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0023 MYRICA LANE
a .� � � .�u.ew �� r ,� ,� { . � � � � a ,- 4� Town ofBa>r-msta ° . l f C-GaS�o �oFrttr' ti Barnstable Permit# Regulatory services E spires 6 nror t s front issue(late Fee swxvsr.�at�r: : - ass. j619. ��� - Thomas F. Geiler,.Director °. Building Division Tom Perry, CBO, Building Commissioner 206-Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Offic e: 508-862-403 8 Fax:'508=790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY-, ,.^N�nt Valid without Red X Press Imprint Map/parcel Number Property Address Residential Value of Work`' �' �- , /� Minimum fee of$35.00 for work under$6006.00 Owner's Name & Address Contractor's Narne�.!/ j/1r� Telephone Number— r32 4 — . t Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor b.ARNSTAbLt 6I am the Homeowner TOvNN.O -1 have Worker's Compensation.Insurance Insurance Company Name Workman's Comp, Policy# .Copy of Insurance Compliance Certificate must accompany each permit, . Permit Request (check box) tlRe-roof(hurricane nailed) (stripping old shingles) All construction'debris`will be taken-to s . ❑Re-roof(hurricane nailed) (not stripping. Going over existing.Layers of roof): - Re-side . . #of doors ❑ Replacement Windows/doors/sliders._U=Value (maximum .35)# of windows, *Where required: Issuance of this permit does not exempt,compliance with other town department regulations,i.e.Historic,Conservation;eta ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is re ired. SIGNATURE: QAWPFILMF0RMSlbui1ding permit forms\EXPRESS.doc Revised 072110 T ' M i�'sachusetts- Depai-trhe i►t`Rubtic Safct .Bcrt;iif of Buildtint Rc'gul:itiriiis and Standards Construction Supervisor License License: CS `63537 ., Restricted to: 00 e DAVID R COX PO BOX 401 sF. S YARMOUTH, MA:02664 Expiration: 10/15/2011. Commisiuner Tr#: 5822 Office�f Con timer" rs& u�smess "e u ah��o g y Omer rs ° S License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' Registration: Office of Consumer Affairs and Business Regulation 1 a ,Regi ,,�.100497 Type: i g Expiration 3'25/2012 Private Corporation 10 Park Plaza=Suite 5170 os D I COX,INC r ; a Boston, A 2 David Cox 19 LAVENDER LN W.YARMOUTH,MA 0267.3 Undersecretary Not valid without signature r From:Kathy Geddis FaxlD:Northwood Irsurance Page 2 of 2 Date;WZO20,11 01:39 PM Pege:2 of 2 OP ID: KG ACORD" CERTIFICATE OF LIABILITY INSURANCE DAT 03130h( ) 30111 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE'AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT. BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement e PRODUCER 5O8-TT1-1G32 CONTACT Northwood Ins.Agencyy,Inc. ... NAME: 540 Main Street,Suite 9 508.393-2955 A"c° Ex : �n°ic,No. Hyannis,MA02601 -ADDRESS: , PRODUCER DAVID-2 CUSTOMER ID? INSURER($)AFFORDING COVERAGE NAIC 0 INSURED David Cox, Inc. INSURERA:Travelers Insurance Company P.O.Box 401 , INSURER B: S Yarmouth,MA 02664 INSURER C: ' INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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. NSR TYPE OF INSURANCEDL POLICY EFF POLICY EXP LTR POLICY NUMBER._ MMIDDffYYY MM)DDffYT'r LIMITS GEhIERAL LIABILITY EACH CJ< EqC=• 5 1,000,00 A X COMMERCAL GENERAL L!ABI_ITY 6801481M796 , 03J14/11 03114112 pPEldh Sta�rre cei S 300,000 t CLAIMS-MADE tADc u OCCUR f I i I MED EXP(Any cme person) S 5,00 X Business Owners I PERSONAL BAD'JIN.,F_RY S 1,000,000 GENERAL P,Gr,REGATE S 2,000,00 GEN'L AGGREGA—E_iMl—.4PFLI=$PER PFODUCTS-COM ,OPAGG S 2,000,00 POLYlj�PR T LOC C AUTOMOBILE LIABILITY - .COMBINED SIN9_E L MIT S 1 AN1`All'0 I !iEa accident) ALL OWN=DALITOS BODI_YINJURY(Par psrson). S BODI_Y IN11RY(Per accidsni) S I SCHEDULEDAUTOS I FP.OFEFTYGAMAGE HIP.=DA.UTOS I I (Paraocident) S NOIJ-0VlNED.4UTO'e' I S S UMBRELLA LIAR OCCUR EACH O__i 2E J�F' S EXCESS LIAR CLP:IdS-MAD'_' AGGREGATE _' S DEDUCT!BLE i S RETENTION - -c WORKER$COMPENSATION V TA7U_ OTi- AND EMPLOYERS'LIABILITY YIN I - RY L MI' ER',I _ A ANY PRCF^RIETORPP.RTNIER.'E)EE Inv=_ 1 SKUB91 OX742210 07115/10 I.07115111 E.L.EACH ACriDENT S 100,00 OF9CERIMEMBER c�'LUDED? Y NIA I'(Mandatory In NH) E L DISEASE•EA EMPLOYEE S 100,00 Ifyy�es,desaibeinoer DES':RIFTION OF OPEP.ATiONS be!oty E.L.DIuEh_E-POLITY LIMIT S 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD 101.Additlonal Remarks Schedule,irmore space Is rectUred) CERTIFICATE HOLDER CANCELLATION .`, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE David Cox,Inc. THE EXPIRATION 'DATE THEREOF, NOTICE`WILL BE DELIVERED IN ACCORDANCE PATH THE POLICY PROVISIONS. AUTH1ORIZEDDRREE�PiTREES`ENNTTA/TIVE 1, Y O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD The CGa 1171101M'ealllj of-Massachitsetfs " r f - - -- Deperrt��reret afIir. rrslrinlAccident's - V Office ofbyvestignlions 600 WaShiflgt011,S'treet Basfarr " 4 021 • }s.'ivrtt.rrtnss.gon1din Wo rlel-s Compensation Insm-ance Affidavit: Buildersl: o f -a' ctorsJBlectlzciausfPlunlers Applicant Information Please Pi-nt Legibly Naine (B•usinessAOrgaltiza(iourindivtdE>al): Address: CIq'/Sf ite/Z1.13_ � . Phoi e : ' re YI tau an employer?Check the appropiiattl box.: Type of project(required): 1.. I am a employer with � 4 ❑ I am geaerail contractor and I employees(full and/or part=titl�.e). Rill * have hired.the sub-contractors o I Iew constnrc.tion Z.❑ I Rl a sole proprietor or-partner- listed on.the at:taclizd sheet- y- ❑Remodeling ship And have no employees These scab-contractors ha-ve $ ❑:Deulolitior� working :for me in any capacity. eivployees and have Ivarkers' (No workers' comp-ins=urtnce comb:insurance.. Y 4. ❑.Building addition We are.a cot. oration.and.its 10.❑Electrical repairs or a.ddi:tions required] ❑ P officers have exercised thew 3.❑ :I am a.homeowner doing all work 1 l.:❑Plumbing repaus or:§dditions myself No workers'ro riglit of exemption per NTGL: 3 ( mP• 1 Roof repairs insurance:required.]T .,c- 152, §1(4), and.yve hay:e.no emp.loyees: [No Workers' . 110 0ther 'catvp- insurarreerequired�-) 'Any applicant tUtcAe&s box C must also fillout the se<tion below shorting theirwwl-e'n'conspeusa:t on policy infornutiaeL Honleoy MrS Whn sUbMit th]s.affid3irlt ln'ificating they Are doing 91'w:or;S` and then ham outside=C6Rtraclors must subnut.a vew Affidavit indicating such. :- ICouhaUnrs that check this:boca must attar ed sn sdditianat:sheet showingthe:nsmeof the sub-con'tccctors sad stsie whether or not those entities-have employees. Ifthe sub-contxactors:have emptoyees,.they,wust provide their wurkers'comp.pol4g,number. Iain m1 eutplo}per that isproviding ivorkers'compenrah`on insuran..ce for rrry einplayerts. Belon,is'thep.olicy an.d,jo.b site information Insurance Company Name: Z"Ie? Policy#or.Self--ins.Lc.#: d::I& Expiration Date: 7111, Job Site Address:_"-> /i '�i/d ZX C/ City/State/Zip: 7 Attach a copy of.the ii'Grkers'compensation policy`declarationpage(shoiiring the policy number,and expiration slate). Failure to secure coverage as required under Sect,on 25A of MGL c.. 152 can lead to the,impositioh of crin3inal penalties of a fine up to$1;500.00 and/or one-year impnsoilmen.t,as well as ciTM penat.ties in the form of a STOP WORK ORDER and a fine of up to$250M a day against`the.violator. Be advised that a copy of this statement may be forwarded to the Office of Inve,sti&tions of fie D.IA for insurance coverage verification. ' I do lt;ereby certify I.trtder th s pains ailed penalties of Swingy that the irrforrrtRtivzt prmnrlgrl.n born is trct.a.and correct Siirnature: i O Dote f Phone#:Ir" 7.1Ial.use only. Do not ivrita in tltis.area,to be completed by city or tott�n of vial City or Town: PermitlL,icense# Issuing Authority.(circle one): 1.Board of Health 2. Building Department 3.City/Town Cleric 4. Electrical Inspector 5.Plumbing Inspector G. Other Contact Person: Phone#: r t . t: of IKEr y "i + aARNSTADLE• Q MASS. Town of Barnstable i7 i679: �� Ar fD�V p 4 Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO .Building Commissioner 200 Main Street, Hyannis, MA 02601 w,,vw.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax:. 508-790-6230 Property Owner Must Complete and Sign This Section' If Using-A; Builder -- __ as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this biiilding permit appbcation for: (Address of job) ,nature of Ow 'Date // Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. 0 in e Q:\WPFILES IF RMSlbuddg per-mil forms\EXPRESS.doc i r P�ol T o Town of Barnstable Regulatory Services 13w JAsSg '$` Thomas F. Geiler, Director 61 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b a rnsta b le.ma.us Office: 598-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION. --------- number street village "HOMEOWNER" name home phone M work phone# CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) Who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to.the Building Official on a,form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannotproceed against,the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc Revised 072110 Re LOT j duc, Lo 7- 7- C4 � �� if C � - I ,) �J r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 042;, 1,,3 Permit# Z Health Division J�� //� �`/7� Date Issued 7 Conservation Division Fee Z6 ,,,�2 y Tax Collector ���� Treasurer Plannin De A.PPLIOANT MUST OBTAIN A SEWER g p ' CONNECTION PERMIT FROM THE ENGINEERING DIVISION?PAO&TO Date Definitive Plan Approved by Planning Board WmaucTiON Historic-OKH Preservation/Hyannis Project Street Address 2?2�,r//y��icr�- Village 'S - Owner �o,�,G1 _/�/,t�Cll,r/�}� Address .3aa Telephone 6reo_) 77/ Permit Request .__,1r4WZ0e±Z A_-VVIrZoc/ A eG �X/JTis�l� _fir//�D�.dG Square feet: 1 st floor: existing proposed 2nd floor: existing 7� proposed — Total new Estimated Project Cost 1014, Zoning District Flood Plain 41.o Groundwater Overlay Construction Type '�l�l�/�i/1R�tf��,vY� iJ4SPL- Lot Size Grandfathered: ❑Yes XNo If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 61n, Historic House: ❑Yes ' No On Old King's Highway: ❑Yes 2�No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 4Ysa.7G Basement Unfinished Area(sq.ft) Number of Baths: . Full: existing 2 new Half:existing 2 new Alle,- Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new .dc. First Floor Room Count Heat Type and Fuel: 4Gas ❑Oil ❑Electric ❑Other Central Air: gYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes A No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes ❑No If yes,site plan review# Current Use 12gJ::S�,e2 GE- Proposed Use BUILDER INFORMATION / Name ui' �'��ih Telephone Number --- � Address AAw License# Home Improvement Contractor# _ 271>/ ,4f,�f: d?-���b Worker's Compensation# �� 791� ✓ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO , SIGNATURE DATE c FOR OFFICIAL USE ONLY ';f l PERMIT NO. i. DATE ISSUED MAP/PARCEVNO;_ - F: r ,r , , .. ► 9. ADDRESS r VILLAG.E f OWNERry DATE OF INSPECTION; F FOUNDATION r e J , FRAME y INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH!'` 1 FINAL GAS: ROUGH FINAL G r FINAL BUILDING 7 DATE CLOSED OUT ASSOCIATION PLAN NO. ,F t ESTIMATED PROJECT COST WORKSHEET l i M Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot PORCH square feet X $20/sq. foot= DECK' square feet X$15/sq. foot= OTHER_�rs,�/,Qso,r;� square feet X$??/sq. foot= [�•Z Flo. l�� Total Estimated Project Cost ✓ g990915b f t. LSE lop r s,� -�, Z,T" C E�ri.�7�ti� PA7io m '1 �3 go '�� CERTI FI ED PLOT PLAN LOCATION SCALE . ��:..�a i... DATE��,. PLAN REFERENCEVP • ��!G:: ?�. 7.. I CERTI FY THAT TH E ?4of*P. "I?gV- 4awJT.. . ... . SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN •OF .4t9??A4Tr a1_ . .... . . . .WHEN CONSTRUCTED: DATE 4n/. / . 8 B ljt�iG�/NG Ca, A-eT77 A/e7Z REGISTERED LAND SURVEY � _ L �t;ON1'�I.�VAl10,N FOUR %A5ON5 5UNkOOM5 CI:I W VINCKWY nt?AWN Py P. 5AW20 M51GN & ITMOMLIN6 CMV A19PM55 HYANNI5 M 01-18-2000 nWG, 5Y5tM 4 MOIALM 56" CLAY M51GN CON5lfANf AN12VM MOMS 5WM-15 2H 5C&l I/81 I`'-0'' I OF 8 f M::H H I FOU? 5M50N5 5UNVOOM5 CLIENT VINCKN�Y 121?AWN PY P. 5W120 M51GN & MMOMIN6 C%gk APR�55 HYANN15 PAS 0I-15-2000 MCI. 5Y5tM 4 M0121AR 56" CLAY 3 OF 8 M51GN CON5ULTANf AN12MW MOM 5W N2H SCALD^ 1/ 4'' nl 51ON rRM EX15MCA 5WAIMCA L91WN51ON MOM U151ING 5WAVING Y y S • FOUL 5�A5ON5 5UNp00M5 CLEW PINCKN�Y 121 AWN LN P. 5WI90 M51GN & MMOMING C%Tk AnnW,55 HYANNI5 5Y51�M h MOnI,�Ap 36" CLAY nA1� OI-18-2000• M51GN CON5lfANf ANnmW MOn�I. SWM-15nN . 5CA1.� I/ h"= I'-O" " 0r 8 w EX151ING n0GR 0 U1511NG 1700R _ µ SL8Jt;00M ° - . V n SUNt;00M FL00t;PLAN ' FOUL 5�A50N5 5UNVOOM5 CLEW VINCKN�Y nI?AWN PY P. 5fial90 PE51CAN & MMOMLIN6 CMk AnnIT,55 HYANN15 19M 0I-18 2000 nWG, 5Y51EM 4 MORLAR 56" PAY 5 0� 8 M51GN CON5I,p.1'ANf ANnITW MOn 5WM-15 2H SCALD I/4!' I'-0 1 ; i -J.L FEW . MATION • FOLF, 5M50N5 5UNkOOM5 CLEW PINCKN�Y 191ZAWN PY P, 5A1:JC�[90 M51GN & MMOMUNG CAN V A1919M55 .. HYANNIS VA9 01-181000' MCA. 5Y5tM 4 MORM 36 PAY ' 6 0r 8 M516N CONSULTANT ANPMW MOP�L 5WM-15nN SCALD 1/ 4 - 1,-;0'' Y y " y , • y y t e rr�� lr_JI r 0l-i0,� a s 4 - I, o- a - y ! :i 1 _ -51M PLC VMON FOUL %A5ON5 5UNkOOM5 CLIM PINCKN�Y nPAWN C3Y P, SA aJ20 M516N & MM012MIN6 CNV AIXI�Y.55 HYANNI5 19A9 01-18-2000 IM. 5Y59M 4 M0121M 56" C3AY - I OF 6 IX51GN CON5ULfANf ANRM mot 5WM-1512N 5CAL� i/ �!' -O' r n 15-I/2 " PA5� WALL` E 211X6" Kn 5pW . . I/2' C19X 9fATHING TYVEK HOU% WP.AE',. I"X 5 ' PRIAC12 MW TIM WNITt WAk 5HIN6U5 A tis i I I I— mr FouNhATION U51NG 5000 P9 CONCMTe III—I I ( 8" THICK WALL5:2' Wild X I' THICK FOOLING, 4" FIN151N9 CONCWS FLOM, �X1�k10k_WA1 �'t;00FING I III IIi � I III IiI �•.. R . - c III—III I I III "—I I �I _ � _ . . • * , . y IIIIIIIaIIIIIII _ . � 43 • .� 4itfe III—III II III IiI —III i I I i III—III � :- FOUP W50N5 5UNWOM5 CUM PINCKWY PI AWN f3Y P. 58gL9O IX516N & MMOMUN6 CAN k . AnnW-55 _WMNI5 VA9 OI-18-2006 ma 5MM 4 MOnLM 56" PAY 8 0r 8 [X51GN CON5LLTANf ANnMW MOnLL 5WM-15nN SCALD A - Our most popular straight eave model provides total "sliding window" ventilation, heavy -duty 5" roof beams for extra wide spans, Optional "Quad Doors" create a wide open feeling. Feofures Sliding Windows All'Around SYSTEM 4 Modular And Adjustable Sizes Ana Roof r _ - m _ _ _ _ SYSTE IVI 4 �IUlodular- - '. I MNV'10'63I4' g � 1�16°;jib-1 _ If,12'-69%6'fl 'a I��4$�5;;�6:�1 The cleanest looking, .most. ,V versatile sunroom ever: "En Features total flexibility in projection (width) and ���MAX 15'407I16'� p¢ f-1fi-107116'--f►ll ll�� 1T-,013116'� �m r--,6'.,;116' — adjustability of roof slope as (low as 1/2" in 12" to MINI '-83I16'yl If-116'-B3/8'�l r�11 T.812fi• f 18'81719' —�I m BEAM SIZE: !Number LEN(__THS 7" In 12"). of Bays a E a^a neela E �o E Note; Standard trapezoids available for 2" in 12" 3 9--10 7/8"(2.87 m) 9 7 7/8"(2.94 m) 9 4 7/8" ( / . . (3.02 m) �2.�Cm) 4 12-11 80 roof slope. J 7 . 5 -16'-01873m) M �•)` - 15'-9 1/8"_(4.80 m) 15'-6 1/8"(4.88 m) ~ Deep 6 19'-O 3/8"(5.66 m)1 18'-9 3/4"(5.73 m) 18'-6 3/4"(5.81 m) • "NOJB:FraB SJon4T 7 22--1 3/8"(6.59 m);12'-10 3/8"1m)21'-7 3/8"(6.74 m) Frame colors; choose.bronze, white or sandtone. Un/ts Moy RequirB R/dgB �mnoaal Bays 3'-O 5/8"(.93 m) 3'-0 5/8"(.93 m) 3'-O 5/8"(.93 m) ' Be Or OJher Supports - � 00 IW aOY-2aR 9a•^ " .tam, �C' - s ry,= 3 PecF =3 'r;. '`j'fm'?tw4^]o" :'} •- j-�� - r 000 Ire j k� I _ A. e - Sl:r/enr 4:I Millar-rritG ttnndnrd lrrcr lrnhe ardr P: �— TGis and shoir'n with slandard andlone/rmne cola bolo aipb.l and uGnre are „uurdr•lrnd nnt.ride rreu.r. ,.%11:1 n s (� f NEW LOUVER PRICE SYSTEM 4 MODULAR SUNROOMS (ADJUSTABLE PITCH WITH CHOICE OF SOLID OR CLASS TRAPS ) POW-R-VENT 1. SPACE BETWEEN GLASS AT GLASS SIZE CODES � NOTE: POW—R—VENT .IS NOT 22" BAY PART NO. — AVAILABLE FOR 22" WIDE BAYS ROOF MUNTINS VARIES BETWEEN 30' BAY PART N0. 3/4" AND 15/16" ON THE � - `' a DIFFERENT SIZE UNITS Top 36" BAY PART N0. ROW OF (Cy'"GES GLASS FOR SAYS � 0� ✓f`� '�' BBB GLASS pgNEtS S/ o ow_, N) VEA1 TS i . � ✓✓s ,{r � �`� � ^ti Off' � \., �. � ,y' ` J✓fy /✓� f,�, � .�p �off.\' ✓6� ✓`� '� 'yi r r ✓� f� � � f�fj f�J 1�p 1 moo/ o k` s" � ,- ✓�` ,{�'f f .{�/� Qj�r � � fc� firms �fi 1 ✓cy C fay f� ✓� SOLID'STUCCO 1'-9" FIXED WINDOW TRANSOMS ARE USED IN FRONT - 22" BAYS. ' STANDARD FOR 5' AND 2'-6" WINDOWS/DOORS WINDOW ROOMS USED IN FRONT - FOR' 30 BAYS`` ALUMINUM TRANSOMS 6' AND 2'-1 1" WINDOWS/DOORS .. ARE STANDARD FOR USED IN FRONT - 36" BAYS. SOLID STUCCO . ALL DOOR ROOMS KICKPANELS'ARE T STANDARD WINDOWS BELOW 8FRG RIDGE BUILD OUT FOR 2 'IN 12 ROOF PITCH 5LB5 _ 3" BAR 5" BAR UNIT SIZE STANDARD OPTIONAL 5RL _ SEE PRICING 2 , 2 X 6 SHEETS FOR 6 FT MODEL 1 NA WIDTH GABLE LAYOUTS 7 FT MODEL 1 112 NA TYPICAL RIDGE BUILD—OUT 9 FT MODEL 1 1/2" NA SYSTEM 4 MODULAR GLASS PANEL .USAGE 10 FT MODEL 1 1/2" NA 11 FT MODEL 1 1/2" 2 1/4 GLASS PANEL WIDTH GLASS 12 FT MODEL 1 2 2 1/4 36" 30" 22" LENGTH 13 FT MODEL 2 k }2 1/4„ 28M 28 29 28.7/8 15 FT MODEL.,... - 3; 3„ 36M 31 32 31 1/8 FT MODEL.' 2 /,1. 4 21 1/4' 34M_ 34 35 3a 3 8' 17 FT MODEL , , 2 1/4„ NA 36L 41, 42 k' 18 FT MODEL NA 2 1 2" 7 / 46M' 40 4, 46 3/4 19 FT MODEL NA 3" 1 36N 63 CUSTOM 63" WOUR SEASONS SYSTEM 4 MODULAR GLAZING PATTERNS DWG. NO. 4D-02 PAGE , SUNROOMS (1/2 IN 12 TO 2 IN 12 ROOF PITCH MODELS) DATE: 4/20/98 of , 54 f ' TOP LINE IS DOOR SIZES FOR 30 5/8" BAYS LOWER LINE IS DOOR SIZES FOR 36 5/8" BAYS 3—BAYS 6—BAYS NEW FIXED PANEL ONLY DOOR & FRAME (FITS A'L,END=BAYS ONLYI) ;7 6FPO----Z 7'-6" 3—PANEL DOOR 5,=30" BAYS..: 7.5FP0—"'Z 5' QUAD DOOR`• a FIXED DOOR.; 9' 3—PANEL DOOR b=36"'BAYS 7'6FP0—"'Z 6' QUAD DOOR P,4NEL _ *NOT AVAILABLE _ FOR 22" BAYS y J 5 4OPTIONAL•TRICKLE,VENT ` ` COMES INSTALLED IN THE RIGHT FIXED PANEL ALL-3—PANEL DOORS MAY " °OF THE SLIDING OR•A FRONT''QUAD—DOORS REQUIRE INTERLOCK POST'& BE INSTALLED'SO THAT ANY m `..e-.QUAD DOOR AS STEEL HEADER'KIT,,. (INCLUDED IN PRICES_ON ALL PANEL IS THE OPERATING PANEL ;VIEWED FROM'OUTSIDE DOOR ROOMS PRICE SHEETS FOR FRONT, DOORS ONLY.) (CAN BE REVERSED # ` IN THE,FIELD) @ `4-BAYS' 7-BAYSel , 5' QUAD DOOR I FE6' OOR 7'-6" 3—PANEL DOOR 5' OR. �i ` 6' QUAD DOOR OOR 9' 3-PANEL DOOR 6' DCOR M ` , y 1' n 5—BAYS 8—BAYS IL 7'-6" 3—PANEL ^DOOR DOOR 5 QUAD DOOR 5 QUAD DOOR 9' 3—PANEL DOOR 6' DOOR 6' QUAD-DOOR _ 6' QUAD DOOR' FRONT ? ,PANEL\3 PANEL DOORS R 0 iRE P INTERLOCK POST. (INCLUDED IN PRICES ON ALL DOOR -0OMS 4. s' , PRICE SHEETS FOR•FRONT DOORS ONLY') o FOUR SEASONS SYSTEM 4 MODULAR ALL DOOR ROOMS NO. 4D-W TPAGE I SUNROOMS FRONT (DOOR PATTERNS) (AS PRICED) w� 9/�/9a OF , • 55 r /`x . SDM-6DH SDM-13DH SAT2 •' 6AT ®T HEIGHTS FOR tft FT, 12FT, �^ s DooR 13FT, 15FT, AND 16FT 12 QUAD DOOR N ROOMS ARE SHOWN FOR _ _ OPTIONAL 5" HEAVY LOAD �:• � ;.- OF PITCH. HE MAX 2/12 RO I 5'-5 3/4"J �12'-8 3/4" 4•a (3.88m) (1.67m) SUBTRACT •1: 5/16 SDM-7DH (3.33cm) FROM HEIGHTS SDM-15DH 6AT2 .SHOWN FOR THE 3" 7AT 7 T STANDARD LOAD BARS. r— I DOOR r E 1 14 QUAD DOOR n _ (THF GLASS TRAPEZOIDS — = HAVE BEEN DESIGNED TO ' 5 WORK DEPTH HB ARS.)OTH 3" AND �6'-5 1/2" I 14'-9 1/4" (1.97m) (4.SOm ) SDM-9DH SDM-16DH 4AT2 46T2 5Ai2 SBT2 5DT2 . 12 TYPICAL 2 - E 3-PANEL DOOR I o ` 9.462 to QUAD DOOR 5 DOOR N o o^ 16 . - o" ao �8'-7 1/2' I 15'-11 .1/2" (2.63m) (4.86m) SDM-10DH r SDM-17DH 5AT2 4CT2 AT F5BT2] = .^ ^ E -PAN R N 10 QUAD DOOR 6 OR „ t2 0.^ - — — o� -` �9.-8 1/8'.� _ ` 16' 10.,1/4,. I (2.95m) T J SDM-11DH SDM-18DH r 5AT F 5BT72 6AT2 5ET2 t0 QUAD DOOR I I I QUAD DOOR 5 DOOR oN ncq 10'-8 5/8" wl - I 17',10" (3.27m) A (5.44m) SDM-12DH SDM-19DH wT A 2 5CT2 _` rr 6AT2 6DT2 p �E , 6 DOOR 5 DOOR E1 12' QUAD DOOR 6 DOOR I ^ f8'-10" (3.6.61 m) (5.74m) o FOUR SEASONS SYSTEM 4 MODULAR GABLE ENDS M. NO. 4D-04 PAGE 1 SUNROOMS ALL DOOR UNITS (2 IN 12) WITH GLASS TRAPS DATE' 4/20/98 OF 1 56 ®ENGINEERING'& STRUCTURAL LOADING INFORMATION FOR SYSTEM 4 MODULAR STRAIGHT EAVE ® ° (112 in 12 TO 2 in 12 ROOF PITCH) 5005 VETERANS MEMORIAL HWY. E" HOLBROOK N.Y. 11741 EFFECTIVE DATE 1-99 ROOF BASIC ROOF BASIC ROOM GLAZING BAR RAFTER LIVE: WIND - VELOCITY ROOM GLAZING BAR RAFTER LIVE - .WIND VELOCITY MODEL O.C.SPACING TYPE LOAD (mph) :PRESSURE MODEL O.C.SPACING TYPE LOAD (mph) PRESSURE so w (psf) (ost) (psf) S'M-6DH 2'-6 5/8" 51-133 150 135 47 S'M-15DH 2'-6 5/8" 51-63 20 80 16 3-0 518 - 51-133 130= 125 ,w 3-0 5/8" 5LB3 15- 80 16 S'M-7DH 2'-6 5/8" 5LB3 105 130 43 Z-6 5/8" 5CB5 68 80 16 3-0 5/8' 5LB3 90'd 125 40 3-0 518" 5CB5 57 80 16 S'M-9DH T-6 5/8" 5LB3 70 -110 31 S'M-16DH 2'-6 5/8" 51-133 15 75 14 3-0 5/8"- 5LB3 60 105- 28 3-0 5/8" 5LB3 10 -75 14 S'M-10DH 2'-6 518" 5LB3 55 110 31 2'-6 5/8" 5CB5 60 75 14 3-0 518" 5LB3 45 105 2B 3-0 5/8" 5CB5 48 75 14 d S'M-11DH 275/8" 51-133 40 110 31 S'M-17DH 2'-6 5/8" 51-65 25 70 13 3-0 518" 51-133 .35 A 105 28 3-0 5/13" 5LB5 20 70 13 2'-6 518" 51-135 70 110 31 2'-6 5/8" 5CB5 52 70 13 3-0 5/8" 5LB5 58 105 28 3-0 5/8" 5CB5 43 70 13 S'M-12DH 2'-6 5/8" 5LB3 30 105 28 S'M-18DH 2'-6 5/8" 5LB5 20 70 13 3-0 51B. 5LB3 25 100 26 3-0 5/8" 5LB5 =15 70 13 2'-6 5/8" -- 5LB5 $ 56-` 105 28 2'-6 5/8" - 5CB5 46 70 13 \ 3-0 5/8" 5LB5 47 100 26 3-0 5/8" 5CB5 37 70 13 ,. S'M-13DH 2'-6 5/8" 5LB3 25 90 21 S'M-19DH 2'-6 5/8" 5LB5 15 65 11 .r 3-0 518" 5LB3 20 90 21 - -3-0 5/8" 5LB5 10 65 - 11 2'-6 5/8" 5LB5 1 48 90 21 2'-6 5/8" 5C85 41 65 11 3-0 518" 5LB5 1 40 90 21 3-0 5/8" 5CB5 1 341 65 11 NOTE: WIND SPEEDS ARE BASED ON.WORST CASE EXPOSURE D. FOR EXPOSURE C ADD 10 Mph TO SUPPLIED VALUES. - i LOADS IN CHART ARE FOP.'SWM"MODELS WITH WINDOWS OR'SDM'MODELS WITH ALL DOORS.'PROVIDED THAT " DOORS LOCATED IN THE FRONT WALL ARE INSTALLED WITH REOUIRED POST OR POST AND HEADER KITS. I f i . A�31,111-e � (,77— ALABAMA - No 19 J d�tw u', sS/OXAI\,W,a'� - \ �i•Ea°•� '+v� .� .•LaF fy F\S ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA ILLINOIS •F rr�q., \JFbF ] F'1 a♦� y ~'G��"'`.IF,wFFtt-dT�`- ''`'CE�� ,��,+ J"'EOF y.,.F / -I-. -1^ -t'�Cf fir` � r•aa �wt11GEFaC� ' �S4F/•" 1 I =`°. _ �j,�-r-••*•f ,iM--:+,aa•'Y'TTt�y.�yr]{�`t-„ �.M ow� ` 'e.°joXr.�r+'t• _ I '/ gir�in00��, -+, ,.vl['' ' ''�,."01��� \,:.- 'f� � �;,:F A ��p�,o,�•- "... o.e-....r :, ?ar�sss" KANSAS KENTUCKY LOUISIANA. MAINc MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI �r"'""'�'s"y SOX rdh �eAv�-:y'•/... 3'xA.E 1F _�'a 'a/. .Y\Q,F.K� 'f^' �PA CARO,*' 9 'ty e���' .4`� y �;r 114� 2F�.. �^�; �OatSSi 1•'+, ' - LdwREXC[ �un f4:!�i g UWflENCE �L ^ ✓'�A '�+ � p.. / tid11 ' �� Flscxes nx�f ,_ tlscx_ """'" 1 - IC945 •!' 1 , fa. -.. :�Y �>.6.!.s�•.v.- Jar 1 j'Mm+n�FJ• OXdLC I'4;°✓,i �M°L]56� ', -' 1n•f`«c PoNe59Caf\ IRl6W�/ 'MC("'FISL��I MISsoURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA OHIO \ ,,,' w^Y,e Ft0 PNO f •4, �E rF c y,.....,.w., NOTES: �. aLL:�\ �..+c•w f EP�� } !-°'& ram.. 1) 51-133=3'LITE MBAR,51-05�=5"LITE BAR,5CB5=5'HEAVY BAR ;y� 1 2)ALUMINUM ALLOY FOR GLAZING BARS IS 6005-T5. `r F E F 5S.n.+ « � A.Y�..t CJ '".w...."r✓ OKLAHOMA � OREGON a PENNSYL.VANIA 'PUERTO RICO SOUTH CAROLINA SOUTH DAKOTA 3) DEAD LOAD OF ROOF SYSTEM IS 7 PSF J"'%y \' •,r:.d,�rn oR., ••••"^•E 4) ENGINEERS CERTIFICATION:I LAWRENCE FISCHER CERTIFY THAT. • • Fr a ey` }' , NC FI•., S�� - THESE ENGINEERING SPECIFICATIONS HAVE BEEN PREPARED UNDER ` - �^'+►S+^ - xrae s,'^ ( '�x a Jr {3,Syt v MY DIRECT SUPERVISION AND THAT I AM A REGISTERED - A PROFESSIONAL ENGINEER It7 HE ST TES-SHOWN, • .. 1t...c i[ to 19 //9/I '' - ,• * OF SE! L _ •"L•O.«fl' a.. "CHG� p� _. _Izir� - TENNESSEE TEXAS UTAH VIRGINIA WASHINGTON WEST VIRGINIA 5)THIS SUMMARY PERTAINS TO THE STRUCTURAL INTEGRITY OF OUR UNIT UP TO THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ANY NEW CONSTRUCTION. THE CONNECTIONS TO THE EXISTING • �!.•b:EF:["•.�^� 30.E`�J'2` AND/OR ANY NEW CONSTRUCTION MUST BE ANALYZED ACCORDING TO CONDITIONS SPECIFIC TO EACH JOB,BY OTHERS. s;�M1' E.' �Mo _ 6)WIND SPEEDS ARE BASED ON EXPOSURE D BASIC VELOCITY VASCONSIN WYOMING PRESSURES. =IL E'-ROFENG23.CDR 58 " The Commonwealth of Massachusetts, '. Department of Industrial Accidents - �1:--_ -� Ofllceol/m�esdgadoos . /Z 600 Washington Street Boston,Mass 02111 �'- Workers' Compensation Insurance Affidavit. KFUl tc.3n.:rtt 15rmafion : .,; M e-M- name* location: cry Ahone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job company name: address•. hone City: # :-.. A insurance co oolicv# ;. (� I am a sole propneto general contractor, r homeowner(circle one)and have hired the contractors listed below who have the following workers compensa on po ice/s: . - company name I, address �i9 i y'�. � SLity uran Co. com name address - _. city phone# insurance co x1 dacn�alhonai s eet.t necessary- --. H , ,� ... Failure to secure coverage as required under Section 2!A o;M M 152 can lead to the imposition of criminal penalties of a fine up to Si and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herebv cenifi•under the pains and penalties of perjury that the information provided above is true and correct • Date �/Z 7/GY> , Sienatur _T Print narne Phone# ::r"oRcial use oh do not write in this area to be completed by city or town official r' tT t city or town: permit/license# rnBuilding Department C]Licensing Board .f C] check if immediate response is required Selectmen's Once A Health Department 4y contact person: phone#; 00ther ::cs ised POD P)A) ti DATE(MWDD/YY) ACORDti CERTIFiCATE OF LIABILITY INSURANCE. 09/22/1999 PRODuci_R (508)655-0522 - �FAX (508)655-8853 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE arl i n Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2 3 West Central Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick, MA 01760 COMPANIES AFFORDING COVERAGE ........................._..........._.... __.... .......................... COMPANY CNA Insurance Companies Aftn: Ext A INSURED ( COMPANY St. Paul Insurance SNE Products, Inc. d/b/a B Four Seasons Sunrooms ------'--_ 600 Plain Street COMPANY Marshfield, MA 02050 ...... ....... . ._ ..._ ............._: COMPANY _ D COVERAGES y 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 CERT!F!CATE MAY BE!SSUED 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. Co POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER r LIMITS TR DATE(MM/DDlYY). DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S 2,000,00o X .COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG S 2,000,0OO CLAIMS MADE X OCCUR 1080042480 08/01/1999 08/01/2000 PERSONAL&ADV INJURY S 1 000 000 A OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) S 000 MED EXP(Any one person) $ 10.000. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Lt ALL OWNED AUTOS BODILY INJURY $ . SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY . • NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE 5 ' GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ' ` � . OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ 2,00O,0O0 X JMBRELLA FORM TO BE ASSIGNED 08/01/1999. 08/01/2000 AGGREGATE - a 2,000,000 OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 547X9945 08/13/1999 08/13/2000 500,000 THE PROPRIETOR/ X INCL EL DISEASE-POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S 100,000 OTHER ESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Jur Seasons Solar Products Corp. 'and Four Seasons Marketing Corp., are named as additional insured with �gard to,,the general liability.: ` 5 'day-notice of cancellation 'on Workers Comp. 10 day notice for non-pay on.Gener,al Liab & Umbrella ERTIFICATE HOLDER CANCELLATION µ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Four Seasons Marketing Corp. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5005 Veterans Memorial Highway OF ANY KIND UPON THE COMPANY,ITS AGENTS ORREPRESENTATIVES. Holbrook, NY 11741 AUTHORIZED REPRESENTATIVE Rosemary Fulham/SIMS Y(`gyp(' CORD 25-S (1/951 ©ACORD CORPORATION 198-1 I . �F t►+e ram, The Town of Barnstable • BARNSTABM • Department of Health Safety and Environmental Services 1°rEn Me't A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date 2 /4o 40 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Cost J��K. i Address of Work: �t�iiclinP� Owner's Name: I1GAgiy.5 Date of Application: I hereby certify that: Registration is not required for the folio reason(s): ❑Work eluded by law ❑J rider$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEI N PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR A LICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE A TRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ate Contractor Name Registration No. e O Date O ner's Name , q:forms:Affidav BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 052649 Expires: 11/11/2000 Tr.no: 9331 +4 Restricted To: 1 G WALTER A _SLABODEN n 10 SALT RIVER RD E FALMOUTH, MA 02534 Administrator I a HOME IMPROVEMENT CONTRACTORS REGISTRATION I Board of Bui Idi.ng RecJulations and Standards I One Ashl:ui ton Place - Room 1301. I Boston , Massachusetts 02108 I I HOME. IMPROVEMENT CONTRACTOR �- Re«istratiori 126701 Expi.rat.ion 07/08/00 Type — PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR Registration 126701 SNF PRODI.ICTS/FOl.1R SEASONS SUNROOMS Type - PRIVATE CORPORATION 7 E.F Expiration 07/08/00 6 0 0 PL..A:I N ST MARSHFIEI_U MA 02050 SNE PRODUCTS/FOUR SEASONS SUN JOSEPH D. RUSSO G�o�Jeo7", �e WPLAIN ST nonnwisrRAroa MARSHFIELD MA 02050 - - 'J ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Applicant Name: * :5A r Site Address: yl;!? �l��ca Applicant Address: City/Town: siaai &22D9&e� Use Group: L� O2o�—a Date of Application Applicant Phone: Applicant Signature: Compliance Path(check one): Prescriptive Package(Limited to 1-or 24amily wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2 lb):. Heating Degree Days(HD D6.)from Table J5.2.1a: (For items d.through L,fill in all.values that apply from Table J5.2.Ib:) a. Gross Wall Area =sq.ft E Wall R-value R- b. Glazing Area' ' r _sq•ft• g. Floor R-value R A c. Glazing%(100Jx b T a) % h. Basement wall R-_ ' w d. Glazing U=value U-= ' i. Slab Perimeter R -. e. Ceiling R-valu'e . j. Heating AFUE Component Performance:,"Manual Trade-Off"(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2)_ Zone 12' Zone 13 Zone 14 Attach Trade-Off Worksheet from.Appendix J, (and HVAC Trade-Off Worksheet, if applicable] y MAScheck Software ^ Attach Compliance Report and Inspection Checklist priniouts. Systems Analysis OR Renewable Energy Sources M1 Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area,_sq.ft. b. Glazing Area' sq.ft. d.Glazing%(100 x b+a) 4 ADDTPION with Glazing % (c.) up to 40% may use 780 CMR Table JL1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration; Ceiling . Wall Floor Basement Wall Slab Perimeter.Depth 039 R-37 R-13 R 19 R-10 R-10.4 ft "i Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area not compressed'over exterior walls,and including any access openings.) k. "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form" from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved Denied Date of Approval/Denial: Reason(s) for Denial: (provide additional details as needed on back side) r,. CONSUMER INFORMATION FORM —"SUNROOMS" Massachusetts State Building Code (780 CMR, Appendix J, Section J1.1.2.3.1) The Massachusetts State Building Code (780 CMR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructinglinstalling a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing •. Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section 11.1.2.3.1, requires that the actual property owner (not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. December 8, 1999 ignature of Actual Building vn Date F ,Tames Pinckney 23 Myrica Lane, Hyannis, MA 02601 Print Name Address of Permitted Project (508) 771-5381 Owner Address (if different than project location) Owner's telephone number C' . ' Four Seasons Sunrooms SNE Products, Inc. . 600 Plain Street(Route 139) Marshfield,MA 02050 Phone 781-834-9306,Fax 781-837-6476 ' PROPOSAL & CONTRACT Readthis Agreement and make sure you understand It before signing it This is a legally binding contract. NOTICE: All home improvement contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142A of the General Laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place,Room 1301,Boston.MA 02108.This Contract is intended to apply to commercial projects as well as home improvement projects. Contractor: SNE Products, Inc.d/b/a Four Seasons Sunrooms Tax Identification#: 04-3379345 - Registration Number: 126701 Salesperson's Name: Andrew Dionne Date:December 8, 1999 This Aereement between SNE_Products.Inc. d/b/a Four Seasons Sunrooms of 600 Plain Street.Marshfield,MA 02050,hereinafter called "Contractor" and Mr.and Mrs.James Pinckney 23 Myrica Lane Hyannis,MA 02601 (508)771-5331 hereinafter called "Owner". I A. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work consists of the following: Furnish and Install: One(1)Four Seasons Sunroom system 4 Modular See attached Scope of Work B. DETAILED DESCRIPTION OF MATERIALS TO BE USED: Materials to be used in performing the above described work consist of the following: Model:Modular SLT FH;Gable Ends_:NA Projection: 14'9 1/4": Length:28'.2 5/8'; Bays: 9 Ridge Height: 9't11 14"; Frame: Aluminum- WHITE Glazing: Sun Smart Premium Multi Coat Double Glazing MC2 Wonderglass; Accessories:Eight(8)glass kicks, one(1)6'French door,two(2.) downspouts, one(1) glass trap C. DETAILED DESCRIPTION OF.OTHER APPLICABLE PROVISIONS, IF ANY: If applicable this contract covers normal excavation. Any unusual conditions such as ledge,water table,extraordinary rock,buried materials etc. will incur additional cost. This contract does not cover hidden and/or otherwise latent conditions encountered in the construction process. This would include but is not limiied to the following: substandard construction,deterioration or wood rot,inadequate electrical or other conditions that do not meet the current building codes. i ' II. PRICE Contractor agrees to do all work described in Section I for the total pnce'of;S 52,336.35 f Total Retail Price $60,512.35 ;.. Less Sale Savings $ 8,17600, r Total Contract $52.336.35 _ III. PAYMENT Payment will be made as follows: " ($ 5,779.00)deposit due with contract (S 13,485.55)upon delivery of materials atuwarehouse; V- ($ 9,921.54)upon site preparation start; E. ($ 11,575.13)upon installation start; (S 9,921.54),upon 90%glazed ($ 1,653.59)upon completion. ` IV. ` .COMMENCEMENT AND'COMPLETION OF WORK Contractor will not begin the work or orde'r.the materials before the fourth business day following the signing of this Agreement because of • Owner's right to cancel set forth below:,Contractor will notify and invoice Owner when the materials are received at Contractors warehouse. Work will begin as soon as possible after this date and Owner will be notified of the projected start date. The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations to this Agreement. V. CONSTRUCTION-RELATED PERMITS " The direct construction permits that are necessary in order to commence work shall be acquired by Contractor at Owner's expense: Building permit to be secured by Contractor. Cost of permits not included in this Agreement. ` Contractor or its sub-contractors will obtain all necessary permits to install the materials as described in IA above at the Owners expense:Any drawings, plot plans,survey work,or other third party expenses will be the Owners expense and In addition to this contract.The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory,permit granting or inspection agencies,authorities or individuals.If the Contractor is requested by Owner to procure additional approvals to begin the work, such as Zoning Variances or Orders of Conditions,etc.,Contractor may choose do so at the Owners expense..: VI. INSURANCE y Contractor agrees to carry general liability and worker's compensation insurance. Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself,.his employees or his subcontractors in the performance of,or as a result of,the work under this Agreement. Contractor agrees to`carry insurance�to cover such damage or injury. 17 '- VII. MODIFICATION ' This Agreement,including the provisions relating to price(Section II)and payment schedule(Section III)-cannot be changed except by a written statement signed by both Contractor and Owner. Change Orders will be initiated by the Contractor whenever there is a change in the scope of work described in I above,if additional work is requested by the Owner.or if conditions unforeseen by the Contractor are discovered.The Change Order will be agreed to and signed by both parties before work continues.All Change Order additional charges are payable in fun Immediately. . t . G. ' • � III , VIII. WARRANTIES w'A. WORK PERFORMED BY CONTRACTOR All work performed by the Contractor shall be performed in a good and workmanlike manner. All work shall be of new quality provided however the Contractor shall be allowed to substitute material of a like or better quality or to incorporate used materials as may be agreed between the Contractor and the Owner. Provided payments in full have been made to the Contractor by the Owner and/or Co-Owner,the Contractor warrants the work performed by the Contractor or any sub-Contractor under this contract shall be free from faults and defects occurring from the failure to install and complete the work set forth in Section II in a good and workmanlike manner for a period from one(1)year from the date of completion of the work. The sole and exclusive remedy is the repair and replacement of the non-conforming item. The warranty provided herein shall be the sole and exclusive warranty for the provision of'services and products hereunder and the Contractor disclaims any and all implied warranties or other warranties to the fullest extent allowed under the law. In no event shall the Contractor be liable for consequential or special damages. When the project is fully completed and paid form full,the manufacturer will issue a sunroom warranty to the o�tiner: See Manufacturer's Warranty for full details. Owner shall look exclusively to manufacturer's warranty and be limited thereby for all claims relating to the subject of such manufacturer's warranty. Any claimed defects by the owner and/or Co-Owners mustf be made in writing via regiAered/certified mail to the Contractor at the address above within one(1)year from the date of completion of work. B. ASSIGNMENT The Contractor will deliver and assign,without recourse,all manufacturer and suppliers guaranties or warranties for systems,materials;items, §" equipment or services incorporated into the work set forth in Section I above. The owner and/or Co-Owner's sold remedy regarding such systems,materials,items, equipment or services shall be pursuant to such manufacturers and suppliers warranties. � .. 1X OWNERSHIP Contractor shall retain ownership of all goods&materials until such time as incorporated into the building structure and such time as they have been paid in full.Upon request the Owner agrees to execute such financing statement as may be requested by Contractor. Contractor.reserves the right to file a Notice of Contract pursuant to M.G.L.c.254 for all laborand materials supplied in connection with this contract. X. LATE PAYMENT Customer shall pay within ten(10)days after receipt of an invoice. Customer agrees to pay interest on the unpaid balance not to exceed the lesser of one and one half(1 'r4%)percent per month or the maximum rate allowable by law for all past due payments,plus all costs of collection,including reasonable attorney's fees. = XI. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable,and until all exhibits and related or referenced documents that are incorporated herein are att.uhed hereto. XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER ` This Agreement is governed by the Laws of the Commonwealth of Massachusetts.,It must be executed in duplicate,and an original signed copy hereof given to the Owner at the time of execution. I• taw 3 RIGHTS TO CANCEL The Owner may cancel this Agreement if it has been signed by the Owner at a place other than an address of the Contractor,which may be his main office or branch thereof,provided that the Owner notifies the Contractor in writing,at his main office or branch by ordinary mail posted by telegram sent or by delivery,not later than midnight of the third business day following the signing of this Agreement. OWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. /,/?Owner's Signature ",-.Dye Signed Co-Owner's Signature Date Signed SNE Products Inc. `,, Date Surfed NJ r ' x. _ _ n +F `( SCOPE OF WORK JOB NAME PINCKNEY Job# 5206 January 18, 2000 ' - Address 23 Myrica Lane, Hyannis, MA 02601 Phone 508-771-5381 FOUNDATION WORK ❑ 10" Sonotubes ` ❑ 24"bigfoots ® Superior Walls pre-cast foundation ❑ Slab on grade 4"thick slab using 3000 psi concrete reinforced with wire-mesh' supported upon 10"concrete filed sonotubes with 24"bigfoots, and 2" foam insulation SUNROOM DECK _ 9 ' ® Ledger to be lagged to existing house, ❑ #1 Pressure treated lumber frame' _ ❑X KD spruce frame X❑ 1/4"t& g fir plywood sub floor ❑ Hi-R foam insulation 2"+3/4" a k ® Kraft faced fiberglass insulation R19 ❑ Plywood underside Note: ❑ Underlayment Note: ❑ 4"x 4"pressure treated posts ❑ 4"x 6"pressure treated posts ❑ Galvanized post anchor Simpson ABA44 for 4"posts ❑ Galvanized post anchor Simpsom ABE46 for-4"x 6"posts ❑ Hurricane straps W ❑ Heavy duty pressure treated lattice - BASEWALL HEIGHT= ® 2"x 6"kd spruce 2" x 4"kd spruce ® '/2" cdx sheathing F ® Tyvex house wrap ® 1 x 5 primed pine trim ® White cedar shingles Extras ❑ Red cedar R& R shingles ❑ Primed cedar clapboard ❑ Vinyl siding ^ ❑ Other siding' Note: INSULATION ' • R19.kraft faced s RI 1 kraft faced x ❑ Other Note: ❑ %"blueboard taped& skim coat plastered %s" sheetrock taped& sanded ® Interior baseboard Note: ❑ Interior casing Note: f ROOF EXTENSION ❑ 25 yr roof shingle . } ❑ White cedar extras ' ❑ Ice &water shield @ eaves and valley j ❑ %z"cdx plywood sheathing ❑ Other Note: DECKS/LANDINGS/SIAMS r ❑ 10" sonotubes 4' below grade #1 pressure treated lumber frames ❑ Ledger lagged to house or frame of sunroom deck ❑ Ledger to be flashed against house ti ❑ Post to be thru-bolted with galvanized carriage bolt 4 ❑ Galvanized post feet ❑ Heavy duty pressure treated lattice - Decking v a ❑ 5/4 x 6 pressure treated z 5/4 x 6 cedar . ❑ 5/4 x 6 Trex ❑ 1 x 4 mahogany flooring ❑ Other Note: Rail style Note: FINISH ❑ Finish sunroom floor with ® Finish sunroom house wall with ❑ Material matching house which is R ❑ 1/2"blueboard taped & skim coat plastered 01/z" sheetrock taped& sanded ❑ Other: MISCELLANEOUS ® During& at completion of construction existing house must be left weathertight ® Call for all inspections associated with your work ® Notify Four Season office at completion of work NOTES BUILD SUPPORT SYSTEM AS DESCRIBED ABOVE, REMOVE + _ DISPOSE OF EXISTING ROCK WALL , REMOVE CLAPBOARDS WHERE NEEDED , INSTALL SUNROOM . A$ 600.00 ALLOWANCE IS INCLUDED FOR ELECTRICAL WORK. FLOOR 1 4 PAINTINGS FINISHED 'd:PLU MBING HEATING , Not include SIGNATURE DATE }_:. DATE(MM1DD/YY) ACORD CER T IRCATE OF LIABILITY INSURANCE09/22/1999 PRODUCER (508)655-0522 FAX (508)655-8853 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 'earl i n Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 233 West Central Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nati ck, MA 01760 COMPANIES AFFORDING COVERAGE ..__....... _ ... _............._......_ . _ COMPANY CNA Insurance Companies Attn: Ext: .A _... ........ ..... ... INSURED COMPANY St. Paul Insurance SNE Products, Inc. d/b/a B Four Seasons Sunrooms 600 Plain Street COMPANY Marshfield, MA 02050 ' . ,COMPANY D 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 CERT!F!CATE MAY BE!SSUED 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR °. DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S.. ... ..,..2,000 r 00U X COMMERCIAL GENERAL LIABILITY i PRODUCTS_COMP/OP AGG S 2 OQO 000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1 000,000 1 A 1080042480 08/O1/1999 08/01/2000 _ -- --- . ' OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S 1,000 oon! FIRE DAMAGE(Any one fire) S 100 000 I - .._..._..----.....-------— --- MED EXP(Any one person) $ 10.0001 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY.c.UTO •ALL C',VNFD AUTOS - BODILY INJURY $ SCHEOULED AUTOS (Per person) aS HIRED AUTOS BODILY INJURY ` N0.,C::NED AUTOS _ - (Per acc I ident) PROPERTY DAMAGE $ GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY ,UTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S E?:CESS LIABILITY EACH OCCURRENCE S 2,000,000 A ` =.EL a FORM TO BE ASSIGNED 08/01/1999 '08/01/2000 AGGREGATE $ 2,000,000 THAN UMBRELLA FORM S WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT S 100, 000 B THE PROPRIETOR X !NCL 547X9945 08/13/1999 08/13/2000. — - 500,000 EL DISEASE-POLICY LIMIT $ PAR T':ERSiE(ECUTIVE OFF�CER.S ARE: EXCL. EL DISEASE-EA EMPLOYEE S 100,000 OTHER . ' ,ESC.RIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS bury 5easons, Solar Products Corp. and .Four Seasons Marketing Corp. are named as additional insured with =_gard to- the general liability: 15 • day notice of cancellation on Workers Comp. 10 day notice for non-pay on General Liab & Umbrella :ERTIFICATE HOLDER CANCELLATION L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE i u EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Four Seasons Marketing Co r rp.r - BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY S 00 5 Veterans Memorial Highway OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ' Holbrook. NY i1741 � ��II Rosemary Fulham/S3MS CORD 25-S (1/95) ©ACORD CORPORATION 19861 The Commonwealth of Massachusetts =- -= Department of Industrial Accidents _ti�- = Ofllce ot/aYestlga�ons 600 Washington Street - = ; Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself ❑ I am as I!c rietor and have no one workingin ca acity I am an 1 ding workers'compensation for my employees working on this job.:: ::>;:; m sn namei. ....:.... :.:: >::> :.. gt[dressc? .>:-;:.;:.;:.;:.;:..:.::.;;:;: hone#. QtV• :'icw dsiance. �� of ❑ I.am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have thefollowing workers'compensation polices: ::::::::::::.:::::::::::......:.:;::::.::.::::.:.:::::::.::::::: :coat sn ..... XW ......:.............................::.......::::::......... ;;<:.:.;:.;;>;::.::. :..:....:::......:.:: ........................................:.... .......................................... ......... ................................................... ...................................... ::.:.::::::..::.::.:.::::.::::::::::::..........:...............................:.....:.........................................................:::.:.......... c tradress ....::::•::.:::•.;:::.::::.:ate::::::::::.:::•-::.:•:::::•... :::::.. :::•.:..:. ::.:...:....••:.:::::.:.::::�...:.:.. .. .::::.::::•: Fai=to secure coverage as required under Section 25A of MGL 152 con lead to the imposition of criminal penalties of a fine up to$1,M.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a Copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veri&atlon I do hereby c fy under the p ' and p 'es ojp that the information provided above is trw.and correct Si Date Print name Phone# oft C[3k"' se only do not write in this area to be completed by city or town official own• perndt/Ilcense# ❑Building Department ❑Licensi.ng Board check if Immediate response is required ❑Selectmen's Ofiice _ ❑Health Department person. phone#; ❑Other ------------ (Jetved 9195 PUq .3 TOWN OF BARNSTABLE i } CERTIFICATE OF OCCUPANCY PARCEL ID �73 086 003 GEOBASE ID108 ADDRESS 2� MYRICA LANE PHONE Iyannis ZIP _ LOT 7 �` BLOCK LOT SIZE DBA '` DEVELOPMENT DISTRICT HY PERMIT 17622 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#12095) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: Im BOND $.00 CONSTRUCTION COSTS $.00 ii 756 CERTIFICATE OF OCCUPANCY x IV >A�NSTABI.E. MASB. OWNER MORIN, JACQUES N TRS '`'' i639' A� ADDRESS BAYBERRY PLACE REALTY TRUST 300 BEARSES WAY -HYANRIS MA BUILDING DIVISIO BY DATE ISSUED 08/30/1996 EXPIRATION DATE ........... . ._........... TOWN OF BARNSTAIIL E BUILDING PBRHIT , PARCEL, ID 273 086 003 G90RAGE ID 41206 PHONE AI)DRESS 23 l�1YRICA LANE ZIP tynna$ . T BLOCK LAT " IZB DBA DEVELOPMENT DISTRICT NY PHIU41T 12095 DESCRIPTION GINGtH FAMILY DWELLING(SEW-PMT.#4012) PRRMI:T TYPI( BUILD TITLE NEW RESIDENTIAL BLBG ..P CONTRACTORS: MORIN, JACQUES N. Department of Health, Safet ARCHITECTS; and.Environmental Services TOTAL FEES: $246,60 ]BOND $.00 CONSTRUCTION COSTS 101 SINGLE FAM HOME DETACHED :I` PRIVATE. KAM 161 OWNER MORIN, JACQUES �N 'I' �e, � ADDRESS BAY13ERRY PLACE RSA ; 'Y TRUST 300 33HARSES WAY 13UEL N. HYANN I S MA � f DATE ISSUED 12/08/1995 EXPIRATION DATE 4" THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET.ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERM11TED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASETHE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTION$REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POUTED UNTIL FINAL INSPECTION WHERE APPLICABLE; SEPARATE 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2.PRIOR 10 COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH) PANCY 13 REOUIRED.SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. A ® j s BUILDING INSPECTION APPROVALS PLUMBING IN SP CT,h0 APPROVALS ELECTRICAL INSPECTION APPROVALS a r r a � �J••Z?� 3 1{ ATIN. INS�'ECTIOt:APPROVALS ENGINEERING DEPARTMENT - �s� � � J 2_ RDOF �✓f> OTHER: SITI:fi►LAf REVIEW APR VAL /✓o7�r�oi -off Z�-� WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOYED ABOVE. 'TION. Assessor's'Offiee(1st floor) Map/ A �e y' Lot Permit# �Z ZO S 1 Conservation Office(4th floor) V ^�-'��`' ®t lAr�, Date Issued 1� .LAW Conservation m- o. t. Boar o ea f-d-fl or)-(8:�0: 9:30/1:00-2:00C � Engineering Dept.(3rd floor) House �3. ; . �/ .` OpA�p�g i' � CO FROM THE Planning Dept.(1st floor/School"Admin. Bldg.) ENGIN PSIORTO •�....... C` 4 MAS6.LE efinitive P1an.Appro#ed by Planning Board ��i ,: 19 1761 �'�� M r` �v F- P TOWN OF BARNSTABLE. Building fiiit Application f ,r o' ct treet Address Vill e Owneravhf e5 -FE4wLLML f l2 Address,315&5fI6 Telephone �']I L/ (t3�a3 Permit Request 4 S; ! 61 Total 1 Story Area(include 1 story garages&decks) square feet t Total 2 Story Area(total of 1st&2nd stories) -Z square feet Estimated Project Cost $ a�5;, pop, 00 Zoning District 6(°- / Flood Plain /(/o Water Protection oUv Lot Size �A n a2,a� Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use 71,&'bt.t, Proposed Use Construction Type ddk� - Commercial Residential Dwelling Type: Single Family ✓ Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House AVv Unfinished Old King's Highway No Number of Baths %5 No.of Bedrooms Total Room Count(not including baths) �' First Floor Heat Type and Fuel AJ0 ryX 0 i r- q a Central Air P Fireplaces sowt-�4 Garage: Detached. Other Detached Structures: Pool Attached ,/ Barn None Sheds Other Builder Information Name J_ a ewa Qr A),/yJ r,yL 16Avry 4,/, . Telephone Number Address.6 a License# 1,-5 7 -9 10 ff 0 Z-420/ Home Improvement Contractor# Worker's Compensation# C&ee.ask ww� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I'/Oy, 5d . 1 Y fs BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 4 FOR OFFICIAL USE ONLY - PERMIT NO. 2 tb"' DATE°ISSUED MAP/PARCEL NO. j ADDRESS VILLAGE OWNER DATE OF INSPECTION: } FOUNDATION ° FRAME <2�,fib �'�b c--Q.N { : f ° • INSULATION FIREPLACE t ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: r,ROi1GH FINAL FINAL BUILDIA0v ..e DATE CLOSED , i ASSOCIATION RL M NO. �rr� IAug-30-96 03: 27P Jacques N. Morin 1 -508-771-2116 P.01 Vlb ruz HUU 7U 7b lk7 i l q itt``tl) 771-7960 ®o---- c• _ $L: Oh ��S �•_. .�-1j;�MODD rPR000CTS SN5PLE .',... . ..:,_: . � QstiTON"OR' T WOOD PR00"UCTS 84 A [IdS "AE20• THORNTON OR _ ®BOA1 HYANNIS MA PAGE; _ �aRSl = Y.''0uR- TRUCK SCH 'OATE: 04z30/pS YOUR is MRt}p6S: MORIN mi 4 s M@tt$E VIA: OUR TRUCK ARq DATE; 04/Zd0106 TCRMS•: 34 10TH NET'30 �U1T'8Y: 40MIN OR:.SHOP RMiO c LN DESCRIPT UTY ORO U/ti LIST OISc EXr pET 1 •1�76S7S O1 t:sOX /S a0 MIN Ref e; ftTZ 1 EA Ewa golt"I y-S/16" JO, XS Ft. r'sg, . COMP/ Arm w/$, Lo-a Rg. DIET SALES! I� OTHER CHR= i TAX t �n s, « ...... . TOTAL, , y`oFtHE, The Town of Barnstable � BARNSTABLE. ' Department of Health Safety and Environmental Services "Al:: A,fo � Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection ; , Location rv\'q 6'C'A- Permit Number Owner 1--d Builder t' One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: co e(I PAJ-14A 14&�T�A V 1z:;'k2fQ Fo(u rrL--t- L ► 4-- �n L/2 r _ � a A Please call: 508-790-6227 for reeinspection. Inspected by . Date J The Town of Barnstable BARNFrABLE.MASS. Department of Health Safety and Environmental Services 16,9. �fOMPya• Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection f Location Z--J Permit Number 2-0 9 5- Owner— i. (\A DR\k� Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 1_o Ci 'C lotit 9t0 Z- Zz 96) / f Gl,.h " S -�c-b Z _9 C> % 4t1n* (- OCD Z-17L-`1C) Please call: 508-790--6227 for reeinspection. Inspected by Y Date -' �, `OF,XETpy_ The Town of Barnstable 7 BARNSTABLE.g Department of Health Safety and Environmental Services MASS. 1639. N0 "Tfo►�� Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection P .� Location �� � A- Permit Number Owner (Sli,) Builder �4cC)a One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r Tiy�� ib 0 (.kt LL Vka e-n 14 PA L tov CV(-,Iz y too lay � c r .,� G P6 t'�j L�i) � C° �-�e � .1� - r - ram. - Az d k Stt.��C-6 \J io' 5%Uo Vywor �e 21z Z t0- Please call: 508-790-6227 for reeinspection. Inspected by � '� Date �FtHE'° The Town of Barnstable 98ARNSTARLE.$ MASS. Department of Health Safety and Environmental Services t639. �0 prFOaa+s Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection I t Location A,-1 R `, y Permit Number q OwneA, d k 1-i Builder_Y` NNA- 2. One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: L CL Y ' Please call: 508-790-6227 for reeinspection. Inspected by _ � +,�^ Date r To �Q Date Time W ILE YOU WERE OUT M of y� Phone 7 7 5—� Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message 4e ' ee I Operator �' AMPAD 23-021 -200 SETS JJ� EFFICIENCY® 23-421 -400SETS CARBONLESS 77" , DEl-pA r]MIEN'T OF LTIDUSTR ArirACCIDF.NTS ' 600 WASHINGTON STR=. games J Garwoec BOSTON, MASSACHUSFM 02111 �ornrn:ssione: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licenseeipersnittee) with a principal place of business/residence at: u. (Gry/Snc Mi) do hereby eeitify,under the pains and penalties of perjury,than (J 1 am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number ( J 1 am a sole.proprietor and have no one working for me. ( 1 am a sole proprietor,general contractor or homeowner (circle one)and have hired the contractors listed bolo, who have the following workers' compensation insurance policies: zVfWL Name of Contractor Ins =cc Company/Policy Number fie,*4�M9 Name of Cont o Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Q 1 am a homcownci, Morning all the work myself. ..NOTE':P,Jcssc be aware tz at while homeowners who emplov persons to du tnaiotenaoee,construction or repair worl;on a dwcliinc of not more t5an t.:rcc units in which the boraeowaet aiso resices or on the Frouads appurtenant thereto arc not Fcaerdh considered to be employers uacer the Workers' Comperiation Ace(CL C 15.2.sect. 1(5)),application by a bomeowoer.for a liecosc or permit may cviccncc tic Iced status of as employer under the G%orkcrs'Compcosatioo Act. 1 undc:s::nd t^:::Copv c:t'ris sute:ae n:will be forwarded to the .r cpa.;.:crt of Ind us::i:l Accidents'Orncc cf ln surancc for coverage •cr:;a::or. :nd s .._...:c :a scct::e eovc.--ec s recuired under Scc6on 2' 'of.iG:. !;=err,lead to L'i:impoiitiott of criminal penaluc cc iisaa of:iM.c of err I S i 500.00 arxG or imprisonrn tnt of up.to one yc::wid civi pcn:aics.Ln ttac form of a Stop Work Ordcr and fin;of S 100.00 a day a€:n;t mc. Signed this day or f. t J. DEPARTMENT OF PUBLIC SAFETY r ON E .ASH BURT Qfl PLACE, RM 1301 �� 0 3�95 2108 BOSTON - f,� _ - 1618 CONSTRUCTION SUPERVISOR LICENSE ` N'a�ber= Expires: C- iG ir., .. - ;, _ kA `•. jam+•-�3 ` .. JACQUES N MORIN �. ��--_�D* teach bottom, -fold sign on ' "`" "v' WAY back, and larlinaie iiCPP.s2 card n.Ar•:; .•� < ,� ;fc'eep top for receipt and change F ,.t i 7 aUvr2SS i�O tl f lCu Li i - RestrictedTo: lU ! - ORARTFENT OF PUBLIC SAFETY CHSTR'J�filtf .SUPERVISOR LICENSE 00 - Hone . J —Expires: IG -,1 a 2 FasilYNita N BAMES N rORIN �_716 BEARSES VAT $ " � . HYANNIS,-fiR 12601 t N. ..�.. ... ,%..� •ti:. 'r+.. wn'..,:.-,' .,;;ai,: r -,laM4YA - .. , .-. .. - _ _ .. _ ... ,..krs-,.-.r.. ... [.,. ..:., 1.. -...6..: A_ .. �oF'"E Towti Town of Barnstable, Massachusetts • r Department of Planning and Development r • 9 KASS. Office.of The Planning Board a $ 039. �0 ATf0 MA't A 367 Main Street,Hyannis, Massachusetts 02601 (508)775-1120 ext. 190 June 20, 1989 Aune Cahoon, Town Clerk Town of Barnstable Town Hall 367 Main Street Hyannis, MA 02601 Re: DEFINITIVE SUBDIVISION 4701 - SPECIAL PERMIT MODIFICATION Open Space Subdivision 4J701 ; "Bayberry Place" ; SUbd1iviscion Plan o.F Lend In (Centerville) Barnstable, Mass . Prepared For- Bayberry PIace Realty Trust, Jacques N. Morin, Trustee; Plan dated 12/20/88; Low Fs Weller Engineers ; Assessor's Map 273 , Parcel 86, 90, 91 , a 110-4 . At a duly posted rneeting of the Barnstable P1anr.ing Board held June 19, 1989, it was voted to APPROVE the request 'to MOD I FY the SF)EC 1 AL PERMIT, pursuant to Section 3- 1 . 6 of the Zoning Ley l aw of. the Town of Barnstab I e -to .a 11 ow the reduct 1 on i n s i deyard setbacks from f i fteen ( 15) to eight (8) feet for all lots, with the EXCEPTION of Iots> 1 , 3 , 11 , and 12 , in subdivision 11701 , "Bayberry Place" Respectfully, oc� Cd .�a d_ Jos p E . Bartell , Chairman w± nstable Planning Board 10 f JEB: vk tT �,, I = � 3 - -- - - - m ye em e.x i6�i`sg�ess - vw�:m_ Front Elevation �o _ gEt i pi :LIP Vi �r Left Side Elevation Right Side Elevation p, H a w w a. L Rear Elevation 1 . - � iCrr: Covt[ecte[to ecrlf�ALL'. �� dlueveloa end/o[ezfettv6 led eke s - ' !e`e[a oedfala cev t fa - oo SfY daeiaar lmedfete])of eer dleerepeeq. VINDOV SCHEDULE m S.u+ts+exs _ lG W WN on. an NEKAftS . b •a ne _ _ ® Pns x lTJs a/A_ e,m-CafO[pr�. g a -3 s/r.r-r AA0¢0 Yta+xawa ez 06v Y-3,/rJ-3 a/r [vo-G1tYEFt ed0.pC ti.IS, . y xr o.c - -a:A•ri+,/r nm-nnua.om. Y T CY-3 a/3'J-r Lil DOOR SCHEDULEWood Deek xm Lim staLim, rtn RDwsIYasDECK & RAIL DETAIL sc.a,•. © O hiving_ '-e b _ Breakfast t0'6.,tl'r t tchenT 00 -___ ~ - - b' . b 1\1 ,a/rA,/f ewweK bI LH. � � b � •ti��—►�i[ �________- —_ _ _ Twy. 381.aeg- -Vitt t r[ a3 G nG closet ng IEtg_e13s€ I Garage W n n Dining Ls _ "__" r ^ OPTIOt;AI BATH ---- A ' t2'.t1' 14 Entry f- b z Bedroom b a f rz r eKMG3 e00x t r e.SlMl.w Oefn b � Qzi n - - 0 C 0 e � frT First Floor Plan w € A '•.' "`riy ":�a-;. ..3 "',,. 5 .;14-." A :-,J fj.X P r2«c1 a ,� m.. r x� �.. i - I •:7rlrr1;;4'�r 4 A t ff1 'J1LLU J1LLI 3� yC��� § t 11. 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W L :J' aa..J _ OPEN TO BELOW 14 tea- A b W U) w e x. a-p E- Second Floor Plan " Ln e d d n.r .�.-.�,++ Ap' ... ,..ry:.. ,,:.. � �r�::�-4,^t•�.,r^. ,9. ,,y'f4Etcas'a.;s r+,.,,_ .0 :% Ir ,a;.. .Sad s/ ;�'�..'.:.�,. ..tFva ,i..'r;+I.i. ...... o � A 5 _ py46 rd • 1' .sue ----- -r-- ,-�,.------- -------- � �� ...E l n g.: • wrs:sp<..wra a a-a.Bsw>r're,w B � .�, __ iow¢s c� _ - Li r r u , , e n i :':—aim --6- ----- i ,-1------'-- - - -_�-- ------ ----- �,j? r-'I, flzFj ------------------ - • r - r 0 r•r - ' GFirr f^xO B•aR1 t t r ♦ r r r ytt b JR.rx L- t_____ •S .� ,_ 1 <�•�� -___ _____r FOUNDATION DETAIL @ WALL INTERSECTION ltr•tT�.. •v.'<' fIB a:¢as q Full Basement I � 99•.IR_I^ J �I .' !•V rr4t.0 iKx.<tlK. Z C. noun a<aan«r®<m.ou�or r'r r r F z I tr ovaaa - e�• +— ,r-r-r�-r r-� rr ror.a•trc.. 0 , r _ r,r r r .: b r roonrc O,nJ ------------ , • r t a -------------- rarUrfr:a' —�= a L1 W r o m x Foundation Plan F' Ln k .�scG,ti<.r .... ... ,.. w r h_: � F.%- .u�,r:-..''xi,: -.S�..t,w ... :.• x.a 9i'�,..,. F":v,.. -i'.�.-"fir �. . ^'�. : �,::::.r - � .r..,.i.: .u.:3,.._3i -.x. __ � w� .._•XF+�...}Y .��,..�a1.-:s-.�4.t,-'�". ':'�ot? t ..T�::,��`•,�„a ..6 .�`..£. ..;�'+J.,�.. ..+:>a.. .t z'::f..3a k u '•.,,.;.:2w-...� +"ems• tiu . g:.g.r,as a R.>aonrtn m•.,a g.d ma<n,d a,o gear.,.Ra.,!oc S b . gm wag,g•nc K««t,.oar g,•aE . g a°arawe nwc f0' - 10.�WR dSLL.i[ar.°d IInla v� vray vn?[az R,vaag ____ _________i — — ]/MMtMr guy,a/r.g r/r ,a M GR• p Bath Bedroom R.r'a`a.�t. ______________ ' ig •r�ga�.�a s Cgt •,r ac IINuaM - .� �� a�sr�.- b r/f c,rs W. CS Living Room Entry2 � 8a a - arn-Er CLOS M CLOSET_ - •�.6a Dining Kitchen - SQ=aEgg� - raOi S/r K,t srgru ,g M as•,r gc reRr r,a. - . rsm ng. u , nerM __ - ----R--- _ -- ^-i------ lT'---- -� "--°-_; '.i o g Full ent o�o°p"`.r t FEZ - --- - - n----- Fd o a«y>n �r ,r T Basem �� - ��r:r B • ED Section Thru Main House KA Section thru kitchen/dining � � / SO C•ntractar to a[fl> L gy p 9� yY s[4 SVL,/l.,-0 � � 2 gi ne ana/or ezf rttnLieo�f[Song fig?°1�6�91}ins . COun Rg aaigner inneliacel>of - CStB. F eaTniis Bro./si.aia �,o _ � FUU Basement —F E Section Thru Laundry & Family a �.. 6. LO ,<. .«. d>'in.,..«-�+. :..., + uS *r^r.�,u`.... ... �$.+y c. ..M.'.. ., .: _...�.. � i ..;rh. .. c:,W...-tM.;.Y .£9 .:..sa.dx -1d'- hC'6�7C. .�+ - - •.� .,� -,;/ _.,...�,.t„��., . 4..:„ �..._. :. .,. . , ..�.,.,_e.�,. ;_..-Yz�':==x�"�,�:�e.A.��,�,.,�U�,_ ...�. _ ��� ..�. r: , ..-;�. .. .kTs �<:�.. %�. _ r.� Sri.:� ..�k�a�;;.�[/'�,�.>�«:?,��»•:� _�,�. 100, o ems, 7- 7\K 3 S4?py - Q ep(.0 r \ Z�Ile O � CERTIFIED PLOT PLAN 4 LOCATION SCALE . �.��:.-3o i... DATE . .40%1,."V.d94 PLAN REFERENCE LLEY 26100 41. two I CERTIFY THAT THE �!!�c �!'vD �'vs7'• SHOWN ON THIS PLAN IS LOCATED ON THE GROUND - AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF .WHEN CONSTRUCTED. n DATE ��V. ZSURVEY v1">lNa �� -/+Lr�T/vlv4zREGISTEREDND �oF 1"E rotyti Town of Barnstable, Massachusetts °• -Department of Planning and Development anxrvsrnat.�, Office.of The Planning Board 039. 0 M °' 367 Main Street,Hyannis, Massachusetts 02601 (508)775-1120 ext. .190 June 20, 1989 Aune Cahoon, Town Clerk Town of Barnstable Town Flail 367 Main Street Hyannis, MA 02601 Re: DEFINITIVE SUBDIVISION 4701 - SPECIAL PERMIT MODIFICATION Operi Space Subdivision #701 ; "Bayberry Place' ; Subdivision Plan of Lend in (Centerville) Barnstable, Mass . Prepared For- Bayberry P 1 acr Realty Trust , Jacques N. Morin, Trustee; Plan dated 12/20108; Low 8 Weiler Engineers ; Assessor's Map 273 , Parcel 86, 90, 91 , 8 110-4 . At a duly posted meeting of the Barnstable Planning Board held June 19, 1989, it was voted to APPROVE the request to MODIFY ,tare SPECIAL PERMIT, pursuant to Section 3- 1 . 6 of the Zoning Bylaw of the Town cif= Barnstable, to .:aIIow the reduct1on 1n sideyard setbacks from rift:een ( 15) to eight (8) feet for all lots, with the EXCEPTION of lots 1 , 3 , 11 , and .12, in subdivision #$701 , "Bayberry P1oce" : Respectfully, CX) 011 C_ Jos p E. Bartell , Chairman NJ nstable Planning Boardcz ry JLB,:vk � UNITED CASUALTY AND SURETY INSURANCE COMPANY LICENSE AND PERMIT BOND For County,City,Town or Village Only. Not Valid for Contract,Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. KNOW ALL MEN BY THESE PRESENTS: BOND NO: 001242 Thatwe, Jacques Morin, 300 Bearses Way of the Town of Hyannis ,State of Massachilisetts as Principal,and UNITED CASUALTY AND SURETY INSURANCE COMPANY,a corporation duly licensed to do business in the State of Massachusetts, as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts, as Obligee, in the amount of One Thousand and 00/100--------------------($1,000.00-----)DOLLARS, lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH,That whereas,the Principal has been licensed or issued a permit for the purpose of opening and or occupying a public way located at 23 Myrica Lane, Hyannis MA by the Obligee. NOW THEREFORE,if the Principal shall faithfully perform the duties and comply with the laws and ordinances (including all amendments), pertaining to the license or permit, then this obligation to be void, otherwise to remain in full force and effect for a period commencing on the 30th day of November , 19 95 , and ending on the 30th day of November , 19 96 , unless renewed by continuation certificate. This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal, in care of the Obligee or at such other addresses the Surety deems reasonable, and at the expiration of thirty-five days(35) days from the mailing of notice or as soon thereafter as permitted by applicable law, whichever is later, this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 30th day of November 19 95 Principal .. Witnessed p,��t a, J_ UNITED CASU SURE I SURANCE,COMPPrNY B , By y - i1�Q :� : Todd S.Carrigan Preaidcnt,�-AUomey.in-fact ss: ACKNOWLEDGEMENT OF SURE STATE OF MASSACHUSETTS County of Suffolk On this 30th day of November , 19 95 before me, the undersigned officer,personally appeared Todd S.Carrigan,who acknowledged himself to be the aforesaid officer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation,'and that he as such officer, being authorized so to do, executed the forgoing instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF, I have hereunto set my hand and officia eal� Notary Public ACKNOWLEDGEMENT OF PRINCIPAL ss: (Individual or Partners) ` STATE OF County of On this day of ,19__,before me personally appeared known to me to be the individual(s) described in and who executed the forgoing instrument and acknowledged to me that he executed the same. My commission expires 19_ Notary Public ACKNOWLEDGEMENT OF PRINCIPAL ss: (Corporate Officer) STAIT Or County of On this _ day of 19 , before me, personally appeared ,who acknowledged himself to be the of a corporation,and that he as such officer, being authorized so to do, executed the forgoing instrument for the purposes therein contained by signing the name of the corporation by himself as such officer. My commission expires 19 w. Notary Public o, z u _ :E w z ►4 O Qj `0 • UNITED CASUALTY AND SURETY INSURANCE COMPANY BOSTON, MASSACHUSETTS POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That UNITED CASUALTY AND SURETY INSURANCE COMPANY,a corporation of the State of Massachusetts,does hereby make,constitute and appoint Todd S.Carrigan of Ouincy,Massachusetts its true and lawful Attorney-in-Fact,with full power and authority,for and on behalf of the Company as surety,to execute and deliver and affix the seal of the Company thereto,if a seal is required,bonds,undertakings,recognizances,consents of surety or other written obligations in the nature thereof, as follows: Any and all bonds,undertakings,recognizances,consents of surety or other written obligations in the nature thereof and to bind UNITED CASUALTY AND SURETY INSURANCE COMPANY,thereby,and all of the acts of said Attorney-in-Fact pursuant to these presents, are hereby ratified and confirmed. This appointment is made under and by authority of the following Resolutions adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY,at a meeting duly called and held on the 1st day of July, 1993 which Resolutions are now in full force and effect: 'Resolved that the President in conrynction with any Secretary or Assistant Secretary be and they are hereby authorized and empowered to appoint Attorneys-in-Fact of the Company, in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company. Any such writings so exerted by such Attorneye-in•Fact shall be binding upon the Company as if they had been duly exerted and acknowledged by the regularly elected Officers of the Company in their own proper persons. This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY at a meeting duly called and held on the 1st day of July, 1993: That the signature of any bfficar authorized by Resolutions of this Board and the Company seal may be affixed by faeaimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond,undensking,recognizance or other written obligation in the nature thereof;such signature and seal,when so used being hereby adopted by the Company as the original sionsture of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,UNITED CASUALTY AND SURETY INSURANCE COMPANY has caused these presents to be signed by its proper officer and its corporate seal to be hereunto affixed this 1st day of July 1993. UNITED CASUALTY AND SURETY INSURANCE COMPANY 0, w -X V r By--- j Timothy M. Ca an Secreta State of Massachusetts,County of Suffolk ss: On this 28th day of September in the year 1995 before me personally came Timothy M. Carrigan to me known,who,being by me duly sworn,did depose and say:that he resides in the State of Massachusetts;that he is Secretary(Surety)of UNITED CASUALTY AND SURETY INSURANCE COMPANY, the corporation described in and which executed the above instrument;that he signed his name thereto by the above quoted authority;that he knows the seal of said corporation;that said$eal affixed to said instrument is such corporate seal,,and that it was so affixed by authority of his office under the by-laws of said corporation. �✓(�..6 J` � . Notary Public Carol A. Carrig ' My commission expires: 7/6/2001 I,Timothy Carrigan,Treasurer(Surety)of UNITED CASUALTY AND SURETY INSURANCE COMPANY certify that the foregoing power of attorney,and the above quoted Resolutions of the Board of Directors of July 1, 1993 have not been abridged or revoked and are now in full force and effect. Signed and sealed at Boston, Massachusetts, this 30th day of November 19 95 Timothy M. Ca igan, Treasu er '