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0020 DAISY HILL ROAD
-- 02. s-� ��z �� ��� �� Y i '� I � - - Town of BarnstableBuilding :.PostTh s.Card So That ' ' "1 . om the.Stre`et�"�A rovetl`Plans`Musbe Retamed�onJob athis CartlMust be Key M Posted UntilFinal Inspection Has Been Made A _a x _� sw , F Permit 4a ,R Whece a Certificate of Occu anc is Re aired,such Buldm ,shall Not be®ccupied�unt�l a�Final Inspection,has been made . .. .fix., Permit NO. B-19-1741 Applicant Name: MULTISTATE RESTORATION CAPE COD DIVISION INC. Approvals Date Issued: 05/29/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/29/2019 Foundation: Residential Map/Lot 326 096 Zoning District: RB Sheathing: Location: 20 DAISY HILL'ROAD,HYANNIS �Co tract r'4Name"�, MULTISTATE RESTORATION CAPE Framing: 1 y � ' R C�.OD DIVISION INC., Owner on Record: SEROLL;ALLAN A& ESTHER TRS t�' , Address: 1855 BEACON ST' �z ,,_ �, ., Coq"tractor.;License 140427 2 ° Chimney:44 - BROOKLINE, MA 02445-4205 Est�Proect Cost: $3,800.00 Description: demo interior only-remove interior wall an i'6 �floonm" and ' Permit,Fee: $85.00.lk insulation: p y p g, . g some ceilings due to water damage-no structure remoual'and no � �" .; Fee Paid $85.00 Final: reconstruction - IF W s° Plumbing/Gas • ' ` r 5 Date 5/29/2019 Project Review Req: �� a „ > Rough Plumbing: � rt I Final Plumbing: Building Official " •. 5- ate: This permit shall be deemed abandoned and invalid unless the work authod by this permit is commenced withinixm son�ths after issuance. nze Rough Gas: 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 incompliance with the local zoning bylaws 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 AA work until the completion of the same. - ;»� Electrical 3 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the,Buildmg and Fire(Offit,ials are provided on this permit. r, R Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or FootingRough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed. Final: 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required.for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: `cam All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT - -- - Application Numb'. ............ .11 'i('.................. .n * 1ARN81'ABLE, • �nsnee Permit Fee............... ...... ..........Other Fee,. ...................... FD Mfg A Total Fee Paid........ .I0, ............0................. ...... - TOWN OF BARNSTABLE Permit approval by......Iva-. k...On....... BUILDING PERMIT r n Map....... Lp.............PaMel..........0 ........... APPLICATION Section 1 — Owner's Information and Project Location Project Address " 0 AA- l S Ll Village �4 4.,5-1/)vts Owners Name tLLibv -5 e 2 v Li_ S Owners Legal Address /-IV City LA-�J ti t S State l`2 i4 Zip Owners Cell# J ?5'_a> F V E-mail Section 2 -Use of Structure p o. Use Group ❑ Commercial Structure over 35,E cubic ft ❑ Commercial Structure under 35,0 0 cubic feet �. I& Single/Two Family Dwelling co Section 3 —Type of Permit R+ ❑ New Construction ❑ Move/Relocate. ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment 1:1 Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other-Specify D6-Hy /il/T�2 2 b,v L, Section 4 - Work Description !mot c, re- /N7--e/t 02 44LL Q . L.. av� 0e-1Z Nb S 2 Tu S7-2L[C7 0;1' f Application Number........... Section 5—Detail Cost of Proposed Construction n o 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 a Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning.District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed { Side Yard Required Proposed 1 Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No i act—A.f-4- 11/1 i/')nl 2 i onWealth of Massachusetts Comm Standards Division of Professional Licensur 1 of Building Regulations a8d2 Family Board y o+r jy. l Construction"V 1 p410112p21 ? ices CSFA,05V84 URI RICHARD D LA C a 1 LE Ali OR 370 Est`' ROCKLAND MM�UC),iSS r Commissioner Office of Consumer Affairs&Business Regulat'61 r> HOME IMPROVEMENT CONTRACTOR TYPEr upiZlernertt Card: ReaiyKrattip 10/14%2019 MULTISTATE R PE COD DIVISION;INC. r <t ¢ RICHARD LAURIA 21 PEOUOT RD. + MASPHEE,MA 02649 Untlersecr®tary- ` RECEIVED 04/25/2019 12:01PM 5084284434 BALL & BOVD PUBLIC Apr 2519,04:1 1 p p.2 Af ULT T -R-E-STORATION,'INC. . MI F,s FLWD*WIND* SMOKI *HUMCAM*VANDALISM Fed ID#050515889 CONTRACTORS REGISTRATION#140427 AUTHORIZATION TO PERFORM SERVICES AND DIRECTION OF PAYMENT herein referred to as"Customer",authorizes MULTI-STATE RESTORATION,INC„Fein referred to as RWLTI-STATE",to. perfoan any and all necessail cleamng and construction services on Customlers'progeny at Q OLIa.O Tel fLf<t 3"I S 2 A 9 And wift4eqea to items that need to be cleave at remote location,tq�emove and clean.such it:s�as necessary. V� �`J ��>n� �� c a v e��,X u Customer au orizes .V _ . 2 Insurance Company,herein referred to as"Insurance Company",to Jimay and solely pay MULTISTATE, If for any reason the check should come to be or be made payable.to the Customer, Customer them agrees to pay MULTI-STATE immediately upon receipt of the check from the insurance company. lu order to expedite payment to MULTI-STATE, Customer hereby appoints MULTI-STATE as attorney-in-fact,authorizing MULTI- STATE,to endorse Customers'-game,and to deposit Its mco Company checks or drafts for MULTI-STATE services Customa X.agrees to pay Customers'deductible in the amount of$ 7 n "t 410 a+nC� pplies to this claim. if the loss is not covered by insurance,Customer a, ft to ount to MULTI-STATE upon receipt of tt a invoice.� 91-oiao o f Qww It is.my understanding that the services to be performed by MULTI-STATE will be linutedtoto abbe,wWch ace authori=4 by,my,Wsurance orapany. J�..'� ,3��L� Instumxe Gaa0p9rbY N IoucyKmb. Customer agrees that MULTI-STATE is working for the Customer and not the Insurance Company or agentladjuster. . Additional remarks: I here d*docum CUM*. oawlaw and to scum M a i EOW a V\ ktiRteai lWdWe RO.OOX 2210•AMASHPEE,9A 02649.86&921.9111•FAX 774-2384422 gQkThe Commonwealth of Massachusetts ¢ Deparitnent of IndustridAccidmft Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov1i a Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organizason/lndividuai): /q Q L-i-[ S T;42� -5-r-D XA--rr o,J Address: al PC Q u,a-; , c City/State/Zip: pee J 1 A- C14 9 S Phone#: S-bf V-7 7 3 3 3 3 Are you an employer?Check the appropriate box: project 4. am a general contractor and I �a ofJect P (required):' 1.E[I am a employer with- ❑ I g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, 2]Demolition working for me in any capacity. employees and have workers'[No workers'camp-insurance comp.insurance.: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12. Roof airs insurance required.]t c. 152,§1(4),and we have no ❑ employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ' t Homeowner;who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. ZContractors that check this box must attached an additional sheet showing the name of the sub-cont actors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their worker;'comp.policy number. r lam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: M C u Policy#or Self-ins.Lie.#: w c .q x-7 ;L 3 Expiration Date: 7-./b `/? Job Site Address: /� 5 �( l u�F L N City/State/Zip: (f. /\,i 5 6aza Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperlury that the information provided above is true and correct: Sigtature• _ Date: Phone#: 78- 5—Z 77 . Ojjkkd use only. Do not write in this area,to be completed by city or town of}icial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical 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 iri 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 tbat"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or UP 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 crrrent 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 lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigatiow 600 Washington Street Boston,MA 02111 Tel.#617 727-49W oxt 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 42407 www:nts.gov/dia ,aco,DR CERTIFICATE OF LIABILITY INSURANCE F°ATE/08/2019 �-•-� 05/08/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lisa Stone - STARKWEATHER&SHEPLEY INSURANCE BROKERAGE INC A"c°No Ext: (401)435 3600 FAAic No: E-MAIL ne 'ADDRESS: Istone@starshep.com @Qstarshep.com PO BOX 549 INSURERS AFFORDING COVERAGE NAIC# PROVIDENCE RI "02901 INSURERA: AMGUARD INSURANCE CO 42390 INSURED - - INSURER B: MULTI STATE RESTORATION CAPE COD DIVISION INC INSURERc ' INSURERD: `- PO BOX 2210 INSURER E: MASHPEE MA 02649 INSURERF: COVERAGES CERTIFICATE NUMBER: 399986 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR.THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR,CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN.REDUCED BY PAID CLAIMS. INSR ADDL SUBR - POLICY EFF POLICY EXP LT R TYPE OF INSURANCE INS D •POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES"Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ POLICY❑ PRO JECT ❑LOC - PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ - Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE .N/A _ AGGREGATE $ DED I I RETENTION$ - $. /WORKERS COMPENSATION i PER OTH- AND EMPLOYERS'LIABILITY Y/N - X STATUTE ER _ .. _� y _._ _ ANYPROPRIETOR/PARTNER/EXECUTIVE �'- -•"_ E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? NIA NIA_ N/A R2WC942723 C 07/16/2018 07/16/2019 - (Mandatory in NH) �,.... E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. Jobsite:20 Daiev Bluff Lane,Hyannis,MA 02601 CERTIFICATE HOLDER' CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Crc*tey,CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD e v2o C4 "(-S Z3 �r9 bR 13 7 g Y, 8� Application Number........................................... Section 9- Construction Supervisor Name &(cF'A ti 4u Z_1A Telephone Number , ?/ 24 V-5 b 7-; Address f L L:A-q ae,-- City 2, State Zip 0a.3-& License Number CSF,} t3S_J 7 9q License Type +Z Expiration Date q-/- Z- Contractors Email L.A L 2 t A MSS e Ca fn Cell# 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. Signature Date PY Section 10 Home Improvement Contractor I L.Name ('� K j4 LA � Telephone Number 7?1 0-(. 1/-5_Z-7 7 Address �Il PP 4 0 City /tf/F6S State of 4. Zip D Registration Number-/q a 4 a 7 Expiration Date I understand my responsibilities under the rules 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 H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number 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. Signature Date APPLICANT SIGNATURE Signature Date Print Name R-cc Y A-A'— - u.Z_e Telephone Number —/-T/ a6 Y 57 77 E-mail permit to: �A- q k-C A a r G /`7S lJ , CO Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Pian Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 -Owner's Authorization i I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name A MM DD YYYY ❑ Delete NFIRS —1 101922 U 1 031 1 021 1 2016 1 116-0001016 1 1 000 ❑Change Basic FDID *_ State* Incident Date * Station Incident Number Exposure* Ex * ❑No Activity j ❑Check this box to Indicate that the address for this incident is provided on the Wildland Fire Module In Section B "Alternative Location Specification". use only for Wildland fires: Census Tract B _ ,Location* 60u ®street address 20 J JDAISY BLUFF IN I J ❑Intersection Number/Milepost Prefix Street or Highway Street Type Suffix ❑In front of ❑Rear of ( I IHYANNIS � �� I02601 �-1 _J Apt./Suite/Room City - State Zip Code ❑Adjacent to []Directions Cross street or directions as applicable Incident e * Midnight is 0000 C Type Ei1 Date � Times Li'2 Shift & Alarms 441 JHeat from short circuit I Check boxes if Month Day Year • Hr Min Sec Local Option dates are the Incident Type same as Alarm ALARM always required IC I " 1 1 Date. Alarm * Q 02 2016. 20:30:48 hi I �_J D Aid Given "or Received* �� �� �I � Shift or Alarms District Platoon 1 ❑Mutual aid received ARRIVAL required, unless canceled.or did not arrive 2 ❑AutomatlC 81d r@CV. Their FDID Their - I`-�I'uI ® Arrival 1 03 1 02 * l 2016I 20� •39:09 I-E3 State CONTROLLED Optional, Except-for wildland fires Special Studies , 3 []Mutual aid given P 4 ❑Automatic aid given I I ❑Controlled U " I I I I Local Option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires Incident Number Last Unit N None ® �Q J �2 j I 2016I 21� •32:52 I . StudyaIDk Study Vl Secial alue Cleared J F Actions Taken* G1 Resources * G2 Estimated Dollar Losses & Values Check this box and skip this section if an Apparatus.or LOSSES: Required for all fires if known. Optional 86 IlInvestigate ' Personnel form is used. for non fires. None Primary Action Taken (1) Apparatus Personnel Property $I_-1 , 000 , 200 ❑ � - Suppression 0001 0004 Contents $1 000 000 64 (Shut down system I - I ❑ Additional Action Taken (2) EMS PRE-INCIDENT VALUE: Optional I I Other �Jr I I Property $�� , 000 000 ❑ Additional Action Taken (3) Check box if resource counts - include aid received resources. Contents $I_J , 000 ,L 000 ❑ Completed Modules H1*Casual ties®None H3 Hazardous Materials Release I 'Mixed Use Property ❑Fire-2 Deaths Injuries N ❑None NN Not Mixed Structure-3 Fire 1 Natural Gas: 10 Assembly use sl°"leak, °°evauati°°or"°mac actions 20 Education use ❑Civil Fire Cas.-4 service I u ❑ 2.❑Propane gas: <21 lb. tank can is home sea grill) 33 Medical use ❑Fire Serv. Cas -5 �� 1_, ❑Gasoline: vehicle foal teak or 40 Residential use civilian 3 portable container ❑EMS-6 51 Row of stores 4 .❑Kerosene: feel burning equipment or portable storage Detector 53 Enclosed mall ❑HazMat-7 Required for Confined Fires. 5 [:]Diesel fuel/fuel oil:vebiele foal tan or portable 58 Bus. & Residential ❑Wildland Fire-6 ❑Household solvents:name/effica 1❑Detector alerted occupants ` 6 'pill, claanap only 59 Office use ❑A 7 }[Apparatus-9 ❑ 60 Industrial use MOtOr oil: from engine or portable container ❑Personnel-10 2❑Detector did not alert them 63 Military use $ Paint: from paint cane totaling<55 gallons 65 Farm use ❑Arson-11 U❑Unknown 0 ❑Other: Spec ial Hamat actions required or spill>55ga1., 00 Other mixed use Please letethe Hamat fomn J Property Use* Structures 341[1 Clinic,clinic type infirmary 539 ❑Household goods,sales,repairs 342❑Doctor/dentist office 579 ❑Motor vehicle/boat sales/repair 131 ❑Church, place of worship 361 Prison or. ail not juvenile❑ ] j 571 ❑Gas or service station 161 []Restaurant or cafeteria 419 Bar/Tavern or nightclub ni ❑1-or 2-family dwelling 599 ❑ Business office 162 ❑ g 429❑Multi-family dwelling 615 ❑Electric generating plant 213 FlElementary school or kindergarten 439-❑Rooming/boarding house 629 ❑Laboratory/science lab 215 ❑High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant 241 ❑College, adult education 459❑Residential, board and-care 819 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the aged 464❑Dormitory/barracks 882 ❑Non-residential parking garage 331 ❑Hospital 519[:]Food and beverage sales 891 ❑Warehouse Outside 936[]Vacant lot 981 ❑Construction site 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655 ❑Crops or orchard 946 ❑Lake, river, stream 669 ❑Forest (timberland) 951 ❑Railroad ri ht of wa Lookup and enter a Property Use code only if g y you have NOT checked d Property Use box: 807 ❑Outdoor storage area 960 Other street ❑ Property Use 1400 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑Open land or, field 962 ❑Residential street/driveway (Residential, Other NFIRS-1 Revision 03 11 99 Hyannis Fire 01922 03/02/2016 16-0001016 K1 Person/Entity Involved' Local Option Business name (if applicable) Area Code Phone Number ❑Check Thi�',nox if U I 1Mi _ sar.� address as Mr.,Ms., Mrs. First Name MI Last Name Suffix incident location. I. Then skip the three duplicate address Number - u lines. Prefix Street or.Highway Street Type Suffix (Post Office Box I Apt./Suite/Room City . ICJ I I L�J State Zip Code - More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary K2 Owner Same as person involved? Then check this box and skip ) I I I I The rest of this section. Local Option Business name (if Applicable) - Area Code -Phone Number L I L-J l-1 ❑ Check this box if Mr.,Ms., Mrs. First Name - MI Last Name - Suffix same address as incident t Thenskiplthethree duplicate address Number _ Prefix Street or Highway - Street Type Suffix. lines. - U � � (Post Office Box Apt./Suite/Room City State Zip Code - L Remarks Local Option .. _ Caller Name KRYSTAL Caller Phone : . 7743685301 cad ; 2016/03/02 20:39:09 - 826 AT EVENT MANNING IS 4 cad 2016/03/02 21:04:44 826 REPORTS FOUND OVERHEATED .WALL OUTLET. cad ; 2016/03/02,21:04:54 AWAITING PROPERTY REP cad ; 2016/03/02 21:33:16 ELECTRICIAN NOTIFIED, POWER SHUT OFF Rec'd buisness line call from tenant (Crystal Landers 508-563-5301) at above address for an "electrical smell" and an outlet which feels -very hot to the touch. E826 responded from HYFD. Upon arrival we were met by the tenant who states that she began to smell plastic burning this evening and when investigating found a wall outlet behind the. couich which was _ very hot to the touch. The tenant further explains that the outlet was just replaced within the past month by the handyman (Steve Fizbury -508-280-5442) who works for the owner (Alan Seroll 617-566-4691) . The tenant explains that nothing was plugged into the outlet at the time of the issue. ` We investigated the outlet in question located on the D side wall of the livingroom and L Authorization 12.00901 JCoughldn, Nathan R. � ILT/EMT-P I 1 03 1 L12J 1 2016 Officer in charge ID Signature Position or rank Assignment Month Day Year CheBox ® 1200901 l Coughlan, Nathan R. (LT/EMT-P J I �P31 U 1 2016 same Position or rank Assignment Month -Day Year as Officer Member making report ID Signature in charge. - Hyannis Fire 01922 03/02/2016 16-0001016 MM DD YYYY 01922 U 13 " 1 2016 J ) 16-0001016 000 Complete FDID State Incident Date Station, -Incident Number Exposure - Narrative Narrative: Caller Name KRYSTAL Caller Phone 7743685301 cad ; 2016/03/02 20:39:09 - 826 AT EVENT MANNING IS 4 cad ; 2016/03/02 21:04:44 826 REPORTS FOUND OVERHEATED WALL OUTLET. cad 2016/03/02 21:04:54 AWAITING PROPERTY REP cad ; 2016/03/02 ,21:33:16 ELECTRICIAN NOTIFIED, POWER SHUT OFF Rec'd buisness line call from tenant (Crystal Landers 508-563-5301) at above address for an "electrical smell" and an outlet which feels very hot to the touch. E826 responded from HYFD. Upon arrival we were met by the tenant who states that she began to smell plastic burning this evening and when investigating found a wall outlet behind the couch which was very hot to the touch. The tenant further explains that the outlet was just replaced within the past month by the handyman (Steve Fizbury 508-280-5442) who works for the owner (Alan Seroll 617-566-4691) . _The tenant explains that nothing was plugged into the outlet at the time of the issue. We investigated the outlet in question located on the D side wall of the livingroom and found it to be hot to the touch and noted elevated temperatures in the wall surrounding by thermal imager. We located the fuse panel and were unable 'to locate a smaller fuse to isolate the circuit and so had to remove the main fuse. I noted that there were 4 smaller fuse spaces with only two currently occupied (30a bottom left and a blown 15a bottom right) . We , illuminated the room using a circle D light from E826. FF Coggeshall tested for electricity and then proceeded to remove the wall .plate and outlet from the electrical box. FF Coggeshall was able to visualize fully around the electrical box and was able to determine that there was no smoke/fire within the wall space. I noted the outlet to be connected by use of the screw connectors on either side using two hot wires, two neutral wires, and no ground. Additionally, there was electrical tape wrapped multiple times around the connectors as to completely cover them. Melting and char were noted on the left side of the outlet where the connections were made. I spoke with the owner who informed me that there is a current tenant-landlord issue. I explained to .him that the problem tonight was •an overheated wall outlet -which appeared to have grounded against the metal outlet box. Further, I explained that we had to remove the main fuse and as such the power to the property had been shut off. I explained the need to have an electrician out to make repairs .before the power be restored to the property and that timing was important due to the fact that this was an occupied rental. At this time the owner gave me the contact info for,the handyman and asked me to contact him for further help. I made contact with Steve Fizbury who responded to the scene from Centerville. Upon arrival of Steve Fizbury,. I attempted to explain the situation in full to him but he became agumentative with myself and the tenant stating that "she was at fault. " I explained to him that the issue was that an outlet behind the couch appeared to have grounded on the metal outlet box and that the power was to remain off in the building until such time that an Hyannis Fire 01922 03/02/2016 16-0001016 MM DD YYYY 1 01922 U L 3J " 2016 16-0001016 000 complete FDID State Incident Date Station Incident Number Exposure Narrative _ * Narrative: electrican can make repairs. He initially told me that he "would make the repairs" himself at which time I informed him that under MGL he was not qualified to perform electrical work and that he was not to touch the outlet or fuse. box himself. He informed me that he understood and that he would have an electrician out tomorrow to make the repairs. Further, he removed the main fuse from the property so that it could not be reinstalled until repairs were complete. I spoke to the tenant and explained the situation to her and reminded her that she would be without power for the night. She said that she understood and that she would '.be fine for the evening. I left her my card ' informing her to contact me if the problem is not rectified by tomorrow. E826 cleared the scene. Upon returning to HYFD, I was contacted by the tenant who informed me that upon E826 leaving the scene she was contacted by Steve Fizbury who per the tenant explained to her that "he could make the repairs now himself and have her power back on- or that she would have to wait until he felt like doing it. " I explained to her that only a qualified electrician was to perform the work and told her that -I was going to follow up with the electrical inspector. I contacted Barnstable Wiring Inspector Bill Amara and explained the situation to him. He suggested that I contact the Barnstable Health Dept in the morning to make them aware and also to have HYFD Fire Prevention follow up with him tomorrow. I attempted to contact both the owner and the tenant to explain the current standing and I received no answer from either. I left messages with both informing them to return my phone calll. Lt Coughlan Hyannis Fire 01922 03/02/2016 16-0001016 Parcel Detail Page 1 of 5 $.. .. R�' y H,iS ktA35lil..� u r lei Logged in As: Thursday,March 3 2016 Debi Barrows Parcel Detail ParcelLookuo Parcel Info Parcel ID 326-096 .. � � :Developer Lot,LOTS 72&174__._._.-�.__.�.._ Location 20 DAISY HILL ROAD I Pri Frontage ff5:""':.,���,"'--,) sec Road DAISY BLUFF LANE sec Frontage Village HYANNIS Fire District�HYANNIS f Town sewer exists at this address jrYes - �) Road Index0419a k Interactive Map `„ )n a f• i, Owner Info owner jSEROLL,ALLAN A& owno_!20 DAISY BLUFF LANE I ___^Y �„�yxx er Streetl 1855 BEACON ST_]Street2 city rBROOKLINE state MA � l zip 02445-4205 country Land Info ......... .............. .............. ......... ......... ......... ....... .. Acres 0.24 use JMUlti Hses MDL-01 zoning FRB Nghbd,61 O Topography.L-eves >� Road .Paved m � utilities All Public M I Location Construction Info Building 1 of 2 Year�1950 „,.. ._. Roor.Flat Ext Vinyl Built Struct Wall Living 576"`"�"""" """'fRoof , s h/F GIs/Cm_p AC None Area Cover% p p TypeInt , , Style Co g...: � Bed Wall Drywall` _ Rooms2 Bedrooms j r 3""`""" Bath " FRDNT OF, Model Residential �:.Floor CI arpet� Rooms i' Full-1 Half Total Grade Average Minus- TypeHeat Ht Wa oter � Rooms r Stories�1 Story Heat GaS Found- Typical _ f. Fuel ation �M lc. F Gross 1470 � Area - , Building 2 of 2 Year 1950 Roof Et Vertical Sldin , Built Structhed Wall Living 1496 co�e��Asph/F GIs/Cmp Type�CNone Bed Style Cottage wali all fD— .I Rooms Bedroom I Model tResidential In, Carpet Bath s1 Full-O Half Floor Rooms E Heat Total Grade IBelow Average Type Hot Water �z Rooms .2 Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27391 3/3/2016 Parcel Detail Page 2 of 5 Stories 1 St0 Heat Oii Found- T ical rY �I Fuel ,���au.� ation� YP Gross 508 Area r T .............................. ...._......_........................,..................................._.......___................................i Permit History Issue Date I Purpose jPermit# jAmount jInspDate lComments Visit History Date ` Who Purpose 8/28/2008 12:00:00 AM Jeff Rudziak In Office Review 6/28/2006 12:00:00 AM Jason Streebel Abatement Review 4/18/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access Sales History ...... ........ ........ ............................................ .... Line Sale Date Owner Book/Page Sale Price 1 1/2/2001 SEROLL, ALLAN A& ESTHER TRS ' C160261 $100 2 4/21/1999 SEROLL,ALLAN A C15.2780 $0 3 9/25/1997 SEROLL,ALLAN A& ESTHER TRS C145909 $1 4 9/25/1997 SEROLL, ALLAN A& ESTHER TRS C145908 $1 5 3/15/1976 SEROLL, ESTHER C66798 $0 __..... .______ ____._ ....__ ._....v.. ......_ .__. . Assessment His to Save Year Budding XF Value OB Value Land Value Total Parcel # Value Value 1 2016 $80,300 $21,100 $2,000 $286,200 $389,600 2 2015 $89,900 $23,500 $1,900 $274,000 $389,300 3 2014 $89,900 $23,500 $1,900 $274,000 $389,300 4 2013 $89,900 $23,500 $2,000 $274,000 $389,400 5 2012 $83,400 $22,400 $1,800 $274,000 $381,600 6 2011 $94,700 $9,400 $600 $274,000 $378,700 7 2010 $100,700 $9,400 $700 $279,100 $389,900 8 2009 $106,000 $13,000 $500 $303,600 $423,100 9 2008 $106,900 $13,000 $500 $302,000 $422,400 11 2007 $106,400 $13,000 $500 $302,000 $421,900 12 2006 $108,700 $13,000 $600 $285,600 $407,900 13 2005 $105,900 $12,500 $700 $257,400 $376,500 14 2004 $85,700 $12,500 $700 $193,000 $291,900 15 2003 $71,400 $12,500 $700 $66,000 $150,600 16 2002 $76,600 $12,500 $700 $66,000 $155,800 17 2001 $76,600 $12,500 - $700 $66,000 $155,800 18 2000 $50,700 $10,200 $800 $42,100 $103,800 19 1999- $50,700 $10,200 $800 $42,200 $103,900 ry 20 1998 $50,700 $10,200 $800 $42,200 $1031900' http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27391 3/3/2016 Parcel Detail Page 3 of 5 211 1997 $40,300 $0 $0 $27,700 $68,500 22 1996 $40,300 $0 $0 $27,700 $68,500 23 1995 $40,300 $0 $0 $27,700 $68,500 24 1994 $43,800 $0 $0 $49,900 $94,200 25 1993 $43,800 $0 $0 $49,900 $94,200 26 1992 $49,600 $0 $0 $55,500 $105,700 27 1991 $84,100 $0 $0 $62,400 $148,000 28 1990 $84,100 $0 $0 , $62,400 $148,000 29 1989 $118,700 $0 $0 $78,000 $198,200 30 1988 $55,300 $0 $0 $23,000 $81,200 31, 1987 $55,300 $0 $0 -$23,000 $81,200 32 '1986 $55,300 $0 $0 $23,000 $81,200 Photos E ' 5 .• r xfi r r•�' �5 } a 'P-%• N 5 Y« i pp W ,• -af,R:adi:' "$ 4.ka,.«.:i.. .a .NaY...Gd. k htfp://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27391 3/3/2016 '& iT— ,Wft �} z 7 a i q+. ��ii^^V'''�r h � `"'g���•,h .a£j_n + �'D'����f����ah��; � 'a � �'a 9�, �.,`�'�� 00, � A I'`•��\'"��` + F pia\�u�`� °� � ..;^av e�� ��. ���'� .��.. a���\\a��,� �v a�h\�aa\a\ ,ems r � €� � � 6� �F �•��� � .�. � � ���'�`� { � , �'�; `', �^a �' � •. Ik�M �54e �yC� qy�g �,ua 1 i ems" a � as 8 vvv v� Parcel Detail Page 5 of 5 o 13 ' 6 a a1 ( ✓ "h.qy 6 u h i^. ' r http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27391 3/3/2016 R; Town of Barnstable *Permit# C Expires 6 mo hs from issue date Regulatory Services g y Fee S * swa�vszmi.E, * MAM Richard V.Scali,Interim Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number p� 6 'Property Address - Z RT Residential Value of Work$05-40_ t90 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address _AGAel A 5a-tc� Contractor's Name Irk Telephone Number 5o6- Z9010 t19 5__ Home Improvement Contractor License#(if applicable) /7®�°��_ Email: J yr►CC t° c. � tPJ Construction Supervisor's License#(if applicable) t b ®Workman's Compensation Insurance -PRESS PERMIT Check one: ❑ I am a sole proprietor O C T B 4 2013 ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ,�i ® Re-roof(hurricane nailed).(stripping old shingles) All construction debris will be taken toitmU� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. y f the Home Improvement Contractors License&Construction Supervisors License is J -SIGNATURE: Q:IWPFILES\FO uilding it forms Revised 0613 Elamil : The Commonwealth ofMassachusetts Delvm'f rent of btdus&7al Accidents Owe o,f lmwfigafions ' 600 Muhingtoin,street Roston,MA 02111 www.mass.gavldla Workers' Compensation Insurance Affidavit:Builders/ContractorsMec#ricians(Plumbers Apy&K=t Information Please Print Leeibly c-Name 0ksmeW0zganization&&vid 0: #14 4naiZr t_ r_ address: &A;e_-", CityfStatrlZip_ .� YM .,� Phone g ,.Sd'8 2 Axe you an employe . Check the appropriate box: Type of project r 4_ I stn a contractor and I � � J (required): l_M I am a employer with ❑ l & ❑New ansfinraiion employees(full and/orpart4ime).* have hired the sub-contractors. 2.❑ I am a sole proprietor or partner- listed on the attached sheet; 7 ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working forme in any c employees and have wodcers' capacity. 9. ❑Buddingaddition [No workers'comp.insurance camp.msurance_t 5. ❑ Q n;Te are a corporation and its 10..❑Electrical repairs or additions 3.❑ required] officers have exercised their 11_.❑Plumbing re I am a homeowner doing all wade g airs or additions P my,mlf[No workers'comp_ right of exemption per MGL 12_. Roofrepairs, insurance r d_]t c.152,§1(4),and.we ha,,m no Q en3gloyees-[No workers' 131:1 Other comp-insurance required.] *AnyVpticantthatchecksbox*lmastalsofilloutthesectionbelowshowingtheirwokker compensation policyinftrox&n_ T Htameo wners who submit this affidavit indicating they sre doing all mat sad then hire outside contractors nmst submit a new affidavit mdicatmg sudL fCoutcictors that rlied this boat must attached an additional sheet showing the name of the sub-ca a txtm ind state whether ornot those entities have employees. If the mt-conttactars have employee%they must provide their workers'comp.policy aumbez I am an employer that is prmiding workers'compensation invirance for my em,plvyees. Below is die policy raid job site information. Insurance Company Name: Policy 9 or Self-ins-Uc.9: Expiration Fate: Job Site Address: 2.0 City,''StatelZip: . 4. Attach a copy of the workers'compensation policy declaration page(showing the police mber and elation date). Failure to secure coverage as required under Section.25A of MGL c 152 can head to the imposition ofcriminal 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 cettefy i anhpanalfiies ofperjury dratthe information provided above i.s hue and correct Date: i Phone#: OBEcial use only. Dv not write in this area,to be completed by city or town official t 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#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certincatc(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Departinent 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 lime. 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 pemitllicense 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 valic affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Con7monwealth of Massachusetts Department of lndustdal Accidents Office of 1mvestigatiow 600 Washington Street Boston,MA 02111 Te1.#617-727-4900 ext 406 or 1-877 MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.massgov/dia y LJ �- '4 l r Tim r�r' �na�fi r r ?a1th of Massachusetts Industrial Accidents Investigations Street, Suite 100 02114-2017 ass.gov/dia it: Builders/Contractors/Electricians/Plumbers Please Print Legibly Phone#:508-732-8933 Type of project(required): neral contractor and I d the sub-contractors 6• ❑New construction the attached sheet. 7. ❑ Remodeling 1'[urance -contractors have g• ❑ De 91ition u, s and have workers' 1 - 9. ❑ BwTdLpg addition urance.$ a w� corporation and its 10.❑✓ E1ec1?rf4cal repairs-or additions ave exercised their 11.❑ Plumlbg repairs or.addit ns xemption per MGL 12.❑ Roof repairs (4),and we have nos. [No workers' 13.❑ Other required.] ...•,.;� mg their workers'comnens�r,on nog^v mfr_- _ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 110/24/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY- OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to r the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: " PAUL SCHLEGEL Schlegel & Schlegel Insurance Brokers Inc PHONE (508) 771 - 8381 508) 771 - 0663 I, No,Ext): (AIC,No): 34 MAIN STREET EMAIL SCHLEGELINSURANCE@VERIZON.NET ADDRESS: _ PRODUCER CUSTOMER ID q: West Yarmouth, MA 02673 INSURER(S)AFFORDING COVERAGE NAIC III INSURED INSURERANGM INSURANCE COMPANY 14788 . E R Mantini Construction Inc INSURER B TRAVELERS PO BOX 148 INSURER C INSURER D: Hyannis, MA 02661 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF PO IcY EXP LIMITS LTR ` INSR WVD .POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) A GENERAL LIAB ILITY MPT5602C 11/01/201211/01/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY 11/01/20 11/01/2014 PREMISES(Ea occurrence) $500,OO.O CLAIMS-MADE -Fx 1 OCCUR - MED EXP"(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $"2 r 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS•COMPIOP AGG $2,0 0 0,000 PRO. .. . 5 POLICY - --_ JECT. R... LOC . ... .... - AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ... ... .. . (Ea accident) ANY AUTO, - BODILY INJURY(Per person) $ ;+ ALL OWNED AUTOSBODILY INJURY(Per accident) $ SCHEDULED AUTOS - .. PROPERTY DAMAGE - $ 'HIRED AUTOS (Per accident)- � � � ' NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR - EACH OCCURRENCE S-_ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DEDUCTIBLE $ .. ........_..,RETENTION:..... $.. .. _ ._. $ .,.. g" WORKERS COMPENSATION WC-000340502 07/04/2013 07/04/2014 X we sTATu OTH- AND EMPLOYERS'LABILITY - _ TORY LIMITS - ER Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT $ 100,000 - OFFICER/MEMBER EXCLUDED? X❑ - (Mandatory in NH), E.L.DISEASE•EA EMPLOYEE $ 100,000' - - If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ -500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR ELISEU RAMOS r CERTIFICATE HOLDER.'. CANCELLATION TOWN OF BARNSTABLE- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BARNSTABLE., MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT VE - HAND DEL VERED ©1988-2009 ACORD CORPORATION. All rights.reserved. ACORD 25(2009109) The ACORD name and logo are registered marks ACORD 1 Massachusetts - Department;bf Public Safety, pJ �am� AfPp� � � �aa �✓ Board of Building Regulations and Standards Office of Consumer Affairs&BdsinessRegulation Construction Supervisor HOME IMPROVEMENT CONTRACTOR License: CS-001363 1 TAANT Registration: Type: Expiration 10/27,2013 DBA DANIELAEIZErg3ERG" INICONSTRUCTION 114 MAIN STREET ? r CHATiHAM MA�2633 ELISEU RAMOS \ F 45 SILVER LANES r � 554a-' '� "' Expiration..., HYANNIS, MA 02601 , Undersecretary Commissioner 06/29/2014 ;' 0 License or-registration valid'for individul use only, before the expiration date: If found return to: :ta 4. Office of Consumer Affairs and,Business-Regulation 10 Park Plaza-Suite 5170`, Boston,.MA 02116 .a /Not v Fid wit out signature i E.R.Mantini Construction General construction Framing-Roofing-Siding-Finish work-Decks 375 compass circle-Hyannis-Ma 02601 (508)280-0785 ermantiniconstruction@yahoo.com 10/18/2013 Roofing Job: Mr.Allan A.Seroll Address: 20 Daisy Bluff la-Hyannis ma 02601 - Rubber roofing(9sq) - Install new insulation and new rubber roof - Install new drip edge around the edge - Repair and install new vinyl sidind ( 1 1/2sq) - Install new flashing around the chimney - Disposal all the debris Labor and Material: Total costs:$8,5.00.00 Down payment :$4,000.00 Remaining:balance when the job is complete: $4,500.00 Permit required.. Thank you for your business! Warn . _S"V-( ��� ����� �o - 2�� / 3 Parcel Detail Page 1 of 3 .d f o THE Logged In As: Parcel Detail LWednesday,May 1 2013 Parcel Lookup Parcel Info Parcel ID 326-096 - Developer LOTS 172& 174 Lo Location 120 DAISY HILL ROAD I Pri Frontage Sec Road 16AISY BLUFF LANE I sec 115 Frontage ------------- — — village HYANNIS I Fire District JHYANNiS Town sewer exists at this address YeS I Road Index 10419 I Interactive Map Owner Info Owner ISEROLL,ALLAN A&ESTHER TRS I co-owner 120 DAISY BLUFF LANE REALTY TRUST Streetl 11855 BEACON ST I Street2 city JBROOKLINE I state MA Zip 02445-420 Country Land Info Acres 10.24 Use liZIti Hses MDL-01 I Zoning'RB Nghbd[0110 � Topography ILevel Road[Payed777, Utilities All Public I' Location I . Construction Info . Building 1 of 2 Struct Year 1950 - Roof Flat �� Ext Vinyl Siding .....I, Built - Wall Livin Area 576 I Co�er Asph/F GIs/Cmp T pe Noneof A o 12 Style , Int Drywall Bed 2 Bedrooms �� Wall — — -- Rooms -- - Bath VAS Model(Residential Floor Carpet _� R Oms 1 FUII+ 1 H FRONT OF 4OUSEUMT zw Grade jAverage Minus I Heat Hot Water Total 3'°""'" "'"°"`"'" I a Type Rooms 4 Heat Found- PTO Stories 1.StoryFuel Gas rationTyPical o i 24 Gross Area Building 2 of 2 �-� Year Roof Ext 1950 Shed Vertical Sidin ¢y; Built struct� Wall ----- --._ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27391 5/1/2013 Parcel Detail Page 2 of 3 Living 496 I Roof Asph/F�G06..m AC Non _ Area ff Cover' p - ---^p I Type Style Cottage I Wall Drywall � � Roomsedr 1 Boom-- � -20 Model Residential I Int Carpet Bath 1 Full [Carpet I Floor�_--- --.. -- Rooms f� Total Grade Below Average Type Hot Water ( Rooms�`Rooms �I RAS 26 T Stories 1 Story .�. I Heat Oil """` Found Typical ) Fuel ation j 1 Gross Area ---- Permit History Issue Date Purpose Permit# I Amount I Insp Date I comments Visit History Date Who Purpose 8/28/2008 12:00:00 AM Jeff Rudziak. In Office Review 6/28/2006 12:00:00 AM Jason Streebel Abatement Review 4/18/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access Sales History . Line Sale Date Owner Book/Page Sale Price 1 1/2/2001 SEROLL,ALLAN A&ESTHER TRS C160261 $100 2 4/21/1999 SEROLL,ALLAN A C152780 $0 3 9/25/1997 SEROLL,ALLAN A&ESTHER TRS. C145909 $1 4 9/25/1997 SEROLL,ALLAN A&ESTHER TRS C145908 $1 5 SEROLL, ESTHER C66798 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $89,900 $23,500 $2,000 '. $274,000 $389,400 2 2012 $83,400 $22,400 $1,800 $274,000 $381,600 3 2011 $94,700 . $9,400 $600 $274,000 $378,700 4 2010 $100,700 $9,400 $700 $279,100 $389,900 5 2009 $106,000 $13,000 $500 $303,600 $423,100 6 2008 $106,900 $13,000 $500 $302,000 $422,400 8 2007 $106,400 $13,000 $500 $302,000 $421,900 9 2006 $108,700 $13,000 $600 $285,600 $407,900 10 2005 $105,900 $12,500 k $700 $257,400 $376,500 11 2004 $85,700 $12,500 $700 $193,000 $291,900 'r 12 2003 $71,400 $12,500 $700 $66,000 $150,600 13 2002 $76,600 $12,500 $700 $66,000 $155,800 14 2001 $76,600 $12,500 $700 $66,000 $1.55,800 15 2000 $50,700 $10,200 $800 $42,100 $103,800 16 1999 $50,700 $10,200 $800 $42,200 $103,900 17 1998 $50,700 $10,200 $800 $42,200 $103,900 18 1997 $40,300 $0 $0 $27,700 $68,500 .http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27391 5/1/2013 ... �1 1 1 •.I ••1 1 1 •..: 11 1 •• �1 1 1 ••1 •.1 1 1 ••.: 1 1 •• �• •11 '•1 '.1 11 1 11 •• 11 •1 •1 •. �11 �: III ••1 :� 11 '.t '•1 ••. �11 III ••• 11 '•1 '•1 : III •• 11 ••• 11 '.1 '•1 III 11 •• 11 '•1 '•1 /1 1 1 1 • •:. 11 './ '•1 III 11 • � 4 +F t ;�,_s �t.0 '?its.i yt-�^ i.... ..�1•�'.jl � it.� -,. • � t ,.s P C Za.�-•��'a�� 5 � � �� fir ,�y, k :. fi r �AS,.K r• I cc a ✓� • I .R� ' 41! •tq -h' � � i �� ff ...2 `��t�Ck�r�'`i�/, 01 JJ ..�.. � yr tc a aernnoos i o0 0 I I . 5 off Town of Barnstable ofn+E ra,, Regulatory SeTviees Thomas F.Geiler,ID irector s Building Division -- r�nss Torn Perry, Building C otnmissioner i6q9, ,0 lEp Mp`l 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 : 508-790-6230 Approved: Fee: Permit#: C) HOME OCCUPATION REGISTRATION Date: 2, �d p-� Name: i Phone#: 50 D " / 0 / —R350 Address: ac? JC�sv dJ Village: V) nif Name of Business: �— t✓i" t Type of Business: e - b �'' �1Pf2UL=Ma hot: 32(o J INTENT: It is the intent of this section to allow the residents of theTown of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1:4 of the Zoning ordinance,provided that the activity, shall not be discernible from outside the dwelling: there shall be no increase in noise oe r odor novisualal nho'''n tothea premises which would suggest anything other than a residential use;mo increase in traffic above normal reside hal volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject fo.the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous naterimds,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. " • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: d1/ Date: o, Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates'(cost$30.00 for 4-years). A.business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. : it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main . Street, Hyannis, MA 02601 (Town Hall) at DATE: — 30--0b Fill in please: APPLICANT'S YOUR NAME: 07e ' r BUSINESS YOUR HOME ADDRESS: are J)ai S u f--M uaLp n2 . my TELEPHONE # Home Telephone N mber 7 r7 1 — a 3 50 NAME OF NEW BUSINESS 3raccL / E✓t ��rp r is es TYPE OF BUSINESS e-ba , rv,arm '✓)q IS THIS A HOME OCCUPATION? ✓ YES NO!: J Have you been given approval from the building division? YES NO ✓. i Gy ADDRESS OF BUSINESS MAP/PARCEL NUMBER C1 1-90 Dot"Syy When starting a new business there are sevbraffi 1 t you m st o in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.—(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. .BUILDING COMMI ONER'S OFFICE This individua =berHntqqed any permit requirements that pertain to,this type of business. Autho ' ed _` ature** OMMENTS i QZ — ou ( r 2. BOARD OF HEALTH -This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS CENSING AUTHORI ) This individual ha b info of he li in r q 'rements that pertain to this type of business. uthorized Signature** ° COMMENTS: in URBAN ACCESS INC. EUEU CEEB VF "T D UMMOOTTUL 230 W. Canton Street BOSTON, MASSACHUSE17S 02116 DATE ) �� JO6 NO. Sod 5 I ATTENTION e TO J—Cwy'V Cy d/� �v d% / RE: l ttt nING DEPT. MAR 18 21021 O WE ARE SENDING YOU ❑ Attached ❑ Under sepaaralNc QireP NSTABLE the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ,w 50 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval /I(For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY T J& "/ SIGNED: PRODUCT 203 lea Ix,cmmn,MM 01471. if enclosures are not as noted, kindly notify us at once. r ,,. `.. - .s-- a.. � t�F'�iy:ei yt ���k�`�k j[:.. �f s w�` �'' �." 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W _ ti CURRENT OWNER: EVA BUI & OVERLAY DISTRICT: AP _ y HYANNIS JAY VU NITROGEN SENSITIVE _ Q HARBOR TITLE REFERENCE: CERT. 223788 ZONE: NOT A ZONE II PLAN REFERENCE: LCP 7615 - W FEMA FLOOD PDiN( � ASSESSORS MAP: 326 ZONE DISTRICT: "AE-11', DATED 7/16/14 — . CNP�NEL LOCUS PARCEL: 096 PANEL #25001C0569 J _ �t9 MINIMUM LOT SIZE: 43,560 S.F. INNiiy ZONING DISTRICT:SETBACKS: FRONT EXISTING LOT SIZE: 10,499t S.F. I CERTIFY TO THE BEST OF MY 1 9Pi5 , 0' PROFESSIONAL KNOWLEDGE, INFORMATION SIDE 10' BASE FLOOD ELEVATION: 11.0 REAR- 10' AND BELIEF THAT THE LOT CORNERS, OLD HARBOR RD. DESIGN FLOOD ELEVATION 12.0 DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON LOCUS MAP THIS PLAN ARE CORRECT. NOT TO SCALE LEGEND NOTE. t,oF,N SS THE ENTIRE SITE LIES WITHIN THE FLOOD ZONE BASED ON THE FLOOD MAPS.' s`•" "qy BASED ON SURVEYED SITE ELEVATIONS A PORTION IS OUTSIDE/ABOVE THE /° `r FLOOD ZONE. 6 1GERANA 50.9'X SPOT ELEVATION <� HEALY a NO.a8175 C.B. 0 CATCH BASIN UTILITIES WHERE DEPICTED ARE BASED ON CONCRETE BOUND o s�c+ EaE e DMH® DRAINAGE MANHOLE DIG SAFE MARKINGS AND RECORD SMH® SEWER MANHOLE INFORMATION. CONTRACTOR TO CONFIRM ELEV=11.04 'Ir ^��5o� TMH® TELEPHONE MANHOLE ALL UTILITIES PRIOR TO EXCAVATION. N.A.V.D. 1988 LP LIGHT POLE UPL UTILITY POLE / LIGHT FORMER UPLT UTILITY POLE / LIGHT & TRANSFORMER LOT, LINE UPT UTILITY POLE / TRANSFORMER '?� 5p66 KIE J. HEALY LS DATE UP UTILITY POLE q1 FOR THE BSC OUP INC. 0 W— OVERHEAD ELECTRIC LINE o EHH ELECTRIC HANDHOLE ./ O GMET GAS METER LOT /53 —G— GAS LINE GV CERTIFIED � GAS GATE ��� d} P I X 12.3 A WG ® WATER GATE — LOT 17`t �9 °P� —W— WATER LINE PLOT PLAN v 091� `/ f EY.. T+,PdG �d0U0 WAL.•r, x (T,�C�1e rt� 11 F`0L z55po . 20 DAISY HILL ROAD 6 LOT 172 PROPOSED PROPOSED = \ 0 IN MECHANICAL DECK O GUY i ---` ROOM/STORAGE x 11 6 EXISTING AREA GAS DWELLING X 10.5 HYANNIS WiRE D t w c.�18. ' GAS METER. F.f'L(:X)R 1.7 '� C. ��� ,DETER G l MASSACHUSETTS CARPOPT } _ �� " f ---' / ` (BARNSTABLECOUNTY) o EI+_ � tiLyER', WITH VETER N PROPOSE® B UILDING MODIFICATIONS PROPOSED E ISrIN \ /_ \ c R 1 CANOPY 1 DWELLING j I AIA KOU-. FEBRUARY 1,2021 z z BITUMINOUS I SLAB=.-7.9 1_„ ` \ �`" _ • - PAVEh1ENT \I 1 FLOOR=15.6 BITUMINOUSPAVEMENT � Z z i 1 1.6 11.3 1 i t�'{ ''� `y p CnNc kL fE 4 yl 4 J 1EI?S— APRO1.3 N U1 . + � PROPOSE PROPOSED CANOPY MULTI-LEVEL + two?��/ F DECK 11, t X 7.6 ��/ yt SAND/I N ) . o DIRT yrC ! ;� 1 DRIVEWAY 1 W i 0 LOT ai y \\` i' � _. i 1,,. It(+ �.� ,I - PREPARED FOR: URBAN ACCESS, INC. WOODED�REA x 9.e Mr. DAN O'CASIO y 0� �} w ; ly 230 WEST CANTON STREET BOSTON, MA 021,16 t \ p '; X io,-9, DISC GRoUP .1 \ '_ 5° ti ,t� �� r•' ,` 349 Route 28,Unit D W.Yarmouth,Massachusetts 02673 CONCRETE BOUND qN ' / / 508 778 8919 2 c4 \ FOUND & HELD ° �10 '� ` W" (TYPICAL)5 T' 1.. Olt, BI,E _ i�-- 2021 BSC Group, Inc. R=20.00 ►80c, r 1 SCALE: 1' = 10' _ •~ `..��._.`L%�.}`�.T..J / ` i i 0 5 10 20 FEET c ; , - . _ - f FILE:5D489-IXC.dwg !:rD \ .f l-' f DWG. NO: 6694-01 SHEET 1 OF 1 JOB. NO: 5-.0489.00 ��Kati�u°`E�' :,. �,�`�-� _I �'- - . ., , • � - 4 , . DRY :.-} v�"(�!'" i 1-�;�. Sa.,r• _""�_— � 1 - �'_- a i% / ! / / ,� ��1. 5'.y.s 1 j-J,/ w. 1 { � � - � , y "'.'M1..:d�tJ1L�'t, �*y t$,Rv�_ e_• � } .'. �Y �, . . .. 1• 3 fot c / — .-•_-....... — ..�:-•� __.—.-._- I/1'f r' F•a 1 S � _ r �� p •"�— k � ��`-_---- --may / "° r�.t�� t ry f- Tj — is f7 e M. • zy —4 a d C..,6 9 c� ck t r N� t. Y; !Sl5 1 c�d yVn1 - J a , - N BATH - 8'-11" Eo . GAS METER ' BEDROOM I EXISTING WOOD FENCE CLOSE IN - - - - DOOR MECH 01r I I OPENING o STORAGE CLOSET \\\ I I DEMO WALL cfl ELECT CLOSET Zv I UP -1 KITCHEN BATH I - cfl o N 00 REF RIG HALL C7 DN o 00 jo, GAS METER UP 0 10-0 LL - - - LIVING RM wpit • �ENTRY CANOPYOVERHANGDINING RM - - - KITCHEN N oo OO CLOSE IN FIREPLACE -3' 011 REFRIG REMOVE KITCHEN APPLIANCES,COUNTERS LIVING RM t CABINATES 0 , 611 DINING RM ENTRY REMOVE AND .-- _ _ :EXISTING 1st FLOOR ADD FLOOD - p ENTRY OVERHANG GUEST HOUSE WINDOWS ap 18'-6" 3'-0" { r ENTRY 24'-2" EXISTING BRICK RETAINING WALL i F F URBAN ACCESS ARCHITECTS DATE: 12/20/202( A Existina1St F100r Plan PROJECT: 20 DAISY HILL RD. HYANNIS, MA02601 EVA- BUI & JAY VU 230 W.�CANTON ST. BOSTON; MA Q 1 n'-o" 556 SALEM' ST. -WAKEFIELD, MA 01880 A.01 _ CHK'D BY: DLO DRAWN BY: MV y I _ ROOF Xoofoof i 1 O + EXISTING GUEST HOUSE .. ' DN BEYOND BATH - RAILING c4 4 ao , 10'-0" - ' 0 lo 3'-0" BEDROOM 2 HALL , N00, " 00 0000 r -.._ ._.. .-.- ._. .-,-. — ..T,. �. MASTER BEDROOM I n , 8' 11„ BEDROOM 3lo ao - . .: k 4, 24'-2" A Existin 2nd Floor Plan PROJECT: 20 DAISY HILL RD. HYANNIS, MA 02601 URBAN ACCESS ARCHITECTS DATE: 12/20/202( sc�: �/4"= �'—o" " EVA BUf & JAY VU - 230 W. CANTON ST. BOSTON, MA 02 556 SALEM ST. WAKEFIELD, MA 01880 A-02 CHK'D BY: DLO DRAWN BY: MV 20'-2„ Ir CD 4'-6„ BATH te"N 9'-211 - RAISE MECH BEDROOM I TO CEILING STORAGE CLOSET MECH 10'-6" CV - Cp Cfl N ` UP N KITCHEN o DN �N t 00 REFRIG NEW CLOSET 60 00 II M p -- - - - - 21-611 GAS METER Lu NEW DOOR UP ' NR 1'-6" o I DINING'RM `n T LIVING RM — — — • � UP NE AIRS UP 3'-0l CLOSE OFF FIREPLACE I M e - _ I ENTRY IEXISTI NG♦1 st FLOOR FLOOD WINDOWS p ENTRY OVERHANG` GUEST HOUSE 00. .. - REMODELED FLOOD WINDOWS t 18'-6" t DN 24'-2" EXISTING BRICK RETAINING WALL NEW STAIRS UP ' ent PROJECT: 20 DAISY HILL RD. HYANNIS, MA 02601 URBAN ACCESS ARCHITECTS DATE: 12/20/202( b ew aS em EVA MI & JAY VU• 230 W. CANTON ST. BOSTON, MA 03 SCALE: 1/4-- 1'_0. 556 SALEM ST. WAKEFIELD,-MA 01880 .— A-03 CHK'D BY: DLO DRAWN BY: MV 20'-211 N 15'-411 y , BATH . r ROOF DECK 2'-611 • 'v I gig CL I BEDROOM 2 12'-611 CV —N It CABLE cm CL I BALCONY SUPPORT _ CANOPY o0 N ROOF DN UP T o I DN LIVING RM �p� OPEN BALCONY " ~^ �U� • 16 OPEN TO BELOW ROOF OF . STORAGE ' N i NEW STAIRS REfRIG o i) NEW WINDOW i i 4'-0" 3'-611DD 8'-11" 18'-6' Zv DINING RM lo O KITCHEN = L NEW ADDITION O o ` 2nd FLOOR DW 00 I I -GUEST HOUSE s CABLE PANTRY 10'-0" o . SUPPORT - _ . M CANOPY 24'-211 DECK - - - - - - -- A New 1 St Floor Plan PROJECT: 20 DAISY HILL RD. HYANNIS, MA 02601. URBAN ACCESS ARCHITECTS DATE: 12/20/202( SC&E: 1/4"_ l'-Op EVA BUI & JAY VU 230 W. CANTON ST. BOSTON, MA 04 556 SALEM ST., WAKEFIELD, MA 01880 A-04 CHK D BY: DLO DRAWN BY: MV N �— — ROOF _ , • 2-6II ROOF DN E .I NEW 2nd FLOOR F BATH GUEST HOUSE BEYOND 00 101-011 ; -1 CABLE RAILING I t LINEN 3'-011 BEDROOM 2 i Zf HIS CL HER CL i r Lo t MASTER BEDROOM I FT BEDROOM 3co I Jr. o If I _ 00 II o •I I CABLE CLLoI SUPPORT I 10'-0" I CANOPY 24'-211 I \ - DECK : URBAN ACCESS ARCHITECTS DATE: 12 20 202( A New 2nd Floor Addition PROJECT: 20 DAISY HILL RD. HYANNIS, MA 02601 sc�: ' ' � EVA BUl & JAY VU 230 W. CANTON ST. BOSTON; MA 05 �/4 = 1 f—o 556 SALLM -ST. WAKEFIELD, MA 01880 A-05 CHK'D BY: DLO DRAWN BY: MV Z Lu OiLROOFTOP LEVEL 5 00 - - - ELEV. 2 4 3' 11" _ Z - 11-411 o _ - - ---- pt -.__ _ o) p 6�� b0 Q M w CABLE SUPPORTS ch _., ENTRY CANOPY NEW 2ND FLOOR _ ELEV. 16--0"- 4,-3„ _ co N Z bo X HORIZONTAL W Z mCABLE RAIL -- - o FLOOD WINDOWS C.0 oLlST FLOOR _ _ _ _ _ ELEV. 7'-6 00 EXISTING CONCRETE 3'-11" FOUNDATION WALL (D 1'-4" 6" fL00D{, EXISTING GRADE (I ch WINDOWS. ' GRADE LEVEL ELEV. 2'-9- W 0) NEW FRONT YARD GRADE ; EXISTING 13RICK WALL OiLBASEMENT ± ELEV. 0r 0 31-011— EXISTING FRONT NEW STAIRS UP YARD GRADE 24'-2" New URBAN ACCESS ARCHITECTS DATE: 12/20/202( A South Elevation PROJECT: 20 DAISY HILL RD. HYANNIS, MA 02601scA �/4'= 1'-0' EVA-BUI & JAY VU 230 W. CANTON ST. BOSTON, MA A-06 Os 556 SALEM ST. WAKEFIELD, MA 01880 CHKD BY: DLO DRAWN BY: MV Z p ROOFTOP LEVEL Q - _ _ _ _ _ _ - - - ELEV. 25'-0 Z - o co 1VEW 2ND FLOOO __ _ _ - - - - - - - Y ELEV. 1 T-0' _ - - - - - N a o - HORIZONTAL Z CABLE RAIL � CABLE SUPPORT a - -_ - _. _ ..- . ENTRY CANOPY ,KOO _-,i1ST FLOOR_ -- -.- _ - - -- --- -- ELEV 9 6 0 - - - - • _ BALCONY SUPPORTS Z EXISTING WOOD FENCE kNEW GRADE LEVEL-��� p - - - - - - - - — ELEV. 3 3 ,�GRA6E 9�_ w- - - - - -- - - _ Dt? a 5 a - - - - - "F ELEV. BASEMENT ELEV. 3'-0" EQUIPMENT , 24'-2" 1 : PROJECT: 20 DAISY HILL RD, HYANNIS, MA 02601 URBAN ACCESS ARCHITECTS DATE: 12/20/202( A New North Elevation Back) EVA'BUI & JAY VU 230 W. CANTON ST. BOSTON, MA 1'-0" 07 SCALE: 1/4 556 SALEM ST. WAKEFIELD, MA 01880 A-07 CHK'D BY: DLO DRAWN BY: MV . J 1 Z ` Q ROOFTOP LEVEL_ - ¢ ELEV. 25 00 r' r co Q W NEW 2ND FLOOR - 91 - 04 Lzn - C M�+Y X r _ CABLE SUPPORTS W - - --- 1 ENTRY CANOPY _ - 1ST FLOOR ELEV. 9 - - Z �EW GRADE LEVEL ELEV. 3'-30 -��ADE-LEVEL -- - X � ELEV. 2'=V W _ BASEMENT _ - ELEV. 0,-0 25'-7" -- • URBAN ACCESS ARCHITECTS DATE: 12 20 202( A ew West Elevation Slde ` V1eW PROJECT: 20 ..DAISY HILL RD. HYANNIS, MA 02601 � � N EVA BUI '& .JAY VU 230 W. CANTON ST. BOSTON, MA SCALE: 1�4"= 1'-0" A-08 08 � 556 SALEM ST. WAKEFIELD, MA 01880 CHK'D BY: DLO DRAWN BY: MV Y z r!Iv 44 K I n y n e � k -" _ .• ti x . . .1.f y ' Tr.'i i."�; s r t L k �` ,r} ., ,,}. ,, 'a."„ - r•�. *' + ice - �i _ kj ? .. wt,-°t +w•'rt:► -' �.+M4+,� w 'sa;;.+* +..{' `.*r:.,?s,. L.i.,,d; •'a��'r♦. j,r _ i # - ,. - r i 4 '�y �. :r;,,�.r.�,,,yw c.;:�'�"-r^--rE-«r�►^.w *. •,tri..�•tiwr�i'�-'9-�s�',,� ,_`-� "4�l a..-i �..wesKor ..-,--•'t P•"t? 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