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Home My WebLink About0018 MOUNT VERNON AVENUE �� Q� �. ,�� . Town of Barnstable 1 • y u i1 i n g Post This Card=So.That�t sible From the StreetA roved Plans Must be Retained on Job3andth�s Laid MustF be,Kegt a. MAW. ade Fermi �+''� ' iWhere a Certificateof Occupan'cy�as�Reyu�red,such Buildmg shall Not be Occupied,-until�a�F�nal Irispect�on has been<m Permit No. B-20-509 Applicant Name: Gary Souza Approvais Date Issued: 03/04/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/04/2020 Foundation: Location: 18 MOUNT VERNON AVENUE, HYANNIS Map/Lot 287-115 Zoning District: RF-1 Sheathing: x Owner on Record: RWM AND MBM LLC Contractor Name °-.ROGERS AND MARNEY INC. Framing: 1 Contractor'Ucense� 164688 Address: PO BOX 1274 2 TIBURON,CA 94920 Est Project Cost: $49,000.00 Chimney: Permit Fee: $299:90 Description: Bathroom Renovation 4 x Insulation: Fee Paid $299.90 Project Review Req: 4r t Final: ' Date 3/4/2020 WAL ti Plumbing/Gas r Rough Plumbing: ` 2 >- s . R . ... �,~ Building Official Final Plumbing: 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. Rough 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. � cti This permit shall be displayed in a location clearly visible from access street or roadfand shall be maintained open for public inspeon for the entire duration of the Final Gas: work until the completion of the same. r v `A Electrical The Certificate of Occupancy will not be issued until all applicable signatures"by the Buildmg and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: �, Service: 1.Foundation or Footing Rough: 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 5.Prior to Covering Structural Members(Frame Inspection)' Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate,permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �._•, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 116— Application # U Health Division Date Issued li 2 Conservation Division - Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic --OKH _ Preservation/Hyannis Project Street Address / M oca-j s' V /2-,-,o-J _4yF Village Owner IZS /Z08,r izT 2F y Address ��+�►� Telephone '12-fe- 6/v6 Permit Request C) Square feet: 1st floor: existing Z-100 proposed 12-7 2nd floor: existing Za96 proposed O Total new /Z? Zoning District 2fsloz-r04- Flood Plain Groundwater Overlay Project Val uation_�gb'UcGy construction Type .2.4^4COSZ- Lot SizeZ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure l Dy Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) -I&-- Basement Unfinished Area (sq.ft) -7a b Number of Baths: Full: existing new Half: existing l new Number of Bedrooms: ' existing-e-new Total Room Count (not including baths): existing /3 new First Floor Room Count �c Heat Type and Fuel: ❑ Gas ❑ Oil Irflectric ❑ Other Central Air: ❑Yes XNo Fireplaces: Existing .9, New - Existing wood/coal stove:<es ❑ No Detached garageXexisting ❑ new size_P0004existing ❑ new size _ Barn: ❑'existing ❑ h''ew 5size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: x "� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 46o If yes, site plan review# 4 Current Use Proposed Use '94r 5I >-- � -- _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �f M-' Sao Telephone Number Sty$-5'Zg G�o6 Address R. yk -Z-�/0 License # /Oa 99 9 Home Improvement Contractor# Worker's Compensation # LQe,00 &rj-16414/3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ` t , FRAME SNT1�'L�1G3�Io�II A - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts i 4 = X Department of Industrial Accidents - F Office of Investigations i'Q ' 600 Washington.Street Boston MA 02111 .' / to www.mass. ov d' g - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): p6 7" IS14iz..t Address: City/State/Zip: 65l't_riy v Phone #: -:S—O G Are you an employer? Check the appropriate box: Type of project(required): 1.El am a employer with 4.-�I am a general contractor and I have hired the sub-contractors 6. ❑.New construction employees (full and/or part-time).*. . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition - working for me in any capacity'. employees and have workers' insurance.$ 9. ❑ Building-addition comp' [No workers' comp. insurance 10.❑ Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work `officers have exercised their 11.❑ Plumbing repairs or additions myself. o workers' comp-. right of exemption per MGL Y � P• r 12.❑ Roof repairs' insurance required.]t c. 152, §1(4), and we have no employees. [No workers'• ` 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name.j��,��j,.Gy0ya. / y X&A NC_ Policy#or Self-ins..Lic.,#:_ tt y ©®6 5—/6'1715/3 Expiration Date: !,�l!/ Job Site Address: %8 N►ov.4%- t/-12 City/State/Zip: /,o 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 co rage verification. I do hereby cer ' under t ain nd pe hies of perjury that the information provided above is true and'correct. Si nature: Date: 2 23 0 Phone#: Official use only. Do not write in this area,to be.completed by city or town officikt. 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#: The following sub contractors are planned to perform,work at 18 Mount Vernon Ave for Rogers & Marney, Inc.: Northside Land Const. LLC. -Site Contractor(WC# 2001 W6188) Expires 7/13/11 +. Bouse House - (WC# 8436360) Expires 5/18/11 Bay Colony Concrete Forms, Inc. -Foundation (WC#WC0002466)Expires 3/31/11 David Cox, Inc. Roofing & Siding (WC#UB-91OX7422-10) Expires 7/16/11 Lafluer' Electric Co. (WC 7924574) Expires 7/9/11 Spencer Hallet Plumbing, Inc. (WC# 15494F) Expires 2/22/14 South Shore Heating & Cooling, Inc. (WC# 500614701) Expires 1/10/11 Colony Insulation, Inc:(WC#) Expires 1/26/11 Blueboard Specialist (WC#UB-0194N848710) Expires 313/.11 Harmon Painting, Inc. (WC#J6189M) Expires 1/4/11 t • s L • viz - , ^ � }.4 - • - Town of Barnstable $ Regulatory Services r _ Thamu;F.Gdler,Director 4 °s"• Building Division -ram Ptrrv,Building Commlrsionor ` 200 Mah Street, %-Arwi1,NtA 02601 UFticc: 50S,S63.1035 Fax: 508-790-6230 Property Owner Must Complete and Sign This SCCtion If Using A Builder , as Oatmer of the subject property hereby authorize aoaerss a MMWEY, x0c, to act onmybehalf, , in aU n-i tmers relative to aork authorised by-t6 building permit application for(address of jab) �y / - - .. �O MU(l..�i� 1��2i�JJ,aJ J7�i ��fl.ry/EI?aRT AI'• � ' SFgnUUTC Of Ck%'ner zDate Print Name • , - .. <} . .. � �.:Z• ,.. . I' - + . 1. ' � T /T 'aE)Vd wx 9S:0T 0T0z•zZ CI MY Massachusetts- Del milment of Public Safety Board of Building'Rq"'ulations and Standards "Construcf cinup Servisor^;License License CS 102999 Re_s6-icted,to00 , • l a n (a f GARY SOUZi4 P.O BOX{2�1,1 . •. COTUIT,;MA 02635 ��°i � r�. ` . Expiration: 8/1612012 ('ummisviunrc` Tr#: 102999 91te -C Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Reqistration: 164688 Type: Private Corporation Expiration: 10/30/2011 Tr# 290070 ` ROGERS AND MARNEY, INC. ` GARY SOUZA - ----- --- -- P.O. BOX 310 ---- - --------- - - — OSTERVILLE, MA 02655 - - ------_---------- ---- Update Address and return card.Mark reason for change. i J Address Renewal Employment Lost Card DPS•CA1 ii 50M-04/04-G101216 - -- - - lugOffice of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 164688 Office of Consumer Affairs and Business Regulation Expiration: 10/30/2011 TO 290070 10 Park Plaza-Suite 5170 Type: Private Corporation Boston,MA 02116 ROGERS AND MARNEY, INC. GARY SOUZA 445 WEST BARNSTABLE RD. -->6�.8�_ OSTERVILLE,MA 02655 Undersecretary Not v id it out signature 08/131/2010 10:12 5083932273 NORTHWOOD INSURANCE PAGE 02 DA (µMIpOIYYYY) OP 10 TO /� CERTIFICATE 4F LIABILITY INSURANCE 08 13 10 THIS CERTiDER,THIS A DATE IS ISSUED AS A MATTER OF FOTR�MA ELY AMEND. TEND O ALTER THE COVERAGE AFFORDED BY THELPOUCIES CERTIFICATE DOES NOTAfFIRMpTNELY OR NEGA IZED FBELLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI,AUTHOR tthe PRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER. IS WAIVED,s o c e or an po c s sn se ms ar,a condNbns of the poky,cerfein polCles may reyurs an endorsemerR. A statement on this ceRlflcate does TTOt confer riyMs to theate holder in 1w of such endorsemerA(s). NAME: PRODUCER (A IC,No}: No,EM): Northwood Ins. AgenCY, Inc. ADDRESS: 540 Main Street, suite 9 CUSTOMERIDP. RO=R-1 --- Hyannis NA 02601 INSLRERis)AFt:elma+c COVERAGE "'fie phone:508-771-1632 Fax:508-393-2955 24414 INSURER A: can•zal carwltx x"suzar+aa c�� INSURED Rogers b Marney, Inc. *AURERB: >M•rioae xnumatiors•i azow I? O BOX 310 T/eURER C; Oitirville MA 02655 INSURER0: INSURER E INSURER F: . REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THIS 1 0 THAT POLICI OF INS LISTED LOW HAVE B N I$$UED 0 THE I D"AMEDWABC iTm RESPECT TO WHICH THIS THIS I TEE. NpTW{TH$TMDING ANY REQUIREMENT.TERM OR CONDMON OF ANY CONTRACT OR OTHER OOCLKNT CERTIFICATE MAY BE ISSUED OR LIAY pERTAW,THE INSURANCE AFFORD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHdMy MAY HAVE BEEN REDUCED BY PAID CLAIMS.DIYYYY► (rBII1pDffm) LtTRte TYPE OF eetaURA 40F Pelt POLICY NUM t " LTR EACH OCCURRENCE f 1,O 0 O,O0 D q&d9 l LIABILITY f 100,0O0 cCI 0395621 03/2o/1D 03/20/11 Fs(EMlses(Eaac�e) $5,000 A X CQAedERCIAI ORAL LIABILITY NEE)EXP("one Perw) rLaMS awDE �X occLlR PERSONAL A ADV INJURY f 1,000,00 0 GENERAL AGGREGATE s 2,000,000 PRODUCTS-CQMPIOP AGG s2,000,00 GENL AGGREGATE LIMIT APPLIES PER f POLICY JEC LOC COI+BINED SINGLE LIMIT f 1,000,000 AVrOMOB6 LIABILITY (Ea E atclderR} A ANY AUTO CHA 0395621 03/20/10- 03/20/11 BODILY"JURY(P'PerOn) f BODILY INJURY(Per ecddeR) f ALL OWAED AUTOS - PROPERTY OHMAGE f X SCHEOIAED AUTOS (Per acclaert) X HIRED AUTOS f X NON..�ALTOS f 03/20/10 03/20/11 EACH OCCL�fWE f 10,000,000 AGGREGATE f UNBRBAAUAB X OUR cm 0395621 A , EXCEss LUB CLAIMS-MADE f DEDUCTIBLE f X t11Tvmo. f 10,000 01 O1/10 01/Ol/11 TORYLIMtTS ER B AM EtiLOYM LIABLITY YIN E.L.EACH ACCIDENT i 5O0,OOO ANY PROPRIETORIPARTNERJE*CUDvE ❑ I A OFFICUbMMISER EXCLUDED? E L.DISEASE•EA EMPLOYEE f 500,000 (Mandatory In NH) - E.L.DISEASE-POLICY LIMIT $500,000 if Yes,deetf10e un(* DESCRIPTION OF OPERATIONS betom OESCRPTION OF OPERATIONS!LOCATIONS I VENICLES (Attach ACORD}01,Mdlllorwl Ramarlte geMdub;M more rDeN M nquk•dl CERTIFICATE HOLDER CANCELLATION SMOULD Ann'OF TM ABOVE DESCRIBED POIJCIEB BE CANCELLED BEFORE BARNSTI THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE.WffH THE POLICY PROVISIONS, Town of Barnstable AUMORIW ROPRESENTATIVE 367 Main Street Hyannis MA 02601 Q A.L �,,, m j ovo.2DDC ACoRb CORPORATION. AA rl0—W%res•rvd ^eomv 25(20001o0) Ths^co,eo..wvr•orb I•v•r•r•Xyt•r•d mwa.•of Apoaio • :p REScheck Software Version 4.4.0 Compliance Certificate ,. _. [' Project Title: Morey Residence Energy Code: 2009 IECC Location: Hyannis, Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Building Orientation: Bldg.faces 180 deg.from North Heating Degree Days: 6137 Climate Zone: 5• , Construction Site: Owner/Agent: Designer/Contractor: 18 Mount Vernon Street Rogers&Marney,Inc Karen B.Kempton AIA Hyannisport,MA P.O.Box 310 43 Angela Way Osterville,MA 02655 West Barnstable,MA 02668 508 428 6106 508 362 3447 karenkempton@comcast.net. Compliance:5.3%Better Than Code Maximum UA:57 Your UA:54 ' The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. - - - �' � �L � 3. v.tea. • o • Ceiling 1:Flat Ceiling or Scissor Truss --- " Exemption:Framing cavity filled with insulation. Wall 1:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Window 1:Vinyl Frame:Double Pane with Low-E n 36 0.310 11 SHGC:0.00 Orientation:Unspecified • - Door 1:Glass 18 0.270 5 SHGC:0.00 Orientation:'Unspecified Wall 2:Wood Frame, 16"o.c. 160 15.0 0.0_ 6 Orientation:Right Side Window 2:Vinyl Frame:Double Pane with Low-E 86 0.310 27 SHGC:0.00 Orientation:Unspecified Wall 3:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. r Window 3:Vinyl Frame:Double Pane with Low-E = Exemption:Glazing replacement in existing sash or frame: 'Floor 1:All-Wood Joist/Truss:Over Unconditioned Space - 116 19.0 0.0 5 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.0 and to comply with the mandatory requirements listed in the.REScheck Inspection Checklist. /ate :_ G r�v �� /� �G' ��C /2 2 3 V Name-Title Signature Date t Project Title:'Morey Residence Report date: 12/07/10, Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.4.0 ' Inspection Checklist Ceilings: _ ❑ Ceiling 1:Flat Ceiling or Scissor Truss ; Exemption:Framing cavity filled with insulation. Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c. . Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 2:Wood Frame, 16"o.c., R_15.0 cavity insulation _ Comments: ❑ Wall 3:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation: Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No - Comments: ❑ Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.310 s For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes. No Comments: ❑ Window 3:Vinyl Frame'Double Pane with Low-E Exemption:Glazing replacement in'existing sash or frame. Comments: Doors: - ❑ Door 1:Glass,U-factor:0.270 r. Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. r Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ` ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. Project Title: Morey Residence , Report date 12/07/10 "' Data filename: Untitled.rck Page 2 of 4 O Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: Cj Building envelope airtightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d) Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated" (9)Shower/tub on exterior wall: Insulation exists between showers/tubs and exterior wall Sunrooms: , Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum_ skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. r Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ` Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are . insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. r Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at.less than 2 in.w.g.(500 Pa). ❑ Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to.12 cfm per 100 ft2 pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: Lj Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ For systems serving multiple dwelling`units documentation has been submitted demonstrating compliance with 2009.IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems; P Lj Circulating service hot water pipes are insulated to>R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Project Title: Morey Residence Report date: 12/07/10 Data filename: Untitled.rck Page 3.of 4 • j Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Lj Heated swimming pools have an on/off heater switch.. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For,pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following:• ; a (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage> 15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: , O Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement b'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning anal water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Morey Residence Report date: 12/07/10 Data filename: Untitled.rck Page 4 of 4 C�(j Eff iclency Certif gy Ceiling/Roof 0.00 2 Wall 15.00 r Floor/Foundation 19.00 v Ductwork(unconditioned spaces): Window 0.31 Door 0.27 NA Elmy , Heating System: Cooling System: { Water Heater: Name: Date: Comments: , M I - y PER, TOTAL MANUFAC x �M�ODEL f ROUGH OPENING TWIN®OW AREA TYPE TURER NO QTY � �a,.1NXH=� .lsgn Ft ) �Sq FS REAR Window Anderson TW2646 2 _ 2'-8 1/8 x 4'-8 7/8" 12.5 25 Window Anderson TW2442 1 2'-6 1/8 x 4'-4 7/8" 10.9 10.9 35.9 RIGHT 0 Window Anderson TW2032 1 2'-2 1/8 x 3'-4 7/8" 7.2 7.2 Window Anderson TW2846 3 2'-10.1✓8 x 4'-8 7/8" 13.3 39.9 Door Anderson . FWG6068 1 6'-0" x 6'-8" 39.3 39.34 86.44 ' 0 Workbook:House Sizing TEMPLATE.tmp . Sheet:W D Schedule 1 3 !° RED CEDAR SHMGLE9 RED CEDAR SHINGLES TWT Q S.Et MApCHAE%1ST GUTTER ,y S� AND�E.AVEBDETAIL ER, - - - - _ - HAVE DETALL .A N.XIETTRIII: HATCH N-STT TO 9A TI LEE,STAIN ��[7�(]�� ® ® ® 0 MATCH 5 TAM �0f1 W -LACE CORHER9 T LACE CORHER9 v}I 7 m 10'DIA PG EXIST IIL_v_�II UP DIA FG COLUMN L w /C ERVCE ME EC O W L E AND TER - IIEORBS"ECKING PMEORISENSDECKING % F PARGE HSW BLOCK FND - - ARGE NEW BLOCK PND Q z F z O 6i-PORC ADDITION COV•RD H ADD. ADDITION ADDITION DD ION `l NORTH ELEVATION' EAST ELEVATION W w N REAR RICH Q H Z N }. z Q o � O_ Z o � IG MATCH I-ST RAKE BOARD AND TRIM DJ - rorw� MATAND-GUTTER E DETAIL W CoE NC-ORNeR aA CE CORHER9 _ . a TUTEwS1Eiw BAY BWN�MUS PARGE NEW BLOCK FND 0 t ADDrtION - ' WEST ELEVATION ELEVATIONS LE : - t_0... t-7 t-0. .s_0.• !_0 t-? b Du PL C LW1H b b"DIA PLC N1N Jay NANOGANI D cmG MAHOLwN CKING b R^y BEADED e C GELLING q BEAOEO CELINL b MIL ��i , N KITCHEN - A b LAUNDRY '' i� DINING ! = A F PEI i. OO FIRST FLOOR PLAN h 00 U LEGEND (n Z W O Q Z ��//�� o� . — NOTE. wed evens_y VI Z Q tPma!xG0 NLR PEIt Al10xVce0110x! MiCM t5T ' 1 y W. WA KITCHEN j Q W/ W N MdE 60 m p m COxgR11 BdDOIY OiCl�4 I Z 1■ R.O.d PBED _ N �IIO F5 / Fea TO lgT lPee « B1N9 Al G EI0 M IPACER ,� Q VP T \ '-z iNRI NNP a tIE NYBER Ci BiID!YEMfFD L .eenovs e c s Iqp eue'rwe,o f� } Z Q ... . $ /` 7'i rry u000 uxaxG O ),W ]0= - PANTRY" .0 �. W _ m 1 e. I I FORMAL DINING - - FOYER ] . FORMAL DINING - FOYER Ij i I SUNPORCH SUNPORCH 0 FIRST FLOOR PLAN j W A-2 . NBmnw b'YaB/l Millet '� S Enrz Baraar Bgi �; � EmTr.utra.arARmadRBun 5 6[ .. ROT rucdR x ' aan xac scv ro .. dVSTwau DNN TO<0.YPO.Pif TO SEC1>rLV ib022/ 2I�S dIEH dEN dAIYl,M ��Rt STATE BLLG CGOE]TR EOIDOB( i�5O8 B6N OIYlMM • TOEKaaavO rOT wLLO�O i O M]n B H6 NI1RfbUNE TN:CONNECTION JOI STS AdHa Z-XA%POST BASE W/ ' S/r OIA AMCIIOR BOLT _ D'DIA SE PORNED CONC FER f BIGBOOT OT 48-�B•BELOW GRADE r-w T-T r-a• G2 E-92/LEDGER-LOC. dJ t_____ n4Ef1 b NEW C LOCK D M h W :NEW CRAWL n Osoec' P C t a.a AT u• C nxG cx o t, . c P _ __ _ __ .e T STEEL BEAM DETAIL' _ V b IN RIW - b Z � _ ..W V/G X. �WAIILNG BILL NEW1 aB Al OC a �I III Q v1 ZL fp o T W tt IL XI TI C .4 L I P C r A N R iiI IDIIIN - w U) IIry Q ,Z Z � F. Q i p (�1y� 0= __- - fir \ _ r _ - h• I.L. 3EE~DECK PRA INNG i III - W ir EXICTINf. RAccItENT GEND FOUND ATIONPLAN .� DEN1) ! Y SECOND FLOOR FRAMING PLAN N07E.-R emrs romp I-mew. e..aoerE�.mwa� ns� mmr�..CL411°'rmaan:�m�ma nrao wNo ce.rwn �� -AS B... `rc'�r'wm� mamu�a •ra..w mrneT _ 0 - _ - FOUNDATON PLAN a POLE 129.16' 3 i el FX13TW0 1 ` F Tp DDRKER DETONp L BOO GAl Oil ED].e RA AT 4•a QY }jj [I µKEPTIC 26.2' A il,[RN�TO�MTGI 1+Oert W O CI_ REp CEDAR B NATCN[xigT¢G�I1GP' z I DazE I 9y T RA RRG LL.I DWIR o R'BAT�TS RMI3N v YESi HOUSE'S bAFflf 4OGk9 p Q I COA'IpOpy9 90PRf D P . OVER CRACRAWL 6PACE ``tt VERT Z `��i0. HEYV PORCH �TAe, O - _ cIDaa.a Nae•a --�EKST p Li - IND fL b VY OSB wIWIgEORAR jII z 12•TREE 26.2' an 5M15 Ai r oc a T O �Ml AT R'OC el W LLJ : TCX E%9T EtEV _ -- STEPS DECK la3 R-R aii em4 I z 2"TREE -'Tl t=�R r F D HATE;O/puXF3'X 4, ®r n O U f- p .. q�" DAnvROD ac iD cRADF r W n srmr F N G O I 0 O EXISTING 2 1!2 STORY `��..■ION A W, I d 1N0'ODE �OUSE - ew se4rre Rz m� W((J Z > Tn-rw ao Q Z Z ?- Z a I 0 (NW� �c0• I a 1•�. G 63.9' (o WFNDOW AE.1p pAT10 DOOR 0> 0 SCHEDULE ' 8•CEDAR I - �.-.iru'J : 'e" a+wr 'MPnexecy Aaav ezyNae _ „ ' wv re:y nreu� s Ayyr o RESERVE AREA u) 12' av zT N 3S' ? O Nmj w.yew roM . FLAG O rAre.re� avM N rk POLE - - w muia aw.r s a�a M sv u.• iNFORMATIONTAKEN FROM PREPARED BYTW LAN D A DATEUGUS E � 79 '••'.••a �`M '°' ..ET-TECH LAND DESIGN 8 1�Intl AS-BUILT SURVEY DATED AUGUST 19 .� w • e SECTION SITE PLAN � R A-4 e Engineering Dept. (3rd floor) Map :2R Parcel ( S ejj; Permit# House# l . FJ) Date Issued 0 ' ,- Board of Health(3rd floor)(8:15.-9:30/1:00-4:30) Conservation Office(4th floor)(8:30-930/1:00-2:00) i:5-r1 j Planning Dept. (1st floor/School Admin. Bldg.) T BE If��'0'AL1.ED Defi ' ' e an Approved by Planning Board 19 ,Le, CE ENVIRONMIE s AND TOWN OF BARNSTABLE TOWN REG IONS Building Permit Application Proje•t St t Address Village 4w a�c1i S t�r H>Nl$ Owner gn�bgv�- it l`rl 4)Ta�_ Core`i' Address 13l{ VW�OA 17c. Telephone 915 -935- 91)ti Permit Request 2f-NSA i hJ1� s Q 2 ecn4 NeLAJ ` �. 1A i t e 2, %A_n First Floor square feet Second Floor 1 pq® square feet Construction Type I-C Qraav"e 'Estimated Project Cost $ �S, oco Zoning District R 1`,1 Flood Plain +n® Water Protection NO Lot Size ,72 cicre5- Grandfathered ❑Yes ❑No Dwelling Type: Single Family &T'- Two Family ❑ Multi-Family(#units) Age of Existing Structure J7/ +- Historic House ❑Yes p-No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing�_ New Half: Existing New No. of Bedrooms: Existing?_New Total Room Count(not including baths):.Existing New First Floor Room Count Heat Type and Fuel: Q<_s ❑Oil ❑Electric ❑Other Central Air ❑Yes Flo Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) .F ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No If yes, site plan review# Current Use ---a so,,O—Q_ Proposed Use Builder Information Name S V1/l tin vn e ,Ac, Telephone Number g-- -q Address x t p License# M oL, Home Improvement Contractor# i o o l_g-4 O 2 GSS Worker's Compensation# �-'``sw c 4 9� 3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN:W 6U SIGNATURE _ DATE a®q2 BUILDING PERMIT DENIED OR THE FOLLOWING REASON(S) a # �� '"e FOR OFFICIAL USE ONLY •PERMIT NO. V - • DATE ISSUED MAP/PARCEL NO. _ ADDRESS VILLAGE • f OWNER ' DATE OF INSPECTION: _ FOUNDATION -' FRAME INSULATION r FIREPLACE' , ELECTRICAL: ROUGH' FINAL PLUMBING: RORdH FINAL GAS: I FINAL r` 4' t FINAL BUILDIN '' `_" DATE CLOSED-O wt r T ASSOCIA'PION'=` N®: �^ • t , I_ a stable The Town of Barn of Health Safety and Emironmentai Services 1eP Department � '• Binding Division 367 Main Street,Hyannis MA 0260' Ralph Crosses Off= Sob 790-6ZZ7 Building Ceram Fa= 5os-775-3344 For efface use aniY Permit no. Dau AFFIDAVIT SOME MOROVEMENT CONTi;ACrORIAW SUPPLEMENT TO PE U IIT APPLICATION coon,alterations►renovation,�Modesni=dQn,conversion, MGL a I42A requires-that the"tzconstrn ed impruvemant.•rmnomal, demolition. or construction of an addition to Owner �� building containing at least one but not more than four dareiLng�ts��tio� along with other to such residence or building be done by registered contra== Muir cnenm Type of Work: L CDO Address of Work: 1 RC� n c-7 Owner.Name: J Date of Permit Application: +o— l — 9 7 I hcrcb�v certify that: Registration is not required for the following tcason(s): _Work coduded by law ob under SL000 Building not owner-oocpied Ownerputling own pQmit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEiR OWN PERMIT OR DEALING DO NEHA LESS TO THE APPLICABLE HOMEIIViPROVEi�i�T ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PER.IURY I hereby apply for a permit as the agent of the owner. _ T getiort No. Date Cons actor OR ' I Town of Barnstable *Permit 00 091 Expireshmonihs from issue date Regulatory Services Fee � ,� 12&. Thomas F.Geiler,Dir ector 0/d/7 Building Divi$ion Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint /parcel Numbert_�� ierty Address ZS � i residential Value of Work y 5 ,/�1�� Minimum fee of$25.00 for work under $6000.00 i ter's Name&Address tractor'sNaine ��/ �� Telephone Number ae Improvement Contractor License#(if applicable) / - s'�r�cf�b� �visvr's-IJicErrs�-{�app3ieabie-) - - Vorkman's Compensation Insurance. - RESS PERMIT Check one: ❑ I am a sole proprietor APR 19 2007 ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE ranee Company Name �+jil�, 1MK4-,Comp.Policy# z�,� y of Insurance Compliance Certificate must be on file. ut Request(check box) E5"'Re-roof(stripping old shingles) All construction debris will be taken to1�/ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side _ ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) ~ r 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc-,:,, ***Note: Property Owner must sign Property Owner Letter of Permission, A opy of the Home Improvement Contractors License is required. NATURE: ms:expmt*g e061306 • \• -I.- vv.. ...v... v...M r.aw.....------••---- . Department oflndustrial Accidents Office of Investigations 600 Washington Street' t Boston,MA 02111 www.Mass.gov/dia ' `Workers' Compensation Iiisurance Affida-vit: lBuilders/Contractors/Eldetricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ��// .��k• �°l� Address: r City/State/Zip: ,::�2 M- one:#: Are you an employer? Check the'appropriate box: Type of project(required) 1.❑ I am a employer with 4. [] I am a general contractor and I employees (fall and/or partMime).* have hired the stlb-contractors 6,. Now construction . 2.Q I an a'sole proprietor or partner- listed on the-attached sheet, 7. Remodeling ship and have no employees These sub-contractors have g, Demolition' working for me in any capacity. employees and have workers' [No workers' comp.insurance comp,insurance.$ 9. '❑Building addition required.] 5. We are a corporation and its 10.[]Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing ill work 11.[]Plumbing repairs or additions myself[No workers' c6m9. right of exemption per MGL` 12.El Roof repairs insurance required.]t c. 152,§1(4),and we have no ; employees. [No workers' 13:[]Other comp,insurance required•] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infom7atlan. t Homeowners who submit this affida-vit indicating they are doing all work and then hire outside contractors must suomit a new affidavitindicating such. $Contractors that che*this box must attached an additional sheet showing the name of the'sub-contractors and state whether or not those entities have employees: If the sub-contractors have employees,they must providt their workers'comp.polidynumber. I am an employer that is providing workers'compensatiari insurance far my employees.'Below is.the po1'ity and job.site information, Insurance Company Name:_ ,�rTJ//�j ,�5' Policy#or Self-ins.Lic,#: 'f/r� /�i'�_Y/� Expiration Date: lob Site Address: City75tate/Zip:_, _YI/� ,�' Attach a:copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure.coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip tc$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 1)IA•for in=e coveraze verification. 16 hereby certify un r the pains-and penalties of perjury that the information provided above•is true and,correct," Si ature:. Al Date; V1173 Phone#: ®ffcial use only.,..Do not write.tn this area, to be completeriby city or town official City or Town: PermitUcease# iss-sing Amthority(circle one); :1.Board of Health 2.Building Department 3.City(Town Clerk 4.Electrical Inspector 5.Plumbing Inspector b.Other ContactPerson: Phone#: Information and Ins* tructi®ns 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 TP�PIVPT ortr�ete -of an individual,partnership,association or other legal entity, emplo3Mg•emp1DM6s. However the owner.Of a dwenIng•house having not more than three apartments and who resides therein;or the occupant of the a dwelling house of another who employs persons to do n tenince,construction or repair work an suchAwelling•house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MeL chapter 152, §25C(6)also states that"every state or.local.licensing agency shall wj:'thhold the issuance or yenewal,of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicaut•who has not produced acceptable evidence of compliance with the insurance coverage required!' Additionany,MGL ohapter 152,•§25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for•the performance of public work tMfil acceptable evidence•of compliance with the insmance requirements ofthis chapter have beenpresented•to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the-boxes that apply to your situation and, it necessary,supply sub-contractor(s)name(s),addresses)and phone number(s)along with their certificates) of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnershipa(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. B.e advised that this affidavit maybe submitted to the Department of Industrial Accidents for canfirmation 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 oher 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 sate to fill in the pe;rn itllicense 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 subunit one affidavit indicating current policy-information Vnecessary)and under"Job Site Address"the applicant should write"all•locations'in (oity'or town)."A-cbpy'of the affidavit that hai been officially stamped or marked by.the city or town may be provided to the applicant as proof that a valid affidavit is on fle 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 fo any business or commercial venture .(i.e.a dog license or permit to bum leaves•etc•)said perso4 is NOT required to.corrgalete 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 can. The Depa�taent's address,telephone•and fax number:- ' �,,CQZQ Q1kW Ah of Mas=4w(t€s Dgputrnmt of heal A.oci.dmts' Qffice of Inn-Stigatioms . Boston,CIA U111 T,,L# 617-727-490.0 ext 406 aF 1-M MASSAFE Fax;=617-7-274 749•. Revised 11-22.06 w�w.i�ass.��di� • Date: 1C/4;2000 11.:1 AIM Sender's Fax 10:50836292-0 Page 2 of 2 if A-0 CERTIFICATE OF LIABILITY INSURANCE DAT9tIAl�•QCM'YY) AAVID-2 10 09 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION t ONLY ARID CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood L°ShA.augh Ins• Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR SOS Welt main street ALTER THE COVERAN AFFORDED BY THE POLICIES BELOW, Hyannis MA 02601 ne:508-771-1632 Fax:508-862-•9270 IINSURERS AFFORDING COVERAGE —�NAIC4 NSlAtteD { INSURERA NO"OLK & DEDHAM 23965 INSURER a ST PAUL TRkVE',L$RS iald Cox, Inc.. !N3LIRER S Yarmouth Mh 02664 INSURER --- INSURER= COVERAGES THE POL-ICIES OF INSIVAMi:F LIFTED 3EL!Y V HA`fe SEEN!SSUED TO T•1E INSUPF.0!jArJEL)AAOvE=4R TNF PCA.Ii.\'PEPI00 INDICATED hCTV^4THSTAN--!NG ANt Fit;7U F1EIhENT.T:RM VF CCYd()N'ItSr( .Aid1'I;.ONTR.SCf':f''UtNF R D-11-JrAEN!A:TH RZ$PE T TC;�dl•IICF-r!IS t �rIFIC:+'tE^.iF,'r dE i5 !.rc0 4P MAN PER'TA.!N.THE IN3URAIaCE A°FGRCEO BY THE POL IC ES DeSCF{?ED iEREU:IS 3.i3J£CT'0 ALL-H' -ERMS,_XCJUSI.v6 AND CONEIT0.6'CF SUCH FOLIC!Ea AGGREGATE LIMITS*;!OVEN 14AY HAVE 8EE`d REUUCE:)E1'r'A;0 Cl4M.S. LlR=RdTYPE OF N6URANCB { `POLICY NUMBER D STE tMM1ODrYY) A lMsvb"OD;YY, LIMITS--_- GENERAL LUBIUTY I i EACH O:Ct3R(ENGc ---i).-S-1-.-0-00000 CO%iEP.C'AL GENVA+L-ASILITY II pGENI*E�S � � 000 CLAM MADE r7X O,:C.UP I MEC_KP t,4ny cna peron; S j_0.4_0_ A X ;BUsineSs Owners R0030954S 03/14/06 ! 03/14/07 PERii S.4D�N_:k'r { •100_0000 ',ENERALAGGRE0*TE 5 2000000 Er.'L Ar3GREGA'E L1MIT AIR.[5 FER. 1 FF C4�L C'8•:':'MFYC,p.C3:i �2 00 0 00 0 I FOLicV I— e�i Loc CC5L 2000000 1 AUTOMOBILE LIAB;UTY i CQN181'•!ED SINGLE LIMP $ANY W.70 I I tEsa:cidnna`_ AL' 3M-leAUTO5 i 9OOIL !NJU�Y S SCHWvI-EDAJTO5O i {tN3f Pam'-_-�t- ' Htr°DAUfrUI ` E30Da. IN3JPY rJOr�-OvvNE_AUTti�r (Par a=dami GARAGE LL4BILITY I I AUTO C,ttY-EA.At'XEE 47 S AP!'(A'J'O OTHER TW411 -EA AUTO ONLY. - N33 1 S EXCE9SSAMRELLALMIL)T( E.•:.:H&-curFrENCE OCCUR I CLAMS RAVE RETENTON 6 VYORKERB CGAIPGN$ATION AND I TCRY LIPAI�° REF F__------=- _..............._........._. S E►EPLOYER6'LIAblUri' 6KUB910X742205 07/15/06 E 07/15/07 ='. =Ac ACC07NT -100000 f4JY'rF'CE'Ft!EfrUF'F:�FtThlEk/ErErLI lOF=KERrMEMSEP6t:LLCEC7 E.L.0I-3EA5`:•EAE0E-0'(EE $100000 ACa,de8arib0 unbar I -- 500000 AL PRCylt'"s D910V! I E L [7! EABE•FOLiL'i Itys L!h1T 8 ,OTHER LOCA�T'SF.' I VEHIC S 1 XCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 144 Pinquicksat Rd. , Cotuit, Mh CERTIFICATE HOLDER CANCELLATION TOE $WOULD ANY OF THE ABOVE DE$CRtSED POLICIES 9E CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING PoESURGA.MLL ENDEAVOR TO MAIL 20-- DAYS'NRmlN NOTICE TO THE CERTIFICATE HOLDER NATO TO THE LEFT,BUT FAILURE TO 00 SO SHALL TOM Or SARNSTABLE IMPOSE N0 OBLIGATTON OR LLABILTY OF AN'V KIND UPON THE INSURER,ITS AGENTS 09 367 MAIN STREET REPRE�JTATNEs. HYAMS Mh 02601 THOR R ACORD 25(20011118) 0 ACORD CORPORATION 1988 Town of Barnstable. Regulatory Services '+ BARNSTABLE, + MUM Thomas F.Geiler,Director 16 �'ATfD,39 MAC b`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ww -town,barnstable.ma.us Office: 508-862-403 8 Fax: 5 08-790-62.3 0 Property Owner Must Complete and Sign This Section If Using A Builder as Qwner of the subject property hereby authorize SZ&/'J Z/�r to act on my behalf, in all matters relative to work authorized by this wilding permit application for: . (Address of job) ' Signature of Omer /1D ate Print Name Q:FORMS:O WNERFERMISSION a a �Fxl IJO�ri!/h2��IZLIjCQA�L O i/!/(�Q� LLCQP 6 :' Board of Building Regulations and Standards T, HOME-IMPROVEMENTC.ONTRACTOR Registration:�<100497 Ex pir ion:=6/18/2008 Yype,; Pr vate Corporation DAVID COX INC = M David Cox 19 LAVENDER LN W.YP.WMUTH,MA 02673 -Deputy Administrator The Curntrunzi•cultlr tT.Ifascachuscas --- --' i ;; Department Of 1/1dustrral Accidents ' ` Offera/AW9Tllgatfans '_,,' usr Bi, rr.Alas. ozill Workers' Compensation Insurance Affdavit 4i1cant informatitin� _- _ 1VTaer (v _ , name Mcatinn� city nhnnc if [j 1 am a homeowner performin_all work mvself. [l I am a sole proprietor and have no one woridn_a in any capacity _-... _.._._.__.._�.,.M.,�,_..-..�.��...--•--�-^�•.- _ ...tom._-........._.N_. .. 2-ram an mplover providing workers' compensation for my employees working on this job. enliltmo • name: addrecr city- rV -e e, D? nhonctl• incur-incc co. licr!! [� I am a sole proprietor. ;eneral contractor. or homeowner(circle otte)and have hired the contractors listed below who have the following workers compensation polices: r camnanr narne- 'rTo4t^t�,P 'Me-e S :rdtlrrcc• troy• nhnne It• in-mrincr rn. nnlier a •t. Yam..,•. -. •�.�T... _� ir��::�_•ZS y...•.� .S1. ��.:.-_ -� ...�.�.�.. �- cnmtinnv natnr- addrecc- -in•- "hone it• ncurnnec co —77 nofic�•sY Mach additional Sheet if neceiiary _••i r.• +- •r .Ji•:v.�y,- -_ _.•r. •• +...•.r7+: a�_ AMU 'aiiurc ttr secure ctrrcmac as requtretl under Sc� ctti n 3A of AIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.110 ndiur ne cars' imprrsonment as ivell as ciVii penalties in the form of STOP WORK ORDER and it fine ofS100.00 a day against me. I understand that a opt of this statement ma% be furn•arded to the Oflicc of Investigations of the D1A for corcrage rerification. do 1lrrcht Certifyunder the pairs and pr !tics of perjuq that the information prof ided above is true and cvrrea. nature 2 Date i c-)—1 " 9 7 tint name eC� Phone A! 6 (06 official oat univ do not write in this area to be completed by tiny or town official city or town: permitilicense it r'•ttluilding Department C3Liccnsing Huard [ . ❑ check if immediate response is required 0seleetmen's Office C311calth Department contact Person: phone#: nUthcr r: Information and Instructions MaSSaChu5Ctts General Laws chapter 152 section '_5 requires all employers to provide workers- compensation for employees. As quoted from the "law". an es"phmee is defined as ever),person in the service of :ult)ther under an; contra e; f hire, express or implied. oral or written. An emplurcr is defined as an individual. partnership. association. corporation or other legal entity or any two or the forcuoim, cricaued 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, Howeye 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 dwcIIin,-• or on the;,wounds or building appurtenant thereto shall not because of such employment be deemed to be an empi; MGL chapter 152 section 25 also states that every state or local licensing .gene}•shall withhold the issuance o. rencival of a license or permit to oper:•tte a business or to construct buildings in tile commomrealth for any applicant who ltas not produced acceptable evidence of compliance With the insurance coverage required. Additionally. neither the commonwealth nor an} of its political subdivisions shall enter into any contract for tite performance of public work until acceptable evidence of compliance with the insurance requirements of this chapt been presented to the contracting authority. 37 Aplificants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation ai supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are recur to obtain a workers* compensation policy. please call the Department at the number listed below. Cin• or,towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottor, the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. I be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be return the Department by mail or FAX unless other arrangements have been made. Tlie Office of Investi=ations would like to thank you in advance for you cooperation and should you have any quest please do not hesitate to __ive us a call. The Department's address. telephone and fax number. TIte Commonwealth Of Massachusetts Department of Industrial Accidents �..M Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 Phone #: . . (61 i) 'Z''-4900 cat 406, 409 or J 5 z 07i29i97 16:05 THE FEITELBERG CO. - 5084203550 NO.045 901 •, , s fibi � Y{j rQ' I `II+ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION F e i t R9 I b erg`Company �I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222 Mi I 1 ikon Blvd, I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I FALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fe I 1 River , tAAA 02722 C MPANIES AFFORDING COVERAGE ? I 4- COMPANY 508-676 �1971? ACOMPANIES CIA" INSURANCE ;; � COMPANY Cush unjto Pao a Inc 615 i gIlohd Road ` ✓Y' ` YRE, COMPANY Tlwerto RI 02070 COMPa �Y :(:a0i:it:,;" ,. t w 1 I �� £ .i I,,T t'7 «•.: x. •• i..,.''•.fiY,e.:....d.ent.I,..A. ..n,l'.;<•tk'rrY> •.:Mo-....,,�, yk..p. .I(LS•?:'rt.;t,.x... ,rr,l i�ii.'`�i<.1.. 4ENIsSUE0T0 THISISTOCERTIFYTHATTHEPOLICIE OFINSURA CELI8TEDeEL WHAYE9THEINSUREDNAMEDAGOVEFORTHEPOLICYPERIOD INOICATEO,NOTWITHWTANDIN0 ANY RiEOUIRF,MEMT,TERMORCONO}tIONOF ANY CONTRACTOn0THERDOCUMENTWITHRESVECTTOWHICHTHIS E{�1 CERTIFICATE MAY BE ISSUED OR MAYiO AI.N T!£INSURANCEAkFIpROED BY THE POLICIES DESCRIBFO HEREIN IS SUBJECT TO ALL THE TERMb, EXCLUSIONS AND CONDITiIONS OF B4OC�POUCIE8.LIMITS SHOWPOMAY,rHAVE GLEN REDUCED BY PAID CLAIMS. ..CO��_�•. I ..._�.....� __.. LTA OFINt)VRAMIXs-j:` �� POLICY Nvi"EA' ,pn0UCY EFFECTIVE VOLICYEXPm4TION /.II :,i•! 1�Pk !. '- J,�,Ip ATT(fVIMIDom) OATH(MMADD1VY) - LIMITO OENERAI As0-m _ 200000D ( GENERAL 'AOOREGATE _ I A x CCA4(ERCIALOENCRALI,IABILITY 101�0760005 4'1 7101/97 7/01/9$ PRODUCTS-COMP/OP A00 9 200000D CLAIMS MADEC•J OCCUR' I 1 - PERSONA: A ADY INduRY i 10D0000 _n.r OWNER'S A CONTRACTORHI: i EACH OCCURRENC 1000000� --•• „I . ' : FIRE DAMAOe(Any gm f1m) I _ 100000 MEO EXP(Any ono PWSOA) t 10000 AVTOFACOU LIABILITY ; ANY AVrO ^ COMBINEO SINGLE LIMIT I ALL OWNED AUTOS BODILY INJURY _ SCHEMED AUTOS.. _ I (Pvr pwscn) HIRED AUTOS BODILY INJURY I NON-OWNED AUTOS ,Px occlowt) PROPERTY DAIAAOE q GARAGE UASOJTY .t AUTO ONLY-EA ACCIDENT I - ANY AUTO OTHER THAN AUTO ONLY; EACH ACCIDENT S AOOREOATE s EXCEBa LIAO LRY EACH OCCURRENCE I UMBRELLA FORM AOOREOATE OTHER THAN U, FtLLA'FOAM - _ _ •" — WORKERS COMPENSATION AND SIATVTORY LIMITS A tAt�LorERa'uAaorrY TO 8E DETERMINED 7e29/97 7/29198 EACH ACCIDENT I 604000 THE PROPRIETOR/ INCL Y L_IMIT I 600000PARTNEMICXECVTIYE DSEASE • OLIC OFFICERS ARE Rx .EKCL DISEASE-EACH EMPLOYEE 11 500000 OTHER D aCRIPTgNO OPERA 1ON71LOCATIONenvwc gmnc}ALRUN �, t• �� .}i f 41' .,rt..rl.t. e% f p ,', 4Y uv t r ..t. a. ,_ ) ,<' ::>:4 !:f%';:.Nxf% ti•t:+ ::>•: <... :•.ur I• .. t" .n n. ,. .,.. i.. ........ ..... ... .....:r.n,.:..:.:.n,nj::':nv:'v.v:v.�.:n..n x. SHOULD ANY OF TIM Anion OESCRWr. POIICIEO SE CANCELLED afFOR6 THU "EXPIRATION DAT'6 TWIMEOP, TIM-ISSUINO COMPANY WILL ENDEAVOR TO MAIL ' Rogers 8 M a rn®y C o n s t r u c t i o n 10 DAYS%"rrM NOTICE TO THE r ATIFICATE MOLDER NAUSD TO THE LEFT, ' OUT FAQ-U%TO MAIL SUCH NOTICE SN"IMPOSt NO 0661CATION OR LIABILITY FAX: 509-420-3650 Of ANY KIND WON TNa COMPANY„IT$ AOENTB OR R6PROIENTATTV53. Attn, Ulan AUTHONWO Apflg TA IVE 207510000 M ,y :.b:. ,at.v 1r, f :.t+• AtiQ+,{� !:F / it' •t ) �r x �', 1, j t ntFF } t 1 ... ✓le (aana•nrancuealC�z a�./tlaa�ac�useCCt I %stI'.Cted "01 00 naka r> r'67 PUBLIC Si'KEry . 55062 SUPERVIS ?;Sii'JCT1Q`� OR LICENCE CO kL`1h I "t%ril�e Tr` ellt}date: 1� - ..nonry only y tia 2�3113115° c"/ . r Y ?� 1-y 1,me5 'il,�re t0 CoSS?cS.c CU IIe"t edt:01 , W?SS-ci Airs state DCl:'_71."y Code CaUSa fir IePOCaE'C" 0f th1SR OWN CES r . A. '! HOME IMPROVEMENT CONTRACTORS REGISTRATION 'Board -of Building Regulations and .Standards A One Ashburton Place Room .1301 , Boston, _Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 100134. Expiration 06/09/98 --� / F TYPe PRIVATE CORPORATION I{OkE�� I�TRAC ` , F Registration: 10.0134 ROGERS & .MARNEY , INC . Type PRIVATE CORPORATION Charles D . Rogers a Expiration. . 06/09/98 PO Box 310 Osterville MA 02655 R06ER5 NARNEY, INC_ t Charles D.- Rogers G� � ��,O'Boz 310 &-EvsterviIle MA 02655 ADMINISTRATOR Engineering Dept.(3rd floor) Map 'a8 7 'Parcel �S �JS' Permit# / 7 0 a House# 1 g V�.S,S., Date Issued /6 e 7 Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) ��Fy` Fee {_ 6, Conservation Office (46floor)(8:30-9:30/1:00-2:00) j flct_,�Y � Planning Dept. (1st floor/School Admin. Bldg.) SEPTIC S ��.BE Definitive Plan Approved by Planning Board 19 iNSTALLE DANCE W TOWN OF BARNSTABONVIRONI ®E Ali® TOWN RE LATIONS Building Permit Application Project Street Address L k) Aor\ 1A Village . o�v�y�-�s 1�� C 14Yg,,,n�t s Owner ��p,c}- UV a U re, V�p Address f 3'J V W to.A l7V. 'l i NUr ovv C CL. Telephone t Permit Request Tc�, eny,skr.7c k Q n kvV4 >Uv ek g uv\��e, �C 1 c-,o 12?C First Floor square feetii Second Floor square feet Construction Type Q v, p� a ce_ ©; `t,e. Av\erouv%A L'x v � Estimated Project Cost $ i Zoning,District to'p— I Flood Plain Water Protection Lot Size . 7 2 Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing iK- 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 i A Garage: ❑Detached(size) Other Detached Structures: ool(size) X 31 ❑Attached(size) ❑Barn(size) ❑None 4 ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 10 If yes, site plan review# - Current Use Proposed Use Builder Information Name oe e c s l�1 o�v�c v 1' „e� Telephone Number Address X [O License# Home Improvement Contractor# 1 Worker's Compensation# 9 J,C_g�g�LcdR � NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN SIGNATURE DATE 1n 1 -Q 7 BUILDING PERMIT DENIEJ4OR THE FOLLOWING RE4SON(S) , a ,,,,� T0.x ect6 r 0 FOR OFFICIAL USE ONLY PERMIT NO. I , DATE ISSUED MAP/PARCEL NO. -, ADDRESS - A VILLAGE / OWNER i DATE OF INSPECTION: r FOUNDATION = - FRAMES INSULATION ` FIREPLACE - ELECTRICAL: ROUGH FINAL PLUIVIBINGfvag 3 zalkljXJGH FINAL , GAS: H 'f FINAL I ' FINAL BUILDING DATE CLOSED OU°b , • # ASSOCIATION PLAN O. •'T' i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA RESIDENTIAL PROPERTY "1AP NO.' LOT NO. FIRE DISTRICT SUMMARY STREET bash nRton Ave.287 115 HyannisnOrt 1i LAND - 7� r � BLDGS. OWNER /',:a Y/, c,, TOTAL RECORD OF TRANSFER DATE eK PG I.R.s. REMARKS: LAND 14.2, 143, 14).j, 145,(Sect rn BLDGS. R TOTAL � r LAND - - rOm KattNLe W. Gerrish a) BLDGS. TOTAL LAND J4—m. Tillett-Oa3pibbean, ine. — - ,:/. - ' l n��O BLDGS. _G /Tilllett, James H. P>; Rhoda r 10-11-74 421o847 (�$1.0LAND VILI0j TOTAL Z` 01V AVM'. BLDGS. V - TOTAL J t LAND r... BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: •., '' ` e � BLDGS. TOTAL DATE: LAN D ACREAGE COMPUTATIONS! BLDGS. LAND TYPE $k OF ACRES PRICE TOTAL DEPR. VALUE / �" TOTAL HOUSE LOT 7�' �, Lj-��c'�._—,cam °/. S�C� —�-' LAND CLEARED FRONT O BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR OI BLDGS. WASTE FRONT TOTAL REAR LAND rn BLDGS. TOTAL LAND LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF. .VALUE HILLY TOWN SEWER LAND .: ROUGH TOWN WATER BLDGS. ��• HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL CO., EAST HARTFORD,CONN. FOUNDATION SSMT. & ATTIC PLUMBING PRICING Conc. Walls Fin. Bsmt.Area Bath Room h _r„J Base LAND COST , Conc. Blk.Walls Bsmt. Rec. Room ' �` ° BLDG. COST St. Shower Bath Bsmt _ 'Conc. Slab Bsmt.Garage St. Shower Ext. 0 PURCH. DATEWalls /,,•'-'-5% PURCH. PRICE .Brick Walls Attic FI. &Stairs Toilet Room - • , Roof //a RENT Stone Walls Fin.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. F / 1 2 3 Sink a/ r/x y r/a Plaster Wa�Extra Attic ' EXTERIOR VVAL'LS Knotty Pine Wa Double Siding Wood' l Bsmt. Fin. �i :'c> No Plumbing Single Siding_ Plasterboard Int. Fin. J?O(� Shingles TILING G? :onc. Blk. G F P Bath FI. Face Brk.On Int. Layout Heat � rJ , Y Bath FI. &Wains. •.� — Auto Ht. Unit Veneer Int. Cond. Bath FI. &Walls L— —'—'--'---- Fireplace __ -_ � II ^?= :om. Brk.On HEATING Toilet Rm. FI. Plumbingr L' ' `1 ' iolid Com. Brk. Hot Air Toilet Rm.FI. &Wains. 46 } ( Tiling C•i ' _ Steam Toilet Rm. FI. &Walls alanket Ins Hot Water St. Shower r� goof Ins. ,!�. Total �� -------...--------._._.---...--- --- Air Cond. Tub Area /. %3�•� Floor Furn. ROOFING S COMPUTATIONS � !' _r _%•`„_, • 1sph. Shingle Pipeless Furn. j S. F. Nood Shingle No Heat _ —'—•- - -" - --.—_. .— - 1sbs. Shingle Oil Bur � ner�..o,rJ / S. F. f' date Coal Stoker -�j S. F. n i �. -ile Gas ROOF TYPE Electric S. F. OUTBUILDINGS ;able Flat S. F. 1 2 3 4 5 6 7 8 9 10 1 2 .3 4 5 6 7 8 9 10 MEASURED IiP Mansard ' FIREPLACES S. F. /:. C ES Pier Found. Floor T 7ambrel Fireplace Stack %® Wall Found. 0. H. Door Lf�. FLO R g'S Fireplace / Sgle.Sd LISTED ;onc._ LIGHTING Roll Roofing iarth No Elect. Dble.Sdg. Shingle Roof 'ine Shingle Walls Plumbing DATE lardwood ( ROOMS Cement Wk. Electric isph.Tile Bsmt. 1st TOTAL i rf j a 0 Brick Int. Finish PRICED jingle 2nd fl,�t.;, 3rd FACTOR >� ;-� ,- ;l 5� , (,\ I REPLACEMENT OCCUPANCY � ONSTR UCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.DeD• ACTUAL VAL. )WLG. I f".•�r� I_>A r- 7-7y ? is / S GO 3G 0 2 3 4 5 6 7 6 9 1 O� TOTAL I RESIDENTIAL PROPERTY MAP NO. LOT'NO. FIREDISTRICT SUMMARY 1 STREET Washington Ave. Hyarmisport LAND 287 115 H '73 BLDGS. OWNER TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. rn TOTAL LAND .. _ BLDGS. TOTAL LAND BLDGS. (^ - TOTAL LAND O BLDGS. TOTAL LAND ^ m BLDGS. TOTAL LAND BLDGS: rn TOTAL . _ - LAND G c�S/S )INTERIOR INSPECTED: pI BLDGS. TOTAL DATE: 7/ — — LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT LAND CLEARED FRONT - BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. / TOTAL LAND _ BLDGS. O) LOT- COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL CO.. EAST HARTFORD,CONN. 1 FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST Conc.Walls Fin.Bsmt:Area Bath Room / Base BLDG. COST Conc. Blk:Walls Bsmt. Rec. Room St. Shower Bath Bsmt. 4 f.�./' pURCH. DATE Conc. Slab Bsmt.Garage St. Shower Ext. j Walls ^� PURCH. PRICE. Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt. Bath r S Floors �G G PINERIOR FINISH Lavatory Extra i Piers. ./ Bsmt., F 1 2 3 Sink 7 Attic / t� r/2 r/e q Water Clo. Extra EXTERIOR WALLS ine%� CV J Water Only PI ood - No Plumbing Bsmt. Fin. /p. Double Siding yw Single Siding Plasterboard CI Int. Fin. - I Shingles (�//'� \�� ✓ TILING i �� IT G o/ Conc. Blk. G F P Bath Fl. Heat T F Face Brk.On Int. Layout 77 Bath Fl.&Wains. Auto Ht. Unit GG Z� Veneer Int.Cond. Bath Fl. &Walls Fireplace 9 ?U •�. e, Com. Brk.On HEATING Toilet Rm. Fl. Plumbing Solid Com. Brk. Hot Air _ Toilet Rm.Fl. &Wains. Tiling l Steam Toilet Rm. Fl. &Walls Blanket Ins. Hot Water St. Shower _ Total f � Roof Ins. Air Cond. Tub Area H Floor Furn. ../ ROOFING COMPUTATIONS Asph. Shingle Pipeless Furn. S. F. /6- 1,S /3 9 5 Shingle ._.le - No Heat ;.� S. F. '_''� 1 0 �/ Il. - Wood hingle �C)' -S Asbs. Shingle Oil Burner ._/ S. F. �. 3 b Slate Coal Stoker S. F. Tile Gas S F OUTBUILDINGS ROOF TYPE Electric S F 1 2 3 4 5 6 7 8 9 10 1 2 3 A 5 6 7 '$ 9 10 MEASURED Gable Flat Pier Found Floor , Hip Mansard FIREPLACES S.F. . Wall Found. 0-H.Door LISTED Gambrel .�`� Fireplace Stack FLOORS Fireplace Sgle.Sdg. Roll Roofing Conc. LIGHTING Dble.Sdg. Shingle,Roof DATE Earth i No Elect. Shingle Walls Plumbing . Pine T /2 Cement Blk. Electric 5-/3� / Hardwood ROOMS PRICED , Asph.Tile ( Bsmt. is �q. TOTAL Brick Int. Finish Single 2nd 3rd FACTOR ' REPLACEMENT � � � � _ ��" S G OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL., Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. /5 /,2. y..5� 85'� 6050 2 3 4 g 8 7� 8" 9 - > — 10 +. ` TOTAL STATE ENTIFICATION PROPERTYI ADDRESS - I I ZONING I DISTRICT CODE 'SP-DISTS. DATE PRINTED I CLASS I PCS I NBHD KEY No. 0088 WASHINGTON AVENUE 08 RF-1 400 08HY 07/09/95 1011 00 59.AA R287 115_ 190634 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENTFACTORS TY .. UNIT ADJ'D.UNIT MOREY. ROBERT W & MAURA B MAP- Land Sy/Dale sae o.merewn LOC./YR.R.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE DeacApron / CD. -FF-De tb/Acres #LAN D 1 2 5 7 P 0 0 0 CARDS IN ACCOUNT L 10 1BLDG.SIT 1 X .7 A=15 C 119 199999.9lE 356999.9 .72 257000 #BLDG(S)-CARD-1 '1 333.800 01 OF 02 #BLDG(S)—CARD-2 1 58,500 -�g3rr-- A BATHS 5.1 U X A= 100 31000.0 31000.0 ' 1.00 31000 a #PL WASH.INGTON AVE MARKET 4458CO N - NO SSMT S X A= 100 5.4C 8.37 2100 17600-a NDL LOT 142TO145 INCOME D FIREPLACE U X A= 100 4800_0 4800.00 2.00 9600 B #RR 1785 0125 1044 0130 SE A #SR MOUNT VERNON AVENUE PPRAISED VALUE D D ARCEL' SUMMARY A S AND 257000 T S LDGS 392300 A T -IMPS M OTAL 649300 F E CNST E _ DEED REFERENCE Twe DATE Rod RIOR YEAR VALUE A T Book Page I I' . Vr.D sale'Pr q A N D 257000 T S C129307 EIMO 2/93 F 3LDGS 392300 7865/012YEIb2/92 8 1t OTAL 64930C U 4217/220: I;08/84 307000 R E BUILDING PERMIT .HSE RENOVATED. S Number Date Type Amount LAND LAND-ADJ INCOME �SE SP-BLDS FEATURES BLD-ADJS UNITS 257000 23000 (:lass Con st. Total Base Rate Adj.Rate r B 'II A Norm. Obsv. CND Loc 4p R.G Repl Cosl New Atl ReDI Value Stnriwn Units L'nils I A f. I ge DBPI. Contl. I - Re!gnt Roon!e otl RmD B.tae •Fia. I P.rt".11 F... 01A+~ 000 100 1U0 91.10 91:10 06 75 19 80 100 80 417219 333800 1_3 13 5.1 '19.0 Description Rate S uare Feet Repl.Cost MKT.INDEX: 1 e 00 IMP.By/DATE: / SCALE: ' 1/00,43 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 91.10 �2100 191310 ki S FOP 35 31.89 792 25257 *----24---* N STYLE 19 UTCH COLONIAL 0.0 T USF 60 54.66 792 43291 0 ESTGN-AIJJMT- -t70 .-------------------U.-O R 622 67 61.04 2100 128184 ! ! EXT�R.WA-LCS-- -Off a6D-fYKME-------U:O D FFU 25 22.73 36 820 ! 30 iEAT/AC-TYPE- -04 I1---------------- :O C UFO 60 54.66 98 5357 1 ' 1 NTFR:FINISH- -00 ------------------U.-O T _ NTFR:LATOUT- -Q2 ------------------Ty 0 U 50 BASE ' ! NT-ER:QUA(LTY- -OZ ANTE-AS--EXTFR:---ff.-0 R ! Ill------34-----* LOUR-STRUCT- -00-------------------- A W ! ! E LOUR-CU1(ER-- -J0 ----- -U-:O D L IT Total Areas Aux= 828'ea�a= 2100 ! ^! OOF -E.-TYP ---- 0 -------------------D-.-0 E BUILDING DIMENSIONS ! - 24 LErTRI-CAt DO U.0 T -ff-ASW23 N 6 W36 FOP S15 E64 .N09 ! ! 0UCDATI-TN- - -GO .-----------------9V.9 A W28 N06 W36 .. U-SF E36 S06: E28 *-------36------* -------------- --- ---- I S09 W64- N15 SAS N50 E24 S30 ! 6 -----NEI1iNBOR OD 59"AA-NYANNTS------- L E06 S02 E34 S24 _._ 15 *----28----XI LAND TOTALS MARKET FOP 9 PARCEL 257000 649300 *— ----------USF-----------* AREA 80889 VARIANCE +0 +703 STANDARD 25 PROPERTY,ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY No. OU88 ASHINGTON AVENUE pg Rf-1 400 08HY . 07/09/95 1011 00 59AA R287. 115. 9 Ir ,ND/OTHER D/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Land By/oate SDimenswn v UNIT ADJ'D. UNIT cD. FF.Detr,/Acres LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE ACRES/UNITS VALUE Description MOREY, ROSERT 'W 9 MAURA 8 MAP- CARDS IN ACCWNT — BATHS 1 .0 U X' B= 100 4400.0 4400.00 1.00 4400 8 02 OF 02 A - NO HEAT S X B= 100 2.3 2.9 860 2500-8 N ARKET 445800 D INCOME A USE D PPRAISED VALUE D J A 649,300 A PARCEL' SUMMARY T U AND 257000 A S T BLDGS 392300 -IMPS E OTAL 649300 F CNST E N DEED REFERENCE]Type GATE R,Cefd,d R I O R YEAR VALUE . A T Book Page "" Mo. Vr.D saes Pri— A N D 257000 T S I LDGS 392300 U OTAL 6493CO R E BUILDING PERMIT S NumDar LAND LAND—ADJ INC ME SE SP— BLD S FEATURES BLD-ADJS UNITS Oat. Type Amount 1900 Class Units Untils Base Rate Atll_Rate Ac u B If Age Depr_ COond. CND Loc %R G Repl Cost New Atll Repl Value Stones Heigh( Rooms Rms BaNs a fie. Periywell F.p. 08B 000 100 100 72.60 . 7.2.60 -06 7 0- 24 74 100 74 79030 58500 2.0 - 4. 2 -1.0 6.0 Description Rate Square Feel Repl Cast MKT.INDEX: - 1•pD IMP.BY/DATE. / SCALE: 1/OO.9 3 ELEMENTS CODE CONSTRUCTION DETAIL BAS . 100 72.60 1040 75504 y S T UOP 35 25.41 64 1626 --------- STYLE 13 ARAGE & QTRS 0.0 � R '! ESTGN AISJMT- -00 ------------------U.O i ' EXTcR:GAlIS-- -01 U6D-FR-ICME---"""-U:0 U ! ! EAT/AC-TYPE -01 YDWE---------------U.O 15 NT- REFINISH- -00 --- ---- ---------9- T NTE71?LAYOUT- -01 -- ---- -------U.O U NT[R�DU_A�LTY -02 ATTE-AF-EXTFR -U:0 R 26 BASE F LOUR ST_IUCT- -00 - ----- ---- --U.O A W! *--8---* E LO-aR-COVER-- -00 -- -- - --------U:O D I : • - -- L E Total Areas Aux = 64.Base_ 1040 .. . . ! UOP ! OOF TYPE-.--- YJD ---- ---a'— p T BUIIDINGDIMENSIONS 8 fi L€-CTRILXL--- -O0 ------------------jr.0 SAS W 0 N26 E40 S15 UOP E08 S08 !-' 11 ! OUNDATI-9N- - -DO -- - - -9V.-9 A W08 N08 .. SAS S11 .. ! *--8---* --- --- --- --- -- ----- - 1 LAND TOTAL MARKET PARCEL AREA VARIANCE +0 +D STANDARD The �� Commonwealth of lYlassach usetls :: Department of lndustrialAccidents � -�• -- ' Olficeo/Inyesbga�s 600 Washington Street Boston,Mass, 02111 Workers' Compensation insurance Affidavit vim Itarnt: 1ltcatinn- city Phnn .fl ❑ 1 am a homeowner perforil all work myself ` ❑ I am a sole proprietor and have no one working in any capacity MMM� 3 am an employer providing workers' compensation for my cmplovees working on this job. f& a n n p .. ctrt n ec. eit• � 1:� aa ss . . • �w �Ln6 !aSfu� ee S.fJ4 .. . olio i v O ❑ i atn a sole propriet eneral contractor omeowner(cln:le one)and have hired the contractors listed below who have the following workers'compenslati�on polices: J cotyi i!lsursrice eo. C policy i!f tpm ian . eddre.c tn,ug�ance c . Failure to secure coverage as required under Section 25A of MG1.152 can iced to the imposition nfcr•iminal penal tics of a fine up to$1,500.00 andior uc n years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against mc. t understand(lint a early Or this atatcment may be forwarded to the Office of Investigations of the 171A for coverage verification. I do iterehy certify and r rbe pare an en lies of perjury filar[fie information provided above is true and correct. Signature G rr ate Q" 6 m Print nuc Ob . � 5 Phcnc# 0 — �28— 6166 Ml nl'tichil use only du not write lit this area to be completed by city 8r town official city or town;- perinitiliccnac# riBuilding 78�oard 0 t,ieensiaKQ check irimmediate roporl isrequire) OSdectme �Hcalth neparlment contact person: phone i -Other hevi%ed 7t95 FJA? r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation'for their employees. As quoted from the "law",an employee is defined as every person in the service of another undefany 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 r 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 w employs ersons to do maintenance, construction or repair work on such dwelling house n ter who dwelling house of a otI p � p. , or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. N1GL 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 6r to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any coutract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for 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. 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 atfidavit 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/l icense number which will be used as a reference number. The affidavits may be retumed to t+� the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would 1 ike to thank you in advance for you 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 lovest ovens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext, 406,409 or 375 ., ATE coRD CERTIFICATE OF LIABILITY INSURANCk,;O GA-1 ,. D03/24/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE O'Brien's Centerville Ins Agy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 259 Pine Street, P.O. Box 6104 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville MA 02632 COMPANIES AFFORDING COVERAGE O'Brien's Agency Account COMPANY Phone No. 508-775-0005 Fax No.508-775-6772 1A Assurance Company of America INSURED COMPANY B Legion Insurance Company Holcomb Plumbing &9 Heating • COMPANY David G. Holcomb d/b/a ". C 30 Perseverance Way COMPANY Hyannis MA 02601 D q. COVERAGES 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, e EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATON LIMITS LTR DATE(MMIDD/YY) DATE(MMID ) - - GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000. A X COMMERCIAL GENERAL LIABILITY CFP..25005092 03/21/97 0 21/98- PRODUCTS-COMPIOPAGG $ 1,000,000 CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $ 500,000. OWNER'S&CONTRACTOR"S PROT EACH OCCURRENCE s500,000. FIRE DAMAGE(Any one fire) $300j000. MED EXP(Any one person) $10,000. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY. $ - (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS „ i- (Per accident) r PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: u, EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $. AGGREGATE $_ UMBRELLA FORM OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TORY LIMITS HR EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 10 0,0 0 0. B THE PROPRIETOR/ INCL WC2-0022638 12/18/96 12/18/97 EL DISEASE-POLICY LIMIT $ 500,000. PARTNERS/EXECUTIVE , OFFICERS ARE: EXCI EL DISEASE-EA EMPLOYEE $ 100,000. OTHER DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLESISPECIAL ITEMS Plumbing `&' Heating Contractor; **Subject To Policy Terms & Conditions** CERTIFICATE;HOLDER CANCELLATION ' e ROGER 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE.THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Marney,. IIlC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 310 ' Osterville MA '02 655 OF ANY K ND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. - AUTHOR( N PR TAT�VE � • 0'B ie s Agenc Ac� ACORD 25-S(1/95) b DC ORPORATION 1988 ACORD,� E � 1 �"'`E L�� LIT`Y t UDC DAjEIty1M,Q4�YY, I -� _--L-� PRODUCER THIS-CERTIF N,ICATE IS ISSUED AS A MATTER...OF INFORMATION ONLY AND CONFERS NO RIGHTS UPO THE CERTIFICATE HOLDER. THIS'-CERTIFICATE DOES NOT AMEND, EXTEND OR I W. H. Eshbaugh Insurance At(jency, -Inc ' ;_ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 805 W."m-6in Street �F � 3 .COMPANIES AFFORDING COVERAGE Hyannis, MA 02601 COMPANY"u s ------- s A 41, €; Trust` Assurance ,Co INSURED .s ,.. I' �,' .;COMBPANY t E w -'astern Casualty Inc Ha rmo.n`Painting, t, ' COMPANY, 707 hta i n Street 2 Ostervi lle, MA- 02655 • COMPANY-" #� �. D F 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. POLICY EFFECTIVE POLICY EXPIRATION= kw LTR i TYPE OF INSURANCE I " POLICY NUMBER DATE(MM/ODlYY) DATE(MM/DD/YY) LIMITS R - GENERAL AGGREGATE $'L UOO OUO GENERAL LIABILITY A XI COMMERCIAL GENERAL LIABILITY a t ,; PRODUCTS COMP/OP_AG $ OOO LOOO CLAIMS MADE k occuR 1 i 1P 1000336 4`=1 9 7s 4,-1 7 Q,a PERSONAL&ADV INJURY $ 1 OOO OOO r- J - - �. OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE _ $ 1, 00.000 nr�— k I FIRE DAMAGE(Any one lire) $ - -__,000-_ a y - I "• ' ;. , � ;' f MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY c ' '. r E LIMIT' , {$ I �.. ,I COMBINED SINGLE ANY AUTO ALL OWNED AUTOS . BODILY INJURY $ *.• : I..(Per person) j 4 I 1 SCHEDULED AUTOS HIRED AUTOS I BODILY INJURY (Per accident) j I NON-OWNED AUTOS I " sI,PROPERTY DAMAGE $° w ' W AUTO ONLY-EA ACCIDENT, $ " GARAGE LIABILITY sv' _.-.. ---------- ANY AUTO �:. , ''� F a OTHER THAN AUTO ONLY - '' " H ACCIDENT s,• .wi *,. - A AGGREGATE E w EXCESS LIABILITY + w t a EACH OCCUR $ RENCE =� GATE $ UMBRELLA FORM - - -r N } $ AGGRE IOTHER THAN UMBRELLA FORM ' �- '• TORY LAMITS ER ! WORKERS COMPENSATION AND x. EMPLOYERS'LIABILITY ( r C 0 EL EACH ACCIDENT INCL 7 k 4 ' Y EL DISEASE?POLICY LIMIT $". (��O PART ERS/EXETHE OCUTIVE ••WC5779HOO/ r' ;' E -- OFFICERS ARE:. EXCL EL DISEASE-EA EMPLOYEE $ �. 000 OTHER ' DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESlSPECIALiTEMS 41 ;* SHOULD ANY OF THE ABOVE'.DESCRIBED POLICIES BE CANCELLED.BEFORE THE m* EXPIRATION DATE THEREOF, THE ISSUING COMPANY ENDEAVOR TO MAIL q Rogers & Marney,'~1nCx + I.' 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,. .•i f• O• BOX 310 g BUT FAILURE,TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ,. Osterville., MA 02655k'_ e ' �. ` � OF ANY' KIND- UPON THE COMPANY, ITS"AGENTS OR REPRESENTATIVES. a s ,AUTHORIZED REAR S NTASLVE� ` , 4 AURa GQRPQRA7IQN a5 :; s a .. a r x �' ACORD f,ERTIFICi4TE OF LIABI ITY I S:UFRANCE� ' E DATE(MM/DDfYY) v112,1.. _. 7 s°e;` r> .,_., � , r < h ,r � kk.€ ��nr', 8/15/97 PRODUCER 508-790-1030 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MCSHEA INSURANCE AGENCY, INC. 4 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 320 WEST MA—UN-&TREET y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS,MA 02601 COMPANIES AFFORDING COVERAGE ' COMPANY NATIONAL GRANGE MUTUAL INSURED-- --- COMPANY , DORAN AND KINGMAN B PO BOX 303 COMPANY OSTERVILLE, MA 02655 C COMPANY D y:�:,r,�,,.,,;�,;� �-dT- Z�r"°' fi �`,��" � a$.mS«� �u+f`'.: z,�a"xz�a lv � zp• a r�#A £..is �� ,�:' '�-'� 'r.��rrUr. �a <,�. rF"`r i�-;ffir..�,q. 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 B Y 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. CO L R I T YPE CF INSURANCE POI.ICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS nATF(MMIDDIYY) DATE(MM/DD/YY) . GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 A MPH22559 09/28/96 09/28/97 ----- — I COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 1,000,000 CLAIMS MADE X OCCUR ; PERSONAL 8 ADV INJURY $ — —500.000 -I I: .:J _ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 I FIRE DAMAGE (Any one fire) $ 500,000 I - I MED EXP (Anyone person) $ 10,000 I AUTOMOBILE LIABILITY q ANY AUTO M9H22559 09/2 09/28/97 COMBINED SINGLE LIMIT $` COMP AND COLLISION I 8/96 ---------- -ALL OWNED AUTOS I500 DEDUCTIBLE i T BODILY INJURY $ (Per person) 100,000 X SCHEDULED AUTOS ; i I HIRED AUTOS BODILY INJURY $ 300,000 I (Per accident) NON-OWNED AUTOS I i _ -- — I PROPERTY DAMAGE $ 100.000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ---------.___. i EACH ACCIDENT I $ ----- I AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ ------------ k _ OTi ER TI IAN UMBRELLA FORM F - WC STATU IOTH•1 A i WORKER'S COMPENSATION AND I WCHZ2559 11/29/96 I 11/29/97 -- T°Rv uMNs Er. EMPLOYERS'LIABILITY I I EL EACH ACCIDENT I $ --100,000 I THE PROPRIETOR/ I 1 I X j INCL I EL DISEASE POLICY LIMIT $ 500,000 I PARTNERSlEXECUTIVE �—• � • _— ------- — OFFICERS ARE: L l EXCL I "' a EL DISEASE EA EMPLOYEE $ 100,000 OTHER ,. tq • t I. . i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CEyR�TIFfCATE HOLDER � n'.�' ;� �;r`1 hey {�^3}� ,5 �CArNCELLA7101�� ;�'�`r-, ��_,,�r� �� •,. ;�_ .�i?� � k ,� �iy w�35an.✓,✓L..iSPoY.k:l..lxib.��n<�".!'J.x4'a>rofx•�:A'n"�K"��P L.t..+ 3-r.9�.r ro„15(+:fr�k48roJ'�.r�.�3:�+'.l'S4.#SfPx.Y?'��;BSe�,�x�1„s,,) fK,,fNPel4>v..»xx`�.>,flnfki � YS'Y44u SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ROGERS AND MARNEY INC. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL PO BOX 310 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OSTERVILLE MA 02655 BUT ILURE TO MAIL SUCH NOTICE SHALL IMPOSE N OBLIGATION OR LIABILITY 0 NY IKIND UPON THE JCOM/AN4 ITS NT OR REPRESENTATIVES. T IZ R P S{EN AT E .� Y:SS:T'"da�,x I k" 'e/T"�. k%'J l .m .�.; Y "1 S tt �w 3'A C :; Y JI/-y. •i r 4 i.wS x :�`}x rV••5c.'TYx�9a "�.:::s.;"ti„. r P t 4. aACORD25,$=1%95 �;x� •x ,•, :•• : t, AG ORD,CORpORATI0N,1:9$8 �30RHEK AS.SOCIRTES TEL No .617-293=6333 May 21 ,97_ 10 11A'No .002 P .01 a i. ISSUE D %TY) ipopPF ,yas .......... ....•, ...CER THIS CERTIFICATEH 1S ISSUED AS A NATTER OF INFORMATION ONLY AND COMFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE IAn F Borhek Insurance Apey ]no POLICIES BELOW. rry......................,.................... 311 Plymouth Street COMPANIES AFFORDING COVERAGE Halifax MA .. .................................... COMPANY A Travelers I LETTER t r , COMPANY B Utica Mutual Co- ..,, ........: ........................................ LETTER INSURED ... . COMPANY C ,. So. Shore Heating"8 Cooling Inc. = n LETTER Utics.Mutual a 57-67 bite's Path J r COIWANY So. Ysrwuth MA 02"4 LETTER 0 �....................... ......................... ' COMPANY s LETTER E ' ,, � x K . •; , ., �a. t�.' "w "% aK • ' "s.,YvV " :tin � ' 7815 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, TERN OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY OF ISSUED 04 NAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERNS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: LIMITS SHOWN NAY HAVE BEEN REDUCED BY PAID CLAIMS. .........,,__._. ............ ... 1L; TYPE OF INSURANCE POLICY NUMBER ;POLICY EFFECTISIEDATE MIDD/NEXPIRAT b LIMITS DATE(MM/DD/YY) D/Y DATE(MM/D Y :............:.......................:..................:................................................. 9 GE S 2000000.... C ;GENERAL LIABILITY CPP1994408 ' 04/15/97 Y� 04J15/98 , NERAL+AGGREGATE e b a ...... X :COMMERCIAL GENERAL LIABILITY GAS 2000000 y PSR40NAL d ADV. INJURS 1000000 CLAIMS MADE ;OCCUR.; y. .... , ;OWNER'S t CONTRACTORf5 PROT. EACH OCCURRENCE i 1000000 � t : FIRE DAMAGE (Any one-lire) 50000 1.........:.............................. s MED. E%DENSE (Any on«reonj......5000.. ..................................................... :,..,............:.,,,,,.... '................ AUTOMOBILE LIABILITY BAC18824T7 . 01/ /9T O1/O1/98 COMBINED SINGLE 000000 B AUTOMOBILE I LIMIT ANY AUTO ;i,.....-.........; ,. S` ..... !ALL OWNED AUTOS BOOIIT INJURY x ;SCHEDULED AUTOS < Av . ,..... ........ •......,. ....,, , . Per parson) <MIRED AUTOS t . BODILY INJURY := t x (Per accident) X ;NOR-;OWNED AUTOS , - ........... SGARAGE LIABILITY ' :PROPERTY DAMAGE B ....................:................... .., 6 C :EXCESS LIABILITY CULP1999910 04/15/97 04/15/98 ;EACH OCCURRENCE a 1000000 >•X iUMBRELLA FORM w AGGREGATE : OTHER THAN UMBRELLA FORK .. ...,..............................................•........r................. "... ...... .. b r,i $ LIMITS I SY ' TA.UTORY L M!T 3 WORKfR(S CONDENSATION EACH ACCIDENT s .....DODO Y A ` PC•UB?52TK094•4=97 , ;' 01110/97 " 01/10/98 C D AND a r_ DISEASE - POLICY LIM1':'B 50000D EMPLOYERS' LIABILITY f . ' _. :DISEASE EACH EMPLOYIlE 500000 .. . ................. ........... i OTHER , x r DESCRIPTION Of OPERATIONS/LOCATIONS/VEHICLES/SPFClAI ITEMS )� 4 -Ti C, IitutiMe ?s,e`off 'yr �' w 'F��' xi x Hrrri,�.".e l#r�i# .t x...IN I" %. SHOULD ANY 7i'THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE a EXPIRATION DATE'THEREOF THE ISSUING COMPANY WILL ENDEAVOR 10, MAIL DAYS WRITTEN NOTICE.To THE CERTIFICATE HOLDER NAKED 10 THE ROGERS 6 MARNEY' Y. P.O. BOX 310 'LEFT, BUT FAILURE TO"NAIL SUCH NOTICE SHALL iKPOSE NO OBLIGATION OR. LIABIL Y OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. OSTERVILLE KA 02653 Sf AUG-04-1997 14:45 ROGERS&GRAY:HYANNIS 1 508 790 4212 P.01 r� `` pp :i:�.i��`' � :' y .�� t x..,'`•'S,: v:>sF r•'fl s?e`:•:.'�?t:ulk:;:}S:kiE�tH�x'�K%>tiS>?eK��'�p�l:j:t rs';1':i{i::nii'i'��%K;;: �'kYR'h?':ORiC'4�IS�y!o':s:,>6:Y.^:'tH�`:t.'c:•: ?�rl��l�® ® ,:y.w•:; .:.,y ? •'h. :Na �k?!'.• :n X e��:V:kJ.td.^.,>.t% xt {kYJxt,^N. .1:�k xi:e YxK %.S:KY.•::.:d:l'.:.•'.k•:.:ak......t::'ia�':{>:1.:�y, f.J:S•{k:x 'Yf<.,,.x.1`ib�..�S •.i( { J! .:.< o. a.[v:n ! ..0><:>1.K.:;Y..1Y,.:+?•K i:`.+1F!.e.. .':.,,f,Y. `c` v C FlIOOUC®1 :.. . Ki 3,.nsrf3lgt•<Yg ,,,{{{ s sa. ,Y. st: 8I 4/19 I THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORAAATION ONLY AND ? : RONFERS NO RogersRIQHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE & Gray — gyanslis DOES NOT AMEND, CXTEND OR ALTER THE COVERAGE AFFORDED BY THE 640 Iyanough Road/Route 132 POUCIES BELOW. ................................... .................. Hyannis, MA 02601-1999 (508)775-0011 Fau(508)790-4212 COMPANIES AFFORDING COVERAGE ccwmqy...A.....Worcester...Insurance..co.•........... �. ............................ LEM ....................................................... ............................... ...................................... ........... CouvANr B Eastern Casual Ina. o. " M>fUNEa Cape Cod Insulation, I \ COern;;;:...0.... ..................................................................... :....... 4553 Yarmouth Rd. LEW s.................................. Hyannis MA 02601 COMPANY p LETTM Lffowmy............... E •... . ........... i�:��vA49,•;,�•.�'i�,,,.:tli`fi%:k.k`•Q'�xy�it �n�'FGV'� '!,yGi, ik�' xr '�x x.>. :^k, t: r'X,.i�.�.l{.F:..♦ R'¢ �E;$.R�.:•.� �f a'�lti. �' ;'i •i. :'xC•> :i:.:>,fix ,kN' 'k.e..;.x<:•<•k{xF,�;, $ • ....... ,��!°�;. .>a. .. +i:..A.• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSU E0 NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TEAM 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 I$ SWI)ECT TD ALL THE TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. OMITS SHOWN MAY HAVE BEEN REDUCED OY PAID CLAIMS. .................. ....................................... ............................................... ►oucY MUlmel .........................•.... CO : ..:................................. TN TYRE OF fveu+uNca ;f!OLA:Y vaaClTv[ 7'013CY EXPWAnON ! DAIi WUN9 i DATI(MIACO Y} Lam A ooimiu'wiaiurr.......... '..... .......................... :oa+Fni�.iiicwfiiv......... .. ,�: •......3.... .000 ..........I CO ACICNI,OENE M LUaILTTY SMPi?27>!0 y...:...... r ..... :occurs .PHODUCIS.GOMPJ0P.AOO, :rt 300,000 ..... :CLAIMS MADE Z :.............................. :..:.Y: ;........: ... 4/ 6/97 04/16/9 ...l►wRY.. I+ 100,000 PERSONAL a!AD OV4}IE/IT Fi COKTAACTORS PROT, FAG{OCCUFwRdCE f 100 f.QQ ` FW (Mry aw Itre AM►OE.... } , MED 6. . ........................ r UMY.n Pee }f........... ................................................................ 51000 ......,,.,., .,................................. . ............i....................................... AUTOMOfE . i BNOLE COMeYffD i ANY AUTO i BMAX242M i i - LIMIT ;04/]0/97 041� ......................:.... ..... .................................... ALL owRED wine / /9 8.......... .ODILY w ILIIrr X =SCHEIN=AUTOS t►+a ve�ex,} +' 100,000 HMOAUTOS ......................................... ..................I...._.......... BODILY fv tamY NON-0NNM AUTOS Pa ecoW04 4 " 300,00 4AAA0E LV+BFLIIT _...,,,,..... PROPnITr DA+ I: 100,000 ...................................................................:............ ..................................................... ............,........,.............................................:........................................,.....,:......,.......................:........ E%CA90 1L18NtIY i FJd.N OG(UFIiiENCE if UMBRELLA FOAM \ ; AOOFaFOAIE _ i,•••• OTRFA THAN U+4WtaLA FORM : WORKEAy COMPENSATION K j STRTVTORY LIMITII r J4 i i i .. B, AND wCQt 06/15/97 ; 06/15/98'.FAa+Ac0Dw.............:.:.......a.... 1.001.9.0.0. .. 9vlArpti fJAgLLTY i i DISEASE-POLICY UWT i 500,000 .. .. ...................................................................:.................................................................:.................................:............... •F�FaaLOYFE - o 100 00 iOT11171 ... �. ...... ......... .............. ........................................................................................................................... ..........:................... ............ .... , .. .................. DSNCRTTMN OF OMATIONSM1QCATIONWVloluCLE/6PI111M ITO18 Insulation Installation : uiViii�x�:K:f:x•,..�y. :;kx:.i<N�f�e; ,.k:':eF',Lo:'xC�P��O, i:v 'Ki u :4�i ,...: .ryr : ,..r. ro. x stiff .•s::;p•; <?v>£7t.L.p,.<ao>,;p,.• ..> y;�.yvxx otY.x. .xV9i�:kL� +D y.,Ne�jk'>":iKk��.��t1:rl fi':oy.{t:vx •Y,.f,I:ky', C •: ft.' '>�N J, f u.'3: t .: ..... ........,wSr .,�,4x xp:a k�k�k r•>vk°i;owx•..'�.er::<.>....o:...'w�>G3ie�...o>.t...:w.w.. Ff>kk •. ......'..••..n.,,..,,..71:.t,...,i;,,:,,tS�A°f�1Rn�k'�R�,.P;��'ksr..,k.k%:Nxe�{.kY:Nk•R� rYn•xOrS;f,$�r7kn �. ��xk'J�aiai x n SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE L9$UINQ COMPANY WILL ENDEAVOR TO ^ MAIL 10 DAYS WRITTEN NOTICE CERTIFICATE TO THE HOLDER NAMED TO THE LEFT, BUT FAILLIRE TO MAIL sucH NOTICE SHALL IMPOSE NO OBUt3ATlO+I OR P.O. 807C 310 "y UABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR AEPAESENTATIVES, OSTERVILLE, MA. 02655' „4AInIIORrae�gAPfl[JlDITATIV[ x� ROGER'S FR CRAY INSUR CE AGENCY,rK0. ^r= o•,<•x` :ox•7^ax.» ...wxo,:�:cfi `'A' 'e x<soY.. "ie::r.q:Y:;^k :I:R:c:i:"R':Y^ii%ii"ez"•�">ft']�y9fi'�"n":., -x: a. ';t,' %'.t. <r:,::iu�<;tt%%"',?,f.r,�H..q%�?i"p d i i. .�rbwr�x. 'f'..i!•��. .cr nH w•',cy.,.,, ?�SY:f: an'�>;, f. !�%' r ?�,i.l.ry,o, .•t�..:N%, .`i ,.•ir.[?�?Y''�?fJi�,f,<!., x R.y :};5t.;i">�;.1., ,%xk.. ::ix: i.k n.1 i� :'i: ex.y :N N:A>S':s:,:I.xexn.<:9. lRit... >.i<: •:kd "'P TOTAL P.01 - . :0 The Town of Barnstable 0 RAIMSTAMM . $ Department of Health Safety and Environmental Services , r Building Division 367 Main Strt et,Hyauuis MA 02601 O1Bcc: 509-790-6227 Ralph Cmss= F= 508-775-3344 Building Comm For office use only ;1 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIM APPLICATION ' MGL c. I42A r=ruirrs that the"reconstruction,alterations,`=ovation,repaid modernization,conversion, improvemcnL.rzmol L demolition, or construction of an addition to any pm cxstin.g owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residencc or building be done by,registered contractors with certain exceptions, along with other rtgtrirancurs. . _ z r ,{� ` ESt. Cost Q� Type of Work: RIP-,AA 0� I� Pvi b�7�7�QYI z7 Address of Work: ovmer.Name oV - Date of Permit Application: I heron-certify that: y Registration is not=juired for the following rt:asan(s) Work cYdardcd by law Job under SLOW Building not owner-occupied Owner puffing own permit Notice is hcrcby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHIINREGI5I ED CONTRACTORS FOR APPLICABLE HOME -IIviPROVEMENT WORK DO NOT, HAVE ACCESS.'TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PERJURY > R _ I hereby apply for a Permit as the agent of.the mmer: . V ,. l0- 1-47 �1C��`P Date Contractor name Registration No.. ✓fie Vr aox-»aanu eal o�/lla ua usetta .. ReStI'Cte� "0: 0a — s DSPA.RTE`T'OF PUBLIC SP.PETT 5506 2 CONSTRUCTION SUPERVISOR LICENSE None la - N35CnIy 0";( l / ?awl_}' Hom es CS. c =� _ curr??t ec�itiol uIe t0 p0:5?55 a t nn Massachusetts State Buii-�i„ Code Fa LFIA� is cause fC= Ie:`CCat'_0" Oi this lice 5°. a—j, jkYj%W. 9 PC?+D tiIz'i DR . • ? HOME IMPROVEMENT CONTRACTORS REGISTRATION ''Board of Building Regulations and Standards One Ashburton Place — Room 1301 Boston , .Massachusetts 02108 , ENT.CONTRACTOR" • HOME" IMPROVEM Registration 100134. Expiration 06/09/98 Type PRIVATE CORPORATION MAE Registration 100134 ROGERS & .MARNEY , INC . Type -. 'PRIVATE CORPORATION ,Charies p'. Rogers 'f a Expiration 06/09/98 PO Box 310., q _Osterville MA 02655 R0GERS MARNEY, INC.. ' Charles 0.- Rogers G�ceM o Box 310. � Usterville MA 02655 " - - ADMINISTRATOR - ' -. I6•RR 6FT AIMP� If NOE tTYND DtO'. . 2 �11:(.•!M 6•fJVAYp� SY(Wv[IS LfMNO . LL J Dfo(eea c,.n.arc c•_}=trucCeol AS swwN) -e_,-5 DCO%BG•.LEp•JfORM -r Y CC>*,sTRueTION SHALL COMPLYST t=WITH LATEDIT•tort r ' D r I 1 T L--�o°OMc�nE s) Of: MAPPLICA6Le CODCOR 50LUNC•T ORD1N/>NCE-. 2 CONTRACTOR SWILL VERIFY ALL DIMENbIONS AND COf'LDITION5 SHOWN ON THtS SHEET)aN stTG. • PROPERTY LINE dZ ETUC OF fC]OF• .. I 2'o' I k e c•b 1 T •. j.-._.. law- I I - �L" --s 3 F�oL pt�K AtdD YARD ARer�. AROUND POCY_ 116 max CO.R.o,Io '� 4'•o nw LENGTNOr POOL 50 O"(rvx Cw..tw,m DeCK). - P-w '- _ .?, - SHALL SLOPE A\YAY Fk't'JM COL. • I I - SNALLON END c0.4L LTEP 60, •,D" / - --I - 4 PROVIDt'_ DRAIN/ •.E AROUND POOL IF\VATEfz 15 - \\ NM I 1)aIN :// —t�-� \ v+ ENCOUNTERED.NO GROUND�VATER AT POOL LEVEL. \ _ it F 7 POOL SHALLF B�8=O'Mtty,CEEP t IXVInL^- BOARD 15 USED. i FoR COM F-OG ON• o I b FOOL_EOUtPMENj �FILjERS,PUMP,HCATER,ETC.)6HALL _ Tot of SLD"_ ' H / (r41N•) 1 NOT C3G LOCATED IN RE(�UIRED fRcx�TT cR SIDE YARDS. . imEPE4TNAN 4:1 .. - j�o I s Ste' n 5EK�'W 1:1 I 1 >7 60IL:5"LL 6E UNDISTURBED 4iNRAL(1000'P.S.F)O? r APPRovEU C.04tPACTED ILL . -DRA{1I Yu%t.�IH / M.WiDTM I —erg CONCRt'(�. PNEUIMT'tCALLY PLACED CONCRETE— [Plum-C e'_d' IrD•,, SHALL HAVE A MINIMUM COW'RV551VE- STTiENGTH 8-0 S_y. _ WIT�I NO INpRE.[FIAt� 9.0, e_o; OF 2000 PSI AT 28 D-.YS, 1 T E3y tOLlattUD11JAL SECTICW 2 JUMPf'O4ROAN}IOR 'OPT)GNALRECa _56.D LIGHT NICHE PARTS L.S `4ND'r0 ONe PART CEIt\ENT• \/OLUTAE. AND 3 GAL_LANS OF\vATF-R PER_-Acr'. PECCO-aAL 54:+6e DEALER .OF CEIAENT7 . FULL C[AiAC T SURFACE Sx•`�-6E. '• y ' i IVICAL IB 2� OONDCD wfWELDON+101 OR GOOCJtKH j -"erg. PLACE -' B• �a 1 Ut,DISTl1RBED JJIL-. 4 �OVO]vE'IP F1bVAf r •DEIX PA178•BJJJACWCSIVC TA[pND eEMJ F[OPII'.6 j) -VI �1 1.- 4'011TCUT 121 ,[- DECK I`""1 �, ACcoAIoDAFC 5• 9T6 a COR AN APPROVED M451K) F 16 N)Y- 161 C"`W) oa tnT uaa �� --10 Rt%tAfoRCINC, STEEL •SHALL EQNFoRt\� tATCST AREM DESIGN BA5ED ON t6000 �N &ND r ("I IWATSRL. A.sTH.sPECs A-US, t •° _•A•'%I�. k �•• uNE. f- 8W't e I iv ;�- 3-0. .=• :- a,S:l' RS LAP ALL.ND CDRt.1ERS JNjttAujN 40 DIAME� 1.1`t - I AT SPLICES ax.c JDDPr `AS W.To P%T04 , '-�- �� 1 ! . �.e��.- -►U P�cwlce MECtatAICAI- DeJlc�s To HoL�Sj'f E� tt1 t— �I- t +:• )c�N.�fuc; QLACq, ACID MA NVAIf4 Z'CLEARANCE �vEEN Gf2(F{ .• -•.;- .A'II'.II Tn.E T2fl � 41 SEALING CfTAIL .. c j GPfTD)SAL RECESS`-D LADCER•STz.-'Q10ke- G oC'S-r-e�9 A,1�D PRESSURE iaR f¢ HASTE U.E TO DR{hRLL FRESH•.'AtsR INLET 'Tu u`' fs...� CTRICAL CCbU1.It�IUC7 TO LE r IP,52v1NECT7af5 ELNP{Acm CR PRCFER RSC EP,art ENDER COPWG WIl1I CdTnlLun`wlOfa JdN( ->I'�. S�l.y•.II'JG f-�+� `{ 5 WmER I YALVE vKVL'M• (oR MCF�v[D f_o uL) FG IlE NNRfLINTPDT AS C'EG'O BY LOCAL REjI_II-v.��ll.)C�,I�-um6ltJy AIJD Tb CriJDulr IS CKaINANE e- CN'xTfER C'A6o+E RaLE•FTf.M1 Y,i13•r PIgCG) y:l )'ADI MAIN to �\ - fDCL Cgf'Ixv tom, PCCKS7M t!Lua ftr GFPoVRFD l YI� 5°Cn'oN w°rta oPnar:NuTea REQUIRED PRio2 Tb.�LD1):� INSF1:CjbRS A" ' CRIGI N VALVE �P¢O' 1r VIiRN 48 AS AFTER f CWG 1 _ - RCTLEv'ALA* I RuLcco n.ol-o-,xAvlc sTlcm). C1,EAIRAnTCE.oFREINF�Fc�I)•SC� I�R GUNITING.FlESC!DER . ` I• `'�. ; f. - .. .. RCN 'LWE co meµ)LYLI Lf1LL Lme J��• �... CCxSlnc+cTioN)0'gr OPTICNAL 'T •/ ' . C><TAIL'A DETgIL•�• - SF%�NFA J. �(uW DRnN �\ C Carrt+ums•FEeaa-.as KV, OT\/ / •IP \ CIu.EcoxL SEMv AFM1•(AS PlR V( . - ..MAW COIN LILLEJ fRCp" LINE VA,vt LS NS NECESSAR' eSrS�'- MA"FCT RMCIVDACO) . FE55 .. � ..SPIM•/)1K FILTER LS 1/S ED IN P x1 . .. .. IlSTRUCt1oNS 3 5URFAGE 6YIHHER uIUE TYPICAL PRE55LIRE 5YS7EM PIPING DIA62ANt 8 FRESH o'ATER INLET 9 C exEP. -F-OECK�IL3 -1 \uET.QCt1CRETE ZNICI=�ILy FbR l9 �Y5 z Do 90T-WRtA C4 LIGHT WHEtA FboL tS EtNPfy,. Y MCK eY OVNE4 - r__-..e I .. ;'� t1q-usE sLJ°•cl<Rut313E2 F4OSE\JuetA FiLLtr3c,mar_ _ _ --- ��--� (B(.�K FcU�R /ARKS PLASTER I f4 Eart set _ _ 1 I 'I ' 5.4Cu+f I 3+4 C1c _ - j ' Ncic lrLow L_1 SEE w7EtID SEL N�7E 0'(lo CA.�C..lt,�n� l-�YPd GL.OR ° r vaxF m 5 «.saL I 5• Q�Q/ — s—1�\17�1 ATIC_ RC I D I ILv A `4' " (TYP) 2=0' I 6 I�-5'. I ° - l 1 �/ —7• ��`� C��.O�1 t\I� CTYP) t - R.wWs, -e v4TWOO, ' 1 � 2'CL 51 t - � Cfn,pUSTER / 3 tit. I ,�d - I �I: w`° _ I'-� ��. i i/ - • SHALLOW END S Ir—•tI `.d f�a II ScucD.ILE ' 1�— I 11 Ur.. a. u. 61 5a 6., 14 I tNRIz. 1 wAfer STRAIGHT RON cC 12" W 74 ,�®10 5740 t3EA4 D Ao'-!-To4S-O' AOD 1.4,4V- To 56' ADO • zr4 FW FDIL LOIGN Or S _ V< I ! ' - ONW. RESPECTIVH 51DC, 2{ 4' 1015.' CS a 9Efl 1 Z"CLR t0 OEEf-eND 5TA),IDARD SOIL_ # IZ CEE.P ENO IZA14P CR o0''WAXFiLL I,,d �' z'�• 50ARDMAN ASSOCIATES PORTSMOOTH, R.T. .• `� 'c am Cpflum IL BUAAOw, DETAILS FOR _ i b•. �� ¢ NO. 3625 SEE EL ' NaTE. +3e12 -CUSTOM GUN I I E POOLS, i NC. - T1VET�r1) RL, 5[E OEPULIQFOR � EGISTEREO b5(o HIQ}ILAND RDA`D DIM. . ONAL ENGINEER �a.TE: Dv/.NN BY: CMEG(E D: I� 3080 RECE55f-D BIND Q�M M RAISED 8-0 CEAM SHALLOW END A/OA)C- I t M t,BVW 5 5VW 4 WETLAND DELINEATED AUG G. 1g97 a I� POLO 4\ 44b�w \ �\ BVW 2 12'x40' LCA MING FIELD - CXISTIMG-fl,`PC1FT T6 - r 30 _ ` 1 4 ACME FD 4x8�--L FLOW DIFF'S EXISTING GESSPO FIELd FOR ADJUSTM� r 26.2' r r \ o� TO BE fiEMOVEQ 7 V �L'1CIVEWAY I i � i �---i50 GAL— Mrc To :— 3 D O O R; 42 © 52 ACME M20 . ftw 00009 To •"\ S� O � � © %SEPTIG TANK ` LOGATI OF THE .GARAGE'/ n \ �. " I \` UNDERGROUND EXI TING RAG•:' SYSYTEMS + GUEST'i r I NOTE E PROVID eY THE ELECTRIG AL GONT cTOR. THE r> OUSE' r GAS I / SERVICE r .r r \ \ \ 44 I GAVATOR SH L VERIFY THE r r I 1 ATIONS Pao TO DIGGING. :. ?9.33' O Q I 1.4'. 113.7" \ it, %TREE r /i i i r 1.74' ` rrri r�% 00 DECK I 1 �46 0 STflp ao I �'•lGQNG_•• 1 O COVER 7'- - -• .--•- B0• WETLANDS OFFSET I r r r i w� '. .,• 2' ©EE r r i.r ,,r ARD01�1'KF�M DGE EXIS+ING PIPE AND CESSPOOL TZD 1K ABANDONED, I r r�+ / '• BE _ PUMPED AND FILLED WITH GLEAN WERT\MATERIAL r r r r r /p .PROP SED BATTrt I \ I WATER r 1 r r r �r r /�� ' BLU STONE TIO oP ' I GATE I I r r r r r rIr ?21�`Q y I '.......A- �C BED . w I I � / •�/ii/%%%i6.0 �.ri%r33.S'i�� rr � I � I rr�> IL ci w F I I I I j 54 2 1/2 STORY0. 01I I i WOODEN HOUSE FIRST FLOOR ELEV. 88.82 p I I �....\.... ..:...........J i i r r i r � n I f it rr rrr it rr rr rr t .I .o - - I I 48 it /r r.ir it it rrr rrr IL . -•-I•-.-•-•_. _.i.— 100' WETLANDS OFFSET I err Sri, �r 63.9'rr err rr� it � -6' , i GARDEN BEDS I 52 50 6' CEDAR ........' I I 24• MAPLE ••..•............-' 6tkK +1sM PIT I I _ ARMOR'' Avcn__,..� I --._- C- --- — �1 FLAG -- 1 0 38 L O N 1 t9 1 54 -- POLE cV 1 I 1 NOTES 1 52 / /// 1 THIS PLAN WAS PREPARED �, FROM AN ON-THE-GROUND 1 1 INSTRUMENT SURVEY COMPLETED 1 BY J. LANDERS GAULEY ON AUGUST G. lgg7 1 12 PROPERTY LINES TAKEN r 1 , - FROM LAND COURT i RECORD PLAN 42214 A 1\ 3 ALL UNDERGROUND Q I UTILITIES AND IRRIGATION \�, � _-- -- - -- -- -- - - - - 52�f SYSTEM SHALL BE LOCATED PRIOR TO ANY EXCAVATION. Q I i 4 A VARIANCE FROM TITLE V I WILL BE REQUIRED FOR THE LEACHING FIELD AND SEPTIC I TANK AS SHOWN. 1 5 FUEL FILLING GAPS WERE FOUND IN T1-tI5 VICINITY _ - - - - -- - - - 50 - - -- --- - - - � THE CONTRACTOR SHOULD I ) EXPECT TO FIND TBM EL.=50.00 ASSIGNED UNDERGROUND TANKS OR TOP OF FIRE HYDRANT ; OTHER UNDERGROUND 0 1 — I STORAGE STRUCTURES IN I BED I Tt11S AREA. ROSA RUGOSA C4-G' WIDE) 5ED tiY 129.65 - -- -- - - - -- - - - - --- - ----- ------ - - - - - - - _ - - - - - -- -' - -- - -- - - -- -- - - -- - - -- - - - - WASItNGTON A �W ENUE r d cl o A LANDSCAPE `DEVELOPMENT PLAN `FOR: x < 2 � Ln 7 a � � � � MR . & MRS . R(,,')BERT ►� MOREY p � _ 0 II j,' � , C '01tv CZ • �y`',� $� Ln18 MT. VERNON ST. — HANNISPORT QO i o Eo ��,� WETtech LANDesign PAVS , d K' L•f 1'la�iFt . Oar- - s3�� Y tom` i i ' t , Cc' _-_ �,..J1—,. '"`•cam 'i1 Ct y j/ U r. „ . 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