.:t��.•�rik,:+:,}}y,.;^r4y?::�o•r?..k,j::4;??.T i::,,:y C.:',•3.}�n.x+,^c,:r..r)•,YSv!:+?•.\r 3<•,\Y,H.Y.c£L+?•:rtt:;v.;}K?n}:}{c;?,�Y};ria•.•Gy:..tin"Y 8..+�<•\,3$rik.?.<r:}:r•T',.'r.i>r$:r,� ,•.•: !+7•.,,:%:.r<y,�.¢%r?•'•T.� ?3,.vS•'.;::•i.7�,$:!.:Y�f�:?�i>.^?$.•3%;+::.::�:}` : $ .•. ._ :::.. •}::::•.,. . . penalties of a 8ne to SI,500.00 and/or IWIMMgaibzre to secure eovera;e as required under Section 25A of MGL 152 can lead to the imposition o[criminal p e. one yam,imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a Sae of$100.00 a day against ma I mtderstand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veri$catlon I do hereby certify under the pains and enalties o perjury that the information provided above is truce and carted Date 7 Signature Print name 'Col Phone# �508 - �/ 7 7 it omcid use only do not write in this area to be completed by city or town official peradt/lkense# ❑Buffding Department city or town: ❑Licensing Board QSelectmea's Office p rherk if immediate response is required ❑Health Department ` phone#; Other contact person: Um"d 9/95 PW 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 joirdenterprise, 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 fimnance 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 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 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. I City or Towns A 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 Pelmi cense number which will be used as a reference number. The affidavits may be returhEA 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 hesita6 to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Ofnce of lavestlgatlons 600'Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 nhone#: (617) 727-4900 ext. 406, 409 or 375 I pFIME To" of Barnstable Regulatory Services _ t s�xrrsrns�, Thomas F.Geiler,Director ra.►ss. 94,,1 f p i 9. A�°� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-$62-4038 • Fax: 508-790-6230 permit-no.---- AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, ction of an addition to any pre-existing owner-occupied improvement,removal,demolition,or constru building containing at least one but not more than four dwelling units or to structures which.are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Estimated Cost 1001000 Type.of Work:- Address of Work: i g Lo`+%r6 p S LA-A� St ex rr)SRO t Owner's Name: �105�4 Leh �a,r r o 1 Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work 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 HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c, 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the ent the er: �, -16.-03 11. 60�3 Date• Co tor Name Registration No. OR r,.fe Owner's Name 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 _square feet x$96/sq.foot x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE _square feet x$64/sq.foot= ��q 3�o x.0031= 2 plus from below(if applicable) G0^9 t. x >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= STAND ALONE 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 $150.00 (plus above if applicable) permit Fee projcost f� ............................................:......................... ................................................................................. AUG. 4.2@03 9�55AM HRi ISTAH-E BOARD OFF ALTFf NO.817 P.2/3 Sk 17394 P9303 490150 ' , OS--d4-2dd3 il di =34p No OL, The Town of RWRIWb • teoannwnde tlat die eppftartt • a k 18PI ad"to pnpth t 4omment . Q_�E8 IGTfON WHEREAS, �s y� Kr.� {)/'.�►'�' ��rcc;1 I of z - - ---- -- - -� — . .--- ,1„Iy t.ujh� t.►t 13 •snst� le MA___ _._ _ _. _._ Is the owner of iN r Ln located MA(hereinafter referred to as and being shown on a plan endued"Subdivision of Land In I- , Arw-t1cf-Lbi-e MA,Pmpertyof nh r 1S4ui� at ali duty recorded to Barnstable County Registry of s J Deeds In Plan Book l ,Page' S Or an Land Court Plan Number ' WHEREAS,_T_v�s a 4+hn1rn as the owner of sold lot has agreed with the Town of Bamsfabie Board of Health to a restriction as to the number of bedrooms.which can be included In any home Wilton sald lot as a. pre-0ondtflon to obtaining a disposal waft construction permit In compllance with 310 CMR 15.000 State Environmental Code,Title V,Minimum Requlraments for the Subsurface Disposal of Sanitary$swage; . WHEREAS,the Town of Barnstable Board of Health,as a pre-oondiJon to grantlng.a disposal works construction permit for a septio system In complance ' with 310 CMR 16.200,Stabs Environmental Code,We V.,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and nuthorWrid the Issuance of a!wilding permit for the co stuation of a single family home an this property. Is requIrIng'that tits agreement fcr the rest oftn an the number of bedrooms In any house constructed an the lot be put on record with the. Barnstable County Registry of Deeds.by recording this document, idaft 1 a Bk 17394 P9304 JWL90150 .............................................................................................................................................................................................. AW. 4.2M 9'.SSAM BAI NSTABL.E BOARD OF HEALTH N0.817 P.3i3 NOW,THEREFORE, 5Q-,c:�h f- jLAry11 J1t1 ( loss hereby place the • (awna�� ms� . fallowing restrictlork an his above-Werenosd land In scoordifnoe with his agreement with the Town of Urnslable Hoard of Health,which restriction shall run wed h the land and be binding upon all successors In title, 1. I I g LW hruo•s to ').Qr fn Slabk 010 may hkw constructed upon the hot a house containing no more than 3I )bedrooms. K�* Carr 11 agrees thid this shaft be permanent deed . dawn...mm►.) . -_restrictlon attbct tooted on toA?u CnW&. e i1�A,ind_. . _ being shown on the plan recorded In Plan Book'.Book'4 1 S Paged 7T,5_ , _ Or on Land Court Plan For we of see the following deed; Book 'rlil 4, Page I . Or Land Court Car—Noft of Tits Number. Executed as a moled inst went , 4 day of hcz2 RsP �o Owner' sig is Ownet's signature 0 - Owner's signature COMMONWWALTH OF NMUCHUS IM Then personall the - CA7/7 C • , i known to me to be dis pemon who exeeubd 1hhe gn—going irwbrument and acknowledged the same to and dodo before met Prybpa ® Nabry My eamndsston MOM. deW - BARNS ABLE COUNTY NSTABIE REGISTRY OF OEM REGISTRY OF DEEDS BAR ATRUE COPY,ATTEST 3 JOHN F.MEADE,REGISTER L ) I MAScheck COMPLIANCE REPORT i I Massachusetts Energy Code, I Permit 0 I MAScheck Software Version 2.01 I I I I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-18-2003 COMPLIANCE: PASSES Required UA = 313 Your Home = 312 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 379 0.0 30.0 12 WALLS: Wood Frame, 16" O.C. 1681 0.0 13.0 161 GLAZING: Windows or Doors 80 0.350 28 DOORS 38 0.450 17 FLOORS: Over Unconditioned Space 379 0.0 19.0 95 HVAC EQUIPMENT: Furnace, 95.0 AFUE HVAC EQUIPMENT: Air Conditioner, 10.0 SEER ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design loa specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date RESCOM Architectural; Inc. P.O. Box 157 Monument Beach, MA 02M i MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 7-18-2003 Bldg. l Dept. l Use I I I CEILINGS: [ ] I 1. R-0 + R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-0 + R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ J I 1. U-value: 0.45 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-0 I Comments/Location I HVAC EQUIPMENT: [ J I 1. Furnace, 95.0 AFUE or higher I Make and Model Number [ 1 I 2. Air Conditioner, 10.0 SEER I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.999 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I ' I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R=values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ 1 I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing 1 air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I _ I HVAC EQUIPMENT SIZING: [ 1 I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ l I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS 5 RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- 0 — _ - I ice Lommonwealtlr of Massachusetts Department of Industrial Accidents � �-_�•-° � �=_� : Of1lCr ollansllBatlOQs 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance davit I • location: city phone>Y I am a homeowner poformmg all wm:k myself: I am a sole oroorietor and have no one worf=g in any capacity I am an emplovcr providing workers' compensation for my.,.................,......Dyers a e• i) 80 v'n to . :r•,. i ...........:.:.::.. ............. .................. �.::.....::;...;.;:•::. :.:.: :;::..;.:::..�,..: .........:::....:.........,...,...: ,....::.... ........... ..y...; tree :''`.. lnity� i I am a sole proprietor, general contractor, or homeowner(cirrlr ogre)and have hired the cnrractars listed briow have the following workers' emm" n per=; . :...::.:........ ;::::.;±::.:..::. ..{;•:lv:.::..}J.::.:; .,,,}::.ti,:.....:i:.v: . .... .. {.;.. ....: ::;:urf:::.:..:::±:i:;>S::�i::-iiS:�::::?:;%:::_S::S�;:;'.,t::S}:�:::�:::: i:'��•'•::::::::'::;: ;::;:::'::::: :;:is�:�::::i:� :�i:�:�:<�::�:5: `::':�::�:G::.:�::: t» � :•:•:::. •.. .. .. :. ..:.,;•:;;. �� �: ;•:;>;}:•:•::�::.; .:::>:.::.:�:::::•...•.:�.,•::::•::::••:::.�::.:: env-{.;.. .....: {}i±•::.;: ....................n..-... :.\..: .......v.:...........v.:,W;.C:r- :L�}:v•::.v:::•:.v:•}±+:;:!•?:-:•:?:<•±:�}:}>?:•:-:-?:i•ii:-:::�::•...... <::.. ± .-. a d a res r. :........�.:,,:•.:�::.. ...................{:>.J.,.;:;•ii}±i:•± •±:�}:;•:�:•:..:xrr:{w......:..;n:.\:n•.,ww,;.,.;.w?.:,:�.;?;;;:}::. ... ... ....::::::±.•::.,........................:::•.�.::: •±}':.}:;•:•:i:}:- •.v.v•:::::±:.^CC>r,.y^:•.{a {.v.-.Y .J w,•. , KwWX->:.v\IX• v.M �:,�.: .................. ... .....,.. ...,......,r ..:.vr.., ... .:. . ., r.... ...,:r.•...:..... 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I do it�cby ccrrrf} under the pains pen of the the irrjot �iorr provided about i s trrY tend cane Si�rsr Dttie l—I l� —Q3 00 w ' --i, ri Pbonc # 5D8- r` o(IIdal use only f do not write in this asp to be completed b7 ty or town offl el-I a n or t oi►n: peimit/lltxase ff �❑Mdin t D ep>tvttast t' check it immediate reponae it required ❑I1ceaffie Board ❑Selssvncn's OfIIu ❑Health Depirvuent conun penon: phoneth, _ ❑Other -- — i lie Lommonweaun Of Massachuseas �. Department of Industrial Accidents ?•�° � �== ~ OfllCd 01lQYl'SIIBSll00S 600 Washington Street Boston, Mass. 02111 Workers' Com ensation Insurance davit City phone tl EI I am a homeowner perfb= g all wont myself I am a sole trrvnri CIO r and have no one worldn in aav ca =tv I am an employer providing wor}cets easation for my=play= on ob, atiYr: .i;•ii:2^:`}>iY':i2%L.S:C•;;":;::''C,:. :i'1.:<:: .�:;:::':i :;�is catapanv name: `.� �'c �0� :: :::::.:; :;f:>:::::::? f:::;::::::::;::;:;.: ::::;:::::.;;> ::.:;;'<;;;. r.... .....::::.. ............... add ..: • ...� ... :..:':Li:::: v „vv:::.....2.},w.T::r.TT.p.n,<•.�:::;;:.�.v:%:v.v: ..... :.......... :.: :............f2.,; :;'':::< z::{2 ;;; : shone•#-'>::<::;:: ::; >•:;:>. ... ce'cam::::.:::: :. .::,...:.:>:... ... ::.::-.;.:....:::.:..........:.....:.. .......... . 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T}. ..................................... _...,. insvrtincr•ro.. ,.......... .. ..'�<+� ............�� 7,«<.. .............. oiity#,..:::::? �s ..:..�:, ..........�..��'i��< >��< :. Fai?tae to scone--mr n irguo'ed tinder Section ISA of MGL 152 can lead to tha impodtlm of t>d�al pestaittea of a Ban tip to S 1300 00 aadi one rears'lmprisor=ent as well as dva penaittn to the form of a STOP WORK ORDER and a Bna of 3100.00 a day agatast me. I=dsssrmd aw Co Fr of tb1+ccasZMtmt m27 be forwarded to the()Met of Inve rtigz ans of the DIA for is vmge te:ddadion. I doh ere v cerrrf}'under the parr and p of peMLrp the informs don provided above u mzp and correct Date64 Lor'7 not write to this area to be completed by et7 or town oftldal permtocense0 ❑Bttildtn�Departm� ❑Lceasin;Bond oporueisrequired ❑selectmen's Oftiu❑Health Department phone#; _ ❑Other. CERTIFICATE OF INSURANCE DATE(MM\DD`YY) 07-28-03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ERYDEN INS AGCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 125 RTE GA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I 1 SANDWICH MA 02563 COMPANIES AFFORDING COVERAGE __ _ ._ __ — __I CCM=ANY 29PYK A THE TRAVELERS INDEMNITY COMPANY ' INSURED I COMPANY CHAFFEE S ELLIS PLUMBING AND j B HEATING INC COMPANY - I PO BOX 250 I C SANDWICH MA 02563 _ l COMPANY — D i COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED, NOTbVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE ( POLICY NUMBER 'POLICY EFFECTIVE POLICY EXPIRATION LIMITS I L��' DATE(M DATE(MM\DD\YY) i GENERAL LIABILITY GENERAL AGGREGATE I S I COMMERC;i:L GENERAL LIABILITY PRODUCTS•COMP/OP AGG. I S ^! 1 I-� C�;IPAS MADE I I OCCUR. PERSONAL&ADV.INJURY c 0w.\.ER•S 3 CONTRACTOR'S PROT. EACH OCCURRENCE I c I FIRE DAMAGE(Any one fue) — ' j IMED.EXPENSE(Any one person.)I S I ,AUTOMOBILE LIABILITY I I -- - COMBINED SINGLE I S AN'!' "vTO LIMIT ( _I OWNED AUTOS BODILY!NJURY 1 SCHEDULED AUTOS (per Person) I S BODILY!NJURY S 1 N01\_01^!,\ED=UTOS Per Accident ! I ( p ROPERTY DAMAGE !�S i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S I I AN`!ALTO OTHER THAN AUTO ONLY: ••.•__I I I � EACH ACCIDENT 5 I I AGGREGATE S I EXCESS LIABILITY EACH OCCURRENCE S I I (UA1BRc!•1 FORM I i AGGREGATE S i I CT.,E?THAN UMBRELLA FORM A I WORKER'S COMPENSATION AND (1_113-963X402-5-02) 11-02-02 11-02-03 STATUTORY LIMITS I I EMPLOYER'S LIABILITY _ EACH ACCIDENT j 5 500,000 ?iO nlc ii OR, � --i 1 -•--N-Fic/cXErUTIV=_�1 INC= DISEASE-POLICY LIMIT S 500,000 1 0' .C"cnS ARE: I I EXCL I DISEASE-EACH EMPLOYEE I S 500.000 OTHER I I {{ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS I � I ' I j THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. 1 CERTIFICATE HOLDER CANCELLATION 7 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE AGRICOLA CONSTRUCTION I P 0 BOX 765 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR MA SHP E E MA 02649 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. I 1 AUTHORIZED REPRESENTATIVE r i ACORD 25-S (3/93) 6 CORD CORPORATION 1993 I I DATE(M WDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/2 2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mc Shea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Gardner Concrete Forms INSURERA: National Grange Mutual INSURERB: AIG Insurance Company P.O. BOX 98 INSURER C: Monument Beach, Ma 02553 INSURERD: 1508-759-5630 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPEF INSURANCE DATE MM/DD/YY DATE MWDD/YY GENERAL LIABILITY EACH OCCURRENCE $ 1 000,000 X I COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 500,000 CLAIMS MADE CI OCCUR MED EXP(Any one person) $ 10 0 0 0 A MPS78283 05/01/03 05/01/04 'PERSONAL BADVINJURY S 11000,000 GENERAL AGGREGATE $ 2,0 00,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S 2,000,000 POLICY f JE� LOC AUTOMOBILE LIABILITY IF_ COMBINED SINGLE LIMIT $ 1, 000, 000 ANYAUTO (Ea accident) � ALLOWNEDAUTOS BODILYINJURY X SCHEDULED AUTOS (Per person) $ F A X HIRED AUTOS M9S78283 04/03/03 04/03/04 BODILYINJURY X NON-OWNEDAUTOS (Peraccidenl) $ PROPERTY DAMAGE $ • (Peraccidenl) GARAGE LIABILITY AUTOONLY-EAACCIDENT S ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 X I OCCUR CI CLAIMSMADE AGGREGATE $ 1 0 0 0 0 0 0 UMB78283 05/01/03 05/01/04 $ A DEDUCTIBLE $, X RETENTION S 10,000 $ WORKERS COMPENSATIONAND X AT TORYLIMd ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE WCI7 8 2 8 3 05/01/03 05/01/04 E.L.EACH ACCIDENT $ 100,000 B OFFICER/MEMSER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 100,000 Ifyes.describeunder SPECIAL PROVISIONS below E.L.DISEASE-POLfCY LIMIT S 500 000 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Agricola Construction DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN P.O. 765 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Ma s hp e e, Ma. 02649 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 5 0 8-4 7 7-9 3 8 2 Fax REPRESENTATIVES. AUTHORIZED REPR T I 10 I ACORD25(2001/08) ©ACORD CORPORATION 1988 i ACORDn, CERTIFICATE OF LIABILITY INSURANCE olio jz of PRODUCER (508)540-2400 FAX (508)S40-667 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray & MacDonald Insurance Services : ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 1",L S Douglas MacDonald INSURERS AFFORDING COVERAGE p`� INSURED ALAN S GARDNER DBA: GARDNER CONCRETE FORMS INSURER A: Zurich Ins. Company P. 0. BOX 98 INSURERB: American International Group MONUMENT BEACH, MA 02553 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MM/DD/YY DATE MWDD/YY GENERAL LIABILITY TBD 05/01/2002 05/01/2003 EACH OCCURRENCE $ 11000,00 f MERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 300,00 CLAIMS MADE M OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TBD 05/01/2002 05/01/2003 TORY LIMITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Agricola Construction BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 765 LD NY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Mashpee , MA 02649 IZED REPRESENTATIVE as MacDonald M]W � ACORD 25S(7/97) FAX: (508)477-9382 ©ACORD CORPORATION 1988 This certificate is executed by Liberty Mutual Insurance Group as respects such insurance as is afforded by those companies. BM0068 Certificate of Insurance [afforded his certificate i�ce alas a matter of information only and conll rs no rights upon you the certificate,hot er. This certificate is not an insurance policy and does not amend,extend,or alter the coverage by the policies listed below. This is to certify that(lame and address of Insured) .kMERICAN BUILDING SYSTEMS,INC. I.A.P.INSULATION CO.,INC. P.O.BOX ]!7[u at,, 165 OLD STATE ROAD j�r�, SAGAMORE BEACH,MA 02562 is.at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed poficv(ies)is subject to all their terrors,exclusions and conditions and is not altered by anv requirement,term or condition ofany contract or other document with respect to which this certificate may be issued. Expiration Type Expiration Date(s) Pohcv Numbers Limits of LiabW tv Continuous' 11/I/03 WC]-181-053991-012 Coverage afforded under WC law of Employers Liability Extended the following states: Bodily Injury By Accident JX Policy Tetra MA,ME,NH.NY,PA,RI $500,000 Each Accident Bodily Injury By Disease $500,000 Policy Limit Workers Compensation Bodily Injury By Disease $500,000 Each Person General Liability General Aggregate-Other than Prod/Completed Operations Claims Made Products/Completed Operations Aggregate Occurrence Bodily Injury and Property Damage Liability Per Occurrence Retro Date Personal and Advertising Injury Per Person/ Organization Other Liability Other Liability Automobile Liability Each Accident Single Limit-B.I.and P.D.Combined Each Person Owned Non-Owned Each Accident or Occurrence Hired Each Accident or Occurrence $$ $$ $$ C NOTICE OF CANCELLATION CLAUSE DOES NOT APPLY TO NON-PAYMEN'r CANCELLATION. 0 M M E N T S 'U'the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced before the certificate expiration date. However,you will not be notified annually of the continuation of coverage. - Special Notice-Ohio:.4nv person who;with intent to defraud or knowing that he./she is facilitating a fraud against an insurer,submits an application or tiles a claim containing a false or deceptive statement is guilty of insurance fraud. Important inlbrnation to Florida policyholders and certificate holders:in the event you have any questions or need information about this certificate for any reason.please contact your local sales producer,whose name and telephone number appears in the lower left comer of this certificate. The appropriate local sales office trailing address may also be obtained by calling this number. Notice of cancellation: (not applicable unless a number of days is entered below). Before the stated expiration date the co any will not cancel or reduce the insurance afforded under the above policies until at least 30 days notice ofsuch cancellation has been mailed to: Office: ROCHESTER.N"Y Phone: 716-424-6050 Certificate Holder: Kathleen M.Murtv AGRICOLA CONSTRUCTION PO Box 765 Authorized Representative Mashpee, MA 02649 Date Issued: l l/1/02 Prepared By: KM /"11✓V(1L.� %0 6.1\ 111 IVP'1 1 V VI L-Ir"'1d16.1 1 1 I'+ II14VVI\P'11\Vim tDovcER 10/24/2002S0R) -200 FAX (508)760-1988 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray a Ma-Donald Insurance Services �,��- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I 406 )c�:es Ro=�d HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FalmaSFth, MA 02540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i • MacDonald, Douglas INSURERS AFFORDING COVERAGE FRANK GOTUTIYESKI Charter Oak Fire_ Insurance Co. ! 537 OLD BARNSTABLE RD ec. Hartford Insurance Company -- EAST FA l-MOUTH. MA 02 S 36 -- COVERAGES [;F I;•!°L'RANG%IISTEC BELOW NAVE BEEN ISSUED`0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING :C IiRENENT -ERM Ci CONCI-ION OF ADY CONTRACT OR OTHER DOCUMENT WITH RESPECT TC'N41CH THIS CERTIFICATE MAY 3E ISSUEC OR I 'HE-rJSURAVC=AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF S•JCH _•I:'E:.433RE3Ai=!MITS SwA,N MAY HA.\/E 3EEN?EDUCED BY PAID C-AIMS S OF I'SUpAN-E °OUCY NUMBER 1 i - CATE'MhUCO DATE rMWUDQrYY UM:TS .rr:tRA.-�ASILiri 'I6804838W560 { 108/17/2002 08/17/2003 E 1,000,000 IF'EOAr.IABE(Ar'yaye;.e, 1 f 300,000 —. E0_ _ a•n'une o�_r , F S,00 A,-A VJL. 1,000,000 --=- -.•.cMosde.r^elan' 1 —r---------------- --� TI_ � .... ' Er£C Bar}.-c'_ta: ' I f 1A.4y GE L ABILITY t j - f _1 :ORi1E^S COM�EfiSATIDN AND 08WECCE3116 • 2;1Pi•_YERsuActu_, 10/08/2002 ; 10/O8/2003 �— _,F,;;, Too,-0ooj 100,000 E• iiS;E. .----SDD DO E RA 7:WSILa••TIOnS'VENhCLESJEX7LUSI0n'S ADDED Bt'EkpOR$ENENirSDECIOL PROVISIONS —• --------� • i I CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER!ETTEF CANCELLATION SHCULO ANY OF THE ABOVE OESCRISED POLICIES BE CANCELLED BEFORE rHE EXPIRATION DATE THEREOF.THE ISSU•NG COMPANY WILL ENOEAVCR TO MA! t 1 10 OAYS WRITTEN NOTCE TO THE CERT'FICATE HOLDER NAMED TO TaE LEFT Agricola Construction Company BUT FA,LJRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABLIT` P.O. Box 76 S OF ANY KIND UPON THE CONPA,* ITS AGENTS OR REPRESEN-AT'VES. Mashpee, MA 02649 AL'THORIZEDREPRESENTATIVE — I I �Cc,�.�j,s 7/97• --DouglasI MacDonald FAX: (S08)477-9382. QACORD CORPORATION 198E L Sep 09 02 02: 57p p. 2 ACC.RD CERTIFICATE OF LIABILITY INSURANCE DATE(MWMY" ou1 7 91912nn? vRocFR FALTER S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION R.A. REINBOLD INSURANCE AGENCY, INC. LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 68 LDER. THIS CERTIFICATE DOES NOT AMP-NO, EXTEND OR NORTH ATTLMRO, KA. 02761 THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE JAIiE w S DIEDE D/B/A JAMS --I INSURER A:PENN SAVERS INSURANCE CO._ — r DRT HEATING INSURERB:SAVERS PROPERTY A CASUALTY_ P.O. BOX 666 INSURER c-.. -- BUZU9S SAY, KA. 02532 INSURERO:__ INSURER E: COVERAGES THE POLICIES OF WSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTI� TYPE OF INSURANCE POLICY NUM LIMITS BER POLICY FFFECTFVE P PEXTKkI�• GENERAL LIABILITY I EACH OCCURRENCE __ 3L,000 OOO h COMMERCIAL GENERAL LIA84UTY ILFIRE DAMAGE 000.0010 I - M I W_iy aie lire) f LS A I��CLAIMS MAUE J OCCUR SUB 1003112 9/12/2001 19/12/2002 MEDEXP w era n or* oN s i .—_5 000 �._1 -�— _ 19/12/2002 19/12/2003 PERSONALAADVINJURY I$100�000 rtNERAL AGGR[OATE_ •_-----f 2,OOOjOOO _ rGENL AGGREGATE uMIT APPLIES PER: I �ROOUCTS•COMP/OP AGG S 2,000,000 I I POLICY�I PRO 17 lOC — -- lJECT AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT r I ANY AUTO I (Ea Accidenil --..I .—.. .—•— — I I L ' ALL OWNED AUTOS BODILY I �SCHEDULED AUTOS I (Par parson)INJURY 13 �.HIRED AUTOS I I BODILY INJURY 13 NON-OWNED AUTOS I (Par acCldaN) PROPERTY DAMAGE i (Par accidaN) S GARAGE LIABILITY I AUTO ONLY•EA ACCIDENT S ANY AUTO i '•— — OTHER THAN CA �$__ AUTO ONLY: AGG S OCCUR E UA8IUTY— EACH OCCURRENCE J OCCUR CLAIMS MADE I I I I AGGREGAI E DEDUCTIBLE IH RETENTION $ — ..f WORKERS COMPENSATION AND ATI I0 EMPLOYERS'LIABILITY I —�T•DBYLJ1.�lIS• I ER E.L.EACH ACCIDENT f. 10Q B I WC 0OW635 19/13/2001 9/13/2002 E.L.DISEASEAEM LOY[ S. 10—Mo 13 2 2 I E.L. t•DISEASE•POIICY LIMIT i OTNER 500,000 I r OES.r.AIPT*N OF OPERATTONS&OCATIONS/VEMICLES/EXCLUSION3 ADDED BY ENDORSEMENWSPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED•,INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE OESCRISED POLICIES BE CANCELLED BEFORE THE EXPIRATION AGRICOL.A CONSTRUCTION DATE THEREOF,THE 13SUINO INSURER WILL ENDEAVOR TO MAIL � DAYS WRITTEN 19 PUIXHORN POINT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL MASEPEE, MA. 02649 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND LION TM[INSURER,ITB AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97) 0 AC RD CORPORATION 1988 JUL-25-2003 FRl 09:08 AM OLDS CAPE-COD 5087753821 P. 02 d'I GORDr "< ftl" t'�' °' ', �!I ,• dy .�0 V !, Y ,r I'll a bj' DATRIMMf96/YY1 I. w�. >� ¢<• gm « ' ': . .x^ e 6 'l,r 07/25/03 i PRODUCER .K« THIS CER'n CATS IS ISS, AS A MATTER OF INFORMATION OLDS CAPE COD INS AGENCY, INC. ONLY AND CONFERS :NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCEB BELOW.. 435 MAIN STREET COMPANIES AFFORDING COVERAGE HYANN I S MA 02601 COMPANY A ONE BEACON INSURANCE GROUP "Uri" ...---...- COMPANY -- — _ AGRICOLA CONSTRUCTION B LIBERTY MUTUAL INSURANCE CO COMPANY, INC. COMPANY P 0 BOX 765 C MASHPEE MA 02649 OOMPANY ■■ q D ...... ... ;, .. » ,•� '. i a' .. M !ga°«,as1�I I R. �ffi 'O,J' ��: I i' '✓{' .. •wx• xa x . x• ONO xe „ w ;rw......'.�t..tl.o. !�!a�S:3..a:�:!.r���.x „"Mx«x.«., !@,�;•� A><,!.. THIS IB TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW WOVE BEEN ISSUED TO THE WSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF{NiURAIJCE POLICY NUMBER�R POLICY ERFECTNE ►OUCY EXPIRATION UNRS DATE(MMD/YY) DATE(►(M"/YY) LT /O CGHARAI UJUNUTY CBLW2 8 5 9 8 9 1 01/0 3 1/01 0 4 GENERAL AGGREGATE s2, 0 0 0.,, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS•COMP/OP AGG 82, 000, 000 Ct.AIMS MADE OCCUR PERSONAL&ADV INJURY {1, 0001000 OWNER'S i OONTRAOTOR'S PROT EACH OCCURRBNCB {100 0, 0 0 0 FI ._.._.._ ... . .._ FIRE DAMAGE(Any on nr•) 3 10 0, 0 0 0 MEO EXP(Any at*P610ON i 5, 000 AUTOMOBILE LIABILITY f ANY AUTO COMBINED SINGLE LIMIT { I ALL OWNED AUTOS BOOIII INJURY + SCHEDULED AUTOS (Px lr*ord HIRED AUTOS BODILY INJURY ' NON•OY✓NEO AUTOS (Por*Wdcnl) 3 PROPERTY DAMAGE GARAGE LIASAM AUT_0 ONLY•EA ACCIDENT 3 _ ANY AUTO OTHER THAN A4T0_ONLY: !—^_ _. EACH ACCIDENT i AGGREGATE 3 EXCESS UAIMUTY EACH OCCURRCNC&--.. ---- UMBRF-LLA FORM AO REBATE...,. OTHER THAN LMBRELLA FORK i WORKER{0WItPUSAT►ON AND W C 5 31 S 3 4 4 614 013 6/O 1 0 3 6 01 0 4 X T R SPA EMPLOVERV UADIUTY . .. .{ 0 0 THE PROPRI>TORT 10 G, 0 PARTNflRSRXECUTNE INCL Q(y ASE•POIICY LIMIT_ a_ 5 0 0, 0 0 0 OFFICERS ARS; EXOL I EL OISEASE£A EMPLOYEE 100 , 000 OTHER OESCRIPTION OF OMATI098/IOCATION8/VENICW/SPEGA6 ITEMS r> .z :i•,{::: a ::: er. t ,,�,<i u:nx' 'oi;a�":n:: ?Y: n ��.11iiAA) :3, k y`:tt .I£.f.a.: 3 i"[`'J'` .. ::'exa•`: a Nq t� f. :? u ! :mod.:'• 4 C °EJ,a', .. . ' .L .. x.u3ECs ;t9 rNi aCY•SAz+C1AyC:}fiIrY1:1)r t:rtz:< ...kaf jd5z .' s9?3' 'S°Ci ' :f:E a«:.C ';i 55! r a H , K:.RArrft �!..�Ji..M'`'t!.'..m.'.t^ t.axnx'.:Ia'+'li .......3 ^` 8HOU1.0 ANY OF THE ABOVE DESCRIBED POLIMS BE CANCEU"BEFORE THE TOWN OF BARNSTABLE EXPIRATION OATQ THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL BUILDING DE PT 1 0 DAYS WRITTEN NOTICE TO THE CERTDiICATE HOLDER NAMED TO THE LEFT, 230 SOUTH STREET •UT FAILURE TO NAIL SUCH NOTICE SHALL IMPOSE 00 OBLIGATION OR LIABILITY" HYANNI S MA 02601 OF ANY KIND UPON C PANY. ITS S OVARPA55EAVY16, AUTHORMW RFPREBENTATry u _ Judith D. S '1 ivan JS A w;ins: :.)i::�:54�k'���aj�': 1k�d sa:t:., ':9'`•BS u" +b p •n:aox car , ,'4,,. P•;S:j xI;<Rn•<g:y;«:::oh<17� '6.. ' •,It.,<., ! ;Z', a <:� ?� ,!'g :.�.i!•:K:3;xx�'�.•»,.�."..' L.,,.a:,s>. '��k���<z$e:,.: ]�� i! ..� .. 5: ..$:`s.^•. .o .:Iw�i.�'R�N.VS� s ATE A1:111:116 CERTIFI ►TE OF INSURANCE D09'�11-02 s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DF MURPHY INS AGENCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20C MAIN STREET U ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE h�^-RLSORO MA 01752 COMPANY — nNT A THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS - .- - -- --- COMPANY INSURED -MROWN, JOSEPH A. , III DBA B —, JOSEPH A. BROWN PAINTING COMPANY 26 STALLION WAY C mARSTONS MILLS MA 02648 COMPANY D 1 I : COVERAGES , -!S IS TO CEFTIfl' THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NF iC=TED NOT'.VITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 'E=TIFIC'TE AND BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, I EXC U L _IOr:S ND CONDITIONS_ OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO , LTR TYPE OF INSURANCE I POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DD\YY) ' I GENERAL LIABILITY (GENERAL AGGREGATE IS PRODUCTS-COMP/OP AGG. 15 - I _ _ I �— PERSONAL 3 ADV.INJURY S I ASS BADE: I CCCUR.I I N_: -OR'S PROT. EACH OCCURRENCE 5 S Cc AC i ---- I FIRE DAMAGE IAny one fire) c - -- I MED.EXPENSE(Any one person)(S { AUTOMOBILE LIABILITY i COMBINED SINGLE I S ' LIMIT BODILY INJURY f . (Fer Person) j BODILY INJURY S OVINE_�„7OS (Pet Acaoent) PROPERTY DAMAGE I S GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT I S -- -- I AGGREGATE S EXCESS LIABILITY ( EACH OCCURRENCE I S AGGREGATE WORKER'S1 COMPENSATION AND I(UB-678X517-2-02) 10-OG-02 10-06-03 STATUTORY LIMITS EMPLOYER'S LIABILITY EACH ACCIDENT S 100,000 •-_- INC_ DISEASE-FOLIC!LIMIT I S 500,OOO - _ X I _y.-, DISEASE-EACH EMPLOYEE I S 100,000 i OTHER i DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS t ` THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE . 11f CERTIFICATE HOLDER CANCELLATION , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL , 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE AGR I COLA CONSTRUCTION LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 00 EOA 765 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. ,AA=r,=EE NIA 02649 AUTHORIZED REPRESENTATIVE ACORD 25-S (3/93) © CORD CORPORATION 1993 . I �RD CERTIFICATE OF LIABILITY INSURANCE DI 06/02/02/2003 003 (508)997-6061 FAX (508)991-3283 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION eastern Insurance Agency, Inc. u�V;-Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE OLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ( _ State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .,.0. Box 79398 N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE INSURED R 3 Bevilacqua Construction INSURER A: Arbella Protection Insurance PO Box 628 INSURERB: Forestdale, MA 02644 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIYIVE POLICY EXPIRATION LTR DATE MIDDY DATE MMIDD/YY LIMITS GENERAL LIABILITY 8500018147 07/15/2002 07/15/2003 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S 50,000 CLAIMS MADE M OCCUR MED EXP(Any one person) S 5,000 A PERSON-AL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY Ec El ECT J LOC AUTOMOBILE LIABILITY 86852400001 02/21/2003 02/21/2004 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY S A X SCHEDULED AUTOS (Per person) 2 50,000 X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) 500,000 PROPERTY DAMAGE $ (Per accident) 500,000 GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO ROTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR E-1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE S RETENTION $ S WORKERS COMPENSATION AND 9088680402 04/27/2003 04/27/2004 X I ORY L MITS ER EMPLOYERS'LIABILITY A E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYE9 $ 100,000 E.L.DISEASE-POLICY LIMIT I S 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS or any and all operations performed during the policy period. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Agricola Construction BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 765 OF ANY KIND UPON THE COMPANY, TS AGENTS OR REPRASENTATIVES. Mashpee, MA 02649 AUTHORIZED REPRESENTATIVE Helen Gagne ACORD 25-S(7/97) FAX: (508)477-9382 ©ACOR CORPORATION 1988 03 ;2 : 39F CAPE COD REHAB 508 420 4925 P . . �,l S ojDl SPI'C < V) 00 "o) ti09-513 40 Z: > 4 cz) \ llji r0 6n "3 CZ) Q) < '17 J Q, 24.0 z z 77 c) Gr 7 S, CIO Ln s s "a C) cm _ o a_ Application to ®Cb Ring'9: jbiabuiap Regional botoric Miarict Committeez� -i 04 �c z C) In the Town of Barnstable cl= N - LU J CERTIFICATE OF APPROPRIATENESS co co m alication is hereby made,with four complete sets,for the issuance of a Certificate of Appropriateness un er Section j6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed watt as described below an on plans, Z *ngs,or photographs accompanying this application for. m @ECK CATEGORIES THAT APPLY: N 1. Exterior building construction: ❑ New 0 Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence Cl wall ❑ Flagpole ❑Other TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORK MCAP I I D n. 41 11 q ASSESSOR'S MAP NO. OWNER_ J G'PD ± �n�kr% n l '!�rr g ASSESSOR'S LOT NO. HOME ADDRESS_119 L a+hrq's Ln !'n'. f/)S1 b TELEPHONE NO. ,5D9-)-3(e 2-y I SO FULL NAMES AND ADDRESSES OF ABUTTING OWNERS,including those of adiacent property owners across any public street or way. (Attach additional sheet if necessary.) Robert + pr o Cade hurl Freanres MaZi2it' ; Picki rncuol 9 E3 192+ha20'S Ill (o4-h,,?4%S I h Errvr(� Shie,m, - _ ►Y1,i hr.e..e + Lce.rzra 13yu.i e Ly1-kn-3a,s bi ICJ PCffi.'sh oa AGENT OR CONTRACTOR . 14,GSCOM )qyChJe_Ch4,-& 11 s_ __TELEPHONE NO._ ADDRESS_ PO BOX lS� Mons c rnR d heae� MA 02- S 3 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done,including materials to be used. Please include locations of proposed signs. OT /L�o� Gvhr�ec'�;� �iol4s.2 'T0 r L l Olks-# . �j owe I,:'�1 b4_ C. (�rax lb' r�' x I�j�,t �OY2 l�U�� 1pe CA sCvuv%ek Pore 13� ��St w deck I3" x 13`o{f ,, Re�.r of e tRzO wl j"nr,� e, .kS 4-v be, i -9, otcc &*_-Xe_k _ L-Own- Signed er-Contra r-Agent For Committee Use Only IPIN This Certificate is hereby e '_-D U 9 Approved enied C, Committee Me nbers'Signatures:_ v J L3,3_) r Specifications for The Carroll Residence page 2 of 7 Location: West Barnstable, MA May 2, 2003 1. Site Work, Excavation and Landscaping a) All excavation, backfilling, compacting by tamping, and rough and finish grading to be included. b) Backfill/ rough grading—topsoil will be backfilled to contours as shown on site plan. Stones and roots raked out in preparation for landscaping. c) New clean fill to be provided as required for grading. Allowance for additional fill to be $ per square yard. 2. Concrete and Masonry Foundation a) Foundation walls will be 8° on 18" x 12" footings with a clear 8' basement ceiling per plan. b) Footings and foundation: poured concrete 3500 P.S.I. at 28 days. c) Provide two rows top and bottom of#5 rebar in all concrete walls unless otherwise noted. d) Basement slab: 4 inch 3,500 P.S. I. Poured concrete steel-troweled finish. Vapor barrier to be installed under basement slab. e) Vapor barrier-6 mil poly. f) The exterior wall of the basement to be damp-proofed with one coat of asphalt based product. g) Porch footings-10" diameter concrete piers, 4"-0" below grade. On big foot. 3. Carpentry Rough a) All lumber to be Spruce Pine Fir#2 or better. b) Subfloors will be 3/" T & G plywood glued and nailed to joists. c) Undedayment: as required to bring floors to finish level. No undedayment under hardwood floors. Underlayment under ceramic file only where needed to bring floor to finish level. d) Exterior walls to be 2x4 construction at 16" O.C. unless otherwise noted. e) One half-inch (1/2°) CDX fir plywood will be used for all exterior wall sheathing. f) Interior walls to be 2x4 construction at 16" O.C. g) Roof sheathing will be W CDX plywood. h) All carrying beams to be steel 1-beams or microlams as per plan. i) All floor, ceiling and roof framing shall be as shown on the drawings. Areas not shown shall comply with the Massachusetts State Building Code 6t' Edition as amended November 27, 1998. j) Bridging shall be wood. Contractor Owner Date Prepared by RESCOM Architectural, Inc. Specifications for The Carroll Residence page 3 of 7 Location: West Barnstable, MA May 2, 2003 k) Sill shall be two (2) 2x6" pressure treated wood with a sill seal. 1) All framing exposed to the weather or in contact with concrete shall be pressure treated. m) Posts shall be 4x6 or 6x6 as indicated on plans. n) LVL beams shall be as manufactured by Truss Joist McMillian or approved equal. o) Provide Simpson Strong Tie connectors at all postibase and post/beam connections. p) Exterior trim shall be pre-primed. q) Vinyl shutters where shown. Porches and Decks a) Decking shall be 1 x4 mahogany on all porches. b) 1x3 pine bead board shall be used for all porch ceilings. c) Frame-2x8 or 2x10 pressure treated joists. d) Decking-1 x4 mahogany. e) Railing—Mahogany rails, 2x2 balusters. Finish a) All window and door casing shall match existing. b) Baseboard shall match existing c) Inside closets shall be trimmed and shelved with#2 pine. d) All interior doors to be 6 panel solid masonite doors. e) All locksets, deadbolts, passage sets and privacy sets shall be Schlage F series. f) Custom built up mantel for gas fireplace. g) Wood stair and railing components to consist of: • Oak Treads and Painted Pine Risers. • Oak handrails for decorative rail locations. • Primed balusters. • Oak starting newels. • Oak oval rosettes. • Brass handrail brackets. • Balcony railing to match stair. 4. Weather Protection a) Exterior to be white clear grade cedar shingles and red Cedar Clapboards with trim to be#2 primed pine 1 x 8", 1 x 3", 1 x 6". b) House to be wrapped with Tyvek or equivalent air barrier. c) Soffit vent-2" continuous white aluminum. d) Roof paper-15#felt. e) Roof shingles to be architectural style, 30-year warranty. f) Water and ice barrier to be used on all roof valleys and for the first three feet of roof. g) All chimney flashing to be copper. h) Provide vented drip edge and roll vents, louvers for gables where shown. i) Gutters and downspouts will be installed and be seamless aluminum, .032 thickness where needed. Contractor Owner Date Prepared by RESCOM Architectural, Inc. .Specifications for The Carroll Residence page 4 of 7 Location: West Barnstable, MA May 2, 2003 5. Exterior Doors & Windows a) Windows and exterior doors to be Andersen or other types as noted on drawings and shall meet the following requirements: • Tilt wash where shown. • Glazing to be 5/8" INSULSHIELD I.G. • Removable wood muntin. Standard patterns as shown. b) Front door to be fiberglass wood grain finish. Includes hardware (as per plan) with interlocking weather stripping, other doors per plan. 6. Insulation a) House and Garage walls—fiberglass batts, R13 for 2x4 walls, RI for 2x6 walls. b) Ceilings — R30 Kraft faced batts. c) Basement walls—R19 Kraft faced batts. d) Vapor Barrier-6 mil poly over all unfaced wall batts. e) Basement Ceilings R19 Kraft faced batts. 7. Finishes General Requirements a) All paints and stains shall be Benjamin Moore brand. b) All nail holes to be puttied and caulked prior to painting. c) All colors to be specified by owner. Exterior a) White cedar shingles shall receive two coats of solid stain or bleaching oil. b) Exterior trim to be pre-primed or backprimed. c) Exterior trim to receive 1 coat of primer followed by 2 coats of paint. d) Decks to be sealed with 2 coats of sealer. Interior a) Walls and ceilings to be '/Z" blue board with plaster skim coat. b) Plaster shall be smooth finish on walls, light skip trowel on ceilings. c) Interior doors to be painted and shall receive 2 to 3 coats as required. d) Interior walls and trim to be primed followed by 2 to 3 coats of paint as required. e) All stair and balcony hand railings shall receive one coat of stain and two coats of f) polyurethane. Contractor Owner Date Prepared by RESCOM Architectural, Inc. Specifications for The Carroll Residence page 5 of 7 Location: West Barnstable, MA May 2, 2003 8. Flooring (refer to Finish Schedule attached) a) Hardwood shall be 9/4° x 3° select grade oak installed, minimum length to be 3'. b) Stair treads to be 12 %x 48" Mitre red oak. c) All hardwood floors and stair treads shall be sanded with 1 coat of sealer and 2 coats of Polyurethane (satin finish) applied. d) Tile flooring: $12 per sq. foot allowance for tile. This includes the file itself, materials to install, the labor and all taxes. 9. Specialties a) Hallway closets shall have 2 wood shelves and a coat rack. b) Gas fireplace as manufactured by TEMCO Fireplace Products. Contractor to provide chimney components, chimney enclosure kit, chimney termination cap and glass door. Type to be suitable for Interior/Exterior application. c) An allowance of for built ins. 10. Plumbing and HVAC a) Verify adequacy of existing heating system for expansion. 11. Electrical a) Provide switches as per building code. b) Provide electrical receptacles as per building code. Provide GFI receptacles as per building code. c) Provide hard-wired smoke detectors system as per building code. d) Provide 2 exterior double receptacles. e) There shall be a lighting allowance. f) The builder will supply 10 recessed lights. g) All items will be included in the light allowance and the builder will install all lights. h) A total of 2 telephone jacks and 4 cable TV outlets on first and second floor shall be included, locations to be at owner's discretion. i) Decorator outlets and switch plate locations along with the amount installed will be at the buyer's discretion. j) Provide 2 exterior spotlights, double neck. k) Provide switched lights in all closets. Contractor Owner Date Prepared by RESCOM Architectural, Inc. Specifications for The Carroll Residence page 6 of 7 Location: West Barnstable, MA May 2, 2003 12. General Project Requirements a) All work shall be in accordance with the Massachusetts State Building Code 6t' Edition, as amended November 27, 1998 or any subsequent amendments. All work shall be in accordance with all local codes and requirements. b) All workmanship shall be and shall be performed within industry standards. c) Contractor shall include in his bid all fees for permits, including: ■ Foundation Permit ■ Building Permit ■ Board of Health Certificate ■ Water District Hookup ■ Gas Company Charges • Electric Company Charges ■ Telephone Company Charges d) The contractor shall carry in his bid all items necessary to provide operational systems whether or not certain items have been specified. e) The contractor is responsible for obtaining the Certificate of Occupancy. Obtaining the Certificate of Occupancy does not release the contractor from completing the items within the contract. I Contractor Owner Date Prepared by RESCOM Architectural, Inc. i Specifications for The Carroll Residence page 7 of 7 Location: West Barnstable, MA May 2, 2003 FINISH SCHEDULE Room Name Floor Base Wall Wainscot Remarks Mud Room Tile 5 '/° wood Paint Family Room Hardwood 5 'A" wood Paint Kitchen Verify Study Carpet 5 W wood Paint Screened Porch Mahogany None 1 Remarks: 1. Bead board ceiling. Contractor Owner Date Prepared by RESCOM Architectural, Inc. NOTE:• NO WELLS WITHIN 150' OF PROPOSED .S A.S PLAN REF 418155 AS PER TOWN OF BARNSTABLE HEALTH DEPT. - DEED REF- 7774151 I �Y f d FLOOD ZONE: ' 'C» ( ZONING: "RF" / AS LOT ——___— -- Q 98 / ATH i s ��• -- 96. ------� �,, � BU,ascEY �LO� ROAD PA-232. 36 -AS LOT 41 � � ¢°�► �-' coo AREA— 32947f sq/ft p�/ `�,/ 9.P go 4. 45 92 a LOCUS MAP g4 n ,,,,. (r----- --- wp �O___ 1y, 96 RET. � 0.9 Q (nd) Gfi A VEL---i WALL i i L--- 16g� ---- i� 0 1 O -DRIVE , v / - loo _ 89 5. L_ TITLE V UPGRADE PLAN ... _ - 5 DIC OUT •••.HSE ... -�� tv PREPARED FOR #114 :::: D 000 — � /-„-,,,,, E Q � o __�—�_ JOSEPH P. & KATHRYN M. CARROLL II C K. I ,� ��u _ - LOCATED , 114 LOTHOP'S LANE loo �, �L los 78 104 WEST BARNSTABLE, MA. 16 108 - JUNE-28, 2000 W� N� ,g7'OE___ 73 •' . . 1 ' \`Hof 44Ss , NOTE- EXISTING SYSTEM p u 4�$G YANKEE SURVEY CONSUL TAN TS INSTALLED IN 1989 UESE In P. O. BOX 265 O 1 No. �39710 ti UNIT 5, 408 INDUSTRY ROAD MARSTONS MILLS, MA. 02648 WELL AS LOT 40 PH. (508)428-0055 FAX(508)420- 5553 4 �pSH Q4 tfps��. I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE GRAPHIC SCALE o�� WILLIAM All IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL 30 0 15 30 e0 120 z. UEB RMN f/V STANDARDS FOR THE PRACTICE OF LAND SURVEYINC IN H 9NO. •39710 THE OMNONWEALTH OF MASSACHUSE= 111 GQ \ 45fE� IN FEET ) FfSs�ONAL E�4U PA L A. MERITHEW, P.L S. ATE : , 1 inch = 30 ft. 52406 CB SHEET I OF 2 CONCRETE CO VERS 4" SCHEDULE 40 P. VC MIN. PITCH 1/8 PER FT. 2"LAYER OF EL=IOI f CONCRETE COVER WASHED S210NE B MAX / / / i i i / / / / / / / / i i i / / / / / EL ' / / / / 4" SC 40 PVC 6 A/AX / ' ' ' / 3' AX/ • • • / MINIMUM w PITCH 1/4" PER FTF T 30' EXISTING 33' Yj EXISTING FLOW LINE NEW EL=95.8' !0" 10 AX 1MIN. 14" NOTE. EXISTINC INVERT _2.0'— ° °° o00000000000. 000 °g°° ° EL' 95.8 MIN. LEVEL o00000000o0 0 ° 6 SUM ° °° o 0000000000o O°° ° VERIFY INVERT INVERT °°o° o CO C3 C3 0 0 0 0 ° g =93 EL.= 95.4 _ EL.= 95_15_ 4• s . DISTRIBUTION. <2� sOn CAL LEACf//NC CHAA/BFJLS EXISTING DB-3 BOX GALLONS ?0 BE WATER TESTED 12 6 X 26' TRENCH MRMAT/ON PLACE ON 6" S70NE b NOTE- DIG OUT 5' ALL AROUND s/4" ?n 1_1/2" SOIL ABSORPTION TO C, LAYER. AND REPLACE DOUBLE WASHED SME SYSTL'M (SAS) WITH CLEAN SAND AS PER TITLE V BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV.=_88'__ PROFILE OF SEWAGE DISPOSAL SYSTEM OBSERVATION HOLE 1 ELEV.=_ 99__ PERCOLATION RATE S2 MIN./ INCH AT 0-:1-73" NOT TO SCALE DEPTH HORIZ TEXTURE COLOR MOTT. OTHER �D 0-3" A LOAM IOYR 3-2 a��P`�N 41 3f4,pIr, 3'-32" B SANDY LOAM IOYR 5-6 p FINE oa 'cFLIiA�A l GENERAL NOTES '� g I�E�ER}�M 2"-132" C SAND IOYR 7-4 FMED. � u 9ka. 93971 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 06�' IS TITLE 5 AND THE TOWN OF _BARN,STABLE____ RULES AND NO WATER ENCOUNTERED St NAIE�� REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST WITHIN 6" OF FINISHED -GRADE, OTHERS WITHIN 12 611212000 SOIL TEST DONE BY WILLIAM LIEBERMAN 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF . DATE .OF SOIL TEST. WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN WITNESSEll BY: DONNA MIORANDI 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CALCULA TIONS.' USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. NUMBER OF BEDROOMS . 3 . 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL PERC. TEST / 9774 GARBAGE DISPOSAL NOT PERMITTED BE MORTERED IN PLACE. TOTAL ESTIMATED FLOW 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH CAL/DA Y DEEDED OR ZONING REGULATIONS. 0 WNER/APPLICANT IS TO ( 110__CAL/BR/DA Y x 3___ BIB) 330 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. INSTALL- EXSISTING SEPTIC TANK CAPACITY 1500 CAL 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR (2)500 GAL LEACHING CHAMBERS SOIL CLASSIFICA TION . . • • • • • . I IN.IS TO CALL DIG- SAFE AT 1-800-322-4844 AT LEAST 72 HOURS3. SPACED 0 APART DESIGN PERCOLATION RATE . . . . . 2 MIN./ PRIOR TO COMMENCING -WORK ON SITE. WITH 4' STONE ALL AROUND 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL 'AS 12.8' X 28' EFFLUENT LOADING RATE . . . . . 74 CAL/DA Y/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY (AREA X RATE) 385 GAL/DAY 8) PARCEL IS IN FLOOD ZONE____C__ RESERVE LEACHING CAPACITY . 385 GAL/DA Y (28X12.8X 74)+(28+28+12.8+12.8)MX 74) 9) LOT IS SHOWN ON ASSESSORS MAP Eg- AS PARCEL -IL___. 52406 SHEET 2 OF 2 JOB NUMBER_____ SHEET 2 OF 2 !. t , a:s a•"v - Z0��1 36 6 D t\p01- n$ pO cQ� yo'� Z $ An nq f rog = N: i �-- 9 Away A�� 9m° n � n yA y zOz y �<_ o am Oy g, (2q y ppp �P P� A Ny n \ \ \ m lu y--T 'r 4'oI . ly tr / s Da M FOMA ZG n FGl!mATCN y g CP \rn \ z z < \, M /Y� rn o �� ��' •'�b4 y9CA �� - � c F D Z Q =' o m Z Z or$ \\ _ CO \ \ \ \ a - s-o 8 \ .\ �� /L Nd��Q�yv pp Y F rn I I e.es I I � --gip-- El n i z x 0 T OC [c) Log N § 1H Contractor: Architect: on o e m FOUNDATION PLAN N THE CARROLL RESIDENCE AGRICOW CONSTRUCTION C0., 1NC. RESCOM U N 0 W p ,v(d� I o z °9'ig1. FIRST FLOOR PLAN 114 LOTHROPS LANE u O R N � I!�i�4 W. BARNSTABLE, A1A PunFhorn Point road Architectural, Inc. O gg a1 +g� (lashpee. MA 118 Wcte,houSe Rood. Suite F. mwv ent Beech.MA °p°v= SECOND FLOOR PLAN Phone: 508-411-6549 Ph: (508)759-9828 Fox: (508)759-9802 Bs i f f j ✓ P P \ O� \ Py is \ 91 , d I •x o po 71 T i`A y 3 - UN Z /•' 6X z 06 g$g 2y O0 � A O DZ to �4 y D o N mb !Z� a a) O O N y O + W`rvW g � � Contractor: Architect: Nn o FIRST FLOOR FRAMING THE CARROLL RESIDENCE AGRICOLA CONSTRUCTION CO., INC. IRE S C�®m ti o Zs�3 ua LOTHROPS LANE P :architectural, Inc. -,e Punkhorn Point load u ROOF FRAMING PLAN W. BARNSTABLE, MA P d O i IIaSh _^?. �1.�. 118 Waterhouse Rood.Suite F,R!o:+unien.Bench,IAA am Phone: 608-111-LS,9 Ph: (508)759-9828 F— (508)759-9802 f f' c f, ( T xl wig � O rn z rn rn < < EAR -M I:� ;7 ;. a i ' O v Qn 9m� / D N � � aZD ', L S e g ax+�8 Contractor: Architect: 1p N �� " ;j FRONT ELEVATION CARROLL RESIDENCE ACRICOLR CONSTRUCTION CO., INC.. RES i� OM b THE I' N o z l gel 114 LOTHROPS LANE Punkhorn Pant Road Architectural, Inc. o O z a�°' W. BARNSTABLE. LL4 0 �g REAR ELEVATION iiashaee. MA n8 Waterhouse Road.Suite F, Nonumenl BeoCh,NA Phone: 508-911-6549 Ph: (soa)i59-9828 Fox: (508)759-9802 4 ag s t: 3 5B CNn I' �1 0] ;" A �\ m Lp oil z § � D Lit IL b66 4n IA 4A � �� 1• . $g r 0 b 0 0 0 b U,U, pp @ J P O v T P O P @ D P O (n� O OL_ ,2 T ° Z �_�_ °Z b b b b A P U 's O ip to yu u 4 O y `t P_ l0 fJ - 0 iJ �'°p s m Al- § 4 4 u 4 4 u_ > SR2 6�(� C U e W u a tlr y g P- C� MID � F m _ P 99T y m ❑ aa oo 44pp++ "' u �n �65 �a5 b_ iy yD� > D T(\T T p L� Op� Oii D m^r 3Im OT-O ;Cgro O R �_ O> 6 I zs c � M• z_ �> go P RBI ° �L >i m mJ� z g L> >T m I-� m�'ry� �ct�- zymzg(. 8�a� (�$(� DI L 6 ❑.. $ $ >D,Ay�� � p�pi �� fil O °� A 3 A 2u�in� N O ypp Oy � m p �yiglO a$ q �p�� i Z AAA 0 R 4 2["p OyDID fyi T N1' ZS N M y0- U �j,ya}�.yAary N N Ixlt UPD qrry� O 3 � (� L'1 T ,, F7 x 11.`a T (� F°r 3 D mD OmmN UrNm@ ° Iz� n R al\ V m5 P� ro W;on C Sz mm Q�S�a o � r��y 6�T p�@$P- ? >d}a°C m OP � m� >�U m >� ��y� O O yP � S[o�p �Z $�oTA�a�DP R 0° yOL ¢O P �,�i p S O 0 A >+0 iyA �u Cj°(�P rn 4 V ° A z �a30 IAA �$ Du yu Inmm 3,U� O—xv'A m 7 b D D F Dp m T NN D fB 1' �V b0 X _ N=_� a' ny� >1 "�' m�� N KpN W Il`.Z -� M O> 22 O P Dp y p �'D ° a P oyy7�❑❑., IZ� P {.gy >�n p) �yyygp�p>yyyyy� ' >�P D6 IpB �> "7>pJ A ar �m P, DOQ Ia 0n O ?N P '+' �Ny I- >z z$ 7p1 Ay -Np S X �1 y ��I 0 D�cZn N _ZpO 'U DI PV O[L[Lnn >7> U iZ->. IOM1 tiI O pp OOT Oli A zIn T�,p P� Fyn F }g6' P �i�� i s_aj �b°OOr z�mx alh3 y }C mm z -�mA �g pgt-H; : i ° S$ 7q( iCs >> ° z Z r3a X N P A. r y?m p rq� L A m by y a D(O�Gy D r-I. yppC m�pn > AS�1 ZO Up x�e� g y C y �'OpT �hm A 3T °mg�N^ POm m m � a mATx� O F "tj Aa'rgi> O >AI r�i IZ �S` 'v > }p iX D tP t�i O T A � h f� � I° �� wy � �$� N lR'D� �o�� ��b> m I H P5 b>g MIII �p P° gird ° � ZF>n�y NDA Zy��" o -- a yy 2xD MM > ;A 0 mQ, S`0.- e4 PP� zC, N�iay❑P ^ W FT j '�j I�I��P� d < °1 y Ill •v s C��r XA) �NNn Py yp GR Rr B�� pirmn ll� ��y t pN l� o Z D -4 0 A o� A � od�ao�y�2 \'•� ITS— 1� V' x a "� Contractor: Architect: E E E� N o e SECTIONS, DETAILS & THE CARROLL RESIDENCE ACRICOLA CONSTRUCTION CO., INC. RE S C� O N i o z �z°s � ll4 LOTHROPS LANE Punkhorn Point Road Architectural, Inc. 0 o A a gb�ejg NOTES IV. BARNSTABLE, MA W " o 1, g� rushee, MA 118 Waterhouse Road. Suite F.monument Beach,MA Phone: 508-911-6599 Ph: (508)759-9828 Fax: (508)759-9802 $B t pF(HE► ti The Town of Barnstable ' BARNSTABLE. Department of Health Safety and Environmental Services 9 MA55. 0a 039. �0 pfEO MP'e.• Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location ///-/ LarIJ )EaP LA Permit Number :7 o / 7 Owner Builder 99 1 Cel- 1-4 772 01/ One notice to remain on job site, one notice on file in Building Department. The following items need correcting: Ne) 04 5 5 Ns 0/Z. � � -�M 0 Ll D U TL p F-OC K A4 e rtiS Pit I-,'o,/ e y ei r Cv7" 8,46,r. �lzoo >✓ ;))errw, (C) O P`e Al R O d F rO IL :t Al S F e C—'T �O iV �pa /Z C A se D A CC -e /3 A,s e ",e t--r c 1qi c Fig 2 _T Al G w,9Ie oA S v)Ia,Pr L I/ Z ; 0 114C-5 ,0 ecl' L e F1`12C l�� c yai �� PLC,✓ ��.� IfIlle l/peG 3 /p,'9 Rr-rVP'V'e'Y C" -& Tp C fIZ _t�,CoT/Z�CG,�J/i '�:*/C,. /2-`/2 /r 'A e'V g/ re pr's'cvs s.'o�� ell yAviff-y Please call: 508-862-4038 for re-inspection. &V Inspected by !� Date /`) >° C /LO 12/16/2003 15:04 508-477-9382 AGRICOLA:CONSTRUCT PAGE 01 P.O.Box 765 Mashpee,MA 02849 (508)477.8549 Fax:(508)477-9382 i To: Inspector Kelly From. John Agricola Fax: (508) 790-6230 Pages: 3 Including cover Re: 114 Lothrops Lane Date: 12/16/2003 Inspector Kelly, Attached please find the Design Report for 114 Lothrops Lane. Please call or fax to confirm that your office has received this fax. Thank you, John Agricola �. 12/16/2003 15:04 508-477-9382 AGRICOLA:CONSTRUCT PAGE 02 M. SC CAL.C®2003 DESIGN REPORT- US Monday.December 15,200310:24 Triple 1 314"x 91/2" VERSA-L.AMO 3100 SP File Name: 8C CALC Project:FB01 Job Name: Carrol Ree, Dowdpdon: Addraes: 114 Lothrops Ln. Spy: RAL City,State,27p:W.Samatsble,I%. Designer: RESCOM Customer: Agricola Company: Code reports: IC90 SS12,NER 629 Mk s 3 1 alo!!L"Load-40 W 110 pat Trf Rory BO 81 B2 7M be LL 8345 the LL 3429 be U 934 M DL 3432 lbs OL 1125 lbs DL Total MorizorRal Length-1543M General Data Load Summary Version: US Imperial 10 Description Load Type Ref. Stan End Type Value Trlb. Dur. 8 Standard Load UM,Area Loft 00.00.00 15. 3.00 Live 40 pet 08-0640 100% Member Type: Floor Beam Dead 10 pat 054*40 90% Number of Spores: 2 1 wall load. Unt Lin. Left 0040-00 1543400 Uve 0 pit Ma 100% Left Cantilever: No Deed 40 pie We 00% Right Cantilever: No 2 root load. Unt.Lin. Left 004*-00 15-03-M Lhre 213 Of Na 115% Slope: one Dead S8 pit Iva 90% 3 calling load. Wrf.Un. Left 0"D-W 16-03-00 Uve 150 plf We 100% Tributary 084&W Dead so pit MIS 90% 4 layover roof loWnf.Un. Len 00-00-00 15-03-00 We 125 Of We 115% Dead 50 pit We 90% 5 added floor IcW Jnf.Lin. Left 07-0748 15.03-00 Live 200 pit n!a 100% Live Load: 40 pet Deed 50 pie Na 90% Deed Load: 10 psi Partition Load: 0 pet Controls Summary Duration; 100 Control Type Value %Allowable Duration Load Case $pan Location Disclosure Moment 0361 ft-lbe 38.9% 115% 3 2-Left Neg.Moment -MI ftJbs 38.9% 115% 3 1-ROM The completeness end accuracy of End Shaw 34351bs 31.0% 115% 5 2-Right the Input must be vertfled by arryone Cant,Shear $4961be 49.0% 115% 3 2-Left who would ray on the output as Total Load Den. L/1008(0.0911 23.8% 5 2 evidanos of Suitability for a We Load 000. LI12S2(0.073-) 28.8% S 2 particular applioetion. The output Total Neg.090. -0.023" 4.6% 5 1 above is tweed upon building Irian Daft, 0.0910 0.1% 5 2 code-accepted desbn propsrdn and anatysia methode. Imrmnalton No%$ of BOISE engineered wood Design meets Code MWmum 6J240)Total load deflection orttarla. products moat be In accordance Deelgn meets Code minimum(L 3"Lin load deflection criteria. van the current Instatiatlon Guide Design meets arbitrary(1*)Maximum load deflection criteria. and the applicable building codes, Minimum beating length for 80 is 1-12•. To obtain an Ira taltstion Guide or If Wnimum bearing length for 81 Is 3-, you have enyquesda e.,pieeae call Minimum bearing length for 132 is 1-1 2'. (8"2324766 before beginning Entered0lopl Yed Moat ontal Span Length(s)•Clear Span+112 min.end beoring lin Intermediate beating product inablletion. BC CALCO,6C FRAMERO,BCI6. BC RIM BOARD",BC 089 RIM BOARD"',BOISE GLULAM"', VERSA-LAMO,VERSA-RW. VERSA-RIM PLUBO, VERSA-STRAND"r, VERSA-STUDIO,ALLJOISTO and AJ8^"are trademarks of Boise Cescede Corporation. I 12/16/2003 15:04 508-477-9382 AGRICOLA:CONSTRUCT PAGE 03 Ste- BC CALL®2003 DESIGN REPORT- US Monday,December 15,20031024 Triple 1 3/4" It 9112"VERWL.AIMOD 3100 SP File Name: BC CA►.0 Project,FBOi Job Name: Carrol Res. Dssodpnon: Address: 114 Lothreps Lrt. SpecMer: RAL City,Sim,Zip:W.Bamsbble,Me. Designer: RESCOM Customer: AgrWla Company: Code repots, ICBO 5512,NER tt20 Mlsc: ConnwAon Diagram NaRV schedule apples to both skies of the member. Member has no We loads. Connectors are:tOd Sinker Nails e'r d D�3" cdSAM' 8 d 12" �— o w 3" o I o r IC } C C 4br i i I ti Rug 25 03 10: 24a RESCOM ARCHITECTURAL INC 15087599802 P. 1 SCOMI TeL (508) 759-9828 Fax: (508) 759-9802 Architectural, Inc. P.O.. Box 157, Bourne, MA 02553 i FAX COVER SHEET To: Co. Barnstable Building Department Fax#: 508-790-6230 From: Gregory B. Siroonian Date: August 25, 2003 RE: The Carroll Residence 114 Lothrops Lane West Barnstable, MA Remarks: Here is the information that was requested for the Steel Beam at the above referenced project. Also, we are not showing any LVL's, there was a request to provide manufacture information for LVL's ? Number of Pages including this cover sheet: 3 If you do not receive a complete transmission,please call(508) 759-9828 Residential& Commercial Architecture Rug 25 03 10: 25a RESCOM ARCHITECTURAL INC 15087599802 p. 2 i 36 Grade Steel Beam Span 23.5' Load Requirements Live Load(LL)=40 PSI' Dead Load(DL)= 15 PSF Total Load(M)= 55 PSF W=.66 K/FT Sreq=23 in2 Deflection Allowed(Total Load)= 1.2 in Use W 1 Ox45---49/248 S=49.1 in2 exceeds requirement Actual Deflection = 11/16" under total load Rug 25 03 10: 25a RESCOM RRCHITECTURRL INC 15087599802 p. 3 2-70 Fy = 36 ksi BEAMS w 10 W Shapes Allowable uniform loads in kips for beams laterally supported For beams laterally unsupported,see page 2-146 Desiynalio0 1 W 10 W 1U wt..1 4 39 33 30 26 22 19 17 15 12 Deflection Flange Width 8 B 8 53/, 53/4 53/4 4 4 4 4 In. 6.50 8.40 8.40 6.10 6.10 6.10 4.20 4.20 4.20 3.90 (1, 22.8 19.E 16.5 13.1 i1.4 S.40 7.20 6.10 5.00 4.30 70 66 54 3 74 64 55 43 .04 4 90 77 70 I 60 51 44 35 O6 6 81 86 74 61 50 43 36 29 .09 7 102 90 79 73 63 52 43 37 31 25 .16 8 97 B3 69 64 55 { 46 37 32 27 22 9 86 74 62 57 49 41 33 29 24 19 .20 10 78 67 55 51 44 37 30 26 22 17 .25 11 71 61 50 47 40 33 27 23 20 16 •30 .35 12 65 56 46 43 37 31 25 21 18 14 .42 13 50 51 43 39 34 28 23 20 17 13 14 56 48 40 37 32 26 21 18 16 12 AB 16 49 42 35 ! 32 28 23 19 16 14 11 .63 18 43 37 131 1 29 25 20 17 14 12 10 .98 20 39 33 28 26 22 18 15 13 11 8.6 . v 30 25 23 20 17 14 12 10 7.8 1,19 22 35 tO c 32 28 23 21 i e 15 12 11 9.1 7.2 1.42 CO OL L' Properties and Reaction Values Sx in 3 49, 42.1 35.0 32.4 27.9 23.2 18.8 16.2 13.8 10.9 V kips 45 41 45 39 35 37 35 33 27 For A,kips 26.0 21.0 '18.3 16.7 13.5 10.7 12.1 10.7 9.39 7.05 explanation of de Ieclion, Rz kips/in. 8.32 7.48 16.89 7.13 6.18 5.70 5.94 5.70 5.46 4.51 see page ion, 2-32 R.kips 33.3 26.3 121.0 23.9 17.9 14.4 16.0 13.8 11.7 7.74 RR4 kips/in. 4519 33.64 13.53I 33 1 35.09 26.37 22.31 24.35 23.54 22.76 t5.03 Load above heavy line is limited by maximum allowable web shear. AmcwcAN INSTTTLTE Of SrEt;L CorgMUCTION Assessor's office(1st Floor): Assessor's map and lot number // // Y� Q�o�THE Tory. Board of Health(3rd floor): Sewage Permit number �• 1� Engineering Department(3rd floor): U n/' raea House number / . TjIK/� °o 1639 Definitive Plan Approved by Planning Board �'�/ �orar d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO f TYPE OF CONSTRUCTION r4 AAaF 19 �9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot- i o I n C Proposed Use i�►j�tit,, YA M t t_y ()UJF t_� ► n ,tZoning'District Fire District A 2 e1 GT4 Name of Owner ,A2 -rM��►� Asax• 1 ,c- Address �y QaX SO? �1�2EST�/1L� , ,Name of Builder 01 m r'c Address PO 8,0 y So/ n?. «tr' Name of Architect R M Or, Address Number of Rooms 3 I3 Foundation, P)a.e ern Concrc?� Exterior �'� n n n nc Roofing A r 60 F Floors p 9 D, ; T 4 4 P t N f Interior P1 A<7 s o Heating aS F/-1 A Plumbing J Fireplace '` Approximate Cost 5. y O d Area e � Diagram of Lot and`Building,with,Dimensions Fee w za OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules`and Regulations of the Town of Barnstable regarding the above construction. Name �i�._�L_ s l ✓��' Construction Supervisor's License ' BARNSTABLE ASSOC. , INC. A=110-041 1 lD- oq i �. No 33193 Permit For Twr) S to r� J Single Fami 1)DDuplling-- Location Lot 41 8, 114 T,ni-hrnn-z T•;tne West Barnstable Owner Barnstable Assoc-, Inc Type of Construction Frame ' Plot Lot Permit Granted September 7, 19 89 Date of Inspection 19 Date Completed' 19 PERMIT COMPLETED 1/1/---q� f� Application to Old .Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ® Garage ❑ Commercial ❑ Other 2. Exterior Painting: 0 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK 114 lathrop s In ASSESSORS MAP NO. W. barn OWNER mr&mrG one carr•pl 1 ASSESSORS LOT NO. HOME ADDRESS SAME TEL. NO. 362-4180 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public �j street or way. (Attach additional sheet if necessary), f nC;s f- NtCole (nQ.iD i III I_oihrop'5 Ln . ltJ • Rar�s fi^�hl� ShrtarnPk LTarlj (3q to+/ op,'S L" fri {moo (hip h��Q •,'- Ti�rri �,��� Lit Il Lc��hron`.s L.n -lc�, r��pnri_s ,moo P-0. 136X c17qq C3ainsla,'U('e Inc AGENT OR CONTRACT^R TIMOTHY GRAY lic#046234 TEL. NO. 477-3364 ADDRESS 15 tobisset st mashpee , ma 02649 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed ✓ Own ntractor-Agent Space below line for Committee use. n .,�,.j Received by H.D.C. LBa Certificate is hereby Date F BARNSTABLE NG' HWAY RTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. i I�itannrnverl n , OLD KING'S HIGHWAY HISTORIC DISTRICT S P E C S H E E T FOUNDATION POURED CONCRETE SIDING TYPE CLAP BOARED COLOR TO MATCH .CHIMNEY TYPE N/A COLOR ROOF MATERIAL ASPHALT COLOR TO MATCH PITCH 10 WINDOWS double hung SIZE 21107x4 ' 0_" TRIM COLOR ALL TO MATCH EXISTING DOORS TWO 91x7 ' one 9 lite COLOR to match SHUTTERS N/A GUTTERS ALUM (WHITE) DECK N/A GARAGE DOORS two 91x7 ' COLOR MATCH TRIM oz C 2° rC N s : Fill out completely, including measurements and y materials/colors to be used. Three copies of this form are required for submittal A D � of an application, along with three copies each of .gym the plot plan, landscape plan and elevation plans , when applicable. "Plot plan need not be "Certified" , but should show, --�J all structures on the lot to scale. BY ��----------DATE_/ !L�I Z SUBJECT._FJ—D__P_Q?� --6------------------- SHEET NO.6k,__�OF. ------- QQ�� _ '.r CHKD. BY DATE �T L-------ill ------a[W SC. --_-tW4 JOB NO lIYC _`-:Ct'^1�'==t----�ti�� ---------------------------------------------- -- a - T k ------ L----------------- M�►J, 4" .�ISTS Z x I D @, 0.C 10 Sco�K I*,ic I I I I I I , t 2 x N( ,Lo�,: 2- 1/111� F0LT-S � �� 9,C , (OO -STf}b RfcD� I of 4 I/z" r T I �- rvo-r)r i PVO r.l (, s- f,uX K4t-i- srZeL- -rn � �M ��c�, %Wf ?nOTED AX T W+Os,nVe. 1#10 A 307 (64i v-) } ,/2„ � x 1-o" L.O�(4 3. ALA- WgeaC.N)A-tlS}Ap - To d w1T'R AMV--ram ►Qs 11TJTV*- of STv=� GMSTn tJC.T1(�1 D -i 1�SS ,rS �'1 f L)IL�D1,,Jb Got1Sj Lh-r6S-r SDrT1o1,4 f.EQU - c'neoAEs . fA Vff4ir`f U 14Ree LQ��Zic- D- �H OF �qqs MICHELE C. TUDOR, P. E . �� MIECELE c TUDOR Consulting Structural Engi - No. 34774 RUCTU 123 Cottonwood Lane•Centervlpe.Massachusetts 02632•(506)7 1-7601 6"� "�701 ST ER�G��`c• S�ONAL E JUL 1 519g2 To pN NF gAR� 48 , LE Assessor's office(ist,Floor): r SEPTIC SYSTEM MUST BE fWE Assessor's map and,lot number o Board of Health(3rd•floor): / b INSTALLED IN COMPLIANCE ' Sewage Permit number ✓ Y S WTH TITLE 5 Engineering Department(3rd floor): EN' F�S VIRONMENTAL CODE AND = DADd97ULL v riva House number i 7J- 7 .�® I RED`,ULATIONS �o to o• Definitive Plan,Approved by Planning Board ' 1t�1i �or�r APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only N ® F BARNSTABLE � . ,UILDING INSPECTOR Q.-Z CATION FOR PERMI TO • r TYPE OF CONSTRUCTION l/V O04 G d-7 19 A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location w, wvfS/�/ /8d/j�1 LO i Proposed Use 'r'''v Gv9r eL,,-eta e-- /oD Zoning District r Fire District �9r yS Name of Owner PIr iJif2 jr-ac- fa,11-0/ Address j1q L a.-I "7�o� G// Name of Builder�/'��/�� C/Y� Address /S �O a14J-e,7' 6'w7 1f 77-3?V y Name of Architect Address / Number of Rooms Foundation �C,�lyev� C U��`eTe, Exterior C�' '��f Roofing ���� Floors Interior Heating Plumbing o� Fireplace Approximate Cost ol.�� OOd Area Diagram of Lot and Building with Dimensions Fee /l0 G�rA /tlaus'e �l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License _��1� CARROLL, JOSEPH MR. & MRS. No 35278 Permit F r B, LD GARAGE Accessory t w 1 ing _ Location 114 L t r p7 Lane �- West am t le .% Owner Joseph Ca ol- - Type of Construction Plot Lot s J / � Permit Granted August 12 , . 19 92 Date of Inspection _ 19 €'.) Dattompleted- 19 J y MC ` r Z3Z.3G 8.3• _ ..rJ Z SZ~ E .� Lor/8 32, 9�7 si 10• 0 0 b o M 10' S ' I I HEREBY CERTIFY THAT THE STRUCTURE ON LOT I HEREBY CERTIFY THAT WHAT IS SHOWN DOES CONFORM TO THE SETBACK REQUIREMENTS ON THIS PLAN IS AS IT EXISTS ON THE OF THE ZONING BY OF THE TOWN OFBAR/VSrANZE GROUND. cs'EPT S /989 SEPTS /9g9 DATE REGISTERED PR D SURVEYOR DATE REq LAND SURVEYOR V`H of M CERTIFIED PLOT PLAN B JOM17 cy� LOT.• riQ R 7F5 o AOPS LAME P. TOWN OF• 8.4RNsrAetE, /YAS3: No.asses GATE. t !q'�ECISTER�yOQ� FLO D HAZARD ZONE AS DELINEATED ON "FIRM" PANEL NO. S DOYLE ENGINEERING ASSOCIATES INC. 30 THOMAS B. LANDERS ROAD P.O.BOX 595 WEST FALMOUTH, MA. 02574 i i 2 f 717 1Mr�1'I.ovrt2 11B io v14'LOW60- I I aN�NLI �wIw6L0f '- —�� pN4B 1•♦4• •4 aO•e— pOVaL*101N& I Y.+I0r4• ®2..4► �PrA• �V1'.u' -Vi'1•••V4'•eava��1Pwo--. . ^ t _rr-- __ DSVOL•IOIAG — . i�I I p..O• ♦'_1�.1� �`1.11 I17GN � ® I['1��I1 ��I��yJ��y�.jy�����I I�II�{e7}}}t{r�}[y{'Yl�li {p I aB.ti 1 V IIj141{}AI{If:aal{}/1,11� o W M 4• VON11 � ilr II 11 , L=:: u u u u u u �N- LI_01 161aL ELEVATION }b'- il-d 1 IOJ L/OY II-pll L_SI•T ELBVATIDN -_- E e4P-Alz NOTC:SHEET No.9 CDMTAINS MATTRIAL LIST ONL(. i i A I i '5NO114C •,THINGLQO-- -` �' !`' { I Qp orl a•-4'v4 ?fNN•OH Y I IV4N N 4 a4•pw SB.7•PH q•.p•pH BETTER IIONES and GARDENS° -1•K 6•ON - a - _ HOUSE PLAN"'1.19989 ' ...- r.,-3 Q^ ^ O4p• r1.MIiBBn IAP� wan.l.iwYUJ..rw p..IKn. i �n Iuca..�nuw,.m.r�a��.�..p..u...n.w�m�nacpn�w•��cm.w .. 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SLSf"•iR7 @ x Z 'S16C'va�J<l n7, � VI Y o l0 •' —� UC-,LS r Zco 01 ? .3 a•b35a lm it i �1; 1+;�► ELL] 1 Y == s l �!' ,j� j;�,i iiI Ilfl� -• ---- �_ ��°:'�� a11 - � 1 11,E�I jl I II 1-_._ r•iF '_ei 8: •III I ; II I 1, f x .:e°`•F. - —_ ® _ _ '' .IiII i01 II ii I� I t 1 oil 11 I v- I �I 'I' Ii��•`'II`' � i --- �a b IJ �mx tt Co Q q f,J rl c D i S � � �rJ1,�,d• I 'eM \ — -_—_— tj Q z — t❑i i J { n_.oL I U I II as Will Z rr ?1 J p d t apt I lZ i — Is . e �1- 0W en s Highway Regional -f istoric District Committe "�' '"''•t`':';"e ' :I;•r t ire the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS ' 0) rye.. Application Is hereby made. lai-tdplleate. for the issuance of a Certificate of Appropriateness under Section 6 al Chapter 470. Acts and Resolves of Massachusetts. 1973. for proposed work as described below end art plans" drawings or photographs eccomp6etyleiV this apphcetion for: <t t ' •, • ; ;: ,�,•�• CHECK CATEGORIES�TtIAT APPLY: t 1. Exterior Bulldir g Corj4 rf9 Uatt 1: New Building 0 Addition [I Alteration Indicati type o160dlo?,':"House ' Iff Garage r'• Commercial Other Z Exterior Painting; + - , 'q• 3. Signs,or Billboards: Ci. New sign EJ Existing sign Repainting existing signs 4. Structure:i 10 Esatds'• '<•;= EJ Well E] Flagpole .. Other, -. 1 ... '. `Please read other side.for explanation and requirernentsl. TYPE OR P1'ilk-t LEt3iBLY ' , f'' qq-:°°e u .• DATE ADDRESS OF PROPOSED WORK La¢ 1A Le>Lli r_ jam 4: 3A e n/. ASSESSORS MAP NO. OWNER Fta -ABLE ASSOC, �,�1�- ...� ASSESSORS LOT NO. Oct i .'' ►°, •, HOME ADDRESS®� �°r�ST �A !3 24 rf TEL NO. •<0. -Y -YZ_?A FULL NAMES AND ADDRESSES OF ABUTTING OWNERS• include name of adjacent property owners across any public street or way. (Attach ir'ddltlanol sheet If necessaryl. ST'r 9CE4 e_71/ ,/r7— .,• � lq I AGENT OR CONTRACTOR dam f� :al�� � e�7c��a� TEL NO. `� 7�' q?!E ADDRESS t'A1a� DETAILED DESCRIPTION OF PROPOSED WORK:' Give all particulars of work to ba done isee No. B,other side),Including materials to be used, If specllicatione do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. RAttach additional sheet.If nocassaryj.• .r' d1q/'�3,'Z s.,�g) �s};q,e�s1 Sge.T�OX WV `'eel DE 7A f: qE ".? qj(��c> �,— S¢ r w e,v€�o I,v Ro• , 1 ., . . ,�,•.,• rt ►•'• Signed Owner-Conte ci ?L.� � ` /M U Space below line for t;ornmittle file. _---- Received by t9.D.C• Date Tire Corti ass hereby Bata Time t AA% 3 1, 9 ... A By Approved [y' IMFOR TAf•JT: if Certificate la approved,approval to subject to the 10 day appeal period provided In the AcL Disapproved 7 n,j 4�0-7 VIP -50 1 .r E" �£ 'fib 1 �� ' ?� L� ��h� ���:��✓tv . i €a ' --8 p�j Bohr t , .. �0 _ i ' I i -F SV Q'2 i z )f ��� Q'zZ s a x Lri x a • .,.g;,....... �. ._ _ . _. .- . L( '0�h G3r�a� SSA?`J 1 •- ..... _ - -- - ,. r._ . . . . .. ....�.,....r .•_w_�... .. �.�... � 'Lei W Z ' V '(..�gZ •'..�`.,�-h-�..L ,..,�., .� .. .. 1 ,R 1 n BE Assessor'`s office(ist Floor): j _ D / �_ �+SYSTEM MUST Assessor's map and lot number @ -STAL.LED IN COMPLIANCE 5j Board of Health(3rd floor): �/ r � WITI'1 TITLE 5 Sewage Permit number � ENVII40NMENTAL CODE AND Z BAH39TOBLL Engineering Department(3rd floor)`. TOWN REGULATIONS 'oo r6}q. House number ''tF �e Definitive Plan Approved by Planning Board c 19 AL O MAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only _ TOWN . OF 'BARNSTARU BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ja�pp,0 F/jA-M TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot 13, I okAnn� L.g�v£ 10 n- , Proposed Use A Y� 1 E n Zoning District Fire District �A 2 v►�TKI L)� Name of Owner BAgiy rn 4LIE Assoc C- Address _Pe3 Ga SO) n e_E-g—D fLqs ! )q 02(.Yy Name of Builder C/i Al E Address Po 8o)( Sal f���sYoAG�- r►'IA c>�6 fl� Name of Architect G Address Number of Rooms 3 3 fZ Foundation Po tj F,,0 G,ncri`i'� Exterior Roofing Floors CP�Rpzr 141 P1rut Interior PIA<ren { Heating FHA Plumbing Approximate Cost CD O d Fireplace -� PP , Area r � Diagram of Lot and Building with Dimensions Fee r , 20 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License Oq 6"�X?3 BARNSTABLE ASSOC. , INC. t•,- - No 3 319 3 Permit-For Two Story Single Family Dwelling Location rot- #1 R - 114• Lothrops Lane West 'Barnstable t' Owner Barnstable AGSM , Inc: Type of Construction • -Frame _ '';♦ Plot Lot 7: Permit Granted September 7_, 19 39 7 `! Date of Inspection 19_ s to e?'e ��,1 —�C 19 o y r 4 o_ o� TOWN OF BARNSTABLE Permit No. ...3.32-9a.... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ` .... '�ra�►+`' HYANNIS.MASS.02601 Bond ......�.� l� CERTIFICATE OF USE AND OCCUPANCY Issued to Barnstable Assoc. , Inc. Address Lot 418 R 114 Lothroos Lang West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY -COMPLIANCE WITH TOWN REQUIREMENTS AND INACCORDANCE WITH SECTION 119.0 OF•THE MASSACHUSETTS.STATE. BUILDING CODE. . November t9.. .9:1 Building Inspector ..o °�� TOWN . OF BARNSTABLE 1414 '� BUILDING DEPARTMENT _ Isaiar a TOWN OFFICE BUILDING � ru 'a39• HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit issuedto`„rt! Qxu..l.......� 1 �........ -............... ................................................._......................__..__ Please release the performance bond. �+ stiyp NfT" RA o.! r l.r..:•,t w'_ FP►Q7F!a�r�j ivt �+1i!.Y+�Y�I{ '�61'T�Y14fIWttr? Goa'.'t TOW.N:OF BARNS,TABLE;"MASSACHUSETTS... fN :A=110-041 �I. ° DATE 19 -PERM r r�.' I ?Q .. •��'. ; i —3-2— P ER M T N 0: J "•J t) 'ram APPLICANT_ rnch;.�}-j) f� i\cgrif •f t•T f�' vA,DDRESS.2._.' �) FjC)X• ��'11' r'�IYF�ci'i�a'� (NO.I (STREET) ; -ICONTR'S''LICENSE.I PERMIT TO �titik�,r� jl�u�1 1i ran NUMBER -'OF: (?) STORY T DJW ELLING UNITS YP(TE OF IMPROVEMENT) NO. JI PR OP056D US , 'AT (LOCATION) N0. r ,� - ZONING T-� I1 \ (STREET) J DISTRICT_ RF BETWEEN:- AND ->- (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT . i BLOCK SIZE I 'BUILDING.IS TO-BE: - '' - � I ,FT, WIDE BY FT, LONG BY FT'."IN HEIGHT AND'SHALL'CON FORM"IN.:G:ONSTitUCT10N TO TYPE _ .•- .. , USE GROUP BASEMENT WALLS.OR FOUNDATION I (TYPE) REMARKS: _ ALrlf fTA R O— 1 i AREA VOLUME 14,08 ncy-_ .Er ESTIMATED COST $_ �`}rj O(lO JO - PERMIT • ' .� (CUBIC/SOUARE FEET, FEE �.17 Y�i7• `' i owNeR Ti��rn�'i %�hl Aavc�r+ 1I1c ! i ADDRESS _ p '� }•;('��' :C-jn•1 },�('�Y,:,q{-fell ��I .r,l ) BUILDING DE PT. ' Iy O, f)4Q BY (. �TJ`T-O'F"f"iJ`8'i`rt`w't7 •,�,... 'c.,:: . 'I I w OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. t 'f,•� 'rJ MINIMUM OF THREE CALL APPROVED PLANS MUST INSPECTIONS REQUIRED FOR BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I, FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. PLUM8IGAND 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCHI BUILDING SHALL NOT BE UNTIL M EMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET 1 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I Z 2 — z 3 HEATING INSPECTION APPROVALS ENGINE�GGGWARTMENT OTHER _ BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W! LL VOID IF TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT TARO STARTED ME ywITHINULLN5D1 MONTHS OF CONDATETHE PERMIT , INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION: PERMIT IS ISSUED AS NOTED ABOVE;- ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. _ _ __ __ ____ __ _ _ _ .. .. ._ .. , - . . _ _ - __ __ a ,. . - . 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',. zaz.s� 1, N o LOT/8 3Z, 9V7 sf. � � M o L3, 2�• y�/. s 13�• 1 HEREBY CERTIFY THAT THE STRUCTURE ON LOT /8 I HEREBY CERTIFY THAT WHAT IS SHOWN DOES CONFORM TO THE SETBACK REQUIREMENTS ON THIS PLAN IS AS IT EXISTS ON THE OF THE ZONING BY S OF THE TOWN OF8As7.V8[E GROUND. cS'EP7 S /989 SEPTS DATE REGISTERED PR D SURVEYOR DATE REGISTERED-BROFESSULAL LAND SURVEYOR OF ,y CERTIFIED PLOT PLAN .1 FOR: 6AANSrAB[E A55*4C1,47Zr5 JoH17 q�y� LOT: 48 z07,�ROPs LA/VF rsov%e,�tr TOWN OF:-BA�ewr sa Bt f, No.39599 " DATE:_Aycysr .!/, /`1d 9 sstER�°yo� FLO D: HAZARD ZONE AS DELINEATED ON "FIRM" PANEL NO. DOYLE ENGINEERING ASSOCIATES INC. 530 THOMAS B. LANDERS ROAD P.O.BOX 595 WEST FALMOUTH. MA. 02574 BY ----------DATE- qZ! SUBJECT._F�P q _I II ►f _ _ _ _ SHEET NO.!- CHKD. BY DATE �.1 t�f' Q �A 4------ `�`[�, SC-Mot4S JOB NO�fl� -- ---+c`� l.{"w------ i'`!S i L---------------- yi, 1 f ZII 1 O11 ------------------------ ------------ s' PA j 10 !IE P Fl oo ,S o!5R coy . 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