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0895 SEA VIEW AVENUE
95 Se-o-- vie--to S; ftM9tSALO UNV 10503 M"Num CMWI% NNTiATiVE M c.rdwFb,.soureNo � +wonao map + Pc�rc�Is S+c-, � W t sgg address �� za-s h Coar4' 4c, S�q,5 aoi� NOTES: ASSESSORS REF.: Map 090, Parcel 014 1.) The structures shown were located on the ground by conventional survey methods on (or between) OVERLAY DISTRICT: 271JUN112 and 30/AUG/16. AP — Aquifer Protection District 2.) The property line information shown hereon was compiled from available record information. ZONE: RF-1 3.) This plan is not for recording and is not to be Area (min.) 87,120 SF (RPOD) used for construction layout or deed description ca Fronta a (min) 20' o to Width min) 125' purposes. �St �. w Setbacks: !S p Front 30' f Re OM Lot280 ° o Side 15' e�P�gon1h If o w Rear 15' 1 m v 811 6e R°beet 19�6 5311 D 1_ tor28 FLOOD ZONE: o �1 Lot282 (n ; Zones X & VE(EL15) o �? New Spa Based on Map # 6 ► 25001 CO757J y N 14 X7 5 July 16, 2014 m •1 o Pool N' � Equip #889 Latice 2- o M N Fence GtV �` TE �'o C/3 ° 1 Sty w/f rri 4 Pavolfon 8,1__ C) �I °1 n r��° - Covered —O Existing Septic Patio 28 3' �As Per BOH Card Z ° Patio _ P 3 En I Grill, V�•cD •• � 4I Fire® ° v S C" ° Pit �� p� V'! I � ° 1 q 01 Lot 282 rt I' 47,141±SF (1.08±AC) I to TCB O, CD rt^3 I I ........................ I =o Z °I Former House ... ....% VWi o tD � 8 1 Location ................:......... L 1 � tV N RICHARD R. .......... N rt o N0. 34312� rt C) ° .................................................. I certify that the new spa shown hereon conforms to ° 00 I the setback requirements of' .. 1 DD the Zoning Bylaws of the Top of Coastal Bank town of Barnstable. TCB (Town Definition) I l •- - - - - Plan Showing New Spa l ,—•_— — ps& At 889 Sea View Ave Wood BARNSTABLE Stalls Wood (Osterville) Stake x MASS, a � DATE: 121SEP116 SCALE:1"-40' r 0ef* pass 0 10 20 30 40 60 80 FEET I geed'— --.— ------—' stot gsarh ------- - PREPARED FOR: 871 Sea View Avenue Realty Trust 11 Montvale Road Wellesley MA 02481-1609 cket Sound PREPARED B : Nantu • PAR Y CapeSury 23 West Bay Road, Ste G Osterville MA 02655 DWG #:C444-6gl cpp7 FIELD BY. WHK/KAR (508) 420-3994 / 420-3995fox Town of Barnstable Building Department - 200 Main Street ' * EMMSTABLE { Hyannis, MA 0260.1 9�A ' (508) 862-4038 Certificate of Occupancy Application Number: 201300498 CO Number: 20150005 Parcel ID: 090012 CO Issue Date: 01/20/15 Location: 895 SEA VIEW AVENUE Zoning Classification: RESIDENCE F-1 DISTRICT Proposed Use: DEVELOPABLE LAND Village: OSTERVILLE Gen Contractor: GLENNON, SEAN Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: v Building Department Signature Date Signed ' TOWN OF BARNSTABLE ■ ■ ������d � ng 201300498PermitBARNSTABLE, # Issue Date: 02/01/13 MASS. ArFG 3�A�� Applicant: \ Permit Number: B 20130244 Proposed Use: DEVELOPABLE LAND ` Expiration Date: 08/01/13 Location 895 SEA VIEW AVENUE Zoning District RF-1 Permit Type: NEW SINGLE FAMILY HOME 71 ,: Map Parcel 090012 Permit Fee$ 1,479.00 Contractor GLENNON, SEAN Village OSTERVILLE App Fee$ 100.00 License Num 171067 Est Construction Cost$ 290,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BUILD A NEW SINGLE FAMILY 4 BEDROOM WITH FINISHED BAS MEIIit`IIS CARD MUST BE KEPT POSTED UNTIL FINAL PLAYROOM INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BANNISH,ROBERT G TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 871 SEA VIEW AVENUE REALTY TRU INSPECTION HAS BEEN MADE. 11 MONTVALLESLE , AVENUE ki WELLESLEY,MA 02481-1609 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO r 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: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS A-RE REQUIRED FOR,ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS IC ut< 13 2 J V vt� J t �2 1 rM 15�y 2 3 1 Heating Inspection Approvals Engineering Dept C" �� �c►��a7, G`�s F 2 Bo o iealt 7D —�31 �S ., e l .�....a.....- --"�i -"'�. a»,� . _ weir.» �► � �n r , l ;' � � l: i Shea, Sally From: Ruggiero, Amanda Sent: Monday, July 25, 2016 10:50 AM To: Shea, Sally Cc: Barrows, Debi Subject: RE: Map 090014 There are three buildings associated with #895 (old number 889).895C should be that studio you are referring to. See below. For the parcel nearest the road (090012): 090012 895 APSE AbUlEU1l AVENI�E Z:STORY BUILDING loft f{� a , :,'.ANNISH;F:OBEFtT G TR OST �, s� 090012 895-B SEA VIEW AVENUE- REC BUILDING (SQUASH COURT) BANNISH, ROBERT G TR OST For the parcel near the water(090014) 090014 895-C SEA VIEW AVENUE--- LOT 282 BANNISH, ROBERT G TR OST Amanda Ruggiero, PE Barnstable DPW-Assistant Town Engineer Office: 508-790-6400- Cell: 774-487-2834 Amanda.Ruggiero(cDtown.bamstable.ma.us From: Shea, Sally Sent: Monday, July 25, 2016 10:46 AM To: Ruggiero, Amanda Cc: Barrows, Debi Subject: RE: Map 090014 I understand there are now two 895's can you send us the changes. Thank you. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 From: Ruggiero, Amanda Sent: Monday, July 25, 2016 9:38 AM To: Barrows, Debi Cc: Shea, Sally Subject: RE: Map 090014 Ohhhh yes, sorry there are so many address changes!This request came from COMM fire to change the address from 889 to 895 due to the physical location of the driveway on the property. Amanda 1 n x 4 d�� ©. Mtp�✓/issgYTlur ranet/piopdataflookuDa%Ps p G ®Ducal Lookup X t.. a X File Edit Vic. Favorites Tools HeID - v=vr- vtr=sv-nvctao ROBERT G TR Tor rv�v o rwr�— 001 890 SEA VIEW AVENUE AVENUE LLC OSTVIL 1450 094402401 ^ , 895 SEA VIEW AVENUE-Multiple r. 090-012 Address BANNISH, OSTVIL 1450 090012 (895 SEA VIEW AVENUE Unit A.2 ROBERT G TR STORY BUILDING) 895 SEA VIEW AVENUE MuMpte (10012 Address BANNISH, OSTVIL #450'09001 ? (895 SEA VIEW AVENUE Unit B-REC ROBERT G TR BUILDING(SQUASH COURT)) 090-01A 895 SEA VIEW AVENUE#C ROBERT G TR OSTVIL 1450 090014 5S V =Mu le 9 090-004.Address MATZVJN, OSTVIL 1450 09Q004 (903 SEA VIEW AVENUE- JOSEPH H TR j Gemg2Lsgarata d j 905 SEA VIEW AVENUE#B-Multiple 09U 004 Address MATZKIN, OSTVIL 1450 090004 s (905 SEA VIEW AVENUE Unit A- JOSEPH H TR I Cottage) 905 SEA.'VIEW AVENU #S-Muttip 5 �� Addn3ss MATZKI OSTVIL 1450 t)Q0004 (905 SEA VIEW AVENUE Unit 8-Main JOSEPH,H TR Mouse) i r i THIS IS NOTA PERMIT A xY Town of Barnstable Geographic Information System r July 22,2016 #903 1130 31 #831 113001001 V 0867 090012 090013 #881 #905A � C- 6 113002002 At 835 os000a „30 #>361 090003 090014 #871 #896 #9058 0 40 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:090 Parcel:003 a boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:BANNISH,ROBERT G TR Total Assessed Value:$6510900 Selected Parcel I 1'=1l)0'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:871 SEA VIEW AVE REALTY TR Acreage:1.29 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:871 SEA VIEW AVENUE /! such as building locations. Buffer I/ PROJECTk 1, NAME: ADDRESS: ��� °�- Vtt_� Ik<�- yi I CQ PERNIIT# 1 �� PERMIT DATE: �• .1 M/P: 0 ci LARGE ROLLED PLANS ARE IN: BOX. SLOT Data entered in MAPS program on: J13 BY: i PROJECT _ NAME: ADDRESS:61r7 -seo Vt-4-1 i PERNIIT# U l 3 6 PERMIT DATE: 4 3 M/P: q �-- LARGE ROLLED PLANS ARE IN: BOX ) (0) SLOT 125 Z Data entered in MAPS program on: 1 .3 BY: r q/wpfiles/forms/archive ' C PROJECT NAME: ADDRESS: PERMIT# 16loS y PERMIT DATE: 0 ' M/P: Oft U -- Ol Le LARGE ROLLED PLANS ARE III: BO SLOT , z Data entered in MAPS pro gram on: Ll BY: q/wpfiles/forms/archive.. • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D9� Parcel � Tl �l BAUSTAB( Application # ` b700 7t1� I I Health Division ' A A'i 4,. �;: Date Issued 115 Conservation Division Application Fel r- Planning Dept. 17Piip' Permit Fee510 U- Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street AddressT! �L�' �6"�✓ �vE�'y6" Village fr2XV1141f,� Owner &MY 10ha f Address ��9 Jam`/�� ilE Telephone Permit Request /1' x/j ' �,�,G,�pyiYO AMMP' M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No ' Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # ' Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name V4*--A!�50r_ Telephone Number Address //Q R0,517KY LAI, License # eS 763W ey&t.Alls /'Ifi 02-&O Home Improvement Contractor# We'4,3 6 Email V/61306' O01 kS. CCW? Worker's Compensation # IAICAla Z I iGNb -T- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN & /,�w o (2) L/C 01 SIGNATURE DATE FOR OFFICIAL USE ONLY �' • APPLICATION.# DATE ISSUED _ � I MAP/PARCEL N0. n ADDRESS VILLAGE 1= OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL :r I r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ; f ASSOCIATION PLAN NO. ' sxx.�sr.►sr.s. \ 'mac 9.+°,e� Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnitable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I• //��f�� �C�� as Owner of the subject 1 property � G hereby authorize _ �Qe'Q 4041A7,4_1 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) i ture o Owner Date t<(z15—►� Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. I TAK-EVIN D\Building ChangesEXPRESS PERNUDEXPRESS.doc Revised 061313 iviassacnusztts Department of Public Safzty Board of Building Regulations and Standards License: CS-076332 ''' Construction Supervisor KEVIN BOYAR ` PO BOX 21 WEST BARNSTAHLE MA:•-02668 Expiration: Commissioner 09/05/2017 7/ze Wcw yrzam,vealC/ol(,- lrujrcc/cue1 affice of Consumer Affairs&Business Regulation License or registration valid for individul use only � � E IMPROVEMENT CONTRACTOR before the expiration date. If found return to: E ''--)) Office of Consumer Affairs and Business Regulation e istration:- g6436:°=== Type: 9 .:--_ _ _ 10 Park Plaza-Suite 5170 Expiration 4(2fi�2q:17: '; Supplement Carrl Boston,MA 02116 VIOLA ASSOCIATES.;' = W` KEVIN BOYAR _= 110 ROSARY LANE UNITQ`= .. J= . ^_ti:-.•-_--- HYANNIS,MA 02632 Undersecretary Novi slid without signatu r AC40 10/20/20® CERTIFICATE OF LIABILITY INSURANCE D /2015IDD 15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NOrthborou h Construct West NAME: g Eastern Insurance Group LLC PHoNE (508)393-7744 FAX o 155B Otis Street E-MAIL INSURERS AFFORDING COVERAGE NAIC# Northborough MA 01532 INSURERAAcadia Insurance Company 31325 INSURED INSURER B:Firemen Is Insurance Cc Wa DC Viola Associates Inc INSURERC: BOX 389 INSURERD: INSURER E: Centerville MA 02632-0389 INSURERF: COVERAGES CERTIFICATE NUMBER:2015 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDY� MM ODIYYri LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RENTED }� COMMERCIAL GENERAL LIABILITY PRMMI ESOEa occurrence) $ 300,000 A CLAIMS-MADE Fx_1 OCCUR PA0217962-18 /29/2015 /29/2016 MED EXP(Any one person) $ 15,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY PRO- LOC $ AUTOMOBILE LIABILITY ED a.d.ntSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 0217963-18 /29/2015 /29/2016 AUTOS X AUTOS BODILY INJURY(Per accident) $ }{ X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident Medical payments $ 5,000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS UAB CLAIMS-MADE AGGREGATE $ 2,000,000 DIED RETENTION$ UA5047783-13 /29/2015 /29/2016 $ A WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N 1 A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? A0218000-19 /29/2015 /29/2016 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Roberts Residence ACCORDANCE WITH THE POLICY PROVISIONS. 871 Seaview Avenue Osterville, MA 02655 AUTHORIZED REPRESENTATIVE i John Koegel/SED ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025oninnsin1 Tho annpn nnmo nnrt Innn nra ranictararl mnrlrc of Ar nion The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Y Office of Investigations R ' I Congress Street, Suite 100 Boston,MA 02114-2017 •`� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Viola Asociates,inc. Address: 110Rosary Lane, Unit A City/State/Zip: Hyannis, Ma. 02601 Phone #: 508-771-3457 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 30 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑ 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 Swimming Pool employees. [No workers' 13.❑✓ Othermm 9 comp. insurance required.] Any applicant that checks box P I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Acadia Insurance Policy#or Self-ins. Lic.#: WCA0218000-16 Expiration Date: 4/29/16 Job Site Address: 871 Seaview Avenue City/State/Zip: Osterville, Ma. 02655 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ut pder the pains and penalties 2ae!Lury that the in ormation provided above is true and correct. — — V_t-__._.._ Date Signature: - - ,y Phone# Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i �I Town of Barnstable w ARR ' Building Department-200 Main-Street c . , Hyannis, MA 02601 Tel. (508) 862-4038 ' Certificate Of Occupancy - Permit Number: B-2014-06532-1 CO Issue Date: . 7/27/2016 Parcel ID: 090-014 Zoning Classification: RF-1 Location: 895 SEA VIEW AVENUE, Proposed Use: 1010 OSTERVILLE Gen Contractor: GLENNON,SEAN Permit Type: Residential - Comments: Q'7/.7- 71116 Building Official Date: y, K.�\ TOWN OF BARNSTABLE Building. tNE tp� 201406532 * BARNSTABLE, Issue Date: 10/06/14 Permit 9 MASS. �A i639• A Applicant: GLENNON, SEAN T Permit Number: B 20142703 rF0 MA'1 Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/05/15 [Location 889 SEA VIEW AVENUE Zoning District RF-1 Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 090014 Permit Fee$ 1,657.50 Contractor GLENNON, SEAN T Village OSTERVILLE App Fee$ 100.00 License Num 86783 Est Constriction Cost$ 325,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND CONSTRUCT A NEW STUDIO DWELLING THIS CARD MUST BE KEPT POSTED UNTIL FINAL ' PERGOLA &PORCH 1ST EXTENSION TO EXPIRE 10/4/15 i INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BANNISH,ROBERT G TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 11 MONTVALE ROAD INSPECTION HAS BEEN-,MADE. VYELLESI-EY,IVIA 02481-160 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHP,R TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON?`U0eIG PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALI,INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: i.FOUNDATION OR FOOTINGS. 2.Sf1EA f HING INSPECTION 3.ALI.FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). jil S is §�lpl BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �UUG-if ax -Al 7i bl itz -- Y/-/6 2 2 1�511 7_ 2/d4M:*, rIA/A e- %�5� -3/T6 'f�� OK 3 � / �p 1 Heating Inspection Approvals Engineering Dept - - I Fir 13 2 Board of Health I Barrows, Debi From: Ruggiero, Amanda Sent: Monday,July 25, 2016 9:38 AM To: Barrows, Debi Cc: Shea, Sally Subject: RE: Map 090014 Ohhhh yes, sorry there are so many address changes! This request came from COMM fire to change the address from 889 to 895 due to the physical location of the driveway on the property. Amanda Amanda Ruggiero, PE Barnstable DPW-Assistant Town Engineer Office: 508-790-6400- Cell: 774-487-2834 Amanda.Rug9iero(cDtown.bamstable.ma.us From: Barrows, Debi Sent: Monday, July 25, 2016 9:32 AM To: Ruggiero, Amanda Subject: RE: Map 090014 I believe so, maybe 7 buildings. Thanks Debi From: Ruggiero, Amanda Sent: Monday, July 25, 2016 9:28 AM To: Barrows, Debi Subject: RE: Map 090014 Hi Debi, Sally emailed me this last week. I asked her for the parcel ID but hadn't heard back. I see you put it in the subject line. Let me go look it up now.. Is there another building on the property besides the new studio? Amanda Amanda Ruggiero, PIE Barnstable DPW-Assistant Town Engineer Office: 508-790-6400- Cell: 774-487-2834 Amanda.Rug i�(cDtown.bamstable.ma.us From: Barrows, Debi Sent: Monday, July 25, 2016 Y-26 AM To: Ruggiero, Amanda Subject: Map 090014 1 r Barrows, Debi From: Ruggiero, Amanda Sent: Monday,July 25, 2016 10:50 AM To: Shea, Sally Cc: Barrows, Debi Subject: RE: Map 090014 There are three buildings associated,with #895 (old number 889). 895C should be that studio you are referring to. See below. For the parcel nearest the road (090012): �_ w, 090012 895-B SEA VIEW AVENUE-REC BUILDING (SQUASH COURT) BANNISH, ROBERT G TR OST For the parcel near the water(090014) 090014 895-C SEA VIEW AVENUE---LOT 282 BANNISH, ROBERT G TR OST Amanda Ruggiero, PE Barnstable DPW-Assistant Town Engineer Office: 508-790-6400- Cell: 774-487-2834 Amanda.Ruggiero c(Dtown.bamstable.ma.us From: Shea, Sally Sent: Monday, July 25, 2016 10:46 AM To: Ruggiero, Amanda Cc: Barrows, Debi Subject: RE: Map 090014 - -I-un-derstar d-there.are now two 895's can you send us the changes. Thank you. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. s 508-862-4031 From: Ruggiero, Amanda Sent: Monday,,July 25, 2016 9:38 AM To: Barrows, Debi Cc: Shea, Sally Subject: RE: Map 090014 Ohhhh yes,sorry there are so many address changes!This request came from COMM fire to change the address from 889 to 895 due to the physical location of the driveway on the property. Amanda . 1 r Amanda Ruggiero, PE Barnstable DPW-Assistant Town Engineer Office: 508-790-6400- Cell: 774-487-2834 Amanda.Ruaaiero(cDtown.bamstable.ma.us From: Barrows, Debi Sent: Monday, July 25, 2016 9:32 AM To: Ruggiero, Amanda Subject: RE: Map 090014 I believe so, maybe 7 buildings. Thanks Debi From: Ruggiero, Amanda Sent: Monday, July 25, 2016 9:28 AM To: Barrows, Debi Subject: RE: Map 090014 Hi Debi, Sally emailed me this last week. I asked her for the parcel ID but hadn't heard back. I see you put it in the subject line. Let me go look it up now.. Is there another building on the property besides the new studio? Amanda Amanda Ruggiero, PE Barnstable DPW-Assistant Town Engineer Office: 508-790-6400- Cell: 774-487-2834 Amanda.Ruggiero cDtown.bamstable.ma.us From: Barrows, Debi Sent: Monday, July 25, 2016 9:26 AM _ To: Ruggiero, Amanda Subject: Map 090014 Good Morning, I have a building.permit that was issued on 10/6/14 to 889 Sea View Ave,they are ready for a certificate of occupancy, when l tried to look up the address in our permitting system, it came back as an obsolete address. Please let me know what the correct address is. The permit is for a new studio dwelling pergola & porch. Thank you Debi 2 i Good Morning, I have a building permit that was issued on 10/6/14 to 889 Sea View Ave,they are ready for a certificate of occupancy, when I tried to look up the address in our permitting system, it came back as an obsolete address. Please let me know what the correct address is. The permit is for a new studio dwelling pergola & porch. Thank you Debi y i z ree n to 184 Riverview Ave,Waltham, MA 02453 oetabllahod in O TEL(781)-899-3618 FAX(781)S47-S6S9 Spray Foam 8 Odw lmmU dorm www.GreenStampinsulation.com Insulation Affidavit/Insulation Certificate Date: February 26, 2014 Location:,89S Seaview Ave, Osterville, MA (Gatehouse) GreenStamp Insulation has installed the following at the above location: Roof Sheathing: R-38 closed cell spray foam (GACO) Exterior walls: R-20 closed cell spray foam (GACO) Cover exposed foam in attic space with DC-315 intumescent paint Floor over tunnel: R-SO closed cell spray foam (GACO) Respectfully, LU Benj min Marshall r, Presl ent d CrA CN 0 P a Ifi r-�W" gq,��C-oi,eA-j BOND DEPARTMENT-NOTICE OF CANCELLATION NGM Insurance Company 4601 Touchton Rd East Ste 3400 P.O.Box 16000 Jacksonville,FL 32245-6000 Issued to you as: Obligee Town of Barnstable Building Division 200 Main St Barnstable,MA 02601 The Company hereby gives you notice of cancellation in accordance with bond conditions of: Bond Number: 5-821203 Principal: STG Construction Inc Type of Bond: Permit Classification: Street/Highway Permit License Number: Remarks: road work Original Date of Issue: 1/22/2013 Cancellation Effective: 1/22/2014 ©� --1 By virtue of this notice the bond will be cancelled and all liability of said company will cease at and from the time�d�date statedebove out further notice. 0 n Such action is caused by reason of: "— Insured's Request w �' Copies of this notice were mailed to: Obligee: W Principal: Obli g CRl STG Construction Inc Town of Barnstable Building Division %O r*n 2 Spindrift Lane 200 Main St Buzzards Bay,MA 02532-3588 Barnstable,MA 02601 Additional Principals: Additional Obligees: i13f1`'I AGENCY: 20-0786 T Edmund Garrity&Co Inc —��,�;1L2— COMPANY: NGM Insurance Company By: Date: 1/9/2014 Attorney-in-fact 68-QQ-4040a CM I SUGARMANTO���! oF BARP�5TA6(�C 2013 AUG 5 All 11: 5 9 August 2, 2013 Paul R.Sugarman ®������� Neil Sugarman W.Thomas Smith Town of Barnstable: Regulatory Services Robert W.Casby Building Division Marianne C.LeBlanc 200 Main Street Stephen K.Sugarman Hyannis, MA 02601 Benjamin R.Zimmermann David P.McCormack Re: Document Request Stacey L.Pietrowicz Kelsey P.Montgomery John M.Wilusz Dear Sir or Madam. Nathan Fink 11920-19741 Please provide me with permit application #201302514 and any respective allowed permits. ' The application relates to a detached residential garage at 895 Sea View Avenue in Osterville, M.A. In the event of any charge for this service, our firm check will be forwarded promptly. If you should have any questions or require further information, please feel free to contact me at (617)224-9245.. Very truly yours, SUGARMAN Courtney B gess Paralegal CMB l '7 SUGARMAN AND SUGARMAN, P.C., ATTORNEYS AT LAW One Beacon Street,Boston,MA 02108 t 617-542-1000 f 617-542-1359 www.sugarman.com oFt r Town of Barnstable Regulatory Services w BARNSrABM • MASS.. Thomas F. Geiler,Director i639� 10� .. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 6, 2013 Courtney Burgess, Paralegal Sugarman and Sugarman, P.C., Attorneys at Law One Beacon Street Boston, MA 02601 RE 895 Sea View Ave, Ost. I Dear Courtney, For copies of documents pertaining to 895 Sea View Ave, Osterville please pay the following: 17 pages at .20 per page 3.40 1 Plans 2436 at 4. per page 4.00 Postage 1.92 $ 9.32 Please make check payable to the Town of Barnstable Sincerely, Debi Barrows Administrative Assistant y� Tow. of Barnstable . .� Regulatory Services, . i )t1 RlyerL Rf� • - - Thomas F. Geiler, Director Building Division Thomas Perry,.CBO,Bnilding.Comtnissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us . Office:-50 9-8 62-403 S. Fax: 509-790-6230 PLEASE FORWARD THE ATTACHED PAGE(g) TO: TO: 5 ATTN: coo r-f„-e-�r FAX NO: RE: �4 S Sew ✓ e cJ f4 L) 05 ?' FROM: DATE: PAGF,(S): . oZ (INCLUDING COVER SHEET) Rrr12190 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Cl o Application Map Parcel Health Division Date Issued Conservation Division 'QC ,cic." V-Ca y11611.5`��, .z Application Fee 0-6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village 1�>SVC V AA �,�Z-`� Owner �6� ��,l 1� ��I Address Telephone 1508 L-+72_1V2 9 Permit Request Cb N 5-FFLU CT-18 ,t"3 73U i Mu $E 15; v F)-� V-� (—oU R.-T q210 A 9% Ida Square feet: 1 st floor: existing proposed2 l�7 2nd floor: existing proposed '� Total new '- Zoning Distric Flood Plain Groundwater Overlay Project Valuation7�► D Construction Type FP-P'"F Lot Size 43 563 Ff- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ M Age of Existing Structure Historic House: ❑Yes XQo On Old King's Highway: ❑Yes Flo Basement Type: gFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) l © 41 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new i Number of Bedrooms: ---------- existing —new Total Room Count (not including baths): existing new First Floor Room Count t Heat Type and Fuel: 2--cas ❑ Oil ❑ Electric ❑ Other o Central Air: AYes ❑ No Fireplaces: Existing New Existing wodS oal stoves ❑4 11;�alo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: OweKisting gneW7size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: : d„ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use _�ft 54 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) p S G1� C5- L6 r\I i�l p !mil 5C)8 -7`3 ►4© =Name Telephone Number Address 5�1 N�2` 1 � L License # S ' bui�,N� (�► ,� a 2 5 '22 11 e 5-7 Home Improvement Contractor# N\JG65010FBgb12orl Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2t3 LP"t r-,J a 1pz I SIGNATURE J DATE 4.1 to 1 '3 FOR OFFICIAL USE ONLY APPLICATION# -- DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE OWNER ' ` Y DATE OF INSPECTION: o FRAME r - INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - yT r FINAL BUILDING r DATE CLOSED OUT _ .. r l�r#A VL uiil+.i.A.. ASSOCIATION PLAN NO.' t r The Commonwealth of Massachusetts Department.of industrial Accidents Office of Investigations i 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: L 5 P City/State/Zip:.. Ty Phone#: S c)8 73 e 1 < o Are you an employer? Check the6propriate box: a of project(requires)): XI am ap Y �em to er with 4. ❑ I am a general contractor and I . employees(full. pmt-ime)? have hired the sub-contractors 6, w construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9.. ❑ Building addition . [No workers'comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other . comp..insurance required.] *Any applicant that checks box#I 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 hue 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 thepolicy and job site information. So C I �Tc;'p KA P Lo� 11.o S 1 ti S Insurance Company Name: .Policy#or Self-ins.Lic.#: Expiration Date: I Job Site Address: City/State/Zip: .Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as.required under Section 25A of MGL c. 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-agairW the violatot. 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 certify under the pains and penalties ofperjury that the information provided above isi true and correct i `.-Si afore: Date: Phone#: ' Official use.only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: w. Phone#: r 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 checkingthe boxes that apply to your'situation'and,if. necessary,supply sub-contracto (s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or.Limited Liability Partnerships(LLP)with no-employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial' , Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or Iicense is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current. policy information(if necessary)and under'Job Site Address"the applicant should write"all locations in (city or. town)."A copy of the-affidavit that has.been officially stamped or marked by the city or town may be provided to the' applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled ouf each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit; The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions; please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 0211.1 Tel, #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia CERTIFICATE OF LIABILITY INSURANCE D/18/201 fDD/Y 118/ 3 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cristina NAME: T. Edmund Garrity & Co. , Inc. PHONE (617)3$4-4640 IC No:1617)354-5828 545 Concord Ave. E"MAIL A D DRESS cr nagarrY- isti@ it insurance.com INSURE S AFFORDING COVERAGE NAIC q Cambridge MA 02138 INSURERAMaln Street America Assurance 29939 INSURED INSURER B:Travelers Indemnity Co CT STG CONSTRUCTION INC INSURER C'Associated Employers Ins Co 2 SPINDRIFIT IN INSURERD: INSURER E: BUZZARDS BAY MA 02532-3588 INSURERF: COVERAGES CERTIFICATE NUMBER3MASTER 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A B POLICY NUMBER MIIMIDDY EFF POLICY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAM4—CIOM NTED MERCIAL GENERAL LIABILITY PREMISE�SEaEacairrence $ 500,000 ACLAIMS-MADE a OCCUR I3168F /14/2012 /14/2013 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 FX POLICY PRO- LOC $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED X SCHEDULED 9282L352 /8/2012 /8/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Medical payments $ 5,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ C WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? EE] N/A (Mandatory in NH) CC5010588012013 /2/2013 /2/2014 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below 1.E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Description: carpentry- residential detached one or two family dwellings, three stories or less. Certificate holder is named as additional insured for general liability if so required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tom and Cristin Roberts ACCORDANCE WITH THE POLICY PROVISIONS. 895 Seaview Avenue Osterville, MA 02655 AUTHORIZED REPRESENTATIVE W Garrity/RATHYl ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025=innsi nt Thu ar nDn n2ma onel Inn^ara mniafomfl mnr4a of annio l I :' �las�:�rhusctts- Dcp:u taunt nf.Puhlu . <a;et��;. B(ru'd uf' Biiil(limg Rc�-tilutions .1o(f St. ndards Construction Supervisor License License: CS, 86783 y SEAN T GLENNON; 2 SPINDRIFT LANE' " BOURNE, MA;;02532. Expiration: 2/13/2013• (' aunisiuncr` Tr##: 10035 1 91teeqmwwwwea"- 0 Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 Home Improvement Contractor Registration ,T=R Registration: 171057 TYpe; Corporation Expiration: 2/6/2014 Tr#. 221112 STG CONSTRUCTION, INC. SEAN GLENNON 2 SPINDRIFT LANE BOURNE MA 02532 ' at. r date Address and return card.Mark reason for chan e �✓� j""' . [] Address Renewal ❑ Employment ❑ Lost Card DPS-CAI 0 5OM-04/04-G101216 Oftice Ff/teonme"il'a`iwrsaAulines i License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR j before the expiration date. If found return to: Registration: ,F1,71057 Type: Office of Consumer Affairs and Business Regulation Expiration: 2 gA14 Corporation i 10 Park Plaza-Suite 5170 I Boston,MA 02116 r S ONSTRUCTcIQN INS SEAN GLENNON;A�� :t _:_ 2 SPINDRIFT LANE` BOURNE, MA 02532 . -- �,M Undersecretary Not valid without signature REScheck Software Version 4.4.4 Compliance Certificate Project Title: The Roberts Residence _ Squash Court Energy Code: 20091ECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area Percentage: 6% Heating Degree.Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent:. Designer/Contractor: 895 Seaview Avenue Compliance: Compliance: 34.0%Better Than Code Maximum UA: 479 Your ILIA:316 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies AssemblyGross Glazing • or Door UA Ceiling 1:Cathedral Ceiling 730 38.0 0.0 20 Exterior Wall:Wood Frame, 16"o.c. 1,590 20.0 0.0 84 Window 1:Wood Frame:Double Pane with Low-E 171 0.310 53 SHGC:0.00 Foundation Wall:Solid Concrete or Masonry:Interior Insulation 1,280 6.0 12.0 69 Concrete Slab:Slab-On-Grade:Unheated 128 8.0 90 Insulation depth:4.0' Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations Submitted with the permit application.The proposed building has been designed to me t the 2009 IECC requirements in REScheck Versi n ;.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checkl' / s3 Name-Title Sign a Date �tEREO R a K q, y TF ll Q 9� © a 4450 2 9 BOSTON, M Jy 7h 0 F MPSgP Project Title: The Roberts Residence-Squash Court Report 04/09/13 Data filename: Untitled.rck Page 1 of 1 I Town of Barnstable ti Regulatory Services MASS. Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,liyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building petwit, 2� q 5Eig-VI AVE (Address of Job) ®�`�i�V I U_2 Pool fences and alarms are the responsibility of the applicant. Pools ' A are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature o caner Signature of Applicant Print Name Print Name 4 ' 1 tcl 1 1 Date QTORM&OWNERPERMISSIONPOOLS 62012 . Town of Barnstable Regulatory Services AMBLE, : Thomas F. Geiler,Director Mass. 9�A 1659• ,m� Building Division lED MAC A _. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tow. n.barnstable.ma.us Office: 508-862-4038 Fax:.508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village . "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. ` DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The.undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department m;r;mum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION I The Code states that "An homeowner performing work for which a building Y p g g permit is required shall be exempt from the provisions � of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Do.== 1r186s600 03-13-2012 11=42 Ctf T=196SS4 BARNSTABLE LAND COURT REGISTRY s QUITCLAIM DEED ROBERT G.BANNISH,Trustee of 889 Sea View Avenue Realty Trust,under Declaration of Trust dated May 17,2011,registered with the Barnstable Registry District of the Land Court as Document No. 1166938, of 11 Montvale Road,Wellesley,Massachusetts 02481, For consideration paid of One Million Three Hundred Thousand($1,300,000.00)Dollars grants to ROBERT G. BANNISH,Trustee of 871 Sea View Avenue Realty Trust,under ` Declaration of Trust dated November 8,2000,registered with Barnstable Registry District of the Land Court as Document No. 817,758,Certificate of Title No. 159925, of 11 Montvale Road,Wellesley,Massachusetts 02481 With quitclaim covenants The land situated in Barnstable in the County of Barnstable and the commonwealth of Massachusetts,described as follows: Lot 280 Land Court Plan 2664-138 Certificate of Title No. 194376 Subject to and with the benefit of all rights,easements,reservations and restrictions of record insofar as they.are in force and applicable. PROPERTY ADDRESS: 895 Sea View Avenue,Barnstable(Osterville),Massachusetts f For title, see Deed dated May 25,2011,registered with Barnstable Registry of the Land Court as Document No. 1,166,939 with Certificate of Title No. 194376. Witness my hand and seal this day of_ ,2012. 1(2 Robert G.Bannish, o the 889 Sea View Avenue Realty Trust ~ SUBDIVISION PLAN OF LAND IN BARNSTABLE Q Baxter & Nye, Inc., Surveyors 2664- 1'j JV May 19, 1989 250 w c 249 Plan ,No. 2664-117 Sg. t�CJ�r, 520.57 (40.00 Wide) AV G S`g`' N8Ub9'26�C + $� 4 ��C.B. N86"!0'00"£ %, Rio _+ 0.18_s 132.22 —1 \ 97.70 20.3V' o vSo 5r� 591.46 'i �' OI -118.00= In m W C h 00 O b � z tn 278 W a = .� 28 28, o �, �u M i m Plan No. 2664-137 ki h` h 3 g 6t II 1, 125.00 -_ o h 1 279 B 13 0 6 53 S�"�V p', 56670'13"W/ y y 1 ra n o Plan No. 2664 L i Cert. Na 120 282 O I h /184 a� W h � I J - _ I � Mean High yy°fel Mork SO �D � NANTUCKET Subdivision of Lots 181, 182 and 183 Shown on Plan 2664-97 Filed with Cert. of Title No. 48678 Registry District of Barnstable County Separate certificates of title may be issued for la d shown hereon as ots 280, 281 and 282 By the Court. ( J 9 v aw of pad of pwn — ad in— 1/L�. LAND REGYSIRA710N OMa OCT 6, 1999 R c er OCT 6 1999 sack of this plan 80 feet to on iodr ✓mr-a.W5 Louis A moors&vheer 1w Cart COMMONWEALTH OF MASSACHUSETTS - County, ss. On this day of -eEt{ ,2012,before me,the undersigned Notary Public, personally appeared ROBERT G. BANNISH,proved to me through satisfactory evidence of identification,being(check whichever applies): or other state or federal governmental document bearing a photographic image, oath or affirmation of credible witness known to me.who knows the above_signatory,or ✓my own personal knowledge of the identity of the signatory,to be the person whose name is signed above, and acknowledged the foregoing to be signed by him voluntarily for its stated purpose,as Trustee of the 889 Sea View Avenue Realty Trust. AA- No Public :>; ` My Commission •pires: la Qualified in the Commonwealth assachusetts �.,.�����;' •�95 Deed MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT RE6ISTRY Date: 03-13-2012 8 11:42au Ct14: 666 Duct: 1186600 Fee: 54.446.00 Cons: S1.300r000.00 BARNSTABLE COUNTY EXCISE TAX BARE{STABLE LAND COURT REGISTRY Date: 03-13-2012 8 11:42am Ctlr: L66 Dort: 1196600 Fee: S3r510.00 Cons: $1r300r000.00 GRINDROW WMX& Up MM WELLESLEY.MA 02482-7762� -2 - BARNSTABLE REGISTRY OF DEEDS i r P V�e W A Ve ASSESSORS REF: Map 9, Parcel 14 (40' Wide Public WaY) . ce/DH N 86'10'00"E Fnd 132.23 �i OVERLAY DISTRICT: AP — Aquifer Protection District 5 7.7' 5 7.7' FLOOD ZONE: Zone C Community Panel No. #250001.0018 D July 2, 1992 ZONE: 15.5' RF-1 63.1' Area (min.) 87,120 SF (RPOD) Frontage (min) 20' Width ,min) 125' New Concrete Setbacks: Fron t 30' Foundations(TOF E1=22.7') Side 15' Rear 15' #895 co N ' a) 0�0 � 00 Lot 280 �- 43,563±SF (1.00±AC) L I certify that the C foundations! shown hereon w conform tol the setback m requirements of the Zoning Bylaws of the town of N Bornsto I o x RICHARD R. Q o L'HEUREUX rt 3 ce/DH NO. 34312 - V) Fnd O �oCD- N r, ZE O �g9 6�1�"E ap ty a°53 F Re N6 eo n1� PLOT PLAN r a�� 5e Robe�Gt# �gA, At 895 Sea View Ave BAIl/VS1ABt.B (Osterville) NOTES: MASS, DATE: March 14, 2013 SCALE:1"=40' 1.) .The structures shown were located on the ground 01 10 20 30 40 60 80 FEET by conventional survey methods on (or between) 271JUN112 and 14/MAR/13. PREPARED FOR: 871 Sea View Avenue Realty Trust 2.) The property line information shown hereon was 11 Montvale Road compiled from available record information. Wellesley MA02481-1609 3.) This plan is not for recording and is not' t.o be PREPARED BY: CapeSury used for construction layout or deed description purposes. 7 Parker Road Osterville MA 02655 57G #: C444_6gl cppl FIELD BY. WHK/MJD (508) 420-3994 / 420-3995fax N-20-2013 08:00 FROM:GREENSTAMP 7815475659 TO:15087906230 P.1/2 ' reene7 VOM 184 Riverview Ave,Waltham,MA 024S3 TEL(866)633-9495 FAX(791)547-5659 Spray Foam b 00w Insulations www.GreenStampinsulation.com ® o C> < w C CO Ln facsimile transmittal M CD NAME: Paul Roma. FROM: Rita I FAX: PAGES: Cover plus 1 PHONE: DATE: 6/20/2013 RF: CC: ❑ Approved ❑ Urgent ❑.For Your Use 0 Please Reply ❑Please Recycle As Requested 0 Correction 0 For Review 0 Please File []Please Comment Comments: Insulation Certificate for 895 Seaview Ave Thank you Rita a M + !nji if 1,; U u 'j JUN-20-2013 09:01 FROM:GREENSTAMP 7815475659 TO:15087906230 P.2/2 I Green Stamp Corp. Certificate 184 Riverview Ave f In • Waltham,MA Q 02453 Insulation P: (781) 899-3618 F:(781) 547-5659 E: office(algreenstampco.com W: www.greenstampco.com Print Date: 06/20/2013 Estimate 4: 20090.00 Pages: Page 1 of.1 Customer Name: Job Name: Kadar,Dan Roberts Residence- Squash Court PO Box 984 895 Seaview Ave--1 Cotuit,MA 02635 Osterville,MA 02655 P: 50"2-1828 k:r�'"-I;rf�}��r.,'�6�.fi'�".c !���i�%ri :s�!:.d�.• s,��;n.•,su?t h}^iF;?.c:�v re.�`, ,s.•7J pQ�►:�':r;'r -(Y�.r„•1 a:roe ,-..i:�•�.: ;v - -- '.,y.. Thermal Envelope PACKAGE: Exterior Walls-5.2"closed cell(approx R-35)spray foam insulation Roof Assembly-Install R49 closed cell spray foam against the slicathing Exposed Foam-Coat exposed foam with DC315 Intumescent paint to create thermal/ignition barrier Sound Insulation PACKAGE. Attic Flat-Sound Insulation- 10" unfaced fiberglass insulation cr O tV -n ca ?> Ul Ca %-n Attic Insulation: Coverage Area: Initial installed thickness: R-Value Number of bags used: signatur THE HIGHER THE"R"VALUE,7HE GREATER THE INSULATION VALUE 6 �0 stamp 194 Riverview Ave,Waltham,MA 02453 � established in 1989 '� TEL(781)-899-3618 FAX(781)547-5659 Spray Foam 8 Other Insulations www.GreenStampinsulation.com Insulation Affidavit/Insulation Certificate Date: February 18, 2016 Location: 889 Sea View Ave, Osterville, MA (Studio) GreenStamp Insulation has installed the following at the above location: • Roof Sheathing: R-38 closed cell spray foam, 5.5", GACO • Exterior Walls: R-20 closed cell spray foam, 3", GACO Respectfully, Benjamin Marshall President nnt' a conndc; N SUBDIVISION PLAN OF LAND IN BARNSTABLE /� Baxter & Nye, Inc., Surveyors 2664_ ' 38 May 19, 1989 250 W E 249 Plan No. 2664-122 S.B• a ' 520.5 7E80.0926f F NICM (40.00 6 A " SEA C.B. G N86'10'00 E 0.28_s.r pp i---- —+ 13222 19�70 20.30`� a �o S.B. 591.46 �i �� o� -=118.00=-,i1 � N� ytl w v O o � b ? O 2 278 W ��� e 281 280 6 h \ 1� \p 1 / W O o �I Plon No. 2664-137 m C h J t3g.6t�� !� 1, 125.00 1 o 279 B �3 56k.53�l S8670'13"W o it p I I Plan No. 2664 L 2 Cert. No. 120 282 Lry O/ N /184 0 o 3 0.13" J !?-Of Bluff - i Mark i Mean Nigh Water o1 INO S V NTUCKET NA Subdivision of Lots 181, 182 and 183 Shown on Plan 2664-97 Filed with Cert. of Title No. 48678 Registry District of Barnstable County Seporote certificates of title may be issued for to d shown hereon as ots 280, 281 and 282 By the Court. / J COPY or part of plan filed in- J' LAND REGWR4A0N Of?WE OCT. 6, 1999 fl C er OCT. 6, 1999 Scale of this plan 80 feet to an inch ✓Mf-0JMS Louis A Moore, fnglneer fa Court ��, LA N ,ASSOCIATt$, PO BOX 389, CENTERVILLE MA 02632 Ph:(508)-771-3457 Fax: (508)-771-3496 Sprinklers Water Gardens Pools Low Voltage Lighting April 7,2016 Barnstable Building Department 200 Main Street ,.�, ;' O Hyannis,Ma.02601 C) Attn :Paul Roma,Building Inspector `- gq�� �-Re 'Seaviee Ave,Osterville=PermiC#-201 5075 1 0.E 0 � O r— M Inspector Roma, I am writing this letter regarding the above referenced permit issued for the construction of an in-ground hot tub in Osterville. The location of the spa has been moved from the rear of the pavilion to the side of the pavilion.The revised site plan was provided to me by Capesury survey.engineers. Thank you, Ed Trainor Office Manager a� �t. NOTES: AS --•'SOBS_ REF.: O ap 90, Parcel 04 1.) The structures shown were located on the ground by conventional survey methods on (or between) OVERLAY DISTRICT. 271JUN112 and 28/SEP/15. AP — Aquifer Protection District 2.) The property line information shown hereon was compiled from available record information. ZONE: RF-1 3.) This plan is not for recording and is not to be Area (min.) 87,120 SF (RPOD) used for construction layout or deed description w Fronta a (min) 20' purposes. o Width min) 125' Setbacks: eo�t� �t Lot26o I o o Fron t 30' N�F R ��. N C O Side 15' PJenon�,;sh o w Rear 15' 4te44 G#gg Se° A3�1 1�,1 < ni o2ef V $ ?-C C FLOOD ZONE: o N6 D Lot 282 o N m Zones X & VE(EL15) (A Based on Map # LA 25001CO757J r N July 16, 2014 LA o_ m • #889 � '_� . . �, N f 1 it UV 1'Sty w/f o Povolion .�':". tNO� Y�j� 7. ca......:... ��` f Covered �' Existing Septic Patio 28 4' 'As Per BOH Card ARO R. • CVA patio 3 RINEuR 3V2. o 11 Proposed Spa..........:........ ,� jy0 34 0 .q 14'x7.5 ............ ......... M r---- Lot 282 47,141.+SF (1.08.*AC) C— to TCB 1 0 7 O Cb _ Z Former House00 -. ...1...... a C4 o m Location tV.t ......................................::...... (n YS 3 C ............ N ' p0 y (n 0 Q .-�--�.- t o 0 0 O D 5-4 Z 5'. 14 �J C T> ..................................... v<n ................................ Zr c� U0 100, C Top of Coastal Bank y TCB (Town Definition) — — — Plan Showing Proposed Spa Dock At 889 Sea View Ave Wood BARNSTABLE Stalra Wood (Osterville) stairs -- 1e MASS, F ,:f,S� DATE: 041APRI16 SCALE:1"=40' r Dec1 Ed9° 0 10 20 30 40 60 80 FEET -- coastd __ ---- --- PREPARED FOR: 871 Sea View Avenue Realty Trust 11 Montvale Road Wellesley MA 02481-1609 Nantucket Sound PREPARED BY: . Nantu d CapeSury 23 West Bay Road, Ste G Osterville MA 02655 DWG #: C444_6gl cpp6 FIELD BY: WHK/KAR (508) 420-3994 / 420-3995fax Commonwealth of Massachusetts 'Sheet petal Permit Map °9 Parcel IZ Permit# Date: �� 2 � . (� UOc.D�'PRESS 11MI egmit Fee: $ Estimafed.Job.Cost:. $. � � . Plans submitted: YES NO„ x JA N 2 g 1016 Plans Reviewed: N S.. NO Business License# -6 ag_JO WN OF 6A erase# Business Information: Property Owner/Job Location Information: Name-IlDe RoA. C r.�oT roc Name: 1 o o rk Street: 353 Nok�""RcxR J City/Town: �nnts City/Town:Y��11A Telephone: 508.35,; -5zq� Telephone: Photo ID. .required/Copy of Photo I.D. attached: YES. NO staff Initial J 1/M-1-unrestricted license J-2(M-2-restricted to dwellings 3-stories or less and commercial up to 101000.sq.f�/� -stories or less I :a I Residential: 1-2 family Multi-family Condo/Townhouses Other tv Commercial: Office Retail Industrial Educational Fire Dept. Approval ' Institutional_ Other ? Square Footage: under 10,000 sq.& '/, over:10,000'sq.ft. Number of Stories: '� rn . Sheet metal work to be completed: New Work: '� Renovation: HVAC Metal Watershed'Roofing Kitchen Exhaust System ' I Metal Chimney/Vents Air Balancing i Provide detailed description of work to be done: 'buck- 6.y)yy �neC,k Avg 10001 1114 i j INSURANCE-COVERAGE: 1 Have a current limey Insurance poilcy br its equivalent which meets-the requirements of M.G:L Ch.111 Yes t No❑ W you have checked ySM`indiddib the typ-of coverage by checking the:appropriate box below: i A liability insurance.policy. ® Other type of indemnity ❑ Bond ❑ r OWNER'S INSURANCE WAIVER;I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application y%{ygl this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent fBy cheaicing this boC,.I hereby certify brat all of the details and information 1 have submitted(or a rated)regarding this application are true and accurate to the best of mykncwiedge and that all sheet metal work and installations performed under the perrlitissued for this application will be In compliance with all perdnerit provision of the Massachusetts Buliding'Code and Chapter 112 of the Generai laws. Duct Inspection required prior to insulation installation:YES: NO Pror esr s IrasRections Date Comments inalIn ection Date Comments .411 Type.of License: i G 3y ❑.Master I Me ❑Master-Restricted myrrown ❑Joumeyperson Signature of Licensee zermR,4 ❑Joumeyperson-,Resbicted Z I License Number. =ee$ ❑ Check'at www.ln1jss,a2y d®I nspector Signature of Permit Approval r ' The Cammonwealth of Massachusetts Department of Indus&W Accidents I Congress Stree4 Suite 100 Boston,MA 02114 2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMTITING AUTHORITY. Annlicant Information Please Print Leeibly Name(Business/Organization/lndividual): —11 -le �0�04,t-, ('t-TA Ai(-,rTn r . Address: ?0 ao a to City/State/Zip: MjY bah 3 9 Phone#:- 5aga Are you an employer?Check the appropriate box: project ro (required): re uired , Type of � ( 9 )� 1.®I am a employer with_LQ___employ=(full a &Or part-time).• 7. New construction 2.[]I am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.INo workers comp.insurance required.] 3Q I am a homeowner doing all work myself[No wa¢k.1 comp.insurance re pfi ed.l t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insuuance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.p I am a general contractor and I have hired the sub-contractors listed on the attached sheet These mb-contractors have employees and have workers'comp.insurraace.t 13.aRoof repairs 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[:]Other 152,§t(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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 tC onhactors 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 subcontractors 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: k k Cl r Policy#or Self-ins.Lic.# "O ls\C Qq-q lam-Q-6 Expiration Date: /Z)103 a o a. Job Site Address: Ui�w VQ. City/State/Zipr_.Q; tt'�11�� ,_ _ . CZ7.�,55 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby eer1*1 the p of perjury that the information provided above is true and correct Signature: Date: U Z71 Phone#: - 5a93 Official use only. Do not write in this area,to be completed by city or town o idaL City or Town: PermiVUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r OMM6N WEALTH OF MAT SHEET'>rpETgL WOR ,. 13�VEc 1'3iE�OLLOWING L SE.A3.q� i :. .. RlCFtARD P OL$Ely fry IL £i rIg 367 Hp � R©L'lC CORD M' CKROAD- 0 PO4X 2026 O t. . , LU 622 Q2g3g,Zt61 ALI 12141 CONTROL # J 5 3 3 — - - �MPORTAN7- 7 5 Q 1f Your license is lost,dam needs to be corrected aged or destroyed- instructions instructions to ensure Visit Our web site at' 's inaccurate-or Application and any other Proper mailing of youaRe e al for This licensepondence. regulations is subject to Massachusetts General assi four license is a license on gned to any person privilege and Cannot be I and regulationsYourpersott or posted asd a penatty of y slaw.Keep this be le required b w and/or this r 5 HOKUROC-01 KLIGETT ACORO' DATE CERTIFICATE OF LIABILITY INSURANCE (M MIDDM'YY)11/13/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 (A/C.No Ext: AIC No):(877)816"2156 E-MAIL ers ra roil South Dennis,MA 02660 ADDRESS:ma 9 9 Y•com INSURERIS)AFFORDING COVERAGE NAIC q INSURER A:GUARD Insurance Group INSURED INSURER B: The Hokum Rock Corporation Inc INSURER C: dba Olsen Plumbing&Heating P.O.BOX 2026 INSURER o Dennis,MA 02638 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE D S POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDNYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JET LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE Pe HIRED AUTOS AUTOS r accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN HOWC643625 10/03/2015 10/03/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,UUp,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD s ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map JZ3 Z Parcel ( oL o/-V 3 Application # Inc)IS Health Division Date Issued <:�Z Conservation Division Application Fee f/60 Planning Dept. r��K Permit Fee /y 7 Date Definitive Plan Approved by Planning Board kA(C-1 Use O6y►e�,v Historic - OKH ylla _ Preservation/ Hyannis `�- Project Street Address 9 9 5 � Village ® V 1 L t-- C Owner �' �-�'� � Address �33 � �(-- � U—� S Telephone 7 9 1 �-�� 3 ® W t t,- �S� a [� 2e , 8 Permit Request -BU I - N E 'VJ S i (s-L F t-1 F4 i L� L-tg Roo V" Square feet: 1 st floor: existing proposed 2nd floor: existing—proposed 7'6'0 Total new 13 3 4 Zoning District Flood Plain Groundwater Overlay Project Valuation * 9 Q1 o O Construction Type .q t-AETD Lot Size 3 5 Q I Grandfathered: ❑Yes ❑ No If es, attach sup porting pporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Xlo On Old King's Highway: ❑Yes �(No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 51�_ Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new -4 Half: existing new Number of Bedrooms: existing new . 4 C7 S2 O Total Room Count (not including baths): existing new First Floor Rom Count Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other -� :> Central Air: �XYes ❑ No Fireplaces: Existing New?" �Ogxisting wood/coal stove: YQ111 No Db�a� age: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new �a Attie e I a e: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes "�6o If yes, site plan review # Current Use L.14N ND Proposed Use Isi PA_�_A � L` - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 5768 Address �' S�l�' �r 1" � License # J Cb 3 5 Home Improvement Contractor# Worker's Compensation # W GG 501 0568a1-WC ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO __5 �--` P"D V-1I e_ TAI 4f R V6 S s pt, —0A SPD5 F �. SIGNATURE DATE hl FOR OFFICIAL USE ONLY APPLICATION# _ DATE ISSUED - MAP/PARCEL N0. �• s ' ADDRESS VILLAGE OWNER , -s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH — FINAL - -- PLUMBING: ROUGH FINAL . GAS: ROUGH i - ' FINAL FINAL BUILDING - r • r _ `} DATE,CLOSED OUT. ASSOCIATION PLAN NO. , ammaxwe of Massachusetts . � :Deparfment ofln�resfrial�ccidex�r _ . Office of Fmestigafiotrs '600 Washbzgton Street' Basta, A 02111 .UV. w1m.mms gavldia ' Workers Compensation hmw--an.ce Affidayi Builders/ContractorsMectriciaus/Plumb ers Applicant Information Pleas e PriIIt Leg, Name A i ress: 1 PT' Let-a PhoneA E n employer? Check a appropriate bay t a emplo3'er with 4. ❑ I mm a general co�ctor and I Type of pToj ect(required):; , yees(fall and/orpart-t®e). have hired fte sab=ec�actm o• �eW contraction . a'sole proprietor or partam- listed on the-aitached sheet 7. ❑Remodeling and have no employees These s�?b-confracto�have S. (]Demnlifion Working for me im any capacity. employees-and have wad=' orkers' comp.insurance comp .insarence.$' 9• �]Bmlding addition red] 5. [] We are a.corpoi lion and� 10.❑Electrical repairs or ad�tiors a homeovQnener doing aIl•work officers have exercised their110pgrepairsoraddictionsli: [No work' comp. itgbot 6f exemption per MGI, 12. Roofnce required.]t c. 152, §1(4), and we have now employees. [No wmkbrs' . 13.[] Ofhcr comp.insam=e reqfiired] *Auy applicant thatchecks box#1 mmt also fM out fe sectian below showing•theaworkere compensation policy inhrmatimL t Homemm=who submit flris offdavit m1 icaf-g Icy are dam all work and th=hoe outside oontractars must submit anew affidavitmdicafaig sucb. �Cauh-der rs that check this box cast attached an additional sheet showing the name of&tie sub-cm&mctars empl stab whether arnot III—entities have oyers ff the sub-contnsctnr�have=Ploy—,ihoY mastprovidb thee• worlmrs'c policy unmbe� ram an employer that is providing workers'compensadon insurance for my employees Be1aw is the policy and jab site information.Tnenranm CoanpanyName: AJc I50C V-4�) 1P. -Ek-PLO4 E-Q, S Policy#or Self ins.Lic.# V�lj 41 Sd b s Expir�Dom• ( `�, `Z �14. Job Site Address: ER Y 16 Kj 'Av.E! 05TU�v t Attach a copy of the workers' conipensation policy declaration sha Pam'( wing the Policy InImber and expiration date). Faiha e•to,secute coverage as regimedrmder Section25A ofMQ,c. 152 can lead to ffic innposition of oral i foie up to $1,500.00 and/or one-year panalS.es of'a imP��ert, 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 Fnvesti of the WA for insurance c-aymagr veriRcEtion• I der hereby certify under the pauzs-and penak�es of perjwy that the ucformation provided above is true and correct Date: v F7 , Phase is 50P_> r13 Dffx-w use only. Do not write in ffiis are; th be completed.by ctiy or town official City or Town: PerlDhUcense# 'ISSdug Alzfhorlty,(circle one): .1.Bbard of Health.2.Bmildb2g Departraent 3.City/Town Clerk 4.Electrical Inspector 6. S.PlBmhing Inspector Other Contact Person: Phone#: - Affidavit of Substantial Financial Interest I, �LEIJ0©t- ofGa:� e'R onoath depose and state as follows: 00 1. 1 am an applicant for a building permit for the roperty located at Map 6, Parcel �- The address of the property is g�"� ,SEMI 2. 1 have % 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 is the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel. Address 5. Within this calendar year, I have submitted building permit applications for. property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days., I have submitted� building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted building permit applications for property in . which I have a 1% legal or equitable interest. 8. Within this month, I have received building permits for property in which I have a 1% legal or equitable interest. 2 . :Signed under the pains and penalties of perjury, this_ day of , 200_. cA 2001=0050/affin 1. O/LOTTERY/AFFIDAVIT A�Q® CERTIFICATE OF LIABILITY INSURANCEFl/18/D18/201/DD/Y33 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cristina NAME: AX T. Edmund Garrity & Co. , Inc. PHONE (617)3$4-4640 IAIC_NoA/C No•(617)354-5828 545 Concord Ave. E-MAIL ADDRESS:cr nag y- iati@ arrit insurance.com INSURE S AFFORDING COVERAGE NAIC# Cambridge MA 02138 INSURERAMain Street America Assurance 29939 INSURED INSURER B:Travelers Indemnity Co CT STG CONSTRUCTION INC INSURER cAssociated Employers Ins Co 2 SPINDRIFT IN INSURERD: INSURER E: BUZZARDS BAY MA 02532-3588 INSURERF: COVERAGES CERTIFICATE NUMBER3dASTER 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I ADDLSUBR LTRR TYPE OF INSURANCE P. POLICY NUMBER POLICY EFF MOJDDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500,000 A CLAIMS-MADE Fx_]OCCUR 13168F /14/2012 /14/2013 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY PRO LOC $ AUTOMOBILE LIABILITY Ee..d.n SINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 9282L352 /8/2012 /8/2013 AUTOS X AUTOS BODILY INJURY(Per accident) $ X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Medical payments $ 5 000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ C WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I NER ANY PROPRIETORIPARTNERIEXECUTIVE E E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBEREXCLUDED9 NIA CC5010588012013 /2/2013 /2/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Description: carpentry- residential detached one or two family dwellings, three stories or less. Certificate holder is named as additional insured for general liability if so required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tom and Cristin Roberts ACCORDANCE WITH THE POLICY PROVISIONS. 895 Seaview Avenue Osterville, MA 02655 AUTHORIZED REPRESENTATIVE I W Garrity/RATHY1 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnnsi ni Tha Arnion nnma and Innn om mnieforaff marlre of Ar nion JXe Office of Consumer Affairs and.Business .Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration ^r _ Registration: 171057 Type; Corporation Expiration: 2/6/2014 Tr#. 221112 STG CONSTRUCTION, INC. VA r! SEAN GLENNON - 2 SPINDRIFT LANEBOURNE, MA 02532 ' �r�•.:_y �'f Update Address and return card.Mark reason for change. Address Renewal Employment Q Lost Card DPS-CA1 'c'S 50M-04/04-G1,0�11216 �,,��� Office�f Con Ome�r itidiness egu, o License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR j before the expiration date. If found return to: Registration: �471057 Type: Office of Consumer Affairs and Business Regulation Expiration: 2L§W4 Corporation i 10 Park Plaza-Suite 5170 Boston,MA 02116 .S ONSTRUCTION fN !�, t (� = .t t U� =f 1� =� SEAN GLENNON"':! �' 2 SPINDRIFT BOURNE,MA 02532".r`�,'��;:=:�'. .i. Undersecreta vN^,. ry Not valid without signature q Massachusetts- D�p.utm�nt (&Publi Satet`_. Board of Building Regulations a'nd St; lords , Construction Supervisor Licensee License: CS, 86783 SEAN T GLENNON .2 SPINDRIFT LANE . ` BOURNE, MA02532. Expiration: 2/1 31201 3- ('nnmisiundr' Tr#: 10035 Parcel Detail Page 1 of 3 y\. sr� $AA `J �w. � NE. MSTABLASS '4 w Logged In As: Parcel Detail Tuesday, January 22 2013 Parcel Lookup Parcel Info Parcel 090-012 I Developer LOT 280 ID Lot Location (895 SEA VIEW AVENUE Pri 132 Frontage Sect_,—_w _�.-- -- ---- --I Secl --- - - - —___ - — - - -- ) Road Frontage Village JOSTERVILLE I Fire C-O-MM District Town sewer exists at this Road ---- ------ address No Index I1450 Interactive Map Ir Owner Info Owne FBANNISH, ROBERT G TR �� Co - Owner Owner I%BANNISH, ROBERT G TR Streetl 1871 SEA VIEW AVENUE REALTY TRU Street2 Ill MONTVALE AVENUE City WELLESLEY State MA I Zip 02481-160 Country 1w Land Info Acres 10.94 Use lVac Land ME00 I Zoning RF-1 Nghbd 10119 Topography( —` I Road! I Utilities I Location( I Construction Info Permit History Issue purpose permit Amount Insp Comments Date # Date http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=5081 1/22/2013 Parcel Detail Page 2 of 3 Visit History Date Who Purpose 6/28/2010 12:00:00 AM Tony Podlesney In Office Review Sales History Line Sale Owner Book/Page Sale Date Price 1 5/31/2011 BANNISH, ROBERT G C194376 $1 ,000,000 TR 2 12/20/1999 SEAVIEW LP C155956 $1 3 10/7/1999 COURTSIDE GLEN LP C155066 $1 4 12/15/1994 SEAVIEW LP C135820 $1 5 12/15/1994 LARGAY, CATHERINE F C135819 $1 6 12/15/1994 LARGAY, CATHERINE F C135818 $1 7 8/17/1971 LARGAY, JOHN A SR & C52180 $0 CF 8 3/13/2012 BANNISH, ROBERT G C196554 $11300,000 TR Assessment History Save Year Building XF V OB Land Total # Value Value Value Value Parcel Value 1 2013 $0 $0 $0 $1 ,503,700 $1 ,503,700 2 2012 $0 $0 $0 $11448,300 $1 ,448,300 3 2011 $0 $0 $0 $1 ,448,300 $1 ,448,300 4 2010 $0 $0 $0 $1 ,448,300 $1 ,448,300 5 2009 $0 $0 $0 $11 873,200 $1 ,873,200 6 2008 $0 $0 $0 $1 ,952,600 $1 ,952,600 8 2007 $0 $0 $0 $1 ,952,600 $1 ,952,600 9 2006 $0 $0 $0 $11476,600 $1 ,476,600 10 2005 $0 $0 $0 $1 ,342,300 $1 ,342,300 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=5081 1/22/2013 Parcel Detail Page 3 of 3 11 2004 $0 $0 $0 $11 073,900 $1 ,073,900 12 2003 $0 $0 $0 $605,300 $605,300 13 2002 $0 $0 $0 $605,300 $605,300 14 2001 $0 $0 $0 $605,300 $605,300 15 2000 $0 $0 $0 $406,600 $406,600 16 1999 $0 $0 $0 $406,600 $406,600 17 1998 $0 $0 $0 $406,600 $406,600 18 1997 $0 $0 $0 $348,600 $348,600 19 1996 $0 $0 $0 $348,600 $348,600 20 1995 $0 $0 $0 $348,600 $348,600 21 1994 $0 $0 $0 $313,700 $313,700 22 1993 $0 $0 $0 $3131700 $313,700 23 1992 $0 $0 $0 $435,700 $435,700 24 1991 $0 $0 $0 $435,700 $435,700 25 1990 $0 $0 $0 $435,700 $435,700 26 1989 $0 $0 $0 $435,700 $435,700 27 1988 $0 $0 $0 $154,400 $154,400 28 1987 $0 $0 $0 $154,400 $154,400 29 1986 $0 $0 $0 $1547400 $154,400 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=5081 1/22/2013 . . . .T-own-ofBa�nstabie r , Regulatory. Services. brew Thomas F.Geiler,Director �¢ Building Division Tom Periy,Building Commissioner 200 Maim Street,HYannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must. Complete and Sign This Section If Using A Builder as Owner of the subject property hereby.authorize QQ'CAA T, 4I PA t'a Yl to act on my behalf, . in all matters relative to work authorized by this building permit $9 SA�e ds- ei,° Ie (Address of Job) Pool fences and alarms are the responsibili of the applicant. tY . Pools. are not-to be filled before fence is installed.and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant. , Print Name Print Name Date Q:FOR W:OWNERPauvmsI0NP00IS Town.`of Barnstable.' . Regulatory.Services Thomas F.Geiler,Director Building Division..' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 509-790-6230 HOMEOWNER R LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAJNG ADDRESS: city/town state zip code .The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1=Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certifification for use in your community. Q:forms:homeexempt i L . REScheck Software Version 4.4.4 Compliance Certificate Project Title: Proposed Gatehouse Energy Code: 2009 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: New Construction Conditioned Floor Area: 3,125 ft2 Glazing Area Percentage: 12% Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 895 Sea View Avenue Compliance: Compliance: 7.6%Better Than Code Maximum UA: 409 Your UA:378 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies AssemblyGross Glazing • or Door ILIA Perimeter • Ceiling 1:Flat Ceiling or Scissor Truss 1,275 38.0 0.0 38 Front:Wood Frame, 16"o.c. 810 21.0 0.0 40 Window 1:Wood Frame:Double Pane with Low-E 101 0.300 30 SHGC:0.00 Rear:Wood Frame, 16"o.c. 810 21.0 0.0 40 Window 2:Vinyl Frame:Double Pane with Low-E 108 0.300 32 SHGC:0.00 Side 1:Wood Frame,16"o.c. 607 21.0 0.0 31 Window 3:Wood Frame:Double Pane with Low-E 70 0.300 21 SHGC:0.00 Side 2:Wood Frame, 16"o.c. 607 21.0 0.0 31 Window 3 copy 1:Wood Frame:Double Pane with Low-E 70 0.300 21 SHGC:0.00 Basement Wall 1:Solid Concrete or Masonry 489 21.0 0.0 21 Wall height: 10.0' Depth below grade:8.5' t Insulation depth:10.0' Floor 1:Slab-On-Grade:Unheated 100 6.0 73 Insulation depth:6.0' Project Title: Proposed Gatehouse Report date: 01/03/13 Data filename: F:\Ahearn\Mike\Roberts\3 Construction Docs\Gatehouse\Gatehouse-Rescheck.rck Page 1 of 2 i Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection C e ist. 1"/t'fiZtC ,- 13 Name-Title Si ature Date \S��RED ARCI J,qti� Fc� 2 o �- 3 BOSTON, ------ . MA. J P �F9(Ty OF MPSS Project Title: Proposed Gatehouse Report 01/03/13 Data filename: F:\Ahearn\Mike\Roberts\3 Construction Docs\Gatehouse\Gatehouse-Rescheck.rck Page 2 of 2 REScheck Software Version 4.4.4 Compliance Certificate Project Title: Proposed Gatehouse Energy Code: 2009 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: New Construction Conditioned Floor Area: 3,125 ft2 Glazing Area Percentage: 12%, Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 895 Sea View Avenue Compliance: Passes using UA trade-off Compliance: 7.6%Better Than Code Maximum UA: 409 Your UA:378 The%Better or worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Glazing Assembly Area or Cavity Cont. or Door LIA Ceiling 1:Flat Ceiling or Scissor Truss 1,275 38.0 0.0 38 Front:Wood Frame,16"o.c. 810 21.0 0.0 40 Window 1:Wood Frame:Double Pane with Low-E 101 0.300 30 SHGC:0.00 Rear:Wood Frame,16"o.c. 810 21.0 0.0 40 Window 2:Vinyl Frame:Double Pane with Low-E 108 0.300 32 SHGC:0.00 Side 1:Wood Frame,16"o.c. 607 21.0 0.0 31 Window 3:Wood Frame:Double Pane with Low-E 70 0.300 21 SHGC:0.00 Side 2:Wood Frame,16"o.c. 607 21.0 0.0 31 Window 3 copy 1:Wood Frame:Double Pane with Low-E 70 0.300 21 SHGC:0.00 Basement Wall 1:Solid Concrete or Masonry 489 21.0 0.0 21 Wall height:10.0' Depth below grade:8.5' Insulation depth:10.0' Floor 1:Slab-On-Grade:Unheated 100 6.0 73 Insulation depth:6.0' Project Title: Proposed Gatehouse Report date: 01/03/13 Data filename: F:\Ahearn\Mike\Roberts\3 Construction Docs\Gatehouse\Gatehouse-Rescheck.rck Page 1 of 2 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection C e ist. ��ICY-- AiIF-Ar-*J ►NA- �bh3t Name-Title Si ature Date ED ARCI ti 9,P 2 ' BOSTON. MA. Jy 4� �FgCT� OF �PSgP Project Title: Proposed Gatehouse Report 01/03/13 Data filename: F:Whearn\Mike\Roberts\3 Construction Docs\Gatehouse\Gatehouse-Rescheck.rck Page 2 of 2 Docz1s186r600 ' 03-13-2012 11 :42 Ctf�:196554 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED ROBERT G.BANNISH,Trustee of 889 Sea View Avenue Realty Trust,under Declaration of Trust dated May 17,2011,registered with the Barnstable Registry District of the Land Court as Document No. 1166938, of 11 Montvale Road, Wellesley, Massachusetts 02481, For consideration paid of One Million Three Hundred Thousand($1,300,000.00)Dollars grants to ROBERT G. BANNISH,Trustee of 871 Sea View Avenue Realty Trust, under Declaration of Trust dated November 8,2000, registered with Barnstable Registry District of the Land Court as Document No. 817,758,Certificate of Title No. 159925, of 11 Montvale Road, Wellesley, Massachusetts 02481 With quitclaim covenants The land situated in Barnstable in the County of Barnstable and the commonwealth of Massachusetts,described as follows: Lot 280 Land Court Plan 2664-138 Certificate of Title No. 194376 Subject to and with the benefit of all rights,easements, reservations and restrictions of record insofar as they are in force and applicable. PROPERTY ADDRESS: 895 Sea View Avenue, Barnstable (Osterville),Massachusetts For title, see Deed dated May 25,2011, registered with Barnstable Registry of the Land Court as Document No. 1,166,939 with Certificate of Title No. 194376. Witness my hand and seal this_�day of_ ,2012. Robert G. Bannish, o the 889 Sea View Avenue Realty Trust i COMMONWEALTH OF MASSACHUSETTS County, ss. On this day of MA-¢L , 2012,before me,the undersigned Notary Public, personally appeared ROBERT G. BANNISII, proved to me through satisfactory evidence of identification, being(check whichever applies): or other state or federal governmental document bearing a photographic image, oath or affirmation of credible witness known tome who knows the above signatory, or v"my own personal knowledge of the identity of the signatory,to be the person whose name is signed above, and acknowledged the foregoing to be signed by him voluntarily for its stated purpose, as Trustee of the 889 Sea View Avenue Realty Trust. No ar Public a� My Commission pires: to S =sT � Qualified in the Commonwealth assaehusetts o iA: I jag to 95 Deed MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 03-13-2012 8 11:42am Ct1,: 666 Dora: 1186600 fee: $47446.00 Cons: $1000r0OO.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 03-13-2012 8 11:42am Ctlr: 666 Doct: 1186600 Fee: $3r516.00 Cons: $WOOY000.00 GRINDLE.ROBINSON,GOODHUE&FM MLLp 40 GROVE STREET,SUITE 190 WELLESLEY.MA 02482_7751 -2 - BARNSTABLE REGISTRY OF DEEDS Sea View Ave . ASSESSORS REF: (40' Wide Public way) Map 9, Parcel 14 CB/OH N86'10'00" Fnd 1 132.23 OVERLAY DISTRICT: AP — Aquifer Protection District FLOOD ZONE: Zone C Community Panel No. #250001 0018 D July 2, 1992 2 stF ZONE: Dwelling RF-1 Area (min.) 87,120 SF (RPOD) Frontage (min) 20' Width (min) 125' Setbacks: Fron t 30' Side 15' Lot280 Rear 15' z c 43,563±SF (1.00±AC) o 0, cc L2 46.7' o I certify that the 40.3' foundations! shown hereon w conform tol the setback m requirements of the Zoning New Concrete. Bylaws of the town of N Barnstable. i+ Foundation o (TOF EI=21.5) 85.8' o� ao `��lM Of 04 s� c n ce/DH Fnd RICHARD R. Cb _ L'HEUREUX N a Cb� �� NO. 34312 o c ��°o TEa`` �En ° t N ��9 61�1"E 53 by Rr Pie o�n�s PLOT PLAN o G 6g���� At 895iSea View Ave r a�, Se Rabe`ctf# , BAIL STABLE (Ostemme) NOTES: MASS, DATE:May 2, 2013 SCALE:1"=40' 1.) The structures shown were located on the ground 0 10 20-30; 40 60 80 FEET by conventional survey methods on (or between) 27/JUN/12 and 01/MAY/13. PREPARED FOR: -8 lea View Avenue Realty Trust 2.) The property line information shown hereon was - 11 Montvale Road compiled from available record. information. Wellesley MA 02481-1609 3.) This plan is .not for recording and is not to be PREPARED BY: used for construction layout or deed description purposes. 7 Parker Road Osterville MA 02655 DWG #. C444_6g1 cpp4 FIELD BY. WHK/MJD (508) 420-3994 / 420-3995fox ARCHITECT 160 Commonwealth Avenue Nevin Square Boston,Massachusetts 02116 17 Winter Street P:617.266.1710 Edgartown,Massachusetts 02539 F: 617.266.2276 P: 508.939.9312 F: 508.939.9038 February 20, 2013 Mr. Thomas Perry Town of Barnstable Building Commissioner 200 Main Street Hyannis, Ma. 02601 RE: �895 Sea View-Avenue Amendments.to'.Permit_Set7 Dear Tom, This letter is to summarize the changes made to the drawings that were submitted for permit dated December 19, 2012. During the permitting process, the building footprint was modified and made slightly larger. The size of the footprint increased by 12" in the North-South direction (6"to each side), and a total of 5-07 in the East-West direction (2'-6" to each side). The amended plans submitted reflect the changes to the applicable sheets for the architectural and structural drawings. Sincerely, CDC C � . �S . J. �H ;K J. No. 445n Patrick Ahearn,AIA Bos°roN, Architect o v MA. OF MPSSPG�J 401SIA10 00 =1 ild ZZ 03.E EIOZ 319VISNsd9 30 NIA01 www.patrickahearn.com FATRI �0K Al EARN - ARCHITECT -- - m 160 Commonwealth Avenue Nevin Square Boston,Massachusetts 02116 17 Winter Street P: 617.266.1710 Edgartown,Massachusetts 02539 F: 617.266.2276 P: 508.939.9312 F: 508.939.9038 February 20, 2013 Mr. Thomas Perry Town of Barnstable Building Commissioner 200 Main Street Hyannis, Ma. 02601 RE: 895 Sea View Avenue—Amendments to Permit Set Dear Tom, This letter is to summarize the changes made to the drawings that were submitted for permit dated December 19, 2012. During the permitting process, the building footprint was modified and made slightly larger. The size of the footprint increased by 12" in the North-South direction (6"to each side), and a total i of 5'-0" in the East-West direction (2'-6" to each side). The amended plans submitted reflect the changes to the applicable sheets for the architectural and structural drawings. Sincerely, ���\S\cKEJ q,?oCID fy/� '\ o No• 4450 ' Patrick Ahearn,AIA BosTON-- , Architect o� �9lrti of MPSSP`� www.patrickahearn.com TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION w Map 01D Parcel 0 Application # C� toe,k S 4alth Division Date Issued 0, Conservation Division Application Fee S Planning Dept. Permit Fee �- 5 -7 Date Definitive Plan Approved by Planning Board Historic -"OKH Preservation/ Hyannis I P,roject.'Street Address . S V V E /-,A U E . Village- - 0 '5T_E:iZV 11—L, E Owner T�+ 0 0�1 l� S �l�(3 E2.r S Address 'a-7 I SEtw1 t IN /N-y �• Telephone f OR) 3 P 0 Z-7 to C) Pe Req est ' C o i� 5 I i U 6T NJ ' L7�E �.L 1�1 �' 8 55n- V I E1N AV EIS U C . till) u S Fr ,I RERC,D LA 14-1 - IDOrR LH 143 9 Square feet: 1 st floor: existing ___'proposed 1� I 2nd floor: existing ' proposed 6 Total new Zoning District Flood Plain Groundwater Overlay (Project-Valuation I—r� Construction Type RM'�1 Lot Size �� 1 ,4 1 5`� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: ,Single Family 1�1( Two Family ❑ Multi-Family (# units) "— Age of Existing Structure Historic House: ❑Yes,�irNo On Old King's Highway: ❑Yes .�KNo Basement Type: �(,Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Are©sq.ft) -� Yi Number of Baths: Full: existing new B Half: existing 1 raneW2 Number of Bedrooms: - --_ existing _new �5 T`U D I b � E ooii Total Room Count (not including baths): existing new - First Floor Boom Count Heat Type and Fuel: >tas ❑ Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing '—' New ' Existing wood/coal stove: ❑Yes )(No Detached aardge: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attache✓d_gara" ge: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use b h /� i APP NT INFORMATION � 2- oO ( UILDE OR HOMEOWNER) Name• SEA� tj Telephone Number 0v 73A 14 r 5 vzAddress �2_ S I ND R I.F-T— L6NV -.License # C S D 9�16-7 , ---_H_cme Improvement,Contractor# [70- -Worker's Compensation itK s__ � r 13 �-ACL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ~ t INN � II SIGNATURE• < DATE b b , FOR OFFICIAL-USE ONLY Iti APPLICATION#- - c DATE ISSUED + MAP/PARCEL NO. ~' ADDRESS VILLAGE t OWNER DATE OF INSPECTION: wyFO.UNDATION - FRAME -.INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - - ;PLUMBING: ROUGH FINAL cr GAS: ROUGH FINAL FINAL BUILDING.r r" DATE CLOSED OUT ASSOCIATION PLAN NO. ' k ? :l 1 SARNSTABLE ?` Pff 12: 22 ` .T VISION � Massachusetts -Department of Public Safety Board of.Building Regulations and Standards Construction Sukn-isor. License: CS.M783 Z N AT GIFTNNO Q BOURNE MA 02332 " Expiration Commissioner 02I312017 ' Office of Consumer Affairs& Business Regulation-Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation1 Home Consumer Rights and Resources Home Improvement Contracting Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. ........ .. Search by Registration Number ,Search To search by other fields, enter the search criteria in the fields below and click the 'Search Registrants' button. For the State field, use the two character state abbreviation such as "MA "for Massachusetts and "RI" for Rhode Island. 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Search Results REGISTRANT RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS NAME INDIVIDUAL NUMBER DATE STG CONSTRUCTION GLENNON, SEAN 181649 2 SPINDRIFT LANE 04/21/2017 Current INC. BOURNE, MA 02532 ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. http://services.oca.state.ma.us/hic/licenseelist.aspx 4/22/2015 To: Page 3 of 3 17/02/2015 11:15:34 EST 16178128191 From: Adrienne Monks A�® CERTIFICATE OF LIABILITY INSURANCE 2A�;M2o15 � � THIS CERTIFICATE IS ISSU A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT: ff the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT Cri stina NAME: T. Edmund Garrity 6 Co. , Inc. PHONE (617)354-4640 (617)354-5828 AIC No: 545 Concord Ave. ADDRESS.cristina@garrity-insurance.com INSURERS AFFORDING COVERAGE NAIC Y Cambridge MA 02138 INSURERA:First Mercury Insurance Co INSURED INSURER B:Charter Oak Fire Ins STG CONSTRUCTION INC INSURER C'Associated Employers Ins Co 2 SPINDRIFT IN INSURERD:Torus National ins Co INSURER E: BUZZARDS BAY MA 02 532-358 8 INSURERF: COVERAGES CERTIFICATE NUMBERktASTER COI 2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR POLICY NUMBER MMIDDIYYYY) (MMIDONYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500,000 A CLAIMS-MADE ®OCCUR -CGL-0000051912-01 /14/2015 /14/2016 MED EXP(Any one parson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERA AGGREGATE '_ $ 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODGCT .-COMP/OP AGG $ :"P2,000,000 X1 POLICY PIECT RO- LOC Cln COMBIN ` i $ AUTOMOBILE LIABILITY Ea ec,id ( I LIMIT- ' $ r.11 000 000 B ANY AUTO BODIL;W4J 1RY(Per persdr, $ ALLOSNED $ SACHOEDULED A9282L352 /8/2015 /8/2016 BODILY INJbRY(Per accident) $ qI Ix HIRED AUTOS $ NON-OWNED PROPERTY'DAMAGE AUTOS =m $ Ln Medical pa ants r' $ xy 5,000 X UMBRELLALIAB X OCCUR 5570H130ALI EACHOCC RRENCE $ ,000,000. D EXCESSLIAB CLAIMSMADE /14/2015 /14/2016 AGGREGATE $ 117711,000,000 DIED RETENTION$ $ C WORKERS COMPENSATION X WC STATU- OTH- _ AND EMPLOYERS'LIABILITY Y 1 N MITS FIR ANY ERIMEMBER D EXCLUDED?�CUTIVE� NIA E.L.EACH ACCIDENT $ 500 000 (Mandatory In NH) ACC50050105882015A /2/2015 /2/2016 E.L.DISEASE-EA EMPLOYE $ 500,000 If ye.clescribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIP71ON OF OPERATIONS LOCATIONS VEHICLES(Attach ACORD 101,Addltlonal Remarks Schedule,If more space Is required) Description: carpentry- residential detached one or two family dwellings, three stories or less. Certificate holder is named as additional insured for general liability if so required by written contract. CERTIFICATE HOLDER CANCELLATION (508)428-1196 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN E.B. Norris Sr Son Inc ACCORDANCE WITH THE POLICY PROVISIONS. 138 Osterville-West Barnstable Road AUTHORIZED REPRESENTATIVE Osterville, MA 02655 r C Medeiros/CRISTI �2�� nq��-��-��^ � ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSf17517ntnn51n1 Tho 9rr1Rn name and Innn ara ranlctarartmar4c of arnRn \^,� V ��A( 2716 Commonytk--�of Mssuchltse'tfs Departs imt of huhutrhd Accidents Owe of rnvest��ons 600 Washington&meet Boston,MA 02117 wmv.masmgou1dia W,-arkers' Cumpensat onlnsax-anyAffidavit:Bu-ilders/Con(-actors/E-lecfricians(P1.umhers Ate. pHcant Information Please Print.Legibly Name(Businessloir niu6owyndi deal)- :n G co N S y Cr1 ID&I - Addre--ss: 2 S?I N 1)Z 11r -L- j L] city/sta�rzip_�oV�..hs M _ o __ 73 t4,Z._ Are au an employer?Check flte apprapriaf by T , v#. o ect x uixe _ 4_ I am a,. contractor xna'); Yl� ' �' l t� ' �` 1. am a employer with ❑ general 6_�hTeva ooms�iuctio;a employees{full aadlorpart-time}* have bicedtge sub-contmcto_•s. 2_❑ I am a sole propfietor of partner- listed on the attached sheet; 7_ ❑Remodeling sbip and hate nrf emplayees These sub-contractors have g_ ❑Demolitcoa wodan for me in an c cr r_ employes and have worn ens' g Y � � $ 9_ ❑Building additic:7 Fa,workers' Camp_insurance- comp.if7s1 anca req°ued-] 5-❑ We are a corporation and 3is I0_0 Electrical repairs or a.&i,tiou s 3_❑ I am a homeow;ier doing all wort officers have exercised Sie r 1I[]Plumbing repairs or additic.-s—,s. myself [No worlan,Comp- right.of e—x tioa per MGL 12-❑Roof rgmiLs 15_ 2, time n fi.�e no,anc,xAnre le[julied,1 E c §1 t�'and 13_❑O.tlfes employees_[Na workers camp_insurance require .l ykny anpUomt that cT ad s box f1 mnst also fin out the section below shaving inea wo cexs'conmen ss iuu policy enfnrn�tin., i Homevwnf=rs who submit f3-s af—ndsv-ff i E r g taey are dnmg SR truck End tbta hie outade coaixscmm rrmsI sonmit a new:a1 dxrii mdi=atkg sash- Ctrntncinrs tHst cb;ik�:i s bca r>rsst siteched an xddirionsI sheet s t2�naps;of�e sctr-co�h-�ciu3 zed s�ste uhPthet ocnut terse}•�r;r;o�hxV e i mplvyees- If tie sob-cont:actats h.-re employees,they,must provide thrair wur?,em comg.poLcp number_ -tam ara enip£oyer tifrrtisprrrtd t.torlaers'cotripgrrsdrhon ll571TdrftCE joP r��e, v£ etcs BetatF is t3tepoTlcy r�trd job silo in.fofmQliott • Ifssmance CornpatfyName_ �S�j CI►'�T'� � 12���� �.�V L. Policy 4 or Self-ins-Lie'# rj (� C' o a f 26 nation.Date: f 2'1 57 . E49VVI&W' /v G Job Sif.+--A &esr: _ r1`ttach a-copy of the workers'compensation polky dedaration page(shawl the policy waniber and e—Viration date). Failure to se=e cotitrage as requiredunder Sectioa 25A of MGL c 152 can lead to the imposit inn ofcriminal penalties of a fine up to$L500.Oa wK well as civil penalties in the form of a STOP WORK ORDFEZ and a fne� of'up ter S250.00 a.day against:the violator_ Be advised that a copy of this statement maybe fiarwarded to:the Office of Investigations of ffie DIA far inatntnce,coverage verfficatiort_ I dot hereof,aerhfy:arrder thspabis and£penatfias ofperut}�t3intt3te in forma#ran prol7dRd abase is.h� e anr£sorrier Signature: Bate: 7i` 2 01 Phone#: ©j c-iu£use anly. Da trot sprig in thrs area,to be camp£eted by dlty or town oJfrciaL City. or Town: PM-mitT-.1cease Fssuing Authority{drele one}: 1.Board of Health 2.Building Department Citffl!awn Clerk 4_Electrical Fnspeector S.Plumbing LiT--ctor 6.Other Coma ct P erson: Phone 9-- 6 Informafion and Instruefiffas Massachusetts Creneral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statate, 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•witbhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commoerr_-alth for arj.y 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 comphance �,i h the insurance requirements of this chapter have been presented to the contracting authority_" Applicants ---— Please fill out the workers' compensation al$davit completely,by checking the boxes that apply to your situation and,J necessary,supply sub-contractors)name(s),addresses)and phone ntmrber(s)along with their cer i13uatc-(s) of nuance. Limited Liability Companies(LLC) or Limited Liability Partnerships(_LP);H-i`hno ena.ploye s other than the members or partners,are not required to carry workers' compensation insurance_ HI art LLC or 1:L2 does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of ino,rance coverage. Also be sure to sign and date the affidavit '1.1e a�ida-vit should be returned to the city or town that the application for the permit or license is being requested, not the D.parturent of Industrial Accidents. Should you have any questions regardir_g the law or if you are required to obtain a;?corkers' compensation policy,please call the Department at the uu-fiber listed below. Sell insued companies sn.ould enter their self-insurance license number on the appropriate line. City or Town Officials PI-ease be sure that the a$davit is complete and printed legibly_ The Department has provided a s acce at the bottom of the a�7davit for you to nIl out in the event the Ounce of Inv s-tigations has to contact you regarding he applicant Please be sure to fill in the permit/license number which t�be used as a reference number_ In addition, an.applicant that must submit multiple permit/license applications is any given year,need only submit one affidavit indicating current policy in`ormation (if necessary) and under"Job Site Address'the applicant should write"all locations III (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 oa file for future permits or licenses_ A new affida,,Zt must be filled otut 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 et_c,)said person is NOT required to complete this aifdw,'it The Or'I-ice of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call_ The Department's address,telephone and fix number- t Commaawtallh ei Massachusetts Dp-paxlmezt cif Industrial Accidtats Office of kvestigatia)xs (500 W asbi agtaa Sic�t B aston.I14A 02111 TeI_.A 617 T21 7-49-Q0(xt 406 or I-&77-MASSAFE Revised 4-2_4?07 Fax:: 617-727- 4Q r Massachusetts Department of public-Safety t o'ard of uilcii`ngeq:ulations; n'dtanc�a�d 4 ; Cunstruc'tion Suiicrvisor License: CS-086783 + F SEAM T•GLENNOj�T ,fs€c;%y m �',• 2 SPINDRIFT LAME BOURNE.MA MA 02532 =t M Expiration ?, 02/13/2015 Comrnissidner DoczIP186s600 03-13-2012 11 :42 Ctf OL 2196554 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED ROBERT G.BANNISH,Trustee of 889 Sea View Avenue Realty Trust,under Declaration of Trust dated May 17,2011,registered with the Barnstable Registry District of the Land Court as Document No. 1166938, of 11 Montvale Road,Wellesley, Massachusetts 02481, For consideration paid of One Million Three Hundred Thousand($1,300,000.00)Dollars grants to ROBERT G. BANNISH,Trustee of 871 Sea View Avenue Realty Trust,under Declaration of Trust dated November 8,2000,registered with Barnstable Registry District of the Land Court as Document No. 817,758,Certificate of Title No. 159925, of 11 Montvale Road,Wellesley, Massachusetts 02481 With quitclaim covenants The land situated in Barnstable in the County of Barnstable and the commonwealth of Massachusetts,described as follows: Lot 280 Land Court Plan 2664-138 Certificate of Title No. 194376 Subject to and with the benefit of all rights,easements,reservations and restrictions of record insofar as they are in force and applicable. PROPERTY ADDRESS: 895 Sea View Avenue,Barnstable(Osterville),Massachusetts For title, see Deed dated May 25,2011,registered with Barnstable Registry of the Land Court as Document No. 1,166,939 with Certificate of Title No. 194376. Witness my hand and seal this. day of ,2012. Ro ert . Bannish, o the 889 Sea View Avenue Realty Trust COMMONWEALTH OF MASSACHUSETTS 5g-�r County, ss. On this Tl 4r day of _ ,2012,before me,the undersigned Notary Public, personally appeared ROBERT G.BANMSH,proved to me through satisfactory evidence of identification,being(check whichever applies): or other state or federal governmental document bearing a photographic image, oath or affirmation of credible witness known to me who knows the above signatory,or ✓my own personal knowledge of the identity of the signatory,to be the person whose name is signed above,and acknowledged the foregoing to be signed by him voluntarily for its stated purpose, as Trustee of the 889 Sea View Avenue Realty Trust. No Public _ My Commission pires: !b 5 ==T � ' c: Qualified in the Commonwealth assachusetts r—! , 9K�I�{. JJ.. ` ♦ jaglro eft§to 5 Deed MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 03-13-2012 a 11:42am Ctl;: 666 Doc4: 1186600 Fee: $4r446.00 Cons: S1r3001000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 03-13-2012 a 11:42am Ct11: 666 Doc:: 1186600 Fee: $3,510.60 Cons: $IP300000.00 GRINDLE.ROBINSON.GOOD BARNSTABLE COUNTY 0 GROVE ESTRESUITE 190 • REGISTRY OF DEEDS WELLESL4a4-7751 A TRUE COPY,ATTEST JOHN F.MEADE,REQISTER BARNSTABLE REGISTRY OF DEEDS ®NGM INSURANCE COMPANY POWER OF ATTORNEY A member Of The Main Street America Gmup S-834504 KNOW ALL MEN BY THESE PRESENTS: That the NGM Insurance Company,a Florida corporation having its principal office in the City of Jacksonville,State of Florida,pursuant to Article IV,Section 2 of the By-Laws of said Company,to wit: "SECTION 2.The board of directors,the president,any vice president,secretary,or the treasurer shall have the power and authority to appoint attomeys-in-fact and to authorize them to execute on behalf of the company and affix the seal of the company thereto,bonds,recognizances,contracts of indemnity or writings obligatory in the nature of a bond, recognizance or conditional undertaking and to remove any such attomeys-in-fact at any time and revoke the power and authority given to them." does hereby make,constitute and appoint Annie Lukas its true and lawful Attorney-in-fact,to make, execute,seal and deliver for and on its behalf,and as its act and deed bond number S-834504 dated September 19,2014 , on behalf of ••**STG Construction Inc...• in favor of Centerville Osterville Marston for Five Thousand and 00/100 Dollars($5,000.00 ) and to bind NGM Insurance Company thereby as fully and to the same extent as if such instrument was signed by the duly authorized officers of the NGM Insurance Company;this act of said Attorney is hereby ratified and confirmed. This power of attorney is signed and sealed by facsimile under and by the authority of the following resolution adopted by the Directors of NGM Insurance Company at a meeting duly called and held on the 2nd day of December 1977. Voted:That the signature of any officer authorized by the By-Laws and the company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond,undertaking, recognizance or other written obligation in the nature thereof; such signature and seal,when so used being hereby adopted by the company as the original signature of such officer and the original seal of the company,to be valid and binding upon the company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,NGM Insurance Company has caused these presents to be signed by its Assistant Vice President, General Counsel and Secretary and its corporate seal to be hereto affixed this 20th day of March,2013 NGM INSURANCE COMPANY By: Bruce R Fox ? �„' ► ����'°a nnnnmt+u�,.. Vice President,General Counsel and Secretary State of Florida, County of Duval On this 20th day of March, 2013 before the subscriber a Notary Public of State of Florida in and for the County of Duval duly commissioned and qualified,came Bruce Fox of the NGM Insurance Company,to me personally known to be the officer described herein,and who executed the preceding instrument,and he acknowledged the execution of same,and being by me fully sworn,deposed and said that he is an officer of said Company,aforesaid:that the seal affixed to the preceding instrument is the corporate seal of said Company,and the said corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Company;that Article IV,Section 2 of the By-Laws of said Company is now in force. IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official seal at Jacksonville,Florida this 20th day of March,2013 NOTARY PUBUC STATE�FLIMIDA - Canm5EE195497 E>mkes 10131I01S I,Brian J Beggs,Vice President of the NGM Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said Company which is still in force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company at Jacksonville,Florida this 19 day of September 2014 a�diunwiui�i WARNING: Any unauthorized reproduction or alteration of this document is prohibited. TO CONFIRM VALIDITY of the attached bond please call 1-603-358-1343. TO SUBMIT A CLAIM: Send all correspondence to 55 West Street, Keene,NH 03431 Attn: Bond Claim Dept. or call our Bond Claim Dept. at 1-603-358-1229. 1 REScheck Software Version 4.5.0 Compliance Certificate Project Proposed New Dwelling Energy Code: 2012 IECC Location: Wellesley, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area 12% Climate Zone: 5 (6262 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 889 Sea View Avenue Osterville, MA Complianc6, Passes using ILIA trade-off Compliance: 3.3%Better Than Code Maximum UA: 274 Your UA: 265 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. G I a z i In g Ceiling 1: Flat Ceiling or Scissor Truss 177 44.0 0.0 0.027 5 Ceiling 2: Cathedral Ceiling 450 44.0 0.0 0.024 11 Wall 1: Wood Frame, 16" D.C. 1,296 30.0 0.0 0.049 51 Window 1: Wood Frame:Double Pane with Low-E 37 0.310 11 Door 1: Glass 216 0.300 65 Basement Wall: Wood Frame, 16" D.C. 760 30.0 0.0 0.049 37 Floor 1: Slab-On-Grade:Unheated 97 4.0 0.876 85 Insulation depth: 1.3' Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.5.0 and to comply with the mandatory.requireme listed in the REScheck Inspection Checklist. PA-M .C*- � z� IN N a e Title Sig nf re Date Project Title: Proposed New Dwelling Report date: 08/21/14 Data filename: F:\Active Projects\Roberts -885 Sea View Avenue-Osterville MA\0 Admin Page 1 of 1 Documents\889.rck AC40 CERTIFICATE OF LIABILITY INSURANCE DATE i 014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the pol(cy(ies)must be endorsed. N SUBROGATION IS WAIVED,subject to the team and conditions of the policy,certain policies may require an endorsemerrt A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NSA TACT Cristina T. Edmund Garrity & Co. , Inc. PHOTO: (617)354-4640 Fax (617)354-5828 E-M545 Concord Ave. AD :cristina@garrity-insurance.com INSURER(S)AFFORDING COVERAGE NAIC 8 Cambridge NA 02138 INSUREtAkfaIn Street America Assurance 29939 INSURED INSURER B.L$arter Oak Fire Ins STG CONSTRUCTION INC msupmcAssociated Employers Ins Co 2 SPINDRIFT IN INSURER D: INSURER E: BUZZARDS BAY MA 02532-3588 [USURER F: COVERAGES CERTIFICATE NUMBER.44hSTER COI 2014 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS SUBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY E7(P Lam GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 kGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMLSE a acummucal $ 500,000 A I CLAIMS-MADE Fx-]OCCUR v13168F /14/2014 /14/2015 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY 8 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $ 2,000,000 PRO LOC $ nx PoucyFliECT LIABILITY COMBINED SINGLE UMT 11000,000 B ANY ALTO BODILY INJURY(PW pemm) 8 AU_OWNED X SCHEDULED 282L352 /8/2014 /8/2015 BODILY INJURY(per acciderd) S X HIRED AUTOS M AUTOS ® PROUTOS AUTOS DAMAGE $ Medical ends $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS4AADE AGGREGATE $ DED RETENTIONS $ C WORKERS COMPENSATION S- WCSTATU OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORMARTNERIEXEClTIyE NIA E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? 010588012013 /2/2014 /2/2015 (Mandatory in NH) EL DISEASE-EA EMPLO S $00 000 H yes descnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT I S 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AddGbnal Rentalat SMedute,U more space Is required) Description: carpentry- residential detached one or two family dwellings, three stories or less. Certificate holder is named as additional insured for general liability if so required by written contract. CERTIFICATE HOLDER CANCELLATION l - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. w. AUTHOR®REPRESEITATNE Garrity/CRISTI ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS02S r7nimm m Tho At'nDn.nwm onrl Inn^sb noniatarnA rnndra,nf er-nun ,y Town of Barnstaple 0 ' Regulatory Services A..ZEARN�s ��, :Richard V.Sca%Interim Director ' 06 '�� Building Division Tom Perry,Building Commissioner 200 Main Street;Hyn is,MA 02601 www.town.harnstablem.a.us Office: 508-862-403 8 Fax: 508-790-6230 . i Property Owner Must. Complete.and Sign This Section If Using A Builder I, b �/l I ict t -" '1� ✓1'rg' , as Ownet of the sLbject ptoperty S, T' �r e-�N�'j-�ZV C:T-E DM A heteby authorize _to act on my behalf in aI1 rnattets relative to work authorized b7 this building p etmit (Address of Job) Pool fences and alarms ate the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. )L Sib afire of Owner tote of Applicant Print Naive Print Name _ Date 1 V VY11 VA "alllilLaAJI%. - Regulatory Services - Richard Y.Scali,Interim Director. SniIding.Division I EMXD R, Tom Perry,Building Commissioner 4� MAMvI a� ' 200 Main Street, Hyannis,MA 02601 . www.towa.barnstable.ma_us Office: 508-862-403 8 Fax: 508-790-623 0 HOn3OWNM LICENSE Eu_wnox -.��' Please Print DATE: AVE: JOB JZ&ATTO'X: �v &r V I C KI AV E: -HOMEOWNER . name• �he p one's work phone f CURRENT MAILING ADDRESS: LAft city/own stasi' ap'codc The current exemption for"homeowners"was extended to include owner-occupied dvrellini�s of six units or Iess.and to allow homeowners to engage an individual for hire who does not possess a License,provided that the owner acts as supervisor. . DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to.reside,on which.there is, or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such`homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building peZlait (Section 109.1.1) The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signah=of Homcowncr Approval afBuiiding0fYucial Note: Three-family dwellings containing 35;000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOh4EOWMMIS MCEMPIION The Code states that: "Any.homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." ' Many homeowners who use this exemption are unaware that they are assuming the responsibilities'of a supervisor (see Appendix Q,Rules'&Regulations for Licensing Construction Supervisors,Section 2:15).TINS Zack of awareness often i. results in serious problems,.partictdarly when the homeowner hires unlicensed persons.. In this ease;our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is' ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as,part.of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in pour community Q:1wPF1IEMR201bm7dngprimitfa=UDPRFSS.doc . Affidavit of Substantial Financial Interest - • , ,. (:3-uuMJ- , ()t,S of -4 5pl tJ 1 r �'U> on oath depose and state as follows: 1. 1 am an applicant for a building permit for the roperty located at Map , Parcel ® The address.of the property is 2. 1 have % 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 is the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a buiiding permit application: Map/Parcel Address 5. Within this calendar year, I have submitted building permit applications-for property in which I have a 1% or greater legal or equitable interest. . 6. Within the last ten days, 1. have submitted building permit applications for property in which I have a-1% or greater legal or equitable interest. 7. Within this month, I have submitted building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received b llding permits for property in which I have a 1% legal or equitable interest. Si9 ned.underthe pains and penalties of pedury,.this7- day of � ' , 200_1 2001-0050/af in 1 O/LOTTERY/AFFIDAVIT Nu' tter 'TOWN-OF BARNSTABLE Eliza Cox - ^�"� �' " I P11 2: 42 Direct Line: (508)79.0-5431 Fax: (508)771-8079 E-mail: ecox@nutter.com DIVISJ�RpIril 1, 2015 0114364-00001 By Hand-Delivery Thomas Perry, Building Commissioner Building Department l Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: Robert G. Bannish, Trustee of the 889 Sea View Avenue Realty Trust b'J - -Sea View Avenue, Osterville Reconstruction Permit No. 201406532 . Dear Tom: - Thank you very much for meeting with Dan Kadar and me yesterday to discuss our client's proposed reconstruction project at 889 Sea View Avenue, Osterville (the "Property") and the existing open permits for the Property. As we discussed, on October 6, 2014, the Town issued Permit No. 201406532 permitting the reconstruction of a new single family dwelling on the Property (the "Permit"). Without extension, this Permit will expire on April 5, 2015. It is the purpose of this correspondence to request a 6-month extension of the Permit. This is the first requested extension of the Permit, and I have enclosed check no. 4656 in the amount of$50.00 representing the fee for the extension. As discussed at our meeting, this year's record harsh winter conditions serve as good cause for this first extension request. Further, as we noted at the meeting, our client intends to commence construction after the summer season. Thank you very much for your time yesterday. Please let me know if any additional information is needed to process the extension. NUTTER MCCLENNEN & FISH LLP • ATTORNEYS AT LAW 1471 Iyannough Road• P.O. Box 1630 Hyannis, Massachusetts 02601-1630. 508-790-5400• Fax: 508-771-8079 www.nutter.com Thomas Perry, Building.Commissioner, April 1, 2015 Page 2 i With best regards, I remain, Very truly yours, Eliza Cox EZC: Enclosure cc: Dan Kadar Tom Perry,Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: §A9'Sea View Avenue.Osterville Request for Extension of Foundation BuildingPermit ermit Dear Commissioner Perry: On May 9, 2013,we filed for a demolition and foundationibuilding permit for the above referenced property on behalf of Robert Bannish,Trustee, owner of the project. The demolition permit,No. 201303052 and the foundation permit,No. 012 30253 were issued by the Town's Building Department on or about May 14,2013. The work authorized by the permits commenced and was,thereafter, subsequently suspended as the property owner considered minor alterations to the plans. Pursuant to Section 105.5 of the International Building Code,I am writing to request a 180 day (6 month)extension of these permits to enable the property owner additional time to consider these minor alterations. This is the first such extension requested and the property owner has invested significant sums into this project and these permits which we 'suggest represent justifiable cause for the extension. Please let me know if you have any questions. Otherwise, we would request that you please confirm that this extension has been'granted. Thank you very much. Very truly yours, �2 c C7 Sean Glennon3 L2) IA *�o .� 2341546.1 co IJI L7-J d — -- -�� �C� � tiro '-"f Z-1 e`- S- 3 WOTSIAIG Z 88 • t j f�.. ��� i ,�„ i �7'� � ' "'�' � i• 1;r4 Ic_S ti. i e R TOWN OF BARNSTABLE Building Department - Foundation Permit Date S 1a 14 Permit # Name �� � v1 vi 6�'L. Location �2 Insp. of Bldgs. r , T rL-" Nutter Eliza Cox Direct Line: (508)790-5431 Fax: (508)771-8079 E-mail: ecox@nutter.com October 21, 2014 0114364-00001 By Hand Delivery Thomas Perry, Building Commissioner c� Building Department Q Town of Barnstable N ' 200 Main Street Hyannis, MA 02601 Z .q CD 0- Re: Robert G. Bannish, Trustee - 889 Sea View Avenue, Osterville (the "Property") Dear Tom: Thank you very much for meeting with me last Thursday regarding the above Property. As discussed, it is the purpose of this correspondence to request an additional 6-month extension of the existing building foundation permit, 201303053 (the "Permit"), permitting the . reconstruction of a dwelling on the Property. This Permit, as previously extended, is set to Z u expire on November 12, 2014. As such, this request is to extend the Permit for an additional 6- months until May 2015. I As indicated in our meeting, my clients' builder, with whom they have a long-standing . relationship, is not able, at this time, to attend to this construction project. Balancing the need to show cause for the extension with the builder's privacy, I trust that this is sufficient, but should you require additional explanation to demonstrate cause, please do not hesitate to contact me. My clients continue to want to pursue the reconstruction on the Property under the Permit and are in the process of evaluating their options in light of the circumstances - thus, the request for the extension. I enclose check no 4533 in the amount of$75.00, which I understand to be the fee for this extension. - Finally, as I noted in our meeting, my clients just recently transferred ownership of the Property into a new trust for estate and planning purposes. Previously, the property was owned by Robert G. Bannish, Trustee of the 871 Sea View Avenue Realty Trust, and just last month, ownership was changed to Robert G. Bannish, Trustee of the 889 Sea View Avenue Realty Trust. The beneficial interests of the two trusts remain within the same family, albeit to different NUTTER McCLENNEN & FISH LLP • ATTORNEYS AT LAW 1471 Iyannough Road• P.O. Box 1630 • Hyannis, Massachusetts 02601-1630. 508-790-5400• Fax: 508-771-8079 www.nutter.com Thomas Perry, Building Commissioner October 21, 2014 Page 2 family members. In reviewing the building permit application form originally submitted in May 2013, it notes the owner as "Robert G. Bannish", who, as noted above, was and continues to be the Trustee. As such, it is not clear to me whether the Permit needs to be updated. To the extent that it does need to be amended to reflect the name of the new trust, we request the same. If an additional fee is necessary, please let me know and we will deliver that forthwith. Thank you very much for your time yesterday and assistance with this matter. If you have any questions or require any additional information or materials, please let me know. With very best regards, I remain, Ver truly yours, Eliza Cox EZC: Enclosures NO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ( Map Parcel l�` Application # Health Division Data Issued ^. . � Conservation Division �. ��''�0 * Ap 'catign Feeyel d ,�- -- Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address ��' I EkJ ^NJ E! ' Village o r0 I L_L a Owner ���t � �`p }�N Address t i D '1 V/�1_ ;:' R� Telephone Permit Request -De"0. 15A,I S I` l (P B ,z L_D1+,A ��- � v ` ; C_L-0 E:L-r am Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size A-77 1 4 1 _6Q F-r• Grandfathered: 0 Yes , ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) O Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes X0. Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other y Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new ~-. a o Number of Bedrooms: existing _new ;c Total Room Count (not including bath;,): existing new First Floor(- om Count o Heat Type and Fuel: ❑ Gas ElOil 0 Electric 0 Other C' i Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo,/coal st�e: O��Yes ❑No A. Detached garage: Elexisting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing—❑ n.Wv size_ Attached garage: ❑ existing ❑ new size _Shed: El existing ❑ new size _ Other: 4 oning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Vlo If yes, site plan review # Current Use t N C�L !�I>_ D'? � �- -� Is Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License # S R_tn"1 8 Home Improvement Contractor# t �� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��� DATE �© 4� 1 - le ` FOR OFFICIAL USE ONLY _e 'APPLICATION# ` OATE ISSUED , MAP/PARCEL NO. j ADDRESS . VILLAGE I a i OWNER C DATE OF INSPECTION: 3-=FOUNDATION FRAME ` INSULATION FIREPLACE 1 E ELECTRICAL: ROUGH FINAL— PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING } DATE CLOSED OUT ASSOCIATION PLAN NO. — r —The-Commonwealth-of-Massachusetts_ Department of Industrial Accidents Office of Investigations. 600-Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): L Address: '. �1a. rr�) TZ vrr City/State/Zip:,Wb Phone#: 5,0 8 J 0 re on an employer?Check the.appropriate box: Type of project(required): 1,. I am a employer with 1 (D, 4. ❑ I am a general contractor and I employees (full and/or part-time). * have hired the sub-contractors 6. w construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, Memolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 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.❑ 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 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: Policy#or Self-ins.Lic.#: rV U—15.0 1 D ID rc�7 Expiration Date: t 1 Job Site Address: F rV City/State/Zip: GSA �- 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 coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Simon e: r1C Date: .9 Phone#: S Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# I Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector '6. Other Contact Person: Phone#: ... . .:. ... . . . . .. . .. .,. .. . . .. . . . . . ....... ... . , I fo r'ma-tion and-Instructions _---=-=j--- -=- 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 i 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 bean employer." MGL chapter 152, §25C(6)also states that"every state or.local_licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with:the insurance requirements of this chapter have been presented to the contracting authority:" Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s).of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be.advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial.Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'. compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line.. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each. year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone.and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 . Tel. #617-727-4900 ext 406 or 1-877-MASSAFE ` Fax#617'727-7749 Revised 4-24-07 www.mass.gov/dia . A�� CERTIFICATE OF LIABILITY INSURANCE �/25i 0i3"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cristina NAME: FA— T. Edmund Garrity & Co. , Inc. PHOIC.NE (617)354_4640 A/C No:(617)354-5828 545 Concord Ave. EDORL .cristina@garrity-insurance.com INSURE S AFFORDING COVERAGE NAIC# Cambridge MA 02138 INSURERA14ain Street America Assurance 29939 INSURED INSURER B:Travelers Indemnity Co CT STG CONSTRUCTION INC INSURER cAssociated Employers Ins Co 2 SPINDRIFT IN INSURER D: INSURER E: BUZZARDS BAY MA 02532-3588 INSURERF: COVERAGES CERTIFICATE NUMBER3dASTER 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE BR POLICY NUMBER MMIDD LICY EFF MPM/UD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500,000 A CLAIMS MADE ❑X OCCUR 13168F /14/2012 /ld/2013 MED EXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LA GGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY PRO-JECT LOC $ AUTOMOBILE LIABILITY Ea BINEDaccideitSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 282L352 /8/2012 /8/2013 AUTOS X AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident Medical payments $ 5,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ C WORKERS COMPENSATION X( I WC STAT J OTH- AND EMPLOYERS'LIABILITY Y I NER LIMANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? a NIA (Mandatory in NH) CC5010588012013 /2/2013 /2/2014 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Description: carpentry- residential detached one or two family dwellings, three stories or less. Certificate holder is named as additional insured for general liability if so required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tom andristin Roberts ACCORDANCE WITH THE POLICY PROVISIONS. 871 Seaview Avenue Osterville, MA 02655 AUTHORIZED REPRESENTATIVE Garrity/RATHY1 ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 rontnn.51 nt Thn A(,nPn nnma anti innn am mniafnrori mnr a of ar:nRrl oFTME ToWn of Barnstable Regulatory Services t �xxsr�a. « y� XAB& Thomas F.Geiler,Dire- ctor. Building-Division Tom Perry,Building Commissioner. - 200 Main Street,Hyannis,MA 0260.1 www:town.barnstable.ma.ns. Office: 508-862-4038 Fax ..508-790-6230 Property Owner Must Complete and Sign.This Section If Using'A Builder . as Owner of the subject#operty S �'. herebyauthorize . . to act on my.behalf, rJ in all matters relative to work authotiied by this building pei-tnit ®�'r 4�T, .(Address of job). **Pool fences.and alarms are the responsibility of the.applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date . Q:F0RMS:0WNMERWSSI0NP00LS 6/2012 r own of::Barrista e T F neitxcrAurx, Thomas.F.Geller,Director p MASS `erg Building Division . Tom Perry,.$uilding Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4.038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: .JOB LOCATION: number - street. village "HOMW WNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code. The currentexemption for"homeowners"_was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structums'accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.' Such "homeowner"shall submit to the BuildingOfficial on a form acceptable to the Building'Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner'"assumes responsibility for compliance'with the State Building Code and other. applicable codes,bylaws,rules and regulations. The undersigned"homeowner?'certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official. Note: Three-family dwellings containing`35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which.a building permit is required shall be exempt from the-provisions of this.section(Section'109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, 'Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person.as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimatelyresponsible. ' To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hc/she understands the responslbrlities of a Supervisor. On the last page of.this issue is a form currently used by several towns. You may.care t amend and adopt such a form/certification for use in your community. Q:for ms:homeexempt •jt. • � -t awKy�'�tr'�, 91te 700MM011 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171057 Type: Corporation t 2/6/2014 Tr# 221112 Expiration: STG CONS TRUCTION INC. SEAN GLENNON .... � f 2 SPINDRIFT LANE — BOURNE, MA 02532 ; Update Address and return card.Mark reason for change. ❑ Address Renewal ❑ Employment Lost Card DPS-CA1 5OM-04/04-G101216 �,,��� Office of/L4ongOm r"A�rs2A aes License or registration valid.for individul-use only HOME IMPROVEMENT CONTRACTOR j before the expiration date. If found return to: Registration: ._�71057 Type: Office of Consumer Affairs and Business Regulation i Expiration: ti6/2014 Corporation ' 10 Park Plaza-Suite 5170 Boston,MA 02116 S ONSTRUCTION INC~-2>��J i t• a tam,-= SEAN GLENNONN� 2 SPINDRIFT LANEtiq`` :� '- BOURNE,MA 02532'. ., Uodersecretawry Not valid without signature Irtment of Public DeP Safety Requlations and Standards Massachusetts - Board of Building er,isor -k Construction Su P 6 y CS-086783 License. ,�.1.rS SEAM T GLENNO,$ gIFT LANE Ba E MA O'332 , -,j Expiration 02H312015 �J issionef national grid March 21, 2013 Attn: Dan Kadar Re: 889 Sea View Ave.Osterville. MA. This letter is to notify you that after our investigation it has been determined that there is no gas being supplied to 889 Sea View Ave, Osterville, MA. Diane Camara Gas Customer Fulfillment US National Grid Centerville-Osterville-Marstons Mills Water Department P.O.BOX 369-1139 MAIN STREET OSTERVH,LE,MASSACHUSETTS 02655 °sr www.commwater.com OFFICE OF u WATER i BOARD OF WATER COMARISSIONERS WATER SUPERINTENDENT DEPT.�y TEL.No.508-428-6691 FAX.No.508-428-3508 I March 26, 2013 Barnstable,Town of Building Department 200 Main Street Hyannis, MA 02601 Re: Account#686 ቘ Eight Seventy One Sea View Ave. Realty Trust Eight Eighty Nine Sea View Ave. Realty Trust Robert G. Bannish 871 & 889 Sea View Avenue, Osterville, MA To Whom It May Concern: On March 19, 2013 and March 25, 2013 we turned off the water at the curb stops and disconnected both of the water services in the meter pits for the properties mentioned above. It is our understanding that.the owner plans to demolish the existing structures,re-build and will restore new water service at a later date. If you have any questions, please call our office at 508-428-6691. Very ly/e/ C aig ro Su rintendent CC/jw' I "1937 to 2012 Celebrating 75 Years of Service" AAST- AR One NSTAR Way EL EC TR/C Westwood,Massachusetts 02090 GAS April 5, 2013 Tom Roberts 133 Walnut St. Wellesley, MA 02481 RE: 889 Seaview Ave., Osterville Dear Tom Roberts: At NSTAR, we're committed to delivering great service. This letter serves as confirmation that, as of 04/05/13, the electric service to 889 Seaview Ave., Osterville, MA has been removed. Based on this information, there is no electric power at this address and you may proceed with the demolition. If you have any questions, please contact me at (888) 633-3797. Sincerely, Mrs. M. Feene Y New Customer Connects i Town of Barnstable *Permit# D;;I _ Expires 6 months from issue date X-PRESS PERMIT Regulatory Services Fee 6,y,S Thomas F:Geiler,Director FEB 2 4 2006�-�r'``" Building Division TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner -Qk 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ® Not Valid without Red X-Press Imprint Map/parcel Number -I L 0 Property Address � S _ [Residential Value of Work I JI ✓� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address _�" V tw U . au A r Contractor's Name S Telephone Number' Home Improvement Contractor License#(if app icable) 0 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Ch one: e I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. . Permit Request(check box) 1 ' �e-roof(stripping old shingles) All construction debris will be taken to �n jJ�l ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town depaTtment regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Impr went Contractors License is required. SIGNATURE: Q:Fomms:expmtrg Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations- * . ' d 600 Washington Street Boston,MA 02111 wwiv.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/individual): TkruS Address: City/State/Zip: {6--VIL .Y'll S. 1f1 C21 0 I Phone##: SIG -lb j ire you an employer? deck the-appropriate box:. .❑ I am a employer with 4. El Type of project(required):. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 ❑ New construction I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. (] Demolition Working for mein an ca aci . workers' comp. insurance o workers' co g a 1 on [N comp. insurance 5• We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or.additions ❑.I.am a homeowner doing all work. right of exemption per MGL`. 1:1.❑ p umbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12. Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13 ❑ Other .. . ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' 'omeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information in an employer that is providing workers'compensation insurance for my employees.'Below is.the policy and job site ormation. urance Company Name: .icy#or Self-ins..Lic. #: Expiration Date:= Site Address: City/State/Zip: :ach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). hire to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a up to$.1,500,06 and/or one-year imprisonment, as well as civil penalties in.tlie form of a STOP WORK ORDER and a.fine ip to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of estigations of the DIA for insurance coverage verification. r hereby certify under the. ains and penalties of perjury that the information provided above is tr a and correct nature:. lqn )•fj'wW use only. Do not write in this area,to be completed by city or town officiak :ity or Town: Permit/License# Issuing Authority(circle one): ..Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector i.Other 5.Plumbing Inspector :ontact Person: Phone#: Information and Instructions [assachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. arsuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, Kpress or implied,oral or written." ,u employer is defined as`.`an individuaL.parmership,.association, Corporation or other legal entity,or any two or more f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the -ceiver or trustee of an individual,partnership, association or other legal entity,employing employees. Howev..er:tlie wner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair work�on such dwelling house IT on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." dGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ,pplicant who has not produced acceptable.evidence-of compliance with the insurance coverage required." kdditionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall rater into any contract for the performance of public work until acceptable evidence of compliance with the insurance -equirements of this chapter have been presented to the contracting authority. 4pplicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary.,supply sub-contractor(s)name(s),Address(es) and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies(I;I C)or Limited-L;iability Partnerships(LT LP)'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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you Have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. 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 bo1 m of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant e number which will be used as a reference number. In addition,an applicant Please be sure to fill in the permit/licens 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 orlicenses..A new affidavit must be filled out-each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete.this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents . ..Office of Investigations 600 WashingEon Sltreet� . Boston,MA 0211L Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 revised 5-26-05 www.mass.gov/dia i pt�ME�O Town of Barnstable Regulatory Services DAMSrAHLE, MASS. $ Thomas F.Geiler,Director 1639. `e Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder . I, l °d-,ud, L ,r ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. rV111L (Address of Job) /Signature--of r Date Print Name Q:FORMS:OWNERPERMISSION • 1 f ✓fie�oair�nzaiuuea,// o��aaaac�u�aeQ2 ' Board of Building Regulations and Standards License or registration,valid for-individul use only HOME IMAOVEMENT CONTRACTOR before the expiration date. If found return to: IRe istr- t6n. 24310 Board of Building Regulations and Standards °n-= 007 One Ashburton Place Rm 1301 e= iGidual Boston,Ma.02108 James Curley i James Curley 287 Fuller Rd. Centerville,MA 02632 Administrator Not valid without signa re y , I t I s� y " ��Qy0�7NET0�♦� TOWN OF .BARNSTABLE i EABASTADL& i p� Mb BUILDING . INSPECTOR �F�YPY a• APPLICATION FOR PERMIT TO ............... � % V C%� °' TYPE OF CONSTRUCTION ........................... �. . . ............................... .......... .................... . '.�....... ...........197.3. TO THE INSPECTOR OF BUILDINGS-" � The undersigned hereby applies'for a permit' according to the following information:.: - Location .......... •11i, ...........L%. ........................................ ................................... ProposedUse ............. ........ . .... ...... ............................................................................................................ Zoning District ............... ol:.T. aF-................................Fire District ..... •?•..GL' -!'....................................... Name of Owner .........( .._4...... .... Address .... ... � Name of Builder ........ .U„' . ... ..... ........Address ....�............. Name of Architect ....L.. .... ... . ....... ............. .......Address .......................... � .�...... Numberof Rooms''..../......K....................................................Foundation ... ........................................................................ Exterior ..............11Y/ .: . .......`.4.....................Roofing .....�� '' ✓............................... . ..... .....:.. ...... ... Floors ............... . ...... ... ... ...................................................Interior ...... ........ ..................... /J��/... �G.. , Heating .......... .... -�Gr�........................................Plumbing ....... .. ..................................... Fireplace .............. ...............................................................Approximate Cost ..... ....................................................... Definitive Plan Approved by Planning Board -----------_______-----------19 . �0 Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH k/ ��,«..�.....---npA9-�----�--_-••..�..-....�._,�., Fes ( J PC 1k, 2/2,,�- 13,EPTIC SYSTEM MUST • INSTALLED IN COMPLIANCE WITH ARTICLE II STATE SANITARY CODE AND TOWN REGULATIONS: rhereby ree to conform to all the Rules and Regulations of the Town of Barnstable regdrding the above ction. Name . LIIA..!/..t.... /. ........................... Largay. John } 15928 two story y No ..........:.:..... Permit for ...........:..:................. sirgle famil y dwelling a ................... ................... r LocatPon�ea View Avenue Osterville. ............................:....................... . ....................... John Largay- Owner ...................................................:..........:... ! • � 1 Type of Construction frame r , .................................................. . .................... i Plot ............................ Lot ................................. Permit Granted ......Feb......?Y..z6..........19 73 r Lf • /.Date of Inspection � .: ......................19 I Date Completed ...�.. .� i PERMIT REFUSED ................................... . ...................... 19 ........ .......... ...................................................... ................................................................ ............................................................................... �. Approved ............................................................................... ..................... ......................................................... I ' sessor's Office(1st floor) Map C1;1VU Parcel ,74&mit# IConservation Office(4th floor)(8:30-9:30/1:00- 2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee dG ' Engineering Dept..(3rd,floor) House# � Planning Dept. (1st floor/School Admin. Bldg.) , RNSTABLE. ` 4 Definitive PI p roved by Planning Board 19 a 9 TOWN OF BARNSTAYBLE �i (�Y Building Permit Application CA, YAddress ydd L Village d s I a iP Owner Address ��'�j `U } V/,F/j A J/¢- Telephone G �:z 0 Permit Request �j�iGD-2L First Floor square feet S� Second Floor square feet 0� Estimated Project Cost $ 6A Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type 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 1 (` Builder Information Name �Q C/t1.U /�P`V O A)\s Telephone Number Address k /'n 12 ��j/ License# �/�. G 26 3, Home Improvement Contractor# Worker's Compensation#'0VO [ 7016-9 cc� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CON , RUCTION DEBRIS SU TING FROM THIS PROJECT WILL BE TAKEN TO A VA SIGNATU DATE BUILDING PERMIT DENI FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. e low-4m OL'^ARTi(ENT OF PUBLIC SAFETY ONE ASHBURTON PLACE , F.1,`: 1.31'1 OC J 1�5 f•A\� BOSTON , MA 02103-1613 ":"„� �''i S"T ERVISOR LICENSE f) o �"�� � Expirers: o - -- -- —'-- —................. _... ... ... . L-etach bottom, fold sign cl: back, and laminate license Keen top for receipt and chai .. of addre=:s ..a ✓fie '%�aaiizaiu�ea�l� o`✓C`uaaac�zcweCGi 213407 HOME IMPROVEMENT CONTRACTORS REGISTRATION I ' Board of Building Regulations" and 'Standards One Ashburton "Place' -. 'Ro6m. .:1301 I Boston , Mass"ac.h.use_tts._;021:0$ HOME IMPROVEMENT CONTRACTOR -------------------- --------------- Registration 103714 Expiration.._07/OW98...,_ . Type - PARTNERSHIP :HOME IMPROVEMENT CONTRACTOR • I + .. Registration 103714 �'.'�UL J . CAZEAULT .& _SONS_...RO.RF.ING . I ..,. .Type - .PARTNERSHIP Paul J . Cazeault Expiration 07/09/9R 22 Giddialt Rd . P .O . Box 2781 Orleans MA 02653 " I . PAUL J. CAZEAULT 8 SONS ROOFI Paul J. Cazeault t'`1�2 Giddialt Rd. P.O. Box 278 "°MINIS MR Orleans NA 02653 . DATE(MM/DDNY) AGORD.. CEffr1F CATE:.OF LIABILITY 1NSURA;NC�ID DR ar:ooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Drake, Swan & Crocker HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 14 Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOti"l. Orleans MA 02653-0429 COMPANIES AFFORDING COVERAGE Peter G Walther COMPANY Phone No. 508-255-3212 Fax No. A Assurance Co. of America COMPANY• B Credit General Insurance Co. Paul J. Cazeault etal DBA Paul COMPANY J. Cazeault & Sons Roofing C P 0 Box 2781 COMPANY Orleans MA 02653 D iCOVERAGES �.., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. O POLICY EFFECTIVE POLICY EXPIRATION TR TYPE OF INSURANCE POLICY NUMBER DATE(MWDDNY) DATE(MWDONY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE S 1,000,U00. A X MMERCIAL GENERAL LIABILITY CFP25552812 05/01/96 05/01/97 PRODUCTS-COMP/OPAGG S 1,000,000. CLAIMS MADE :X I OCCUR I PERSONAL&ADV INJURY $ 500,000. i'!NER'S&CONTRACTOR'S PROT' EACH OCCURRENCE S 500,000. FIRE DAMAGE(Any one fire) $ 50,000. MED EXP(Any one person) $ 10,000. AUTOMOBILE LIABILITY i COMBINED SINGLE LIMB S A'.'AUTO - .JWI IED AUTOS .._ .. BODILY INJURY I$ S. +EDULED AUTOS (Per person) ! h QED AUTOS i BODILY INJURY $ • f: 4-1•OWNEO AUTOS (Per accident) I -- - -- PROPERTY DAMAGE $ i r GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S AU rG OTHER THAN AUTO ONLY: ! EACH ACCIDENT S ! AGGREGATE $ EXCESS LIABILITY i EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ C. HER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATU. OTH. TORWCY LIMITS ER EMPLC'fERS'LIABILITY EL EACH ACCIDENT S 100,000. 3 THE P.:-RS/EXEC ;INCL I SWC17005900 08/09/96 08/09/97 EL DISEASE-POLICY LIMIT $ 500,000. PART!.:-RSIEXECUTIVE ----� OFFICF..:'S ARE. I EXCL I EL DISEASE-EA EMPLOYEE $ 100 OTHEF i DESCRIPTI01:OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Roofinc; CERTIFICATE HOLDER tT3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON T E COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZE EP ATIVE , ACORD 25-S DACORD'.CORPORATION 1988 SME Tq� •'L°� The Town of Barnstable MBARWASM � Department of Health Safety and Enronmental Services ,� Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL G 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. D p� Est.Cost Type of Work: :::�sAddress of Work: Owner's Name Date of Permit Application;. I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _ _ ob under S1,000- Building not owner-occupied Owner pulling own permit Notice is hereby given that: wrM TERED OWN OWNERS PULLING THEIR _HOME IIVIPROVENiEMEOR DEALING WORK DORNOT HAVE CONTRACTORS FOR APPLICABLE RAM OR GUARANTY FUND UNDER MGL c. 142A ACCESS TO THE ARBITRATION PROG SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as agent a owner. Contractq Name egzstration No. Date OR : f a RESIDENTIAL SWIMMING POOL BARRIER REQUIREMENTS Safety Cover/Alarms-Dwelling Exits shall have one of the r following: - 1 1.Safety cover in compliance with ASTM F1346 or 2.Alarms which sound continuously for a minimum of 30 seconds.Alarm deactivation switch for single entry must not last more than 15 seconds and must be>=54"(4'6")above threshold of door. Minimum Fence Height 48"(4')measured on side opposite pool Gate/Latch-Gate shall open away from pool and be self closing and self latching.Release Mechanism of latch shall be>=54"(4'6")from bottom of gate.If R.M.<54"(4'6") must be located on pool side of gate>=3"from top of gate and have no opening in gate>.5"within 18"of R.M. E J � ♦ ♦ ♦♦ ' ♦ ♦•• E ♦♦♦ ♦♦ ♦ ♦♦ �� ♦ 1 Rule 1-Horizontal Members spaced<45"(3'9") Vertical .,♦♦ ♦♦ ♦. ..{ ♦. ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ Members shall not exceed 1.75" , •♦�• .. ♦. ♦ ••• ••• /E � • • • • • • ♦ + ♦ ♦ ♦ ♦ ♦ Rule 2-Horizontal Members spaced>=45"(3'9")Vertical �_ .-♦ •,; ♦.. ♦. , ♦ ♦ ♦ ♦ ♦ 1 ♦ Members shall not exceed 4" • •• • • • • • • ♦ • !♦ ♦♦ ♦ Chain Link-Maximum mesh size shall be<= 1.75" squares - Lattice Fence-Maximum opening formed by dimensional members<=1.76" 2"Maximum Vertical Clearance measured on opposite pool side Ultra-Reliable Latching System. The Life Saver Self-Closing gate uses only the most proven latch and hinge system.The Magna-Latch has been tested to more than 400,000 cycles.MAGNA-LATCH gate latches are magnetically triggered safety devices that have revolutionized the safety,reliability and child-resistance of swimming pool,childcare and household gates. The unique operating principle is brilliantly simple. As the gate swings shut, a powerful 'permanent' magnet draws a latch bolt from one housing into the other, latching it securely. No amount of shaking, pushing or pulling can disengage the latch. The concept is so advanced it boasts international awards for design excellence. The latch has been designed to meet strict international safety codes, including all codes relating to swimming pool gate safety. The dangerous problem of a gate"resting on the latching mechanism", appearing to be latched, is eliminated when using MAGNA-LATCH. The quiet and reliable latching action means MAGNA-LATCH incurs no mechanical resistance to closure, and so suffers none of the sticking,jamming and sagging problems associated with mechanical' gate latches. Tru-Close Hinges rElIsron `� � Quality TRU-CLOSE gate hinges are the latest QDlusC unr _Gl rassmd AV"Wnd technology in adjustable, self-closing gate hinges for �,�r d` swimming pools, households and other safety gate applications. These strong, revolutionary hinges are injection-molded from a special blend of glass-fiber reinforced polymers, which means they never rust, bind, wear, sag or stain. The superior strength and rust-free performance of TRU-CLOSE means the hinges offer double the life expectancy of any comparable product. The internal torsion spring is made of high-grade stainless steel to ensure smooth, powerful closure and long life, even in the harshest seaside or arid environments. The patented, spring-loaded adjustor within most TRU-CLOSE hinges allows instant, incremental tension adjustment using only a screwdriver. Quick and easy! This clever adjustment feature overcomes the TRU-CLOSE hinges have been independently tested to comply with a range of international safety standards, especially those relating to pool fences and gates. The hinges are designed to outperform all comparable gate closing devices. They are the only safety hinges offering a lifetime warranty against rust or corrosion P� PG DAPT-2 Manual 122208:1-ayout 1 5/14/09 12:42 PM Page 1 _ •. BATTERY FUNCTIONPOOL SAFETY TIPS 16. INSTALLATIONOF OPTIONAL SCREEN 1•••KIT DOOR ALARM • When the 9-volt battery is low,the door alarm horn will chirp once every •Supervise children at all limes. CONNECTING ODOR ALARM TO SENSOR SWITCHES 10 sewnds�his means it is time to install a new battery,Battery life is -Never permit swimming alone.Never leave a child alone,even READ THE DOOR ALARM MANUAL FOR INSTALLATION ON ONE DOOR FIRST: R - approximately 1 year.Test your door alarm weekly by opening the door to answer the telephone. THE SENSOR WIRES ARE PERMANENTLY CONNECTED TO THE DOOR and allowingthe alarm to sound. -Always remove the entire solar cover from a pool before ALARM.CONNECT BOTH SENSOR WIRES COMING FROMTHE DOOR ALARM MODEL DAPT-2 TO THE SENSOR SNITCH ON THE DOOR FRAME THEN USE THE SUPPLIED SIGNALING swimming. JUMPER WIRES TO CONNECT TO THE SCREEN DOOR SENSOR SWITCH MEETS UL 2017 O WARRANTY • r •Remember that alcohol and water safety do not mix. (SEE DIAGRAM BELOW).THE TWO SENSORS SHOULD BE HOOKED UP IN REPAIRS •Have your pool area fenced and the gate locked to prevent PARELLEL WITH EACH OTHER.unauthorized entry to the pool,and Install a gate alarm. •THE PLASTIC COVERS ON THE SENSOR SNITCHES 8 SENSOR cPOOLGUARD s sold with a limited warranty to cover defects in parts .Lock and secure all doors In the house which permit easy MAGNET MUST BE REMOVED BEFORE INSTALLATION (5F and workmanship for one year from date of purchase.(Retain proof of access to the pool,and Install a door alarm. •SWITCHES GO ON THE FRAME BV THE DOOR LISTED purchase).If Poolguard exhibits a defect,please Call our Customer •Have a responsible adult teach Swimming end Water Safety to •MAGNETS GO ON THE DOOR ITSELF-SEE PICTURE IN MANUAL ,Service department at 1.800-242-7163.Unauthorized returns will not be your children. EQUIPMENT NEEDED accepted.Roper repair s only ensured when the unit's returned to the •Maintain clean,clear Water In the pool. A.ONE DOOR ALARM AND 2 MOUNTING SCREWSmanufacturer. VSR our webslte at www.pooguard.00m to fill out your •DO n01 SWIM dUfing eieclNCel SlOrlrls. B.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET AND 4 SCREWSwarranty regsUation informaCwn. •Do not permit bottles, glass, or sharp objects to be usedFOR DOOR FRAME 8 DOOR around the pool. C AONE SET OF ND 4 SCREWSNSOR SWITCH AND SENSOR MAGNET.JUMPER WIRES,Ask your pool dealer how you can Improve your pool safely—they Will be glad to assist you. -FORSCREEN DOOR FRAME AND SCREEN DOOR•Above al is remember that common sense, awareness, and IF VOU HAVE ANV QUESTIONS CALL US AT 1.80P242.716]caution will allow you to enjoy your pool. MAINDOOR SCREEN DOORScc SERSORcR zwrtcH DOOR ALARM gure 1 PE{iM INDUSTRIES,INC. Pop1p°° The horn is 8Sc1B at 10 feet P.O.Box 658 ¢ LED NORTH VERNON,IN 47265 u'• z Z ° PSWITCHU REA, THOROUGHLY .• BEFORE IMPORTANT• ALARM 812-346-2648 �oolguardl O sn O ® The product has been designed to aid in the detection of unwanted e - JUMPER HORN intrusions into unsupervised areas. POOLGUARD DAPT-2 IS A PBM INDUSTRIES,INC. Poo guar r www.pooiguard.com WIRES SAFETY ALARM SYSTEM AND NOT A LIFE SAVING DEVICE. It �`�` MADE IN THE USA shouldbe used in conjunction with the safety equipment currently inuse REV.5-09 Figure 5 SENSINGf and should not affect existing safety procedures. WIRES [iA�TRX K AHHARN a Recreation Pavilion 1:' =6arAam „ B 3 aB o�MA710 PJP��4 MA 0219 P.61)366.D10 P:JOF3J9.9JI1 P:AI)36W1)6 P:JW9J9.9018 www.pat ri ck a he a rn.com 871 Sea View Avenue Osterville, Massachusetts . The Roberts Residence: Recreation Pavilion Construction Documents - Permit Set venue Ost Sea View each t- Osterville,Massacbusetts-i - ' April 29, 2013 General Notes: . 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Drawing Title: Cover Permit Set: April 29,2013 155UE DATE + ❑BIDDING: (f Q PERMIT: + ❑CON5TRUCFI0N: t f REV1510N5: ❑Oate:� - ❑Date: OISil1I0 ❑Date ❑ : Dam ❑Date: \5 t?ED ARCy/T. J. 'qy� Foy _ - C� No. 4450 2 N �^ o 9 J dl`� d $ O,P �p : BOMA MA. Jy OF t COVER t - _ " 1 - -4;Ao 3 o3oS3 five. -Tl?Y�l os l �n a6n /yn � nGQ�� IfYI s/, �113 [iAT�RWIK AHEARN — ,Fem111Ror.— I60C�wuim Avmm 17a Sawa B V . o®.NA 03116 E6p:m�a,NA@109 P.6113641710 P.6089[9.9M P:6172WUF6 F:=919.90[F www.patrickahearn.com The Roberts Residence: Recreation Pavilion 889 Sea View Avenue Osterville,Massachusetts General Notes: QEM1DiALCOMRA[.-mR 9 Wl N.V�ALL R1tBCONmAC10RRMDRUP,I 1O^v AWARBOP THe REQUDlD14]!IR OP TN P�N011S4. 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Proposed Recreation Pavilion First Floor Plan 3 Seale:L4„011-0„ MA. c� J 0 2 a s $F9`Ty O f h1PSSP�'� A- 1 I PATRICK AHEARN — AeanRsor 17=Sum Symp Sum 13 A,am> Bv®g6W Drl lb Pal�btAW.6)9 P.bD366.I11D P:=939."I) P:bD366]Z)6 F:-939."36 www.patrickahearn.com The Roberts Residence: Recreation Pavilion 889 Sea View Avenue Osterville,Massachusetts General Notes: aFxmALcoNrnAcloR sxAu 6lA�Au. alID{,D.v1AAC10RS MD 9UPPLolt9 A WARE Op IHe REQOBIPA�r1a OPrIff�ND1E4 ALL woRa sxAu ea PFxwa6�v IN omIDUAN'ce aYDI Au APR1rABI8 LaG1. I �atF.c�-rtu�cvN�nti�ma�o.�sAPBIY. I � I conalerrov�c�Barlmwaxovr�� i FOR SECOItINO ALLPFR6019 NE�59ARY F00. I CONIAALT DOCrRRdF rSr14 I QENFBAI.CYA'IMCfOR SNALL[AroVrINI}le i _ „�: �.. VFABY D>�NAL RPIAlPDN9�SBFHIita • I ,.` r`� I f• - z—y - •. � BFFaleeaac®o�Pwrlx woaaLOGrmrvs r t r $ _. 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YATRIdK.AHHARN aIbOC • `-A•a•e `'11 Wiuv Sb�iai aB®.MA 03116 �:eEp1mnM1 MA 025]9 P.611366.1)10=• -'P.l089399111 P:61f3EA12i6.,;;._ _ • F:508939.9018 ,www.pat rick a,earns!m x.a The Roberts Residence: Recreation Pavilion L889Seaew Avenue osteMassachusetts General Notes: OPNFAAL CONIAACNR SF W 1 MARL All ' 91®LONIRACIOR9 ANDSUPR.Q'A9 AWARBOP • THE REQUOiBt.ffinROPniB58 NO)a4 All WORK SILVl BBPFRF(I CAHLH ETATE l•2NA NAIL APPLMIffE - BrATB AND NA)IOHAL BUBDEVO.lbB 9AFerY, EIICIRIGN.AND PLUAm0V0 CODBA , FOR SFLURINOALL PERbOIR NflaS9MY Fmt . QENERALCONRUCIOR Sx.r.Be RESPON9IlilE . COMPI OPWORRTHROUGIWUfTID[ CONIRAOrDOMAR.'R OEt.'tRALCVNfRAC10RSHA IAY MTHB ' P6L DI HNMOwoR M PEIIFORb1 - vrxsr oa®vstoNAL aBLAnoNStRPseoaRe ':•'*3r';. �°ria mrmmO�NT9A�N•DDw�Cw'1roNs ' eE1:oRe PRoc®we wrlawoaz a4i ri,9 eeN•EnAl.LaxraAcroa sHAu.BE RESPON'SRiiS ' FORnOi CREWLEAENEN7SB AT10N BP IEKW IL9OPW- • t?'�, A REQUIXFDIRADPS/911BLY3NIMC100.4 . �` �' _ - ANY OBR]tEPANCOS FOIINDIN)HBPNNS, A• j m,/y.,?+;1 '. i%S'��::.=C .= -1 �- t (. •J .4 _ D01f ENTEBEORJNTHE DirIDHSOa ANr - ��(yy - � 31 4, ;: :.r .... .�-.• .- -F_ ?. APPARENr eRROR INIHECLASffiYO•L OR :.::•.. _ y.. t/ •• .-- - _. _� 'f4:. --•�-T"tGUJ`l1 i I .. SMTHaDm NOPAPRO°IICBEBR IAL�t NETFRIDOP ASSFA®LYaroBB BROIimrtro : :< ��-`- �+f'�..." •---- :~ Y�� _ �D�IYLONO NOtAC10R REdVtDIF990P W10iN0'R ORNDTAN fIPM tS .. ) ... .; k ._ ._ .-. ,_.<:r•s 1._-) . .'. .� —"''�"if—'"'"..� �'••. nm'OO�OSAv��PttD�FPn LaYsr�Auw�nmv� *•--•'t�4 -f�`-. 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PPAT%IQAfBMNARPOIFrr i/ IO ANY _ OHfAIN ^ -- ......�� ..t•:_�—.r- ._ PFAI.15,4 AHBA&Y AIA,A, PAIRI(A Drawing Title: Proposed 4 _ _ Front Elevation ;r T _Ix ^s :k•'R.' �� .::•o- #" uc .<F-o:a a _ .j._ P ^w`il '.•U..W'•�. •,> oNA c> - .�,� +q' 4 cYl.. '.:+'�", 5 :.: s{, i•� .'rY- rs•' �.t 3u: ti v r_v Permit Set: R w t- �. ;3A. _. aa r scar �t""t <� S.a• t. ;. .te Aril 29,2013 ..- Lal. .` .c.Pfi.•.< /m= __rh-' w_* -fir:'-'�:- 'tw .cam, - ;. :b_ xy� ,t.l. r.', -H: �,,,w,w��,, :'y :'`. ;;ii,, t•A `�w'.J. ekc ryr .. .1'' 1• '�:..,x.- _ =,c` P - 1 � �"•, .�/;. �t••:ry' -:,<; •i� - t > F _ .�r.- :'F74T3 �• > •a3'a..-ft`"r.. 5: lw.'-A+ T:y. .:fih ',a7:r - r.Y' '';:LLG=' - :'?rf•. hw.. ter.-+� '`.,�:_ -s," c '•:P.• - .�'. " •`l•� r...a-. r 'L-r• � _.- z� .mow :?'s .-a':�, .- Qi' jb.,. - .::rtlF7.i2.�r _s.. a..r.. "'�. m�._ ... _ _F,s�'.4•`�<z _._:��.._;rW,a�'k,+:�N+•.b..F.�. ,_.....�.,_...!'.r.'�,''_•:.".c,{u:'?,`5'L�+�-�'�b`��, ar�.:3?,'�.,�n�.::=.u�. •,'r +'�' - ._ '��.�b!2;;-: •,•^�,... iu.-.v ,z �", ..c?, ._'t :;�_' <;�t�:�.�r��"-, :��. ISsue onTes ❑BIDDING: ` ❑Pr-RMIT: ®• Proposed -Recreation Pavilion - .Front Elevation T North 000N5TRLCTION: . Seale:1/4"-V-0". REV151ON5: 0 2 4 8 ❑D : ❑O te: I 00 1 O Date: ERED o ¢ 0. 4450 2 BOSTON, MA. 5 J G yF9�TN OF 4APSSP [. A-3 FATRIQK AHBARN Aamltrpor 160C®m.ai•A.mm .,NwmSS— B9Rm MA.1.1 E,IPn —DLg9 P:6DSbe.IT10 P.]W9T9.9112 P:61T366IIT6 F:fWST9.9WS www.p a trick ahe a rn.com The Roberts Residence: «. Recreation Pavilion 889 Sea View Avenue osterville,Massachusetts General Notes: OPNIXAL ODNTRACIOR SRAIL NARK ALL ! SUBLONIRAOIORS AND SIB9SDA3 AWARE OF D@ REQUaiPl.ffi.:19 Q fl1E5H NOM ALL WORE SILVLBB PENHIRNFD IN C'OMPIJMTB WInl A1LAPPDG.BI ff arA18 AND NATIONAL BUEDINO.DFE 9AFE2Y, EIECIRICALAND PLmmND CODER ' O@T]tALCONIRACIOR SHALL aE RESPm.'SIlIIH FOR SRCURLNOALL PERAOT9 NT189ARYF®t CONPI8 WORRTXROUQImUr THE CONIRACTIgCDoc VA4I+R . n- ..• OHhIlALCONIRAO10R9UD-I.1rol 70 eE:tD TIB F1TmlEwD0.8ro BE PFAFrIRNFDro • .T•,^r;j:.' VERIPYDDffl:Gm PART.-M �SBe]ORE CON31RUClTNO ANY PART,ANDSIYALLT•pIBT . o: I'i`' AIL E]DSTINO CO.WmoN9 AND Il%.tln1N9 BPsoRE eaoLTrrD,D wmt wonR. Oel+DtALI)lRYIA.tC10R 5HALLB80.EtP•ONSB118 FOR TI@ CO-0ROINATTON OP UAflTn'RION.TL .. �sy�I))},,.iaM`• *Y /Yk,C -V N'Sl 4'CR"T%, I•�-'�"J�7 '{9 REQ�UIXFD—E9/�5116{p�YIMLT�OR . .=. N xis .r1'N - ..,.. ym'j:. �•P^41 'y x1'e "tit'.G' S W' ? ' �-a� '� 1V ANY DISCREPANCnSS PoUTD INT11a R.N9, `. .,•�'s,� ;� --. ._ � �-���� DDaxslarvs,�Ia:Q rnaTmTONsoR ANr . 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L�-�-' tea nt�i• •.�-•�'3•--iy •c '- ice:- .»- r�'1-a$ •-+P _ .r.L• ��" -Y _ - �•��-.r.;• - t^ - AIn'ARNAROmFCfILO,ANDPATRIIXAXCUIN. w�stlAuslwiee arsnmu®w t No TTon ea.+.ma.tD usa . .. roANT•TTma PAarY wmmurPasr _ _ _ oarAINTND TXE EImRasmwRmF•N • _ - PERNLRHONOPPATR[CRAXPMNARQBIP.LT • If.C,AND PAlAR3AHET0.N,AU _ y Drawing Title: �M Proposed . ..• d ,� Rear Elevation - - -- - y _ - .:,.9. s NOW ......,.-., ! lr..,. ,.,t:..s�,.. :�. .ar�'f�e'^ :'K`. ° "'"253 �•,� ,:¢.:._�+.GiT.. - :4q -5'."c%.. - -� - .:•.'>fiz�C.S� _ ..+�,'�;i= � sir•: ..K .:':q'' ""'+_.:,. .�+ :. t-afro+;r•..9.:ai• 4•.._ e - �•:.t-"s`i`F9V'. �! R' �.. .y~. .�L'^F" ^..-.'''ram ^'�•.,•-._�. L'wSn.v.. •+"I'ix.4 "lir" 1:{ � ... _,. �..�,00 ...r.:. ��•: �,..,.Yo.:..• .R...... .. a .r :Y. s. .l:•r. MF r.P,. AP-e_.L.,•... ..!' .t °,:�1 ..S:. 1 -..4 t.s.. Y'r. -._);.._c1 ...ti:. -}^-• e"�!.1 m,!v,•r .�, *e4 rF -- ;`�• v, a.s, . . .,.. -,v,.�s=:.sx �.. a. .s:., p� -�,.a.'.' .. - �i .3• �,:- `S' "S .t4-- c. T.. _,.a.i, vt l 5.4..5+-r :9 as r.}. '-..{ .,37:_ � :::} ..� .�...t!.. Zc: `�kT .:�•� ,e::c:;_ lr:�:' i;F .. .F.,-- .�5.�,.. 4- S} Permit Set: i f >t=•' `1. Y•".:-wi t� f� Y:S.:I:r N.a-r G.. !-i'u-..:}.r+ +'�'ti�1 :•M1� s44. .��' l' Y -c.� -4 v.".:.. :T:; -A.y 'c!'h.E ,__+..3:+t, ... ..�, C='':-5 :>!.- . �...v..... ""gi:r•[rJ .ai>°:.iT-�..::r: r:S .t:, .r,:sre:�r.;<».,. ...•..d3ri Yb�Y �JSn. .. ...... x�. '., ,....<.3't_...2 ".." {: %a'M.Y:..- •:._ ...i..� April 29,2013 . 155UE DATES Proposed Recreation Pavilion - .Rear Elevation'- South OBIDDING: Scale:.1/4"=1'-0" ❑PERMIT: O CON5TRUCrION: 0 2 .4 $ ' REVISIONS: ' O Date:A _ .. _ _. ... ❑Date: ❑Date: ❑Date: ❑Date: g,K J.O gRCy���c . 4 2 Bos O � M A. Jai • `yF'�l rh OF A-4 ~ PATRIQH AHEARN AsoanTaDr 99ucv I W C�A.®0 1]WImv 3Cad amo9.MA a2116 EQpxb�q MAa 9 P.61]3bi1]I¢ P:3W939.9313 P:61].3bb 1 P:SW939.PW9 www.patrickahcarn.com The Roberts Residence: Recreation Pavilion 889 Sea View Avenue Osterville,Massachusetts General Notes: OBtF3ULDOtDRACiOR9UPl- ARIL RUa BQUUACiOR9 AND SUPPN AWADEOP Tiia REQUDI@.¢R+19 OP TFRSR NOlE9. AIL WOAR 41Afl Ba PFAFORMFDN ' "MPI3ANT.E WRHALLAPPLICAaIE LOCAI. ' arATB AND NATIONAL aUDJIP'G,Ih89AFaIY, • aLECIRICALAND PI.UaO1N0CWF3 . � GBTkRN-CONmACmRSIINL afi Ra4'@1S®IB FOR aFNRNOAILM19NE�A9 FOR • COMPLFT¢IN OP WORXRRI}BOUONOVPTNE ' I CON]R.H:r DOCIiN�'IR ' _ c¢+vw.cDNIRAcma auuurovrwnm ' P�inTl¢BrrmewoaRroaR PPxFoaNGDro • - DD�iRIONA IR TI'm9�9a6V89 coOp.-aIRURNO ANY PART.MD 91A11 VBtpr1' :;f}n :i `(f !a AIL EA4IINOLONDmON9ANDiDr.\TOh9 ePa:oae PRacPrnND wnx woRR. :.R • ri 31- Ga91]lALLtlMRALTDR9 BBRF9VN5a3La I:'•T:. y,rl•. FORTTIa COORONAT WMW L - r'"3;ta.S�•. REQIRAFl�[]I99aTWFF1]WETHB WORROP ,., 'C.;�:;;Ik � RaQUIXFDTRAOPS/aUBLDMI1AC10RA �T�{ '.._..'. Am0I5LRFPANCN9 FOI1NDN 13@PLANS DAffiN91 P]09RN'O CONDIIRN90R ANY .' � �. �� METIRIDOP AST�PRODUCT.NAlFR1ALOR .:_ _ _ � _ TI@ATIFNIION P NIMLIOR - ".•Is�'h•eJ: \ .T.- :l - �Jy S• ¢¢n.vnve9�R•I@IFRp OR NOr AN rIFIQB \r- *ir-t A. AYS�. 'a aFmWNOR�ECIPNA Ta60PNFAAL - " ..'•"• ••� -• .-Q r:•.x:••a.•• >•.• . .�•: 'S, >fifi .• - .."...-...._a.e----a -''. ��.... A fa! NB.4S9ARY F0R'IHC PROPER N4rNJATtON OR . � r;+' i-;=. •,. .,• t .! � ='7 f_si I f :.\J",. _ .. PINCRON OP AN RFA3 RNOWNOR�FID'ffD. . -. •` -=.�T -- mTawim�_+rs�wa DDNIRAcicR OP TPA ' �' .. ..V - .. '-L r ,, .•.. _ ro�5U6�MrfAL OP PNALBD)FOR RDR6. OR _ 10991Nt AR Ba50A1PD F00. DDff11910N9 ANd WCMAORAWN®MAY - ....., .: .... _.. -- :,...� 'ate - Nwvg aPPN RBR000CED ATASCAiE -''": ..: •. - '�- 1 i11.\N ORBRNNIY DRAWN Drawing g Copyright: PAT M AND ALA, W THEPATR>� F]ffRPs9�Y Res ._ .. - + 5 COMMON LAw,COPY RRHD9AND OTIDA .. al } '� v.'A ! v �4, ""•�-"'_ ` _i- +tt-A"` eh 'T �3 .J '�� - .. T-1""�-T�•F PROPEan RI NTINsa DRAw PAMVXm .. ,-.,T'*" -3;: .„!'i3 L 63'#�1 .:..,.x-_��. s•. -..- - - _ -..r. '`' DaAWNasARe M Txaeaoemrr OP PArfu� AIffiMNARCNRECr ANDPATRICRARFNN ,__.--.,, ^ _-r�„`cF T ';z�l•6 fs`.�3,���ra.:�����.:v�i?:�'°`x- _.'. .: _ �- �. r,._, M�ANNP�n xaoa sxw nrerm�vmN�um - ..:._�—_._ •;—.---sue—' �- �-. .. - .-. .. . ._ .. ... - - _ OafAN [PR¢Rra+wM'IfN PERMS9ION OP ONMP PATIt[CBANPAIN.VILIDIFLr ' l E 13L.ANDPATRIIXANP\RN.AIA Drawing Title: t Proposed ] I/ � _ � R n✓ ;� 1 y�,i�9 Rear Elevation • uii' :T` r zn.a:G•-'s 1-�./`.€,a�'.�.,•,'�ri;,:.E:Y•��- .a:r+.ems:.�:`a..'�F"r,:w.,_:�---�-3�11.;�y:J'h,�hy..s��:.:�i:.4�4`'i'.\-. r.�.:b;.tiv•"���6��:U l�r=�.+•s,��,+-e.-i-•. -�',�c�:: ,s,r�e.s.,.:.P.y�y_-T q,�...:r�,.. ".,:�..T_Y V�'>-+L�._.J-r'��,.�'�...y•S.Ci,d�.7q.,., `� 4...'Z.'��.aJ:'°.�C�_;�""''ti=-�.-^-`..-r.••�•c.am, .i N! +�.Itf:..•n•♦��-T.Ci--"r/�.,�.A'�.'w S:-e~ --'3`-F1 l}': _ i r r-'T+..�•-' _ kYM���S•.• '.`r,':-s-aR". � O' Y {�4:`�.- �<riiT O.. ��a>'.f�y`• �'c�.,.�<.`v'�.&"' -..'.�-�•�'•�.. Per m it Set: AYril29 20 13 _.Fr..r�_._.@'_tr.`•„'"•��'.�•�s.P?'r'Ss,.'/�• ..h`�as.4�`��:•ix;-�:.. ..acc_rC.�_a�_�'.t�-.,.,.,r.._�.Tt, �.t_ram:,a�_..�•_-�.._.._I>fi33'.�-�_/. �...1.,.._.-xs..�s... :d�._ ... .-.�ti<P -l3£..-....,.�?T.r. 4,::•w:.. .,.s 155UC DATES O BIDDING: Proposed Recreation Pavilion] - Side Elevation - West ® Proposed Recreation Pavilion - Side Elevation - East °PERMIT° • O CON5TRUCFION: Scale:1/4"=1'-0" Scale:1/4"=1'-0" RevlsioNs: 0 2 4 8. 0 2 4 8 O Date: ❑Date: ❑Date: ❑Date: \S",r,_RED AR�,i,�� ��6 G '9/y� 9 o. 4450 BOSTON, MA. h J P 2��yCTR OF MASS v A-5 FF7 K AHBARX ♦ ` ,1 72•-5" a1TlQI —_ 10'-2j" 52'-0' 10'-2i2' IeuGam..n A•.v EA.e.R SEA021310 1,12K1710 P.SDL.9J9.7S12 R f11�if P.SOLMJ M - QJ--------------- QJ QJ QJ QJ QJ -QJ QJ • r _ - ----------- _ waa.prtti-otRheRrD.eom -------------'-- -------------------------- ----------------- ---------------- ---------------- 1 rvl - ,II 1 The Roberts Residence: ------------------------------------------------------------------------------------------------------- ---------------- ---------------- Proposed 1 1 I I RJ Pavilion r-------------___ _____ a ______ I _____-__ __ 1 2_0^ 1 1 2_0• ________ ________________________ _____________________�.. 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I 1 CANRACLQ>DAILtRO LVDRPJ1BR0 I I ; I ; ; I.KZMASTIQ mPROV RISTAISAT GI I I `------ -- ----- I 1 SU�� � II ----- - --------------------------------------------------------------------------------' I -1 DGORMmrrsVM OIDLLCIO VT!)® I I I 1 RBGIRD@.TB ILAT MT VOTIIPL I I I 1 TLS�Y®MIFImL B 0R 0RL R>Y I I 2 I 1 ro■IMRTALVtOTAL RIDIGIRYLlL N CU V QAR'DI®vtAtLILDT®sCAiKDL•>tl QJ QJ QJ QJ QJ I IQJ IRAw R7[fTCBIPSOCUMATAREALJ 1 I I 1OAfDXORS�.vAVRR}I WT I- 1 pVIdD'fT TNA)1013IIiALLT ptA{TL /.___________________ ----- -- _�____ _____-___________ __________--_______________ __--_____________ __-______________ ___-___________A I 1 l l 1 l T I T L I . I D—ving Copyright EAT AFB.RRN ARLTDRf.TLZC ANDPAAWIM T ________________________________ o0MMQAIA.C%1I P•Aa�RESRYBT® omar uv,rEn aJITLTn A10 LrttLla tRVEiTTRIIZ IH W011IvfGi T[� AFEAMA CHrrW tLC AND V tATIZ A!$AW AR[EDSBLT irL A/aD tATR11J1A�AW, FOUNDATION PLAN ADADA SmIC 1/P.1'-0• OND SN LOAF. JS PST AM1AA7AA�LIDSHQALL®N.S[Otf IRSUY R8 A59®u.'®114>ai ABLE AT so oUK Lf OS wr UNITED AM' i tBB TGANTTmDrAaTTsrtrolrr lust .81 OLE AIMS AND SLEEPING ARLASI SO IV Offr 1TOM 5)M&r I VRLfiLT ALL T.E.AREAS fXCEll DECKS AND BLLCONXS AO PS! tr11@SL7r V PAT A1@ARNA1CWn= EXTERIOR BALCONIES AND DECKS 40 PST =ANDPATRLRAVAR(ALL mxo mADs T�� Title: YAsSACNus[IIS STATE BUILDING COOS ILO.,K[XFOSURr D Dmwtng 1 itle: 0[AOwt[IGMS o1 MATERIALS AND CONSERUCDOx Fo��uT�ndation GENERAL CON&TR/NS Plan 1. O.C. Usl 8VIl0 CXACILY—1 IS SNOWN ON STRUCTURAL DRAWNCS. AxY PROPOSED OLIO..a FRON—1 IS INDICATED—1 RE RMLWCD y2"$HEATHEN WGH THE'EmONLErR PMR TO CDNSTRI CTIOM. ALL UNAUTHORIZED CHANGES TO RC APPBOYED DRANTNBS MUST BE Rr.OKD AND REPLACED POST 2x6 EXTERIOR AT RL CONTRACTORS EXPENSE. DOW WALL Z DIE CONTRICTOR SIULL WREYLAAr VERITY ALL DIMENSIONS AND CONDITIONS SNDNN ON DRAwwos PRAIR TO COMMENCEMENT OF THE WORK, Foundation Permit SHALL NOTD IY Y rNr E—ffft .rO.ICLI Of ANY DISCREPANCIES 2x6PT PLATE BETWEEN CNGINCCRUK AND APOHIRCTURµ DOCUMENTS i. THE CONTRACIOR IS RESPONSIBLE FOR ALL MEANS AND NETHOOS OF O,t•R��• ARCH. FINIS W/YE^O ANCHOR BLOCKING TEMPORARY SNORING.BRACING OR OTNERwISE PPOTCCTING ANY PORTION or At 2 BOLTS O4'-0"OC I-JOISTS OVER BEA 1-JOISTS Rr SRUCTURE.$ITC AND UTILITIES TROY BAYAGC DURING CONSTRUCTKN _ . Rr rNGM[rR IS sKCUrING Rr GMIsNED CONDITION ONLY.WONOUI -84 HORIZ. 4'EXTERIOR SLA AERt6IM�INOWlLO*[NOR RESPONSIBILITY!OR HOW RL CONTRICiOR WILL ISSUE DAT15 EOSP UP WALL ioa Raov.rrox Woax sRLKYDZAL DRANINGS va LOEB wlrN OeIDDING, I A TIONS MAD[RrWROINO EXISTING CONDITIONS. U CONTRACTOR d PERMIT, MN 04.29.13 J 1.0 rC.—CONONIONS NOT AS ISSUu[D CONTACT EN IT- S sq "t • a IYYCOMirIY.RMSION3 t0 iM[STRUCNRAI!RAYING WY BE RCOUIR[D. S. !OR EXACT LOCATIONS Or FLOOR AND RDO!OPENINGS POSTS.ETC..SCrg �ON, ,Q4 • I ARCNIICCNRµ DRAWINGS. 16-SLAB KEY 1 II' . a'O TALLY COLUMN il.:�r FODND.wNS ❑DRN tII Q I - WITH SPRINGFIELD CAP 1. ❑Date: ®46'OC BEAM [XCAV�,,TO L.I AND GRADES RCOUIR[D i0 P0.CON LLfDI Mr STONE IO"CONCRETE Bd020"OC AND BASE PLATE rouxDAnoNs ON INORWNK.uNDrsmaerD son OR CoxrPOtuD m VENEE A FOUNDATION WALL 4-Bd HORIZ. STRLKNRµ BACKFnt As a[oulR[D BY WE ARENN[tt. Au LxuvuroNs ❑Date 2 SHALL BC DRY BUD I PLACING ANY CONCRETE. EOSP UP WALL 2. fX OR FOOTINGS SHALL BE PLACED ON APPROKD SOIL AT A IGNIYIIY OD]tCl DCPR 0!4 REI.OR AS NODIDCD BY RE STIMwA,CNLIN[CR.BELOW ❑Date; 2 RE LOWEST A—CENT GROUND[%POSED 10 FREEZING. ANY ADJUSIY[NI j< 1 Of FOOTING G[vAGONS WC TO FIELD CONDITIONS YVS1 HAVE Rr • 4OMPACTEl1 Z4"MIN. CONCRETE SLAB APPRDVAL or TNL ARCHITECT. J. son BnNING CAPACITY: FODDNGs w BE PLACED ON sat WTR A FILL 10"CONCRETE W 6X6W 1.4XW 1.4 WWF A N LIN BEARING CAPACITY Of.GOD POUNDS Pa so DARE TODr. C 2x4 KEYWAY l / BACKFILL BELOW FOOTINGS AND SUBS SNµI B[MADE WIR APP"WO 1L FOUNDATION WALL wnxLnAR NArrRMts PLACED IN a-ur[az urras sNAu az e CONTINUOUS 2x4 KEYWAY CO PAY DDTO BEST DENSITY YNOD D.AT OPTIMU.NOTSWR[CONTENT.AS DCYTNCD OFOr ^NS FOOTIN CONTINUOUS s. BACKYIWNO AWINsr w.LLS OR PlraS MAr ONLY BE Doxr.nCR wAtts y�s5' Jq • -\ RESIDENTIµRCO"YRWYONV N0 CKnwNG1 BRActo TO_NY NOI T. w�LLS MAY TAKE PLACE DANIELW. C = FOOTIN r B VUNNR Rr FIRST YIOOR DECK HAS BEEN!RAYED AND SHEATHED.UNLESS APPROVAL IS LIVEN BY TNC AITCNIILCY OR CNGINCCR. a. IROWOrONDL IOUHDATION DRYNAG[.WAT[RPR00lING/DAME-PROOFING AND Q r+ ` • IOUNW i10N MALL INSULAiroM AS INDKATED ON RE APO.—Rµ o .4 DRAWING& 2'-D" / 1. 'R � � COMCRCIf � 24"X24'X12 ALL CONCRETE WORK SNALL BE—MINED IN C.YDR.ANCC..IHr PAD FOOTIN ulrSl EDITION O!ACI-11B.•BIALDIND—1 aromar.rNTS TOR POR MaNG MID PERMR Y—2'-D^—a�- 2•_O^ RCMfORCED CONCRETE•. 2. CONCRETE SMALL ACWL A MINIMUM 28 WY Or—STREMOIN AS fOLLOwS:F00TINC5.NALa.INTERIOR SLABS-ON-GRADE.AND DINER FOUNDATION DETAIL �LLALLY COL.DETAIL TONCRCT[N01 Or_SE SPCCVIED-J000 M.CXICRroa SUBS EXPOSED A f0 ADP AT R- DINT PSI. Scft]/P.r-w Solo 9/P�V w J. SLUMP AT ML POINT Of DISCIURLE FROM WE READY-MIX TRUCK SHALL BE 0 S-S'. ASTA ACWO STAR TYNELD -ARE AILS,GRAD[60.GELD BENT- ASrY AG IJ,GRAD[AO WlID[D WIRE FABRIC-ASTY AIRS. N/Fod N/F CH�o 1 Tr LEGEND: .,...:.. . 831 S.YMar Av"lur Au.t ) _ go��•'+'�-'l s ;:sue I�r`(�,4���r. Do\(d N Khouryt Tr. / •-\i•/ a '`y. 1 .,�, N111 ) WDY) Ave (40' B9de Public Hwy^�VIeWSea .�-0 =� .,•': l t : a. 1322Y 0t 2 1 ( . )ConiM1rwe TM �T'•'+ fy' t/y'' I. 1 i 43,36 SF.(I.002AC) �� ' 1Gw.'�� ,, •,. �" 'y � ' / r 1 O LCB Lend Court Bound t •�I T t i t o CB/OH c.ncr.t. •��° Hlt Bpmd./drsh ae ■ SB/0H Stan.Bud./:mos ary Antln "Ifse I .0, utility Pa. L CL.'tOi.1.CA�T`Y'IO r N MAP: AP: Op+ 1895 Light veer Seale: 1'=2000'1 2 Sty w/f .f r .:{ Iyoter cote(romd) i Cotehouse I \ \ -CHW- Own.al*11. ----23--- Elevation Contour, \I 1 \ ; ; ' -{- Und"9rwnd Utility Un. ASSESSORS REF.: \ L01280 1 $ � � � Pvava Map 090, Parcel, OI4 ZONE: OVERLAY DISTRICT: AP RF-1 Area(min)87,120 SF(RPOD) - Aquifer Protection District \ + i Frontage(min)20' Width(min) 125 Setbacks: FLOOD ZONE: Front 30' Side 15' zone B. C. A14(EL12), V17(E116), k V11(EL16) \ \ Rear 15' Community Panel No. \ 19 f 1250001 OO18 D. 1)_ t I July 2, 1992 1\ 1\ 0 ailing i I ^IAA 1 Sty w/f + I 1 Ftness Annex .......I�v- ttf ; I r-----N- ------ •1 1 1 ns I g ; I I '/ i tn 1 I I I ?e 1.14 '1 I Strip out u 4viobr.material. 7 { / I SAS DETAIL • _1e1 ,9-' ; NOT TO scALe I I f i ` • j r i �Hy SEPTIC NOTES 9 , oJ/ \ r I.Locetion orUtilitks Slmmnan This Plan Am Appo,Al Least72 Houn 9i� I 1 Plitt,to Any Excavation Fe,Thu N .Um Contract.Shall Make Lot 2 \\ 586T013 \ _l�r A the Reposed N.f io to Die Safe(1-888.1aa-7233). 1 47,141:E". Cj / Ol 184 ,.9� / }� The coetncmr ia,eleaw locmmc,the Engine,al Isla 7211.m - I I toew I r 47�94Jt3(1.10SAC) , Nicr to Conshectim lot tic•Construction 0,She Mmfulg. gp,b I 1 i to TCB I N 2 The C__I'Required to Smac Appoyewa Pamirs From Ton, �M @ 1 O Aga d z For Conan,a fion Dc cd by This Plan. poll I.p / \ , J.Whm,u Sava Lino Musa Croa Wata Supply Lin.Both Lines Shull ]___ Becoteavued orCLua ISO Pnmm Pipeand Shan be WmaTcaodhe N - i+�JR\•lat Q g Amle Watatigh.ta In Gmml.Water Lines Stoll be Canwsrcmd in / b /� al- aara5 3br ` Coordiaatim WiIh COMM Water,asd ShallMNA¢ordamc � 1 ,'� I ! With S48CMR I.00-7.00A JIO CMR 15.00. ^� { 4.AMmmmm af9•afCmv is Rspu'vcd f.All Compnen,s TMY,!`;',•?•:?• Spfk Tanx y�:�/. tit \\ S.All Stmcnms Braid Thee I-.More.SOI. qi?C,dath,p -/'/ m 1 toVchiathv Tmlrtc to be ll-201.o.ding.It i tic Ee,k.&a •�g@y;i Sly•/f /'- ffi 1 .r-- �`\ \\ I t Re0000-ale..It.,H-20 AbM he Umd. �/ <s 6.Instill Wight Rich aed C-to Wiemt 6•orF i teo Gnoa i Ova Septic Tank lnk,ad Da11..PIbx.Brd Om ltarhiug Chanlba and to 1 - r- - / ^'.I k i j\ 1 $� Tocrade Wren P.edo a. aV \ $ 7.Sepic Syaan mbelmixlkdn Accord==With J 10 CMR 15.00& 1 l -- �\ I 1 /_,!:.- �• '\ I q y 248 CMR LOD.7.00 U=Rwislon and the Town of BtnWable S -+��� _1tu �1 - - B-.do fHealth Resdl'.ms. V _ t. Y "D r I �j - - _ - B.All Piping to be SO.40 PVC 9.D-Box Shan lb-Minimum Inside Die-sio,of 12•.and a Minimmo allm D f I I r 1 I Sumpo 6'. � 10.The Scpaedm Dinrtm B.w¢n the Sgstc Tad Inks e,d Oudca Slur M No Las th.the Lipid I \+ qo Depth Into Tea Stall F,md ' --------""--- I a Minimum of Hr Be1ow the Flo Lim.0ulleI T-Shall l Ield M• r" i I Bekw the Fbw um,one sn.n be 5gdpped wim a caa same E iaing Sync Tank is to be Raowcdo,,optmcd and filbi with dao • //8871 Fill in Attv,dan¢with J IOCAfR15354 and the fieldfielde tv bl �and Site t I EaLetfnq 2 Sty filled with d--aeal ri. / Deaihp ...._......................'p 0...0 O I / ^ - 00 Pva-W .._.i.._.............. , G,I.thq 13W CorM ........-..... l Fenn ........ ..'- Slpfk Tank to to .........� -------- n..�. Ramou.d err Abandoned .............. ree R S.ptk Sptem to Ds Ranoled See note II. _ _ Fool \i .. -17- ,� I ��sntte'19� LEACHING , AA ' -I I \ / p1ANBER mo.. / Ira.. .. .-� W EEYA Flood Zone I.Yne + { % (-\/•10 A.Par RRY Pons .__.._._ -\•��-•..... d.................laea•.__.. _ l..Jl\,-l1 SECTION OF C �T z30001 001e o /1 CROSS SE CHAMBER \ r ,41y 2 1.2 /OQ 1BM f Cis •Hcw \\1 ...... SCALE C t err CB B EEMAZone�'`=` �- A14(E7.+2) rap of (TTa D ff calk _ -- °�'•-��� O PERCTEST:13,254 Me(To- at.0 r PERFORAIED DY:Prl'ER McOM-C Srn l542 _ SOIL hV,LLUATOR NO.13586 _ . + • WITNF_SSF.DBY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE MARCH 19,2011 SITE PASSED sea. TEST HOLE-1 EL 17.2 TEST HOLE-2 EL 17.2 � ' R r._ :::::u1.tiAYfR•fQ)R'4!L':..-::.. ^::;�y(VAYMMYR-412::::8:::, ::•::71:iR1CCtY ::.:i:• f7iR:iYlNillRIJ ::. Aj4(p,t2)B� J _ - :-:...................... ..........................................:•::::::•::•.LU 2 Z06 - - •:::.n'AT.'11YR•leYR••l x:f:•!l:•l:•:•: '.::•.n4'.ctZ.En lnYR'9A:.Cl:•l:•la Ts-N7(EL18) r• ,� /- oadd •:i:reiia......v..............i. {i::riffviiwiriirilieiiidi:•i:•::Lii .......................................... :TIJA T:.mmi::•:::::L'::: t ic (:1tiri4tT'1¢Nl1•::.T:::.:.�: i C LAYER 2.51'6/4 C LAYER 231'6/1 _ - LIGHT YELLOWISH BROWN LIGHT YELLOMASH DROWN MEDIUM SAND Il+• MEDIUM SAND 62 -^` FL UTEST 19.2 _uR_WAD IiNNUNTF.AID 25 GALLONS GONE IN 4 MIN. 1 17. P'OGRUD.Dw Rk•(.bU nXhD4j r,7 ntUcket Sound Sys Na DESIGN DATA Pyopomd Po.4kn Hop-dl`.iro, -3Bod-.Min See Not.6(Ip•) P�S1+.Jr 1fAss IIDGPD D�gaO° `N qC Toml Daily Fw-33OGM F.C.a.moo F.R FL i&OS .y U-15000.ISepk Tank JOHrJ C' J LEACHiNG AREArrml no,Equill er. Q"(�F A 3 Bedoom Min'unum Design EL 16. I P/aPa..d A.Rego/rod (\ Cry B GPOre12.83 AR)-445.958E Needod to firm Prior To - f.J \U\ s L Botmm Area I283 x 25.0-JN1.7 to Andy 1lbrlt I I500 G.o^n 3 Prw im EL 16.19 Side Wall 2(12.83.25)x7-151.3 1 C.'� �.G H-20 H-2D T-1320.75•151JM72.1 SFO493GPD) .. „ LEACHING CHAMBER I sep0c r.k r�4 s ireposed I 1 DESIGN ro ee m.tmred m / --- Crlamber f�---------------'-1 �ta61. a'-C-In ea•Boae =--. H-20 i Ail 5 D a m be Scheduk reb Use I 1 Paa __�--_ sae cd Lcrb ng cnamua.m a eee With e.den p.'rs:- ;it:€ia€�ncaanhd Rio.-�_:trcracv;_-as='<_:_=:: V I'i 11l 4'orpoubk Wasted S...Field a Shown. Inapeetkn �4=fAiiutrdDt>SaYE::i1NiiD »_iN;:_. _e 1 RBaNaa -_;;i,__TM::DntsJ?n5isE_a:_ut=ltid=_by2lmn:__:-:? 1• 1 20! oa For Dtle 3 s f -.ndFAI9WiFyyel -_a _ ________________________________.:-:.,_.,,.:..;':.-;.i.;yys!rar.,J[a'6LPst . --:-2.1 :-:-_: Reduced PROPOSED PAVILION HOUSE No 6Yame'-fa, DEVELOPED PROFILE OF SYSTEM BPislgl glAdd S o e Fence 1D-22-15 ®�� NOT TO SCALE aVlsiall Chon a the Pronowd Pavilion 9-17-14 "t" Site Plan PREPARED BY: PREPARED FOR: Notes/Revision: Proposed Improvements Cal eSury 1•) The property fine information shown was At 889 Sea View Ave Sullivan conea►tlngama r p compiled from ava/lable record Information. 2J West Bo Road Suite C Barnstable (OBte-ill.) Mass. peg4salg.nh.0.711erbL0�r�Y1♦. Ostervllle MA 02655 Robert G. Banish Trs. 2) The topographic Information was obtained .ap...tlma•ew�smr (509)42d-3994/420-3993fa. 889 Sea View Ave Realty Trust from an on the ground survey performed on or between 271JLIN112&23/JU1./12. 0 RLH Field:RRL K Review: ) 30 0 is 30 eD 120 J. The datum used Is NCYD '29, o fixed mean V Date: "=30' C-P•WHK/17RL Prof A 3200037-Raberts sea level datum. September 16 2014 Scale: 1 Draft:-K/I7RL Drawing 8 C444_6C1.dw 4 ASSESSORS REF. Map 090, Parcels 003 & 014 OVERLAY DISTRICT: � � , � : R• per,. AP - Aquifer Protection District ' ` : ;a z /'� 3 � � �n Y?r`'",£lei ^� q� Y'"� Ay�'fF FLOOD ZONE. 4 r ri y C, A 14(EL 12), V17(EL 16), & V11(EL 16) l , Zone B, . �n " Community Panel No. "� y ff �, #250001 0018 D - x July 2, 1992 lip N/F en C Weld Tr 831 Sea View Avenue Trust \ 1860 r 7 , C� \ g � David N Khoury, Tr. A�ve _ public Wa)Y) / 40' wi 9+26" LOCATION MAP.' Sea View F �, I 0 I Scale: 1 200 — 2.23 i'"EJ, N8610'0 20.0 13 / t � ° Lot 281 i ZONE: 43,561.-SF (1.00±AC) ( L t 8 1 t RF-1 tit 43,563f F 1. Of AC) i r`I J { ? 1 Area (min.) 87,120 SF (RPOD) Frontage (min) 20' Width (min) 125' Setbacks: 1 Sty I I f i I Fron t 30' w/f Gora j 1 1 Side 15' a Rear 15' Clearing #89 Pr osed 2,?dt y f " I Dw mg o } Ij tip* I CO W I► �.\ Z DIRECTIONS: From Hyannis Headed west on North Street; Take the first exit on the rotary onto. West Malin Street Turn left onto Pine Street, and x- O o ' ; � ' 2 1r cointlnue to . South Main Street; Turn slight left onto East Bay Road and left again onto CO Wlanno Ave' 0 Continue onto Sea View Ave. Locus us is on the Left # 871& #889 e/ rn \ h C3 �\ Lawn i 881 1 j 1 �ty w/f 1 , Duelling , I L _ / / Q 1 \I o � W 1 1 W - I Lawry 1 K 1 011 Cn O ° + 1 1 1 � U) T\ 1 CD pQ �< l CD NoCb ° 1 N I 1 W / m 20-1 Trans I i H / V r: N \ Veri 61 / i 1 125.00 CO �g9 6'1013"W / - •53 _ Lot 282 _ _ _ _: 1 S8- - _ , -- � 7,141±SF (1.08±AC) -\ to TCB - Approx Septic �/ I �� r / N as per BOH Card , I \ / / O n2 1 Cb n MITIGATION. Clearing / 1 N 1 , . f \ cn \ m wq1 i_o f/ I / b z- Z mm:,, 50- / o 100' Buffer o/ :./.. .. / /. ....... m v,c Removal.�18_. -1 CD -� of Existing House' 1103 S.F. \ 1 .. I I / Proposed New Pool 2254 S.F. 1 , 1 I ) I ► i I® Lawn ` New Construction in Buffer 1151 S.F. I .... 'f1 8 i z 8 a _................ 00 �* Lawn m I ; Total Mitigation Needed 1151X3=3453 S.F. O .,,, / I 0-50' Buffer I 7 a 1 I - 1 --- I ; "'•; ++++ Mitigation Provided in 0 50' Buffer + + 1600.0+1500.0+357.0=3457.0 S.F. a I + + - Porch �- ---n LEGEND. I 3 I , , ' Y` *8 Full ' o 1? 1 4 - � easement `; - - Removing Non-Native & Invasive Species & Replacing with Native Planting In 50 Buffer o ; I #871 i Proposed 1 I : e P 9 g ffer o ,�; Existing 2 Sty Main House ........ v; 3716 S.F. Cedar Tree (� I I -t ' P se 35.3. n i w/f Dwelling ..... ..:...:... I® , zv: v Additional - 1,e1 .....• , » Removing Non Native & Invasive Species polvn I ,® Planting 827 S.F. 0 62. y € I v 538 S.F. #889 f o' ... v v v Holly Tree / i :. . I EVVV,7] Additional Planting with m 100 Buffer 2 Sty w/f I / ec v/^� / _. __-- an �v 3585 S.F. lrJ I Dwelling _ _ o e Demolish d r r: - -._- tone Patio v v G �OnQr s vv v P n G�� 16� r Deciduous Tree Q :' , ' v v Lot 184 i a LPG ' r Pool c c ool Tanks i v i v v 47,94,�fSF (1.10±AC) .. I Sh ui Additional Planting 0v v v v v _� - to`'/l'C�, Trees to be � 9 Pv ,Avvvv � `� 1927 S.F. v �"v v v v v Removing` ,� ....... Removed , o � � / ,;-�' ''•.. Stone Woll + Coniferous Tree �i^v v - Draw Down'Pit Non-Native & New Mitigation a, . _ v .v Invasive Species v for Pool and Lawn P 357.0 S. vvv v v v v v v"v'v f _ 1 f Roses v v v v Roof Runoff ,. 50 100 Buffer . ,.. . ~..r. » ....... ,1 v d v�„ Additiona ❑ LCB` Land Court Bound I v v v v v v v v z- .. • FEMA Flood Zone Line "f .:: --�• Planting+; Chain Sink ence ❑ CB/DH Concrete Bound w/dnllhole v v y v v v v v v - ,6.� + » 1 1 As Per FIRM Panel Lawn Ro - 8 „v 1120 S.F. l v1h� v v v v v v � ••, �-.:'.... . ... . . Removing + 0 'SB DH Stone Bound w/drillhole 250001 0018 D v v v v v / Trees\ to be Non-Native & \ + 77 v v rev July 2, 1992 a v v v v v v'v , + + 2 'v TBM E1=18.4' NGVD -4 Guy Anchor v v v Rer�nolved » Jnvasive Species + Construction 0-50 Buffer sof' tf v H P / -0 Utility Pole + + + + + a to of CB DH • + + + + + + + + Work 'f.,,i_.._•.z--- '`�----i�� L' 827 S.F. +.: '�7 v d v I, Hydrant + + + + + EMA +; Replocm n-Ngtive v v v v v b' + +-�+ '+ + + + + 1 Z ' + & Invasive Species v p Hose Bib ........ . -- L�7 _ FEMA ZD►1P. I a2 +i. + +-+ + + 0+ With Native Planti _ Light Post + + + + + + + + w+iM+ii�I �f��Xn+ + ,+.... — 733 SF_ - " A14( _ , EL12) + + + + + + + + + + + + .1500+0 $.F Fl �~ : -. s--- - OO Water:Gate (round) I rn - — — — — t - ++++++++++To o C aStol+eairk++ .+ + __4"__ OHW— Overhead Wires New Mlti anon + + + + TCB+�T wn Oef4niAion-) + _ ! _ - g -"' _ _- - -- -- Elevation Contour 1600.0 S.F °- — +++++++++ +...++ ++ + _- - __ _.- Under round UtilityLine _ ~ 0 7 Replacing Non-Native - f & InV sive Species <..,Y..,1, "- Wood � _ ._ - ...-• ...- -' _m Deck Rrvvt„a-.r?Ea _ PK a 2983 S.F. - _- - — c wood -'" .:.-. ~�- _._ ..-✓' ~ .,. ---- _._ ---- _ — Stairs __•' ~ - _ 5 "- - St10 ales r _ - _„�.: -a !_ r Wood ' tolrs-• --; -- CIS L ass � f 6 .. 90 Beoch Gr �_ -- ego ch coastal :�•-- _ td r~ ^/ l\/ � l 5_ - _ --- ll1 -~ Sourn d - Ket Nan tUc Aw SULLIVAN .27 r\ Q TITLE: U date Pool-House and Pool House Porch —1— TITLE: Add Note to Remove Trees Title: Y PREPARED BY. PREPARED FOR: Notes/Revision: 4 Pro osed Im orvements c Ca eSUt'V 1.) The property line information shown was I Sullivan Engineering, Inc. p Robert G. Bannish Trustee compiled from available record information. At 871 & 889 Sea View Ave g g� : p n. CD PO Box 659 7 Parker .Road 871 Sea View Avenue Realty Trust I Osterville, MA 02655 Osterville MA 02655 2.) The topographic Information was obtained - ! Bamstable, (Osterville) Mass. from on on the round surve erformed on (5os)42a-3344 (5oa)42a-ssl7 fax (508)) 420-3994 / 420-3995fax 9 y p or between 271JUN112 & 23/JUL/12. o 3. Field: RRL/WHK Review: JOD 30 0 15 30 60 120 The datum used is NGVD '29, a fixed mean sea level datum. Date: rr r Comp.: CTR Pro). #3>200037—Roberts February 25, 2013 Scale. 1 = 30 Draft: CTR I 1 i i _ I _. GENERAL SPECIFICATIONS . SIZE: DE PTH: REFERENCE NUMBER: TILE: COPING: DECK:TYPE: EXISTING PATIO: � „ STRi1`�TURAL., NOTES FINISH.TYPE. 12 0 PUMP:TYPE: SIZE; 1 • All construction is to conform to the Massachusetts FILTER:TYPE: SIZE: stag: building code and all applicable r d 9 PP ble product and design HEATER.TYPE. SIZE. d . a sta,�dards. Absence of specific Items from these SKIMMERS: RE D 18 - LIGHT.TYPE. Q . a drawings does not Infer that the contractor is relieved d ' POOLCONTROL. v , . � from the statutoryrequirements. atutor code -' r ,., CLEANING SYSTEM, a ; 2. dl materials and methods of construction shall `8 — 1 Q SANITIZATION SYSTEM: d M OTHER. . ._ ..f. _ conform t0' the approved rules and standards for � o o , P - r i Is a SPA SPECIFICATIONS mat a , tests, and requirements _of accepted SIZE ELEVATION. a ,► en heerin practice as listed in Appendix A of the 9 9 p_ P P -2O .': _ —22 ..- , . THERAPY JETS. THERAPY.PUMP. v. Mass achusetts State Building - � » v 12 O g Code. CONTROLS, LIGHT. 1 6 d Po'ol` Notes. SPILLWAY: OTHER: 1. A..9sume maximum safe soil ,bearm ressure 2,000 0 0 9 _P 0 0 Id Spa Bench ?_ `Transitions 2. Ail pools are to be laced on natural undisturbed _ 8 10 P a mat.rial or compacted ranular, fill. Subsoil bearing p 9 9 C strata shall befree from all vegetation, m loam and C L/. •. organ,}ic material. J ® a GJ 3. D'n not lace backfill against pool walls until all - wars I a t , have obtained ? day c , , a cure, strength. , NOTE. Measurements are from OP AM. . �f] --�-- i om T OF BE Subtract � ,. 4• A , pool : floors snail b�; placed on a 1 6 layer o, C.✓'� � 3 for `actual water height y Water Height m r 5 c, t cProctor crusi �.d s,.�l� .. ....ores ��c_.ed o �� standard r � I ._ • � 9 � � � .�r.do. r� �� ;. , e I -� dens.x. at_ the o . tls ,um moisture content. ,, :. F , ,.a._ «fir.•Y=.�:�� 1 �s Shot ...re 8 e.1 I4 — 3 1. Sl� rotcrete nixture, form work, delivery, placement and , • reinforcement shall con,,.arm to all <requirements `of A Ck : 4 _r + 506•,F 95 latest edition), , unless _otherwise noted.. . h . . d a v 2. C �ncrete materials shall be ASTM C Type 1 Portlond I I I cement. Sand and gravel aggregates shall be normal 9� y 12 0 p wel �. and conform to ASTM C33 Standards. A reate t . > no i t meeting 'ASTM` C33 standards may be used provided 9 y p ►. 3 @ 12 - O.C. E.W. 4 C� :12 O.C. -E.W. _ • Horizontal) Through Out ,. .._ .. ..,,.�. , r y g re �,onstruction tests ' demonstrates the shotcrete ...can Vertically ThI ou h' Out Entire P r Entire Poo! Wall & Floor Spa Walls meet, s �,.cifled requirements. All concrete shall be I air entrained. Concrete compressive strength, f c in 2 I 8 ( ,S days, All concrete work 5,000 psi . i /o, 1 i k,:.. 7 NOTE, ELEVATIONS ON EQUIPMENT NAME. Roberts Residence ,. 0 1 MENT AND `- SOUND PROOFING , IN AC CORDANCE WITH FLOOD ZONE REGULATIONS— Id - ' vADDRESS. 871 Sea View Ave I 12 - Spa _Walls I P TO 8 : DETERMINED. , CITY: OStery e, MA ZIP: RES.PHONE: BUS.PHONE: 8 S a Floor R Hydrostatic lief Valve y e Install -Per_ Manufacturers , . � CUSTOMER SIGNATURE... .. DATE Specifications VIOLA ASSOCIATES I 110 ROSARY LANE, UNIT A, 1 HYANNIS, MA 02601 (508) 771-3457 VIOLAASSOCIATES.COM ;,RN BY: DATE: REV:NO.: DATE 10.7.15 AL SC E 3l8 =1 1, 4'>