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0155 SEVENTH AVENUE (HYANNIS)
s��� �v� �'� k Town of Barnstable *Permit Fapires 6 !�fto�me date Regulatory Services Fee MASS, $ Thomas F.Geiler,Director 163 ,rC Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 9 3_l a www.town.barnstable.ma us _ Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ` ® Not Valid without Red X-Press Imprint Map/parcel Number � L 1 Property.Address 155 "7* A-i.£ WEST N� �' SB�n i rsdL_� o�- ®.Residential Value of Work bo— Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address E.0.t P Mr- i-t-C„ see_ Telephone Number8 j P� 35,5® S"%1 Home Improvement Contractor License#(if applicable) Co en-suporvisor s License#(if applicable) C- — k`3 JUL 0 2 2013 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor TOWN OF BARNSTABLE ❑ I am the Homeowner I have Worker's Compensation Insurance ®. C= 0 Insurance Company Name R�e_�� ���-� �oS�d� �' rZE U) Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) cn ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to r cow. I r" ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) tv M ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ZSmoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owuerletter of Permission. A c e Home provement n ctors License&Construction Supervisors License is equired. SIGNATURE: QAWPFILESWORNIMbuilding permit forms S.doc i. am 1MAM ,,�' Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBOT Building Commissioner a ` 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*Bt&der-ft- 9 as Owner of the subject-property hereby authorize f&..c. Dtl A aDCt 5EtY'A.t<J to act on my behalf, in all matters relative to work authorized by this building permit application for: 165 '7 4-14 QV E WEtI raa�e��1 V"c�'�j naP.• o s. (Address of Job) " T ��T Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dewllikWppData\Local\Micnosoft\Windows\Temporary Intemet Files\Content.0atlook\SR76BDVA\EXPRESS.doc Revised 061313 _._......... f ------------ cein s � .--�' E k ; t,�5 I 5 r --------------- _ x The Cammonweah*�r,f assachuseft Aparhnent ofladustyialAcciden& f),fce o,fInm igaiions - 600 WMkington Street Boston,MA 02111 _ >I%%V.m gm/dia Workers' Compensation Insurance Affidav-L BuMers/Cont rachHsTlectriciansfflhunbers Applicant Information Please Print 1*,mb y Name LL L 1Address. '�-f Lo - �R.S �• a J�� �L CiiylStat ip_ v i w o. rnA- o a-�qo Phone# �9 Are you an employer?Check the appropriate box: T . Hof project r 4. I am a: contractor and I 3'pe P 3 (required): L p I am a,employer with �j ❑ 6- ❑New coon employees(/till and/or part-time)-* have hired the sub-contractors 2-ElI am a sole proprietor or partner- listed on the attached sheet. 7_ ❑Remodeling ship and have no employees These sob-contractors have 8_ ❑Demolition working for me in any capacity. employees and have woAm- 9. ❑Building addition [No worloers'comp.insurance comp.insurance-1 required-] .5. ❑ We are a corporation and its IO.❑Electrical repairs or additions 3_❑ I am a homeowner doing allwcuk Officers have tylercised their 1I.❑Plumbing repairs or additions myself [Na workers'comp- right ofhon per MGL 12_❑Itoofrepairs. insurance required]i c.152, §1(41 and we have no employees.[No w,mkers' 13�Other A l A ho ilw comp.insurance required,] -Any apphc=dit Checks Lori#1 mast also fill out the sects©n bel w shomng:their wodeW compensafam policy McnnatimL . I Homeowueis who submit dos&ffk1n rt m&catmg they are dokg all woik aM then hoe outside conuKmrs must submit a new affidavit in&cating sacb- tGont czars that check thlsbox insist gttaChed ai addiisnnal sheet showing die namie of the sub-ccnftKt is and:stne whether ornot those emits have employees..Ifthesub-cautractntshavaven4Ioyee%&ey—, pmvid;e*wwatken'romp.policy number. I ant an employ-wr that is prouidirtg workers'compensation.insuratna a for my emrpLayea& ,Below is the policy alzd job:site information. Insurance Company Name: Pt W►C l (,A rJ I_'L+.,�L,,f c� �y�•�.t�.�C.� C.v i�P►�� Policy#or Selfins.:Uc.#_ `!J G 5 o g 5 Q 9 7 0,v Expiration Date: /� y Job Site Address l��ja,,.,�SP�,azt'++a Ctty/StatedZrp 0�G7t Afta a copy of the wor rs compensation pohcy declarafimn page(showing me po cy number an__.. Para _ n .a_e. _—_- 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 onje�year imprisonment as well as civil penalties in the form of.a STOP STORK ORDER.and a fine of up to$250-001 a day against the violator. Be advised that a copy of this statement may be fxsrwarded to the Office of Investigations,of the DIA for insurance coverage verification-.. I do herei peQftr under the ns alties ofpeduty that the un,formation ptmiWed above is true and correctSi tore: Date: Phone a- Official use only.. Do not write in this area,to be completed by city or ft"m o,,�ic iat City or Tower Permit#License 4 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City1f own Clerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 --IE(MM/DDrn-m CERTIFICATE OF LIABILITY INSUFUMCE 10/01/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN_ THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCERNAME: " Marsh USA,Inc. PHONE. - w FAX - 1166 Avenue of the Americas (A/C, Arc No New York,NY 1OW6 E-MAIL : . ADDRESS: INSURE S AFFORDING COVERAGE" NAIC 9 58880-ADT-MAIN-12-13 INSURER A,Zurich American Insurance Company 16535 INSURED INSURER B:AmeAcan Zurich Insurance Company 40142 ADT LLC 410 University Avenue INSURER c: Westwood,MA 02090 INSURER o: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-00648037006 REVISION NUMBER:3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT.TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS.SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUBR'. pOUCY NUMBER MMIDDI EFF MMrbDPOLICY Elm LIMITS " LTRVVD A GENERAL LIABILITY GLO 50958994 09/28/2012 10/01/2013 EACH OCCURRENCE $ MUDD AG T RE 1,000,0pp X COMMERCIAL GENERAL LIABILITY PREMISES Ea o nencs) '$ CLAIMS-MADE M OCCUR MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,OD0,000 GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMp/OP AGG s 4,��. " MX POLICY PRO- n LOG 5 A AUTOMOBILE LIABILITY AL5095900.00 09/28/2012 10/01/2013 COMBINED 1SINGLE LIMIT 1,000,000 c d� X ANY ALTO BODILY INJURY(Per person) $ — ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ALTOS AUTOS NON-OWNED PROPERTY DAMAGE 5 X HIRED AUTOS X AUTOS (peract7 UMBRELLA LIAR HOCCUR 1 - EACH OCCURRENCE 5_ EXCESS LAB CLAIMS-MADE AGGREGATE 5 DED I I RETENTIONS 1 I5 B woRKERs coMPENSATION WC 5095897-00(Deductible) 09/28l2012 10/01/2013 X WC STATU- JOT H ER AND EMPLOYERS LIABILITY 1WC 50158MI Retro 09/2912012 10/OV2013 2.000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N ( ) EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? - (Mandatory in NH) � N/A EL DISEASE-FA EMPLOYE 5 2 000,000 If yes,describe under 2,000,0DO DESCRIPTION OF OPERATIONS below EL DISEASE-!'OLICY LIMIT $ DESCRIPTIO OF E LO 7 VEH Ti NS I TION ICLES A - C 101 ti dd onaf a' ul rf o s s uiot CERTIFICATE HOLDER CANCELLATION AT I:LG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN.TOM LEE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 410 UNIVERSITY AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. WESTWOOD,MA 02090 AUTHORIZED REPRESENTATIVE of Marsh USA Inc, CynthiaY.IGmWig--- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ' . ;_;CaMAl#akVUEALi•H OF.MASSACHUSE_'fTS:L-:�=.= •. -��LECTRICIANS A fE61S.iERED.SYSTM CONGT--=- _- ISSUES:+�Es4�QYE11�ENSE i 'A VA 1JBA::A' TE'CEhR1:TY':.. :.` H014AS j > r.`�.3.�-� L 07/3I/13 •'. .=�201.43�+:=��':_'� :�' ':x=. i 1 Commonwealth of Massachusetts Department of Public Safety kcuritr tiaLLms-ti-l.iccaar - - License:SS-001779 Thomas J Lee = 410 VniversityAve'-ry* -T Westwood MX:02090 -,ev� `"` Expiration: Commissioner 05/16/2014 9 r t ' I 2013 A -2 ate 5 2 bivi Cd�j W ig LJLJ N L> 1 cc p I cn Ex; fi!�5 tr o 0 LLIEiO4 m W (�yJl�lC'�Meh' oi( H Cc cn Lit f,,p (}/�/�m . , Vf'Y'J J \Vtl . I l'l '� i ( TOWN OF BARNSTABLE I ZOi3 JUL -2 AM 8: 52 ui WC3W air u C c uj IWI3 W 1 _...._.__._.._ W t` rr l Z .1 I I S ; I 1 � ............. 1 ' Cain pie yr e 1-0 - Z T T C �l N r con cc RE s m m v i Z 5 •8. Wv Z- IN EIOZ 31NESN ' p Nmol 'OF co fg p+ Ct vi j 13 �f T:i 11i ff�� .i���i •`r.�ri1�. ,`�..:."� h'��'i.1La.<:.z�:�,'�+?�a�li'+4wti3�%',�tC4'�ry i I VQS � P t Ceti .� se m ---- P rn rj ,M- m, v _ m rn 1 co .,, _ ,. SRm m ,. SN��Ie e� � � m o pPtelll ii ( C m 1' Vr c► vrr NOISIAIQ 77 pW.v ry Inr t i ... _.____ � _..._ r__.____.._w.. .� .�..�..�....�...�....��.._._..__....,�My: ,,.,...��,......_....,....�. 9 i ,ems' t s S A.r-e- I�iq �(ao OKE DETIPTORS REVIEWED � g D BARNSTABLE BUILDING DEPT. DATE 1: Ir C FIRE DEPARTMENT DATE BOTH SISNATURESARE REQUIRED FOR PERMIT/VG a r 4 s 2 54_ m A 4AC, V, 55 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � `� Parcel 6 Application # 961 �OV Health Division - Date Issued Conservation Division Application F lip Planning Dept Permit Fee3. Date Definitive Plan Approved by Planning Board ►-�1-�� Historic - OKH Preservation/Hyannis Project Street Address 1 Village Li Owner M I("s Address _ IM--A- Telephone 1L O c) 63 Permit Request x-r_yv,,oAA ik"v 0e,+L' l L- e� s L✓w-� ,,.JS CC.-1 `\ 1 _ 4'Vk k' C cAoWI Square feet: 1 st floor: existing/?vU proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �130 60 Construction TypedUVRO. Lot Size Grandfathered: ❑Yes ❑ No If yes, attacF7i..,A,pportin,@Joggentation. w Dwelling Type: Single Family 2"'- Two Family ❑ Multi-Family (# units) Age of Existing Structure 1 1 5! Historic House: ❑Yes LkNo On Old KingFs High": Owes allo a� Basement Type: Cifull y m CCrawl3/y ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (s"q.ft) _vim z Number of Baths: Full: existing 2 new Half: existing newy'" i Number of Bedrooms: 3 existing dnew Total Room Count (not including bath ): existing 6 new U First Floor Room Count Heat Type and Fuel: ®"Gas ❑ Oil ❑ Electric ❑ Other Central Air: des ❑ No Fireplaces: Existing New o Existing wood/coal stove: 0 Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing" ❑ new size_" Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name icy / Telephone Number j 0 0 7 X 2070 Address G� -1�'h� A�^�c__ R� �"� License #2[t62:?l ' Home Improvement Contractor# 1�271 M Workers Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS/)PROJECT WILL BE TAKEN TO a5-�G"tic (i✓G:S f-C w �..�zs�L SIGNATURE DATE r _ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED s MAP/PARCEL NO. ADDRESS VILLAGE Fk OWNER r. .' DATE OF INSPECTION: rFOUNDATION FRAME k INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING '4. DATE CLOSED OUT k ASSOCIATION PLAN NO. - - 1Jeliarfinetit of industrial Accidents Off ce of mestigatians 4 600 Washington street ' Bostan,.h_4 02111 v www.mass.gav/din x Workers' Compensation Insurance Affidavit: Builders/ContractoisfElectricians/Plumbers Applicant Itiforniafion Please Print LeeiblY - Name-(Businessloga izadc)n/Individnaij: -Address:�2 ' L � •.2 .243 City/State/Zip: CIO, Q2, 3 one.# 0&-7y� Are you an employer? Check the appropriate box;.", Tppe of protect(required):. 1 ❑ I am a employer with general contractor and I • . 4 am a employees(full and/or part time). have hired the sub=contmctors 6 .0 New conshaction . 2.❑ I am a•sole proprietor or partner listed on the'attiched sheet:.. ' 7. Remodeling _ These sub-contractors have ship and have no employees `8 0 Demolition working for me in any capacity. employees and have,workers' add [No workers' comp.insurance. comp.insurance# 9 _0 Bu. tTding addition . M required. 5. a are a.corporatton and its,.,. 10.[]Electrical. airs or additions 3.0 I am a homeowner doing 01-work officers have exercised their 11. Plumbing repairs:or additions,. myself [No workers' comp: right bf exemption per MGI, 'l2❑Roofr airs in nce required]t c:1`2,§1(4) and.we ha.�e no „ employees.[No work=' 13.El Other comp.insurance required] * n *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,affidavitmdicatmg such:. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractois and state whether nr not those.eutitirs have employees. If the sub-contactors have_ernployees;they must providt their workers'comp.policy number. v - Tam an employer that isproviding workers'compensation insurance for my employees•Below is thepolicy and�ob site Information. Insurance Compamy Name: R�. Policy#or Self-ins.Lic. Exp iration Date• � d t lzip . Job Site Address: City/Sta Attach a copy of the workers' compensation policy declaration page'(showing the poficy number"and expiration date) Failure•to secure coverage as required under Section 25A ofMGL b. 152 can lead to the imposition of cririminsl penalties of a fine up to$1,500.00 and/or one-year imprisonment,as-well civilpenalties in 13ie.form'of a STOP WORK ORDER and a fine •' of up to$250.00 a day against the violator. Be advised that a copyof this statement may,be'forwarded to`thee.Office of Investigations of the DIA for insurance coverage yerificaton X do-hereby certify undy the pains•and penalties of perjury that the information provided above a true and correct Simafore: Date.. Phone �/G, (] Official use only. Do not write in this area tb be;completed by city ar town official k City or'Town: Perxmt/License# k •Issuing Authoritp:(circIe one):. ' .•I.Board of Health 2.Building Department 3.CitpTown Clerk 4.Electrical inspector 5.Plumbing Inspector 6. Other s ' . Contact Person• Phone#. . r , _TA -�-d-oi-tii; C9 r c + e , R 5 , ewtepraat"" CERTIFICATE OF LIABILITY INSURANCE- 05/16/2012 THIS CERTLFICATE E IS9ltfD AS A tIMTTER OF WIaORYATION ONLY AND CONFERS ND R16Ni5 UPON THE ttTE1CATE HOLDER TNtS CUMFeCATE DOES NOT AFFIRMATIVELY OR tEGAMELY AMEND. f CMWD OR ALTER THE COVERAGEE. AFFORDED BY TM POLICIES BELOW. THIS CER'TFTCATE OF VZURIWME DOES NOT COIIStITUTB A MffRACT BETWEEN THE 8SU NG VSMER(B). AUT"MMD RSPRESMATIVE OR PROOUCER,AND THE GEWMIICATE"OLD IMVORTANI: tlt0 CpM ft0kW b :n ADDITIONAL DMRED, OW 1301MA O MUU be erAWMA& a 3/.ftiR 19- WANED. WbJetT t0 the term and 9ene0tl00o of the OtMlq. geed Oapan My aWIM an wx1varmeMOUL A fafrtemeet on thir C@dlnca* dM net miter d*" LO the urlMtetOo 1v.Mitiw iR pen 4;iSttcfl erltereerllonlpt>. titooum N.rc: tir11QL SC13i.HJa�. SCHIJML INSORAMM aitOKUM.O MW (BOB) 771 - 9321 Oe-i7i-0663 84 rmm STPJMf 154MIL c SCmEGEL=SURANczV fMaZMf. T ' - Mal. oc • o1LST 2As!lOCTH, !O► 0267; trVMMA/A7ftM"CMM*P.. 'f'K• I�v»E0 e,etlttElt+�Rll>i71g 2tDTVI1L _ DB.A GRRDIGER CONSTRUCT (M RICB1M 6AM111 t .m+waleOLIM I Now ►t. 92 PaZIc Place m mtaer tvtultEw 0: Maahpe0, M& 02659 t1tlwEter: .malenr: COVERAGES GE1tTIFLCATE ttU111BER: RkVISiON NUMBER: TN15 VS TO CERTIFY THAT WE PWOM OF MLIRANCE UPED'BELOW HAVE BEEF WSUIW TO THE INSL NAME) THE POLICY PERIOD . mNDICATEO. NO VMNSTANDING ANY REQ1ARf3EW. "M OR CONDRION OF ANY CONTMT OR 07MBI DOCUMENT WRH RESPECT TO MIC►f V141S CERTIFICAlf MAY BE ISSUED OR MAY PERTAM. THE HOURANCE AFFORDED BY THE POLICIES CESCRISED HEMM tS SUBJECT M ALL THE TT3t M EXCLLMONS NW COfDrTriONS OF SUCH POUCIES..LUM SHCMNN WAY NAVE REEK REDUCED RY PAID CLAIMS. 1.1014131 lrR TRocettY0ltMCE tEmlt Mre - PoueYwMttte plraonrYYl . A oetvJlnw�a+sT CPP0709341 T D8/20/ZO OB/20/20 No 11,000,000. x col+vm�AautrENDruLutttttr PRRwti'sIF. :50,000 t5,000 cuums- O" omR I�DE20't'M1I4t40eNMR pgIlpnn6nAql eullAY 11,040,000 oErEtcnAOoTE s 2,000 r 000 OEM.AMMMATEtA.trtAMM-Pt3t - - PwOWCTs-c0YPt0Pn0o 22,000,000 POUCY im, U� ._ CplbtFIIBebt>=titlit ! AVTDMOI"IJAMM MA awbod Q nHV AUrG - OODILT NMIIRf t+FrPMmO ! � .N1il�NiA/AUtOG OADLV Q414rYt�tidlnA t aptE011ID NtCS ��� !. NREA AUTO'+ t NO N.OWNWA rtoe t wmRELIALM oexul EACNOuut ' Ettetat" cwMr;,e� .e0actvae ! t tleouer� 4 t nETD+Trat c slntu B wotateaecONutmAnaM t�lCS-318-876358-022 ditbs/2612 54/06/2013 TOPrtnms � tuDrswanitautawrY Y.N r.4EACHAtOMON 11100,000 AWPR0ARMT0a.PCAfMME1r=tuo Parr 00 c cgivaomcft Et uom D "0j%t13E-FAEW L0M ! 10010 gym"I""O 500 000 1 rwt dude WANN p;0I :Awx-PGLMVLIWT ! DESOt4'RON OF OPE MYOW-letew _. m�cwmlaIerovc+tcT+awrMJrcAtlore IvsEelt"r...e.eato m.n..r.nR.M.A:se.r.IR.rm.Aar.os�.s+am RZCEARD GRRm m BA_s E7.4CS'SD MO'2 20 EL COVZPZD mmm BZB CTIRF=T ROmms CO>!lMSAYZOM POLICY CERTIFCATE}MOLDER CANCELIATION . - 9HOU►M ANY OF THE ABOVE Of!SfJMOEO IATION POLICIES 1K BE C E 1JVEREO M L1110 ON*" TM EXPO GATE "WPKAP. 14DTICE t✓ . ACCORMWCE"TO THE POLICY eF&JMM& " AUi}IOtTJg s ` t s 019m09 RPORATWN All t(Bhl;tes"Veg. ACORD 25(2002MR) TIw AC'ORD nme w d NlP Mm feWS "alaf.ACORD i •d ELSOLLb60S . ,Iaupjeq pjeyaT8 eiZ : II ZI pe Inc. A`." ` CERTIFICATE OF LIABILITY INSURANCE P... 1 of 1 01/17/o2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT_ Nthe certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER ;CONTACT :.NAME:.__ ................ ......._............................_................ Wlliio of Tenoteoee, TAa. :PHONE tom( ... ...... -�__.........._..__.__.._._.._.. c/o 26 Century Blvd- (AIi�£XTl -VG_Nnr 8A�467-,,•378 Y.O- $o; 3OS191 ADDRESS__..__.5.g��i�kS.?<!�@.�'��.dg•�.9�L1__....�._.,.--_._._..-- 2aRelxville. 2iV 37 2 30-5191 INSURER(S)AFFORDINGCOVERAGE € NAIC* iINSURERA. Zurich American insurance Company 16535-005 INSURED INsurztma;Cincinnati Inouranoe Company `:10677,001 DfAP Installed Building Products 165 State Rd. ?INSURERC:Americaan Guarantee k T.t iliry Inrauranem €26247-004 P-O. Box 1309 — Sagamore Beeah, DIX 02562-13DS INSURERD: _ ;INSURERS: - '—"—__....__. ....—...—.._._ .. i INSURER F; COVERAGES CERTIFICATE NUMBER.,19269058 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RECUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. __.........__....__... _ .— _ _. _.._.._..._... . - - _....__.. ...... ... ... . --- -.._..._ ._. ........... ..._— I TR TYPE OFINSURANC@ OD' SUB POLIGYNUMBlR, tPOLIC'YQFF POUCYEKP A OENERALLIABIUrY :GLO913952706 10/3,/203,2 110/1. 2013 EACH OCCuRRENCE_- - S 2;p00,000.•. COMMERCIAL GENERAL LIABILITY D n(I TOP.ENTED .__ CLAIMS-MADE(L g� OCCUR €IVIED EXP(Any rare person}--y$ — ],0�00 0 ,.• —_ _._. `• .....—_........ .....—.........._...... PERSONAL----- ----�--�OOQ�000_ AADVINJURY $ GENERALAGGRC43ATE is 4�OQO�000 GEN'LACdGRE6ATEUMRAPPUESPER: :PRODUCTS-COMPK)PA00 3 9,000��0 _..._ _ - [ POLICY _.... LOC - B AUTOMOBI6EUA81LITY CAA5878131(NY) 10/1/2012 10/l/2013 Eor�EI�osINCLEUMa :$ 11000,000 B X ANY AUTO CAA5121545 (CA/ME/WI) :10/l/2012 10/1/20131BODILYINJURY(Perpenwn) IS ' ALL OWNED " -'SCHEDULED -- — 8 `CAA5211284(NN) M0/1,/2012 10/1/2013 BODILY IN,IURV(Peroocidcm) p AVT06 _-aU9YJS — .-- B x HREDAUTOS X NON-WNEO 'CAA587812'7(A091) 10/7/2012 10/1/2013AUTOS ' B — sCAA5223136, 10/1/2012 :10/1/2013 C X UMBREUALIA8 X OCCUR AUC931420601 :10/l/2012 10/l/2013 _F_ACmOCCURRF,NCF :$ 10,000�000 PJ(CE58 LIAR CWMS-MADE AGGREGATE — if 1D�000�_000 DED AE'(£NION S - -_— S A WORKFRSCOMPENSATION *C913952606 (ADS) €ID/l/2012 ?IDAh6_13 1X AND EMPLOYERS-LIABIUtY YIN >..�7DRYLIMIL3E__dER �.__..— A ANY PROPRIETORA�ARTNPRMXECUTIVE�N� NIA :WC913 952 80 6(WT) '10/1/2012 i10/1/2013 i E.LEACHACCIDENT .3 1,000,00_0- OFFICERNEMBER EXCLUDED? •' '� I— 'FAsndotoInNH1 E.L.DISEASE-€A EMPLOYEE is 1,000,000 — v�+c.noa Lino unto' DE.$tPIPMNOYOPERATIONStelow 'EJ..DISEASE-POLICvLIMtr :S 1,000,000 8 Excece AntOmObile IX9115 851 10 1 2012 10 1 2013 :04,000,000. Exeeea :of $1,000,000 :underlying autgmobile DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES(Attach Aw,d 101,Ad fawis,Ramarhe Schedule.if noro speoa Is,aqulred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I40OAU 6e COMPANY INC. + 68 JOYCE RD. ` C6NTERVILLE, MA 02632 Coll:3979368 Tpl:151519:9 Cext1192 058 01988-2010 ORD CORPORATION-All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD arigaaa Ian a..�—a ii [.G/6VJLJ Y :01 :JV HPl el%ur- J/VV.S rax oerver r� CERTIFICATE OF INSURANCE 1SSLE DATE 12Z21173 THIS CERTIFICATE IS ISSUED AS AIKATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DO&S NOT AFFIRKATI4 ELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSITRER(S).ALTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT I IIJB INTERNATIONAL LLC NAME: 125 ROU L1 6A PHONE FAX A/C.No Ext: (AIC,No): SANDW ICI L MA 02563 E-MAIL ADDRESS: - INSLTtED INSURE 5 AFPORDINGCOVT-RAGE NAIL J M MORIN 1NCORPORAIED INSURER A TRAVELERS PROPERTY CASUALTY 55 MOUNTAIN ASIl Rll COMPANY OF AMERICA NLARSTONS MILLS,MA 02648 INSURER B INSURE (' INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOSY tLAVE BEEN ISSUED TO THE INSURED NA--IF.D ABOVE FOR THE POLICY PERIOD INDICATED. NOTMTHSTANDING ANY REQUU(EIENT-TERNI OR CONDITION OF ANY CONTRACT OR OTHER DOCLIAENT WITH RESPECT TO WIECH THIS CERTIFICATE NLAY BE ISSHEOOH NIAY PERTAIV,'1111i1V5UR 1N(Ji:\GI ORI)I{I)ISY'II III PC)LICIli31)ISCRIUIiI}IIIdRIiIV I3SLI111:C'I-TOA1.1.11IG'IIikkiS_.I,XCLLSIOVS INU COi�UI'IIOVS QI SUCH POLICIES.LL\•-1TS SHOPW MAY ILAVE BEEN REDUCED BY-P.AID CLALVIS. INSR TYPE OF INSURANCE ADDL SLBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR ENSR WVD T\-i•'DD:•YYYY 0,*&DDtl'YYY GRNI(HAI,LIAI111.ITV LACHCk^C1:RRF?:CF $ J CONIMLRCIAL CCNCRAL LIABILITY VAKALGE`rO KE-N'1 11 $ . PREMISES(Ea ❑ CLAI1is11ADG E OCCUR. MEL).Exl'En SE-(..Any $ anc Pam] _ PE:RSUNAL&AUV. $ INJURY ctnE2a1.A(iGRE(.LkrE $ GEV'L a[;GREi;A'IE LI\iD'41'PLIES PER: .+ ' - PRUULIC-ISL'UM14U1' $ POLICY C PRO1LCr O LOC ACiCi AITTOMOBILEIdABIIITF WN,1011,E0UNGLE $ t J."if l` ' (Ea accident) I Ahl.AlrrO HUULLY INJURY $ !1'71'�sanj I ALL.OWNED!ITIOS - BUUILY INJURY $ + !1'�Accidant I PROPERTY DAhL4GE $S::HF.1'ALF.D aI11OS - - - fl'�accidatfi " I HIRFDAUfOS NON.OBTF.D AU". _ $ UMRRELI.ALIAR I OCCUR - EACH OC:CURREI`CF- $ F.XCF.SS LIAR I CI AIVE-i.1ADF. - , AGGREGATE $ DFr)tK'ITRLF. $ RFTF.VTIOK S - $ WORKERS'COMPENSATION 'c. A AND E!"LOYERS LLABIISTY x SrAIUCORY YIN L1MflS A_VY 1'ROl'RIEIUIUI'AM74m; - ExEi-VI)VEUFFICEWN)EMBER a TBD O1i19!Z013 - OIlI9'I4 F_4F_4CHACCIDFTT $500,000 EACLUDELY1 _ (LAND ATORY IN NII) - E.L.UISE:4SE-EACHEMPLOYEE $5()n OQO Ify-m&.%--rih:mderr)M—RIPTTON OF - F_I_DISE\SF.-POLICY $500,000 OPERATIONS Aelaw LIMIT DESC. I?rIUN OF OP1K1W1*LONWLOC4:FI0MtVXHICLe-i(Ahach iC'URU 101,Additkuw Rana&%"chcduL if amc space ii rauit^..d) t CERTIFICATE HOLDER CANCELLATION MIOGAN COMPANY INC. • 68 JOYCE ANNE RD. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CENTERVILLE,MA 02632 ACCORDANCE WITH THE POLICY PROVISIONS. .. `� $YaGWVl�iGLC�.2GLN! ACCORD 25 2010105 01988-2009 ACORD CORPORATION.An rights re-waved. r .CERTIFICATE OF LIABILITY INSURANCE DATE0,o/2012 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL`'INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED subject. to the terms and conditions of the policy, certain policies may require an endorsement. .A statement on-this certificate does not .- confer rights to the certificate holder in lieu of such.endorsement(s). PRODUCER CONTACT AME Members First Insurance Broker ` ON PHONE ' -. � ., FAX .. . 4 Stazidish-Road (A/c. Na. Ea,: (A/C N,: 8-MAIL Bridgewater,' MAL 02324 ADDRESS: - cusTiGLmR IDl. _. ... ._._.__ ._ . .. .. INSURED(S) AFFORDING COVERAGE NAIC 4 INSURED INSURER A: A.I.M. Mutual Insurance Co 33758 Ralph Bousquet INSURER B• dba Bousquet Painting INSURER C: 156 Trotters Lane INSURER D: Marstons Mills, MA 0264.8 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO.THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- xaac POLICY EFF POLICY EXP TYPE OF INSURANCE PO LIMITS Lcr POLICY NUMBER LHx/OP/mr) (aRroP/rrrr) GENERAL LIABILITY - EACH OCCURANCE S ❑COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PAEHISES(Ea.oeeVirenoe) 5 ��CLAIMS MADE DOCCUR - ' _ MED ESP (Any ona pex ) 5. i • PERSONAL c ADV INJURY 5 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES ER: ❑POLICY ❑PROJECT ❑LAC ` �- PRODUCTS-COMP/OP AGO $ , AUTOMOBILE LIABILITY _.. .. _ .-`... ........_. :. ..... .. _ ._ _.... LIMIT COMBINED SINGLE. •� '� :..lea nenidentl ..... 5 ❑ANY AUTO ' BODILY L:NJORY (pec pataon) $ ALL-OWNED AUTOS - .- .... .-- _. ,. ..� - .. .... _ _ _ a .SODILY.rHJURY(Par.accident)- "5..:.- - ... .._...... SCHEDULED -. ._ _ _. _ -,-.., _..... - .. -.._..,.. ...,.. .. _ r .....__._ r ....PROPERTY OAMAQE $ HIRED AUTOS'-. ....'-.�• , _ --_.._ _ -..- _ (pet.aceidmq.__.. ' NON-OL•LNED AUTOS: -. .__... �. .....•. -.-- .. ..._ ...... ..... ... .. ._..__...._. _..... _ _ ❑UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE .S. - e F]-CESS LIAR ❑ CLAIMS MADE' _ - T - AGGREGATE - $ MDEDUCPIBLE ❑RETENTION WORKERS COMPENSATION OTR - - - - AND EMPLOYEES LIABILITY coax Lleyrs OT THE PROPRIETOR/PARTNERS/ E.L. EACH ACCIDENT $ 100,000 A EXECUTIVE OFFICERS ARE - E.L..DISEASE -PDLr.CY LIMITs _500,000 L(_J_inC1__0eX_C1 G2/-11/70Y2 -G�/li 2013- -- E.L. DISEASE-EA EMPLOYEE $ 100,000 COMMENTS /OESORIpTION OP OPERATIONS OR LOCATIONS: - RALPH BOUSQUET IS NOT COVERED BY THE WORKERS'COMPENSATION POLICY. ' CERTIFICATE HOLDER CANCELLATION . MOGAN CO ATTN: QED MOGAN , . SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE CANCELLED'*BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE c _ POLICY PROVISIONS. 68 JOYCE ANN ROAD ` CENTERVILEL, MA 02632 AUTHORISED REPRESENTATIVE Town of Barnstable Regulatory Services �' 'ernes Thomas K.Geffer,Director. . .Building.Division Tom Perry,Buildi ng.Commissioner ---•--�—. _._._-..._—__-__-_-_--------...............�Q.D._Ma�.�h�et,� ,..II�A.Q2&41..-:----------__ ---------•--•---------------_..._._-___-•-- www.town.barnstable.ma.us Offibe: 508-862-4038 Fax: .508-79075230 Property Owner Must C_ omplete ,and Sign This Section If Using A Builder L '. —ele.•-EPke4— ,.as Owner of the ptoperiy hereby authorize [u to act on my beki4. in all matters relative to work aathouzed by this building permit. (Address of Job) **Pool fences and alarms are the responsibility applicant.onsibili of the licant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. sip&re of Ownex' . Signature £Applicant 1Nn•k-mks~( �- /77 Punt Nami Punt Name tti �2.61-1 Date Q:FORMS:OWNEltl'SRMTSSiONPOOLS 6/2012 &Xe omvmay veaCtL d�C� ucc�iccaelly Office of Consumer Affairs&Business.Regulation ' ME IMPROVEMENT CONTRACTOR egistration 100718 <Typ ne xpiration 6/23/2014 Pndate Corpora" . , MOGAN&CO.,INC y' Francis Mogan,Jr. 68 JOYCE-ANNE RD `_- Centerville, MA 02632 Undersecretary i License or;r�eg�sn�alfor jndrviduLuse on y before.the e��ration date. If found return to i Office of eosumer Affairs and Business Regulation ! 10 Park Plazas Suite 5170 i i Boston,MA 02116 alid without signature NlI ssuchusetts-Department of Public Safety Board of Buildin.0 Replations and Standards- Construction Supervisor License License: CS 26071 FRANCIS E MOGAN 68 JOYCE ANN RD M1 CENTERVILLE, MA 02632 �,-G—�y✓ Expiration: 10/312013 77 Cununissioner Tr#: 5002 Office of Investigations : 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurahce Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information -Please Print Legibly Name(Businesslownization/Individual): 1�1 •A#ess: ;l n,.i �- ��,�-.�F�/�✓' Y!�A- �1 s z_ - City/StatfvZip:l' �,44 M-v4- Ch/_3 L PhoneA • 09977[., 2-0-2U Are,you an employer? Check the appropriate box: a of ro ect're e 'Type - P ] ( 4� d):. 1.❑ I am a employer with 4. �am a general contractor and I 6.Q New conan,ar-firm : employees (full and/or part time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet•: 7. Remodeling ship and have no employees These sub-contractors have ' '8. Demolition working for me in capacity: employees and have workers' 9. Boil ' � addition '•[No workers' comp.insurance. 'comp,inararanca•$' 0. � . required-] 5. We are a corporation and its. 10.❑Electrical repairs or'additions 3.❑ I am a homeowner do' 0f wor]c officers have exercised their 11.❑Plumbing repairs or additions : Myself [No workers'comp. right of exemption per MGL c. 152 O 12.Q Roof repairs . . ineTtrance required.]fi .� , §1 4 , and we have no • employees.[No workers' 13.❑Other comp.insurance required] *Any applicant thatchecks box#1 must also fill out the section below.slioivmg their workers'compensation policy information. t Homeowners who submit thus affidavit indicating they are doing all work and then hue outside contractors must submit anew affidavit indicating such. Contractors that check thus box most attached an additional sheet showing the name of the sulrcontractois and state whether or no t those entities have employees. If the sub-contractors have employees,they must providt their workers'comp.policy number. ' Yam an employer that is providing workers'compensation insurance for my employees. Below is thepoficy and job site information Instzraace Company Name: - Policy#or Se If-iris Lic.# Expiration Date: . Job Site Address: City/StateJZip: Attach a copy of the workers' compensation policy declaration page'(shoy"g the poIicp number and expiration date). Fail=.11)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$25.0.00 a day against the violator. Be advised that a copy of this statement maybe forwarded fo the Office of ' Inyestit ons of the DIA for insurance coverage verification I do-hereby certify under the pains and pen¢lties of perjury that the information provided above is true and correct; Sitmatate: � .� ? Date I of t 3 : Phone k 570 -2 2, U71� Officer!use only.,Do not.write in this area, to be completed by city or towx.offrciaL City or Town• Permif/License# Issuing Authority(circle one):. .•1�Board of Health 2.Building Department 3. Citigown Clerk 4.Electrical Inspector 5:PIumbing Ins actor 6.Other Contact Persgn: Phone#: CERTIFICATE OF LIABILITY INSURA 0Szz 45 THIS CERER CATEIS ISSUED AS q N`'E R045 ^TEtMM/OD/Y, CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAER.THIS TIVELY AMEND, EXTEND OR ALTER T MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTI FD 1-17-2 013 REPRESENTATIVE OR PRODUCER, CERTIFICATE HOLDER.TUTS A CONTRACT BETWEEN THE ISSUING INSURER(S)THE POLICIES IMPORTANT: If the certificate holder s an ADDITIONAL INSURED,the policy(ies the terms and conditions of the policy AUTHORIZED P Y certain policies may require an endorsement. A statement on this certificate does not confer rights to certificate holder in lieu of such endorse certain ). )must be endorsed. If SUBROGATIONIS WAIVED,subject to PRODUCER PAYCHEX INSURANCE AGENCY INC CON CT 9 the 210705 p; �) _ F: HONE PO BOX 33015 (888)443-6112 (A/C No Ent: E-MAIL FAX c,NoA/ ): (888)443-611 SAN ANTONIO TX 78265 ADDRESS: INSWIED INSURERS)AFFORDING COVERAGE INSURERA: Hartford Ins CO Of the Midwest NAICd VETORINO( INSURER B 80 KIDDS HI LANDSCAPING & IRRIGATION LLC INSURER BARNSTABLE MA 02630 INSURER INSURER E COVERAGES INSURER F THIS IS TO CERTIFY THAT THE POLIC ESCERTIOIF INSU ACATE NMBE STED BELOW HAVE BEEN ISSUED TO THE INS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT T OTHER DIOCOUMENTMWITH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT URED NAMED ABOVE FOR THE POLICY PERIOD i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR RESPECT TO WHICH THIS LTR TYPE OF INSURANCE BR CT TO ALL THE TERMS, GENERAL LIAB/Lrry NSR WVp POLICY NUMBER CY EFF POLICY EXP /MM/DD/YYYYI /MM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g CLAIMS-MADE 0 OCCUR MA PREMISES(Ea occurrence) $ ❑ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO- PRODUCTS-COMP/OP AGG S 7 L AUTOMOBILE L/gB/LIry OC S COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED ❑ ❑ BODILY INJURY(Per person) $ AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) S HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE I (Per accident) OCCUR S 4 UMBRELLA L/AB $ EXCESSL/AB LAIMS-MADE EACH OCCURRENCE $ C � ❑ DE RETENTION S AGGREGATE $ WORKERS COMPENSATION - $ ANDEMPLOYERS'LIABIL/TY WCSTATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X TORY LIMITS ER A (Mandatory in ❑ N/A ❑ 76 WEG TQ2738 03/02/2012 03/02/2013 E.L.EACH ACCIDENT $ 500 000 (Mandatory in NH) If Yes,describe under E.L DISEASE-EA EMPLOYE $ 500 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCA/PT/ONOf OPERATIONS(LOCATIONS/VEHICLES-/Agt*ACORD 101,Addilbnal RemanFS Schedule,if mote space Ls fflqu& ) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Kogan & Company, Inc. BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE kttn: Edward Mogan DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 58 JOYCE ANNE RD AUTHOROED REPRESENTATM 3ENTERVILLE, MA 02632 742. 01988-2010 of acoRD ACORD CORPORA'C10t0. A\\r\ghis reserved. ,��1�5\ Zhe P.COKO name axa\o90 are teg\ste�ea masks CERTIFICATE OF,LIABILITY INSURANCE 05/16/2012 THIS CERTMATE IS ISSUED AS A SIATTER OF VAMRYATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIRCATE DOES NOT AFPM9ATlVE1.Y OR NEGATIMMY A1MlMND. EXTEND OR ALTER THE =MrERAG£ AFFORDED 6Y THE POIICIEB BELOW. TM CERTFTCATE OF MISURAMCE ODES NDT CONSTRUTE A COMRACT BETWEEN THE ISSUNG RISURMSL AU7"OR'ZED RraPRESHNfATAIE OR PRODILGER,Ate THE CERTIMAIR"OLIWJL IMPORTANT` If VID e& f hDICW 18 an ADDITIONAL *=FE 07. the PDAUVO ) IM19[ be erAOf" D 5UlM A I9 UYANED: SUMM t6 the tomm and carA AGM of Me Policy. cc,llill odBelas nay CEMIM an erldomMOOL A f6memeLlt an M Cedflica" does not canter #Wft 16 the Celtg1e50P itplder tD Bal dsYth•Rea�r�nentls� rIeDDIIrs.R w.�: P7� SCRLB�. SCHXa: SL INSOMANCZ B>(INMR8 3TiC (50B) 771 — 9301 08-771-0663 24 MAW STREET Ao•aDY, SCCt�3Gmmis0R1► czev Lit'W.MT aamtEstoe wEsT vM4DDTH, IO► 02673 mat. ratlaeaeA/nrroaDelaeavorADf Nmtmco W*tvm,%FXEN 7L MMML DBA GZ►RDIM-CONSTROf.'TIOS mxcf AD GAS wm41tp=I3Y.RTY MPXML 92 Park Place 4nmEIRC- snuAee u: K"hpse, MA 02649 •oupwa: WI M MP: COVERAGES CEIiTIFlCATE NUMBER: REIRSION NUMISER' THE IS TO CERTIFY THAT 711E PMZiM OF PISURAME USTEO BELOIM HAVE BEEN HUED TO THE itaujiED WINED AMDU9 FOR TM POUCT PERIOD INDICATED. NOTwIf"STANMG.AW REOU�cM. TERUI OR CONMrKM OF ANY CONTRACT OR 01M9% DOCUMENT MM RESPECT TO WHICH THM CERTIMA-IE NAY BE MMM OR MAV KWN K THE "MURANOE AFz:0R0ED BY THE T'OUCTS M=RMED MERM IS SMECT M ALL THE TOMS. EMUSIONS MA COM"016OF S"POLICrcS.LBMMSHOWN MAY HAVE REEK ROME D By PAID CLMMS ,un TtPE DCNY4AMCE ■ow vm PONL1'NIA�ROI IM•IDOIYrYYI aO�DOfIIYV41 POWTOW r,>vR• A OthrA MAWLtt CIM709341 08/20/20 08/20/=12 $1,000,000 X COFVALIMALOEWEIM09wTv Arms 'SIFa sSO,000 Cuwa--Mle Lawn+ ►APEWi "oegm,"m S5,060 P0%S*MLAAWPQUAV -i1,000,000 OF3ERAL ADOtRI.ATE 52.000,000 GENt AOorZit(IATE.LIIUTAPPLIEl:PEtt PROpt16TS-004PAPAOO 2,006,000 t POUCY F CT Lac _ AVTOMOIQ.t tLLaU1Y rm�oa�at_UMT S nNVAUM s ALLOYM"AUTM gpO�V eangLrlFlrtaSlaA • 3CHMIAED AVroa PROPE)M OAMAM "to AV= tPerl cJOa�9 a r:0e�.onmf!EI nu+ne • a uLVInEUAunD BUR >=ACMOCLURA[3e� a E.CeseuA• CtAwr:umm a00RttNTe s p2DUCIHtA nET2J�Tro.Y t d g wow" cawRMAna. =5-328-976358-022 04/06/20 0A/06/2M3 AmawwwaruAmam VoraAWPRDoawTOwPAaINs>to�rtne s L FJ C►,>,taIDDLr s 100,000 C0IL"fi*36IKD EZMUDEOf D. MIA' P&MM01 "Mo F_I.OY.t;ll' -FAfIf+IAYEQ >f 100,000 ■fead-cmawaff RLOkIFA.'E•V�OucY tool s 500,000 DESU+R'IIQN OF OPBIAiIaFY..Itlpt ofsewPncwoeoarieAnaw/LData>ael.FJeCLb'eAAeAmleofa.Ar+.w►wa.aa•e.weA rs�.eno.d�o+em RICHARD GAlIDMR MS IMSCM MM TO BE COVURED OMER HIS CtIM= WORPMRS CCMPMSIWZQM POLICY CERTTFICATfc HOLDER CANCELLATUM SHOLmD ANY OF THE ABWE DPSMMO POLICIES IIC CMCEUSO BEFORE . THE Eo mAIM OATC ?ji9ftOP. MDTICE VRLL BE DBLIVERBD M ACCORM=MOTH THIS POLICY•ROU19 M& AMORZEDRE ItA ®TSBB•2008 ORAMM All rWft IlIm;_ ACORD 25(20021681 70o Acm eMme ww kw 4m rcglstotxd of AGORD T -d EL60LL�,809 uaupueg pJe4aia eip- : ii ZT OE IBC f c�11� oow�L� o� ja C Massachusetts- Department of Pub[ Office of Consumer Affairs&Business Regulation Board Of Buildin�� Re��ulations and 'Vegistration: rtAEIMPROVEMENTCONTRACTOR Construction Supervisor Licen! 100713 Ty piration: 6/23/2014 Private Corpora i61 License: 'CS 26071 €- --- i MOGaN&CO., I . r , j FRANCIS E MOGAN 3 Francis Mogan,Jr. . 9 68 JOYCE ANN RD $ 68 JOYCE-ANNE RD. _ ,` CENTERVILLE, MA 02632 Centerville,MA 02632 Undersecretary - i Expiration: -- - - _ commissioner Tr#: •' License orb• ,�> - � _ _ - ___.-- - - - -- -- -- —-- ---. .._- before the a ►saf►on Bali for rndiv►d use Office ration date -Iffo u� only of Co>su Affairs'' and return to. 10 Park Plaza Su to and Business ge Boston 5170 'MA.02116 gu[aiion i lid Without \_ signature - j a4 Town of Barnstable Regulatory Services " Thomas K.Geiler,Director pr �` Building.Division - Tom Perry,Building.Com missiouer _.`. _._.?QD Mam Street H�cxunis,..MA_026St3w__�_ " • __-- ------------------ www,town.barnstable.ma,us Office: 508-862-4038 Pax- -508-7904230 Property Owner Must Complete and Sign This Section If Using A Builder T, 4r�C _ as Owner of the subject Property hereby authorize /YI to act on my behalf, in all matten selat me to wotk authorized by this building permit J SS" S,✓CH+4 /'Y✓e'_, W tJT �a.eyi f�Ov� (AAddtess of Job) **fool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. , Sign&Xe of owner, . Signa6re f Applicant - _ - t'�i�.-k-��' .c.'�c �£) ¢tip.• - . .. Nut Nami Pint Name Date Q:F0RMS;0WN8RP8RMtSSI0NP00LS 0012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel lffiatT41�# o`7 Health Divisionj)j D I sued oZ ab Conservation Division O h -DA- 600- Application Fees Planning Dept. _ Permit Fee .m Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 15 Village (..1 Owner Address Telephone Z_ Permit Request rl-c,. �� &10!R ` goo Square feet: 1 st floor: existing »L s proposed a— 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I`I00D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family WK Two Family ❑ Multi-Family (# units) Age of Existing Structure i Ly Historic House: ❑Yes Flo On Old King's Highway: ❑Yes ®-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 1 Zoo Number of Baths: Full: existing 2- new -- Half: existing new Number of Bedrooms: 3 existing Lhew Total Room Count (not including baths): existing new ~— First Floor Room Count L Heat Type and Fuel: tipnc Gas ❑ Oil ❑ Electric ❑ Other Central Air: L'Yes ❑ No Fireplaces: Existing New d Existing wood/coal stove: ❑Yes @-No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name mo Telephone Number 0) aZp-7O Address V,')VC t&wc RJR- License # o2GD711 Ce�w 'tr VVLA- USG 3'2 Home Improvement Contractor# h-0 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l 1 /lam N r j�✓G'_S/'C . V rf+R[�y SIGNATURE DATE a/��13 i FOR OFFICIAL USE ONLY { `APPLICATION# `DATE ISSUED MAP/PARCEL N0. `r `J i r ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: , ROUGH FINAL { FINAL BUILDING I DATE CLOSED OUT ASSOCIATION PLAN NO. DI �;)o Town of Barnstable *Permit# Expires 6 months from issue date t "�� Regulatory Services Fee + BARN3rABr.F. s , MAss. $ Thomas F.Geiler,Director 1639. ♦� " Building Division Tom Perry,CBO, Building Commissioner `. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press'Imprint Map/parcel Number \ v Property Address �S Residential Value of Work "l "500 1 0 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Telephone Number -.D o 3-7 gSf Z Contractor's Name O S Home Improvement Contractor License#(if applicable) l ������ . Construction Supervisor's License#(if applicable) 1. 153 7 q)- ..PRESS [LWorkman's Compensation Insurance JUN .1 2 202 Check one: ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF gARNSTABLE . I have Worker's Compensation Insurance . Insurance Company Name Workman's Comp-.Policy#. Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)'. ; shingles).All construction debris be taken to Re-roof(hurricane nailed)(stripping old ❑Re-roof(hurricane nailed).(not'stripping. Going over existing layers of roof) . ❑ Re-side #of doors " Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where rbquired: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic Conservation,etc. ***Note: Property Owner must sign Property Owner Letter'of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is req fired. SIGNATURE: - Q:\WPFILES\FO \building erinit fomis\EXPRESS.doc. Revised 051811 The Commanweah*ofMassachustslt s: vartment o,f Indus&ial Accidetrts Qfi, ke of Investigations 600 Washington Street Boston,MA 02111 wmnYnas&govv1d a Workers' Compensation Insurance Affidavit BviMers/Co cbars/Electricians/Plumbers l cant Informutton Please Print LezibN Name(Busnles3�0 an/lndividua�: �) Address: Citylstat /zip:. Phone# ,-cjce 2- - Z Are you an employer?Cteck the propriate box: Type of,project(required)- 1.jaj am a employer.with 4. E] I am.a general contractor and I employees(full an&gr pact-time).* have hired the sub-contras 6. ❑New construction ob 2.❑ I am a sole proprietor or listed on the attached sheet. I- ❑Remodeling ship and have no employees. These sub-contractors have 8- ❑Demolition wonting for me in any capacity- , employees and have workers' [No workers'comp.insurance. comp.insurance I 9_ ❑Building addition mod•] 5. ❑ We are a corporation and its 100-❑Electrical repairs or additions 3.❑ I am homeowner doing all.wo& officers'have exercised their II_❑Plumbing repairs or additions myself.[No wcrlm-s'comp. tight of exemption per MGL 12.❑Roof repairs insurance required..]t c..152, §1(4X and we have no employees [No workers'. IIEJ Other comp.msurartm require&] •l+ay applicant�sr checks box#1 mast also fiIl out the section below sbavrrinng their eroalierC ca®peasmfimp�y � Homeowners wlw submit this affidavit indicating they are.doing an vial and then Line outside connactms= submit a new affidavit indicating such fCoutmcoors'tLatcheckthisboatffiaistattachedmadditionalsheetshowingthenameofthesnb-c mtrxm¢s=and:wnwhetherornotthoseentitiesLave empLryees. If the stab comtacrors.We employees,they must provide their workers,comp.policy mmriber. I am an empkilw that is providing workers'comqrensafion.insurance for my emploj4m Bdow is theepoiicy and job srfe informadon. Insurance Company Name. Af Policy#or Self ins.uc-#: Expiration Date:_ Job Site Address: CitylState0p: 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 MCL 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 s fine of up to$250-00 a day against the v iotatm Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veriffeation., I do hereby c#Tnder Jiepains andpertaIfies o'perjury fhaffhe infarttQafiari ptmWded.aboue is an correct \\ Date: j Phone#: Official icial use only. Do not write in this area,to be completed by city mr town official, City or Town: PermitlLicense 4 Issuing Authority(circle one): i; 1.Board of Health 2.Buffing Department 3.CitylTown Clerk 4..Electrical Inspector S.Plumbing Inspector 6.other: Contact Person: Phone Ih 6 i Massachusetts Workers' Compensation Insurance Plan J Acadia Insurance Company Administered by Berkley Risk Administrators Company, LLC / PO Box 1100, MPIs, MN 55440-1100 222 S 9th St, Mpls, MN 55402 Acadia Insurance® Phone(605) 945-2144 Fax(866) 215-8118 Toll Free (800)634-4589 / NCCI Carrier Code 33391 . CERTIFICATE OF INSURANCE WCIP Policy Number:WC-20 20-000092-05 1. The Insured: Tax ID#' F 01-8723094 Carlos Figueiroa dba: C N F Remodeling, Policy Period:.From: 51112012. 20 Captain Noyes Rd To: 5/1/2013 South Yarmouth, MA 02664 Date of Mailing:5/15/2012 The Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded,by the Policy listed below. This is to certify that the Policy of Insurance described!herein has been issued to the Insured named above for the policy period indicated. Notwithstanding any,requirement, term or condition of any contract or other document with respect to which this Certificate may be issued or may pertain, the insurance afforded by the Policy described herein is subject to all the terms, exclusions and conditions of such Policy. Coverage State(s) Part One - MA . Workers'Compensation Statutory Part Two Bodily Injury by Accident $500,000 each accident. Bodily Injury by Disease $500,000 policy limit. Employers' Liability Bodily Injury by Disease $500,000 each employee . Should any of the above described policies be cancelled before the expiration date thereof, notice will•be delivered in accordance with the policy provisions. All Entities/Insureds: Certificate Holder's Name and Address: Figueiroa Election Election Category Status Name Steve Fuwler , 166 Upper County Rd :Sole Proprietor Include Carlos Figueiroa Dennis, MA 02638 Date Issued: .5115/2012 Leonard Insurance Agency Inc . 683 Main St B - Osterville,MA 02655 y Signature: + : Jun 1212 09:24a Placide - 561-392-7350 p.2 .ua.I1.' 2012 :'17pa, it:A l2liner,D'75 i N `..:.. a^ 53• 55 3 r «>o Town of Barnstable RegnlatDry Services 1 . 71ora.r F.QV..}Dbww - Tbmnp wry,Cal) OrOQIr�Ctm�ll.ar 200 blab affea.Hyma,MA Mal WWq&16 Erarc766l�aaw . + 1. Groom 10e•e0-4011 t Pine I0L7WQ)D . Propcity Owner Must Complete and Sign This Section IP UsingA ftUdet 1•—�ll'1LA9 f� y Ooart of tba ftbjea ProPm2 - ouebl wmocor- r".�. n. /loam/Ng J.die/R to an m m2 beh„I; T.0 maesea rdrt-t:to-CA s4omed by Mis t PdR,='PPlintim fa: ( Aa,bew o r1bo ) i �i Xrdre OEOmna Drae Print Nrtai - If Irepny Other Is opgb%g Pr"t PCwe eenylw at Amwror IJunr ftmtllna Imo oa Up. . n•wiq fie. - a'd T390S952BL1 O1C1'21311IY ANr aiRllimu W-91, 2i OZ it am ✓/ae �omvr�aoouse� o�/�aaaac/zuaeCta a 134t.tri! ui Luil!lin� K�' ul,itiiut. anti titantlanl. 4t, Office of Consumer Affairs&Bdsiness Regulation P� d +�aic�ri Supervisor License i ( HOME IMPROVEMENT CONTRACTOR I` ` Registration: 1153792 Type: a. T e i License: CS 104107 �. e Expiration 1/8/2013 DBA Cy& REMODELING F CARLOS FIGUEIROA s 20 CAPTAIN NOYES RD ,` CARLOS FIGUEIROA SOUTH YARMOUTH, MA 02664 i 5 I 1 20 CAPTAIN NOYES°RDA S.YARMOUTH M 02604 1 A Undersecretaryr_ piratiori: 8125/2013` t '104107. r 4, License or registration vand'for indrvidul use only A: before,the exp!ratiorrdate. If found return;to: . "• Office-of Consumer Affairs:and Busmess'Regulation t w 4 park Plaza Suite 5170 t y Boston,MA 112116 y NoYvand without signature_ d y r r_7'n�,1C SYSTEM MUST SE Assessor's office (1st floor): , Assessor's map and lot number ..... !,.7...`..........OS'U :`_- LLED IN`' PILMICE e�Q o�?NE TOE♦� ` Board of Health Ord floor): - WM a ` Sewage Permit number ......0•�`�..�� 45 .U.`. :o.aC`�L.T. MON. t 9AUSTADL6. S Engineering Department (3rd floor): � 1,5� TOWN �00�,6}9.`eye House number' .......e....:....:..:..:.. .. �pY a. 0 -+ Definitive Plan Approved by'Plannmg Board __ _ _________________ __ __19_ _____ . - APPLICATIONS 'PROCESSED- 8:30-9:30 A.M. and 1:00-2:00 P.M. only'; P P* R O v FJOWN =O.F BARNSTA_BLE s, able oonserva'�1oo Co >,�s I L D I H G I N S�P E C T O R ' c IONV MIT 13 TO aulL 4. ..! b?Q4 "( ....................................................... TYPE OF CONSTRUCTION ...............Wr........................:........•.........•} t ....... •----..:.. j.-3U...-- ......... 194.�. TO THE ,INSPECTOR OF BUILDINGS: The undersigned hereby applies f���ermit according to the following information: Location .....SST.. ......:. �o-....SscJ v ,..4AE.......... ��..... .4ka CS..PQC4�T1.. A.. Proposed*Use ....K�S1. T"l.Y.�.�r.. . ........... Zoning District.°_:...... ....................................................Fire District ......1`•S.yG4,r.6„7pq.................. :............ Name of,'Owner .... )-?....P:LIN r!f ..............:.....Address .......5 .(" ..:!QiS.... ►�c7 .. Name of Builder .....E.•. '. 1PXTAV.! GYl...... .......Address .....�ig....45awy. ..�! .� .L ...... . ?vl�. .... Nameof Architect ...........................................:......................Addr.ess ............................................................ Number of Rooms .............. ...................................................Foundation a 4 ......... ............................................... Exterior ....s. .11 � ..`......... ...:................................... .Roofing .............✓its C�c.�,�.X'.................. Floors. ...... ..........................................................Interior ................ i - ......................................... Heating ....�`r.�,�•C.cm.C..................... ...`::.Plumbing V.X( ..................................................... Fireplace .... .0 --........:.................... ..............................:.Approximate Cost ........,.C.Ax..........................'..................... Area 11........... ............. Diagram of 'Lot and .Building with Dimensions Fee �O * ' tQ.......... ...... 3 S¢. c. • ' L a - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. + Name .... .......................................... Construction Supervisor's License .w3 �� PLINER, MILTON a 33227 Permit for ...1 n• ild Addition Y>?Jo ...... . . .... ... .............. Sin le Family BwellMnJ........• " �• ......... .......................... ....`... .... ...,.:,..... . tr - location Lot•••#50 , 155 Seventh Avenue West- Hyanfi�'iaor b. Owner .. Milton P1 ear.... Type of%Construction _ y................. f _ .: IN- NO r ......... ..:... ........ Plot of '. 4 Lot l �. Granted ...Septembdr 2.�... 19 89 'Permit � _ ...... Date of Inspection ................. . 9 Date Completed ............................ �1f9 € C' w lrtt v i ♦ a � � � - .. ^ `� .l �• ,i,... i • � vim. •�� � -- a • - 1 Cr t � 3.`t• v. :rl:' � �,� r tl-r^n9t' " �, rack., < .-,,,�.xw�• Assessor's office (1st floor):; �'U YNE To` Assessor's map and lot number ..... ., :'...:....................... o ` Board of Health. (3rd floor); Sewage Permit number .. ...0..✓•'•• ..��Y... ,,� .�................ \ Z BAHa9TeDLE. i Engineering Department (3rd floor): 1,5-• �� J 'oo rb 9. House number i ....... ^...................... '°AFL 3 a`e Definitive Plan.Approved.-by Planning Board __________________--------------19________ . ' ,r� f APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only, TOWNL .OF BARNSTABLE �,�:� ( ;BUILDING INSPECTOR Lh��APPLICATION FOR PERMIT T ......Qxn.4......�?Ao.k 1W.......................................................................... TYPE OF CONSTRUCTION .�........... ' ('�l?Chi ....�..��<;2j i C U C' ! ........................................................ -3U I 9M. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies .for a permit according to the following information: Location .... ........3�.o........... ::.... :Jae-...........u..?.:":x..... ...po.): ...04................ Proposed Use ... Zoning District ........ ..(�.....................................................Fire District ......t i. ,.�,?►-?�} ............................................... Name of Owner .... Z....................Address ........�A. ...vQ S...V.A. Name of Builder ".." X R..IM ... 'Ji$ �/ 1.4�L-....����U!� �. ..... j.......;.•:. - ... '-Wl.................Address ................. ...aS:�r�.. ................. . ........ Nameof Architect .-`..................................................................Address .................................................................................... Number of Rooms ..............(....................ti..............................Foundation ......Qa.u:)U,4....................................................... Exlerior ....�>A.19-a.........................................................Roofing VNS.fn. ..�.�'............................................... Floors ......C-Qn ..Interior ..............Sh1s2sLZ ........................................ Heating LS?C_' -.1. .....................................................Plumbing C�t�R-• .................. ......................................................... Fireplace .... .CQI ��...........................................................Approximate Cost ........ C?... ............................................... Areay................................ Diagram of Lot and Building with Dimensions Fee .._... ............................ - i C 0\�1 t ✓ Sorl 1r7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS.. I I.hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... J`, :........................................................... i Construction Supervisor's License !V 3� PLINER, MILTON A=245-050 No Permit for ..Build Addition ....................... Single FamilX Dwelling ............... Location ....Lot #5 0, 155 Seventh Avenue ....................................... West Hyannis�ort Owner . Milton Pliner ................................................................. Type of Construction .Frame . ............................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ....Septembe.r...2.0.,...19 89 Date of Inspection ....................................19 Date Completed ......................................19 TH i 3SSISTIHL P pI.BS Commonwealth 'oo i639 �e0� of Massachusetts o WA*f k _ Request for a Determination of Applicabilinr Massachusetts Wetlands Protection Act. G.L. c. 131, §40 TOWN OF BARNST,- BLE BY-L--�� S, ARTICLE XXVII 1. I, the undersigned,hereby request that the Town of Barnstable Conservation Corranission make a determina- tion as to whether the area, described below• or work to be performed on said area, also described below, is subject to the jurisdiction of the Wetlands Protection Act. G.L. c. 131. §40.. and Chap. 3 Axticle XXVII of the Town of Barnstable By-Laws. 2. The area is described as follows. (Use maps or plans, if necessar_, to pror^de a description and the location of the area subject to this request.) Indicate Assessors Map number, lot number and street address of project location. /-I G�cA-1Z-7-' /9 T .556 77-/ 1✓•/L3 T /�Y;q Nei/ n�2-T �sv O 1 S Sf o o-,/ e v A5.5 /�zG�G Sri 1 fro; c —%-on c � r'ia or occ� c 3. The wor in said is de_c- below. (Use add:t:o.: i c_.. . -: ___ r . to test-ce he Provide plans or sketch of project. — S/T� PLC S 0oiLi Z>,J-r47D ,T': 4y 10, iya-9 , .45 Sow•v Z 3 oN �`_ BBC• 3� f�', 4. The owners) of the area. if rcc c e person ma]r; this req-,:e� , t-,a s been given wrcten noci .cation of the request on S-Gy Z3 /ye9 (dace) The name(s) and addressees) of the ow e:is): Hle,7v.1 i��x Son�%A M- PGi.v .s3� sFV E 6047Z 5. I he-eby certify that all abutters to the area subjeci to the written request have Been notified by CERTIFIED bIAIL that a Determination is being requested under M.G.L. Chapter 131 sec. 40 and Article XXVII of the Town of Barnstable By-Laws. They have also been notified that a plan of the proposed work is on file with the Conservation Conunissien and that the Request for Determination will be reviewed, together a-ith plans. and a decision wU be issued by the Commission as to whether a Notice of Intent will be required for the project. Attached is a list of names and addresses of all irrrr:ediate abutters to the area subiect to tries -,vricten request. and Certified Mail Receipts. 6. I have filed a complete coot- of this request with the southeast reg onai office of the �Iassac usetts Deoa. rnenc of Environmental Quality Engineering, Lakeville Hospital. Lakeville. MA 023146 � y lr on _ .G7�, 23 / 8:2 (date) ,. i. I unCerstand chat nOC: Cat:Gn oI ch'is r=west ',yU- be placed a 'OCaI nett-Scacer ac mv e:'tense accorC-.C= wZch S -..,on 10.05i3)(b) 1 oI _:?.eg,-daCions by the Conse-n,aticn Co TTTLSion anal Chia I %v,] .Oe bLLs 3C0orCLn Add:--SS t�vX Ce iyiy,� ti/y , 02� Tei. 506+'-3C z-zzee Date: �Y' 2-3 �1`�� Ile `LOCATION �Fa�✓�;�LGE <N�A.d/�/�. i��r} „�v,u� � �+ ,� e sa.ny SCALE • ♦:-30.�. . . . DATE PLAN REFERENCE• AS G�1 :04 . .. ,3� . 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' 1 +hc ln+ernational Fes.den+;el Gode 2009 C Bo d;+ian B+h e and+he Mas-,achuse++..� GMF I Z 1. di+ian. existing 2 xle Faf+era o 1 Ca"a.a.—� Gable end t+ra - O0 � Z ____ P Use Prescr;p#ive Faziden+ial Wcad O Use G�i 1 Co x 2'str'a+": Deck Gons+roc+ian Guide OGA&09 can+er aA all�Uppor+framing based on+he 2 o09 In+erna+ional Lu Fesiden+al Gede,+a build deck. O V re A � O c ll MJ surame /oi n+s n:en•.ions a +o 6a site verified by General Gen+raeror a+time of canstruc+ion --IGyNeNCm r(p-G-Z dG!faa F New aluminum gutters ! f +c drywells b ,I � o / 1 �—New 5imps n N 2.aiA hurricane tie«N I!>'"b.c. ' New / z +rim to ma+�h I - e%is+inq fro minq --C%is+inq framing+o remain v S I Usa Prosuip,+i�a F ,iAen+ial wood I � Deck Gon.,I'ructian Guide PG AIo-09 � p W �4 �(� _ based on+he 2009 c#a.-na+ianal # '� � � ,n� t o I !, hinipsun�AG::o I.os+cap � p-c s.den+lal G ode,PigUre 2l0.Guard .i-- _J m J f v ii'1 00 IGYNeNe®NIO-G-2 foam msula Lion F g I Of z New�,a"APAArated+4 '�bflaar -o f n New b'NYJ Insala+,on F 9 O c lobar balhsg .�a,c. I III it =1 __. _ '-- ( � ). ,i �I �.r.2.I o, I v it I� I I•lilt - -- np.ory L h 2 B Hangers� I�•o ' d � Ll- - �._y_ _�...-....__.._...—����'-'�_- � _•_•_� -�� �d x� ' ' I it ;� I IL. .;�. � �:. � �� � � �I � � � U� I I I� ex,s+inq aanere e.lab _- - •—+- -- u I I I I IJaP T'- � � - I 1 �I I Frar. ope ninq+o exis+nq 2 x I O Ledger a++aGhel I u�O a°� _ L faun lat;on bulk head size q"r �{ c v 3 [L f - - N-xisi+ing GI-IU founder+ian hangars @ Ile•' rai.nps s�'UhI2 0 h nq rs I G" G N o i t° H� 13UILfJIfjG��JEGTION"pr' / I a G. /.. :L 1 __II ILA Ll 1-.2 x 1 o Ledger a++aeh w/ 1/2•x bolts @ %"ere.#o axis+inq i aminq aq ` � enlist;11(loll r eieua+ion G��_mn m � `'w 1 q framing _ \�lLL,_( a°_ � -1'S�• • �v'�.q v v Ul J a i ' �A FIFIpT FLOOD-FP-AI-jr_ W A i n �i.-ale: 1!a I•_o.• °° K d d- DRAWING TYPE: ' , Faunda-F'ian Pl..n First Ploor-Frwme flan ' l�uildir.y heG+ian"A" SHEET NUMBER: A i OO .. I I --------- ---- 54 �" a € 1/411 4'-0>/4" 32 y4 iM1S b3{� ec\\ 7 4" `> B" 'o B" '� 4" m = W b G b G Q Z D In�t��•'S0 Z i P 9 �19 W y� e � I 2 e a I °s dS s -- d d Q I rr TW 2 4 4 Z-2(4'•mu, 0 } Ande --A Ja�narr.o..esn morwz49?_2( _ +Qr 4'1I_I -/v 7/B"-%(4°-ull) S F 7- crsaam — I. I 2 Y ' „ ., r.o'�`!;_FB++wn+PUJ, �'.::�-_—. - ; _;:x.a�'. w/>kirq sruds ¢xi".+nq bat'nroom. �a#cJe '� ///--�•• n , z ,Lu l-- - I ' o • _ n t J a W F rn� 0 3�1 W m y QAll¢ +'q wind>wz noY called out are �--- m J S I J/`/ +ob ll ¢dw/Arderce.m 9OO l> "7 J Q R-=--build sxi-.trnq chimney -�� +cr e«Tilt--Nash O-W -Hung Full-Pl— Q p .s Otu Q m • � I FLOOD PI-AN ' i I I I I hbalc. I/4•'= I -p r_ � I i + _I _ ........................... .... ♦V cells+o be r¢me�ed - u o p p�' 4 'l P� I v � sm :-i9 fL �q a aOLL� U New walls w m �,IW e,� w d1 w m ri,is plan w-a+dssigne.d in accordance with Y u��f�� �e \ - e Cd+cn and+he Mas.achuze+#-.7 BO 6I-7F� OQ � �P �< mIP 9Q 9I.O0 Brh Gdi+Ion. p¢u�; C o y B _ ` F-P y�' v u.e Yr¢su pr�v¢Fe•.'de nr-al w>>d j j, �'� E � .S `J� Ocak Gans+ruc}an 4u'd¢r7GAlm 09 J~ v y ti ? baaed on{;he 2009 In+ernationwl m p u I' i t d < ' d Cesiden+ial G>de. a d ' I I•-9' I 1. `—�-�--- !e-O � 2 i 'i I I *----� `� ---- I All--iesureman+s�Pim¢m�1on.are+o I I a+rime>f G>nt+rub+i¢n DRAWING TYPE: f'-�" I U'�" 2 5•-O" 12'-U" Flr s+Floar Plan I SHEET NUMBER: A 2 CC i i. i } yl m Eooti��'-�oC Q ° W 1 - rL Duo lU — ---- — 0 �- j ! i f �p LEFT ELEVATION � W 0 A FONT ELEVATION � —7 '` lL O � J n Z � i N �C �J \ �-•• J m J f y j OtL u V m •`., tu J in IE NJ 9- - - - -- r --- ---—_ 11 r— --- ---- -- --1-- i= ---- _ u s I S_, uo`oLL am o I:I I:I LEI I � I 0 a i, I I•I i�l I'I i�i I'I I � I I I ovrno os5 �� I I I i --- E-1 E G r--I4HT ELEVATION � �'Lale: f/4"• I'-O" i`-o�m o W DRAWMG TYPE: Ele,Ja�lons SHEET NUMBER: i `i ZONING DISTRICT: 'RB DISTRICT N N N MIN. LOT SIZE 43,560 SQ. FT. MIN. LOT FRONTAGE . 20, MIN. LOT WIDTH 100' ralgvll o h R B MIN. FRONT SETBACK 20' MIN. SIDE SETBACK 10' st MIN. REAR SETBACK 10' L cus an LOCUS IS WITHIN FEMA FLOOD ZONE B & A10 (EL. 11) AS SHOWN ON COMMUNITY PANEL #250001 0008 D DATED JULY 2, 1992 (ELEVATIONS BASED ON NGVD) Nantucket TIDAL CREEK (MHW) IS 194' TO PROPOSED DECK Sound (EXIST. PATIO IS 193') WETLAND FLAGGED BY HAMLYN CONSULTING LOCUS MAP EXIST. 3 BEDROOM SEPTIC SYSTEM TO SCALE 1"=2000'f REMAIN (NO INCREASE IN BEDROOMS PROPOSED) ASSESSORS MAP 245 PARCEL 50 SITE IS LOCATED WITHIN AP OVERLAY DISTRICT I n. w z 00 z o¢ m o 0 Z 09 w o w 12W o �I = �W U Jd w.w Iwa. Oz --� ¢= x 1 1.18 1 1.29 w m 11 PROP. WORK LIMIT LINE OI w 10.72 OF STAKED SILT FENCE ¢ ZO 9.03 0 EXISTING. N 157.00' POST & RAIL 10.0 FENCE \ HEDGE x 8.07 d 2 �,O / I / 9.69 �l HEDGE-- - - - - - 8.78 --- OAKS my 9.96 4 1 x x 5.7 � a 119.40 04 4 GO 0' �O 9.51 I I- 4.01 `� , 9.68� �Ilffcc I 9.23 19.1$, i 9 180 �, OHE ••\ 0.0' P x 7 1 I 8. 5 8 b ... 3 . x 5. 1 ILG' 0 L EXISTING HOUSE � ; 8.93 '0 I �T P FNDN. EL. 9.9 x .10 8.81 I m n � � F.F. 11.1 � '� �8 6. x 9.08� ;� I EXIST: ST w 2 8.60 8.66 Izo 2 I N 8.90 0 i� x 5. 0 u 8.86 I� LAWN 15.5 I• LAWN `8.51 -4.72 15.0 C GSA #2 . 3. cs �c 8.4 82 ' HEDGE � ' 5.20 EXIST. SAS k 46 •6 8.93 6 CK N o 8. 8 TO PROP. D 7. 8 889 .3 i - w RE-BUILD EXIST. CHIMNEY P 6 `O HEDGE 8.92 55 EXIST. PATIO WITH PROPOSED DECK WITHIN BENCHMARK: C. BASIN HEDGE SURROUND EXIST. PATIO FOOTPRINT AT EL. 8.9' NGVD PROP. 5' (TO BE REMOVED) PROPOSED STEPS WIDE BUFFER PROP. NATIVE PLANTINGS, IN CONSULTATION WITH CONSERVATION AGENT - SIZE & SPACING T.B.D. DEPENDING ON TYPE OF PLANT. (REFER �p TO CAPE COD COOPERATIVE.EXTENSION ��T E p L A[1�1 SERVICE [IN BARNSTABLE] PUBLICATION: . . "TREES AND SHRUBS FOR COASTAL ENVIRONMENTS") SHOWING PROPOSED DECK IN PLACE OF PATIO AT 155 SEVENTH AVENUE �! W. III l( All�l MSPORT 'a� H PREPARED FOR s� 0 A /o )ANIE=L ERIN EPKER off 508-382-450 U CI OJALAA. N fox 508 362-9880 L 0.lF a t* � dNo. JANUARY 7, 2013 own cape engineering, Inc. Eye a� S� ' . Scale:1 = 20 Cl WL ENGINEERS LAND SURVEYORS 0 . 40 939 Maln Street - YARMOUTHPORT, MASS. DATE DANIEL A. OJALA, P PLS 0 10 20 3 50 FEET �gtrlTS 6 �iMO' ,-EDETECTORS REVIEWED v-5 0/4• m•-o 1/B• v'-o I/B" �•-o I/B• v'-o 1/e• �•-o I/B• 4�m�qo°o.O�"h�,o y�c aE EVE Uw=VU�w �U=J zcn�OBARNSTABLE B DING DEPT. DATE zd �i c 92j 2 is FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REOUI RED FOR PERMI TING f ------------------ - roimpsnnm G�i 1!n Goiled htrwps _I I 1 O"m x 9-O•hono+ubem/P�igfoat®2 0 - poured concre}e column footing wnd roimpsonm ApUl&post bwsc I j _---------- 1 1"Poured concrete footing w/S/B"m x l O•wnchor bolt. For stairs and rnHln gs' I I EXIr�TG D IN FOUNDATION exis+inq hewder xistinq hewdu � I I CARBON MONOXIDE ALARMS I 1�utk-hewd+orcmwin I ��\ MUST BE INSTALLED PER m W xistinq window existing window p p NOTE: f ----1 I I MASSACHUSETTS BUILDING CODE g ape^'ng - - (=emave exlstinge pwFio and I I epenin Iwy 2'af 9/4•stone+1 prevent weed a,,h end wM#winnge. I I 0 Q I I 114 der/Plw+e/�+ud 1 I I J A- TY pion connectran 1 Q 1r I I exIhTMG FOUNDATION � � � New hi m GraW I oo s+ s e t Po"o c �A�FOUNfJA1-k2t4 PLAN! u• A" meson rap New structural ridge w/solid bearing llV• New 2.4 Gallar tics e I Co"o.1. a+both ends to foundation. this plwn wws designed In accordwwc with •(T„ 1 I the lnternw Yronnl�esidentinl Gods 2009 I I Cd�tion and the rinss.whuutts 7 Bo Gt1[' Exis Yinq 2 x!o wafters e f!e"o.a - 5 I.00 B+h Cdi+ion. z Gables end strap". U.e Pre n,+ii—PesidentiA wood _O Use Gam!1!o x 2'straps peck Ganstruetion Gu'rde Oe-A&-O0 W �- cen+er an all suppar+framinq bwscd on+he 2ooeln}erne+ionnl Q �uident�wl Gode,}o build deck. O v 1/2"Orywatl ity 1 P All ryesurements!p'rmensians wre to C be site verified by Generwl Gon}rwc}ar nt Yime of cons#ruction IGYNENEe,I-Ip-G-2 00 faa nsula+ion R- 7 New aluminum gutters _ ry to drywcit' P New I x_PYG �New�iimpson N 2.0A hurricane tie-,e I l'"P.c. z o 0 +r;m to match Exis+inq framinq+a remain ,_ S Exis+inq framinq to remain O p z v IU W N m m Use Pre riptive R-esidenYiwl Wood peck Construction Guide DGAl-O based on the 2 009 Internntiennl # m U 3 0 r 1 paonm A'6 o post cap F—idcntinl Gede.Figure 2l0.Guard 4- m U f y o f from post to beam(typ.1 pasts to�Im Jors+s. U v J Q m �m IGYNENel tip-G-2 Co foam insula+ion 2 4 _ O-�• < z New 9/4"AFA a+ed t.{ subflo ®_ 0 � Y U IV aP New 2 x 1 0 Floor Joists e I e,"a.e. himpsone H 1 4 ties e I&-o.c Q_ v j Lu � �t New B"Ho Insula+ion P'p o Add new 9/B"x 7" A O I Y anchor bolts a 2'o.c. ° um P�T�2 x 1 its �irmpsonm LU�i 2 B hangers e l!a'e.c. W O P.T.2 x l 0 Joists e t!o'o.c. 2 x 1 0 Jo''ts Existing concrete slab I � I ' Frnmc opening to eAi i-. 2 x I O Ledger attached _`v o v°- ¢ foundw+ien bulk head rise /2-Ledgerlok®e 2 4" Exisi+inq 6"0 foundation I I I I ciimpsonm LU�i 2 B hangers e l!o•o.c. <� p q Yong"p _ IAA)LPIN fa�EGTIOt�"A" - Inztwll new joists to mnteh 2x10 Lefler wttwah w/1 •/2•x 4Ln g 9 sting fla elevw}ion bolts e I%"o.c.to exw+ing framing ®q 'H m=m # >a II -lit Existing framing to remwrn II T .,o a Z d U� FLOO � OoFm wn eo/� PhT Fr-AME n >W + a 0 0 DRAWING TYPE: - Faunda+ion Plan Firs 1-Floor Frame Plan ('�uildiny heG+ian"A" SHEET NUMBER: A 1 Q 0 Y <pEr4 _ d�E pJmQi aou ETTS 0. 1'-91/9" � 4 4 4 ll 9 oo�tt�� a 5pG J Lu � O cr�. %'-o" �•-I 1 %/4" %'-9" <i'-B" I %'-4• m �`o EB��o2��t"- S J~ Z 0 (7 m ^b b b Q 70 �uon6gniaon � cr m 3 P m P m P m v J V v ��Q 1' >H dp ae rve rQ a 7 H < t P P P f o r o f o < { { ,U1 rrsx pecking Trex p<ekinq 11YI1,.. w W � a TFermaTNm PG 1 B :sio xmie" i I P '� r.o.%•-2 5/B"x v-l o s/B" _...... e w� Andsrsanm TW 2 4 9 2-2(9"Mal W ` � h In new deck Gathedrlal existing csilinq 0 - s +a access existing I I � '_ � A A G C •� - Andsrssnm rW 109 2-%(4'Flull) -- --T S I-- -- Y.o.y'-1%/B"%9'-9 P/B" I I o And<fs<nm TW 2 9 9 2-2(4"i-lull 1 } R-elocwts ex,s+ing window Trox peaking I I r + v` <mw<watl.Install new - -� "x9 I/2"./ersal.m S � :: ____ __ himpsonm l{U9 2rP hangers a, m T L Nsw 2-2 xB hsader N R".—window - raftsr and asllln !o+gonna f— uz "l l Andersenm W I B%9 sw fixtures in g 0 + w/% tud•. patch+a match 9 2'-1 O 1/B"x%'-9 7/B" ' '�miu kings existing bathroom d`' •iox w �- 4 V 0 S ry : . :: •-- r I W Q 0 vi W F- .,.'n,.v 2 .2 0 � Z � NK m 1 V # Q W 3 pAll sxis+ing windows not galled oU+are d--- P to be replaasd w/Anderune 400 U m V e s rll+-Wash pouble-Nun Pull-Prame G U o - R-ebuild sxis+inq chimney a W n ws. g Z ue J w 'n g O• Of dw� IDILI T 0 a Nsw P.T.wood/rrsx —Pig dsakinq entry po''ch J A \PIP- "T FLOOD PLAN su m P \ Nsws wall n m �m —� w m w m Thls Plan was designed in acaordaws with Y m n i f.°,p w a \ +Fs In}ernaYienal�asidsn}ial Gads 2 00 9 `o c x � . �,� e x �, x edi+ion and the ryassachuu++s 7 Bo Gi-I('- edi+lon. wnndowP o+<a+ion+o—form with v a _ _ ?w _ _ %O 1.2.1.Z Pratsctian d openings. m u L u 0 7 Z O d U\ f s �P Y ' Y ' PrsscriPtive R-esi � v� t i s £ 11 i f s psck Gons+ anon Guids pGAla-09 @ n v u - Y 0 p y t 0 C based an the 2 0o 9 1n+srna}ional sidsntial Gods. ~u' c W f Y 0 < t < t ~ < t < t �< �� K QnlAll -v rtssursmen+s f pimsnsians arc to bs si}s verified by G<nsral Gon+roc}or a++imc of con.trua+ion DRAWING TYPE: Flan SHEET NUMBER: � 200 ni n o°3= 3eaa� �a a aoo=E=4o m o ec400 €�e�b w w a z o e�vq `sLa�s z " w > L N H -r- C4- �L I 1 I I I I I 1 d-. } 1 I I 1 I 1 I } ____________________1—____--JJ f-- --__-- ______—__— -1 .. LEFT ELEVATION w Q ^oo F�oNT'ELEVATION � ..Q`` 0 C n o0 tll <PTP `m O j�.V+ 0 Z !� � W V v' Z x- - #k 0. W � nm 6 r=--]H FFT-T] L FM FFTI Ll 1 Hd- v OV LOu 6 ill, P All .Yli, <SN V Diu ° I y�a22°1p N d I ------------- L______________________________L \__—_—___J L_______J L--_____J L____----f \--_____J L____--_--J N ° �\ G EIGHT ELEVATION g o 1'� Eo�ELEYATIOhI a �icale: I/4"- 1'-0" ~°fl w a e 0 p DRAWING TYPE: Elevations SHEET NUMBER: O O N ZONING DISTRICT. RB DISTRICT N' N N MIN. LOT SIZE 43,560 SQ. FT. MIN. LOT FRONTAGE 20' h R . MIN. LOT WIDTH 100' B a MIN. FRONT SETBACK 20' MIN. SIDE SETBACK 10� `° r st MIN. REAR SETBACK 10 L cus an LOCUS IS WITHIN FEMA FLOOD ZONE B & A10 (EL. 11) AS SHOWN ON COMMUNITY PANEL #250001 0008 D Q DATED JULY 2, 1992 (ELEVATIONS BASED ON NGVD) Nantucket TIDAL CREEK (MHW) IS 194' TO PROPOSED DECK Sound (EXIST. PATIO IS 193') WETLAND FLAGGED BY HAMLYN CONSULTING LOCUS MAP EXIST. 3 BEDROOM SEPTIC SYSTEM TO REMAIN SCALE 1"=2000't (NO INCREASE IN BEDROOMS PROPOSED) ASSESSORS MAP 245 PARCEL 50 SITE IS LOCATED WITHIN AP OVERLAY DISTRICT � a w m w J W No Z LL. D as m NIZ OJ z w Li..w N O t-W IL V W L -7 d _O_Z ¢ x11,1g 11.29 PROP. WORK LIMIT LINE w¢I m Z \ 9.03 0 111 11 10.72 EXISTING OF STAKED SILT FENCE POST & RAIL N 157.00 10.0 FENCE HEDGE _ "8.07 � 0. 2 \0 \ M9 ,c 9.69 HEDGE 8'78 OAKS / 4 17 x x 5.7 9.400� 9.51 4.01 SOD 0 `� r .-9.23 9.1 Q'O 9 18 9.68 Z .••� x oHE 9 � o = 0.0' 7 1 i ••• 3 4 8. c a x 5 1 ILG. 0 EXISTING HOUSE 8.93 C ' L •o I 'T P F FDN.1 1L_ 9.9' 8.81 8 6 x .10 Z !m '" �'EXIST. ST \ x 9.08C 2 8.60 8.66 it 8.90 \ x 5. 0 �1 1 LAWN 5.5- \ 8.86 : LAWN N8.51 .72 15.01._► v rn I x#2�3. cs I f-"� �c 8.4 G82 ' HEDGE �-�'-J � 0 5.20 EXIST. SAS k .46 ;a 6' N 8 .6 8.93 CK TO PROP. D o 2 8. 8 3 G' 8 RE-BUILD EXIST. CHIMNEY �89 Q 6 I `° HEDGE 8.92 1 .55 #1 EXIST. PATIO WITH PROPOSED DECK WITHIN FATEL. HMARK: C. BASIN HEDGE SURROUND EXIST. PATIO FOOTPRINT 8.9' NGVD (TO BE REMOVED) PROP. 5' PROPOSED STEPS WIDE BUFFER PROP. NATIVE PLANTINGS, IN CONSULTATION WITH CONSERVATION AGENT - SIZE & SPACING T.B.D. DEPENDING ON TYPE OF PLANT. (REFER TO CAPE COD COOPERATIVE EXTENSION SITE PLAN SERVICE [IN BARNSTABLE] PUBLICATION: "TREES AND SHRUBS FOR COASTAL ENVIRONMENTS") . SHOWING PROPOSED DECK IN PLACE OF PATIO AT 1 SEVENTH AVENUE 55 r Dnrv�,� N s , �'��oF'"gss W. HYANNISPORT ( 10AIq1 yc pAN � PREPARED FOR �: X. off sog-36z- �� �' �s0A)i ERIN EPKER ��a`���� -' fmc=362-9880cn do wn ca a engineering,eerin g, inc. .' ��� �, ° hr s , a, � JAN UARY 7, 2013 �° �s re a -�y� cale:1 so= 20 CIVIL ENGINEERS --? z0\� ss/0 R LAND SURVEYORS Y'd S- gip 939 Main Street - YARMOUTHPORT, MASS. DATE DANIEL A. OJALA, PEA,"' �2v�Y 0 10 20 30 40 50 FEET