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J `` 5" ..f "S S ,�,, ,,F�, I:1 ii. � ?� �`F! -1 :t �,� . la 4,'pgu�'li• y�, t11 i, ,I' t- i I i .,, F +r 1fC d{R F .� Id h ..i �: try,.:l, .f," t, RJ - c �It 1 `� 'C f,,jf•' , !..�1 r a 17,E ''NR' j:�tp'� � �,, !i '•7 -'1"'S 'I}k. d f , v �� :d it +��. � i•• -1 i. ' ° � � xy ' 1 .� � i 'iF�''fj �1.. � ktl a�: i � b� ur."i• ,� t�' , Town of Barnstable TOWN (}I* R 5TA E ,�TME Regulatory Services 21114 AP-1?' -4 p pl. 3: Richard V. Scali,Interim Director BMWSTABLE »MASS' Building Division Y g' 161o. ♦0 fo a Tom Perry,Building Commissioner DIVTc 200 Main Street, Hyannis,MA 02601. t www.town.barnstable.ma.u.s Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $ SHED REGISTRATION 'RESIDENTIAL ONLY '200 square feet or less Location of shed(address) Village �OS��H- �, f�--rj�V✓►��( - F ���hr2�79- 5 • 1�19-LJha�/ . 50� t � ?1 , ?�aS Property owner's name Telephone number J U x.) Size of Shed Map/Parcel# l yJ,y Signature Date Hyannis Main Street Waterfront Historic District?" Old King's Highway Historic District Commission jurisdiction?. If over 120 square feet,you must file with Old King's Highway E Conservation Commission(signature is required)' Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF.ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg' . REV:110413 a2 ) o;T _ W 0 /iaSO "_��\ . - o + \ lo) • � 0 0 I � 97 0 ' t '44 o 1, .eb�..iiz�s � ly � • , V GZS' LoT o CERTI FLED. PLOT PLAN LOCATION :CEw7 SCALE . .. /. ��--3 :. DATE . .G,lyls PLAN REFERENCE r. GIB ,�.._. :' ,' . . . . •. • . . . . . . s� I CERTIFY THAT THE'.. . .!STi.^!G . . SHOWN ON THIS-PLAWIS LOCATED ON THE GROUND, AS SHOWN HEREON-AND THAT IT CONFORMS TO THE :. SETBACK REQUI-REMENTS, OF THE TOWN. OF .WHEN CONSTRUCTED, �GL_PT A S .N072 Z�l. DATE 4/4�. v _� )' !�, �4.�Cy .i -q_F•��T/oivL'---/�� - ,,... : ... ._ ....:._ REGISTERED LAND SURVEYOR Town of Barnstable .� Regulatory Services ` Thomas F.Geller,Director ASS ' Building Division 1639. ► Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax; 508-790-6230 PERMIT# <4-0 1a03 ( FEE: $ SHED REGISTRATION 200 square feet or less CIE ArMVLV-r"-1F- Location of shed(address) Village 3aSrzvpM 54aAfF Property owner's name Telephone number Size of Shed Map/Parcel# S' tore Date 777 i e rt Hyannis Main Street Waterfront Historic District? Al/A- '? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signatures required) C�Sign off honi s for::Conservation 8,00 9.3.0_&3 t . .30 PLEASE NOTE: IF YOU ARE WTIHIN THE JURISDICTION OF ANY OF THE ABOVE COMNIISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. F THIS FORM NWST BE ACCOMPANIED BY A PLOT"PLAN Q-forms-shedreg REV:05201 � 07- o2 03 I o i�,3 so z a 0.2 0 ,L 0-r / 9 7 0 ' o ? 37,t I � Nars- PaE�s�-T P.s3>w2�s o Iy /ZS' LaT ! Vie,D7W �' 3 ? o T 9 I- o7 02 0/ CERTIFIED PLOT PLAN LOCATI ON SCALE . .. /. .'.'_.3 p .. DATE PLAN REFERENCE I CERTIFY THAT THE • r\�;<,.:,•_._•..._ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED �XGL'P — A 5 n/o�V. DATE .4/4.,l.r,5-. . . . . ;�7-i0121-5 REGISTERED LAND SURVEYOR ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1� _ Map �� Parcel Application # c9C> ( �O7 I Health Division Date Issued Conservation Division Application Fee ' Planning Dept. a Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address _6? Dwooj 94 Village • �d.��G�- (Oet-1.� � 0 Owner �0C_ t Samk f 4�¢U_,1 e4 Address 46 �3eec�UtC�Ord Telephone 509- 3(4" 56-7 7,, I� Permit Request O AJ5T"R_�T' D" F c- ek m6('kgi1 ) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o Construction Type , Lot Size fS 9 0 r- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) � Age of Existing Structure . Historic House: ❑ l"Yes No On Old King's Highway: ❑Yes (d Basement Type: &'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) NO Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new; Number of Bedrooms: 3 existing _new =' n Total Room Count (not including baths): existing new First Floor Room.Count � 1_0 Heat Type and Fuel: 111"Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Blo Fireplaces: Existing New Existing wood/coal stove: -0 Yes 0 No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: l7existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use (Zee o de_+_J"t-•)aZ._ Proposed Use W�e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name-Fre TF U55 it--gle Telephone Number 50a `7"T 6 7/�.S Address /a , ,moat. Ed . License # 71g77 5G?All OAR _ca gig d M4 0-56o7- Home Improvement Contractor# Worker's Compensation # A Q 70 4 LO q s 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� i L FOR OFFICIAL USE ONLY t � t APPLICATION# f DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r f t DATE OF INSPECTION: k FOUNDATIONS i FRAME rfc iao�-.t. INSULATION r' 1 FIREPLACE s i ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL ,� 11 FINAL BUILDING A t DATE CLOSED OUT i ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department oflndustrial Accidents° Office of Investigations 1 d 600 Washington Street Boston,MA 02111 www.mass.gov/dia , Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ' Name(Business/Organization/Individual): . '9/1-, c��or_" , Address: /0 5 9t City/State/Zip: PA Phone.#: _7/05 a Are yo n employer?Check the appropriate box: Type of project(required):;' 1. I am a employer with 0 l 4: I am a general contractor and.I 6. ❑New construction . employees(full and/or part-time).*. have hired the sub=contractors 2.❑ 1 am a sole proprietor or partner_- listed on the-attached sheet. 7.. Remodeling have ship and have,no employees - These sub-contractors 8. 0 Demolition working for me in any capacity. employees and have have 9. Buildingaddition [No workers' comp.insurance comp.msurance.t' 1 M required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11 `Plumbing repairs or additions rhyself. [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' 13:0 Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their'workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ 3 t'� O -(sL -7 3 12 Policy.#or Self-ins.Lic.#: ei�97��t�[(_g .(,U� Expiration Date: ' lob Site Address:/4 6e 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 certify under the ains and penalties of perjury that the information provided abo a is t " e and correct : Si afore: t Dater L <m _ Phone#: tJP 7 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: k Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of.an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." AdditionaIly,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-contiacior(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a.space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"I:he applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the.city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where.a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves-etc.)said person is NOT required to complete.this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any.questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. ? The Commnonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,ILIA 02111 Tel.#6.17-727-4900 ext406-¢r 1-877-MASSAFE Fax#617-727-774 Revised 11-22-06 www.mass..gov/dia ✓/ie -(�o7.vnzo�zc�ea/!/ o�,�Glaaaac�uaetta Office of Consumer Affairs&Business Regulation License or registration valid for Individul use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: x Registration:;:'970421 Type: Office of Consumer Affairs and.Business Regulation Expiration 10/19/2013 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 BRETT J. BUSSIEF2E.__;,yi BRETT BUSS IERE- 10 SHEPPARD RD``\ SAGAMOREBEACH MA 02562 r Undersecretary Not valid ithout signature Massachusetis- Department of Public Safety Board of Building Regulations .►nd Standards Construction Supervisor License License: CS 74477 BRETT J BUSSIERE 10 SHEPPARD RD i SAGAMORE BEACH, MA 02562 4 . y '. Expiration: 1/6/2013 Commissioner- Tr#: 9228 .� DATE A�o CERTIFICATE OF LIABILITY INSURANCE 11i4i11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR.NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),;AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be.endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - _ NAME: Legacy Insurance Agency Group, PHONE . (508) 295-1315 FAX No: (50e) 295-6730 213 Main Street ADDRESS: maria.almeida@legacyinsurancegroup.com Wareham, MA 02571 PRODUCER 2783 INSURE IRIS)AFFORDING COVERAGE NAIC# INSURED INSURER A:NAUTILUS INSURANCE Brett Bussiere INSURERS: TRAVELERS INSURANCE CO 10 Sheppard Rd INSURERC: Sagamore Beach, MA 02562 1NSURER,D INSURER E: . INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN.IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POUCY EXP LIMITS LTR - POLICY NUMBER M/DD/Y MM/DQ'YYYY GENERAL LIABILITY EACH OCCURRENCE- $ 1 000 000 A X COMMERCIAL GENERAL LIABILITY NNO31210 7/3/11 7/3/12 pR MISETORENT ence $ 50,000 CLAIMS-MADE OCCUR - ME EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,090 GEN'LAGGREGATELIMITAPPLIES PER; PRODUCTS-COMP/OP AGG $ 1,000,000 RO POLICY PE CT LOC $ AUTOMOBILE LIABILITY COMB INED SINGLE LIMIT $ (E a accide nt) ANY AUTO BODILY INJURY(Per person)' $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIREDAUTOS - - (Peraccident) NON-OWNED AUTOS $ $ FdUMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION UB9704LO4-3 9/23/11 9/23/12 WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE � E.L.EACH ACCIDENT• $. - 100,600 OFFICER/MEMBER EXCLUDED? -• i N/A (Mandatory in NH) ", E.L.DISEASE-,EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE r POLICY LIMIT. $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Joseph & Sara Hawley ACCORDANCE WITH THE POLICY PROVISIONS.. 16 Beachwood Rd Centerville, Ma RIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Brett Bussiere 10 Sheppard Rd. Sagamore Beach, MA 02562 brettbussiere@aol.com Owner Authorization: I Sarah &Joe Hawley, as owner of the property located at 16 Beachwood Drive, Centerville, MA hereby authorize Brett Bussiere to act on my behalf, in all matters relative to work on the home and obtaining building permits. Signs re of owner Date 4l . i i i 0-1 i 2x4 rails 2x2 balasters i 4"O.C. 0/o view 4x4 post 'x6 p.t.decking Ii1Iii . i i I F t 2x12 Stair Stringers 218 jol5t 2x10 dbl.header x4 post lag bolted to joist x4 P.T.post i i I impson post base Simpsgn T strap 3 i i i i I i i sono tube 4'below grade I 211 1 1 5�ale I / - I i i 1 i x S"lag bolts in every bay i f S joist 1 '©.C_ i f { l �t{ \ V xS joist ganger on every joist f i I l cone.slab 7K i 1 i Town of Barnstable *Permit# 0 (6 t-I("01--e Expires 6 months from issue date Regulatory Services Fee ITT,2_ * BAR LE, Thomas F.Geiler,Director �Eo �A 0 RI�J�0 Building Division IA Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address Q �j jU'1 U10 Minimum fee $25.00 for work under$6000:00 ❑ Residential Value of Work Is,gsa Owner's Name&Address oev fi 44- &&�h aCV Contractor's Name!/ ��JSS .P Telephone Number Sad{-�77•-7 Home Improvement Contractor License#(if applicable) IM 6®O Construction Supervisor's License#(if applicable) T ❑Workman's Compensation Insurance Check one: S F F - d ❑ 1 am a sole proprietor ` ❑ I am the Homeowner �I have Worker's Compensation Insurance TO\NN OF BARNSTABLE Insurance Company Name 14S50 tlL is Workman Comp.Policy# &1ex Copy of Insurance Compliance Certificate must accompany each.permit: Permit Request(check box) ❑ Re-roof(stripping old shingles)'All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) 0Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is quired. SIGNATURE: C:\Users\decollik\AppData\Local\Mic.soft\Windows\Temporary Internet Files\Content.Outlook\4STGU5Q0\EXPRESS.doc Revised 090809 C .S •,�Iy�`� The Commonivealtla of Massachusetts Deparhnent of Industrial Accidents f ffw—e of Invesfigations 600 Washington Street Boston,MA 02111 N F1:Tttasmgot'1dia Workers' Compensation Insurance Affida-vit:Builders/Contractors/Ek-ctricianslPlumbers Applicant Information n Please Print Leal Name(Ba>s�e organizatio Indiviifnal): fi 5socC d& JW� Address: t c Cfty/StatC)LP7 a Phone,-9: Are an employer'Check the appropriate bona T r 4_ am a contractor n Y1�of project Jecx(required)- 1- I am a employer with,2 ❑ I tx and I b. ❑New construction employees(hail andlor pact-timc).s have fired the sub-contractors 2.❑ I am a sale proprietor or partner listed on the attached shut- 7. ❑Remodeling ship and have no employees These sub-contractors have 9- ❑Demolition working for me in any capacity- enptoyees and have workers' 9- ❑Building addition [No workers'comp-insurance comp-insurance.: wed.] 5- ❑ We are a corporation and its 10.❑Electrical repairss or additions .3-❑ I am a homeowner doing all work officers have exercised their IL❑Plumbing repairs or additions myself[No workers'comp_ right of exemption per MGL 12.❑Roof repairs insurance required_]1 c. 152,§1(4),and we have no employees-[No workers' 13.0 Other comp.insurance required] ;Any gThcam that checks box#1 must also fill out the section below shaving their warkers'compenmtion policy inform¢ iffi. Homeowners who submit this affidavit indicating they are doing all mod u d thea hire outside ccotmctors mast submit a new affidavit indicating sttcb- Contractors that:check this boa must attached m additional sheet showing the name of the sub-couttactors and state whetheF at not those emties has°a employees.If the sub-cantracrors have emgtayees,they must pmuide their workers'tamp.policy number. I atilt an errtptoyer tliat is pro' diug nwrke—n'competisalion insaratice for m3'empWees. Belo"!is the policy audjob site information. Insurance Company Name:4 55;;P n n Policy#or Self-ins.Lic.#: w( 50,905 Expiration Bate_ Job Site AAklress: a & /itcct ! r 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 25t'1,of MGL c, 152 can lead to the imposition of criminal penalties of a. fine up to$1,500.00 andlor rune-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 ado ised that a copy of this statement may be forwarded to the Office of InT,,estigations of the DIA.for insurance coverage verification: I do hereby cerifi&unJer the pains and penaties of pediiry that the information provided abosw is true and correct Si tune Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official, City or Town: PermitUcense Issuing Anthrrriky,(circle one): 1.Board of Health 2.Building Department. 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person; Phone#. , 6 Date, 8/19/2010 Time: 1:29 PM TO: @ 9,15083626115 Paqe: 002 ClienW.9742 2BAKERAS ACORD,. CERTIFICATE OF LIABILITY INSURANCE 08/192010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 9731yannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURERA: National Grange Mutual.lnsuranc ' Baker&Associates,lnc. INSURER B: Associated Employers Insurance P O Box 923 - INSURER C: - Centerville,MA 02632-0071 INSURER0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NIALINER D3ATE EFFECTNE ��OLICY EXPIRATION LIMBS A GENERAL LIABILITY MPJ7223M 04/19/10 04/19/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGES(Ea occummol s500 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $10 000 - PERSONAL&ADV INJURY $1 00O 00O GENERAL AGGREGATE s2.000.000 GENT AGGREGATE LIMIT APPLIES PER:. PRODUCTS-COMP/OP AGG s2,000,000 POLICY JPERD LOC . . AUTOMOBILE LIABLITY - COMBINED SINGLE LIMIT $ ANY AUTO (Ea wddent) ALL OWNED AUTOS - - BODILY INJURY $ } SCHEDULED AUTOS - (Parperson) - HIREDAUTOS - - BODILY INJURY (Per accident) $ NON-OWNED AUTOS - .. - PROPERTY DAMAGE (Paracddenl) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - - OTHER THAN EA ACC $ . AUTO ONLY: AGO $ EXCESSAIMBRELLA LIABKM EACH OCCURRENCE $ OCCUR EI CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B woRKERs COMPENSATION AND WCCSW2454012010 04/23/10 04/23/11 XI TW�CYS= 'E"- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPRIETORIPARTNEPJEXECUTNE OFFICER/MEMBER EXCLUDED? NO - E.L.DISEASE-EA EMPLOYEE $S0O O00 If yes describe under E.L.DISEASE-POLICY LIMIT $500 000 SPECIAL PROVISIONS bebw OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLIISIONS AIMED BY ENS I SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of I nsurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of.Barnstable DATE THEREOF,THE ISSU INSURER WILL ENDEAVOR TO MAIL 1D DAYS WRITTEN 200 Main Street NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE No OBUGATION OR UABR rrY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. . AUTHONiEN PI�SENTATRIE - LS1 O ACORD CORPORATION 1988 ACORD 25(2001108)1 of 2 #S71887/M68180 •� c 1i�a +a�c:h�a Dep all"Iellt lot, Public S afet� Board of Buitttino Reg l ati0l), a�li�t stitratloaa•a'ts Construction Supervisor License License. cs 74477 Rje rtcted tq ,T �� B � -ausSIERiE all 111 WAREHAM LAK,E SHORE D � EAST WAREHAM, MA 02538 � -- Ex r tion: 116/2011 e:g,fao�wg� ts,��• e Tom: 8715 BARXgrA1 �y AAS&1639 A,O Town of Barnstable D" Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �1 0 'E ��C� ,as Owner of the subject property hereby authorize '*'777 345S- I g� to act on my behalf, in all matters relative to work authorized by this building permit application for: 0/ 40040 l'prir�yir (Address of Job) � 010 rgnature ofbwner 61Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5QO\EXPRESS.doc Revised 090809 � :J�/ze �a�r�nza�ausealC�i o�/��aa;sac�utoe�J 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: Board of Building Regulations and Standards Registration 162600 One Ashburton Place Rm 1301 Expiration 3126.12011 Boston,Ma.02108 ,T-ype Supplement Card BAKER&ASSOCIATES.INC� BRETT BUSSIERE 521 SHOOTFLYING HILL R0 CENTERVILLE, MA 02632 __----- - - t vali itbout signature TOWN OF BARNSTABLE Permit No.` __`_-N88 Building Inspector Cash � wa OCCUPANCY PERMIT Bond __.______TOR Issued to HerlLage Trust Address Lot 2u4, to Beachwood Road, Cent,. �e•�i __i r% ' C Wiring Inspector � Inspection date Plumbing Inspector �� g. Inspection datei�G Gas Inspector ��� _ /y+ Inspection date — i Engineering Department �,_ r f Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...................................................... 19......_._ ��`""�"" ::............... . L � Building Inspector I ..� `" '�•� TOWN OF BARNSTABLE BUILDING DEPARTMENT •I4 _"�DAH MAN& = TOWN OFFICE BUILDING YL 039' �� HYANNIS, MASS. 02601 MEMO TO: Town Cl FROM: Building Department DATE: ��'// � An Occupancy Permit has been issued�d for the building authorized by BuildingPermit #........._......„ » ,!J .... ............................................»............... »...._.............................. . issued to .�: ^.:... ......... ...............»... » ».»»..».»..... .».....» »...» Please release the performance bond.(f Assessors map;and lot number ... .................................."e�s...// of THE Q Sewage Permit. number ...... � ..........................° i t� BA"STADLE, i House Umber. ................... b 9 M639 .........:..................................... _ oo 1 ♦� MPY•a\ TOWN OF BARNSTABLE BUILDING INSPECTOR D h/0" sz. APPLICATIONFOR PERMIT TO ............................................................................................................................. .TYPE OF CONSTRUCTION ..... d.fl� .f.. ......................................... /q...1. ..... ........ ...........19... . i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . Location L b7" ac-a %� �GyWO op �. � it/T€,ei//LLB /f')�• ........................................,p......................................................... j. ........... ................................... ProposedUse ,VC -Al ...................................................................................................... Zoning District .. D-� .....................Fire District � N7�R�/L�� - Q i�'Qy�/` ......................................... ................... .. ....................... . . w. E�rrAGE TR�tST f•O�/`l3- Ok�Bo� t� Ns7-i9BLE Name of Owner .-...............Address .......... /yI L�.���-GN �t... �.......tJ�7/.,(.t� Nameof Builder ��.F.��t.�..../..........:...................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... I Number of Rooms 7 Foundation Du� �................................... ........O .ry�c,. Exterior /.�) /� Dfl2jN// L�S/�N� Roofing .... 5fk�9Lr ............ .... ......................................................................... Floorsdfik CI...............P .................................Interior ...Oex !/JGL ........................................................ Heating ?95 FO�C��J... (vr Jf'/!....................Plumbin ....7�......................................i�TH����S 50, �OFireplace ......................................... Approximate Cost .......... ......O....Cj...........�................................... Definitive Plan Approved by Planning Board '6' ________________�___f____19________. Area ........:................................. Diagram of Lot and Building with Dimensions (lo 7o g g �'G3� �lti.�oR� Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH y OCCUPANCY PERMITS REQUIRED FOR'NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. /l Name .. ....`^ . ............................ d Construction Supervisor's license ................................... ' _ lIIIBZTAGE TRUST A=252-176 � No .� ......... Permit _.I�._S.t ........... SioglONFamilv 0welIiu ' � ------..-----'��------..��.----. ' . ' , ° ` Loco6m� ��.t-�U�.�-...I6..B ..B!jad` ' . , ~ ` � Centerville -/---.--..---..----..~--...------'. , Owner ....B!�itaqe..]C����t_,______. � . ' Type of Construction -.)�]�4MQ.......................... ' -----'--------''-^^'~^-------- Plot ............................ Lot ----------.. ~ � .June lO 85 ' Permit Granted .. ------.�-----]V r Date of Inspection ------------lg � ' ' ^ Dote Comok�a6 -_--.-------]g . . . - - . . - ' - � 1 ' / . \ . , ^ ^ ^ . � . . - � . ' ~ . . . . | �� Asses'sor's map`and'I'ot number, ... 5'd ....�.Cr P *'THE -'Sewage Permit number .......�5 �. SEPYIG air' zt` #���!� , . ... INSTALLEDt tea ST / + IAN B n98Ta LE, • House number ;....... ..., r/.(.?....... ..... ' _ T TITLE s°o 630 �9 ?� �. _ _ WITH t ODE A TOWN O F BAR N'�A ��*A€BLLE,joN RURDIHG .AASPECTOR APPLICATION FOR PERMIT TO ... r TYPE OF CONSTRUCTION .. ... o D r" .6-- ................ :............ e P!2 JZ ........... ..........19.... f ....,...-T•--•• TO THE INSPECTOR OF BUILDINGS: 3 The undersigned hereby applies for a permit according to the following information: Location . L.bT ..o'ZOa..... Ec/ k/0 oZ>'... 1 :..........G !VT !�'yl. L • ��:.. J Proposed Use .. /.Nc,4.jE ... ��n?/�y....l���•sl �/VC� :.........:.. .................... Zoning District ..........................................................tFire District ................. QSi /2�/� .. .. . y� rrRGE TR sr P 8 ... vs�-ABt.E © o R w rft Name of Owner '..� . '1 7.... .../.......................Address .....�O ...-T' :..,..., 3 �............ .. Name of Builder F£ 1... '... �LG�... .:.....Address ..�J�:,. ok s..... • Name of ........................ • . . Architect .................................. ......... ..:......Address ...;..................................................... .................... Number. of Rooms 7 j DGI��D �i1/C/ T�. �© c e Foundation ... .. ... �Th� l /f/T SX//.LDS IA&I i�1 /�5 Pf/A�r 4 Exterior .............................................�......... Roofing .....................................................................:..............: Floors .Y..L..........._..: .................Interior ....0)/. /f ....................................................... A. Heating 'ZS.......1--nee.�TJ...IY07 JF�� Plumbing ........................�/yT/yiC'C�i�lS..... . ................. . . prV iN L/v/��r �oc�i+2 ' �©........................................... Fireplace .,.,....... ............ ..............Approximate Cost .... Definitive.Plan 'Approved by' Planning Board ____________________,_-__-I__,19________. Area �v��` ......................... ' AY Diagram of Lot and Building with' Dimensions � � Sr�fj, pf�.r /Qle� Fee .. .. r..... ..........................:.. _ S ECT. TO APPROVAL OF BOARD OF HEALTH t I ' f g • . .� f �• i it OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' t Name ..... .. `, ............................ ti Construction Supervisor's License O O�j /d HERITAGE TRUST +FJo .279.8.8.. Permit for ..1 ................i St dry �+ > S1X1�7:�..Fami1. �wel� g fir... .. ............. 'F ...Lgt..:2.02.......16...Seechwood••Road r '. Location ` ..... .....CenterY �.J.s..................................... :r Owner ... Her f:ag�...T>:us. .................. Type of Construction' .....Ex-a�........................ ............. �........... .... b .................. • __ . - I . _ 4 ` Plot :. '. Lot - _ �, - °µ Permit Granted ......June..lO.i.... 19 $5 ` Ddte-of'Inspectio is!? ... .....z . .19 `•' Date Completed o��........... ........ _ <� �7� _ f. ,ZoT o203 I 0 Z � I j- oT 197 q 0 2S 37.E _ Nor,F_ Re"ex r I J V zolywc I � � WI OTN AT 3 t sE BAcsc 19 \\ /� o 7 4 07- az o,2 �� ys A2 0/ CERTIFIED PLOT PLAN LOCATION SCALE . ../..'.'-:30'.. DATE PLAN REFERENCE EDVtj/P E. ELLEY �' No. 261-010 p - I CERTIFY THAT THE �_ C;�•f;,; . /sHt : SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED t-RCZ--Pr A-5 IJ07Z2;).* DATE .414 .$s. . . . . . REGISTERED LAND SURVEY R ,i FERN, ANDERSON, DONAHUE, JONES & SABATT, P. A. ATTORNEYS AT LAW DANIEL J. FERN P. O. BOX SIB RICHARD C. ANDERSON 435 MAIN STREET ROBERT J. DONAHUE HYANNIS, MASSACHUSETTS 02SOI STEPHEN C. JONES CHARLES M. SABATT AREA CODE S17 77S-SS2S Building Inspector, Town of Barnstable April 11, 1985 Town Hall Hyannis, MA 02601 Re: Lot 202 Beechwood Road, Centerville, MA Dear Sirs: Please be advised that I have examined title to the above lot and find that the lot was in separate ownership in 1971. As a result of this I am of the opinion that said lot is a ui dable lot insofar as there where no contiguous owners at the tim oft the increased zoning requirements. 1 Ver tr I yours, Stephe C,/Jones SHBbT / of Z 5,q4 7-3 ; '11 1 • 0 � /�3, So `O Box Pi r . 1 iec7i� SePlle O V PFApasee D,¢iVE � - O \ rJ LoT Zo Z- V � I \ 4o l 38 St �r� 8� 9 3 / � Now - �Ze�1/f1T7nn�s BA.56�D oti '�� /9ssurl� D/�tTviy i LOCATION - /TV�LLG /yi45S, SCALE . DATE nPa!G• 16'/y8s PLAN REFERENCE . .8,e7!UG �o7 dZoZ. d I0: / T- 9 Ro. 26, 0 _ CERTIFY THAT THE ....... ........ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . . . . . . WHEN CONSTRUCTED. DATE . . . . . . . . . .. Tt-7C/C2 w��H- PST/T/bN�� REGISTERED LAND SURVEYOR a sN�z r Z 0 F Z SH' TOP OF FOUNDATION ° e CONCRETE COVER CONCRETE COVERS7777P,77 ` I� • 493 4'�CAST IRON • � e 12"MAX. 12"MAX. OR SCHEDULE 40 4°SCHEDULE 40 PV.C.(ONLY) P.V.C. PIPE PIPE- MIN. LEACH • PITCH 1/4"PER.FT. PITCH I/4 PER.FT. PIT ,;• PRECAST o INVERT • a LEACHING e EL..,36- 7.. INVERT INVERTe . e ; PIT OR e , SEPTIC TANK / DIST. ,3y—ys ' • w •';•. EQUIV. EL..�6. ..�. . EL....-.... ' >_ . ; e INVERT BOX 36 3 6 ..�oaq•• .. GAL. INVERT �' u a o: :;i; 3/4"TO I I/2, e; EL.....,..... 36 /L INVERT w w EL...... w 0 0. w WASHED w STONE /Z W DIA. L e, _ PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- 3ozz. SOI L LOG WITNESSED BY : DATE /y8¢- TIME. . . .. . . . . . . T�'`/. `T'gGo$•I BOARD OF HEALTH TEST HOLE I TEST HOLE 2As�T�?� , ENGINEER ELEV. . 39.79 . . . ELEV. .. . . . . . . . . DESIGN DATA : BZ,37 Zo NUMBER OF BEDROOMS . . . . . 7z' &Z. 33,7o TOTAL ESTIMATED FLOW 33o GALLONS/DAY _. BOTTOM LEACHING AREA 7B,So. . , SO.FT. /PIT/C.P,Z>. CoA�2S6' /88 Sv SA"vy SIDE LEACHING AREA . . . . . . . . . . . SO.FT. PIT/47/ CRD. `RA-vez, GARBAGE DISPOSAL ."O"./�-.(50% AREA INCREASE) TOTAL LEACHING AREA . . . z 7 . . SQ.FT PER RATES.T''/A"'.77^�P. MIN/INCH LEACHING AREA PER PERCOLATION RATE . 5�.. SQ.FT/C.P.D. .!�'? WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED . . . . . . . . . . . BOARD OF HEALTH �FDAl •0N '9ZL S/DES DATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR X1H 01F,A2gS�\ OF EDAZEE CD P go' so c Zo Z o E LAY an ca N. r CG�T&/C.VIe-� / /,SS fAL L i'� SgNfiFP.1PN/ PETITIONER AW • t Awssor's dffioe Ost floor):. _ �, • •'" jj .•.sP" .r.y,.Cf,>.- ,,f ,gip�i �c Assessors ma and lot number...... f f THE r Board of Health (3rd floor): �o i ,.�; n �� �i 1ltwage Permit, number 7. ":� Z BaHa9T/IDLE, t t��{�H TITLE 5 Engineering Department. (3rd.floor): //� av UNMENTAL CODE AVM moo ,639 rasa, Housenumber ........................................l............................ 'TOWN REGULATIONS �0�ar' APPLICATIONS PROCESSED `8:30?7 9:30 A.M. 'and' 1;00 2:00 P.M. only M NS TY N 'OF BAR TABLE OW • . BUILDING INSPECTOR APPLICATION FOR,PERMIT TO ....... TYPE OF CONSTRUCTION ....... IVG.(.4 .. ..lN... ..: .:. .......... ts tl. ..... . ,. ....... ......................py� .................... ... .......19.4.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . a `LET Z o ZLocation .....16.....ea, kWw1.... Q .c..... .................................. ..... Proposed Use ........ r ........................... y ....... .1 ... ........` ..j ... Zoning District ................................ . . . .....:....................Fire District . ...................................... Name of: Owher ..el1GlU. ... ...J..`Q'f ... ...... .........Address .../ ..... G ......... r P Name of Builder . . .... .... .....................Address 4. . Nameof Architect ......... . .. ..(....... .......................................Address ;................................................................................... Number of Rooms ..........la.................................................Foundation .... Exlerior .. r Exterior ........ Roofing ...... .. :.................... Floors � ..• . . .. . . .... .........................Interior .... W Heating .K/•.........................:.............................Plumbing ............... ................................ ..... Fireplace .........U...,,1..�........................................................Approximate Cost ....... .. J„ t ............................... Definitive Plan Approved by Planning Board________________ ----------------�9---=---- • Are (� /� '................ g g Fee` . v. . ........... ... Diagram of Lot. and Building with Dimensions : :' , SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar 'ng the above ` construction. • c Name . .. .. .. Construction Supervisor's License ;. HAWLEY, JOSE;PH MR. & MRS . , No 3 Q 9§6 : Permit for ..Additioxi............. `= - Single' Ftx7. ...AW.e1 ].zn 't Location ......... - 4 ................................ • - Owner .....Joseph H. �?�..��1....................... Type of-Construction ,.....F.r a.me. ... ....... ...fir...... .............y .. _................... Plot:..... .....'x ............ Lot ................. Permit Granted Jul:�'.�.9:�... ......19 87 p Date of.Inspection .......19 x Date Completed .....................................IV h 71 1F + li. . 1 4 1 � 07— .ao3 I �— I Z J 0 I N.2 �t q 0 0 o 0 o7` / 97 0 ? 37't �. � 4 /ZS LaT Z 07- .2 o-�- k a 2 0/ p ; CERTIFIED PLOT PLAN LOCATION SCALE . .. /. .'.'.=3 p .. DATE PLAN REFERENCE .•Q�/.!?!�T .: ��?T. .�'�?� CERTIFY THAT THE .EX�ST/^iG SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF �'�.�✓�.7.f'.h','-, .. . .WHEN CONSTRUCTED, ATF orb t GG 5 n/ a_-W REGISTERED LAND SURVEYOR I et Asse%or's offioe (1st floor): �� I� 1 *THE t0 Assessor's map and lot number ...... ;.. ;:-..1.. ........., �` Board of Health (3rd floor): Sewage Permit number ....�I ... .......... ..... ' K' Z BAHd5T4DLE, i Engineering Department (3rd floor): I� �----- Housenumber .......................................(................................. 'FOYAYd� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR n/� a n APPLICATION FOR PERMIT TO .....f s(te.1.vd.......a. TT , .. . ... .... TYPE OF CONSTRUCTION .......C. �J.nI.G..I�C'— ?�'...`..0 .. ... ............................................................................. ....................... .... .........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: n ( P C / /f� ��T ,Zoz Location .....:�.��.....I�.C�.:�':�:..�1.(�,IC1rI.l�.... C�.:......C.t�.�.. �.Ul..�/.P......�°!.�.'.:................................................................... w � f T �� — �f Proposed Use ........( !�!lVU/T! y.. ./..... ..,- �f/{,� Q/�( ......(�fh-Pr?'J -:..... Q.A .........................................—W O Zoning District .................................�j. .4........................Fire District Name of Owner .... � ...AM,...41-k... ......f..Address ...�C�... OP�Z/4..rf'9r4P/( Nome of Builder J1�ec$. � ! tr . ......Address c. = G�' f(�✓lC .G!'14./!la�l/ �l Name of Architect ........n� T(................................................Address ............... Number of Rooms .......,.. �..,.................................................Foundation ..../,� .. ... Qt.A4.1c.... ......G Exterior ........1!1!...(............> .-:-...............................Roofing .....[i���� .............4 ...�.............................. Floors ., /!!✓��(l P .. 1...:/ .... ...................:......Interior .....�.....,.�A1�.. ...P ' �.....,........ rieating ! .<1_. ..............................................:........Plumbing .......!!/.. ...... ....................................................... .............. � J ......................................................... / , Od Fireplace i/V A.........................................................Approximate Cost ......./.. r ........................................ Definitive Plan Approved by Planning Board ______________________________19-------- . Area ......`....... ... :. r�.... h _ Dimensions , �� Diagram of Lot and Building with' Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS Y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ,,� ,l Name ./�. �!.... ....... f%...... �!.. i Construction Supervisor's License �/�. 'S..���'?........ HAWLEY, JOSEPH MR. &. MRS . A=252-176 asp - ► � � k10 30966 Permit for Addition ........ S.ingle. Family...Dwe1.lin.�..... 16 Beechwood Road Location ................................................................ a Centerville Owner ......Joseph Hawle.X.......................... Type of Construction ...... .......................... ............................................................................... Plot ............................ Lot ................................ July 9 , 87 Permit Granted ........................................19 Date of Inspection 19 Date Completed ......................................19 i 2011-12-08 18:16 GARFIELD 5088884866 >> P 2/7 See, Q � � Vu ` a , N � q O , O O " 21"r33" 30„ 21 111z" D 33" 30" 21 21" I II � � � o - W3333 W301 B W2133L W2133R rl N N 833SSB 34-RANGEI B21SSL 1 76'. cn i w SCHROCK MAPLE CABINETS Ar%gTH THE CORT LAND STYLE DOOR IN THE CD iD WHITE PAINT>=INISH_ CABINETS TO 87"OFF THE FINISHED FLOOR WITH A 33"HIGH WALL CABINETS AND SOLID SOFFIT WITH SWCRM8 CROWN CD =r- - MOLDING TO THE 90"CEILING HEIGHT. v - APPLY 114"PANEL TM, BACK OF 82740_ U FILLER AS NEEDED . B EEN TD12 AND BACK . P L WITH OUTSIDE CRNR Q 30 B24SS 24.DISHNd - BW818 3DB18 D12 0 -w � o cn _ _ r 04 LL : 33R W3033 ClIL r/ u ■ u CD q,- - p BEAD BOARD PANELLING BY N �F CONTRACTOR. � - . ex ka2,140F!Hj `. - n w - v Ar W N N r ' N • O . N i • O 1364�� 00 10 42" 84 4„ D n _ m • r r �N W4227 r c, N —!N co co co co O Ol V o o� :IN _ _/ - o B214OFHL 82140RTFB1540FHL b 21f, A . 2111 , 15" 664 A v ' 1 N o • � � N O OD 0 W361524 W4233 F333 c, T OD co` coLl co Lit A IF 0 TEP2487—WD UCb2721 ti) to _ P4896-WD o DDR152924 F330 N N Ln P. 1 T Error Report ( `Dec, 2$, 2011 5: 33PM ) 2) File No, User Name Destination Mode Time Page, Result -------------------------------- ---==--------------=---------------------------=-------------------- 5123 GARFIELD G3RES 1 30� P. b E Page not received `, Quick Service Code P. 6 00-20 # Batch C Confident-ial - $ Transfe-r . P S E P Code M Memory L Send later @ .. Forwarding E ECM - S Standard D Detail F Fine U Super Fine ) Reduction H Stored/D. Server - x LAN—Fax t D"e1ivery Q RX Notice Rea. A RX Notice <p: .Mail <>: IP-FAX d : Folder O v PQ CD D 3 W153 F333 Ln O CD 1 5) 00 as B24SS- F330 .fir • � . . �•. ._ t _ ,,.' 24" 1 N O 1324�� � G1 87" 30 1511 Aw rn . r ' 0 i C W3033 W153 F333 Cn s 0 • O �!N 00 OD co.. I o0 A co o e o ❑❑ ® a 11 F3TD12 3DB18 6WB18 SB33ST 24.DISi-iW B24SS F330 +'i 2" 18191 1811 33 -2411- -241f-l/ N it lit 33 .30 21 21 �, 4- D _ n rn r r r co W3018 r W3333 W2133L M 133R cn _ O co SIN MW.HOOD ° 00 9 p co A LO sib o . ®® = (DU) ® � p �cv F3 B33SSB 30-RANGE1 B21SSL B21SSR Cl) 33" - 30" 21 " 21 " - 4 -v - 100" EXISTING CONTOUR N EX/STING LEACH PIT �. . ;�� - x 10&98' EXISTING SPOT GRADE CONTRACTOR SHALL LOCATE, PUMP, i Lakeview Ave P o0 W EXISTING WATER SERVICE , FILL WITH SAND AND ABANDON;- .� � G EXISTING GAS SERVICE Lakeside Dr C LOT 202) Q�� EX/STING SEPTIC TANK;`' -�H' -OVERHEAD WIRES "°'� Po;�t LCC 20239 (TO REMAIN) TEST PITCIO. t. ,wb Sheet 9 TOP OF TAN . K EL.=71.49E BENCHMARK 1NV(OUT) 70.46E \'_, ,. _ g° LEGEND // II �� ocus 9r LOT 197 - � � � ��� 0 h --=- LOT 198 ; A^. *�x -, N 05-05'00" E �' .. .: ..: SIR❑N�IP1 �e^t STOCKADE FENCE a, 1 _ 71.14 �� 0,79� x IR❑AAPE 166.22' kt! _ ` . t 770.92 x r Y ' N=o Wequaquet Lake JJ 71.60 - _��� + 7175 t �;� ;� ' Poi,,/ SOT 20o LOCUS MAP x o4 I _-- .: � ; , .`� NOT TO SCALE New __tea + �� 72, 7 LOT202 * a ` � ' k 7 GENERAL NOT T 1 s4: ES: ♦ 2,15 73.04 APN 252 176 ¢ le 1 ,ALL CHANGES TO' THIS PLAN: MUST BE"APPROVED BY THE LOCAL 73,41 .....w� k g BOARD OF; HEALTH AND;"THE DESIGN ,ENGINEER LOT 203 - ` SHRU�s _ 1,5 088t$ F ti N #. _ 73.04 + , ;• }'� , °" �� � �* 2 ALL. WORK-'AND:MATERIALS.,.SHALL CONFORM;r,T'0•_THE REQUIREMENTS \ i 7 � , OF,";THE STATE ENVIRONMENTAL-CODE;: TITLE,,:- AND .ANY APPLICABLE 2 88_ w 10 y1�_1 _ . O ® # 72 55 LOCAL RULES 'AND--REGULATIONS 2.94 f M o i�: " ` * 3 THE SEWAGE .DISPOSAL SYSTEM.SHALL..NOT BE-BACKFILLED_,.PRIOR 0 INSPECTION AND APPROVAL BY_THE BOARD.OF. HEALTH AND THE v ►`r; i o O :..'' HOUSE. „. T •.: DESIGN" ENGINEER " {� f• 72,69 GARAGE,''87 . T O.F 74.6E ;. �* y� � 1 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 00 - I r�D •• . - r ; i FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE,DESIGN r," •i SLAB " 73 60. E ° ENGINEER BEFORE CONSTRUCTION CONTINUES." DECK •'� T;. 2Q,1- --- 5. ALL ELEVATIONS BASED? ON ASSUMED 'DATUM. 73.43 ry 19' I .. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 2 + 73.32 / h THE CONTRACTOR OR OWNER TO,NOTIFY'THE• LOCAL BOARD; OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. T 2 2 �' 73,59 73.4 PL NTINGS *' WATER SUPPLY PROVIDED BY TOWN WATER,,SERVICE. 73,70 , . ' = g ;` � '� ;' A `. U THERE ARE NO WELLS WITHIN 150' OF THE SPROPOSED S.A.S. 8 PAVED ' 9. ALL:AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE ORl1/EWAY 73.32 : DIRECTED BY THE APPROVING AUTHORITIES w.. Benchrno�k:,r Set 10. IT SHALL BE _THE .RESPONSIBILITY, OF.THE-CONTRACTOR,TO VERIFY (' CORNER OF`CONC. APRON THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING \ 72.71 73`67 1 CONSTRUCTION. \ Od 73 73 EL 73 59:(Assumed) �0 •' ', 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE.ALL UNSUITABLE SOILS IN THE. AREA BENEATH'.-AN a;;FOR 5' ON BALL, SIDES OF THE S.A.S. AND _ o•' N r REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). _ OF dylq 12. AREAS REQUIRING STRIPOUT OF:UNSUITABLE MATERIALS SHALL BE o \� L-77,27" ed�'e ' P�1� r Ss9� INSPECTED BY DESIGN_ENGINEER.:PRIOR. TO BACKFILL. 70.85 �.— L _ -}� 73,s8 o PETER' y R-170,05 T. ' 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND -,IR❑NPIPE =279.2 71,6� ��� / x 73.30 MC TEE -' IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. -- ,� _ — - �, . . x 3,77 2. 0 35109 ` '.• � o � PROPOSED_:SEPTIC-�-SYSTEM:;UPGRADE PLAN' - e�'9e� 70.49 of 71,52 68,96 )O PK SET �°pYeme� 1 Fss,o `` - 1'6 BEECHWOOD- ROAD' .CENTERVILLE; MA4 72,03 72,84 ZI lO Pr`epared for;`' D.• A- Brown;' Inc xP 0 Boxy:1'45;�Centerville;=MA-02632., BEECH WOOD ROAD ' En ineerm b CALF uN0 y OWNER OF RECORD,. 9 9 Y ;.• .d N. ,w o� HAWLEY JOSEPH E &•'SARAN9� ng W _ S DRAWN F JOB. E neen orks 1 2 P T:M �241 :10 161,BEE,CHWOOD uROAD ;;; 12-West Crossfiel,d' Road, Forestdale, MA 02644 DATE`. 1. f CHECKED f" SHEET N0: CENTERVILL (508) 477-531.3: , _ P T:M E, .MA 02632 1,... Y a 1" 22 10::�• .,. ��'1�r of 2