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1970 MAIN ST./RTE 6A(W.BARN.)
l 97 d 1 j ii 1 1 I i i 'i i t c r ® co¢ z NJ m _ co) C I �I }I t Z {1' 4 o i o i a ;.; - - 3 �� �' }� � I „� i�, f' � �' ra �;, !; �I ��� �, t. �; o �j `I :� o ,, �N ,� � (� �� :� �, �� ;� ,� a �., ,� ; �� �� 01A , �� O I ,07-,e, �Ny' f COMPLETE • COMPLETETHIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Si u 0 Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B e' ed by(Printed Name) C. Date of Delivery i or on the front if space permits. 1. Article Addressed to: D. Is delivery addressliclifferdont from item 1? ❑Yes If YES,enter delivery address Below: p No 6. 3. II IIIIII IIII III I III I II I I II I I I II I I I I I I II II I III ❑dulltSignature 0 Registered Signa urea Restricted Delivery ❑Registered M�Restrictea 9590 9402 3615 7305 6409 74 9�Certified Mail® Delivery ❑Certified Mail Restricted Delivery VReum Receipt for ❑Collect on Delivery Merchandise ,2._Article_Number-frransfe,r from service label) t ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation'm iS 1"''nsured Mail E I { C ❑Signature Confirmation �,17 `10 0 0 0 0 0 0: °6 7 53° 9 M D•nsured Mail Restricted Delivery Restricted Delivery over$500) PS Form 3811,July 2015 PSN 7530=02-000-9053 Domestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 x 2 :I-. 9590 9402 3615 7305 6409 74 jUnited States •Sender:Pleasb print your name,address,and ZIP+40'in this box°- Postal Service � TOWN OF UAR E BUILDING DIVISION 200 FAIN ST. HYANNIS,MA 02601 'llIlIl)t1i':I'l1'1I1111IlIIIII•Ilttlll,�;il,,.l`�I�)rrlti 'Illljll . .� Town of Barnstable _ Building Post This Card So That it is Visible From the Street'-Approved Plans Must be Retained on Job and this Card Must be Kept BAPUNWASM 16 Posted Until Final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required,such.Building shall.Not be Occupied until a Final Inspection has been made. Permit No. B-18-2239 Applicant Name: CHRISTOPHER SPRAGUE Approvals Date Issued: 08/01/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 02/01/2019 Foundation: Location: 1970 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 217-014 _ w Zoning District: RF Sheathing: Owner on Record: TOWNE, MARGARET E Contractor Name:', Framing: 1 �` Address: THE MARGARET E.TOWNE TRUST Contractor License: 2 WEST BARNSTABLE,MA 02668 - - Est. Project Cost: $32,000.00 Chimney: Description: FINISHED DETACHED STRUCTURE TO INCLUDE ART STUDIO,OFFICE, •� Permit Fee: $213.20 SHOER,STORAGE CLOSET,SINK. COUNTER, HEAT I Fee Paid:. $213.20 Insulation: ,/p Project Review Req: NO SLEEPING IN BUILDING-NOT A DWELLING UNIT. Date: 8/1/2018 Final: Building Official Plumbing/Gas Rough Plumbing: Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical I Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: _ Rough: 1.Foundation or Footing _ .4- 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Bu mtable Bldg.Dept. Approved by: _--_ - Permit#: :Z..® SMOKE DETECTORS REVIEWED E ILDING DE PT. �—I DATE FIRE DEPARTMENT ® ATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING .a'�x.?sL POOiEx.ost IN s e� -M�- - - Me;a- _._ --�ics no-ike n Y I C BUILDING DEPI JUL 12 2018 TOWN OF SARNSTASLI a VI � W �! Ia .OsppC x,ht 0-19 aL;Z- ' .o-sc -41 .....&.1.0.� ...a:�..............�� C Applic�on Number. ...... . ... s • t s Me8s. Permit Fee.......................................Other Fee.................:...... Total Fee Paid r � TOWN OF BARNSTABLE Permit Approval by... .. b..............on..?�.:..N.....`. .._ BUILDING PERMIT .. ._...... ......................ParceL............al-... .................. APPLICATION Section I — Owner's Information and Project.Location Project Address ICY_9, cI rl25 c��/ vie Owners Name Owners Legal Address /�1 /'/� -�- �� ��42 HG 4,1e. State � �' P owners Cell# 7 7q 20 q 39 0� E-mail C,c 1% Lo— Section 2—Use of Structure Use GrrouP ❑ Commercial Stre�over 35,000 cubic feet � ❑ Commercial S 1m&-,;3S,000 cubic feet �ingle/Two F��mily Section 3 —Type of Permit �,� A ❑ New Construction ❑ Move/Relocate ❑ Accessory StructureY Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wan ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description f i I i i T srct tmcxbmd:2/9201 S Application Number................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics tiring ❑ Oil Tank Storage ❑ Smoke Detectors [�umbing ❑ Gas ❑ Fire Suppression Z?Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply O�Public ❑ Private Sewage Disposal ❑ Munici al ❑/Site �P P Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes S No i Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No 0' Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) j Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last imdntfti-2l92019 tr`E i i Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State zip License Number License Type Expiration Date Contractors Email Cell# I, I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. i Signature Date l k. Section-10—Home Improvement Contractor Name Telephone Number y Address City State zip Registration Number Expiration Date I understand my responsibilities under the roles and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number 7 2 j�3 Cell or Work Number —7-7q I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts Code. I understand the construction inspection procedures,specific inspections and documentation by the Town of Bamstable. Signature Date "7W.ALNT SIGNATURE Signature Date Print Name Telephone Number -7c ?,Q ,-'( 39 E-mail permit to: T e..a...,.i..a-.7.'I mnn,0 N. Section 12—Department Sign-Offs j Health Department ❑ Zoning Board(if required Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization H, argon-�� i v��,%�,�g , as Owner of the subject property hereby authorize ,AS' to act on my behalf, in all matters relative to won authorized y t16 building permit a plication for: (Address of job) / / Signature of er date Print Name _ Last=dated V 2018 T)IE_v— CD A CCF -sor,? Q L-D G. Barnstable Bldg.Dept. Approved by: Permit#=- iT _Z2.7 SMOKE DETECTbRS REVIEWED BUILDING DEPT. DATE FIRE DEPARTMENT BOTH SIGTE NATURES ARE REQUIRED FOR pERMATTiNG .dS�.K.PL Jr.�x.OSt V/M-BI� a I/Yz to rC§1 Ch` I � T co to aZ,e-4-40L iZaO•,�r C rz Ent-\ F, 0 ' 4 1 A BUILDING DtEPT 4 0 JUL 12 2010 c>n TOWN OF BARNST c' w I .OspOfx,pyt a0�i9 aJC i0l- a�iZ � �6 -- - � All 13. o. 0-3 Of fi19A �---- — }19Z 166. �I ----�0 O O 190 I 4011 \ I 1�� F �19� ,y,i• 'rig. 1 _ 1g _. JU . 1�2�2010 4 e I TOWN OF' ;NS.ASL'c ei o � I13 7e k 9 Ar k1g3 4 — 56'-0' 3,-0n T-8^ 13'4" 12'-3"-- 10'-2" 8'-10" 0. Bedroom a #3 Bedroom _ 2'-3" - Laundry � #2 1— m � Family Room `O I =J� - za=aa K z$ I • =-T I I -+_ ^ 10'-2n ..� o. 1� 1' 6'-1�" b 1'-1Q` 'b 1 CD - 1CN 0'-� i� L CV za=!a i 8 '._ 5•-8n—ter' 6'-5-311" n�r in 12'-0n n 1 " --sr:taco •------•------- ---•- CO Breakfast Living/ •: 04 o Nook Dining Room Bedroom N Kitchen #1 CA i4 r- O 0 —4'-8" 5'-9" 13'-10" 15'-7" 1970-Main St CO porch Floor Layout • 25'-10" The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia i Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leziblp Name(Business/Oro nizationdIndividual): Address: M �16 0-111h f2 _ City/State/Zip: ?Z-1--rn -41g, Phone#: 72'14 2 0 =�=fAre you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(frill and/or part-time).* have hired the sub-contractors 6. ❑New 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 working for me man capacity. employees and have workers' � � Y aP t3'• 9. ❑Building addition [No workers'comp.insurance comp.ins ranceJ eA] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself, [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§l(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 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 tybether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie..#: y� Expiration Date: / G Job Site Address: , V It/ci '- City/State/Zip: " •�3cfa 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 e p d penalties of perjury that the information provided above is true and correct Signafore: 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: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fll,out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)nwne(s),address(es)and phone miraber(s)along with their certificates)of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should 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 Gammonwealth of Massaahusdts Department of Industrial Aoddents Office of Investigations 600 Washington Street Bostan,MA 0211.1 Tel,#617-727-4900 ext 406 or 1-977-MASSAFE Fax# 617-727-7749 Revised 4-24-07 WM=..g1DV/dia Trustee's Certificate Pursuant to M.G.L. c. 184, § 35 Name of Trust: Margaret E. Towne Trust Name(s) of Trustee(s): Margaret E. Towne and Christopher T. Sprague Name(s) of Donor(s)/Settlor(s): Margaret E. Towne Under a Declaration of Trust, dated March 15, 2018, pursuant to a Trustee's Certificate pursuant to M.G.L. Chapter 184, Section 35. Now comes Margaret E. Towne and Christopher T. Sprague, Trustees of the Margaret E. Towne Trust, being duly sworn, and do hereby depose and say: 1. The Trust is in full force and effect and has not been amended or modified, except as provided above, and has not been revoked as of the date hereof. 2. We are the Trustees of this Trust. In the event that Margaret E. Towne should fail or cease to serve for any reason, then Christopher T. Sprague shall serve as sole Trustee. In the event that Christopher T. Sprague should fail or cease to serve for any reason, then Patricia Sprague shall serve as a Trustee. 3. Any individual Trustee of the Trust has the authority to bind the trust and to act with respect to reaf estate owned by the Trust, and has full and absolute power under said Trust to convey any interest in real estate and improvements thereon held in said Trust, and no purchaser or third party shall be bound to inquire whether:the Trustees have said power or is properly exercising said power or to see to the application of any trust asset paid to the Trustees for a conveyance thereof. Thomas F.Williams&Associates,P.C. 21 McGrath Highway,suite 501 Quincy,MA 02169 C4 a' 4. All the beneficiaries have consented to the transfer of the trust real estate located at 1970 Main Street, Barnstable, MA to Margaret E. Towne and Christopher T. Sprague, as Trustees of the Margaret E. Towne Trust under a Declaration of Trust dated March 15, 2018, for the consideration of$1.00. 5. Pursuant to the terms thereof, there are no facts which constitute conditions precedent to acts by the Trustees or which are in any other way germane to the affairs of the Trust. 6. The Trust will terminate two years after the death of Margaret E. Towne, if not terminated earlier. Signed under the pains and penalties of perjury this 151h day of March, 2018. Margaret . Towne, Trustee Christopher T. rague, Trustee COMMONWEALTH OF MASSACHUSETTS Norfolk, ss On this 151h day of March, 2018, before me, the undersigned notary public, personally appeared Margaret E. Towne and Christopher T. Sprague, Trustees as aforesaid, and proved to me through satisfactory evidence of identification, which was OR personally known to me to be the persons, whose names are signed on the preceding or attached document, and acknowledged to me that they signed it voluntarily for its stated purpose. ti THOMAS F. WILLIAMS BARNSTABLE REGISTRY OF DEEDS � Natary Public CCMMONotar;OP ubliACHUSETTS John F. Meade Register \ , �.�y Commission Expires n;+ii 0z, .2021 I DURABLE GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That I, MARGARET E. TOWNE of Barnstable, Massachusetts, do hereby make, constitute and appoint CHRISTOPHER T. SPRAGUE of Hanover, Massachusetts, my true and lawful attorney for me and in my name, place and stead to act under the following provisions: 1. General Powers. To exercise or perform any act, power, duty, right or obligation whatsoever that I now have or may hereafter acquire relating to any person, matter, transaction or property, real or personal, tangible or intangible, present, contingent or expectant, now possessed or hereafter acquired by me, including, but without limitation, the specifically enumerated powers granted below. I further grant to my said attorney full power and authority to do everything necessary in exercising any of the powers herein granted as fully as I might or could do if personally present. 2. Powers of Collection, Payment and Enforcement. To demand, sue for, collect, compromise, recover and receive all debts, moneys, property interests, claims and demands whatsoever, now due or that may hereafter be or become due to me, including the right to institute any legal or equitable proceedings therefor; and to execute and deliver on my behalf and in my name, any and all endorsements, elections, releases, receipts, or discharges for the same; to prosecute or defend or submit to arbitration any claim by or against me or my property and to receive and give full or partial releases of any kind. 3. Banking Powers. To make, execute, deliver and endorse notes, drafts, checks, certificates of deposit and orders for the payment of money or other property from or to me in order of my name; to make deposits or withdrawals on any accounts in banks or other financial institutions on my behalf; to maintain bank accounts for me in my name or in the name of my attorney; to transfer funds or property of mine to any trust established by me before or after the execution of this instrument. 4. Power to Acquire, Manage, Lease, Mortgage and Sell. To make, execute and deliver deeds, releases, conveyances, mortgage (including reverse mortgages), leases, subleases, and contracts of every nature in relation to both real and personal property, including stocks, bonds, options, contracts of indemnity and insurance, on such terms and conditions as my attorney shall deem proper; to manage or to become involved in the management of any such property including the operation of any business in which I have Durable General Power of Attorney of MARGARET E. TOWNE Page 1 of 6 a substantial interest, and to carry out any act of management which may be appropriate to such involvement. 5. Powers with Respect to Life Insurance Contracts. To have full authority to deal with any policies of insurance on my life, or policies on the life of f others in which I may have any interest, including, but not limited to, the right to make irrevocable assignments thereof, to surrender, borrow against, or convert any such policies and to change the beneficiaries thereof, or to take any other action with respect to such policies as my said attorney shall deem proper. I 6. Powers Over Safe Deposit Boxes. To have access to all my safe deposit boxes, whether in my name alone or held jointly with others; and the authority to remove all of the contents thereof. 7. Powers as to Securities. To purchase, sell, transfer or otherwise deal in any way with all forms of securities; to act as my proxy with power of substitution; to vote all stocks or other securities in my name in relation to any individual or corporate action; to deposit any stocks or other securities in connection with any plans of protective or reorganizational committees; to purchase, accept or exercise rights to subscribe for securities and to sell same; to endorse securities or any agreements relating thereto, on my behalf; to create, utilize, terminate and otherwise deal with accounts (including margin accounts)with securities brokers. 8. Powers as to Rents. To receive and give receipt for all rents and income to which I am or may become entitled, pay therefrom all necessary expenses for the maintenance, upkeep, care, improvement and protection of my property; to pay the net income therefrom from time to time to me or in such manner as I shall direct, or in the absence of such payment to me or such direction, to invest the same in the best judgment of my attorney. 9. Use of Funds for My Care. In the event of my illness, incapacity or other emergency, to incur, pay and satisfy such expenses and obligations for my comfort, benefit and care, and obligations of a nature customarily incurred by me, as in my attorney's judgment he or she may consider necessary or desirable or consistent with my wishes. My attorney is authorized, in his or her sole and absolute discretion, from time to time and at any time, with respect to the control and management of my person, to do all acts necessary for maintaining my customary standard of living, to provide living quarters by purchase, lease or other arrangement, or by payment of operating costs of my existing living quarters, including interest, amortization payments, repairs and taxes, to provide normal domestic help for the operation of my household, to Durable General Power of Attorney of MARGARET E. TOWNE Page 2 of 6 provide clothing, transportation, medicine, food and incidentals, and if necessary to make all arrangements, contractual or otherwise, for my home health care or my admission or treatment in a hospital, hospice, nursing home, convalescent home or similar establishment. Specifically, my attorney hereunder is authorized to act in all capacities relative to my life tenancy in any and all real property, including but not limited to my right to occupy the premises, to lease, let or license the same, of my entitlement to all rents, fees or profits generated from said premises, and my right to partition. 10. Nomination of My Guardian or Conservator. To the extent permitted by law, I nominate and appoint CHRISTOPHER T. SPRAGUE, my agent under this Power of Attorney, as the guardian and conservator of my property and as the guardian of my person, should the need arise in the future for the appointment of any such fiduciaries for the protection of my person or my estate. I direct that any such fiduciary be exempt from furnishing bond, or from giving surety or other security on any bond required by law. I direct that any such fiduciary be appointed as temporary guardian or conservator upon application therefor. If CHRISTOPHER T. SPRAGUE is unable or unwilling to act, then I appoint my then acting agent under this Power of Attorney so to serve. If no agent under this Power of Attorney is available to serve, then I nominate my Trustee(s) of my Revocable Living Trust agreement as my conservator and guardian. By executing this instrument and my Revocable Living Trust on the advice of legal counsel, I have carefully and deliberately created the means and manner by which I desire that my person and property be cared for, managed and protected in the event that I become disabled. Accordingly, it is my intention and my desire that I herewith express in the strongest possible terms that no guardian or conservator other than these persons be appointed on my behalf, so long as there is a named Agent or Trustee who is willing and able to act and serve under their respective instruments. I request that any court of competent jurisdiction which nonetheless finds circumstances so compelling as to appoint for me a conservator or guardian of my property, or a guardian of my person, limit the powers of the said conservator or guardian to the greatest degree possible so as to give the maximum effect to my plans for the management and care of my person and property. Durable General Power of Attorney of MARGARET E. TOWNE Page 3 of 6 i; �,.. 11. Powers as to Taxes. To prepare, execute and file federal or state income, gift, or other tax returns and other real and personal property tax returns or statements and to pay or compromise any or all such taxes or apply for and collect any refunds due; to make any tax elections on my behalf or which I am entitled to make. 12. Power and Instructions to Create Entities or Forms of Ownership and Related Transfers. To create, amend or terminate one or more trusts, partnerships, corporations, co-tenancies or any other form of ownership or entity for the purpose of dealing with any property or property interest of any nature that I may have or hereafter acquire, under such terms and with such provisions as my attorney deems in the best interests of myself and my family. In this regard, the fact that my said attorney may be a remainderman, partner, shareholder, co-tenant, or beneficiary of any such entity in connection with any such transfer hereunder shall not affect the validity thereof, nor, by itself, constitute a breach of my attorney's fiduciary duty hereunder; to transfer any or all property, tangible, intangible or real, in which I may have any interest, into a trust or trusts, whether created by me or by my said attorney on my behalf, and whether or not such trusts were created before or after the execution of this durable power of attorney, or to any other form of entity or ownership, including any form of co-tenancy. 13. Power to Make Gifts. To make outright or in trust gifts of my property to or for the benefit of such charities and persons (including my attorney hereunder) as, in the opinion of my said attorney, would be the donees I might choose, having in mind the resources, both public and private, available for my care after the making of such gifts, and having in mind,to the extent ascertainable, my expressed wishes or prior pattern of giving. 14. Fund Living Trust. To assign, convey and deliver to the trustee or trustees of any inter vivos trust created by me for my initial benefit any real or personal property or interest therein owned by me or to which I may be entitled, for the purpose of funding such trust. 15. Power to Employ Agents. To employ, compensate and discharge such agents as my attorney deems appropriate to carry out any acts authorized or contemplated hereunder. 16. Powers with Respect to Retirement Plans. To establish and contribute to any form of so-called retirement plan for my benefit, including but not limited to Individual Retirement Accounts, Keogh plans, and any other form of pension or employee benefit plan; to change beneficiaries of my account in any such plan, designating such beneficiaries as my attorney determines to be consistent with my wishes; to borrow against or withdraw from my plan accounts on such terms as my attorney deems Durable General Power of Attorney of MARGARET E. TOWNE Page 4 of 6 appropriate; to select any form of payment option or to modify options I may have selected; to accept any benefits or lump sum payments on my behalf and to "roll-over" any such benefits on my behalf. 17. Third Party Reliance. Any party dealing with my said attorney hereunder, may rely absolutely on the authority granted herein and need not look to the application of any proceeds nor the authority of my said attorney as to any action taken hereunder. In this regard, no person who may in good faith act in reliance upon the representations of my attorney or the authority granted hereunder shall incur any liability to me or my estate as a result of such act. 18. Successor Attorneys in Fact. In the event that the said CHRISTOPHER T. SPRAGUE, for any reason ceases or is unable to serve under this power, then I grant the same aforesaid powers in every respect to PATRICIA SPRAGUE as long as I am declared incapacitated. A written statement by the said successor as to the cessation or inability of CHRISTOPHER T. SPRAGUE to serve shall be conclusive evidence of such fact, and any third party may rely upon the same in dealing with him under this power. 19. Reliance on Copies of this Power. A copy of this Power of Attorney, duly attested as such by a Notary Public, shall be sufficient evidence of the authority of my said attorney-in-fact. 20. Disability or Incompetence. This Power of Attorney in the said CHRISTOPHER T. SPRAGUE or his/her successors, as the case may be, shall not be affected by subsequent disability or incapacity or lapse of time. 21. Ratification of Attorney's Acts. I hereby ratify and confirm whatever my said attorney shall lawfully do under these presents. 22. I hereby revoke all prior Powers of Attorney made by me. Durable General Power of Attorney of MARGARET E. TOWNE Page 5 of 6 r IN WITNESS HEREOF, I have hereunto set my hand and seal this S day of N v , 2018. f MA GGARET E. TOWNE COMMONWEALTH OF MASSACHUSETTS Norfolk, ss On this day of ')4- , 2018, before me, the undersigned notary public, personally appeared MARGARET E. TO r E r ved to me through satisfactory evidence of identification, which was , to be the person whose name is signed to the foregoing inst ent, and ac owledged a that she si d it voluntarily for its stated purpose. i\. THOMAS F. WILLIAMS 1 Notary Pubiic / i\ J COMMONWEALTHOPn^,PSSACiiLSE'TS My Commission Expires /001 091 2021 I, CHRISTOPHER T. SPRAGUE, hereby accept the general power of attorney conferred in this power of attorney by MARGARET E. WNN o rn`�, . CHRIfSTOP ER T. SPRAGUE COMMONWEALTH OF MASSACHUSETTS Norfolk, ss i On this day of 2018, before me, the undersigned notary public, personally appeared CHRISTOPHER T. SPRAGUE d proved to e through satisfactory evidence of identification, which was '/ � — c be the person whose name is signed to the foregoing ins ent, and acknowledged to me that he signed it voluntarily for its stated purpose. i THOMAS F. WILLIAN!; p� Notary Public COMMONNJEALTHOFNiASSACHJS@iTS A4y Commission Expire: 202T _» L Durable General Power of Attorney of MARGARET E. TOWNE Page 6 of 6 Postal a RECEIPT CERTIFIED MAIL Q' Domestic t-� 0' For delivery information,visit our website at www.usps.comO. ul Certlfied Mail Fee f� EA5 Services&Fees(check box,add fee as appmpdate) ❑Return Receipt(hardoop» $ Q ❑Return Receipt(electronic) $ � ,//6stffllrk C ❑Certified Mail Restricted Delivery $ C> "(/'F4t�7 r ❑Adult Signature Required $ �?�I8 []Adult Signature Restricted Delivery$ `� O Postage O $ r Ct'.AYJ rq Total Postage and Fees $ N Sent To oC3 ----- p 1 Street andApr.No. r Pd Box lVo. 92 0-..M—Ca tin- *,--------- City,stare, P+ a Q Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique Identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. 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Adult signature restricted delivery sere,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavallable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retai). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a' certain Priority Mail items. USPS postmark.If you would like a postmark on ■for an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an, appropriate postage,and deposit the mailplece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,Apr112015(Reverse)PSN 7530-02-000.9047 Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street H is MA 02601 �"""� m'�""``° V VAS!U"S E-C•ISilRv6LL'•GLST NRYTMLL 6 .lann 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Margaret E. Towne 1970 Main Street,West Barnstable, MA 02668 and all persons having notice of this order: As.property owner or tenant of the property located at 1970 Main Street, West Barnstable Ma, C1, Assessors Map 217 Parcel 014 and known as accessory structure,you are hereby notified that you are in violation of 780 CMR, the Massachusetts State Building Code Chapter 1 Section R105.1, and are ORDERED this date 7/10/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 7/10/2018 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter 1 Section R105.1 Specifically, Structure alteration permit B-16-1311 Structure does not match Plan submitted. Structure now has heat and a unpermitted shower. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: Owner or agent will need to remove unpermitted work or apply and obtain permit for structure alterations. And, if aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, s Edwin Bowers Local Inspector \ti �oFtHl=ry Town of Barnstable gARNSTwgM II 200 Main Street Tel.(508)862-4038 plE > INSPECTION CHECKLIST Address: 1970 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Inspected on: 7/10/2018 Inspected by: bowerse Inspection Type Description Status Comment Property General Inspection PASS Structure does have electric baseboard heat Two rooms and bath with shower Sink and counter top in one room Person in Charge Inspector Signature Signature i r .m �j y�. !�1 •_ i 2y b �F ti .d F gp ` n .............. n Y , s r t P 3 g £ =F Y" oil � n y mW My . Mmy .s c q i t ! SPIN W V"� xVAZ" �.R -A mill ANT, t mw. N y ilk {� Q All? �t� l LOW L via WWI i{ 3 y s x c 3tray 1 � u 1. x �I 'x x y % �,�.. {�,.` ;:i• S. ,�•A.. =f .iP �IM1, �lbd}� �6'; �8 ,/�,ti - _ ^., iIM s �c° � f `� �Yh.'� K� -k-- �.�e.-s'ic' � '�•' � � ','�t'{'Ay.,�� .,�,� ? % ,r..,, a y",gig. y 4- + e i w _ tom ° a y?' mummusWcutuL twain 777 Nolm ..wHSY zS, v .a.r'^X� S _ I � p;`.( �}�� �:.�. }.ctW k 4� .:•".•.�'h�,s'" r '" � r �• et a " ":, � r•� �� �;q �' xa 3� 'i`. , r f s2�i4 �� � �"�� aC -`��'.7�'94 ifs i il,6 r�d Sr W�53NO �,+.-, i� ; Yhf'�+' l't� �,4 t^ �Yy. vYJ"*tL' ?' ^',,�Y` s. '$'v'�af Tart= i, �;t •`.`,'y�4'T h tat, X z t ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 / Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis O�� Project Street Address/ "7 r �'• P,iceaz Village I S Owner Vt C, Address Telephoned Permit Request S �►���'..a c• u L�.,�Y,' : o an 4P ,� �.`-�J r9�r 1�4s-y c� ��` W 6 4i, 0-+: 14u s:-, k /eL,-,.4 % �;:�-t� ti,� �P / ; L�` -1'-� • - :�� K-►k :.� Square feet: 1 st floor: existing Y-Mloproposed 2nd floor: existing CJ proposed Total new 0 Zoning District Flood Plain ti d Groundwater Overlay Project Valuation fa n o Construction Type tA.-ceaQ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Gr Two Family ❑ Multi-Family(# units) Age of Existing Structure /f-Gy Lei Historic House: ❑Yes 0'No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Motrawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) ^1 Basement 141 d Area (sq.ft) Number of Baths: Full: existing 2- new H f: i ing new fed,, Number of Bedrooms: 3 existing Onew TOW4 �3? 6 Total Room Count (not including baths): existing new JFP" rrs loor Room Count SST Heat Type and Fuel: El Gas ❑ Oil ❑ Electric ❑ Other U ;,►3 d i 44et-,-► e c� Central Air: ❑Yes YN"'o Fireplaces: Existing O New c;, Existing \Ccod/coal stove: ❑Yes 21N�o DE PT Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: AC `' 2016 TOWN OF BARNSTABLE 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 VVI Telephone Number 7.7 4,1 Address i' i T tr S ��cense-#Y -----C:' Home ImprovementYContr_actor_# Email r V*qAl 4L Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR.OFFICIAL USE ONLY ; t APPLICATION # 'DATE ISSUED R4 MAP/ PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: '' sr FOUNDATION - FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL a GAS ROUGH FINAL" • FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r ' ne CaiFI w. onf &d&-af Maiwd,-mei'tS Qfce afgutians 600 Wasbu4-tou Street Baston,MA f 2HI m ttmasmgorldia Wurke& Cumpensafam Insmrance Affidavit:Bufldeim/Cauft2chffsMechmmuL,,JPhimbers APPHimt Infarmafinn Please Print E.mlAy Name - J a--"c q - Q �� Address` 3 $ L&L- 1-f e✓ S+ Phone g-- `7 7q — 73 6— 4,- V Sr2— Are you an employer?Cbeckthe appropriate bum Type of project el}: {re L Mama employer with 4 ❑I am a general confmctor and T []Newest rt ion cons �emgloyees(fa11 andlor part_6=).* have hin dthe sub-conh=tom 6. 2. I am a sole proprietor orpartuer- listed oathe attached sheet I- C^�deHng shsp and have no employees . These sub-camftactars have g ❑Demolition marldng fnrmein any capacity. employees and bave wort=' [Ida W03orM,comp.insurance comp-i„ ,�,P I 9- ❑Building addition req3fred1 5. ❑ We are a corporation and its 10:❑Ekct dca1 repairs or additions 3.❑ I am homeoumer doing all work officers have exercised their 1L❑Plnmbingrepairs or additions o workers' F_ sigbt of ❑ 1Z m per MGL repaim im mmce ed-]y c.152,§1(4k aadwe have no Roof employees.[]tiro wodoa& 13.0 Other con4L kmmme tee-] ;Amy zm5c=ehatchedsboaFlnmst also goutthesadiaabelowshavemgdmkwoffsaecomp=mIiznporicy on- N=ewwn=wba mb=[tt adais sf &ngf ItT'g they ale dam;elf wank sad rhea hie outside eoahvrears mast submit a new affidal&mdic�Brach_ rCantxact ffW daecl,thfs boa mast itterhed!amsdditinmal sheet sbmring the nmmeof the Viand statewhetbes or not those entitin aave employees.I€thesab-c=bnaos lam emplasees,HLey— ymvide&& zorkm'gyp.poRum er. I ant art surp�er Seat is prouidireg iuorkers'comq�eres�art iiesrirarrce ft7r�eacploy� Setcw is flrepolicy aeQd job alto infornudiam Insimance Company Name- Policy:ff or Self-ins-l ic-f FBpiratiaa Date: Job Site Address: City/Stat : Attach a coolly of the workers'compensationpolicy deelarration page(sh uisg the pofiry nunber and expiration date). Fail=e to secure coverage as requiredunder Section 25A of MGL m 152 can lead to the imposition of criminal penalties of a fine up to$15Oa OU andlor one-year imprisonmenk as weII as civil penalties in the form of a STOP WORK ORDER and a fine of up to$25 - O a day against the violator. Be advised did a copy of this statement may be forwarded to the Office of Iavestigatims.ofthe DIA for h2surance coverage won. MY I away tha pains andpen ' ofperjury thatthe irrfarmwYva proiid fed�abm is bare caned Siteature: Date v Phone it (J`7 -7 V— 9,3 d �_ Dk&d use miry. Do oat errile in figs area,&be am xpleted by city artoim officfat City orr'Town: PermitlLicense;ff Lnuing Au&ority(caste one): L Board of Health Biding Depaartinmt 3.CitylTowa Clerk 4.Electrical Ikspector S.Phmmbing Moir 6.Other Contact Person: Phone 9: 6 laformation and Instructions ` h fimsachr,ceffs GEeaal Laws chapfea M requires all=q3Ioy=ID provide waackc&compensation far fheir euiplayoes. pmsaant--to this siatnte,an ezV&Tw is defined az.every person in ffie searvim of another under any confract ofhire, eapiCss or implied,dmI or write" An anproyer is defined as-an,mdxvidaal,parts rsh� association.CMPoratian ar other legal enf[y,or airy two cc male of the fioregvmg is a Joint eolrap±se,andinc n,rr. the legal rep=eabifives of a dwzased employer,cr the receiver or t USb=of an iMdrvidnal,parfnr Z1V.associalian or other Iegal entity,employing employers. However the owner of a dwtMag home having not more than three apartments.end who resides theme,or the occapa33t of ibe - dwmUing house of anger who employs persons tr do mai dena n=.construction.or repair wD33C as such dwelling house or on the grou ds or bmldmg appur�f=eto sh Mnotbecanse of sash employmentbe deemedto be an employer." MOL chapter 152,§25C 6)also sites that evaystafe or local Tc--ensiag agency shZW thhold the issa nee or renewal of a ficemse or permit to operate a business or to construct buildings in the commonwealth for any applicantwho has not produced acceptable evidence of comphance'evith the n,mran=coverage regu.ire Additionally.MGM chapter I52,§25C(7)stairs-Nmffiwthe amanrmwc?b+nor�y ofitspol tical subdivisions shall ®tPr into any contract fnrtht per ofpubho worictaiil acceptable evidence of compliancevMh$e ins mace._ regam�emts of this cbspter have been presentnd to the rn*+lracti^P sofboiityf - Applicants Please£II out jLt wm3='compensation affidavit campybl-y,by ch=ldag the boxes that apply to your siination and,if necessary,sapPFy nam e(s), (es)anil Phone mimber(s)along with their cmtifrcat*) of insaiance. hmm;tedLobility Companies(LLC)orLmntedLiabUxty-Pmtacmhigs(LLP)withno =apInyers other ffimthe members or partners,are not regai kcd to cry woikc& compensation iasmsace- If an I LC'or LLP does hate emPIoyees,apolicyisrUPired. Be advised that this affidayk maybe snlxnttadto the;DeparfrnentofhUh=ftal Accidents for confronatim of insrrmmce coverage. Also be sure to sign and date:the of davit. The of Edzvit should be re=med to!he city or town that the application for the pewit or license is being requested,not the Departmed of hidastriail A cc d=t_ ShanIdyou have any gaesdans regarding the law or ifyou are requited to obtain a woik=' compensation poficy,please caII the Dep artment at tine rnmmber listed below. Se Nnsared cmnpanies should enter their self-insurance license n=ber on the appippie line. City or Town Officials Please be s=that the affidavit is complete and prhd d legibly. The Depe menthas provided a space at the bottom of the affidavit for you to fill cart in the eves the Of of Investigatiam has to comtactyon regmdmg the agpIicxnt. Please be sin:a to fM in the penniOicrose mimbes which will be used as a refeseace member. In addition an applicant that must submit multiple Perm li rpnce appIitsfions i a any even year.nee&only submit one affidavh indicating cmimt policy infozmation(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 ma3imd bythe city or town may be provided to the applicant as proof that a valid affidavit is on file for firm,:perms-or rnce:nses. A new affidavit must be filled out each year.'Where a home owner or citizen is obfaming a Iice:ost or permit not imlatcd to any business or commercial vent= 'Cn_e. a dog license or permit to Bann leaves eta.)said person is NOT required to complete Ibis affidavit The:Office ofInvtstigafiDnS would him to thank You.in advance for your coopmaion and shouldyouhave;any gaesiions, please do not hcsftatm to give us a calL The DcRErimenfs adds,trleghone and fax=mber: - Th.L-f:oEMIM' EofMRssach Dent of Iadk Accidents Wtce Of xnvegtkati= 64-Waabfingban st D MA 0�111 Tf,-1.#617 -49W eat 4-06 or 1-977-MAS S Fax#6.17 727 7749 Kevised4-2"7 ma+s v � 7 Town of Barnstable Regulatory Services Rirhard P.SmE,Dimcfar ~� Ruffding DivIdDn • `r=Perry,Em7fia,-.CoaMnner 2M Main St=4 Hyamms,MA 02601 • �pP to�ea�arastablesaaus ' Office: 508-962-438 Fma 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Y ,as Qwnf--r of tie subject property- to act on mpbg 3A . • I in an matters mhf=to wow=io&,cd by-ti&h@ldLg p=3it appI Cr lL for . (Addmss of job) 'Ir"Pool fences and alarms are the mponsIflityof tim applicant.Pools are not to be filed or uffl6d before fence is installed and all final " inspections_are performed and accepted- , S' . of Owner of Applicant I Jc� Priest Name DaVI W -0 W=IZ FRRIMSEMIeDOES ' 'down of Bamstable RegIIl Pry Services ' Richard V.Sear.Daedor , t TomFeap.Jftffi g Conrmissznmrs � .a� 20D Maio 3flA 026D I ' + W W VV t3os3,a,b2x-r, of cc: 569-862-4039 _ _ Fa= 509-790-6230 ]OB LOR ut�bect . 7 '. CABRENT MAIMqU ADDRESS: — The cent for`$omeownef'was wtmded to mch de owns-occ:apied dweIIm.es of six imp ar less and fn allow fiomcowaels to.caga.go an mdivi&ml for hirewho does notpossms a jiccasc,=vided thatthe owner arm as sooezv m DIP'= OR SO3D3 MNEEL Pcason(s)who owns a parcel of Load oa which hdshz resides.ar h3hm r1s to residn,on which.fisrae is,or is htmded to be,a one ar two- fanZy(1welling. armed or debd ed stznctntes accessory to sorb tise MUVc r fa=sttuchnrs. A pmsan who constmcta aware thaw onD mbamea home m a t n-year pc6od shall natbe cansidm- d �rz Such`�ameownez".shall sula to Bmldiag Official as a farm acceptable:to the BMI3mg Official,thathdsha sbaU be for an such wo k=R=Led midrsffie bmlcr=p�e :i- (Section 109.L1) Tbz nadrmsigncd`homeow=e asma=respams3ITdy far camgliance*&tom Stain Baz73mg Code and otlir applicable codes, byjaws,raIes and regghtissns- r Zbz�gned`•�nnieo.�e�'cai�cs$athe�abt�drtstauds�Tom otBamstab�Bta7dmg Depaztmeotn�nra�P°dinn pro=d a=andreqahmtrs Maafut dahc WM oamplp With sdd pmcedrars aa&rMq6==rCds. AFC afB�ffiffmg Otani • Notz Three-firmly dwellings �35,000 cabic feet or lazgm wMbe regdredto comply withthe Stutz Bm��mg Code Section f27.0 Canst Lm o Ca gmL • $DMMWNEX'S more Tie Code states oaf- 'Any homeowner performing work fDr whk.h.a b ug pe rndt is regmin�shall be e�a=pt from Hies provisions of this sediaa(Serfion 109-U-Llceasiizg [r of consudion Supervisors);pravide3 thatif Hie homeowner engages a persons)for bite to en such work,ffiaf each Sameownrr shall act as so perTb=." Mang homeawners who use Sus a mption are mmawaie tbLMEg are mm=bmg ffie responsffizTyfi of a mgxxvisor (see APP— (? Roles 8t Regubfiems for I Sing Cmmtm�n SQper isors,Section ZIS) 71b jack of awarrmess of3rn resalts in serious proljjems;pzrficaIarjpwhm-dmhomepwnrr hires '.Petsaas. In�case,our Board cannot p m6d ag�.st the minceused personas if would wig a licensed Supervimr. The homeowners acting as Supervisor is uWmatelp respoaszmIe, coavnunu'xex as of ffie To ��ffi.e homeowner is fully aware of hislher respoasffiMdAs,many re4 P . p=mjjt apRUc:atIon,t3=t the homeowner ccr fy tbathelshe mmAms m&the re�pan m-bffltm of a Supervisor. Oa Hie fast page of this issue is a fnrim curreadg feed by suinxd towIIS.,You may cart t amend and adopt such a formlersii atian for we in your camxm=dty. z Rovise:d D61313 . i f • - (�^jam/\/^/ ♦ Office of Consumer Affairs and Business Regulation i` 10 Park Plaza - Suite 5170 - Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 158718 00 3 CD o Type: Individual K-y C 0" A)Expiration: 2/26/2018 Tr# 273924 0� M a c c In m JAMES A. MILANO _ y " 0JAMES MILANO - ____ _ Zn ��� N y a 38 WINTER ST �� �" �< _._........._. —_._—�._..—_ D 0 F `fin ��'; 'S ". ' m YARMOUTHPORT, MA 02675. �- 3� `° Update Address and return card.Mark reason for change. - N C•3 �... -• t Address Renewal Empl"oyment Lost Card o � SCA 1 0 20M_05/11 r �� .+ Office'of Consumer=Affairs&Business Regulation I License or registration valid for individul use only i rn a cr • OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: D .egl6tration: :'15_8718 , Type: Office of Consumer Affairs and Business Regulation j �, a C 'Expiration: _�2/26/2018 Individual 10 Park Plaza-Suite 517.0 � o ! a� Boston,MA 02116 " 3CL JAMES A. MILANO JAMES MILANO ' h-"t 38 WINTER ST -- YARMOUTHPORT, MA 02675 Undersecretary Not valid without signature 19'-0" 6'-0" Chi T-o x6,,r r4'z3W-r a --Existing Ancillary Building 1970 Main St . 1% e WC�4 �4 y r w to 2'-10"-7r-3'--2"-7' f o w _ o 4 x m. o Co o 21'-0" 8'--9" 6'-4" EEO 2*-6':3064r ram':3�d BUILDING DBPT' l 0 2016 - --- ------- TOWN OF 13ASNSTA13LE 3p �r 19'-0" 2=T 10'S" 61-0- 3azE$ 24'z3'a Existing m Ancillary Building �✓o Po se. !? 1970 fain St _ vo QroP'Dialp CP ca to IC4 2'-10"—.f—3"2---7r 3-6 C ese. 41�3w p o Pe-n v� W I I 111 to L� ' 0 j x /� h Wco- O � - 21'-07 5=11 a 8'-9" 6•41" rsz3v4r z$:tea P,v- Ig oe i - I / 13' o. / 'Ar-lro , it- ec / Ij 20• �° 00 Py I ' orol Iq 4 I A / s � 8 3 7 79 k16� k119 --� 1 1&- i A]FG,338ti a i A a i ! �J � t { 1 r i 01/02/1995 22:31 915087906230 PAGE 02 v 04 NAR 26 PH IPP' ation to Old Kind sig �a!I-�storic D' `1 C L C R • -=- in the T " II r� Town of B8rf stabl�-for a CERTIFICATE FOR DEMQLITIpN OR REMO job I,q Application is hereby made, in triplltate, for Part thereof, under Section 6 of Chapter for the Issuance of a Permit for Demolition or geR1pya j0,VO,c and on plans,draw. or . Acts and Resolve:of Massachusetts, r gs photographs accompanying thiis sopliasofCation. 1973,for ro struct P posed wo s's� bel w TYPE OR PRINT LEGIBLY ADDRESS OF PROPOSED WORK DATE T v —'4a—nn&v� c�j Q &^A OWNER �^ "S5E5SORS MAP NO. �_ Y�� HOME gODRESS 6 �� s•b ASSESSORS LOT NO O I T EFL OZZ3 6 �---� NAMES AND ADDRESSES OF ABUTTIN TEL N0. O d — ! 6 or way, (Attach additional sheet, if G OWNERS: Include names of a necessary), dlacent property owners across any public street 8aX Z 3 L tMo Aid �r- �S \ ��z -}-� ^ 5� a �, r W ab AGENT OR CONTRACTOR ----�� V� 6�S-rp(1>;.�4V�. `Dr b2 6b� �Rrtboc-s►p� Core-rrocr 1 8Ar'IIST�p�e r''14 4 63a ADDRESS -L 5C-c' Qq an� . EL N0. Z► rI DESCRIPTION OF PROPOSED W O building must accompany applicstloORK: If building is to(Attach add be removed, give new location. Snap itional sheet, if necessary). shots �'e1110�1� Showing all views of t fro Mx��, M (Z) 1 -�rroM m�►� hose Noce: If approval is granted for relocation the Old Kin s NI granted , a separate Certificate of A g' gh y Regional Historic District. is is re Quired for new location if within Scaea below11ne for cammlttee vv, SIGNS oVM r•Crintrener.,�oMt Received by H.O.C. �Ytcat hert:b - Date Date f t Time 8y. 4pproved ❑ IMPORTANT; If Certificate is approved, aPprOval)isapproved [] Prcvfdad in the Act. i s subject to the 10 day appeal period v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A Map �' Parcel 0 t Permit 4 71/ 7 / k�- t�F•i. Health DivisionC a��/�3� �ern10 �`I" S' Date Issued t3 feg 200� ' ', ab Conservation Division j 3 r;,, r; f Application Fee Tax Collector Permit Fee s R,�� 41 Olt Treasurer Planning Dept. EPT1C SYSTEM MUST BE INSTALLED Date Definitive Plan Approved by Planning Board IN COMPLIANCE WITH TITLE 5 Historic-OKH Preservation/Hyannis ENVIRONMENTAL CODE AND TOWN Rr- . ,,,.._ Project S�t-reeeett Address Village 1 y'>�.�y5r7re4 Owner T �•Z'D?�G��I S ��� Address �/ ��>��� ST, JC�9Z o*e4 T71 Telephone g ' d - 7 Permit Request �,ysy/�9rlo�cl Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain (4— Groundwater Overlay Project Valuation Construction Type Lot Size y.3 ,7 Grandfathered: ❑Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family j Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: O Yes ❑No On Old King's Highway: ❑Yes O No Basement Type: O Full ❑Crawl O 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 O Electric O Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial 0 Yes O No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �l Oh��✓ �kE/fJ`�l/'9 Telephone Number .5��' 77�o D 31S'3 Address �S" ��VTa�(1 /}x1,4' License# 4:� VY82-2- /c�}Gl'j'I�dfh; /�Lf/} Q'245/0 Home Improvement Contractor# Worker's Compensation# t10-S/1WA6 �Z 723'a'D.3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO o$r44%t»G A40OZ7*1 SIGNATURE DATE '/ �O FOR OFFICIAL USE ONLY a ►� PERNI[T NO. � ` i . DATE-ISSUED MAP/PARCEL NO. ( ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION y FIREPLACE f t ELECTRICAL: ROUGH FINAL•' r PLUMBING: ROUGH FINAL GAS: ROUGH .n FINAL . N FINAL BUILDING cr m O co m DATE-CLOSED OUT n it p ASSOCIATION PLAN NO. cr to m r i The Commonwealth of Massachusetts 3(r Department of Industrial Accidents i 660 Washington Street >Q Boston,Mass. .02111 - Workers'.Co m ensation.•Insurance Affidavit-General Businesses name: address: 1170 City state: 00� zit): Lg0D .,phone# �5?Q 7 Z6 ,6 Z S work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑RestaurantBar/Eating Establishment working in any capacity. ❑ Office❑ Sales (including Real Estate,Autos etc.)' ❑I am an em to er with .' em loyees(full& art time.: 'El Other WE I am an employer providing vy-orkers' compensation for my employees working on this job..04 _ company name• - f: dr 2 �U•/✓••%:iZ.� - I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: comDanY nariIDec _ - . •i _ .. - ad dr:e s s city. J. u>ione- - ,.:•: ance co. - coin n.8 8a`i•'n , A V address:. . _ city::. ;... phone:#c tnsuranc. so: . :. . . .. .:.:......::.•.:• .:• olic'v#; :.. XX NO: ZZM Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby e ify nder the p ' ealties of perjury that the information provided above is true and corre Signature T -� K--� Date 7i' /3 •4 Print name Phone# ,j7 WE official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑check if Immediate response is required ❑Licensing Board ❑Selectmen s Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2003) Information and Instructions. Massachusetts General Laws'chapter 152 section 25 requires all employers to provide workers' compensation for their. employees.. As quoted from the 4`law", an employee is.defined as every person in the service-of another.. any contract of hire; express or implied; oral or.written An employer is defined as an individual,partnership, association, corporation or other legal eniity,,or any two or more of the foregoing engaged iri djoint 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,errrployment.be deemed to bean employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal, of a license or permit to operate a business or-to construct buildings in the.6nunonwealth,for any-applicant who has not produced acceptable evidence of-compliance with the insurance coverage required. Additionally, neither the commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the uisurance requirements of this chapter have been presented>to the contraciing . authority. 1., Applicants Please fill-in the workers' compensation affidavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of.Industrial Accidents. Should you have any questions regarding`the`law"or 1f you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns . Please be sure that the affidavit is complete and.printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill:'in the pernrit/license.number.which will be used as a reference number. The.affidavits maybe returned to the Department by,mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ti \ 1 The Departrnent's address;telephone and fax number: °' "' The Commonwealth Of Massachusetts Department of Industrial Accidents BMW of Imstlgatlens 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext:406 r FTMEr Town of Barnstable o �y �* Regulatory Services anntasr�M : Thomas F.Geller,Director qq, 'a3 ,�� Building Division ''rFD MAt� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit no. Date , AFFIDAVIT HOME UAPROVEMENT CONTRACTOR LAW SUppLF,MENT TO PERIYIIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,cu ier ion, -improvement,removal,demolition,or construction of an addition to any pre-existing wz► P bg containing at least one but not more than four dwelling units or to structures which ere adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Estimated Cost 30�-e a . Type of Work, --L� .�o�C . Address of Work: �970 Owner's Name Date of Application: Z.1; •o`� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied ❑Owns pulling own permit Notice 4 hereby given that: OWNERS PULLING THEIR O ABT," 110ya I112PROVEMENT WOORWN PERMIT OR DEALING WITH �KDO�NOT HAVE CONTRACTORS FOR APPLI ACCSS TO THE ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A. L SIGNED UNDER PENALTIES OF PERJURY lhe,.zeby apply for a permit as the a e t of the o � Contractor Name RegistrationNo. Date OR Date Owner's Name ofr°�ti Town of Barnstable Regulatory Services � • = Thomas F.Geiier,Director , � ���� Building Division • Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862 4038 J Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 ��„vGr�' � //�LOIJ -... . . _ _. - .,as.Oas►nex..of the.subject prop�tp ..._..._. .: hereby authorize TorN•u / /I'EtiX�9 to:act on my.,behalf,. is all mattets relative to work autho this building pe=nk-applicationlor: 1�70 lGIJ9icJ S% �vr9.�sr,�3t.� . . . (Address of Job) Z �---_ y S• a of Owner Date Print Name . - ✓fie V�amvrruauuea�i a� BOARD OF BUILDING.REGULAT..01S . -� License:.:,GQNSTRUCTdON•SUPERVISOR Number'__ 044822 1 Bi:,Qlla 71 1:F45 f267 05 Tr.no: 12989 3� I Restri-cA6• (� i JOHNA PEKENI�',�� s/ 295 SCRANTON FALI,OUTH, MA 02540— Administrator Board of Building Regulations and Standards 1 H 04 imP, MENT CONTRACTOR" Registeation tg1378 -�__� piFation�: 572004 iE µ2te Corporation I° CAPE HARBORSfI?ECp'.,STRG`� n ini� John Pekenia - 295 Scranton Avenue\�- ,� Falmouth,MA 02540 Administrator . I The Commonwealth of Massachusetts Y Department of Industrial Accidents <. 600 Washington Street -�� Boston,Mass. 02111 Workers' Compensation Insurance Affidavit-General Businesses name: knWA) :T'E;�'�iUl%9' 4141.i� addressA970 Age& y S/ •- �itv^�/3'�.lJl T79"�f G E state• zip' phone# a 9-?Z(o O W 3 work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an employer with employees(full &part time). ❑Other Le I am an employer providing workers' compensation for my employees working on this job. company name:` L��E [� %�f �'�1Llj'T72UC1J0�1• -- 29 S'u.9wra.y: address• /i �': . cityc /�TL.' l/TJ�i'� /hJ9 oZ SZ U phone# Saa 726 e ys3 insurance co::`u�. / Z /� 0°:-:43 / %%. I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name: address cif phone# insurance co. company name:. ;. address city: phone# insurance co: olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce ender the a' s and penalties of perjury that the information provided above is true and correct Signature .QL Date Print name Phone# Sm 724 D yS '-�✓official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑ ❑Licensing Board check if immediate response is required ❑Selectmen's Office contact person hone# ❑Health Department , �'.. (revised Sept 2003)- p ❑Other DEC 2 9 2015 • TOWN OF BARNSTABLE BUILDIR&APk FMPP APPLTJA�LI©N Map- pp Z, Parcel I Application # 2_a5 lqg" Health Division Date Issued j Conservation Division Application Fee ' 00 Planning Dept. Permit Fee 06 �. Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 157r, Village Owner Address S�•-+� Telephone 5Z�3Cz 5 asa Permit Request �I.Jr�}L.�.�,�.a,.� + G � cc-NJ, -k C A r 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 p/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Craw! ❑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 thy Telephone Number Address PO Box 52 es License# Cell (509) 280-6964 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RE LILTING FROM THIS PROJECT WILL BE TAKEN TO "w SIGNATURE DATE 1� s FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED , 1 < Yr ' MAP/PARCEL NO. ;! ADDRESS VILLAGE t OWNER ' DATE OF INSPECTION: T'i" FOUNDATION- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL s _ , PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL F FINAL BUILDING DATE CLOSED OUT } g ASSOCIATION PLAN.NO.` S 1 r Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MC AR ' PO BOX 52 W DENNIS MA 0267Ti Expiration Commissioner 04/10/2016 dG 1 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - Registration: 169393 Type: Individual - Expiratio /2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY -- P.O. BOX 52 WEST DENNIS, MA 02670 � Update Ad ess and return card.Mark reason for change. Address Renewal j Employment -1 Lost Card OM-05/11 r �\ The Commonwealth OfMassachnsetts Department of IntlastrialAccidents ' 1 Congress Street,Suite 100 Boston,MA 02I14-2017 ' wwwmass.goy/flia . 11'orkers'•Compensation Insurance Affidavit:Builders/Contractors/Electricians/Pliimbers. TO BE FILED WITH TiiE PERh4ITTING AUTHORITY. Applicant Information lease Print Leiribly . Narrle(Business/Organization indiv Mike c ayidual): P BeX 57 I Address: West Dennis, MA 02670 e - City/State/Zip: (-S -5$W13#: HIC-169393 Are yoy an employer?Check theapropriate box: Lr901/ Type of project(required): 1. 1 am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working forme in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3. 1 am a homeowner doing all work myself. 9. ❑Demolition ' ❑ g y (No workers'comp.insurance required.]t i 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my prop ertY• 1 will 10❑Building addition ensrire that all contractors either have workers'compensation insurance or are sole I l.❑Electrical repairs or additions proprietors with no employees. 5.❑1 am'a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub•conlractors have employees and have workers'comp.irlsurance.l 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.dOIher 152,§1(4),and we have no employees.[No workers'comp:insurance required.) 'Any applicant that checks box HI 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 hn additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. ►f the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing ivorkers'compensalion insurance for my employees. Beloiv is the policy andfob s11e Information. M Insurance Company Name: A Jr Policy#or Self-ins.Lie.#: y�/L,JC�—bGi 7C�(; a)y Y Expiration Date: j.,� l' )IN 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 MGL c. 152.,§25A is a criminal violation punishable by a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER-and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance coverage verification. 1 do hereby cerlify tin Il al sand allies r' ry dint the:information provided above"is true and correct. Si nature: Date: Phone#: Official itse only. Do not ivrile in this area,to be completer!by city or iown official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Cleric 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Phone#• WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMPAGE A.I.M. Mutuallnsurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800)876-2765 NCCI No 26158 POLICY NO. VWG-100-6017656-2014B PRIOR NO. I VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P 0 Box 52 FEIN:**-***3862 West Dennis,MA 02670 Legal.Entity Type:. Corporation Other workplaces riot shown above: See Location 2. The policy period is from' 12/15/2014 to 12/15/2015 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000-each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTEA 0712979 INTER SEE CLASS CODE SCHEDU E Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 5479 State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 This policy,including all endorsements,is hereby countersigned by 12/15/2014 Authorized Signature Date Service Office: Bryden&Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 Burlington MA 01803 So Dennis, MA 02660 WC 00 00 01 A(7-11) 0\ Includes copyrighted material of the National Council on Compensation Insurance, �� Ell, 6 Town.of Barnstable Regulatory r y Services MA-E'q • Richard'V..Scali birector ,,,,a► Building Division Tom Perry,Building Commissioner 200 Main Sbvdt,Hyannis,:MA•02601 www town barnstabte maxs Office: 508=862.4038 pax: 508-790-6230 Property O'wner Must . Complete and Sign This: Section If Using ABuilder_ Kavoave - 7 o w �, ,:as Owner of tlie;siibJeci propeny hembya*orize _ ✓00 to act_on;nybebA in aU mamrs.mhtive to work authorized b4is binding permit application for. 1�10 ala i n *t " WAS f- -r 12 U Z (Adihess•oflob),. Pool fences and.ala nis.are rf e iesponsI!V bf the-applicant.Pools are-not:t&be.filled or-ut:ilized'before-fence!s=taped'and all fihal' :inspections are performed aad accepted_ f SOAMM•: •Owner Signature.of•Appficant ar okv 'Priik Naile Print Name �A 1 Date Q:FORMs:owhTERPE&%MStorMoLs e� UO a cc , C-6 � s, 4u , reeV Name. 'Village c All Villages_ i( - I fl . ` :Prev Next> Page 1 of 1 �y EParcelLocationO. i 022-019-001 21 DEWEY LANE BALJON, KRISTIN CC 6 l 1 5 , Parcel Lookup-Mindows... I. j Main System Menu-TO..., I Application-Entry-M QAR 1970 Main St. Zestimat( West Barnstable, MA 02668 . -- .__. $39432-33 3 beds - 2.5 baths • 1,605 sgft Rent Zest r�naW EST- REFI PA) /Vote.• This property is not currently for sale or for rent: The description below may be from a previous listing. $1'6b8/m See current i WEST BARNSTABLE Beautifully renovated spacious Arts & Crafts ranch w/ partially finished guest cottage. Perfect for a home office,art studio/workshop/hobbies 3 bedrooms,21/2 newer baths. Master BR w/private en I' suite w/large bathroom and walk in tiled shower. Brilliant kitchen w/cherry cabinets,granite counter tops. The floors are limestone vile and original fir wood floors. Family room w/Atrium door to 200 sq. ft. Mahogany deck. Front has 22ft rocking chair covered porch. $412,000 ` (';4— cv, � o a✓v� �Q Vw ' Massachusetts Brewster Steve Whitehurst ,r r-..........._..._.._......._.__._._._._..._._._..__........ Ste v e Whitehurst Agentr ` � Contact All Activity In �1t/est Barnstable I *5/5 13 Reviews N:o. Reviews Phone S Sales Last 12MO No Recent Sales - Email 3 About M Let Steve kr f Broker Owner f 45 years experienced sell, or get C 1 property. ' I Specialties: Buyer's Agent, Listing Agent, Consulting, Condo Specialist I t i Steve Whitehurst is the Broker/Owner of Fealty Executives in the New England region. Steve specializes in sales of homes, land and condominiums on the Lower Cape. With ;- ----- 39 years of experiencing marketing both resort and residential real estate, you are Professioi working with the best. } Broker address More Cell phone: 1 Iteve YY hitehurst ow if you ware to buy, letails about a specific Contact nal Information Realty Executive of Cape Cod 15 Cape Lane Brewster, MA 02631 (855) 381-6370 Town of Barnstable Building Department - 200 Main Street SARNSTABLE. = Hyannis, MA 02601 M16.39.ASS. (508) 862-4038 ArFD MA't� Certificate of Occupancy Temporary Application 75781 CO Number: 20060085 Parcel ID: 217014 CO Issue Date: 07125/06 Location: 1970 MAIN STATE 6A(W.BARN.) Zoning Classification: RESIDENCE F DISTRICT Owner: CRESCENT PROPERTIES, LLC Proposed Use: 40 BRIDGE ST E FALMOUTH, MA 02536 Village: WEST BARNSTABLE Gen Contractor: PEKENIA, JOHN Permit Type: RTCO RES TEMP CERT OF OCCUPANCY Comments: WAITING FOR TEMPURED GLASS. EXPIRES 30 DAYS 8/25/06 7 Building Department Signature Date Signed Expiration Date -•,. TOWN OF BARNSTABLE ti - BUILDING PERMIT PARCEL Ib 217 014- dEOBASE ID 13384 ADDRESS 1970 MAIN STREET/RTE 'j6A ( PHONE W BARNSTABLE I ZIP - i LOT A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT ,WB ` 1 PERMIT 75781 DESCRIPTION RE-ROOF & SHINGLE ADD DECK & PORCH TO H06SEi PERMIT TYPE .BREMOD, TITLE RESIDENTIAL ALT/CONV CONTRACTORS: PEKENIA,°JOHN Department of . ARCHITECTS: Regulatory Services TOTAL FEES: $478'.31 BOND $.00 CONSTRUCTION COSTS $107,520.00 "�► 434 RESID ADD/ALT/CONY 1 PRIVATEOsnxivsTABi.E, MASS. 039. BUILDING DIMS N BY DATE ISSUED--f)4/ 55/2 ,Q''TION DATE ° . ' TOWN OF BARNSTABLE - } ' ...� WILDING PERMIT PARCEL ID 217 014 OEOBASE ID 13384 ADDRESS 1070 MAIN -STREET/RTEt6A ( PHONE W BARNSTABLE ZIP - LOT A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 75781 DESCRIPTION RE-ROOF & SHINGLE ADD DECK & PORCH TO HOfJSI PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY 'CONTRACTORS: PEKENIA, jOHN Department.-of ARCHITECTS: Regulatory Services. TOTAL FEES: $478"_31 < BOND $.00 CONSTRUCTION .COSTS $107,520.00 434 RESID ADD/ALT/CONY 1 PRIVATE O ;-k " * BARN3IABLE, # "� 6 9. �• BUII;DING,DIVIS N BY. �. DATE ISSUED-' 04/05/2� E -Pli.iA DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,.MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY'GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY'APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING.STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 -0_-3' D 1 1 -to M o1+ D MXT 2 2 l ��/D t I NSU (0 3. r 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT pp- 7 !. F C7 1 co 2 BOARD OF HEALTH . f� 0 8 fA tf- OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. . . s� Master + Bedroom itde t ,Sf.X ' 6'X,2". 2" € ,X2" is as RoomBedroojh 1VX12' t Bedroom Family X10 Rooms L 17 d hfxt G IG'X6' i Kitchen Room: � �---- 1970 Main St. +� aFFMARKE West �t� B rr1 a ��Stim , MA 02 _2 ..-...- $394,233 3 beds • 2.5 baths • 1,p605 Sgft Rent Zest,mate� EST. REF] PA) Note.• This property is not currently for sale or for rent. The description Below may be from e pre vious listing. ��'����m See current i WEST BARNSTABLE Beautifully renovated spacious Arts & Grafts ranch w/ partially finished guest cottage. Perfect for a home office,art studio/workshop/hobbies 3 bedrooms,21/2 newer baths. Master BR w/#private en suite w/large bathroom and walk in tiled shower. Brilliant kitchen w/cherry cabinets,g;ranite counter tops. The floors are limestone the and original fir wood floors. Family room w/Atrium door to 200 sq. ft. Mahogany deck. Front has 22ft rocking chair covered porch. $412,000 s i r c I NEW SMOKE DETECTOR REQUIREMENTS ARE NOW LAW. EVEN THE ADDITION OF A . NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE. YOU MUST PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE PERMIT AT THE FIRE DEPARTMENT- SMOKE DETECTORS O.K. BARNSTABLE BUILDING DEPT. l'- ................ I :Y' i- �y li ?AGE I ' f I� • 1' � SIf.Psr.•MKiwewr.....on.,..-. '� 1` a h J D I Vi c J i �.� .._. .... �. Z rn a w i l+q,q 27'-2"(Open) 1 ,Y• V b (� o x CD V o w a 1 a � � 3 a f (uedo)„6-,6! d\' „!!-,bl G. V h IN CA e a V s,e•.ez `+ A a a•�ia'8�ep ' V '=9' 6'-0" CA q h 4 w 3'-6„ V Q V A 4 a . 2'- ,) o 4 4 ,ll-,Pt " o , . w V W =+ N O O � b a 4 A, a � o L Ca v 0 30_1„ a 5'-9" 56'-0"' 3'-8" T-8" 13'-d" —12'-3" 10'-2" 8'-10„ Q 00- Bit i p5'r VGj 7_ Vz�\ 14 Co - 0, Bedroom o I o iv a #3 Bedroom Laundry v �T #2 b Family Room tO v , § i k zs:ca• -----•---- . � :a 10'-$" V '/ o n 0"a.6 o-,e• -eF ,saeF Zy"_v5 w 5'-8"-- -6'-11" i`-4'-4'i i „ , 5 "—� in 2•_6 12'-0" - 15'-3' Ste•r :':CO ♦ -... ... • N CO i— Breakfast 5-6 Nook Living/ N o Dining Room ° Bedroom ' Kitchen #1 CV h O O � 3-1 T Al —4'8" 5'-9" 13'-10" 15'-7" "5- " 41'-1" ' 1970 Main St porch Proposed Floor Layout 25'-10" sac rs�+a �rsr �e2a?osEl �rn� ' f Q SO,�rrJ#ES '��I36toW G2A O rs d 2• z7(o 6izrf V r rr�sn.'& )CI A-) •.uc s5°evs—, e �OwEtE D FDN PsL. �('� 7'�r P�3 I FDA �/je/'o SE) /�a�.T7Cl✓ 6 Oz. � 1Z u I!o t%Os 30..x ON I O -— F G �� E,c�sr�iyG r/ovSE J✓9tG`/ /Q^'SaN07y6ES Exisr�w/(e c n o o EXiSrING F '✓ O O O O 'howCLE WALL wfr:�cPt� � Fi✓Sna� srau� DA.) 16"6 IC40 '" F7�S —3e�s,� tF(cc J y .P!'6s�e Al' B�.cou� Ce.9i1E 16" v,e. Frv.���na.✓ �w9,v�. HARBORSIDE CONSTRUCTION SHEET NO. OF 295 Scranton Avenue FALMOUTH• MASSACHUSETTS 02540 CALCULATED BY DATE (508) 540-5787 CHECKED BY DATE SCALE j�f}GE !o i s �,� '12a�es�L bEeiC 54e-rVAJ G�iRdE /yJ.¢xS P.f. yfi8 1Das:5. /e<sE f' 7 gocrr� 7a yr x 8``SoNe?vdEj /�OdSE .B.as/a -7a/S% ,qcc AuNa w/tfi9�4 3e va A,de'v-.r�cr sowz4 s MAN`/cG- DEC.r-111'6- 6AI ow /ze-b K / PP/VhVE li/os eAl 5,9 � L 7-Xlf Is A SfX,T l�f Ur- CUSio�e F �rrE�s WNi TE C-Z"A S*,v44fS . pAl FiS fY"IT p,J �"cax pT/ ZX`/ ivsn,�6 e<wSE �$c✓E <SofGb W/ sz/'o" T:&V 4- R�s�e zxB SDrsiS /Sr F100/t 1ai57S p.r. 2x 4 EYrS11NG F-0 PJ 10`$oA,erddE JOB �opeS{•� sErr�p^/ HARBORSIDE CONSTRUCTION OF 295 Scranton Avenue SHEET NO. FALMOUTH, MASSACHUSETTS 02540 CALCULATED BY DATE (508) 540-5787 CHECKED BY DATE SCALE PACE . pYF_-Gi"•QA/l7E oN �Cm�r/E/2.,Pdei' R'7X7E.US ION F2v.j r ,eem F 2 x i o .P�9FI E.eS f/uG�xAsdE L�1-vPt s4r /S1LC. �'x�s�.ud .�YpdSE I I Tr CA) /dadSE S-2'r S �•T ZX(r „7ai5T ZkB �-d.s� /�y a &dA ,- wl/l�lUGE� pq fJD r•7a�1 Gx& Pes:s /�'Ei3�Ee Sv�Pe+��yG �e�ecN �s.7.✓G ,eif,Fi��s- IloIML VA u�E $EF 77-4 �p7Sf St1 'r HARBORSIDE CONSTRUCTION of 295 Scranton Avenue SHEET NO. / F( �Li9M/uG FALMOUTH, MASSACHUSETTS 02540 CALCULATED BY DATE (508) 540-5787 CHECKED BY DATE SCALE ,4'r =r' P'g e ��I f 4 1.-. �_._.. .� f � • -__.-..__�-.�._._... i! a ( , I 19,-0„ • � ra:ra rr:�oro _ Cn Existing Ancillary Building, 1970 Main St. h Includes window& door changes in existing building ' w CA 2"10"�3-27—,r ................. 7 ' I - rPi P•6 I , CJ h I I i h I m CO LO 21'-0 5'41" • 2Br]OOd 7-0't 300'd PROF 10 19'-01, 19'-0,. ' 2'-7" -10'-5" 6'0" 2'-7" 10'-5„ s,_0" Ta=Ba 7d=300'd - 3dx?d Zd:3ara - � "' Existing Z � Existing �' Ancillary Building 4 Ancillary Building 1970 Main St 1970 Main St Eu's'�'^'� Includes window& Includes window& S-,^a 6AJ (i9DE 13'-4" door changes in existing p door changes_in existing building N building 1 �+ iq CO �, '�' in w 2'-10"-�-3'-2":j' � 4'-0"—�' 40 ��S1iP �u�.v,�j � 3•a=s'd I rd=ed w � LO H N 4 C rn CO o U�, I 21'-0" 7-0'x3naa Zd=30dd 9- rtoe2 F,e.��E .ro�u� ,�v�•t a snN� ,e�.� .vuu 411-1, 2x 8 /2,9FrF.eS . ffU•eCtC/,NE GrG✓PS' �i �G G.�/S, �yPr,�4r�- Sri'i•rr�'cEs ew iS FAT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel /y Permit# Z,.f 7 R Health Division c��l_'>O 3I A57 'IdF A Date Issued :?474W Consdrvation Division �'IYI�Y C�`i r 0Q4 MAR 25 AM 9= 50 Application Fee , 0 Tax Collector Permit Fee / 3/ Treasurer DIVISION SEPTIC SYSTEM MUST BE Planning Dept. INBTALL.ED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 1976 ViIIage�i9,.0,V-S 9.8LE Owner I!4?"CEVT P2O,0ZG/-%ES' Address yO z e,,�- ST E- fi9C �rr� Telephone S�� SAD 7�107 Permit Request Aa D /o x iS Ad >17D.v ; X 26 .;44Ci1 ' VF"y Si.Di y6 6411-y�D�iVS'; A/Ecy bECk : A)C40 /1dD,�v _5-1 d 1,y4, .,eA0.Cr RAJ /�l/S4 L>9�� I3 L�G `' iP�'�od� � G'�•�.u�E�/5 Square feet: 1 st floor: existing /ysf proposed ZOS� 2nd floor: existing D proposed a Total new /SAD Zoning District Flood Plain C Groundwater Overlay Project Valuation /60;GOD Construction Type WAV2 150_41vve �• Lot Size 'i�-�7� S'• ' Grandfathered: 19Yes ❑No If yes, attach supporting documentation. i Dwelling Type: Single Family 06 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes if No On Old King's Highway: *Yes ❑No 3 2 i// Basement Type: Full 1ktrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new C Half: existing ► new O Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing 7 new - First Floor Room Count 1 Heat Type and Fuel: ❑Gas VOil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing D New O Existing wood/coal stove: ❑Yes �Y-No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:lb existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4No If yes,site plan review# Current Use 9iN&0 r Mll Y &5,'IdEUCC Proposed Use L 22,9 -� BUILDER INFORMATION Name .! sNN Telephone Number S�8 72G G�S3 Address Z95- License# MG/WIJ V. Home Improvement Contractor# /0%3 7�• Worker's Compensation# aL3972x 7Z3—D-o3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f91-fa9W771C A0,e- ,E'. �'fii�tl�dYli C11 SIGNATURE DATE 3• �3•y� v FOR OFFICIAL USE ONLY PERWT NO. DATE ISSUED MAP/PARCEL NO.- ADDRESS VILLAGE, OWNER _ DATE OF INSPECTION: FOUNDATION fo C 6 C K ,E{fo 0O /E L! .410 f� FRAME INSULATION d //✓s!/ D R FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGI& 4 FINAL, GAS: ROUG� Q p C FINAL''* N ryi FINAL BUILDINGoz m p CZ) DATE CLOSED OUT., o0 ASSOCIATION PLAN NO. m n �� S °f�E row Town of Barnstable Regulatory Services Thomas F.Geiler,Director 9�pjeo .� Btuldfng Division - Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508 790-6230 of ace: 508-862-4038 Property Owner Must Complete and Sign This Section. If Using A Builder I, �A);57 1/j4 Aj -- _ .;as.0 uet.of the.subjectptope-ty- ._.._..._. .: hereby authorize ��•tJ � Eii9 to:act on my..behalf,. r in all matters relative to work autho=-ecl•by this binding pe�snit application for: /470 �`t�U ' (Addtess of Job) , �cf----- 3 fn��L� - S' a of Owner Date � V 1,44eAJ Print Name . T ' I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I Checked by/Date t I I CITY: Barnstable STATE: Massachusetts HDD: 6137" CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-13-2004 DATE OF PLANS: 3-10-04 TITLE: 1970 Main St. PROJECT INFORMATION: Crescent Properties LLC 1970 Main St. Barnstable, MA 02630 COMPANY INFORMATION: Cape Harborside Construction Co Inc , 295 Scranton Ave. Falmouth, MA 02540 COMPLIANCE: PASSES Required UA - 350 Your Home'= 250 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1455 30•.0 30.0 25 WALLS: Wood Frame, 16" O.C. 1376 11.0 • 11.0 75 GLAZING: Windows or Doors 222 0.340 75 DOORS 18 0.310 6 1 FLOORS: Over Unconditioned Space 1455 19.0 19.0 69 HVAC EQUIPMENT: Furnace, 87.0 AFUE f ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts, Energy Code. The heating load for this building, and the cooling load if appropriate, - has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater th 125% of the design load as specified in Sections 780CMR 13 an J4.4. Builder/Designer 4 Date 3•JJ•� 0 ] t1AScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software'Version 2.01 1970 Main St. DATE: 3-13-2004 Bldg. ] Dept. l Use I I CEILINGS: [ ) I 1. R-30 + R-30 I Comments/Location I WALLS: [ 1 I 1. Wood Frame, 16" O.C., R-11 + R-11 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ) I 1. U-value: 0.34 I For windows'without =labeled U-values, describe features: I # Panes Frame Type Thermal Break? (, ] Yes [ ] No I Comments/Location I I DOORS: [ I I 1. U-value: 0.31 / I Comments/Location I I FLOORS: [ 1 I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: . [ I I 1. Furnace, 87.0 AFUE or higher I Make and Model Number I i I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When \ I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 11. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 2'83, with no I more than 2.O'cfm (0'.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ I I Materials and equipment must be identified so that compliance can I � I be determined. Manufacturer manuals for all installed heating I. and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans i or specifications. I DUCT INSULATION: [ ) I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ 1 I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. [ l I SWIMMING'POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. [ 1 I HVAC PIPING INSULATION: 1 I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the foll'owing levels (in.) : I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1:0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 _ I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: 7 I Insulate circulating hot water pipes to the following levels (in.) : I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 1 1.0 1.5 2.0 i I 140-160 0.5 1 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- V r f t I , Board of Butldiiig Regulations and Standards } HOM IIIAP�ROVEi.,ENT CONTRACTOR . Registration\10-1378 JE War _ 1272004 ��� BIT"�,�,���c -� i��2te Corporation � o CAPE HARBORS~E3CQFS � John nPekenia M Scranton Avenue 4 s," Falmouth,MA 02540 'Administrator BOARD OF BUILDING REGULATIONS License:.-.00NSTRUCTION'SUPERVISOR N�Irnb r 044822 I Bi_ hd Ce O712611945Vrz I `1i� �•_i�lufp ExpiresFbJ2005 Tr.no: 12989 Re\ rl etd JOHN A PEKENI i 295;S.0 RAW ON-AV 4 FALMOUTH, MA 02540— Administrator ` RESIDENTIAL BUILDING PERNIIT FEES ' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORK.SHEET R�s �L• /off S� NEW LVONG'SPACE /SO square feet x$96/sq.foot= /`I plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE f I NSA square feet x W/sq.foot= 93 Lo. x.0031= Z plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1t >120 sf=500 sf—� $35.00 >500 sf-7 s 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS 3 0 Open Porch I x$30.00= (number) x$30.00= 30 Deck (number) z$25.00= Fireplace/Chimney (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee 2 8= 3 J projcost i .' 04 FLAP 26 PM 2: 14 Application to ®rb g� :gl p tegfnnaY A6L �g 016C PM rift s b In the+Town of Barnstable FEB 1 6 CERTIFICATE OF APPROPRIATENES HTOW/v�FBgRNST. R pRESERVq LE Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness un ion 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New Addition ❑ Alteration Indicate type of buildir : House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: L-J��"� ors,-1 3. Signs or Billboards: New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: El Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE Z • 0- - ADDRESS OF PROPOSED WORK \990 V%\N S`C Q&RN�STPbISSESSOR'S MAP NO. _-2-\-_ OWNER ��A�ne C V RGo�1 Z SC�i/�� \�� � ASSESSOR'S LOT NO. 4 HOME ADDRESS_�"�OV��tl(�� ST F F���' ��'36 TELEPHONE NO.SO1 511�'r]86� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) �enn��eR NI 04-(.q " c MA\C0 SC T. O�-b 6 rn L A 0 Z-I on �a- '�- k �a i r,, o v: b A AGENT OR CONTRACTOR AAe&X L-\Q2- �o'�S�c�c V"-.1 TELEPHONE NOaY SuKQ S`�� ADDRESS Z�� SCC� � `Qcv� �o-VNlOJ N YYw d 2S'10 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. � �e �y��s;�'\6 c o� � � -�r AJx� PNoc;C- sta�Q . 10 x \S t���r--A ON CV C S . MOv`L �c�<Z��t�, ,� A gnei��`'T��6 o� e. vo o OG For Committee Use Only This Certificate is hereby i - Date Appr ed/ Committee Members' Signature . / fL Town of Barnstable O C Old King's Highway Historic District Committee �O FEB 1 (�s' SPEC SHEET TD s ?004 c HISr�R OFgAR FOUNDATION C, \S� 5 �'v —j1 SIDING TYPE `-P AS-" S�AV\61� COLOR �1 c Y\ t CHIMNEY TYPE `�T� COLOR ROOF MATERIAL�AC A-�&,%A��COLOR PITCH } Qk-z SCE 0-�11'RC!}�(� WINDOWS �� COLOR SIZE TRIM COLOR DOORS C MA �-�L- �\i Q�A�S COLORS SHUTTERS COLORS GUTTERS U�\� COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS 1 j IZE 2 X 3' COLORS SIGNS \zYAP cot sv,�-y cT1o(\,) COLORS FENCE ' v COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plane, when applicable. SPECSHT .,_..t--A it /OA Town of Barnstable oF�"e r0�ti . • • o� Regulatory Services Thomas F.Geiler,Director 16 $uildiug Division 'OIFc Mph�` Tom perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit ao. AFFIDAVIT CONTRACTOR SUPP MNT TO PERMIT AYP E A ON MGL c.142A requites that the"reconstruction,alterations,renovation,repair,modernization,conversion, L c.14'nt,removal,demolition,or construction of an addition to any pie-existing owner-occupied imP at Least one but not more than four dwelling units or to structures which are adj acent to bung containing alongwith other such residence or building be done by registered contractors,with certain exceptions, requirements, Type of Work:_AiE.�v��' Estimated Cost / ' Andress of Work: 1470 �'►'�i9i� S%• ' r i ceko r Owner's Name: ,ee-Se- .v Date of Application I hereby certify that: pzotration is not required for the following yeas on(s): []Work excluded by law ❑1ob Under$1,000 . ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OPYN PERIMT OR DEALING WITH UNREGISTERED OWNERS PULLING'TEM CONTRA OTORS ARBITRATIOI`I pR FOR APFLICABLE OHOCMAEM OR GUARANTXR.OVEMMNTwFUND UNDER MGL 142A, ACCESS TO THE SIGNED UNDERFENALTIES OF PER1UiZY Thereby apply for&permit as the agent of the owner: �£k•.£U/� /D/37� Contract o amu� RegistrationNo. Date OROwner's Name SUPPORT BEAM FOR FLOOR ' '^ 17 1314" 7 /4" 1.9E Microllam® LVL T,F�eam(TM}8.70 Serial NumCer.7003015817 X Pena; Engine Version:1P10.3 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Overall Dimens1on115' Product Diatiram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:5' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 12.0 Dead SUPPORTS: Input Searing Vertical Reactions(Ibs) Detail Other Width Length LIvelDeadlUpliftfTotel 1 Plate-orrmasonry,walf 3.50" 150" 6751 185 1 0 1 860 At:Blocking Custom Blocking 2 Steel column 3.50" 3.50" 1833158210/2415 L5 None 3 Plate on masonry wall 3,50" 3.50" 6751186/0 1 860 Al:Blocking Custom Blocking -See TJ SPEC1FtER'S/'SUtLDERS-GU1DE for defail(s):.A1':Slocking,t5 DESIGN CONTROLS. Maximum Design Control Control Location Shear(lbs) 1208 1010 2411 Passed(42%) Lt.end Span 2 under Floor loading Moment(Ft-Lbs) -1771 -1771 3557 Passed(50%) Bearing 2 under Floor loading Live Loed Defl(in) 0.096 0.183 Passed(U913) MID Span 1 under Floor ALTERNATE span loading Total,Load*Defl'(in) 0.115 0113' Paesed(U768) MID'Span 2under Floor ALTERNATE span ioading -Deflection Criteria:STANDARD(LL:U480,TL:U240). -Brecing(Lu):All compression edges(top and bottom)must be braced at 2.8"o/c unless detailed otherwise: Proper attachment and positioning of lateral bracing•is,requiredtoachieve-member stability. -The load conditions considered in this design analysis include alternate member pattern loading. ADDITIO"LLNOTES: -tMt'ORTANTf The analysis presented is cutputfrom software developed by Trus Joist(TJ). TJ werrartts the sizing of its products Inputt design loads, be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, and stated dimensions have been provided by the software user, This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUSSTfTUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code BOCA analyzing the TJ Distribution product listed above. PROJ�INFORIUTATIQN` THOMAS BROWN HARBORSIDE CONSTRUCTION FALMOUTH LUMBER 1970 MAIN ST. 670 TEATICKET HWY. EAST FALMOUTH,MA 02536 Phone 1.508-648$868 Fax :1-508-457-0649 TOM BROWNSFALMOUTH LUMf3ER.COM Cou ri ht a 2003 by Trus Joist, a,WeyofhaeuDerOBusiness Y 9 I HLCCOiia,� 15 a reQist@red .radem2cK jl SUPPORT BEAM FOR FLOOR T J m(T-Bea M s.,o ara"Numb` g58 7` 1 3/4" x 71/4" 1.9E Microllam® LVL ) S r User:1 41112004`_1:20:48 PM' Page? EngineVersion:1.10.3 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group ^ 7' 4.00" 7' 4.00" Max. vertical Reaction Total (lbs) 860 2415 860 Max. Vertical 'Reaction Live (lbs) 675 1833 675 Required Bearing Length in 1.50(W) 1.84(S) 1.50(W) Max. Unbraced Length (in) 32 32 32 Loading on all spans, LDF = 0.90 1.0 Dead Design.Shear (lbs) 128 -243 243 -128 Max Shear (lbs) 175 -291 291 -175 Member Reaction (lbs) 175 582 175 Support Reaction (lbs) 185 582 185 Moment (Ft-Lbs) ` 240 -427 240 Loading on all spans,. LDF = 1.00 1.0 Dead + 1.0 Floor Design Shear (lbs) 532 -1010 1010- -532 Max Shear (lbs) 725 -1208 1208 -725 Member Reaction (lbs) 725 2415 725 Support Reaction (lbs) 769 2415 769 Moment (Ft-Lbs) 996 -1771 996 Live Deflection Ain) 0.058 C.058 Total'Deflection (in) 0.077' 0.077 i ALTERNATE span loading on odd # spans, LDF = 1.00 1.0 Dead + '1.0 Floor Design Shear (lbs) 624 -918 , 335 -37 Max Shear (lbs) 816 -1116 383 -83 Member Reaction (lbs.) 816 1499 93 Support Reaction (lbs) 860 1499 93 Moment (Ft-Lbs) 1264 -1099 54 Live Deflection (in) 0.096 -0.042 Total Deflection (in)' 0.115 -0.029 ALTERNATE •span loading on even # spans, LDF = 1.00 1.0 Dead + 1..0 Floor Design Shear (lbs) 37 . -335 918 -624 Max Shear (lbs) 83 -383 1116 -816 Member Reaction (lbs) 83 1499 816 } Support Reaction (lbs). 93 1499 860 Moment (Ft-Lbs) 54 -1099 1264 Live Deflection (in) -0.042 0.096 'Total Deflection (in) -0.029 0.115 r PROJECT INFORMATION: OPERATOR INFORMATION: HARBORSIDE CONSTRUCTION THOMAS BROWN 1970 MAIN ST. FALMOUTH LUMBER 670 TEATIMT HWY. - EAST FALMOUTH,MA 02636 Phone: 1-508-548-6868 Fax : 1-508-457-0649 TOM BROWN@FALMOUTH LUMBER.COM . copyright (o 2003 by Trus Joist, a weyerhaeuser-Business MicrollamfD is a registered trademark of Trus Joist. pi9�� 7C3 1st FLR. SYSTEM PROFILE MAIN HOUSE ELEV.82.0 NOT TO SCALE FINISH GRADEFINISH GRADE EL. �'a•o o FINISH GRADE OVER s, OVER TRENCHES 72, o SEPTIC TANK � _RISERS TO 611 PRECAST CONCRETE 6 _ D E-/ 500 GALLON DRYWELLS ( OF FINISH GRAD .� FINISH GRADE OVER H-10 REINFORCED LOADING - 1 1 ,r DISTRIBUTION BOX 7 311 MiN. TRENCH LENGTH =33'-611 !C, o MIN.SLOPE 1% 3" ' 611 MIN.SLOPE 1% DRYWELL LENGTH = 8'-6" r� 0- MIN ' - f 'q iO:r i 'y O?O 1 ✓, 1 '•r Q:O o O a p r. ?'y. 70 13"MIN. 1411 RISERS TO 6" �, =oaf 7y s-o MI 2S OF FINISH GRADE OUTLET PIPES) LEVEL o, ° - ,,�, .1 ;`;d, r ooT/4f,r •�: �y o FOR 2'( MIN.1% SLOPE 7z zo ,bib' ��'�-0�1..:, � ;b ol`o �, PVC OR CAST IRON TEE y Y ND) p ' I BE 0 GAS BAFFLE11 Il O 3/4 - 1-1/2 DOUBLE 3/4"- 1-1/2" DOUBLE WASHED CRUSHED WASHED CRUSHED 41 f 47 1500 GALLON a A. 7z, e F6- UMP STONE STONE PRECAST CONCRETE BSMT.FLR. :o `y H-10 REINFORCED a DISTRIBUTION BOX ELEV. - - - TRENCH SECTION MINIMUM INSIDE DIMENSION 12" OUTLET INVERTS 2" BELOW INLET INVERT NOTE: EXCAVATE TO =C= STRATUM IN ORDER TO \o i �'/:,r'11 �j0 :Oa•' r: 'rpr:r '' ter, .l'1.Iol, .��r 01,;'�'i0',r ,,0*',•0,1°„n't'f°:�•�i' ' ':1 MINIMUM CONCRETE WALL THICKNESS 2" REMOVE ALL =A= & =B= IMPERVIOUS MATERIAL WITHIN 5 OF THE SAS. REPLACE WITH CLEAN, INSTALL ON COMPACTED LEVEL BASE 1 SEPTIC TANK 9 MIN. 3 OF1/8 - 1/2 CLAY FREE SAND INSTALL ON COMPACTED LEVEL BASE 4" DIAM. 36" MAX. DOUBLE WASHED [310 CMR 15.255] Ulf _ PEASTONE o' r o t o 0 0 • r . ..I ,} .'•._ 4 l•. Y„+Y. '�t�':_, .f/�I,� fit'..AR �y�+:w ` �•N ' `0• 1��Ir 411 211 M 1► ,e v I ttsAdli o r rr o o DOUBLE CRUSHED T STONE14 • - �01 u .. _.. . _ _ 131211 NUMBER OF TRENCHES 1 82.8 (� ,,���, �. J H. -- C° NUMBER OF DRYWELLS 3 -`� \ „ J"� -•�4 j°�ri 's� _ J' 6.r1 ,`Cwal°e 9r� e�•S�>a � �l�' "\ F� ° ' '. J' IY �N of , 1 va �p, p 78 9' ,'� rau7 ; •U; r f - , °"s�, � '6', !` 0'_'-. ` --- .. 1 � ♦827 + � yrf - so.9' o� C9 -.'+ �' OBSERVATION PIT 1f 77.6' f P-10,628 PERCOLATION RATE. < 5 MINAN / ♦ WITNESSED BY: D.STANTON 78.7 8.1' � BARNS. BOARD OF HEALTH DATE: DEC.29,2003 & FEB.5,2004 J� •, 78.2' ♦ ( 79.4' / o f; f ,• ;, - � � �. ,� DESIGN DATA F + +7s. ' 73.6' GENERAL NOTES. T Ty z > ,y .� 'l t; 79.2' / � f 1 �,i Oli oil Oil I r 1. ELEVATIONS SHOWN ARE BASED ON ASSUMED >4 �ma . w/ �o �� .s A '4 78.1 ;" 7 7 , r' 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON .� •• Lp� _ � NUMBER OF BEDROOMS 4 q OR SCHEDULE 40 PVC. is _, �.__ __--- Ae s4„�,y, ,c o a + 77.0' f/ 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING y N a w �, N GARBAGE DISPOSAL NO 78.2 / �\ v �' MUST BE NOTIFIED WHEN CONSTRUCTION IS z / x-,i3O- � ��y.e r/y DAILY FLOW 440 GPD. COMPLETE PRIOR TO BACKFILLING. s.,,,��y ,ro�. ye- -__= SEPTIC TANK REQUIRED 1500 GAL. 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED C/ SEPTIC TANK PROVIDED 1500 GAL. 7 . ' `f' ♦ . BY CAPE ISLANDS ENGINEERING AND THE BOARD z,Z w/•s .4 � sVw-P 73.0 LEACHING REQUIRED 440 GPD. ' 78.6' ,y c /tea N s ,oy�,.��� ' OF HEALTH. ,.r,�,<r s„.,.•✓ 18.2' 8 ` / 77.T ' s,h y Lo4.h /o y2 -44- s, , �\ 5. MATERIALS AND INSTALLATION SHALL BE IN ao _ ______.•- _____.-_._ '"� s>`e " ` SOIL ABSORPTION SYSTEM CALCULATIONS: COMPLIANCE WITH THE STATE SANITARY CODE 8 w/sip S><o ro t + \� i � �,�., � [TITLE V]AND LOCAL APPLICABLE RULES AND. . 78 by _ _ _ -. �♦ REGULATIONS. sq ar sy - - - - - - - - - - - - SIDEWALL AREA = 186 SF. y "nn--r. _.. - r. _. o _... ....... . . .. . 6-NORTH> Pa01h'IS FROM RECORD PLANS AND IS w x,it r _. 1tsc� �F. .14 vi5r . �sr vrD. I \ 77.7' ,r r o o / f+ 1. NOT INTENDED FOR SOLAR ENERGY PURPOSES. S �y2 aL ,� s .,�� BOTTOM AREA = 441 SF, s-� k a z 76.6 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. y� �6 441 SF. X 0.74 G/SF. = 326 GPD. 7 ��' + ,� \ f 8: FLOOD ZONE C [NON-HAZARD] LEACHING PROVIDED = 463 GPD. t e �� e-.79.9 / " / / 9, FLOOD PANEL: 250001 0003 D DATED: JULY 2,1992 NO GROUNDWATER zz2" NO GROUNDWATER NO GROUNDWATER ® 10. THIS PROJECT DOES NOT INVOLVE ANY PHYSICAL iyN 77.5 \ / GROUND DISTURBANCE OR VEGETATION REMOVAL 6.0' + 8 '�` ,/ �' i WITHIN:100'.OF.WETLANDS,INLAND OR COASTAL +76.2 •'" / BANKS OR FLOOD HAZARD ZONES. Associates 57 Land SurveyorsTa Civil OPHER eeUSEnviron mental Consultants �• \ , ,�/ \ / , �. 465 Main Street/P.O.Box 128,East Falmouth,MA 02538 ry/'J . \ ry•• /f �!'r ! , "- I / / f,.{( 24 Fax: 8-5486424 PtaeSEE.MAa CACOCAPCODNET + ' Mr.David C.San c PLS 76.6% Cape and Islands Engineering/ �. / , 800 Falmouth al eouMA Road,Suite 301C Mashp` / �' / / LEGEND RE: SIEVE ANALYSIS OF SAMPLES TAKEN FROM 1970 MAIN STREET WEST 7 �'1 - ,•, ` '..\ / / / /,` BARNSTABLE,MASS.MAP 217 PARCEL 14 / 52 - PROPOSED CONTOUR Dear Mr.Sanicki, A total of three random samples were collected into one container from the above •+.,;;,- _ / / �\ / rr referenced property. The contents of the container were air-dried and the sieve `\� // analysis is as follows. >y SYSTEM UPGRADE 7 . ' \ ?y"`'w: a _ / ` --- 52--- EXISTING CONTOUR 77.8' / - Slave M X Passing9a Allowed 9<Remslned M•0.M Pass/Fail OBSERVATION PIT 4 45.5 45 ___._ 54.5 _ PASS__ , 50 16.3 __,0-200 13.2 PASS T° -' ' . PROPOSED SEWAGE DISPOSAL SYSTEM 7 "•"`.`�: '"^'�` ` r� , 100 2.7 0-20 13.6 _ PASS n. jt. �� �, "' '''•.._.`...._ /" l / 1a 200 <1.0 ._ 0-5 2 PASS e t - r o ❑ DISTRIBUTION BOX PREPARED FOR S , 'y1 ~ b 'w 75.3' ' 73.3' .' The results indicate the soil Is suitable under MGL 310 CMR 15.255•Fill Material'for a <E _ Title V S.A.S. SEPTIC TANK <;Respectfully submitted, CAPE HARBORSIDE CONSTRUCTION CO.,INC. "•.,..... -_ r!7�� • ' r 1 � HSE.NO. 1970 MAIN ST. [RT 6A] c-� 74 _ LWJ SOIL ABSORPTION SYSTEM C ristopher Costa,PLS IiOF WEST BARNSTABLE MASS. a'j - DEP Certified Soils Evaluator ``)~ 'ty�L --�� v< _ccr.+A-'•^'�� ' RESERVE W 7J0y RESERVE AREA �°1511 1�° y PLAN NO. 020804 SCALE: AS NOTED 72.9' 4"DsmvE°Q 22.26 PIPE INVERT ELEVATION _ I� ` . FILE NO. 412BA DATE: FE6.8,2004 SEPTIC FILE NO. 74 PCS FILE: mainst1970 PLOT PLAN ft _ I z Z z � 'ta3� SCALE: 1 - 20 ^-_ ,'• �'� CAPE & ISLANDS ENGINEERING 0 0 0 :� , 800 FALMOUTH ROAD, SUITE 301 C , . .. \ ,< t r , , 217 14 A 1970 . + MASHPEE,MA 02649 (508)477-7272 7nF� - - --- - - - -- MAP ---SEC- -PCL --LOT - HSE - - - - a - -----