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HomeMy WebLinkAbout0591 SEA VIEW AVENUE IF 1 S� AO L . _____. • o o � 1 4 0 0 0 ]i] S I f L I i o o u - 4sr.� _. .:.. PROJECT NAME: ADDRESS: D_cT PERMIT# a sus' PERMIT DATE: llA 0 M/P: LARGE ROLLED PLANS ARE IN: ]BOX SLOT 1 '3 Data entered in MAPS program on: 9� d BY: (/L.,. q/wpfiles/archive �• ..:., TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcef O. db_ Application # Health Division Date Issued 3,11 Conservation Division Application Fee o Planning.Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 'SR3 V,m lGh/ . 00ew-111 I`. Village r Owner S� r► MA Address 955A VI M! r7y4- Telephone ��g L1 40 - ZL L c Permit Request Cf d 4.0 0'5, . JP0eJVaL Voo,r S0"ki o* "T '_` A o 154 1ho . -t tnli(. m Square few 1 sMor: existing proposed 2nd floor: existing proposed Total new Zoning DisMct 0- Flood Plain Groundwater Overlay Project VaWatiofP Construction Type ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling 4e: f*gle 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 U Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: JZoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use -- Proposed Use- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name .�2SSL �r i(�iS ,�nG. Telephone Number to/ 617•- Oo37 Address J 1 ICA3A�4- License # WA"Wh M i+ O Z yl Z Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO wad SIGNATURE DATE g/I$/10 t/ i > FOR OFFICIAL USE ONLY 4PFLICATION# DATE ISSUED i ; MAP_/PARCEL NO., ADDRESS VILLAGE 'S OWNER t DATE OF INSPECTION: F.OUNDATIONN' +"l FRAME :INSULATION-:;. . S FIREPLACE } ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GASH 4-3 L; ROUGH =3 FINAL DATE CL03ED;OlJT ASSOCIATION PLAN NO. " The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ''4 �••`� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeL-ibly Name(Business/Organization/Individual): �GS$G. W d li$ , TeNL: Address: Sao Peasan 4- City/State/Zip: WeJWT,D.WN I MA OzyTZ Phone.#: el-7 S47-a°37 Are you an employer? Check the appropriate boar: Type of project(required): 1. I am a employer o 4. 1 am a general contractor and I p yer with 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 I am a•sole proprietor or partfter listed on the-attached sheet. T. 0 Remodeling ship and have no employees These sub-contractors have g, "� Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition No workers' comp. insurance comp. insurance.# required.] 5. 0 We are a corporation and its '10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 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.n 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. XContractors 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: IVY� �rq✓Gl Py-s ..�_ n1 M -111 oe� An6- 6Z� Policy#or Self-ins. Lic. #: k+ue Expiration Date: !/ Job Site Address: 6q3 'Sea V/GW City/State/Zip: �S�P�✓V���� , ?Gg� 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 violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cjrt#under the ains and penalties of perjury that the information provided above is true and correct Si attire: Date: Phone Offu ial 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 S.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-coati actor(s)name(s),-addresses)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. A)so 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 td,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 maybe 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.thaak 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 Depattment of Industrial Accidents Office of Investigations- 600 Washington Street Roston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-NIASSAFE Fax # 617-72777749 Revised 11-22-06 www.mass.gov/dia Telephone: Fax: (617),527-0037 (617) 923-8360 (617) 244-5491 J. G. WILLIS, INC. 586 Pleasant Street, Watertown, MA 02472-2408 April 23, 2010 Sherri A. Mahne 593 Sea View Ave. Osterville, MA 02655 Dear Sherri: A_; ner our recent meeting x,,-e are proposing the following arrangement of equipment to -= o : e-:ga`ement party on Saturda\. September 11. 2010. This equipment %vould be ;.rented at your home at 593 Sea View Avenue, Osterville, MA. Erect a 30 x 60 white vinyl Toptec frame tent. Install a 32 x 60 plywood floor with sisal carpet. We use professional surveying equipment to ensure our floors are installed level. The cost for the above arrangement would be$5,500.00. We would apply for the necessary permits from the Town of Osterville. The cost for these permits plus a $100.00 administration fee would be added to the final bill. ALL PRICES ARE SUBJECT TO MA SALES TAX. If this proposal meets with your approval and if you would like us to do this work, please sign a copy of this letter and return it to our office with a 50% non-refundable deposit by July, 1,2010. The balance would be billed to you after the event and is payable within 15 days of receipt. Thank you for considering J. G. Willis, Inc. Should you have any questions, please do not hesitate to call our office. We look forward to hearing from you and hope to provide our services for you. Sincerely, Keith B. Wauters J. G. Willis, Inc. KBW.jek ***Our acceptance of this roposal is contingent upon the availability of equipment on the date we receive the si ed letter d deposit. t �y Signatu> k Date: 0 - l b — C) WEDDING CANOPIES MARQUEES AWNINGS TENTS DANCE FLOORS , I --�cvF{{l I Town of Barnstable Geographic Information System August 18,\\2010 114049 \� #571 114050 #577 114051 #589 114052002 #591 114052001 ,✓ r #593 114053001 #639 i 0 34 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:114 Parcel:052001 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel El 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:COHEN,LAWRENCE B TR Total Assessed Value:$5967900 are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner:593 SEA VIEW AVE NOM TRUST Acreage:2.04 acres Abutters W- E boundaries and do not represent accurate relationships to physical features on the map Location:593 SEA VIEW AVENUE such as building locations. Buffer 06/24/2010 08:53 5085206914 BERRY INS FRANKLIN PAGE 02/03 oR CERTIFICATE OF LIABILITY INSURANCE OPID Ax 001�"A°1pD1n"") J=XL-1 06 24 10 E THIS CERTIFICATE IS ISSEE A R-1-ATWU INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 21errs Insurance Agency MOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 Main street ALTER THE COVERAGE AFFORDED EY THE POLICIES BELOW. Franklin Kh 02030 Phone- 80 0-8 S 4-52 01 I'ax:5 0 8-52 0-6914 INSURERS AFFORDING COVERAGE NAIC S INwIIw INSURER A- a 0091 Fire a VWAAI ion. ^o. INSURER B• Ohio Casuait r Gro Jc as 0. Millis Inc. R th wauters IWUIIERC M*lesale Retail Sqppliern 5 • FiGannat aaterOWS MA 0s2txet IxA"O Safetz 23aurance Cop x 394S4 INSLfIfER E: COVERAGES THE POUCIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSJRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOYMMSTANOING ANY REQUIREMENT,TERM DR CONDITION OF ANY CONTRACT OR CTyER DOCUMENT NRIH RESPECT TC WMCM THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFPOROOD BY THE POLICIES 011WRISED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDI!ION4 OF SUCH POLICIES,AGGREGATE LIMITS SHOTMN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 4TR TYPE OF fItSURANCa POLICY NUMBER PA71E IIN LINTS GENERAL.UABILITY EACH000URRIWE 11,000,000 A j X COMMERCMGENEPALLwILIrY CE00220384 07/01/10 07/01/11 PREMISES .oeeuenw 3100,000 CLAIMS MADE I�OCCUR I ! MED EXP(Any am ps so+) $5,000 II PERSONALAADVINJURY 11,000,000 1 I GENERAL AGGREGATE $2,0 0 0,0 0 0 GENL A30RECATE LIMIT APPLIES PER: I PRODUCTS-COMPIO►AGO "S 1,0 0 0,0 0 0 e POLICY r—^ JECa FCC D. ! AUTOMOaA E LIABILITYCOMBIc NHS INOLELIMIT 131,000,000 X ANY AUTO 6203793 I 07/01/10 07/01/11 Ms I ALL OWNED AUTOS I I BODILY INJURY SCNEDULEOAUTOS I (Pnrpnoll) 3 HIRED AUTOS 9001tY INJURY NON471APNFOAUTO3 I ' (Peecderrq) B PROPERTY DAMAGE 0 (Pe?Ktl GARAGE t1A0111 fY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER TIUW EA ACC 9 AUTO ONLY: AGG S 00MIUMBRELLALIAss.nY EACHOCCURPENCE 81,000,000 B I Z IOCCUR �jCLAMNIADE U130 (09) .53744479 07/01/101 07/01/12. AGGREGATE � $1,000,000 DECLICTMLE S A 0RfftNTkM $10 000 s WORIKER111 CON11,03AMON AND EMPLOYERS'LIANLITY Y/N = TORY NMITS C 10 IC�EOPRI BEAEXXCUILIIMED? � �r000964-9 01/01/20 01/01/12 EL.EACH ACCIDENT 6500/000 IAIInsM�ry n NNI lefrf E.L DISEASE-EA EMPLOYEE f S 0 0,0 0 0 u rrM�,a.Qll,.L1 SPECIAL PROVISIGNSbeitow orHu EL DISEASE.POLICY LIMIT 0500,000 I l WSCWTION OF OPERAIMS I LOCATIO EXCUMNS ADDED BY EN ENr!sPMAL PROVISIONS Rental SQnipmeat Dealer CERTIFICATE HOLDER CANCELLATION JHWL0 ANY OF THE ABOVE OEJCRIBED►DUQE3 BE CANCELLED BEFORE THE EXPIRATION J( ULLZ DATE THEREOP.THE WtXNO INJURERVAU.ENDEAVOR TO MAIL 1-0-_ DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLOER NAMED TO THE LEFT,BUT FAILURE TO 00 JO SMALL MPOSE NO OBLIGATION OR LIAB!UTY OF ANY KIND UPON TILE INJURER.ITS AGENTS OR J a Willis REPRE88YTA1Nla SY6 Pleasant Street Watertown Kh 02472 ACORD 25(2009/01) reserved. T e ACORD name and logo are I'eghdaed marks of ACORD r r r r . Certif trate of t�r REGISTERED Issued by Date Manufactured FABRIC NUMBER TOPTEC PRODUCTS, LLC 1073 Neely Ferry Road 03/26/09 �'��•:+'� Laurens, SC 29360 F53501 j?El �O This is to certify that the materials described are inherently flame retardant. Name J G WILLIS INC Address SW PLEASANT ST Clty _VkATERTOWN ,i-State MA Zlp 02472 Ce�rr�f/cat/on /A."hereby made that: `.. T e a tICIPs Glescrlbed are -flame-retardant, approved.and registered by the State Fire Marshal and that 5 1.1 <~ the fabrle°!s /ri conformance with the laws of the State of California and the Rules and Regulations of the late rekllifarshal. Fabric has been tested and-passes NFPA701-99, ULC214, MVSS302. The Flame Retardency of this Fabric is Inherent and Permanent. t1on,_ FUTURE-END �1t1ed � ATERNARY 3040 BLACKOUT WHITE etardt�Process Used WILL NOT Be Removed By Washing. COTE. PRODUCTS, LLC. MODEL TU303005EC � � Name of Production Superintendent SERIAL # 291570E - 0X 4 / a dp i te f,,.tame Rvg ta te , c V9 n REGISTERED Date Manufactured YN Issued by 'FABRIC `♦ 4' r , �=k``t k NUMBER F • iy ftk; , ,,: TOPTEC PRODUCTS, LLC { ° 1073 Neely Ferry Road o3i3oro9 r 2 4 � ;S Laurens, SU29360 '�'= *:;�F:: THis is to certify that the materials described;• are inherently flame retardant. i•+_� WN `:..� i, . State MA Zip 02472 Is hereby made that: rlbedlare flame-retardant; approved-:and registered by the State,Fire Marshal and that onformance.with the laws of.the State of California and the Rules and Regulations of the Ir, At'.,'Fabric has beenL tested and passes NFPA701-99; ULC214; MVSS302. Flame Retardency of this Fabric is Inherent and Permanent. ti tF,-.UTURE END CATERNARY ,k, 30x30 BLACKOUT WHITE �odess Used WILL NOT Be Removed-.aB y: Washin . :PRonu:cTs;LLC. MODEL TU303005EC 291581 B Nnnin of Production Superintendent SERIAL # (Certif itate r - 5tance REGISTERED FABRIC Issued by Date Manufactured NUMBER TOPTEC, INC. 06/08/04 F53501 1905 N.E. Main Street Simpsonville, SC 29681 � This is to certify that the materials described are inherently flame retardant. WILLIS INC Add1 J66.PLEASANT ST WATERTOWN MA 02472 city - State Zip �."ort c e!1' n,�Is hereby m ad 9.0 , e. that: Y h a �` M rl®� described are flame-retardant approved pp and registered b the State Fire Marshal . 9 Y and that - the fain"br'b`ae. ! conforma nce an ce with the law; .. s of the State of California and the Rules and Regulations of the I trli Fit1°1VJhrshal. Fabric has been tested and passes NFPA701-96, CPA184, ULC.109, MVSS302. T _ 100hoo Of A 1106tion.- The Flame Retardency of this Fabric is Inherent and Permanent FUTURE MID 30x15 BLACKOUT WHITE ►lfl��#oh t?t #tr�rt� t�4�fixlfl®d, IP " I � ri't::Process Used WILL NO T Be Removed By Washing. a ", �t� MODEL . TU301505CC 242632E Mum,) Prodixtion Superintendent SERIAL # E- -- Certificate of jF1ame . ,Re,51',5tanre _ '11,s111f REGISTERED Issued by Date Manufactured FABRIC _. NUMBER TOPTEC, INC. 7/12/00 " : ~ 1905 N.E. Main Street 31.02 Simpsonville, SC 29681 REAP This is to certify that the materials described are inherently flame retardant. Name J G WILLIS INC AddrAsB 88 PLEASANT ST WATERTOWN MA 02472 State zip WHO Is hereby made that:' 'described are flame-retardant, approved and registered by the State Fire Marshal and that 8 In conformance with the laws of the State of California and the Rules and Regulations of the arshal. Fabric has been tested and passes NFPA701-96, CPA184, ULC.109, MVSS302. 1oallon: The Flame Retardency of this Fabric is Inherent and Permanent. ;f= FUTURE MID 30x15 BLACKOUT'WHITE 'ardan}t Process Used WILL NOT Be Removed By Washing. -TU3015NSC �- MODEL 204248D Mum of Prodiaaion Superintendent SERIAL # TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / )d Map Parcel d- 0 Permit# 265�5 iLHealth Division �/ � Date Issuedn d Conservation Division /�y YA k )r.�,ELF Y. r�a �e� y/)���! Application Fee - S ys,ev v,I S&n/ p9 Tax Collector - Permit Fee, g. © � 1�Treasurer t c vi c �3I Q-T N SEPTIC SYSTEM MUST BE 0109 ALLED IN COMPLIANCE Planning Dept. i°� C:::�WRONMENTAL WITH TITLE S „`C,DE AND Date Definitive Plan Approved by Plannin Board -e -e 6 TOWN EGU' IONS Historic-OKH Preservation/Hyannis _ -u0t, Project Street Address 1 P�rJiPrc� �v M(-VLO cj . JS Village ,t Owner �^j.3 J e/ce v1{�l�l e /r» apil.�te?27 Address /a3 AA✓ e < o,¢ Telephone i 1d PA- - �-v/+a �e 'eR a9-yd _� eSl of i'/� yG 7 Permit Request 2W Square feet: 1 st floor: existing proposed 3T 2nd floor: existing proposed Total new Pa Zoning District Flood Plain Groundwater Overlay Project Valuation AW`nA ��D Q onstruction Type Ale") �i 6�/� \f 1 �� Yp L ✓ ()C I7c/►'1 Lot Size ?S e /�� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure ve 60 Historic House: ❑Yes !I No On Old King's Highway: ❑Yes ®No Basement Type: ®Full ❑Crawl ❑Walkout Cl Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) r)/9 0 x � Number of Baths: Full: existing new 6� Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new-1 3 First Floor Roorn Count r Heat Type and Fuel: ®Gas ❑Oil ❑ Electric ❑Other — Central Air: ®Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ;O Yeses ®No f � v Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑.new size Attached garage:❑existing ®new size 57 re Shed:❑existing ❑new size Other: w m Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use 4 BvILDER INFORMATION Name D 1,P��/ P-Pi e e� Telephone Number 7J - V-29--X-� Address 3a i�0i4/1/)O Aue- License# CS 0 S-8 'Clg 0J7&,<I//A e�/ l Home Improvement Contractor# Worker's Compensation# WC /%�//�,,.�y 7 7 ALL CONSTRU TION D RIS RESULTING F OM HIS PROJECT WILL BE TAKEN TO i'`�LlG.•lL%C �1J4 � 64) l�' t SIGNATURE Rr ' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL--NO. ADDRESS VILLAGE OWNER.. DATE OF INSPECTION: FOUNDATION FRAME tjiZ 11-4 - C31' INSULATION `6l!� FIREPLACE ELECTRICAL: ROUGH FINAL J PLUMBING: RO NG FINAL Co > � GAS: R09GH 0_ FINAL FINAL BUILDINGTri S 3l 4-j� Vk F6R �l1►(�6 fi�lol°7 �� `" DATE CLOSED OUT jj ASSOCIATION PLAN Nwn m SU'DIVISION PIA N OF LAND IN BARNSTABLE Baxter & Nye Inc. , Surveyors August 4, 1977 (40.00 Wide) A yr ce. 4/ AW 1j� I I ti 2 18 IS S /.P del I ell /6 L.0 No. 6857P ' j Lbrt hb. 66yo/ l a 10 oo , Y ti oe y, a r � b\U { r-j T +3 �'b a, i 71t m i ty 4-> � 20 ., H w ►. zwo 4.3 N 0. ; o to P .o 43. ti o C m4 �y c6 U (n O P. ;y l m �� .� L.C.B �' ca Nhll GB •4 v Reloini .0 .o H bo . � � m s i rn SOUND NAIV lUCKET Separate certificates of.title may be issued for land shown hereon as_tots__-18,,JX.gpp Z-_________________ Copy of t o#'plan L8y the Court. n1�par+ LAND REGISTRATION OFFICE ✓UL Y 24 ,, /97B _% Scale of this plan BO feet to an inch n,/l1CY 24'/97B_ 17 Recoler. R.L.Woodbury,Engine_r for Court l . 1; No. 1311 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer: Yes PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE,MASSACHUSETTS C> - ZippIication for Mi�pozal bpztem Conotruction Permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) ®Complete System ❑Individual Components Location Address or Lot No._Wj Sa 01cv A t'c,Os/r r/i//, Owner's Name,Address and Tel.No. 5F3 5'e -CAa,i /1•,xir" "-//+J Ti✓rl' �) Assessor'sMaprParcel ��y, 163 IZo« cle ROoB GZGy7 C he '// o c a Installer's Name,Address,and Tel.No. Designer's Name,Address end Tel.No.(.SOBS 54Zr-9/3/, a kF 13 V �Jtt_ohr, A. U-1—, t?G. t r3.-J,r t N�ar It 14p1 wL5-- 512 t11o,K Shti.J 09fcr,+,lle tKA 6ZbSS Type of Building: u Dwelling No.of Bedrooms. Fi vc Lot Size 89,2 L/ sq.ft. Garbage Grinder(d/,) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow /to �6u/r�vn gallons per day. Calculated daily flow gallons. Plan Date VIt)r f 0y Number of sheets or e. Revision Date 6 Title L N—..Cs Arrnrf Aka I- Ppe- /rovi Size of Septic Tank '2c:r� Type of S.A.S. K[ c/r Cho-&,s /2rxhr•/'Y 2�frf Description of Soil e., nl�,, C 10-1<5 LGef Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by 2s_ Date O Application Disapproved fo the following reasons Permit No. L Date Issued d `f ------------------------- -------------_- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( \4 Repaired( )Upgraded( ) Abandoned( )by at has been construc d in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. adu Lt-(M x dated 0 1 0 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. all Y y Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS dig ogal �pgtem Congtruction hermit )E if Permission is hereby granted to Construct ReRair( )U rade( )Abandon( ) System located at ��3 S,I,"-e t_/ r7w o t�cyi'�l� �.E.,jj a and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to BY. ........... comply with Title 5 and the following local provisions or special conditions. Provided:Cons ion must be completed within three years of the date of tiets rmi =AQ �r Date: Approved bye\\ //11, J�bt o MassachttNe artment of Environmental Proakion �n+e rqy use p DEP File Number: Bureau of Resource Protection - Wetlands • . • WPA Form 5 - Order of Conditions s�,,,, & Proovidedvided 1 by DEP "� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII A. General Information Important: From: When filling out forms on Barnstable the computer, Conservation Commission use only the tab key to This issuance if for(check one): move your cursor-do ® Order of Conditions not use the return key. ❑ Amended Order of Conditions � To: Applicant: Property Owner(if different from applicant): 593 Sea View Avenue Nominee Trust Name Name 163 Rangeley Road Mailing Address Mailing Address Chestnut Hill MA 02467 City/Town State Zip Code City/Town State Zip Code 1. Project Location: 593 Sea View Avenue Osterville Street Address City/Town 114 052-001 Q Assessors Map/Plat Number Parcel/Lot Number 1 �^ 2. Property recorded at the Registry of Deeds for: cV Barnstable vCounty Book Page 139939 U Certificate(if registered land) Z — fO 3. Dates: z � 2 July 8, 2004 August 10, 2004 AUG 52004 �UJI W O Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 4. Final Approved Plans and Other Documents.(attach additional plan references as needed): =Z W Revised Site Plan August 16, 2004 Q -J Title Date �Cc -� Q00� Title Date W 0 ~ Title Date X Q m 5. Final Plans and Documents Signed and Stamped by: Stephen Wilson, PE C��i7 I.Jj Name 6. Total Fee: $250.00 (from Appendix B:Wetland Fee Transmittal Form) Wpaloan&doc•rev.8/18/04 Page 1 of 7 BY-____e____�rW,Ad��pas Massachusettfepartment of Environmental Prottion DEP File Bureau of Resource Protection - Wetlands Number. • f WPA Form 5 - Order of Conditions SE3 4301 t639. `0$ Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII B. Findings Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: ❑ Public.Water Supply ❑ Land Containing Shellfish ® Prevention of Pollution ❑ Private Water Supply ❑ Fisheries ® Protection of Wildlife Habitat ❑ Groundwater Supply ® Storm Damage Prevention ® Flood Control Furthermore, this Commission hereby finds the project,as proposed,is:(check one of the following boxes) Approved subject to: ® the following conditions which are necessary, in accordance with the performance standards set forth in the wetlands regulations, to protect those interests checked above.This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent,these conditions shall control. Denied because: ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations to protect those interests checked above.Therefore,work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect these interests, and a final Order of Conditions is issued. ❑ the information submitted by the applicant is not sufficient to describe the site,the work, or the effect of the work on the interests identified in the Wetlands Protection Act.Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). General Conditions (only applicable.to approved projects) 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. The 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, bylaws, or regulations. CTRIWXI rr_:�,(a FIV Wpafom5.doc•rev.8/ta/04 Page 2 of 7 . Massa Environmental Proion chusett�epartment of En iro ak DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions SE uuse. g Provvidedided b by DEP � .�` Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. 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. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition 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. Any fill shall contain 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. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then 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. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior.to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection"[or, "MA DEP"] "File Number SE3-4301 " 10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 12. The work-shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. kl Ol Wpalorm5.doc•rev.8/18104 Page 3 of 7 Massachusetts9epartment-of Environmental Prot�ion Qrr � DEP File Number: Bureau of Resource Protection - Wetlands • AS WPA Form 5 - Order of Conditions SEvided ausa b � Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. see attached Findings as to municipal bylaw or ordinance Furthermore, the Barnstable hereby finds (check one that applies): Conservation Commission ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: Municipal Ordinance or Bylaw Citation Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw, specifically: Article 27 of Town Ordinances Municipal Ordinance or Bylaw Citation The Commission orders that all work shall be performed in accordance with the said additional conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans, specif'0 ticmsyor other proposals submitted with Notice of Intent, the conditions shall control. wpafom5.doc•rev.8/18/04 Page 4 of 7 Y•Amom»�o�mon�om�m®4o SE3-4301 593 Sea View Avenue Nominee Trust Approved Plan=August 16,2004 Revised Site Plan by Stephen Wilson,PE Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order of Conditions can have serious consequences. The consequence may include issuance of a stop work order,fines,requirement to remove unpermitted structures,requirement to re-landscape to original condition,inability to obtain a certificate of compliance, and more. The General Conditions of this Order begin on page 2 and continue on pages 3 and 4. The Special Conditions are contained on pages 4.1,4.2 and 4.3 if necessary.All conditions require your compliance. II. Prior to the start of work,the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition number 8(recording requirement)on page 3 shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work. 3. General Condition 9 on page 3(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice 1 week in advance of the start of work. 5. The work limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Staked strawbales backed by trenched-in siltation fencing shall be set along the approved work limit line. Effective sediment controls shall remain until the site is stabilized with vegetation. rJ UDY 7. A sequence of color photographs showing the undisturbed buffer zone shall be submitted to the Conservation Commission. Note: the strawbales and siltation fence must show in the foreground (or bottom of)the photographs. p.4.1 h I11. The following additional conditions shall govern the project once work begins. Note especially special condition no.14,requiring verification of the locations of the foundation and strawbale line. 8. General conditions No. 12 and No. 13 (changes in plan)on page 3 shall be complied with. 9. General condition No. 17(maintaining sediment controls)on page 4 shall be complied with. 10. The work limit shown on the approved plan shall be strictly observed. It. There shall be no construction disturbance beyond the work limit. The existing dunescape on the west side of the stairs shall not be disturbed beyond the work limit. 12. 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. 13. This permit is valid for 3 years from the date of issuance, unless extended by the Commission at the request of the applicant.Caution:a future Amended Order does not change the expiration date. 14. Upon completion of the foundation,the project surveyor or engineer shall verify in writing or by plan to the Commission any discrepancies with the approved foundation and work limit line location. If verification is in the form of an as-built plan,the plan provided shall be drawn at the same scale as the approved plan. 15. Any fill used for this project shall be clean fill. Fill shall contain no trash,refuse,rubbish,or debris. 16. No CCA-treated or creosote-treated materials shall be used. 17. Dt•ywells or graveled trenches along the drip lines shall be installed to accommodate roof runoff. 18. The 15 ft.wide shrub buffer shall be planted in consultation with the conservation agent. 19. No area shall be left unvegetated for more than 30 days.All areas disturbed during construction shall be revegetated immediately following completion of work at the site. Mulching shall not serve as a substitute for the requirement to revegetate disturbed areas at the conclusion of work. 20. All proposed lawn areas shall be underlain with a minimum of 6 inches of-loam. 21. Herbicide,pesticide and fertilizer use is discouraged on lawns within Conservation Commission jurisdiction. If fertilizer is used,only slow-release low-nitrogen fertilizer(with 30-50%water insoluble nitrogen or `W.I.N') . Over-fertilizing shall be avoided(not-to-exceed limit= 1 pound of nitrogen per 1,000 sq.ft.of lawn per application).Ensure that no fertilizer is spread on hard surfaces like driveways and sidewalks. CC p.4.2 'b'p 2.'MJNO Nnrow.wwm�.nna.....e.me IV. After all work is completed,the following condition shall be promptly met: I 22. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C shall be completed and returned with the request for a Certificate of Compliance. 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.At the time of the request for a Certificate of Compliance,an updated sequence of color photographs of the undisturbed buffer zone shall be also submitted. .. p.4.3 R Y° Massachusett*e artment of Environmental Protion Bureau of Resource rotection - Wetlands DEP File Number WPA Form 5 - Order of Conditions SEvided b �'`0�* Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) Additional conditions relating to municipal ordinance or bylaw: see attached This Order is valid for three years, unless otherwise specified as a special condition pursuant to General Conditions#4, from the date of issuance. Date This Order must be signed by a majority of the Conservation Commission.The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office(see Appendix A) and the property owner(if different from applicant).. Signatures: a '/d ut&,", . 0 i If z✓ y� On 1 Of Day Month and Year before —meepersonally appeared J Qvna�c �_I 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. AK —4 3 )'—L Notary Public My Commission 1pires This Order is issued to the applicant as follows: ❑ by hand delivery on $l by certified mail, return receipt requested,on - AUG 2 5 2004 Date Da TV wpafomu.doc•rev.8/10104 - ( elf—, Page S of 7 r IR V. t„E Massachusetteepartment of Environmental Protsion dF � DEP File Number: Bureau of Resource Protection - Wetlands BAFLMML = WPA Form 5 - Order of Conditions SE3-4301 N g Provided by DEP 039. . Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII C. Appeals The applicant,the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7) within ten business 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 to the applicant, if he/she is not the appellant. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L. c. 131, §40) and is inconsistent with the wetlands regulations (310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. D. Recording Information This Order of Conditions must be 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 subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on Page 7 of Form 5 shall be submitted to the Conservation Commission listed below. Barnstable Conservation Commission 1 vJ�v �O U Q k9Lem� Wpatortr5.doc•rev.8/18/04 tl� , wm...mmmu Page 6 of 7 0V9V4 +Y��moaww. Massachusett4epartment of Environmental Proftion DEP File Number: Bureau of Resource Protection - Wetlands • �� WPA Form 5 - Order of Conditions SE3-4301 039. y *� `0�* f Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP and Town of Barnstable Ordinances Article XXVII D. Recording Information (cont.) Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. --------------------------------------------------------------------------------------------------------------------------- To: Barnstable Conservation Commission Please be advised that the Order of Conditions for the Project at: 593 Sea View Avenue, Osterville SE3-4301 Project Location DEP File Number Has been recorded at the Registry of Deeds of: County Book Page �1 for: Property Owner M and has been noted in the chain of title of the affected property in: Book Page , U In accordance with the Order of Conditions issued on: z z "' to QN Date Cr3 w CD ��Q 0 g If recorded land,the instrument number identifying this transaction is: 00A ZW 06 J J Instrument Number 7 cc } Z ,— W W oo O If registered land, the document number identifying this transaction is: X ��f- 3 0,l� Q Document Number m Signature of Applicant O �on V v 0 Y0 o emeeemsmemeeMnmmmeeA wpafom5.doc•rev.8/ta/04 Page 7 of 7 � 7 U �, P RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 A�101 Residential Addition $50.00 Alterations/Renovations $ 50.00 _ *1 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= �/7�,6 8�d x.0041= li 9G a a plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) s 7.G square feet x$32/sq.ft._ 61 y)a x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= l6? (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost OCT 13 2004 10: 12 FR PALMER & DODGE TO 915084281559 P.02 10/12/2904 00:45 6173273258 MAHNE PAGE 04 S3SEAr � 4�;R "r Af'Mdavit of s/stanfial Financial Interest .31�Q�:�w i9ap,Nde�ms►.�re , on oath depose and state as folio j MIv PAWr/S 1, tva an applicant for a building permit for the property loc ted at Map , parcel The address of the property is ..1-1 , T�LTn+���Nrs 2, id TW* ,j1�O,r_% legal or equitable interest In the real property which is the subject of the building permit application which is identified In paragraph 1 above. 3. Within in the last twelve months from today's date, which to -O ,the following individuals or entities have had a 1%or greater legal or-e-qOabie interest in the real property which is the Subject of the building permit application which Is Identified in paragraph 1 above:- Name Address --wc 7� F:(� 4, Within the last twelve months,from today's data,which is Al had :a i%or greater legal or equitable Interest In the following proFs—rUstrwhi6h have been the subject of a building permit application: Map/Parcel Address 7� �T His rtf,?h,rsrNl� 6. Within this cal en year, MIrm submitted,�_building permit epplleations for property In which a 1%or greater legal or equitable interest. FN i. wpi /yA'S S. Within the last ten days,d l%"submitted,C� ,building permit applications for property in which a 1% or greater legal or equitable interest. 77f E r F tfwy 'Vic �� 7. Within this month, lrti�aubmi ed J2 building permit applications for property in which a i% legal or equitable Interest. 8. Within this month, received building permits for property in which 0t4gve a 1% legal or equitable interest. Signed under the pains and penalties of u ,.this y 200/ mF -INC 513 sEa/vr�,,.r,Jw�,� 2001.00601afrltt 14410'� A-10 ,-07- . ,nrrGvvNGCI�gVIT 26'd 6S$t8Zb90$� 3cki1 ram AI RHI WIN !.f'•�T bfAA7-xt- ,-.ti r,.. OCT 13 2004 10: 12 FR PALMER & DODGE TO 915084281559 P .03 IV1IZ/Ybb4 B0:45 617327325E MAINE PAGE 03 - l:8'd �F1101 Town of Barnstable , �. Regulatory S er ytces 3 U mu ire Qillerr bir.ctar a li nfldfng T3Mdon ; Tcm�erx�►� Atsild3ng Coueeuitslon.r . • • UOMka$tcet *unU WA02601 . 0 • �'-' - Mv�►tolro�arartable.'ma�ue . So&86j�A038 Fax% 506-790-6230 • Property a Owner-must - -Coral; lete and Sign Thus Section if Using A Buludez - F yq 3 0 ^io^vjEF, IT" e aC h=r of the subject property ~. autheriu .fic1 PUr�.e .S .-to act on mrY } eby - . �11 we Mama rel&d"to work est+otimed bptEb badmg permit 2ppjktu orx fon (Addnas of 10 $ asu 0 ar. pssa� i» • rA-a ��•C LS�bFtACi �t r r k� nay+r wro.t • ** TOTAL PAGE .03 ** 10 Docs916,874 04-17-2003 2s02 Ctf*2168900 BARtN6TA8LE LAW COURT RE6157RY QUITCLAIM DEED S.Nancy Simches,Trustee of the Osterville SVA Realty Trust,under Declaration of Trust dated February 6, 2001, and filed with the Barnstable Registry District of the Land Court as Document No. 823929,having a mailing address of 99 Florence Street,Building 50,Unit 5A, a, N Chestnut Hill,Massachusetts 02467,for consideration of Two Million Dollars($2,000,000.00) � o paid,grants to Lawrence B.Cohen,Trustee of the 593 Sea View Avenue Nominee Trust dated ti April 11,2003 and recorded herewith,with a mailing address of c/o Palmer&Dodge LLP, v J d 111 Huntington Avenue,Boston,Massachusetts 02119,with QUITCLAIM COVENANTS: o a o o That certain parcel of registered land,with the buildings and improvements thereon,in Barnstable,Barnstable County,Massachusetts, described as follows: 7 LOT 19 A PLAN 6857-Q 5 There is appurtenant to said land an easement in and over,and the right to use any part of w Lot C-2 on plan 6857-C including the right to use any bulkheads now or hereafter existing on said Lot C-2,said rights to be exercised in common with others now or hereafter entitled to the use thereof. 2Fc�v 8 Said premises are conveyed subject to and with the benefit of easements, restrictions, a o agreements and all other matters of record insofar as presently in force and applicable and to real Q �Q estate taxes for the current fiscal period,which the Grantee,by acceptance and recording of this ai ¢ deed,assumes and agrees to pay. N N r d Meaning and intending to convey,and hereby conveying, the premises described in Certificate of Title No. 163739 filed with the Barnstable Registry District of the Land Court. n v 2 0 H Witness my hand and seat this I Ith day of April,2003. .5F" � o O uU yw z U (A ¢ ;; S.Vancy'Mwches, see s a 14e U C7 C7 clr a COMMONWEALTH OF MASSACHUSETTS Barnstable County April 11,2003 Then personally appeared before me the above named S. Nancy Simches,Trustee,and acknowledged the foregoing instrument to be her free act and deed. Notary Public � • ;:=..,,-j 11 �: My commission expires: 8051075774 -BARNSTABLE COUNTY REGISTRY OF DEEDS REG OF DEEDS COUNTY EXCISE TAX REG ## 23 ------------ �(-'m1y0 04/17/03 1:09F'M 04� DATE 04.17. 03 THU 000000 t#0730 TAX $4560.00 FEE $6840.00 TOTAL $4560.00 CASH t6840.oo CASH $4560.00 CLERK 1 NO.015775 TIME 13:09 2222 -2- TRUSTEE'S CERTIFICATE Date: April 11, 2003 The undersigned,S. Nancy Simches,Trustee of the Osterville SVA Realty Trust, u/d/t February 6,2001,and filed with the Barnstable Registry District Land Court as Document No. 823929,hereby certifies as follows: a. That she is the sole Trustee of said Trust; a b. That said Trust has not been altered,amended,revoked,or terminated as of the date N set forth above; o C. That the Trust is the owner of the real estate located at 593 Sea View Avenue, Barnstable,Massachusetts(the"Property"); d. That pursuant to said Trust,upon the specific direction of all of the beneficiaries of the Trust,the Trustee has full right, power and authority to sell the Property,and to execute 5 and deliver all Deeds,Certificates and other documents required to implement the purposes 3 of the Trust; x e. That the Trustee is authorized and empowered to execute,or to grant power of 00 attorney to a third person to execute on her behalf, such documentation as the Trustee deems Qnecessary in order to effectuate the above-described sale including,without limitation,a Quitclaim Deed,Trustees' Certificate and Settlement Statement; and E f. All of the current Beneficiaries of the Trust are legally competent and under no c disability. U OSTERVILLE SVA RE Y TRUST H y N az B a Q S.Nanc/Atorus e N y y > 7 M o COMMONWEALTH OF MASSACHUSETTS rA 0 3 z°Barnstable County April 11,2003 VH Then personally appeared the above-named S. Nancy Simches,Trustee as aforesaid,and H o acknowledged the foregoing instrument to be her free act and deed, before me, 0 U TL4tom. o v [ Notary Public -::;r.:I- -`_•� o My Commission Expires: - p II• lL,�:•. ARNSTABLE COUNTY ► . REGISTRY OF DEEDS ATRUE COPY,ATTEST BARNSTAM REGISTRY OF S _19Htj F:MEA0 RE®I6TER The Commonwealth of Massachusetts W4 Depaflment of Industrial Accidents 600 Washington Street Boston Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses address: city state: zip' phone# work site locaiion(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity, ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em to er with em loyees(full&part time). ❑Other O%%%%%/%/%/%%%%%%////O%%%�%////�%/%%%%%�/%%%//// [5 I am an employer providing orkers' comet nsation for my employees workin on this job. coin add'e sr � -.. insurance.co:•: 1.e :: .. ;'✓ ��:.: I am a sole proprietor and have hired the independen ntractors listed below who have the following workers' compensation polices: compenv name: address: city: hone'#: insurance co. V/000/ = %// compenv name: ' '" address: cih,: i64nira�c ;co. Failure to secure coverage as required under Sectl 25A o GL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil pen ties' be for of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwa dad to a ice of In stigations of the DIA for coverage verification. I do hereby certify under th ai en ti rju that the information provided above is true a corre Signature Date �v/ , Print name / l� + �J/L L Phone .���r.�-a-t�;:5 _- .... '��,^-�,-- — �•'Si=�.�••ea� �Y.+�b:Tanr cial use only do not write in this area to be completed by city or town ofTciel city or town: permlt/liceme# ❑Building Department ❑check if immediate response is required ❑Licensing Board ❑Selectmen's Office t ❑Health Department contact person: phone#; ❑Other ' k f.veed Sept.2003) ia-�res�g ^�r�m.�.'"'fi'.�, ".����"� �r� _ _ ,� •s: ,' .fie, ., r ✓'LP. 1J097L17L097.`'OP.O.L(!L 0 ,,:b,,// Board of Building Regulalions and Standards HOME IMPROVEMENT CONTRACTOR 4 Registration: 110555 Expiration: 10/20/2004 Type: Private Corporation NORTHERN HERITAGE BUILDER JOI'1IS BURKE 191 AIRPORT RD _ HYANNIS, NIA 02601 Adnuuistrafor Liccnse or revistration valid for individul use unly before IIiC.expiration date. If found return to: Hoard of Building Regulations and Standards One Ashburton Place Rm 1301 Boston. Yia.02108 No I. I without signature G=7� " °Faili9%e�to.possessa�`curr�i�t;editioii?gf`tfs + `�A?fac,useti�. ��uilging"sGotle ysiWaeise�fovogtion q:3t1s license:' I rv- �D]6'S}�EtC3�i'L^"L�„DEATa(.BF2; .;llg'$��,'44=72 i.: - BOA�RDgQF�BU d. ac+2uaetf .1LD71�G�,� ,�JA7at5w r. '1i ervse �COy,J T4R-'P JC�1 S17PFRU1SOR. r ---._.......... -- - MDIVISION PIA N OF IAND IN BARNSTABLE 6857Q Baxter & Nye Inc., Surveyors August 4, 1977 0000 AVE ip N � 3k G'' � r /B ��prilp s j! �► y Lp !W S `� CA Ake ti i AYE' �` m � u\ �, •$ �4J. ? 4 y -P46. 20 `` o° 43,W . ' 0 S3 O [a i y ! `no � i L C.B i G8do A �+o .. IDa�v�iwa --.�_ ----------- NANTi'l JET AND We cetlilise�s of.tit e m y be issued for land es.(:obF..6�A,a�W................. �°fn�d�°jf•�=° LAND RE6ISTRAUMV Off/CE ?24 &a i- .�J�: ��s Z�dfl2m%%to sn Ind►j Ay C*wrTiirGud 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE Manual Trade-Off Worksheet No�TT�R�NIj�CV' Date 10I 1 1 O PermitiJ Builder Name t✓UIl.�1r�5 �A` �rt� , Builder Address 32 WINNA0 �Vt. O5T�RV ItA a 1,`�C• 02�5 Checked By Site Address 9q3 "?EA V w NV{ OyTWlu, Ahzone l ❑13 ❑la Date Submitted By rll)gy",�1 -kim �OIWV*S Phone 5J PROPOSED REQUIRED Ceilings,Skvliehts,and Floors Over Outside Air Required Insulation x Net Area U-Value Description R-Value U-Value = UA (Table 16.2.2h) x Area = UA Ceiling(Table 16.2.2a) .�JO 33110' � �q. j .0210 332�0 $�o•¢$ Floor Over Outside Air ft (Table J6.2.2a) ftr ft' Total Area 332r0�' Walls.Windows,and Doors Insulation x Net Required Description R--Value U-Value pArea = UA U-Vaalluue xQArea Q�QUAA 1 Walls Table J6.2.2b.c.d) I • ✓� ST3d ���.51 ' J �/1 �+vJ•Jo Windows •1 g �� fY 224•T A 0 (NFRC or Table 11.5.3a)Doorsii7d 7 (NFRC or Table J 1.5.3b) •7� l A0 ft' 7*b.00 Sliding Glass Doors — ft, (NFRC or Table J 1.5.3a) ftr ftr Total Area Q ft Floors and Foundations Insulation Insulation R- x Area or Required Description Depth Value U-Value Perimeter =UA U-Value x Area =UA Floor Over Unconditioned (Table 50 • T324"' 101•77(o •05 tiIZk 0 ID•1;,O Space 16.2.2e) Basement Wall (Table J6.221) ft Unheated Slab ft (Table 16.2.2 ) in. Heated Slab ft (Table J6.2.2e) in. ft ft' Total Proposed UA must be less Total ► Total than or equal to Total(or Adjusted)Required UA proposed UA OR Required UA Statement of Compliance:The proposed building design represented in L—t.Adjusted these documents is consistent with the building plans.specifications. and other calculations submitted with the permit application. Required UA IJT IJy QA6Pt M {o G15Te1sT_-p U-0 loll 0 Builder/Designer Company Name Date 760.22 780 CMR-Sixth Edition 2/20/98 (Effec���rry/By{�y''/1/98) `C'n'C'+�YGfY!>'lJbNh n'as aa.,vsys�om® RESIDENTIAL NEW HOUSE If located: North of Route 6 -needs certificate of appropriateness from OKH In Hyannis - Check to see if it's included in the Hyannis Historic Waterfront District - if so, it needs Certificate of Appropriateness from them If ZBA relief(Special Permit or Variance is required for project: ❑ Copy of Decision ❑ Documentation that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date. Si -offs,from: - _- 4 _ _Engineering ❑. Health (� Conservation Planning - - -Tax-Collector Treasurer Street address Owner's name & address Permit request- full description of proposed project Square footage T& Building Detail for Assessor's office Lot size - An undersized lot(i.e. <43,560 sq ft)requires an affidavit from an attorney attesting to its grandfathered status,plus copies of the deeds used in this.determination (abutters) Valuation-must be the same as the total on the project cost worksheet Builder's information Signature Estimated project cost worksheet Site plan (shows location & setbacks of house) Plan of record (from Registry) Deed (from Registry) (to attest to ownership) [� Plans -5 sets measuring 11"x 17"including foundation, floor plan,.cross section, framing schedule & smokes Worker's Comp form must include: Insurance Company's name &Work. Comp. policy number. Copy of Insuranc ompliance Certificate must be on file. Energy Compliance Form Copy of Construction Supervisor's License OR Homeowner's License Exemption Form Check expiration date of license Road Bond($4/foot of road frontage) Signature of Principal required. Affidavit of Financial Interest ❑ (CHECK ITEM 6--APPLICATIONS WITHIN 10 DAYS SHOULD EQUAL 0) ❑ Application Fee .4/e ❑ Permit Fee Property Owner must sign Property Owner Letter of Permission. q-forms:permits l rev.0630044 �''� ��- �� ;� 1 I , p p ffective Date: October 15, 2004 F 6 Western ure om an py p tl p 0 1 n LICENSE AND PERMIT BOND 1 i 1 KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 69795566 c O Thatwe, Northern Heritage Builders, Inc. G �, tl c � of the City of Osterville , State of Massachusetts , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of Massachusetts as Surety, are held and firmly bound unto the Town of Barnstable State of Massachusetts , as Obligee, in the penal sum of Five Thousand and 00/100 DOLLARS ( $5, 000.00 ) lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Road Opening by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until October 15th 2005 , unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Ma`�{�t�%te Obligee and to the Principal at the address last known to the Surety, and at the expiration of thi EVr3 Y"okays from the mailing of said notice, this bond shall ipso facto terminate and the Surety shl`lxex'eupori blieved from any liability for any acts or omissions of the Principal subsequent to said d oe number of years this bond shall continue in force, the number of claims made i jt his boned ithe number of premiums which shall be payable or paid, the Surety's total limit of 19 ty�,all not be c ulative from year to year or period to period, and in no event shall the Surety's total h `fo a �c? �hrs-exceed the amount set forth above. Any revision of the bond amount shall not be cuV H ID Dated tis 13th day of October 2004 n 1 o � p p p NORTHERN HERITAGE BUILDERS, INC. n 1 • Principal n 4 � 1 Principal p Countersigned (where required) WEST E S U R E T COMPANY , 1 , r• By �.e� c= L� i,_� By cam— Resident Agent Paul T.Bruflat, Se for Vice President 1 Form 532-5-2002 ' G � G •1 f r- a ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ss (Corporate Officer) COUNTY OF MINNEHAHA _ On this 13th day of October 2004 before me, the undersigned officer, personally appeared Paul T. Bruflat ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer,being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF,I have hereunto set my hand and official seal. }44ggq44q44444444444444q4+ D. KRELL f i SERA NOTARY PUBLIC 3 - i _ iSOUTH DAKOTAi Notary Public—South Dakota �4444444g44444gqqqq44444� ' My Commission.Expires November 30,2006 ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF ss COUNTY OF On this day of before me personally appeared known to me to be the individual _ described in and who executed the foregoing instrument and acknowledged to me that—he— executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL STATE OF (Corporate Officer) COUNTY OF ss On this day of before me personally appeared who acknowledged himself/herself to be the of a corporation, and that he/she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires Notary Public . C O w' 0 - U o 21 a Z Z aa) i a) (z Z a0 o w a 0 n 4 -� Western SuretyCompany POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin,Wyoming,and the United States of America,does hereby make,constitute and appoint PauLT Rnifint of Sioux Falls State of South Dakota its regularly elected Senior Vice President as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed,all of the following classes of documents to-wit: Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law or equity, polic�j,jnygi nifying employers against loss or damage caused by the misconduct of their employees; official, bail, and surety and fidelity.0,6A t derS Nty in all cases where indemnity may be lawfully given; and with full power and authority to execute consents and wai��F to=rpodlty o X " ° or extend any bond or document executed for this Company,and to compromise and settle any and all claims or ded5 made exist' ainst said Company. rr`n SuregA�•parr further certifies that the following is a true and exact co of Section 7 of the by-laws of Western Surety W� tY �rP6' Y 9, PY Y- Y (T56 any duly adopted ad, w in force,to-wit: ir, e6t{on �7�, eAYI bo. �s policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corpo tad �le.of®t 4any by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officer sP t eeBoa`��i"ygf�h3irectors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoin s-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Senior Vice President with the corporate seal affixed this 13th day of October , 2004 ATTEST WEST �ETY OMPANY (:�( - I A i By —G✓'— Assistant Secretary Paul T.Bruflat,fenior Vice President STATE OF SOUTH DAKOTA ss COUNTY OF MINNEHAHA On thisel 3th day of October 2004 before me, a Notary Public, personally appeared Paul T. Bruflat and L. Nelson who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Senior Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. thyhhg�yyytihhhh5yhyyyyhhy} s D. KRELL s s SEAL NOTARYPUBLIC a �s, SOUTH DAKOTAC�s� 0 }�+hhh�ih�y4�e5h5hbaah�vhhh44} '--`— Notary Public My Commission Expires November 30,2006 ry Form F19754-2002 ���' Town of Barnstable do Building Department - 200 Main Street Hyannis, MA 02601 MASS 9�A 1639. , (508) 862-4038 rF0 MA'S s Certificate of Occupancy Application Number: 80545 CO Number: 20070213 Parcel ID: 114052001 CO Issue Date: 09/06107 Location: 593 SEA VIEW AVENUE Zoning Classification: SPLIT ZONING Village: OSTERVILLE Gen Contractor: NORTHERN HERITAGE BUILDERS Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: d,-Jv,,0-44 47 Buil ng a artment Signature Date Signed �IKEr, Town of Barnstable Building Department - 200 Main Street t fARNSTABLE. = Hyannis, MA 02601 ,r MASS 9�A i639 , (508) 862-4038 Certificate of Occupancy TEMP C00 Application 80545 CO Number: 20070182 Parcel ID: 114052001 CO Issue Date: 08110107 Location: 593 SEA VIEW AVENUE Zoning Classification: SPLIT ZONING Owner: COHEN, LAWRENCE B TR Proposed Use: CIO PALMER & DODGE LLP 111 HUNTINGTON AVE i BOSTON, MA 02199-7613 Gen Contractor: NORTHERN HERITAGE BUILDERS Permit Type: RES TEMP CERT OF OCCUPANCY 135 BARNSTABLE RD. HYANNIS, MA 02601 Comments: TEMP CO FOR THIRTY (30) DAYS. EXPIRES 9/10/07. Baia 47 uil ing Department Signature Date Signed /4- 5 O Department of Regulatory Services * ■ARNSTABLE, # MASS. • RFD INA'�A � I BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS7MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE B BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVA (h;.0 cV, S7-1%�6� 9 C,"r I S O 1 h R i.. AA. �Q 7 j-zy ,o 1 i AS it �` i 1.-zeell 1; 3 .� �k,FOCIT7MP �GINSPECTION APPROVALS ENGINEERING DEPARTMENT '7I1o)a-7 2 ?rZ y,0.7 BOARD OF HEALT tz OTHER: SITE PLAN REVIEW APPROVAL f WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ONTHIS• THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. tea; 41!' ' 1 I [ k, 1jft} / ` e I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONS �ulap Parcel �SA,, L Permit# ftWq61 Health Division 4'` •� /��/ Date Issued Conservation Division ��� 1` / �/V Fee '2 �=3v Tax Collector49 v q/ 0 y,�ys,4) LW - ; Treasurer j'0!Gh' Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis EXISTING PTiC SYSTEM Project Street Address Village Owner LAAePZc zd 6V4W ���� Address P-VriT/���7�� Telephone /J✓J .� --�-�� Permit Request � 6 o / c9e,�J ?—D P �wl `—r jo—i®o 12&4-1 L Y-V �'�'Z rL'y //_ Square feet: 1 st floor: existing proposed 2nd floor: existing ��-do proposed Total new Valuation ® G Zoning Districts Flood Plain Groundwater Overlay Construction Type IA'L7 0 d� �✓� J�'►' U'A.2 d !::0 Lot Size 7& � �— Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family 9' Two Family ❑ Multi-Family(#units) Age of Existing Structure !OJ✓i.�LAG�J_ at/ g Highway: -Doric House: ❑Yes [�'No On Old Kin 's Hi hwa ❑Yes 04<0 Basement Type: A Full 51 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Z�® Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new / Total Room Count(not including baths): existing P new_ First Floor Room Count Heat Type and Fuel: O Gas ❑Oil O Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑No Detached garage:❑existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes Cl No If yes, site plan review# Current Use Proposed Use YUJI, wl� ,/ BUILDER INFORMATION NY �i 7 Name � J Telephone Number 0 77 5" °qu Address /lS/?� �� L � � License# �i� 5— D 1:�JZ!�EU4 f� aZ Home Improvement Contractor# 0<Ts— jT Worker's Compensation# a/z, 1/4�y s ALL CONSTRUCTION DEB t LTI G FROM THIS PROJECT WILL BE TAKEN TO A lo , SIGNATURE DATE l� FOR OFFICIAL USE ONLY, •� 1 PERMIT NO. MAP/PARCEL NO. . ADDRESS, VILLAGE OWNER v �hS lvh S b h"l ter Q,Y-� M DATE OF INSPECTION: O ' el FOUNDATION-` FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL " FINAL BUILDING DAT,CLOSED OUT" 1" s� ASSOCIATION PLAN NO. r.a L i . t . CThe Commonwealth gl,'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 A Mplicant Information Please Print Lezibly Name (Business/organization/Individual): Address: City/State/Zip: Phone#: ' Are you an employer?Check the,appropriate bog: . Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 7 ❑ Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet t ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition . o workers' comp. insurance 5° El We are a corporation and its [No officers have exercised their 10.❑ Electrical repairs or additions required.] 11. Plumbin r airs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL ❑ g fep myself. [No workers comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t 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 =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp-policy-infor riation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site r information. Insurance Company Name: (� / �,! y Expiration Date: ��- of Policy#or Self-ins.Lic. #: n � Owl Lfu/ City/State/Zip: Job Site Address: 7 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500..00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance covLag,, verification. I do hereby certify under a pa s d pens of perjury,that the information provided above is rue 7and.,orrect. Siature: Dater/ Phone#: r only. Don write in this area,to be completed by city.or town official. n: 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#: L Information and Instructions Isacbusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. as"...every person in the service of another under any contract of hire, Pursuant to this statute, an employee is defined I 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 in in the legal representatives of a deceased emp1 yer,oTHowever the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. 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 ant thereto shall not because of such employment be or on the grounds or building appurten deetii m' Pioyer:" 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." ter 152, 25C 7 states"Neither the commonwealth nor any of its political subdivisions shall Additionally,MGL chap § ( ) 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' the number listed below. Self-insured companies should enter their compensation policy,please call the Department at 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. Anew 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 d Aouldayou have any questions, lease 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 °pIHE1A r ,,. Town of Barnstable Regulatory Services BARNST'ABLE, Thomas F.Geiler,Director mass. ! 039. 1, 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 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: XV A9 � 1yeJi_0 �"1 �� C stimated Cost��,4 J I Address of Work: �� 7 ✓ �(��— ��� Owner's Name: 1 ) r��'�`� 1 Uat-1 A " t y S� Date of Application: ' 4 r I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby a ply for a permit as the agent of the owner: Date Contractor Name Registratin No. � ASS OR Date Owner's Name I Q:forms:homeaffidav °FIME,°w� The Town of Barnstable BARN --';- . MASS. �' Department of Health Safety and Environmental Services - i6,39• �0 prFO MPS A Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection T) l2_ _V� Location 19 Stu t y e Permit Number �Et 1 5 5 Owner Builder One notice to remain on job site,one notice on file in Building Department. The follow'ng items need correcting: , '` C CCU C r ia o e1AS l V1 () I G�' i U S Cr n a U C_ Ven'F- O Ienn 00 kCUS -'F G t r L-,cA4 fib � /1 � INnnc✓i -- Please call: 508-862-4038 for re-inspection. Inspected by Date .J1LP. 1�709JL.97L097.;'UP.().(C� O/J�%�(C7JJCIC�/Ii.IG`� o v1� uoard or nuildiug 14gula(ions and Standards fj HOME IMPROVEMENT CONTRACTOR Registration: 110555 Expiration: 10/20/2004 Type: Private Corporation NORTHER14 HERITAGE BUILDER SO1W BURKE 191 AIRPORT RD _ HYANNIS, MA 02601 Jldiniuislra(er — License or rebistrztion valid for individul use unl.l berove the expiration date. 11 found return to: Ifoard or Building Regulations and Staudal-ds One Ashburton Place Run 1301 Bosun, IMa.02108 i No v lid without signature a,. . SOD=��S`�ODDicI'�enclose'ds•pi M rN1GL'C11t i Ge 1x+ asonry - Faili3 �o•p1 ssessa'`�iR�i�{e�fitiori?Df�e i n5fa's`"sacusits5�ats�uilingsGode is; selfols�voca�000'r:2tiisGlicei�se: lE I 'o= D]£�i4`FE�C�'LL-'C j • 1 �zca RD �1 �za�?ua. ta ?L�c meto LD1A7Gt;RE,G s - ,,.�--�..Z71AT.1.0'•� aso -07 WE ` I' . •�• �E�;9�R7flA�Ji'v i r 780 CMR: STATE BOARD OF BUILDFNG REGULATIONS AND STANDARDS • THE MASSACHUSETFS STATE BUILDFNG CODE I Manual Trade-Off Worksheet Builder.Name 1 OMtI �1ft P44o bftbE� D S kC l.` o.C— Permild. - A ate Builder Address��- Val"A0 OSTf.{�.v1't-Vi M�'C• 0��55 Checked By Site Address sq'� .pyj iuZ MN Zoned'. ❑13 014 Date Submitted By O f/U►l,D4-:j Phone 5 � PROPOSED }tEQU1RED Ceilings,Skylights,and Floors Over Outside Air Required Insulation x Net Area U=Value Description R-V,aplue U-Value _ = UA (Table (Table J6.2.2h) yx Area = UA Ceiling(Table J6.2.2a) =J,O •� Q J7µp�—' 't. 1' .D� �A J Floor Over Outsidc Air (Table J6.2.2a) fl ft, Total Area Walls. Windows-and Doors Insulation x Net Required Description R-Value U-Value Area UA U-Value x Area UA Walls 7�, 1 Qp L (Table J6.2.2b.c.d) I .057 5430� �jo�.5� .t J w o CJ6J,�P Windows _ ft'—+ (NFRCorTabieli.53a) Doors _ (NFRC or Table J 1.5.3b) 2)a,00 Sliding Glass Doors — (NFRC or Table J 1.5.3a) tY ft' Total Arc. 10 fe Floors and Foundations Insulation Insulation R- x Arco ur Required Description Depth Value U-Value. Perimeter UA U-Value x Area =UA Floor Over.Unconditioned (Table _ 21�y ft q Space 16.2.2e) 50 .o3S ,140 jo ,1lp .05 �L 10 '10�•�Q Basement Wall (Table 16.22t) fe Unheated Slab ft (Table.J6.22 ) in. Heated Slab. ft (Table J6.2.2e) in. R' Total Proposed UA must be leas Total (j Q Tora1. than or equal to Total(or Ad Required UA Proposed UA OR. Required UA Statement o(Complianee:'The proposed building design represented in these documents is consistent with the building plant,speeificntion 'Adjusted , and other calculations submitted with the crmit a lication. Required UA NL(ATi�-L1 PLC- o ► o Builder/Designer Company Name Dale �5 760.22 780 CMR-Sixth Edition 2/20/98 (Effec /.I/98) Olsen En INCO RPOR ATE D 235 Promenade Street - Suite 475 Providence, RI 02908 PHONE 401.453.2220 FAx 401.453.2332 Web: bennandolsen.com Project: Northern Heritage—Mahne Residence Chimney Support—Osterville, MA Page of 7 Project Number: 64005F Date: 03-31-05 Design Criteria and General Notes • The following calculations are for the design of the support of the vertical weight of the masonry chimney for the project noted above. 0 A dead load of 40psf was used for the weight of the masonry chimney. • Chimney shell is to be constructed per Massachusetts Building Code. • �``eLLLLOtG69�;��o�e OY uTEPHE,g _ o Of STRUI� 'o 9Ibo. ✓� R' pay a 3 -31.-05 lr 235 Promenade Street,Suite 475 Providence,RI 02908 PHONE 401.453.2220 Olsen Engineers FAX berms 3.2332 WEB bennandolsen.com INCORPORATED PROJECT NORTHERN HERITAGE BUILDERS—MAHNE RESIDENCE SHEET Z -7 PROJECT NO. 64005 DATE March 30, 2005 5'x10'x1'-O" CONCRETE FOOTING w/#5 BARS 12"O.C. EA. WAY BOTTOM �„ TYP. TOP OF FOOTING FLUSH W/ TOP OF SLAB 0 0 0 0 0 PLJ/2"x10"x10" BASE PLATE w/(4)3/4"Ox6" "J" BOLT BOTTOM OF BASE PL ELEV.=-9'-6Y2" TYP. BASEMENT PLAN Y2"=1'—o•' NORTHYP. r16EXIST. FOOTING DIRECTLYBELOW EXIST. FLOOR TOP OF FOOTING FLUSH W/ TOP OF SLAB 0 0 0 0 0 0 PLY2%10"00" BASE PLATE ` v w/(4)3/4"Ox6" EXPANSION BOLT i w/3" EMBEDDMENT BOTTOM OF BASE PL ELEV.=-9'-6Y2" 2'-64" TYP. 235 Promenade Street,Suite 475 Providence,R102908 PHONE 401.453.2220 s e n E n i n e e rs FAX 401.453.2332 O WEB bennandolsen.com INCORPORATED PROJECT NORTHERN HERITAGE BUILDERS—MAHNE RESIDENCE SHEET OF I PROJECT NO. 64005 DATE March 30, 2005 PL3/8"x4"x6" A 1„ w/(2)3/4"OA325N BOLTS 2 SHORT SLOTTED HOLES IN PL M . . ..2„ 22" 5/6 I I I I ;/1 6 SECTION ECTION 2 I I PL3/8„x4„x6„ I I w/(2)3/4"OA325N BOLTS I I SHORT SLOTTED HOLES IN PL I I i I � " Y4Y 4 PLY2"x5"x1 1 /(4)3/4"OA325N BOLTS Ij II II III 21M6/5 Y4 SECTION 2A SECTION 3 LIGHT GAGE POUR STOP La SECTION 5 ,"=,'-0.. i 3/6 SECTION 31 6 SECTION s 235 Promenade Street,Suite 475 Providence,R102908 nee PHONE 401.453.2220 s e n Engirs nee FAX 401.453.2332O WEB bennandolsen.com INCORPORATED PROJECT NORTHERN HERITAGE BUILDERS—MAHNE RESIDENCE SHEET � OF PROJECT NO. 64005 DATE March 30, 2005 5 2'-64„ 2,-61„ 3 2 OW1Ox26 O L4x4x3/8 d I N 5" CONCRETE SLAB ON 3" 20GA. COMPOSITE DECK w/5/8" PUDDLE WELDS 6" O.C. co (D to N N N N ap x x O O 00 00 O O _ _ 4 W1 Ox26 ® W1Ox26 L4x4x3/8 HSS4x4XY4 HSS4x4xY4 TYP ALL .COLUMNS: TYP. FASTEN ALL WALL STUDS TO COLUMNS TO MAKE 6 INTEGRAL WITH WALLS TO LATERALLY STABALIZE COLUMNS. TOP OF STEEL--3/4" TOP OF STEEL=+10'-10" 1 st FLOOR PLAN 2nd FLOOR PLAN Y2"- NORTH RAMSBEAM V2 . 0 - Gravity Beam Design Licensed to : Benn & Olsen Job: Nthrn Hrtge Bldrs-Mahne Res . Steel Code : AISC 9th Ed. SPAN INFORMATION: W10x26 Bm Checks Beam Size (User Selected) = WlOX26 Fy = 50 . 0 ksi Total Beam Length (ft) = 7 . 67 Top Flange Braced By Decking LOADS : Self Weight = 0 . 026 k/ft Point Loads (kips) : Flange Bracing Dist DL Pre DL LL Top Bottom 2 . 50 1 . 50 0 . 00 0 . 00 Yes Yes 5 . 20 1 . 50 0 . 00 0 . 00 Yes Yes Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 2 . 50 5 . 20 1 . 100 1 . 100 0 . 000 0 . 000 0 . 000 0 . 000 SHEAR: Max V (kips) = 3 . 10 fv (ksi) = 1 . 15 Fv = 20 . 00 MOMENTS : Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 8 . 6 3 . 8 0 . 0 1 . 00 3 . 70 33 . 00 3 . 70 33 . 00 Controlling 8 . 6 3 . 8 0 . 0 1 . 00 3 . 70 33 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 3 . 07 3 . 10 Max + total reaction 3 . 07 3 . 10 DEFLECTIONS : OK Dead load (in) at 3 . 83 ft = -0 . 021 L/D = 4358 > 600 Live load (in) at 3 . 83 ft = 0 . 000 Total load (in) at 3 . 83 ft = -0 . 021 L/D = 4358 > 600 ON 235 Promenade Street,Suite 475 Olsen Engineers Providence,RI 02908 53.222 PHONE 401.453.2220 FAX 401.453.2332 racoRPoanreo WEB bennandolsen.com PROJECT NORTHERN HERITAGE BLDRS.-Mahne Residence SHEET OF-7 PROJECT NO. 64005._._...._.___... DATE Marc_h_.31-205............ __ CHECK SHEAR_. TAB CONNECTIONS nb = 2 BoltType = "A325N" tPI = .375in L = 6in bpl = 4in db = .75in tw = .26in bf = 5.77in tf = .44in d = 10.3in tsupport = •26in eg = 3.25in cope1 v = 1 in cope2v = 1 in CHECK_.BOLT_P_LATE_.&._WELD. .CAP.ACITY Vail = 8.1 6kips > Vdesign = 3.1 kips CHECK BEAM W_EB_BEARING_._CAPACITY C = 1 .03 Vail = C. 1 .2. 65ksi•tw* db Vail = 15.7 kips > Vdesign = 3.1 kips CHECK ..COPE. 3 S = S1 if cope2v <_ Oin S = 2.99 in S2 if cope2v > Oin Vail = .6 - Fy*S Vail = 27.6 kips > Vdesign = 3.1 kips eg C.H EC K._B.EAM__WEB...CAP.AC ITY. kips Vall = 90.2 in tw ail = 23.5 kips > Vdesign = 3.1 kips SUPPORTING MEMBER CAPACITY-Checc...Max Useful Weld Size (.4. 50ksi• tsupport) Deff = ` .3 - .707. 70ksi Jeff = 0.4 in > .25in -' ' znPromenade Street,Suite«n vm"/xm�.mo2mo ' Olsen Engineers pm�s�/�m»��zm n^xwo1.4o.o3z /°m^,uw,,m wsaucommuv/m".mm PROJECT NO. -64{-Q5i-__--_' DATE CHECK HSS4x4x1 /4 COL. Comp Force: F = 4kipo L ~ 23ft K ~ 1 ~ = � ~ 46koi | '1 r 1 '52in � '�7in 2 F y K- L \ 2n o - E) ---- ~ 189.7 C ~ �-------�� C = 1 1 1 .O r / F' c � y /K- L\ Fa ~ if Cc > -�---� [iKr,)]3 r _ + 3-�------�C - �------�-- ( 3 / | 8- | � ` / � « ] 8-Cc (12-n 2 -\ if C �� L/ /K- L\ ' '�---� Z ^ r 23. [(K- L) F ' fa ~ -- fu ~ 1 .2koi Fa = 37ksi OK A | ' | ' � | � Assessor'..s Dffice-(1st floor) Map / Parcel V0 # Conservation Office(4th floor)(8:30-9:30/ 1:00-2:00) � �_Date Issued of 13 �� Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee . CIO G�LOuxn, Engineering Dept.'(3rd floor) House# � � y t„E P s oor c001 RARNSTARLE. 19 esw ,� rf0 MAr X��,'S " c; " T F BARNSTABLE, B ilding Permit Application i Project St ddress VillageSi) l Owner' I (-k.4fl-Q, S_tr/r�f��' Address Telephone 'Permit Request IQ es i C First Floor square feet Second Floor ; square feet Estimated Project Cost $ i Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded t Current Use Proposed Use Construction Type I Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number.of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name IS(76 Tele hone'Number Addres License# I,U Home Improvement Contractor# Worker's Compensation# 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 -Up /-) I a4"A'd SIGNATURE DATE BUILDING P DENIED FOR THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY PORMIT NO. ' DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: , r . FOUNDATION ' i FRAME INSULATION , FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT I ASSOCIATION PLAN NO. o r w {, `• - The Commonwealth.of Afassaclugetts +�1 1i it t• • . -.t11 ..iiii ��.=•y Department ojl�rdustrial Accidents ` O/�CEof/EYEW92MBS ,`• silt 600 II'uxlliirt,►ton Strc�t Boston.hfass. 02111 �• Workers' Compensation Insurance Affidavit _ Please 1!'R(1VT'le A.n t't niormatio�n name location- phone# CIh � I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity „�•_ I am an employer providing workers' compensation for my employees working on this job. it s • nhnne#• incur.-inc co nolic�•# ��� �� c...�: I am a sole proprietor, general contractor,or homeowner(ctrde one)and have hired the contractors listed below who hay the following workers' compensation polices: cornflinyn e• address: city: phone0• nolicv# �-. `U._ -:•-:..+•.--- Kmar+3,..•sa�e�-ar�'r"r-'Tr'a'rsr.�iFe �fi�OS�'�r'':��'�4-'�5�. " compsov na e• address- citv. phone M• in—,tur.ince co- .. policy '.Attach additiorial'shiR in ieeisa ";-�-: � ` Failure to secure coverage as required under Section 2SA of DIGL 152 an lad to the imposition of crimiad penalties of a fine up to SI300.00 and/or une years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a dar against me. 1 undentand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do herebt• p cr a pains nd penalties of perjury that the information pm ded above is trae and`cvrrec•L Signature Date =� Print nam Phone# r otTiciai•use only do not write in this area to be completed by city or town official ein or town: permit/lleetue# nl3uilding Department Licensing Board 0 check if immediate mpunse is required �Seteetmeo's Otitce [�t�alth Department phone IN I: contact person• - �� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted Isom the "law", an entplm►ee is defined as every person in the service ofanother under any contract of hire, express or implied. oral or written. An cmpho r is defined as an individual. partnership, association. corporation or other legal entity, or any two or mor the foreaoin�; engmucd 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 th owner of a dweilinL house Navin- not more than three apartments and who resides therein, or the occupant of the d+vcllin house of another.who employs persons to do maintenance, construction or repair work on such dwelling ho: or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: MGL chapter 152 section 25 also states that emery 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 1i been presented to the contracting authority. ... • ij. •�'• .. �t;Lr.[: �7c -'•',W�'t`MJ} K:j.w.:,�9ar h.•!. s�::._Si.Y.:q;'0 .'^7'773 -..�77 - ...� Applicants Please `411 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 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. .. ... .. _ 'D: •:�"-. . . :;;::�•••-�:.�..�'.'.'.'-. ..:e�::"i�."l:'I� .. ....ram• �. 1 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. Ple: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be rettuned t the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question 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 r Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 FOLD AT ARROWS TO FIT WINDOW ENVELOPES Messagem.Reply -= rf Iectr�cTM El Urgent =� _ _ ❑ Please Respond By 2421 Cranberry Highway ❑ No reply Necessary Wareham, MA 02571 To: Date: l�3 SubjectA 4- Message: FOLD ' FOLD y Reply:. Signed: Date: MF46E White's Path COLONIAL, South Yarmouth, MA 02664 508-394-9851 G A S C 0 M . P A N Y Fax:508-394-2564 March 13, 1996 J. J. Driscoll PO Box 573 Marstons Mills, MA 02648 re: 593 Seaview Avenue, Osterville, MA To Whom It May Concern: This letter is to confirm that the natural gas service to the above referenced property has been cut and capped at the gate box merco. This work was completed by us on March 7, 1996. If you have any questions, I can be contacted at the number listed above, extension 2109. Sincerely, Robert F. Sullivan Distribution Foreman ti . .711 do M • ::F�--40:t j D _. 100. . =QT..6 1y2 7+Fy- f :WD:flT cuT_ 10 ►:. .G. _ CV 10 c5 8 r'• .�b f >� 007 R.Prnl MES401m 'Sam ■��i�l!lar ,II�j _� PAM lid tv _........- �_:_-:_P�Gs.��1;'1'C'___!'�__��PJ�1!�Q_.: .OQ�._.:._Lhl�_.?�15_.:.�s _ :A�-.-...._.._..._..:•..:.:_. :-:.------ - r�7 � 0 OWSPJG.M. -Asp _................._. .. ..... 1 y�� ..: ._PAY N+tiT i4A4NC� o I ................... .... hmW i DI'DER....:.. .. . 0 G1.6 J oo_-..... _.. L_.. .!. _ Ar x1 -- - IiOkC . _may: .._. ......._. _ Ell Ed . I � Foundation Certification in Osterville, MA Prepared For: 593 Sea View Avenue Nominee Trust Assessor's Map: 114 Lot: 52-1 Baxter, Nye & Holmgren, Inc. Community Panel Number 250001 0016 D Registered Professional F.I.R.M. Map Zones: C, B, & VI (EL. = 16) — B.F.E. _ (ZONE A14— EL. 12) Engineers and Land Surveyors Plan Reference: Land Court Plan 6857 Q - Lot 19 812 Main St. Osterville, MA 02655 Certificate of Title: #163,739 Phone — (508) 428-9131 Fax — (508)-428-3750 Owner: 593 Sea View Avenue Nominee Trust Job Number. 2003-044 Scale 1" = 60' Date 7-25-2005 D.E.P. FILE No. SE 3-4301 PT MATCH UNE CB off FN a LINE I BEARING I DISTANCE ^ 38104' E L1 N 59*07 52 W 1 26.14 N -IV r3 L2 S 5WO7 52 E 13.13 CURVE RADIUS I ARC LENGTH C1 1200.00 20.00 tit CB DH FND rn CB DH FND C2 1200.00 20.00 gy o 4'3$ N Cob I , o ; CY e2 Or �`� p0• CB DH FND LO "� � y�h � e \Z Z \ 5� CCD ,�0 5 \� a W �' CB DH FND J 'o B DH FND + 4 0 .� : L.C.LC. PLAN 19 857 Q j \ o gp N o o^i PARCEL AREA TO MHW O \�Z �p .c p 88.261 2.03 f ACRES N P Z y rn\o Z Z •o �, rn \+ �3 a9. Z do, CB DH FND Nr r? LOT 18 �i. • ��• TOP OF FOUNDATION a y L.C. PLAN 6857 Q EL. = 19.39 (NGVD) _ _ LSZL2Q r. �Zg •N/F SMICHES $ �0 10" CONC. L.C. PLAN 6857 Q '\ WALL N/F OSTERMLLE SVA g 6.7 �A �CPg (33, REALTY TRUST o 0 0C� \P ON .55 N/F TOCCt J r �� �\ , 10" CONC. TBM: CB OH FND WALLS 15.51' (NGVD) E� a N � j Z NG 5�0P�E9 _ MATCH LINE a *NOTE: 10" CONCRETE (CONC.) WALLS AND CB SEAL FND CONCRETE SLAB LOCATED: 7-21-05. V Z G G 5�Q �i�� H• ER0 �Y I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS IN , COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED �q WITHIN A SPECIAL FLOOD HAZARD AREA. JON THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. > REGISTERED P FESSIO LAND SURVEYOR N BAXTER, NYE & HOLMGREN, INC. DATE • ' ' in osterville MA Fou ndation certlf Icatlon Prepared For: 593 Sea View Avenue Nominee .Trust Assessor's Map: 114 Lot: 52-1 Baxter, Nye & Holmgren, Inc. P . Registered Professional . Community Panel Number 250001 0016 D F.I.R.M. Map Zones: C, B, & V11 (EL. = 16) — B.F.E. _ (ZONE A14— EL. 12) Engineers an$12 Mo Main StSurveygrs Plan Reference: Land Court Plan 6857 0 - Lot 19 Osterville, MA 02655 8) 428-9131 Fox - (508)-428-3750 Phone - (50 Certificate of Title: #163,739 �► � Date 12-20-2004 Owner: 593 Sea View Avenue Nominee Trust Job Number 2003-044 Scale : 1 = 60 D.E.P. FILE o. SE 3-4301 �T MATCH UNE CB DH FN N Z LINE BEARING n261 '0A' '` n3 L1 N 59 7 52 W ^ N �5.38 '1�3'SA L2 S 59' 7 52 E •i S �= N p'• K IU00 0 00 NGTH �ZG CB DH FND m CB DH FND 1 00.1 00.00 20.00 �y o 4�� . :' .'�o• N I C2 ,LpO�0 CB DH FND 00 b N 5 Z �o Z to CB DH FND � C ,� v �10• d a W a �y J t \a ^ s ? )�9 R* O .a "^�. L.C. PLAN 6857 Q B:DH FND -� OV o o� PARCEL AREA TO MHW U Q p N 88,261 t SO. FT. M Pip s\o ZQQ Z 2A3 t ACRES Z z J. CB DH FND c y o `'�. ' '�'• �' LOT T 18 �i. �`fl� LOT 20 a sty TOP OF-FOUNDATION - �'rZ L.C. PLAN 6857 Q o• EL. = 19.39 (NGVD) L.C. PLAN 6857 Q 9 OHO N/F SMICHES $ �o� N/F OSTERVILLE SVA F^ 0` 16'7 REALTY TRUST OA\ a+. 3g1 Ad'i. c E5�NG0� a o o M co �XNOP�0 N N O 1.Q ✓ 3 FO�pGI0 ' 12'1 . N/F TOCCI • TBM15: CS DH FND p . 7- MATCH UNE _ ^g'• ��'��.Y\ °'0 o _ CB SEAL .FND Z p0 `N �a OP V g v= �t I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS IN , COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. JOHN y� R. THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE'USED TO ESTABLISH PROPERTY LINES. 29874 4 GIST - LAB REGISTE "ROFSIGNAL LAND SURVEYOR N BAXTER, NYE & HOLMGREN, INC. DATE I�-1o.04 Foundation certification in Osterville , MA - Prepared For: 593 Sea View Avenue Nominee Trust Assessor's Map: 114 Lot: 52-1 Baxter, Nye & Holmgren, Inc. Community Panel Number 250001 0016 D Registered Professional F.I.R.M. Map Zones: C, B, & V11 (EL. = 16) — B.F.E. _ (ZONE A14— EL. 12) Engineers and Land Surveyors Plan Reference: Land Court Plan 6857 Q - Lot 19 812 Main St. Certificate of Title: 163,739 Osterville, MA 02655 Phone — (508) 428-9131 Fax — (508)-428-3750 Owner. 593 Sea View Avenue Nominee Trust Job Number. 2003-044 Scale I " = 60' Date : . 12-20-2004 D.E.P. FILE No. SE 3-4301 127 —' MATCH UNE CB H FN LINE I BEARING I DISTANCE L1 N 59 7 52 W 28.14 ^ N 15.38'04" E 0 �1 L2 S 59' 7 52 E 13.13 S �13.5� o I w -� CURVE RADIUS ARC LENGTH Q► N C2 1200.00 20.00 5 ��ti1G W CB DH FND m GCB DH FND � NO P��g�11 � ° •�� / � ` i ',•(� P� Car 0 Os p0�0 CB DH FND �j 00 huh LOCD 00 44 1 z •�` 0 Z� (� 1� W CB DH FND 'o Y LOT y B:DH FND �� p L.C. PLAN 1857 Q j y0 U Q 0) PARCEL AREA TO MHW C1 7Z gyp. N`w o Z 88,261 t SO. FT. U o Z 2.03 f ACRES Z C+ , • Z CB DH FND N LOT 18 lit =� L.C. PLAN 6857 Q TOP OF FOUNDATION LOT 20 r-- 5 N/F SMICHES > EL. = 19.39 (NGVD) L.C. PLAN 6857 Q Z C^\ �\ >'�' I f? 16 7' N/F OSTERVILLE SVA °►�o �d>• tea'• g REALTY TRUST a 0 � M co fc,X\S�pN:rOt, 0 0 •o Z a� AND- N O ✓ p 3 �i FO\-�C, h � < N/F TOCCI ✓ + • �1 � TBM: C8 DH FND 15.51' (NGVD) ob to 0 MATCH UNE _ � ��I.\5��,P'� 0P� a,0 C 2 CB SEAL FND Pic. 10 z •o P (��• � V ,z�z,lby I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED �a WITHIN A SPECIAL FLOOD HAZARD AREA. , P' JOHN THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. R. Ma �p N 74 • -I o - 0 4. GIST - LAB REGISTE PRO SIGNAL LAND SURVEYOR N BAXTER, NYE & HOLMGREN, INC. DATE I�-10-04 Y _ .. ... ... � o� l _ __ i i -• • - • • -1 ' HE'S s ,. �''•; .. MA ------ NAI LEGEND /ABBREVIATIONS MATCH UNEZ Z Z SET MATCH UNE . 4 : a , s ! / . Ib - HYDRANT �, -c -0- = UTILITY POLE GUY WIRE , _ �►/ ir.. 00 w . , CONTOURS SPOT GRADES x ¢ o = GAS GATE17.1 � r- Y - �i\ ♦ o: - MAG NAIL Z � �, ,:._- ,.�,., ,_. : :� :,. -, ,� _ i .� . a WOOD FENCE LOT 18 7,0 c.� �` . .:-s.: _. � � �.•a •a ao Q j �,, r OVERHEAD WIRES o o f o �:. b 4 ,r.. Z � L C. PLAN 6857 Q Z � _ G G - GAS LINE o ¢ '- ., ,_ # N/F SMICHES ..1 ! �J i'-• r :f. s. . -,., Y .� '�-:O • .. . �,.,,zr ,� v,r,„� •r<a. g,�Ra, ,�. • .. - s CB DH O _ STONE BOUND/DRILL HOLE N v'. ¢ is •. .... 1_ +�- :. • . «C :: -1 '1=.'c a s z '.1 :. - r ,..w � . ,. � :::_. -:' r S h`G'_ tte.y:1,,, r }+',rjx x� ••!'.y CONC. _ / � CONCRETE to . .: \ ... ... ....,.. b y FND = :.,.:. Y J' •.'fir ar.,.. ,ykF1"" , .FOUND g � CCB z e" l _ h_ ". 1 -•. • ..wiry ,t.., a" ..e CAPE COD BERM 16,3 •it..J -„ ., .. 1 J, ...W, a n�::+^[. 1.� ?N ,. . e a I 16.1 : � ... _..,+. r' r*,5,.• :,.-.. ..{{ r:z.•' y 4. us >,..,.,,Fs. ,:.�+.;tom.S. � r C s -� _ k Leaching q 6.1 Area Requirements I 16,0 Locus MAP 5 BEDROOMS AT 110 GPD/BEDROOM = 550 GPD , .o \ SCALE:I'm 2000' 9 I ADDITIONAL 50% FOR GARBAGE DISPOSAL _NA_GPD _ t N/F "NSON o LOCUS NOTES : 10 PERC RATE = <2 MIN. INCH CLASS 1 PROJECT BENCHMARK : DATUM NGVD _ 15,8s 15.7 , LTAR = 0.74 GPD/S.F. M HYDRANT ` 70 A ELEV.= 14.68 MAG NAIL 1 \ SET CB DH 0 ELEV. 15.51 MIN. LEACHING AREA OF S.A.S. : I \ w ZONING DISTRICT. RF-1 550 GPD/ 0.74 GPD/S.F.= 743 S.F. MIN. 15. . OVERLAY DISTRICTS. AP (AQUIFER PROTECTION) PROPOSED SYSTEM SIDEWALL (44 +12) x 2 x 2 = 224 S.F. _ �^ RPOD (RESOURCE PROTECTION OVERLAY DISTRICT) \ BOTTOM 44 x 12 528 S.F. � 16.v MINIMUM-LOT AREA: 2 ACRES 752 S.F. , c uP �2 5< \ 16.0 7 MINIMUM FRONTAGE: 30 x 15 \DISTANCE DH MINIMUM LOT WIDTH: 125, UNE BEARING g FND L1 N 59*0 52 W 1 28.14 x 15.7 • , L2 S 59.07 52 E i 13.13 � _ FRONT SETBACK = 30 SIDE &:REAR SETBACK _ 15 E CURVE I RADIUS I ARC LENGTH I � Ct 1200.00 20.00 e( �5 - �� WOODED LOCUS PROPERTY IS SHOWN AS: °o C2 1200.00 20.00 P ° �.o , � 1.9 c�i \ 0 \ ASSESSORS MAP 114 - PARCEL 52-1 z g. i W PLAN 'REFERENCE: 6 x 14,8 J �, AG NAIL \\ x 15,6 a• 15.s S.6 LAND COURT PLAN 6857 - LOT 19 (, 14, 0- BENCHMARK- O SET ♦ B DH coo wa Q HYDRANT, 70 L P 11.9 FND _,IN EL. _ 14.8' �� 1,8 \ �, 15, 1 6 LOCUS CERTIFICATE OF TITLE. _C163,739 � 10, 2 I v 12.2, WOODED 15.5 COMMUNITY PANEL NUMBER 250001 0016 D >0,8 �' x 14,7 cR 15.4 B`DH\ THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES 0 11,6 / z GG0" 'F 1ss�� \ C. B, do V11 (EL. = 16) B.F.E. _ (ZONE A14- EL 12) J o,5 12,3 ' OD CB DH ssQ �� pp. G FND \ CP 15.4 'L / 15.3 �► 3. m x 15,5 0 15,10 FLOOD ZONE LINES SCANNED AND DIGITIZED FROM FEMA 1 S �` FLOOD RATE INSURANCE MAP COMMUNITY PANEL NUMBER 1 �4 X1\` � •�� g� i \ STAKE 250001 0016 D DATED JULY 2, 1992. 15.o 1? 4 �►, 5 •►� THIS PLAN 1S BASED ON AVAILABLE RECORD INFORMATION AND +TEST PIT 2 I \ � ��' S .� PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM 1 ON 717103. 4 - 1 14. b, 16,0 6 - 14 - / / 13,9 _ $ 16,2 i x PROPERTY' OWNER: C E o 13.8 ! 593 SEA VIEW AVENUE NOMINEE TRUST 4.0 g r� LAWRENCE B. COHEN TRUSTEE N■ x 13.7 t ; ' ,I z ' ffo" _ 99 FLORENCE STREET' BLD. 50 UNIT 5A rr 1< 14.8 DH ► too d !� CB D g •v CHESTNUT HILL, MA 02467 FND d -! LOT 18 FND \ • � � 'o -L.C. PLAN 6857 Q 3 c Ns ! TES�fi PIT 1 NN PARCEL AREA TO MHW r 17.1 W M261 f SO. FT. t ' 2.03 t ACRES x 13, -o . N � uP #63/1 � GENERAL NOTES : N/F TOCCI 1� 131 t ,gyp � ,9 ►�.3.2 3 I ,a (N/ b t \ O F• x 1 .s g ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH MATCH UNE 7, MATCH UNE l X 4,6 17.3 � 11 z \Yt TITLE V OF THE STATE SANITARY CODE DATED MARCH 31,1995 ANY LOCAL RULES APPLICABLE. _ g r x 2,9 $ SOIL LOGS DATE. April 2004 l , ANY CHANGE TO.THIS PLAN MUST BE APPROVED IN WRITING . Z 3N P# 10,699 W BY DESIGNING'ENGINEER 4,0 H W SOIL EVALUATOR: BOARD OF HEALTH AGENT. 1 ' 14.4 2 WHEN CONSTRUCTION IS COMPLETED PRIOR TO BACKFIWNG i CB D t t UP _ /61 7 ' , r ' t ItI '. FND 1 0 Q � 1 NOTIFY THE ENGINEER do BOARD"OF HEALTH AGENT Stephen A.Wilson PE David Stanton t c� p � / x I r 4,6 FOR INSPECTION. i 4.4 - � t LA 1 4 TEST PIT 1 TEST PIT.<2 � x 13,o ww LA -_ _ p FOUNDATION ELEVATION MUST H N M - _ �`-.1 � , � 10• L4L?.Q S BE CHECKED WHEN COMPLETED. , G.S.E. - 13.7 f G.S.E. 14.2t` 2, 13.7 I 14.4 M` > L.C. PLAN 6857 Q h i D A 0 a 13,1 .. THESE ELEVATIONS MUST NOT. BE CHANGED WITHOUT WRITTEN , P \ Y .LOAM SANDY LOAM � x 4. �: ;,SAND ,- 1 1 _ , APPROVAL BY DESIGNING ENGINEER • '• t�i N OSTERVILLE SVA REALTY TRUST ; 1 10 YR 2 1 16.2 2 10 YR 2/ 8 / c M \ 14.4 B w 1 .a N i r ALL SANITARY DISPOSAL M PIPING 4 u: v'_ r � SAN 0 SYSTEM 1 ` G TO BE PVC., SCH 40 OAM- - - - _ _ - __- �5 �+ONC L SAtdDY.L0.4M - - -_ - - - ., ; 10 -YR 3 3 .!. $ __�a.._ _-- 10YR56 11 / 20 � s. 15.7 x ' 13.5 - C C - EXCAVATE. AND REPLACE ALL..UNSUITABLE MATERIAL 1 1 1 / IAL / SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5, PER MEDIUM SAND MEDIUM.SAND 12.2 , LAWN ,r+ G 310 CMR 15.255. 10 YR 5/6 _ 48 10 YR 5/6 � x 9 _ USN s 44 12.0 X o 9� t;a _ � _ D BO _ o, 5 s•�pg1S� 'i �► E N RN _ I C C x ' MED. _ 14.1 �!1 WN SEPTIC TANK 1s.9 '� ALL UNDERGROUND UTILITIES ARE APPROXIMATE AND � � P� <,� - H• pER i MED. COARSE SAND COARSE SAND & GRAVELIpo �oN R S0.0x d�' A SHOULD BE VERIFIED IN THE FIELD PRIOR TO ANY 10 YR 6 8 80 10 YR 7 3 I 1 Q .�'� CONSTRUCTION BY THE CONTRACTOR 60 / / I x 3y Y sF- d r J 4.tu. •;... / 3 3 ,, R � 16.1 II. ,. P . , , ..,. . . � fix, a. E ON MEDIUM SAND ,,. . .�� . Y.� .., � ,� ,. � ,. I MEDIUM SAND ED 4, .. .,,_•. , r,r1,L ,,a....�. { «, ,.,, 5 � ,.k . « r 16.2 1 YR 6 4 ,..,,. , -. 1 YR 0 132 t � ,..132 / �" ... -PATIO r: Mlt ...,, _.. .. . o w , L1 , NO WATER ENCOUNTERED _,.. . - �, Y SE34301 RATE c2 MIN IN y NO TER ENCOUNTERED ,,33 .1. . i - .. ,a,;., :.,}r'I 1 ,:..,• �, ;;1Ps;: d d.. .:t tip.. ,...x. ,,.. .,r�. • e.:,...., ....�,,.. u.., UNABLE TO SOAK yy ! : . " �,t,. ,�; � . ,m. � : ...�� x }, ..�..�.:n„, a. .. �.,�{p.,A`X.51':,.. � ... C / n.._:., 4�,.�,1.. ,'r 17,9 PRO , ., . ,:,l , 5 C . N ERVA I N NOTES .CONSERVATION T O 0 S . CPS tx :'- . Z•7 .,.: P� x 16.4 1.ALL ROOF RUNOFF TO DISCHARGE TO DRYWELLS OR DRIP TRENCHES. / F _: OE dcA S 4,4 ,: 'I, N j M� 2 U rr 0 FW0RK SHALL CONSIST OF STAKED HAY.BALES AND SILT FENCE 1ti _ 16 TBM. CB DH, q Q 17.0 x 16.3 EL:- = 15.51 TO BE MAINTAINED FOR THE DURATION OF THE PROJECT. €�. F r _ Pr O ? d la. C \G 1 - P �XIST1Nc STONE WALL 3• PRIOR TO STARTING ANY WORK PROOF OF RECORDING OF ORDER OF CONDITIONS G �P0, s --o ��O •■�• /`n„ � , Ib TOP of COASTAL BANK AND FORMS A & B SHALL BE SUBMfffED TO THE CONSERVATION COMMISSION �/ Py�POaF' �s ` •■, _� ,� t �. _ STATE do TOWN DEFlNI?lON 5F. S'� .♦ E� GOWN <^ �, ALONG WITH THE REQUIRED PHOTOGRAPHS. t►Rouc� 16,5 r / BRUSHo ,_-- _� / , 5 4. THE EXISTING BRICK PATIO AND STONE WALL BY THE STAIRS ARE TO BE REMOVED. 14.2 3.8 �{ r 5. BUFFER STRIP PLANTING TO BE DEVELOPED IN CONSULTATION WITH COMMISSION .. � 1�'4�_��(� ,� ,- .•' � STAFF. E 6 / EXISTING t� r r 3 No• 50 OFFSET FROM CONC. 13.8 /�r _ �Y+ SEAWARD FACE OF STONE WALL STAIRS 13. ROUGl B 4.' r x 14, x 1rXf,,4 g is H ,7 fir' �/' /r/ / / a. 298T4 I CB SEAL t 39 FND 47) i I 15 GO/�.'' 7 x 3 P EXISTING BUILDING LOCATIONS PER GP5 "TOPOGRAPHIC PLAN OF LAND AT / ,� ,'� ,-�� I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION !' 639 SEA VIEW AVENUE, OSTERVILLE, MA. 16 0 / p0 SHOWN HEREON IS 1N COMPLIANCE WITH THE APPLICABLE BARNSTABLE FOR 'ANDREA ZAKIN EXISTING o r ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS IS AUGUST 20, 1998 ��_,�� CABANA BY BAXTER do NYE, INC. / '/� 0� P•�d�'k�19�ll LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS N N 4.2 NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. x.6,2,0 \G��P 5 a�P THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. VIA Z `'� REGISTERED PRO ZONAL LAND SURVEYOR a PATE 12' 593 Sea View Avenue 43 FINISHED GRADE DESIGN SCHEDULE ELEVATION Osterville, Massachusetts 36"MAX.-9"MIN. /\\/j\/j\��j`\/j\/j\�/j\\//j\/\�/j\/\�\�/j\�/j\/ COMPACTED FILL TOP OF FOUNDATION 17.5 PREPARED FOR OF P TON FINISHED BASEMENT FLOOR 9.5 2 FINISHED GARAGE FLOOR 14.5 593 Sea View Avenue Nominee Trust �IN + 3/4" TO 1 1/2 ' SEWER INVERT AT FOUNDATION 12.1 t� :- 24" ✓4"-1.5" WASHED STO�, '''` �� •:., --' TITLE EFFECTIVE �= WASHED STONE R INVERT F SEPTIC TANK SEWER OUT 0 SE C 11.6 •' '�; DOUBLE SEWER INVERT INTO SEPTIC TANK 11.9 !" `.�•' ?�•?; .1• �f• i+s, ; ;�'s•' -DEPTHSEWER INVERT INTO DISTRIBUTION BOX 11.4 Wetlands Permit Plan A► House Construction SECTION SEWER INVERT OUT OF DISTRIBUTION BOX 11.2 �� NO SCALE SEWER INVERT INTO LEACHING SYSTEM 11.0 PLAN OF LEACH CHAMBERS PLASTIC LEACHING CHAMBER DETAIL BOTTOM of LEACHING TRENCH s•o � j NO SCALE WATER TABLE: NONE OBSERVED AT ELEV. 2.7 BAXT1 L+R, NYE & HOLMGREN, INC. TYPICAL SYSTEM PROFILE Registered Professional ; TOP of T T SCALE Engineers and Land Surveyors `�w o1 r s� FOUNDATIO %N No o $12 Main Street, Osterville, Massachusetts 02655 }� sA �F9ECP N r � FINISHED GRADE = 16.0E s --- FnuLSHEn GRADE OVER n. aox = 15.01 phone - (508)428-9131 Fax - (508)428-3750 FINISHED GRADE OVER TANK = 15.5t No.. 0216 I FINISHED 14.4E GRADE OVER LEACHING TRENCH = 8ryn11N. U < 'ST �� 3" mi , cif J 4" scH. 40 PVC 30 0 30 60s „� ....,••,• ; �. 4" SCH. 40 PVC FIRST 2' (TO BE LEVEL) �C'AL TYPICAL) 2 min 36 (min) Cover SCALE IN FEET i ,. . . � �`� •' O then O 2.09G " ( � / Q O 2.0% ;,, " p r O 2.OX 9 mm Cover y� Q I FINISHED 4 ,, io CI TES � BAFFLE s" SUMP ,r. 4" SCH. 40 PVC " " SCALE: 1" = 30'. DATE: 7/01/04 „ CONSTRUCT ACCESS ••, ; ;;, ',• • .,: :;, Pecstonel/8 to 1/2 BASEMENT MANHOLE OVER INLET +, _ FLOOR 1., TO TANK"TO AT LEAST + f„y ,. ., ••� ..•. LEACHING CHAM REV. DATE: REMARKS • WITHIN 6 FINISH G 6' CRUSHED •,.•.:., • REINFORCED CONCR„ STONE FOOTING �• -1- 8 16 04 Buffer Strip & Notes . ,�,. ,�..�.'' ;•_••.� i:'.�,.� .:�..: +,..r.� . ,. 4" PVc O O -2- 9 01 04 rev Cert re Fld Zone • 31 DRAWING NUMBER 2000 GALLON SEPTIC TANK DISTRIBUTION BOX 5' MIN 0: 2003-044 surve worsht 2003-044SP3.dw TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE 2003-044 No Groundwater Observed O Elev. 2.7 a