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0425 SANDY NECK ROAD
M� V I i i i `oNSENT •bg�� �. u 4" W O Niw •^� { p M CCz ,. o cn rC3 L' c Sao a mz 5 1] � I P y Y� 1. a t' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION C7C � Maps Parcel tion # 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 SezAsi OecLL Jc . Village C? w 5D Owner Address lflaa, S4 14� CL L/ Telephone Permit Request CAA)s```Q 0 J Oa e-z Lw)k aL) c��z, Q, Square feet: 1 st floor: existing qLproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay _ Project Valuation 4 8 o0o Construction Type C&/h f Lot Size Grandfathered: 0 Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) (U�h� Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: Iv existing —new Total Room Count (not including baths): existing 11uQ OP-new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 1000- Central Air: ❑Yes ❑ No Firepl Ne - stin ew Existing wood/coal stove: 0Yes ❑ No Detached garage: ❑ existing ❑ newo : ❑ eKing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing 0 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 YhOPA&,) _Q0 ewa Telephone Number S- dO- ISO-as 82- Address ��,� �A� a Y License # 408M_ e_. Home Improvement Contractor# _ �( Email KACI Worker's Compensation # VC-2Q,JP)•-d 0�3(3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t SIGNATURE DATE 3- 10- G4 w f-' FOR OFFICIAL USE ONLY 1 }APPLICATION# 4' DATE ISSUED MAP/PARCEL NO. 1 ADDRESS VILLAGE y + i : OWNER DATE OF INSPECTION: FOUNDATION FRAME 4 INSULATION FIREPLACE {� ELECTRICAL: ROUGH FINAL t ' PLUMBING: ROUGH FINAL . GAS: ROUGH FINAL FINAL BUILDING DAT&CLOSED OUT ` ASOb4TION PLAN NO. } 1 ' the Ganrrtromwealth of Massuc asetts .D�eparhn ent of lndus& al Accidents — Office of Investigations 600 Washington Street Boston,MA 02111 wnw.1Y asmg,ouldia Workers' Compensation Insurance Affidavit:Builders/Contractws/ElectizciansMumbers Applicant Infarmatum c Please Print Le ibly Name(B ooltndivianal): o Mfu S A;u- Address: City/StateMp-: tTJ C)y 2Yo c- i 1 kr Phone#: SOB -, 9 0-e O Z Are you an employer?Check the appropriate boa: Type of project(re aired): contractor and I ❑ I..El I am a employer with 4. I am a � b. New oonstrtrcfioa employees;(fall and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partners listed on the attached.sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me is any capacity. employees and have workers' 9. ❑Building addition [No worms'comp.insurance comp.insarance.l required] 5. We area corporation and its M❑Electrical repairs or additions. 3.❑ I am a homeowner doing.all woric officers have exercised their 11_❑Plumbing repairs or additions myself [No workers'comp. right of,ememption.per MGL 12. Roof repairs insurance d t c.152,§1(4} and we have no employees_�o] workers,. 13. Other�<F/tg . comp-insurance required.j "AnyappEcantdatchecksbox#lmulalsofilloutthesectionbelowshmingtheirworkers'comps,+ tiou policy infbmudam I Homeowners who submit this affidavit indicating they are doing all wak and then hire outside contractors most submit a new affidavit indicating mcb_ LContractorsffiat cbea this boa must stuchpil an additional sheet shoa-ing the name ofthe sub-ca=zc tocs.and state whether or not those entities hare employees. If the sub-cantrscturs have employees,they must pmvide their workers'tromp.policy mmber. I am an eutpInyer that is prauidi>zg ttrorkers'cottipeltsrifion irLsrirance far my.enrp)nyees. BKlow is the polio'and job srte informadviL ll Insurance Company Name: Polity#or Self=ins_Lic_# (pII' 0�� 6 I Expiration Date: Job Site Address: 3mjz� 2 IN�.r� City/State/Zip: f�. n,�,•,,5 �. 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 S1,500.00 andlor one-year imprisonumrd as well as civil penalties in the form of a STOP WORK ORDERand 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 rn%,L igatiams of the DIA for insurance coverage y erifit=atitm_ I do hereby --rt , 1he .. s/andpeijabies afperjuty thartlie iriforma gmi prati&d ab"r fs bue and correct Phone# 0,01ct:ai use atliy Do icat write in this area,to be calnpleted by city or town official City or Town: PtermitUcense# Issaing Authority(circle one): 1.Board of Health 2.Bolding Department 3.CityYTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Prone#: 6 _,y- ---- --��—`�- ��" -----------Regulatory Services -------- t t ass 8, Thomas F.Geiler,Director pr16 a' 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 I, L7 9 gAA1 /',IU Zog/ , as Owner of the subject property hereby authorize TOE. \ .aQAAAX to act on my behalf, in all matters relative to work authorized by this building permit (Add6ess of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Y-4- V 4 4 (- Print Natae Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 t Massachusetts -Department of Public Safety Board of Building Regulations and Standards CtInstruction Supen,isor License: CS-040822 THOMAS C SPENILE 245 COUNTY ROADUlu BOURNE MA �V' Expiration J,�• . 10/25/2015 Commissioner a a �tHE r 0 Barnstable Old Kings Highway Historic District Committee 200 Main Street,Hyannis, MA 02601,TEL: 508-862-4787 Fax 508-862-4784 �A s679. �0 rf°"" 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 photographs accompanying this application for: Check all categories that apply, 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change, of trim, siding,window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court 2 Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date NOTE AU applications must be signed by t1:e cu rent owner Owner(print): N a A 2*1 N Telephone#: Address of Proposed Work: Village '>3A�J WLJG Map Lot# 26 60-I Mailing Address(if different) Owner's Signature Description of Proposed Work: Give particulars of work to be done: t CNP-.:b v✓lk't K- To -0 t 5 15 i Agent or Contractor(print): 5 D Telephone#: Address: tA C,V6 O Z,6 Contractor/Agent' signature: For com itte use only. This Certificate is he eb OVED/ RECEIVEDDate Members signatures MAR 1-3:204 Cw -�z GROWTH MANAGEMENY APPROVED APR 0 9 20.14 Town of Barnstable Committee 1 Q:IBoards and Commissionsl0ld Kings HighwaylOKHApplicationslOKH2O11 CertAppropriateness.doc CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard_ shingle_ other Material: red cedar white cedar other Color: Chimney Material: Color: Roof Material: (make&style) Color: Roof Pitch(s): (7/12 minimum) (speck on plans for new buildings, major additions) Window and door trim material: wood other material, specify Size of cornerboards size of casings (1 X 4 min.) color Rakes Ist member 2nd member Depth of overhang Window: (make/model) material color (Provide window schedule on plan for new buildings, major additions) APR O 9 2014 Window grills (please check all that apply_: Town of Barnstable Old King's�{, hway true divided lights_ exterior glued grills_ grills between glass_removable interiotCom4We Door style and make: material Color: Garage Door, Style Size of opening Material Color Shutter Type/Style/Material: Color: Gutter Type/Material: Color: Deck material: wood V' other material, specify Color: 01 Skylight,type/make/model/: material Color: Size: Sign size: Type/Materials: Color: ECEIVED Fence Type(max 6') Style material: Color: MAR Retaining wall: Material: Lighting, freestanding on building ��i lumina MANAGEMENT OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name 12 2 Q.IBoardr and Commissions101d Kings HighwaylOKHApplicationslOKH2O11 Cert Appropriateness.doc - ..'.�.'�-_C� .y ..__- .•.�... .F--= --�-r.._ .._....-�s*..�.-Foie'..-:�-.�,_. .•.-...-- - _.< 3.. _, .-✓�.� - -_ .—F-"F-' _ - �... .-. 3`�- -i _.� _ a. _ ,.�.+�4.s—��f��w-.:.F" -sus•-.w....-�., WOODTOPRAIL REMOVABLE SEAT - 0*0'I(jj S PACE TICAL BETWEEN BALUSRS TERS C. - SB•HIGH RAIL SYSTEM W/ SPACE BETWEEN SALVSTERS NOT TO I v EXCEED d' 1X WOOD SLATS MAX OFa•SPACE BETWEENPICKETNEW WOOD DE ASPHALT BEFLUSH -NEWWOODOVERVIEW 4X4 CONTINUOUS POST. WRM EXISTING ASPHALT WALKWAY 2X8 SEAT FRAMING(ON FLAT)MFV! WOOD FRAMING(SEE FRAMING PLAN) 5� v�s»u�,l STRUCTURAL WOOD POSTS(SEE FRAMING PLAN) 40 TT' EXISTING WELL HEAD � _ - DECKING •.• BEAM(SEEFRAMINGPLAN)ATTACHEDTO } ---------------��---___----__----Ir- 11 II 11 11 II POST W/(Z)fi'DIA HIGH STRENGTH BOLTS. HEADER BEAM(SEE FRAMING PLAN) II II II II I II II II _ ALVANIZED JOIST HANGER euv valL-6 aa�Sa ..L6. IL_iv _u_ II II 11 T 4X4 POSTSEYOND t WOOD FOOTING •. GALVANIZEDJOIST HANGER APPROXIMATE.GRADE 'I,IF,I.i—.11l'111 APPROXIMATE.GRADE ' QJ I" SOUTH ELEVATION � 3 RAIL DETAIL BENCH DETAIL s +'U cn Y m`= 1..pd 1 .tom' O in o�� 1 S O C p / -C o C �'t► O ' WOOD DECKING � / �•e � - t STEEL BOLTS O • Z%B FRAMING - 4X4 SOLID WOCOPCST - / - V. r��..,)�,•�t.�.I..:.:.'.�. - / _ C 1' s1 . '/"^a t y. Lim J�r� ,s T' v: ,..;...:..... J. ...: APPROX.GRADE A .PJIB:(ff}Sri., raw(ngName: 10 FRAMING DETAIL WOOD DECKING 8 6' I O 2 (V 3' U ;�1� USTitic'§ktlal•?4vj.�t£::: J' -�D O Q O 2X8 BEAM(SEE FRAMING PLAN) W '_ S GALVANIZED JOIST HANGER 'v' �'%` �'F:' '-'�-> ""' DD j ) (•� WWW m � �e S' A U W APPROXIMATE.GRADE m co 4X4 POST BEYOND j? \ I 1 D! (�vN '2 ,� \ V/ W FRAMING DETAIL .z4 WOOD POs � 2 t•�td � rHlcH CURB .. Drawing Title: C) / - 4X4 POST ON WOOD FOOTING 7 a U Z ®ROCKt.'HAIR Revisions: -cu N NO: DATE: COMMENTS W HIGH RAIL STEM // A'ffe 1 O.0 1 00/00/00 NOTES �• _ ,I 2 00/00/00 NOTES WOODDECKING - DECK JOISTS vj B®u O. Q 3 00/00/00 NOTES rHIGH CURB�- �\ { CID 00/00/00 NOTES 4X4 POST BEYOND / / \ \ '! HEAD / 5 00/00/00 NOTES �v BEL n Z3(BBEAM(SEEFRAMINGPLAN) // / \ \ \ / N PPROXIMATE.GRADE 4'• 3�-4 • -S • 3'-4 • N ` \ 12- O \tol 36-HIGHRAILSYSTEM DrawnnBy: Project No: 2 Z cc PLAN FRAMING PLAN Scales:SHOWN' Da3-20.12 FRAMING DETAIL r �.� r �,,� sheet No.: �'r, rt'yi 'k" N:,.�'?'� � , . .,. ' /•'.•_ .i�.T k; �--<L'y. .ti.,. ,...q:- .(.�...,.}. �.,t r.nn.T.. r;;,. is'�,�,;�;,:t� ,;. .-;: � .�. Assessor's office(1st Floor),y ^ Assessor's map and lot number 2 �;3 �O f ;, u�TIIE>o Board of Health (3rd floor): r eWQ�1� `•. Sewage Permit number Engineering Department(3rd floor): ^� JS = Dsaa9T°nLE ' House number T« ` °o 0 o• Definitive Plan Approved by Planning Board 19 o rev d� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF RARNSTAgLE BUILDING INSPECTOR APPLICATI ,FOR PERMIT TO �o✓� s TK 6 c—( CV q 4--c- 41 V S e, N f c C_ TYPE OF CONSTRUCTION Ne o W oot7 re.4►'ye r 19 C) TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follo71A)E5 g information: S ej-eF N e c/C- Location % Proposed Use �G 1 f�f0 S ' -\ Zoning District Fire District . r 'Y Name of Owner ou ^� o-� p G K�yS �ti a Address 7, -7 rn,41 .1^V S-7- f/Y �� Name-lot Builderv %<)cf � ld Ps Address ' cl4 r ¢ Arc Name of Architect p S C G+2u.,,p Address Number of Rooms y Foundation `fe 1) e ✓t Exterior S L' ,`^ �t Roofing y� <�(` �c-°�4 K✓��t ,. �P` Floors 'D 11W o Odd —+ '^v Interior K o C_IC s Heating < 4''z c Plumbing N, P s Fireplace lJ o Approximate Cost Area Diagram'of Lot and Building with Dimensions Fee Fll I S"r• � \ � � . v 1. Locus s � 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 s Construct'ion Supervisor's License a el f' - o S 6 'F7— i TOWN OF BARNSTABLE A=263-001 No 34125 permit For Build Gate House Gate House Location Sandy Neck Road . West Barnstable Owner Town of Barnstable Type of Construction Frame Plot Lot Permit Granted January 3, 19 91 � h Date of Inspection. J 19 c Date Completed 19 13.1 iyz 'bD lyl Assessor's office(1st Floor): 2 / Assessor's map and lot number ro ' �O SEo ,C- Board of Health (3rd floor): p 4 INSTALLED IN COLV!h'i-!IANCE d Sewage Permit number WITH TITLE� t DABs970DLC i Engineering Department(3rd floor): - 1-4 O �JS . WITH CODE o KAS& House number j 'OWN REGULATIONS °'� Definitive,Plan Approved by Planning Board 1 GULATIONS 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 (fc h s TYZ o c+ G f7ci v s e- 0— NC TYPE OF CONSTRUCTION /V Q c,J W o.f) re,+ f 19 9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordi:K7 theg information: Location SCt"� � /v CC,�c E$% 15�?P�S7Z4rSLC'• Proposed Use 64-4- 1400 S � Zoning District �7 Fire District Name of Owner 16,4 O-C D G K"vS ��L I-e. Address - f, 7 MR iFJ S-r NameofBuilder " ovdce � '�3 Address?� ��� �/y3 clgrz, Arc tros1,;4le g-i7/ Name of Architect % Address �/ WrZs�,..Q'�+� No w• (�, Number of Rooms y Foundation Cc c r _tFc it rz Exterior S L` ` o C'e Roofing X�- cc°( Ic s� 5 IP Floors ►� o od, -+ '_Y Interior s�^e-��n o c.fc Heating `L� < <�2 c Plumbing Fireplace N a Approximate Cost yS o 00• Area Diagram of Lot and Building with Dimensions Fee • cl� 4 Aryl N s ,goy ,J�Gr� A o Z �. LozvS _ o s � 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 Const ion Supervisor's License 6 �' of TOWN OF BARNSTABLE No 34125 Permit For Build Gate House Gat gr House Location Sand• Neck Road West Banistable Owner..," Town of Barnstable r, Type of`Gonstruction Frame 1 ' Plot Lot Permit Granted January 3 19 Date of Ins ction�/ DaiLomt ' 19 ' Bg ds . xM � f. 0. 0 M !; s Horsley Witte n* Grolup � Sustainable Environmental Solutions 90 Route 6A Sandwich,MA • 02563 Teh.508-833-6600 • Fax:508-833-3150 • www.horsleywitten.com December 15, 2010 Mr. Tom Perry Building Division Town of Barnstable? , Regulatory Services 200 Main Street —� Hyannis, MA 02601 � i Re: New Bathhouse and Garage, Sandy Neck Beach, Barnstable, Massachusetts 30 �o Dear Sir: The Horsley Witten Group, Inc. (HW) issued a set of engineering stamped construction plans for the"New Bathhouse and Garage, Sandy Neck Beach;Barnstable, Massachusetts"project dated November 15, 2010 for bid purpose. At the time of issuing, we were instructed to leave the note I "submitted for bid only not for construction"on the drawings. Nevertheless,the above stamped construction plans is a complete detailed design plans ready for construction. With the construction contract being awarded,please ignore the note "submitted for bid only not for construction." Please call me if you have any questions. �e Sincerely, NOfVAS cy s� FAT PlU HORSLEY WITTEN GROUP, INC. CALee « cnnL � No.428224 Bt5R4` IONAL d-e-r`� Vat Piu Lee, P.E. Senior Project Engineer B R BUILDING ENGINEERING RESOURCES, INC. ELECTRICAL FINAL AFFIDAVIT Date: May 24, 2011 Project: Sandy Neck Beach Park Improvements . New Garage (Permit#B-20102799) 425 Sandy Neck Road Barnstable, Massachusetts In accordance with Section 110 and 116.0 of the Massachusetts State Building Code,I,Marc R.Plante, PE, Reg.#38119,being a registered professional Engineer hereby certify that I have directly supervised the preparation of all design plans and construction administration for the above named project and that to the best of my knowledge,such plans,and the construction work meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. This Affidavit is subject to all items listed on the Final Punch List being completed. Engineers Name: Marc R. Plante, PE Company Name: Building Engineering Resources, Inc. Company Address: 66 Main Street -North Easton, MA State Registration No.: MA#38119 Telephone Number: (508) 230-0260 1;H OF r ss9c ti MARC a o F N c�r v C CA U: No.3 119 .o FG'I EQ` I 1NALE�+�a Engineering a ignature On this date May 24, 2011. before me,the undersigned Notary Public,personally appeared the above named Marc R.Plante,PE, proved to me through satisfactory evidence of identification,which was personal knowledge to be the person(s)whose name(s)is signed on the preceding or attached document in my presence,and who swore to me that the cont is of the document are truthful and accurate to the best of his/her knowledge. Notary u t . y Commission Expires: April 6,2012 66 Main Street I North Easton,Massachusetts 02356 T 508.230.0260 1 F 508.230.0265 1 BER@BER-engineering.com BER-engineering.com i .� -- Q �� �;_ � f ,�a �.. .� � (\ c. d %`" ��-✓ �e �.. � w-.e ..Y ' � �, ,_.., [-- c-� �3 t l I B R BUILDING ENGINEERING R E s o U R c E s. I N c. MECHANICAL FINAL AFFIDAVIT Date: May 24, 2011 Project: Sandy Neck Beach Park Improvements New Bathhouse (Permit#B-20102798) 425 Sandy Neck Road Barnstable, Massachusetts In accordance with Section 110 and 116.0 of the Massachusetts State Building Code,I,Steven A.Karan, PE,LEED AP, Reg.#34989,being a registered professional Engineer hereby certify that I have directly supervised the preparation of all design plans and construction administration for the above named project and that to the best of my knowledge,such plans,and the construction work meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. This Affidavit is subject to all items listed on the Final Punch List being completed. Engineers Name: Steven A. Karan, PE, LEED AP Company Name: Building Engineering Resources, Inc. Company Address: 66 Main Street-North Easton, MA, State Registration No.: MA#34989 Telephone Number: (508) 230-0260 � tw�o�.cn ��c, o STEVEN A. s� KARAN In ECHANICAL. C-A o. 4989 O O / TEP� S ONAL Engineering Sea & ignature On this date May 24, 2011. before me,the undersigned Notary Public,personally appeared the above named Steven A.Karan,PE,LEED AP, proved to me through satisfactory evidence of identification, which was personal knowledge to be the person(s)whose name(s)is signed on the preceding or attached document in my presence,and who swore to me that the contents of the document are truthful and accurate to the best of his/her knowledge. 1 Notary y Commission Expires: April 6.2012.E _ 66 Main Street I North Easton,Massachusetts 02356 T 508.230.0260 1 F 508.230.0265 1 BER@BER-engineering.com LU ca cm cn cf CSQ G i B R BUILDING ENGINEERING RESOURCE'S. INC. ELECTRICAL FINAL AFFIDA VIT Date: May 24, 2011 Project: Sandy Neck Beach Park Improvements New Bathhouse (Permit#B-20102798) 425 Sandy Neck Road Barnstable,Massachusetts In accordance with Section 110 and 116.0 of the Massachusetts State Building Code,I,Marc R.Plante, PE, Reg.#38119,being a registered professional Engineer hereby certify that I have directly supervised the preparation of all design plans and construction administration for the above named project and that to the best of my knowledge,such plans,and the construction work meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. This Affidavit is subject to all items listed on the Final Punch List being completed. Engineers Name: Marc R. Plante, PE Company Name: Building Engineering Resources, Inc. Company Address: 66 Main Street-North Easton, M State Registration No.: MA#38119 �HOF Telephone Number: (508) 230-0260 MARC � CT AL 0. g �Wf1t Engineering Seal&Signature On this date May 24, 2011, before me,the undersigned Notary Public,personally appeared the above named Marc R.Plante,PE, proved to me through satisfactory evidence of identification,which was personal knowledge to be the person(s)whose n e(s)is signed on the preceding or attached document in my presence,and who swore to me that the cont t of the document are truthful and accurate to the best of his/her knowledge. Notar t Commission Expires: April 6,2012 YU 66 Main Street I North Easton,Massachusetts 02356 T 508.230.0260 1 F 508.230.0265 1 BER@BER-engineering.com BER-engineering.com i LLS ie i t r-% `-^ 10 C14 cv f B R BUILDING ENGINEERING R E s o U R C E s, INC. PLUMBING FINAL AFFIDAVIT Date: May 24, 2011 Project: Sandy Neck Beach Park Improvements New Bathhouse (Permit#B-20102798) 425 Sandy Neck Road Barnstable,Massachusetts In accordance with Section 110 and 116.0 of the Massachusetts State Building Code, I,Steven A.Karan, PE,LEED AP, Reg.#34989,being a registered professional Engineer hereby certify that I have directly supervised the preparation of all design plans and construction administration for the above named project and that to the best of my knowledge,such plans,and the construction work meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. This Affidavit is subject to all items listed on the Final Punch List being completed. Engineers Name: Steven A. Karan, PE, LEED AP Company Name: Building Engineering Resources, Inc. Company Address: 66 Main Street-North Easton, M State Registration No.: MA#34989 I\AlOF Telephone Number: (508) 230-0260 STEVEN A. tiG KARAN m1 MECHANICAL No. 4989 / L EN Engtneeri Signature On this date May 24, 2011, before me,the undersigned Notary Public,personally appeared the above named Steven A.Karan,PE,LEED AP, proved to me through satisfactory evidence of identification, which was personal knowledge to be the person(s)whose name(s)is signed on the preceding or attached docu4hhis/her ce,and who sworegtoehat the contents of the document are truthful and accurate to theowledge. Nota My Commission Expires: April 6,2012 -U-J 66 Main Street I North Easton,Massachusetts 02356 1 T 508.230.0260 1 F 508.230.0265 ( BER@BER-engineering.com I � cn :� �c CD I Cam.. Re Sr��K �1 i CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1203-39 PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: Sandy Neck Beach Barnstable,MA NAME OF BUILDING: Bathhouse and Garage SCOPE OF PROJECT: 1-story wood frame construction In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition (MBC), I, Brian A. Walsh,P.E.,Massachusetts,Registration No.46077 being a licensed professional structural engineer hereby certify that the necessary professional services have been performed by myself or my representatives under my review and either myself or my representatives'have been present on the construction site on a regular and periodic basis and have been responsible for the following STRUCTURAL CONSTRUCTION WORK as specified in Section 116.2.2: i 1. Structural components as specified on Allen&Major Associates,Inc. and Brown Lindquist Fenuccio &Raber Architects;Inc. structural drawings. 2. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. Work specifically not included in this Construction Control Affidavit to be provided b o�shall include.testing and inspection of materials in accordance with MBC Section 1703 for the following building components: 1. Geotechnical inspection and testing services (i.e. soil bearing capacity) 2. Materials testing services(i.e.bolted connections, welds, etc.) I certify at this time that the structural components of the work described herein have been satisfactorily completed in accordance with the structural requirements of the.Commonwealth of Massachusetts State Building Code, Seventh Edition,to the best of my knowledge and belief,based on construction observation and review services performed and described herein and based upon my review of material and geotechnical testing and investigation reports(prepared by others). I AA OF PAa ®� Bay A. `• vVALSy v S7Rl�l1RAl- "' Signature N0.46077 i ISTEr ��� sroraAL ��L Subsc 'bed and sworn to before me this day of Y/ 2014& ARY PUBLIC My Commission Expires On W f I I Y LEI cim CN M1M.. I I I CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1203-39 PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: Sandy Neck Beach,Barnstable,MA NAME OF BUILDING: Bathhouse and Garage SCOPE OF PROJECT: 1-story wood frame construction In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition(MBC), I, Brian A.Walsh,P.E.,Massachusetts Registration No. 46077 being a licensed professional structural engineer hereby certify that the necessary professional services have been performed by myself or my representatives under my review and either myself or my representatives have been present on the construction site on a regular and periodic basis and have been responsible for the following STRUCTURAL CONSTRUCTION WORK as specified in Section 116.2.2: 1. Structural components as specified on Allen&Major Associates, Inc. and Brown Lindquist Fenuccio &Raber Architects, Inc. structural drawings. 2. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. Work specifically not included in this Construction Control Affidavit to be provided by others shall include testing and inspection of materials in accordance with MBC Section 1703 for the following building components: 1. Geotechnical inspection and testing services (i.e. soil bearing capacity) 2. Materials testing services(i.e. bolted connections, welds,etc.) I certify at this time that the structural components of the work described herein have been satisfactorily completed in accordance with the structural requirements of the Commonwealth of Massachusetts State Building Code, Seventh Edition,to the best of my knowledge and belief,based on construction observation and review services performed and described herein and based upon my review of material i and geotechnical testing and investigation reports (prepared by others). I - jH OF IAg.p, o� BRuw cy�r A. 23 WALSH s1rnUCn>R� y Signature No.46077 s�OMAL Subscribed and sworn to before me this day of-aorl'l 20 aa - ARY PUBLIC My Commission Expires On W �' 4%" ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT AT PROJECT COMPLETION Project Name: Sandy Neck Beach Park Improvements Project Title: New Bathhouse(Permit# B-20102798) Project Location: 425 Sandy Neck Rd. Barnstable Scope of Project: The general scope of work included a single story,wood framed structure of 1609 sf on a concrete slab. The structure contained restroom facilities for the beach, lifeguard room and storage area as well as a concessions area. Architect: Brown Lindquist Fenuccio & Raber Architects, Inc. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, Richard P. Fenuccio Massachusetts Registration Number 7789 being a registered professional Architect hereby certify that all plans, computations and specifications, and changes thereto, involving subject project have been prepared by or under the direct supervision of a Massachusetts registered architect or Massachusetts registered professional engineer and bear his or her original signature and seal or by the legally recognized professional performing the work, as defined by Massachusetts General Law (M.G.L.) c. 112, §81R. For the above named project I, or a registered professional architect/engineer under my cognizance, have reviewed the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. have reviewed and approved the quality control procedures for all code-required controlled materials. I further certify that I was present on the construction site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work was being performed in a manner consistent with the construction documents. Pursuant to 780 CMR 116.23 1 have provided the results of structural tests and inspections to the building official and owner. I have submitted, periodically, a progreYhav comments of the site visits and compliance of all pertinent ite to the building official. I to the satisfactory completion and the readiness of the pr for occu a No. 7789 z' J`� 073 Z�0/ Archite Richard P. Fenuccied � THPOR'f, bate G Subscribed and Sworn to, before me this Fq�rh MpSSP 20_, the undersigned notary public, personally appeared provide to me through satisfactory evidence of identification, which is to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public Date Notary Commission Expires LU CD co zz Q , na, i ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT AT PROJECT COMPLETION Project Name: Sandy Neck Beach Park Improvements Project Title: New Garage Permit# B-20102799 Project Location: 425 Sandy Neck Rd. Barnstable Scope of Project: The -general scope of work included a single story wood framed 2 bay garage structure of 896 sf Architect: Brown Lindquist Fenuccio & Raber Architects,Inc. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, Richard P. Fenuccio Massachusetts Registration Number 7789 being a registered professional Architect hereby certify that all plans, computations and specifications, and changes thereto, involving subject project have been prepared by or under the direct supervision of a Massachusetts registered architect or Massachusetts registered professional engineer and bear his or her original signature and seal or by the legally recognized professional performing the work, as defined by Massachusetts General Law (M.G.L.) c. 112, §81R. For the above named project I, or a registered professional architect/engineer under my cognizance, have reviewed the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. have reviewed and approved the quality control procedures for all code-required controlled materials. I further certify that I was present on the construction site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work was being performed in a manner consistent with the construction documents. Pursuant to 780 CMR 116.23 1 have provided the results of structural tests and inspections to the building official and owner. ERED ARC I have submitted, periodically, a progres ;dent comments of the site visits and compliance of all pertinent i ms to the building official. I mittery e%rt as to the satisfactory completion and the readiness of the p ect for oac pancy. _ �> r. d No. 7789 ` ; OUTHPOR`f, J J f Archi ec Richard P. Feq6cdio MA Date OF Up, Subscribed and Sworn to, before me this 20_, the undersigned notary public, personally appeared provide to me through satisfactory evidence of identification, which is to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public Date Notary Commission Expires i K ' LQ CZ) L`... NO l _ ors. MEMO TOWN OF BARNSTABLE BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. n• :s ..•�.r n fit a tR DIVISIO.N .25 April 2011 Mr. Thomas Perry, Building Commissioner Building Division p� 200 Main Street Hyannis, MA 02601 RE: Construction Control Progress Report No. 3 New Bathhouse & Garage @ Sandy Neck Beach Park Barnstable,,MA Dear Mr. Perry: t, -, Since our last Construction Control Progress Report in late-February, our office has conducted weekly site visits to monitor the construction work and adherence to our construction documents for the subject.project. As of this date the following general work has been completed: ❖ At the Garage site: ➢ Finish electrical work is complete Exterior painting is in progress ❖ At the Bathhouse site: ➢ All framing is complete and has been 4nspected by the structural engineer (see attached report) ➢ Rough mechanical, electrical &plumbing work is complete and has been inspected by the engineers (see attached report) ➢ Windows are installed ➢ Exterior trim and siding is.complete and painting has begun ❖ General site work: ➢ The pathway from the gatehouse to the bathhouse has been roughed in and a binder course has been laid ➢ Perimeter concrete walks and patio at the bathhouse have been installed ➢ Bioretention structures have been installed and rough grading complete ➢ General rough grading around the bathhouse has begun ➢ New areas to be paved have a single binder course laid 203 WILLOW STREET,SUITE A PH 508-362-8382 YARMOUTHPORT,MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 I i i The work completed to date by Robert B. Our Co., Inc., and their subcontractors, has been completed in a good and workmanlike manner, and in general conformance with the drawings & specifications. All required town inspections for work done to date have been completed. Please also find attached construction progress photos and reports. If you have any questions, please feel free e at anytime. \S�ERED AR�y� Qp,UL FENDTI Sincerely d No. 7789 YARMOUTHPORT, MA Richard Fenuccio �F4�rh ofPsSF CC: John Juros (Town of Barnstable) Rebecca Nickerson(Town of Barnstable) Ken Joudrey (Robert B. Our) Tim Sawyer (BLF&R Architects) ' A#A ALLEN & MAJOR ASSOCIATES, INC. 100 Commerce Way P.O.Box 2118 Wobum,MA 01888-0118 Field Report #1 Tel: (781)935-6889 Fax:(781)935-2896 Client: BLFR Report Date: March 16,2011 Project: Sandy Neck Bath House A&M Project#: 1203-26 and Garage Location: Barnstable, MA Contractor: Robert B Our Cc Weather: Clear Temperature: 40 Date of Site Visit: March 4,2011 Time: From: 9:00 am To: 10:00 am Present at Site: Tim Sawyer(BLFR) Brian Walsh(A&M) Reported by: Brian Walsh The following items from previous reports are outstanding or resolved as indicated: None. The following was noted: 1.1 Bath house framing was observed in general compliance with the contract documents, the following items were noted for completion: 1.1.1 The HDU-2 holdown in the right rear corner of the garage bay is not yet installed. 1.1.2 Gable end braces are not installed at this time. 1.1.3 Cupola straps should be installed without bends on the-interior of each of the four corners. 1.2 Garage framing was observed in general compliance with the contract documents. No discrepancies were noted. The above items were reviewed with the project superintendent prior to my departure from the site. iri�an A.Walsh,P.E. Structural Department Manager Email: BWalsh(�allenmabr.com civil&structival engincers • land surveyors • environmental consultants • landscape architects www.allenmajor.com CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1203-39 PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: Sandy Neck Beach Barnstable MA NAME OF BUILDING: Bathhouse and Garage SCOPE OF PROJECT: 1-story wood frame construction In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition(MBC),I, Brian A.Walsh,P.E.,Massachusetts Registration No.46077 being a licensed professional structural engineer hereby certify that the necessary professional services have been performed by myself or my representatives under my review and either myself or my representatives have been present on the construction site on a regular and periodic basis and have been responsible for the following STRUCTURAL CONSTRUCTION WORK as specified in Section 116.2.2: 1. Structural components as specified on Allen&Major Associates,Inc. and Brown Lindquist Fenuccio &Raber Architects;Inc. structural drawings. 2. Review of shop drawings, samples and other submittals of.the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. Work specifically not included in this Construction Control Affidavit to be provided by others shall include.testing and inspection of materials in accordance with MBC Section 1703 for the following building components: 1. Geotechnical inspection and testing services(i.e. soil bearing capacity) 2. Materials testing services (i.e.bolted connections,welds, etc.) I certify at this time that the structural components of the work described herein have been satisfactorily completed in accordance with the structural requirements of the Commonwealth of Massachusetts State Building Code, Seventh Edition,to the best of my knowledge and belief,based on construction observation and review services performed and described herein and based upon my review of material and geotechnical testing and investigation reports(prepared by others). OF rQ'9' RAM N A. G STRUCTURAL y Signature /'� K0,46077 '/MAL Subsc *bed and sworn to before me this day of a4KI'l 20 . ARY PUBLIC My Commission Expires On B1 IR BUILDING ENGINEERING RESOURCES, INC. FIELD REPORT for Sandy Neck Beach Bath House West Barnstable, MA DATE OF VISIT: March 23, 2011 PERFORMED BY: Chris Uniacke—Plumbing/Fire Protection Doug Durocher—Electrical DATE OF REPORT:. , March 25, 2011 GENERAL "MEP": 1. BER has been coordinating with the Architect and General Contractor during Construction to date. Several photographs have been taken for record to ensure systems are being installed per approved shop drawings as submitted. This inspection was performed to review all the new MEP rough systems prior to covering and concealing. Previous underground work was documented by the Architect and General Contractor for record and future use. Photographs of this visit were taken for record. 2. BER has requested a set of As-Built drawings for review. General Contractor shall coordinate with each of the trades to ensure record drawings are being kept to reflect the systems as installed. All underground piping and systems revisions, inverts and routing shall be included on as built plans for record to the Owner. 3. At this time,the plumbing systems were nearly all roughed in. All buried waste and vent piping had been done previous to the exterior. Solar water heating system was still in progress. 4. The Mechanical systems and ductwork was underway in progress at this time. 66 Main Street North Easton,Massachusetts 02356 T 508.230.0260 F 508.230.0265 BER@BER-engineerin .ccoom. Sandy Neck Beach Bath House—W.Barnstable,MA March 25,2011 Field Report(03.23.11 Visit)—Page 2 ELECTRICAL: New Garage Building: 1. Panel"GLC"has been installed,with all branch circuit terminations completed. Incoming feed installation not yet completed and panel has not been energized. 2. All light fixture bodies have been installed with associated switching; lamps and fixture lenses not installed. Bath House: 1. Panels"PP I"and"PP2"have been mounted and installed. Incoming service conduits to panels from.pedestal meters installed; service conductors not yet installed. 2. Branch circuit rough-in installation is ongoing and is approximately 90% complete (work is ongoing). 3. Branch circuitry terminations at panel boards has begun and is ongoing. 4. Light fixtures and devices not yet installed. 5. Fire alarm system wiring rough-in has begun and is ongoing. 6. Overhead primary cabling and utility pole relocation work is complete. 66 Main Street I North Easton,Massachusetts 02356 T 508.230.0260 F 508.230.0265 BER@BER-engineerincom HA—Current Projects\Municipal\Sandy Neck Beach Bathhouse\Admin\Construction Admin\Reports\Field Report March 25 2011(03.23.11 Visit).doc r` i x• i s T ; r _ `:ram . ` '�� � t t � t •r � ��rF/'',��, :� . � �; � r •� ' g�a t , �._�. . + .k .-I �, k t L.4 .--i..� k ��"ka+...=.� r• � .f t ,`" •' it r�`~rk� _. ��. -` a �`` r�. c. P .• .. 2J) r w t ! 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Si�,.�"�`��ry�'u.y "" y� ,.Sto w7 .�.� "'< 't,. „ x *'�„-�'w^_�r+ - � ,"'Syls,... ., a J- r t ` f ` ^Zl�l 4 9i�W f •-� i I i , a i t — �I f �r 4 i �r � -,,;`A � .gip" v+y '«!7�°q x .'►.� `� _ .; _ .�:. ..sa ..:'� i �y �e T.•l ro -- r is a � r �o no ��cn OR� o 00 � -- v� • � ...N I+[4.R �:it�i JtiJNM Ii.i..♦ - y���x[Y ... 3 BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. 24 February 2011 Mr. Thomas Perry, Building Commissioner r. Building Division 200 Main Street - Hyannis, MA 02601 RE: Construction Control Progress Report No. 2 " New Bathhouse & Garage @ Sandy Neck Beach Park ° z Barnstable, MA j Dear Mr. Perry: ' Since our last Construction Control Progress Report in late-January, our office has conducted nearly weekly site visits to monitor the construction work and adherence to our construction documents for the subject project. As of this date the following general work has been completed: ❖ At the Garage site: ➢ The roof shingles have been installed ➢ All windows have been installed ➢ Rough electrical work is underway ❖ At the Bathhouse site: ➢ Framing is well under way and all roof trusses have been installed ➢ Rough plumbing work is underway ➢ The new septic system is being installed (See attached inspection report from Horsley Witten Group) The work completed to date by Robert B. Our Co., Inc., and their subcontractors, has been completed in a good and workmanlike manner, and in general conformance with the drawings & specifications. All required town inspections for work done to date have been completed. Please also find attached construction progress photos and reports. If you have any questions, please feel free to contact me at anytime. I 203 WILLOW STREET,SUITE A PH 508-362-8382 YARMOUTHPORT,MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 Sincerely, Richard Fenuccio CC: John Juros (Town of Barnstable) Rebecca Nickerson(Town of Barnstable) Ken Joudrey (Robert B. Our) Tim Sawyer(BLF&R Architects) P }'S € f"7 its Id- In 1,49 ejo For hill s�_ 1 J\ i w �1 i - i 1{ `ice•"` f 7 ; I i f � 4 256 Iwo { 1 I 7 l -- cl k N � 1 ( kt L> + L e 4 • I ti t � 3 f '� , � �_1+++�_�` "§ •..�.+.�mot. [ '� rI f ���'%Y � �"`�" i _ Y ,% �. _„'may c � �>' ! � � �l _• ,. '''�! . ♦ t F - x I I tt _. , r. • t'? iq�'�' s "j x'�,� �K'#" +� Z _r ��..ah• _ xj�ta+�„ t �r S i r� X! ^�f�. 1 q � , ytf r i r : 77 1 r' ..�"' ,3-, •'"fit fi`/ '.r ft' r. +� - � ' � a . 1y t" Inspection No.3-Wastewater Location Check page 3 PHOTOS: . w e_ .r s•! • � � _ �lr �y��rIlja j J f� 1 '• �t f[�� k � 5^�f�r.w'•nIJ' �'/ / .l�iY;!/�a yy/!. .-_. , tea- r w.,�w •, .;. -.'r<._��:,i w Figure 1 7,000 Gallon and 3,500 Gallon Septic tanks installed I I Horsley Witten Group,Inc. 90 Route 6A,Sandwich,MA 02563 Phone:(508)833-6600 Fax:(508)8334150 30 Green Street,Newburyport,MA 01950 Phone:(978)499-0601 Fax:(978)499-0602 370 Ives Street,Providence,RI 02901 Phone:(401)272-1717 Fax:(401)437-8368 Inspection No.3-Wastewater Location Check page 1 Client:_________BFLR Architects,_tnc_ Project Name:......................Sandy Neck Inspector: Joe Henderson Project No:____ 6129 Inspection Date: -_________02/22/2011 Arrival Time_ _________ _________ ______2.30_pm Weather_______________ ______Surm 30_F Departure Time: 3;1.. Pm ______ _________ ---- . Horsley Witten Group,Inc. Personnel on site: Reference Plan: Bill Smith,RBO New Bathhouse and Garage Butch Eldredge,RBO Sandy Neck Beach Mark,RBO Barnstable,MA Date:July 23,2010 Contractor(s)equipment: Excavator,Front End loader,Dump Truck WORK OBSERVED: Erosion Control ❑ Drainage ❑ Limit of Clearing/Clearing Clearing/Clearing ❑ Wastewater Excavation/Fill/Compaction ❑ Sidewalk ❑ Road Subbase ❑ Final Grading ❑ Gravel Base ❑ Surface Stabilization ❑ Pavement/Binder Only ❑ Monuments ❑ Water ❑ I Cleanu ❑ Gas/Electric/Telephone ❑ I Other: ❑ Photos Taken_ Yes® No❑ General Notes/Comments: •A Site visit was conducted to check the separation distance from the.existing well to the proposed wastewater system. SITE WORK COMPLETED: •The contractor has installed and partially backfilled the 7,000 gallon and 3,500 gallon septic tanks. Pictures were taken during the tank installation by Rebecca Nickerson with the Town of Barnstable. Estimated Percent Complete: 15%complete on wastewater installation WORK RECOMMENDED FOR ACCEPTANCE/ACTION ITEMS: •The 161.5 setback distance from the existing well has been measured by the contractor and marked on the pavement. Based on a field check of the measurements taken by the contractor, Horsley Witten Group,Inc. 90 Route 6A,Sandwich,MA 02563 Phone:(508)833-6600 Fax:(508)833-3150 30 Green Street,Newburyport,MA 01950 Phone:(978)499-0601 Fax:(978)499-0602 370 Ives Street,Providence,RI 02901 Phone:(401)272-1717 Fax:(401)437-8368 Inspection No.3-Wastewater Location Check page 2 the field appears to be located outside the 161.5 well setback,however,this is not a surveyed confirmation that the field is located as shown on the design plans. •The well building has been removed,allowing measurements to be taken from the well casing. The measurements shown on the construction plans were conservatively taken from the closest well building comer,as the well location was not shown on the existing conditions plan provided by the Town. Based on measurements from the well,the field is approximately 4-feet further away from the well than shown on the plans. NEXT SCHEDULED INSPECTION: •.Inspection of the Presby field bottom of excavation will likely be Wednesday afternoon(2/23) 2/22/2011 Inspector's signature: Date: Distribution: Owner: John Juros John.Juros@town.bamstable.ma.us Rebecca Nickerson Rebecca.Nickerson@town.bamstable.ma.us Town of Barnstable Architect: Tim Sawyer Tim@capearchitects:com Rick Fenuccio rick@capearchitects.com BUR Architects,Inc. Contractor: Ken Joudrey krjoudrey@robertbour.com Robert B.Our Other: L Horsley Witten Group,Inc. 90 Route 6A,Sandwich,MA 02563 Phone:(508)833-6600 Fax:(508)833-3150 30 Green Street,Newburyport,MA 01950 Phone;(978)499-0601 Fax:(978)499-0602 370Ives Street,Providence,RI 02901 Phone:(401)272-1717 Fax:(401)437-8368 r NONE TOWn OF BAPNII)TAKE BROWN LINDQUIST FENUCCIO & RAVE''RPARECPRJIT:E�CTS, INC. 21 January 2011 ZE Mr. Thomas Perry, Building Commissioner c_ Building Division 206 Main Street Hyannis, MA 02601 RE: Construction Control Progress Report No. 1 New Bathhouse & Garage @ Sandy Neck Beach Park ;tia Barnstable, MA co Dear Mr. Perry: Since the start of construction in early December, we have conducted nearly weekly site visits to monitor the construction work and adherence to our construction documents for the subject project. As of this date the following general work has been completed: ❖ At the Garage site: ➢ General clearing and construction staking. ➢ Excavation for footings. ➢ Strip footings with reinforcing bars have been formed and placed. ➢ The grounding connection was made with the rebar prior to pouring. ➢ Foundation walls with reinforcing bars have been formed and placed. ➢ Foundation has been back filled and the slab poured. ➢ Rough framing is nearing completion ❖ At the Bathhouse site: ➢ Existing building slab and surrounding hardscape has been removed. ➢ Underslab electrical and plumbing rough is complete. ➢ The existing foundation walls have been back filled with flowable fill. (Due to power issues on site the bathhouse area was without power for several days so a larger workforce was concentrated at the garage while limited work took place at the bathhouse). The work completed to date by Robert B. Our Co., Inc., and their subcontractors, has been completed in a good and workmanlike manner, and in general conformance with the drawings & specifications. All required town inspections for work done to date have been completed. Please also find attached construction progress photos and testing reports. 203 WILLOW STREET,SUITE A PH 508-362-8382 YARMOUTHPORT,MA 02675 WWW.CAPEARCHITECTS.COM FAX 508-362-2828 If you have any questions, please feel free to contact me at anytime. Sincerely Richard Fenuccio CC: John Juros (Town of Barnstable) Rebecca Nickerson (Town of Barnstable) Ken Joudrey (Robert B. Our) Tim Sawyer(BLUR Architects), ti�, '�'. �r^7�ii��,�r� y,�:.+sMy..-•.w.�� s:h`�'3"2'Lf "`.'-..+4r�'v� `r� ',�~"�.- _ • �. .. ' -off A y , .�....,: � � «.t 4,y "ram�`7`i.;^'s'``�a.e�c-'�•e:. ��.�b. �Y`�i cz- '•.A '� r' . 't VAN •� � 1` �« .` ,, `�•`ak wit�,� ;�� � '.' r r f •�� .ter•, .� '1,`w .. vAlwry "`'`- ,.• ire••- �,A,: '�';�" �, �44 nI : `�"F,i; � �u�ki`,�•3's�ay�, e-«R���� � .vim g,� o 3 r_ _ _.'� �......:�'.,�,?•.. - �{y...._ ^ar.+-:�' .,� x�. '�, ^'emu. _ �4 .lr.wr�► � 'S� rr5�r r .e aw t ray' � .'R �". �. s ,�,.-t` '- •L�t .� ia,_ '' .y�n", ,r. O•, r ', C ;, ^1 t .�ts.�: .�„ .�-_ ��•'�=r "�` �'- �`'.." +tom � � �a ' ��,�y, t�v x- i { 1 x - kw ". ,� tom" ,* 'tea � _--...� •, R C'� �•� '���'� +PI � �'''� 4 !#i��t •r� �l y}ly i>•��'� C,�. • }t1f[[{AA �}�� d i.C_='14 'C� 11FF SO i f; [11T �y`•'t, ".- �, oat' PL w ,r Ik - .: •'. ^'w �Y i'�, 4 J+'' '� 1 y"t�C ,.r'✓tom►• ..s i fi �# �I}��'__ J•s�� µ, ffd� "'i,+zi�' Fes.. .• � £L mod' T o. ' r � .."b,7'+= �jry` ��,� :�'- ^ ' I'• � P ,.•a"'���,r#� �f n;4 �� � ��� *i t"X ,�y,y,��' '•may ,� y �- �,; ,'� „y .+• ,r�2 'Y, ',, '` ems'' ,. �} IY ♦..i[. mow. ��.�'4 t� iYr�t.P :�':,�. p ..�. ... • fir. y j � t t��t� � b r f • � T �k i f�. q - - „a s' >x r r�Lai � v r k 4 a a 1� I , �TYvek Tyvek �Ty�•. ���` T 7yvek Tyvek Tyvek Tyvek 1►y - -,,. iNMwtYr.P MOrn.WrM No�.Ww. KIM P / \ f YY��mm�� ,ram,--rwri�,+j•.Y�torx:u.�._ y t S l P� r �r �� �..,. . .-., .' a .•• � ..�- u..c«.,«.�..wt....,�....< +,.,.,._.,.p. �'' �. _ ^g.� a..+�W war., - ,:. .,�, _� .... .ar... PROJECT:Robert B.Our Company R!'!g� of I'K loci j. A:. R T r s�i n� PROJECT NO.: 93134 PRINT DATE: 1/14/11 Concrete Cylinder Field Test Results-Concrete Samples Fabricated and Tested per ASTM C-31, and C-39 Mortar Cubes Fabricated and.Tested per ASTM C-109,Grout Prisms Fabricated and Tested per ASTM C-1019 The following is a report of laboratory test results for concrete cylinders,mortar cubes or grout prisms cast in the field. To correlate these results with field testing,simply match DATE CAST,and SET#with field inspection reports. SET SPECIMEN DATE . DATE AGE SIZE TYPE AREA DENSITY MAX. REQ'D COMPRESSNE TYPE OF A NUMBER CAST TESTED @ (in.) (sq.in.) Qbs.cu.ft.) LOAD f'c STRENGTH SATCM RE TEST (Ibs.) (psi) I 3A(CBO) 12/14/10 12/28/11 14 4 Cyl 12.57 148.7 49,800 4000 3,960 5 I 3B(CBO) 12/14/10 1/11/11 28 4 Cyl 12.57 148.2 64,410 4000 5,130 5 I 3C(CBO) 12/14/10 1/11/11 28 4 Cyl 12.57 149.4 65,050 4006 5,180 3 1' 3D(CBO) 12/14/10 1/11/11 28 4 Cyl 12.57 147.8 61,410 4000 4,890 2 Remarks: APPROVED: PROJECT:Robert B.Our Company RIGGEE, Rr.igigs F.ng'hicr rinng R Tc.iring PROJECT NO.: 93134. PRINT DATE: 1/14/11 Concrete Cylinder Field Test Results-Concrete Samples Fabricated and Tested per ASTM C-31, and C-39 Mortar Cubes Fabricated and Tested per ASTM C-109,Grout Prisms Fabricated and Tested per ASTM C-1019 The following is a report of laboratory test results for concrete cylinders,mortar cubes or grout prisms cast in the field. To correlate these results with field testing,simply match DATE CAST,and SET#with field inspection reports. MAX, REQ'D COMPRFSSM TYPE of SET SPECIMEN DATE DATE AGE SIZE TYPE AREA DENSITY LOAD f c MEND FRACrURE # NUMBER CAST TESTED @ (in.) (sq.in.) (1bs.cu.ftJ (Psi) (ASTM C39) TEST (1bs.) 1 3A(CBO) 12/14/10 12/28/11 14 4 Cyl 12.57 148.7 49,800 4000 3,960 5 1 3B(C130) 12/14/10 1/11/11 28 4 Cyl 12.57 148.2 64,410 4000 5,130 5 1 3C(C130) 12/14/10 1/11/11 28 4 1 Cyl 12.57 149.4 65,050 4000 5,180 3 1 3D(CBO) 12/14/10 1/11/11 28 4 Cyl 12.57 147.8 61,410 4000 4,890 2 Remarks: APPROVED: ROJEC'T:Robert B.Our Company R;G.G r RriQgs F.IyQlnccrins� 8 Tc.i�i�� ROJECT NO.: 93134 .4 9'•:vi:c r; `.l'.9ru+Waist. a:. -r- PRINT DATE: 1/14/11 Concrete Cylinder Field Test Results-Concrete Samples Fabricated and Tested per ASTM C-31, and C-39 cr Mortar Cubes Fabricated and Tested per ASTM C-109,Grout Prisms Fabricated and Tested per ASTM C-1019 The following is a report of laboratory test results for concrete cylinders,mortar cubes or grout prisms cast in the field. To correlate these results with field testing,simply match DATE CAST,and SET#with field inspection reports. SET SPECIMEN DATE DATE AGE SIZE TYPE AREA DENSITY MAX. REQ'D CSTRE STRENGTH TYPE OF q.• LOAD f'c ��� FencruRE 4 NUMBER CAST TESTED @ (in.) (s in.) Qbs.cu.ft.) (I A (psi) (ASTM C39) TEST 1 3A(CBO) 12/14/10 12/28/11 14 4 Cyl 12.57 148.7 49,800 4000 3,960 5 1 3B(CBO) 12/14/10 1/11/11 28 4 Cyl 12.57 148.2 64,410 4000 5,130 5 1 3C(CBO) 12/14/10 1/11/11 28 4 Cyl 12.57 149.4 65,050 4000 5,180 3 1 3D(CBO) 12/14/10 1/11/11 28 4 Cyl . 12.57 147.8 61,410 4000 4,890 2 Remarks: APPROVED: YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate 01ILV RLC1sTFns ti ovi[ rtinm[ in me gown (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Ale, Fill in please: DATE APPLICANT'S YOUR NAME/CORPORATE NAME �. L.i4st/,��jC�� /f L BUSINESS. YOUR HOME ADDRESS: Z—@ AW L ,U„S K/ GS TELEPHONE # Home Telephone Number 7 NAME OF NEW BUSINESS pC3 iA „S 01 TYPE OF BUSINESS 4'C►O Co,(IG6 S /O ,s IS THIS A HOME OCCUPATION? YES. NO�C Have you been given approval from—the division? YES NO �3• O v/ ADDRESS OF BUSINESS MAP/PARCEL NUMBER 0-1 5 When starting a new business there re several things you must do in order to be in compliance with the rules and r of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Iatio Ma nsSt. th(cor er of Yarmouth Rd. & Main Street) to make sure you .have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has' n informed o ny permit requirements that pertain to this type of business. Authorized Signature''* COMMENTS: d ,V Inn e- i 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. COMMENTS:- Authorized Signature** 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. COMMENTS: Authorized Signature** .,, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.;, t• Map Parcel:: 60 Applicatiori # D6 6 r �. 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 CW Village ,OttS IP Owner rMs � Address ,:V. Telephone :(32 _ ' Permit Request bO t4e 0,prig; - e Q e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Ground/water Overlay Project Valuation 000 Construction Type 4,Ap�f Lot Size Grandfathere'd: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :-0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.)� Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: AN K e existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other = Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No F Detached garage: ❑ existing Xnew size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing 40 new size_ j Airtached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: -7' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r ' Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name t? k L q lec Telephone Number 2- Job v—/ /S Address 2 _ L License #T,_ 2 1(1 4g Home Improvement Contractor# Worker's Compensation # WKP iV ALL CONSTRUCTION DEBRIS ESULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY A APPLICATION# ti DATE ISSUED "MAP/PARCEL NO. 1 ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME 690tff t R BBC i INSULATION ti - c f FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING [l DATE CLOSED..OUT• ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department.of Industrial'Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): D of` i9V K Address: 0. 1 '3 eel City/State/Zip: 104- o245� Phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 0 _ 4. ❑ I am a general contractor and 1 6 ❑New construction employees(full and/or part-tim.e).* 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 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y l? tY• 9. ❑ Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. r Insurance Company Name: 42 Lr� Tit C- <Z Policy#or Self-ins. Lic. #: �� 31ol.g7ZI I Expiration Date: Job Site Address: S 4City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 violatoVerage e advise that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance i� yefification. I do hereby certify�un , pain d pen es of perjury that the information provided above is true and correct Signafore: Date: Phone#: 2 Official use only. Do not write in this area,to be completed by city or town offcciaL 'City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hi' express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for,any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required: Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city'or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'. compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600. Washington Street i Boston, MA 02111 Tel. # 617-.727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7744 Revised 11-22-06 www.mass.gov/dia i (:Nancy Matanes To:Proof of Insurance Coverage(15088624717) 14:47 12/01/10GMT-05 Pg 03-04 Client#: 123013 ROBERTBOUR A CORD, ,CERTIFICATE OF LIABILITY INSURANCE D12O112010 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 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 NAME: HUB International New England PHONE978 657=5100 9789880038 222 Milliken Blvd c No Ext: A/c.Ne dAIL Fall River,MA 02122 APRODUttK DDRESS: 508 235-2200 CUSTOMER ID S: INSURER(S)AFFORDING COVERAGE NAICS INSURED INSURER A:Acadia Insurance Company 31325 Robert B.Our Co.,Inc. INSURERS:Continental Western Insurance C 10804 24 Great Western Road - . ' INsuRER c:AIG P.O.Box 1539 INSURERD:Firemen's Ins Co Washington DC 21784 Harwich,MA 02645 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CFR'nFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE NSR POLICY NUMBER OLAIIDD EFF POLICY EXP LIMBS A GENERALLIABILITY CPA130142819 2/01/2010 12/01/2011 EACH OCCURRENCE E1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $300 OOO CLAIMS-MADE �OCCUR MED EXP(Any one person) 05,000 PERSONAL&ADV INJURY $1000,000 GENERAL AGGREGATE. E2 OOO 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY PRO-JFCT LOC E D AUTOMOBILE LIABILITY MAA130144019 2101/2010 12/01/2011 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1 000000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) E SCHEDULED AUTOS ' PROPERTY DAMAGE E X HIRED AUTOS (Per accident) X NON-OWNED AUTOS E A UMBRELLA LIAB X OCCUR CUA130142919 2/01/2010 12/01/2011 EACH OCCURRENCE $1 O 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 O 000 000 DEDUCTIBLE $ RETENTION $ E B WORKERS COMPENSATION WCA031676710 1101/2010 01/01/2011 X WCSTATIJ OTH- AND EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNER/EXECUi1VEY/N E.L.EACH ACCIDENT E500 000' OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 tr decrriheunder DMRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$500,000 C Pollution Li CP0808790G 2/0112010 12/01/2011 $1,000,000 Each Occ I . [` $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Re:Sandy Neck Beach Bathhouse Restoration Project Town of Barnstable,John W.Joros,AIA,Project Manager and Brown Lindquiest Fenuccio&Raben Architects (See Attached Descriptions) .,..CERTIFICATE—HOLDER-- — ---' 30 Da forNom-pa merit SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Attn Johanna Bouchard 200 Main Street. AUTHORIZED REPRESENTATIVE Hyannis,MA 02601-0000 - %� .x 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 2 The ACORD name and logo are registered.marks of ACORD #S462266/M462264 NM001 Power of Attorney FIDELITY AND'DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland,by DAVID S.HEWETT,Vice President,and GREGORY E.MURRAY,Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said y,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the d �ereby nominate, constitute and appoint William L.LABBE,Anne M.HIGGINBOTTO i A CE,Barry J. HORGAN,John J.FEITELBERG and Alyssa Richelle ' tts, EACH its true and lawful agent and Attomey-in-Fact,to make,exe p er as surety,and as its act and deed: any and all bonds and underta do f b dertakings in pursuance of these presents,shall be as binding u ,as y; a, intents and purposes,as if they had been duly executed and ackno th r 1 the Company at its office in Baltimore,Md., in their own proper persons.S. o a issued on behalf of William L.LABBE,Anne M.HIGGINBOTTOM, Catherine H.LA AN,John J.FEITELBERG,dated May 26,2005. The.said Assistan��y does'hereby certify that the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2,of the By-Laws of said Company,and is now in.force. IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF.MARYLAND,.this 16th day of March, A.D.2010. ATTEST: FIDELITY AND DEPOSIT.COMPANY OF MARYLAND '�0 DfYps�, W ww ` s By: Gregory E. Murray Assistant Secretary David S. Hewett Vice President State of Maryland 1 ss: City of Baltimore f On this 16th day of March, A.D. 2010, before the -subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified,came DAVID S. HEWETT,Vice President, and GREGORY E.MURRAY,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY.OF MARYLAND,to me personally known to be the individuals and officers described in and who executed the preceding.instrument, and they each acknowledged the execution of the same, and being by me duly sworn,severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have.hereunto. set my hand and affixed my Official Seal the day and year first above written. CoristariO A Dunn Notary Public My Commission Expires: July 14,2011 POA-F 063-2611 r . SECTION 9 8930675 PERFORMANCE BOND KNOW ALL MEN AND WOMEN BY THESE PRESENT,THAT: Robert B.Our Co., Inc. as principal, and Fidelity and Deposit Company of Maryland as surety, are held and firmly bound unto the Town of Barnstable, Hyannis, Massachusetts, in the sum of $ 1,099,168.00 lawful money of the United States of America,to be paid to the Town of Barnstable, Hyannis, Massachusetts,for which payments,well and truly to be made,we bind ourselves,our respective heirs, executors,administrators, successors and assigns,jointly and severely,firmly by these presents. WHEREAS, the said principal has made'a contract with the Town of Barnstable, Hyannis, Massachusetts,bearing the date of ,2010,for the construction of Project: NEW BATHHOUSE & GARAGE AT SANDY NECK BEACH PARK Now the condition of this obligation is such that if the principal shall well and truly keep and perform all the undertakings, covenants, agreements, terms and conditions of said contract on its part to be kept and performed during the original term of said contract any extensions thereof that may be granted by the Town of Barnstable, Hyannis, Massachusetts, with or without notice to the surety, and during the life of any guarantee required under the contract, and shall also well and truly keep and perform all the undertakings, covenants, agreements, terms and conditions of any and all duly authorized modifications, alterations, changes or additions to said contract that may be hereafter made, notice to the surety of such modifications, alterations, changes or additions being hereby waived, then this obligation shall become null and void; otherwise it shall remain in full force. nd virtu and ^ - -a#eresaid-suMShall bgpaid 101 bla-2r liq,Od wigd-d2mag0, yr hrd eel- Addeirdu,� �3 IN WITNESS WHEREOF we hereunto set our hands and seal this_ �> day of 2010. Seal Robert B.O o., Inc. By: Fidelity&Deposit Company of Maryland By: Anne M.Higginbottom, ney-in-Fact } ' 8930675 i - SECTION 8 LABOR AND MATERIALS PAYMENT BOND KNOWN ALL MEN AND WOMEN BY THESE PRESENT,THAT: Robert B.Our Co., Inc. as principal,and Fidelity and Deposit Company of Maryland as surely,are held and firmly bound unto the Town of Barnstable, Hyannis, Massachusetts in the sum of: i One Million Ninety Nine Thousand One Hundred Sixty Eight and 00/100 ($1,099,168.00) lawful money of the United State of America, to be paid to the Town of Barnstable, Hyannis, Massachusetts, for which payments, well and truly to be made, we bind-ourselves, our respective heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS, the said princi a has made a contract with the Town of Barnstable, Hyannis,Massachusetts,bearing the date of 'r75Q of ,2010, for the construction project: NEW BATHHOUSE & GARAGE AT SANDY NECK BEACH PARK Now the condition of this obligation is such that if the principal shall pay for all labor performed or furnished and for all materials used or employed in said contract and in any and all duly authorized modifications, alterations, extensions of time, changes or additions to said contract that may hereafter be made, notice to the surety-of such modifications, alterations, extensions of time, changes or additions being hereby waived, the foregoing to include any other purpose or items set out in, and subject to, the provisions of Massachusetts General Laws, Chapter 30, Section 39A, and Chapter 149, Section 29, as amended, then this obligation shall become null and void; otherwise it shall remain in full force and virtue. IN WITNESS THEREOF,we hereunto set our hands and seats this = _ day of Ala/J 2010. (Seal) Robert .1q{k�o., Inc. By: Fi 'ty and Deposit Company of Maryland By: Ujuu. OA Anne M.Higginbottom,Attorn n-Fact >>e oFWEI�. Town of Barnstable Regulatory Services aniuvszABM 9 MASS. g Thomas F.Geiler,Director TFnn,�a�°i Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-80-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us in* A Builder ugsL�t ; bP w 0 j'Ak. , as Owner of the subject property hereby authorize g,6s�,, -f g, dU2 �, J,�t . to act on my behalf, in all matters relative to work authorized by this building permit application for: S%fit! /VUIII— 12 ctAt . A2VS->n�.U.r j (Address of job) S Ire of Ot Date Print Name - If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QIORMS:OWNERPERMISSION Town of Barnstable �oFTHE y�P o� Regulatory Services BARNSrABLE, Thomas F.Geiler,Director MASS. %639• ,0 Building Division' ATED MA't a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a.form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner I Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it-would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT Project Name: Sandy Neck Beach Park Improvements - Project Title: New Bathhouse&Garage Project Location: 425 Sandy Neck Rd Barnstable MA Scope of Project: The selective demolition of the existing bathhouse and construction of a new bathhouse and free-standing garage and various site improvements. Architect: Brown Lindquist Fenuccio & Raber Architects,Inc. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, Richard P. Fenuccio Massachusetts Registration Number 7789 being a registered professional Architect hereby certify that all plans, computations and specifications, and changes thereto,involving subject project will be prepared by.or under the direct supervision of a Massachusetts registered architect or Massachusetts registered professional engineer and bear his or her original signature and seal or by the legally recognized professional performing the work, as defined by Massachusetts General Law(M.G.L.)c. 112, §81 R. For the above named project I, or a registered professional architect/engineer under my cognizance, will review the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. I will review and approve the quality control procedures for all code-required controlled materials. I further certify that I will be present on the construction site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. Pursuant to 780 CMR 116.2.3 1 will provide the results of structural tests and inspections to the building official and owner. I will submit, periodically, a progress report wit t comments of the site visits and compliance of all pertinent items to the building official. I will to the satisfactory completion and the readiness of the project for occupanc . LFENGC�o�� „� No. 7789 Arc i oy� �oRT,o�J� Date MTh OF 1A Subscribed and Swor o, before me this d y of /VOL"� - , 2010, the undersigned notary public, personally appeared "r�rilr,L provide to me through satisfactory evidence of identification, which is 04w'504a,-P— /C✓roL,,J e to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose.- Notary Public Date Notary Commission Expires Notary Public Alyson Konkol GommonmIth of Massar a tts WMY Commission'knires on Lbr,t0,2(117 B E R BUILDING ENGINEERING RESOURCES,INC. REGISTERED 9P.4L AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code,Seventh Edition,I,Marc R. Plante,PE, Mass.Registration No.38119 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION X . ELECTRICAL PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine,in general,if the work is being performed in a manner consistent with the construction documents. I further certify that upon completion of the construction,I shall submit a Final Report to the Local ��g��k OF 4 Building Inspector as to the sati c completion and readiness of the project for occupancy. �� MARC ,i ECTRIC N0.3$t19 Signature: Date: �� Z �`'1 O � rcd SI�VyALE � J SubscrM and sworn this d d o November 2010, Notary omission Expires: April 6,2012 28 MAIN S T R E E T , B L D G . # 3 A NORTH E A S T O N , MA 0 2 3 3 5 6 D E S 1 G N I K N 0 W L E D G E S 0 L U T 1 0 N S I B E R BUILDING ENGINEERING RESOURCES,INC. REGISTERED ARQUTECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code,Seventh Edition, I,Steven A. Karan,PE,LEED AP, Mass.Registration No.34989 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION ELECTRICAL PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine, in general,if the work is being performed in a manner consistent with the construction documents. �`P01A OFA. I further certify that upon completion of the construction,I shall submit a Final Report to the Local �4 °.90 N yG Building Inspector as to the satisfactory completion and readiness of the project for occupancy. STEVE A. KARAN �^ c� MECHANICAL No.34989 Signature: Date: TEP SSdONAL EN Subscribe d sworn to his y November 2010, Notary Pub y Commission Expires: April 6,2012 28 MA I N STREET , BLDG . #'3A NORTH EASTON , DMA 023356 D E S I G N I K N 0 W L E D G E I S 0 L U T 1 0 N S ER BUILDING ENGINEERING RESOURCES.INC. REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code, Seventh Edition,I,Steven A.Karan,PE,LEED AP, Mass.Registration No.34989 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL X PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine,in general,if the work is being performed in a manner consistent with the construction documents. PO4Ni0F41,4' . I further certify that upon completion of the construction,I shall submit a Final Report to the Local ��& Building Inspector as to the satisfactory completion and readiness of the project for occupancy. � STEVEN'A. yc. KARAN G MECHANICAL N No.34989 Signature: e Date: /OL I -�} 01STE�```G��`�Q AL EN o ; Subscribed and sworn to me t 's 2n November 2010, Notary i'ssion Expires: April 6,2012 28 MAIN STREET , B L D G . # 3 A N O R T H E A S T O N , M A 0 2 3 3 5 6 D E S 1 G N I K N 0 W L E D G E S 0 L U T 1 0 N S CONSTRUCTION CONTROL AFFIDAVIT . PROJECT NUMBER: 1203-39 PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: Sandy Neck Beach,Barnstable,MA NAME OF BUILDING: Bathhouse and Garage SCOPE OF PROJECT: 1-story wood frame construction In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition(MSBC), I, Brian A.Walsh,P.E.,Massachusetts Registration No.46077 being a licensed professional structural engineer,hereby certify that I(myself and/or my representatives)will be present on the construction site on a regular and periodic basis and perform the necessary professional structural engineering services as outlined in MBC 116.2.2,to determine that the STRUCTURAL CONSTRUCTION WORK is,to the' best of my knowledge and belief, in accordance with the documents approved for the building permit;for the following portions of construction: 1. Structural components as specified on'Allen&Major Associates, Inc. and Brown Lindquist Fenuccio &Raber Architects,Inc. structural drawings. 2. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. I furthermore agree to submit periodically, an inspection report together with pertinent comments to the Town of Barnstable building department. Upon satisfactory completion of the work I shall submit a final report certifying to the best of my knowledge and belief that the building structure is completed in general conformance with the referenced construction documents and the structural provisions of the MSBC. Work specifically not included in this Construction Control Affidavit to be provided by others shall include testing and inspection of materials in accordance with MBC Section 1703 for.the following building components. 1. Geotechnical inspection and testing services(i.e.-soil bearing capacity) 2. Materials testing services (i.e. concrete sampling and testing,bolted connections,welds,etc.) . ;A OF Asa BRIAN �G A. l 3 IMALSH --� Signature SYAUCTURAL �q,Q6C77 R` —30 to Subscribed and sworn to before me this day of 20-//-1 . NOTARY PUBLIC My Commission Expires On I ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT Project Name: Sandy Neck Beach Park Improvements Project Title: New Bathhouse& Garage Project Location: 425 Sandy Neck Rd., Barnstable, MA Scope of Project: The selective demolition of the existing bathhouse and construction of a new bathhouse and free-standing garage and various site improvements. Architect: Brown Lindquist Fenuccio & Raber Architects, Inc. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, Richard P. Fenuccio - Massachusetts Registration Number 7789 being a registered professional Architect hereby certify that all plans, computations and specifications, and changes thereto, involving subject project will be prepared by or under the direct supervision of a Massachusetts registered architect or Massachusetts registered professional engineer and bear his or her original signature and seal or by the legally recognized professional performing the work, as defined by Massachusetts General Law(M.G.L.) c. 112, §81 R. For the above named project I, or a registered professional architect/engineer under my cognizance, will review the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. I will review and approve the quality control procedures for all code-required controlled materials. I further certify that I will be present on the construction site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. Pursuant to 780 CMR 116.2.3 1 will provide the results of structural tests and inspections to the building official and owner. I will submit, periodically, a progress report wit t comments of the site visits and compliance of all pertinent items to the building official. I will to the satisfactory completion and the readiness of the project for occu/an:c . oQP��FEHGcFc, � a No. 7789 /a helo Arc ikd � MA PORT, � Dates G �4�Th OF MpSgP Subscribed and Swornlo, before me this of V � , 2010, the undersigned notary public, personally appeared provide to me through satisfactory evidence of identification, which is �J�/�O�tc..e_ JC,no,,afzc(�,Q to be the person whose name is signed on the preceding or attached documen , and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public Date Notary Commission Expires Notary Public Alyson Konkol Commonwealth of Massaftuetts WMY Commission-E)Ores on Mar. 16,2017 CONSTRUCTION CONTROL AFFIDAVIT . PROJECT NUMBER: 1203-39 PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: Sandy Neck Beach, Barnstable,MA NAME OF BUILDING: Bathhouse and Garage SCOPE OF PROJECT: 1-story wood frame construction In accordance with Section 116.0 of the Massachusetts State Building_Code, Seventh Edition(MSBC),I, Brian A. Walsh,P.E.,Massachusetts Registration No. 46077 being.a licensed professional structural engineer,hereby certify that I(myself and/or my representatives)will be present on the construction site on a regular and periodic basis and perform the necessary professional structural engineering services as outlined in MBC 116.2.2,to determine that the STRUCTURAL CONSTRUCTION WORK is, to the best of my knowledge and belief, in accordance with the documents approved for the building permit;for the following portions of construction- 1. Structural components as specified on Allen&Major Associates,Inc. and Brown Lindquist Fenuccio &Raber Architects,Inc. structural drawings. 2. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. I furthermore agree to submit periodically, an inspection report together with pertinent comments to the Town of Barnstable building department. Upon satisfactory completion of the work I shall submit a final report certifying to the best of my knowledge and belief that the building structure is completed in general conformance with the referenced construction documents and the structural provisions of the MSBC. Work specifically not included in this Construction Control Affidavit to be provided by others shall include testing and inspection of materials in accordance with MBC Section 1703 for the following building components: . 1. Geotechnical inspection and testing services (i.e.-soil bearing capacity) 2. Materials testing services(i.e. concrete sampling and testing,bolted connections,welds, etc.) BR N A a 1fllALSH —d Signature SYRUCTUAAL y Bdo.�6077 Subscribed and sworn to before me this t «d day of 20/. I NOTARY PUBLIC My Commission Expires On E R BUILDING ENGINEERING RESOURCES,INC. REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code, Seventh Edition,I,Steven A.Karan,PE,LEED AP, Mass.Registration No.34989 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL X PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project, I further certify that I,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine,in general,if the work is being performed in a manner consistent with the construction documents. �P\S;N10FQ I further certify that upon completion of the construction,I shall submit a Final Report to the Local o EN yc. Building Inspector as to the satisfactory completion and readiness of the project for occupancy. STEV `A.e�g KARAN rn u MECHANICAL v `` No.34989 Signature: Date: IbL OIST I``G��`�Q m - Subscribed and sworn to me t/lus 2n ovember 2010. Notary ssion Expires: Aril 6,2012 iy-40� 28 N1 AI. N STREET , B LDG . # 3A NORTH EASTON , MA 023356 D E S I G N I k N 0 W L E D G E S 0 L U T 1 0 N S I, B ER BUILDING ENGINEERING RESOURCES,INC. REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code,Seventh Edition,I,Steven A. Karan,PE,LEED AP, Mass.Registration No.34989 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION ELECTRICAL PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine, in general,if the work is being performed in a manner consistent with the construction documents. I further certify that upon completion of the construction,I shall submit a Final Report to the Local _ A Building Inspector as to the satisfactory completion and readiness of the project for occupancy. o� S EVEKARAN tim c� MECHANICAL cZn No.34989 Signature: Date: S�os L�N NA Subscribe d sworn to his y November 2010, Notary Pub y Commission Expires: April 6,2012 i 2 8 MAIN S T R EFT , B L D G . # 3 A NORTH E A S T O N , MA 0 2 3 3 5 6 D E S I G N I K N 0 W L E D G E I S 0 L U T 1 O N S I E R BUILDING ENGINEERING RESOURCES,INC. REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code,Seventh Edition,1,Marc R. Plante,PE, Mass.Registration No.38119 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION X . ELECTRICAL PLUMBING For the above named project and that,to the best of my knowledge, such plans,computations and specifications.meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine,in general,if the work is being performed in a manner consistent with the construction documents. I further certify that upon completion of the construction,I shall submit a Final Report to the Local ��ikOFNgq� Building Inspector as to the sati c completion and readiness of the project for occupancy. MARC an 1 Z Tic1U N .38119 Signature: Date: ft /STE�`�� SfONAtE�'� Subscr' and sworn this d o November 2010, Notary ommission Expires: April 6,2012 197 LU 28 MAIN S T R E E T , B L D G . # 3 A NORTH E A S T O N , MA 0 2 3 3 5 6 D E S I G N k N 0 W L E D G E S 0 L U T 1 0 N S ,r. j �a►tmcnt of Public Safet' Massachusetts «ulations and Standards Board of Buildin,Re„, Construction super License 78582 License: CS ' Restricted to: {� OIJ CHRISTOP1.1 3. I A 56 OBEO SR00K HARW ICH,M-A U2,la4S ExpiratiOW 513pn012, ` Tr#: 239W onunissioner i i I i i v , Restricted to: pp 00- Unrestricted 1G-1 2 Family Homes Failure to possess a-current edition of the Massachusetts State Building Code is cause for revocation of this license Refer to: WWW.Mass.Gov/DPS i I� f Sandy Neck Beach Park Improvements - Building Costs Main Building 2350.00 Garage 45000 Total Building..Construction 280000 1 � . c sT PILE �pF1HETpk 0 �� �� f� 1 :0 1 p ti Barnstable Old Kings Righway JH[istoric.District Committee M 200 Main Street,Hyannis,MA 02601;TEL: 508-862-4787 Fax 508-862-4784 LIAfiSfAELZ y. Mj Sa 0 �p 1639. ` .. 'EDM"j� - APPLICATION, CERTIFICATE OF APPROPRIATENESS- Application is hereby made,with four(4)complete sets,for the issuance of a Certificate.,of Appropriateness under.Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for. , Check all categories that apply; 1. Building construction: X New ❑ Addition • ❑ Alteration. 2..TYpe of Building: ❑ House ® Garage/barn E.] Shed ElCommercial ❑.Other 3. Exterior Painting, roof Elnew roof Elcolor/material change, of trim,siding;window,.door 4.. .Sii?_: ❑ New Sign ❑ Existing Sign ElRepainting Existing Sign 5.: Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall - ❑ tennis court: ❑ Other 6. Pool. ❑ swimming ElOther man-made pool Type or Print Legibly: Date:. 3/23/2010 Address of proposed work:' .House# 425 Street: Sandy Neck Rd Village W. Ba Assessors Map Lot# 263 / 001 --Description of Proposed Work: Give particulars of work to be done: Proposed new u►v2g(2) bay' .garage w/bituminous paved apron on south facade perattached drawings. n®P AP ` le Town o Barras Highway 1 Comm�t`G Agent or Contractor(print): BLF&R Architects, Inc. Telephone#: 508- 63 2i8382 Address: 203 Willow St. Suite Y u rt, MA 2675 ' Contractor/Agent'.signature: R:LcfrarcrP. Yenuccio r NOTE All applications must be signed by the curre�t owner Owner(ptint): 'tdw,a oF`Rett�JSyA�x.3 G/a �Otl�i , u"frelephone#: �UYi 79U [o3`t� Owners mailing addr s: 600 P191i11Ct2.� Wb'�i 14y.c►�6N/S IVI/s OLGaI- Owuer'.s signature: 1JL. bpW Ivor committee use only. This Certificate is hereby APPROVED/DENIED. Date Members signatures U 7p l0 r/ 2 or Cao MAR 2 3 , ff TUNI1 OF EARN BLE itions of ap�roval: HISTORIC PrE4E ATON 1 QAGMD-Groups101d Kings HighwnylOKH mew AppIOKH Cert Approprinteness 07.doc I Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed)(material-brick/cement, other) concrete Siding Type shingles material: white cedar (nra—sstained_)__Color: Maibec "Cottage Grey" Chimney Material: N/A Color: Roof Material: (make & style 50 yr. GAF Timberline Color. "Weathered Wood Lifetime Series. Trim material PVC ainted Color: White Roof Pitch: (7/12 minimum) : .10 /. 12 Window:: (make/model) Andersen .400 Series material vinyl clad wood-- color..."Terratone" N Size(s): Double-hung &'Awning (see- draw;ngs) Door style and make: 6 panel material G��i P into Color: match windows Garage Door,Style:Raised panel Size . 9'x8' Material st eel Color"Chelsea Gray','.,by Ben. Moore Shutter Type/Material: N/A Color: Gutter Type/Material: Colonial 5"x3" 'K' Prof;l P Al„m Color: . White . r Color: Liec'xs: material N/A See Skylight,type/make/model/: N/A., material Color: Size: P Sign size: N/A Type/Materials: CoP APR 14 2010 . Fence Type(max'6' ) Style .N/A material: Color: Town of Bar stable Old i�ls' H e ay Retaining wall: Material: N/A Lighting; freestanding N/A. on building over doors illuminating sign N/A wall mounted under soff' _ Please provide samples.of paint colors and manufacturers brochure.of styi"CAA 'wind`ows;d;oors,garage door, . fences, amp posts etc P lJ `�' 1.1 i� t 1(�i ADDITIONAL INFORMATION: ^l TNMAI Or'CA �A^TA Hi�T(1R1^PRFf'rR�J�,I•if1N Signed: l arer) print name Ric and P Frmriivr•i (Pan P reP tel.no. 508-362-8182 Location of ap cation: Street no. 425 Street Village W Barnctah.je — 2 Q:IGO-Groups101d Kings HlghwaylOKHNew AppIOKHCert Appropriateness 07.doc Town of Barnstable Old Kings Highway Local Historic District Committee CHECKLIST -- CERTIFICATE OF APPROPRIATENESS Please circle the categoiy(ies) applicable to your application;check each item submitted. 1 ALTERATIONS(new paint color, changes to siding, roof shingles,windows or door etc.) Application for Certificate of Appropriateness,4 copies. Spec Sheet,4 copies;brochures and color samples. Plans of building elevations/photographs,4 copies,ONLY IF there is a change to,the location and size. of window(s),or door(s). Fee according to schedule. 2. MINOR ADDITIONS e.g. porches, dormers, decks,sbed;,barns etc. Application for Certificate of Appropriateness,4 copies. - Spec Sheet,4 copies;brochures and color samples. Site Plan,4 copies,ONLY if there is a change to the building footprint. A site•'plan.drawn on-a mortgage survey plan of.GIS map may be used for minor additionsUNLESS the,.: . porch,deck,pool,or shed etc. is close to lot lines,zoning setback lines, or other buildings.,.in which case a certified site plan must be submitted, see requirements as applicable, see 4. Site Plan,below. Photographs (I copy)of all building elevation affected by any proposed alterations. Plans: 4 copies. Company brochure of manufacturer's shed or barn OR to-scale sketch of affected structure or building elevations: 2. STRUCTURES,NEW/ALTERED (fences,'new stonewalls or changes to,retaining walls,pools etc) Application for Certificate of Appropriateness Spec Sheet,brochures or diagram. Site plan, see Instructions 2. Site Plan, above. �� r _ s ar. t" +� + ;;il A ?�PcrPd b change. Photagra has G�any s:i�:.no s��cre ._. :w;ll b -- Y � 1 Fee according to schedule. 70/ 3. NEW HOUSE,MAJOR ADDITION OR A COMMERCIAL BUILDING J i. MAR 2 3 . r Application for Certificate of Appropriateness (4 copies). TQI°YC°C Spec Sheet,4 copies;brochures and samples of colors. f, �G '�Cr;�,;p,; �•_,�,,7�...o��.. Site Plan,4 copies,at an appropriate scale. 6:copies of site plans at a reduced scale to fit 8:5'x l l'or 11 x 17 paper. Site Plans shall contain the following: . Name of applicant,street.location,.map and parcel. _Name of architect,engineer or surveyor; original stamp and signature; date of plan and revision dates. North arrow,written-and drawn scale. _.Changes to existing grades shown with one-foot contours. _Proposed and existing footprint of the building and/or structures, and distance to lot lines. Proposed driveway location. Proposed limits of clearing for building(s), accessory structure(s), driveway and septic system. Retaining walls or accessory structures(e.g. pool,tennis court, cabanas,bam,garage etc.) Building Elevations: _4 copies of plans at a scale of i/4"= 1 foot;a written and drawn scale. AP P RO — 6 copies of plans at a reduced scale to fit 8.5"x-11 or 11 x 17 paper. APR 14 2CIOF NewAPPIOKHCertAPPro �iateness 07doc Town of Barnstable QIGMD-GrouPsl0ld Kings HishwayIOKH Old Kingt Highway committee L _ I Plans shall include the following: _Name of applicant, street location,map and parcel. _Name of Builder Designer, or architect; original signature of plan preparer and stamp;-plan date, and all revision dates. ALL NEW HOUSE OR COMMERCIAL BUILDING PLANS MUST HAVE AN ORIGINAL SIGNATURE AND STAMP,IF ANY,BY A REGISTERED ARCHITECT, MEMBER OF AIBD,'OR A LICENSED MASSACHUSETTS HOME]1v9ROVEMENT CONTRACTOR,.UNLESS THIS REQUIREMENT-IS WANED BY THE OKH DISTRICT COMMITTEE. _A written and drawn scale. Elevations of all(affected) sides of-the building,with dimensions including height from the natural grade.. adjacent to the building to the top of the ridge;location and elevation of finished grade,.roof pitch(s),- .. dormer setbacks; trim style,window and door styles. Changes to existing buildings must be clouded on drawings. Landscaping plan,4 copies drawn on a certified perimeter plan containing the following information:. Name of applicant, street address,assessor's map and parcel number. Name,address and telephone number of the plan preparer;plan date and dates of revisions: The location-of existing and pro posed`buildings and structures, and lot lines. Natural features of site (e.g.rock outcroppings, streams,wetlands,etc.). . Existing buffer areas to remain. Location and species of trees.outside of buffer areas greater than 12"caliper to be retained or removed. The'location,number, size and name of proposed new trees and plants. _Driveway,parking areas,walkways, and patios indicating materials to be used. Existing stone walls, and.proposed walls including retaining walls for slope retention or septic systems. (for removal of stone walls, file Demolition Form). All proposed exterior lighting and signs. Sketch or photos of adjacent properties; (1 copy only) A sketch(s)to-scale or-photographs of nearby adjacent buildings,where present,along.both sides of the street frontage, showing the proposed new house or co mmercial.building in scale and in relationship to the existing buildings. Please discuss with staff if you do.not think this'is relevant to your application... Photographs of all sides of existing buildings to remain,or being added to(1, set only). Fee according to schedule. AP PRO t';, J i I '� Please complete the following: APR. 14 2010 ' L k MAR 2 3 Town of Barns Existing building, foot print: old King's HIgway I may i , �a7 Building I sq. ft.C9§U �iSg 2 - - Existing Building, gross floor area, including area of finished basement: Building 1 sq. ft. Building 2 New building or addition, foot print: Building 1 900 sf +/- sq. ft. Building 2 New Building or addition, gross floor area, including area of finished base-meat: Building 1 sq. ft. Building 2 4 Q.•IGMD-Groups101d Kings HighwaylOKHNew ApplOKHCert Appropriateness 07.doc 1 4. SIGNS Diagram of sign, showing graphics, size, design and height of post,color and materials. .Spec sheet. Site Plan on a GIS map cr mortgage survey,OR photographs OR to-scale sketch of building elevation showing location of proposed sign; and any tree to be removed near a freestanding sign. Fee according to schedule.. 5. FOR LIST OF ABUTTERS: PL ASE SE9 OKH STAFF SIGNED (plan prepazer) . Print Richard P. Fenuceio Date: � t� �n� 508-362-8382 NOTE �( APR142010 E P W E � �i Town of Barnstable' MAR 2 3 f�i79 4 O d Kin 's Highway The.Old Kings Highway.Historic D0 d.Ki l Wee MAY DENY INCOMPLETE'APPLICATIONS ATTENDANCE AT MEETINGS: If the applicant or hisAer t.�epresentative is not present during the h'ea>jingiis scheduled,�thte .0{y . application may be either CONTINUED OR DENIED APPEAL PERIOD APPROVED PLANS PLAN PICK UP There is a fourteen(14) day appeal period for approved plans. This is necessary for each Certificate of Appropriateness and/or Certificate for Demolition issued by the Old King's Highway Committee. Plans approved by... . the Old King's Highway Regional Historic District Committee may be picked up at Growth Management,Regulatory Division,200 Main Street,Hyannis, after expiration of the 14 day appeal period. If the 14"' day falls.on'a Saturday, your clans will be available the affternoon of.the.following business day. DENIALS Applications that are denied-maybe appealed to the Old Kings Highway Regional Historic District Commission within 10 days of the filing of the decision with the Town Clerk. For more information,.see the Bulletin of the.Old Kings Highway District Commission. BUILDING PERMITS,,OTHER AGENCY CONTACTS In most instances,before commencing work, a Building Permit is required. The'.Building Division.will require a certified plot plan for new construction and/or demolition. Commercial work may require Site Plan approval. Demolitions: the applicant should check with the Building Division as to conformance with Zoning requirements. Other Regulatory Agencies at 200 Main St, Hyannis MA 02601: Building Division 508-862-4038 Conservation Division 508-862-4093 Health-Division .508-862-4644 QUESTIONS ABOUT YOUR APPLICATION? PLEASE CALL THE 13ARNSTABLE OLD KINGS HIGHWAY OFFICE AT 508 862-4787 5 Q:IGMD-Groupslold Kings HighwaylOKH New ApplOKHCert Appropriateness 07.doc I r a 1y1F V •��'"� '�¢``�Ij 11 7� �rya, � 3 R tgy s r., �iill�� � H ,t,���•�:�(,'j y4Gh w... =C ...E � r � F "-.r-'•— 5r y h �r a r '$ \\ T ( t r i 04 r }. 4 i F ,�, f s t.ria�F �.:. •. y :¢ to t a 5 V' .7 �x # f 1} a fill If YO, A,{Fl7/� sf�3 j��j����1'! •Q A� k _. � "...may_. ! ��jJtr,{/iJ((�i..�7�/7 ���7f, •�'�, ��� F �,fP:.-s2Y�` - 77 •sEl" _ +u a alyC � _ �t a� +x ,�. *t e x + ^ 6 4.1 y_k'tta. M`�i 4 5 r t yy t � x v .y�� LIB d A YY t . �' ,� t.. �•, a _,-,fir ?*i �` t 1 1.� _ I I r� f.. Y g 10, 1 Ism k t r 93 ref a T�` mil U0� PROPOSED GARAGE � � E PROV APR 14 2 5 Town of Bal,9hwaY Old Commee APPPON/M 0 --------------------- I w � � Qw Q = CARRIAGE STYLE OVERHEAD DOOR 02 9'-O"x8'-O" CARRIAGE STYLE OVERHEAD STEEL GARAGE DOOR F 1 REVISED DOOR ELEVATION SCALE: 1/4'=1'-0" i i �arage Doors Courtyard Collection Page 1 of 2 The Genuine.The Original. mr , , • • ,� a gr Courtyard Collection° ' l� HW, 1 t 1 Custom Steel Doors The Courtyard Collection° gives you the exceptional good looks of a "custom wood" garage door combined with the value and long lasting durability of a steel door. Features our patented Thermacore° construction Polyurethane insulation for excellent thermal efficiency - R- value of up to 12.76 Doors are finished in white with a distinctive wood grain finish and can be painted with your custom latex color Optional decorative hardware and decorative window treatments (window options available on most designs) Embossed wood grain texture gives an enhanced appearance and polyurethane insulation provides energy efficiency 160 Series feature 18 classic designs to enhance the architectural beauty of your home The new 370 Series come in six designs. The Ribbon V12 is an extension of the popular Courtyard Collection of traditional steel carriage house garage doors that resemble wood doors with sophisticated designs. Design Details Kok I 13-ball bearing Hot-dipped galvanized Heavy duty EPDM between section urethane rollers for steel panels and wood commercial track thermal seals and quiet operation and grain textured trim and hardware for EPDM bulb-type durable heavy-duty boards come in white long life and bottom weather seal hinges and can be painted reliable provide weather tight with latex paint by the performance resistance to the homeowner elements httD://www.overheaddoor.com/Product.asDx?Did=28 4/14/2010 ~ residential Garage Doors : Courtyard Collection Styles Page 1 of 3 The Genuine.The OrIgInal. s . 6` The Courtyard Collection TM Eighteen classic designs are available to provide your home with unsurpassed beauty, durable construction and thermal efficiency. Doors are finished in white with a distinctive wood-grain texture, and can be painted with latex paint colors. 7777 7 3?STA"T idtA 77- F6UM 166T 373Tl163T • • • • L_jL_j 37►7f1617 1678 3771Y15JY ILIMA 4G33 Yfi'7"!:' IWA • fa i 371.AJ161A ibBA • 162E IL IL 11 374A1t65F; ' U7►C+Nat'Cfl6dThin A - �, � Vhrn ty 20Yeat's tlfellMe 20Ye4m WiAlme 20*am Llfellme! YARdload • V • AN'dwe 9:$1 12:96 93.1 32:,76. - 9.31 12.26 Inst:4tt�1 G11�S • • ! Ncr-HtTdutdedGaz to �rxr3hfcFr�s 1" 1 ik 1' 1'}e' 5' i�Y' PJtiiGen�retN: � • ,� Viethle Rdlea ! - rA • 'tiVirdmys and arches are n-Aatailahle am;tt*se.se6-_s httD://www.overheaddoor.com/Product.asDX?Did=229 4/14/2010 L _ r PROPOSED NEW E GARAG SANDY NECK BEACH FOR TOWN OF BARNSTABLE APPROVED APR 14 2010 SANDY NECK BEACH Town of eamsaabi BAR N STAB L E, MA Old C6mmHighway . Commtttee SCHEDULE OF DRAWINGS TI TITLE SHEET �- SPI PIASTER PLAN - SP2 SITE PLAN @ GARAGE A2.0 GARAGE ELEVATIONS, WINDOW SCHEDULE 8 DOOR SCHEDULE V- DRAWINGS ARE REPRDONNOT SCALE ONLY DRAWINGS HU1: 9MEM DE vo ARCHITECTS OKH APPLICATION BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC, 203 WILLOW STREET SUITE AYARMOUTHPORT,MA.02675 3-25-10 v TEL. (508)362-8392 FAX. (508)362-2828 zHoo o I E'- C E L�j/ CONSULTING CIVIL ENGINEERS & ENVIRONMENTAL PERMITTING I MAR 2 .3 2 U HORSLEY WITTEN GROUP 90 ROUTE 6A,SANDWICH,MA.02563 TOWN OF , TEL. (508)833-6600 FAX. (508)833-3150 e� R� Cz L r H Yvu AIO t bHv,u Sieema�.m •\Anti enfh\YwiM 1 Nn�M10wm\�,dW\Wh+Meu\d+P ✓,R^I\Wlu M f�Mmiu,y 0 O nA D \ <p \ is r' -�� m o ITTo m / \ o \ Z� /, \ n 70D` 7�Or. \ \ v A O \ pO20 1 A \ mZN ' `\ \ - mOZ _ �JI O o Oc w — \/c N ti x y N! !I D o l \ \ m \ / a n A /i \ \ m \ / t98: 1\ I \ AZ 10 or) m< \ Tl /\ U, < // / \' f 3():iz pm D / 4 m z.pc ]a 71 I CZ 2NN \ \ / C / 0 / Z D pRNN mn a) D _1 m 0DrlOUT001 ZL n 04\ x 1Y ^ y��y g3p n r 20Tim N :normA V / A< r ON m n / A D r 1m DZ 0 'a _ OU+ nE D-Z NA 3 - NOl A n_ Dr D L1 y I — n _ T= mm p0 im 01 _ 0)p I 'per .a - ppE m z - d Cn z �cr) t%) PH /. rn �m O �. \ o y PROPOSED MASTER PLAN MEMO BROWN LINDQUIST FENUCCIO&RABER z Q S ' ° o FOR ���� ARCHITECTS,INC. Q M O 203 WILLOW SHEET.SIZE A PH 508-362-8382 —� o TOWN OF BARNSTABLE YARMOUMPORT.MA 02675 FAX508.362.2828 � o Z SANDY NECK BEACH o s BARNSTABLE, MA a uw moo m scorn W v.me-�,m ' I ND Or EL D(\ rp n Z Z �n A� O N o� m0 Am K N Z�m O\ 'D AA O _ Oppp<pO NLmtA O cop mOO>mv DA m 0'. m 07 - m mm Lm r O r@ R N �00 h j L\� r 7070 L 4l rn O m -rI m 1 DZ C=O O O _N 70 <n3 D D -<r— I rn m O� DO m O Al m MD Z z D C�00 i — — —IyN — — ZT -I-n Z I_ n m Of— n Z D Z= oN� m N m � z� m � z O W N — — —OpD- — — 20 A� A m m � m o= -iyU r ADO m70r D Uo w z z �E ^ — — —yw�- —I — Nj U) DAD D O mmn Jrn> �D N� OZ - - - _ - - m 70 Z A D O n co D (T� 0 m N Zm plc - - - - - - L±2EGEYOF D _ GRAVELING01J mA Z Dmp� F mm ¢DO N o Y D 20 D �g __ mpmp L\ _ Z 28'_O. m A a' g Om Om3 �i� Z <m � DC m m 30 < A U O G\Z G D O m D Q Q Dh O OZ O N J n O ZZ z D o nm 0 m O OC` z �C-) > z cra -r O <v O a N PROPOSED VEHICLE STORAGE/GARAGE BUILDING BROWN LIND9UIST FENUCCIO&RABER G� z H o m FOR ARCHITECTS,INC. D T) -u ° TOWN OF BARNSTABLE 203 W[LLOW STREEL SUIE A PH 508-362.8382 V D Z O YARMOUn'MT,MA 02675 ���mm FAX SM-362-2828 mN N m o SANDY NECK BEACH 0 0 BARNSTABLE, MA r ASPHALT COMPOSITION SHED DORMER FOR VENTILATION STAMP. AND NATURAL LIGHT AT ATTIC/ ASPHALT COMPOSITION • 'SHINGLES w/CONT. ° STORAGE LEVEL SHINGLES w/CONT. RIDGE VENT - TYP. ' RIDGE VENT - TYP. 14'-6° (DORMER) i 1 . I GUTTERS - COLONIAL 5'x3° 'K' STYLE ALUM. TO DRYWELLS - WHITE .I ' IxO PVC FRIEZE U U WOVEN SHINGLE CORNERS ROOF OVERHANG AT FRONT Z A TO HATCH Ex. GATEHOUSE OF BUILDING TO PROVIDE LL BUILDING - TYP. ®®®® ®® ® ® U _ WEATHER COVER FORDOORS FIR CEDAR SHINGLE SIDING, ® PEN�RATBING SEALER Q uj l 5° EXPOSURE, PRE- STAINED - Z r- GREY TO MATCH EX. .. 7 _ L) a g GATEHOUSE BUILDING - TYP. ca L$ 9'x8' TRADITIONAL RAISED PANEL, GREY GARAGE DOOR - PAINTED GR - �� ^OV■ �B ' E7 TO HATCH SHINGLES `L.(, C NORTI-I ELEVATION SOUTH ELEVATION 10 � � ' �i z SCALE I/4'=I'-0° SCALE: I/4'=1'-O° - APR 14 20 Town of Elarnstable 16 OZ. LEAD COATED 2x2 PVC DRIP CAP OVER OD COPPER HEAD IX6 PVC TRIM BOARD @ Old KiCommittee's Highway �/w11�� FLASHING (TYPICAL) WINDOWS l DOORS - TYP. CommitteeJ __________________ co _ Q Loll K f Wcc x. _ �® z o$=. ® ® Q Q Y Lu m s� rw'E�r m[f ?� �3 �W maw ® ® C O m Q Lu ,� _ ® TRADITIONAL 0 ll O Z w 13 RAISED PANEL S ®®®® DESIGN Lu z Q C ALIGN BOTTOM OF ---CO ---- --- q-O� -- U z Q Ix APRON W/ 01 02 SHINGLE COURSING rycr�rtvic) �O KICK PLATES STEEL n-oO Lu O N KICK PLATES - TYP. > 1"— uIEL TRwpTIP111 Prt1dEM STE.OdR CEL 4R�LE 0004 0 WINDOW ELEVATIONS DOOR ELEVATIONS Lu SCALE: 1/4'-1'-0' SCALE: 1/4'=1'-0° O d O C { . TM.E: ' SHED DORMER FOR VENTILATION AND NATURAL LIGHT AT ATTIC/ PROPOSED STORAGE LEVEL 5 12 12 I 12 12 ELEVATIONS& • - 1.4 OVER 1.10 RAKE, Qs WINDOW SCHEDULE 10 PAINTED - TYP. t 10 ® ® ROOF OVERHANG AT FRONT p 1,4 OVER I00 RAKE, OF BUILDING TO PROVIDE DATE ISSUED: PAINTED TYP. B d WEATHER COVER FOR DOORS 3 25-10 r B �• 3 - REVISIONS: - ALUMI NUM M DOWN SPOUT M-,D E V i 9 IN Lr, } 3y FIR WOOD BRACKETS WOVEN SHINGLE CORNER TO DRY WELL, u L MAR 2 3 ' — ! - PENITRATING SEALER . WHITE - TYP. TO MATCH EX. GATENOI, q. BUILDING - TYP, q� ° q• CEDAR SHINGLE SIDING, 1 .- GREY TO MATCH EXSTAINED DRAWN BY: 8 GATEHOUSE BUILDING - TYP. 3-0• TQf1 � A • ^ TRS I N^,ae r.. PROJECT#: f PROJECT NO. DRAWING NO.: i _j r SCALE: I/4"=1'-0" EAST ELEVATION WEST ELEVATION A2 . 0 SCALE: I/4'=I'-O° SCALE: I/4'=I'-0° 0' 2' 4' 8' 12' 16, GARAGE ps L 4- ��"�' � Town of Barnstable Building Department - 200 Main Street RASTLE ► " , * Hyannis MA 02601 MASS. A i63�- , (508) 862-4038 Certificate of Occupancy Application Number: 201006689 CO Number: 20110066 Parcel ID: 263001 CO.Issue Date: 05/25111 Location: 425 SANDY NECK ROAD Zoning Classification: SPLIT ZONING Proposed Use: MUNICIPAL IMPROVED Village: WEST BARNSTABLE Gen Contractor: OUR, CHRISTOPHER Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: .I Sz-xjr Building Department Signature Date Signed i �11HE, TOWN O� .BARNSTABLE Bulild'ing Application Ref: 201006689 * BARNSTABLE, + Issue Date: 12/29/10 Permit 9 MASS. �Ar16 9.�A� Applicant: OUR,CHRISTOPHER Permit Number: B 20102798 Proposed Use: Expiration Date: 06/28/11 Location 425 SANDY NECK ROAD Zoning District SPLTPermit Type: NEW COMMERCIAL Map Parcel 263001 Permit Fee$ 2,138.50 Contractor OUR,CHRISTOPHER Village WEST BARNSTABLE App Fee$ 150.00 License Num 78582 Est Construction Cost$ 235,000 Remarks i APPROVED PLANS MUST BE RETAINED ON JOB AND NEW BUILDING PERMIT FOR RESTROOMS AND SNACK BAR AT THIS CARD MUST BE KEPT POSTED UNTIL FINAL SANDY NECK BEACH INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BARNSTABLE, TOWN OF (CON) BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 200 MAIN STREET INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: RM Building Permit Issued By: �`^�/f� ✓Gam-/ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHtMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. i THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.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). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 5_'Q-A-7W1A16®Z/AVlAff L� 13fle� o '3/i,<�y,wx 3 -3,Itt 3 1 Heating Inspection Approvals Engineering Dept 1� �n s Fire Deptwt57-3,f&c/ ;V)4,7 cjo 2 q cj d 0 , the Town of Barnstable do Building Department - 200 Main Street RAMST"LE. # Hyannis, MA 02601 MAC (508) s639- 862-4038 Certificate of Occupancy Application Number: 201006762 CO Number: 20110067 Parcel ID: 263001 CO Issue Date: 05/25111 Location: 425 SANDY NECK ROAD Zoning Classification: SPLIT ZONING Proposed Use: MUNICIPAL IMPROVED Village: WEST BARNSTABLE Gen Contractor: OUR, CHRISTOPHER Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: �� Building Department Signature Date Signed IHE ti TOWN OF BARNSTABLE Bufl,;14,49 Application Ref: 201006762 BARNSTABLE, Issue Dater 12/29/10 Permit MASS. 1639- A Applicant: OUR,CHRISTOPHER Permit Number: B 20102799 ArF p�.I Proposed Use: Expiration Date: 06/28/11 Location 425 SANDY NECK ROAD Zoning District SPLTPermit Type: NEW ACCESSORY STRUCTURE COMM Map Parcel 263001 Permit Fee$ 409.50 Contractor OUR,CHRISTOPHER Village WEST BARNSTABLE App Fee$ 150.00 License Num 78582 Est Construction Cost$ 45,000 X Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND NEW DETACHED GARAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BARNSTABLE,TOWN OF (CON) BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 200 MAIN STREET INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 c/ Application Entered by: RM Building Permit Issued By: i!!� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. E-NCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.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). o WI WI M,I ff Ulff 9 ww—fiffiff MW`m M BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 i�Fao® VIA2 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (03 Parcel 66 Application # 63 V�T • Health Division Date Issued '1 t • Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board V Historic - OKH _Preservation / Hyannis Project Street Address eGk "eG4e � � B ll� Village EST �rS?/PLC Owner `—�t1�}� 0� T�Af-;)SIR6 Lk�-- Address ✓?"(a�L Telephone �.Sy g- —W0 — (O3 C�-y Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay © Q Project Valuation f Construction Type AldbiD 51kPa-(E Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting d c men_�ation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 4M4t- Gr Age of Existing Structure WS Historic House: ❑Yes ❑ No On Old King's Highway: N(Yes�❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other NaAlE` Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 0 existing _new Total Room Count (not including baths): existing �L 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 IV 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 Z)�e, 1 �r�Gas Telephone Number Jib- )-3 ?-'q�(� Address q q Tel License # S 318 73'� b-1 A/?ice , ��} n` o 3 / Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �Xcc) -Z Lc e 9� yo `i ,r /�i� SIGNATURE DATE F o16// FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED - MAP/PARCELNO. ADDRESS VILLAGE - 1 , OWNER. ' r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED-OUT ?, ASSOCIATION PLAN NO. The Comtrnonwealth ofhfassachusetts Department of IndustrW Accidents 1 Office of Investigations 1 E 600 Washington rltreet Boston, MA.02111 www.mass gov/dia Workers' Compensation IILsaranceA-Mdavit: Builders/Contractors/EIectricians/Plumbers A.ppllcant Information Please Print Leebfv k1ame (Busincss/DrgmizomAndividuaD: ke-f City/State/Zip j9v* 14 624P3 qPhone #: EDT an employer? Check the appropriate box: Type of project rrt (regaired): a employer with 4. ❑ I am a general contractor arid I 6. New consi(requn loyees(full and/or part-time).* have hired the subcontractors a sole proprietor or partrrer- Iisted on the attached sheet # �. ❑Remodeling and have no employees These sub-contractors have S. ❑Demolition ing for,me in any capacity, workers' comp. insurance, g, ❑ Building addition workers' comp, insurance 5. ❑ We are a corporation and its red] officers have exercised their I0.❑EIectrical repairs or additions a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additionslf. [No workers' comp. c. 152, §I(4), and we have no 12.❑ Roof repairs �/�nce rexluired] t employees, [No workers' I3; Other f2C.S`!//Jl/�e �M�camp, insurance required,] •Any applicant that checks box#I mast akso BU out the section below showing'their workcn'comparsation policy informatim rt,.H, omeowners who submit this af{idavit•indicafing they arc doing all work and then hire.outride contractors mast submit a new.affidavit indicating such, `LODtraetDrs thal ehcck this box must attacbcd an additional sheet showing the name of the sub�ont motors and their workers'comp.policy information. I am an employer that is providing workers compensation L-arcrarrce for my employees, Below is th epoilcy andjob site infornuE om Insurance Company Name: Policy#or Self-ins. Lic. # Expirafion Date: Job Site Address: City/State/Zip- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. I52 can lead to the imposition of criminal penalties of a fine up to$1,560.00 and/or one-year imprisonment, as well as civil penalties in the form of a-370P WORK ORDER and a fine of up to S250.D0 a day against the.-violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for inmrance coverage verificalaon. I do hereby certfy,ut%der tthhe paces kmd penaflzer of perjury r1rat the information provided above is twee and correct ' Si ahu•e:' d� G Date: A- 101' p Phone#:1 S0 9 .-0q I • FBoard only._Do not wnte be this area, to be completed by ccty or town ofjzc n: Permit/License; bority(circle one): Health 2: Building Department 3. Cityaown Clerk 4. Electrical Inspector 5, Plumbing Inspector Town of Barr-stable Regulatory services Thomas F. Ceder,DirectorL6>p. Building DIYI.91012 Tam Perry,Building CaaaarccivneI` 200 Main 5trcct,HY=ak,IAA 02501 • ��.town_basnstable_ma.ns . office: 508-862-403 8 Fax: 508-790-62-30 Property OvrAcrMust _ Complete and Sign This. Section If Us irn..g A B adder U IZa s , b P W ©PAA , as Owner of the subject•proPestg hereby authorize�o g c27 b 2r 4 S S 6A"99 u1 LD eh 4 to act on my behalf, in all ors relarive to WO&au Lodvad by this budding per=apple a for. (Adc ss of Job) of Dare ��oN� W S y2a5 Print Na= If is applyiag for permit plea -Home�iomeowneis License Egemptiorz FOrM on'the reverse side. Massachusetts- Department of-hiblic S;it'ct.N -\ Boal-d (1t• Btlildill.-, RC!111 lilt iotis alld stalldill-ds Construction'Supervisor License License: CS 4487.34 Restricted to: 00 ROBERT E BRIGGS JR 49 TELEGRAPH RD DENNISPORT, MA 02689 Expiration: 1/1412012 Tr#` 25285 } PROJECT NAME: tL ADDRESS: sue t2�c PERMIT# ay 14 Q )Lj PERMIT DATE: �j 3 Mrn: C p 3 -coo LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS on: program BY: I�. q/wpfiles/forms/archive YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE 315I xo I`f Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME �ut-'r��'OK Van �� BUSINESS TYPE: FoyJ SeazY,-c-e BUSINESS YOUR HOME ADDRESS: .qO L,AXe✓i,eZ �.�✓ S 4 0z.f63 TELEPHONE #_r09- 5' I ri,Y Home Telephone Number. 0 - VAP - /..36 V NAME-OF€NEW BUSINESS' TP ,h_ ' ., � r m' Fa A� SSoc�a-tP, ;3SN OR EIN:..�6- Have'you been given appeovaltfrom'the building divisio '? YES NO ADDRESS TOF,,,BU31NESS When.starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. —(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business . in this town. 1. BUILDING CO ISSIO ER'S O FIC This individ al h` en,4n r of any permit requirements that pertain to this type of business. tkno% — u d Si honzegna * COMMENTS: (� 2. BOARD OF HEALTH This individual has Zen inform the rmit uiremen s that pertain to this type of business. Authorized Slghdt re** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h or d f t li ng r uir e s that prtaiiin tort i t pe f busi�es� Authori a gnature** �(� Vl COMMENTS: ©: } �k ` ! ! . � . � . , \ \ - � �: ... �' S' �� , , y„ ,s e I� v r;� _ ...:�fi: �:. `1 -,�i �r:�T y . -' ;� ` _ ` r „�, — .s r y. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z.Co'3 Parcel OU 1 -'Application # Health Division o Lam. us,_k /o 0 oJ- ��) Date Issued c::> C) Conservation Division ' Application Fee Planning Dept. `Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis ry_ Project Street Address qZS SAunq NecK P,OAC)� Village Owner I6 JAJ 61C j5AYZ,A457AG LA Address J'aw, v2ns .-bPar oPnti Telephone 5'0 v° 7 ya-63 LL4 a6o Pi 7c, t.5 t-)Aq, I4564N"15014A aZ6o/ Permit Request b cy oLA-rtaai Ar lSA-'royos c l 11-15 l 5 ;b► (�u¢.ti[ 'b o are➢ 1�� �c�-t �a2Aa Sys�r� �D R i c. U '4c�8rLls By bPW- hh6NWAY loy, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 03�0v� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family _❑ Two Family ❑ Multi-Family (# units) NA-74Ffav5g- Age of Existing Structure. to qeS'4/— Historic House: ❑Yes )(No On Old King's Highway: ❑Yes �INo Basement Type: ❑ Full ❑ Crawl ❑Walkout XDther SCAB Basement Finished Area(sq.ft.) /V0 Basement Unfinished Area (sq.ft)__ o p i Number of Baths: Full: existing Z NL3u6 new Half: existing onevig Number of Bedrooms: 1(J/A existing _new --� Total Room Count (not including baths): existing new First Floor Room Count i:> ..° z Heat Type and Fuel: &.Gas ❑Oil ❑ Electric ❑ Other 3 U, Central Air: ❑Yes )eNo Fireplaces: Existing New Existing wood/coal tovew>❑Yes A<No O . r- Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existir? d%ew 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. _ �e46►u]i 1.(W JRt}s_AA `bPiy 0PAA Telephone Number 56S-796-63ZY Address o oa ,Pgr-A s Scl,-y License # " NVAAJAlis, M A 67.Go1 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 obi SIGNATURE DATE 91 Zy)/o FOR OFFICIAL USE ONLY S APPLICATION# _ }' QATE ISSUED ' Z f :__MAP/PARCEL NO._.. , ADDRESS VILLAGE OWNER A DATE OF INSPECTION: �rfOUNDATION- i FRAME INSULATION.' 1 _ FIREPLACE ELECTRICAL: ROUGH FINAL t - PLUMBING: ROUGH FINAL GAS:~ 36 - " _' ROUGH tr" ':7 FINAL FINAL,BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA OZIII s www,rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Clecti-icians/Plumbel-s Applicant Information Please Print P,egilL1 Name (Business/Organization/lndividual): ]COVew OE 9,t1.eJV52Ae Address: C.,-O Jaw S3&65 bPw OK 0 I'1764c�zS LtDbK City/State/Zip: ,w4 1 Q I Phone M iO8i-7 9U V-4 Are you an employer?-Check the appropriate box: Type of project(required): 1.� I am a employer with AM Y 4• ❑ I am a general contractor and 1 6. ❑New construction employees*(frill andAV att-tune).* 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 for mein any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp. insurance.# 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.]❑ a homeowner.doing all work officers have exercised their I LE] Plumbing repairs or additions 3. I required.] myself. [No workers' comp. right of exemption per MGL 12,❑Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees, [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out tho section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. f am an employer that is providing workers' compensation insurance for my emplo);ees. Below is the policy and job site information. Insurance Company Name: A§_r #JAQ'/ 1AfldK^wG9 JiOMPAAN 'Via-U. �b!jf 01S�nQw-..fd Ce Policy# or Self-ins. Lic. Expiration Date: b7f n� �ll Job Site Address: �ZT Ssf4 Joq /VtrG(— ACM4Zk City/State/Zip: SAIiR MV41&1�14 Attach a cop),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 may be forwarded to the Office of Investigations of the DIA for insurance coyc5gr,,verification. Ldo here ertify raid r the pans and p nalti s of e 'ury that the information provided above is trite and correct. Si nature: Date: �"4 /� Phone#: J(7�/ v a� ,"� Official use only. Do not write in this area, to be completed by city or town official 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#: / r 2TOB Client#:,442 DATE(MMIDDIYYYY) :gin CERTIFICATE OF LIABILITY INSURANCE oslo2/20,0 .� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,fng&O'Neil Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND O agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 :INSURERS AFFORDING COVERAGE �N�AIC# Hyannis,MA 02601 INSURER A: Argonaut Insurance Company INSURED Town of Barnstable INSURER B: Mr.David W.Anthony,Chief Procurement INSURER C: 230 South Street INSURER D: Hyannis,MA 02601 INSURER E: COVERAGES URANCE LISTED BELOW HAVE BEEN ISS D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TNY REQUIREMENTSTERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWH CH THIS CERTIFICATE AMAY BE ISSUED OR DING A MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.CY EFFECTIVE POLICY EXPIRATION LIMITS �Iow min TYPE OF INSURANCE POLICY NUMBER LTR tAHURRENCE $ GENERAL LIABILITY O RENTED $ COMMERCIAL GENERAL LIABILITY Any one person) SCLAIMS MADE OCCUR L d ADV INJURY SAGGREGATE S PRODUCTS.COMPIOP AGG S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PR OT• LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY ' y ALL OWNED AUTOS (Par person) SCHEDULED AUTOS BODILY INJURY S HIRED AUTOS - (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (par accident) AUTO ONLY OTHER THAN-FA ACCIDENT $ GARAGE LIABILITY EA ACC $ ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESSIUMBRELLA LIABILITY AGGREGATE S OCCUR CLAIMS MADE $ S DEDUCTIBLE $ RETENTION E X WC STATU- OTH- - BINDER309453 07/01110 07101/11 A WORKERS COMPENSATION AND E.L.EACH ACCIDENT $1 000 00O EMPLOYERS'LIABILITY E.L.DISEASE-EA EMPLOYEE $1 000 000 ANY PROPRIETORIPARTNER/EX OFFICER/MEMBER EXC UDED7 ECUTNE E.L.DISEASE-POLICY LIMIT 0 OOO OOO If yes•describe under ' SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 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 provislons. CANCELLATION I� CERTIFICATE HOLDER IRATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Avg WRITTEN DATE THEREOF,THE ISSUING-INSURER WILL ENDEAVOR TO MAIL �- Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 30 SHALL 200.Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis,MA 02601 REPRESENTATIVES. AUTHORIZED R PRESENTATI LS1 O ACORD CORPORATION 1988 ACORD 25(2001108)1 of 2 #S714151M71414 l • i Lop 1HE Tp� • a a a • BARNSTAB[.E, 639.1 Town of Barnstable bgy �� • plfD MAC h Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 0260) www.town.barnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder • . . -...? . .. .. . .. .. .._ .. _ ......_....... - --... .. ... _..._.. .._.. ...__... ,. p as Owner of the subject property hereby authorize �(,�D' \�✓�� to act on my behalf, in all matters relative to work authorized by this bi ilding permit application for: `fZS AIRU4- Nn!C W i 75Aysr acAr M,& (Address of Job) Si ature of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILESIFORMS\building permit forms\EXPRESS.doc Revised 07211 f;, o KWEr�0 'Town of]Barnstable Regulatory Services j=L Y " `]YSTAB crass. Thomas F. Geiler, Director .� �+ b79,� -era, 14%, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 wivfv.town.b a rnsta ble.ma.us Office: 518-862-4038 Fax: 508-790-6230 ------------------------ HOMEOWNER LICENSE EXEMPTION I Please Print DATE: rl -/ t o 10B LOCATION: `FZS SAAlh4 A)etr- A*At, . Wu'3y number st et f °' village "FIOMEOWN E-R" ` R,4„1 of: BtiQ,Ars`�IQ LA! G�' d Q>� tl t/r4AS 7(T Z,f name home phone N work phone N CURRENT MAILNG ADDRESS: bra PtTCGW� 9 S AN &yAsx1js . MA- oZ('o 1 city/town— state zip code The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures., A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "6oliieowner"shall:submitto"th6;Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section A The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection jPoce ures nd requirements and that he/she will comply with said procedures and,requirements. ure of Ho eo er 716g Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply.w fkhe State Building Code Section.127.0 Construction Control ' HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing ofconstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor-(see"Appendix Q,Rules&Regulation's for"",, Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that lie/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care I amend and adopt such a form/certification for use in your community. Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc Revised 072110 S RED TECHNOLOGIES, LLC E.P.A. AGENCY # 'Till. `;, REMEDIATION ENGINEERING&DEVELOPMENT EMERGENCY CONTACT (860) 218-2428 CT, MA RI, VT, NH, ME NY GENERATORS 173 Pickering Street GENERATORS Dortland, CT 06480 EPA New England EPA Region 2 860) 342-1022 1 Congress Street 290 Broadway, 26th Floor :ax: (860) 342-1042 Boston, MA 02114-2023 New York, NY 10007-1866 (617) 918-1111 (212) 264-6770 TK# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Numb r PO. # GENE ATOR/BUILDING NER :,ontracto ��- .1� CL� yvt, Address 4ddress C\ nC) 11-A'ILa I x�CJ<- \�-U State�_Zip . ��` City State Zip Telephone Number Phone Number Date Container Del. Date of Pickup GENERATING LOCATION Type of Container Address ' VOLUME CY Friable ❑ Non-Friable MUST BE IN CUBIC YARDS City State. Zip Bag ❑ Drum-43 T-Pack ❑ Wrapped A, Other ❑ 11 Phone Number certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law, is not a hazardous waste as defined )y 40 CFR part 261 or any applicable state law,has been properly described,classified and packaged, and is in proper condition for transportation according to JESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. ;hipper's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are :lassified, packaged, marked and labeled/placarded, and are in al respects in proper c n for transport according to applicable international and nationa Iovernment regulations. 4UTHORIZED SIGNATURE Transporter 1:� N m --i- A dr s Telephone# Driver: '�.. 1'1' Registration #: `� �nci Date: 10 — 01 10 Signature State/#p-\ Acknowledgement of receipt of materials transporter 2: RED Technologies LLC, 10 Northwood Drive Bloomfield, CT 06002 860-218-2428 Name Address Telephone# Driver: Registration #: Date: Signature State/# Acknowledgement of receipt of materials Transfer Facility: Charles M. Gordon & Sons, Inc. 203 Pickering Street, Portland, CT 06480 860-342-1022 Telephone# 3y: Transfer Date: Permit # 1130836 PO )iscrepancy: Certification of transfer of materials covered by this manifest Transporter 3: Name Address Telephone# )river: Registration #: Date: Signature State/# Acknowledgement of receipt of materials -andfill Name: Minerva Enterprises OT Landfill Name: -ocation: 9000 Minerva Rd. Waynesburg, OH 44688 H Location: E 'h: 330-866-3435 Permit # R Ph: Permit# \pproximate Volume of Asbestos Received: Discrepancy If Any: 3eceived by: Date: C:Prtifiration of transfer of materials covered by this manifest r C'w inj)lete Rec.yclhig Solutions, LLC CRS '►mac 1075 Airport Road Fall River, MA 02720 Bill. of Lading SR# .1.03380 From: Sandy Neck Beach Park To: Complete Recycling Solutions, LLC Contact:Nina Coleman Contact:Dave A Dube Address:425 Sandy Neck Road Address:1075 Airport Road West Barnstable, MA 02668 Fall River, MA 02720 Phone:508-294-1390 Phone:508-402-7700 (Main) PO # verbal-FAC53 Trans: Complete Recycling Solutions, LLC Contact:Mr. Dave A Dube Project: Phone:508-402-7700 (Main) A CONTAINERS DESCRIPTION EST. ACTUAL #OF TYPE COUNTS COUNTS Free/Loose R.Q., Polychlorinated Biphenyls, 9, UN2315, PG II 14 Free/Loose Universal Waste - Mercury Containing Lamps for Recycle 42 I loT PACKAGING DELIVERED EST. ACTUAL 8' Box(es) CRS 8' WHT Box - 15 Count 1 4' Box(es) CRS 4' WHT Box - 36 Count 1 5 Gal Pail 5 Gallon Pail, with lids 2 Is.a liftgate needed? Special Instructions: Is product on loading dock? Driver to pack materials ...�»Is,,a�-pal.i.et,jack-needed?-w...,w--: ,..�.,_.,..05 ,w, ... .» w.,..� w. ,. .. ..�.«,�. .��.•. .w .w_ .� , Is a drum dolley needed? Is product palletized? Is product shrink wrapped? T Are containers labeled? 1< I TIME ON SITE Start: U Spill Moran Environmental Recovery 75 D York Ave R � e'.rd. •^'`� Response Randolph,MA 02368 Finish: /,, Contractor: Contact:Stephen Duvall Contact Ph#:888-233-5338 This is to Certify That The Above Materials Are Properly Classified,Described,Packaged,Marked And Labeled And Are in Proper Condition For Transportation, According To The Applicable regulations Of The Dept.Of Transportation. CONSIGNEE CARRIER Town of Barnstable Complete Recycling Solutions, LLC'r Signature: Signature: Date: ' Date: STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE r� t i s 1 Hazardous Building Materials Inspection j Sandy Neck Beach Park— Comfort Station 425 Sandy Neck Road, Barnstable, MA May 2010 I Town of Barnstable Department of Public Works Barnstable, Massachusetts I June 22, 2010 'A FUSS &O'NEILL Disciplines to Deliver Fuss & O'Neill EnviroScience, LLC 50 Redfield Street, Suite 100 Bostoii, Massachusetts 02122 RECEIVED DEPT, OF PUBLIC WORKS JUN 2 3 2010 TOWN OF BARNSTABLE ADMIN. &TECH. SUPPORT Project No.20091512._AlE R'p WFUSS&OVEILL EnviroScience,u.c SAMPLED LOCATIONS MATERIAL TYPE SAMPLE NO. Women's &Men's Bathrooms Textured Skimcoat on Walls 511DD-04A-C Women's Bathroom Spray-On TSI a/w Piping 511DD-05A-C Lifeguard Storage Room & Drywall 511DD-06A-C ' Snack Bar b: Lifeguard Office,Lifeguard Joint Compound 511DD-07A-C;1 Storage Room, &Snack Bar Y. Women's Bathroom Brown Paper Inside Metal Stalls (Panels) 511DD-08A-B Exterior Windows White Exterior Window Glazing Compound 511DD-09A-C Bathroom Windows Grey Pliable Window Caulking 511DD-10A-B y. Refer to Appendix B for Laboratory Analysis Results. P% .i" 2.2 Discussion :. The USEPA, Occupational Safety and Health Administration (OSHA), and the Commonwealth ` of Massachusetts Department of Labor and Workforce Development (DLWD) Division of r Occupational Safety (DOS) defines any material that contains greater than one percent (>1%) asbestos,utilizing PLM, as being an ACM. The Commonwealth of Massachusetts Department of Environmental Protection (DEP) defines any material that contain equal to or greater than one percent(1%) asbestos as being an ACM. Materials that are identified as "none detected" are specified as not containing asbestos. s� 2.3 Conclusion All representative bulls samples that hadTbe ne collected-were-ideas-tified-as-"norre-detected—by laboratory analysis. Therefore n sbest -containing-builclin inate-rals were-identified at Y. �' Y - g the Sandy Neck Beach Park comfort station. - �'. Any suspect material encountered*during renovation demolition that is not identified a. g o ed in this report as being non-ACM should be assumed to be ACM unless sample results prove otherwise z` 3 Lead-Based Paint Determination A lead based paint determination was performed at the Sandy Neck Beach Park comfort station by Fuss & O'Neill EnviroScience, LLC (EnviroScience) representatives,Dustin A. Diedricksen and Jonathan Hand, on May 11, 2010. An X-ray fluorescence 4KRF) analyzer was used to perform the lead based paint determination. The testing was conducted in accordance with the protocol outlined in the attached document: Testing Procedures and Equipment (Appendix Q. A'SCITEC Ma 4 Spectrum Analyzer, Serial No. 1275,was utilized for the lead based paint P P t� determination. The instrument was checked for proper calibration prior to each use as detailed by the manufacturer and the Performance Characteristic Sheet (PCS) developed for the Ill;; instruments. i For the purpose of this lead based paint determination,various interior and exterior components If representing the initial painting history of the buildings and any building-wide repainting by the F:\P2010\0004\A161Repoit\DAD_BamstableSandyNeck_HaWatRpt_20100617.doc 2 i FUSS&O'NEILL EnviroScience,LLc owners/managers of the building components were tested. Of course,individual repainting efforts are not discoverable in such a limited program. Lead based paint issues involving properties that are not residential are regulated to a limited degree to worker protection involving paint disturbing work activities and waste disposal. Worker protection is regulated by OSHA regulations as well as DLWD, DOS.regulations. These regulations involve air monitoring of workers to determine exposure levels when disturbing lead containing paint. A lead based paint determination can not determine a safe level of lead but is intended to provide guidance as to the locations of what are considered industry standards for lead in paint. Contractors may then better determine exposure of workers to airborne lead by understanding the different concentrations of lead paint on representative components and surfaces. Air monitoring can then be performed during activities that disturb paint on representative surfaces. The USEPA Resource Conservation and Recovery Act (RCRA) as well as DEP regulate disposal of lead containing waste. Waste materials containing lead that will be impacted during renovation or demolition and result in waste for disposal must be tested using the Toxicity Characteristic Leachate Procedure (TCLP) analysis if lead is determined to be present in non- residential buildings. A TCLP sample is a representative sample of the intended waste stream. The results are compared to the level of greater than 5.0 mg/L that is considered hazardous lead waste. If the result is below the established level the material is not considered hazardous and may be disposed of as normal construction debris. . A level of lead paint exceeding 1.0 milligrams of lead per square centimeter (mg/cm2) is considered toxic or dangerous for compliance with residential standards. For purpose of this lead based paint determination the level of 1.0 mg/cm2 has been utilized as a threshold for areas where possible worker exposures may occur. The complete results of lead based paint determination are included in Appendix D. 3.1' Results The lead based paint determination indicated consistent painting trends throughout building inferiors and exteriors and did not identify any building components containing levels of lead i`. - - (greater than 1.0 mg/cm2). 3.2 Discussion OSHA published a Lead in Construction Standard (OSHA Lead Standard) 29 CFR 1926.62 in May 1993. The OSHA Lead Standard has no set limit for the content of lead in paint below =which the standards do not apply. The OSHA Lead Standards are task-based and.are based on j alxborne exposure and blood lead levels. 4n> ,The results of this survey are intended to provide guidance to contractors for occupational exposure control to lead. Building components containing lead levels above industry standards may cause exposures to lead above OSHA standards during proposed selective demolition and enpvation activities. A TCLP sample to characterize the expected waste that will result from the pgposed demolition work is not required since no lead based paint was found. l; < 2;010\0004W 1 E\Repoit\DAD_BamstableSandyNeck_HazMatRpt_20100617.doc 3 J . FUSS,&O'NEML EnviroScience,«c 3.3 Conclusion Contractors must be made aware that OSHA has not established a level of lead in a material below which 29 CFR 1926.62 does not apply. Contractors shall comply with exposure assessment criteria,interim worker protection and other requirements of the regulation as necessary to protect workers during any renovation work which will impact lead paint. _ f Lead p as not found on any representative surfaces tested during the determination. EnviroScience understands that the Sandy Neck Beach Park comfort station is scheduled for demolition. The building is presently characterized as commercial property, which is not subject to the Department of Public Health Child Lead Poisoning Prevention Program (CLPPP) 105 CMR _. 460.000 regulations. The property shall be demolished using procedures required in accordance Jf with OSHA regulation 29 CFR 1926.62. Disclaimet: The information contained in the survey report concerning the presence or absence of lead paint does i not constitute a comprehensive lead inspection in accordance with Commonwealth of Massachusetts regulations 905 CMR 460. The surfaces tested represent only a portion of those surfaces that would be tested to determine whether . the premises are in compliance with the aforementioned regulations which are specific to a child occupied residence only and not applicable to a building of this type and use. 4 Fluorescent Light Ballasts and Mercury- Containing Equipment Inventory 4.1 Fluorescent Light Ballasts Fluorescent light ballasts manufactured prior to 1979 may contain capacitors that contain PCBs. t" Ballasts installed as late as 1985 may contain PCB capacitors. Fluorescent light ballasts that are :. not labeled as "No-PCBs" must be assumed to contain PCBs unless proven otherwise by quantitative analytical testing. Capacitors in fluorescent light ballasts labeled as non-PCB t, containing may contain diethylhexl phthalate (DEHP). DEHP was the primary substitute to replace PCBs for small capacitors in fluorescent lighting ballasts in use until 1991. DEHP is a toxic substance, a suspected carcinogen and is listed under RCRA and the Superfund law as a hazardous waste. Therefore, Superfund liability exists for land filling both PCB and DEHP rye J containing light ballasts. These listed materials are considered hazardous waste under RCRA an require special handling and disposal requirements. On May 11, 2010, EnviroScience performed an inspection of representative fluorescent light fixtures to identify possible PCB or DEHP containing ballasts. The inspection involved visually ?t inspecting labels on representative light ballasts to identify dates of manufacture and labels '.; indicating"No PCBs". Ballasts manufactured after 1991 were not listed as a PCB or DEHP containing ballast and not quantified for disposal. All those ballasts without a label indicating "No PCBs" are presumed to be PCB waste and must be segregated for proper removal, �.F packaging, transport and disposal as PCB waste. All those ballasts with date labels indicating manufacture prior to 1991 which indicate "No PCBs" are presumed to contain DEHP and must be segregated for proper removal, packaging, transport and disposal as non-PCB hazardous F:\P2010\0004\AIE\Report\DAD_BamstableSandyNeck_HazMatRpt_20100617.doc 4 waste. The disposal requirements are slightly varied and costs are slightly less for DEHP.than ~' PCB containing light ballasts. ht-. The followin estimated quantities of ballasts were checked and either had.a"No-PCB" .label or tr w.ere'not labeled and presumed to contain PCBs. TABLE 2 4: Location and Quantities of Ballasts Location No. Fixtures Type of Fixture �- Lifeguard Office&Snack Bar 6 (2) 8'Thick Bulbs/Fixture, 1 "No-PCBs"Ballast-No Date Men's &Women's Bathrooms 8 (4) 4'Thin Bulbs/Fixture, 1 ' "No-PCBs" Ballast-No Date TOTALS 14 Fixtures 14 Non-PCB Ballasts (12) 8'Bulbs + (32) 4'Bulbs = 44 TOTAL 4.2 Mercury-Containing Equipment Fluorescent lamps are presumed to contain mercury.vapor which is a hazardous substance to both human health and the environment. Additionally, thermostatic controls and electrical switch gear may contain a vial or bulb of mercury associated with the control. Mercury containing equipment is regulated for proper disposal by the.USEP, RCRA hazardous waste regulations. Mercury lamps according to the USEPA are considered a Universal Waste requiring all fluorescent lamps to be recycled or disposed of as hazardous waste. On May 11, 2010, EnviroScience performed an inventory of mercury lamps, thermometers, and mercury switches. These fixtures were inventoried in-place. Mercury-containing lamps associated with fluorescent light fixtures were observed in the recreational building. Any suspect mercury, not identified in this survey, discovered during any proposed renovation or demolition should be properly removed for disposal and/or recycling. The following table identifies-the-estima-ted-quantities of mercury containing-lamps and thermo- stats as determined-during thednspecdon-of_representative-fi-xtures. TABLE 3 Location and Quantities of Equipment Containingercury LOCATION FLUORESCENT LAMPS MERCURY— CONTAINING . DEVICES Sandy Neck Beach Park Comfort Station d8'Bulbs+(32)4'Bulbs NONE = 4�F TOTAL j TOTALS 44) Bulbs 0 FAP2010\0004\A 1 E\Report\DAD_BamstableSandyNeck_HazMatRpt_20100617.doc 5 I Juros, John From: Robert May[RMay@fando.com] Sent: Tuesday, September 14, 2010 3:53 PM To: Juros, John Cc: Coleman, Nina Subject: FW: EMSL results for 131003939 (20100004.A1 E/Sandy Neck Beach Comfort Station) Attachments: 131003939_coc.pdf; 131003939a.pdf; Sandy_Neck_131003939d,pdf 131003939_coc.pdfl31003939a.pdf(26 Sandy_Neck_1310 (647 KB) KB) 03939d.pdf(13... John, Attached are the results of the additional testing requested by MADEP. None of-the samples --� ——e-- requd had_asbestos_and�confirm_our findings with the exception of=the sink. We had not identified the sink in the snack bar area. The underside mastic is asbestos. The sink can be easily removed without disturbing the materials and should-be disposed-intact-as-an asbestos contain ni g2 material. The sink should be removed prior to the scheduled-burn at the site. We will prepare a report of these findings as an addendum to our original report. I am sending the lab reports so that this information can be provided to MADEP to speed up the process. If you have any questions let me know. Robert L. May Jr., Vice President Fuss & O'Neill EnviroScience, LLC 50 Redfield Street, Suite 1.00. Boston, MA 02122 Phone: (617) 282-4675 x 4701 Fax: (617) 282-8253 GSA Schedule GS-10E-0127V http://www.linkedin.com/in/robetmayjr. Web Site: www.fando.com Warning: This e-mail message and any files transmitted with it are the exclusive intellectual property of Fuss & O'Neill. It is provided without warranty of any kind, either expressed or implied, and any alteration, reuse or duplication other than that agreed to between Fuss & O'Neill and the intended recipient of this message is strictly prohibited. This message and any attached files may be a confidential attorney-client communication or may otherwise be privileged and confidential. If the reader of this message, regardless of the address or routing, is not an intended recipient, you are hereby notified that you have received this transmittal in error and any review, use, distribution, dissemination or copying is strictly prohibited. If you have received this message in error, please delete this e-mail and attached files and immediately notify Fuss & O'Neill by sending a reply e-mail to the sender of this message. While antivirus protection tools have been employed, the recipient should check this e-mail and attachments for the presence of malicious software. Thank you. , -----Original Message----- From: bostonlab@emsl.com [mailto:bostonlab@emsl.com] Sent: Monday, September 13, 2010 3:06 PM To: Robert May i r • Subject: EMSL results for 131003939 (20100004.A1 E / Sandy Neck Beach Comfort Station) Results for orders 131003939 (20100004.A1 E / Sandy Neck Beach Comfort Station) Please tell us how we are doing by going to the survey link below. http://www2.emsl.com/custsurvey/?fromregion=eastcoast This email may contain privileged and confidential information and is solely for the use of the sender's intended recipient(s). If you received this email in error, please notify the sender by reply email and delete all copies and attachments. Thank you I 2 r, S4NSTAR One NSTAR Way EL EC TN/C Westwood,Massachusetts 02090 GAS i Sep 30, 2010 John Juros Town of Barnstable 800 Pitchers Way Hyannis MA 02601 RE: Disconnect service at 495 Sandy Neck Rd Barnstable, MA. NSTAR w/o#1781460 Dear Mr. Juros, Your request to have the electric service disconnected at 495 Sandy Neck Rd Barnstable, MA. has been completed as of 9/30/10 Please call me if you have any questions. at 781-441-8311. Sincerely, XaMy �tl�iife Kathy White NSTAR Company i eDEP -MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home i Contact Feedback i Tour i Privacy Policy MassDEP's Online Filing System " Usemema:COLEMANN Nickname:NINA2 My eDEP I Forms oI My Profile c* Help Receipt Forms Signature Receipt Summary/Receipt o O print receipt F Exit Your submission is complete. Thank you for using DEP's online reporting system.You can select"My eDEP"to see a list of your transactions. DEP Transaction ID: 335874 Date and Time Submitted: 9/20/2010 2:58:58 PM Other Email : Form Name:AQ 06-Construction/Demolition Notification Payment Information DEP code Date Amount($) Payment Detail Contractor Contractor Number Name Address, , Supervisor Project Monitor Lab My eDEP MassDEP Home I Contact Feedback Tour i Privacy Policy MassDEP's Online Filing System ver.9.8.5.10 2010 MassDEP https://edep.dep.mass.gov/pages/PrintReceipt.aspx 9/20/2010 �n Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality 100 113439 BW P AQ 06 Decal Number Notification Prior to Construction or Demolition Important: A. A licabili When filling out Pp forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. r� B. General Project Description 1. a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?❑✓ Yes ❑No 1.All sections of b. Provide blanket decal number if applicable:this form must be Blanket Decal Number completed in order to comply with the 2 Facility Information: Department of Sandy Neck Bathhouse Environmental Protection a.Name notification 1590 Sandy Neck Road requirements of b.Address 310 CM 7.09 W. Barnstable I IMA 1 102668 c.C' /Town d.State e.Zip Code (508) 362-8300 1 Inina.coleman@town.bamstable.ma.us f.Tele hone Number area code and extension t E-mail Address(optional) 1,626 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? 0 Yes ❑ No k. Describe the current or prior use of the facility: Comfort station for public beach I. Is the facility a residential facility? ❑ Yes ✓❑ No m. If yes, how many units? O Number of Units 3. Facility Owner: �N Town of Barnstable sm��o a.Name 11�0 1367 Main Street b.Address H annis IMA 102601 o0 c Citv/Townlate a Code �o (508)862-4610 o� f e e o e Number area code and extension) Address(optional) Nina Coleman,Sandy Neck Park Manager �Q h.Onsite Manager Name ag06.doc•10/02 BWP AQ 06•Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality IE00113439 BW P AQ 06 Decal Number Notification Prior to Construction or Demolition General Statement: If �B. General Project Description cunt. asbestos is found during a 4. General Contractor: Construction or Demolition John Juros,Owners Project Manager operation,all responsible parties a.Name must comply with 1800 Pitchers Way 310 CMR 7.00, b.Address 7.09,7.15,and MA 02601 Chapter 21 E of the H annis General Laws of c.C' /Town d.State e.Zip Code the commonwealth. (508)790-6320 John.Juros@town.barstable.ma.us This would include, f.Tele hone Number area code and extension .E-mail Address o bona but would not be limited to,filing an John Juros,Owners Project Manager asbestos removal h.On-site Manager Name notification with the Department and/or a notice of releasefthreatof release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,If applicable. WB Fire Dept.(Burn)Barn. Hwy Dept(Removal) a.Name 2160 Meetinghouse Way b.Address West Barnstable IMA OF2668 c.City/Town d.State e.Zip Code (508) 362-3241 1 lvze3j7vc@verizon.net f.Telephone Number area code and extension g.E-mail Address(optional) Chief Joe Maruca h.On-site Manager Name 2. On-Site Supervisor: John Juros,Owners Project Manager On-Site Supervisor Nam 3. Is the entire facility to be demolished? ✓d Yes ® No �-"N ®0 4. Describe the area(s)to be demolished: 0o Sandy Neck Bathhouse. C�N -O 0�0 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: ®� Rebuild in existing footprint. C�o �d �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 F i Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention .Air Quality 100113439 BW P AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material(ACM)? ❑✓ Yes ❑ No If yes,who conducted the survey? Dustin A.Diedricksen, Fuss and O'Neill Survevor Name AI041867 c.Division of Occupational Safety Certification Number 1011612010 1012512010 7. Construction or Demolition: a.start Date(mmlddlyyyy) b.End Date(mmlddtyyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: ❑✓ wetting ❑ shrouding ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification M I certify that I have examined the Nina Z.Coleman �o above and that to the best of my a.Print Narw o knowledge it is true and complete. The signature below subjects the b.AuthorizedSid-nature �N signer to the general statutes Isandy Neck Park Manager .�O regarding a false and misleading c. os ion T e �o statement(s). Town of Barnstable o d.Re resentin 1 9 h O 7io (p e.Date(mm/dd/yyyy) 25100—Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ WE Town of Barnstable Barnstable Department of Public Works �Y Administration&Technical Support Division pp-pggty � �� 800 Pitcher's Way,Hyannis,MA 02601 1111 I.F MASS, www.town.bamstable.ma.us p 039. tFD MA't A 2007 John W.Juros,AIA Rebecca Nickerson 508.790.6316 Owner's Project Manager Mark Marinaccio 508.790.6323 Voice 508.790.6324 NancyL.ee Cormier 508.790.6320 Fax 508.790.6344 MEMO Date: September 30,2010 To: File From: John Jur *snnection _ Re: Water line of bathhouse Project: New Bathhouse&Garage Distribution: Nina Coleman Be advised that the School on-call plumber, Joe Cologne, has cut and capped the water line to the existing bathhouse at the pump house so that the existing bathhouse can be demolished to make way for the new facility which is now being bid for general construction. O:\Vertical Construction\ACTIVE PROJECTS\SANDY NECK BEACH PARK\Architectural-Beach House-Permitting\Memos, emailsWlemo-disconnecitons.doc Coleman, Nina From: Michael Lafortune [mlafortune@eastem.coml Sent: Wednesday, September 15, 2010 9:21 AM To: Coleman, Nina Cc: Michael Lafortune Subject: Propane Tank Nina, This is to inform you that the propane tank has been removed from the snack bar at Sandy Neck Beach as of September 15, 2010. Account # 60003244 The Seafood Shanty. Any questions you can contact me at 508 760 2778. Thanks, Mike Michael LaFortune Operations Supervisor Eastern Propane & Oil Dennis, Ma. 800-985-7427 CONFIDENTIALITY NOTICE: The information transmitted may contain confidential and/or trade secret information. Any unauthorized review, retransmission, dissemination, copying, retention, or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you receive this in error, please contact the sender and delete the information from any computer. 1 Town of Barnstable Old King's Highway Historic District Committee 200 Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 8624784 APPLICATION, CERTIFICATE OF APPROPRIATENESS FOR DEMOLITION OR RELOCATION OF A BUILDING OR STRUCTURE (including partial demolitions of buildings,structures; outbuildings,stonewalls,etc.) Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts,1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date: 3/23/2010 Address of Proposed work: Assessors Map and lot# 263 1 Q01 House# 425 Street Sandy Neck Rd. Village: W. Barnstable Demolition of: ❑house ❑part of house ❑Garage ❑ bam ❑stable ®commercial ❑stone wall E1 other Description of Proposed Work: Removal of single story +/- 1 ,600 sf existing structure containing concessions, lifeguard room, men's & women's restrooms. and a-s ngle. bay attached garage,. including concrete floor slab. The foundation will. remain —an(I—i—sintended to be used in the reconstruction of. a new bathhouse., (Over) Please complete the following information: Square footage of footprint of building(s)to be.demolished: Building 1: +/— 1 1600 2: CD Square footage of total floor area of building(s)to be demolished: Building 1:+/— 1 ,600 2: a Owner(please print): Town of Barnstable c/o John Juros Tel#: 508-790-6324 � cn --t Owner's mailing address: 000 Pitcher's Way Hyannis, MA 02601 Signature of Owner-:. r N�te: Aft 2n npp ntions must be signed by the owner,or evidence of authority to act for the owner submitted -'5 t ia1 Agent/Contractor(please, nt):BLF&R. chiteets, Inca Tel#: 508-362-8382 Address: 203 Willow St. Suite A thpc 0267 Signature of Contractor/Agent: - Richar P. Fenuccio If application is for removal to a different location,state where: Note. A separate Certificate ofAppropriateness is required for a relocation of a building or structure within the Bgt7q rt Old Icings Highway Historic District Check list 14 2Q10 Application for Certificate of Appropriateness for Demolition or Removal,4 copies 01 Site plan,4 copies, fi gacrts�ab►e Photographs of all elevations of building(s),outbuilding(s)or stone walls being demolished. Town o 3 .bway Fee according to schedule. p1d GommXttee List of abutters,see staff For Committee Use Only. This Certificate is hereby rove Date: Committee Me bers Signatures: E Er" 1 R 2 Condit so I,if any TOWN OF BARNSTAB_L_E J IC�Y/1n�n nrn vi�w i ilu L(1Vr111U1V C:(Documents and SettingsldecolliklLocal Seuings1remporary Internet FilesIOLK110KH Demolition 07.doc F I V •F I Various surrounding areas of concrete and bituminous pavement will also be removed including an existing concrete.stair down to the lower parking• lot.• l o J m, 9' 1 r Ll y Yr- <h 1 l 't SMACK OPEN . - .� � r r W r tt�'�`.sue'' �,ri•�ta.ir Y, '; .4 ',2 - � - � ��' -,,.� '` y� �. :✓ adds. i- vr�' � � dr.FE i ♦ +�� �^ _ r • -.i 1 •.i ..A = t s � d �. �r�t r't 7+4k 'P Fy` ��t"v c ) . - .. .. S :�r .� �' +•. �',-w� i�, ".�� .4 tit�;Yg cr. c 3 .F." rt•. V,r',y r's. .,-Lt: .ryt, +i +' i.�•- Y.,�.>.v, " - .,. - .. .',. I .�..;�, r,r.-,'y�-'r' �. ,t. t T •r;� T .;f�},,. eta,��.'-. r �.. -f. :.� * 1 t L 4`itr` .�• iix. +t "L.. . �Vie+.- '�;!,p 1.� .tK�4. 'i��, tiy, i�rp� .��,. 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't� .mil �f '��i l�. it + �� {A i ° 1t� t:�J-� ``t,ti� r '.J '^� � , � �.-.#,�ts S'� a � - � . .y/ � :,LS A:� 'r - lY� � -\ r r 5 ' , '{ �E - - s .r- '�r s '^ 1 � .•y"l. ti^ t :k + 1• �.� �Fi 1 ' ri �r� r � �,' \ .f3� :j.2 ! %p r S �,� .�" � .. „ Y '+..' ri �y.;T !•f�` i i .�T t�: "�K% - ..lr,.r i f "' f`a.r AR_ i,... ,; �tr 1, STAMP: I I . 0 € u z w 6 LL �U / Q oN ! zv ie V a$ m¢ ly � w w •v \ l���t✓ REMOVE STAIR DOWN TO I I I I I > .LOWER PARKING LOT EL O W C 2 ' LEVEL EXISTING SAND - ca Q - MOUND TO BE IN LINE J \ / � \ WITH SURROUNDING / G \ GRADE 70 REMAM / / r / U z co J / �REMOVE RAISED CONCRETE PAD co OfC W YOm UQ / J - WLu LL z REMOVE CONCRETE-WALK III N AROUND BUILDING z O } Z z CD of REMOVE EXISTING ±1,600 SF 0 Q m BATHHOUSE - FOUNDATION ZQ O N REMOVE BITUMINOUS TO REMAIN p PAVED CIRCLE N ~ LLI N O .. - .. _ d REMOVE WELL PUMP-HOUSE TITLE: STRUCTURE DEMO i SITE-PLAN C _ l! WE MAR .2.3 DATE ISSUED: / 1.13-10 REVISIONS: j I I TOWN OF BARNSTABLE - HISTORIC PRESERVATION DRAWN BY. TRS PROJECT PROJECT NO. DRAWING NO.: NO.: 4�HSCALE: I"=20' DEMO SITE PLAN SCALE, 1"=20' D SP1 R O 10' 20' 40' 60' 50. L Page 1 of 1 Juros, John From: Coleman, Nina Sent: Friday, October 01, 2010 9:20 AM To: Juros, John Subject: demo permit PO for permit is#11004037 They picked up the sink this morning!!!!!!!!! I will forward documentation. Nina Z. Coleman Sandy Neck Park Manager 1189 Phinneys Lane Centerville, MA 02632 (508) 362-8300-Gatehouse (508) 790-6272-MEA www.sandyneckbeachpark.com t 10/1/2010 PROJECT NAME: ADDRESS: ?l` PERMIT# 20 10 0(,:2(0 PERMIT DATE: Zl ate ' O LARGE ROLLED PLANS ARE IN: BOX �. SLOT Data entered in MAPS program on: BY: N o r� WEST BARNSTABLE FIRE DEPARTMENT 2160 Meetinghouse Way P.O. Box 456 44Y West Barnstable Ma. 02668 ��0 �vivw.westbarnstablefire.com Mar���''?;,, 2010 e r, ,,QRNST Chief "�aiq�1 Joseph V. Maruca Emergency:911 Business 508-362-3241. Fax: 508-362-3683 May 267 2010 Nina Coleman, Park Manager Sandy Neck Beach 1 189 Phinneys Lane Centerville, AAA 026-12 RE: TRAINING BURN-SANDY NECK BEACH HOUSE Dear Nina: Since our conversation two weeks ago about conducting a Training Burn to demolish the Sandy Neck Beach House in September, I have determined this department can conduct the training and burn on the weekend of September 18"' and 19 ', 2010. I have also notified the Massachusetts Department of Environmental Protection (DEP) as we will need a permit from them. The contact person at DEP is John McLaughlin at 508-946- 2729. Enclosed are two forms that DEP needs completed. One, the Fire Training Request Form, 1 will handle. The other, the Building Inspection Certification Attachment, needs to be completed by the Building Commissioner. I'm hoping you can coordinate getting this form-completed and signed. Additionally, DEP will want us to attach a copy of the demolition permit and a report from a Certified Asbestos Inspector that there is not asbestos (or it has been properly removed). Let me know if you have any questions or need any additional information. YResp full ; ose V. Maruca, Chi f Asst. Chief Capt. Paananen Capt. James May. 2 . 2ii;ii 0 31A,M MA `� DEE NI_, 26 9 F. 2 I FIDE TRAINING REQUEST FORM 1. Party r rc nesting training and address: West Banstable Fire Department 2160 meetinghouse way P.O. Box 456 --West Barnstable, i ui—vzvvD w � 02cc8 I1. Location of training (i.e. address): 425 Sandy Neck Road West Barnstable, MA 02668 III. Brief description of training exercise (i.e. purpose of training) Live Fire Training on an acquired structure for Fire _ Department Staff. IV. Parties to be trained: f West Barnstable Firefighters V. Dates of training: Saturday, September 18, 2010 Sunday, September 19, 2010 VI. Date of last MassDEP approved training exercise: Unknown-more than 5 years ago. If the last fire training exercise was less than one year from the date of this proposed exercise, additional justification detailing why more than one training exercise per year is warranted.. VII. Is fire training on a structure involved? Yes No If the response is "Yes", a building Inspection Certification Attachment must be completed and submitted with your Fire Training Request Form. 5/26/10 Signature Date Joseph V. Maruca Chief Name Title May. 25. 2ii1 ; 31AM MASS DEr No. 2669 F. , i BUILDING INSPECTION CERTIFICATION ATTACHMENT Building Address: ` fl ' � I. Is the building structure sound for fire training? es No II. Is the structure more than 75 feet from the nearest residence? ts') No 111. Is there vinyl or asphalt siding on the structure? Yes No IV. Is the building clean of miscellaneous solid waste? (i.e. trash, paint cans, construction debri, etc.) Yes No V. Have the fuel storage tanks been removed from the structure? es No IV. Is the building free of all asbestos containing materials? (i.e. insulating and construction materials,etc.) Yes No I, the Building Inspector, certify that the responses to Items I—IV above,are true to the best of my knowledge and is based upon an inspection conducted by the undersigned on � r0 Si tore Dat rR 2 C S 'Name Titl WEST BARNSTABLE--FIRE DEPARTMENT 2160 Meeting house Way --West Barnstable iqT.%QI6^6 �N I�vSlA nr.!L'� e,,-t-barnstiblefii-edept(tilverizoii.iiet 33 Chief Joseph V. Maruca Einer�.,,,ency: 911 Business 508--362-.3jv',4jkSI0R Fax: 508-362-3683 .ILIIV 30, 2010 John McLaughlin Dept of Environmental Protection 20 Riverside Drive Lakeville, MA 02347 RE: FIRE TRAINING REQUEST 425 SANDY NECK ROAD, WEST BARNSTABLE Dear Mr. McLaughlin: Enclosed please find the following: 1. Fire Training Request Form. 2. Building Inspection Certification Attachment 3. Hazardous Building Materials Inspection Report. The West Barnstable Fire Department and the Town of Barnstable wish to use the existing Sandy Neck, Administration/bath house building for Training fires on the weekend of September 18 and I 91h, 2010. If you have any questions or need any addition information please feel free to contact me. Respectfully, Joseph V. Maruca, Chief _C: Nina Coleman, Beach Manager Thomas-Perry, Building Commissioner TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel Application # c Health'Division Date IssU6,,d DD. ; Conservation DiviS Iox "Apolicatio'n Fee - ' Planning'.Dept'. Permit Fee Date Definitive Plan:Approved by Planning Board 0 Historic OKH Preservation Hyannis Project Street A Village Owner —1,dwo q a P w Address :300, YWqml 111,4 024,01 Telephone 5Y8 • 7 9119 0Z q Permit Request \J 6r Square feet: 1 st floor: existing proposed 16;7 2nd floor: existing: _proposedI A! Total new Zohing District Flood Plain— Groundwater.,Overlay Project Valuation nstruction Type '1# otd 1(ra)"tmd Lot Size Grandfathered: Q Yes! L3 No If yes, attach supporting documentation. Dwelling Type: Single Family .0 Two Family Q Multi-Family(# units) Age of Existing Structure NA Historic House: Q Yes N No On Old King's Highway: El Yes 0 No Basement Type: L] Full Ll Crawl L1 Walkout CA,Other_`flLL opt ZymZ/10#1 Basement Finished Area (sq.ft.) &dc Basement Unfinished Area(sq.ft) Wrl#le Number of Baths: Full: existing - new Half: existing new Number of Bedrooms: /Yo,#e existing —new Total Room Count (not including baths): existing A/A new First Floor Room Count Heat Type and Fuel: Ll Gas Ell Oil L3 Electric � Other I bWfte- Central Air: Ll Yes )a No Fireplaces: Existing A; New Iflo, Existing wood/coal stove: Q Yes 41 No Detached garage: L3 existing )knew seize LJ existing Ll new size Barn: L3 existing Ll new size Attached garage: L3 existing L3 new size —Shed: Ll existing L] new size Other: 7 Zoning Board of Appeals Authorization Q Appeal # Recorded Ll Commercial ?9 Yes Ll No If yes, site plan review# Current Use Proposed Use Po Arvoof r, 'Al 04 Art, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name PO r' 0v- 31111 — Telephone Number .607 OZ 0!93Z) Address Xq Gr: ea License # ef 79' 5 9 2- k4ftblg Af 02G (1.5-- Home Improvement rovement Contractor# Worker's Compensation # 1XW147671d ALL CONSTRUCTION DEBRIS RES ING F M THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ho S } FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER F DATE OF INSPECTION: _.. . FOUNDATION FRAME St/ of z vIl X.r2.4L 8,6,j!(A) 2 Y14 ?Ate i .INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING; ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING tr a� V Fob ;a. t wu S DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 TJ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): r Address: , 10. Pad �rtvt7' Wank N k City/State/Zip: i4., ,;4 A 026 Phone.#: 2 8JF36 Are you an employer? Check the appropriate box: Type of project(required): 1.K I am a em to er with 4. ❑ I am a&eneral contractor and I p y * have hired the stab-contractors 6. New construction employees(full and/or part-.time).* 2.0 I am a sole proprietor or partner-' listed on the attached sheet T. ❑Remodeling ship and have no employees These sub-contractors have g. '❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.insurance comp. insurance.[ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEJ Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1 i1 Policy#or Self-ins. Lic.#: O��M N z,51 l Expiration Date: t 39d . Job Site Addresile im .. City•/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the viola�°-r/ ised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for into c'a cove a verification. I do hereby ce underins an I alties of perjury that the information provided above is true and correct St afore: Date: Phone#: 9477/4 0 Official use.only. Do not write in this area, !b be completed by city or town offu iaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health I.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and_phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigatlons- 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia i:Nancy Matanes To:Proof of Insurance Coverage(15088624717) 14:47 12/0111OGMT-05 Pg 03-04 Client#: 123013 ROBERTBOUR ATE(MMIDDfYY" ACORD,,' CERTIFICATE OF LIABILITY INSURANCE F D12101/2010 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 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 CONTAui NAME: 'HUB International New England ONE 978 6574100 FAX,.No): 9789880038 AIC 222 Milliken Blvd AI ( C, ADDRESS: Fall River,MA 02722 508 235-2200 CUSTOMER ID ffi: INSURER(S)AFFORDING COVERAGE NAIC ffi INSURED INSURERA:Acadia Insurance Company 31325 Robert B.Our Co.,Inc. INsuRERe:Continental Western Insurance C 10804 24 Great Western Road INSURER C:AIG P.O.Box 1539 INSURERD:Firemen's Ins Co Washington DC 21784 Harwich,MA 02645 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 WITH RESPECT TO WHICH THIS CER'i1FICATE 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. L TYPE OF INSURANCE NSR POLICY NUMBER MMIDD EFF MMIDDIYYP LIMITS A GENERAL LIABILITY CPA130142819 2101/2010 12/01/2011 EACH OCCURRENCE E1 OOO OOO MA X COMMERCIAL GENERAL LIABILITY PREMISES Ee cal, E300 000 CLAIMS-MADE F XI OCCUR MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY ' $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG E2,000,000 POLICY PROJFCT LOC E D AUTOMOBILE LIABILITY MAA130144019 2/01/2010 12/01/2011 COMBINED SINGLE LIMIT X ANY AUTO (Es accident) E1,000,000 BODILY INJURY(Per person) E ALL OWNED AUTOS BODILY INJURY(Per accident) E SCHEDULED AUTOS PROPERTY DAMAGE E X HIRED AUTOS (Per accident) X NON-OWNED AUTOS E E A UMBRELLA LIAB X OCCUR CUA130142919 12/0112010 12/01/2011 EACHOCCURRENCE $10 000 000 EXCESS LIAR CLAIMSMADE AGGREGATE E1 O 000 000 DEDUCTIBLE E RETENTION E E B WORKERS COMPENSATION WCA031676710 1/01/2010 01/01/2011 X I WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY YIN E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? E NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE E500 000 If yas drt[critm under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 C Pollution Li CP08087906 2/01/2010 12101/2011 $1,000,000 Each Occ $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,R more space Is required) Re:Sandy Neck Beach Bathhouse Restoration Project Town of Barnstable,John W.Joros,AIA,Project Manager and Brown Lindquiest Fenuccio&Raben Architects (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 30 Da 5 for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Attn Johanna Bouchard 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis,MA 02601-0000 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 W 2 The ACORD name and logo are registered marks of ACORD #S462266/M462264 NM001 r oks ►ati Town of Barnstable -� Regulatory Services . • RA RNsreat.F� v Mess. g Thomas F.Geiler,Director 16 1 6. 16 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 Usina A Builder I, o�lK y y rV S , as Owner of the subject.property hereby authorize e.-iwi a, 62 J it C- to act on my behalf, in all matters relative to work authorized by this building permit application for. 51XJcI /114 iV eevj (?rel -r;0&k-*W4 (Address of Job) -ZfS fL,® nature er Date �.a►k� Lr)..�Jn.�r3 �- D t�w o Pn�o Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION oFt�r� Town of Barnstable "1 Regulatory Services BARNSPABM : Thomas F. Geile'r,Director Building Division rFn Mai Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA.02601. www.town.barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that,he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building pernvt is required shall be exempt from the provisions of this section.(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervi Mr. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Ru)cs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it Mould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a for ✓certification for use in your community. Q:forins:homccxcmpt r f 1 mint of Public Safet. Massachusetts- Bel «ulations and Standards Board of Buil-i Re,. ervisor License Construction Sup License: CS 78582 x Restricted to: 00 .t J CHRISTO?HER OUR 56 OBED BROOKS R'D HARVNICH,MA 02645 Expiration- 513012012. ` 23986 ' �•ununissiuner ' i i j r P ' I 1 Y 7 . 1 Restricted to: pp QO- Unrestricted 1G-1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. V Refer to: WWW,Mass.Gov/DpS o II r Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland,by DAVID S.HEWETT,Vice President,and GREGORY E.MURRAY,Assistant Secretary,in pursuance of authority granted by Article Vl, Section 2,of the By-Laws of said ny,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the d f�ereby, nominate, constitute and appoint William L.LABBE,Anne M.HIGGINBOTTO i A CE,Barry J. HORGAN,John J.FEITELBERG and Alyssa Richelle ° tts, EACH its true and lawful agent and Attorney-in-Fact,to make,exe o ever as surety,and as its act and deed: any and all bonds and undertak' do f b dertakings in pursuance of these presents,shall be as binding u ' ,as y, a intents and purposes,as if they had been duly executed and ackno th r la the Company at its office in Baltimore,Md.,in their own proper persons. Thiq o a k issued on behalf of William L.LABBE,Anne M.HIGGINBOTTOM, Catherine H.LA�� '�r � GAN,John J.FEITELBERG,dated May 26,2005. The said Assistant does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2,of the By-Laws of said Company,and is now in force. IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 16th day of March, A.D.2010. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND 'gyp 9EYt �a o By: Gregory E. Murray Assistant Secretary David S. Hewett Vice President State of Maryland I ss: City of Baltimore On this 16th day of March, A.D. 2010, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified,came DAVID S. HEWETT,Vice President, and GREGORY E. MURRAY, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn,severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn Notary Public My Commission Expires: July 14,2011 POA-F 063-2611 EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice-President, or any of the.Senior Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice-Presidents, Assistant Vice-Presidents and Attorneys-in-Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations, policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortgages....and to affix the seal of the Company thereto." CERTIFICATE I,the undersigned,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the i0th dayof May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the said Company, this day of VIJ( , O40 �. Assistant Secretary SECTION 9 8930675 PERFORMANCE BOND KNOW ALL MEN AND WOMEN BY THESE PRESENT,THAT: Robert B.Our Co., Inc. as principal, and Fidelity and Deposit Company of Maryland as surety, are held and firmly bound unto the Town of Barnstable, Hyannis, Massachusetts, in the sum of $ 1,099,168.00 lawful money of the United States of America, to be paid to the Town of Barnstable, Hyannis, Massachusetts,for which payments,well and truly to be made,we bind ourselves,our respective heirs, executors, administrators, successors and assigns,jointly and severely,firmly by these presents. WHEREAS, the said principal has made a contract with the Town of Barnstable, Hyannis, Massachusetts,bearing the date of ,2010,for the construction of Project: NEW BATHHOUSE & GARAGE AT SANDY NECK BEACH PARK Now the condition of this obligation is such that if the principal shall well and truly keep and perform all the undertakings, covenants, agreements, terms and conditions of said contract on its part to be kept and performed during the original term of said contract any extensions thereof that may be granted by the Town of Barnstable, Hyannis, Massachusetts, with or without notice to the surety, and during the life of any guarantee required under the contract, and shall also well and truly keep and perform all the undertakings, covenants, agreements,.terms and conditions of any and all duly authorized modifications, alterations, changes or additions to said contract that may be hereafter made, notice to the surety of such modifications, alterations, changes or additions being hereby waived, then this obligation shall become null and void; otherwise it shall remain in full force• nd virtues --ateresaict-saga-shall-repaid-te-t g Town of n2rnctalal44&J1quidated-damages volokrd p,-p Addeuduift' -43 IN WITNESS WHEREOF we hereunto set our hands and seal this �>_day of. Paw0. r Seal Robert B.0 r o., Inc. By: Fidelity&Deposit Company of Maryland By: (I� . iia01 Anne M.Higginbottom,A ney-in-Fact } >>c 8930675 SECTION 8 LABOR AND MATERIALS PAYMENT BOND KNOWN ALL MEN AND WOMEN BY THESE PRESENT,THAT: Robert B.Our Co., Inc. as principal,and Fidelity and Deposit Company of Maryland as surety,are held and firmly bound unto the Town of Barnstable, Hyannis, Massachusetts in the sum of: One Million Ninety Nine Thousand One Hundred Sixty Eight and 00/100 ($1,099,168.00) lawful money of the United State of America, to be paid to the Town of Barnstable, Hyannis, Massachusetts, for which payments, well and truly to be made, we bind-ourselves, our respective heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS, the said princi at hp made a contract with the Town of Barnstable, Hyannis,Massachusetts,bearing the date of ��of 0 ,2010, for the construction project: NEW BATHHOUSE & GARAGE AT SANDY NECK BEACH PARK Now the condition of this obligation is such that if the principal shall pay for all labor performed or furnished and for all materials used or employed in said contract and in any and all duly authorized modifications, alterations, extensions of time, changes or additions to said contract that may hereafter be made, notice to the surety-of such modifications, alterations, extensions of time, changes or additions being hereby waived, the foregoing to include any other purpose or items set,out in, and subject to, the provisions of Massachusetts General Laws, Chapter 30, Section 39A, and Chapter 149, Section 29, as amended, then this obligation shall become null and void; otherwise it shall remain in full force and virtue. IN WITNESS THEREOF,we hereunto set our hands and seals this day of /L/O!/ - ,2010. (Seal) Robert r o., Inc. By: Fid •ty and De�p�o/s�it Company of Maryland By: Yv t V M04 I� . Anne M.Higginbottom,Attorn n-Fact >>n 1 ARCHITECT CONSTRUCTION CONTROL AFFIDAVIT Project Name: Sandy Neck Beach Park Improvements Project Title: New Bathhouse& Garage Project Location: 425 Sandy Neck Rd., Barnstable, MA Scope of Project: The selective demolition of the existing bathhouse and construction of a new bathhouse and free-standing garage and various site improvements. Architect: Brown Lindquist Fenuccio & Raber Architects, Inc. In accordance with paragraph 116.0 of 780 CMR, the Massachusetts State Building Code, I, Richard P. Fenuccio Massachusetts Registration Number 7789 being a registered professional Architect hereby certify that all plans, computations and specifications, and changes thereto, involving subject project will be prepared by or under the direct supervision of a Massachusetts registered architect or Massachusetts registered professional engineer and bear his or her original signature and seal or by the legally recognized professional performing the work, as defined by Massachusetts General Law(M.G.L.) c. 112, §81 R. For the above named project I, or a registered professional architect/engineer under my cognizance, will review the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. I will review and approve the quality control procedures for all code-required controlled materials. I further certify that I will be present on the construction site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. Pursuant to 780 CMR 116.2.3 1 will provide the results of structural tests and inspections to the building official and owner. I will submit, periodically, a progress report wit t comments of the site visits and compliance of all pertinent items to the building official. I will to the satisfactory.:completion and the readiness of the project for occupanc . ogKWUFFyGCFc, r� o No. 7789 A'0/0 ACC i OyYARMOUTHPORT, Date �y MA G� Fq�Th OF MASgP Subscribed and Swoklc-�ho/vc_ o, before me this of �� ► � . 2010, the undersigned notary public, personally appeared &r1"(,cA,o provide to me through satisfactory evidence of identification, which is P4,olU44-C— Keig ,&dS , to be the person whose name is signed on the preceding or attached documen , and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public Date Notary Commission Expires Notary Public Alyson Konkol Contrr�onrreallh of Mrs Kk=to MY Commission-E)Ores on Mar.to,2M7 I CONSTRUCTION CONTROL AFFIDAVIT . PROJECT NUMBER: 1203-39 PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: Sandy Neck Beach,Barnstable,MA NAME OF BUILDING: Bathhouse and Garage SCOPE OF PROJECT: 1-story wood frame construction In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition(MSBC), I, Brian A. Walsh,P.E.,Massachusetts Registration No. 46077 being a licensed professional structural engineer,hereby certify that I(myself and/or my representatives)will be present on the construction site on a regular and periodic basis and perform the necessary professional structural engineering services as outlined in MBC 116.2.2,to determine that the STRUCTURAL CONSTRUCTION WORK is,to the' best of my knowledge and belief, in accordance with the documents approved for the building permit,for the following portions of construction: 1. Structural components as specified on Allen&Major Associates, hic. and Brown Lindquist Fenuccio &Raber Architects,Inc. structural drawings. 2. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. I furthermore agree to submit periodically, an inspection report together with pertinent comments to the Town of Barnstable building department. Upon satisfactory completion of the work I shall submit a final report certifying to the best of my knowledge and belief that the building structure is completed in general conformance with the referenced construction documents and the structural provisions of the MSBC. Work specifically not included in this Construction Control Affidavit to be provided by others shall include testing and inspection of materials in accordance with MBC Section 1703 for the following building components: 1. Geotechnical inspection and testing services (i.e. soil bearing capacity) 2. Materials testing services(i.e. concrete sampling and testing,bolted connections, welds,etc.) Of M.. - BRIAN yG A. 2 WALSH —� Signature F, SIAUCTURAL N0.46077 a o0 Subscribed and sworn to before me this_ �'► day of /Uf/gm 20_/O_. NOTARY PUBLIC My Commission Expires On I B E R BUILDING ENGINEERING RESOURCES,INC. REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code, Seventh Edition,1,Steven A.Karan,PE,LEED AP, Mass. Registration No.34989 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL X PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that 1,or my Representative, shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review, for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine, in general, if the work is being performed in a manner consistent with the construction documents. �S�H10FM4, , I further certify that upon completion of the construction, I shall submit a Final Report to the Local9�; o� STE�IENIyG- Building Inspector as to the satisfactory completion and readiness of the project for occupancy. EVE KAR MECHANICAL N No.34989 Signature: Date: 1 ��Q g IsTEP ��11N�t EN Subscribed and sworn to me t 's 2n vember 2010, Notary 1 Fission Expires: April 6,2012 28 MAIN S T R E F T , A L D G . N 3 A N O R T H E A S T O N , MA 0 2 3 3 5 6 D E S I G N K N 0 W L E D G E S 0 L U T 1 0 N S BER BUILDING ENGINEERING RESOURCES,INC. REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code, Seventh Edition,1,Steven A. Karan,PE,LEED AP, Mass.Registration No.34989 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION ELECTRICAL PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine,in general, if the work is being performed in a manner consistent with the construction documents. wov( OF4 I further certify that upon completion of the construction,I shall submit a Final Report to the Local c�Al' e'rgt, yG Building Inspector as to the satisfactory completion and readiness of the project for occupancy. STEVEN A. KARAN m c� MECHANICAL No.34989 Signature: Date: 1 �SS�o�AI ENG� f Subscribe d sworn to his y November 2010, Notary Pub y Commission Expires: April 6,2012 V 16 28 MAIN S T R E E T , B L D G . # 3 A N O R T H E A S T O N , M A 0 2 3 3 5 6 D E S I G N I K N 0 W L E D G E I S 0 L U T 1 0 N S B E R BUILDING ENGINEERING RESOURCES,INC. REGISTERED ARCHITECTURAL A 7 AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT NAME: Sandy Neck Beach Park Improvements-New Bathhouse and Garage PROJECT TITLE: New Bathhouse and Garage PROJECT LOCATION: 383 North Main Street—Barnstable,Massachusetts SCOPE OF PROJECT: Construction of New Bathhouse and Garage In accordance with Section 116.2.1 of the Massachusetts State Building Code, Seventh Edition,1,Marc R. Plante,PE, Mass.Registration No.38119 being a Registered Professional Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION X . ELECTRICAL PLUMBING For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions for the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that 1,or my Representative,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the document approved for the Building Permit and shall be responsible for the following as specified in Section 116.2 1. Review,for conformance to the design concept,shop drawing,samples,and other submittals which are submitted by the Contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all Code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I further certify that upon completion of the construction,I shall submit a Final Report to the Local F,q��HOF Building Inspector as to the sati c completion and readiness of the project for occupancy. � 'yG g MARC�$ PLANTS LECTRICAL Zi Ns.38i i9 Signature: Date: �� (.2_ S'o I oCI �P�O KxvAL '� SubscrM and sworn this d d o November 2010, Notary ommission Expires: April 6,2012 28 MAIN S T R E E T , B L D G . # 3 A NORTH E A S T O N , M A 0 2 3 3 5 6 D E S I G N K N 0 W L E D G E S 0 L U T 1 0 N S Sandy Neck Beach Park Improvements - Building Costs. !Ma2iinBuilding 235000 Garage 45000 f Total Building Construction 280000 I �oflHeroh o Barnstable Old Kings Highway Historic.District Committee y I Y • 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 8AW1SfASM • - km 1639. O rED MA'�� APPLICATION, CERTIFICATE OF APPRO PRtATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of v Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawingq r photographs accompanying this application for. Check all categories that apply; j C.7 1. Building construction: D9 New ❑ Addition ❑ Alteration. +— 2. Type of Building: ❑ House ❑ Garage/barn ❑ Shed ® Commercial ❑ Other N 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim;siding; window, door. 4. Si 1 : ❑ New Sip. ❑ Existing Sign ❑ Repainting.Existing Sign 5. Structure: Fence .❑ Wall ❑ Flagpole ❑..Retaining wall El tennis court: El Other 6. Pool. ❑ swimming ElOther man-made pool Type or Print Legibly: Date: 3/23/2010 Address of proposed work: House# 425 Street: Sandy Neck. Rd. Village W. Barnstable Assessors Map Lot# 263 / 001 Description of Proposed Work: Give particulars of work to be done: Proposed reconstruction of single story wood frame bathhouse containing concessions, lifeguard room, men's & women's restrooms and storage room Surrounding site improvements include a concrete apron around the building, dumpster enclosure, boardwalk and deck area w;t_h a Ghade pergola per attached drawings EID e Contractor(print): BL&R Archi cts INC. Telephone#: 508-362-838 Agent or (p ) . PPBOV Address: 203 Willow. St:.Suite Y rt MA 2675" Contractor/Agent'signature: 1 g� hard P Fenuccio Town of Bams way NOTE All applications must be sigrigAy a currenfowner King's N ee Owner(print): Ip�,�„„ Q� gaitrut>�.�La C� 1"W,-j�RaS Telephone#: Sl1 v 7 90 G3Z`t old Comm Owners mailing addre s: saD Ptirr u.—ds, LJb!j h1 YArn+N!S MA O Zloo 1 Owner's signature: MIL P/rM committee use only. This Certificate is h�eb_y APPI20VED DENIED. f� (� c-�1- Date �1 I I� Members signatures ^� 15CE v •m Woo �1b - z � MAR 23 r° • � X TO�NN OF BARNSTABLE n itions royal: HISTORIC PRESERVATION 1 Q:IGMD-Groupsl0ld King;HighwaylOKHNewApplOKHCertAppropriateness 07.doc i Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed) (material-brick/cement, other) concrete (existing) Maibec "N 1°r�White" Siding Type shingles material: white cedar (pre-stained) Color: " " Chimney Material: N/A Color: nPa a „ wu Roof Material: (make & style) 50 yr. GAF Timberline Color: Lifetime Series / Trim material painted wood *-/A7 Color: White Ir Roof Pitch: (7/12 minimum) varies (gee drawing§) Tewn ef 0_29116tghle Old King-s Highway Andersen 400 Series material vinyl clad wood color white committee/Window:� {make/model) Y \/ Size(s): Double hunt & Awning (see drawings) Door style and make: See drawings material.steel-painted Color: "Country Red" by Ben. Moore Garage Door, Style Raised panel Size 8'x8' Material steel Color Whi tP Shutter Type/Material: N/A Color: Gutter Type/Material: Colonial 5"x3" . 'K' profile alum. Color: white . iiec%s: naterial ComDosite Size 25'x27' Colo. TrPx "C'ravPl path" Skylight,type/make/modeV: Velux. M06 material Alum. Color: Bronze Size: 30"x46" Sign size: 30" dia. Town Seal.Type/Materials: PVC or painted wood Color:. Black on white Fence Type(max 6' ) Style Dumpster enclosgEgterial: Fir. Color: Penetratinq Sealer Retaining.wall: Material: N/A Lighting. freestanding N/A on building in Cupola and illuminating sign N/A in soffit @ doors as required by Code Please provide samples of paint colors and manufacturers brochure of style of windows,doors,garage door., . fences, lamp posts etc ADDITION II II E INFORMATION: -C E IIJ rir nAnIPSYT�uu HIST0131C PRESERVATION �. Signed: (plan preparer) print name Ri rharr� P Fcnnr•r•i n tel.no. 508-362-8382 Location of ap 'cation: Street no. 425 Street Sandy Neck Rd Village_,* Ban2stah1? 2 ' Q:IGMD-Groups101d Kings HighwaylOKHNewApplOKHCeriAppropriateness 07.doc Town of Barnstable Old Kings Highway Local Historic District Committee CHECKLIST -- CERTIFICATE OF APPROPRIATENESS Please circle the categoiy(ies) applicable to your application; check each item submitted. I. ALTERATIONS (new paint color, changes to siding,roof shingles,windows or door etc.) Application for Certificate of Appropriateness,4 copies. Spec Sheet,4 copies;brochures and color samples. Plans of building elevations/photographs,4 copies, ONLY IF there is a change to,the location and size. of window(s), or door(s). p®V Fee.according to schedule. AP P ,h 2. MINOR ADDITIONS e.g. porches,orches, dormers, decks, shed,barns etc. APR 14 2010 Application for Certificate of Appropriateness,4 copies. Town of Barnsrable OId�King's Highway Spec Sheet,4 copies;brochures and color samples. Committee. Site Plan,4 copies,ONLY if there is a change to the building footprint. A.site plan drawn on a mortgagesuryey plan or GIS map may be used for minor additions,.UNLESS the porch,deck,pool, or shed etc,is close to lot lines,zoning setback lines, or other buildings, in which-case a certified site plan must be submitted,see requirements as applicable, see 4, Site Plan;below. Photographs (I copy)of all building elevation affected by any proposed alterations'. Plans: 4 copies. Company brochure of manufacturer's shed or barn OR to-scale sketch of affected structure or building . elevations. 2. STRUCTURES,NEW/ALTERED (fences,'new stonewalls or changes to,retaining walls;pools etc) Application for Certificate of.Appropriateness Spec Sheet,brochures or diagram. Site plan, see Instructions 2. Site Plan,above. a e r. +„ro +>i�+, 411 �P offPct-d Iry c..hanQe, Pho:o�rfi�a�fi of?:ily cn1J'Inb Su uuv�.. __ � rr'.__ _ J __� Fee according to schedule. -V�=- �'� 3. NEW HOUSE MAJOR ADDITION OR A COM31ERCIAL BUILDING I Application for Certificate of Appropriateness(4 copies). MAR 2.3 Spec Sheet :4 copies,brochures and samples of colors: TURIIR9 Site Plan,4 copies,at an appropriate scale. HiS`131" 6 copies of site plans at a reduced scale to fit 8:5"x 11 or 11 x 17 paper. Site Plans shall contain the following: . Name of applicant;street location;map and parcel. .Name of architect,.engineer or surveyor; original:stamp and signature; date of plan and revision.dates. ; _North arrow,written and drawn scale. _.Changes to existing grades shown with one-foot contours. _Proposed and existing footprint of the building and/or structures, and distance to lot lines. Proposed driveway location. _Proposed limits of clearing for building(s), accessory structure(s), driveway and "septic system.. . Retaining walls or accessory structures(e.g. pool,tennis court, cabanas,barn, garage etc.) Building Elevations: 4 copies of plans at a scale of'14"= 1 foot;a written and drawn scale. 6 copies of plans at a reduced scale to fit 8.5"x.11 or 11 x 17 paper. 3 Q:IGMD-Groups101d Kings HighwaylOKH New AppIOKHCert Appropriateness 07.doc f Plans shall include the following: —Name of applicant,street location,map and parcel. _Name of Builder Designer, or architect; original signature of plan preparer and stamp;plan date,and all revision dates. ALL NEW HOUSE OR COMMERCIAL BUILDING PLANS MUST HAVE AN ORIGINAL SIGNATURE-AND STAMP,IF ANY,BY A REGISTERED ARCHITECT,MEMBER OF AIBD, OR A LICENSED MASSACHUSETTS HOME 120ROVEMENT CONTRACTOR,UNLESS THIS REQUIREMENT IS WAIVED BY THE OKH DISTRICT COMMITTEE. _A written and drawn scale. _Elevations of all.(affected)sides of-the building, with dimensions including height from the natural.grade.. adjacent to the building to the top of the ridge; location and elevation of finished grade, roof pitch(s), .. dormer setbacks; trim style,window and door styles. Changes to existing buildings must be clouded on drawings. Landscaping plan,4 copies drawn on a certified perimeter plan containing the folloking'information: :. Name of applicant, street address, assessor's map and parcel number. Name;address and telephone number of the plan preparer; plan date and dates of A"ROVED The location of ezisting.and proposed buildings and structures, and lot lines. _Natural features of:site(e.g:rock outcroppings,streams,wetlands, etc.). APR 14 2010 Existing buffer areas to remain. Town of Barnstable — Old King' ittee Location and species of trees outside of buffer areas greater than 12"caliper to be retained &'{Moved. The location,number,size and name of proposed new trees and plants. —Driveway,parking areas,walkways, and patios indicating materials to be used. —Existing stone walls, and.proposed walls including retaining walls for slope retention or septic systems. (for removal of stone walls, file Demolition Form). _All proposed exterior lighting and signs. Sketch or photos of adjacent properties,(1 copy only) A sketch(s)to.scale or.photographs of nearby adjacent buildings, where present, along both sides of the street frontage, showing the proposed new house or commercial building in scale and in relationship to the existing buildings. Please discuss with staff if you do.not think this is relevant to your application. Photographs of all sides of existing buildings to remain, or being added to (1 set only). Fee according to schedule. Please complete the following: MAR 2. 3. Existing building, foot print: Building 1 sq. ft. Building 2 — Existing Building, gross floor area, including area of finished basement: Building 1 sq. ft. Building 2 New building or addition, foot print: Building 1 1 ,600 sf (+/—) sq. ft. Building 2 New Building or addition, gross floor area, including area of finished basement: Building 1 sq. ft. Building 2 4 Q:IGMD-GroupsOld Kings HighwaylOKHMew AppIOKH Cert Appropriateness 07.doc r 4. SIGNS Diagram of sign, showing graphics, size, design and height of post,color and materials. .Spec sheet. Site Plan on a GIS map or mortgage survey, OR photographs OR to showing sketch of building elevation showing location of proposed sign; and any tree to.be removed near a freestanding sign. Fee according to schedule. 5.•FOR LIST OF ABUTTERS: P ASE SE OKH STAFF .SIGNED (plan prepares) ; ' Print Richard.'P. Fenuccio Date: �Vim 's: 508-362-8382 n'NO TE ff- ,n L _Ek _ APR 14 ZOO MAR 2 3 Town of Barnstable; O d King's Highway The Old Kings Highway Historic�isodcarftflonittee MAY DENY INCOMPLETE.4PPLICATI01USTfl�r�i�;.CF EAQNSTABLE HiSTtJt�"�R1(:gL-RV.4T10N ATTENDANCE AT MEETINGS: f I the applicant or his/her representative is not present during the hearing is scheduled, the application may be either CONTINUED OR DENIED APPEAL PERIOD APPROVED PLANS PLAN PICKUP .. There is a fourteen(14) day appeal period for approved plans. This is necessary for each Certificate of Appropriateness and/or Certificate for Demolition issued by the Old King's Highway Committee. Plans approved by. the Old King's Highway Regional Historic District Committee may be picked up at Growth Management,Regulatory . Division,200 Main Street,Hyannis, after expiration of the 14 day appeal period. If the 14ei day falls on a Saturday, vour plans will be available the afternoon of the.following business day. DENIALS Applications that are denied may be appealed to the Old Kings Highway Regional.Historic District Commission within 10 days of the filing of the decision with the Town Clerk. For more information, see the Bulletin of the Old Kings-Highway Diatrict Commission. BUILDING PERMITS, OTHER AGENCY CONTACTS In most instances,before commencing work, a Building Permit is required. The.Building Division.will require a certified plot plan for new construction and/or demolition. Commercial work may require Site Plan approval. Demolitions: the applicant should check with the Building Division as to conformance with Zoning requirements. Other Regulatory Agencies at 200 Main St,Hyannis MA 02601: Building Division 508-862-4038 Conservation Division 508-862-4093 Health Division 508-862-4644 QUESTIONS ABOUT YOUR APPLICATION? PLEASE CALL, THE BARNSTABLE OLD KINGS HIGHWAY OFFICE AT 508 862-4787 � 5 Q:I GMD-Groupsl0ld Kings High wnylOKH New App DKH Cert Approprinteness 07.doc PROPOSED NECK BEACH- W BATHHOUSE SANDYNE �- �- FOR TOWN OF BARNSTABLE . APPROVED APR 14 2010 SANDY NECK BEACH Town of Bamstable BARNSTABLE, MA Old Kings Highway Committee - SCHEDULE OF DRAWINGS • TI -TITLE SHEET SPI MASTER PLAN C-9 GRADING AND DRAINAGE PLAN - - - - 5P2 )S" ARCHITECTURAL SITE PLAN @ BATHHOUSE A2.0 4" BATHHOUSE ELEVATIONS 8 WINDOW SCHEDULE A2.1 Al" BATHHOUSE ELEVATIONS 8 - ai; DOOR SCHEDULE c 1 , C DRAWINGS ARE . REPRESENTATIONAL ONLY. ` • - --�.-- � O NOT SCAL D E s DRAWINGS < ' Q 1 ' .:.M..-..-....tea....- .,. ARCHITECTS OKH APPLICATION BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. 203 WILLOW STREET SUITE AYARMOUTHPORT,MA.02675 3-25-10 TEL. (508)362-8382 FAX. (508)362-2828 �� CONSULTING CIVIL ENGINEERS & ENVIRONMENTAL PERMITTING )D � HORSLEY WiTTEN GROUP MAR 2 3 20G9- j90 ROUTE 6A,SANDWICH,MA.02563 a TEL. (508)833-6600 FAX. (508)833-3150 I TOVM OF BA, INSTACLE HIS]ORIC PS1-2[I-P.V 1,14 e R� L r - STAMP: s NEW CROSSWALK AND BOARDWALK / ACCESS TO BEACH FROM BATHHOUSE EXISTING HC BEACH ACCESS EXISTING PARKING AREAS RAMP TO REMAIN TO REMAIN UNCHANGED 4 / CONTINUOUS 6'WIDE GRADE LEVELBITUMINOUS TO PATSE - FROM PROPERTY LINE - a� w m m / TO BATHHOUSE - t2,000 L.F. v e � MINIMUM 4' OFF ROAD J A I P 66 / IIIIIIIIIIIIIIIIIIII ➢ � €� / \ U / b WETLAND AREAS w g PROPOSED FUTURE C.I.C. BUILDING u_ 4 WETLAND BUFFER _ / i Z PROP05ED NEW BATHHOUSE 0 Vi I I LOCATION OF EXISTING BATHHOUSE Z n U a^ EXISTING WELL "'' EI 2 No- / \ / ADD NEW PAVEMENT AT ORV ACCESS TO REAR OF PUMPHOUSE - STRIPE CROSSWALK �.1 EL Q U CQ _ _ I I �U/ w N �Wl G in \ Lu U) 0 } Z Z. cn x Al �. PROPOSED a%l/ MASTER PLAN ROAD HUMP CROSS WALK .I � \ � � MAR 2 .� DATE ISSUED: _ PROP05ED NEW GARAGE 1,13-10 �/ REVISIONS: EXISTING GRAVEL PARKING �j DEVELOPPROPOSED NTEWALK FROM TOWNEL NE TO 1II� / •��/ —' / //� P�,yS� aLE JSANDY NECK PROPERTY LINE 1 `\ / \ //J� 1 ,�� R�FpRE,FER\j�'�T"___._ -- ¢ \ I Q CONTINUOUS 6' WIDE GRADE LEVEL BITUMINOUSPATH FROM PROPERTY LINE TO BATHHOUSE 31,000 ' L.F. � M / EXISTING\ GATEHOU5E _. \ DRAWN BY: TRs I PROJECT#: PROJECT NO. DRAWING NO.: }� SCALE: I"=80' vas ,-1PROPOSED I"IASTER PLAN spi SCALE: I°=80' 0' 40' 80' 160' 240' 320' pz L TO PROPOSED LIMIT OF WORK PROPOSED LEACHFIELD r I .... _ \ 1... _ y a N 1�. BOBi e... PROPOSED LEACHFlELD O av .( ^ dF" O o g 255 v'N\2`SF _ - PROPOSED SILT FENCE Z g€ o Q Issue m a o 2 2 REPIMfi DISTURBED vs.:;< SF� DUNE WITH AMERICAN r-�xs. � •' 0. - - - _ _ O BEACH GRASSSir•✓.. — ,'n 17 PROPOSED `- r _ r• 4g_` � ��_ �C Cam, PAVED FLUME 25.78 x 27� !F ......_ _... 4. .'�'I: , \., ?6 .• 30a::f BUILDING D _ / \, RECHARGE ;" - FFE-25.15 ) Q' REPLANT DISTURBED r ' - BASIN v.Is q DUNE WBEACH GRASS �� \ ,.fia 2s RIM=24.80 / 1 MR W V �•/l U OF ORK w r J n'."ii CN REPLANT DISTURBED - 5.7 !110 e 21 DUNE WITH AMERICAN �l BEACH GRASS w C� i cb ZL •�/r INFILTRATION BASIN ti �c SF <7.+'"" BOTTOM ELEV.=22.0 20 SEDIMENT FOREBAY +"'+►, -,. �^^ � SPILLWAY RECHARGE CHAMBER WITH C { i V O 20 ELEV=24.10\` RIM-23.0 4•UNDERDRAIN INLET GRATE N� INVERT IN (8)=18.59 a`1 BIORETENTION OUTLET N t p i i s / ��3 7 a RIM-23.50 DUNREPE WRNI AMERICAN 15 `�v•, 11 a 3� .¢ i. "� ;v INVERT IN T 8"-19.33 BEACH CRASS ,.r/"• INVERT OUT 8•=19.23 - <�y BIORETENOON AREA 1 A m / /�f WITH GEOMEMBRANE LINER •`� FO 3 � f �" ` AREA= 220 SF pp ^g j SEDIMENT FOREBAY-24 SF BOTTOM ELEV.= 23.00 LL m afl' /ILL `PROPOSED SILT FENCE m f � —x< 5 �.� p ,: !1 MAR 2 3JIM_ RRl— % 17 J c •�( / / / / J \ a :� r� GRAPHIC SCALE do m 6129 9 of 14 E / / —. _ \ \ (I IN-20 rwm o..�oro=mc C-9 STAMP: ` �122-1 I 2\ 2\ \ \ \ \ \\ \\ \\ \ \ \ 1 \ 24' 3ROOF I I I I I \ �26' I - I ABOVE EDGE I 1 \ /�------------------- - - --------------- \ I I I I 1 \ I / COVER b AREA—+-- \ I I I \ L) i EXISTING PAVING AND STRIPPING TO REMAIN Z [ w ---------------"--------------------------------- I I I I I� II LL A \ 1 I I I ROOF EDGE ABOVE -- .-. I � 1 II C) 12'x12'CEDAR !UMPSTERI� \ \ \ \I I I Z L) <o ENCLOSURE - STAINED PROPOSED \ I \ \ \ I p • \\ I 1 I I � BATHHOUSE \ � \ \ \\ \ I I I I I � �� UMPSTER D \ I I 1 ' REMOVE PAVE' Q aoaoaooaooa000ao�� P AVEMENT A5 / I 29(\THESE ARE CO ED AREARETURN TO NATURAL I 11 II\ LNLj CONDITION I I 1 1 ROOF EDGE J 1 COVERED '� ABOVE O I \ CONCESSIONS _____ ________�� \ /ADD STRIPED SERVICE ------- -"--"" 1 \ \ \ .1 \ 1 \'. \ \ W COUNT ER . AREA TO INDICATE \ \ 1 ________i / NO PARKING P BOTTOM OF STAIR a - -- PEDESTAL STATERS 2 SHOWER STATIONS C \ I \ \ \ I FOOT WASH STATION \ \ \ \ \ 20' = C/) W Z co NEW/ RELOCAIX TED RS•_B. I \ 20 \ 23' \ UJ Q (.) m / STAIR ON. TO LOWER / ON \ I I 28' \ \ 25' \ \ m O co L.I..I Q PARKING LOT/ ~ 26' \ I 217 20' \ '27' \ \ \ \ \ \ \ O z co z 2/ n n n // �. �� 26 I I h \ \\ \ \ \ \ \ \\ \ z z / EXISTING EDGE OF PAVEMENT \\ Wxar SPLIT RAIL FENCE � 29STRUCTURE' ' O ON 27'x25' 22' ___- - O~ C/J /DECK'w/ PICNIC TABLES \ \ \ 11 I I \ \ \ \ \ \ O — — — — -- — 2 1qI — — / NEW STAFF ONLI' _PAVED\ \ \ \ \ 3' / I �� // / SET G AREA ACCESS AND 3 STAFF n \ /PARKING SPACES 1 \ \ \ \ TITLE: / \ EXISTING OBSERVATION DECK \ / I �' _��____'_ _-- / 3p' / I I \ 1 1 \ \ \\ \ 4' / — \ \ — — — \\ 24' __- / I 1 \ \ / \ \ \\ \\ \\ PROPOSED en / /5 �26\ \ .` 1 WALKWAY FROM `BIKE I I I GATEHOUSE 70 BEACH / \ SITE PLAN NEW 6' WIDE BOARDWALK 0 \ J / /I RACKS- �� / EXISTING PAVEMENT EDGE - / BITUMINOUS I i I / I I I \ 1 .1 �~,y n *r - {'ram' \ @BATHHOUSE F CONNECTS TO EXISTING- / WALK LL I{vn l� OBSERVATION DECK AND CONT. 25' i =\ DOWN TO BEACH (STEPS) DATE ISSUED: AR 2 3 - - u 3.25-10 REVISIONS: ,NSTABLE — 1 \ HEEL \ / STOPS W -- - - 1 \ \ 25' — y NEW STRIPED CROSSWALK ` 26/ C===== DRAWN BY: It \ \ // SAND ULARU IN WILL ING �� TRS BE LEVELED PROJECT#: PROJECT NO. �� / DRAWING NO.: 1 \I cJ,� PROPOSED PLAN // NEW 2-WAYN THIS AREARAFFIC SCALE: 1/8"=1'-D^ SCALE: I/8'=1'-O" nnnnnn , SP2 nnnn NOTE: INFORMATION ON THIS SITE PLAN WAS TAKEN FROM PRELIMINARY ei TOPOGRAPHIC PLAN OF LAND PREPARED BY THE TOWN OF BARNSTABLE 0' 4' 8' 16' 24' 32' D.P.W. - SURVEY SECTION AND DATED 3-12-07 Cx L r STAMP: 16 OZ. LEAD COATED ROLL DOWN COPPER HEAD SHUTTEHzil FLASHING (TYPICAL) 1 F � •.a1� �Q 12 - n ALIGN BOTTOM OF �6 WINDOWS ON THE NORTH, EAST ' y I Y_�' 1 Ix APRON W/ x._n. 5LIDDING v AND WEST SIDES OF THE CUPOLA Y-uX ^f SHINGLE COURSING orw:w SCREEN INTERNALLY LIT FROM BELOW ASPHALT COMPOSITION ----- O --- O _-- O ---- _--O_--- O CE SHINGLES w/CONT. 6' SOUARE CUPOLA STRUCTURE @a , RIDGE VENT - TYP, w/COPPER ROOF LbyBLENMG u.ITI x:o:Xa coXEEsvor. u.w:X� nwuL sxnwur m m (vwT:NG) 9LRlEX u✓R0.L (Fi%ED) (VEMT�NG) �Q'f D D HIGH VENTING 0 WINDOWS IN � ' CONCESSIONS AREA U WINDOW ELEVATIONS u SCALE: 1/4'-1'-0" w A I GUTTERS - COLONIAL 5'x3' =Z E 12 'K' STYLE ALUM. TO (x7� - 4� DRYWELLS - WHITE - Z� Q^ cy .2'x4' FIR MEMBERS g � - m ` -164:24' FIR SHADE PERGOLA m G Im STRUCTURE (FINISH - PEN DECKING) ITRATING' - �p SEALER)ON ' DECK _ ±5'CLEAR (COMPOSITE DECKING) �B �d ■EEC O I m 8'x8° FIR POSTS 02 ir J! II_ Lu SANDY NECK BEACH INFORMATION BOARD WITH GLA55 DOOR ±5'-4' I I-.II'-0°CLEAR O CLEAR--"II ff LIFEGUARD ROOM CONCESSIONS CONCRETE PAVING BOARDWALK M J RED CROSS LOGO(±45'x45')TO BE WOVEN m Q INTO SIDEWALL AS RED SHINGLES 2 z m � . D"\NORTH ELEVATION APPRI w Q Y m SCALE: I/4'=1'-0° R 14 20i �� } m o m w a pP 1 � 11 z � gable L. Z01� I O } z Town Of Barnshway ' MAR 2 3 z Z 0 Q Old King'S FUJ I p � Q m Committee N 0 cn COPPER ROOF @ •� r�(p' p ran! '7n r}7 WINDOWS ON THE NORTH, EAST CUPOLA w/ FINIAL TOWN CE1�U�T�•�ARNS ABLE O AND WEST SIDES OF THE CUPOLA KITCHEN EXHAUST FAN h��ilk�Vr�T.��N O - INTERNALLY LIT FROM BELOW BEYOND RIDGE 30"x46° VENTING SKYLIGHTS w/ - ' AUTO CLOSE RAIN SENSORS IN ASPHALT COMPOSITION ' ' RESTROOMS FOR NATURAL LIGHT SHINGLES w/CONT. 1.4 OVER 1.10 PROJECTING AND VENTILATION RIDGE- VENT.- TYP. D D • RAKE, PTO - TYPICAL • - Ix6 SUB-RAKE, 12 PTD - TYPICAL 10D PROPOSED TOWN SEAL 30' DIA, BATHHOUSE 4 - - 12 - 12 ELEVATIONS TRADITIONAL RAISED PANEL, DATE ISSUED: ( STEEL GARAGE DOOR - PAINTED WHITE 3.25.10 I ALL RUNNING TRIM TO ®� REVISIONS: BE 'PVC' - PAINTED CEDAR SHINGLE SIDING, ±5'CLEAR v v ®®®® WHITE EXPOSTRP, PRE-STAINED 5'x0' PVC WRAPPED C ffl COLUMNS - TYP. OI OI mom H - iO3 Y 1.8 PVC APRON - TTP. • 2 CONCESSIONS SERVICE MENU BOARD SCREENS w/ ROLL DOWN WOMEN'S DRINKING MEWS 8'x0' OVER GARAGE DRAWN BY: p SHUTTERS AND STAINLESS RESTROOM FOUNTAIN RESTROOM DOOR®STORAGE ROOM TRS STEEL COUNTER BELOW F PROJECT#: CONCESSIONS RESTROOMS/MECH. ROOM. / JAN. CLOSETS LIFEGUARD(GENERAL BEKN STORAGE PROJECT NO. j� DRAWING NO.: } SCALE: 1/4"=1'-0"WEST ELEVATION A2 . 0 SCALE: I/4'=I'-p" e 0' 2' 4' 8' 12' 16, AY L r STAMP: 2x2 PVC DRIP CAP OVER IX5 PAINTED PVC TRIM SOFFIT AND 1.10 Ix PVC TRIM BOARD @ BOARD®WINDOWS a FRIEZE BD. WINDOWS a DOORS - TYP. DOORS - TYP. a , LOUVERS IN CUPOLA ON SOUTH FACADE ' p • WOOD FRAMED KITCHEN EXHAUST FAN CURBTRADIT + X ®®® ONAL RA 5EDI PANEL SKYLIGHTS 1 ®®®® DESIGN ASPHALT COMP051TION 1 - -—- -—-—. -— SHINGLES w/ CONT. RIDGE VENT - TYP. O O O w 1 OI 02 STAINLESS STEEL 03 a _ 1 >•-o•.r-o a•-c•.r-o KICK PLATES - TYP/ e•-o•.e•-o• o;$ -12 I sNiaeeinw�vcrt STEEL coax rSTTEEL eni..GeCIX- 1 B.5 DOOR ELEVATIONS - .. 12 `14 4 4 w 3. U S �7 m Z O I ®�E® - Z U a^ /ApP� g w CPl C APR 142010 B'vB' PVC WRAPPED COLUMNS - TYP. - � �B 71D1 o DI' m - Town of Barnstable e .� . i M .cam ��(Y� old Kii�ngntnittee COVERED CONCESSIONS HIGH VENTING CONCESSIONS SERVICE COUNTER WINDOWS IN SERVICE DOOR LLJ CONCESSIONS AREA C/) LIFEGUARD x GENERAL BEACH STORAGE O m U ZOda m Q Q SOUTH ELEVATION F- Q SCALE: 1/4'=1'-0" MAR 2 8 �. z m L1 1 Q 0-1Y w m U TOWN OF BARr!STABtE m LLJ a HISTORIC PRESERVA T ON O >_ z Lu z z pOf p Q m WINDOWS ON THE NORTH, EAST 12 W AND WEST SIDES OF THE CUPOLA �6 O O INTERNALLY LIT FROM BELOW �w 30'x46' VENTING SKYLIGHTS w/ ±30° SQUARE, WOOD FRAMED Ol O AUTO CLOSE RAIN SENSORS IN Q¢ L" ' RESTROOMS AND STORAGE ROOM KITCHEN EXHAUST FAN CURB JO FOR NATURAL LIGHT AND i a VENTILATION V 12 TITLE: �10 " / E / E / E PROPOSED 12 1.10 FASIA w/ WHITE- Q4 BATHHOUSE ALUM'GUTTERS I a ELEVATIONS F - - DN SPOUTS - TYP.., 8 IxIO FRIEZE - TYP. o m DATE ISSUED: q IxB CORNER BR5 - TYP. 3.25.10 ±5' CLEAR REVISIONS: A A A g CEDAR SHINGLE SIDING, 5' EXPOSURE, PRE- STAINED WHITE - TYP. .. _J: J IaB PVC APRON - TYP. HIGH VENTING WI NDOWS ALUMINUM DOWN SPOUT ` w/OBSCURE GLA55 IN TO DRY WELL, RE5TROOM5 WHITE - TYP. ' LIFEGUARD t GENERAL BEACH STORAGE RESTROOMS/ MECH. ROOM, / JAN. CLOSETS LIFEGUARD ROOM DRAWN W. TRS 8 PROJECT#: PROJECT NO. EAST ELEVATION DRAWING NO.: 0 ,$ SCALE: 1/4'=1'-0" SCALE: I/4"=1'-0" e A2 . I 5 0' 2' 4' V 12' IG' fir L f 'k PROPOSED. BATHHOUSE J SOFFIT AND Ix10 FRIEZE BD, p,PP APR 14 2010 Town of gaH blle ghwaY Old Ciommittee O . O � 0 Iwp dJQQ Q = CARRIAGE STYLE O OVERNEAD DOOR, e'-o°x6'-o" CARRIAGE STYLE OVERHEAD STEEL GARAGE DOOR REVISED DOOM ELEVATION SCALE: I/4'=1'-0" Garage Doors Courtyard Collection Page 1 of 2 'Fite Gwenuii-n�e.'Fhe Original. � a ice. Courtyard Collection° �i Custom Steel Doors The Courtyard Collection@ gives you the exceptional good looks of a "custom wood" garage door combined with the value and long lasting durability of a steel door. 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Doors are finished in white with a distinctive wood-grain texture, and can be painted with latex paint colors. 7 77 77 o61e WA •77 11 IL--I ft-111 ILE 11 11 �► 161M 166T 373TI163T • • • 37 FT1 OT 1678 37?T11 F7Y 4 • f LLLL IiEtB 371r+./161A 166E1 In, • �7s'"F1f 1 fi5h • $Ix+r>�114e1 • • •' I CrXbtl!u[tkl6dTl3ri • • I&rmrq 20years LAMMe 20YeaPs Llf;•me 20Ytia s Lifetime 'Mrocllrra0 • - • • R-Walvc 9.31 112.56 931 1176 931 12.76 irsulc�dc� ! - � • WrtfradawdGaz it i�illl�IOIRIN IR3J �tlp Yi" 1>o0rlhid}1w� 1' 1�e 1• OW t, Camm1 TrML • • 1�•IGEyltit�cA: • • ! — 1kctFtMe{OeBers ! � • 1A�t�tYrc # •: • �ti�rtd3ws arrtf arches are ratawi6�ble cxi:these series . httn•//www.ovPrhPaddnnr.com/Prodiict.a.snx?nid=229 4/14/2010 0�►I t4AI 5 , S401 64, I 4 k r ti NEW 2x6 WALLS EXISTING 2x4 WALLS RAISED FINISH GRADE TO BE REMOVED. _o_;_ _� _ _ _,_,�,�,�,� o FOR BETTER DRAINAGE o AWAY FROM BUILDING i i = I NEW 4" CONCRETE FLOOR FLOOR SLAB wl TOP OF L—EXISTING CONCRETE SLAB SLAB RAISED I -0 ABOVE TO BE REMOVED EXISTING SLAB ELEVATION > ' a EXISTING Ig50'S CONCRETE ' ' a EXISTING IG50'S CONCRETE FOUNDATION WALL, FOUNDATION WALL, CONFIRMED 52" TALL AND . v CONFIRMED 52" TALL AND ASSUMED 8" THICK ,,? ' ASSUMED 8" THICK TO REMAIN `t TO REMAIN 8" 'EXISTING FOUNDATION DETAIL .. , .PROPOSED FOUNDATION DETAIL SCALE: 3/4"=I'.-0" SCALE: 3/4"=1'-0". I /MU Ltvllc: J 1 A 1"J:tsUAK1l Ur tsuu.uuv�KCVul.t� lui��tuvL a i tuvut�tu�o APPENDICES 780 CMR 120.G FLOOD RESISTANT CONSTRUCTION t. AND CONSTRUCTION IN COASTAL DUNES (Note:780 CMR 120.G is unique to Massachusetts) 780 CMR 1W.G101 GENERAL has been established pursuant to M.G.L. c. 40, 120.G101.1 General: All buildings and structures §8C. erected in areas prone to flooding and/or coastal Determination of Applicability: A written dunes shall be constructed and elevated as required finding by the issuing authority under M.G.L. by the provisions of 780 CMR 120.G. c. 131,§40(the Wetlands Protection Act),as to whether a site or the work proposed therein is 780 CMR 1M.G201 DEFINITIONS subject to jurisdiction under M.G.L.c.. 131,§40. 120.G201.1 Definitions. The following words and Elevation: The placement of a structure"above terms shall, for the purposes of 780 CMR 120.G, flood level to minimize or prevent flood damages . and as used elsewhere in 780 CMR, have the or to preserve the flood control and storm damage meanings shown in 780 CMR 120.G201. prevention functions of a coastal dune. • A-Zones: A Zones are synonymous with Failure of a Foundation: a foundation that is no Flood—Hazard Zones. longer supporting the-building or foundation or is Base Flood Elevation: The flood having a 1% determined by the building official to be unsafe or ... chance of being equaled or exceeded in any given incapable of continuing to support the building.. year and shall be used to define areas prone to For example,failure of a foundation occurs when flooding,and describe at a minimum,the depth or a building or structure or portion thereof falls off peak.elevation of flooding. the foundation or when the building official . determines there is a risk that the building or Basement/Cellar: Any area of the building structure may fall off the foundation. having its floor subgrade(below ground level)on all sides. Flood-Hazard Zones: Areas subject to a.l%or. ( greater chance of flooding in any given year and Breakaway Wall: A wall that is not part of the that are not subject to wave heights in excess of structural support of the building and intended, PP g three feet. (A ZONES). through its design and construction, to collapse under specific lateral loading forces, without F1oodProofing: Any combination of structural causing damage to the elevated portion of the and non-structural additions, changes or building or supporting foundation system. adjustments to structures which reduce or . eliminate flood damage to new or substantially Coastal Dune: Any natural hill,mound or ridge improved structures. of sediment landward of a coastal beach deposited by wind action or storm overwash. Coastal Dune F.E.M.A.: Federal Emergency Management .. also means sediment depositedby artificial means Agency. and serving, the purpose of storm damage Flood Insurance Rate Map: Flood insurance prevention or flood control. rate map (FIRlvf) means an official map of a Coastal Wetland Resource Area: Any coastal community, which delineates both the special wetland resource area subject to protection under hazard zones and the risk premium zones M.G.L. c. 131, § 40 (the Wetlands Protection applicable to the community. Act),and 310 CMR 10.21 through 10.35:Coastal High-hazard Zones(V Zones): Areas of tidal Wetlands. Coastal Wetland Resource Areas influence which have been determined to be include barrier beaches,coastal beaches,coastal subject to wave run heights in excess of three feet dunes, rocky intertidal shores, tidal flats, land or subject to high-velocity wave run-up'or wave- subject to 100 year coastal storm flowage,coastal . induced erosion(V Zones). 'banks,land containing shellfish,lands subject to tidal action,and lands under an estuary,salt pond Highest Adjacent Grade: The highest natural or certain streams,ponds,rivers,lakes or creeks elevation of the ground surface, prior to within the coastal zone that are anadromous/ construction, adjoining the proposed foundation catadromous fish runs. walls of a structure. Conservation Commission:Body comprised of Impact Loads: Loads induced by the collision of members lawfully appointed pursuant to M.G.L. solid objects on a structure carried by floodwater. c.40,§ 8C. It shall also mean a mayor or board of selectmen,where no conservation commission 8/8/08 780 CMR-Seventh Edition 993 r /6VLN1K: 31H1DDV/iA-Jl-;rDVU-L-1Uw11-:v-A,r1+v1,.,...... ..••--••�•------ - THE MASSACHUSETTS STATE BUILDING CODE Interests Identified in M.G.L.c.131,§40(the measured at the largest horizontal projection, Wetlands Protection Act),: Public or private designed to be self-propelled or permanently ground water supply,flood control,storm damage towable by a light duty truck, and designed prevention,prevention of pollution,protection of primarily not for use as a permanent dwelling,but land containing shellfish,protection of fisheries, as temporary living quarters for recreational, and protection of wildlife habitat. camping, travel or seasonal use. .A recreational Issuing Authority under.M.G.L. c. 131, § 40 vehicle is ready for highway use,if it is on wheels or a jacking system,is attached to the site only by (the Wetlands Protection Act): a conservation quick disconnect type utilities and security de- commission, mayor, the selectmen or the vices,and has no permanently attached additions. Department of Environmental Protection. Scouring:The erosion or washing away of slopes Lateral Addition:an addition that expands the or soil by velocity waters. footprint of a building or structure including a. manufactured home. Special Hazard Zones: An area having special . Lowest Floor: The lowest floor of the lowest flood, and/or flood-related erosion hazards and enclosed area (including basement/cellar). An shown on Flood Hazard Boundary Map or FIRM unfinished or flood resistant enclosure, usable as Zone A,AO,Al-30,AE,A99,AH,VO,V1- solely for parking of vehicles,building access,or 30,VE;V. incidental storage in an area other than a Start of Construction: The date the building.: basement/cellar with appropriate hydrostatic permit was issued, provided the actual start of. openings as required in 780 CMR 120.G501.4 is construction,repair,reconstruction,placement,or . ..not considered a building's lowest floor. other improvement was within 180 days of.the permit date. The actual start means the first Manufactured Home: A structure that is placement of permanent construction of a transportable in one or more sections,built on a structure on a site,such as the pouring of slab or permanent chassis, designed.for use with or footings,the installation of piles,the constructiori without a permanent foundation when attached to of columns, or any work beyond the stage of the required utilities, and constructed to the excavation or the placement of a manufactured Federal Mobile Home Construction and Safety home on a foundation. Standards and rules and regulations promulgated by the U.S. Department of Housing and Urban Structure(this definition is intended utilized with ( Development The term also includes mobile this 780 CMR 120.G): A walled and roofed homes, park trailers, travel trailers and similar building,including a gas or liquid storage tank, transportable.structures that are placed on a site that is principally above ground and affixed to a for 180 days.or longer. The term"manufactured permanent site,as well as a manufactured home. home does not include a"recreational vehicle". Substantial u"Damge: Damage of any origin Manufactured Housing:Manufactured Housing sustained by a building or structure including a is synonymous with Manufactured Home. manufactured home whereby the cost or restoring Notification of Non-significance: A written the building or structure to its before damaged finding by the issuing authority under M.G.L. c. condition would equal or exceed 50% of the•- market value of the building or structure before 131,§40(the Wetlands Protection Act),that the the damage occurred. area on which the proposed work is to be done or. which the proposed work will alter is not Substantial Improvements: Substantial significant to any of the interests identified in improvement means any reconstruction, Mbl.c. 131,§40. rehabilitation,addition,repair or improvement of a structure, the cost of which equals or exceeds Order of Conditions: Written requirements by t 50%of the market value of the structure before he issuing authority under M.G.L. c. 131, § 40 (the Wetlands Protection.Act) establishing the the "start of construction" of the improvement. This term includes structures which have incurred manner in which work shall be done for work "Substantial damage", regardless of the actual proposed within areas subject to jurisdiction under M.G.L.c. 131,hi §40. repair work performed. Substantial improvement does not,however,include either: Order of Resource Area Delineation: Written 1. any project for improvement of a structure findings by the issuing authority under M.G.L.c. to correct existing violations of state or local 131, § 40 (the Wetlands Protection Act) health, sanitary, or safety codes which have identifying the boundaries of the area(s)subject to been identified by the local code enforcement jurisdiction under M.G.L.c. 131, §40. . official and which are the minimum necessary to assure safe living conditions or Recreational Vehicle: A vehicle that is built on 2 any alteration of a "Historic structure", a single chassis 400 square feet or less when provided that the alteration will not preclude 994 780 CMR-Seventh Edition 12/28/07 (Effective l/l/08) I 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES the structure's continued designation as a grade. If no depth is provided, add at least two "historic structure." feet to the highest adjacent grade. Note 1: The following items can be 3. In A,A99 and V zones,the building official, excluded from the cost of improvement or design professional, or surveyor shall obtain, repair:plans,specifications,survey,permits, review and reasonably utilize any Base Flood and other items which are.sepazate from or Elevation Data available from a federal, state or incidental to the.repair of the damaged or.. other reliable sources. improved building, i.e. debris removaU cartage. 780 CMR 120.G401 HAZARD ZONES Note 2: The latest Assessors'structure value 120.G401.1 Hazard Zones. Areas which have been may be used, provided that the Assessors determined to have a 1% or greater chance of certify that said value is based on 100% flooding in any given year shall be classified as valuation,less.depreciation. either flood-hazard zones(A Zones)or high-hazard Substantial Repair of a Foundation: Work to zones (V Zones) in accordance with 780 CMR repair and/or replace'a foundation that results-in 120.0501 and 120.G601. the repair or replacement of the portion of the. 780 CMR MGM FIND HAZARD ZONES. foundation walls with a perimeter along the base . of the foundation that equals or exceeds 50%of 120.G501.1 Construction in Flood-hazard zones the perimeter of.the base of the entire foundation., A Zones),All areas which have a 1% or.greater . measured in linear feet. The term "substantial chance of flooding in any given year but are not repair of a foundation"also includes a building or subject to wave heights in excess of three feet shall structure including a manufactured home that has be designated as flood-hazard zones. Flood-hazard incurred a failure of a foundation regardless of the zones shall include all areas shown as A Zones on actual work done ,to repair or -replace _the the most recent Flood Hazard Boundary Map or foundation. FIRM. All buildings and structures as defined in 780 CMR 120.G201 including new or replacement V Zones: V Zones are synonymous with High- manufactured homes erected or substantially Hazard Zones. improved in flood-hazard zones shall be designed Variance: A grant of relief by a community and and constructed in accordance with 780 CMR. (` the Commonwealth; via the Boards of Appeal, 120.G501. from the terms of the Floodplain Management Plans for the construction or substantial Regulations. improvement of a building or structure,including a new or replacement manufactured home,in a flood- Venting: A..system designed to allow flood, hazard zone shall be prepared by a qualified.. waters to enter an enclosure,usually the interior registered professional engineer or architect to of foundations walls,so that the rising water does ensure the compliance with 780 CMR 120.GkI.' not create a dangerous differential iri'hydrostatic pressure;usually achieved through openings in the ._ Exception:If a substantial improvement consists walls. Vents may be installed in garage doors to exclusively of a lateral addition that does not rely satisfy this requirement,provided such vents are on the support of the existing structure,only the installed consistent with 780 CMR•120.G. The`' lateral addition must be erected in accordance necessity of human intervention,such as opening with the applicable provisions of 780 CMR garage doors,does.not satisfy this requirement. 120.G501. In that event,the existing structure is. not required to come into compliance with 780 CMR 120.G301 BASE FLOOD ... 780 CMR 120.G501. ELEVATION Note: If located in a coastal dune that is 120.G301.1 Base Flood Elevation. The base flood significant to flood control and/or storm damage elevation shall be used.to define areas prone to prevention, a building or structure, including a new or replacement manufactured flooding, and shall describe, at•a minimum, the home;' a in depth or peak elevation of flooding(including wave flood-hazard zone shall be designed and height)which has a 1%(100=year flood)or greater constructed in accordance with the applicable provisions of 780 CMR 120.G701,and 120.G801 chance of occurring in any given year as The 100-year flood elevation shall be determined Fell as 780 CMR 120.G501. as follows: 120.G501.2 Elevation in a Flood-hazard Zone. 1. In Al-30;AH,AE,V1-30 and VE,the Base Except as otherwise provided in 120.G501,t all. Flood Elevation is provided on the community's• buildings or structures, including new or Flood Insurance Study.and the Flood Insurance:, replacement manufactured homes, erected. or, Rate Map(FIRlvn. substantially improved within a flood-hazard zone 2. In AO zones, add the depth provided on the shall be elevated so that the lowest floor is located at Flood Insurance Rate Map to the highest adjacent or above the base flood elevation. All basement/ 12/28/01 (Effective 1/l/08) 780 CMR-Seventh Edition 995 780 CMR: STATE.BOARD OF BUILDING.REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE cellar floor surfaces shall be located at or above the forces,including the effects of buoyancy. base flood elevations. 3. All openings below the base flood elevation Exception: Floors of occupancy in any use shall be provided with water-tight closures and group,other than use group R,below the base shall have adequate structural capacity to support flood elevation shall conform'to 780 CMR all flood loads acting upon the closure surfaces. 120.G501.5.2: Floors of occupancies in any 4. All floor and wall penetrations for plumbing; use group,in an area other than a basement/ mechanical and electrical systems shall be made "cellar, which are utilized solely for structure watertight to prevent floodwater seepage through means of egress,incidental storage garages and spaces between the penetration and wall eonstruc- parking,and which are located below the base lion materials. Sanitary sewer and storm drainage flood elevation, shall conform to 78.0:CMR systems that have openings below the base flood. 120.001.4. elevation shall be provided with,shutoff valves or" closure devices to prevent backwater flow during 120.G501.3 Ancborage in.a Flood-hazard Zone. conditions of flooding. . The structural systems of all buildings or structures, including new or.replacement manufactured homes; 120.G501:6 Repair or Replacement of Existing. shall be designed,connected and anchored to resist Foundations in a Flood-hazard Zone. _Existing. IVA- flotation, collapse or permanent lateral movement . foundations.m a oo - azard zone may be repaired due to structural loads and stresses from flooding without further compliance with 780 CMR equal to the base flood elevation and'shall be-.. 120.G501,unless the work replaces the foundation . designed.in accordance with 780 CMR 1615.2 and intotal,replaces the foundation'so as to constitute 1615.3. new construction or constitutes a substantial repair of a foundation as defined in 780 CMR 120.G201. 126.001.4 Enclosures below Base Flood :In such events,the foundation shall be brought into Elevation in.a Flood-hazard Zone. Enclosed compliance.'wi the,applicabld". ' visions of. spaces below the'base flood elevation are only per- 780 CMR 120.G50l. ' witted in an area otherr than a basementicellai(base- See Note 780 CMR'120.G501.1. ments/cellars are not permitted to be constructed below base flood elevation). Said spaces shall not be 120.G501.7 Protection of Mechanical and used for human occupancy with the exception of Electrical Systems in a Flood-hazard Zone. New . structural means of egress,entrance foyers,stairways and replacement electrical,heating,ventilating,'air and incidental storage. Fully enclosed spaces shall conditioning andoth'eiserviceequipmentinaflood- , be designed to equalize automatically hydrostatic hazard zone shall either be placed above the base forces on exterior walls by allowing for the entry and flood elevation or.protected so as to prevent water exit of floodwaters. Designs for meeting this from entering or accumulating within the.system requirement shall either be certified by a registered components during floods up to the base flood design professional in'accordance with 780 CMR elevation in accordance with"the mechanical code 120.G501,11 through 120.G501,13 orconformtothe listed in 780 CMR 100.0 Installation of electrical . following minimum criterion:.a minimum of.two wiring and outlets, switches, junction boxes and' openings having a total net area ofnot less than one panels below the base flood elevation shall conform square inch(645 mm�for every one square foot(0.1 to the provisions of 527 CUR 1.2.00 listed• in mZ).of enclosed area subject to flooding shall be. 780 CMR 100.0 for location of such items in wet provided, .The bottom of all openings shall not be locations. Duct insulation subject to water damage higher. than 12.inches (305 'mm) above grade shall not be installed below the base flood elevation. . . ;. immediately adjacent to the location of the opening.' 120.G501.8"Construction Materials, Methods,, s Open-ings shall not be 'equipped with screens,` and' Practices in a Flood-hazard Zone. •All louvers,valves or other coverings or devices unless buildings or structures, including new or replace- such devices permit the automatic 'entry and mentmanufaeturedhomes,erectedinaflood-hazard discharge of floodwaters. zone shall be constructed with materials resistant to. 120.G501.5 Water-resistant Construction ,in a flood damage:and be constructed by methods and Flood-hazard Zone:Occupancies in any use group practices that minimize flood. age Construction other than Use Croup R may,in lieu of meeting th materials shall.be resistant to watere damage m elevation provisions of 780 CMR 120.0501.2 be . accordance with the provisions of 780 CMR 1808.0, erected with floors usable for human occupancy.. 1810.2;1813,4,2307.2,2309:.1,2311.4,2311:6,and. below the base flood elevation provided that the 2503.4. following conditions are met:' 120.G501.9 Recreational Vehicles in a Flood 1. All space below the base flood elevation shall hazard Zone. All recreational vehicles placed in a be constructed with walls and floors that`are flood-hazard zone and that are not fully licensed and substantially impermeable tothe passage ofWater... ready for highway use or that are to be placed on.a 2. All structural components subject to site for more than 180 consecutive days shall comply hydrostatic and hydrodynamic loads and stresses with the provisions of 780 CMR 120.0501 duringthe occurrence of floodin to the base g applicable to buildings or structures,including new flood elevation shall be capable of resisting such or replacement manufactured homes, 8/7/0 (Effective 7/15/09) 996 EMERGENCY) IOv -, APPENDICES 120.G501.10 Alterations,Renovation and Repairs with applicable provisions of 780 CMR 120.G501.5. in a Flood-hazard Zone. Alterations,renovations 780 GYM IM G601 HIGH HAZARD ZONES and repairs to existing buildings and structures , including new or replacement manufactured homes 120.G601.1.Construction in High-hazard Zones located in a flood-hazard zone shall comply with (V Zones). Areas of tidal influence which have applicable provisions of 780 CMR. Compliance een etermtned to be subject to wave heights in with 780 CMR 120.G501 is required whenever such excess of three feet (914 mm) or subject to high- alteration, renovation. or 'repair constitutes a velocity wave run-up or wave-induced erosion shall substantial repair of a foundation as defined in be classified as high- hazard zones. High-hazard 786 CMR 120.G201, repair or replacement of a zones shall include all areas shown as V Zones on foundation that requires compliance with 780 CMR the most recent Flood Hazard Boundary Map or 120.G501,or a substantial.improvement as defined FIRM. All buildings or structures as defined in in 780 CMR 120.G201. 780 CMR 120.G201,including new or replacement manufactured homes, erected or substantially 120.G501.11 Certifications and Plans for improved in a high-hazard zone shall be designed Construction in a Flood-hazard 'Zone. .and constructed in accordance with *780 CMR .Certifications and .plans shall be.submitted in 120.G601. All lateral additions of a building or accordance with 780 CMR .120.G501.12 and structure in a high-hazard zone shall also•.be 120.G501.13 for a substantial repair of a foundation designed and constructed in accordance with as defined in 780 CMR 120.G201, repair or 780 CMR 120.G601 whether or not the lateral replacement of a foundation that. requires addition constitutes a substantial improvement. compliance.with 780 CMR 120.G501,a substantial Plans for a building, structure, substantial improvement as-defined in 780 CMR 120.G201,or improvement, or lateral addition in a high=hazard a building or structure as., defined in 780. CMR zone shall be prepared by a registered,professional 120.G201, including a new or replacement engineer or architect to ensure-compliance with manufactured home. 780 CMR 120.G601. 120.G501.12 As-built Elevation Certification for Note: If located in a coastal dune significant to Construction in a Floo&hazard Zone. For all flood control and/or storm damage prevention and substantial.repairs of a foundation as defined in a bigh-hazard zone, _ a building, structure, 780 CMR 120.G201,all repairs or replacement of a including a new or replacement manufactured foundation that trigger the requirement to comply home, a lateral addition, and a substantial ( with 780 CMR 120.G501, all substantial improvement of a building or structure that has improvements as defined in 780 CMR 120.G201, suffered substantial damage as a result of flooding and all buildings or structures including new and or.storms shall be designed and constructed in replacement manufactured homes, a licensed land accordance with 780 CMR 120.G701 and surveyor or registered design professional shall 120.G8011 as well as 120.G601. certify the actual elevation in relation.to the base 120.G601.1.1)High-hazard Zone Construction � flood elevation of the lowest floor required to be Documents Requirements. Where buildings or elevated by the provisions of 780 CMR 120.G501.2. structures are to be constructed in accordance with The.certification required shall be.submitted to the 786 CMR 120.G601, the building official shall building official .after'the construction.of the require that a registered design professional foundation is complete and before the provide construction documents :showing commencement of any other work on the building or proposed details of foundation support and structure or,if there is no other work,the occupancy connection components which are used in meeting of the building or structure. the requirements of 780 CMR 120.G601.4. 120.G501.13 Documentation '-Water Resistant Where solid walls or partitions are proposed that Construction in a Flood-hazard Zone: Where are less -than two feet above the base flood buildings or structures including new or replacement elevations,wall,framing and connection details of , manufactured homes are .to.be constructed in such walls shall be provided, including loading accordance with 780 CMR 120.G501.5,the building computations for the wall and foundation system official shall require that a registered design used in meeting the conditions of 780 CMR professional provide construction documents 120.G601:3.The construction documents shall be showing proposed details of floor,wall,foundation accompanied by a statement bearing the signature. support components, loading computations, and of the registered design professional indicating other essential technical data used in meeting the that the design and proposed methods of conditions of 780 CMR 120.G501.5. The construction are in accordance with all applicable construction documents shall be accompanied by a provisions of 780 CMR 120.G601. statement bearing the signature of the registered design professional indicating that the design and proposed methods of construction are in accordance 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition 997 /O THE MASSACHUSETTS STATE BUILDING CODE 120.G601.2 Elevation in a Nigh-hazard Zone. All surrounding the piling. Pile system design and buildings or structures including new and installation shall also be made in accordance with replacement manufactured homes. erected or the provisions of780CMR IS16.0and 1817.0. Mat substantially improved within a high-hazard zone or raft foundations which support columns shall not shall be elevated so that the bottom of.the lowest be permitted where soil investigations required in horizontal structural member supporting the lowest accordance with 780 CMR 1902.1 indicate,that soil . floor,with the exception of mat or raft foundations, material under the mat or raft is subject to scour or. piling,pile caps,columns,grade beams and bracing, erosion from wave-velocity flow conditions. is located at an elevation that is at least two feet 120.G601.5 Repair or Replacement of Existing above the base flood elevation. All lateral additions Foundations in a nigh-hazard Zone. Existing erected in a high-hazard zone shall also be elevated foundations may be repaired in a high-hazard zone so that the lowest portion of all structural members without further compliance with 780 CMR 120.G. supporting the lowest.floor of the lateral addition unless the work replaces the foundation in total, with the exception of.mat or raft foundations, replaces the foundation so as to constitute new pilings;pile caps,columns,grade beams and.bracing construction,or constitutes a substantial repair of a:' shall.also be located at an elevation that-is.at least foundation as defined in 780 CMR 120.G201: 'In two feet above the base flood elevation.' such events, the foundation shall be brought into 120.G601.3 Enclosures' below Base' .Flood compliance with the applicable provisions. of Elevation in a High-hazard'Zone'. All spaces that 780 CMR t20.G601. are less than two feet above the base flood elevation See Note to 780 CMR 120.G601.1. in a high-hazard zone shall not be used for human 120.G601.6. Protection of Mechanical and occupancy and shall be free of obstruction except as Electrical Systems in a High-hazard Zone. New permitted in 780 CMR 120:G601.3: and replacement electrical equipment and heating,' 1. Mat or.raft foundations, piling; pile caps, ventilating, air conditioning and other service bracing,grade beams and columns which provide equipment in a high- hazard zone shall be either structural support for the building. placed at least two feet above the base flood, 2. Entrances and exits which are necessary for elevation or protected so as to prevent water from required ingress and means of egress. entering or accumulating within the system 3. Incidental storage of portable or mobile items components during floods in accordance with the readily moved in the event of a storm. mechanical code listed in 780 CMR 100.0. 4. Walls and partitions are permitted to enclose . Installation of electrical wiring and outlets,switches, all or part of the space below the elevated floor provided that such walls and partitions are not junction boxes and panels that are less than two feet above the base flood elevation shall conform to the part of the structural support of the building and are constructed with insect screening,open wood Provisions of 527 CMR 12.00 listed in 780 CMR lattice,or nonsuppor�..i g walls designed to break100.0 for location of such items in wet locations. . Duct insulation subject to water damage shall be away or collapse without causing collapse, displacement or,other structural damage to the installed at least two feet above the base flood elevated portion of the building or supporting elevation. foundation system due to the effect of wind loads 120.G601.7. Construction Materials, Methods as specified in 780 CMR 1611.0 and,water loads and Practices in a high-hazard Zone. All as. specified in 780 CMR 1615.0 acting buildings or structures including new or replacement simultaneously. Any such nonsupporting solid . manufactured homes erected in high-hazard.zones wall shall be certified as specified in 780.CMR (V. Zones) shall be constructed with materials 120.G601.10 and 120.G601.11.: resistant to flood damage and be constructed by 120.G601.4 Foundations in a High hazard Zone. methods and practices that minimize flood damage All buildings or.structures; including .new and . Construction materials shall be resistant to water replacement manufactured homes, erected or damage in accordance with the provisions of P 780 CMR 1808.0, 1810.2, 1813.4, 2307.2,2309.1, substanti ally improved in high-hazard zones shall be 2311.4,2311.6 and 2503.4. supported on pilings or'columns-and shall be ' adequately anchored to such pilings or columns. All 120.G601.8 Recreational Vehicles in a Mgh- lateral additions in high-hazard zones shall also be hazard Zone: Recreational vehicles placed in a supported on pilings or columns and shall be high-hazard zone and that are not fully licensed and adequately anchored to such pilings.or columns. ready for highway use or that are to be placed on a The piling shall have adequate soil penetrations to site for more than 180 consecutive days shall comply . resist the combined wave and wind loads(lateral and with the provisions of 780 CMR 120.0601 uplift)to which such piles are likely to be subjected applicable to buildings or structures including new. . during a flood to the base flood elevation. Pile or replacement manufactured homes. embedment shall include consideration of decreased resistance capacity caused by scour of soil strata 998 780 CMR-Seventh Edition 12/29/07 (Effective 1/1/08) APPENDICES 120.G601.9 Alterations,Renovations and Repairs Dunes. in a Fligh-hazard Zone. Alterations,renovations To determine whether a proposed building or and repairs to existing buildings, including structure,including a manufactured home,a lateral manufactured homes,located in a high-hazard zone addition,work on a foundation that under 780 CMR i shall comply with all applicable provisions of 120.G801.6 requires compliance with 780 CMR . . 780 CMR. Compliance with 780 CMR 120.G. is 120.G801,or substantial improvement to a building required whenever such alteration, renovation or or structure that has incurred substantial damage as repair constitutes substantial repair of a foundation a result of flooding and/or storms is located within as defined in 780 CMR 120.G201,.the repair or an area that is a coastal dune significant to the replacement of a foundation that requires interests of flood control and/or storm damage compliance with 790 CMR 120.G601.as set forth in prevention, the building official shall require the 780 CMR 120.G601.5,a substantial improvement as submission of certain construction documents in defined in 780 CMR 120.G201;or a lateral addition accordance with 780 CMR 120.G701.1. as defined in 780 CMR 120.G201. 120.G701.1.1 Submission of Construction 120.G601.10 Certifications. and Plans for Documents for Proposed Work in a Coastal . Construction 'in a High-hazard Zone. Wetland Resource area. For all buildings or., Certifications. and plans°shall•be submitted in structures, including new or replacement. accordance with 780 CMR 120:0601.10'and manufactured homes,.all lateral additions, all 120.G601.11 for a substantial repair of a foundation work on a foundation that under 780 CMR as defined in 780' CMR 120.G201, a repair.or 120.G801.6 requires compliance with 120.G801, replacement of a foundation that requires and all substantial improvements of a building or compliance with 780 CMR 120.G601,a.substantial structure that has incurred substantial damage as improvement as defined in 780 CMR 120.G201,a a result of flooding and/or storms proposed on a. lateral addition as defined'in 780 CMR 120.G201, parcel of land that is located wholly or partially or a building, or structure, including a new and within a coastal wetland resource area shown on . replacement manufactured home.. the map entitled "Map of Coastal Wetland Resources For Building Officials", the building 120.G601.11As-built Elevation Certifacationsfor official shall require submission of one of the Construction in a High-hazard Zone. For all construction documents specified in 790 CMR substantial repairs of a foundation as defined 120.G701.1.1(a) through (d) along with a 780 CMR 120.G201,all repairs or replacements of notarized statement by the applicant that the a foundation that trigger the requirement to comply Order,Determination or Notice is in effect and is' i with 780 CMR 120.G601, all substantial improve-P not the subject of any administrative appeals ments as defined in 780 CMR 120.G201,all lateral before. the Department of Environmental additions as defined in 780 CMR 120.G201,and all Protection or the Division of Administrative Law buildings and structures, including new' and Appeals. No building permit shall issue unless. repiacement manufactured homes, a licensed land and until a construction document that conforms surveyor or .registered design 'professional shall to the requirements of 780 CMR 120.G701.1' certify the actual elevation(in relation to the base including 120.G701.1(a) through (d) below is flood elevation)of the lowest horizontal structural submitted. member required to be elevated by the provisions of (a): An Order of Conditions establishing the 780 CMR 120.G601.2. The certification required boundaries of all coastal wetland resource areas herein shall be submitted to the building official in a plan referenced in and accompanying the after the construction of the foundation is complete Order. The Order together with the plan and before the commencement of any other work on referenced therein shall identify the boundaries the building or structure or,if there is no other work, of all coastal wetland resource areas including . the occupancy of the building or structure. . coastal dunes and determine whether the coastal wetland resource areas are significant to 120.G701 COASTAL DUNES any of the interests identified in M.G.L.c.131, 120.G701.1 Determination of Coastal Dunes. To § 40(the Wetlands Protection Act) including reduce flood damage,ensure the structural integrity the interests of flood control and storm damage . . of buildings or structures including manufactured prevention. If the Order of Condition and the homes,located in coastal dunes,to protect the public plan referenced therein indicate that the safety and to eliminate certain conflicts between the proposed construction work is located within a coastal dune performance standards set forth in the coastal dune that is significant to the interests Wetlands Protection'Act Regulations, 310 CMR of flood control and/or storm damage 10.28, and this Code, 780 CMR 120.G701 and prevention,the Order of Conditions must allow 120.G801 establish requirements for design and the proposed construction. construction in coastal dunes significant to the (b) An Order of Resource Area Delineation interests of flood control and/or storm damage stating that the proposed construction work is prevention identified in 310 CMR 10.28: Coastal outside the boundaries of all coastal wetland 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition 999 /BV I.MK: 31t•11D DvtUUJ Vr DV11.1Ji1vV iu.:v UJ.IL i avAw.+,.....-.--.--.•--.... I THE MASSACHUSETTS STATE BUILDING CODE i resource areas as shown on a plan referenced in or structure be brought into compliance with and accompanying the Order. 780 CMR 120.G801.1 through 120.G801.11. (c) A Determination of Applicability stating Note 3:If located in a.flood hazard-zone or a high that the proposed construction work is outside hazard zone, a substantial improvement to a the boundaries of all coastal wetland resource building or structure, including a manufactured areas as shown on a plan referenced in and home,in a coastal dune that is significant to flood accompanying the Determination'or will not. control and/or storm damage prevention must fill,dredge or alter a coastal wedand'resource comply with all applicable provisions .of area 780 CMR 120.G501 or 120.G601. (d) A Notice of Non-significance evidencing . that the proposed construction work is within 120.G801.1 Plans for Construction in a Coastal a coastal wetland resource area as shown.on a Dune. All plans for the construction of a building or. plan referenced in and accompanying the 'structure including a new or replacement Notice and' stating that the coastal wetland manufactured home and all plans for a lateral resource area is not significant to any of the addition as defined in 780 CMR 120.G201, a. interests identified in M.G.L.c:131,§40.(the.. substantial improvement of.a building or structure Wetlands Protection Act). that has incurred substantial.damage as a result of flooding and/or storms, work on a foundation that MGM CONSTRUCTION IN under 780 CMR 120.G801.6 requires compliance COASTAL DUNES with 780 CMR 120.G as applicable,proposed within an area that is a coastal dune significant to the 120.G801.1 Requirements for Design and interests of flood control and/or storm.damage Construction in Coastal Dunes. All buildings and prevention shall be prepared by a registered structures including manufactured homes,all lateral professional engineer or architect to ensure additions,all substantial improvements to abuilding compliance with 120.G801.3 through 120.G.8.1 L. or structure that has incurred substantial damage as a result of flooding and/or storms,and all work*on a 120.G801.3 Foundation Types in a Coastal Dune. foundation that under 780 CMR 120.G801.6 All buildings, structures, or lateral additions, and ' requires compliance with 780 CMR 120.G801,that substantial improvements to a building or structure are proposed within an area that is a coastal dune that has incurred substantial damage as a result of significant to the interests of storm damage: storms and/or flooding that are ocated in a coastal prevention and/or flood control shall comply.with -dune significant to a interests of flood.control f the provisions of 780 CMR 120.G801 including and/or storm damage prevention,shall be supported 120.G801.I through 120.G801.11. The determina- on open pilings without footings to allow the lateral lion of whether such construction work is proposed movement of the dune and shall be adequately to be located within an area that is a coastal dune_ anchored to such pilings. The pilings shall have significant to the interests of sto.,m damage adequate soil penetration to resist the combined prevention.and/or flood control shall be based solely wave and wind loads (lateral and uplift) to which on the construction documents, submitted to the such piles are likely to be subjected during storm building official in accordance with 780 CMR events. Pile embedment shall include consideration 120.G701 including 120.0701.1.1(4)through.(d). If of decreased resistance capacity caused by scour of the proposed construction work is also located,in a soil strata surrounding the piling. Pile system design flood-hazard' zone or a high-hazard zone, the and construction shall be made in accordance with construction work shall also comply with applicable the provisions of 780 CMR provisions of 780.CMR 120.G501 or 120.G601,as Exception: Where surface or subsurface applicable. conditions consist of nonerodible soil that Note 1: -A lateral addition proposed to be prevents the use of pile foundations, spread constructed within a coastal dune that is footing or mat foundations may be permitted significant to the interests..of flood control and/or provided they are anchored to prevent sliding, storm damage prevention shall be constructed in uplift or overturning to nonerodible soil with accordance with 780 CMR 120.G801.1 through sufficient strength to withstand forces from the 120.G801.11 whether or not the lateral addition is combinations of load. a substantial improvement as defined in 786 CMR Note: An Order of Conditions is required for 120.G201. the construction of a new foundation in a Note 2: A substantial improvement to a building coastal dune that-is significant to the interests or structure including a manufactured home,that of flood control or storm damage prevention. is located in a coastal dune that is significant to An Order of Conditions is also required for the interests of flood control and/or storm damage work on a foundation that under 780 CMR prevention and that has not incurred substantial 120.G8.6 requires compliance with 780 CMR damage as a result of flooding or storms does not 120.G801. To allow the lateral movement of trigger the requirement that the existing building the dune,the Order of Conditions may impose 1000 780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08) 780 CMR 120.G r : FLOOD RESISTANT CONSTRUCTION AND CONSTRUCTION IN COASTAL DUNES 120.G801.3Foundation Types in a Coastal Dune. All buildings, structures, or lateral additions,and substantial improvements to a building or structure that has incurred substantial damage as a'result of storms and/or flooding that are located in a coastal dune significant to the.interests of flood control and/or storm damage prevention shall be supported on open pilings without footings to allow the lateral- movement of the dune and shall be adequately anchored to such pilings. The pilings shall have adequate soil penetration to resistthe combined wave and wind loads(lateral and uplift)to which such piles are likely to be subjected during storm events.Pile embedment shall include consideration of decreased resistance capacity caused by scour of i soil strata surrounding the-piling. Pile system design and construction shall be made in accordance with the provisions of 780 CMR 18.00. ...., �.._-• --------•--- -- ---- - ----- APPENDICES additional requirements or restrictions on the damage prevention,and that has incurred substantial use of certain foundation types based on site- damage as a result of flooding or storms shall be specific factors. All foundations in such a subject to the requirements in 780 CMR 120.G701 coastal dune must also be designed and and 780 CMR 120.G801 applicable to buildings or ( constructed in accordance with the Order of structures including without limitation the elevation Conditions. and foundation type requirements of 780 CMR 120.G801.4 Elevation in a Coastal Dune. Within 120.G801.3 and 120.G801.4. a coastal dune that is significant to the interests of 120.G801.8 Protection of Mechanical and flood control and/or storm damage prevention, all Electrical Equipment in a Coastal Dune. New. buildings or structures including new and and replacement electrical equipment, heating, replacement manufactured homes, all lateral ventilating, air conditioning and other service. additions as defined in 780 CMR 120.G201,and all equipment in a coastal dune that is significant to the substantial improvements of a building or structure interests of flood control and/or storm damage that has incurred substantial damage as a result of prevention shall be placed at the elevation]required* flooding or siornisshall be erected so that the by the Order of Conditions.. bottom of the lowest horizontal structural member of 120.G801.9 Certifications and Plans for the lowest floor with the exception of pilings or pile. Construction in a.Coastal Dune. Certifications ' caps is located at the elevation required by the.Order and plans in accordance with 780 CMR of Conditions. 120.G801.10 and 120.G801.11 shall be submitted Note: Orders of Conditions .issued by ,a for the following construction work in a coutaldune Conservation Commission maybe appealed to the significant to the interests'of flood control and/or Massachusetts Department of Environmental storm damage prevention:all work on a foundation 'Protection and the Division of. Administrative that under 780 CMR.' 120.G801.6 iequires Law Appeals by following the procedures.set compliance with 780 CMR 120.G801, all lateral forth in 310 CMR 10.05(7). additions as defined in 780 CMR 120.G201, all 120.G801.5 Recreational Vehicles in a Coastal buildings or structures, including new, and Dune. Recreational vehicles placed in a coastal replacement manufactured homes,and all substantial dune that is significant to the interests of flood improvements of a building or.structure that has control and/or storm damage prevention and that incurred substantial damage as a result of flooding j either are not fully licensed and ready for highway and/or storms. use or placed on the coastal dune for more than 180 120.G801.10 As-built Elevation Certification for consecutive days shall be designed and constructed Construction in a Coastal Dune. After the in accordance with the requirements of 780 CMR construction of the foundation is complete and 120.G801.1 through 801.11 applicable to buildings before the commencement of any other work on the or structures including new or replacement building or structure including a new or replacement manufactured homes. manufactured home,or if there is no other work;the —y IM.G801.6 Repair or Replacement of Existing occupancy of the structure,a licensed land surveyor Foundations in a Costal Dune. Except as or registered design professional shall submit otherwise provided herein,existing foundations'ram certification to the building official that the actual coastal dune significant to the interests of flood elevation of the lowest horizontal structural member control and/or storm damage prevention may be in relation to the elevation of the dune prior to the repaired without further compliance with 780 CMR start of construction meets or exceeds the 120.G,as applicable.Existing foundation systems in requirements of 780 CMR 120.G801.4. a coastal dune significant to.the interests of flood 120.G801.11 Coastal Dune Construction control and/or storm damage prevention,which are Documents.'The building official shall require that replaced in total, which are replaced so as to the registered design professional provide, constitute new construction,or any substantial repair construction documents showing details of of a foundation as defined in 780 CMR 120.G201 foundation support and components,'. loading shall trigger the requirement that the foundation be computations and other essential data demonstrating brought into compliance with the applicable compliance with the requirements of 780 CMR provisions of 780 CMR. 120.G801 including 120.G801 including 120.G801.3 and 120.G801.4for 780 CMR 120.G801.3 and 120.G801.4. the following construction work in a coastal dune 120.G801.7 Substantial Improvement of a significant to the interests of flood oontrol,and/or Building or Structure,Including a Manufactured storm damage prevention:all work on a foundation Roane, That Is Located in a Coastal Dune and that under 780 CMR-. 120.G801.6 requires Elm Suffered Substantial Damage..All substantial compliance with 780 CMR 120.G801, all lateral improvements to a building or structure including a additions as defined in 780 CMR 120.G201, all manufactured home that is located in a coastal dune buildings or structures as defined in 180 CMR . that is significant to flood control and/or storm i20.G201, including new and replacement 12/28/07 (Effective 1/l/08) 780 CMR-Seventh Edition 1001 /VV�.{aaa�. Vat•ay✓va u�al va ✓v✓.a✓r..v--��vr---�..� �.� �__�.� �—_ . THE MASSACHUSETTS STATE BUILDING CODE manufactured homes, and all substantial the registered design professional indicating that the improvements of a building or structure that has design and proposed methods of construction are in incurred substantial damage as a result of flooding or accordance with applicable provisions of 780 CMR storms. The construction documents shall be 120.G801 including 120.G801.3 through 120.G8 accompanied by a statement.bearing the signature of 1002 780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08) .�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C19 11 Parcel 0 / Application# 0=6 3 V Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee / Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board " ?,,,- Historic-OKH Preservation/Hyannis 0 r Project Street Address L4z-q S l'�e_ QDJO Village Owner T Win i) Address a,y►r\t/p A- O Zed r Telephone 50 Permit Request lau2 W vl bu l lvw Square feet: 1stfloor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) `Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing t ❑new size e Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: o < co N Zoning Board of Appeals-Authorization ❑ Appeal#= - Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# co v Current Use Proposed Use Ln r- BUILDER INFORMATION ' Name V_ Telephone Number 50� LW 3%0� Address 11 License# 1AIA M, 'JZZ- Home Improvement Contractor# 15 3 ZZ 7— Worker's Compensation# G 5 (o 00 5 5 3&C 2 30�0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO COY ,2�m SIGNATURE DATE IIIZgI " FOR OFFICIAL USE ONLY i a PERMIT NO. DATE ISSUED MAP/PARCEL NO. t' ADDRESS VILLAGE OWNER 'DATE OF INSPECTION: FOUNDATION - I FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' . FINAL BUILDING '. DATE CLOSED OUT ASSOCIATION PLAN NO.-- The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations T- . 600 Washington Street y� Boston,MA 02111 4 �,M y• wwv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): l 0 K A V Sew�ilq Address: IMp City/State/Zip: /A-VwV AQ( 02, Z2- Phone #: `Z,� A you an employer? Check the appropriate box:. Type of project(required): 1.[ 1 am a employer with Ai (C ice• ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12. Roof repairs insurance required.] t employees. [No workers' 1.3.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Apo tbt R)!4 m' h --tL AAef'1C1A -Ir C, (Oharl � Policy#or Self-ins.Lic. #: M P D 0-1 3252— Expiration Date: Job Site Address: L4 L,) SQ.g1 Na L tlau1 - City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a fine up to$1,50Q.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$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ify under the pains andpenalties ofperjury that the information provided above is true and correct Signature: Dater Phone#: Vbs LibLA 3$ub Official use only. Do not write in this area,to be completed by city.or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work,on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage.required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners,' are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should or the permit or license is being requested, not the Department of be returned to the city or town that the application f Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you'in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents Office of Investigations 600 Washington Street ° Boston, MA 02111: Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia From:<Appleb &wyman> To;LIK131L1 1506B570231 Pa e; 1/2 Date:11131200E 3:11;32 PM Aua� 4tK I II'I A 1 VI' 1 V 1Wt5UK/ NGh 11/02/200e ATION R�� (781)329-5420 FAX (781)329-8861 THMONLY CCND coAT6 IS 1NO RIGIED AS A MATTER OF RTIFIC TE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,Ippl eby & Wyman Insurance Agency Inc- HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR B58 Washington St. ALTER YHE COVERAGE AFFORDED RY THE POLICIES BELOW. Suite 104 INSURERS AFFORDING COVERAGE NAIC# -Dedham, MA 02026-451S JINN SURER A; National Grange Insurance Co. +L4733 � A At K.SerV ces 15 Lothrop Drive SURERt3 Assigned isk Avon MA 02332 5t1RERCSURER D: SURER E: .711E POLICIES Ur IN,LKANCE LISTED BELCAN HAVL�6rEN ISSUED TO THE INSURED NAMCO ADOVC ron 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,F�(CLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIWTS �oucr�/f'IQ.TV6 POiA�Y raxwrroH �R D' TYPE OF yata}RANCE POLICY NUU3ERFla caIERALWeILm, MP0073252 07'/10/2006 07/10/2007 EACH OCCURRENCE s 1,000.00C. DAMAFITM- 3 100,00 X COMMERCAL GENERAL LWKU7Y CLAIMS MADE 0 OCCUR MED ENP(Am ono Pmsw4 i . 5,000 PERSONA.a AOV WURY 4s 1,000,000 A GENERAL AGGREGATE S 2,000.000 PRODUCTS-COMPIOP TOG S ZL00�0000 Geit AGGREGATE L141 APPLIES PER X POLM r"TC LOC IEn C b4�lil.t l,VV01 AUTOMOHO-PLIAULM n $ . ANY AUTO ALL OWNED ALTOSBODILY INJURYg lPw vw�4 SC-MDULED AUTOS HIRED AUTOS BODLY INJURY i (Per IxadaM NON-OWNED AUTOS PROPERTY DAMAGE a (Partlaidnte) rrrl AI AA9 Y.FA Al•CMFNT S ImIAGE LIABILITY . OTHER THAN ZAcc s ANY AUTO AUTO ONLY: AGG S EAI;H OCCURRENCE : 190-ENTION ASRELlA LU�r1V AGGREGATE _ UR F CLAIMS MADE S 3 UCTIBLE S STATU OFR X wrlriY1 wonK�scaMPEraI►TwNANo 6S60IIRS53fiC2306 O7/10/2006 07/10/2007 M . 5ff%0Y W LIABILITY E.L..EACH ACCIDE TT 9 SOO O00 S AwpROpRIETOpPARTI CUYNE E.L.DISEASC-EA EMPLOYEE t S00 0OO OFFICUO&MBER EXCLUDED? , a aoeeneounlcr G.L.OICGAee-roucrLa,+R $ 500 Gala SEZIAL PRovLsroNS below OTHER DESCW11UN OF OPERATIOM I LOOAYIONS I VEHICLES I EXCLUSIONS ADDED BY ENDDRsEmENT(SPECIAL PROVISIONS CERTIRCATg HOLDER CANCELLATION . 7,l4UUW NIT VF THe ABOVE DC6GIV6EDPOL1ClGa OL CNNOCLW�BEFORE THISEXpIRA1IONDATETHEREOF,THE18SUINGINSURERWILL ENpEgVORTOMA>L �Q_DAYS WRnTEN NOTICE TOTHE CERTIFICATE HO WER NAMEO TO THE LEFT, BUf p{+A URETo mAiL SUCH NOTICE SHALL IMPOSE NO oBUGAYMN OR LMILMY OF ANY KW IPONYHE INSURER,ITS AGENTS OR REPRESENTATIVES. •lfhlOFil�REpRESfiNTA'nVE ��L� �� I II) 1 a.I barnsxabl e i jStephen Gaila her GALLA @ACORD CORPORATION 1888 ACORD 25(2001108) FAX: (508)857-0g31 This fax was sent with GFI FAXmaker fax server. For mare Intormaton,visit:htIp://www.gri.wn I TOWN OF BARNSTABLE, MASSACHUSETTS V AGREEMENT BETWEEN CONTRACTOR AND TOWN THIS AGREEMENT, made this day of November 2006 by and between the TOWN OF BARNSTABLE, Massachusetts, hereinafter called Town, and A & K Services, with legal address and . principal place of business at 15 Lothrop Drive, Avon, Massachusetts 02322, hereinafter called Contractor: WITNESSETH: That for and in consideration of the payments and agreements hereinafter mentioned, to be made and performed by the TOWN, the CONTRACTOR hereby agrees with the TOWN to commence and complete the removal and replacement of the roof on the Sandy Neck Beach Gatehouse, Sandy Neck Road, West Barnstable, Massachusetts; hereinafter called the Project, for the consideration set forth in the Proposal and all extra work in connection therewith, under the terms as stated in the General and Supplemental General Conditions of the Contract; and at their own proper cost and expense to furnish all the materials, supplies, machinery, equipment, tools, superintending, labor, insurance, and other accessories and services necessary to complete said Project in accordance with the conditions and prices stated in the . Proposal dated October 29, 2006, cedar shingle replacement, and the Construction Specifications/Invitation for bid dated October 5,.2006, all of which are made a part hereof and collectively evidence and constitute the Contract. Work shall be completed within thirty (30) days from date of contract. Construction shall begin to later than fifteen days (15) from the date of contract. THE TOWN agrees to pay the Contractor for the performance of the Contract, subject to additions and deductions, as provided in the General Conditions of the Contract, and to make payments on account thereof as provided in Article 1 MEASUREMENT AND PAYMENT of the Special Conditions. CONTRACT AMOUNT $ 14,500.00 The total payment shall not exceed this contract amount, without the written authorization of the.Town. IN WITNESS WHEREOF, the parties to these presents have executed this Contract in the year and day first above mentioned. App ve as to form: By: q� l 1 bert Smith, ey (CONTRACTOR v By: Town M ager As required by Chapter 693 of the Acts of 1964, this is to certify that the Town of Barnstable, Massachusetts has an appropriation which is adequate to cover the cost of this contract. By: Mark ilne, finance Director The Certificate shall be signed by the auditor or accountant or other officer having similar duties of the Town of Barnstable, Massachusetts and the official title noted below the signature. c. Sandy Neck Beach Gatehouse Roof Replacement P3 i •+ -� i ��� _ 63�� � ��i y�r t � � ��� . � r � � �y� � � j �� � f{.� ,j •• Engineering Dept. (3rd floor)_ Map ��" �Parcel --V�P=264-4 Permit# Xa0'7 House# c:�Oe� Date'Issued Board of Health(3rd flo6r)-(8:15 -9:30/1:00-4:30) ,971 Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 1st floor/School Admin. Bldg.) roved b Planning Board 19 PP Y g OWN OF BARNSTABLE Building Permit Application S Project Street Address Sandy NeckAAfflipk GedlI-1j Village West Barnstable Owner Town of Barnstable Address Rec. Dept. , 141 Bassett Ln. , Hyannis Telephone 508-790-6350 Permit Request Construction of a handicap accessible elevated walkway. This walkway will be sited over a deteriorating dirt pathway and will provide the only beach access from the "upper" parking lot at• Sandy Neck. First Floor . square feet Second Floor square feet Construction Type Wood ".Zibstimated Project Cost $ c2q_ �p Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other tBasement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New r No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) 10 Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Handicap access to front beach area Builder Information Name r b(, A- Z b w` fig; Telephone Number 7 g(o C 326 Address • b v License# S Q 9- ;Z 3 9 Hit S Q S Q Z C1�9 Home Improvement Contractor# Worker's Compensation# —7, 0,9 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 1 IGNATURE _ .f �� DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY w PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. A • ADDRESS VILLAGE OWNER i DATE OF INSPECTION: _ s FOUNDATION, FRAME ' INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: -,gROUGH FINAL GAS:- A; ?"IUUGH FINAL " 6,,s FINAL BUILDINCr70 TV •+' 3' r DATE CLOSED OUTn: , y:. , ASSOCIATION P LAN NQ► r _ The Commonwealth of.11ascac•husetty .. , - -•-. 1:_ Dc urtmurt of Industrial Accidents Office of/nvest/gat/offs tillll R'ashirrl;tan Street ` 4. Boston, A1uv:v. 02111 Workers' Compensation Insurance Affidavit -._. .. - ---- - . Applicant information: �lPlcase PRINT leb�,jy —•"—~� name: Town of Barnstable Rec./Human Service Dept. , Sandy Neck Section location: upper parking lot, Sandy Neck Beach, West Barnstable city Mail: 141 Bassett Ln. , Hyannis, MA 02601 Phone# 508-790-6350 I am a homeowner performing all work myself. 7 1 am a sole proprietor and have no one working in any capacity ... _. . .: .. !:-1.e n..r_.Z+.f}T�s..�wMr•+.. +U!;+►T,^.n+s W�.��.�.w.�.• .w+�.__.-. .. I am an employer providing workers' compensation for my employees working on this job. address: +/I'/(.w� [1/i4k city: 1 �1}��l'S� r vl� © Z(2 D / rhnnc t.SO insuranceco. _ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the followinL, workers' compensation polices: company name, address: cih•: Phone#: insurance co. Vnlicv# --..__._.... ..._ .._.�-.—....... _I_lr.ay:.—_:_w�.�.rr:a.r'.w...Jr'tiWr.rr�'-`- �. :11..�-_��__ _ - ..i-_- _ _-_— _+�L•.�L'i..Y�•.. .Y--� comnnnc nnmc: address: city: Phone# insurance co. policy# .Attach additional sheet if ne'icssary7 -- - --... ..�-----•--.- .1a`rR - =•= ---�:i.:r :ti v.�r �_�a,,•au.__ •-•+xi.,�---...._�-._._::�it��d.:�i.:iw.: i:�:s. Failure to se-cure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andior one%-cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cop)•of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. I do Berth' certify tinder the pains and penalties ojperjun•that the information provided above is true and correct. p,Si^_nature` G/ �^ Date >`(^✓�yr I ( ( Y Print name Phone# r. c.fr ciai use only do not write in thisarcs to be completed by city or town officialiq'or town: permit/license ti rjBuilding Department •- . oLicensing Board rr ❑ check if immediate response is required [3seiectmen's office i [3I1ealth Department contact person: phone#: mother ! i:a uc:i 3:'?I'1•U Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law". an etnpluree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An entplurer is defined as an individual. partnership, association. corporation or other legal entity. or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased emplover, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwelling house haying not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers- compensation affidavit completely, by checking the box that applies to your situation and supplying= company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for tite permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tlie Office of investi=ations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. Tlie Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NA`ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone P,: (617) 727-4900 ext. 406, 409 or 375 +k:��•'+L Ali p�---�4rr-.. _ .�_�------ .----....--„ . tit,.. v� � �'�• :. .. .N e Un�,vnonuieall�i a�✓G(tivf ;,,,,. '� " ::.Restricted Io: 00 OEPARINENT OF PUBLIC SAFETY;; r, . ... .,r, ram- •}{.� ....,,'t::.a,•• ::.••. CONSTRUCTION SUPERVISOR LICENSE �* `,OO.. .None . Nuttier:' Expires: /1- tr P eir4kdat`� only y �_• 052139::,•-0611811997 06.18i! l.G., E.2 Fatil Hole �• ��, :Restrlcted,Tti= �00 ��•I t r s !kit. t. lIBU1J4 l�i..�,.,Y, �iJ•tu!,`' gr^==130..RASPBERRY lN�:,-iti� ,:•al t �;�.:;�•�•� ;,,; ': Fan.r����a�„tea�•�eA��;+��,��- :y:i�?: .- MARSIONS NIIIS, t1,9 02648lit t •Ja::,::it:N�4;t1.�.t,>;,Rh( �� :istin�t' ;� �t�i-i �.,v. rbl t 11l ��9{: _.mow•bra+r �'..}.�` *� '�1:�� ,� ?� � , r _ f 310 CMR 10.99 Form 5 DEOE File No. SE3-3144 THE Tp` (To be Drowaeo by DEOEi zr— P 4 Barnstable : Commonwealth o �^ City Town of Massachusetts 3AUSTLME, ; Applicant Barnstable Recreation _ orua_` v 0y ape,039. Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131 , §40 TOWN OF BARNSTABLE ORDINANCES, ARTICLE XXvII From Barnstable Conservation Commission To Town of Barnstable, Recreation same (Name of Applicant) (Name of property owner) 141 Bassett Lane Address.Hyannis, MA 02601 Address Map Number Parcel Number This Order is issued and delivered as follows: ❑ by hand delivery to applicant or representative on (date) C by certified mail. return receipt requested on 3/17/07 (date) This project is located at . Bodfish Park. on Sandy Neck Road The prcpeny is recorded at the Registry of . Deeds in Barnstable BOOK Page 161 Certificate (if rectstered) LC 414099, Ciartificate of Title 121-65 The Notice of Intent for this project was filed on February 6, 1997 (date) The public hearing was closed on (date) Findings The_. ?rnstable Conservation C nmmi �g; has reviewed the above referenced Notice of Intern anc plans and has held a public hearino on the project. Based on the information available to the Commission at this time. the -_Commission has determined that the_rea on which the proposed:work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): ❑ Public water supply Flood control ❑ land containing shellfish ❑ Private water supply L� Storm damage prevention ❑, ,Fisheries ❑ Ground water supply [ Prevention of pollution LJ Protection of wildlife habitat Total Fling Fee Submitted n/a State Share n/a CityrTown Share (1/ fee in excess cf S25) Total Refund Due S City/Town Portion S State Portion S ARTICLE 27 Only: (1/2 total) (1/2 total) ❑ Public Trust Rights ❑ Agriculture Q Erosion Control ❑ Aquaculture ❑ �tecreational Effective 11/10/89 ❑ Historic' [-Aesthetic 5.1 SE3-3144---Barnstable Recreation Department Approved plan=January 6, 1997 revised site plan (2 sheets) Findings: 1. The proposed project resides on the primary dune of a coastal barrier beach. Dunes by their nature erode;barrier beaches by their nature migrate. Special Conditions of Approval: 1. General Conditions 1-12 on the preceding page are binding, and demand both your attention and compliance. 2. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein, General Condition number 8 (preceding page)shall be complied with. 3. The applicant shall pay for their legal advertisement as invoiced. 4. This permit is valid for 3 years from the date of issuance, unless extended at the request of the applicant. 5. The applicant shall provide project contractors with copies.of the Order of Conditions and approved plans prior to the'start of their work. 6. The work limit for the access ramp shall be the edges of the existing pathway. r For the observation deck, the work limit shall be 4' off the seaward side of the deck. DSediment fencing shall be set along the work limit for the observation deck. 9. The access ramp shall be constructed in an `as you go' manner, so that erosion of the pathway- scarp can be minimized. 10. Ramp components shall not be stored'on the beach or dune out of season, parking lot storage is o.k. 1 i. No.creosote treated materials shall be used. 12. Any dune disturbed during the project shall be planted in American beach grass.12" on center. The decks and ramps shall all be provided with 1/4' deck plank spacing. 14. It is the responsibility of the applicant, owner andlor successor(s) to ensure that all conditions of this Order are complied with. The project engineer and contractors are to be provided with a copy of this Order and referenced documents before the commencement of construction. The foregoing condition shall not be construed to exempt project contractors from responsibility for any work performed in deviation with provisions of the Order of Conditions or with the detail of the plans ofrecord. 15. The Conservation Commission, its employees, and its agents shall have a right of entry to inspect for compliance with the provisions of this Order of Conditions. 16. At the completion of work,or by the expiration of the present permit,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Where a project has been completed in accordance with plans stamped by a registered professional engineer, architect, landscape architect or land surveyor, a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation,'if any, exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. Therefore, the Barnstable Conservation Commission hereby finds that the following conditions are necessary, in accordance with the Performance standards set forth in the regulations, to protect these interests checked above. The Commission orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the .plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. General Conditions: 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause -to revoke or modify this Order. 2. This order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three. years from the date of I this Order unless either of the following apply: a) The work is a maintenance dredging project as provided for in the Act; or bj The time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this order 5. This order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority .at least 30 days prior to the expiration date of the order. 6. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or debris, including but .not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts of any of the foregoing. 7. No- work shall be undertaken until all administrative appeal periods from this order have elapsed or, if such an appeal has been filed, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final order shall also be noted in the Registry's Grantor index under the name of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the Commission on the form at the end of this order prior to commencement of the work. 9 . A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection, File Number SE3-3144 a 10. Where the Department of Environmental Protection is requested to make a determination and to issue a superseding Order, the Conservation commission- shallbe a.party to all agency proceedings and hearings before the Department. 11. Upon completion of the work described herein, the applicant shall forthwith request in writing that a certificate of compliance be issued stating that the work has been satisfactorily completed. 12. The work shall conform to the following plans and special conditions. Issued By Conservation Commission Signa e(s) This Order must be signed by a majority of the Conservation Commission. On this ` day of 1 1 ` U'�� 19 _� ! —. before me personally appeared Audrey Olmstead to me known to be the person.described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. r W COMMISSION EXPIRES SEPT.27,200E . Notary Public My commission expires The applicant.the owner,any person aggrieved by this Order, any owner of land abutting the land upon which.the proposed work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order, providing the request is made by certified mail or hand delivery to the Department within ten days from the date of issuance of this.Order. A copy of the request shall at the same time.be sent by certified mail or hand.delivery to the Conservation Commission and the applicant. Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. To Barnstable Conservation Commission.(Issuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT Bodfish Park on Sandy Neck Road FILE NUMBER SE3-3144 HAS BEEN RECORDED AT THE REGISTRY OF. ON (DATE) If recorded land, the instrument number which identifies this transaction is If registered land. the document number which identifies this transaction is Signed Applicant �TME A The Town of Barnstable o� Department of Health Safety and Environmental Services • "RNST"L& • Building Division KAM 9� 163g. `0$ 367 Main Street,Hyannis MA 02601 QED MA'I A Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Building Permit Procedure for Commercial Additions 1. Plot plan or mortgage survey required for zoning compliance. 2. Old King's Highway Historic District Commission approval required prior to construction/demolition for any properties located in the Historic District (north of the Mid Cape Highway). 3. Construction plans -one complete set of full sized plans and one complete set reduced to 8:5" x 11"or 8.5" x 14" must be submitted with the building permit application. Note: The applicant must also submit a set of plans to the appropriate Fire Department for review 4. Approval from the following departments must be obtained: Conservation Department (4th floor Town Hall) (8:30-9:30 a.m. & 1:00-2:00 p.m.) Health Department (3rd floor Town Hall - 8:30 - 9:30 a.m. & 1:00 -4:45 p.m.) Engineering Department (3rd floor Town Hall) 5. Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit, subcontractors hired must supply this.. 6. A copy of the Construction Supervisor license is required. 7. Fee must be paid prior to issuance of permit. Note: No wall is to be covered before wiring, plumbing and frame inspections. PERMIT i zrvmar I .. fam ►TOWN .OF BARNBtTABLE DEPARTMENT OF PUBLIC WORKS-ENOINIEERINO DIVISION I -- __ �s.' N. - .m PE�L5Pn5CO.�7�Ar'iPa"DFd'lS:��...e-�:e: .,�._ro.• ',nT� I ,vote. SVOOCD R4NPSY OGGK< [.qg, ac`3t.GD T: G ppO.l/- 71JO,-OF, OG;"• - _ —._—.'_O. ® �wsro. — 1_ I '•��, .._ /� — :,�' --- 'SLiNDI'-N ELx-'bLA _ I I. w. �Xa,� ,( .rrr •i. � AGST-��AP571'3- �"6�1r,-M-a.�_=� aarr'.ewst.e..� I ?.ORKINI LOT.'' �' b.Lr• 1\ 'leer. / ____--•:_ ___ :M .'' e.a •�'s.. . sjw I ^ I // aw♦ f v eae�.•✓4 -` olrapl lavo7 ` '`a[ 'T�R --��. .__.. .._tl— 1•t anon autr h.o.!Wert. •YI'•• i Iw.r . 'y -�.IO.riam'0110^•'I"s .; •iou��c� aa\ 5/TE '30140 7UeL'DS7ARG__.DIR LC7 AVf51_:' 2:'02 I \ ffti�ME DETAIL*DE!K,5 NMP4 P>'C5r 57ATI00 DETWLt. I �\ r— \ NOTC: ALL 1.1OOD TO or rmm-une qmn Teo. I -- ' ur I I _ �`Y• .. � q0.� � -,.5/��c:Op•�5' .—._;��.._. 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N M c? 66 O O O L0 L0 2 U w LL ui JU Q10 W o O � m Q t; a ep==q 0 z w \ IL 75; w REMOVE STAIR DOWN TO I LOWER PARKING LOT O \ L CL I = 2 ED LEVEL EX15TING U MOUND TO BE IN LINE / / ` _ �= Q WITH SURIROUNDING J/ 1 U c ) w GRADE TO REMAIN m Z \ / Q w / w L REMOVE RAISED CONCRETE PAD im Q r ` Z REMOVE CONCRETE WALK w (f) AROUND BUILDING z O �- Z REMOVE EXISTING ±I,600 SF Z < BATHHOUSE - FOUNDATION z O REMOVE BITUMINOUS TO REMAIN PAVED CIRCLE Cf ~ 0 w CJ� O I O REMOVE WELL PUMP-HOUSE / TITLE: STRUCTURE APPROVE APR 14 2010 Town of Barnstable DEMO / Old King's Highway Committee SITE PLAN t DATE ISSUED: D ll !`/ <,� —13-10 j",fl MAR 2 3 2009 REVISIONS: s a o. i DRAWN BY: TRS i s ®^ 3 PROJECT #: PROJECT NO. cz Q= DRAWING NO.: oZ SCALE: 0=20' D1=1"(O SITE PLAN E 14 1 1 D � Spl =F J j SCALE: I"=20' IE -- 0 � 0' 10' 20' 40' 60' &0' N -a N N= L ' i c