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0044 PERCIVAL DRIVE
4. !I I �r qq ppc ,\\ i OfiardNO. 152 1/3 ORA ESSELTE 10% m o si _.� ..�..•[.e_ .✓.,. _M !^•F ,.:-'�,W n�►"'. An _�•+t A inn+T �4 _-a._.�.:ilL4:.ea" d._'�...-,...v�_.__..t Uahe.�c•L.:... _..,:...e�..� s.i _. '� - _ �� ...� rrl!n'^���w ,�, �'��;�✓,=l� �� Q' , � � �- ce, "° ,,. . _.rs " lnill�- �. fgl,, �ao�3 t5 ' g= 1�1- 13 tv ar, wit $0 $188,600 $454,800 $0 $143,300 $396,800 $0 $143,300 $382,000 $0 $105,300 $241,200 $0 $105,300 $241,200 $0 $105,300 $241,200 $0 $74,900 $206,600 $0 $74,900 $206,600 $0 $74,900 $206,600 $0 $80,500 $196,100 $0 $80,500 $196,100 $0 $80,500 $196,100 $0 $102,500 ,$256,400 $0 $102,500 $256,400 $0 $113,800 $284,800 $0 $162,600 $383,400 $0 $162,600 $383,400 $0 $162,600 $383,400 $0 $64,600 $223,100 $0 $64,600 $223,100 $0 $64,6001 $223,100 =14786 9/28/2012 • TOWN OF BARNSTABLE r='-- -- -------- -- --- — — —T 1 nrT ' ')I Q 4 r ,Ir . ' I0. •.= �d � DIVIS N I r 1 I �•A. I �,. I 1 (f��� •4. �� I . I. x yY o Tµ ' _ ... .._ _..._. . . . . .. ._ -- -----t_ I f:e a � .'aI I • .� I' � I I i .' f 17.Ia:O � �, �. •rv'o:rFlaiNi. 3, 1 �•4ia+�l�rs . : I•. y 'i .. •I��'... �.ZO+Is�'orp� ZanS•orw� ' r I Parcel Detail Page 1 of 6 ttarasrAt;t,�� ; st'.r }gyp �,r:� �_�/ G1 �'� G ��Le, y x �o � Logged In As: Pa rice I Deta I I Friday, February 27 2015 Parcel Lookup Parcel Info ParIeDl 111-059 DeveloLoot LOT 13 Pri Location 144 PERCIVAL DRIVE Frontage Sec I Sec Road Frontage Village IWEST BARNSTABLE Fire W BARNSTABLE District Town sewer exists at this Road 2081 address No I Index Asbuilt Septic Scan: ~.` q � Interactive 111059 1 Map 111059_2 4 } - Owner Info Owner ISTAHLEY, DOROTHY I Co- Owner Streetl 144 PERCIVAL DRIVE I Street2 City IWEST BARNSTABLE StateFm—A1 Zip 102668 1 Country - Land Info Acres 10.84 Use Single Fam MDL-01 I Zoning IRF Nghbd 10107 Topography Level I Road jPaved Utilities iSeptic,Gas,Public Water Location Construction Info Building 1 of 1 Year 1987 I Roof Gable/Hip I Clapboard Built Struct Wall all Living Roof AC 4140 I Wood Shingle I Central I uar Area Cover Type Int Bed Style ICape Cod I Wall Plastered Rooms 3 Bedrooms I Ix Int Bath r4; e s Model lResidential I Floor Carpet Rooms 1 Full-0 Half I Seu(2] ear Grade jAverage Plus Type Hot Water Rooms Total 6 Rooms H a s, 2 Stories 11 1/2 Stories I Fuel Heat Found-Gas ation Poured Conc. Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6414 2/27/2015 i Parcel Detail Page 2 of 6 1 Area 9406 Building 1 of 1 Year 2013 I Roof Gable/Hip Ext Clapboard Built Struct Wall Living 4140 I Roof Wood Shingle AC Central Area Cover Type a eras Style lCape Cod Wall Plastered Rooms 1 Bedroom Model jResidential I Ior a�z� Rooms se Carpet I Bath Floor 1 Full-0 Half t12) Grade lAverage Plus I Heat Hot Water 3 I Type TotalRooms ;. Heat Found- Stories 1.4 Fuel Gas ation Blk/Pour Ftgs ' Gross 9406 Area Permit History Issue Permit Insp Date Purpose # Amount Date Comments FAM I LY APT & DORMER ON MAIN DW 7/21/2014 - OWNER TO 10/3/2013 Addition 201305894 $200,000 12:00:00 RESIDE IN AM FAM I LY APT, DAUGHTER & HER FAMILY TO RESIDE IN MAIN DW 1/15/1988 6/1/1987 Dwelling B30925 $135,000 12:00:00 WB 11/2 S AM - Visit History Date Who Purpose 11/19/2014 12:00:00 AM Mike White Bldg Permit Completed 9/9/2014 12:00:00 AM Jeff Rudziak In Office Review 6/4/2014 12:00:00 AM Mike White CALL BACK 8/17/2006 12:00:00 AM Paul Talbot Cyclical Inspection 3/20/2000 12:00:00 AM Donna.Dacey Meas/Listed-Interior Access 3/15/1988 12:00:00 AM IME I Meas/Est - Sales History i http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6414 2/27/2015 i Parcel Detail Page 3 of 6 I Line Sale Date Owner Book/Page pale rice 1 6/20/2014 STAHLEY, DOROTHY 28215/166 $10 2 11/4/2010 STAHLEY, DOROTHY 24972/182 $0 3 6/15/1995 STAHLEY, ROBERT F & 9728/151 $261 ,900 DOROTHY 4 2/15/1987 BAUDANZA, ANTHONY S & 5544/137 $90,500 HELEN 5 3/15/1986 KELLY; JOHN M TR 4990/150 1 $0 Assessment History Save Building Land Total Parcel # Year Value XF Value OB Value Value Value 1 2015 $338,000 $80,800 $1,200 $189,100 $609,100 2 2014 $180,900 $64,100 $1 ,600 $189,100 $435,700 3 2013 $180,900 $64,100 $1 ,600 $198,900 $445,500 4 2012 $185,000 $61 ,200 $1 ,400 $189,100 $436,700 5 2011 $223,500 $14,200 $0 $189,100 $426,800 6 2010 $223,000 $14,200 $0 $183,000 $420,200 7 2009 $259,300 $12,900 $0 $175,300 $447,500 8 2008 $280,900 $12,900 $0 $187,700 $481 ,500 10 2007 $286,500 $2,700 $0 $187,700 $476,900 11 2006 $327,300 $2,700 $0 $205,100 $535,100 12 2005 $295,100 $2,700 $0 $2261 500 $524,300 13 2004 $260,400 $2,700 $0 $205,100 $468,200 14 2003 $208,900 $2,700 $0 $73,600 $285,200 15 2002 $208,900 $2,700 $0 $73,600 $285,200 16 2001 $208,900 $2,900 $0 $73,600 $285,400 17 2000 $198,000 $3,400 $0 $50,800 $252,200 18 1999 $198,000 $3,400 $0 $50,800 $252,200 19 1998 $198,000 $3,400 $0 $50,800 $252,200 20 1997 $204,200 $0 $0 $37,000 $241 ,200 21 1996 $204,200 $0 $0 $37,000 $241 ,200 22 1995 $204,200 $0 $0 $37,000 $241 ,200 23 1994 $180,400 $0 $0 $45,700 $226,100 24 1993 $180,400 $0 $0 $45,700 $226,100 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6414 2/27/2015 PROJECT NAME: VY �q, ADDRESS: PERMIT# se PERMIT DATE: Z 3 M/P: LARGE ROLLED PLANS ARE IN: BOX I 13 SLOT 2 Data entered in MAPS program on: ?i 12-1 BY: � q/wpfiles/forms/archive The .Town of Barnstable BARNSTABLE. MASS �. Department of Health Safety and Environmental Services 1639• �0 ptED MA+� Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 r Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location ��/ZG!(/�i A9441 Permit Number Owner [ Builder- Ro 4 kf--n- One notice to remain on job site,one notice on file in Building Department. The following items need correcting: Ll P��Y oF ,p A.)/ /i` &Z— 4V--77Gi7/- (Awe k/ix6 y� -I � �P Please call: �508-862-40379-for re-inspection. .Inspected by Date •! pie�- " � •' :�' Y�Y'�rti41+,+ ���1}.` +` �ifi�"'. �.eT'r"' t..� .. ..` i_. f;.r -T ,�:�..hf""M•a b`.�Y'.1'`r" ""�'. ..—�,. r,.- } k Town of Barnstable RARMARS. E. ' Regulatory Services MASS. 039. Building Division am 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 I e�} Inspection Correction Notice ,{ J JI I Type of Inspection Location �/y �G l��/l��Z �f2�li� _ (Vy- Permit Number 3-D Owner 5T Builder `r I One notice to remain on job site, one notice on file in Building Department. The following items need correcting: I T L-47'cS-9 OA) Please'call: 508-862-4 for re-inspection. . Inspected by Date • t' ' tio� Town of Barnstable 1� Building Department - 200 Main Street " , # Hyannis, MA 02601 9 MASS i6s9 . (508) 862-4038 Certificate of Occupancy. Application Number: 201305894 CO Number: 20140116 Parcel ID: 111059 CO Issue Date: 08/21114 Location: 44 PERCIVAL DRIVE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: WEST BARNSTABLE Gen Contractor: BOYAR , KEVIN Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT ISSUED TO DOROTHY STAHLEY FOR ERIC & KRISTEN KOMAR i Building Department Signature Date Signed TOWN OF BARNSTABLE201305894 Building BARNSTABLE, Issue Date: 10/02/13 Permit MASS. �A16,3 Applicant: BOYAR,KEVIN Permit Number: B 20132413 rFD MA'l e Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/01/14 Location 44 PERCIVAL DRIVE Zoning District RF Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 111059 Permit Fee$ 1,275.00 Contractor BOYAR,KEVIN Village WEST BARNSTABLE App Fee$ 50.00 License Num 152407 Est Construction Cost$ 250,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CONST FAM APT PLUS DORMER ON MAIN HOUSE-DOROTHY STA HLFjFHIS CARD MUST BE KEPT POSTED UNTIL FINAL OWNER TO RES IN HOUSE ERIC&KRISTEN KOMAR(DAUGHTER)IN A"SPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: STAHLEY,DOROTHY BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 44 PERCIVAL DRIVE INSPECTION HAS BEEN MADE. WEST BARNSTABLE,MA 02668 Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). / i SO THATVISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 $r-dbt/0 2 ! 2 t �,��1 2 Afir�/9`s/ *11 Ca 3 �+F��/ 9-//s.//y ,d 1 Heating Inspection Approvals Engineering Dept .✓tee D9atS.At:t� Fnt� �i 2�. ►�tia Z (� s . ar of eal >I ZD13 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Tq Map Parce q -Appl-ication # Health Division = Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board , Historic - OKH Preservation /Hyannis' Project Street Address a Dr. ar b MA 02(& Village V�IeS� �2rnS�b� Owner _D0(0 !4 Shah Address 44 Tercliya I Dr. , W. B3.N)5i�h� , Telephone Permit Request a i.' r e Q5 am no VOrl b Z'BA Ow Doro e n � cue i a i o� use U1c • hoS E c, + 3 %I m_A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District -Flood Plain Groundwater Overlay Project Valuation e0661� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:,,g Yew❑ No 0 0 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Others S `AJ Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.81) o Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new W Total Roon.,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_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 _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name GcT' 6rA191d3 Telephone Number -1N , g44 — 1351 Address 0 . Box ?-I License # C S-1 b 3 3 2 W. Barr'+*4 6-hL. MA 02-(oO Home Improvement Contractor# l 6 Z15,6 Worker's Compensation # rA2P ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKENzFE4., V� SIGNATURE DATE 8I27h3 — I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. - ADDRESS F VILLAGE OWNER. -17 DATE OF INSPECTION: �t_ .... - �� ::moo- v , , ►A`� FOUNDATION �• FRAMEaw a� R�a!`brk is r INSULATION pU4 so Y�iK�`�kk.�lc.a/ FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL + GAS:- ROUGH FINAL FINAL BUILDING 44-r:ll L) DATE CLOSEDOUT • _. ; + y: ASSOCIATION PLAN NO. ts►rf l Rooms��-t ���cub Alt,6 i Town of Barnstable Regulatory Services a i '"x'''AS& Thomas F. Geiler,Director iOfFo�,,pr� Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW ON* 20 I Z.0 5094- Owner: 57-A�1��y Map/Parcel: Project Address yY /0, weyi r. �Xftt Builder: a CaSrbe 41--bgS The following items were noted on reviewing: 2 ffi.oA,c6A,- Ce-iPs j Rl b&r- SrR 0,4s 0a ea C44y< ��5 Reviewed by: /2 Date: `a w Q:Forms:Plnrvw the Commonwealth of Massachusetts Department of Industrial Accidents FOffice of Investigations 600 Washington Street Boston,MA 02111 wnw.mass go►/dia Workers' Compensation Insurance Affidavit: Builders/Co ctorsfElectricians(Plumbers Applicant Information Please Print L.ezibly Name CUMM-A BU I M (S -MAC. Address: P.v .BQX 2) City/state/Zip: ar oawob Phone# - 9 Are you an employer?Check the appropriate bo • T of project r � 4. I atn a contractor and I 3'Pe ( �� 1.❑ I am a employer with l�� 6. ❑New construction employees(fall and/or part time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the.attached sheet 7- ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working forme in any capacity- employees and have workers' 9. ❑Banding addition [No workers'comp.insurance comp.insurance.Z required] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption.per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we hime no employees.[No workers' 13.❑Other comp-insurance required.] •Any applicant that checks boa#1 nmst also fill out the section below showing they workers'compensation policy infarmatian. i Homeowners wbo submit this affid2vir indicating they use doing all vim k and then hue outside contractors mmsi submit a new affidavit indicating sash_ IConttactors mat chew this boa most attached an additional sheet showing the name of Ste sob-counactors and state whether or not those entities have employees. If the mb-cont atam bare employees,they nntst piavide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site informaliam Insurance Company Name: Policy#or Self-ins.Lie.it: Expiration Date: Job Site Address: 44 Pemsial brl ve . city/Stateizip: W. Barn tab6- figA o2.to(08 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section.25A of MGL c. 152 can lead to the imposition.of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage vetcation. I do ltereby certify un thepains and penalties ofperjuty thatthe information protided above is hwe and correct Signature: Date: 812-7113 Phone#: D Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cigl Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 SUBCONTRACTOR LIST EXCAVATION&SEPTIC Earth&Stone Contact:Michael Takach Phone:508-776-7003 FOUNDATION A&E Concrete Contact:Thomas Williamson Phone: 508-958-2102 FRAME Anderson Construction Contact:Mathew Anderson Phone: 508-3674653 PLUMBING Cape Cod Master Plumbers Contact:Tim McElroy Phone:508-317-5525 HVAC Balanced HVAC Contact:Lincoln Stubbs Phone: 508-631-1953 ELECTRICAL Alan O'Reilly Electrical Contact:Alan O'Reilly Phone: 508-648-9127 INSULATION MAP Insulation Contact:David Murphy Phone:(508)888-3599 BLUEBOARD&PLASTER Bankston Blueboard&Plaster Contact:Jonathan Bankston Phone: (508)4944822 PAINT Captain's Crew Contact:Fellippe DaFonesca Phone:(508)989-2199 INTERIOR FINISH Brylindsen Carpentry Contact:Jesse Brylindsen Phone:(774)836-8799 HARDWOOD FLOORING Robillard Hardwood Floor Finish Contact:Gary Robillard Phone:(508)561-0549 TILE Gareth O'Reilly Tile Contact:Gary O'Reilly Phone:(508)367-3133 Ac- CERTIFICATE OF L ABILITY INSURANCE DATQ(M (YYYY) 09l19102019 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMI ND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS TUTS A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLD E 1. IMPORTANT. If the cel'llilcata holder Is an APDITIONAL I NSUR150,the pallcyllesl must be endorsed. IT SUBROGATION 15 WAIVED,subject to the terms end conditions of the policy,certain policies may regLdre n endorsement. A statement on this certificate does not confer rights to the rMaln older In lieu of such andorsement s. DelbDle surance Agency,LLC SOB 957- 5 etmark rrlgrkVy1alnsurance.com 02632 INSURER(S)AFPORDNO COVMig a NAIC o _ INSIIRERA:Form Family Ca9uelty Insurance INSURER e I R,W.Anderson&Sons Prarning,Inc. - 241 Route BA INSURER C Cost San*Mch,MA 02537 InSURER o: IbPt4RFRB: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED eELO HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDI ON 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 TERNS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY H VE BEEN REDUCED BY PAID CLAIMS. K TYPE OF INSURANCE NOR*VD POLICY NUMa6 MMIDO(YYYY MMIO LIMITS A O9JEAALL,1A91UTV 2DOIX0555 111AGRO1211111612013 EACHOCCURRENCE s 1,000,000 COMMERCIPI3ENERALLW]gITY RENISESIE. bOdurrenae S 50,000 CLAIMSNADE 7x O=R MM 7 P'AnX me rag1. s 5.000 PERSONAL d ADV INJURY s Included GENERAL AGGFEGATT t 2.000,000 GEINL AGGREGATE LIMIT Arnim-EP.: PRMUCTS-CDMP/DP AGr. j 2,000.000 x Policy 0PR ' 7 LOC s AUTOMOBILE LIABILITY COMB INEO S WGLE LIMIT e ecndent ANY AUTO BODILY INJJRY(Pnr p.q.,n) 6 AUT06 ED I AUW0S JLED BODILY WJURY(P.—Nord) 1 HIRED AUTO: NON•OW4EC - Y Henn AUTOS For oa-idcrd $ S UMBRELLA LIAR OCCuR EACH OxURRENC2 a EXCESS LIAR CLA445•MACE AGGREGATE—H 6 DED NTIO 6 A WORRERSCONPENSATION 2001WE3el W162013 9/1812014 wcsrnru• ors+ AND EMPLOYER&LIABILITY YIN TORY LINR3 X CR- AW F'ROPRIETOR/PAMFR)EJIECUTIVE E L FA41 ACCmEN7 S 1.000.000 OFFICER(NEM�excLuDED? a NIA (MIlInd�yaytpgo5y�n iprl NMI I� E.L 0ISEASE-EA0 -LOY $ 1.000,000 9ESCCS7IPTIONO OPERATIONS BeI� I E.L.DISEASE POLICY LP.7R 1.000,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES(ANaeh ACORD 101,Agditlbnal ngmi tv echegule,It more space Is regWreO CARPENTRY Matthew Anderson is Covered by the worker's compensation policy. SERTIFICATE HOLDER C NCB LATI N WOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BD Custom Builders Inc THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN PO Box 21 ACCORDANCE WITH THE POLICY PROVISIONS. West Sam stable,MA029915 AUTWORIZED REPRMNTATIVE 01980-2010 ACORD CORPORATION, All ii-h-te reserved. ACORD 26(20100) The ACORD name and logo are registered marks of ACORD From +1.508.898.3631 Thu 25 Apr 2013 09:06:15 AM EDT ID #5449677 Page 2 of 2 Rightfax N3-1 4/25/2013 6:03:04 AM PAGE 2/002 Fax Server CERTIFICATE OF LIA131LITY INSUR NCO-E DATE0MNUDDIYYYY) 1r" 9CH FICATE IS ISSUED AS A MATTER OF IN FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURAUCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER D THE CERTIFICATE HOLDER. IMPORTANT:It the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to I the certificate holder In lieu of such endorsemen s. PRODUCER CONTACT NAME: 1)OLAN&MALOISGY 11-IS AGCY PHONE FAX 141 TURN ME RD (AIC,No,EXt): (JUC,No): E•FML WESTBOROUGH,MA 01581 ADDRESS: 75YP:Z INSURER(S)AFFORDING COVERAGE NAIC 4 INSURED INSURER A: TRAVEIZRSL^IDEhOITTTYCONLOAtyOFAM_.T[--A O'RBILLY,ALAN R INSURER B: INSURER C: INSURER D: 12 LENTBLL ST INSURER E SAI�ID�1nCH,MA, 02537 INSUn1 R F: i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: HIS IS TO UERTIFT INAI I HE W 53rINSURANCE LISTIED .V IIAVE BEEN ISSUED TOT E INSURED NAMED AB rM.TW POLICY PERIOD INDICATED. NOTV47TUSTA1011110 ANY REQDIROPENT,TERM OR GONOITiOH OF ANY CONTRACTOR OTHER DOCIAMENTMTN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MY PERTAN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LvAi u SHOWN IMAY HAVE BEEN REDUCED BY PAD CLAIMS. IN SIR i DO SUB I PCLICYEFFOATE POUCYEXPDAW LTR TYPE OF INSURANCE L R POLICY NUMBER (M1,41 361ffro) (MRSJ7DtYYYY) LIMITS GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAI GENERAL LIABILITY A $CLAWS MADE a OCCUR. EM SES Ea occurrence)IM ,ED EXP(Arty one person) $ S014AL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: fcox,)ILY ERAL AGGREGATE $ POLICY PROJECT LOC DUCTS•COMP/OP AGG 5 AUTOMOBILELIABILITY MBINEDS114CLE $ ANY AUTO T(Ea accident) ALL OWNED AUTOS INJURY $ SCHEDULE AUTOS Per person) ODILY INJURY HIRED AUTOS $ Per accident) NON•OLMLL)AUTOS n1ROPERTY DAMAGE 3 Per accident) UMBRELLA UAB OCCUR ACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE GGREGATE $ DEDUCTIBLE $ RETENTION $ S A WORKER'S COMPENSATION AND X we srATura3Y OTHER EM.PLOYER'S LIABILITY YB I3 i U0372N774-13 OAM317013 04/13/2014 LIMITS ANY PROPERITOR,PARTNERJI-XCCLITIVE N/A E.L.EACH ACCIDENI y 1U11,00J OFFICERIMEMBER EXCLUDED? (MarulatoryInNH) E.L.DISEASE-EAEh1P'LOYEE $ 100,00D ITysa.describe under 1E.L DISEASE-POLICY UMrr I$ :5w.00iO DESCRIPTION OF01"ERATIONS Wlaw DESCRIPTION OF OPERATION&LOCATIONSIVEHICLESIRESTRICTIONSISPECIALITEMS T-HT$REPLACES AN Y PRIOR MR TTFICATB ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE WORKERS!COMPENSATION POLICY DOFS NOT PROVIDE CO'yW AGB FOR O'RSTLLY,ALAN R. CERTIFICATE HOLDER CANCELLATION B&ll 11EALTY SHOULD ANY OF T11E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONDATETHEREOF,NOTK:EVYILLSEDELIVERED PO BOX 21 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAF(VE "�% W BARNSTABLE,MA 02668 'f�. AC RD 25(2010J05) The ACORD name and logo are registered marks of ACORD 988-2010ACORD CORPORATION. ll rights reserved. A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM1/2012 Page 1 of 1 09/17/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ICONTACT Willis of Tennessee, Inc. ....... PHONE �ai�Tnt•_..888--467-237_8....• c/o 26 Century Blvd. {air.Aio PX� 877-945-7378 P.O. Box 305191 E-MADDRESS: certificates@willis.comi Nashville, TN 37230-5191 INSU RER(S)AFFORDING COVERAGE NAICN___ INSURERA: Zurich American Insurance Company 116535-005 INSURED MAP Installed Building Products INSURERB: Cincinnati Insurance Company 10677_001 165 state Rd. INSURER C:American Guarantee & Liab_ility.Insurance 126247-004 P.O. Box 1309 INSURER D: — Sagamore Beach, MA 02562-1309 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:18525406 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE ADD'L•,SUB POLICY NUMBER POLICYEFF POLICYEXP LIMBS A GENERAL LIABILITY y GL0913952706 10/1/2012 '10/1/2013 EACH OCCURRENCE $ 2,000,000 DAMAGE 70 RENTED X __COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurence $ 11000,000 —CLAIMS-MADE� X IOCCUR MEDEXP(Anyone person) $ 10,000 PERSONAL BADVINJURY $ 2,000,000 -- .__._ ... ._... GENERALAGGREGATE S 4,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OP AGG S 4.000.000 POLICY - PRO- I LOC $ B AUTOMOBILE LIABILITY CAA5878131(NY) 10/1/2012 10/1/2013 R1.MId DSINGLELIMIT S 1,000,000 B X ANY AUTO CAA5121545 (CA/ME/WI) 10/1/2012 10/1/2013 BODILY INJURY(Per person) S B AUTOS OWNED SCHEDULED AU CAA5211284(NH) 10/1/2012 10/1/2013 BODILYINJURY(Peraccident) S ' ,,..AUTOS _ B X HIRED AUTOS X CANON-OWNED UTOSCAA5878127(AOS1) 10/1/2012 10/1/2013 PROP(PerEATY'DAMAGE 5 B CAA5223136 10/1/2012 10/1/2013 Is C X UMBRELLA LIAB 'X ' OCCUR AUC931420601 10/1/2012 10/1/2013 EACH OCCURRENCE Is 10 000 000 EXCESS LIAR i CLAIMS-MADE AGGREGATE S 10 000 000 DED RETENTION$ Is A I WORKERS COMPENSATION I I IWC913952606 (ADS) 10/1/2012 :10/l/2013 X 1 0BYLIMITSI ER. AND EMPLOYERS'LIABILITY --- A ANY PROPRIETORIPARTNER/EXECUTIVE 1VN :I A WC913952806(WI) i10/1/2012 110/l/2013 E.L EACHACCIDENT Is 1,000,000 OFFICER/MEMBER EXCLUDED? -----"----_—'— (Mandatory lnNH) I ;E.L.DISEASE-EA EMPLOYEE .S 11000,000 ryes,describe under I -- S6 P710NOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 B , Excess Automobile 1XS1154851 .10 1 2012 ;10/1/2013i$4,000,000. Excess i of $2,000,000 underlying automobile DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks Schedule,if more space is required) B & D Realty and Development, Inc. is named as Additional Insured as respects to General Liability only as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE B & D Realty and Development, Inc. P. 0. Box 21 West Barnstable, MA 02050 Coll:3859379 Tpl:1515199 Cert:185 406 ©1988-2010&ORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD MAR. 26- 2013 10:03AM HART INSURANCE NO. 342 P. 1 A CERTIFICATE OF LIABILITY INSURANCE 03/Z /2013 6/2013�® THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFfRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the tBrms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCEa CONTACT Erica H O'Connor HART INSURANCE AGENCY,INC. NAME: 243 MAIN STREET PHONE Exft' 508-759-7326 X205 F C Ne:508-759-7366 PO BOX 700 E-MAIL BUZZARDS BAY,MA 025320700 INSURE & AFFORDING COVERAGE NA10 rl INSURERA: SAFETY INSURANCE COMPANY 39454 wsu"O Jonathan F Bankston dba Bankston Plastering INSURER B. HARTFORD CASUALTY INS CO 29424 PO Box 886 INSURER c Monument Beach,MA 02553 INSURER D. INSURER H: INSURER F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS. ILTA N SR I TYPE OF INSURANCE APUL SUER POLICY LFF POLICY EXP POLICY NUMBER MMIDD MIDD LIMITS A GENERAL LWULITY 5P00009537 12/12/2012 12/12/2013 EACNOCCURR6NOE s 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE T RENTEDPREMISCS S 50,000 CLAIMS-MADE 10 OCCUR MED EXP(Any oneperson) S 5,000 PERSONAL BADVINJURY S 1.000,000 OENERALAGOREGATE S 21000,000 GENLAGGRE.GATE LIMIT APPLIES PER! PRODUCTS-COMP/OPAM S 2,000,000 POLICY F1 PrRgi LOC S AUTOMOSILE LIABILITY I M ANY AUTO BODILY INJURY(Per porson) S ALL OS AUTOS SCHEDULED AUTOS BODILY INJURY(Patat&idano 3 HIREDAUTOS NON-OWNED PROPERTYDAMAGE S AUTOS S UMBRELLALIAS OCCUR EACH OCCURRENCE S EXCESS LIAR HOLAIMS-MADE AGOREGAYE S CEO REYENTION 5 S B WORKERS COMPENSAYIoH 08WECDO3000 10120/2012 10/20/2013 NA WC BTATU- I I OTH- AND E MPLOTER5'LIABrUTY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT S 500.000 OFFYCERINIUADEREXCLUDED7 NIA (Mandatoryrn NH) E.L.DISEASE-EA EMPLOYEE. S 500,000 M D ESCyac,RIPTIIPTIONN OF OPERATIONS below unOCr E.L.DISEASE-POL)CYLIMIT S 500,000 DESCRIPTION OF OPERATIONS[LOCATIONS 1WHiCLES(Aftim ACORD 191.AddiUOntl R6mft Schedule.It more spare Is rsqulroa) CERTIFICATE HOLDER CANCELLATION Fax#;(508)927-9227 SHOULD ANY OF THE ASOV9 DF_$CRIBED POLICIES BE CANCELLED BEFORE SO Custom BUirders THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Main Street ACCORDANCE WITH THE POLICY PROVISIONS, West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rlghts reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Client#:44089 2CAPTAINSCR ACORD,. CERTIFICATE OF LIABILITY INSURANCE UAIE(MM/UUIYYYY) 09/10/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PHODUChH CONTACT Dowling 81 O'Neil PHONE FAX (Arc,Nu.Exo:508 775-1620 WC.Nu): 5087781218 Insurance Agency E-MAIL ADDRESS: 9731yannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAICS Hyannis, MA 02601 INSUHEHA:National Grange Mutual Insuranc INSUHtu INSURERS: Fellipe DaFonseca DBA Captain's Crew Painting INSUHEH C: 1815 Falmouth Road,Apt. B7 INSURER D: Centerville, MA 02632 INSUHEH E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IrNSK TYPE OF INSURANCE AUU SUUH POLICY EFF POLICY EXP INSR WVD POLICY NUMBER (POLICY (MMIUUIYYYY) LIMITS A GLNLHAL LIASILI I Y MPT1775F D711112013 07/11/201 FAOHOC;CIIHHFN0- $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PHFMItiFti Fn nrr.Ilrmnrr. $500 000 CI AIM;-MAI)F n C)C;CUH MH1 FXP(Any nnn prrann) $10,000 X PD Ded:250 PFHSCINAI R AI)V INAIHY $1 000 000 GENERAL AGGREGATE $2,000,000 C lA(iC;HFC;AIFIIMIIAPPIIF;iPFH: PHOINICNZ;-(01VIFIIPAGG $2,000,000 POLICY PRO- Loc $ AUI OMOBILL UAHIUIY OOM HIM-1)SINGI F I IMI I (Ee euddenl) $ ANY AUTO BODILY INJURY(I'm Velavll) $ ALLOWNED SCHEDULED HOOn Y INJURY(Prrarr.Inrnl) $ At 110:i At I 1 ClS NONX)WNH) r'n,le uJIY IAMAGI- $ HIRED AUTOS AtIICI;i $ UMBRELLA LIAU OCCUR FAOH()CXAJHHFNC;- $ EXCESS LU1B CLAIMS-MADE AGGREGATE $ DED I I RETENTInN $ WORKERS COMPENSATION WC ITATU- OTH- A ANU EMPLOYEHS'UAU YIN IU IY WCT1775F 7/11/2013 07/11/201 X ICIHYI IMI IS FH ANY PHCIPH11-I0H/PAHINFH/FXF(;III IVF E.L.EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) F.I.I)ISFA!4- FMP FF I()Y $500 000 If yea,desuiLe uudel I1F;iCHIP I ICIN OF OPFHAI IONS MInw E.L.DISEASE-POLICY LIMIT S500.000 UESCHIP I ION OF OPEHA I IONS/LOCA I IONS I VEHICLES(Attach ACOHU 101,Addillonnl Hamarks Schooula,If mora space Is raqulrGd) Fellipe DaFonseca is excluded from the workers compensation policy. Insurance coverage is limited to the terms, conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Kevin Boyar SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 21 ACCORDANCE WITH THE POLICY PROVISIONS. West Barnstable,MA 02668 AU I HOHILIA)�REPHE6EN I A I IV,,I:�. @ 1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S117181/M117180 KKM 06/10/2013 10:26 5088885184 BYRNE I PAGE 02/02 DATE(MMIODNYYY) CtERTIFICATE OF LIABILITY INSURANCE 6/10/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINO INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcate holder Is an ADDITIONAL INSURED,the policoes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,CaTtaln policies may require an endorsement A statement on this csrt)ficata'does not confer rights to the CsrtifiCate holder In lieu of such endorsement(a). PRODUCER NAME: SYRNE INSURANCE GROUP INC Alc No Ext: (508)888-5185 ac N,,(508)888-5184 PO Box AODREss:dance@byrneinsuranae.com Sagamora Beach, MA 02562 Be INSURER($)AFFORDING COVEkAGE NXcV INSURER A:HarleysV1110 INSURED INSURER a Jesse Brynildsen INSURERC: 1A Palmer Road INSURER 0: E. Sandwich, MA 02537 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBI=R THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REC)UCED BY PAID CLAIMS. ICY EXP L R TYPE OF INSURANCE INSR wvo POLICY NUMBER MMIDD MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 8 1,000,000 COMMERCIAL GENERAL LIABILITY I� �� PREMISES Ea occurrence $ 100 000 CLAIMS-MADE OCCUR MEP EXP(Any one parson) S $ 000 A x Package SPP00000069137J 05/23/13 05/23/14 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 2,000,000 X POLICY jE Q LOC 8 AUTOMOBILE LIABILITY Ee eaddenl $ ANYAUTO BODILY INJURY(Per pereon) $ ALL UT OWNED SCHGDAUTOS BODILY BODILY INJURY(Per acddent) $ NON-OWNED tHIRED AUTO AO Pec0en $ —i $ UMBRELLA UAB �_JOCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE S OEO RETENTION S $ WORKERS COMPENSATION WC A 7-7—OTH- AND EMPLOYERS-LIABILITY YIN TORY LIMITS I I E ANY PROPRIETbWARTIVERMCtrrlvE OFFICERMIEMHER EDtCLLIOM" ❑ NIA E.L.EACH ACCIDENT $ (Mond,nory In MIO E.L.DISEASE•EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 8 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Adoltlonel RemerKe Schedule,H more apace is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE B & D Realty Development, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 21 ACCORDANCE WITH THE POLICY PROVISIONS. West Barnstable, MA 02668 AUTHORIZED REPRESENTATIVE :/:��> �� -- - I 0 1988-2010ACORD CORP ION, All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORN Rightfax C2-2 6/11/2013 4 : 39: 53 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE(MIN/DDIYYYY) IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATNELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. IT SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: BYRNE INS GROUP INC PHONE FAX P O BOX 1908 (A/C,No,Ext): (A/C,No): E-MAIL SAGAMORE BEACH,MA 02562 ADDRESS: 7672L INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY BRYNILDSEN,JESSE M INSURER B: INSURER C: INSURER D: PO BOX 631 INSURER E: FORESTDALE,MA 02644 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERMIFYA O S O INSURANCE S 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 DESCR13ED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA®CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM%DD%YYYY) (MM%DD1YYYY) LIMITS GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE 0 OCCUR. 3REMISES(Ea occurrence) ED EXP(Anyone person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY [:]PROJECT a LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-0507N243-13 05/1512013 05/15/2014 LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTINO WORKERS COMP COVERAGE. BRYNILDSEN,JESSE M IS COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION B&D REALTY DEVELOPMENT,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 21 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE TAAVE __ C .w^•t ;,�^_ -,• WEST BARNSTABLE,MA 02668 ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. GARYROB-01 SCHAM A�Ro CERTIFICATE OF LIABILITY INSURANCE DATEIM2013YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the Certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to i the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT AAA Insurance Agency,Inc. NAME: 110 Ro al Little Dr. PHONE Y AIc No Ext:(800)222-4242 a/c No),(401)868-2083 Providence,RI 02904 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 9 _ INSURER A:Harleysville Insurance Company — _ 14168 INSURED INSURER B: Gary Robillard Floor Company INSURER C: Gary 8,Julie Robillard i 35 Lower Brook Rd. INSURER D: South Yarmouth,MA 02664 INSURER E: .;.%3URCR F: -•- - - __ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I INSR LTR TYPE OF INSURANCE POLICY EFF POLICY M' EXP N POLICY NUMBER _(MMIDDYY1-1MWODIYYYY umrrs GENERAL LIABILITY EACH OCCURRENCE S 1,000,0001 A X COMMERGAL GENERAL LIABILITY SPP00000098476H 1119/2012 11/9/2013 -OWNGETO-RELATE PREMISES(Ea occurrence) $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) S 15,000 sI PERSONAL 8 ADV INJURY S 1,000,000 I GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,0001 7X POLICY PRO- F-I LOC Is AUTOMOBILE LIABILITY MBINED SINGLE LIMI Ea accident 3 I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS I AUTOS BODILY INJURY(Peraccident)I$ 1 HIRED AUTOS NON-OWNED PROPERTY DAMAG AUTOS PER ACCIDENT S $ { UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE _ S DED RETENTIONS _ � WORKERS COMPENSATION 8l4C STATU• I i AND EMPLOYERS'LIABILITY Y!fd- OT T RY IMIT H•I __ CLAY"PP^?PtETORSP;:F*:.�a;c;cECUrNE(— E.L.EACH ACCIDENT S I OFFICER/MEMBER EXCLUDED? I N I A (Mandatory In describ under E.L.DISEASE-EA EMPLOYE $ If os. DESCRIPTIONe undOF OPERATIONS below E.L.DISEASE.POLICY LIMIT S 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if Moro space Is required) Floor Installation and related contracting i CERTIFICATE HOLDER CANCELLATION iSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t BD Builders THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i PO BOX 21 ACCORDANCE WITH THE POLICY PROVISIONS. i West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE g , ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I r 03/28/2013 10:08115087751135 CHAGNON INS AGENCY 92073 P. 001/001 ACC>RL) CERTIFICATE OF LIABILITY INSURANCE °A*M(NW/D0YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY3 26/13 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TM CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TIME ISSUING INSURER(S), AuTHOFt¢ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the ' certificate holder in lieu of such endorsernen PRODUCER QQNTACY NAME: Chevonne A. Pratt Chagnon Insurance Agency, Inc. P (508 771-1660 N91: Isa91 775-1135 PO Boa 355 EAIAIL (Ar Ail Route 28 ADDRESS: chevonnepratt@ciainsurance.net West Yarmouth, MA 02673 tNsu'aQ S AFFORDING COVERAGE _ NAICA NSURERA:Commerce Tnsurance Co an INSURED INSURER5.-American Z'lrich Gareth O'Reilly DBA III RFR C: Custom Tileworks INSURER D: 94 Valhalla Drive — S Yarmouth, MA 02664 INSURER E: ....... --- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 WrrH 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 ANDCONWTIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, S IDI' IiBR.... FOLICY W MMIDWYYYY R 1 UNITS NSR TYPE AOFINSURANCE IN I P NU OLI CY M6FJt A G>SRERALLuenfTY I BMA0007782 12/15/12 12/15/131 EACH OCCURRENCE S 1 000 000 : X I COMMERCIALGEMPALLIABOJTY DMM\¢Er_TO--Rv NTED 100,000 I CLAW-MADE =OCCuft ! W-D OP(A yora persm) $ - 10,000 i I PERSONAL&ADV INJURY $ 1 000 000 ;I l-- GENERAL AGGREGATE $ 2,000 000 GEN'LAGGREGATE LLMTAPPLIES PER , PRODUCTS-ODI PIOP AGG ,L 000000 _ $ POLICY r I LOC S AUTONOMLELIABILITY co&miNED L Ea atddert S ANYAUTO BODILY INJURY(Per;*(", ) g ALL OMRED SCHEDULED AUTOS AUTOS BODILY INJURY(Per eccident) $ NON-OWNED PROPERTYDnuw�E $ HIRED AUTOS AUTOS ` eracdderl�� I $ UMBRELLA LIAR OCCUR !I I EACH OCCURRENCE $ EXCESSUAB CLAWS-MADE I AGGAEGATE $ DED RETENTION S 11 a B W AND RKEFIS 6ZZUB4586Pdd912 3/22/131 3/22/1a WCSTATU OTH- AND EMPLOYERS'LABILITY Y/N � I - ANYPROPRIETDRIPARTNER/EXECUTIVE EL,EACHA>ACCIDENT $ 100 000 ( �ICERWEMBER EXCLUDED? NIA� wlar>6Ffby in NH) E.L.undor DISEASE.EA EhPLOYE S 100.000 DES�GRIPTION CfOPERATIONS bslow 61.DISEASE-POLICY LKIR $ 500,000: oe'$CRIPnON DFoPERATIONs!LOCATIONS/VEHICLE$(Attmeh AOORD IM.AdffK-ul Renmda Sahe U.,if o sIn¢a rcgiirad) Custom Tilework Gareth O'Reilly is excluded from workers compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED PCUCES BE CANCELLED BEFORE THE EXPIRATION NOTICE WILL BE OEUVERED AY B & D Custom Building A ANC E PO Y PR N3. FAX: 508-775-5712 Centerville, MA 02632 Au TA m IM-2010 ACORD CORPORATION- All rights reserved: ACORD 2s(2010105) The ACORD name and logo are reglsterled marks of ACORD Phone: Fax: E-Mail: BTS FAX rrurr, Z./ vvL j A "^ CERTIFICATE OF LIABILITY INSURANCE DA (MM/D > 7/152013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polcAles)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this ceFUflcate does not confer rights to the certificate holder In ileu of such endorsement(s), PRODUCER CONTACT N M Berkley Assigned Risk Services Miller McCartin Inc ND.Es IAI 800634-4589 AlC.Ne): 866 215-8118 Dowling&Oneil Ins ADOREss: PolicyServices berkteyrisk.com 973 Lyannough RD INSURER(S) F RDING VERAGE NAICa H grill MA 02601 IN RED INS lRER 8: Earth&Stone LLC INS IR ER c 210 Queen Ann Rd Unit#7 INSIRERU Harwich,MA 02645 INSLAER E: I NS UtER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 HEREN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. LTR TYPE OF INSURANCE INSR WVO POLICYNUMBER MsUOD/YYY MMIDD/YYYY LIMITS GEN R LLIABIUTY AUTOMOBILE LIABILITY a WORKERS COMPEl6ATION WCS A U- OTH• AND IMPLOYERS'LIABILT' YIN TORY LIMITS ER ANY P ROPRI El DRIP ART E R/EXECUTIVE a 161 EACH ACCIDENT $500,000 A OFFICEIMEMBER EXCLUOEDi N/A WC-20-20-002581-03 12/02/2012 12/022013 (Mnndeloryln NHl A F MP S 500,000 Ir yes,doscdbe Under DESCRIPTION OF OPERATIONS ee— F. 1 I IM `500,OW DESCRIPTION OF OP RATIONS ILOCA IONS/VEHICLES(AMeoh O 0/07,kidiLlonol Romarks odele,i more spat&is re4a rod) Election ection Categ ory Elect.Status Name State(S) All Entities/Locations Other Indude Michael 3 Takach MA Earth&Stone LLC 210 Queen Ann Rd Unit#7 Harwich,MA 02645 C ICA HOLDER- CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE W ILL BE DELIVERED IN B&D Realty Development Inc ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 21 West Barnstable,MA 02668 ignature: ACORO 25(2010105) BRAC 3139 • Client#:41374 2EARTHST ACORD. CERTIFICATE OF LIABILITY INSURANCE IUA IE12/20IY3 0312/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCE" CONIACI NAME: Dowling&O'Neil PH ONE 508 775-1620 -AX 5087781218 A1C Nu EXl: AIC Nu Insurance Agency 1:-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURERISI AFFORDING COVERAGE NAICB Hyannis, MA 02601 INSUHEHA:National Grange Mutual Insuranc INSUKEU Earth&Stone, LLC INSURER B P.O. BOX 422 INSURER C Dennisport, MA 02639 INSURERD: iNSUKEK E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. INSR IYPE OF ADDLSUB POLICY EFF POLICY EXP LIMAS LTR INSK WVU POLICY NU _HhK MMIDDIYYYY MMIDDIYYY A GENERAL LIABILITY MPF8735Y 2/08/2013 02/08/2014 EACH OCCURRENCE $1 000000 x COMM-RC:IAI (il-WHAI IIAHII I I Y I)AMA(iF I()KFN IH) PREMISES Ea mwnonw $500 000 CLAIMS-MADE FX1 OCCUR MED EXP(A„v vna Vomit) $10 000 P)•H;i()NAJ RAI)V INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 IiFN'I A(iriRl-C;AIrIIMIIA PllHil'FH: FROM)(;IS-C,"OMP101'AGG $2,000,000 3. rOLICY PKCT LOC $ AU I OMOMILt UAHILII Y C OMKINhI)SINGI F 1 IMII (Eo awidonl) $ ANYAUTO BODILY INJURY(Pol Vol ovll) $ ALL OWNED SCHEDULED Hbull Y IN.IU nr nradrn ( ) Kv Pt $ At ICA All 101; NC)N-C)WNFI) PKOPFK IY I)AMAIii- HIKI•UAUl0 AUTOS rola�udonl $ $ UMBRELLA UAB C)C:C:IiK FA(:HiiC:CaiKKfN()F $ EXCESS uan CLAIMS-MADE AGGREGATE $ WI-I) I I Kh 1hN I ION$ $ WORKERS COMPENSA IION W%,;IAlll- CIIH- AND EMPLOYERS'UABLITY n o YIN ANY morRIETORIPARTIERIEXECUTIVE F.I.EACH AC:(:n)FNI $ C)FFI(;FK/MF MKFR FX(A I)OI-jil n NIA (Mandatory In NH) E.L.DISEASE•EA EMrLOYEE $ If Yob,duw dbu undo, DESCRIrTION OF Or ERATIONS boluw I-.l.ur;l-A;;l-.Pi)I IC:r)IMI I Is UESCKIP I ION OF OPERA I IONS I LOCA I IONS I VEHICLES(AKach ACONU 101,Additional Kamarks Schadula,If more cpaca in raqulrad) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION B& D Realty Development, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 21 ACCORDANCE WITH THE POLICY PROVISIONS. West Barnstable, MA 02668 AUTHORIZED REPRESENTATIVE :L• T @1 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S108622/M108621 LS1 ACORN® CERTTFI ATE OF LIABILITY INSURANCE GATE(MM/DDrrvrv) 4/212013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME:_ Eastern Insurance Group LLC-Main -PHONE -- - --- 233 West Central Street - 1-77 aIc Nd: AIL 19 Natick MA 01760 ADDRESS: i INSURER(8)AFFORDING COVERAGE NAIC u INSURED INSURER A:AMeriFI 31438 INSURER 0 A 8 E Forms Inc INSURER C 32 General Holway Road So Yarmouth MA 02664 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1114395775 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN RI ADD SUER POLICY EXP LTR TYPE OF INSURANCE IN R WV POLICY NUMBER MM/DY/YYYY MIWDDNYYY LIMITS A GENERAL LIABILITY KA 1353618898 ./412013 /4/2014 'X—! (EACH OCCURRENCE $1.000.000 COMMERCIAL.GENERAL LIABILITY DAMAGE YO IFED I PREMISES(Ea occurrence) $100.000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10.000 PERSONAL 8 ADV INJURY $1,000,000 _ GENERAL AGGREGATE $2,000.000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000.000 X POLICV PRO- ] $ A AUTOMOBILE LIABILITY BAW536/8898 l412013 l4/2014 Ea'.cadent 1,000.000 ANY AUTO ALL OWNED BODILY INJURY(Per person) a JX SCHEDULEDAUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS NON-OWNED AUTOS TY PROPER DAMAGE AUTOS Per accident $ �— UMBRELLA LIAR OCCUR I EACH OCCURRENCE__ _ EXCESSLJAB CLAIMS-MADE AGGREGATE $ — DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN .-19B1LLIMIIS_._-Efi_..._ _ i ANY PROPRIE I OH/VARTNC RIF XFCU I PIE I E 1$ 1 !jfl'I(;FR".•�'•:4fu l:�:CI.L,I)F•^•r N1A. .1. EACH AC_CIOENI.. (Mandatory in NH)II I E L DISEASE-EA EMPLOYE $ Yes.descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space Is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN , B& D Custom Builders Inc. ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 21 West Barnstable MA 02668 AUTHORIZED REPRESENTATIVE V; ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r w 0-3- -v yak y 1;aa RAW-IG 4,jy a-1 pa p4ankj a1d Gl 3:4WM':La�rau r o ,7aL4r1eT, "O'M�9iQ7- w 'p a 8 p15s Ode snx�:i�ir��'�r���i�l�►I:sa�v 3��raaa��' R8►�"��ld:�n;�,���:, Ail Q3s93AFM Se lM 30UON MLWC1! 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III LU i ! _ �. • Massachusetts- Dcpartnicnt of Public SafctN q4 Board of Buildin-, Reutilatiuns and Standards Construction Supervisor License License: CS 76332 KEVIN BOYAR PO BOX 716 W BARNSTABLE, MA 02668 Expiration: 9/5/2013 U.,nunissi.ncr Tr--: 4529 Office of of Consumer Affairs&Business Regulation - ME IMPROVEMENT CONTRACTOR %egistration: 162150 Type: xpiration: —112612015 Private Corporatic B&D CUSTOM BUILDERS, KEVIN BOYAR 1050 MAIN STREET WEST BARNSTABLE,MA 02668 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-.Suite 5170 and Boston,MA 021-16 - - - - - - - --- - - ot.valid.without. �r D-5017 7 �' ► 20130823 0000130428 493 BOS-41'4376 '1• r '.r •` 1 , '' ' , iil: iA-1 b. 'I:i:'LIN" IM 'tom. ' � '. ,.,• - �:'_ l i_t F._-�,_1i 1,�:�;. .t i._L f. .---'--_tt_: -, - - Ncz >011000138< N Er' CR PAYEE ACCT iz LACK END GTD 0 BANK OF AMERICA t?t to W 10 'ru lox CRCgre , Ly ru tu am rlvglWn� ptti or, r FLII tills ,c_tit�:3 uOAiOU OF LUY�i; jr.".::i'c U.CC I �.�, RISE la,_ Town of Barnstable Regulatory Services HAMm'ABU• ' Thomas F.Geiler,Director 1Aues `0g 9. Building Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.b2rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property '1Z 4 .• •�Dl� Tt to act on my behalf, hereby authorize in ali'matters relative to work authorized by this building permit - 4 1,461 Dc 1%W- W �a trt. , M (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools ......are not to be-filled before-fence is installed and pools d fe not•to be utilized until all final inspections are performed and accepted. l 'gt,� C.JST� Qt,DRr� tore40e S• tare of App ' t 5 Print Name ?nnt Nam t 3 Date Q:FORM&OWNERPERNMSIONPOOLS � . � A WC Go/de to woo(I Construction in High Wh/d,4nrns/ /10 mph MndZone ,�� ��� Checklist f»� �-0 ' �� (780 [�U{2�\l\]\' � ��mBB|��^,.~�~�~~ ~~^^��w^�»t ^° ^' `^^r^~-- [1C»^c � [ompiun'e �1O mph 1.1 SCOPE ______ � -- ----------' B Wind guaV---.-----___^ __ __ ____ _______--------_____. Wind Exposure Cu�yv '--------. 1.z �pPuC�s�U^Tv ---\-�amhes 52s��«s (F� 2) ---- Number~ Stories --. __. �2 �z Roo Pitch ------------ (F� z) (Fig ' �ounRoo Ho�N ---------------�� 4 ' ----- (F� n) Building Width,VV _____________ ' -------- (F� 3)-----------� �� ~, Building Length, L ------------�� . -------- (F�4)'---------------' O�^ �c� --- Building Aspect*uuo --_-_----� ` �-��~ *»pv^ `�`` -- (F�4)---------------- Nominp|HoigU\c�TaUoo opening -----------' � 1.3 FRAMING CONNECTIONS i connections (Tab�2)---------------------. -��- Gone�|compliance with framing ------' 2.1 FOUNDATION meeting require ,____ � v, Foundation Walls _________ Connmte--------------- Concrete Masonry ................................ - ....... ....... �� N 22 ANo�o*«sE TO FOUNDATION' h*� m*chu�ca|Ancxw�esananam�we"'^"''c`~ ~�' `,� � Bolts o,50^ Proprietary _t�_/n� _,__ 50^»nc»»/ anom\ -----(TaU|e4)-----------'��-��' �O^- 12^ B��Spamng-g --------'' (F� 5) --------�-�°�-"'� i 7^ Bolt ymm n04»��«fp�� ---------� ---- u ~ �p^u"y"m ~ (F� 5)------. �5^ *' 8n�Embedment-um'�==---------� (F� 5) ----------�--�-�''� - Bolt E�uedmem-maunnrY --------`----� ----� z 3^x 3^x '� ---- � --�(F� 5)-----r---------� p��VVashor---____________.___. � 3.1 FLOORS �a 78UCMRChaP�r��------`----- � F|omhomingmemberspunoohe�kod ----------��� b> _______-----__ -�s ^Z Floor Dknono�n ------', � --- -�_ Maximum mo �--�--��an�hom Exterior VVa|<F�0------------- F� H���� Sm��F�m��mngum� _ Maximum Floor joist Setbacks | mSUaamva|| (F�7)-----------------�-�'h �d ---- Loadboanngvva/x -----� 7-- �maximum �- �ve�d Floor Ju�� �2`M �U oxhnum �ono ' || (F�8)................................................. -. +^ � SuppnrbngLoadUoohngVVuUsmSheopwa -----�(F� _ _____-----_____.__ F�o Bmo�gu\E»d�»U» ----------------' '' C�R CUu�er�� ------- ---- mo _�o /ou ----- ' � Floor Sheathing --------------- 7�UC�RCka�er�� --- ',p~ --- � �* ----' Floor ��oa��� Th�kna»s ------------ � �- - �����___no�Qo/ in field F ru Sheathing ----� (Ta�o2)'---� --- --- Floor Sho�hingFuu�mng----------------' *.1 WALLS � Wall Height - � (F� 1U and Tub�5)--------.. ~� - ~/u � ----�-��" Loadbeu�ng woUu �---------------� °/- �, -------�(F� 1O ondTaU� 5) ' n~� - hngwaU» ------- (p� �o*m- n-m:"/ �)�-m� u��o�� Wall Stud --------_ ------------'.-'� M yg voUs��uns�» -'^.-----' __.______.(Figs 7 &8) - - � 42 EXTERIOR WALLS 3, Wood Studs � . �-----' - - _n_�_i n Loadbe �ngwoUo------------------.(Tau�5) -----^^ in. won'Loaooeu". g _� ~-----��� (Tau� 5)----- Gable End VoUBmumQ (Fig 10-------------------. FuUHo�h'EndwoUSmds---------- n^ wa (F� 11) .-� y Air,Floor LonQ�-________ _ l1> P. � \� ' ��o� VSPA Gypsum CoUngLong�(aVSpm�«»eg --- (F� 2x4ConUnunuuLu��|B�ce @o� uz� ' (F� 11) --- + ---- ___ Double Top Plate ___�(F1uundTu�e»)------~-----�1��n Splice Length ----------.. -----�_ �ub�0 ----- 1 --- Splice Connection(no. of 16d common nails).............. r - a, • ,AWC Guide to Wood Construction in High Wind Areas: ]]0 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR-5301.2.1.1)I Loadbearing Wall Connections 2 Lateral(no. of 16d common nails)................................(Tables 7)...................................:.................. Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Table 8)..................................... .................. 2 Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)..................................j ft=in. :5 11' ✓ Sill Plate Spans ........................................................(Table 9)..................................�ft—in. s 11' Full Height Studs (no. of studs ....................................(Table 9)........................................................� ✓ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9)...................................1_ft—in. :5 12' — .................... T ft=in. s12" ✓ Sill Plate Spans.... .................................... (Table 9)..................................� Full Height Studs(no. of studs)....................................(Table 9)........................................................ Exterior Wall Sheathing to Resist Uplift and'Shear Simultaneously' Minimum Building Dimension,W Nominal Height of Tallest OpeningZ ............................................................................lr�s 6 8 ✓ SheathingType..............................................(note 4).....................................:............... '/tU G1 Edge-Nail Spacing.........................................(Table 10 or note 4 if less).....:..................5�in. Table 10 .................... , Field Nail Spacing..........................................( )............................. Shear Connection(no. of 16d common nails)(Table 10)................................................ Percent Full-Height Sheathing ......... Table 10 .................................................... 5% . 5%Additional Sheathing for Wall with Opening > 6'8" (Design Concepts)......... Maximum Building Dimension, L ILlrs Nominal Height of Tallest OpeningZ.........................................................................• - - 6'8" ✓ SheathingType...........................:..................(note 4)...................................................... 1&& � , Edge Nail Spacing ............... Table 11 or note 4 if less)........:............... Q in. V _ .Field Nail Spacing..........`................................(Table 11).................................................tY in. A/ Shear Connection(no. of 16d common nails)(Table 11).......:................................................ Percent Full-Height Sheathing .... Table 11 ........................................... �( ik- 5%Additional Sheathing for Wall with Opening >68"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. .............................................tIP............ ✓ 5.1 ROOFS Roof framing member spans checked?...............:.......(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ................................................... (Figure 19).............. ft:5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12).....................................:......U=20 Plf V Lateral.............................................(Table 12)..............................................L= c7p plf Shear...............................................(Table 12)............................................ S= -77 plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13)................................T= _ plf Gable Rake Outlooker........................:................ (Figure 20).............. O ft 5 smaller of 2'or U2 ✓ Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors .....................(Table 14 U-.' :- Ib. ✓ Uplift.......................... )............................................ — Lateral(no. of 16d common nails)...(Table 14)..................................:....L=alb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ ✓ Roof Sheathing.Thickness........................................... ............................ ..........IZ in. zZ/1'VSP ✓ Roof Sheathing Fastening ...........................................(Table 2)......... ......G. :...(p.. .t.��.._ ✓ Notes: 1. This checklist must be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold.Downs per Figure 18a 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. A'WC.Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1.)' a a. From Table 10 and location of wall sheathing and.Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16" and be installed as follows: j i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. V. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figure below : Vertical and Horizontal Nailing for Panel Attachment ' u"eN TVG$WCE RU-M DN FTWMIIC Il6E FN NAIB . AT 6'ae, • ii 11 I rrw erACR•iC l I I tl ' • I � � ' ji li FNIMIC/C M ' E-DOE-�-7ftfPEIXX I 1 - l L S 5•MIN ' NAILPATIFR4 g T PANEL I i PAONO3.f?D(',E- L+ fXNF14 NAIL FFK.F 8PAclrof:F1ETM- ' fQyL Aie*CI T. py'Y!}c.[frq b'•{Lt, A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Mass-achusetts Checklist for Compliance (78o CMu 5301.2.1.1)' tu r t� a FRAMING MEMBERS ' I I r EDGE WTERM r r i i -- ' ' STAGGERED. '31K AWL PATTERN PANEL PAWL EDGE Lr DOUBLE NAIL EDGE SPACANG DETAL Detail Vertical and Horizontal Nailing -for Panel Attachment 4 AWC' Guide to Wood Construction in High Wind Arens: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 55301.2.11.11) kT Loadbearing Wall Connections 2 Lateral(no. of 16d.common nails)................................(Tables ........... S Non-Loadbearing Wall Connections ✓ Lateral(no. of 16d common nails)................................(Table 8)........................................................ 2 Load Bearing Wall Openings(record largest opening but check all openings for compliance ft 9) s 11' ✓ r Header Spans (Table 9)...................... . til Sill Plate Spans (Table 9).................................. eft=in. s 11' ✓ ............... . ...................................... Full Height Studs (no. of studs).................................. Table 9)................................. Non-Load Bearing Wall Openings(record largest opening but check all openings for complian ft to TablS 92 ................ Table 9 ................................... — Header Spans............................................. ( ) ft=in. <_ 12" ✓ SillPlate Spans...........................................................(Table 9).................................:�........................... r .... d Full Height Studs(no.of studs).................................. .(Table 9)............................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° gJ Q Minimum Building Dimension,W �'� 68 Nominal Height of Tallest Opening2 �� Gj�X V N — ✓ i . Sheathing Type.....................•.........................(note 4).................. .. .. . . ........................ _�, Edge Nail Spacing (Table 10 or note 4 if less)......................... in. �� Ir FieldNail Spacin in.g..........................................(Table 10)................................................. 12 . ` Shear Connection(no. of 16d common nails)(Table 10)........................................ 40 ................ � �_ av, Percent Full-Height Sheathing.......................(Table 10).................................................... 13P% /0 O 5%Additional Sheathing for Wall with Opening >6'8" (Design Concepts)...................... N Maximum Building Dimension, L ...... 2................(note 4)...................................................... ' `�,6,8.. Nominal Height of Tallest Opening Sheathing Type.................. Edge Nail Spacing (Table 11 or note 4 if less)..........•. •• . . Co in. VL 9 P 9......................................... l2, in. �� Table 11).......................... Field Nail Spacing Connection no................................ls ( /- Shear Connection(no. of 16d common nails)(Table 11)..................................... .................. Percent Full-Height Sheathing .........(Table 11)................................................... ° ram% �- 5%Additional Sheathing for Wall with Opening >6'8" (Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. .............................................�.� ............ — 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool, see BBRS Website) 7 ft<_smaller of 2'or L/3 Roof Overhang ..... (Figure 19)............. ......................................... .... Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors ...........U=2o3 plf / Uplift................:...............................(Table 12)................................................L- 1.?�, plf Lateral.............................................(Table 12).............................. Shear................................ . ............(Table 12 .... .. S= -77 plf _Ridge Strap Connections, if collar ties not used per page 21... (Table 13)............:...... .............T==plf ✓ ✓ Gable Rake Outlooker......................................... (Figure 20).............. O ft <_smaller of 2'or L/2_ Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors - I Uplift................................................(Table 14)............................................UL b. ✓ Lateral(no. of 16d common nails)...(Table 14).......................................L=1 blb. ✓ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 5 Roof Sheathing Thickness. .%Z in. z /1 'WSP ✓ 11 Roof Sheathing Fastening ...............:...........................(Table 2).......... ......Cr..ecl . .�.f, n..— Notes: 1. This checklist must be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a tted when 5%is added to the percent full-height sheathing. 2. Exception: Opening heights of up to 8 ft. shall be permi requirements'shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. I 4 , ar Wall Length= 37'-4" 21'-2 1/2 Full Ht Sheathing = 21'-2 1/2' Openings= 16'1 1/2' 56% Full Ht. She thin 37'-4". 3'-11 1/2" 5'-5 7/8" Oppenings 16'-1 1/2" 3"-6" 3'- /8" 5'-2 1 2" 2'-6" 2'-6" 5-1 1/2' 6'-0" Openings "-6' Full Ht. She ithing 20'-6" 73% Full Ht Sheathing t N i O ' I ' CD co _____________ (O I I I N I I 1 I I I I I I I � I I I. I- -0. -0" -o" 2'-6" 2'-6" Opennings Il'-0" Full Ht Sheathing 44-8 1/2' 80%Full Ht Sheathing 55'-8 1/2' I T" I LLJ � COf ;L N to z c� an ca tl._ Q W ti✓k 27634 Ps 133 -048616 08-20-2013 Q 01209P w , BARNST:ABt�E Town of Barnstable LERK Zoning Board of Appeals , Decision and Notice .13 JUL -1 P3 31 Special Permit 2013-034-Stahley Section 240-47.1(A)(1)-Family Apartments Construct and use a new family apartment with 1,100 sq.ft Summary: Granted with Conditions Petitioner. Dorothy Stahley Property Address: 44 Percival Drive,West Barnstable Assessor's Map/Parcel: 111/059 Zoning: Residence F District,Resource Protection Overlay District J Hearing Date: June 26,2103 Recording Information: Deed: Book 24972 Page 182 (prey.Book 9728 Page 151) Plan: Book 413 Page 99 (Lot 13) Background In Appeal No.2013-034, Dorothy Stahley petitioned for a special permit pursuant to Section 240-47.1 A(1)Family Apartments. The Petitioner sought to construct a 1,100 square foot family apartment in a new addition. The .84 acre property is developed with a three-bedroom single-family dwelling, constructed in 1987,served by a private well and on-site septic system. The new construction was proposed in compliance with the setback requirements of the RF District. The proposed apartment consisted of approximately 1,110 square feet of living area. It would be a one-bedroom,one-bath unit with an independent kitchen, connected to the principal dwelling by a common entryway. A one-car garage was also proposed to serve.the unit.The Petitioner proposed to install a new innovative/alternative septic system to allow for a fourth bedroom. As the house is served by a private well,Title V requirements would limit a conventional system to be sized for three bedrooms. The Petitioner received a Certificate of Appropriateness for the addition from the Barnstable Committee of the Old King's Highway Regional Historic District Commission. Procedural&Hearing Summary Special Permit No.2013-034 for a 1,100 sq.ft family apartment was filed at the Town Clerk's office and the Growth Management Department office on May 23,2013. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 26,2013 at which time the Board found to grant the Special Permit subject to conditions. Members deciding this appeal were Laura F.Shufelt,William H. Newton, Craig G. Larson,Alex M. Rodolakis, and Brian Florence. Kevin Boyer of B&D Custom Builders represented the petitioner before the Board. He reviewed the proposed construction. He clarified Dorothy,the homeowner,would live in the unit and her daughter and family would reside in the principal dwelling. Public comment was requested and no one spoke. Findings of Fact At the hearing of June 26, 2013,the Board made the following findings of fact for Appeal 2013-034,a request for a special permit for a 1,100 square foot family apartment: 1. Dorothy Stahley petitioned for a special permit in accordance with 240-47.1(A)(1)to establish a i 1,100 sq.ft family apartment in an addition to her single-family home. 2. The subject property is located at 44 Percival Drive,West Barnstable as shown on Assessor's Map 111 as parcel 059. It is zoned Residence F. The parcel is a .84 acre lot. 3. Section 240-47.1(A)(1)of the Zoning Ordinance allows for a family apartment greater than 800 square feet, not to exceed 1,200 square feet,with a Special Permit from the Zoning Board of Appeals. 7 I Bk 27634 Pg134 #48616 Town of Barnstable Zoning Board of Appeals-Decision and Notice j Special Permit No.2013-034-Stahley-Family Apartment 4. Site Plan Review is not required for single-family residential structures or family apartments. 5. After an evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. The vote to accept the findings was: AYE: Laura F.Shufelt,William H. Newton, Craig G.Larson, Alex M. Rodolakis, Brian Florence NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No.2013- 034 subject to the following conditions: 1. Special Permit 2013-034 is granted to Dorothy Stahley to establish a family apartment within a new addition to the existing dwelling at 44 Percival Drive,West Barnstable. 2. The addition shall be constructed in substantial conformance with the plans entitled"Proposed Addition for Dorothy Stahley", drawn by Zibrat&McCarthy,five sheets. 3. The family apartment shall be limited to a one-bedroom unit not to exceed 1,100 square feet. 4. The family apartment shall be maintained in compliance with the requirements of§240-47.1. 5. The on-site septic system shall comply with Title V and local Board of Health regulations. 6. The decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to issuance of a Certificate of Occupancy for the family apartment. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Laura F. Shufelt,William H. Newton,Craig G.Larson,Alex M. Rodolakis, Brian Florence NAY: None Ordered Special Permit No.2013-034 for a 1,100 square foot family apartment at 44 Percival Drive has been granted to Dorothy Stahley subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A,Section 17, within twenty(20)day o of this decision, a copy of which must be filed in the office of the qx4fa6le Town Clerk. Craig G. Larson,Clerk Date gigned 1,Ann Quirk, Town Clerk of the Town of Barnstable,Barnstable County,Massachusetts, hereby certify that twenty.(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Cleric. Signed and sealed this Cz day of /.� under the pains and penalties of perjury. fj lerk�. •.• • r "' .: •• '.C:.• # ' . B�l�tNSTA)al,6,o � . z � >IASS. ' e c. o,�> . iG39.e,,•�Qn.,• � Bk 27634 Pg135 #48616 Town of Barnstable Assessing Division i679 367 Main Street,Hyannis MA 02601 www.town.barnstable maxs Office: 508-9624022 Jeffery A.Rudziak,MAA FAX: 508-8624722 Director of Assessing ABUTTERS LIST CERTIFICA77ON May 31, 2013 I RE: Adjacent Abutters List For Parcel(s) : 111-059 44 Percival Drive West Barnstable, MA'. 02668 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s)as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. Jb Board of Assessors Town of Bamstable Bk 27634 Pg136 #48616 Abutt=Report Page 1 of 2 Zoning B and f Appeals (ZBA) Abutter List f r Map & Parcel(s): 1111059' Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters.Notification of all properties within 300 feet ring of the subject lot. A&I close Total Count~ 19 Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed t3tystatezip WEST 110001021 CHEV OIMA KAREN 12IRONSIDE DR BARNSTABLE, 8805/196 MA 02668 WALSH,TIMOTHY J WEST 110001023 &LiNDA E 280 PERCIVAL DR BARNSTABLE, 14800/168 MA 02668 PALMER,MATTHEW 260 PERCIVAL WEST 110001024 A&BARR,LISA M DRIVE MA 10605/294 MA 02668 LOTT,DEMPSEY E& WEST 111044 SUSAN S 313 HIGH ST BARNSTABLE, 3038/218 MA 02668 DEMPSEY, WEST 111052 FREDERICK B& 48 FIELD STONE RD BARNSTABLE, IV61/225 14ARY E S MA 02668 HART,CLARENCE W 19846 WATERVIEW HUNTINGTON 111055 JR LN BEACH,CA 14883/200 92648 WEST 111056 WELSH,TARA 23 PERCIVAL DRIVE BARNSTABLE, 25793/152 MA 026W DOWDAU,MARK D WEST 111057 &LYNNE A 10 PERCIVAL DRIVE BARNSTABLE, 9386/345 MA 02668 MCNAMEE,MICHAEL W 111058 O&JDANNE M 28 PERCIVAL DRIVE M 02668 BARNSTABLE, 25458/54 MA 02668 WEST 111059 STAHL.EY,DOROTHY 44 PERCIVAL DRIVE BARNSTABLE, 24972/182 MA 02668 ST HARRIS,LEONARD BARN 211060 &EUNICE �PERCIVAL DR BARNSTABLE, 12251/265 MA 02M 291 PERCIVAL WEST 111061 FOSTER,LYNNE A DRIVE BARNSTABLE,, 26116/179 MA 02668-1243 WEST 111062 - FOX,WILLIAM F PO BOX 936 BARNSTABLE, 2158117 MA 02668 FULLAM,KEVIN C& 259 PERCIVAL WEST 111063 MARLSA L DRIVE BARNSTABLE, 26344/48 MA 02668 SHEEHAN,GARY M 257 PERCIVAL WEST 111064 &CONAWAY, DRIVE BARNSTABLE, 24616/348 KRISTINA B MA 02668 111065 BOURDINE,ANDREI 73 ARLINGTON CHESTNUT�+ 23185/333 &ANNE ROAD MA 02467 WEST I LAMACHIA,DAVID L BARN 111068 JR&30AN M 51 PERCIVAL DR BARNSTABLE,LJ, 7907/067 MA 02668 WEEKES CROSSING WEST 111069 COMM O BOX 834 BARNSTABLE, 6243/265 OMM ASSOC MA 02668 http://66.203.95.236/arcims/appgeoapp/AbutterReporLaspx?type=ZBA 5/22/2013 Bk 27634 Pg137 #48616 AbutterReport Page 2 of 2 AITTAND34L 295 HIGH STREET WEST 111072 STELLA TR REALTY TRUST 295 HIGH STREET BARNSTABLE, 24990/225 MA 02668 Mft R7t by itself does NOT aonsgWto a cwtMed Nato}abuan wo is provided o*as an aid b the deiwt*Mm of akdom n a WOW Bat of SWUM le regWmd,ocntact.ft Awessing DMFsbn b hm this fia oedWed.The owner and address data on dds fist b from the Tom of Bamstabte Assessors database as of SrAMM3. I I I' I i http://66.203.95.236/arcims/appgeoapp/AbutterReporLaspx?type=ZBA 5/22/2013 I Town of Bamstable Geographic Information System May 23,2013 it1047 111012 11/035 111034 111040 #16 9388 111023 �. #77 061 wdA :042 �e s s12 ` a111029 ♦ 1110 t1/003 •- y 0342 • ; *30 1g 048 " 111054 111070 111028 #10 #0 s324 111027 111032 1110493 # *2t30 #2l0' ty ; 1 H/ 30 8224 ■ ..s • tiwar a• t S S45 atr .. :. ta1110621':'' :�>1o6s._ t11o51 #. 111027 072�`r 111071 #61 .1if04i : :=8$t3 4 � • 111016 1110 s1 _ 9 1018 Q'. #2 79 235 i/io71 1 lass�`� _Ott 1. �. 11101 moss t 7 4 11 08 set�e 6 ues':#Sa #30 26 riosa'` # - 267 :t4108 1: 41 - _ 0004001 n 11oao1ozo r1110-02 #o #36 s '� ] .rs■y.. 11 0001 :i12 i= 114249 11 0 0 10 02 t100010t9 p • • .p - 110002 00MO33 #31 11 022 . .'`:''.. 11 009 11000r023.''.:110001024;:,i s 1ttS 00 #94 ♦ t 11 0010 110001029 MOMS 110001004'-i ;_:: :•::;: :';:.:;:: t,114 110001030 #230021 7. 110004009�. , 430 OSM007 110011 110001028 8#27! 11 0 0 0 4111 0 0140 s0 . #140j, ' 110001006 110001028 110001017 110001027 #190 -� 0216 110028 #121 #180 411]N1uD0 iod •'',. it176 N 089=006 1100010Is #208 .0 1100040/11t0004012 0130 J #129/� 110001007 1t0004008 3t0 s0Ch 110001016 s 199J 05 W 0141 110001014 7 rP 9 1t0001008 089006$S 110026010 110025014 0149 11000101, gigs Cp`�NTNY • 110025M s0 0169 [N b #194 � 110008 110001oil • 1100013 110�004002 0350 #183 it 11 00010 '#36 110034 Ij 0880�004 • 1s173 �11000f010 It # � tt142: W #1� t w e 110026011 110025013 110 i1s0007 P #178 ♦ (D _ 110004009 F11 03000t 08100500 t#t84 #� 9 '' :'J'::::. 11�04008 s41 131 r026 & o1sa.nMas:nhramsp1ala0a"wuo0eeeony.eanotaaM-tGforbV Map:ill Pami:059 Zoning Board of Appeals(ZOA) CD elected Parcel CD boundary detem,Wma nor reguWryMerpratsdm EnteraemerdsbeywW a aeate of Abutter List Type-Parties of interest are those directly opposite subject lot on 1'=100'msy not meet estabWhW map acwracy standards.The pamM ane3 on aa,mep Ilti are only arapAk repmsw a9ons ofAnewoes tax parcels.Theyare wt mm property any public or private street or way and abutters to abutters. Notification of all Abutters de boundas'and do rrot mprmnt 9=um1e rewbnshrps tophyskat features on Qa map properties within 300 feet ring of the subject lot Buffer such as buadhg beatbns Sr/�i/ '� V Bk 27634 Pg139 #48616 _— N�: N: ..r�o- +:,�rei • ' 7OtU}IGBa/1RDEYFAPPOdS -: ' if OAi .. 'Ng TOWN OFBARNBTI►t ARIHa$UNDERIHE ZONING OF PUBLIC H. NOTiCE 0l?li ' e ORDINANCE of the :• `•Y'`•�e'�`:�s ;IUNE26�2013•: 5.� of the s'interested in'or'affecled bY` :a ,. +dr:ora eO:bY the actions To a0 parson pursuant ' TO:'d persons-lrfte � rsuarrtti,' gp d Appeals; YW'erd:hereby l±�ttfted Zak;r;y'eoa<d`af;: "rio£ F!!.. Zciimg .11 dChapterGerierat:Le asof.;the Jf eieto,,: tCcmma+Wiwth V.Ssaehmtts,•andap;.`atnend ti A on Coinnroiiweahtrpf air: IAa1'a`pubGc hearhtg on the.fo9awB+9'appeals that a'pub _. -� 't�s+�^�F ` 2fi 2013;alltte.Ume7nQiceted tpri, dd(ed F.' : ': c��, Y:adrtesdayJAo>a -.:- 3s. wedgy:: �. ..;...:�::,. Noi Rugytero';'for.:. Ruea Fexacne°.:=:8 ;:dan(el:: Denlel � " 3n `Reb�IDre w 3 p di.erid. ~ ' M to Seadn 24091f7�( Oertwittlon '� and Fes!?!. -� Q,biva .Petfllaners pro9cSGro,ul raze. Hi>t dn9.. a T500'.s0. bt and'It ull°,a new d :on:8 7.600:were toot fat.arid:rebtdtd a e>beling:.dweRk�g ... 2:10Q gnus; Pre= a�dstln9- 2,100,grass:sQe two3tory `.of: ' {lvenue;;HY?^!vs,.:: ::two nary dwellhg:of aPP��! rs located at 93 Grwil is located at 93 r;lnxri}Avenue,Hyannis.. The sub}ed:P!4PeflY ::. .. Assam s Map 324 as Parcel.0 z it>s m:ihe::.r ;:The.subject. . .._....: MA as strowq.on Assessor s MaP.324_as Parcel 052.11 is.ur.ttre..- Mai shdm:. Residence B.2oniM1g Distt<G..° :,:;. '- ': :Residenna B Zo*9� id.: ; Reside* Appeal t1o._2013213f CTS Fiduelery;ll C . :..•,.' ;01'PM APPe?I:N.;*IA31.CTS t'tduelai)1 Ll�.:�S CTS Fdude!Y r:TN5te8 Iia9.Patlho0ed Fai a Spedai :C1s''Fiduoe�Y LLC,'Trustee�has'pebHoned,.. ..::+ ..... . to�oprrshud a Peiirvl iir aao e'vtth§240�C(1ir On P eV0Sfl4 !construct to , Permd ut`accurdance wtth g240 25C(1)CardfB°. ptct.The` a Highway.Business'OrsMdiT�eDebtia :PT01 am Ywe `.FGghwaY ss: te WCmamelYYO: hestand�wry:211B4.sQuar?fogt Cafe. .::: Wig;aria story;2 084:s4 ces on ttre sgi0heas{P?�?n of. aeain parlor w4h reletsd food,services on cn Pe '1'�relaWd.tocd servl.. Roadtdad the lqt Zhe'ProPeM:isloeated at fi5$Wan shag parcel OOB:It the 1ot;Tlre t? [h I$located at 855 lyannagh on AsseSsPr$Map. MA as shown on Assessor s`MaP 311 as Parca1008•It MA'as shavm .. and Business inning drsMds: Wig'' 8usinass and Business iotarig E•atiVds.-. Hyannis'' Bypness:..,..,. n is loeatBtl in tfie'flighvraY. .. •is boated in.th@ Hlghw4. . T:o2.PMApp?09t'. 13-092Cortidan'.:. :: 7-0.2PMAppeal•No:2813-03?.CoWan ;.���a`S�1 Stephen G:.&'Arm:C:Corrinan.have..peSOP�b F a1 Alien G:'8'Ann C:Ccrijdan have.peb with 40 91ti 3 Permi4lri aocordance.vidfi§Z40 91H(3)•Develop ?PIo10�'`: Perdr in accordance..., .<...: {:)• �e :petlUonecs_ go n0it oanfomrtng lobs.the P.aiNoners :.dp 0on an4 tatulOdtn9.on"n'cont°mdr{9- derttolif !aria rebuNd4�:...:. 9ie e>dst1ri91'495 sgft singlola!!+5Y" are:.ProPos[n9.to derfift;Ihe e41sdn91,490 :a' at?n!�' to'demo�sh' 1756;. 1 T50' are prop osh9 a':new,:'Ir+o stwY, a'P° ) :•• grid.rebudd.:a new..two-story (P l dweiWig and.rehuRd' $900 sQ ft �;;.. r on ari ePl�pmabellF:5'9m �n P4•fl; � 'dwel&i9'e0"ari aPPro>amatehl; esf SQ;R Yln95 'at 112 Ocean Drive,Fyam�(w letThe propedY:is bated at 112;Oc?an Dfire,}lyaruus(w. 1ot,The'p'�T.W Is- ;r:..'�'p�ssolsMap2g�.asParoe1008,:; }♦yamikport},MAas spawn anAssessors Me, ..-as Paicel00B. tiyadnt4P?d7i I as ahowm an. . . 0 is in a dertce B Za+ing Disbict._, ... :; `. -.n i: :If is kr a Residence B 2ontng 033.Ot• kA.n 7:03 PM MPt No;2013 033 Open Sam Cod° ,has OM.oneiif 7:03'PM Appeal No:2013-033 Open C :r°Ra, cried ppenCape._,Ca�Poratlon,..as. "' Dpntannas' OpenCape:'C?rPoratwh'-as.:Uee §34Q=1 Aritennes a Special.pemnt. in in:acgordance,.,- 4?,: a.SPedal';Pemdl ds The Petitraiet m ao 7Anu9 :7he,Pe4llQder.'` I Perrmt ui all Zoning Disbr_ :. Ae!qutted by SII:?8i"!11 Pe 'by SP?�tstl ratios and'assodated antenna'eQufP!!�ert' {ny to IAstaf{iad'ios and assbdated'antatttia:tfe P n •' Is�*9 to MS :.(ar:riro m4aovraYe`> :" .a GPS antenna'on the:e)asGn9;: for lvro'm(uowave MI. a+d.a.GPS an(erma on 1he.,. .,. 9.. meidinanexis6eg entbtane>dstlrig... rid niiation tower'and d sup eq . :. ...�.e. oommunica}l4!?t?»T and ti ;.<...Dl toarer Xhe.: d4 jopn lowled,rie?r: Street(Rte j e4uonent io�!n'loeeted;ricer the,perim g stable,MA', 84 .. 6A gamstade;MA: at 3195 Main ProPet1Y et 3195�M p e1024.It is..i.fed in the �° Assessors Map 299 Pa? 4'.If.tslowted in Ifie .a'ssliovmonl�ssessorsM?P`..- AZardn pistrids: as'shown BusinessAZoningC�trf�? Residential F2 aiid WIa9e&isin ;I . 9 Residential'F:2 and Village No 2013-034 StahleY '; T:04 PM Appeal'No.2013-034:Sfahtey dal'Permit b.:. T:04PMAPPOeI.: for a g PeimM in Dorotl+Y<S BY.Ir?S:Dehyoned:...°r.: PQ°'m ts..:7he. Doiothy StahleY.:ifas::Petsi°ned' for a,'SPe nts,: The wltlr,§240 t7;1.A(1)..:Fa!!>QY::AP?!6ner'; accor&mm .wiIh 5240d7.7A(1) dltiop t aocotd�e.' attached add+bon ao*-itm9 petitioner.:tspmpos!�9:t000ns4uc4: :..::aitirieirt;erid.aonecer' petitiorreris:.W.oPa`?!!g..> of an'apppximaiely 1';t00,sq.ft famihi;eP,,.,. eraoeeA. of an.?pAro>dir!;afelY 1 59.tt.tamih!aPspar em4n^td . p�n1t}s ntqurted as the aparlm garage.A$papal.Pemdt Is famed,• 44 Pardvai Drive roast , 9?relle•ASped?1 `:...:: Drrve,wesLt. is locatedat. ...� 800 square feet:36e Prope!IY[Iopted at44'Peidval:. .,_ B00 square fesL Ttre properly... .. :. ttt as"p�re1059.:i1... 059,It how non ., ;z:.:: gamstabteMltasstrov+rionAssessPrsMaP111.asFertel. w F runin9'llisbid'';:;' '.:.;, .. : is located•ige Reslder>ce;fio!!Ing diabid. ::.-::, : is fowled in a Bearden....'wiA be.held et the Barisi3ble.Town :iy will.be held a1.Ure.Be -... These'Publle:Hearings .,.:_.. y re Roan;.2nd'*.Picot;: MA F{earii!9 Room,2.iid t{aU>3gj Alain Sheet'HYarmisi MA': : ... :.. gay jiiay'; Ha11,367:Main � ��•• jNedrresdey,:.;June::28, 2013..plaiB.aria•Pf?P"`""`".'''.•• WedrresdaY' u"e 26?-2013 .plans: 8rr.;.I Othoe.`GF&M Board:of.APP?ats ;. be:;revtevred:'at:the Zonq+9:Board 9f;M Main Street. he.reyfewed et.!hQ;;Zoni+S pjflces t DeOaNnenl •Tovm.Ofiws. M�ar� ,>3et paArmenir Town' ," Stxrfell.Chair meftt N Laura F..Slrir( KYre'.*' :,. tarua F... ;Zoriirig!joaid of` Z BofiddAPD.ea1s... Fattbt; � . .: _:. : :, �gamstable Patriot:..:..: ,•� the Bamstatile �:• June 7 and t4,Z013�. BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST 'BARNSTABLE REGISTRY OF DEEDS JOHN F.MEADE,REGISTER Barnstable Old Kings Highway Historic District Committee o* 200 Main Street,Hyannis,MA 42601, TEL: 508-8624787 Fax 508-862-4784 KAM 16,39.s�0�p APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photograr—& accompanying this,application for: CDt-3 Check all categories that apply; 1. Building construction: ❑ New YAddition YAlteration N.r House 2. Type of Building: ❑ Garage/barn El El El -v 3. Exterior Painting,roof LJ new roof ❑ color/material change, of trim, siding,window, door o 4. Sign: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date S IM 13 NOTE All applications must be signed by the current owner Owner(print): nor64tl Stahl e.0 Telephone#: 508 3% 5� Address of Proposed work: 44 AsG 1 VgO Village W. $aros4664ap Lot# III Mailing Address(if diffe t) Owner's Signature Description of Propose ork: Give particulars of work t e done: C_&)S'hf V C,+ 1 d bg 5•t• In- law 44ac6ed Aip Mal c. wl aikacheA 5,164k 'Car danade. Add 1 '-o" .}v_d% dor rner -in /Joc+h 21e.Vaj,on side cr m un mouse Agent or Contractor(print): P D Telephone#: -174 -994— 1357 Address:P.0 .Bo%# 1 11) 1Xf1C.. i Contractor/Agent' signature:. _. M 6211o6g i For committee use only. This Certificate is her y APPRO Date Members signatures RE,cFm l 1913 GRp�' � i�iANAGE�E � APP JUN 12 2013 Town of Barnstable K Old Lq% 9 1 Q.IBoards and Commissions101d Kings Highway10KHApplicationslOKH2O11 CertAppropriateness.doc CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material-brick/(emen ther) poo reOl &rrAA Siding Type: Clapboard ✓ shingle_ other Material: red cedar white cedar other Color: 1 SM n, Chimney Material: h a Color: Roof Material: (make& style) asphalt Color: M ' Roof Pitch(s): (7/12 minimum) (speck on plans for new buildings, major additions) Window and door trim material: wood_� other material, specify all is Ma}A exus-N 1.)Size of cornerboards size of casings(1 X 4 color Rakes Ist member 2nd member Depth of overhang AI� �-1 p M,&" Window: (make/model) AMe��, material 4v n *A%6+`h� (Provide window schedule on plan for new buildings, major dditions) Window grills (please check all that apply_: .-6 em ri j true divided lights_ exterior glued grills_ grills between glass_removable interior_ None Door style and make: 1 O �1a material 19,r Color: -+» maw cy"VA-4 Garage Door, Style bP-e Plan Size of opening IX'7 Material door Color why Shutter Type/Style/Material: 30 Ma44% %61n n& Color: 4n Mwk-h ext5bnb Gutter Type/Material: a1V Mlflurn Color: wl,l +nIa Deck material: wood other material, specify Color: Skylight,type/make/model/: material �dlor: size:RECEIVED Sign size: Type/Materials: Als 2013 Color: MAY 2 2 2013 - -- - of Barnstable :* . Fence Type(max 6 ) Style nIa material: Town, Higl'or: —� Comma e NT Retaining wall: Material: r% a _- Lighting,freestanding a on building illuminating sign OTHER INFORMATION: acG�nl leC,+t le & all 4 nl-S6A .4v ma" exis+iA6 I n : �&JS%e. THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint lors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name V I '$E D CJJ 5 tvf S4 tWvs. , Imc [Boards and CommissionsIOLd Kings Hi hw IOKFI A hcationslOKH 2011 Cert A ro nateness.doc��1 �q�� _ 13 2 Q g 8 a3 PP PP P I :r s•�•� ,. ti ..'�"s, - �i r a,'iJ��i p; 7!M S���..j�#�•�cya r-ct�«!,��.+ },.,� �' a +1(, � � •+��{. � ��, ;��ey�,'ff,��)��,t's�y ,,'�, .tom.. °2:_i,�,�y° �y,.i �`.�Tr, { Y''�t „4Ma�:;�. a�Y . ,� ai.'.�,'.�da•x � y,Y��iF. �r�� sit � •r`4Y� v•` '�� �► '. _ .;t _ ' ��i i4• -� :ta. . 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I - 11 - - mu NONE HIR 11an _ - II • uu"" i _-_'_ __-_ -_- 11 Im!muw nla,rm _ ___-_°__--_- II IIIIIIIIIIII IN PH MINI .... �. _ IIIIIIIIIIII =_ _ ____ ;IIIIIIIIIIIIIIIIIIIIII �I€ �������� �� Illlllllllli IIIIII °�.� _ _ __ _ u IIIIII• -=_-c�•_:_ ■ ■ ■ u �iii IIII - -- -_ ■ ■ ■ :: III__ ________ - -- -- - u ... e- _ _ __ - ... _2 Mang;_ = IIIIIIIIIIII II IIIIIIIIIIII li �ilj ___ in =_;• Ilil. S•'••. ;; ]I!l;wl,l lill'slllw. 11 u:ollma In,mlmt _= 11 . _ 11 IIIIIIIIIIII I IIIIII--� II • u ouuw nlll!um II. "°I II (IIII I`.IN epq II ur.im�l walwuil I wawwll Jllw!ml IIII; _= IIIIIIIIIII (III____-_ _ eye _ uuu a luwwwu D._- a =€=?' Llomllu Ilm - - - m!mw 111 ii - Am T . , , 1 :S 1: i Existing Dwelling Proposed Dormer Sb A MO l v ® ® o Him Mil 10 D Proposed Addition NORTH ELEVATION NORTH ELEVATION -.Ogg" Rk � a E d® ' o d x M'V O \O M O 0 > x o m G) Cn rw v <a -n o n O m O .� O -------------- a� mC --------------- dm Z O A 0I O l PROPOSED ADDRION FOR ZIBRAT&McCARTHY u. DorothyStahley 63 ' ° Gowel Road Chatham,Mass.02633 44 Perchival Ave. Barnstable Ma. 506-945-9424 p E rn � o x Q a o 3 .< PROPOSED ADDITION FOR ZI$RAT&MCCARTHY �. M11 Dorothy Stahley 63 Crow all&ad Chatham Masa02633 44 Perchival Ave. Barnstable Ms. 508-945-9424 33 ' O p N C R ------------------------------- ---- a --------- — — _ - b U W t i U) I ' O I co m r ed q O m L t O o � Q � d 7 L / Q lT1�W7w Ps I�R - o LEGEND N g /00a_ /tO ,'VELL/ABUT - ° r NAG/SET 49:8Z •/ / 102` iO4.o r -98--EXISTING CONTOUR 3 ( CB/DH/ O? .100.e5 EXISTING SPOT GRADE o1 6 =J 4 ♦ EXISTING WELL d Coon ti ',; t Benchmark Set 0 S .<.;s:; Cor. conc. patio a 100.89 -U UNDERGROUND WIRES c S \ ,g/ry ap• EL.=104.02 Assumed Y -G-EXISTING GAS SERVICE Jg ??\0 J TEST PIT �p , 10244 �102.2 R � � WELL 'BENCHMARK��.102.70•;.':G_:�,r:":�•. s6?¢ /°nstl tore oc� •�• 0 lved,�,: n'h`•�: �B 6, EXIS77NG SEP77C TANK a -LOCUS JPv ''A':: ;';;toy ?' TO BE PUMPED, RUPTURED, FILLED ;1p3:d3\ 102.e ;ioi.i0.r'�'�"?�'.:.:•>�;: �:��:;5 ��P, WITH SAND AND ABANDONED �2 1•_.. �.,=•,.tea` .. x 102.13 BLOWER UNIT&VENT O hQ (LOCATION MAY VARY) yDt o •v, .10 x0 CONTROL PANEL LOCATION TO DETERMINED BY OWNER Q 103.23 �Q ' 3. CARAG toz.e ate, r6 . •107.14'%i J), O 90• -1•+e•);x;` 102.36 /1\ FxisnNG LEACH PIT �hq 10291 I TO BE PUMPED, FILLED MTH LOCUS MAP 102.97 PROPO EO CB/DN/FND SAND AND ABANDONED NOT TO SCALE ADDITION 1 102.46 102.63' IO2.52 i EXISTING x ��• � _ -_10>''-- HOUSE( 44) �o 03.07 01.e2 - s GENERAL NOTES: 102.05 '"'`x'io�.i's.;,.•„:.,..- ..:.::'.,�• TOF=103.63 °'•~ Q -1 1.S. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL TOA39 .:.r;.,.w,e`:y.,•y.,.' ® rrd'm _ .�� SO S BOARD OF HEALTH AND THE DESIGN ENGINEER. B/DH/rAa 102.34 ,Te. °_. --> O O 0 O0, de 2.ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS x t02.a0 ?. Z'�� O OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE -U --� O LOCAL RULES AND REGULATIONS. fopprox.) U 0t. t TP_2 O 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Fl OOD PI AIN DATA _J IO2 ••IOI 96 Se• ci /o n I - 'y \ TO INSPECTIONAND APPROVAL BY THE BOARD OF HEALTH AND THE NON HAZARD / u .. 1o0.1 DESIGN ENGINEER. ZONING CI aaaIFlCATIONo ZONE RF h"0 102.02 In1.79 x i0a 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SETBACKS: FRONT YARD=30' PROPOSED -- - � I---�\c- -4 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN SIDE/REAR YARD=15' - �1o1ao -T� ENGINEER BEFORE CONSTRUCTION CONTINUES. SEWER CONNECTION RESE*VE AREA I-��� 0' MAXIMUM BUILDING HEIGHT = 30' f- I --T ALL ELEVATIONS BASED ON ASSUMED DATUM. WIND EXPOSURE CJ•TAGORY: Exposure B .1go:5tF-- 98.93 x 1 _ �--- I - - 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 100- ----x 99.01 4 - OWNER OF RECORD _98•� _ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF STAHLEY, DOROTHY -96 ^�� HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 44 PERCIVAL LANE \- -- - -- - - -7. WATER SUPPLY PROVIDED BY PRIVATE WELL WEST BARNSTABLE, MA 02668 SOIL LOG /� ?Bs PROPOSED s6• _ - 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. Sg, �A, MlcroFAST Unit Lot 13 S C 36,386t SF -� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS DATE: JULY 31. 2013 (REF P�14,086) 83r� y D .�'`-` _ AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE SOIL EVALUATOR: PETER MOENTE PE, (SE#1542) -----_- --- 96- - DIRECTED BY THE APPROVING AUTHORITIES. WITNESS: DONNA MIORANDI R.S. Map 11 - ^, ' 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY HEALTH AGENT Parcel 59 a THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ELEv. TP-1 DEPTH ELEV. TP-Z DEPTH L1Ev. TP-3 DEPTH ELEV. TP-4 DEPTH --A¢ ��y.h� CONSTRUCTION. 101.7 A 0" 101 6 A 0" 101 1 A 0" 99.7 q 0" - ---'------- ^��- A 11. WHERE REQUIRED. CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 101.2 IOYR 4 2 6" 100.9 1OYR 4 2 8" 100 6 IOYR 4 2 6, 99 2 10YR 4 2 6. C9- REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 8 8 B B 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM - ---•---- -- �- / INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. IOYR 5/6 24' 99 t 10YR 5/6 30" 98 6 IOYR 5/6 30 97 2 10YR 5/6 30 13. DETERMINATION OF COMPLIANCE WITH DEEDED OR ZONING REGULATION 99 J Cl C1 P0" CI Cl OF MAg SHALL BE OBTAINED BY OWNER APPLICANT. 42' SANDY LOAM ����A °F 4+,rs y " s��y PROPOSED I A SEPTIC SYSTEM & SITE PLAN SANDY LOAM SANDY LOAM tOYR 5/3 SANDY LOAM ! 4C G tOYR 5/3 IOYR 5/3 96.9 so' IOYR 5/3 2 TERRY Q/, o PETER T. ✓' 96.2 66' 95.9 68" C2 PERC 93.7 72" ANN MCENTEE = 44 PERCIVAL DRIVE, WEST BARNSTABLE, MA C2 C2 66'/78" C2 WARNER H NoC135109 Prepared for. B&D Custom Builders, Inc., P.O. Box 21, W. Barnstable, MA 02668 MED. SAND MED. SAND MED. SAND MED. SANG NO. 38721 Engineering by Sarv°ying by SCALE DRAWN JOB. NO. 2.SY 6/4 2.5Y 6/4 2.SY 6/4 2.SY 6/4 (,/ • 90.7 132" SO.- 132' 90.1 132" 89.7 120" i �'C/StE I Engineering Works,Inc. WARNER SURVEYING 1"=30' P.T.M. 92-13 PERC RATE: 3 MIN./IN. ("Cl* HORIZON) PERC RATE: <2 MIN./IN. ("C2' HORIZON) t 12 weet CroseOeld Road 22 Long Road DATE CHECKED SHEET NO. reetdate, MA 02644 Harwich,MA 02645 NO GROUNDWATER ENCOUNTERED i (508) 477-5313 (508) 432-8309 7/31/13 P.T.M. 1 of 2 N�, P�q 'L V � J �II � I13 ---------------------- Cli TOWN OF BARNSTABLE 2013 AUG 19 PM V: 16 DiVISI05-7 i nf� e 6V WILLIAM0. BISHOP Structural Engineer 5263 WYLIE LANE PORT.CHARLOTTE,FL 33981 TEL 508-328-5544 FAX:941-697-9867 o O rn C3 �. February 6, 2014 Mr. Kevin M. Boyar 00 B & D Builders, Inc. -P.O. Box 21 west Barnstable, MA 02668 RE: Roof and wall sheathin Nailing Addition to 44 Perciva? Drive West Barnstable, MA Dear Mr. Boyar; Based upon my investigation of the matter, it is my opinion that the nailing of the roof and wall sheathing of the the referenced addition is acceptable and in accordance with t e approved plans and Massachusetts Checklist for Compliance �(780 CMR 5301.2.1.1) . for the project.. I .trust that this addresses your inquiry and need. Please call me directly -if- you have any questions. I very tru y ours, T N OF Mgss9 cy o`S WILLIAM 0, n Willi 0. $ p, PE BISHOP - STRUCTURALNO.29488 -o PD��S O s ER S L ENG\���� Aa lop3© i Gov McKENZIE ENGINEERING August 22, 2011 CONSULTANTS structural•civil•environmental Mr. Matthew Anderson Anderson Framing&Remodeling 241 Route 6A East Sandwich,MA 02537 RE: Generic Sill Plate Anchoring Requirements Using Titen HD Mechanical Anchor Bolts Dear Mr. Anderson, McKenzie Engineering Consultants, Inc has completed a review of the Simpson data and literature to determine the requirements for using their Titen HD anchor bolts in lieu of the standard J-bolt anchor bolts. If the 5/8"x 6"Titen HD bolts are used,they can be substituted at the same spacing as specified for standard anchor bolts. In order to provide equivalent connection to the foundation using %2"x 6" Titen HD concrete anchors the spacing between bolts must be reduced by 20%(i.e if the spacing was 60" o/c with 5/8"bolts,the spacing would need ,r to be 48"o/c for '/2"bolts). These sizes are based on attaching the bolt to a single sill ,. plate. If using a double sill the length needs to go to 8". The use of 3x3xl/4"plate washers is still required in all applications. r If there are any questions, feel free to give me a call. vA of Sincerel 4 MARK A. ti tJ KENZIE NIL s k A. Mc �P.E. es.,McKenz nsultants,Inc. �1G�ISZ�1Ia A� 1279 Millstone Road ! ) } 7 Brewster,MA 02631 6` 130 �IOl t 774.353.2144 f 774.353.2142 y f�+ Q ,{ t www.mckengineers.com 19VIS NV9 JO NMO' -� Commonwealth of Massachusetts Sheet Metal Permit Map �� parcel -PRESS PERMIT � Date: 0 I JAN 10 2014 1 L4 0 ( �10`1 Estimated Job Cost:$ & Permit Fee: $ TOWN OF EARNSTA%E Plans Submitted: YES NO ins Reviewed: YES NO Business License# l q 3 Applicant License# )2Z 2 Business Information: Property Owner/Job Location Information: Name: )3)Q/j1 n J A tq L -L AJ C Name:. t)_rR H L-e vh Street: /5 j A Y t�S �^-- Street: 41 q FelC`+ y A L� City/Town: S 1 c `CJy� city/Town: �q aS'r A b�e Telephone: <6 9-- q 1-0 9 ?L� Telephone: '77T! �111 13 Photo I.D. required/Copy of Photo I.D. attached: YES V1 NO taff Initial J-1/ -1-unrestri -2 M-2-restricted to s 3-stories or less and commercial up to 10,000 sq. fL /2-stories or less J dwellings/, 1� { Residential: 1-2 family, Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft. `' over 10,000 sq.ft. Number of Stories: I Sheet metal work to completed: New Work: ✓ Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System f Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: I1 &C- I t o SfiA� rnqc / 2 ?A Z 51'A-se nal-clwe- Ufti fi_ 10Cojq� c.)r I I INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L Ch.112 Yes❑ No ❑ If you have checked Xja indicate the coverage by checking the appropriate box below: I '3 A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application MMives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this bo ,1 hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metalwork and installations performed under the permit issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Pier dress Inspections 1 Date Comments I Finial Inspection Date Comments I Type�aster 3y rifle e i ❑Master-Restricts atyrrown ❑Joumeyperson Signature of Licensee Dermit# ❑Joumeyperson-Restricted License Number. �Z =ee$ � Check at www.massmom/dRI i nspector Signature of Permit Approval l The Commonwealth of Massachusetts .UVDeparbnent of Industrial Accidents Of ee oflnvesddgadons 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Bulnders/Contractors/EIectricians/Plumbers ' Annlicant Information Please Print Legibly Name(Business/ownizstionandividual): �� }�+l a C� �'�1/�-� Address: / ' J 8 N SQ V0 r XC,T_ City/Statdzip: `�fJnC��,.>-�Ck. WAR 2!50 Phone 7,/ Are yo employer?Check the appropriate bow io re • . contractor and I -Type of p 1 ect(required): • 1. I am a employer with -3 •4 I am a general❑ g 6. Q New contraction . employees(full and/or part-time).:. have hired the sub-contractors 2.❑ I am a e proprietor or partner- listed on the-attached sheet. 7. Q Remodeling 'sol ship and have no employees These sub-contractors have 8. Q Demolition ; and have workers' working forms in•any capacity. employees 9. Q Budding addition [No workers'comp.insurance comp mstuance# required.] 5. Q We are a corporation and its IO.Q Electrical repairs or addition 3.❑ I am a homeowner doing all work officers have exercised then 11.Q Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.Q Roof repairs insurance rem]t c. 152,§1(4),and we have no employees.[No workers' 13.Q Other comp.insurance regiured.] •Any applicant that checks box#1 must also M out the section below showing their worla ns'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whetter or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site Information, Insurance Company Name: --T-rG, CS Po #or Self-ins.Lie.# )13 �' � 73�� � �y o 13 Expiration Date: Job Site Address: �� ��� ,i V c, �, City/Statx/Zip: �R�_ A b'c Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Faihire.to secmee coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigation of the DIA for insurance coverage verification. I do hereby certify and the pains andpenalties afperjury that the information provided above is true and correct Si Date: Phone#: Z 97- 0 ? offrcial use only. Do not write in this area,tb be completed by city or town offulaL City or Town: Permit(License# .Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Rightfax N2-1 9/19./2013 9:05:ZU AM YAUP- L/UUL rax Derver q�R09/19/2013 D CERTIFICATE OF LIABILITY INSURANCE °A�`"�"°°"""' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT:H the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed.If SUBROGATION Is WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER PAYCHEX INSURANCE AGENCY INC JPEE)d):(877 362.6788 877 677-0447 150 SAWGRASS DR ROCHESTER,NY 14620 AODF ER Paycheaagwvdemcan PRODUC (877)362-6785 CUSTCNERIDt 6472FI145 S V996 70A INSUFIEFM AFFORDING COVE NAIC# INSURED INSURERAlHE TRAVELERS M MYCOMPANYOF00PNECIICUT BALANCED HVAC INC INSURER B: 15 JAN SEBASTIAN DR STE E1 INSURER C: I SANDWICH,MA 02563 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 938657802090262 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADDTYPE OF INSURANCE IPts'R SUBA ImmPOT.ICYNUMBER P011CYEPF POUCYEJ� UMTS LTRSAL UABInY OCC R CE CCKWERCIAL GHVERAL LIABILITY $ Cd AiNE Nl4DE OCCURMED EXP rn $ PEFSONAL&ADV INJURY $ GENERAL AGGREGATE $ GBdL AGGREGATE UMIT APPLIES PER PRODUCTS /OP AGG POLICY ED PF LAC $ AUrOMOBLEUASILrrY OCMBINED SINGLE LIMIT $ ANYAUTO BODILY INJURY(Per pwsan) $ ALL OWNED AUr06 SCHEDULEDAIiTOS BODILY gI7Wy a URY(Pacddent) $ HIREDAUTDS P de AGE $ NCN40VJPJ M AUTOS $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESSLUIB CLAIMS-MODE AGGREGATE $ _ DEDUnELE $ RErEancN A V40FDT SCONFENSATION NA UB-7348P140-13 03/01/2013 03/01/2014 X ANDHNPL.OYERSrUABMY Y/N ANY PROPRIETORPARTNERIEXECUiNE❑ E.L EACH AM DENT 1$100,000 Ff10EBM�(3ER EXQIAED? v� de!ry n )ndFr E.L.DISEASE-EA EMPLOYEE $100,000 SP LE-LIALPROMu9ISbelow EL.DISEASE-POLICY LIWr $500,000 OESCFun W OF OPERATIONS/LACATIONS/VEHICLES(Attach ACORD 101,AdWdond Remarks Schedule,B more space is regWred) CERTIFICATE HOLDER CANCELLATION THE TOWN OF BARNSTABLE SHOULD AN Y OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE 200 MAIN STREET EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE HYA NN I S, MA 02601 WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION.All rights reserved. Rightfax N2-2 9/19/2013 9:10:48 AM PAGE 2/002 Fax Server A !7J7" A Tr- o%r- II I A r%oo iT\/ aLo^i Art A \oar- DATE(NNVDIY-"Y o�TME Town of Barnstable Regulatory Services Am Thomas F.Geiler,Director +' Building Division Tom Perry,'Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby autho ze ���] f C�� �'�'V C C to act on my behalf, in all matters relative to work authorized by this building permit �erc7i VA (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. ignature 40wner - Signature of Applicant bs Print Name 'Print Name ., l ../c>'.zvl Y Date Q:FORMS:OWNERPERMISS]ONPOOLS ' �� ��011AINIKONVUEALTH�`.O.F,M�S�tCHC�SE�\S��� � F- � 4 � Ri, R�C ERS��`•%. �� � . w y' >A�� IASTER UAIREST I L. . 't'Sy�C+�3a �L t ULN T STUBBS � ll tee,, v �h'x{�"`���� ��t �y +�I°� ����'P�"�.�'�4'i�4 \° p �,,��.'�•f 1"fey : FSLAwcEQrri{uAcitcgr . t � s `4'F :II ;SAB{1ST1 OPI,r�tr� rk`s F f,q sANuwt>cHf` '; fo,7/281,t ., ,48437 � 4; � e oaw, •Kati-`-. SHEET METAL WORKERS .;.: AS A BUSINESS,. is ''ISSUES THE'ABOVE LICENSE ,STUB:SS` - �N -G��I C. 1`5 JAN SEBASTI;AN: DR. s, MA=0256=Y 00.0::0 SANDWICH 1 '143. 12/07/14 307263 - uwAS'SAC SE'TTS�,= ,,kDW ERSr w, LICENSE' A ' twa-z a 'ONE s07S 6ERy � DB+�6xa2 5r4a's a'aa 9..T3�1oai .1 .� T i15L,8IX M 1Q M67�•(i�~ r - yam. # 0:. s78yJOHN EWER ROAD x s �r x � �4 r � ,�'sr,SANDWICH MA 02�5+63.26115,yy sP"t �r�s �.s ouoo-�e�p»rts�oT ismo5 Page 1 Residential Heat Loss and Heat Gain Calculation 1/10/2014 In accordance with ACCA Manual J Report Prepared By: Balanced HVAC Inc For: Stahley Residence Barnstable, MA Design Conditions: Boston Indoor: Outdoor: Summer temperature: 70 Summer temperature: 90 Winter temperature: 75 Winter temperature: 0 Relative humidity: 50 Summer grains of moisture: 88 Daily temperature range:Medium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 18,346 2,624 20,970 44,018 ( 1.5 tons ) First Floor 18,346 2,625 20,971 44,018 kitchen/living 12,521 1,541 14,062 26,272 Infiltration 1,511 1,541 3,052 13,504 Duct 596 0 596 2,388 Miscellaneous 1,200 0 1,200 0 Floor 0 0 0 1,795 SW Wall 506 0 506 1,606 Window 3,024 0 3,024 1,786 Glassdoor • 2,835 0 2,835 1,860 NW Wall 149 0 149 472 Window 1,785 0 1,785 1,302 Ceiling 915 0 915 1,559 Entry 1,514 494 2,008 7,407 Infiltration 484 494 978 4,326 Duct 72 0 72 673 Floor 0 0 0 137 NW Wall 173 0 173 549 Door 195 0 195 621 NE Wall 38 0 38 121 Window 255 0 255 186 Door 195 0 195 621 Ceiling 102 0 102 173 Page 2 Stahley Residence 1/10/2014 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Master bedroom 3,749 530 4,279 8,686 Infiltration 519 530 1,049 4,642 Duct 179 0 179 790 Floor 0 0 0 304 NE Wall 142 0 142 450 Window 1,020 0 1,020 744 SE Wall 150 0 150 477 Window 1,512 0 1,512 893 Ceiling 227 0 227 386 Master bath 458 60 518 1,201 Infiltration 59 60 119 527 Duct 22 0 22 109 Floor 0 0 0 78 NE Wall 64 0 64 202 Window 255 0 255 186 Ceiling 58 0 58 99 hall and closet 104 0 104 452 Infiltration 0 0 0 0 Duct 5 0 5 41 Floor 0 0 0 96 NE Wall 99 0 99 315 Whole House 18,346 2,624 20,970 44,018 ( 1.5 tons) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,acWW loads may vary due to weather and construction differences. Message- Page 1 of 1 Mckechnie, Robert From: Matthew Anderson [andersonframing@gmail.com] Sent: Tuesday, October 29, 2013 10:49 AM To: Mckechnie, Robert v Subject: Re: Percival Lane Anchor Bolts Y. We will be using 1/2". I will call the morning we install. Talk to you soon, Is Sent from my iPhone On Oct 29, 2013, at 10:38 AM, "Mckechnie, Robert" <Robert.McKechnie(cr�,town.bamstable.ma.us> wrote: Hi Matt, It appears that this will work. Are you using 5/8" as the code requires? Or the 1/2" with the reduction in spacing? I will need to inspect the bolts/spacingwhile I can still see them easily. Please call when this is done. Thanks, Bob McKechnie -----Original Message----- From: andersonframing@gmail.com [mailto:andersonframinq@gmail.com] On Behalf Of Matthew Anderson Sent: Tuesday, October 29, 2013 9:53 AM To: Mckechnie, Robert Subject: Percival Lane Anchor Bolts Hi Bob, Here is the letter from Mark MacKenzie. Please give me a call if you have any further concerns. Thanks, Matthew Anderson (508) 367-4653 FRAMING&REMODELING Check Us Out On Facebook http://www.facebook.com/AndersonFraming 10/29/2013 Message Page 1 of 1 Shea, Sally From: Perry, Tom Sent: Thursday, December 19, 2013 12:31 PM To: 'Kevin Boyar Cc: Amara, William; Shea, Sally Subject: RE: Kevin Boyar-44 Percival Drive, West Barnstable That's ok with me -----Original Message----- From: Kevin Boyar [mailto:kevin@bdcapecod.com] Sent: Thursday, December 19, 2013 11:56 AM To: Perry,Tom Subject: Kevin Boyar- 44 Percival Drive, West Barnstable Hi Tom, I need your help. We're doing an in-law apartment at 44 Percival Drive,West Barnstable. As a condition of issuance of the Permit,we were required to record a deed restriction which disallows the option of renting out the"secondary habitable space". Everyone is good with that but...the owners (mother and daughter)are really hoping to maintain some level of financial autonomy with respect to utility costs and,as such,would strongly prefer to have two separate electrical meters on the property;one for the main house/one for the in- law apartment. We need your authorization for our electrician,Alan O'Reilly,to pull the permit for that second meter. Thank you in advance for your consideration. I'll look forward to hearing from you at your earliest opportunity. Best wishes, Kevin M. Boyar B&D Custom Builders, Inc. P.O. Box 21 West Barnstable, MA 02668 Cell: 774-994-1357 Office:508-833-6189 Facsimile:508-771-3496 12/19/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parce pp ication I ` Health Division Date Issued Conservation Division Application Fee ' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Boards 3' Historic-OKH Preservation/Hyannis rJ Project Street Address 44 W,,m lial br, i �! BarnS � V)A 02(obR Village V4e6A- -3amsS ;6k Owner Address 44 ierc�val fir. . �.(. Barnsb�e, 5h AMA O2b6$ Telephone .,; Permit Request a +. r e Cos Awo b Z'BiR 0w fro e n n use - A I• oS rack- + 3 ►1den Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new y Zoning District Flood Plain Groundwater Overlay Project Valuation e2QQI< Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ^r Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway:, Yeses❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other z Basement Finished Area(sq.ft.) Basement Unfinished Area(sq. -' f Number of Baths: Full:existing new Half:existing new _ Number of Bedrooms: existing_new y A ; Total Roon;Count(not including baths):existing new First Floor RoomiCount 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 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 APPLICANT INFORMATION Y" - (BUILDER OR HOMEOWNER) A� Name $8,� 1r�:�aYV\��f?;- Telephone Number 7714, 494- 1351 Address P.O.Six ZI License# C 5'16 3 32 r•x . Ba.A1S hhL, MIA 02-(,0 Home Improvement Contractor# l 6 Z15b _ Worker's Compensation# rAa ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TA#jKEN49.-Via r M S�C— SIGNATURE ATE f ' ,r • .... .:. .- � -._��- -.:. _„__ �j .ti-r..—'._ c✓_...e.,-�i_.,..-y.j._fi.ry,..+.r�3'z;..,{a_.,;,,-,i-r�'�s...>y".,•Y'^'w,r...*a.«-,.",., .,�.-. :-%`�,�., .-,.-�r"'L.J i.--. .� 1 .., pfETp TOWN OF BARNSTABLE 30925 � Permit No. ................ . . } BUILDING DEPARTMENT Cash S.5?®s.QQ.). ■■.. TOWN OFFICE BUILDING a6}9• �er�r HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Anthony S. Baudanz a Address Lot u13, 44 Peraival Drive West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY-THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND 1N ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 9, 87 Building Inspector LL THETOWN OF BARNSTABLE Permit BUILDING DEPARTMENT ..nor I Cash ■w. TOWN OFFICE BUILDING ; 9�P UY t� HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Address - USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. a 19...... .......... ................... � ........................ Building Inspector TOWN F I RNSTABLE, MASSACHUSETTS .y�`�U I L IN GG �PEA IVI I'�'- ' r�,=1'10ki r DATE .wile jo, 19 87 PERMIT �( ($��� q T ner ADDRESS. Liste-d BeloW_ —(NO (STREET)(STREET) (CONTR'S LICENSE) wild "DWellin(7 1 STORY �, '� •1 NUMBER OF MIT TO 7 (_ J].IIgle �.'�c(J,aily-DwellinfjWELLING UNITS '(TYPE OF IMPROVEMENT) NO. IPROPOSEO USE) i Lot #13, 44 Per.cival .Dr:ive 6dg6t Barnstable }ZONING Wit,'' AT (LOCATION) - t DISTRICT (NO.) (STREET) 'I. BETWEEN AND r'Q (CROSS STREET) I(CROSS STREET).. LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE ' FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ' ��yy (TYPE) ' REMARKS: Sewcige #87•-305 tInthony Baudanza($520: 00) 38 Ships Way, -Bourne. 2232 s . it. . .. ........ :: AREA OR .. PERMIT' VOLUME 7 ESTIMATED COST $ 13`�!Q00.UO .. FEE; $.•17 'S0 + (CUBIC/SQUARE FEET) OWNER Anthony S. Haudanza f, Zl' Ships Way,. Bourne, XA � - BUILDING�DEPT. � ,' it `'-'.J.,"•r � ADDRESS + BY �' / 7 •/ � _ _ T T HI Sr.PE RMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY 0,9- ► PERMANENT4Yti,.ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE- BUILDING CODE, MUST BE AW PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED .4 FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS ANY,.APPLI CABLE SUBDIVISION RESTRICTIONS. ' MI,NIMUM. OF.-. THREE .CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSP.„EC.TIONS'REQUIRED FOR, CARD KEPT POSTED UN PERMITS ARE REQUIRED. FOR w, 'ALL-itONSTRUCTION WORK: UNTIL FINAL INSPECTION HAS BEEN *' +t^'? ELECTRICAL, PLUMBING AND v'': I: FOUNDATIONS OR FOOTINGS. -MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2.`PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL . MEMBERS(READY TO LATH).� FINAL INSPECTION HAS BEEN'MADE, 3. FINALI.NSPECTION BEFORE ' OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING IA PECTIO 'APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS r65> N X1 , 3 HEATING INSPECTI AP ROVALS EN ERI EPARTMENT K SU, ' tc.T- A1vtR. OTHER 2 BOARD OF HEALTH fqL-7—$7 PERMIT 'W!L L BECOME NULL AND V01 D'I F CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN 00 WORK SHALL NOT PROCEED Uy�Tll THE,INRPEC-L TOR HA�,APPROVED THE VARMUS STAGES OF WOR_ JS NOT STARTED WITHIN SI,'( MONTHS OF DATE-THE ARRANGED FOR BY TELEPHONE OR WRITTEt CONSTRUCTION. :k� I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. JOWN OF H,ARNST_ABlX_,MASSACHUSETTS BUILDING 'PtAMIT DATE 19 1) PERMIT NlL_zffR&rL_. T u'vi — ADDRESS (NO.) (STREET) (CONTR'S LICENSEI L;Ul CIT TO STORY 'S'; - NUMBER OF I IOWELLING UNITS (TYPE OF IMPROVEMENT). NO. (PROPOSED USE) AT (LOCATION) C)4- it ZONING a r i t a I)_L DISTRICT IN 0.) (STREET) BETWEEN AND ra (CROSS STREET) (CROSS STREETI- LOT SUBDIVISION LOT BLOCK SIZE. BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND-SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS-OR FOUNDATION (TYPE) REMARKS: AREA OR VOLUME l3b , oo PERMIT s 50 ESTIMATED COST FEE EE (CU81C/SOUARE FEET) 17 OWNER BUILDING DEPT. ADDRESS U.!: BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY de ► PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE*A'4f PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES As WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS INSPECTIONS REQUIRED FOR O PERMITS. SEPARATE CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ERM TS RE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AN. I. FOUNDATIONS OR'FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. Z. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL IN BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VIS113LE FRUChwoM STREET BUILDING I PECTIO APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 'L 3 HEATING INSPECTIOI(I AP ROVALS EN ER A-611PARTMENT IS uaj t CT rc) kjA i v IQ— OTHER BOARD OF HEALTH 7 a n. WORK SHALL NOT PROCEED U!"JIL THE MPEC. PERMIT W!LL BECOME NULL AND VOID IF. CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VAR16OUS STAGES OF WORK IS NOT STARTED ARTED WITHIN SIX MONTHS OF.DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. 9/20/2013 44 Percival Drive, W. Barnstable verified with health dept. that owners have applied for a Septic Permit and the Permit has been issued waiting for the inspection. This is for a 4 bedroom septic. Brenda Coyle Application to �Bp.ANS CE EIS NP E�S Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri 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: 4 New Building ❑ Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). !, TYPE OR PRINT LEGIBLY /, DATE ADDRESS OF PROPOSED WORK f ®`� ZQ7'�`''�_} ASSESSORS MAP NO. ��' A-► OWNER A tA•-"N tj M - CLZIrc Ll2)A N 2A ASSESSORS LOT NO. HOME ADDRESS v >�� �S P'li U,jl.l� ,, IVIP� TEL. N0. p-aS3 Z FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). —LH.,,s �o (R r, vu EL6-r K3 ,7 R7r. o T- viV i i�c 9 p�0 as s AGENT OR CONTRACTOR 7 �` �� �-U"b 1�1�2 TEL. NO.,)�L ADDRESS �►"N� l�J I/�'LYI,, fr J�N9 / Q _ 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). t , S'%Q� Signed Yg Q::I!' 75T Owner-Contractor-Agent ce-below line for_Commrt;lee use. Date The tificate is hereby V Date / r� T' ��r -ZE2 By. C�- hz>16 Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period . provided in the Act. Disapproved 171 ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required %r.hen repainting existing colors, changing to white, or using colors approverl•by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is Arequired for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in.area showing the name, occupation or:address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a' combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. DATE CONTINUATION OF ROAD BOND BUILDING PERMIT # �O The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public Works. loam and seedshoulders as soon as weather permits. other (explain) LOCATION ; _`7 `1 C- 1 Ut� L (��)R LJ 3A (LI Y,Lly," SIGNED Owner/Contractor E GINEERING ALYTHORIZATIO14 e YACAIVT PARCEL , S • S 62" ¢3' /8"E "� /83. 62 4so p ti ¢. 90.00 S�"E Wi a 1 4 .471 5.3' �1 7j r • I ' �! - XI 411 Iq ' IN1 :� V 1 *+ o . of . 36 386 r Al 5-9 o S8_'34" W 2 8 4. 7 4' T v A C A n/7- PA R C EL A� OF DOES NO T L/E //V THE FL O.O D PL A/N. C AFR 07 /7L 4/`/ FOR .9AITHONY .aAUDANZA . 7Z»✓/t/ OF BA R NS TR BL F LOT /3 PER C I VAL DRIVE S CAG E' /" SO' OATS J*UNF 301 /9-87 1 C ERT/f Y TEAT 3*✓,o-&-1.4 T .45* ON J'"/-l/S /S AS /T EX/STS aA/ T/lE Gi2 .q.ND COA470RIYS TO Ti'lE TOWAol ,AZr&C/L 47-10"S .4 7- N R T N. CO .5 T L/C /O 'er � /QEG�tS'T�R�p_„_.Lr�4JV0 SUf?VIE Y40R OOYL�' ��/G/NEE12/n/G �4SSOC, /-VC. -07 C1O.41iV 4YE, FAG/�f0 UTfi/, �l�SS Eng eering Dept. (3rd floor) Map j/ Parcel Permit#14 House# �j�,Q Date Issued — Board of Health(3rd floor)(8:15 - 9:30/1:00 �'G. `✓ ee31�, Conservation Office (4th floor)(8:30- 9:30/ 1:00-2:00) _,T SYSTEM P,- BE Planning Dept.(1st floor/School Admin. Bldg.) INSTALLED IN COPAPL Definitive Plan Approved by Planning Board 19 WITH TITLE 5 EffliU MENTAL CO TOWN OF BARNSTJ%TflE1ULATI Building Permit Application Project Street Address � ��� � �/,/. _ �, Village Owner Address Telephone •3!a Z X o Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Ll, &-,kO-D Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Muld Family(#units) Age of Existing Structure Historic House ❑No On Old King's Highway UI/Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New 54YA.Z 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 10 If yes, site plan review# h Current Use Proposed Use Builder Information Name Z 2/ Telephone NumberZ�g� Address a J WIL_ WAI 60 e�a License# 05',9 e3 Home Improvement Contractor# �j 7• 1_0 Worker's Compensation# Qh1&JMZ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE !►, OWNER a DATE OF-INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ® �V(YUGH FINAL _ GAS: f-I'dUGH FINAL FINAL BUILDING_ Q� DATE CLOSED OUT ASSOCIATION PLAN NO. Application to 4, 998 125 Old King's 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 jf Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other Roo r 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other . (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE May 7, 1998 ADDRESS OF PROPOSED WORK 44 Percival Dr .W.•Barnstable ASSESSORS MAP NO.111Parcel 059 OWNER Robert & Dorothy Stahley ASSESSORS LOT NO. 1 HOME ADDRESS 4.4_ Percival Dr .W.Barn-,tahlP 02668 TEL. No. 508-362-5958 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). Eaiil &AnnP Reveliotis 28 PercivalDr . ;Roder&Mary Sweet 60 Percival Dr . Joseph Glasser i5 Westwood Rd Storrs CT 06268 ;W.illiam Fox 271 Percival Dr . Kim Frederickson POBox 970 BarnstableMA 02630;David Lamachia 51Percival_ Dr . AGENT OR CONTRACTOR Capizzi Home Improvement TEL. N0. 508-428-9518 ADDRESS 1645 Newtown Road Cotuit MA 02635 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). Cedar shake roof must be replaced , Will be replaced with architectural asphalt roof (See enclosed ) wasW Install 18in. solar tube on south facing roof (See enclosed) fl t�� eUb,r, i ; Sii.l�1 i �� ne -Contracto Agent Space below line for Committee use. Received by H.D.C. at The Certificat is hereby Q 44,-t Date O L Time �E MAY - 71998 By TOWN OF BARN,9 ABLE ,,,T „.._1:.:__._ :_ OLD KING'S HIGHWAY ---- __....,...i .. ....�, ..,,�6-4►... +n.a..............: .....:..a AAssessoi's' offioe (1st floor): THE o� To Ass ester's reap and lot number .......... `q THE '91-:PTIC SYSTEM MUST SE Board of Heaiih (3rd floor): _ iQ '0=ALLED IN COMPUANC- d • Sewage Permit number ...��.. �.!.., Z HAHII9fl1DLL I Engineering`Department (3rd floor): "WITH TITLE 5 `' +� MAO House number .................................... .. .Y........................ ENVIRONMENTAL CODE AVU APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN REGULATIONS TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .F....L./�,5`T!�. ��.... i �- (� �.F — i✓ TYPE OF CONSTRUCTION ......,Qp..�.....��.�`.�......................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............L;3....y...........!.........i`.......�...�. .L'.....�.. .t...�.� ......v.`..:....& .. .....!.\. ..................... Proposed Use ...... l�. \ i. � �...., .. ..c ems................ _ '... ._ . ........ ... Zoning District .................!.'...!................... .......................Fire District .............` ....t.. �. .:.... ........... Name of Owner ' ►. �,�.d 1 Name of Builder lH/uJL� ... ...........................Address [ ..: .! A11. ...... ..� ........... 1�t�G� / Name of Architec 1 �. . f� ..Address f�.. ...................J............' /•�'1Q � v Number of Rooms ...........................................................Foundation ..1!CrOT .... Exterior/•` .... / fJ(�P��: .........................................Roofin R 6 .............................. FloorsA,e�FZ... .4 j ..11j..iy.�� ...............................Interior Heating ..1.t............F... ... ;......................................Plu4bing ... .../ ....... ....................................... Fireplace ....Fk.4:-jet ............................................Approximate Cost ..�)..>J..�.�.................. ........... Definitive Plan Approved by Planning Board p.lC. --- q�y. 7 Area � l . .�........... Diagram of Lot and Building with Dimensio ���,� Fee ../....�1Z. .O-v.............. SECT APPROVA�L� OF BOARD OF HE TH 0 60 �. 63 --39 M 13 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 ' tk�: . � � ..QL .. :........ Construction Supervisor's License .................................... i BAUDANZA, ANTHONY S. NJ...309.25.. Permit for 1i1 Story ....... .... .................................... s. Single Family Dwelling .............................................................. Lot #13 , 44 PerciNlal Drive - occition ................................................................ West Barnstable ............................................................................... Anthony S. -Baudanza Owner ., Anthony...................................................... Type of Construction ...................Frame....................... ............................................................................... Plot ............................ Lot .................... Permit Granted :q.......qA9... .........19 87 Date of, Inspection P-.-,,,, .:,,..2,:,:-�2..............19 Date Completed O�T Assessor's officie Ust floor): ?NE Assessor's map and lot number ........................... �'goardof Health Ord floor): Sewage Permit number ........)7T-3.9S.... BAR33TLDLZ MARK Engineering Department Ord floor) t639* House number ........................... 0,. 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 ...... TYPE OF CONSTRUCTION ... ........ . ........ ...................... ............19.. TO THE INSPECTOR OF BUILDINGS: I The undersigned hereby applies for a permit according to the following information: Location ....7........... RA. ..... .. .'r.. .W!..... .................... ..................................... ... . ..... Proposed Use ....... e��OF....4j....................................................... Zoning District ........................................... Fire District ..........`1 ... ......................................... .......O.jr V,4 . .... .D.A.PiAddress Name of OwnerAtq q Name. of Builder ............... Address (oy. Name' of Arch i tect .)N—U.f.-4...op,.P-w Address ......... I"'Oor I Number of Rooms .0.............................................................Foundation Exlerior?/e...&A.?,90PAP.........................................Roofing ...... ............................ Floors ...........................Interior 0. ........ .ca Heating0.1-1........... ../.......................................:..Plumbing ...02... .11....... ........................................ Fireplace ........................................i.....Approximate Cost ...13\5.7�-" ......................................... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area Z 0 w . Diagram of Lot and Building with Dim6sion',S�� V Fee ............................................. SUBJECT O,/APPROVAL OF BOARD OF HEALTH • i i 14 3 T o�� d 13 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 Aq.,A� aip, Construction Supervisor's License .................................... BAUDANZA, ANTHONY S. Ar=�—r �.30925 1� Stor No,................. Permit for ......2..............I'............. Singl ..Family pwelling,,,,,,, Location ..:.Lot13,..... 44..P .Ca, d� ..A:cive Wes.t...$a ?� s .k?a, .................. Owner ...Anthony...S.... B.audAnza............ Type of Construction ......Zrame....................... _ M1 ..........:.................................................................... Plot ............................ Lot ................................ Permit Granted June 30, ........... 19 87 ............................ Date of Inspection ....................................19 Date Completed ......................................19 _ 1 01 Ft ram, Town of Barnstable o Building Department Services • Brian Florence, CBO nnaxsTasis. v� MASS. � Building Commissioner 200 Main Street, Hyannis, MA 026010" OF BARN www.town.barnstable.ma.us JAN 28 AH'11, 32 Office: 508-862-4038 Fax: 568-790-6230 Town of Barnstable Family Apartnid.HISA'fidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: 2�G� e-- � r 5 le- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: / Name &relationship to owner: o-.'' '�7a ` !D-40n e,^ 4 G 7" Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family"Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other S7 to under the pains and penalties of perjury this day of ja'4a09_1 2019. Si e ,✓� Phone Number Print NameDr'e q:forms/famaffid.doc rev 11/08/13 f Town of Barnstable Building Department Brian Florence, CBO X ED snxivsznB[.e • NAM Building Commissioner Fo 9. 200 Main Street, Hyannis, MA 02601 110 Ol D www.town.ba rnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ( �/b �za .�`� 5� , I am the owner/resident of the property located at: � �. so � rn cc) cn Tl'_ o11 me bers of my family will be the sole occupants of the Family Apartment at the afiemeftoned a dress: o � o I� e Orelation to owner: Dame&relation ©p to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) . Other Sworn to under the pains and penalties of perjury this v -e,4ay of V e 7,Aa 2018. Signature // Phone Number Print Name � G,p q:forms/famaffid.doc rev 11/22/2017 r Town of Barnstable Regulatory Services �TME Richard V. Scali,Direc!VWN OF BARNSTABLE Building Division ssr"B� ` Paul Roma Building Commigsoner N„►ss. � � g �� rd 2 7 ��9 I I� 01 'b. 039. �. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is to 17 Af-V I am the owner/resident of the property located at:- ��T 'i/G" !' - fr,� , h q&,"4. The following members of my family will be the sole occupants of the xat the aforementioned address: Name &relationship to owner: ai�'sn �' /�® �1 Name &relationship to owner:, 'J The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Swo to under the pains and penalties of perjury this day of 11q?u a!* 2017. c�vlA Sad- 3 - �1'711 z CC) Sign e L / Phone Number Print Name �o ��f� z, S7 4 f� c q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services , oFt"E Richard V. Scali,Director Building Division ' MAM RAMMBMThomas Perry, CBO,Building Commissioner Ai i639. s`0� 200 Main Street, Hyannis, MA 02601 En p�p'l www.town.b a r n s to b l e.m a.u s Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 1 o ra 7 h Sr N I am the owner/resident of the property located at: fir C,., ,e �•'i�✓e GtJe�sT 16a'rn.514 6le The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: J)m/ 20 q / purnG/' GC mnt D � r Name &relationship to owner: Vd xe ,- O The Family Apartment will be the primary year-round residence for the above-ident f ed family members. In the event that the listed relatives vacate said apartment, I willnimmediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said o Family Apartment is permitted I understand that 1 am required to file an Affidavit annually with the Buildig Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Perfflit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apar ents. I agree P to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2016. ze. ?� SOS-3d — 39 Sigria e J Phone Number Print Name L)01-0 � � Feat le q:forms/famaffid.do c rev 11/08/12 �.f+E Town of Barnstable � s ABM Regulatory Services B"R'1'M L Richard V. Scali, Director �A s639• �0 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax:508-790-6230 January 4,2016 Kristen& Eric Komar 44 Percival Drive W Barnstable, MA 02668 / Re: Family Apartment Dear Property Owner, Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioners Office by February 22,2016. You are required under Section 240-47.1 of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the Family Apartment. Failure to submit the affidavit is a violation of your Family Apartment approval and may result in the loss of your rights. If you have any questions,please call Brenda Coyle, Principal Division Assistant,at 508-862-4039. Tom Perry Building Commissioner Enclosure Town of Barnstable U.S.POSTAGE>>PiTNevBOWES Building Division r �P-1-70- o 200 Main Street ZIP 02601 $ 000.485 Hyannis,AMU2601 0000336455 JAN. 05. 2016. KRISTEN - ERIC KOMAR 44 PERCIVAL DRIVE W BARW ABLE, A-M 02668 i1 RCIC;s '1!"':Ii)1)fl�i,,ll,�1111e:)'1lil�"1)r'111��11�1'I1"�I111.)'11"11'I t' I E II 'Town of Barnstable Regulatory Services F Richard V. Scali, Director Building Division �B" MAS& Thomas Perry, CBO Building Commissioner i039' A�0 200 Main Street, Hyannis, MA 02601 Fp MAC www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is D. n �T .� 1 am the owner/resident of the property located at: 0 =� o -7 The following members of my family will be the sole occupants of the Family'Apartment at thQ" aforementioned address: -a Name & relationship to owner: w Name &relationship to owner: r`', The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swo to under the pains and penalties of perjury this /d-IA day of 2015. Sig ture �-- Phone Number Print Name �0 r ofr i 6, -5-y a le' q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Bk 27710 P!324 t]9-24-2013 a 09 2 22a .�'"E'�"�.� Regulatory Servwvb Richard V.Scali,Interim Director BnarrsrnaUF, � � �� Building Division e3a 1 3 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I, the undersigned,being the owner of property situated at 44 Percival Drive,W. Barnstable MA holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 24972,Page 182,being shown on Assessors' Map 111 as Parcel 059, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment,for year- round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence: Kristen and Eric Komar Relationship to Owner: Daughter and Son in-law Resident of Family Apartment: Dorothy Stahley Relationship to Owner: Owner This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this d\5 day of 20 i3 TOWN OF BARNSTABLE: OWNER: By.�j t' Do othy S ey o as Perry,CBO Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date ,� u , �. �c/� Then personally appeared they,a o�e-named�(tlwner), Oro and made oath as to the truth of the foreggn $?> isirsir►eiat,before me.' � < } ff' Notary Public RUTA DIMSA gsample ii` My Commission Expires: Notary Public •% COMMONWEALTH OFMASSACHUSET76 o ,t�„ My Commission Expires V ' June 12. 2020 BARNSTABLE REGISTRY OF DEEDS .JL'"C.+.':LY'S:1'�G:R"/�:��.CF'�' __ ... _, .n .r. .�. N a._�i. .... .. .. .... .. �.,a., k� ... .. _ � .. � i . .. ..... .� �—. �.,. ._ 70 00 �� LEGEND N �� WELL/ABUT a 100.00 102 1oa,o y o°fi -- 98 --EXISTING CONTOUR ® =J MAG/SET 99-8� / CB/DH/F 0� x 100.98 EXISTING SPOT GRADE c� 0/0, Rd y. w/ Benchmark Set A EXISTING WELL Ooun� 9h cti �`'of ei,.'::;::;• Car. conc. patio M U UNDERGROUND WIRES vc A°t EL.=104.02 Assumed Y G EXISTING GAS SERVICE Jy Op r9s_ P ;90 .2\ TEST PIT `� o`, Street O 102,44 BENCHMARK �' WELL :102.70 � ec` A 'Po'ved�. � �rOns;d �0� aeF ��' ;'Drive:' �8 6"F EX/STING SEP77C TANK � e ��LOCUS 0 io2.a 62• n P Q io3o3:' TO BE PUMPED, RUPTURED, FILLED 102.e iO3.io: ��?, WITH SAND AND ABANDONED G ios,ei;•.. i02,e8;' 0 .55 �' x 102.13 BLOWER UNIT & VENT U Qji '� �' :';x:0 (LOCATION MAY VARY) 03 ° '�� :O��L� 10 x0 CONTROL PANEL LOCATION TO = 2 103.23 �� �'" 102.8 Q Dc� 0 GARAGE 93e, BE DETERMINED BY OWNER CQ 0' SS � 102.36 102.91 �� EX/ST/NG LEACH P/T PROPOSED '• TO BE PUMPED, FILLED WITH LOCUS MAP ''. 102.97 1 CB/DH/FND ADDITION SAND AND ABANDONED 102,6i: �\ 102,46 NOT TO SCALE 102,82r EX/ST/NG� / 3j33, x1o2.p2 .: HOUSE(#44) o o3,a, . �;,0,,82 GENERAL NOTES: 102,05 :`X'.io3.i6 .:' T+ TOF=103.63 S' �� :,;' ''`•: `.102.35•."" Q co'. TP-1 sT 6 1oi,68 /;�'� S• 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL T09.39 ® '�:�° C) °' AROp�\4 �O �• BOARD OF HEALTH AND THE DESIGN ENGINEER. B/DH/FND " ' 102.34 x 102,40 38, o f,, O OSF�? O `Scp,. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �U k. �' �� O" OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE (opplrox) U �� 00 o Ol 'X 4"':':' O ` � LOCAL RULES AND REGULATIONS. FLOOD PLAIN DATA ' ' ' go of I 1 •//' \ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR : w / " �'101.96 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE NON HAZARD � 1`� 10� x '• /o x .100., • . �_ � ,�:� �•� 100,1 DESIGN ENGINEER. ZONING CLASSIFICATION: ZONE RF "0 l02.02 101.�9 100.44 _ -� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SETBACKS: FRONT YARDARD PROPOSED �_ �`"=- TP-4 '�� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN SIDE/REAR YARD=15' SEWER CONNECTION I T-®1o1.10 -�� ENGINEER BEFORE CONSTRUCTION CONTINUES. MAXIMUM BUILDING HEIGHT = 30' .x Cr__f�� I RESEAAR AREA _ I --M6 SO' ' x -1 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. , WIND EXPOSURE CATAGORY: Exposure B 10�_��� 98,93 x 99.01 I --® 4 TP-_______ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF OWNER OF RECORD 98,70 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF STAHLEY, DOROTHY _____ __----- ,9'd'����� _ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 4 PE CIVALTLANE MA 02668 SOIL LOG ti 28� PROPOSED \�� S6, - _ 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. S,g. fig. FMicroFAST Unit Lot 13 _ __- 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. DATE: JULY 31, 2013 (REF P#14,086) `S8� h� 36,386f S.F. - ' 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS SOIL EVALUATOR: PETER McENTEE PE, SE 1542 ¢ 03-41-AC•^ AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE WITNESS: DONNA MIORANDI R.S. Mop "' DIRECTED BY THE APPROVING AUTHORITIES. HEALTH AGENT 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH ELEV. TP-3 DEPTH ELEV. TP-4 DEPTH Porce/ 59 _.A4'-h ;05 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING , -- ----------1---��4 ---� - �Q) CONSTRUCTION. 101.7 q 0 101.6 q 0 101.1 q 011 99.7 q 0 l ��-- 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 101.2 10YR 4 2 6" 100.9 10YR 4 2 8„ 100.6 10YR 4 2 6„ 99.2 10YR 4 2 6„ _�__ REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). B B B B __ .}P . 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM -----10YR 5/6 10YR 5/6 10YR 5/6 10YR 5/6 INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. 99.7 24" 99.1 30" 98.6 30" 97.2 30" 13. DETERMINATION OF COMPLIANCE WITH DEEDED OR ZONING REGULATION C1 C1 PERC C1 C1 NF ti1q SHALL BE OBTAINED BY OWNER APPLICANT. SANDY LOAM SANDY LOAM 42 SAOYDR 5/3M SANDY LOAM Q��� OF MAsr9 ����� ssq�d PROPOSED I A SEPTIC SYSTEM & SITE PLAN 10YR 5/3 10YR 5/3 96.9 50" 10YR 5/3 ��� �yG o PETER T. 96.2 66" 95.9 68° C2 PERC 93'7 72" TANNY_ McENTEE �. 44 PERCIVAL DRIVE, WEST BARNSTABLE, MA WARNER o CIVIL MED. SAND CMED. SAND MED. SAND 66 /78 CMED. SAND o No. 38721 No. 35109 Prepared for: B&D Custom Builders, Inc., P.O. Box 21, W. Barnstable, MA 02668 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 fJ �F S1ER�� J�o �'FG/SZE�S� Engineering by: Surveying by: SCALE DRAWN JOB. NO. 90.7 132" 90.6 132" 90.1 132" 89.7 120" r/ONq/ AN �F Engineering2 Cross Works, nc. WARNER2RoSURVEYING 1'=30 P.T.M. 192-13 PERC RATE: 3 MIN./IN. ("Cl" HORIZON) PERC RATE: <2 MIN,/IN. ("C2" HORIZON) g NO GROUNDWATER ENCOUNTERED l Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. (508) 477-5313 (508) 432-8309 7/31/13 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.=98.0 10'-2-1/2" FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. � 20" DIA. COVERS INSTALL RISERS & COVERS AS SPECIFIED INSTALL RISER & SECURED WATERTIGHT PROPOSED S.A.S. SEE NOTE 14 1& 5 BELOW I I (TYP.) BY BIOMICROBICS FOR Micro FAST UNIT COVER SET TO FINISH GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND FOR OPENNINIG SIZE I I T.O.F.--103.63 SET TO 3' OF F.G. TO SERVE AS INSPECTION PORTS A I I A F.G. EL.=EXISTING F.G. EL.=102.6t F.G. EL.=101.1 t F.G. EL.=101.2 (MAX.) � I 1 L 29' L 51' L o 23' MAX. �- - - -� ® S=1% (MIN.) ® S=l% (MIN.) ® S=1%((MIN 2-" LAYER OF 1/8- TO 1/2- I I I I 4'SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC „ DOUBLE WASHED STONE 4" KNOCKOUTS 09 i0 am (OR APPROVED FILTER FABRIC) I I I I �t0 1000 GALLON 14 6- BB®a®Be I—L J__ ' SEWER COMPARTMENT 0000060 CONNECTION 500 GALLON W/MICROFAS1 QuI 3/4" TO 1-1/2- DOUBLE INV.=10 TI N COMPARTMENT INSERT 4 LIE 4-4' S 2' i 4' WASHED STONE (SEE NOTE 3-BELOW) INV.=98.17 INV.=98.00 PLAN VIEW Ll 7 PROPOSED D-BOX EFFECTIVE WIDTH = 13.2' INV.=99.50 INV.=99.30 10'-2-1/2" PROPOSED SEPTIC TANK 4-500 GALLON LEACHING CHAMBERS INV.=99.75 6- CRUSHED SURROUNDED WITH STONE AS SHOWN INLET INV.-_100.46 STONE H-10 RATED I OUTLET '. TOP CONC. ELEV.=98.2 N NNW. BREAKOUT ELEV.=98.0 4148" COMPARTMENT NOTES: INV. ELEV.=97.50 ®®®a I LIQUID 3" WALL 1 Micro FAST UNIT AND D-BOX SHALL BE SET LEVEL AND eases ease® M N ) a0aa eases I ' LEVEL TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX BOTTOM ELEV.=95.50 i ) \ INCH CRUSHED STONE BASE, AS SPECIFIED IN 4' 4 X 8.5' = 34' 4' 6 OPENING 3 Ln 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING Ln 2) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL EFFECTIVE LENGTH = 42,0' 3-1/2" 3) REFER TO ACCOMPANYING Micro FAST SPECIFICATIONS. 5' (MIN.) ABOVE G.W. 24 4) MAXIMUM COVER OVER SEPTIC TANK, D-BOX & S.A.S. BOTTOM OF TP, EL=89.7(TP-4) 4 LEACHING SYSTEM SECTION SHALL BE 36 . 5) AWNER SHALL GREEMENT WITH AECERTEFSERVICE A PERPETUAL A ED NPROVIDER. SEPTIC SYSTEM PROFILETENANCE 9'-5-1/2" 9'-11 1/2" N.T.S. CROSS SECTION A-A DESIGN CRITERIA SPECIFICATIONS ®®®® O ® ® qz@ 1.) CONCRETE 4,000 PSI AFTER 28 DAYS. NUMBER OF BEDROOMS: 3 EXISTING + 1 PROPOSED l- ®®®®®® ® ® ® 33" 2.) CONSTRUCTION CONFORMS TO DEP TITLE V REGS. 4 BEDROOMS W/ DE-NITRIFICATION USING Micro FAST 0.5 FAST UNIT w ®®®®®® ® ®® 310 CMR SECTION 15.226. GENERAL USE APPROVAL FOR 550 GPD/Acre N z ®LYEO®®® ® ®® 3.) REINFORCEMENT PER ASTM C1227-93. AREA REQUIED = (440 GPD/550 GPD) X 43,560 SF= 34,848 SF 4.) 54" x 25" OPENNING FOR .5 FAST EXISTING LOT AREA=36,386 SF, 36,386 SF > 34,848 SF, O.K. 5.) 54" x 49" OPENNING FOR .9 FAST SOIL TEXTURAL CLASS: CLASS II (SANDY LOAM) 102" 6.) WEIGHT .5 = 11546 LBS, .9 = 11,112 LBS DESIGN PERCOLATION RATE: 3 MIN/IN 1500 GALLON MICRO FAST TANK DAILY FLOW: 440 GPD DESIGN FLOW: 440 GPD 4" KNOCKOUT 2 COMPARTMENT TM1500F5 i GARBAGE GRINDER: NO 20" DIA. COVER WIGGIN PRECAST CORPORATION TM150OF9 PROPOSED SEPTIC TANK: MicroFAST 0.5 FAST Unit P.O.BOX 1138 POCASSET,MASSACHUSETTS 02559 LEACHING AREA REQUIRED: (440 GPD) = 733.3 S.F. 4" KNOCKOUT / 4" KNOCKOUT 62" TEL:508.564.6776 FAX:508.564.6770 .60 GPD/SF 0 PROPOSED I A SEPTIC SYSTEM & SITE PLAN USE 4-500 GALLON LEACHING CHAMBERS IN SERIES SURROUNDED BY DOUBLE WASHED STONE-ALL SIDES 4" KNOCKOUT 44 PERCIVAL DRIVE, WEST BARNSTABLE, MA SIDEWALL AREA: 2(13.2' + 42.0') X 2 = 220.8 S.F. Prepared for: B&D Custom Builders, Inc., P.O. Box 21, W. Barnstable, MA 02668 , BOTTOM AREA: 13.2' x 42.0' = 554.4 S.F. 500 GALLON CAPACITY, H-10 LOADING Engineering by: Surveying by: SCALE DRAWN JOB. NO. TOTAL AREA:............................................................ .775.2 S.F. CHAMBERS Engineering Works, Inc. WARNER SURVEYING NTS P.T.M. 192-13 12 West Crossfield Road 22 Long Road DATE CHECKED SHEET N0. ^ Forestdole, MA 02644 Harwich, MA 02645 DESIGN FLOW PROVIDED: 0.60 GPD/SF(775.2 SF) = 465.1 GPD N.T.S. (508) 477-5313 (508) 432-8309 7/31/13 P.T.M. 2-of 2 S ol t N-a.p "I N CL -V, /0 44 0 I3..... .... .. 4 EL* .5 j 0 P OF :':,FOUN OAT 10 N 9 77 '77 ir f N xf 4 N ( I -11, 3 WASHED S T 0 N E IN f f 63 :2,I N E I VASHE 0 STO A ,/ 6 S UM P 34 1 1�2.40 IN N UID EVE .14 I0 UPTH 6*EF 1 5 T S:'PERC: EST KESUL� WHI TNESSEO'�,,,,. BY. I L N 0 P IT P E R C R A Tt'i'VITH PR ECAST�,.: SEPT. --JANK . CH[NG�-�PH E C AS-T L EI�A.:''CAST' IN PLACE INLET A N O',. BOARD I)F �,A E A t OUTLET�,., "S PER j I TL E�S I Z t D I A PT `��L OAT 7r- 75edJA IA/10 Zo A147 - 0 IA -5 t7'Ole OR I40- 70 m G E EWA Y TE 0 O'S E, .0 PR PR P. zx 4e5z JOWN ��'OF.' �:'REGULATIONS A N'SYSTEM - DESIG NED II-'O F SE S C'Ait "I/4 OISPOSAI'l-:STATE ': 'T,I:TILE T E7 0,N SEWER 40 , V-C P I PE`P S H A L L '�WSCHEOULE 7 1 Att'"P I P E S lu pie a OT- EXCEPT��`,`VOR-ik�-P,ER 0 2 ALiL --P,IPES.-,:SHAL.L' BE SLOPED 1 A W H I C H' -S H A L : ` E T H E -'----F I RST' :2 FEET' %OUT �OF i.:T HE ,'O 6 L EV E t B R AWW" -7 3.,.;� Of S I G,N F "9EDROOMS'-.--AT- 110" `GALDAY----PER, r SEPTIC--�-'TANK"'SIZE---f--3'30 -X% GAL,W -ryq. GARBAGE ; 0 1 S P 0 S A L GAL S 11,�L-EA C H I N 6 ".'S Y S T E M USE lj�, 46 U AeC 91 f F E C T I V E::-i* AREV -'.'S I 2-S 6,2)2, 4 K3 0 E '7-8 0 T T 0 M TOTAL F LOW '01 7 W/ZL GARBAGE" DISPOSI i L TOTAL LOW-� '��o ,,y il-�5 ii7 4 9 � GAV,DAy fl-E.SERVIF � :FLOW 10 iANS R E F E,R E N C E YL Y B 0'A P PR DA ro"�f '14., 0 v ED I IiAR 0 V� H E ALT H'N w SE"WA E PLAN ZA P R 0 PE HT Y OWN EA BAT E 4AI7 N D AY AUD� NZA FO ANrH&jy R.i02 Y N- :OWELLI i1 E 0 RO 0 M : S I N 0 LE FAMIt 44 T 0 T':' -'7 P, DATE'IF OUAT F I .mn[ITU% ss