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0026 STETSON LANE
�� ��-Ewa►-, � h �, -_ Fil!6X:2�4" IED FOUNDATION PLAN FOUNDATION f R corner bottom step f1.=100.0 (Assumed) FIR I ^ E f `J PLACE _ SHED + Oaf qq 0 T.. 2 I G _IA I ADDITION 46'± E FOUNDATION ® F #26 RESERVE AREA arf UP �`'�,�\°f•" SSA� AS-BUILT PLAN ..,��:..•• •••.:Gs� STETSON STREET So LISA L' u Z - _ MARILYN & STAN APSELOFF s 1pM ` ��� = _ 26 STETSON STREET, HYANNIS C� III r RED SPA� M306 P77-001 AUG 20, 2007 ✓ �hf/1111�� LISA C LYONS, R.S. SCALE 1:30 LISA C. LYONS, R.S. ANNIS, MA REFER FULL SITE PLAN FOR MORE (774 487-1638 (508)790-9270 INFORMATION.ELDREGE ENGINEERING 10/27/78 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ® 6 Parcel 001 Application# r 7e)0744Y&O Health Division Conservation Division `t7 Permit# Tax Collector Date Issued Treasurer Application Fee L5 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address A Village AJ a9—W /� Owner 5• A P-Se L a Address e,u Si_ Telephone Permit Request /, ® 1� �/,� �v ' oA,Q,�%mod-✓ ��'�y 1� ���u ov-7 WA Square feet: 1st floor:existing 4�40 proposed 'R g"ja 2nd floor:existing ![ Z2 proposed 0Total n0f6 Zoning District Flood Plain Groundwater Overlay Project Valuation�l,��� Construction Type u.&n.0 Z Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docun*ntation C-n Dwelling Type: Single Family J8 Two Family ❑ Multi-Family(#units) ryl Age of Existing Structure A/& Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ANo Basement Type: AFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) b Basement Unfinished Area(sq.ft) `/ 4. Z-0' Number of Baths: Full:existing _1�76 new Half:existing new f0 Number of Bedrooms: existing_ new • / Total Room Count(not including baths):existing new_� First Floor Room Count k , Heat Type and Fuel: Xas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes At.No: i3v 1-2 Detached garage:❑existing ❑new size Pool:❑existing Ll 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 e Proposed Use BUILDER INFORMATION Name!` AnL-h Telephone Number 7 4 5 Address k License# O/ Z�(J L� 4z, t%O /�,A Home Improvement Contractor# ///C2 37-1 o)- 6 3 -2— Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ,7'd 01 f SIGNATURE DATE iyi 1i'2, ei •-7 fs. FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. L. ADDRESS,, VILLAGE ..• OWNER s DATE OF INSPECTION: FOUNDATION$ FRAME INSULATION _ 0 -7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH 4 FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. '', — 171 ' r Town of Barnstable Regulatory Seprices ° Thomas F.Geiler,Director pp °rEo,,,,,;► Building Division Thomas Perry, CBO,Building Commissioner O �� -200 Main Street, Hyannis,MA 02601. www.town.barnstable.ma.us 'Office: 5b8-862-4038 Fz 508-790-6230 PLAN REVIEW Owner: 5 = SfvL�.� Map/Parcel: .D & Project Address -74-to S�r s V q Builder:__ t"' The following items were noted on reviewing: - & s o-c� e�c�c-ass 7z) e!ET D-( :b!&0�9- 7-0- C 0 b e�- a Reviewed by: Date: Q -77 Q:Forms:Plnrvw r The Commonwealth of Massachusetts Department of Industrial Accidents Off,ce of Investigations a d 600 Washington Street. Boston, MA,02111 ` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractor's/Electricians/Plumbers Applicant Information > Please Print Legibly Name(Business/Organization/Individual):� ,yy C.q P,�,l� �,,4�iQf� /��t•� /�,z Address City/State/Zip:N O,? y/_72- Are you an employer?Check the appropriate bog: Type of project(required):. 1.❑ I am a Y emP to er with 4• ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or.part-time).* have hired the sub-contractors 2. I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. JaBuilding addition [No workers'comp.insurance comp.insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised then 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] ' * workers'.compensation policy information. checks box#1 must also fill out the section below showing their worke s com ens Any applicant that c g p P Y t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Cy A�Il kA V TA 1 �4i/A/ l O Al _ " 9 Policy#.or Self-ins.Lic.#: � &g"8�%)j ZV 4 —o '7 Expiration Date: a,.3 — z x ad Job Site Address: ig ICU ?�: j�e .�S City/State/Zip:,�9�}- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure_to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t e pains and penalties of perjury that the information provided above is true and correct. Sinafore: Date: v 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 , .P Y Contact Person: Phone#: Information and Instructions r 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 rPceL�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-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 thatmust 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 �tovHi)."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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Iridustrial Accidents Office of Invostigatim 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFE Fax##617-727-7749 Revised 11-22-06 w.mass.gov/dia Tal01e JJ:7 3c(eoammed) pr=crFptive Packages for One and Two-F=Hy Realdeatlal Balldtalp Nested V'iilh'1'asa9 P pels I44AXtMUM MIIVIMUNI 4lazimg Glazing Ceiling Wail Floor RaserirW Stab Heeting/Coormg Arear{'la) U-value R-value1 ' R-value' R-value yVau . Pc:dmcw Ewp=cnl Emdeao7 Parge R-value R-valuer 5701 to 6500 Heating Degrrr Days' 4r' 12% 0.40 33 I3 19 10 6 Normal R 12% 0-52 30 19 19 10. 8 Normal S 12% 0.50 31 I3 19 10 6 's5-AFUE T 15% 036 33 13 25 NIA NIA. Nomsal U 15% 0.46 33 I9 19 10 6 Normal V 15% 0.44 31 13 23 NIA N/A 15 AFUE q7 13% 0.52 30 19 19, 10 6 95 AFUE 3C IS% 0.32 33 l3 ZS NIA NIA Nonni] LA 12% 0.30 30 19 19 10 6 90 AFUir Y 13%. 0.42 38 19 25 NIA NIA Normal Z 18% 0.47 3t 13 19 ►0 6 90 AFUE i �j 1. ADDRESS OF PROPERTY: 6 Ful t✓ ZZ 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 5-2 3. SQUARE FOOTAGE OF ALL GLAZING: 371 4, %GLAZING AREA(93 DIVIDED BY 42): 5. SELECT PACKAGE(Q—AA-see chart above): k/• ; NOTE c OTHER MORE INVOLVED METHODS OF DETE1UVM ING ENERGY REQUIREMENTS ARE AVAILABLE. AM.US FOR THIS INFORMATION, BUILDING INSPECTOR APPROVAL: YES:. NO: q-fours-5803 03 a VDAC CNAWORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY III TYPE AR INFORMATION PACE WC 00 A 00 0# { } POLICY NUMBER: (6559UB-861 X751-+6-07) RENEWAL OF (6S59M-861 X751-6-06) INSURER: CONTINENTAL CASUALTY COMPANY NMI CO CODE:80381 INSUIRED: PRODUCER: CAPRA, FRANC G FLAGSHIP INSURANCE INC DSA CAPRA HOME IMPROVEMENTS 414 COUNTY ST PO EW3X 664 NEW BEDFORD MA 02740 WEST`HYANtiiISPORT MA 02672 ,I�.sured is AN INDIVIDUAL triter work places and identification numbers are shown in the schedule(s)attached- 2 The policy period is from 03-22-07 to 03-22-08 12:01 A.M,at the insured's mailing address. 3_ A. WORKERS COMPENSATION INSURANCE: Part One of the policy apes to the Worlm Comte Law of the states)lamed here: NA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state Nsted In Item 3.A. The limits of our IhMity wider Part Two are: e� Sodly lrywy by P=Iderit $ 1000000 Each Accident Bodily Ir4ury by Disease: $ 1000000 Ply Limb Bodily I*"by Disease: $ 1000000 Each Employee .A� C. OTHER STATES INSURANCE: Part Thre,6 of the poly applies to the states,I any,lead ham: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 OGA a� D. This policy includes these endorsements and schedule ®.® SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4 The premium for this policy will be determined by our Manuals of Rules,Classilications,Rates and Raft Plans. AN reed information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 02-19-07 WC ST ASSIGN: NA OFFCF-- CNA 04d F FLAGSHIP INSURANCE INC r voFIKE F Town of Barnstable P G ' Regulatory Services BAM9r9 MAS",SBI'E$ Thomas F.Geiler,Director i639• �0 A F p r Building Division o� g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 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: ,9 170 y%rd°✓ 13i=d 0. ?7ib7 Estimated Cost yp Address of Work: Z 6 ,r r ,✓ 5� �f��:_y�w� �' Owner's Name: ST/1>✓ A l� .S1 y%' Date of Application: :?'ywh_ 7.Z• 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 ❑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 hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaffidav THE Town of Barnstable. �OF ��ti Regulatory Services g Y s s MASS. Thomas F.Geiler,Director ev;9. A,O ]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 -9 F L v F,as Owner of the subject property hereby authorize r—e/}-Al K to act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) Signature 61 Owner Date Print Name Q:FORMS:OWNERPERM IS S ION CARBON MONOXIDE ALARMS'. REVIEWED MUST BE INSTALLED PER E SM� �ET�vnT y� o�� MASSACHUSETTSBUILDINGCODE BARNSTABLE BUILDING DEPT. DATE • 4 DATE a :r FIRE DEPARTMENT ( ' BOTH SIGNATURES ARE REQUIRED FOR PERMITTING IMPORTANT- UPGRADE REQUIRED STATE. BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE,DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED ' NOTE: A .SEPARATE PER .Ij REQUIRED FORTHE' 1�qqSS INSTALLATION OF SMKRE' E?ECITORS i THEfLECTRiCAL r t o - = -- SP�THIS EQUIREMENI ' 7I � I I i t3 st t ! qJ Ty jk li ct t - b c ]biK v: t. Q ` a So ri v, T/G 2 /U 7 1 . l w14!Tt C'/ QAR '3(.1/ So.✓G ✓l1i// ci.0R2f#'414 l —� I I el.\SrPF,CIS L. . ,get- Cl� I I - 1 II I 4 A41, kjp j I 1 l 'ILI _ v L - _ -- _ . .....- .._._..__. _/o �o«lRP4J Co <Q� y wra11S o✓ lo_/Y-2. d'Fa✓!/v!S / F3/11(IIfAD y J y ill _ 5 Gosr��co. sT- o zo �t! L L .SCH,E.0 Y U • ./ Fr.a.0]l, 1 DO. W 3ml3 6 4 i =. THEODORE ti A Q --�L RCVS'. MA��. � W. GLOIiE/? I_ � Q�. � ..r!�/ O.L✓ELL/NGi, � ,� 11� \ n =_ ', -`. / - " o Mf1P 306 LOT_ 77 - - O 1 7) t- n le, /OD.00 .1 C B ,! / sr y o;1�IF sr,- .N B2.° .OG•.30 /�{/ - - oD, 'i.i;'i.d-f� c6` ./1/g'3.°29 OD. J✓ `.��s - { S rE7 -50�A✓ STREET /5ss Tory/,/ L.D: 3o'wroE- 5 CERT./FY,THAT TK/5 /�4-4N NA-5 SEcn/ /�/�EoAFlEti /N Cq/VFORM/TY' - _ r W/TI THE-.RlJLES-ANO REGI/L-A770L✓5 f `or THE /AEG S_OFOL-E'OSOFTf,'e - C6/✓IMo/v(��N)cAL7-H D,l7ngfl.551,4C/-L[JSE7-TS 9.7cj �- !2€G/57.�/7Ec--LANU-S✓R!/ Frill APPROVALOF ND CONTROL L W.__NOT REQ1/,RED > BAR./VSTA A/V/V//VG 50A c r = YA N/W H 5 �L �1.alss y FOR = � • _ = vAT� GU-" Z: rc l r4R.THUR ;A' F�l/N! ET (/X ' y ♦t - ORA/-Y/1!aY.9 _Lf:_M 'o r - 'r:d> ;y ,r. z-K`S ..F .-�,m .�+' ',..�, `.•'...-. .:..-'TH./S-.PLAN./.5 Ainw" AS c.-.. .a- �7 �� , - -�� ..•� ,a - -: --ON i�LAT�`OF.�/�!O OF_Tf/EObOrP� _ _ - - rti ' - cam'` /9.4 ELDREOGE ENGLV'E,ER/IVG CO INC: 4..�;f of ;•' l �ti,:;- _r - � - ! _ - •• q - _ _ REC �_ -_.__ .-.` -• _ '_ _ R_GoROEO'//✓ PLiN BOD 7 P., GE/ BOISE, Single 9-1/2" AJSTm 20 MSR JoisMst Floor\D1 BC CALCO 9.3 Design Report-US 1 span I No cantilevers 0/12 slope Wednesday,August 01,2007 10:19 Build 057 16"OCS I Repetitive Glued&nailed construction File Name: Capra Stetson St.BCC Job Name: 2Stetson St Description: 1 st Floor\D1 Address: 2 Stetson St Specifier: be City, State,Zip: Hyannis, Ma' Designer: Customer: Frank Capra Company: Shepley Wood Products Code reports: ESR-1144 Misc: FN 15-09-12 BO,4" B1,4" LL 422 Ibs LL 422 Ibs DL 105 Ibs DL 105 Ibs Total Horizontal Product Length=15-09-12 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 15-09-12 40 10 16" Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 1943 ft-Ibs 57.2% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 505 Ibs 36.4% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. U542(0.338") 44.3% 1 1 output as evidence of suitability for Live Load Defl. U677(0.271") 70.9% 1 1 particular application.Output here based 0.338" 33.8% 1 1 on building code-accepted design Max Defl. Span/Depth 0.33 n 1 properties and analysis methods. P P Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing SupportS Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide 8 BO Wall/Plate 4"x 2-1/2" 527 Ibs n/a n/a Unspecified ( ask questions,please call B1 Wall/Plate 4"x 2-1/2" 527 Ibs n/a n/a Unspecified 00)232-0788 before installation. BC CALCO,BC FRAMER®,AJST1A, Notes ALLJOISTO, BC RIM BOARD- BCIV, BOISE GLULAMT"" SIMPLE FRAMING Design meets Code minimum(U240)Total load deflection criteria. SYSTEM®,VERSA-LAM&,VERSA-RIM Design meets User specified (U480) Live load deflection criteria. PLUS@,VERSA-RIM@, Design meets arbitrary(1") Maximum load deflection criteria. VERSA-STRAND@,VERSA-STUD@ are Composite El value based on 23/32"thick sheathing glued and nailed to joist. trademarks of Boise wood Products, L.L.C. Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 6SN� REVISIONS: BY: '' '-9w_ leiw, � w NemBe epB abw i NmaeemYip WapAb �Y.'�'"':`e..e� �.� a .... .r.•.., . iL _______ weo••. aa.r,....`v:.'3.:'p�.a'"yml'•••`_,•_'• w w..er e.e.,...ean.r.�...sr •anie":emw`°" =�'""a""tl°" �.mnnwr. van Lem Pml Belew P ed Aber �•.arns..�.".s.w.. ara,.o LK eeem M,dd a Member Connerdion Bolt/\=,.,,�,1/ M.Mple Member CanneGun Nall I•-a Altach^K^t at E^d /,q�ckinp Panels e[lirceriar Beenng /",.\ Post Load Transfer �� Rim Board �.� LVL Header Opening / 1 E,Itarbr End Wall S rt '. 0 O F50 N.T.S. \/ N.T.S. " N.T.S. t' Y N.T.6. ter" N.T.S. w' N.T.6. N.T.S. N.T.S. Boa 3 ' FmM�q SckWuk-Nwrvnelae0 Tap GN Oesvlaw„ Le,pM le 9-!?AJS"20 MSR 160' , !ye:,p.t.i JEi sM9i C31CC .T a 3 p Flov .rm.rr.«�r�r.e nxusory ScbeduN J 1 i 1 ] 1 Tap DIY ManNecWm Pmduq Deenipb+a, 9mpaonSWnµTkl IUf310 2-BI16aB-1/1!o t0 FeQ TART FRAMING HERE B r7a`g 5 J AM 1 st Fbor Al @��'S 41RAS20 MSR " _— tcocslll 1 st Floor 1/2" 11 011 BCFRAMER06 1 SCALE:1/4'=V } r DATE:WlnWT ' By be FILE:Capra Stebon St.W DM: SHEET:112 Last Saved DateB/12007 1018 AM Print Date: 8/12007 10:20 AM ____________c______________________ __________.______________________________________________________________________________________________________________________________________________________________________________________________________________ :A Town of Barnstable Regulatory Services ' MASS. ' Thomas F.Geiler,Director y MASS. �a . � 019. p`` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office:'508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, f g;A t, /�''� l:{ l � , Construction.Supervisor License # 23 y ,hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit. # Z vO D ,issued to (property address) on 2001. IT � cn - -fasog rtify tiat on / '7 , 2007 ,I notified the property owner,that the rojeUFunder 4, struction must cease until a successor licensed Construction Supervisor, ,4s.submitted ophe records of the Building Division. LICENSE HOLDEf DATE q/farms/newcont reference R-5 780 CMR Town of Barnstable *Permit#r �-i 668 'y Expires 6 months from issue date Regulatory Services Fee a.6, OL Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissione 200 Main Street,Hyannis,MA 02601 PERMIT www.town.barnstable.ma.us ( O 2 20�r Office: 508-862-4038 T I/ Fax: 508-790-6230 �U �;V ,q��' EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY°STASLE /n Not Valid without Red X-Press Imprint vlap/parcel Number 0 Q lX a s ?roperty Address it sidential . Value of Work Minimum fee o 25.00 for work under$6000.00 Twner's Name&Address co A1 ,1AJ1Q1Q40 12v- (Mo 0/ Contractor's Name Nva `I .. Telephone Number 6bT—5 3''p [�Z Rome Improvement Contractor License#(if applicable) . 3q3( Construction Supervisor's License#(if applicable) ElAow� rkman's Compensation Insurance Yaecone:m a sole proprietor m the Homeowner ❑ I have Worker's Compensation Insurance� Insurance Company NameDja l e;r,(' Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) EVAe-roof(stripping old shingles) All construction debris will be taken to " ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations;i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Ho e t Contractors License is required. ' SIGNATURE: Q:Fomrs:expmtrg Revise071405 4 David Sawyer Construction 318 Meiggs Backus Road Sandwich, MA 02563 (508)-539-1992 Proposal Submitted To: Work Placer Date ' Strip,Remove, and Haul Away all old oo shingles. SUPPLY&INSTALL: COLOR: /Q A. ut g— &q U 4- wzu4 0A ai U'q'A alyJ dudLS nz,).) a6,ft�� -� CLEAN&REMOVE ALL DEBRIS FROM WORK PLACE AFTER JOB IS COMPLETED. ALL DEBRIS TO LANDFILL. TOTAL INVESTMENT FOR MATERIAL&LABORS 5-1 o2EV All material is guaranteed to be as specified,and the above work to be performed in accordance with the specifications submitted for the above work and c pleted in a substantia manner. anner. _I 11 Payments to be made as follows Any alteration or deviation from the work specifications involving 6xtra costs will be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Please remove and/or secure any fragile household items. Not responsible for broken or damage household items. 10YEAR LABOR WARRANTY/PLUS MANUFACTURES SHINGLE WARRANTY. ThiL5 roposal ma be thdrawn by us if not accepted within 30 days. Respectfully submitted ACCEPTANCE &PROPOSAL The above prices,specifications and conditions are satisfactory and.are hereby accepted. You are authorized to do the work as specified;Payments will be made as outlined above. 4 `a'"4 vow 4- Dat �a� Signature tn Board of Building Regul ions and Standards One Ashburton Place Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 10/24/2007 eommoww','" DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH, MA 02563 Update Address and return card.Mark reason for change. Address Renewal n Employment Ej Lost Card ;-CA1 Co 50M-0 tp-C8&% 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: .j Board of Building Regulations and Standards Registration: 134313 One Ashburton Place Rm 1301 Expiration: 10/24/2om Boston,Ma.02108 Type: DBA DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH,MA 02563 Administrator Not valid without signature TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION '-Map- 30 (-:�:) Parcel '� Permit#�O 1 ,301 (1 e)S Health Division Date Issued 3 Conservation Divisions Fee _ Tax Collector , Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By " Historic-OKH Preservation/Hyannis Project Street Address 5, Village HN;+A//y IS ✓� Owner f� ��/� Address �33 �p 0 Z Telephone a-!S 7 6,D a6� Permit Request 2- Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation A -� Zoning District Flood Plain Groundwater O grlay' Construction Type Lt.)� � � . Lot Size ��� 0/ Grandfathered: ❑Yes ❑No If yes, attach ort nq doc '�f1 w 00 Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House: ❑Yes ONo On Old Kipg's High ww ji: Ohs JkNo w rn Basement Type: PR:�ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basem.;nt�Unfinished Area(sq.ft) 6 `f Number of Baths: Full: existing_ new Half:existing l new Number of Bedrooms: existing 3 new r. Total Room Count(not including baths): existing new 2 First Floor Room Count 7 Heat Type and Fuel: `0 Gas >)dOil ❑ Electric ❑Other Central Air: ❑Yes gNo Fireplaces: Existing New C Existing wood/coal stover ❑Yes XNo Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:Aexisting ❑new size / Shed:Cl existing ❑new. size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑No If yes,site plan review# Current Use _` - - — - -P-roposed.Use BUILDER INFORMATION Name JP� WA Telephone Number 3 m- -ru) Address License# &2JI�s- a�, 1�'Ii� Y�zb6� Home Improvement Contractor# Worker's Compensation#(S,�G.f'315-31k/D -012- ALL CONSTRUCTION DEBRIS RESU ING FROM THIS PROJECT WILL BETAKEN TO y /Pp s� SIGNATU DATE `� zo, �` FOR OFFICIAL USE ONLY r iK PERMIT NO. ; DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL • !its t1 • GAS: ROUGH FINAL ! FINAL BUILDING ; , 3 TE ` DATE CLOSED OUT ASSOCIATION PLAN NO. 1 The Commonwealth of Massachusetts Department of Iridast al Accidents ' Office of Investigations ' . 600 Washington Street Boston,MA 02111' y www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plul+ hers Alicant Information Please Print Le�bly pp Name (Bugiuess/Organiz donadividual): J Da,r4�. - Address: City/State/Zip: � �� � > Pone#: � Are you an employer? Checktheappropriate box:. Type of project(required): ❑ I am a general contractor and I .6 ❑New construction1 I am a-employer with -3 * 4. have hired the sub-contractors employees (fall'and/or part-time). listed'on the attached sheet$ 7• EgRemodeling 2.[] 1 am.a.sole proprietor or pa4ner- • These sub-contractors have •8. �� Demolition ship and have no employees ,. workers' comp.insurance. • � 9, (� Building addition working for in aay'capacity. comp.insurance 5• ❑ W e are a corporation and its 10. Electrical-repairs or.additions o workers ❑ officers have exercised their required-] L Plnnibin repairs or additions � right of exemption per MGL 1 ❑ g � . 3.❑ I am a homeowner doing all . c. 152,§1(4),and we have no 12.❑ Roof repairs myself,[No workers comp. • insurance required]t emp No workers- loyees. [ 1.3, Other . camp.insurance required] 'Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information `s t Homeowners who submitthis affidavit indicating they ate doing all-work and then hire outside contractors must submit anew affidavitindicating such tContractars that check this box must attached an additional sheet showing the name of the sub-contractors and dicir workers'=34LTolicy'stf0sana90n" compensation insurance for my employees.'Below is the policy and job site• I am an employer that is providing workers' information. Insurance Comp any Name: Policy#or Self-ins.Lic.#: 11 1�� ��1� 3 I�lCi �l Expiration Date:- Z� Job Site Address: City/State/Zip: y declar `on page(showing the policy number and expiration date). Attach a copy of the workers' compensation polic Failure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of cnminalpendties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP'yVORK ORDER and a fine of up to$250.00 a day.against the violator. Be advised that a copy of this statementmaybe forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I dTatugre by card u r th pains and penalties of perjury that the information provided above is true and correct Si Date: " Z-OJ;3 Phone# 1509-- 7,L9 Official use only. Do not write in this area,to be completed by city,or town official City or Town: P ermi tUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other ContactPersow Phone#: reformation aiid Instructions employers to provide workers' compensation for their employees. Massach General Paws chapter 152 requires all every erson in the service of another under any contract of fire, u,av purstto this statute, an employee is defined as"...everyp express or implied,oral or written," two or more " dad ppersrp;,association, rporation or other legal entity,or any = An ernploYer is defined as::. Io er,or the of the foregoing engaged in a Joint enterprise, and including the legal representatives of a deceased emp Y nitre , association or other legal entity, employing employ. gowever:te receiver or trustee of an individual,P ersluP ant of the owner of a dwelling house having not more than three apartments and who resides therein,or.the occupant house of another who employs persons to do maintenance,construction or repair woik'on such dwelling house dwelling urtenant thereto shall not because of such employment be deemed to be an employer." or on the grounds or building aPP GL chapter 1 , §25 C(6)also states that"every.siate,or local licensing agency shall withhold the issuance or M 52 permit too operate a business or to construct buildings in the tommonwe- for arty renewal of a license or p 1?. applicant who'has not produced acceptable evidencetof compliance with the insurance coverage required." ter 152, 25C states"Neither the commonwealth nor any of its political subdivisions shall Additionally,MGL chap .. § (� Cuter mto any contract for the performance of public work until acceptable'evidence of compliance wi@i the insurance ieeuirements of-this chapter have been presented to the contracting authority." Applicants . , '• Please fill out the workers' corrtp ensation affidavit completely,by checl�g the boxes that apply�Y4m situation and,if. . necessary,sapP1X sub-contractor(s)name(s),addresses)and phone n artne�rss) along Witt n Y less other than the insurance. Limited Liability Companies(LLC)or Limited Liability hip ( 'an LLC or LLP does have ) members or partners; are not required to workers'ad vivit may be submittedbsur •to the DePaartment of•Industrial eployees,apolicy is required. Be advised that Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should • or town that the application for the permit.or license is being requested, not the Department of b e ust ral to the city ues0ons re arding the law or if you are required to obt<un�wor)Cers' Industrial Accidents. Should you have any q g anies should eater their eompensatioupolicy,please call the Department at the number listed below.. Self-insured comp 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. cense number which wfil be used as a reference number. In addition, i applicant Please be sure•to fill in the P en ear,need only submit one affidavit indicating current that mast submitmultiple permit/license applications in any given y policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(he or town)."A copy of the davit 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 oulilo for;futur a o�erinit not�related to any es..Anew bu�sainess�commercial venture year.Where a home owner or citizen is obtaining a hcens P lete this affidavit (ie. a dog license or permit to burn leaves etc.}said person is NOT required to comp ores woad Ike tank you in advance for your cooperation and should you have any questions, The Office ofluvestigati please do not hesitate to give us a call. TheDepartment's address,telephone and.faxnumber: The Commonwealth of Massachusetts . Department of Industrial.Accidents Office of Investigaoons S00 Washington Street V Boston,MA 02.111. ' `Tel.#617-727-4900 ext 406 or•1-877 MASSAFE Fax#617-727-7749 Revised 5-26,05 www.mass.gov/din f 3/1V 2013 10:00:13 AN PST (GAIT-3) FROM: 100005-TC: 15084205856 Pago: 2 of 2 AiCoOffoCERTIFICATEDATE(MMMD/YYYY) OF LIABILITY INSURANCE 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: H the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED, 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 endamemen s. PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC 973 IYANNOUGH RD CO"'"CT"""E HYANN IS. MA 02601 PHONE A/C N E-DIAL ADDRESS: INSURER 9 AFFORDING COVERAGE NAIC A INSURED INSURER A: J J DELANEY INC NSURERB: 20 RASCALLY RABBIT ROAD UNIT 2 NSURERC: MARSTON MILLS MA 02648 NSURERD: INSURER E: NSURERF: COVERAGES CERTIFICATE NUMBER: 15704474 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 F ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRI1 ED�HEREIN SW UB ECTPECT TO ALLOT EI TERTHIS MS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i_t R I)i WeiLTR TYPE OF INSURANCE AD POLICY ��plY� LIMITS POLICY NUMBER GENERALLIABILRY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAGE TO—RENTED a occurrence S CLAMS-MACE OCCUR MFDEXP(Anyoneparsnn) $ PERSONAL&ACV INJURY S S GENPL AGGREGATE L IPAR GENERAL AGGREGATE APPLIES PER: _ POLICY LOC pRO. PRCDUCTS-COMP/OP ACG S AUTOMOBILE LIABLITY $ a acc ent N $ AN'AUTO ALL OWNED SCHEDULED BOCILY INJURY{Par person) S 8 AUTCS AUTOS BODILY INJURY;Per acddont) S HIRED AUTOS NON-OWNED AUTOS PRCPFGdR1�DAMAGE PP�a S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAa1S�tACE --._ AGGREGATE S OED RETENTION$ A WORKERS COMPENSATION --. -- $ S - AND EMPLOYERLIABILITY -YIN WC5-31S-318101-012 1112Q012 1102013 ,/ ORYuMl�rs �- _ANY PROPRIETOPPARTNERIEiECUTIVE _ OFF ICERINEMBEREXCLUDED? N/A IMfandatory in NH) - E.L.EACH ACCIDENT $ SOOOOO If yes,desote under E.LDISEASE-EAEMPLOYEE $ 500000 DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICYLMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(AnachACORD 101,AdtlHbnal Remerhe Bchadule,B more apace k required) _. . z Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. - CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: SALLY SHEA, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 'IN 200 MAIN STREET ACCORDANCE WITHTHE POLICY PROVISIONS. HYANNIS MA^ 02601 AUTHORIZED REPRESENTATIVE Jeff Eldriclue d ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD kF-:17 n0.: 157v444 CL'E4T�C�D6:'1315i°6 Didi ang y 9/1:/2U9 9:5 53 !N: ra L of k is certi _cat cancA s a:Td supersedes �1LL prev>ousy issued certificates. ... ; Aall Massachusetts -Department of Public Safety Board of Building Regulations and Standards. Construction Supen isor License: CS-009961 JOHNJDE %L`scrTs W=n-, 271 PLUMS '� y W BARNST4}BLE 026 Commissioner Expiration 04/14/2014 A!. `4�araa�aPOn W318b1SIV I_' lsw 8 .r !;! .e�N yi3p 7d<<z I _ ( I enP+nl ___ C� l NHor pal iw IV y73C r or uoge'oga 1�.ykLNC� 6ZSSZt uO�ap►rgx3 gasapg 1N3WgA uo astQa ^- r�.� "JJV Jams o� I�wON e Massachusetts -Department of Public Safety Board of Buildin 'Re ulatio g g ns and Standards. Construction Supen isor License:CS-009961 " JOHN J DELAY _ 271 PLUM S W BA,RNST.4BLEVol } Commissioner Expiration 04/14/2014 L;c e�l) pIO � 1 th e Se e�distrt ioIDPeofCpra;0v Ila I - BOarkponsustov' aiavej— to ff' Il id i q02 vite0Bnri; v l4sI 170 + � ,e oh/r ; L vsiness Re to. Y gv�at'ov A'°t Va - wlthovts;go attire 1 ' OFZHE� Town of Barnstable Regulatory Services s�xxar�s Thomas F.Geiler,Director .mxss. �b,�fo; ,,`•� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1�L r I f the subject as Owner o b'�ect hereby authorize '/�� to act on my behalf, in all matters relative to work authorized b this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:OwNERPERMIS SION r E(RE SYQtT1Lm LEGEND 8!lOKE DET PIE ®' GAS lDC* CTOR ,g 14 y�`�^+�u�'�"' .�-,.s4� ,µ;•„•'me�'..S'e� �."�"1","u" ys"' '� -� Y .. �a+...�,t�.-' �. ';-�.Ya, t..+ �„•- st,eS. it, m. a-. ..{ 'rr _�_t "sx. - s".;"�+�€v ictr.:.,'- z °a.' 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"""«'r'E•r - . .. - '-; ��, k '" -•:+s,� lam- �-��,C, x: 5 "�.��;"'r` ? t s r �.-- 2;. - sm: =• .-w..•..:;a. -..,..N..t•r" v _. � "a,•. :ar � M. AW Yj'�S't;V .�f_w .Yii'-� ti^ xv.i ��+ ,.• � -.gi.'r-, r^+,'.._, .d - �Z e $ r ."•a' i,-;.«Ad' 1 3- AIRS E _ '� ';fi# -�. +".L; . a;'..i'•�--. x p 3i*p-« A f ' ,�,Y '"�'<, :'.a `�„ F. r•�,, 's5'� »;s tog i. -��5}R' y yr ',�� �I-i r�`c^tf -x A•,� - Y yp[:,� � � 1 'S t�,,J`•,F.. • ,4'_�1'!+l -:['�N )i �S,�n;Zf •S S� _ ` ,E'-�- .. ���' � � �Yk'� ry pe.�'�<3.� #. � gk'4's , \.r. �n ;,�,,, k.,.s, '4. k:*. y;�„�.�`i. �,,....; .,.� ,,. -�vem*,;, dam^ '�w++� .. ;.w -rur:, - � •�firre..+3 <k �� � :•".`-�" n .,�:��i.: �..�:5j.�#' ,tf ; y- ''!:.w:w i;::�.,e+�',�...aatr,ss:�F"•'S�s:."iy�a" < y v}�• aY � �'Y� A y x ...+v.. ';1�5.. - , " '.d: .. �{�i.,, . X. F��fF� 't'#}�rR s A; � z�` ,:aEi' .fir +"i �zii'�.E - •'y y ; �:.+«� irk�.� '.#.� xxe'- •�, „�:Fd a� :t A `S..F k. ,,p, .. .. � - '��t-,T. :,f �+:`'a , p y�""INmt'C R �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r, Map _ Parcel D� Application #C3), Health Division Date Issued oZ LA Conservation Division Application Fee Planning Dept. Permit Fee ZIK Date Definitive Plan Approved by Planning Board PF Z-y - 3 Historic - OKH _ Preservation/ Hyannis Project Street Address (o �, �d6t� /A a.1 Village q4 A h/ V I A Owner ,� e � 3� '7"®ta.►�P �-�t�� / k�'i� � �n� Address 69±h Telephone Permit Request 1 6- �- !1v �� 9i�j�� �- o�iiu� to Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � ��� Construction Type Lot Size � Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family )i Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes )WNo On Old Kings Highway: ❑Kes Alo Basement Type: )d Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing o2- new O Half: existing new w ; Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing new d First Floor Room Count " Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: ❑Yes kNo Fireplaces: Existing / New C3 Existing wood/coal-stove: ❑Yes )VNo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage:Xexisting ❑ new size LShed: ❑ 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 '`J Telephone Number J S'qZ��Ig`�j'r Address ck `9 (A)i'l , License # CS 4�6 Yq 61 1_�S -))4 9Z b Home Improvement Contractor# `2syd 9 Worker's Compensation # lw��af53 9-0- 012— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r -f SIGNATURE DATE I✓ 9 o1013 1 w FOR OFFICIAL USE ONLY ` APPLICATION# c ` DATE ISSUED MAP/PARCEL NO. ' s ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION �r FRAME ` INSULATION j FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t epartment o ustrt cci ents �r Office of Investigations 600.Washington Street Boston,MA 02111 - www.mass gov/dia .'Workers' Compensation Tnsurahce Affidavit: Builders/Contractors/FIectricians/Plumbers 'Applicant Information Please PrintLe 'bl .Name(Busmess(organization/IndividuaI):_. •Address: Q i �' Utu & ..Z City/State/Zip: /J �K� d a`fc Phone.#: _<Oe�gLO , Are you an employer? Check the appropriate bog: Type of project(required) 1.X1 am a.emplcyer with 4. [] I am a.general contractor and I * have hired the stub-contractors 6 New conshaction.. employees (fall and/ part- or time).. 2.❑ I am a'sole.proprietor or partner- listed on the'attached sheet': 7. XRemodeling s and have no employees, These sub-contcactors have �P '8. 0 Demolition working for me many capacity: employees and have workers' co insumuce.t' 9,. ]'Building addition i -.[No workers' comp,insurance, mP• required.] 5. [] We are a corporation and its 10.❑Electrical repairs or,additions 3.❑ I am a homeowner doing all.work officers have exercised their 11.E Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL c. 152, 12.0 Roof repairs insurance required.]t §1(4) and we have no employees.[No workers' 13.[] Other 1 gomp: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 mustsubmit a new affidavit indicating such.. Conhactors that check this box must attached an additional sheet showing the name of the sub-cantractois and state whether or not those entities have employees. ff the sub-matiachors have employees,they must providb their worlo;rs'comp*.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site ` information l , Insurance Company Name: p Policy#or Self ins.Lic.# to('6 - 315. . 3 1,6.101 a I L Expiration Date: Job Site Address: �� 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 I do hereby c nder he pains•and penalties of perjury that the information provided above is true and correct Si Date: 13 -Phone#: J� _ 0 Official use only. Do not write in this area, to be completed by city or town official City or. Permit/License# Issuing Authority(circle.one): I.Board of Health 2.Building Department 3.Citygown Clerk "4.Electrical Inspector 5.Plumbing Inspector 6. Other. Contact Pejrson: Phone#: 1111!2013 6:24:12 P.N PST (GMT-3) FROM: _00005-TC: 15084206856 Page: 2 of 2 ` CERTIFICATE OF LIABILITY INSURANCE ="M"0D1NrWy) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 111,11 AND CO NFERS NO R UPON THE CERTIFICATE HOLDER.THIS IGHiS 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 BED THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: H the eerteate holder is an ADDITIONAL INSURED the the terms and conditions of the oli P°Iiey(les)must be endara P Cy,Certain Policies ed. IF SUBROGATION IS WANED,subject to Certificate holder in lieu of such endorsemen s, may require an endorsement. A statement on this Certfficate does not confer rights to the PRODUCER DOWLING&O'NEIL INSURANCE AGENCY 973 IYANNOUGH RD CONr MANE: HYANNIS, MA 02601 PHONE C N D S AFFORDINOODVERAGE INSURER A: NAIC i JJ DELANEY INC e: 20 RASCALLY RABBIT ROAD UNIT 2 MARSTON MILLS MA 02648 INBc INSURER D: NSuRER E COVERAGES CERTIFICATE NUMBER: 5 8 INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NUMBER- INDICATED. OR THE INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CO POLICY PERIOD NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL EXCLUSIONS AND CONDITIONS OF SUCH� TYPE OF POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L.THE TERMS, L INSURANCE GEWRALLIABUM POLICYNUNBER POLICYEFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAMS-MACE D OCCUR PREMISES a occurrence $ MED EXP(Any one poison) $ PERSONAL E ACV INJURY $ GENL AGGREGATE LRAR APPLIES PER; GENERALAGGREGATE $ POLICY PRO' PRCDUCT9.COMP/OP AGO $ LOC AUTONOe1LE LIABLRY ANC AUTO t o e ALL OWNED $ AUTCS SCHEDULED BOCILY INJURY lPsrpoison) $ AUTOS HIRED AUTOS NON*O BOCILY INJURY,Per atodeM) $ AUTOS Pr AMAGE UMBRELLA LIAB $ OCCUR $ EXCESS LIAB CLAMS-MACE EACH OCCURRENCE $ DED RETENTION$ AGGREGATE $ 3 WoRewts A AND ENPLOYEERIP LLUIIU YN WC531 S-318101-012 $ MY PROPRIETOR/PARTNERrEXECUTNE YIN 112/2012 11l2/2013 � wCYTATU• OFFICERI"BEREXCLUDED?N story in NH) ® NIA �` yss, esorl5e under E.L.EACH ACCIDENT $ 5D 1000 M Yes.d DESCRIPTION OF OPERATIONS below E.L.DISEASE•EA EMPLOYEE $ 500000 E.L.DISEASE-POLICY LMIT $ 500000 DESCRIPTION OF OPERAT10N8/L OCAT10N8/YENICU:S tALlachACORD 101,Additbnal Remerhe Schedule,l/mora eWce Ls raqulred) Workers Compensation Insurance Coverage applles only to the workers compensation laws of the state of MA. FkTE HOLDF TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS HYANNIS MA 02601 AUrmoRIED RWMMENTATNE (, Jeff Eldri e ACORD 25(20101`05) The ACORD name and logo ere registered marks -ACORDARD CORPORATION. All rights reserved. �,FhiT e0.: tl c CL anY e s 13d s -Anne Chan 1J11/2 13 6. O:Sg AMP e 1 p s certi cats cancels aid-supersedes, ous issue cer i prevP � �Y � �'Ificates. ✓/ze toom�movzureall� o�✓Glaaaacl,,uaett F Office of Consumer Affairs&BuMness Regulation HOME�IMPROVEMENT CONTRACTOR Registration 1:2552.9 Type ; Expiration, ` 'Ih1.5F2014 Individual JO J.DELANEVy _ r `NEY - - OHN DELA � . 271 PLUM ST �� t_ W.BARNSTABLE,Mk`- 6 . Undersecretary ,.• Massachusetts-Department of Public Safety Board of Building Regulations and Standards ' Construction Supervisor License*-CS-009961 W-r JOHN J DELAN�+'y xi\ �. . . 271 PLUM W BARNSTOL 026 ti Expiration _ Commissioner 04/14/2014 J IJ -- - - :a License or registration valid for Individul use only before the expiration date. If found return to Office of Copsumer Affairs and°Business Regulation 7 10 Park Plaza-Suite 5170 -j Boston,MA 02116 > Not valid without signature -1 01/09/2013 16:53 2155910303 GELCOR PAGE 02/03 JAN-09-2013 15,44 FrWJ.J. oELANEY.INC. 5m 420 68% Ta!21559MM P.212 Town of]Barnstable n Regulatory Sere namm IF."Ifff,Der Building Division Font pcm,$ending CommiWanar 2D0 Mab StmA R' .MA 026D1 �.tnWn,hntaAtAblalna.tae Qce; 508-8+G208Zi Fn>G 508.790-30 Proper Owner Must Ccktnpkta and Signs This Section aQ omit of the a>xls m P=Pctq uxeby mthosi�a_ cJ..► to scr.on my bal lf. in sill mat tm Plosive to wc*wa&ozf ed by ft bos'h�P=m'i' (A,ddeae of job) **Pool feaacee and alarals arc the responsb0ity of the appil G mt: Fools are not to be fUled o:uWized before fmm is installed and an fixlal it spections we per br=d and accepted. Smut=of Aov n Sigeatwre o£Applieaat Pxint Name JPffit Name �7tA Q:P4R1�`];OVY137CiN['Opi.9 6t201x 191< = 10e00-1 6 r S4002 06-1 9-1997 1? CIS : 41 y� Fie, Bernard S. Cohen and Leah Cohen, husband and wife as tenants by the entirety, both of 5725 Parkw..lk Circle East, Boynton Beach, Florida 33437 i°x° R&4jAEj;t("x for nominal consideration and Leah W. Cohen, both grant to Bernard S. Cohen, 'of 5725 Parkvalk Circle East, Boynton Beach, Florida 33437 , as Trustee under. Declaration of Trust dated April 15, 1986 as Amended on December. 7, 1993 and as ; Amended and Restated on May 8, 1997 which Declaration and Amendments with Restatement of said Declaration have been recorded in Barnstable County Registry of Deeds this day herewith ' X3� o with quiUlatm ranrannto oth0)I= hx The land together with the buildings thereon situated in that part of the Town of Barnstable, Barnstable County, Massachusetts, known as Hynnis and comprising two (2) lots' or. parcels of land numbered Lots 9 and 10 as shown and delineated. on a plan entitled "Subdivision Plan of Land in g Hyannis, Barnstable, Massachusetts belonging to Merton L. and pj D. Madeline Young, scale - 1 in. - 50 feet, Jan. 31, 1955, Bearse & Kellogg, Civil Engineers, Centerville, Mass." which said plan is duly filed at the Barnstable County Registry of 0 Deeds and recorded in Plan Book 120, Page 9, and said lots are more particularly bounded and described as follows: o Parcel I. mOn the North by lot a as shown on said plan, there V measuring one hundred seventy two and 72/100 (172.72) feet; On the East by land now or formerly of WYVTLLE J. .M+ KEVENEY, as shown on said plan, there measuring one hundred four and 79/100 (104.79) feet; N On the South by Lot 10 as shown on said plan, there measuring one hundred forty one and 08/100 (141.08) 'c feet; .o o - >1 On the west by a thirty (30) foot way, •as shown on said plan, there measuring one hundred and no/100 (100.00) feet; Q�+ feel- o said parcel or lot- containing a total area of 15,400 square f land., more or less. 04 Being the parcel or lot shown as Lot 9 on said plan. Parcel 2. On the North by Lot 9 as shown on said plan, there measuring one hundred forty one and 08/100 (141.08) feet; On the East by land now or formerly of WYVILLE J. KEVENEY, as shown on said plan, there measuring ninety two and 05/100 (92.05) feet; On the south by land now or formerly of JOHN BOTTOMLEY, as shown-on said plan, there measuring one hundred thirty five and no/100 (135.00) feet-; Bi- al.IJi- 1:38-1 SO :D4002 On the Ulest by a thirty (30) foot way, as shown on . said plan, there measuring one hundred thirty two and 35/100 (132.35) feet; said parcel or lot containing a total area of 14,400 square feet of land, more or. less. Being the parcel or lot shown as Lot'10 on said plan. There is granted as an appurtenance to the owners of both of the above-described lots 9 and 10 a perpetual 6asament. cEva in common with others now or hereafter entitled to use the same, in, over and upon the thirty (30) foot way as shown on said plan for free ingress and egress with vehicles or otherwise to and upon the above-described Lots and,the public highway known as Stetson Street. For title reference may be made to Deed from Merton L. Young et ux dated April 1, 1960 andd recorded at Barnstable County Registry of Deeds, Book 1073, Page 296-297. i Executed as a sealed Instrument thisy day of _ 1997 K Bernard S. Cohen Lea Cchen �1hef�omntonwettlthi�f achu�ett� A Barnstable ss. �i Si .�cq 19 97 Then personally appeared the above named Bernard S. Cohen and Leah Cohen and acknowledged the foregoing instrument to be t eir free act at Zee , — Before me, Narshall 14.Dra.netMotary Public— dca Razce My commission expires(D.+'' SJ 61 o 0 �% BARNSTABLE REGISTRY Of DEEOS p FIRST AMENDMENT to the . BERNARD S . COHEN DECLARATION OF TRUST On April 15, 1986., I, BERNARD S . COHEN, executed a certain declaration of trust with myself, as trustee, wherein I reserved the right at any time or times to amend or revoke the declaration of trust in whole or in part by instrument in writing delivered to the trustee . I hereby amend the declaration of trust, as follows : 1 . By deleting the first sentence of SECTION 7 of FIFTH and substituting in lieu thereof the following sentence : "The trustee may in its discretion terminate and distribute any trust hereunder if the trustee determines that the costs of continuance thereof will substantially impair accomplishment of the purpose of the trust : " 2 . I hereby amend the declaration of trust by ,revoking SECTION 8 of FIFTH, and inserting in lieu thereof: "SECTION 8 : I may resign at any time by. written notice to any one or more of my successor trustees . After my resignation, death or inability to manage my affairs, LEAH W. COHEN, NEIL S . COHEN and KENNETH A. COHEN shall be successor trustees . An individual , successor trustee shall have jointly with the other successor trustees all powers given the trustee, except that an individual successor trustee shall not participate in the exercise of any tax election or allocation which affects his or her interests or the interests of any person to whom he or she is legally Jy �� obligated or any discretion to determine the propriety or amount of payments or distributions of income or principal to himself or herself or to any person ' to whom he or she is legally obligated, or possess any of the incidents of ownership with respect to any policy of insurance on his or her life, and the remaining successor trustees or trustee alone, shall exercise that tax election, allocation or discretion and possess those, incidents of ownership. The term "trustee" shall mean the trustee or trustees from time to time qualified and acting. Any successor trustee may resign at any time by written to the other trustee or trustees and to me, if living., otherwise to each beneficiary then entitled to receive to have the benefit of the income of the income from the trust . In case of the death, resignation, refusal or inability to act of an individual successor trustee acting or appointed to act hereunder, the remaining trustee or trustees shall continue to act as trustee with all powers given the originally named trustee . In no event, however, shall LEAN W. COHEN serve as sole trustee hereunder after my death. The determination of the inability to .act of an individual successor trustee appointed to act and acting hereunder, shall be determined by receiving two written statements to that effect from two , LL physicians and all parties acting in accordance therewith shall incur no liability for acting in accordance therewith. i In case of the resignation, refusal or inability to act of all successor trustees previously appointed, I, if living, otherwise the beneficiary or a majority in interest of the beneficiaries then entitled to receive or have the benefit of th"e income from the trust shall appoint as successor trustee a bank or trust company qualified to accept trusts . Every successor trustee shall have all the powers given the originally named trustee . No successor trustee shall be personally liable for any act or omission of .any predecessor. With my approval if I am living, otherwise with the approval of the ` beneficiary or a majority in interest of the beneficiaries then entitled to receive or have the benefit of the income from the trust a su ccessor . tru stee ma y acce y pt .the account rendered and the property received as a full and complete discharge to a predecessor trustee without incurring any Liability for so doing, except that each successor to me as trustee shall without approval accept the assets delivered to the successor trustee as constituting all of the property to which the , successor trustees are entitled and shall not. inquire 3 i into my administration or accounting as trustee . The parent or guardian of a beneficiary under disability shall receive notice and have authority to act for the beneficiary under this section. No trustee wherever acting shall be required to give bond or surety or be appointed by or account for the administration of any trust to any- court . No statute with respect to underproductive property shall apply to any .trust under this agreement.. An individual trustee may at any time or times by a writing delivered to the other trustees delegate any or all of his or her powers . The statement of the trustee or trustees as to whether an individual trustee is acting or has delegated any or all of his or her powers shall fully protect all persons dealing with the trust . " In all other respects, I confirm the trust agreement, reserving to myself the right further to amend or revoke the same and this amendment thereto . IN WITNESS WHEREOF, I have signed this amendment this 7th" day of December, 1993 . BERNARD S . COHEN, Individually and as Trustee We certify that the above instrument was on the date thereof signed and declared by BERNARD S . COHEN as an amendment to his trust agreement in our presence and that we, in his presence 4 and in the presence of each other, have signed our names as witnesses thereto, believing BERNARD S . COHEN to be of sound mind at the ime of si " g i � residing at Cch k residing at STATE OF FLORIDA COUNTY OF BROWARD The foregoing instrument was acknowledged before me this 7th day of December, 1993, by BERNARD S . COHEN. He is personally known to me ,{ Notary Public My Commission expires : PRINT NAME 9-0S,,q/) S_ f'�}lC-l2�Sf c 1. r pp ryry NN ... y� _�0 1 .1. flp egg' 4 0_ 6 `d__ -� SECOND AMENDMENT TO AND RESTATEMENT OF THE BERNARD S. COHEN DECLARATION OF TRUST ARTICLE 1 ESTABLISHMENT OF THE TRUST AND ADDITIONS . . . . . . . . . . . . . . . . . . . . 1 ARTICLE 2 FAMILY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ARTICLE 3 TRUSTEE APPOINTMENTS . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . 2 ARTICLE 4 LIFETIME TRUST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ARTICLE 5 PAYMENTS AFTER DEATH 4 ARTICLE 6 REAL PROPERTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ARTICLE 7 TANGIBLE PERSONAL PROPERTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ARTICLE 8 MARITAL TRUST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 ARTICLE 9 FAMILY TRUST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 ARTICLE 10 FAMILY DISASTER . . . . . . : . . . . . . . 9 ARTICLE 11 RULE AGAINST PERPETUITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 ARTICLE 12 SPENDTHRIFT PROVISION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 ARTICLE 13 PAYMENTS TO MINORS AND THOSE UNABLE TO MANAGE THEIR AFFAIRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 ARTICLE 14 REQUIREMENT OF SURVIVAL . . . . . . . . . . . . . . . . . . . . . 11 ARTICLE 15 ALTERNATE OR SUCCESSOR TRUSTEES '. . .* . ... . . . . . . . : . . . . . . . . . . . . 12 ARTICLE 16 REMOVAL AND INCAPACITY OF TRUSTEE . . . . . . . . . . . . . . . . . . . . . . . . . . 13 ARTICLE 17 COMPENSATION OF TRUSTEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ARTICLE 18 GENERATION-SKIPPING TAX PROVISIONS . . . . . . . . . . . . . . . . . . . . . . . . . 14 ARTICLE 19 VARIOUS ADMINISTRATIVE AND TAX PROVISIONS . . . . . . . . . . . .. . . . . . . . 15 ARTICLE 20 GOVERNING LAW AND TRUSTEE'S POWERS . . . . . . . . . . . . . . . . 18 ARTICLE 21 VARIOUS PROVISIONS REGARDING TRUSTEES . . . . . . . . : . . . . . . . . . . . . 22 E _ ARTICLE 22 MISCELLANEOUS PROVISIONS AND DEFINITIONS . . . . . . . . . . . . . . . . . . 25 SECOND AMENDMENT TO AND RESTATEMENT OF THE BERNARD S. COHEN DECLARATION OF TRUST This Second Amendment to and Restatement of the Bernard S. Cohen Declaration of Trust is made and executed this 8th day of May, 1997, by BERNARD S. COHEN, of Boynton Beach, Florida, as an individual, and BERNARD S. COHEN, as trustee. WITNESSETH: WHEREAS, on April 15, 1986, I executed that certain Declaration of Trust (hereinafter referred to as "Trust Agreement") whereunder I established a Trust for the benefit of the beneficiaries therein named; and WHEREAS, I reserved the right from time to time to amend or revoke the Trust Agreement and Amendments thereto in whole or in part at any time; and WHEREAS, I subsequently amended the Trust Agreement on December 7, 1993; and WHEREAS, I am the sole acting trustee at this time; and WHEREAS, I now desire to amend and restated the Trust Agreement, NOW, THEREFORE, I amend and restate the Trust Agreement in its entirety as foI lows: ARTICLE 1 ESTABLISHMENT OF THE TRUST AND ADDITIONS I hereby transfer to my trustee the property listed in the attached schedule, In Trust, and the trustee agrees to accept the property and to hold, manage and distribute the property under the terms of this Agreement. In addition, any person may add property to the trust by lifetime gift or by transfer taking effect at death, provided such property is acceptable to the trustee. Initials 5. r - ARTICLE 2 FAMILY At the time of the execution of this Trust, I am married to LEAH W. COHEN, and all references in this Trust to "my wife" are to her. I have two (2) children, NEIL S. COHEN and KENNETH A. COHEN. ARTICLE 3 TRUSTEE APPOINTMENTS A. Trustee to Serve Under Each Trust. A trustee shall serve as trustee of every trust under this agreement except where this Article or some other;provision of this Agreement specifically provides otherwise. B. Trustee. Beginning on the date of this Restatement, the trustee shall be BERNARD S. COHEN and LEAH W. COHEN, as co-trustees (herein referred to as "trustee"). C. Successor Trustee. If my wife and'l both die, resign or become incapable of serving as trustee, my successor trustee shall serve in our place.' I appoint NEIL S. , COHEN and KENNETH A. COHEN, as co-trustees, to serve as my successor trustee. , D. Bond. No trustee shall be required to give bond or other security in any jurisdiction. E. Other Provisions. Provisions governing the compensation of trustees, appointment of trustees by persons other than myself, removal of trustees and incapacity of trustees appear elsewhere in this Agreement. ARTICLE 4 LIFETIME TRUST A. Income and Principal. During my lifetime the trustee shall pay so much or all of the.income and principal of the trust as I direct. If I am unable to manage my affairs, the trustee may use income and principal of the trust as the trustee deems necessary or . 2 Initials s y A r. advisable for the health, education, maintenance and support of myself, my wife and any person dependent upon me. B. Inability to Manage Affairs. For purposes of this Article, I shall be deemed unable to manage my affairs if I am under a legal disability, or by reason of illness or mental or physical disability am unable to give prompt and intelligent consideration to financial matters. The determination as to my inability (or regained ability) shall be made by two licensed physicians (one of whom shall be my personal physician, if any), and the trustee may rely upon written notice of that determination. C. Care at Home. It is my desire for care at home rather than an institution. If l become incapacitated, whether as a result of illness, accident, advanced age or for any other reason, and it would be possible for me to be cared for at home, then the trustee shall pay or apply for my benefit whatever available funds are held in the trust towards the cost of home care for me, including the expenses of round-the-clock private duty nurses, the rental or purchase of hospital type furniture, medical equipment and supplies,(including special beds, wheelchairs, tables, bathroom fixtures, elevators, stair glides and ramps) as well as the temporary or permanent installation of any such equipment in any one or more of my homes (whether owned or rented), including necessary structural alterations such as widening of doorways, installing special bathroom fixtures, elevators, stair glides and ramps. D. Homestead. I reserve the right to reside upon any real property placed in this trust as my permanent residence during my life, it being my intent to retain the requisite beneficial interest and.possessory right in and to such real property to comply - ,with section 196.041 of the Florida Statutes, so that such beneficial interest and 3 Initials possessory right constitutes in all respects "equitable title to real estate" as that term is used in section 6, Article VII of the Florida Constitution. E. Revocability of Trust and Rights Reserved. I reserve and retain the right at any y time, in writing, delivered to the trustee) to revoke, amend or restate this Agreement, in whole or in part, including the authority to change the identity or number of the trustees. Consent of the trustee shall not be required to revoke, amend or restate this Agreement. \ ARTICLE 5 PAYMENTS AFTER DEATH Upon my death, the trustee shall dispose of all property then belonging to the trust, together with all property distributable to the trustee as a result of my death, whether under .my Will or otherwise (the "trust fund"), as follows: A. Expenses. If I have no probate estate, or to the extent that cash and readily marketable assets in my probate estate are insufficient, the trustee shall pay the expenses of my last illness and funeral, cost of administration, and claims allowable against my estate (excluding debts secured by real property or life insurance). B. Taxes, The trustee shall also pay the estate and inheritance'taxes which'are assessed by reason of my death, including taxes on property passing outside this Agreement, except that the amount, if any, by which estate and inheritance taxes shall be W increased as a result of the inclusion of property in which I may have a qualifying income interest for life or over which I have a power of appointment shall be paid by the pen rson holding or receiving that property. Interest and penalties concerning any tax shall be paid and charged in the same manner as the tax. The trustee may make payment directly or Initials to,the personal representative of my estate, as the trustee deems advisable. I waive all rights of apportionment or reimbursement for any payments made pursuant to this Article. Assets or funds otherwise excludable from my gross estate for federal estate tax purposes shall not be used to make the foregoing payments. C. Balance of Trust Fund. The trustee shall dispose of the balance of the trust fund remaining after these payments in the manner provided below. ARTICLE 6 REAL PROPERTY If my wife, LEAH W. COHEN, survives me, I give her any house, condominium or cooperative apartment which was used as my primary residence at the time of my death. ARTICLE 7 TANGIBLE PERSONAL PROPERTY A. Letter, Memorandum or Writing. I may leave a letter, memorandum or other writing signed and dated by me concerning some or all of my tangible personal property. If I do so, and the writing can be incorporated by reference as part of this Agreement or otherwise be legally binding, I direct that it be incorporated and followed. If it is not legally binding I request, but do not direct, that my wishes.as expressed in it be followed. This provision shall apply whether the writing is executed before or after the date of this Agreement. B. Tangible Property Not Discussed. Any tangible personal property not discussed in such writing shall be distributed to my wife, if she survives me. If she does not survive me, the tangible personal property shall be distributed to my surviving children in nearly equal shares as may be practicable. The trustee's determination in this regard shall be conclusive. 5 Initials v ` C. . Survivorship Requirement. Any gift to an individual under this Article, including someone mentioned in a writing, shall take effect only if the individual survives me, and no anti-lapse rule shall apply. D. Insurance Policies. A gift of property under this Article includes my rights under any related insurance policies or proceeds of such policies. ARTICLE 8 MARITAL TRUST A. Fractional Share. If my wife survives me, the trustee, as of my death, shall set aside out of the trust fund as a separate trust that fractional share of the trust funds which, if allowed as a Federal estate tax marital deduction, would be required to reduce to a minimum my Federal estate tax, after taking into account as credits against such tax only the unified credit and the credit for state death taxes (to the extent that such credit does not increase state death taxes). The trustee shall pay all of the net income from this trust to my wife at least quarterly. In addition, the trustee is authorized to pay or apply to or for the benefit of my wife all or any part of the trust principal that the trustee, in his discretion, considers advisable for her health, education, maintenance or support. Upon my wife's death, the trustee shall distribute any remaining trust principal to the Family Trust. Notwithstanding any other provision of this Agreement, all net income of the Marital Trust accrued or undistributed at my wife's death shall be paid to her estate. The trustee shall, upon written demand of my wife, convert any unproductive property held in this trust to productive property within a reasonable time. 6 Initials >3 r . Y r I This share of the trust fund shall be determined by using the final determinations in my estate's Federal estate tax proceeding (if any) as if the entire share (but no other share of the trust fund) qualified for the Federal estate tax marital deduction. No taxes, interest or penalties referred to in the article entitled "Payments After Death," shall be charged against this trust until the balance of the trust fund has been exhausted. B. Administration of Marital Trust. If my Personal Representative or other fiduciary elects to qualify for the Federal estate tax marital deduction as qualified terminable interest property all or a specific portion of any trust established under this Agreement, then I intend that such trust or specific portion thereof for which such election is filed shall qualify for the marital deduction.. Any question with respect thereto shall be resolved accordingly, and the powers and discretions of my fiduciaries shall not be exercised or exercisable except in a manner consistent with such intention. If a specific portion of such trust is qualified for the marital deduction, then to the extent permitted by applicable law and regulations, the trustee is authorized to divide such trust into two separate trusts: one to be funded with that which qualifies; and the second with the remaining portion.which is not qualified for the marital deduction. An . Y such division shall be made according to the fair market value of the trust assets at the time of division. My fiduciaries shall not fund such trust or specific portion thereof which is qualified for the marital deduction with any property or its proceeds which does not qualify for the marital deduction or (to the extent that other assets qualifying for the marital deduction are available)with respect to which a credit for.foreign death taxes is allowable. 7 Initials , < ARTICLE 9 FAMILY TRUST My trustee shall set aside the balance of the trust fund as a separate trust. The trust shall be designated the "Family Trust" and shall be held and disposed of as follows: A. Income and Principal. If my wife survives me, my trustee shall pay so much of the net income and principal to or for the benefit of my wife and my descendants in equal or unequal shares as my trustee may determine is necessary or advisable for their health, education, maintenance and support. Any undistributed income shall be periodically added'to principal. No payment for a descendant shall be charged against the share provided below. B. Disclaimer. A disclaimer by my wife of any part or all of the Marital Trust shall not preclude her from receiving benefits from the disclaimed property in the Family Trust. C. Division. Upon my wife's death, or my death if my wife does not survive me, my trustee shall divide the Family Trust, including any amounts added from the Marital Trust, into separate shares, per stirpes, with respect to my then living descendants, and dispose of such shares as follows: The trustee shall hold the share of each descendant of mine in a separate trust and shall pay or apply all or any part of the net income therefrom, together with all or any part of.the trust principal to or for the benefit of such descendant,and such descendant's descendants that the trustee in his or her discretion considers advisable for any such eligible beneficiary's health, education, maintenance and support, with no duty to equalize such payments among eligible beneficiaries. Any undistributed income shall be added to principal. 8 Initials . . r Any trust principal remaining at the death of such descendant shall be distributed to or in trust for the benefit of such person or persons (limited, however; so long as there be any, to my then or thereafter living descendants), upon such conditions and terms, as such descendant shall direct and appoint by a Will expressly referring to and exercising this power; provided, however, that this power shall not be exercisable to any extent for the benefit of such descendant, his or her estate, his or her creditors or the creditors of his or her estate. Any trust principal not effectively so appointed shall be distributed to such descendant's then living descendants, per stirpes, or, if none, to the then living descendants, per stirpes, of his or her nearest ancestor who was a descendant of mine and who has descendants then living, or, if none, to my then living descendants, per stirpes; provided, however, that any property thereby distributable to a person who is the income beneficiary or an eligible income beneficiary of a trust under this Agreement shall instead be added to the principal of such trust. With regard to each separate trust, each beneficiary shall serve as initial sole trustee. However, this appointment shall first take effect when a beneficiary has attained age twenty-one (21) and no parent of the beneficiary is a trustee of that trust. ARTICLE 10 FAMILY DISASTER If all of the persons named and classes designated as beneficiaries of'any trust created in this Agreement shall die prior to complete distribution of the trust, then upon the happening of such event, any portion of the trust not otherwise disposable under the provisions of this Agreement shall be distributed to those persons who would then be my heirs-at-law, in accordance with the intestacy laws then in effect in the State of Florida; 9 Initials L the identity of such heirs is to be determined as though I had died upon the happening of such event. ARTICLE 11 RULE AGAINST PERPETUITIES I realize that the law imposes certain limits upon the duration of trusts, and regardless of any other provision in this Agreement, each trust shall terminate not later than twenty-one (21) years after the death of the last to die of me, my current spouse, if any,and all of my descendants who are living at the time of the execution of this Agreement. The trustee at that time shall distribute the trust property to the then income beneficiary. ARTICLE 12 SPENDTHRIFT PROVISION The income and principal of any trust created by this Agreement shall only be used for the personal benefit of the designated beneficiaries of the trust, and no distributions or expenditures.of trust assets shall be made except to or for the benefit of a trust beneficiary. To the fullest extent permitted by law, the interest of each trust beneficiary shall not be subject to the claims of any creditor, any spouse for alimony or support, or others, or to legal process, and may not be voluntarily or involuntarily transferred or encumbered. This provision shall not limit the exercise of any power of appointment or disclaimer. I intend that the rights of beneficiaries to withdraw trust property, if any, are personal and may not be exercised by a guardian, attorney-in-fact or others. ARTICLE 13 PAYMENTS TO MINORS AND THOSE UNABLE TO MANAGE THEIR AFFAIRS ° A. Minors. If my trustee is authorized or required to distribute trust property to a beneficiary who is a minor, and my trustee does not believe immediate distribution is in 10 Initials r t• 1 1 1 the beneficiary's best interest, he may instead distribute such property to any adult caring for the beneficiary, or to the beneficiary's guardian or custodian under a Uniform Gifts to Minors Act or a Uniform Transfer to.Minors Act. In the alternative, my trustee may hold and invest such property as a separate fund for the beneficiary and accumulate income or pay or apply part of the fund to or for the beneficiary's benefit from time to time as my trustee considers advisable for the beneficiary's health, education, maintenance and support. Any accumulated income shall be added to principal annually. When the beneficiary becomes an adult, my trustee shall distribute the fund to the beneficiary, or, if the beneficiary dies before then, to the beneficiary's legal representative. For purposes of this Agreement, a minor is a person under the age of twenty-one (21). B. Those Unable to Manage Their Affairs. If a beneficiary is unable to manage his financial affairs, as defined later in this Agreement, payments may be made by my trustee, in his sole discretion, either directly to such beneficiary; or applied directly (for the support, maintenance, education, surgical, hospital or other institutional care of the beneficiary)to his guardian or to any other person, whether or not appointed by any court, who shall, in fact, have the care and custody of the beneficiary. C. Responsibility. My trustee shall be free from any responsibility for the subsequent disposition of property if it is distributed in one of the ways specified in this Article. ARTICLE 14 REQUIREMENT OF SURVIVAL A. Thirty Days: No beneficiary shall be considered to have survived the event terminating any trust and be entitled to any trust property unless the beneficiary survives for at least thirty (30) days after that event; provided, however, with respect to provisions 11 Initials of this Agreement which provide for the disposition of the trust fund upon my death, that my wife shall be considered to have survived me if she survives for any period of time or there is a reasonable doubt as to which of us died first. B. Reduction of Distribution to Wife. The foregoing provision shall be limited as follows: I direct that distributions to or for the benefit of my wife be reduced to the smallest amount that will minimize the aggregate of estate and inheritance taxes payable by reason of our deaths, as finally determined, and that the amount by which such distributions are reduced shall be disposed of under this Agreement as if my wife did not survive me. ARTICLE 15 ALTERNATE OR SUCCESSOR TRUSTEES A. Resignation. Any trustee may resign at any time without court approval and whether or not a successor has been appointed. B. Individual Trustees. Each individual trustee (including successors then acting as a trustee) shall have the right to appoint a successor individual trustee by an instrument in writing, such appointment to take effect upon the death, resignation or incapacity of the appointing trustee. An appointment may be changed or revoked until it takes effect. If I have named an alternate or alternates to the appointing trustee in this Agreement, the appointment of a successor under this provision shall take effect only if and when those alternates fail to qualify or cease to act. C. Appointment of Co-Trustee. The individuals (and any corporation) acting as the trustees may at any time, acting unanimously by written instrument, appoint an individual or a corporation with fiduciary powers as a co-trustee. 12 Initials y D. Vacancy. If the office of trustee is vacant, and no successor takes office pursuant to any other provision of this Agreement, an individual or corporation with fiduciary powers may be appointed by my wife if then living and competent, otherwise by a majority of my adult descendants then living and competent. E. Beneficiary as Sole Trustee. If the sole trustee of a trust is a beneficiary of the trust, I intend that the trustee may appoint but shall not be required to appoint a co- trustee as provided in this Article. I do not intend that a beneficiary's interest be merged or converted into a legal life estate or estate for years because the beneficiary is the sole trustee, but if despite this expression of intent that would happen under applicable law, then a co-trustee shall be appointed to avoid merger or conversion. F. Appointment for Limited Purpose. A trustee may be appointed pursuant to this Article for a limited purpose or to hold only specified powers. G. No Duty to Examine. No trustee has a duty to examine the transactions of any prior trustee. Each trustee is responsible only for those assets which are actually delivered to it. ARTICLE 16 REMOVAL AND INCAPACITY OF TRUSTEE A. Removal of Trustee. After my death, if my wife survives me and is competent, she shall have the right for any reason to remove and replace any disinterested trustee under this Agreement with another disinterested trustee. If either (a) my wife does not survive me or is incompetent at the time of my death or(b) after the death or incompetence of my wife if she survives me while competent, then a majority of my adult descendants then living and competent shall have the forgoing right of removal and replacement. 13 ;Initials a x B.. Incapacity of Trustee. A trustee shall cease to act if he should become incapacitated, which is defined elsewhere in this Agreement. Such trustee shall be replaced in accordance with the provisions of this Agreement. ARTICLE 17 COMPENSATION OF TRUSTEE Individual trustees shall receive compensation in accordance with the law of Florida in effect at the time of payment, unless the trustee waives compensation. A corporate trustee shall be compensated by agreement with the individual trustees or in the absence of such agreement in accordance with its fee schedule as in effect at the time of payment. A trustee that resigns or is removed shall not receive a termination fee or any payment for the transfer of trust property to a newly-appointed trustee, but shall be entitled to its accrued and unpaid compensation and unreimbursed and proper expenditures. A receipt from the newly-appointed trustee shall relieve the trustee who has resigned or been removed from any further responsibilities for future management of any trust under this Agreement. ARTICLE 18 ' GENERATION-SKIPPING TAX PROVISIONS Notwithstanding any other provision of this Agreement: A. Division. My trustee is authorized to divide any trust into two or more separate trusts and administer them as separate trusts, either before or after the trust is funded, to enable the federal generation-skipping tax exemption to be separate ly.aIlocated to one of the trusts, or to enable the election under Section 2652(a)(3) of the Code (to treat me as the transferor for generation-skipping transfer purpose) to be made separately over one of them, or otherwise make possible a separate trust with a zero inclusion ratio. Any 14 Initials such division shall be into fractional shares with each share participating pro rats in income, appreciation, and depreciation to the time of division. Any relevant pecuniary amount (such as the right to withdraw $5,000) shall be applied pro rata to the separate trusts based upon the fractional shares into which they are divided. B. Creation of a General Power of Appointment. A disinterested trustee may in his sole discretion with respect to all or any part of the principal of a trust (including a pecuniary amount), by a written instrument filed with the trust records: (i) create in a child of mine a general power of appointment within the meaning of Section 2041 of the Code (including a power the exercise of which requires the consent of the trustee) to dispose of the property upon the death of the child; (ii) eliminate such power for all or any part of the principal as to which it was created; (iii) irrevocably release the right to create or eliminate such power; and (iv) divide the trust principal into two fractional shares based upon the portion that would be includable in the gross estate of the child holding such power if the child died immediately before such division (in which case the power shall be over the entire principal of one share and over no part of the other share) and each such share shall be administered as a separate trust unless the trustee in his sole.discretion combines such separate trust into a single trust, which it is authorized to do. I desire (but do not direct) that a general power be kept in effect when the trustee believes the inclusion of the affected property in the child's gross estate may achieve a significant savings in transfer taxes by having an estate tax rather than a generation-skipping tax imposed: • t ARTICLE 19 VARIOUS ADMINISTRATIVE AND TAX PROVISIONS 'A. Accountings. I direct that any trust established under this Agreement be subject to as'little court supervision as the law allows. 15 . Initials My trustee shall provide each year an informal account of his administration of each trust to each adult beneficiary then entitled to receive or have benefit of income from a trust. Any person entitled to receive an accounting, or a person legally entitled to act for such person, shall state in writing any objections to an accounting and deliver the objections to my trustee within thirty (30) days after receipt of a copy of the accounting. Failure to object in this manner shall constitute an approval of the accounting. My trustee may, but need not, render accountings in the manner provided above to presumptive remaindermen of any trust, and their failure to object in the foregoing manner will constitute an approval of such accounting. B. Disclaimer. Any person (or, his legal representative) at any time may irrevocably disclaim, renounce or release, in whole or in part, any interest, benefit, right, privilege or power granted to such person by this Agreement, including any fiduciary power (in which event such power shall be exercisable by the other trustees, if any). Such action shall be taken by delivery of an acknowledged instrument to the trustee, or if no trustee is serving, to the adult beneficiaries of such trust, or in the alternative, to a court having jurisdiction over the trust. C. Discretionary Distributions Limited to Disinterested Trustee/Support Obligations. Notwithstanding any other provision of this Agreement and except as it may apply to me, no trustee shall participate.in any discretionary (unless limited by an ascertainable standard under federal tax law) payment, application or allocation of principal or income to or for the benefit of such trustee or any beneficiary whom he or she . is legally obligated to support, nor may any trustee participate in any discretionary 16 Initials termination of a trust of which he or she is a beneficiary or an eligible beneficiary. All such decisions shall rest exclusively in the discretion of the other trustees who are disinterested. Except as it may apply to me, no provision of this Agreement shall be construed as relieving any person of his or her legal obligation to support any beneficiary hereunder, and no part of the income or principal of any trust shall be used to satisfy such obligation. D. Powers of Appointment. Any power of appointment created under this Agreement may be exercised only by an express reference to the power which includes the name of my trust. A person exercising a power of appointment may appoint trust funds outright or in trust. The choice of terms, trustees and jurisdiction of any trust shall be entirely within the discretion of the person having the power of appointment, except to the extent otherwise expressly provided in this Agreement. No power of appointment shall be exercisable by a beneficiary over any property or its proceeds added to a trust by means of a disclaimer by such beneficiary, if such exercise would be a taxable event to the beneficiary. E. Powers of Withdrawal. Any power to withdraw principal of a trust under this Agreement may be exercised only by delivery of a writing to the trustee or by a Will specifically referring to the withdrawal power, if applicable. If exercised by a Will, the principal withdrawn shall be distributed to the estate of the person exercising such power. F. Termination of Trust in Discretion of Trustee. Subject to the section of this article entitled "Discretionary Distributions Limited to Disinterested Trustee/Support Obligations," I recognize that there may be circumstances in which it is not in the best interests of the income beneficiaries of a trust hereunder for the trust to continue in existence, taking into account all relevant factors, including costs of administration and tax 17 Initials— a% c benefits or a lack of such benefits. Accordingly, after my death, the trustee (excluding an interested trustee) is authorized in its discretion and for any reason to terminate and distribute any remaining trust property to an one or more of the income beneficiaries P, .Y Y icianes in such proportions as the trustee considers advisable; except that this provision shall not apply to any trust hereunder which has qualified for the federal estate tax marital deduction. In exercising its discretion, the trustee shall have no obligation to consider the interests of any other person in the trust. ARTICLE 20 GOVERNING LAW AND TRUSTEE'S POWERS The interpretation and operation of the trust, except as otherwise provided, shall be governed by the laws of the State of Florida. Without limitations of the powers conferred upon it by law, the powers of the trustee shall include the following: A. Tax Law Elections. The power to make elections available under the tax laws in such manner as the trustee may determine, unless prohibited by another provision of this Agreement. B. . Retain, Acquire or Sell Property. The power to retain, acquire or sell any property, whether inside or outside the United States,without regard to diversification and without being limited to investments authorized for trust funds, including life insurance on the life of a beneficiary. C. Compromise Claims and Abandon Property. The power to compromise ' claims (including taxes), and to abandon or demolish any. property which the trustee determines to be.of little or no value. D. Determination of Trust Property. The power to determine what property is covered by.general descriptions contained in this Agreement. 18 initials F - - • E, Sell, Lease or Exchange Property. The power to sell property at public or private sale, for cash or credit, and to exchange property for other property, and to lease property for any period of time, and to give options of any duration for sales, exchanges or leases. F. Mergers, Reorganizations, etc. The power to join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary powers (including investment powers) in entering into the arrangement. G. Borrow. The power to borrow from anyone, even if the lender is a trustee under this Agreement, and to pledge property as security for repayment of the funds borrowed, including the establishment of a margin account. No trustee shall be personally liable, and any such loan shall be payable only out of assets of the trust. H. Cash or in Kind. The power without the consent of any beneficiary to distribute in cash or in kind, and to allocate specific assets in satisfaction of fractional shares or pecuniary sums including cash legacies among the beneficiaries (including any trust) in such proportions, not necessarily pro rata, as the trustee may determine, even though a trustee has an interest affected by the distribution and even though different l beneficiaries entitled to the same sum or share may thereby receive different mixes of assets, possibly with different income tax bases, so long as the fair market value of property on the date of distribution is used in determining the extent to which any distribution satisfies a sum or share. 19 Initials L. Apply Property for Use. The power to apply to the use of any individual, any property, whether principal or income, that otherwise would or could be distributed directly to such individual. J. Real Estate. The power with respect to any real property (i) to partition, subdivide or improve such property and to enter into agreements concerning the partition, subdivision, improvement, zoning or management of any real estate in which a trust hereunder has an interest and to impose or extinguish restrictions on any such real estate; (ii) to sell, exchange, lease for any period, mortgage, alter, or otherwise dispose of such property and to execute any instrument necessary to do that; and (iii) to charge to principal the net loss incurred in operating or.carrying non-income producing real property. K. Occupy Real Estate. The power to permit any individual eligible to receive distributions of income from a trust to occupy any real property or cooperative apartment or to use any tangible personal property forming part of the trust upon such terms as the trustee shall deem proper, whether rent free or in consideration of the payment of taxes, insurance, maintenance and ordinary repairs, or otherwise. L. Combined Fund. The power to hold two or more trusts hereunder as a combined fund (allocating ratably to such trusts all receipts from, and expenses of, the combined fund) for convenience in investment and administration; provided that any combination of trusts for this purpose shall not alter their status as separate trusts. M. Consolidate. The power to consolidate any trust for a descendant with another trust having identical terms and the same trustee under this Agreement or my Will or my spouse's Will or any trust agreement, and administer the two as one trust, provided 20 Initials that each portion of the consolidated trust shall terminate and vest in possession no later than the date required for the separate trust from which it came. N. Custody and Brokerage Accounts. The power to maintain custody or brokerage accounts (including margin accounts) and pay reasonable compensation in addition to fees payable to the trustee, notwithstanding .any rule prohibiting dual compensation.. 0. Loans. The power to make loans to any of my descendants, to my probate estate or my spouse or to any other trust established by me or my spouse. Such loans shall be for adequate interest and shall be adequately secured. P. Purchase from Estate or Trust. The power to buy property from my or my spouse's estate or the trustee of any trust subject to any wealth transfer tax upon either of our deaths, regardless of the fact that one or more or all of the per serving as trustee under this Agreement also operates as a selling or borrowing fiduciary. Q. Expert Advisers. The power to employ and rely upon advice given by accountants, attorneys, investment advisors and other experts; to employ agents, clerks and employees.; and to pay reasonable compensation in addition to fees otherwise payable to the trustee, notwithstanding any rule prohibiting dual compensation. This provision shall not be construed to limit other provisions of this Agreement that describe the authority of such experts and/or their interaction with the trustee. R: Allocate Receipts and Disbursements. The power ,(excluding any interested trustee) to allocate receipts and disbursements to income or principal in such manner as the trustee shall determine, even though a particular allocation may be inconsistent with state law. 21 Initials S. Amortize Premiums. The power (excluding any interested trustee) to amortize in whole or in part the premiums on any securities received or purchased, or to treat as income the gross return from such securities. T. Continue Business. The power to continue any business, incorporated or unincorporated, for any period and to do any thing that I could have done. U. Out-of-State Property. The power to designate any person or qualified corporation to act as a special trustee for out-of-state property. Each special trustee shall have the powers granted to the trustee under this Agreement, to be exercised only with the approval of the trustee. V. Situs(Location) of Trust. The power, from time to time, to change the situs, within or without the United States, of any trust created under this Agreement for any reason. If the trust situs is changed, the laws of the situs shall govern if the trustee, excluding any interested trustee, so elects. The trustee, excluding any interested trustee, may additionally modify the terms of this Agreement to comply with the law of the new situs. ARTICLE 21 VARIOUS PROVISIONS REGARDING TRUSTEES A. Interested Trustee. "Interested trustee" means, for any trust, a trustee who is (i) a transferor of property to the trust, including a person whose qualified disclaimer resulted in property passing to the trust; or (ii) any person who is or in the future may be eligible to receive income or principal pursuant to the terms of.the trust. "Interested trustee".also means any person who is.a "related or subordinated party" under Section 672(c) of the Code. A trustee who is not an interested trustee is a "disinterested trustee." r 22 Initials t B. Two or More Trustees Eligible to Act. If two or more trustees are eligible to act on a given matter, they shall act by majority, except if the only serving trustees are husband and wife, then either may act alone. In the exercise of discretion over distributions, if this Agreement provides that certain trustees may participate in distributions limited by an ascertainable standard,.while a different set of trustees may participate in distributions for any purpose, if the two sets of trustees (each acting by its own majority, except as provided above) want to distribute the same item of income or principal to different recipients, the distribution desired by the set of trustees participating in distributions for any purpose shall prevail. C. Self-Dealing. .I direct that the so-called rule against self-dealing shall not apply to a trustee who is my spouse or my descendant. Except when prohibited by another provision of this Agreement, such a trustee may enter into transactions on behalf of a trust hereunder in which the trustee is personally interested so long as the terms of such transaction are fair to the trust. For example, p , such a trustee may purchase property.from the trust at its fair market value without court approval. D. Trustee Liability. No trustee shall be liable to anyone for anything done or not done by any other trustee or by any beneficiary. E. Evidence of Terms of Agreement and Identity of Trustees. The signatures of the trustees on this Agreement and acknowledgment by the trustees before I a notary public shall be conclusive evidence upon-all persons and for all purposes of the terms contained in this Agreement and the identity of the trustees who from time to time are serving under it. No purchaser or other person relying in good faith on any act of any 23. Initials ` 's S. trustee or successor trustee relating to any property held and administered by the trustee or successor trustee need inquire concerning the authority of such trustee or successor. F. Discretion/Ascertainable Standard. If I have given the trustee discretion concerning distributions of income or principal I intend that discretion to be absolute and uncontrolled, and subject to correction by a court only if the trustee should act utterly without reason, or in bad faith, or in violation of specific provisions of this Agreement. If I have set forth general guidelines (as opposed to directions or dollar limits) for the trustee in making distributions, I intend those guidelines to be merely suggestive and not to create an enforceable standard whereby a distribution could be criticized or compelled. It is my strong belief that the trustee will be in the best position to interpret and carry out the intentions expressed herein under changing circumstances. This. paragraph shall not, however, apply to any standards framed in terms of health, education, support or maintenance as I intend those words to create an ascertainable standard for federal tax purposes when applied to a trustee's power or a power held individually, although even in those cases I want the holder of the power to have as much discretion as is consistent with that intent. G. Distribution to Members of a Class. Unless I have specifically provided otherwise, and subject to any ascertainable standard governing its exercise, the trustee's discretionary power to distribute income or principal includes the power to distribute all.of such income and/or principal to one or more members of a class to the exclusion of others whether or not the terms of the trust specifically mention that possibility. H. Release of Powers. A trustee may irrevocably release one or more powers held by the trustee while retaining other powers. 24 Initials I. , Delegation. Any trustee may delegate to a co-trustee any power held by the delegating, trustee, but only if the co-trustee is authorized to exercise the power delegated. A delegation may be revocable, but while it is in effect the delegating trustee shall have no responsibility concerning the exercise of the delegated power. J. Diversification. I have confidence in the investments which have been or will be deposited hereunder, and no change need be made by the trustee in these investments, but the trustee may sell or otherwise dispose of such investments, if and to whom the trustee deems such sale or disposition to be in the best interest of the trust, without being constrained to do so. ARTICLE 22 MISCELLANEOUS PROVISIONS AND DEFINITIONS A. Name of Trust. This trust may, for convenience, be known as the "BERNARD S. COHEN REVOCABLE TRUST," and it shall be sufficient that it be referred to'as such in any deed, assignment, bequest or devise.. B. Context. Whenever the context so requires, the masculine shall include the feminine and neuter, the feminine shall include the masculine and neuter, the neuter shall include the feminine and masculine, the singular shall include the plural and the plural shall include the singular. C. Void or Unenforceable. If any portion of this Agreement is held to be void or unenforceable, the balance of this Agreement shall nevertheless be carried into effect. D. Incompetency. Except as provided otherwise in this Agreement, an individual shall be deemed incompetent if so declared or adjudicated by an appropriate court, or if a guardian, conservator, or other fiduciary of the person or estate or both shall., have been appointed for such individual by an appropriate court. An individual may also 25 Initials i s . r E t 3 be deemed incompetent (or have regained competency) if so certified in writing by two physicians. For purposes of this Agreement, "incapacity" and "unable to manage affairs" (or similar words) shall have a like meaning to "incompetent." E. Code. References to the "Internal Revenue Code" or "Code" or to provisions thereof are to the Internal Revenue Code of 1986, as amended at the time in question. References to the "Regulations" are to the Treasury Regulations under the Code. If by the time in question a particular provision of the Code has been renumbered, or the Code has been superseded by a subsequent Federal tax law, the reference shall be deemed to be to the renumbered provision or the corresponding provision of the subsequent law, unless to do so would clearly be contrary to my intent as expressed in this Agreement, and a similar rule shall apply to references to the Regulations, and to state .statutes. F. Adopted Persons. A person adopted prior to attaining age 18 (but not after) by me or by a descendant of mine shall be treated under this Agreement as a descendant. A biological descendant of mine shall not be treated as a descendant if surrendered for adoption with the consent of his or her parent. A biological descendant of mine born out of wedlock shall not be treated as a descendant unless and until his or her biological parents marry one another prior to his or her attaining age 18. Under these rules, adoptions and marriages shall not affect prior distributions or other interests that have previously, vested in possession, but they shall enable a person to receive distributions from other interests in a trust still in existence. When a person is treated or is not treated as a descendant of mine under these rules, the same treatment shall apply to that person's descendants. 26 Initials t G. Headings. Headings used in this Agreement are for convenience only and shall not be used to interpret the provisions in this Agreement. IN WITNESS WHEREOF, we have signed this Agreement the day and year first above written. fil BERNARD S. COHEN, Individually and as Trustee LEAH . COHEN, Trustee We certify that the above instrument was on the date thereof signed and declared by BERNARD S. COHEN, as his Second Amendment to and Restatement of his Trust Agreement in our presence and that we, in his presence and in the presence of each other, have signed our names as witnesses thereto, believing BERNARD S. COHEN to be of sound mind at the time of signing. residing at Witnes A MY L. LTZ Print,Name: L .r� Q• residing at Witness Print Name: C Qry/ fig. ,c34 27 " 5 i r � STATE,OF FLORIDA ) ss: COUNTY OF PALM BEACH ) I HEREBY CERTIFY that the foregoing instrument was acknowledged before me by BERNARD S. COHEN, this 8th day of May, 1997. My Commission Expires: G12.111" . Notary Public State of Florida Print name: bu1Cz M. P� ;,gtiV;, DULCE M.PEREZ [SEAL] ;.; ., MY COMMISSION/CC 473913 Personally known or ❑ produced identification �. EXPIRES:June 20,1999 Type of Identification Produced: " q' ` Bondedrn � � ru" ►vunde�Imm STATE OF FLORIDA ) ss:. COUNTY OF PALM BEACH ) 1 HEREBY CERTIFY that the foregoing instrument was acknowledged before me by LEAH W. COHEN, this 8th day of May, 1997 . My Commission Expires: Notary Public State of Florid Print name: �bulcE Ail. Pea ;g ;:>y , DULCE M.PEREZ [SEAL] ,,: T._ MY COMMISSION 9 CC 473913 y: ,, EXPIRES:June 20,1999 ®(Personally known or El produced identificatio ;P'F;° BonrWThruNotaryPublicUndernrtiters Type of Identification Produced: 28. 4 SCHEDULE "A" TO THE BERNARD S. COHEN REVOCABLE TRUST DATED: APRIL 15, 1986 ALL PROPERTY CURRENTLY HELD IN THE BERNARD S. COHEN REVOCABLE TRUST U/A DATED APRIL 15, 1986, AS AMENDED. Trustee hereby acknowledges receipt of the foregoing assets. BERNARD S. COHEN, Trustee 4LEAW. CoHEN, Trustee 29 L ° ? © Commonwealth of Massachusetts UNITED STATES OF AMERICA CERTIFICATE OF.DEATH FROM THE RECORDS OF DEATHS IN THE TOWN OF YARMOUTH MASSACHUSETTS U.S.A. 1 Date of Death January 28, 2007 2 Name Bernard S. Cohen ---------------------------------------------------------------------------------------------------- 3 Gender Male --------------------- ----------------------------------------------------------- ------ Single, Married or Widowed Married U.S. War Veteran WW H ----------------------------------------------------------------------------------------------------- 4 Race White 5 Age 9p Years --=------------------------------------------------------------------------------------------------- 6. Disease or Cause of.Death Dementia. Peripheral vascular disease 7 Residence 26 Stetson Lane, Barnstable, Barns. Co.,MA -------------------------------------------------- ------------- ------------------------ 8 Occupation Glazier ---------------------------------------------------------------------------------------------------- 9 Place of Death WindsorSkill.CareNurs.&Rehab.,Yarmouth,Bams.Co.,MA ----------------------------------------------------------------------------------------------------- 10. Place of Birth 11. Name,of Spouse ___ Leah B.-Weinberg------------------------------------------------------------------ - 12. Name of Father/Parent Samuel Cohen ---------------------------------------------------------------------------------------------------- 13. Mother/Parent (Maiden)Name Frannie (Ostroff)- ---------------------------------------------------------------------------------------------------- 14. Father/Parent Birth Place Russia ------------------ -------------------------------------------------------------------------------- 15. Mother/Parent Birth Place Russia 16 Place of Disposition ___ Mosswood_Cemeter ,_Barnstable, MA I, Jane E. Hibbert depose and say that I hold the office of Town Clerk, of the Town of Yarmouth, County of Barnstable, and Commonwealth of Massachusetts; that the records of Births, Marriages, and Deaths in said Town are in my custody, and that the above is a true extract from the Records of Deaths in said Town, as certified by me Witness my hand and the seal of said Town, on this 21 day of ,_,November 2012 Record Date: January 31, 2007 Registered No: 14 Town Clerk --------------------------------------------------------------------------------------------------------------------- Co r'. (INSTRUCTIONS ON REVERSE SIDE) Sje.(9:0M=nbJeartb of�R[ia �aciju el# 00021 r FOR USE BY STANDARD CERTIFICATE OF DEATH v'S PHYSICIANS AND REGISTRY OF VITAL RECORDS AND STATISTICS REGISTERED NUMBER STATE USE ONLY MEDICAL EXAMINERS DECEDENT-NAME FIRST MIDDLE LAST FE DATE OF DEATH(Mo.,Day,Yr.) STATE USE 1. Leah Cohen 3Ap.ril 21, 2012 ONLY PLACE OF DEATH(City?own): - COUNTY OF DEATH HOSPITAL OR OTHER INSTITUTION-Name(If not in either,give street and number) Barnstable Barnstable Cape Cod Hospital. 4a 4b 4c PLACE OF DEATH(Check only one): 7 WAS DECEDENT OF HISPANIC ORIGIN? RACE(e.g.While,Black,American Indian,etc.) DECEDENTS-EDUCATION(Highest Grade Completed) (If yes,Specify Puerto Rican,Dominican,Cuban,etc.) (Specify) r'TL, Elementary Sec(0-12 College 1-4,5+ 5 Type a a ENO ❑YES White 12 6a S eci - 66 9 AGE-last Birthday UNDER 1 YEAR UNDER i DAY MARRIED,NEVER MARRIED LAST SPOUSE(It wife,give maiden name) USUAL OCCUPATION KIND OF BUSINESS OR INDUSTRY WIDOWED OR DIVORCED 10 Age - (Prior-ll Retired) 12 Widowed 3Bernard Cohen 14a Homemaker 4DOwn Home RESIDENCE-NO..&ST..CITYTTOWN,COUNTY,STATEICOUNTRY ZIP CODE 15a26 Stetson Lane, Barnstable, Barnstable, MA 15b 02601 FATHER-FULL NAME STATE OF BIRTH(If not in US, MOTHER-NAME (GIVEN) _(MAIDEN) STATE OF BIRTH(If not in the US, 15 Resid name country) name Country) 16 Harry Weinberg , Unknown ,B Cecilia Unknown 19 Unknown INFORMANTS NAME MAILING ADDRESS-NO.&ST.,CITY/TOWN,STATE,ZIP CODE MA 02675 RELATIONSHIP ,5 o;,`-Slate • 2,Neil Cohen. 2181 Bray Farm Rd. North, Yarmouthpor.t �.2 Son 23 METHOD OF IMMEDIATE DISPOSITION FUNERAL SERVICE LICENSEE OR OTHER DESIGNEE LICENSE N BURIAL ❑CREMATION, 23 Disp ENTOMBMENT ❑REMOVAL FROM STATE - Mark W. Tomkins 50316. DONATION ❑OTH.SPEC. 24 25 e •0 ® PLACE OF DISPOSITION(Name of Cemetery,Crematory or other) LOCATION(Clty/Town,State) 26a Mosswood Cemetery 26C Barnstable, MA 31-32 Autop DATE OF DISPOSITION NAME AND ADDRESS OF FACILITY OR OTHER DESIGNEE (MO"Day,Yr.)Apr. 23, 2012 28�Doane Beal & Ames, 160 W. Main St. , Hyannis, MA 02601 29 PART I-Enter the diseases,injuries,or complications that caused the death.Do not use only the mode of dying,such as cardiac or respiratory arrest,shock or heart failure Approximate Interval 34 Manner - List only one cause on each line(a through d)PRINT OR TYPE LEGIBLY. Between Onset and Death IMMEDIATE CAUSE(Final _S' . J�c disease or condition resulting a: 1 a in death) DUE TO(OR AS A CONSEQUENCE OF) 35c Work Inj Sequentially list conditions,U b. any,leading to Immediate DUE TO(OR AS A CONSEQUENCE OFJ cause.Enter UNDERLYING CAUSE(disease or injury that c. initiated events resulting in DUE TO(OR AS.A CONSEQUENCE OF) 351 Place death)LAST - d PART II-Other significant conditions contributing to death but not resulting In underlying cause given In Part I. WAS AUTOPSY WERE AUTOPSY FINDINGS f PERFORMED? AVAILABLE PRIOR TO 36-37 Cad (Yes or No) COMPLETION CAUSE, OF (Yes 30 31/vd . 32 MED.EXAM. 4 ANNER OF DEATH DATE OF INJURY ITIMEOFINJURY INJURY AT WORK 40a Pion NOTIFIED? 1 tNATURAL ❑HOMICIDE ❑COULD NOT BE DETERMINED (Mo.,Day,Yr.) (Yes or No) (Yes or No) N 33 © 1E]ACCIDENT ❑SUICIDE ❑PENDING INVESTIGATION 35a 35b M 35c Pronouncement of Death DESCRIBE HOW INJURY OCCURRED PLACE OF INJURY(At home, LOCATION(No.&St.,City/Town,Slate) farm,street,factory,office bldg., Form(R-302)on File: ❑ etc.,)Specify. 35d 35e 351 Z _36a To the best of my know) e,death occurred at the time,dale,and place and due to the 37a On the basis of examination and/or investigation in my opinion death occurred at the time, a cause(s)stated. _ a w date,and place and due to the causa(s)staled. m rn (Signature j c - (Signature d and Title / B-2 and Title E Z DATE SIGNE c., ay,Yr.) HOUR OF DEATH E z DATE SIGNED(Mo.,Day,Yr.) HOUR OF DEATH m2O f'(�IL dCl c�! O 5 Ua° LL 36b �. 36c ° 37b 37c M o F NAME OF ATTENDING PHYSICI IF NOT CERTIFIER U. w PRONOUNCED DEAD(Mo.,Day,Yr.) PRONOUNCED DEAD(Hr) ~U 36d J ~ 37d 37e M NAME A3ND AQOR�OF G p Y-'M r-7 EDICAL EXAMINER(Type or Print) �J LICENSE NO..OF:CERTIFIER 6 39 �3 rb WAS THERE'A IF YES,DATE IF YES,TIME 40d NAME OF PRONOUNCER TITLE PERMANENT PRONOUNCEMENT FORMJ PRONOUNCED PRONOUNCED BLACK INK ONLY (Yes or No) h�� '. ❑R.N.❑P.A.❑N.P. 40a 40b 40c M R-30t-OB DATE BURI L PERMIT ISSUED + •' a3 a E7� RECEIVE E _ ® DATE OF RECORD 7 SIGN U=80 HEAL 43 I,the undersigned,hereby certify that I am the Town Clerk for the Town of Barnstable that,as such,I have custody.of the records of births,marriages and deaths,required by law to be kept in my office;and I do hereby certify that-thc above is a hue copy from said records. WITNESS:My hand and the SEAL OF THE TOWN OF BARNSTABLE A TRUE COPY ATTEST:at Barnstable,Massachuse � 1 Linda Hutchenrider,Town Clerk,Barnstable (If the Seal is not raised,this document has been illegally copied—do not accept it.) 3V-2. LEGEND: P.T.2 x 10 LEDGER BOARD LAG BOLTED TO U EXISTING WALLS SOLID BLOCKING w/(2) GERLOK BOLTS ---— V 16"o.c.W/ZMAX JOISTS HANGERS NGERS A r- CONSTRUCTION TO BE REMOVED LIVING/ Al NEW CONSTRUCTION DINING FASTEN JOISTS TO BEAM W/SIMPSON H2.5 TIES GLASS RAILING (COMPOSITE DECKING BY OTHERS VERIFY W/OWNER) GLASS RAILING THIS PLAN IS AN ADDENDUM PLAN TO FURTHER BY OTHERS CLARIFY AND PROVIDE ADDITIONAL DETAILS TO THE P.T.2 x 8's @ IV'o.c. NEW DONALD A.rRE ARCHITECTURAL ARCHI pECT FROM ELKINS PARK,PA EVELOPED BY 3-P.T.2x 10's DECK DATED 10/18/2012 z? BASEMENT P.T.6 x 6 POSTS ON 12"DIA. QSMOKE DETECTOR CONCRETE SONOTUBES Wt z ZV DIA. BIGFOOT FOOTINGS g REMOVE MST. Q CARBON MONOXIDE DETECTOR ZMAX AB UNDERNEATH. USE BASE&SIMPSON 666 POST REMOVE EXIST. WINDOWS AC6/ACE6 POST CAPS WINDOWS ANDERSEN ANDERSEN ANDERSEN ANDERSEN FWG6068 L FWG2968 S FWG6068 R FWG2968 S USE EXISTING ROUGH OPENING LO REMOD. 12' A BUILDING SECTION NEW DECK ANDERSEN USE EXISTING G LIVING/ INSTALL NEW 2-21 34'x 5 1/2"LVL A� FWG6068 L ROUGH OPENIHEADERS ABOVE NEW DOORS IF 99 DINING EXISTING HEADERS DO NOT FIT COVERED TO NEW DOOR LAYOUT INSTALL SIMPSON DTT2Z I PORCH DECK TENSION TIES W/ I 1/2"THREADED ROD(2) j (COMPOSITE DECKING PLACES EVENLY SPACED VERIFY W/OWNER) APART ON THE NEW DECK I INSTALL FLASHING UNDER j HOUSEWRAP&DECKING FIRST FLOOR PLAN ( DECKING 38'-2" EXISTING HOUSE FLOOR JOISTS 64' 64' 6.4. 6'4' 6-4" 6'l P.T.6.x 6 POSTS ON 12"DIA. CONCRETE SONOTUBES Wl P.T.2 x 10`s @ 16 o.c. A FASTEN JOISTS TO 24"DIA.BIGFOOT FOOTINGS BEAM W!SIMPSON UNDERNEATH. USE SIMPSON Al ZMAX-ABU66 POST BASE& ZMAX H2.5 TIES 7AC6/ACE6 POST CAPS RUBBER MEMBRANE STICK BETWEEN LEDGER& SHEATHING / 3-P.T.2 x 10 BEAM 1 P.T.2 x 10 LEDGER BOARD LAG BOLTED TO SOLID BLOCKING W/(2)LEDGERLOK BOLTS 16"o.c. STAGGERED WI JOISTS HANGERS DECKDETAIL SEE IRC2009 SECT.502.2.2. NEW P.T.2 x 8's @ 16"o.c. o NEW ANDERSEN CXW135 WINDOW. LOCATE TO THE REMOVE EXIST, LEFT OF EXIST,DRAINS O.H. DOOR& INSTALL NEW 2 x 8 WALL TO MATCH OUTSIDE THIS WINDOW MEETS +5� O� OF FOUND.WALL ALL EMERGENCY dp` -L S. gip` L S. EGRESS REQ.AT 5.7 lx SO. FT. OF CLEAR OPENING&HEIGHT OFF 44"OFF THE FLOOR EXISTING P.T.2x 10 LEDGER BOARD LAG BOLTED TO ANDERSEN SOLID BLOCKING W/(2)LEDGERLOK BOLTS BEDROOM #4 BEDROOM #5 TW2446-2 BASEMENT 16"o.c.W1 ZMAX JOISTS HANGERS WINDOW b z� u klaj FRAMING/FOOTING PLAN o o NOTES: -Ilk ADJUST WALLS TO FIT 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR-MASSACHUSETTS �'DO°R NEW © WINDOW INTO TAILSBEDROOM (VERIFY ALL DETAILS & DIMENSIONS IN THE FIELD STATE BUILDING CODE, 8TH EDITION AMENDEMENT & IRC2009 HALL © NEW IN THE FIELD) 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, 5.) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD :71BATH DETAILS, & FINISHES IN THE FIELD WITH OWNER 6.) ALL DECK CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT STATE BUILDING CODE, 8TH EDITION AMENDEMENT & IRC2009 FIRST FLOOR TO BE 6'-8" ABOVE SUBFLOOR PRESCRIPTIVE RESIDENTIAL WOOD DECK CONSTRUCTION GUIDE BASEMENT LAN THE RSIORO SHALL S NOTIFIED IF ANYERRO ARE FOUND ON SCALE DRAWING NO. : C OT U I T BAY DESIGN, L L C NEW ADDITION/REMODELING FOR: CONSTRUCT ON.THE BUILDING CONTRACTOR U I H THESE DRAWINGS PRIOR TO START OF f 43 B REWSTE R ROAD WILL BE RESPONSIBLE FOR ST CONTENT 1 I4 1 'V /'� © COHEN RESIDENCE IN THESE DRAWINGS IF CONSTRUCTION MAS H P E E MA. 0264�! 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MUST BE INSTALLED PER BOTH SIGNATURES ARE REQUIRED FOR PERMITTING MASSACHUSETTS BUILDING CODE f IMPORTANT- UPGRADE REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN 411z ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE f ,,t ' i I t ' ` INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT OD ES NOT SATISFY THIS REQUIREMENT, - fir''.. • `� f,�--'--�.,..� �__�.._v.�It..p_ .a... f� __�.� p�� .:.. �r 6a� .,_�. — ________ � .� „v .... , Van' __,. h.-..., _.......... ....,.. 01 tt ��i1t g /Ar�i { t , r ar 4 x a ! �ttrM JCR / _.a,-.-._....vv„es.�.'.vM.v...�.,wnnxeewa,v.'.:.�:wusv�v.. r+u...�a.m+4 v..f' �.. f� ..,n.y:.:....w'wx�.pxvsrvw✓e..:,�v:ni++re+taw�!+,r+n.+a:-vs.. ..- .. af:;ALE: 14/ F/ APPROVED BY: DRAWN BY / ! REVISED DATE: ! ' N I Tj DRAWING NUMBER J O !! I CERTIFIED PLOT PLAN les MAP 306#16 PARCEL 63 N/F THE SOPHIE COHEN REAL ESTATE TRUST , o,\ DEED BOOK 19601 PAGE 24 �ry S82'06'03"E 172.72' RECORD 3.76' ALC 9.9f 9.5f l0.5f 9.4f ASSESSORS t.25QQ�,� co Z MAP 306 PARCEL 64 PORCHISTING 10.00 15,891f S.F. POSED ^ Ire, o ti Q I o DECK & ,9 9'o EXISTING STAIRS SHED o t o OVERHANGS 0 Op w 62.6't o w I 26 o M EXISTING h DWELLINGS o 0 543� QQ - PAINED DRIVEWAY G 146.51' (CALC.) 141.08' (RECORD) N82'06 30p 138 MAP 306 PARCEL 65 p N/F 141 STETSON LANE TRUST DEED BOOK 1601 PAGE 162 r M I PREPARED- FOR: FLOOD NOTE: JACK DELANEY J J. DELANEY INC.. FBTHETFLOODE INSURANCE RATENMAPNNo. �250001 C00060DO AND WI A10 (ELF 11) TH AN EFFECTIVE 20 RASCALLY RABBIT ROAD, ;UNIT ,2 DATE OF JULY-2, 1992,, AND IS PARTIALLY WITHIN A SPECIAL FLOOD HAZARD MARSTON MILLS; ,MA 02648 AREA (BY GRAPHIC PLOTTING ONLY). 26 STETSON , LANE - B ARN S TABLE MA ASSESSOR' S MAP 306 PARCEL 64 OF Mq HEREBY CERTIFY THAT THE INFORMATION SHOWN HEREON IS THE RESULT OF AN ON THE GROUND THE GROUND INSTRUMENT SURVEY. SHANE M. o B RENNER No.45917 e PREPARED BY. , BAXTER NYE ENGINEERING & SURVEYING DATE: JANUARY 22, 2013 Registered Professional Engineers and Land Surveyors 78 North Street- 3rd Floor,Hyannis,Massachusetts 02601 SCALE: 1"= 30' Phone - 508 771-7502 Fax - 508 771-7622 i � ) � ) OB No. 2013-002 i