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0083 QUAIL LANE
�. i �__� __`-`�� � i `�. A �,. +. F 1 f� I� �1� TOWN OF BARNSTABLE _ PARCEL ID 287 144 GEOBASE ID 19088 i ADDRESS 83 QUAIL LANE PHONE - HYANNIS ZIP - LOT 27 , 28 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 85851 DESCRIPTION CERTIFICATE OF OCCUPANCY FOR DEMO & REBUILD PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: ' $25.00 BOND $.00 �tME 1q� CONSTRUCTION COSTS $.00 '�{►� 101 SINGLE FAM HOME DETACHED 1 PRIVATE0�'x • * BMWSTABLE, Mass. i639. � BUILDIN DIVI ION BY DATE ISSUED 08/02/2005 EXPIRATION DATE /f /66o, pi1+ItM ]t t PARCEL ID 287 144 , I QEOBAS 088 r �` ADDRESS 83 QUAIL LAI PHONE . -- HYANi3IS - s . ZIP - - _.LOT 27 2e, BLOCK •� LOT SIZE DBA DFVFLOPt4RN7 DISTRICT HY NOR TYPE ! UIL `TI'DIM t ON NEW`'REsBDRNDIA�BBDDG/PMTH C3AFtAOE 24 x 24 —CONTRACTORS:" PRATT,TRACY Departme�nt Of AAR 11I TECTS: Regulatory Services TOTAL FEES: $1,899.44 " BOND $ 0q � 'CONSTRUCT-ION ;COSTS $425,472.0,0 101 SINGLE FAM _IOME DETACHED l ''. PRIMATE ;* 7n" r * BARNSTABLE, i6 ` l 39. BUILDING DIVISION BATE ,ISSUED 08j25/2004 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY,OR SIDEWALK OR-ANY PART THEREOF,:'ciTHER TEMPORARILY'DR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UtAr"FR THE BOiL:nING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS Mi i0@T4t"-=- FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF 7* PPLICAB SUBDIVISION RESTRICTIONS. \ MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS "3'BE i ,QINED ON JOB AND WHE RE, I ;RWCABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT JNTI NAL INSPECTION �~ 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE RE A CERTi iCATE OF OCCU PERMITS L,PLUMBING MBING AND FOR (READY TO LATH). PANCY IS REQUIK; D,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECM; 3.INSULATION. tOCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. a: Ats}ICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. IffemmadmMMU013 REM= BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ` E CTRICAL INSPECTION APPROVALS VM *&Als � /w' I 'h rk 2 2 i 3 7_ a� �N/4 b "' 1 TING INSPECTION APPROiIALsS` ENGINEERING DEPARTMENT r 2 D 5" BOARD OF TH J OTHER:AY& SITE PLAN REVIEW APPROVAL y WORK SHALL N PROCEED U TIL PERMIT WILL BECOME NULL'AND VOID IF CO"' " ^GrT!ONS !^�p1CATED ON THIS THE INSPFr NS A"PROVEDTHE ST ! ,LION WORK IS f30T STARTED WITH .NGED FOR BY ��` ' OF COI'.=STRUC- 4 110 11;r DATE-TH;; PERrAIT,�1',''"° - i "-"INOTIFICA a J rJ r u 1 , f 179 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO Map - Parcel Permit# y � w. Health DiNion 'R/ ' s Ur BARNS ABL,eate Issued k a-'r O Conservation Division �El v Application Fee PM 12: S! Tax Collector Permit Fee'.6-Afe, lee'll Treasurer �g�m �� �� Planning Dept. EXISTING SM Date Definitive Plan Approved b Planning Board LIMITED TO �F BEDROOMS pp y 9 Historic v'\ 10621�RiNs� C.o Project Street Address L Village Owner Address / IV,IVY cog- Telephone Permit Request41� _JJ`Y>-r�f`� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District R(' Flood Plain Groundwater Overlay 70-Ae,f L Project Valuation Construction Type Lot Size 2�� Ste' Grandfathered: ZYes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑' Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes <o On Old King's Highway: ❑Yes Xo Basement Type: P Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 15 d Basement Unfinished Area(sq.ft) —S Number of Baths: Full: existing new 'Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new— First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other �`'( •1 Central Air: AlYes ❑No Fireplaces:Existing New / Existing wood/coal stove: ❑Yes Detached garage:❑existing Xhlew siz Pool:❑existing ❑new size Barn: existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ' 7s�v$ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ —Commercial ❑Yes No . If yes,site plan review# Current Use ,,%` Proposed Use BUILDER INFORMATION Name Telephone Number Address License# � � Au-l"i t22Z!YZ Home Improvement Contractor# Worker's Compensation# IX 4D02_4�2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 49__VW SIGNATURE `� DATE l FOR OFFICIAL USE ONLY PERMIT NO. '-DATE 1S—SUED MAP/PARCEL NO. c r ADDRESS VILLAGE a OWNER DATE OF INSPECTION: FOUNDATION IoIS&K Al),, `Ro N T FRAME _ Z ,6 C f/ O a /S 6S .✓S O s`� ,00 x C 1,4 � INSULATION /NS!> d` S fps O CUl< R FIREPLACE r ;T - ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL �- GAS: ROUGH -�`- FINAL ' FINAL BUILDING i Sol - .. DATE CLOSED OUT ASSOCIATION PLAN NO. { i r A Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Cj ntractor Registration Reqistration: 101587 Type: Individual F Expiration: 6/26/2006 PRATT CONSTRUCTION CO. Tracy Pratt PO Box 731 Marstons Mills, MA 02635 S Update Address and!return card.dark reason for chang DPS-CA1 0 50M-04/04-G101216 Address D Renewal ❑ Employment Lost Card ,per lie �ar�rinaoouueczCCfi o�✓f/lczaaacfucoel�a ` �\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 101587 Board of Building Regulations and Standards Expiration:6/26/2006 One Ashburton Place Rm 1301 f Indm Z..dual Boston,Ma.02108 ry ,t�Type r PRATT CONSTRUCTION CO Tracy Pratt 153 LOVELLS LNA* Marstons Mills,MA 02635- Administrator Not valid without signature fie -VarrzimareureaCt�z i��raaac�uaelta BOARD OF BUILDINGi REGULATIONS License: CONSTRUCTION SUPERVISOR Number:CS . 046230 Birthtl6te 03/02/1945 E - 1-01 0f. 03/02/2005 Tr.no: 9089 -- Restricted 00 TRACY D PRATT i PO BOX 1720 `;. �y COTUIT, MA 02635" •"_ Administrator l f I MAScreck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-18-2004 DATE OF PLANS: 07-30-04 PROJECT INFORMATION: Solomon Residence 83 Quail Lane Hyannisport,MA 02647 COMPANY INFORMATION: Archi-Tech Associates, Inc. 6 School Street Cotuit, MA 02635 COMPLIANCE: Passes Maximum UA = 843 Your Home = 757 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA --------------------------7---------------------------------------------------- CEILINGS 1223 30.0 0.0 43 CEILINGS: Raised Truss - 2198 30.0 0.0 70 WALLS: Wood Frame, 16" O.C. 4107 19.0 0.0 246 GLAZING: Windows or Doors 793 0.320 254 DOORS 19 0.290 6 FLOORS: Over Unconditioned Space 2943 19.0 0.0 138 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for thi building, and the cooling load if appropriate, has been determined usin the ap licable Standard Design Conditions found in the Code. The HVAC e ipment selected to heat or cool the building shall be no greater than 25% 'o th design load as specified in Sections 780CMR 1310 nd Builder/Designer Date '0 _ The Commonwealth of Massachusetts Department of Industrial Accidents' - _ 600 Washington Street Boston,Mass. 02111 . Workers'-; Com ensation.'Iinsurance Affidavit-General Businesses name: , address n e.J. `( state: zip: Rhone# ! �3 work site location(fall address)• . I am'a sole proprietor and have no one Business Type: D Retail 0 Restaurant/Bar/Eating Establishment working in any capacity. ❑Office Sales(mcludmg.Real Estate,Autos etc.) ❑I am an em to er with em to es full& art time) ❑ Other t I am an employer providing v,Iorkers' compensation for my employees worldng on this job.- +j. '•f ..` .' aaaress:` J insiirarice.cot 11:FOR:W11,19,20: 2222 I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices:. com an name• address:. •1 :Lid' . « .k.• �' •4•fir ' • is :, •,.,.:...•'.•..�1 is ^`t�r,c' `I: r �'• insurance co. / com y.-ease: ,."'n _ ..'•�ease .. •. .. . .i :' .�. � • aiidr � •• `} crr r. ;;..: . - insurance cb:•. . '::;: • olic.':#•;�.`: ; Failure to secure coverage as required under Section 25A of MGL I52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the.`siim of a STOP WORK ORDER and a fine of sioo.00 a day against me. I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certi er he pains a pe ties o[}. 'ury that the information provided above is true an correct Signature Date Print name /l � y1 �/ �&J,77 Phone# S -44e -C,(33 3. . official use only do not write in this area to be completed by city or town official LC own: permit(license# ❑Building Department _ _ ❑Licensing Board k if immediate response is required ❑Selectmen's Office []Health Department person: phone#; []Other ept 2003) Inforination and Instructions r r Massachusetts General Laws ch*pter152 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 finder 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 mare of the foregoing engaged in ajoint 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 havingnotmore than three apartments and who resides therein, or the,occupant,of the dwelling house of its to do maintenance, construction or repair work on such dwelling house or on the grounds or o loy s erso another who emp. Y P . building appurtenant thereto shall not because of such.employment.be deemed to be an employer. .. MGL chapter 152 section 25 also'states that every state*or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage requlred. Additionally,neither the commonwealth nor any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the 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. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department-of Industrial Accidents for confirmation of insurance coverage. Also'be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Aceidenits. Should you have any questions regarding'the"law"or if you are required to obtain&;workers' compensation policy,please call the Department at the number listed.below. . City or Towns . complete and printed legibly. The D Department has provided a space at the bottom of the Please be sure that the affidavit>s comp peP . ce of Investigations has to contact you regarding the applicant. Please affidavit for you to fill out in the event the Off' be sure to fill..in the permit/license number.which will be used as a reference number. The.affidavits may.be returned to the Department U.mail or FAX Ubless other arrangemnents have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents_ effl o of West pits 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 I el , Book 1030 Page 58 Doc. No. 544,587 Ctf. No. 125698 TRANSFER CERTIFICATE OF TITLE From Transfer Certificate No. 116012 Originally Registered November 15, 1988, in Registration Book 949 Page 92 for the Registry District of Barnstable County. THIS IS TO CERTIFY that Robert J. Solomon and Nancy B. Solomon, husband and wife, both of 325 East 57th Street, New York, New York 10022, are the owner(s) in fee simple as tenants by the entirety of that land situated in Barnstable in the County of Barnstable and Commonwealth of Massachusetts, bounded and described as follows: \ LOTS 27, 28 and 29 PLAN 19844-J So much of said land, as is included within the limits of Prospect Avenue, is subject to the rights of all persons lawfully entitled thereto, in and over the same, and there is appurtenant to said land the rights to use Prospect Ave- nue and the Way in common with all others lawfully entitled thereto. And it is further certified that said land is under the operation and provi- sions of Chapter 185 of the General Laws, and that the title of said �. Robert J. Solomon and Nancy B. Solomon to said land is registered under said Chapter, subject, however, to any of the encum- brances mentioned in Section forty-six of said Chapter, which may be subsisting. WITNESS, JOHN E. FENTON, JR., Chief Justice of the Land Court, at Barnstable, in said County of Barnstable, the seventh day of February in the year nineteen hundred and ninety-two, at 3 o'clock and 56 minutes. Attest, with the Seal of said Court, JOHN F. MEADE, Assistant Recorder. Land Court Case No. 19844 MEMORANDA OF ENCUMBRANCES ON THE LAND DESCRIBED IN THIS CERTIFICATE 125698 DATE OF INSTRUMENT DOCUMENT KIND RUNNING IN FAVOR OF TERMS SIGNATURE OF DISCHARGE NUMBER DATE AND TIME ASSISTANT RECORDER OF RE07STRATION 544,588 Mtge. Cape Cod Five Cents Lots 27, 28 & 29, 2/7/92 DISCH � ZZ Savings Bank $168,750. 2/7/92 3:56p.m. _ c� ATTEND. ATTEST ASST,RECORDER 544,589 C/Mun. See Doc. 1/9/92 Liens 2/7/92 3:56p.m. l- �t Barnstable County egistry of Deed A True Copy, Attest John F. Meade, Register This Certificate is attested as to encumbrances with a date of registration prior to -A - x Encumbrances listed on this certificate after that d, . have not been fully verified ai idare not covered and r kk provisions of MGL Ch. 185 Sec. 46. I l 5 • 'i Town of Barnstable OF SHE Tph,M o� RegWatou Services Thomas F.Geller,Director gib s6�9 A,� Building Division ATFD .� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . - www.toyrn.barnstablema.us _.. Faxa 508-790-6230 Office: 508462-4038 -- Property Owner Must Complete and Sign Tl is Section If Using ABuilder as Owner of the subject property he authorize . to act on mybehalf; . in all matters relative to work authorized bytbis building permit application for. (Address of Job) '6"�= r ate r� Print Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE �,76 square feet x$96/sq.foot= « (�D°i`d x.0041= f �• lec plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ Y3Z x.0041= �5 • �� ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf 100.00 >1500 sf-Same as new building permit: 51 square feet x$96/sq.foot= - x.0041= STAND ALONE PERMITS Open Porch x$30.00= J G• 0 O (number) Deck--- x$30.00= (number) Fireplace/Chimney x$25.00 (number) Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) ' 7 n Permit Fee 7 - Proj cost Rev:063004 'h , r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Y�U l . Parcel Application 6.o�o Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee S Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Add ' l�, LOW Village rr--:T Owner SI-t6 dress 1?2q L -fT Telephone Permit Request -V, A 1+�� -�- �.� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District i� Flood Plain Groundwater Overlay Project Valuation 6<6 10-ko Construction Type ' L•--Q j _ (J._. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supp rting d urentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) v' Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' Iway: l Yos: ❑ No Basement Type: Xull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) [ S Basement Unfinished Area(sq.ft r�4 Number of Baths: Full: existing new Half: existing nP Number of Bedrooms: existing _new Total Room Count (not including baths): existing j f new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other 4 Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/cq- stove: a Yes��No _ n� 0D Detached garage. isting ❑ new size— existing ❑ new size _ Barn: ❑exiC;g ❑ ne Wi7e_ o Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: . w o r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ rn Commercial ❑Yes ❑ No If yes, site plan review# Current Use ) Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)- Name Telephone Number �:J s �^ Address r> License ��'� `J9'`'1 f"'� �� f2�y► Home Improvement Contractor# Worker's Compensation # w ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WIL BE TAKEN TO ! 0 DATE SIGNATURE / �� i - FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED MAP/PARCEL N0. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: - FOUNDATION FRAME . INSULATION = �� �- 0 f L FIREPLACEAl i ELECTRICAL: ROUGH FINAL "1 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL " FINAL BUILDING a DATE CLOSED OUT r " ASSOCIATION PLAN NO. IT v Y � The Comimonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' ' d 600 Washington Street Boston, MA 02111 , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): S Address: 'z� ! 77iV City/State/Zip: a4hJlMq S Phone.#: .Svc 3 Are an employer?Check h appropriate box: Type of project(required): IZ I am a employer with 4. I am a general.contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction .2.0 I am a sole proprietor or partner- listed on the attached sheet. 7.. 0 Remodeling ship and have no employees These sub-contractors have g. 0 Demolition workingfor me in an capacity. employees and have workers' Y P ty. $ 9. ❑Building addition [No workers'-comp. insurance comp.insurance. required.] 5. 0 We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 64w' Comp.insurance required.] J. *Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M W �� w/ Expiration Date: 2 Job Site Address: / tir-� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number nd expiration date). Failure to secure coverage,as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerii the pains and enalties of perjury that the information provided abov is true and correct Si afore: Date: `� 0 Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: t . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees: Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house.of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-con6actor(s)name(s),.address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-774 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAA DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: P4t Site Address: P`"'` Town: Applicant Phone: 2 ( 6 � Applicant Signature: Date of Application: /2Z G NEW CONSTRUCTION:. choose ONE of the following two options) , 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM' MINIMUM _ Ceiling or Slab ❑ _Option l: Basement Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE FISPF SIsIR R'-V R-Value alue and Depth National Applivice Energy 3 5 R-3 8 R-19 R-19 R-10 R-103 Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or greater as applicable Note: This form is not required if you choose either of the two versions of REScheck as.listed below. ❑ Option 2: �. REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) RE'Scheck--Web which can be accessed at http://www.enerUcodes.gov/reschecly ADDITIONS` ALTERATIONS TO EXISTING*BUILDINGS:OVER'5.YEA.RS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above, Complete the following formula to determine the % of.glazing: (a) Gross Wall & Ceiling Area equals LFqorMnula: 100 x b - a) SF — _ % of glazing(b) Glazing area equals. SF If dazing is <40016 tise.the chart below. If.glazih :is_> 40.% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRE PTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM ' Ceiling and Slab Perimeter Exposed Wall Floor Basement Wall U-factor xposed floors R-Value R-value R-Value R-Value R-Value and Depth .39 R-37 a R-13 R-19 R-10 R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access openings). ❑ I SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note:. Owner to fill out Cons umerinformatron Form (found in Appendix 120.P) SAVERS Workers Compensation and n PROPERTY Employers Liabili�lnsurance Policy CA INSURANCE 11880 College Bvld, Suite 500 COMPANY Information Page Overland Park,Kansas 66210-1224 '.�,.1xx xl.NeadmnbucA®fxsumum froiy. Policy Number Renewal Of Policy Period Agency WC0002029 WC0002029 05/21/2008 to 05/21/2009 0000750 Item Named Insured and Address Agent " 1. Pratt Construction Company, Inc. Renaissance Insurance Agency, Inc.. P.O. Box 731 981 Worcester Street Marston Mills, MA 02648 Wellesley, MA 02482 FED ID Number: 04-3274165 NCCI Carrier Code No.: 31771 Risk ID No.: 301701 Other workplaces not shown above:See attached schedule Entity: Corporation 2. Policy Period: 05/21/2008 to 05/21/200912:01 am standard time at the insured's mailing address. 3A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation law and any occupational disease law of each of the,states listed here: MA 3B. Employers Liability Insurance: 'Part Two of the policy applies.to Employers Liability Insurance for work in each state listed in Item 3A. The Limits of Liability are: Bodily Injury by Accident $500,000 Each Accident Bodily Injury by Disease $500,000, Policy Limit Bodily Injury by Disease $500,000 ' Each Employee 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except ND, OH,WA,WV,WY and states designated in Item 3Abf the Information Page. 3D. This policy includes these endorsements..and schedules: See attached schedule. 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. All Information below is subject to verification and change by audit. Adjustment of premium shall be made at: Policy Expiration Classification of Operations: See attached schedule Minimum Premium: .$550 Expense Constant: $318 Deposit Premium: $4,216 Total Estimated Annual Premium: $14,050 Countersigned 05/06/2008 By" DATE Authorized Agent This Information Page with the Workers Compensation and Employers Liability Insurance Policy and Endorsements,if any, issued to form a part thereof, completes the above number policy. Date of Issue:05/06/2008 Insured Copy RENGL1 WC.00 00 01 SV(12/98) jHE r ti Town of Barn-stable Regulatory Services. ia,►WL Thomas F.Geiler,Director i63¢ '°rEnµ►d� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder i I, � '� as Owner of the subject l property hereby authorizeL d �- to act on my behalf, in all matters relative to work authorized by this building permit application for: 73 �u (Address of Job) 1,19 '�ignature of Mrier i3ate Print Name If Property Owner is applying. for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION Town of Barnstable Regulatory Services BARNSresr e. : Thomas F.Geiler,Director Mess Building Division �PjFD Tom Perry,Building Commissioner 200 Main-Street, Hyannis,MA 0.2.601---. .__..-----.,.----_-_._ www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that,he/she understands the Town of Barnstable Building Department 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 pennons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a fomn/certification for use in your community. Q:forms:homcexempt G7 lugBoard of Buildin v �` OQLuaeCty _ g Regulatious and Standards HOME IMPROVEMENT License or {-__'-----_-�- CONTRACTOR registration valid for individul use only Registration 0 101587 before the expiration date. If found return to: E Pra n 6126/2010 Board of Building Regulations and Standards PRq One Ashburton Place Rm 1301 { Boston,Ma.02108 TT CONSTRUC I IpN.,CO w Tracy G _ Y Pratt � 153 LOVELLS l N.��� t,• ^ Marstons Mills,MA 02 35 Administrator Not valid without signature ONES I Y � '� •»�� T'` oa�d;ofBuildin g,, egulatrons jConstructiorl_Su � k.P rvi�so�License r eA " xyCense„CS 4623`0 kh ?, Expiration " ' '1 4 trict ongp � ��,Tr# 11008a �y � r TtR j pPO ICY T��7 I� Yf a •� 3 Wkin \ II '� A a , y v t Z A y 1 4 --� w � ------- mN. g6 g - i9aR € Y ,a - -- = - �N -------------- R. �w Y \ it - 6 . , IN Y v 15`J FM REVIEW 50LOMON RESIDENCE ARCHI—TECH ASSOCIATES a a� u 83 QUAIL LANE,HYANNISFORT MA FIRST FLOOR PLAN ----1 r y I I • 1 . m k �•� a 3 ,i � i , s 3 •----'---- --------------- 15`J•EO FOR RENEH- -' .: - 'AKCHI—TEE; A550C d a 5CLOMON RE5IDENGE a H up„ a B3 OVAIL-LANE,HYANNISPORT 5EWND FLOOR PLAN BUILDER INFORMATION Name ` �� Telephone Number a 0EO Address License# - a►tr.� w`� Home Improvement Contractor# t CD C;-? Worker's Compensation# ='ZW 0'9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE A-%1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel AY Fr, ; A P1,k Permit# Health Division • N ~ ® alABLE Date Issued T g- O-S Conservation Division `v a 1 q S n PM { 4 Application Fee fax Collector Permit Feed°w Treasurerj;fiSJ SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE- WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOM REGULATIONS Project Street Address Village 11/9/YNls OoX-1 Owner SdGQ/yefy. Address Telephone /� Permit Request .1.vo/wo Apw v5fAUAAioe Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation !TV, ed, G® Construction Type TN/hmlyp Gvc- Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size - Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Adt5 � ��Cy9 Telephone Number Address //0 /so5A,e Xj%If License# l� 103 71tMo Cony A � Mtl_41141,f 4/ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: �l FOUNDATION g : FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL m t PLUMBING: ROUGH; ni FINAL GAS: ROUGa)-:; ® FINAL c gas FINAL BUILDING Lo Lo 5 S _c ®� DATE CLOSED OUT FN- Q m S fTe!7 ASSOCIATION PLAN NO. 0 The Commonwealth of Massachusetts _ Department of Industrial Accidents - Office of Investigations _ - 600 Washington Street, 7`"Floor - �.— Boston,Mass. 02111 ' ~x�•, Workers'TCompensatston Insurance Affidavit:Butldmg/Plumbing/Electrical Contractors A•Uphcanf-.iinformation > ,• �,���:-�„� C-'5���..K�=te'd�se'P�11�1�1�le�lDly�� ^. f� 5 ,��� sr$ ;ys't�' �s�j`�' � �t''�� Ea�.�rt name: 1�Obla '15f�[!/A7f j address: U Q !✓ex Jd / city CFN d`61 U/I�< state: 0 zip• �l�±3 Z phone# 5 �� work site location(full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction[-]Rem- odel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building.Addition w 60fV57-4ti4171 ' :l,s'.YL, I am an employer providing workers' compensation for my employees working on this job. company name address: /7 ME city S%ML phone#• + insurance co. policy# 21 c ./...1✓b.._t ........:nm, .,-.l.o...-,.13..b:..2`a... �. ,..:: 'i A.+:?,- ,:".v: Y. ....�:.:o .....:.aF,.. 'C,,,.':•. ,..:..:.s... -.P.:..r...dS1�Frtiiw�, ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address k city: phone#• insurance co. 1)0licy# .. .M..-•:1 i (.:."t,•�.,:: '„?.:e.-fz.'Y.ny.r. .::F,"F 7?.:.5'. .. :.'5.,, i .. .... �::. :.a ..,.-. .. • i...�. company name address city: phone#• insurance co. policy# �t#acft,!addihona4 sheetif necessar 1 , �- '� .•. .....�. ....._ ......... X•��}..���� -a.: 3ox,:�!M'�+.�..^�rYV�€�'.'--ls.'ru,�,x<'"7:.r.�,.;.s�'fifid''?��r x".:::wk ,.,�'S�-... fM.,.:..: .�`a.`,.,x.,,,.. ��r,''�+Gx.,.,,.� �, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or . one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify un er the pains d enalties bf pei jury that the information provided above is tr a and correct. Signature Date 3 . Print name Phone# .� .. .: -•� .tee�i::-�. . official use only do not write in this area to be completed by city or town official city or town: permit/license# []Building Department ❑check if immediate response is required ❑Licensing Board ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other («vi5ca Sept.zaaa) t 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 under,any contract of hire,express or implied,oral or written. e f oration or other legal entity,or an two or more o ' defined as an individual partnership, association co y, y An employer is ,p p, ,corporation g the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the 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 contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. $" '�k$:lqqC'i .{' •4+'etc. f ""_ #' ``rp ., ITS. :yf `i'e-rt Y�, +7.' j"sh ` "k?+ink.+,i.. P a'q,{fi r_ " fi!+�s^f t�-:-�,,"�?'S b.a'A `dY.�n�r� '! f $y '..+`7r..+_''a YG x `7 < r `�p ' ,1' � 3?Y n i d: w 3 ,1 3 a ,�kM ut't^{5+ .t' A •j .*' .rrs-c1;'s'iti Applicants Please fill in the workers' compensation affidavit completely,by:checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents, Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. s- i 5ti yZ� 5 A } r t Sy } �Yy f y�rt S Zi "f yak <;t� +1 -M _ p City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. r;4� Ow The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,71n Floor Boston Ma. 02111 fax#: (617)727-7749 phone #: (617) 727-4900 ext. 406 oTMe 1 Town of Barnstable Regulatory Services H Thomas F.Geller,Director XAM r ,� gb,,l fD 39. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permitno. Date AFFIDAVIT • HOMEL MERNTETO PERMIT APPLICATION CONTRACTOR LAW SUPP MGL c. 142A requires that the"reconstructionalterations,n addition to ion,repair,p-re modernization, ode owneon,c on-ied lon improvement,removal,demolition,or construction improng containing at least one but not more than four dwelling twits or to structures which are adjacent to tered contractors,with certain exceptions,along with other - such residence or building be done by regis requirements. P Estimated Cost, ���� Type of Work: fV t111ID OOL Address of Work: &y ner's Name:. 50 Date of Application: 3 G� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Ownerpulling Own permit Notice is hereby given that: EALING WITH GISTERED OWN. P ,LING THEIR OWN PERMIME ROVEMENT WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HO ERMGL c.142A. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UND SIGNED UNDERPENALTIES OF PERTUP " I hereby apply for a permit as the agent of the owner: �nt�ractor.Name RegistrationNo. Date ti OR Date Owner's Name Q:fomis:homeaffidav f ✓lze �o�re�no7uuea� o�✓�aaoac/ucaetla Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 128086 Expiration_,-_2/22/2007 { xType IFldividual JOSEPH A.BUTLER_:z.._ JOSEPH BUTLER 23 ALISON LAP1E �� � W.YARMOUTH, MA 02673 Administrator License or registration valid for individul use only before the expiration date. If found return to: . Board of Building Regulations and Standards One Ashburton Place Rut 1301 Boston,Ma.02108 40tv lid t signature /SEA/PL%.vCE OFj}IE TOy�� Town of.Barnstable Regulatory Services 9 $ Thomas F ppiler,Director_ . NAM �, sa,9• Building Division '0�sn t�t►l a _Tom Perry; Building Commis oner 200 Main Street,-1jyannis,MA 02601. - W YVW town barnstable;ma.us Office: 508-862-4038 Fax: 568-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property lerebyauthorize: Uiaci+ to act on mybehalf, in all rriatters relative to work authorized by this building permit application for: 17, All (Address of Job) jituref Owner Date a Print Narm # 00 35 000`cr enclosed sp#,ce (MGL.0 112 S.60L) TA Masonry only r I 1;G 1 8 2 FAiy Homes I s Failure to possess a currant edition:of the Massachusetts State Bwldmg Code E ! I i is'cause forrevocatiori'of this licerise. I 1,. . . � I �1 e i — I DIG:SAFE CALL CENTER: (888)344-7233 : r �au�SIWO`W�40V 109Z0 b�W 'SINNdkH;tJ a31/V13]A 111Y0 LZl6b l•l XOS Od. f x` a3jl VS 9 HANON c= nN t, b8bll :ou jl 90QZ/L . Sb611 0--.-3�1 !s MOSM13dnS NouondISNOO ;asuaatl SNOIlV'If1°EmbNIt]fins 40 aidwo9 F., dAR-l'22-2005 TUE 04:05 PM MARK SYLVIA INSURANCE 5084209227 P, 01 DATE(MM/OD/YYYY) RD,. CERTIFICATE OF LIABILITY INSURANCE 03/22/2005 PRODUCER 508-428-0440 THIS CERTIFICATE IS I�SUED AS A MATTER OF INFORMATION MARK W.SYLVIA INSURANCE AGENCY ONLY AND CONFERS !NO RIGHTS UPON THECERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEN EXTEND OR 969 MAIN STREET ALTER THE COVERAGEAFFORDED BY THE PO fICIES BELOW. OSTERVILLE, MA 02655 E INSURERS AFFORDING COVERAGE _!NAIC INSURED INSURERA: FARM FAMILY CASUALTY _UALTY INSURANCE _ VIOLA ASSOCIATES INC 2005 INSURER B: PO BOX 389 INSURERc; i CENTERVILLE, MA 02632 INSURER ! INSURER E: ! COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED.N TWITHSTANDINs ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO,WHICH THIS CERTIFICATE N kY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMIS,EXCLUSIONS AND GOI DITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I_•„•-_•,••. • . —_-•. _ •_- __.._-.- _ POLICY EFFECTIVE PQL YEXPIRA OH INBR111D11'LT— - POLICY NUMBER LIMI OENERALIJABILiTY ! EACHOCCURRENCE S 1,0.00,000 A I �X COMMERCIAL GENERAL LIABILITY 2001 X0424 03/26/2004 I 03/26/2000 P�M"�ESOE�re^pe)— ,$_—,__—• 03/26/2005 03/26/20 I MED I EXP(A.ny one peroon) 5 000 CLAIMS MADE �XI OCCUR _ -i—. r I I 1 PERSONAL&ADV INJURY S GENERALAGGREGATE {'S _ 2,0_0O,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS)COMP/OPAOIi IS 1,000�000 ._ , r__ .. POLICY I i !LOC PRO I AUTOMOBILELIABILITY I I .'COMBINEDSINGLELIMIT (Es acddem) $ ! i ANY AUTO I- - I ' --=--• ....._...._..• ........._ ALLOWNEDAUTO6 j BODILY INJURY SCHEDULEDAUTOS ! I I(Perporeon) — I 1 HIREDAUTOS 1 I BODILY INJURY S NON,OWNEDAUTOS { ...__.._._... — __...... . aracclaent) PROPERTY DAMAGE I GARAGE LIABILITY AU700NLY�EAACCIDEn11 1 ANYAUTO I I I OTHER THAN EA ACC S AUTOONLY: AGt3 $ EILCESSNMBREL ALIABR.tTY I. EACH.OCCURRENCE 3 _. _.. j OCCUR ^CLAIMS MADE _ I _ .AGGREGATE •__ •_ $ iDEDUCTIBLE i S ! RETENTION DR., - WORKERS COMPENSATION AND • — A EMPLOYERSI WLBB.ITY 2001 W6208 04/29/2004 04•/2912005 .i E.L EACH ACCIDENT_ _ $ _50_0,000 ANY PROPRIETOwPARTNI=R/EXECUTIVE i 04/29/2005 04/29/20Q6 OFFICERIMEMPER EXCLUDED? I ! I E L.RISEASE)EA EMPLOYFE'$ 5OO OOO IfYyeea,aeecrmeunaor I I i !-- .— —._ L..____. I SPECIALPROVISIONS below ' E.L.DISEASE�POLICY IIMIT 1 6 500 000 OTHER I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICIM/EXCLUSIONS ADDFM BYE NDOROWIMFUT I SPECIAL PROVISIONS LANDSCAPE GARDENING ` . i i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DEfICRIBED POLICIES BE CANCELLED EFORE THE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF.THE 1S5UING I SURER WILL ENPFAVOR TO MAR DAYS WRITTEN 200 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEPT,BUT (LURE TO DO SD SHALL HYANNIS MA 02601 IMPOSE NO OBLIGATION OR LI�l3ILm'v OF Y KLND UP THE I SURER,ITS AGENTS OR FAX:508 771-3498 ", REPRwENTAYaES. LMW AUTHORIZED RFPRESENTATLVE .. On ACORD 25(2U91108) 'ACORD C RPORATION 1988 j I i r i Town of Barnstable Regulatory Services Thomas F.Geiler,Director ''�Eo ,<►1� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: /V oGCW r--r-4,ucy 90 60-ucrJ Map/Parcel: Z $7 I qL Project Address �3 MIL, L T Builder: K*c /-X,49 rl", The following items were noted on reviewing: ; W »Mows iN sLE-C-P nl 6- 1}jr--4 nUt!S wks-&-t _ CORE 1�ttQ�1 t2�M�N?c, �►e iME En�Ct.+ E� �5 9FI - WAV IDA 0101op.oul9L n S(a N EA Af P, z)P v t T RE ci+-czh r,sc, -Ttir"zic-rs Reviewed by: Date: o L 06 Q:Fomis:Plnrvw PERMIT PAYMENT RECLJPt TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/16/06 TIME: 09:14 ------------------TOTALS--..._.. PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 20060563 PAYMENT METH: CHECK PAYMENT REF: 5313 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o Parcel 1114 1 i Application# Health Division V VZIO& Conservation Division 7�'oG 101 Permit# r,�-, Tax Collector Date Issued /floe C� Treasurer /l Application Fee Planning Dept. � � _ Permit Fee Z 3 w� Date Definitive Plan Approved by Planning Board EXISTING SEPTIC SYSTEM Historic-OKH Preservation/Hyannis LIMITED TO_Lf_#OF BEDROOMS Project Street Address att 41 Village PW Owner � Na'L` Address 3X , S-7 .f4 ST �Vj G�DZ Z Telephone Permit Request ` s L B G ty jf /t Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation_ VVV Construction Type r rL Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) . Age of Existing Structure Historic House: ❑Yes /N(o On Old King's Highway: ❑Yes dNo basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other T �,-"-* S*� IF Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing CI new Half:existing new d Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other /v Central Air: ❑Yes O/o Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes YrN o Detached garage-,W"e'xisting ❑new size Pool�isting ❑new size Barn:❑existing ❑n w size° Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ q �_ 3 Commercial ❑Yes No If yes, site plan review# eAJ Current Use _, Proposed Usea .,: BUILDER INFORMATION ' Name 'G Telephone Number Address b4 -7 3 1 License# Home Improvement Contractor# A I S -7 Worker's Compensation# lie on 20 2� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �. SIGNATURE DATE D FOR OFFICIAL USE ONLY s" PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER f ' s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH `' FINAL PLUMBING: ROUGH n - FINAL (0 , GAS: ROUGH FINAL FINAL BUILDING �d i Q(c__ P/Z-- C) C3 - • DATE CLOSED OUT - t ASSOCIATION PLAN NO. The Commonwealth of'Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/In dividual): Address: City/State/Zip: Azvf h�1 �1 Phone #: J 28 Are WU an employer? Check the appropriate box: Type of project(required): 1.z I am a employer with 4. ❑ I am a general contractor and I 6. ❑ >ew construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- ! listed on the attached sheet $ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition j 5. a are a corporation and its [No workers comp. insurance ❑ W �required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I1.❑ Plumbing repairs or additions myself. (No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t _ employees. (No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensatdon insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: �/�- �� Expiration Date: 110 d� Job Site Address: L4—k City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify n e t pains penalties of perjury that the information provided above is true,and correct. Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official j City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Devartmeut 3.City/ Clerk a.Electrical inspector 5.Plumbing luspes or 1 6. Other I Contact Person: Phone#: I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance cov.erage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write "all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. _617-727-4900 ext 406 or 1-077-MASSA'E rax 617-727-7749 Revised 5-26-05 w-ww.mass.gov/Q.ia °FVE Town of Barnstable Regulatory Services BABNsrABLFa ` Thomas F.Geiler,Director Mass. 16y �a � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date 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: Estimated Cost Address of Work: Af Owner's Name: 2 Date of Application: 7 7146 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereb apply for a permit as the agent of the owner: l01 Date Contracy Name Registration No. OR Date Owner's Name Q:forms:homeaffidav M CMR Appendix J Table J&LIb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor I Basement Slab Heating/Coofing Area'(%) U-value, R-value' R-value' R value' Wall Perimeter Equipment Efficiency' Page R value' R-value' $701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 032 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: S� 3. SQUARE FOOTAGE OF ALL GLAZING: 1 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J • Footnotes to Table J6.2.Ib: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fi'of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling,R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. ' 'For Heating Degree Day requirements of the closest city or town see Table J5.2.la NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 FROM FAX NO. Mar. 21 2006 08:24AM P1 Town of Barnstable RegWato>ry Services VOL, xaoxnas F.Geller.Director . '°' BuNing Division. Tom Perry, Building Caro alialaner 200 Maia Street Hymwu,,MA 02601 �ow.toavn.barnstablama,ue office: SOO-862.4038 Fax: 508-790-6230 1 wP"ty Owner Must Complete and Sign This Section rr If Using A.Builder N 1 U64f ,as Owner of du subject property hereby authorize J ffAfEE m act an uW behalf, is d masters relative to work authorized by this building pwnh atppkulon for ZZ (Addmss of job) `v of C>wner DM Q��:oas�N Z0 39Vd EELSOZOSP9 Lt:89 9AA7/17/FA Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Mas( ahusetts 02108 Home Improvementtractor Registration Registration: 101587 Type: Individual z w Expiration: 6/26/2006 PRATT CONSTRUCTION CO. \ Tracy Pratt PO Box 731 Marstons Mills, MA 02635 !/¢ 0 "W Update Address and return card.Mark reason for chang E] Address Renewal Employment Lost Card DPS-CAI is 5OM-04/04-GIOI216 Te �anvnza�uueal!/ a��/�aaaac/uiae�� �-\ Board of Building Regulations and Standards License or registration valid for individul use only expiration date. If found return to: before the ez HOME IM�ROYEAAENT CONTRACTOR P Registratiaq: 101587 Board of Building Regulations and Standards One Ashburton Place Rm 1301 t /276/2006 Boston,Ma.02108, dividual PRATT CONSTR; Tracy Pratt 153 LOVELLS LN Marstons Mills,MA D263 ' Administrator Not valid without signature MREV WED _ ...._ - _ _... _ ...._ _ _ ._... — _ - _ -- - _.. — SAW STgBLE 13UILDIM Ep-T ` D E UA r .�--- R D FOR PER eo 7 BATH. � i L - - - - - - - - - - - - - - - - - 9� CIOve c nlc_ /TD . 6ARASvE 5ECo0N17 FLOOR FLAN �:. ` P. . DoczlvO— s395 05-24— 006 8:57 BARNSTABLE LAND COURT REGISTRY t� Towri of Barnstable °Ft"E Regulatory Services Thomas F.Geller,Director lARN9rABLB, a� �� Building Division tEo � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE �o 0 I(We),the undersigned,being the owner(s)of property situated at83_Quail_Lane,_in Hyannis;MAC, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of "1 the Land Court in Book , Page , or as Document No. being shown on Assessors' Map 287 as Parcel 144, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the residence located on the same parcel as above-described, and shown on plan titled Garage Second Floor Plan submitted March 24, 2006 is not intended for and shall not be used as a permanent, separate I S� apartment for year-round or summer occupancy,for rent in any fashion. The intended and authorized use is for the garage associated with the residential use on the same premises. ' This separate unit shall not be used for a "Family Apartment (as defined in Zoning Ordinances) which would require application and approval of a special permit and compliance with the Family Apartment Rules and • Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. �7 L � The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by (� the Town of Barnstable Building Department. n1 WITNESS our hands and seals this day of 200_(e . t�v LJ TOWN OF BARNSTABLE OWNER ) 1 By: qj uilding Commissioner v THE COMMONWEALTH OF MASS CHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), 4bert tT, S6)bMjn OL-Unc`18 so 6fn ^and made oath as to the truth of the foregoing instrument,before me. MAPIYA*4F_G"OSSI - Nota ublic ARNSTAg�E COUNTY �tatary Public,Stat®of NewroYortt y C mission Expires: / �t&- 3� a� GISTRYOFDEEDS X1-476709E ,.: A TRUE COPY,ATTEST Qualified in Queens Cou s° ' "•J '° JOHN F.MEADE,REGISTER } F ` BARNSTABLE REGISTRY Q:fomi/accessoryagreement _ 83 Quail Lane Hyannis Port, MA 20647 July 30, 2004 f Mr. Thomas Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Mr. Perry, This letter is to inform you that Tracy Pratt, Pratt Construction Co., has been appointed our agent and has been given authorization to file for an application to demolish our house at I will follow up this Fetter with a call to you to see if anyt additional information is required by your department. Sincerely, Nancy Solomon lzo ert J. Solomon PROJECT NAME: OD ADDRESS: ` 3 C�U A PERMIT# PERMIT DATE: 4 D'S M/P: LARGE PLANS ARE FILED IN: BANKERS BOX FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSB OX PROJECT---� NAME: T)o f n 0 'lie ►"-) I ADDRESS: Lnxne PERMIT# PERMIT DATE:— LARGE PLANS ARE FILED IN: BANKERS BOX FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSB OX I If VIOLA ASSOC IATES,1NC. Pool Division Renovations • Custom Installations Repairs • Maintenance PO Box 389, Centerville, Ma 02632 Ph: 508.771.3457 Fax: 508.771.3496 Date : 4/18/2005 Fencing Requirements : Building Department/Permit Process Customer Name : Nancy Solomon Customer Address : 83 Quail Lane Hyannisport, Ma. 02647 Map : 287 Parcel: 144 Parcel Ext: Fence Type : Black Chain Link (Picture Attached) With respect to fencing or barrier requirements for private swimming pools (including hot tubs and spas),the following criteria shall be met: 1. Height: Forty-eight(48")minimum above grade (780 CMR). 2. Maximum two inch(2") clearance between grade and the underside of the barrier. 3. Openings in the barrier shall not allow the passage of a four inch (4") diameter sphere. 4. Where the barrier consists of horizontal and vertical members and the tops of the horizontal members are less than forty five inches (45") apart, the horizontal members shall be on the pool side of the fence. Spacing between vertical members shall not exceed one and three fourths inches (1 3/4") in width. If the tops of the horizontal members are more than forty-five inches(45").apart, the vertical members may be spaced up to four inches (4") maximum. 5. Mesh size for chain link fences shall not exceed one and one-quarter inch(1 1/4") square. x 6. Openings for diagonal lattice fences shall not exceed one and three-fourths inch(1 3/4"). 7. Pedestrian access gates shall_comply with the above. Gates shall open outwards, away from the pool, and shall be self-closing, with self-latching devices. Release mechanisms less than fifty-four inches (54") from the bottom of the gate shall be located on the pool side, at least three inches (3")below the top of the gate. No opening greater than one-half inch(1/2") shall be allowed within eighteen inches (18") of the latch mechanism. 8. Where a wall of the dwelling serves as part of the barrier, an alarm is required to sound when the door(s) leading to the pool is opened. The alarm shall be equipped with a deactivation device (for a single door opening action) located at least fifty-four inches (54") above the threshold-of the door. An alarm is not required when the pool is equipped with an approved power safety cover. .�; �� `�� �' �q �° ,��, � � l °�' ��� <�m�_ �� c� � Yk � j 9 - i '�yy�'e h ��.. SF f -fix _ f b i r y5 A'G s s v a !• � � 1 � �} may. ,yi q :� � 8 � F � >.� ., i�T "` + � -� �. �� � ,, �, � , � �� ?� ,� � ly/ / �-s a � e�'� � � i i- / � „� l � %% �' =rSc Fi v:/ �4 � &v �", 2 __ / � __ _ l :;y { �� �� 3 .ak �i d d.: »" w:�: F' ':y"G' i 2 � Barnstable Assessing Search Results Pagel of 3 4L � _ } - �a V Aw Home: Departments:Assessors Division: Property Assessment Search Results 83 QUAIL LAlNE Owner: Property Sketch Legend SOLOMON, ROBERT J& NANCY B PAT[1400, Map/Parcel/Parcel Extension 287 /144/ Mailing Address SOLOMON, ROBERT J& NANCY B ��t= 325 E 57 ST#14A µ .r5 NEW YORK, NY. 10022 `� "- 2004 Assessed Values: ' Appraised Value Assessed Value Building Value: $ 196,000 $ 196,000 Extra Features: $5,600 $5,600 Outbuildings: $0 $0 Land Value: $619,300 $619,300 Interactive Property Map: ap requires Plug in: Totals:$820,900 $820,900 1 have visited the maps before ryy4, First time users Show Me The Mapes Click Here April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: SOLOMON, ROBERT J&NANCY B 2/15/1992 C125698 $375,000 http://www.town.bamstable.ma.us/tob02/Depts/Admini strativeS ervices/Finance/Assessing/AssessO3/disp layparce103.asp?mappa... 8/26/2004 Barnstable Assessing Search Results Page 2 of 3 WHITCOMB, STEPHEN 11/15/1988 C116012 $ 1 WHITCOMB, STEPHEN C75775 $0 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $5,426.15 Town Fire District Rates Other Rates 6.61 Barnstable 2.01 Land Bank 3%of Town Tax Hyannis FD Tax $ 1,666.43 C.O.M.M. 1.10 Cotuit 1.52 Land Bank Tax $ 162.78 Hyannis 2.03 West Barnstable 1.36 Total: $ 7,255.36 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 1.37 Year Built Q 1957 Appraised Value $619,300 Living Area 2968 Assessed Value $619,300 Replacement Cost$244,947 Depreciation 20 Building Value 196,000 Construction Details Style Ranch Interior Floors Hardwood Model Residential Interior Walls Plastered Grade Average Plus Heat Fuel Oil Stories 1 Story Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 7 Rooms http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeS er-vices/Finance/Assessing/Assess03/displayparce103.asp?mappa... 8/26/2004 Barnstable Assessing Search Results Page 3 of 3 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 BGAR Bsmt Garage 1 $3,200 $3,200 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area(Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO , Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www..town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/AssessO3/displayparce103.asp?mappa... 8/26/2004 Parcel Detail Page 1 of 3 TIMI 'may � `may ��'���`#�" � ���`''� 2:✓E/'ffr✓'ai'�i.�so7C../�� � ��� Logged In As: Friday, August 27 2004 Torn Broadrick a rice I Detail Horne Application Center Parcel Lookup Parcellnfo .,....._ ...,.. _ _........ _.,.. Parcel ID 287-144 I Developer Lot LOT 27 I Location 83 QUAIL LANE Frontage 40 ._. .._ Sec Road PROSPECT AVE HY-PT Frontage 300 Village�HYANNIS Fire District`HYANNIS Owner Info - owner SOLOMON, ROBERT J & NANCY B Co-owner ....... ........... ...._ streets 325 E 57 ST#14A Street2 City NEW YORK State,N_YJ zip.10022 Country USA Land Info __..... ............................................ ............_............ __.... .... ............................. .......... Acres%1.37 Use,Single Fam zoning 1RF1 Nghbd •0114 Topography rAbove Street Road Paved I Utilities Septic,Gas,Public Water _ I Location View,Lake/Pond View I Construction Info IE of _.... ... Year ry_. _w.._ .,.... .,,,._.._� Roof . .... ..... AC Built 1957 Struct,Gable/Hip Type None ____. E t 177 � Roof Asph/F GIs/Cm Bed 3 Bedrooms Area i Cover,._ Rooms http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=21734 8/27/2004 Parcel Detail Page 2 of 3 _.._.. ...,... ......... , . .., .... .. ...... Int�..,,.._... .,.._....� _.,....._ Bath Style,Ranch wall Plastered Rooms 3 Bathrooms _ Model,Re 11 sidential Total Rooms 7 Rooms Grade iAverage Plus Int Hardwood Bath F Floor Style Kitchen , Stories 1 Story Style Ext Heat Bath Wall Wood Shingle Fuel Oil spot,3 Full Heat I Hot Water Found- Typical Type ation .� Permit History ...... Issue Date Purpose Permit# Amount Insp Date Comments 1997-05-08 New Roof 22956 $11,500 1998-08-03 Visit History Date Who Purpose 2000-11-16 Martin Flynn Meas/Listed 1998-08-03 Lloyd Kurtz Drive by inspection only Sales History.w...... ._, Line Sale Date Owner Book/Page Sale Price 1 2/15/1992 SOLOMON, ROBERT J & NANCY B C125698 $375,000 2 11/15/1988 WHITCOMB, STEPHEN C116012 $1 3 1 1WHITCOMB, STEPHEN IC75775 1 $0 !� Assessment History Save# Year Building Value XF Value OB Value Land Value 'Total Parcel Value 1 2004 $196,000 $5,600 $0 $619,300 $820,900 2 2003 $169,100 $5,600 $0 $655,500 $830,200 3 2002 $169,100 $5,600 $0 $655,500 $830,200 4 2001 $169,100 $5,600 $0 $655,500 $830,200 5 2000 $170,400 $5,800 $0 $204,800 $381,000 http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=21734 8/27/2004 Parcel Detail Page 3 of 3 6 1999 $170,400 $5,400 $0 $204,800 $380,600 7 1998 $161,300 $6,200 $0 $204,800 $372,300 8 1997 $164,600 $0 $0 $204,800 $369,400 9 1996 $164,600 $0 $0 $204,800 $369,400 1.0 1995 $194,500 $0 $0 $227,500 $422,000 11 1994 $167,200 $0 $0 $204,800 $372,000 12 1993 $167,200 $0 $0 $207,500 $374,700 13 1992 $190,200 $0 $0 $227,500 $417,700 14 1991 $213,100 $0 $0 $273,000 $486,100 15 1990 .$213,100 $0 $0 $273,000 $486,100 16 1989 $0 $0 $0 $110,800 $110,800 17 1988 $0 $0 $0 $60,300 $60,300 18 1987 $0 $0 $0 $60,300 $60,300 19 1986 $0 $0 $0 $60,300 $60,300 Photos http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=21734 8/27/2004 IIlit, -gliqn 79n Iwp, q.( 1-4r, ?,`i7 IIIIIfIN A K; IIIIIIIITV IIiIII4K.V41 II-oq IiIIIII,r IIIIIIIIIAll Ik7 t. 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Q _ • _ .»vs x s-n v4 ——————————————— S Lly V II �! 6'O' NJ'•O' e.4. aC a Y , 159XP FOR REVIEW � � cA-T«rAssx as lrc.ner aab�y�e �^ ARCHI—TECH A5SOCI ATE 50LOMON RE5IDENGE `"`�/Ar`""` �'"°�' 9°�0.1��°�tlon Acl•°I (9 .. .. .. .. c Ilcrplbc, reprom.clion or Eh/rlq,{len d 1 L 83 QUAIL LANE, WrANN15PORT, MA KK vim•�n lnc°<p e.e rc 1-t I tect u r21 d BS I g n. 1 n c. 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A.y<op�y oltcrotlon. 83 QUAIL LANE, HYANNISPORT, MA <�Kte 6<«,.e�et Kv,I Te<n �rc�'1 ItGct u rsi I d cS f e1, 1 F'7 .ssociotes.Ir�c,w on eJ.s�e_ 9 �- n ntt of thUt act.5 � U r kbloro or tlla- r _ pmcica on tncbc croh- 6 ochool erCreeG YY��cc��ee null x ero�q�t t the tel-508-420-63'36 oltgnlion of M<nl-Tech Assoc, EXTERIOR ELEVATION p b to cc M„y o k. coturo,trta o2�9J!5 4aax-30a-420-6304 Oimenabna<rc to de I,xtl. _ don t s alc drgtiln a � - t • a rn r o ftl D 1-, 1 r------------- U I I > rn 0 rn z II 1 II 1 A \ I 1 — - O I � I 2 � f 1 1 r I I rn --------------- Mm ------------- - ----------- - I • 1 1 z I II I I I I a 1 1 i 1 1 I I � I 1 t I � I . I I ; I 1 I 1 a I I I I w 1 1 I I 1 I I 1 ; I 1 , � I 1 I I ; 1 1 i I 1 I5SUEO FOR REVIEW MW TeN Axo[blee.YY..MeIr�� 50LOMON RE51 DENGE ' cnt����rayo. ARCH -TECH A550CIATE5 .. r proauc�iant QI Irbvllon of . 1 83 QUAIL LANE, HYANNISPORT, MA ""PPm � ftM�g g ai rG h lt'aGter r.,A l 'i -t 6l Y� � mc�t doF that dGor Any tIt(dddd � � mbsloro tlle- y e � - poalea oo these o-a.,- 6 ecFtool etY•`OeG tel-'508-420-B83B��ccy�'aa stroll be Wwcfl to the alterlbn of Ardli-Tech/�psot„ EXTERIOR ELEVATION K.p br to b��o �a. coturo,mA 020:38 fax-506 420-5304 . Oimermbrro D.'C do rot scolc drawin � - - 1 d ,-6 4 MIN /J n - z o • o _ TCe CF PCLMATWK MALL �U Y D8 ` b1 Vs• VNae ----------------- I �� VIJUCS •K I N rn ' A z I I r - ni z - ---- F9 L I o t IO-0 VI• A I ni I , I < rn - j 1, I z � ' IMi FRO] VARn r I, , I , I I �f--- ; 'I I 1 i I w , ; 65WO FOR REVIEW 0,71 iAb°o(k H rlereby . ? >: : ""`" ARCH—TECH A550CIATE5 S 6 ` Mc Mcht t o1 I^brka a SOLOMON RENPENGE � � �t�„h'. 1 u> 83 QUAIL LANE, HYANNISPORT, MA [; �°h re h 1 Gect u ra i d eza f g r�. i ri c o j j U Q not EtcZ is m ac me '"-- dy � ot o1�ththat [.Any bal°ry ar ° EXTERIOR ELEVATIONS q°�"�°°"`n"` °" Fi nchool street tel-508 420-e3s6 o Ierc a�O,'or"Arcbnriu�,n�Aa,o n,` .. ' AND SECTION OF GARAGE p br to bcgfmn9 °n. cotutG,ma 0269�5 fax- ro BOB-420-6304 Dimon t d0 s olc drptiin s ' 20'�'END PLATE Aa N I l/.•z N Tro•LK �-^ e•<Oro' I� / \ LIJ R)DR SAM _ N I'Y4•)(a Ve' • i1 :� i W E IRAWIN�./ - N 1914'X II TA'LK mpoe R.W! 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A�i IYJfED BA5EMP T 4' OVER a ML v BARRIER ON b•MN. 6R w ORSIRIEVT KLf PART 6'LOICIRIE HALL .. W 45!we TqR C4 JO•X I1' �v. . • ` BRAOE TO V>s La1CRTE FgTIN6 MAx WN DRY - Y W - .-: w ray. SECTION C, ��� 6 G A L e• 1/4' 1 N i y N 6 II II 17-0�. y X. IT- 0 Z rig aw 112' gg m a•,:o• env 1551.ED FOR REVIEW + MJv-TKh A>eotble>K.nere - p 1➢F ° "�`"y"x'° °p''r ARGHI—TECH ASSOCIATES tno nrcnn�ci�r°:worms a a 50LDMON RE51 DENGE ��pyr���a��t�,Acl•of IVQO ay opy ancrotio.,. . p odclron or anlran�of FF 83 QUAIL LANE,HYANNISFORT, MA r � tllcn con>enl !Mch'•Tecn - m>oc 61e>Inc,bon hkh9c. ,y Go'OOFmthgt qLt Alva V bs� ar GfGpMGlbe O�1nGeG snob e�wo„ e to.uy� < 6 ochool street tel-508-420-B336 of eK:on of krn�-Te<n Ae aptult,rna 02635 4®x-,308-420-a�304 FRAMING SECTIONS :K.pfbrlolx�:m�„>�a- vtmmebro crc o do rot acglc drry.in s . ------(Vryl-Xn vYtvr lRr J „ , I I I 1 1 1 I ,Vr A9-20 1 N-OL. ' I , r I as o O t I I ' 1 � 1 , ,W Alf-m•W OL. 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P"'Y oPy,OlterOtbn, pr°xtloa°.dt,t.ran�aa« L 83 QUAIL LANE, HYANNISPORT, MA eaeP a^,w . xr�d� re H t Cec C u ra 1 des 1 n. 1 n c Irc.b a BI hyc- - 9 erg re r that t A.,y mmalone°;ala � ep°.Ki°a°n ttc,•a-°..- t3 meFtool etreet ten tz exwgrt t the T41-808-420^B3S8 FIRST FLOOR FRAMING PLAN q fqx-BOB-420-BJ04 P Dlmsre'br»cre io be°�veed, - ao not alc dro,.11 - 9 VY A87051 a•OL. U/7XW5 Z ,. v C] O � O ,1/2'A 26 .a'0L. •. -Tt fi D z r ,Vr A-e-�oS.Y•0L. D - 9 V7 Ab105.a'of 9 V]• X151 Y nl'!u X,U LVL - - rumo 'ti ^ ,• Vl'A.H-3091 16 O4. x - VSAb3051 a'oz. 0 0 F U U7'A,1i105.Y'OL. a or. 9 Il!'Ap-1(T!.Ib,OL. 1 I(Y A.bMS 1 a•OL. ,UV A.D-7p5 1 VOL. fR1.10 . 9 1/7'A.B-70S 1 Ib'OL. 9 VY Ab205.a'OL. 9 VI'Ab-30'S.Ib'Of. 155VED FOR REVIEW \ w_t.on A„«. IrcglG.vreq�hr, .< o - oF�texytroa•.iriy�i occc fdl�gto s t"oq`(�hy/WINt.U.,l—= ARCHI—TECH A554CIATE5 50LOMON iZE51DENGE IgCL, gtry�ptpyqj�p r proG.<t 3�or Oktrlbvtbn of 0 83 QUAIL LANE, HYANNI5PORT,MA t9G pa 9„LLnp,tnb exp e9, .�fat1� ent of lt.ot ocl.Any 'frOfb Om16elOnb pf Olb- - - tro.e cro•.- 6 ecliool O'craOt-. ow,�,<olonn',Ix oo req"tA t"o 5EGOND FLOOR,.FRAMING PLAN t — lwa trok. ootult,rna 0262SB -U d tpl-608-420-BSSg Pax-606-420�B30sF ' ao rot xole ara.-.I I 0 > O - �XID'S•W'OL. 2x10'e•WOL. O -f1 vans•w ac. 2xw5.le•oL. _ A 0 3, Z . 4� - k y , Z .. 7X105•W'OL. 2k1051 Ib'OL. • � Ogg � '.. La09•WOL. 1%bS.IH OG. 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HYANNIS — HARBOR Q ,Gg'E C J \ 6 135 amp LOCUS MAP \ NOT TO SCALE I HEREBY CERTIFY TO THE BEST OF NGE N MY PROFESSIONAL KNOWLEDGE, XIS �N _ INFORMATION AND BELIEF THAT THE _ LOT CORNERS, DIMENSIONS AND LOT 29 �� 1 \ SETBACKS TO THE STRUCTURE AS �� _� DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON THIS PLAN ARE CORRECT. �wo_44I.• 3 5 N69 .o sa CPA G F 31;Jg 1 \ / Nu.2W31 N/F H ROBERT & NANCY SOLOMON Cam• �,J?/a� FoN° ASSESSORS MAP 287 // ' PROFESSIONAL LAND SURVEYOR DATE PARCEL 14 /' // � SITE BENCHMARK L.C. LOTS 27,28 & 29 / / / TOP OF CONCRETE r? 59,278± S.F. BOUND. EL 48.0T \ CERTIFIED LOT 28 ' PLOT PLAN 83 QUAIL LANE CONCRETE i ( Q RETAINING WALL i �\ IN GRAVELlp \�� `��s DRIVE \ HYANNISPORT .0 . GARAGE MASSA H \ C U S ETTS TOF=69.2 / `� _/� I N ,y N'5r GRAVEL ,�Q1� /' / co (BARNSTABLE COUNTY) DRIVE co 05 CONCRETE �� O orn '� - -- __ _ _ > - - ----- RETAINING WALL \ _ �`� �`�� -a s- • FO U N DATI 0 N s \ O-.00 �oop <// � . o � �� , R' `'�''S' AS—BUILT o V^ 61 'V ` FOUNDATION ?S� tKO TOF=62.5 � JKO " ' OCTOBER 15, 2004 loo O,p PREPARED FOR: ROBERT AND NANCY SOLOMON 1 \ - C\n�•� try 1325 EAST 57TH STREET RECORD LOCUS INFORMATION G LOT 7 Q`°� NEW PORK, N.Y. \ 10022 LO v7 J CURRENT OWNER: ROBERT & NANCY SOLOMON TITLE REFERENCE: CERTIFICATE 125698BSC GUIRDUTIP) PLAN REFERENCE: LAND COURT 19$44 J \ lV���U�� \ ASSESSORS MAP: 287 1 fe nce 3g 657 Main Street, Unit 6 PARCEL: 144 W. Yarmouth Massachusetts FovN 02673 ZONING DISTRICT: RF-1 508 778 8919 SETBACKS: FRONT 30' ,l 1 SIDE 15' REAR 15' 1 137 9q' S8102'21"� © 2004 The BSC Group, Inc. 1 � MINIMUM LOT SIZE: 43,560 S.F. 1 I _ SCALE: 1" = 20' GROUNDWATER OVERLAY DISTRICT: "AP" (NOT A ZONE II `� , Gg��O 0 2.5 5 10 METM � Fo 1 t 0 10 20 40 Fr 1 PROJ. MGR.: C. FIELD FIELD: D. GAZZOLO / P. HAGIST CALC./DESIGN: K. HEALY DRAWN: P. HAGIST CHECK: C. FIELD FILE: 8212—FAB.DWG DWG. NO: 5243-03 SHEET 1 OF 1 _ _ JOB. NO: 4-8212.00 STRUCTURAL NOTES 1. All construction is to conform to the Massachusetts OL�/� S 1 AL State Building Code and all applicable product and design standards. Absence of specific items from these 11,NGINEERING drawings does .not infeinferthat the contractor is relieved from the statutory code requirements. 2. All materials and methods of construction shall ® ��1 tl 1INC.ADDITIONAL #3 0 12" O.C. VERT. conform to the approved rules and standards for l BEYOND TRANSITION PT. STAY 18" materials, tests, and requirements of accepted . 260Cranberry Hwy.Orleaas,MA02653 BELOW TOP OF BOND BM. DOWN engineering practice 'as listed in Appendix A of the 508.255.6511 Fax:508.255.6700 12 O.C. E.W. THE .COVE & LAP 1'-8" MIN. Massachusetts State Building Code. #3 INTO FLOOR AREA THROUGH OUT ENTIRE POOL WALLS Pool Notes #4 DWL. ® 12" O.C. TYP. 1 Assume maximum safe soil bearing pressure - 4,000 (3)#4 CONT. TYP, psf. TYP. _ 2'-6" MAX 2. All pools are to be placed on natural undisturbed is --L- material or compacted granular fill. Subsoil bearing 2'-6" MAX. BACK 4." INCREASE TO 6" +'•, - -`- �- --'- + -� � � BACK FILL = strata shall be free from all vegetation, loam and FILL ALLOWED IN EXPANSIVE SOILS I ,Y organic material. " - -- - -- — — 4. Do not place backfill against pool walls until all walls have obtained 7 day cure strength. z rn w o x 1 _ _ _ _ _ _ _ _ __ _ _ :_� �^ w 5. All pool floors shall be placed on a 1'-6 layer of S Q NOTE: INCREASE SHOTCRETE =-""y� w crushed stone compacted to 95% Standard Proctor w THICKNESS TO 9" IN FREEZING .✓� U Density where expansive soils are encountered. a TRANSITION PT. ao F. OR EXPANSIVE SOILS. y�y O 6. Pools floors shall bear on natural undisturbed soil or can on controlled compacted fill. Remove existing fill material T ADDITIONAL #3 x 5'-O" E.W. . where necessary and replace with clean granular fill P FLOOR TRANSITION PT. compacted in 6"-8" layers to'obtain 95% standard _ PLACE 1" FROM TCP OF SLAB proctor density at the optimum moisture content. Shotcrete w HYDROSTATIC RELIEF VALVE #3 ® 12" O.C. E.W. - INSTALL PER MANUFACTURER'S 1.Shotcrete mixture, form-work, delivery, placement and THROUGH OUT ENTIRE `a 1- POOL' FLOOR 0SPECIFICATIONS reinforcement shall conform to all requirements of ACI o N � 506.2-95 (latest edition), unless otherwise noted. 2. Concrete materials shall be: ASTM C Type 1 Portland p 'f'Vp POOL A t '@` cement. Sand and gravel aggregates shall be normal z TYP.6- . P O O L R E I N I-O R C i V 1 E i�D 6 SECTION weight: and conform to ASTM Cds Standards. Aggregate Ste_ not meeting ASTM C33 standards may be used provided . SCALE: " = 1'-0't pre construction tests demonstrate the shotcrete can meet specified requirements. All concrete shall be �•t"OF4f4 - air-entrained. Concrete compressive strength, (f c) in 28 days, shall be in accordance with ACI 318-02 as. follows: o� OHNA. L NA All concrete work - 3,000 psi a.33 r 6 r 3. All mixing, transporting, placing and curing of concrete shall be done in accordance with the °�F�oisTER��a`° recommendations of the American Concrete Institute. SS�QNAL �. 2. Reinforcing steel shall be deformed bars conforming r to ASTM A615, grade 60, except where noted. No. 3 bars may conform to ASTM A615, Grade 40. All reinforcing barn welded to a steel section should be of -. welding grade 40. CL SYM. A B j``_ O � S-1 S-1 2'-6" MAX. BACK FILL ALLOWED '', 5' RADIUS X ' 2'-6" MAX. BACK 2 -6 MAX. BACK a M TRANSITION PT. FILL ALLOWED FILL ALLOWED V) �. 5' RADIUS 7 -----=4- a °' CD HYDROSTATIC ry 1 - RELIEF VALVE v o � � Q MAX. SLOPE w V l J O S E C Ta OI�� �.; w SCALE: , = 1'-0" w z HYDROSTATIC RELIEF VALVE INSTALL PER MANUFACTURER'E SCALE SPECIFICATIONS AS NOTED DEEP END SHALLOW END SYM. LATEST REVISION 8' 1 9" DEPTH MAX. 5'-0" DEPTH MAX. DATE 3-1 1-05 2'-6" MAX. BACK o o DRAWN BY FILL ALLOWED a EJL ox TYP. POOL CONSTRUCTION SECTION 2' RAD. I CHECKED BY SCALE: » = 1'-0" PLAN N a SCALE: 1" = 1'-0" U Note: All pools shall be constructed to assure dimensional compliance with section 421 of the 'e Massachusetts State Building Code 760 CMR• SECTION�!^' 13 c SCALE: " ._ 1'-0" w c i OF L SHEETS c0 PROJECT NO. . C15965 SEPTIC TANK DETAIL: 1 ,500 GALLON DISTRIBUTION BOX DETAIL: NOTTOSCALE REVISIONS LEACHING DETAIL: NOT TO SCALE NO. DATE DESCRIPTION SOIL TEST PIT DATA: P#10,754 49.0' NOT TO SCALE NO. OF OUTLETS 5 TEST PIT -.1_ TEST PIT #2 NOTES: 1. SEPTIC TAW SHALL BE STEEL 5. INLET AND OUTLET TEES TO BE CAST IRON, FINISHED GRADE I 01-BOX GRD. EL. 43.5 GIRD. EL. 43.7 REINFORCED CONCRETE. SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. 4" PVC TEES TO BE CENTEREDUNDER MANHOLE COVER. REMOVABLE' r WALLS NOTES: PIPE EST. HIGH GW. 27.0 EST. HIGH GW. N/A 2. SEPTIC TAW TO WITHSTAND H-10 LOADING COVER 9 0 000 0 0 0 o4p 0 0 0 0 0 0 0 eo 0 0 000 0 0 UNLESS UNDER PAVEMENT, DRIVES OR a 0 0 a 0 0 0 0 0 0 1�0 o 0 o 0 0 0 0 -0 DIST. BOX TO WITHSTAND H-10 LOADING 0 SHALL APPLY. 0 010 A A TRAVELED WAYS, WHEREIN H-20 LOADING V:4N�;ill 4;� 4 7.1 013SERV 1kTI ON 0 1 LOAMY SA�ND LOAMY S; UNLESS UNDER PAVEMENT, DRIVES OR 0 6 ITS 10YR 4/3 10 3. ALL PIPE CONNECTIONS AND CONCRETE ztL TRAVELED WAYS WHEREIN H-20 LOADING 00 50* 120 71 HIGH DENSITY 0 0 o o METAL HANDLES BROUGHT _1:TT SHALL APPLY. 7" HIGH GROUNDWATER COMPUTA11ON CONSTRUCTION SHALL BE WATERTIGHT. 2-240 DIA CONCRETE MANHOLES fi O 0 0 0 B LOAMY (BASED ON TP#1) 15* 0 PORT 0 POLYETHYLENE INFILTRATOR 3050 oc LOAMY SA�ND SAND 4. FILL ALL UNUSED KNOCKOUTS WITH %6" OF FINISH GRADE 2. PROVIDE INLET TEE OR BAFFLE WHERE 0 0 0 _j 0 0 0 L I I -F76-j GENERAL NOTES: 0 00 0 0 0 00 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 o MORTAR. TEE TO BE UNDER It 0 0 00 0 0 0 0 0 0 1 OYR 5/6 10YR 5/6 DEPTH TO BOTTOM OF HOLE 12.5 5.50 OU 00 ano 0 00 0 0 0 0 o 0 0 0 0 0 0 o q 1. THIS PLAN IS FOR DESIGN AND 30" 28" M.H. OPENING - -T- . .. '... . a - SLOPE OF PIPE EXCEEDS 0.08 FT./FT OR CONSTRUCTION OF THE SEWAGE EL 41.0 EL 41.4 INDEX WELL MIW-29 AWAMW -f W 3w IN PUMPED SYSTEM. 55.0' DISPOSAL FACILITY ONLY. WATER LEVEL RANGE ZONE ON LINE A-0 4" 2- 3. FIRST TWO FEET OF PIPE OUT OF DIST. PLAN VIEW - LEACHING CHAMBERS 2. ALL CONSTRUCTION METHODS AND CURRENT DEPTHONDEX WELL(7/04) 8.6 RAISE M.H W/. BOTTOM ON LEVEL- a WATER LEVEL ADJUSTMENT STABLE BASE 6* MIN. 3/4 TO BOX TO BE LAID LEVEL LOAM & SEED DISTURBED AREAS MATERIALS SHALL CONFORM TO MASS. 2.1 & �J 101-66 SEWER BRICK 7- D.E.P TITLE 5 AND LOCAL BOARD 1 1/2- CRUSHED AVERAGE WATER LEVEL ADJUSTMENT 2.6 & MORTAR CROSS-SECTION STONE BASE 4. ALL PIPE CONNECTIONS AND CONCRETE OF HEALTH REGULATIONS. 101-or 1201 .f CONSTRUCTION SHALL BE WATERTIGHT. DEPTH TO ADJUSTED HIGH WATER 9.9 1 1 NORM WATER LEVEL 3#.�MAX. COMPACTED FILL 36" MAXIMUM, 12"MINI. M 3. ALL PIPES LOCATED UNDER PAVEMENT 30 5. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. 0 0 0 0 1!11 000 0 0 0 o o OR TRAVELED WAY SHALL BE SCHEDULE -7 0 0 0 0 40 0 0 000 0 0 30LAYER 14* t-. 30 01, PEASTONE 40 OR EQUAL PRECAST SEPTIC TANK 50-is HIGH 000 0 65 HIGH GROUNDWATER COMPUTATION bL�ET TEE 1 30 1/2-- T 0 DENSITY 0 REMOVE 4. THERE ARE NO KNOWN PRIVATE WELLS (BASED ON LOW SPOT ON SITE n 1: 30" 24" 0 POLYETHYLENE 0 0 UNSUITABLE LOCATED "THIN 150 FT. OF THE v C 5-2w 4!-6- 51 PROPOSED LEACHING FACILITY NOR _= 116" * 4-(f MIN. 15 1/2- EFFEC. Cb INFILTRATOR 3050 0 0 MATERIAL FOR ANY KNOWN WELLS PROPOSED WITHIN C C C) 0 5' ALL AROUND MEDIUM SAND MEDIUM SAND ELEVATION 27.0 LIQUID DEPTH PRECAST DIST. DEPTH 00 LEACHING 00 IF APPLICABLE 150' OF ANY KNOWN LEACHING FACILITY. 2.5Y 6/6 2.5Y 6/6 BOX CHAMBER 0 5. WITHIN LIMIT OF EXCAVATION REMOVE 3/4- - 1 1/2- ALL TOPSOIL, SUBSOIL AND OTHER �10 IMPERVIOUS MATERIAL. TER NO G. INDICATES 500 47" L NO G. WA WATER 1 4 WASHED STONE 150" 144w v ESTIMATED .7 EL = 31.0 EL = 31.7 SEASONAL HIGH 90110101 ON LEVEL STABLE BASE �7 1 12' 6. REPLACE WITH CLEAN WASHED SAND PLAN VIEW OR OTHER CLEAN GRANULAR SOILS GROUND WATER J 22' CROSS-SECTION VIEW PLAN VIEW CONFORMING TO THE FOLLOWING DATE: DATE: so MIN. 31r TO 1 1/20 STONE CROSS-SECTION QE CHAMBER 8/4/04 8/4/04 INDICATES SIEVE ANALYSIS: OBSERVED 1OX (MAX) BY WT. SHALL TEST BY: TEST BY: GROUND WATER CB SET PASS No. 50 SIEVE -THE BSC GROUP, INC. THE BSC GROUP, INC. LOW SPOT ON SITE <10 X OF No. 4 SIEVE SHALL WITNESSED BY' WITNESSED BY' INDICATES ELEVATION 27.0 4rag"3310VE DESIGN CRITERIA: PASS No. 100 - DAVE STANTON DAVE STANTON PERC. NO EVIDENCE OF 135.86 <5 X OF No. 4 SIEVE SHALL WATER. AUGUST 2004 PASS No. 200 PERC. RATE: PERC. RATE: TEST IDESIGN FLOWJ UNIFORMITY COEFFICIENT 0 No. 4 2 2 MIN./INCH MIN./INCH INDICATES CBDH 37.3., t469-53'oq*E 5 BEDROOMS AT110G.P.B./D 550G.P.D. SIEVE </-6.0 SOIL EVALUATOR SOIL EVALUATOR FOUND __�..... 7. EXISTING UTILITIES WHERE SHOWN UNSUITABLE 000, ..... IN THE DRAWINGS ARE APPROXIMATE. CRAIG FIELD CRAIG FIELD E MATERIAL S 1 ,- -" ,- ,- . > - 070910, LIM THE CONTRACTOR SHALL BE RESPON- LIM LOT 29 IREQUIRED SEPTIC TANK: SIBLE FOR PROPERLY LOCATING AND SOIL CLASS: SOIL CLASS: • VATION WOODED,--E LIMN 4 COORDINATING THE PROPOSED CON- SEE NOTES 550 X 200% 1100 GAL. KbNES,,- STRUCTION ACTIVITY WITH DIG-SAFE AA 1500 GAL. AND THE APPLICABLE UTILITY A��v SEPTIC TANK PROVIDED: L.T.A.R. L.T.A.R. __A�2 0.74 G P.D./SQ.FT. _0K COMPANY AND MAINTAINING THE 0.74 G.P.D./SQ.FT. EXISTING UTILITY SYSTEM IN SERVICE. ey SqL DIG-SAFE SHALL BE NOTIFIED PER E OF LEACHING FACILITY REQUIRED: -KSSES5QfRS" M Arr LSI Z THE STATE OF MASSACHUSETTS DATUM: 50 <2 STATUTE CHAP-MR 82, SECTION 409 DESIGN PERC. RATE: MIN./ INCH AT TEL I-MB-344-7233. THE -P A R 14 Ul VERTICAL DATUM: ASSUMED `84. TP LONG TERM APPL. RATE 0.74 G.P.D/S.F. ENGINEER DOES NOT GUARANTEE jw�S 2,7,1'8 & -r9 S ---- ------ THEIR ACCURACY OR THAT ALL UTILITIES AND SUBSURFACE STRUCTURES 4 --'�00130 WOODED 550 GPD + 0,74 GPD/SF 744 S.F. ARE SHOWN. LOCATIONS AND TOP OF CONCRETE BOUND ELEVATION=48.07' A 27 a± -S.F..,- 0L ELEVATIONS OF UNDERGROUND UTILITIES BENCH MARK SET: --eROP0 7, \ 111 . QUAIL ANE TAKEN FROM RECORD PLANS. THE NNI 41- q �--------------- CONTRACTOR SHALL VERIFY SlZE, ISIZE OF LEACHING FACILITY PROVIDED:1 LOCATION AND INVERTS OF UTILITIES WOODIV CBDH TO THE START OF CONSTRUCTION. PROFILE: NOT TO SCALE \ '0 \�0 \ '\ \ \ �,,,. - AND STRUCTURES AS REQUIRED PRIOR EL=A \ \ , 10 /TOP FOUNDATION FIRST PIPE LENGTH ti h FOUND TO BE SET LEVEL v 49 USE HIGH DENSITY POLYETHYLENE CONCRETE COVERS TO WITHIN 7 8 THIS SYSTEM IS NOT DESIGNED F EL=61.0 6" OF FINISHED GRADE. FOR MIN. 2' d\ LEACHING CHAMBERS(6 UNITS) 12'X2'X55' THE USE OF A GARBAGE GRINDERT FINISH GRADE OHW A GARBAGE GRINDER IS NOT 44.0-43.0 0 w DHW- EIHW-= SITE BENCHMARK RECOMMENDED DUE TO RECOGNIZED PVC SCH 40 51 UPT SIDEWALL 2(12'+55') X 2' = 268 ADVERSE IMPACTS TO THE LEACHING 4" TOP OF CONCRETE " P w Hw 48 07' FACILITY. SCH 4* PVC SO4 LEACHING CHAMBER 01H _-52 \1�1 BOUND. El BOTTOM 12' X 55' = 660 53- 928S,F--l- - _'(0 BE CHECRED BY 9. EXITING INVERTS ARE r THE CONTRACTOR PRIOR TO CONSTRUCTION I-G lv� 54 928 S.F x 0.74 GPD/SF 686GPD THE ENGINEER IS To BE NOTIFIED OF H AS �TA LLOtr' I-E Sri. � ANY FIELD CHANCES THAT MAY BE 5 OUTLET I-F 49 t 686GPD PROVIDED > 550GPD REQUIRED REQUIRED. DIST. BOX 5' SEPARATION AVE * 0 SEPTIC TANK 15" EST. HIGH GROUNDWATER GRAVEL z::-_; GRAVEL TWIN OAK -51, DRIVE %.Wool DRIVE jp, 12 4 TRIPLE LOCUS INFORMATION 0 H OLL�4 INVERT ELEVATIONS: 0 Ot 44DRO,POSED el BSC GRUT RESURFACED 15" OAK CURRENT OWNER: ROBERT & NANCY SOLOMOM GRAVEL DRIVE,.,/ 657 Main Street, (RT. 28) Unit 6 W.Yarmouth Massachusetts TOP OF FOUNDATION 62.34 A TITLE REFERENCE: CERTIFICATE 125698 53.0 B GARAGE 51.0 OP. 4" INVERT AT BUILDING Y5. � PLAN REFERENCE: LAND COURT 19844 J 02673 A:) 5087788919 50.0 C PjNN_ ASSESSORS 4" INVERT AT SEPTIC TANK (IN) f 1;1*1 N Ca ENTRY MAP: 287 4" INVERT AT SEPTIC TANK OUT 49.75 D PARCEL: 144 •PROJECT TITLE: 4" INVERT AT DIST. BOX (IN) 40.87 E ZONING DISMCT- RF-1 2" AREA OF C-b 4" INVERT AT DIST. BOX (OUT) 40.70 F TWIN OA ADD17`10 60 SETBACKS: FRONT 30, NA SIDE 15' SITE PLAN _T[OOR REAR 15' SPACE<'** EXISTING 72P Ati INVERTS AT LEACHING FACILITY: WOOD MINIMUM LOT SIZE: 43,560 S.F. AND DWELLING a 4" INVERT AT BEGINNING 0 if < FF=63.0 OVERLAY DISTRICT- -AP- (NOT A ZONE 11) SEWAGE DISPOSAL G BREAKOUT 41.1 1 1 /TRIrLEE is OF LEACHING CHAMBER 40.6 bAA OAK FRUIT. OF FEMA FLOOD ZONE "C" AS SHOWN ON PANEL SYSTEM DESIGN ELEVATION AT BOTTOM / TREE OPOSED ZONE DISTRICT- #250001 0006 D REVISED 7/2/92 OF LEACHING CHAMBER 38.6 H > PATIO 11 DAVID J. It PLAN I CRISPIN ADJUSTED 62- PATIO CIVIL GROUNDWATER 33.6 J (SEE TEST PIT #1) 7PO15'6SED RTM- No.3211 Ej #83 ACTUAL G. WATER CONSIDERED EACHPW� 62.1 0 12�/CEDAR NO OBSERVED GROUNDWATER z 0 V DE16P LOCUS PLAN: NO SCALE 27.0 TO BE < ELEV. 27 BASED ON #"-DIA/2;/ q QUAIL LANE CL LOW SPOT ON SITE C 64 EXISTING DWELLING U, /0 OF S30NE 5OR TO BE RAZED LOWEST ELEV. ON SITE. OA Tro & ROOF PROP. FIRST FLOOR 63.0' HYANNISPORT E 179 1 1 0 rn( PROP. BASEMENT SLAB ELEV 54.5 0 X. C8 SET fl 18" MASSACHUSETTS OAK 4 I Y / / \ �\ z VARIANCES REQUESTED: *EST MAW SMEEr PREPARED FOR: Nn (/ s .i / / . OF LOT 27 ' . : N ROBERT AND NANCY SOLOMON to 65.0 Iq CRAIG A. 0 LOC S 1325 EAST 57TH STREET NONE 7 •.1 0 1 FIELD 0 N0.39039 NEW YORK, N.Y. 0 PR 0 0. SED S B 66. 10022 9" OAK L*v DATE: AUGUST 19, 2004 PINE PR OSE 15'X x 5 COMP. DESIGN: K. HEALY PO HYANNIS CHECK: D. CRISPIN HARBOR PINE CD PR pE a PLAN VIEW ell DRAWN: P. HAGIST 02 1 1 1 rn AFIELD: D. GAZZOLO / J. MCCARTIN 1`2" OAK co C8DISK 137.94' S8 AT 9 A SCALE: 1' 20 FEET FILE NO. 8212-SEP.DWG I FOUND '02'21-W Md 0 1 CBDISK DWG NO. 5243-02 N / 116.011 0 10 20 40 FT. SHEET 1 OF 1 00 FOUND JOB NO. 4-8212.01 M M 0 0 0 NIM M 0 0 0 00 0 0 0 o 0 0 0 0 o o 0 0 H(0 o PPE 2,YETH �,5h 0 "if 0 0 00 000 00 0 �C�C HIGH D I 7EN' G 0 S Ty 0 Y ETH ENE Y 0 1fq TRATOR 3050 LEACHING oy CHAMBER 10 0 0 7 A re EL=61*1 --- ------------------- REVISIONS: Lli NO. DATE DESC. Z � 7 6 y 1 11/9/04 GARAGE ADDED WEST MAIN SME — LOC c FgCh���F -• \ � — HYANNIS �"�( HARBOR 9.5�'O9 `..J N6 LOCUS MAP NOT TO SCALE I HEREBY CERTIFY TO THE BEST OF N \ MY PROFESSIONAL KNOWLEDGE, �'o. �- INFORMATION AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND — SETBACKS O THE STRUCTURE AS LOT 29 �` I -- _�` DETERMINED BY INSTRUMENT SURVEY NAND AS SHOWN ON THIS PLAN ARE s \ CORRECT. n►.�4, i of 3 / � .00/��� a ` GepN ROBERT & NANCY SOLOMON / uN0 ASSESSORS MAP 287 / PRO ESSIONAL LAND SURVEYOR DATE FO ' PARCEL 144 / // I SITE BENCHMARK L.C. / TOP OF CONCRETE \ CID LOTS 27,28 & 29 // �/ , / BOUND. EL 48.07' \ 59,278± S.F. �/ CERTIFIED \ \ LOT 28 PLOT PLAN 83 QUAIL LANE \ \\ CONCRETE \\ \ RETAINING WALL- �i _ _ \ IN ` GRAVEL HYAN N I S P O RT �/ - DRIVE \ GARAGE \ / - // 1 a, MASSAC H U S ETf S \\ \ TOF-69.2, i —-�/ // GRAVEL // N ($ARNSTABLE COUNTY) 000l .� -y0�` DRIVE �� / / 00 / O\ / -4 - --- 100, SS i P - CONCRETE RETAINING WALL _ d FOUNDATION /� ,p / -- �k AS-GUILT \ \\ JK 0, V \ \ \\ \ FOUNDATION ?S• �O O" \ � � TOF=62.5 � k0 \ < rok S. OCTOBER 15, 2004�* \\ \\ o •o- 1pc \ SEA \\ \\ PREPARED FOR: ROBERT AND NANCY SOLOMON \ \ 0 1325 EAST 57TH STREET \ \ L a, NEW 10 22 N.Y. LOT 27 RECORD LOCUS INFORMATION G \ \ JLP N \ to o N CURRENT OWNER: ROBERT & NANCY SOLOMONLD 10. TITLE REFERENCE: CERTIFICATE 125698 \ \ UP A! \ \ ;9BSC PLAN REFERENCE: LAND COURT 19844 J 1 657 Main Street, Unit 6 Ceo�SK W. Yarmouth Massachusetts ASSESSORS MAP: 287 PARCEL: 144 \ \ FpvNo 02673 0 ZONING DISTRICT: RF-1 \ \ 5087788919 a SETBACKS: FRONT 30' a SIDE 15' 1 , S81'02'21»W © 2004 The BSC Group, Inc. REAR 15' \ \ 137.94 MINIMUM LOT SIZE: 43,560 S.F. \ \ SCALE: 1" = 20' 8 \ 800- 0 2.5 5 10 MEn= GROUNDWATER OVERLAY DISTRICT: "AP" (NOT A ZONE II) \ FOVNO 0 10 20 40 FEET 1 \ a PROD. MGR.: C. FIELD w FIELD: D. GAZZOLO / P. HAGIST N CALC./DESIGN: K. HEALY a DRAWN: P. HAGIST N CHECK: C. FIELD I N FILE: 8212—FAB.DWG N DWG. NO: 5243-03 cl SHEET 1 OF 1 .a JOB. NO: 4-8212.00