The URL can be used to link to this page

Home My WebLink About1199 CRAIGVILLE BEACH ROAD .A „ m .'. 4�� 9 y r � i a - T o , Y , _ y, - F r' - 1 n - y u. lk rl r. Lt, �:�� +'- - tv � •, � a a � ..gin. � � ,. M S c f e , c As feb4 63 1 xh _ r ' 3 k. Town of Barnstable m;, l 1 r' Post This,Car"dISo That rt is Visib a From the Street,-A„,roved A"J Musfbe Re#arced o.n lob and:#his Card Must-.be Kept UntilloinAlnspectian Has Been�Made ��g, 4639 t W , x :- s , Where a,.Cert�ficAa`cof.`, cu anc ,.s.Re aired,such Bwildin shall,Not be Occupied:urtt�[3 +nil Inspection has been made �, x . - le It Permit No. B-19-1083 Applicant Name: James Bustamante Approvals Date Issued: 04/18/2019 Current Use:` Structure' Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/18/2019 Foundation: Location: 1199 CRAIGVILLE BEACH ROAD,CENTERVILLE Map/Lot 206-053 Zoning District: CBD.CRNB Sheathing: i - ffi Owner on Record: LEBOW,BERNARD&GUILFOILE, BARBAFtA J y Contractor Name: = MARK R BOGOSIAN Framing: 1 31 p, Address: 40 ALGONQUIN ROAD ContrSetor;license CS=106114 2 CHESTNUT HILL, MA 02467 Est!Project Cost: $42,000.00 Chimney: Description: Build'master bathroom addition to include tile,wanity Existing Permit Fee:.' $264.20' ; "foundation to remain. Only build 2 walls to enclose space.;, ' Fee Pad $264.20 Insulation: 3 4. . Final: ,,Project Review Req: LETTER IN FILE DATED 2/26/2019 CONN,E(ETIN&JAIVIES Date 4/18/2019 BUSTAMANTE TO LONGFELLOW DESIGN � � a•�" l .Al � r-y -- � Plumbing/Gas •i �• Rough Plumbing. 3 � Building Official . Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzedby This permit is commenced within six ni�onthsafEer.issuance. All work authorized by this permit shall conform to the approved appli at on and the approved construction documents for wkiich this permit has been granted: Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or"I and shall be maintained open for public inspection for the entire duration of the Final Gas: l work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thispermit. Minimum of Five Call Inspections Required for All Construction Work = ¢ Service: 1.Foundation or Footing g � 2.Sheathing Inspection . i Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy tow Voltage Final: . Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MG-L c:142A). Fire Department Building plans are to.be available on site - Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ow 6SOL1 Town of Barnstable .RECEIiPT C SA ' ",S, ' 200 Main Street, Hyannis MA 02601 508-862-4038 i63 , Application for Building Permit Application No: TB-19-353 Date Recieved: 2/2/2019 Job Location: 1199 CRAIGVILLE BEACH ROAD,CENTERVILLE Permit For: Building-Addition/Alteration-Residential Contractor's Name: MARK R BOGOSIAN State Lic. No: CS-106114 Address: Falmouth, MA 02540 Applicant Phone: (774) 255-1709 (Home)Owner's Name: LEBOW,BERNARD& GUILFOILE, Phone: (617)592-8617 BARBARAJ (Home)Owner's Address: 40 ALGONQUIN ROAD, CHESTNUT HILL,MA 02467 Work Description: Remodel 3 existing bathroom plus new master bathroom to include tile, new plumbing fixtures,flooring, trim,and vanities. Total Value Of Work To Be Performed: $99,500.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true,and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: James Bustamante 2/2/2019, (774)255-1709 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees LTotalroject Cost : $99,500.00 Date Paid Amount Paid Check#or CC# Pay Type ermit Fee: $557.45 2/20/2019 1557 45 19016 Check ermit Fee Paid: $557.45 LS. " Y , � Longfellow Design Build , 367 Main St Falmouth, MA 781-718-8580 FEB 2 6 2u d, TOWN February 26, 2019 To Whom it May Concern: James Bustamante is an employee of Longfellow Design Build whom I have authorized to pull permits on my behalf. We have already filed a request to the Commonwealth of Massachusetts for a supplementary HIC card for James. Regarding 1199 Craigville Beach permit application:Application Please remove any verbiage that is included for the enclosed master bathroom remodel at this time.The revised scope of work should ONLY include remodeling 3 interior bathrooms at this time.A second permit will be requested for the work removed from this application. Regards, Mark Bogosian Owner—Longfellow Design Build a» Construction Supervisor UfL D +�G FEB 2 6 Re:Address ( � C ��.�� I�.,9eGC1,, -'(or) application# FQIA d,. Name Y" `fir�� `J�� ►�,Vl Telephone Number Y 4 ` Address 3(o .CityC-11WState A Zip License Number License Type U Expiration Date La Contractors Email "&r LC I qV' I)O -tIAICe11 # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation re r y 780 CM the Town of Barnstable.Attach a copy of your license. Signature Date 4 F Town of Barnstable Building I _.. � Post This Card So That it is Visible'Frorri the-Street-Approved Plans Most be Retained oh"Job and this,Card Must be Kept "' Posted Until Final Inspection Has Been Made,: �bsaHA"STA . a e� Permit raa'a Where a Certificate of Occupancy is Required;such Building shall Not be Occupied until aEFinal Inspection hasbeen made Permit No. B-19-353 Applicant Name: James Bustamante Approvals . Date Issued: 03/01/2019 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 09/01/2019 Foundation:. Location: 1199 CRAIGVILLE BEACH ROAD,CENTERVILLE Map/Lot: 206-053 Zoning District: CBDCRNB Sheathing: Owner on Record: LEBOW, BERNARD&GUILFOILE, BARBAR_ A J` . Contractor Name:_, .MARK R BOGOSIAN Framing: 1 Act Address: 40 ALGOLNQUIN.ROAD Contractor'License: CS=106114 2 CHESTNUT HILL, MA 02467 _ 4 Est Project Cost: $99,500.00 Chimney: Description: Remodel 3 existing bathroom to include tile, new plumbing fixtures; ; Permit Fee:' $557.45 i Insulation: flooring,trim,and vanities. Fee Paid; $557.45 Project Review Re : INTERIOR REMODEL ONLY FOR THREE EXISTING BATHROOMS Date: 3/1/2019 Final: r Plumbing/Gas Rough Plumbing: 3 Building Official Final.Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months-,after issuance. All work authorized by this permit shall conform to the approved application and the,approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. f Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: -.' Service: 1.Foundation or Footing �. Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT rVE s�,r— 9,6 z i i TOWN OF BARNSTABLE BN Building 201507049 BASTABLE, + Issue Date: 11/04/15 Permit 9 MASS �p 1639• �� Applicant: HASH MARY B Permit Number: B 20153131 Proposed Use: TWO FAMILY Expiration Date: 05/03/16. Location 1199 CRAIGVILLE BEACH ROADning District CRNIPermit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 206053 Permit Fee$ 40.80 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 50.00 License Num Est Construction Cost$ 8,000 Remarks APPROVED PLANS MUST BE.RETAINED ON JOB AND RESHINGLE HOUSE/GARAGE,CLOSE WINDOW,REMOVE PORCH OOMIIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HASH,MARY B BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1199 CRAIGVILLE BEACH RD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHTTTO OCCUPY,ANY STREET,ALLEY_(OR SIDEWALK OR ANY PART THEREOF,EITHER T PORARILY V60hAfIFEWY. ENCROACHMENTS ON:PUBLIC PROPERTY,".NOI SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST.BE APPROVED-BY THE JURISDICTION. STREET OR ALLEY.GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE;.- OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF:THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM CONDITIONS OF ANY,,APPLICABLE SUBDIVISION. RESTRICTIONS - MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS,DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health r _ a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -70 fl Yrap �fO Parcel 20 Application # A Health Division Date Issued A5 Conservation Division Application Fee Planning Dept. Permit Fee - Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Address LJ Telephone Permit'Reguest 1k 0 IL t19 w Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay *Project Valuation D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 13 `_ Two Family ❑ Multi Family (# units) Age of Existing Structure 0 Historic House: O'�esLl No On Old King's Highway: ❑Yes G3-Pdb Basement Type: ❑ Full Ur6rawl ❑Walkout ❑ Other , Basement Finished Area (sq.ft.) Basement Unfinished Area (sgft) Number of Baths: Full: existing_ -- new Half: existing new Number of Bedrooms: Lj existing _new ., fun Total Room Count (not including baths): existing _�new First Floor Room Count Heat Type and Fuel: 3<as ❑-Oi1 ❑ Electric ❑ Other Central Air: ❑Yes Ulrl Io Fireplaces: Existing New Existing wood/coal stove: ❑Yes 9Wo Detached garage: Urleoxisting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) R i - JL - ;Name - S Telephoneg Num- ber ?J� � C_-Address D, �CJ License # �M r Home Improvement Contractor# Email `1 ` ��e��` ��'��d r C�oVh Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 PXj U SIGNATURE DATE I D ,Z ID f / 5 ` FOR OFFICIAL USE ONLY F APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. i ' flea Cousruiornvealth of 4fassa�rusetis De,pararamt qfr9dzucfiia1 AcddeFafs -- Offl-ce ofrwestigadv= 600 Was1iartgtont treet =y Boston -414 02111 ' tvrvst+:r�tass:�r�v�rlin '""ark-ers' CampensafianInsuranceAffidavit B.uilrier-(CuntracfnrsMect cians/Ph ber-s Applicant Iufm-imaf an Please Print LeQibIy .. Naii m(3usimesstagan zafima i as Y_ s one 3 Are you an employer?Citeckthe appropriate box: ' V / Type of project(required).- 1.❑ I am a employes urtlz 4. I am a general contractor and I employees(fish and(orpnrt-time)_ * have hired the sub-contractors 6_ ❑New consfrnicfron 2.❑ I-am a sale propzietor orpartner aced onthe attached sbeef. 7_ ❑Remodeling ship and have,no employees. These sub-contractors have 8.,0 Demolitions. Wodring forme in any capacity; employees an&ha,,e workers' c msurant�$ 9. ❑S.uilding addition. _ �o�rs comp-iiassu=ce comp. required 1 $. ❑ We are a corporation.and its 10❑Elea frical repairs or adrEtions 3-❑ f am,a homeowner doing all work officers have-exercised their 11_❑Plumbing re-pairs or a'dditiom m:yseX[No woskEzs'ccrosp_ rigit of mempfion per 1wLM 12-[_1 Roof repairs immance required-]i c.152,§1(2) and we have no employees.[No workers' 13_❑Other camp.insurance required-] •Auy an&rr tf5at cbeck3bos`r.`l mast zlm Ma itthe settian belawsbatdng diPT Woaere c=pmmtSDIIpaUryirtFDr=ffcaL I Hamemnem wbo sabot ibis af5davu ivdi =j&--yaredaing zUwc*suethffihire outsidecontm=rsamst mb=anpwafndx&indicating.sacIL TCasst<sctta6•dot rhxic thin bpi must�ed a¢addiaianal Sh:Eet sbmelag tbe'name of the SIII}-cG�.scfag and rFe4n�rhethet or mt tbase ealitieS ham i emplayem.Iftbesob-eaatrad bate=giayees;they= stpmtade their nvrkeW co=p.paHu", en Ian!an elr[p�r tlarat is prm-zdiag it arkers'compm=dian inszzraucs for eery eacptv}rex Below is 114 paliry rand job sfts , in ormatian, Insumce:Company Name: - Policy;Af or Self-ins_I_ic_ FspiFation Date: Job Rte Address Cifyl5kafel tp: Attach a copy of the.workeve compensaflonpolicy-declaration page(showing the policy number and expiration Sate). Fails to secure coverage as req*edunder Section.25A of MGL c 1527 can lead to the imposition of seminal penalties of a fine up to$1,5.40:Oa and for one year imprisonme t,as well as civil penalties in the form of a STOP WORK ORDERmd a 1-Me of up to$250-0 Q a day against the violator_ Be adsnsed that a copy of this statemmt maybe forwarded to the Office of Investrga&=of the DL4 for insurance covets a iredfitation I rfa hereeby cart;fj,audsr the prates and psrtaltres ofParlmy that As injormadmi prm ded ah"re is bars and c-arrect �rDate- l D /2L_o Offidd use are£: Do nat arrke is tlrss area, be cairsp etesd by city artofrrr aljreiat. City or ToWu Per ttlLicense Issuing Authar€ty*(Ci rk one).: L Board of$eAt h r.RuffTwg Department 3.CitylTown Qerk 4.Electrical Iispector S.Plumbing Inspector (.Other Comtact Person: Phone : - -- — -- - 6 Taformation and lnstrnc one hfassaclr=i±.-Geneaal Laws cTaagtec 152 reqaires all employers M provide wa3i-,e&campeusBflon for their e?Iloyees- Pux-suant�n this sty,as�Ioye�is defined as.¢_.every person in tie service of another umdes any co�rar:t ofhar., express or in3PhC:L oral or wzitfnn_" Auz Moyer is deed as"an indMcfrA partnmrship,association,cmpora ion or other legal entity,or any two or more of the foregoing engaged m a joint entrrpHse,and including the Iegal regresenfa&es of a deceased employer,or the receiver or trustee of an individual,partammhip,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apa dments and who resides tharein,or the occupant of the - dw-cHiag house of anofher who employs pmsams to do maintrnaTt ce,consskucfi on or repair work ou such dwelling house or on.the grounds or buddmig appmii n tfacmfn shall not becanse of Bach employment be deemed be an employer." MGI,chapter 152,§25C(6)also stems that"every state or local ficensmg agency shall withhold the issuance or reaawal of a licease or permit to operate a business or to construct bufldiags is the c0MmGawe3lth for any a_pplicantwho has not produced acceptable evidence of compliaumawith the incvrance.coverageregQire�' AddiiionaIIy,MGI,chapter 152,pSC(�stairs¢Neither the'comm nor any its political subdivisions shall enter iatD any contract forthe pe c rformane ofpnbhc;workuntrl acceptable evidence of complignr-ewthi the mc�n-m:ce;. rPz men s of this chapterleave been piesenfndto the contracting anthoiity." A,gplicants , Please fill oi3t the wodcers'compensation affidavit completely,by checI®g the boxes that apply to your sitnation and,if necessary,supply sob contractor(_,)name(s), address(es)andphonenumber(s) along with.their certificate(s)-Of msn c-_ Lmlited LiabrTity Companies(LLC)or Limited Liabildy Partnerships(LLP)with no employees other than the members.or partnexsy are not regtmed to calry woxirers' compensation ias=c:e. Than LLC or LLP dDC9 hate employees,apolicy is regnued Be advised that this a$idayitmaybe submitted to the Depart nent of Industrial Accidents for conffimation ofmsa=ce coverage. Also be sure to sigx[and date the affidavit. The affidavit should be e:t:rmmed to tze city or town that the application for the permit or license is being mVe;ybe; ,not the Depmtne of of Lnj±j tcuJ, Asmdmf s. Should you have any gaestions regarding the law or if you.are re:gmred to obtain a workers' cmen opsation policy,please call the Department at the nnmbef listed below. Self-imnred companies should enter their s elf-i r,s ran ce license number on tiie appropriate lime. City or Town Ofa—dals Please be sure that the affidavit is complete and primed 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 coxdactyou regarding the applicant Please be sure to fill in the penniYlicense number which will be used as a reference number. Tn.addition,on,an applicant that must submit multiple pezmitllicense applications in.any given year,need only submit one affidavit indicating cogent p oHcy infj:)saation Cif necessary)and under'Job Site Addmss"the applicant should wr "all locatiLns in. (City or ;own)--A copy of the-affidavit that has b=a officially stamped or marked by the city or town may be;provided to the . applicant as groof that a valid affidavit is on file for fofm: 'pemits or licenses_'A new affidavitmust be filled oil each year.Whe re a home ownea or citizen is obtaining a license or permit not related to any bush aces or commercial vim. a.dog license orpeumit to bum Irz7r-s eta.)saidperson.is MOT rcTmH armplete this affidavit The Office of Invesligab-ons would hike to thank you in advance for your coopma ion.and should you have any questions, please do not hesitate to gyve us a call. The Department's ad&ms,telephone and fax ntmmber: Tlbe C.G=a0nWmaj&of Ma ssach-vsctfs - Dapaztmmt of liidustdal A Dents ��of�t�e�fig�tioa� Bow MA Q111 Tf,-1.4 617E-727-4 QMt 4-06 or 1-9 MASSAFE Fag 617 727 7M Revised 4=24-07 -mom-gagidia- AHVC guide fo [Vood Construction irc'Higli Hrind Areas-: 11 D rnpli F1'ind Zone Massachusetts Checkffst for Conzp.tiance( 80 c11KIz5361.2.1.W. Loadbearing Wall Connections ' Lateral (no.of 16d common nails)---------------------------(fables 7)........ Nan-Imadbearing Wall Connections ' Lateral(no.of 16d common nails)._..--•----••---•-•------(Table B)........._......................................-•• r Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ...._.............._-_ ___:............(Table 9).............._........_._. —ft_m.51 i' Sill Plate Spans ._.................................-_.....___-(Table 9)......_......_.............:...._it-_in.511' Full Height Studs (no. of studs)_-.-...._-_._: ._.._:__....(Table 9)........._. Non-Load Bearing Wall Openings(record largest opening bOt check all openings for compliance to Table 9) HeaderSpans.:......................................................(Table 9).......-- --------------------•_ft in.5IZ able 9 5 SiII Plate Spans.... .............-..:.....__._............-----.• (T ).------._:...�-----•---......_. ft m. 12' Full Height Studs(no.of studs)...__..... `. : --- (Table 9).-...:.......:.. :.:.... .-_._ - Exterior Wall Sheathing to Resist Uplift and Shear Simultanbous[y4. _ Minimum Building'Dimension,W Nominal Height of Tallest Opening Z ....................... Sheathing Type--------------------------------------- (note 4):e,:....-•----•---------------------------•--•---- Edge Nail Spacing............._._.._.__....._.,_-.-_--.(fable 10 or note 4 if less)-.-----.__..._.__...:. in. Field Nail Sparing..........._....�._�.:_.._..__.....(Table 10)..............:............_.........-........ in. Shear Connection (no.of 16d common nails)(Table 10)...._-_------_--------------------------------------- Percent Full-Height Sheathing-------.__.-.---.:_-(Table 10)--------------------------_----------•-__----•--_._% 5%Additional Sheathing for Wall with Opening>6V(Design Concepts)....._............. Maximum Building Dimension,L Nominal Height of Tallest Opening?..................: SheathingType-------------..................._......(note 4).----•-------------•----------------.-...__:_... Edge Nail Spacing.-------- ..(Table i 1 or.note 4 if less)-.__.._..__.._. [rx . Field Nall Spacing._. .._...._....._. _(fable 11) in. Shear Connection(no.of 16d common nails)(Table 11)........ _ •..-..- Percantful-HeightSheathing..---;_..__...(Table 11)..__..___-._--_•_-•_----- ---__�.___—% 5%Additional Sheathing for Wall with*Opening>6'a'(Design Concepts)_-.-.--._-__._:.. . Wall Cladding Rated for Wind Speed?.----- .............• -_--._.._ ..... _..._._.__.... ...._._ _ 5.1 RODFS, - Roof framing member spans checked?...--.._- '-.___-_--.(For Ratters-use AWC Span Tool,see BBRS Websile) Roof Overhang ...............................................(Figure 9)._....._..... ft s smaller of 2'-or 113 Truss or Rafter Connections at L.oadbearing Walls Proprietary Connectors _..._.._._U= If Uprrft-•-----•---......-_..__.__-�---- (Table 12)........__._.._............_ p Lateral...._._.__..._-.._...-.........(Table 12)........ .-------•--.__..__._L= pif , Shear.........................:.•- __...._.(Table 12).............._........._..._..... _._S= ptf Ridge Strap Connections,if collar ties not µsed per page 21... (Table 13).__._......_..........._T= plf. Gable Rake Oudooker.. ............._-..........-_.-_-(Figure 20) ..... ' _ft_s smaller of 2'or U2 '- Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors ` Upfrft_--._.:__......._...__..._.-'-.(Table 14)_:.__.___.__..___._._. U= lb. _ Lateral(no.of 16d common nails)_.(Table 14).................................... L= . lb. - Roof Sheathing Type (per T$0 CMR Chapters 53 and 59) Roof Sheathing Thickness_...-.:......_.r....... •_...:__...:...-._.......................__in.>_t/16'W5P Roof Sheathing Fastening._............. :.... _` •.-....(Table 2)____....__..._.:_ Notes: •1. , This chadcM shall be met in its entirety,eluding the specific excepfion noted in 2,to comply with the raqu[re:ments of 760 CMR•5301.21.1 Item 1.If the checklist is met in Its enffrety then the following metal straps and hold downs.am not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uprdt Straps per Figure 14 _ d. All Straps per Figure 17 . e.• Comer Stud Hold Downs per Figure 18a and Figure 18b 2 'E=epdon:Opening heights of up to 8 fL shall be pennW when 5%is added to the percent full-height sheathing ' requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade.. ' A WCGzrfde to Wood Constriwdoii in High end Areirs:11 0 tuph T-KindZone Massachusetts Checklist for Compliance(7so 1.1 SCOPE Wind Speed(3-sec.gust).._........._..._.:....._.._........_.......__..........___...._._..._..........:..._........ 110 mph Wind Exposure Category._.._............................. ....................................................:....................a Wind Exposure Category................Engineering Required For Entire Project.........................................C . 12 APPIJCA-B[Lr!Y Number of 5fories(a roof which exceeds a In.12 slope shall be considered a story)_stories :5 2 stories Roof Pibi:h......... (Fig 2) ------- ........................... :5 12.12 MeanRoof Height.........................................................(Fig 2).................... ........................ ft :5-33.*- Bulidin Width,W........ ...................:--.(Fig 3)_._._......_......:._..__...-.......... 9 -.-.--.--............. ft 5 80, Building Length,L- .;............................ .......(Fig 3):� -ft 80' ..................... ............................0.................. Building Aspect Ratio UJM .............................................(Fig 4)----------------------7------. !9 3:1 Nominal Height of Tallest Dpeningz ....................�11 -11 r....(Fig 4)............................................ 1.3 FRAMING CONNECTIONS General compliance wfth frarfiliig o6nnections------------------(Table 2).._......._.........................._......I.............. 2-1 FOUNDATION Foundation Walls.meeting requirements of 780 CMR 5404.1 CDncrtlte...................................................:....................................................---------------------- t1oncreta ..............................................................:............... 22 ANCHORAGE TO FOUNOATION". 5/80 Anchor Bobsimbedded or&S'Proprietary Mechanical Anchors as an alternative in concrete only 13DIt Spaci ng-generW.....................*------------_-(Table 4)------------- in. Bolt spacing from endjoint of plate..........----(Fig 5)............... ........ Bolt Embedment-concretL.....................................(Flg 5).............................. in. r Bolt Embedment:-masonry............................... ................... _in 't 15' P1.7te, k 3"x 3"x VA" 3.1 FLOORS Floorframing member spans checked ...... T80 CMR Chapter 55)..... Maximum Floor Opening ...._...(Fig ......... .................. _7i��2' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:.............*........................ IvItiximilm Floor Joist Setbacks SUPPDifing Loadbearing Walls;or Sheanvall..._.._._..._(Fig ....................... Maximum Cantilevered Floor Joists Supporting Loadbearing WaHS'Dr Shearwall........_._.-(Fig 8)............................ ................... ft :5 cl FloprBracing at ...................... Floor Sheathing Type (per 78D CMR Chapter Floor Sheathing Thickness (par 780 CMR Chapter In. Floor Sheathing Fastening (fablr.2) —d nails at in edge I in field 4.1 WALLS • Wall Height Loadbearing ........ (Fig 10 and Table 5)....... ft 15 10, Non4_oadbeadng walls.._.______, -----_(Fig 10 and Table ft'-521r Wall Stud Spading Fig 10 and Table 5)....... 24!a. O .(Figs 7&9)Wil Story Offset; ft sd JORL 4.2 EXTEP VAL& Wood Studs Loadbearing NonAzadbearing 5) .......__..2� --ft In. Br ag Gable End Wall g?lIs. Full Height Eridwall Studs -----(Fig WSPAttc Floor LwrA f t-'-_W13 Gypsum Caft Length(9 WSP not used) Fig 11) ft�:0.9w and 2 x 4 Cortfinucius Lateral Brais Q 5 fL cLr.-Fig I I)................................ or 1 x 3 ceding flaring strips 01 So spacing min.with 2 x 4.blocking @ 4_it spacing in end Joist or truss bays_ Double Top Plafs Splice Length .----Fig 13 and Table Splice Connection(no.of 15d common nails)_'__(Table of t e • AWC Gccide to Wood Canrtructiorr u�Hi,;h R' indAreas:110 mph hrrrmlZone • Massachusetts Checklist"for'Compliance pso cmrz sin 2Jj'A)' 4. a. From Tables 10 and 11 and location of wall sheathlhg and Building Aspect Ratio,determine Perc@nt Full-Height Sheathing and(Mail Spacing requirements b.. Wood Structural Panels shall be minimum thickness of 711 W and be installed as follows: (_ . Panels shall be installed with strength axis parallel to studs. n. All horizontal joints shall occur over and be nailed to framing. Gl. On single story construction,panels shall be attached to bottom plates and tDp'member of the double top plate. iv. On two story constnrction,upper panels shall be attached to the top•member of the upper double top plate and to bandjoist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first fioorframing. v. Horizontal nall spacing at double top plates, band joists,and girders shall be a double row ofBd staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment . S. Glazing protection: a)new house or horizontal addifion—required if project Is i mile or closer to shore(generally,sbuth of• Rta.2B or north of Rta.6) b)vertical addition—not required unless there is•extenslve renovation to the first ffoo_ "' c)replacement vMdows—needs energy conservatlon compliance only(chap 93) S.Wood Frame Construction Manual(WFCM)for 1'10 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. , # ° a QSEsd MA L5 . • •JtiT6bc < r •t;,• � s � ., It " of M H l• a of - ! . ( .. (1 [ Ij [ •1 a 1 �r It r- Il s11 � r l It , If Cl �I 1' LJ � al , � 1 .Ie -r�rrlrs - •1� ly J. W tr 1 E3 l�CrE bL1� _ it LI 91 IL U l "t WAXPITTEW PAM- - • • '+ �; r PANEI:M E+ r C0UE£.EWX-8=ESPA{79G O a L '} it y see Delall on Maxi Page' r - h• Vertical and HDftn[al NarTmg VefiGal hd�D ll 4 t. a H lizorrfal Nailing far>sanel Attachment ,., for Panel Aftaahmant IMMETo,,ti Town of Barnstable ` .� Regulatory Services j MA ss Richard V.Scali,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.tow n b arnstable ma.us p Office: 508-862-4038 . Fax: 508-790-6230 Property Owner Must R , Complete and Sign This Section If Us ink'A Btulder . L W . , as.,Owner of the subject property . hereby aurhon7P_ to act on my behalf, in all matters xelative to work authorized by building permit application for:• . z z , (Address of job) Pool fences and.alarms,are the" ponsibilityof the applicant. Pools are not to be filled or ufflized before fence is installed and all final inspections are performed and accepted. - Signature of Owner Signature of Applicant Print Name Print Name • s Dare . Q:RORMS:O WNB RPHRMESIONPOOLS Town of Barnstable Regulatory Services Richard V.Sca%Director Building Division . t t a�as �R*R Tom Perry,Building Commissioner z�S 200 Main Street, Hyannis,MA 02601 EO 0. www town_barnstable.mn us Office: 50 8-862-403 8 Fax: 508-790-6230 $OIVMOW tER UC2KrlsE EXEIV=ON •PlczscPrinY DATE:�� JOB LOCATIOR-- CG6rL2, VMaga HOlv1EOWN : blr4l I r � �' / —name - omc phone# ) woik phone# 7 - CURRENT IAAILJNGADDRESS: t city/town zip coda The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or 1e s and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ r DEFINITION OR HOMEOWNER p erson(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section The undersigned`-`homeowner"assumes responsibility for compliance withtbs Stain Building Code and other applicable codes, bylaws,rules and regulations- - The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures ' enema and that he/she will comply with said procedures and req ircments. (�Signahuz of mcownrs Approval ofBt ldingOffcial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the Stain Budding Code Section J27.0 Constructioa ControL HOMMOW MIS EXEMMON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.11-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Sipervisors,Section 2.15) This lack of awareness often results in serious problems,particularly When the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certifrcation for use in your community. PIT_E"%p0R2.2SV=fl tfmmslEXPRF.SS doc Q:1F1P �P=n3 Revised 061313 db f� cP h „ ' l �-- 1 y` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2O Parcel � Application (�Ob Q Health Division Date Issued 1 o oh y — Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1 q Village GE*,[r5�r_ULC�C-�-- Owner MA" c t-( 1LE S C l hA-.S h, Address (t 9 9 Telephone LP� —ZPlG Permit Request (Ai 5 i A l-_ 0 �J'�'�L,'O' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 0 Construction Type73. Lot Size 1 t �� -r UIC4 Grandfathered: ❑Yes '❑ No If yes, attach sup'; orting documentation. ..,,�, Dwelling Type: Single Family ©- - Two Family ❑ Multi-Family (# units) € Age of Existing Structure Historic House: ❑Yes U.W On Old King's Highway: ❑Yes ❑ No. Basement Type: ❑ Full U,I!raw ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ��. Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing / new Number of Bedrooms: existing —new Total Room Count (not incl ding baths): existing �t7 new First Floor Room Count Heat Type and Fuel: 2'1!�as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes � 16 Fireplaces: Existing_ New Existing wood/coa stove: ❑Yes ❑ No Detached garage: A existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exis ing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes &Iqo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name hone Number Address -, icense # Home Improvement Contractor# f � Worker's Compensation # ; ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' 1A SIGNATURES DATE 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED " MAP/.PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ,s. o� FOUNDATION,. Pfi I "�iLf{?'� ir,t7?�;;i:i • . ---FRAME - :INSULATION.,..::,f,-,`��JE..••,' . �mtt, . FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ti ' DATE CLOSED OUT - ASSOCIATION PLAN NO. ' t .l he Cornm onwealth of Massachusetts _- "Department of IndustriaL,41ccidents Of ace of nvesd9adons - _- �.in ,�`tre on et 1ash Boston,MA 02111 wwmmas,segov/dia Workers' CompensationlasnrartceAffidavit: J >zilders/ ®ntrac>Lors/Electrid ns/plu tubers Applicant Information �Iease Print Y.e�bi� Naine(Business/OrganizaLion/Individuai): ��q_u L (f/4 2-c R v L-'t -r 5 v N S /N L Address: 10 3 I City/state/Zip: o S y ) L-L, �. t-iA o265-5'Phone �: Are you an employer? Check the appropriate bog: Type of project(required). 11. am a employer with 4• ❑ I am-a general contractor and I 5 ❑New construction , employees(fiztl and/or paL-t-time).= have hired the sub-contractors 2.❑ -I am a sole listed on the at proprietor or parer- tached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition 4 workin for me in any capacity. employees and have workers' 9 ❑Building addition g [No workers comp.insurance.= comp.insurance 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its I❑ I am a.homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No Wo&ffrsI comp, right of exemption per MGL 12.❑Roof repairs a i G. 152, §1(4), and we have no insurance required.] employees.. [No workers' 13,2—o ther 'C��r comp.insurance required_] Ge✓100 =Any appli=r,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 contractor must submit a new amdavrit indicating such. Tconhactors 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. lithe sub--contractors:have employees,they must provide their workers'comp.policy number. .. I axe an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site inforrnatiorL Insurance Company Name: �-/� !lV ��✓�!�N�'c_ C c?� f�. Polk or Self ins.Lic.t. w G J� 3�� -3�66 '7c --O-X4- Expiration Date:' l f 0 I Y Job Site Address: I I 19 CeAI&V I u L Z L-ACH.. FR City/State/Zip: C��-0?_V Attach a copy of the workers' compensation policy declaration page(showing ti.e 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$1,5.00.00 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 ibis statement may be forwarded to the Office,of Investigations-of the DIA for innuance coverage verification I do kereby certify under the pains and penalties of perjury that tke.infonnado-n provided above is true and corre,ct Sizaafure: ��iL�t�(` /.c:C-4��✓( Date: p e„. 2 _ ,0� Phone .Ph F, zale only. Do not}trite in this area to be completed by city or town official wn: PermitUcense gthority(circle one): 1.Board of Health 2.BuildingDepartaent 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 5. Other Contact Person: Phone T: I •l � ® F�°►`�o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYW) 8/7/2014 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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC NAME: 973 IYANNOUGH RD PHONE FAX PO BOX 1990 (A/C. A No.Ext: AIC No HYANNIS, MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Corporation 33600 INSURED INSURER B: PAUL J CAZEAULT& SONS ROOFING INC 1031 MAIN STREET INSURER C: OSTERVILLE MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 21146142 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDLSUBR1TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDmYY MM/DDY� LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMI ESOEa occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED - PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC5-31 S-386670-013 8/10/2013 8/10/2014 ,� 1 PER STATUTE OER H AND EMPLOYERS'LIABILITY YIN WC5-31 S-386670-024 8/10/2014 8/10/2015 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? ❑N N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.: 21146142 CLIENT CODE: 1614182 Lucy Garfield 8/7/2014 2:44:49 PM (EDT) Page 1 of 1 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-kor License: CS-026325 ITS PAUL J CAZEAUIr`r5. — • 1031 MAIN ST S ,�� OSTERVILLE KA 026553 "01 o✓- ,�o% Expiration Commissioner 10120/2015 l! �� Office of Consumer Affairs and Business Regulation s� 10 Park Plaza - Suite 5170, Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2016 Tr# 254237 PAUL J. CAZEAULT & SONS, INC. Paul Cazeault R 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. Address Renewal R Employment F- Lost Card SCA 1 LS 20M-05/11 - - _ _ 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: tegistration: 103714 Type: Office of Consumer Affairs and Business Regulation 'W �xpiration: 7/9/2016 Private.Corporation 10 Park Plaza-Suite 5170 ,y Boston,MA.02116 AUL J.CAZEAULT&SONS,INC. ,ul Cazeault i 31 MAIN ST g o_ TERVILLE,MA 02658 Undersecretary `f Not valid without.9 ignature Town of Barnstable Regulatory Services 9 $ Thomas F.Geiler,Director 16;q. �0 �Eo a 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 A a as Owner of the subject property hereby authorize 5 tto act on my behalf, in all matters relative to work authorized by this building permit , (Address o Job) **Pool fences'and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature 4nature of Applicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS 6/2012 - i ' a F -' .. t .. _. e a .. -. - .. .,, , p �: ._ - f . . t i _ :_ 1 _ . �� ' ,�. � :' > � � � r .. _ _, _ .. .. .._... nn ii . . ._ .. _ �v -kj Lo 1 0 A 4 ti rr d VI P I ' U.S.POSTAGE>>PiTNev eowes TOWN OF BARNSTABLE BUILDING DIVISION � e •� �f ZIP 02801 $ 000.�48' 2001�IAIN ST. 'l`� 02 13 0001.38.342,4 NOV. 25. 2014, HYANNIS, MA 02601 / ' I x. +�.- � _ i,xyl„,K.. �l t a•�..icq.ta.. <.r;.�• i..r., .;f ;.l r + «. I '� l - RETURN TO 5}S:FNP3EAZ � t S C: 02 6014002 00 *97i 69 0107 2.�-43 { ��^=�i••..9:..•� � i 1 l i _f G.1 9 1 f 4 f 1 9 f f 1 1.1' G i i.4 9 1 i I I it 1. i i oo 501 ffRMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 11/25/14 TIME: 13:43 -------------- ---TOTALS- ---- ------ - - PERMIT $ PAID 120.00 AMT TENDERED: 120.00 AMT CHANGEPL.IED: 120.00 APPLICATION NUMBER: 201406350 PAYMENT METH: CHECK PAYMENT REF: 1436 INE TOWN OF BARNSTABLE Building 201406350 * BARNSTABLE, Issue Date: 10/07/14 Permit MASS 1639. �� Applicant: HASH,MARY B Permit Number: B 20142721 RFD A Proposed Use: TWO FAMILY Expiration Date: 04/06/15 [Location 1199 CRAIGVILLE BEACH ROA bning District CRNIFermit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 206053 Permit Fee$ 120.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 50.00 License Num OWNER Est Construction Cost$ 950 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMOVE UNPERMITTED WALKWAY FROM GARAGE,INSTALL THIS CARD MUST BE KEPT POSTED UNTIL FINAL DOOR W/GUARDRAIL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HASH,MARY B BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1199 CRAIGVILLE BEACH RD INSPECTION THAS BEEN MADE. CENTERVILLE,MA 02632 J.. �;&z Application Entered by: JL Building Permit Issued By: THIS PERMTT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLEY OR SIDEWALK OA ANY PARTTHEREOF,EITHER ORARILY,O ,#„ ENCROACHMENTS ON PUBLIC PROPERTY NO SPECIFICALLY PERMITTED UNDER:THE BUILDING CODE,MUST BE APPROVED BY THE 7URISDICTION STREET OR-ALLEY GRADES A AS DEPTH AND LOCATION OF PUBLIC SEWERS hL1Y BE OBTAINEDrFROM-THE•DEPARTMENTOF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASETHE-APPLICANT FROM:THE CONDITI NS OFANY APPLICABLE SUBDNISION " RESTRICTIONS _ - G,- MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: i 1.FOUNDATION OR FOOTINGS. n 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE,THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED 4.3WIRING&PLUMBING INSPECTIONS TO BE CdMPLETED.PRIOR TO FRAME INSPECTION, - - 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION), 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND:MECHANICAL INSTALLATIONS. ,.WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS,APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK'IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). '10 BUILDING INSPECTION APPROVALS ' PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS , 2 2 _ 3 Fi i �i J: 1 Heating Inspection Approvals. Engineering Dept do Health Fire Dept f Hea I 1 vCt`� �,� l�e OFTME ray, Town of Barnstable Regulatory Services • BARNSTABLE, « MASS. Thomas F. Geiler,Director i63q• �0 HIED M9. Conservation Division Robert W. Gatewood,Administrator 200 Main Street, Hyannis, MA 02601 E-mail:conservation@,town.bamstable.ma.us Office: 508-862-4093 Fax: 508-778-2412 Date: August 29,2014 Name: Mary Bailey Chiles , Add.: 4910 Montgomery Lane. Bethesda,MD , RE: Enforcement Order#VIO2014018 Dear Mrs.Mary Chiles: The enclosed enforcement order, issued to you, will be discussed and voted upon by the Barnstable Conservation Commission at a hearing to be held on Tuesday, September 9, 2014 at 8:30 a.m. at the Barnstable Town Hall, 2nd floor ® Hearing Room ❑ Selectmen's Conference Room, 367 Main Street,Hyannis,MA. You and/or your representative are strongly urged to attend this hearing. If you have any questions,please call me at 508-862-4041. Thank you. , Darcy Karle Conservation Agent/Enforcement Officer DK/ Cc: Enclosure(s) Wpfiles\forms\enforceltr Massachusetts Department of Environmental Protection DEP File Number: �IKET° Bureau of Resource Protection -Wetlands WPA Form 9 — Enforcement Order >�STAB Mas9. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40, y � �ps639. �0 tECMp�A §237-1 TO § 237-14 TOWN OF BARNSTABLE CODE A. Violation Information Important: When filling out This Enforcement Order is issued by: forms on the Barnstable August 29, 2014 ' computer, use only the tab Conservation Commission(Issuing Authority) Date , key to move To: your cursor- - do not use the Mary Bailey Chiles return key. Name of Violator 4910 Montgomery Lane Bethesda MD. 20814 rab Address 1. Location of Violation: Property Owner(if different) 1199 Craigville Beach Road Street Address Centerville - City/Town Zip Code map 206 parcel 053 Assessors Map/Plat Number Parcel/Lot Number 2. Extent and Type of Activity(if more space is required, please attach a separate sheet): jAlteration�of a wetland resource area by constructln asmall deck for"access to th"e back,of aw•.:,< • garage that actually located.in the wetlands` 3`prior,Avlolationssx* i„ �� • ' B. Findings ` The Issuing Authority has determined that the activity described above is in a resource area and/or buffer f zone and is in violation of the Wetlands Protection Act (M.G.L. c. 131, §40)rand its Regulations (310 ffff CMR 10.00), because: ❑ the activity has been/is being conducted in an area subject to protection under c. 131, §40 or the buffer zone without approval from the issuing authority(i.e., a valid Order of Conditions or Negative Determination). wpaform9a.doc•rev.7114/04 Page 1 of 4 Massachusetts Department of Environmental Protection DEP File Number: °FTMEIpk Bureau of Resource Protection -Wetlands WPA Form 9 — Enforcement Order B`�' ' Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ' 639.�`0 §237-1 TO § 237-14 TOWN OF BARNSTABLE CODE , B. Findings (cont.) ❑ the activity has been/is being conducted in an area subject to protection under c. 131, §40 or the buffer zone in violation of an issuing authority approval (i.e., valid Order of Conditions or Negative Determination of Applicability) issued to: + Name Dated File Number Condition number(s) ❑ The Order of Conditions expired on (date): Date ❑ The activity violates provisions of the Certificate of Compliance. ❑ The activity is outside the areas subject to protection under MGL c.131 s.40 and the buffer zone, but has altered an area subject to MGL c.131 s.40. ®T Other(specify): , December 2'2008 found,.violation while visiting site,for�Certifi6ate%of Compliance request-, mowing-on'other;,side'of,retaining,wall.th&o' tablished work Ilmlt,line after"tiouse was"lifted. }. December 11,�2008- E7mail from Mary Bailey Nash stating she would not mow,anymore beyond the wall. This wasa requirement'from sstaff. ' "}• ' ''"'' �� `w�rod,c —4,April'26 :2011,tWhlle driving, y the p"roperty,.conservationstafftfound'bagged;p�h agmltes; n front of the garage and work going'on'ifi the,intefior of the garage and some digging under=the garage ", floor to�repla'cb.boards.fStaff�found mowing again,beyond,the�wall and'behind the house thaey4ft path had been widened at the`.landivard end:Stopped,work on garage and advised them to contact Build ing,Department`�"',, 7 1{� '"�ji,` Fty i y...e �. -!'. f4R �Si i; i — Aril 28;_2011,An enforcement order•was:issued sforsviolationtof,an order;of conditions'and.coc. NI�`1 S zajl T Eh /ipr++kn l (9/de xG' l W. 7� rp4CSr }/a ,P nA KN�' J.%Y��Y 3�t � ,C?,�,• � ffa�"_�t .,�2 r�..,,�: ,�..��v l;-?�tilri%1'1+v.�'i;,P�(,'-;��'��W '��':'�O�<Si�-t x�,.s'4vS3-p;�; ►J(9�)a1'.y.� i�i�1e+�'�.CzG' ^) C. Order � �*�4 � r, Z ; Z:O f;�{' ,,l� n /9� �: sav�PeZ r.��'-`�c " `: `c, s'd4 ✓i` r� oi The issuing authority hereby orders the following (check all that apply) �hj'C ;�� ® The property owner,his agents, permittees, and all others shall immediately cease and desist from any activity affecting the Buffer Zone and/or resource areas. ❑ Resource area alterations resulting from said activity shall be corrected and the resource areas returned to their original condition. ❑ `A restoration plan shall be filed.with the issuing authority on or before Date for the following: The restoration shall be completed in accordance with the conditions and timetable established by the issuing authority. wpaform9a.doc•rev.7/14/04 Page 2 of 4 Massachusetts Department of Environmental Protection DEP File Number. �IHEtpk Bureau of Resource Protection -Wetlands WPA Form 9 — Enforcement Order STABLE ` Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 y SS. � , §237-1 TO § 237-14 TOWN OF BARNSTABLE CODE C. Order (cont.) ❑ Complete the attached Notice of Intent(NOI). The NOI shall be filed with the Issuing Authority on or before: Date for the following: No further work shall be performed until a public hearing has been held and an Order of Conditions has been issued to regulate said work. ®>The property owner shall take the following action (e.g., erosion/sedimentation controls)to prevent further,violatlons of the Act + i t q►'..+'-. :`�+'( .Y Remove deck byOctober : 2014: An onsite visit shall;;occur with contractor and�conservatlon staff•' ;before removal. All work on garage shall cease.and desisit. Submit'name of contractor,thatbuilftlie deck at the Septe`mber�9 2014rhearing�' ' -`�"' �.G. �u►•• ,.•.z Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts' General Laws Chapter 131,Section 40 provides:"Whoever violates any provision of this section (a) shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not more than two years, or both, such fine and imprisonment; or(b)shall be subject to a civil penalty not to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing violation shall constitute a separate offense. D. Appeals/Signatures { An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of Environmental Protection, but may be filed in Superior Court. Questions regarding this Enforcement Order should be directed to: . Darcy Karle Name 508-862-4041 Phone Number M-F 8:00 am =4:30 pm •' Hours/Days Available Issued by: Barnstable Conservation Commission Conservation Commission signatures required on following page. wpaform9a.doc-rev.7/14/04 Page 3 of 4 Massachusetts Department of Environmental Protection DEP File Number. F114E,, Bureau of Resource Protection -Wetlands ; WPA Form 9 — Enforcement Order MASS. Mnas. ' Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 y $ 039• ♦0 §237-1 TO §237-14 TOWN OF BARNSTABLE CODE D. Appeals/Signatures (cont.) 4 In a situation regarding immediate action, an Enforcement Order may be signed by a single member or agent of the Commission and ratified by majority of the members"at the next scheduled meeting of the Commission. Signatures: . r Signature of delivery person or certified mail number . .4 wpaform9a.doc-rev.7/14/04 Page 4 of 4 TBAI Er=8.6 NGV /7ff Top Conc NO �MMf/�9 t > EXH11hT A Name. E Thamm \o9P 1�q �e w� a H !+V�ivk$e�e 4305 IP �"CCtj GCB _\ " -1 Fnd LC8 Rev Jury 2,1992 Fnd � Fnd Al SI f P�j�NTINGS To BE 1N CoNSULTAT►O" NN%TN CoNSERVATIOK COMM\SSION \ \ -Tl STA>~F 33.13' 11 Ear 1 D - \ MILI a A2v \� 11 ■r o 1 r" BVW wpRK LI IN1 by ' Q u 15 4A6 fi 11051 N / . to \ M � C) / GG, 0 / sLl}'f' O�/ :� 50' -I - ohw oil oh#I ohw \ ohw \ J I avi O ° w '� `0 .� - flog £n / p C/ d cO Pole orch Se A Do on" NA G :.....��vo �, s oX Lawn #1199 IN. n o A Q Z Sty wlf ��oA� Dwelling �1L1C O F 4e REG\IiWLATXOt4 wn 9 0 hIk ° \ \ << 065 �/A-T%o N Ef� hti � \ AQ LEACH \ / RooF RPjNoFCR t�erST EXHIBIT Name: 10 ;d Hearing date• Z r'l owe F •�t. �.l r { '• e+� ��' r .. - r � >f ,t F rid ` A i ( y ` a • j / y �''• t , ' 1 01. • ..� ' • f y I 4777777.! - r � NAME OF OFFENDER F l BAR (_ • TOWN OF ADDRESS OF OFFENDER �y BARNSTABLE CITY,STATE.ZIP CODE O J/,-y� Lc,(yl` `p11NE! ti k esMVIMB REGISTRATION NUMBER OFFENSE !ED fMIN► O TIME AND D E OF VIOLATION LOCATION OF VIOLATION Z NOTICE OF !:iL (A.M./ .MOON (6 v) 201 !l 2w, C U/ /c , �-� rz �Ai' VIOLATION SIGNATURE OF ENFOR R ON ENFOR(NG DEPT, BADGE N0LU 0 OF TOWN REBY ACKN` LEDGER IPT OF CITATION X ORDINANCE Unable to obtain si at re of o ender � < Date mailed ZG L ( � THE NONCRIMINAL FINE FOR THIS OFFENSE IS ��` eSd J- w OR w YOU HAVE THE FOLLOWING ALTER ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD, w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clark,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, —.1 Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. IZ i (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of 3 1 Signature NAME OF OFFENDERr-),4)an C} --]BAR IL . TOWN OF AODflESS OF OFFENDER p BARNSTABLE CITY,STATE.ZIP CODE � � _ �O¢ gyr � � MV/MB REGISTRATION NUMBER OFFENSE /(�'� (y J /t �P��7��j�y/-ry� a� ` HAH\STAHU:.� / Gl-I'J �� -� G.o• -� �// NA55 W 63q. �0 LZ a t'D MPS O Ca��l��►u�c ofo �r,d Vie.cY;/114 TIME AND DATE OF VIOLATION LOCATION OF VIOLATION i z NOTICE OF `iC) (A.M.l Iw. ON 6 ,207�� !! Cr 1,;)/C -�C4, SIGNATURE OF ENFOR R 0 - ENFORi DEPT. V BADGE NO. W VIOLATION -;f� -�J v �r S Cn 0 OF TOWN ACKN LEDGER IPT OF CITATION XORDINANCETRE-BY nable to obtain si at re of o ender. < THE NONCRIMINAL FINE FOR THIS OFFENSE IS tate mailed w O R YOU HAVE THE FOLLOWING ALTER ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION r (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, Q before:The Barnstable Clerk,200 Main Street,.Hyannis,MA 02601,or mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 243Q l Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense-charged,and enclose payment in the amount of$ I Signature _ I i " I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION or TOTIN Map Parcel Application # b Health Division 20VI SkPf ? �'fij j . 10 o Date Issued _0 Conservation Division euL W 1��'��- r<,fwc��^�' Z � U�, Application Fe Planning Dept. -V "'""�" ""' Permit Fee DIMS`s Date Definitive Plan Approved by Planning Board S,P �o2K Historic - OKH _ Preservation / Hyannis 4�� Project Street Address l v `� (L—IzQ Village 0, Owner �cu-`� �. S.Address b Telephone Permit Request at nZ �/le,l�.�c.9-2.._- lc��12� G!.t�ce�ii► � \ , V2. V\ — V1 (0 t ,(2.CA_.. k v U-N Square feet: 1 st floor: existing proposed 2n)floor: existing proposed Total new Zoning.District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 4__� Two Family ❑ _ Multi-Family (# ,units) Age of Existing Structure Historic House: ❑Yes Q�lo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ra I ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing�� new Half: existing / new Number of Bedrooms: existing _new Total Room Count (not inc�lu ng baths): existing new First Floor Room Count Heat Type and Fuel: Gas , ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes a No Fireplaces: Existing_ New Existing wood/coal stove: ❑Yes ❑ No Detached garage: existing L3 new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ®'No If yes, site plan review # Current Use hr�1aaP Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name > Tel hone Number P 2� Address License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE - FOR OFFICIAL USE ONLY wi APPLICATION# DATE ISSUED .t MAP/PARCEL NO. n .i -ADDRESS VILLAGE OWNER ,. s' DATE OF INSPECTION: )AFO.UNDAT.IONI ��-t it l ty_ ru, t= - FRAME - - - - INSULATION. -� FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL °= GAS: ROUGH FINAL FINAL BUILDING= = ub5 DATE CLOSED OUT , ASSOCIATION PLAN NO. The Ctammo rwealth of Uassachursett[s ' D4whumt of 1pubuftial Accidents O e Of Inrvesagatiorrs-__ 6 00 Washington Feet Boston, 02UI wa m inassgovIdia Workers' CompensatianIusumuceAffidavit.Builders/Contractors/EiectricianslPlumbers Applicant Infarmation Please Print LcpibN CName 03� timWivi ): . {_-Address: c - Citylstate/Zip: (o Phone t Are you an employer?Check thelippropriate bow Type of project(required): 4. I aria s contractor and I � �'o] 1.El I am a employer with 6- New oonstn #iort employees(full and/orpart-time)* have hired the subcontractors. 2-❑ I am a sole propFie-tor or partner- listed on the attached sheet ?- ❑Remodeling ship and hate no employees These sub-contractors have g_ ❑Demolition working for me many capacity employees and have workers' 9. ❑Building addition . [No workers'comp.in¢rrrance comp-insurame-I required-] 5.❑ We area corparationand its 10.0 Electrical repairs or additions 3_❑ I am a homeowner doing all work officers have exercised their 11-0 Plumbing repairs or additions myself. [No workers'comp- right of exemption per MGL 110 Roof repairs inmrranre required.]t e.152,§1(4),and we have,no employees-[No workers' 13_0 other comp-insurance required.] that*Any s}xpti vt at checks boa#I must also fill out the suction Below shoceing then waIkele coaapensatian pvlic}�informaliaus_ ffameowners wha submit this a$$davif hbffcxdng tfiey are doing of wcuk sa4 then hire outside coatracmrs mast submit a new affidavit mrfirating such- *lC'ontractoa that check this boa mnst attached as additional sheet showing the name of the saRt oo x s and statE whether ornot ffime eA fiec has- —` employees_ Ifthe sub-contmcturs have eanplgyees,they must provide their warkers'comp.policy number. lam arz employer#hat i4 prm idutg workers'com pertsation irtmrimce for my emphyees. Below is thepoHiT and job site informadUIL Insurance Company Name: Policy#or self-ins-uc-;k �� . L �.- ExpirationDate: Q 7oti Site Address: i �C�.�. .�\ '��C�f z City"StatelZip: 1 4 Attach a copy of the workers'compensation policy declaration page(showing the policy number and ezpira ion date). Failure to sec ure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition ofcr;minal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as ciial penalties in the form of a STOP WORK ORDER and a fine- of up to S250-00 a day against the.violator- Be advised that a copy of this statement may be forwarded to the Office of Investigations of the PIA for inm rance coverage verification- ' fY ! P fF�l�_ I do here c ei4i under^ at enaIties a u Statthe information protided ahm a is him and correct Sitmature: "Date_ �-�- Phone#: EOthrr only. Do not write in this urea,to be completed by civ or town of,�'iefaL n:. Permit/License# hority(circle one): . Heald 2.Building Department 3.City/rown Clerk 4.Electrical Inspector S.Plumbing Inspector rson: Phone#: 6 Information and Instructions y Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 requ.ired." _ 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-contractor(s)name(s),address(es)and phone number(s)along with their certi.ficate(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_ De 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 'I7re 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-insurdn:e 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 pennitllicense applications in any given year,need only submit one afii davit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NTOT 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 Depaitnent of Industrial Accidents Office of jawst ptians 600 Wash gtan Street Boston.MA G21 11 Tel. 6I7-727-49QO cxt 406 or 1-977-MA.S E Revised 4-24-07 Fax#617-727-7749 www.massgov/dia ' DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF' LIABILITY INSURANCE = 09/2212014 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 01688 001 CONTACT MCShea Insurance Agency Inc A"co."No.'Ezt: (508)420-9011 (FAA,CX:No.: '(508)420-9010 1660 Falmouth Rd Rte 28 EMAIL Unit 2 ADDRESS: Centerville,MA 02632 IN AFFORDING COVERAGE NAIC# I ' 33758 Nsu ER A.I.M.Mutual Insurance Company INSURED - INSURERB: V F.Distinctive Carpentry Corp INSURERC' - 15 West Bay Road Unit F INSURER'D: Osterville, MA 02655 INSURERS: 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 CONTRACTOR OTHER DOCUMENT WTH RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS., INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY 'DAMAGE TO RENTED ;.$ PREMISES Ea occurrence CLAIMS-MADE ❑OCCUR - - MED EXP(Any one person) $ 'PERSONAL&ADV INJURY $ > 'GENERAL AGGREGATE $. EN'L AGGREGATE LIMIT APPLIES PER: r PRODUCTS-COMP/OP AGG $ __]POLICY ECT LOC AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT - $ . Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSMADE AGGREGATEH . $ yypRKDEERDgCp RNETTpENT�TIIONN $ .. $'. - AND EMPLOYERS€LIABILITY X T RY LIAMITS ER A P /PqRTNER/EX ECUTIVE YIN N E.L.EACH ACCIDENT $. 100,000.00 A o� Icy r iB��EXCLUDED? FN I N/A AWC-400.70297674013A 9/25/2013 ' .9/26/2014` (Mandatory in NH) E:L.DISEASE-EA EMPLOYEE $ 100,000.00 Ify es describe under -a '. .E.L.DISEASE-,POLICY LIMIT $ __ 600,000.U0. DESCRIPTION'OF OPERATIONS below - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) r -CERTIFICATE'HOLDER CANCELLATION Mary Chiles 1199 Craigville.Beach Rd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, Centerville,MA 02632 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �y ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD. Town of Barnstable Regulatory Services ' n rary� Richard V_Scali,Director ° Building Division 4 « AARxsz'asi E Tom Perry,Building Commissioner- MASS, i639- .��a 200 Main Street, Hyannis,MA 02601 '°rEo MPS www.town.barnstable.ma.us Office: 508-862-4038 F Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION a / - Please Print �..=••DATE:- - P13 LOCATION_—A 15 ' number sheet _ ..� .. .,,.... village "HON,MOWNER": -- �A name home phone# 4 work phone# - � CURRENT MAILING ADDRESS: L4 9 1 E) V Y V&1'1��w�LVt��AQ ��_ •,Q�1!�,i,.... - city/town state C � zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings Of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or Earn structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner''certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and re ui-ements and that he/she will comply with said procedures and requirements. Signature eo er - - Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes &ReguIations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. I - To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. QAWPF ILES\FORMS\building permit fonns\EXPRESS.doc Revised 061313 � E T Town of Barnstable F Regulatory Services hUS&IE$ Richard V.Scali,Director iG39. �0 - � 639.cA Building Division ---- 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 Sectiori'' If Using ABuilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:O WNERPERMISSI0-NIPOOLS k ii ,� � 3 i _ �� . _. 2,,� g�� Nep�e� � t < � �Q �� I ., i i' �,�� .. � � . � i i i� ' r \ � � i � ' ! J �. r .. �r 1 � + CLV�/\ s Lill raa�A f c,(r,- i _1 •'_..�.�.� >- _._...,_ s�:a� - -—f'°R '� .�sar��mE ..sa-a...:.. a...a�nr�,+sw-�....a_',..Ste_e m.:,.�-- a - (,( � - �FTHE ram, Town of Barnstable Regulatory Services + BARNSTABLE, + - MASS. g Richard V. Scali,Interim Director 1639. �0 Building Division Tom Perry,Building Commissioner r 200 Main Street,Hyannis,MA 02601 r Office:.. 508-862-4038 Fax: 508-790-6230 May 1, 2014 Mary Hash 1199 Craigville Beach Rd. Centerville,MA. 02563 RE: 1199 Craigville Beach Rd., Centerville Map: 206 Parcel: 053 Dear Property Owner: This letter shall serve as notice that a violation of 780 CMR has been observed at the above referenced address(work without the benefit of a building permit) and a stop work ,.- order has been posted. A building permit issued by this office is required to bring the property into compliance. In addition, the Conservation Department has been notified and will follow up directly with you regarding compliance with their requirements. Please do not hesitate to contact this office with any questions. t By Order, s�f'tie L. Lauzon Local Inspector" jeffrey.lauzon@town.bamstable.ma.us (508) 862- 4034 : . Town of Barnstable *Permit 9;?o` �y'✓ / 7 Expires 1 m nt , Regulatory Services e rrona rs ue date I t r ' s � • IARNSTABLE • MASS •� Thomas F.Geller,Director i639. _ 0616JuJiI Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601' www.town.barwtable.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 - V I ! '� 1ICI ��'C-�--��'�/t ►� l C 6 z Ef Residential Value of Work $11 :550. Minimum fee of$25.00 for work under$6000.00 2 j s .Owner's Name&Address �J�4 r y -�-�a�S�'1 9 q Contractor's Name s S2 n-,+r�_x_-i n,-), L C.C Telephone Number ZSv )y-2 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) [(Workman's Compensation Insurance Check one: X-PRESS PERMIT ❑ I am a sole proprietor I am the Homeowner OCT 2011 I have Worker's Compensation Insurance Insurance Company N .Name ,,, II 1 TO 'E i, RN STA,f�%E. P y oaI�ronQ UnivY� fire `Y1SurC,Y\ C2 �D Workman's Comp. Policy#- Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) �] Re-roof(stripping old shingles) All construction debris will be taken to `��' a) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 090809 J I The commonwe+ar"o.f Manachuseas DePm•ZM&oflndwbidAccidettta Ofce ofinvadgadons 600 iPashhqwnS)Cpgd .. Bosom MA 02,111 WOr1 CerS° ConnpensatjoII /tea i A Iieant Information davit:Bw3ders/C0ntraet0r WecW dans/PIumbers Name Please Print L r�Se 1r Address: S. City/State/Zip. c.�-f- l�,q QS7E,3 Phone A 4S�-- S�2 ' Ar�e,100 an employes c�the appropriate boa: 8 P. 90� 1.tad I am a employer with '$ 4 I am a T of ro' j employees(fall and/or partrtime)* have hired theme and I 6 P sect(r e9l�red). Z•❑ 1 am a sole proprietor or �s ❑New construction partner- listed on the adached street. ship and have no employees These sub-�h 7- ❑Remodeling ave workEag for mein say capacity employees and bave work=- 8 ❑Demolition r ° o 'COmp imtrraace 5 gimp insuram t 9. Q Building addition j] We are a corparWon and its 10.0 Electrical 3 ❑ I am a homeowner doing all worm offices have exeroi$ed or additions myself.[No workers'camp. right of pe'MGL 11-0 Plumbing repairs or additions ihsumm r' -1 t c 152,§1(41 and we have no 12 0 Roof rejxft employes (No workers' 13.0 Other ' �P• ) f •Aar+applicant ho checks boa III nm aW fM oat the swft below ahow�lea yam, tHomeowneas who snbmitthb�aig&9 d*:CmB and thencalwnswou ''won c8ocs c3e�9tis boa moat atmcl d an a �e MM tW s n=t sabm*a wv as&,k ird 80h s have empleyeM fiq maatFVV*egg Mbvkftckwserorlaas' Policy nma6er,��wbethwar um those enWes bave I mrr aR� AW"PMMd'g workers'c o m ice or �io >:. f 'fi'wFkYaa'I3etow u aiYe polte3,mrd�ob� ... , i Iastnaace Company Name: �+►^o�Ql ` e /+7;Su� I Policy#or Self-im Lis#: I l�� Cr VChC h 2 'E�nan°r`'Date: Job Site Add.: Attach a copy of the workcen-,com CltY/Sta�JZip: +C rV;1 1�A 0963,11 � Failure to segue cov p° declaration page(showing the Poky number and expiration date , ;mu>m Saccade ZSA ofMGL c 152 cam lead to the imposition of crimnoal ) fine up to$1,5©0.00 and/or one-year imprisonme as well as civil Penalties of a t ofup bo$254 QO a day against the violator. Be advised gW s penalties is the farm ofa STOP W01 K ORDER and a fine Investigations of the DIA for insurance COPY of this staOmetg may be�to the Office of COverage veaffc�tic®.. f I do hereby certY Rs ofP6pay that I*e t s >madoRPRvvMed above is hue andromect Luse dirty. Do Rot white in this area>b be co --- - eWi'etedby chi+er&,nm offldaL City or town: Permit/Lleease# 1 Issuing Authority(circle one): L Board of Health 2-Building Department 3. flows Cleric C Other 4,Electrical Inspector a.Plumbinghispector. Contact Person: Phone#: 1 I ; ACD a FRASCON-01 MOSU CERTIFICATE OF LIABILITY INSURANCE DAT 926/2126/2D/Y011 1 PRODUCER (508)676-0309 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Viveiros Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 375 Airport Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fall River,MA 02720 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Fraser Construction LLC INSURER A:National Union Fire Insurance Company P.O. BOX 1845 INSURER B: Cotuit,MA 02635- INSURER C: INSURER D: 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. INSR ADUL POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRSm—TYPE OF INSURANCEATION LIMITS GENERAL LIABILITY RRENCE $EACH OCCU COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ CLAIMS MADE F—IOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY Y AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F—ICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ ., $ WORKERS COMPENSATION X WCY TATU- OTH- AND EMPLOYERS'LIABILITY A ANY PROPRIETOWPARTNER/EXECUTIVE YIN C009930601 9/26/2011 9/26/2012 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? Y� (Mandatory In NH) E.L.DISEASE-EA EMPLOYEN$ 500,00 If yyes describe under 500,00 SPEG�IAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Fraser Construction,LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN PO BOX 1845 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL COtult,MA 02635- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs andVUSness Regulation 10 Park Plaza Suite 5170 Boston, Massachilsetts 02116 Home Improvement CordNctor Registration Registration: 112536 f-r Type: DBA Expiration: 3/23/2013 Tr# 209024 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 \`< Update Address and return card.Mark reason for change. Address Renewal ❑ Employment Lost Card DPS-CA1 io 50M-04/04-G101216 �f0 r�om�mr4rueao � License or registration.valid for individul use only Office o onsumer airs mess e u a on . before the expiration date. If found return to: ISM HOME IMPROVEMENT CONTRACTOR Registration: . 112536 Type: Office of Consumer Affairs and Business Regulation Expiration: 323013 DBA 10 Park Plaza-Suite 5170 - Boston,MA 02116 TFR CONSTRUbTION, DEAN FRASER ' 104 TWINN VIEW L(NE, E FALMOUTH,MA 02536' Undersecretary of vale wit ut si re r . C7 Massach usetts- Depav'tment of Public'Safeiy Board of Building Regulations and Standards Caftstrueribru Supervisor License License: CS 97668 DEAN R E 1.04 TWIN ,�V�I i�`l EAST�i4L )fihf A 02536 L Expiration: 6/7/2013 Commissioner:' Tr#: 16692 qJ uvt Fraser Construction CONSTRUCTION Home Improvement EIVED p ment License #112536 . P.O. Box 1845, Cotuit MA. 02635 Email: fraser constructionnverizon.net /� f 508-428-2292 www.fraserroofne.co FAX 1-508-428-0123 HICL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: September 27, 2011 PHONE: 301-942-2110 NAME: Mary Hash EMAIL: marypilates@aol.com MAIL ADDRESS: 3944 Baltimore St Kensington MD 20895 JOB ADDRESS: 1199 Craigville Beach Rd Centerville MA 02632 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. *****RED CEDAR RE-ROOFING**** Supply &Install 18" #1 Perfection Blue Label Quality, 20 year Warranty Red Cedar Shingles At 5.5" TTW. When installed by Fraser Construction, LLC a certified Contractor. - Supply & Install Aluminum White/Brown Drip Edge if needed. Supply & Install Carlisle Residential Water & Ice Protection- Is a self adhering roofing underlayment that is designed to provide premium waterproofing protection for a variety of roofing and waterproofing applications. Waterproof Underlayment Paper Installed- 36" Ewes, 184 perimeter, cheeks, skylights, 36" valley Suynly & Install REX Sygftit is a high strength woven synthetic roof undefU,y0 fte most slip resistant underlayment in the , indu$Uyi =1 h 1j o stronger that felt- won't tear-off or buckle When wqL Supply & Install Stainless Steel R%ptpae m- 1 'Ye" Stainless ring shank nails only.. Supply & Install Ceder Breather- Vbdar Breather protects the beauty and life of wood roofing by providing a space for continuous airflow between the solid roof deckwaA shingles. 10 002 Supv14 8r Install Copper Cap (Ridge Roll) Clean ds Remove Debris from work area daily. TOTAL INVESTMENT: Main House PRICE- $12v7S 0.00 Initial ORM90 PRICE- $40800.00 Initial Note: Job includes- Repair rear of garage, fix crown molding by gutter at dormer, and caulking gap at trim on front new addition/re-nail as needed. 1/3 Down deposit Progress payment TBD prior to start of Job. Payments accepted are: CASH—CRICK—MASTZR CARD--VISA►ANMCAN EXPRM *Any payments not made within 30 days of completion will be charged 1.8%for every 30 day the payment is late_ POSSIBLE EXTRA:After the shingles are removed from the roof,we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is,ventilation panels will be installed by removing the plywood) sheathing, installing the panels,turning the plywood over and then re-installing the plywood. if needed, this would be charged for as an extra at the rate of$6.00 per panel including materials and labor. There are 6 panels per sheet of plywood. Possible Extra—Any rotted or otherwise deteriorated trim boards,plywood sheathing, lead flashing,or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour,plus 15%mark-up materials. FRASER CONSTRUCTION Warranties labor for 12 years. FRASER CONSTRUCTION is an Approved Applicator/Member of The CEDAR SHAKE and SHINGLE BUREAU. THE CEDAR SHAKE AND SHINGLES BUREAU Warranties the shingles for 20 YEARS if installed by approved applicator. Any deviation or alteration from above specifications will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire,tornado, and other necessary insurance upon the above work. We,if not accepted within thirty days may withdraw this proposal. i 191003 I+,RASER CONSTRUCTIONT carries Workman's Compensation and Pub lk Liability Insurance on the above work. DATE OF ACCEPTANCE: . r , POM91!�)WN ER FRASER CONSTRUCTION, LLC t Uj Owl-- LU-M \aR- �A�Va�(e TO c e-,, �A) U -��s wL L6-C clU 4e - �. �v van� �„� v �.,� •` , �� N vas AA�YT\Q_00, BUILDER INFORMATION C Name t Telephone Number Address t� �� License# '1t � S( �Vt?�Vt e q Home Improvement Contractor /rI�/l OA Worker's Compensation# + ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO OU� e- SIGNATURE �. DATE Wax�. Det; �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map— Opel Parcel®S 2 Application# OW7d /9 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee t5V Planning Dept. Permit Fee ?_0 Z P Date Definitive Plan A�proved by Planning Board Historic-OKH r servation/Hyannis Project Street A ress / " f f Ci Village Cif�it�l1 U/fie Owner 1 i7412` % ,v Address LL7-1,PPia4_e: �> Telephone �� / 9�/[7 8 S �G°�i1��16�p�►� /D?� ® cS� Permit Request �+ v��6i'L.dff��l �- I-E-xI b Z- `i�� A'24k) 1�7ir&TAB 4*60e A Square feet: 1 st floor:existing proposed YAA iL 2nd floor:existing _ proposed ! gofk Total new Zoning District Flood Plain Groundwater Overlay Project Valuation c5 Cc Construction Type 4U on io Lot Size Grandfathered: Ed Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family EQ Two Family ❑ Multi-Family(#units) Age of Existing Structure '70 VA S Historic House: ❑Yes -a No On Old King's Highway: ❑Yes &No Basement Type: Q Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /�'00 Number of Baths: Full:existing [ new Half:existing new Number of Bedrooms: existing new S� r� Total Room Count(not including baths):existing new S-V,,:P7/2 First Floor Room Count - Heat Type and Fuel: f-Gas ❑Oil ❑Electric ❑Other ' Central Air: ❑Yes ANo Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes 1 No Detached garage:Aexisting ❑new size Pool:❑existing ❑new size Barn:❑existing' ❑new%;size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ - Commercial ❑Yes &No If yes;site plan review# U Current Use G?r 5 Proposed Use .5 , y rt -- BUILDER INFORMATION Name /� �f ],�lar� Telephone Number Address 3o X os 4 _ �,9wr License# G' Home Improvement Contractor# - Worker's Compensation# ALL CONSTRUCTION DEBRIS REST L71NG FROM THIS PROJECT WILL BE TAKEN TO s 1 `y _. SIGNATURE _ DATE 3 ` Q� FOR OFFICIAL USE ONLY N , PERMIT NO. PATE ISSUED i. - MAP/PARCEL NO. t j ADDRESS VILLAGE -OWNER DATE OF INSPECTION: 4 FOUNDATION f , FRAME INSULATION FIREPLACE ;' } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT r 1 ASSOCIATION PLAN NO, 1 f t I i �, J„Yam�p"�'lr 2 ;o-�� r�^Sv� 3 �t�. � +'�a. v _ _"•-��:s' .�.: L � 'y-'y H �Mv'� �-•.,�,r�' .z xx��-� ,W°�,�4�i,T�tl�`aA?. �t x o; ,` -� "� - y ,n :ry •'` s7 ""ate g' .r'�� J""'T'r b;�F_�+'lta�^�t�a a .i� ��1'��ec.,4��'�" t1�' � �„ xg�� ,�" .,,y'^• ,.--.,. ��/, �^ s��y ►J-�� r;.�-,,. m **`��'S.'�+.�.Y.�'��' •lea !y e. _.--,;a.x+,�,gp a` cY��v`PK'J iJ Fr ��.'1^l�T�t •Ot k T «� � .. .� - ::°Y� ;,* � •�� '.. L!r'1. � ar <WON''.�i.�"�.�v£:rf�� ar0-5 "3 _ �°"y.r' .��i., t,-r��✓�a'��i krr�r � r, '�, __ � � �.rS,F- �K � µ If • ✓� rr� 1 jre,..!J.��vr��f` �� -t!:'«�`' ifk 1"+. F��r��i,�,��r�^7•�•/-Y`��'��y,'a�� "' .�� "" � '3' � .�': _ � ,... „r� � .. " �W + ME � ki� , t i /•_},�j'R �` �.Bpi y,_ t + 'i ,)_fir �x '\ •;, r 2 ITA y T , ,.I I _ )I w� 1 �M { , ve ♦ • :1 H-� { 7 , 4i 1 ` ^4l+1:I -fro 4: y,♦. . #S , _ _ j y _ ?i �_ n 1 f ►-; -. -..� - - +'•^,[�' _ ; .�'�.^'. �„- " �� t' '!+ j rye+ ��-`�'�� --._ ;a; g �•: �+ .J a 71 �� L� is l , .E°.. �Wit. 'r. It �'. •}� �n.' i - � 1- ►. a �. J !F` 3'3`_. �.� � - '' Jib,� �.``.'�' }y �;" 4 • „G�i' E w r.+. •f m .�3<� .'a °�♦ :vtp,�ry i �z�� - � ,�� ry +, r� •� Pm •' ��. .> rJ --e'r .�a N a• ft►' +`'� l•� !a+ ,2''�`rd�\�a..` 1a � .ys � � , x � . - .E �-. '. �.. ��J ♦y�r,y�d'.�Ca'w\ rM@11►'' �'\�`..._.:�'��.,.Y'°�+'e`� r�� ,Miy� «.:i *o �� tm� 't+.,,'a; , \•:i 4 ..y� xq .e�,w' t.- �tity, ��,` 4�, - ��. 'y� .7."iys' i�._ �✓ � 3t>H�a.itt.i+a'a,.<�e��# i ' .}"r,''. :s4� •�`! ��`�) ��':�.ii eb.�t��[�l� � �' �h�*` ♦ �z��V �� '' €:. 0.y,,.Jr r <}' 1 s _ .r �' `ra a-fA •'�` ��' a �`rr i i Y� i;-» ,�y `:'c."- L,.Y' �,3 .`>��,+ �♦��y M*x �. � �� ,!'-' ��1pr ,. .� 4" ''�°, .✓ t` w#' � -r;r ,�y, t. a n�,'�. � fly'` �Y. � .J¢��'s''q. �► �-r, 3! .+v * t '�a�,,,,1�� -,`a��i .t _`�YR3i�c;.��t- ��pi �, �j t } n��f� - �t y � a i .s� .4 - +4- r `t �'� �li� a'Mj'n g qp 'ryA.IZ P YIJ h ' r } + ! '�' �•�'�t `,s�.' �� :t..;7..� ��a� `i•it �,.Sf3Y �. �Yica:;��i.eracM.�.ice` i `g#. " .''�:, : • " )7 o67-00'1`� - 206 0 C^lcliTile� ❑ n -" µ ^ ❑^ ❑^ ^❑_ ❑^ ❑^ ❑^ �� ❑^ ❑^ 5yk # 1236 ; ^❑ Fq �1 l v n n r' n n n n n n n n n n n 206 109, 206-110" ` ^ j C ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑. ❑, - 207-064 ° t 228 # 1230 ❑# 1 I ❑ ❑ �J El ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ / Cc tt tv n n r. n n n n n n n r. n n n , (�fit J ,206-08 a Q O i� ❑ ❑ 0 C7 �► n 206-085-003 " Y 206-054 1 , 20#0121002 ,. # 1220 w'r # 1211 , i _ t� � o aoa ,� v �o r A . ,•r A x 2o6 ~' n n n1l n n n n #7520 3 /0 ❑^ ❑^ ^ ❑^ ❑^ ❑^ ❑^ C#1 99r s 206 085"Ol 001 a _ x Io ❑ 000 oo [!�t 1A MAc . F, E)./ 1.0 ❑ ❑ ❑ M � . j. 4 - - n n x 0 ❑ ❑^ ❑^/ / be rF r,tq°k 206-087 0 ❑ a I ry � ❑ L11601 206-050 n n n n r1 n n n # 1187r � E000 � oc aooEa ,: a - � a000 ^ Agg � clun � oo � 000a a0000 .�� ❑ ❑^ ❑^ ❑^ ❑^ n❑ ❑ ❑n ❑ ❑ E�/ ' n 1 n n ❑ n n n C�rttcrvt�de" f ''' ❑ ❑ River r ,❑ V ❑ ❑ n .-7 k K / 206 044 f (mil hl hl r#v2\ r I` ' � Town of Barnstable � `�� Building Department - 200 Main Street 9BARNSTABLE, * Hyannis, MA 02601 163 a�� (508) 862-4038 D MA'S Certificate of Occupancy Application Number: 200701925 CO Number: 20070123 Parcel ID: 206053 CO Issue Date: 06/22107 Location: 1199 CRAIGVILLE BEACH ROAD Zoning Classification: RESIDENCE D-1 DISTRICT Village: CENTERVILLE .fi r Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: 4r �� 24i �1 r Building Department Signature Date Signed THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IM ^ACC DATA ba °� T C o u N' 'mot �- HE Town of Barnstable Building Department - 200 Main Street sAxwSTABLE. : Hyannis, MA 02601 MASS. foA, (508) 862-4038 ifi of OccupancyCert cats Application Number: 200701925 CO Number: 20070113 Parcel ID: 206053 CO Issue Date: 06/07107 Location: 1199 CRAIGVILLE BEACH ROAD Zoning Classification: RESIDENCE D-1 DISTRICT Village: CENTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: RTCO RES TEMP CERT OF OCCUPANCY Comments: NEEDS HEAT. CERTIFICATE EXPIRES ON 9/15/07. A /Q 'Building Department Signature D e Signed - i 1NEr�w TOWN OF BARNSTABLE BuildinApplication Ref: 200701925 e r rn•� itl * BARNSTABLE, ' ' Issue Date: 04/09/07 9 MASS �At i639. A Applicant: HASH,MARY B Permit Number: B 20070710 FD MP Proposed Use: TWO FAMILY Expiration Date: 10/07/07 IJ Location 1199 CRAIGVILLE BEACH ROAJD)ning District RD-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 206053 Permit Fee$ 445.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 50.00 License Nuin OWNER Est.Construction Cost$ ,0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND .K RESTORATION OF EXIST.BLDG.'ADD FRENCH DOORS(REAR); THIS CARD MUST BE KEPT POSTED UNTIL FINAL OPENING LOCATIONS;NEW�KITCH;,INSULATION FRAMING EXPO SEDINSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HASH,MARY B _ BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1 199 CRAILVILLE BEACH RD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL < Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT.TO OCCUPY ANY.STREET,ALLY.OR SIDEWALK OR AN V PART THERVF6EyfHEVfEMPORARILY OR PERMANENTLY: ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BYT.HE JURISDICTION. STREET OR ALLY;GRADES AS WELL AS DEPTH AND:LOCATION OF PUBLIC SEWERS MAY BE'OBTAINED FROM THE DEPARTMENT.OF PUBLIC WORKS.: THE ISSUANCE OE:THIS PERMIT DQES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION'RESTRICTIONS. ;' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. I 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION., 6.FINAL INSPECTION BEFORE OCCUPANCY. ti WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT. STARTED_ WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). e m a m m BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �� 6 '� Z� 2 2 � 2 . 3 1 Heating VWspection Approvals Engineering Dept Fire Dept 2 �� and o f He Co Ca T � � i f W Sic✓c Olu Lo Y��- �gO�nPrCS . - CdFm �d G-` � � � � s� 05?31/2007 - 13:52 15095397332 SGIATRELIS PAGE 01 68 A Nicoletta's Way' � Mashpee, MA 02649 Tel.508-539-7931 Fax 508-539-7932 ° d o ff bm MC Td From STEPHEN GIATRELIS Fax:&U O -7, Pageant L-3 Phone: Date, cc: q Urgent C] For Review 0 Pismo Comment 0 please Reply 0 please Recycle �. 6 I-.{ ��¢ 05i31/2007 13:52 1508539"i932 SGIATR LIB PAGE_ 03 TERY LUFF- A I T E, T (71 to �. r 1521 Algc)nO;Llin Aveiiue • Mashpee, NIA 02649 �� '� 1f°Oe & 508) 539-4,772 05/31/2007 13:52 15085397932 SGIATRELIS PAGE 02 I l ell wCMITZ r i 2"1'Wv.COW.R@1'A1N11:6 • htal6 v l q� a6 v?R7,6 Ds" 04 CL coNC. ►OQRWn 115 I ! � ZIU Iry 0 Of IgLLL `r oakVi9OAS; —� FLOOD ZONE REG7U!R�1 N�a - �" FLO00 ZONE AIh ct'..t1lArLON il0i RROP05:;)TOP OF FOLNOATION(ELEVATION I1,C)), oMwNtN: scz ~ C(I5WARC INCH IOF OPENING MR.1 SMARE.rW-OF FLOOR AREA.) Pp.1fP.CtNc ti•26tl02 CRAM SPA6E= IMI S.F. (I5q,so.INGHCS rsa':));o?-,mga5 pp4vlDpD 1,1�`Y SCE,I�JL,FiE5 DRAWING qy: -THE 8076M OF ,AL-L OKNN65 SHALL.NOT BE H16HER THAN 1:'IV,,IE5 I (905MM)AW\YE OWE SMMEOIA'rELT AD.JACeNT TO THE t_Or:A-00N OF THE OFENIN5. OF041165 5HALL NOT I3E EMIF"D WITH SCREENS LOWER$ I 'ALVES,oR OTHch" GOvERINb-'•c°z VEVIr,ES UNLESS 5u6H:X1/Z1:5 YERMIt THE 4tITgMATtG ENTRY AND Ci15CkA.REE f1F FCu7DwA?f RS �I P`oFIMETp� The Town of Barnstable BARN�STABLLE. Department of Health Safety and Environmental Services MASS. a P y 1679 `p0 prED MPS a Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection rru Location [ 99 (',rL•:�,,; (� Bea, pe,-1 Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. J g P The following items need correcting: Z � LI -, � I t � J' G ru S lt;;�l)6.1" f12e � r' b Or �y�> 6�'r G r r �.r.S 3) G, r ers `N �as e m ,k Y Q B F E Yy+y51 UJC'-4�fr` Jr-Ps t C Please call: 508-862-40-3-9 for re-inspection. Inspected by Date 411�` � ' Ms.Mary Bailey Hash May 30,2007 the top of the footing). A 6"x 6" - W2.1 x W2.1 welded wire mesh should be placed mid-depth of the slab to help prevent cracking and segregation of the slab. It should be noted that this slab is designed solely to restrain the base of the wall, and has not been designed for buoyancy forces due to a flood event. We trust that this report fulfills your needs at this time. Please do not hesitate to contact us with any questions regarding this matter Very truly yours, y q*t GFIAq COASTAL ENGINEERING CO.,INC. JAMES E. HOLMES STRUCTURAL No.4663 ��ames/Holmes,P.E. JEH/dlb IA D:IDOCIC1690011 69151CorrespondencelReport 5-30-07.d6c 4 A�q1 i JoB � �l C ICo�IS c7tJ OASTAL SHEET NO. OF NGIld]!tING CALCULATED BY �` DATE 0MPA1\ ,]NC_ CHECKED BY DATE 260 Cranberry Highway,Orleans,MA 02653 `5 508-255-6511 Fax:508-255-6700 www.ceccapecod.com SCALE. , i I } ` } t (4.4.1�_�lT_.� � ' kZ__ C w_ ___�X15`"�_ __;_poi rnlc�4Tl� iiL f ; I _ S' _ Iq CTUl A^� 35' ST ' + -ra c ; �ca.�►c? IaNL �� j+ r , i + + { y✓4L_� -- Lr s 1 , 1 _ ___.___i_____E_ {..._.r__Y____ _ _ ___ _ , , I t _ i �^ (�q?cF'� Sit' Sd , : I � - P r_ __ . _ + r i i f i I , r-� y i ir { castJii+•E � ; - ,_ M1 + .x__ _.: _ _ I L � t : }___.__i______t I. I ! o t + t + on.:,r from NEBS CUST�-IW°.printing service �B4Ogne.532; NE6S,h:.+m„o;+.MN.C}47� •.a..:v,.rebe.corn ae;.ra,,:r i6r is JOB �� :H A,-, OASTAT 2 . SHEET NO. OF J NG 7� M CALCULATED BY DATE /mod OMPA ,INC CHECKED BY DATE 260 Cranberry Highway,Orleans,MA 02653 `r 508-255-6511 Fax:508-255-6700 www.ceccapecod.com SCALE FO • ; t ,#z � s �� CRY__ _ sQ�� 4Ly '��T�"I?/� — -' - } , ' , } _— r 4 ' ! { t 1 , __ST�JYn `_`---'�t-- ` a�r� off_s ,V i =log ntilt�i e 3 D ; 1 i 4 S s t i I 7 ---.- --.-__ ! S , • i f + , " 4 ! n 0 . -- - + _ �f 1 `r r TI f s s _,_ f , t , D ►.�, .� �r �� __ sir« T ± i { 3 1 s / LI " , r , ?`- _ I ; , �♦y� } `I 1 ! V v! Y i , , t t s i ! t teon pr Frain NE85-CUST&M-printing service reoo-88e-5927 NEf?S,;r;�.,rotor,.M1nk.^.•tar, 'rne'a.eLUs.a:r, tiar.,.:::r;_seaoWa� OASUA_��I JOB L SHEET NO. OF NGPgEEMG CALCULATED BY DATE ONFA ,INC CHECKED BY DATE 260 Cranberry Highway,Orleans,MA 02653 /✓� S� 508-255-6511 Fax:508-255-6700 www.ceccapecod.com SCALE N t , 4 f , 1 , , t , 3v b ,Z4 , I , —_ __—. — L' q`I2 � Z y, V t'j f ! —_T_ 60 z ' I , I ' F211 01pvO ,� � z. ��' �o c� j r �Rs "�l�f[L �1 10 Gd�l fR apt, � �,_.. �t a � i t 4 fl arm t , _ QI.E e _lam —< --------- -- •-— ! ------------ , f ' t , —, ! '?Cp ! z . U 1 i i t V - _ - , 1 l o�tv �74ti/__I i r , ecrJs.,ran NEBS CUSTC-M"printing senke t-+;W-888-532i NE63.Inc Grot,-m MA,01471 fvvllwl .Mc,)M ` _ Ra;r�o.r ��FF 4r,•�a 05!30/2007 16:39 FAX 508 255 6700 COASTAL ENGINEERING Z001 bl �- t(ONAASTAL GT�IEERING i�t'i' l CiF B DNS`ABl ET N ITTAL WAY,INC. 2001 MAY 3 f k 7: 45 260 Crwioerry Hwy.,Orleans,MA 02653 509-255-651 1 fa)u 508-255-6700 iw%rv,ccccapecod.corn To: JeffreyLouzon — = lj�T OS-30-07 Project No, C1.6915.00 Barnstable'Building Depanment Via: Yst Class Mail Pick up[]Delivery[]Fed Ey Via Fax: 508-790-6230 Phone: Fat: 508-790-6230 Subject: Mary Bailey Hash ) No.of pages to follow: 5 1199 Craigville Beach Road Centerville,MA Plans Copy of Letter Specifications ®Other We are sending the f—ollloowing items: Co ies Date No. i Description_--- 1 05t30r07 Str_actural Evaluation Letter -- 1 OV23107 Calculation Package 3 sheets) These are transmitted as checked below: Ofor approval []for your use Oas rcgaested for review&connment [] Remarks: cc, By; David A.Morand,P.F-, SECB DANilsms oTE:IF FNC.LO$C S ARE NOT AS NO TL+'fi,•PY.,E+ASJE CONTACT US AT(508) 255-6-511. Or1CJOCClG9001169151�'.7rrespy»rde�r�'T,"ansrriiztall.o:�:nrr OS-30•t)�,d�c 051/30>'2007 16:40 FAIL 508 255 6700 COASTAL ENG'INEERI:NG Z002 UASTAL NGINEERING ONIPAN Y', INC. 260 Cranberry Highway(Rte.6A.),Orleans,NIA 02653 ww,ir.Coasta]Engitwo.riiigC:oinpany.coni Orleans i()8-255.6511 d Pmviiiectown 508-487-9000 Hyannis 508-778-9600 Fax 508-255-6700 May 30,200" Project No.C16915,00 Ms.Mary Bailey Hash 3944 Baltimore Street Kensington,MD 20895 Re- Structural Evaluation of Existing Foundation Walls at .1199 Craigville Beach Road Centerville,MA Dear Ms,Hash: As per your request,please find the attached calculation package from Coastal Engineering Co. Inc. (CEC). A you are aware, the Town of Barnstable Building Department had specific issues with the as-b tilt concrete bascm.t:nt foundation walls at the above rvfc-mneed location. CEC has contacted Mr. Jeff Lauzon with the Town of Barnstable. Building Department to clarify specific issues that needed to be addressed to satisfy the Department. In.brief,Mr.Lauzon stated his concerns due to location of the; basement floor below hood elevation, the proximity of the exterior site reraining wail, and the lack of foundation.vents to allow the flow of water to equalize. In his opinion, this leads to the possibility that a large differential hydrostatic pressure could build up on either sick of the wall. As such, CEC was requested to sho•�v calculations that the as-built concrete foundation wall was adequate to resist these pressures. CEC has evaluated the existing 10-inch thick concrete foundation wall as per Chapter 22 of the Arnericari Concrete Institute code requirements for un-reinforced concrete design. The wall was evaluated under the following two separate Load Cases: 1. interior basement space is completely filled with water, while.the soil at the exterior of the foundation wall is dry. 2. The interior basement space is dry, while the soil at the CxtcTior of the foundation is completely saturated, Althougls somewhat unrealistic, both of these cases are a conservative "worst-:a ," scenario. Load Case 1 results in the rnaxinntni possible outward pressure on the f6uridation wall, while Load Cage 2 results in the maximum possible inward pressure on the foundation wall. As a r sult of this analysis,CEC. has det'en wined that the exiting 10-inch eon',rete foundation walls are adeqaate to resist the pressures-f-oni the above noted load cases,providerl a enrc;reie bus�menz slab is presenr. Cturently, no slab is present in the basoment and as a result, the base of the !Foundation wall could be pushed toward via Load Case 7. To prevent this displacement, the base of the foundation wall needs to be restrained by means of placing a 4-inch (mdilliln'um) concrete slab on ooampacted sub-base, placed at the base,oC the wall (directly above I _ Providing,so1ufiojs1s,fiir the bengfit of our chents and coo munih,■ 05/30/2007 16:42 FAX 508 255 6700 COASTAL ENGINEERING Q 003 Ms.Afaaty Bailey Mash May 30,.2007 the top of.'the footing). A G'x 6" - Vv2.1 x W2.1 welded wire mesh should be placed mid-depth of the slab to help prevent craokmg and segregation of the slab. It should be noted that this slab is designed solely to restrain the base of the wall,and has not been designed for buoyancy forces due to a flood event. We rrust that tlds report fulfills your needs at this time. Please do not hesitate: to contact us with any questions regarding this.matter Very truly yours, T�CFMs,� COASTAL ENCINEERMG CO.,INC. �a JAMES.E, HOLM Cam` G STRU — R°+L James E.Holmes,P-16- 635 JEHfdlb U.1fi0C1CJir9Qi341b9154Corrrs�vnticnC'eiR� art 5-30-OTdac 05/30/2007 16:40 FAX 508 255 6700 COASTAL ENGINEERING lfi 004 aae E -- ®L1S1HY1 SMEETNO. OF r ----- T; T �{J i\�G CALCULATED By..... + DATE "A1`19,.U\C CHECKED BY DATE 260 Cranberry Highway,Odeans,H!A 02653 kg-25S-6511 Fax:505-255.6700 www,c cad.com , , I l :i�`� GA:QNc�r"��} �rr✓-...vlIrt'E�::aT4nlr.�...;-��;tat:..cz��rl;s.'°. .. .. ,.. . ; .. :. I I d�r.,9/ , ' Y t, u.s:4T gyp,,. c i : : .ter T 'TCf .. '7.� I , r ,tJ- , I :,�o'�` 7��?.'r��,...�•✓A.'w5�-..: -��aR,'�E� .'P.� I�c4;�T �'4�-Ca'S�r.... fi��+J . .. I TA � r 95, : : I : r!' _ IV lo ` s qc i it `y sr 'z : I I g i I I 7 , , , A : ! i i i 7 .. I-�••�`1 {r� i I , , _..moo : : I „�,...,..,.,.,Uses n,tr�.:w'•orinrl„i,.rndr. ,.n,.�.anu.rn.+r� lJr:nc+:. -n., :.•. 05/30/2007 16:46 FAX 508 255 6700 COASTAL ENGINEERING �005 Jog�� _ I��ts u rA a.' L StICETNO. - I�! OF:�..�--+-- /NG IMG CALCULATED BY DATE -J•�:7 1 "ANY,NC. CN6CKED BY_ —. DATE M Crauberry Highway,Orleans,MA 02653 508-255.6511 Fax:508-255-6700 www.ctccotcod.com scat —` I , r i 'I _....._...... _ _......... _ i I s�fL. !S�Z�/� GiLaC �il[� ii s ,p : I I i : — i s I ' ! d�V : I !: I ! I , t i 1 •( I i : , ... ... ... � ....._.....Ian:..:...�....._.-.:.._.....�...�:.....: ................... ... .. "I , I I r , I 1 I 05i30i2007 16:49 FAX 508 235 6700 COASTAL ENGINEERING �j006 JOH-'7 '� OASTAT� 2 WORMY SHEET NO.�.� �.-��.{� �F � 1�G 1`T Y CALCULATED BY-- DATE , —_ lA4' ANl;il`i.. C`1ECHEO.By - DAT'E.-- 260 Cranberry Rlgbway,Orloans,VIA 02653 SCALE 508•?—Q5.6511 Fax:508-7S54700 www cep .cod.com , r _ I , i. � 1 , • z. l O a r , i r y'� •�- re I i f i r I ....Y ll , . �jc�`rl��.. I Q�l,74T� ��•v'�`? .�r�>e'Jd U •"t-�r,'cr'�-- �r,.••rrti .. �l�'w,�. G��... . ..,-'�`1]_) I it 1 . 1 - I 1 1 +.. \ r,' - H G+, •n 1 FIB. �lyi'M V�?-Tlc.ham y�!t'�? I_:. cF•�':�`rivaSra� • .r- 11__ i � l i�j'�'T' �`r�t 1 roc.. ... .Y`�"� "1�'.{r F?.. �.-'F�.. .�` f i 4 y y ; , I , , �n'may� ;�`cr-` ' Cc,�`1 T� i.� 4t�,. ,►rt I 'P I i U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 'Federal Emergency Management Agency Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use Al. Building Owner's Name Mary B. Hash Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company tJAIC Number 1199 Craigville Beach Road u City Barnstable(Centerville) State Massachusetts ZIP Code 02632 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel No.053 as Shown on Barnstable Assessors Map 206, Certificate of Title#177258 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude:Lat. 41-38-23.97 Long. 070-20-44.68 Horizontal Datum: ❑NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 2 A8. For a building with a crawl space or enclosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 1600 sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number 62.County Name B3.State Barnstable-250001 Barnstable MA 134:Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 0008 D Date Effective/Revised Date Zone(s) AO,use base flood depth) July 02, 1992 A10 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item 139: ❑X NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12.. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes X❑ No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on:. . ❑Construction Drawings"` X❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized M 28 QS Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 4 5 ©feet ❑meters(Puerto Rico only) b) Top of the next higher floor 12.1 ©feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) _©feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) _❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 5.5 Q feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) design=10 0 Q feet ❑meters(Puerto Rico only) g)' Highest adjacent(finished)grade(HAG) design=10.0 0 feet ❑meters(Puerto Rico only) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code,Section 1001. f}fiIS 0 ,G�,, X❑Check here if comments are provided on back of form. q v� Certifier's Name Richard R. L'Heureux, RLS License Number ? S 34312 1 .. Title Company Name Registered Land Surveyor/Owner CapeSury Address City' State ZIP Codes 7 Parker Road Osterville MA 02655 Signatur Dat Telephone CAS'of 6 (508)420-3994 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions _IMPORTANT: In these spaces,copy the corresponding information from Section A. For.Insurance Company Use :'Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No: Policy Number; 1199 Craigville Beach Road City State ZIP Code Company NAIC Number Barnstable(Centerville) Massachusetts 02632 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT.CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments The structure was under construction at the time of these observations. Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B. and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is _❑feet ❑meters ❑above or ❑ below the HAG. b)Top of bottom floor:(including basement,crawl space,or enclosure)is _❑feet ❑meters ❑above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ._❑feet Elmeters E]above or below the HAG. E3. Attached garage(top of slab)is ❑feet❑meters ❑above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) . or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date _ Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions I Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 1199 Craigville Beach Road City State ZIP Code Company NAIC Number Barnstable(Centerville) Massachusetts 02632 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. Front View(east side)-Taken April 05,2007 nu fill n - 4� 6 } k Right Side View(north side)-Taken April 26,2006 i OASTAL NGINEERING OMPANY, INC. 260 Cranberry Highway(Rte. 6A),Orleans,MA 02653 www.CoastalEngineeringCompany.com Orleans 508-255-6511 Provincetown 508-487-9606 Hyannis 508-778-9600 ■ Fax 508-255-6700 May 30, 2007 Project No. C16915.00 Ms.Mary Bailey Hash 3944 Baltimore Street Kensington,MD 20895 Re: Structural Evaluation of Existing Foundation Walls at 1199 Craigville Beach Road Centerville,MA Dear Ms. Hash: As per your request, please find the attached calculation package from Coastal Engineering Co. Inc. (CEC). As you are aware, the Town of Barnstable Building Department had specific issues with the as-built concrete basement foundation walls at the above referenced location. CEC has contacted Mr. Jeff Lauzon with the Town of Barnstable Building Department to clarify specific issues that needed to be,addressed to satisfy the Department. In brief,Mr. Lauzon stated his concerns due to location of the basement floor below flood elevation, the proximity of the exterior site retaining wall, and the lack of foundation vents to allow the flow of water to equalize. In his opinion, this leads to the possibility that a large differential hydrostatic pressure could build up on either side of the wall. As such, CEC was requested to show calculations that the as-built concrete foundation wall was adequate to resist these pressures. CEC has evaluated the existing 10-inch thick concrete foundation wall as per Chapter 22 of the American Concrete Institute code requirements for un-reinforced concrete design. The wall was evaluated under the following two separate Load Cases: iY 1. Interior basement space is completely filled with water, while the soil at the exterior of the foundation , wall is dry. 2. The interior basement space is dry, while the soil at the exterior of the foundation is completely saturated. Although somewhat unrealistic, both of these cases are a conservative "worst-case" scenario. Load Case 1 results in the maximum possible outward pressure on the foundation wall, while Load Case 2.results in the maximum possible inward pressure on the foundation wall. As a result of this analysis, CEC has determined thatahe existing 1'0--inch concrete foundation walls are adequate to resist the pressures from the above noted load cases,provided a concrete basement slab is present. Currently, no slab is present in the basement and.as a result, the base of the foundation wall could be pushed inward via Load Case 2. To prevent this displacement, the base of the.foundation wall needs to be restrained by means of placing a 4-inch (minimum) concrete slab on compacted sub-base, placed at the base of the wall (directly above ■Providing solutions for the benefit of our clients and community■ A V TT 11 WA .v saa 9A1.7 br4-j- 1Z.egulatory Services Thomas F,Geller Director Joss. $ e 9�'pT�c► ,�� _ Building Division Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 yww.town.b arnstabl e,mma.us ice: 508-862-4038 Fax; 508-790-6230 permit no. Date AFFIDAVIT HOME MROYEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c' 142Arequins that the"reconstruction, alterations,renovation,repair,modernization, conversion, improYement;removal, demolition,or construction of an addition to any pre-existing owner-occupied ; bg containing at least one but not more than four dwelling units.or to Structures which'are adj acent to such iesidenee or b0ding be dome by registered contractors,wiL certm exception,along with other requirements. . Type of work: �. » i/°6 � Estimated Cost Address of Work: Oyrner's Name: Date of Application I hereby certify that Registration is aot required for the following reason(s); []Work excluded by law []'Job Under$1,000 (Building not owner-occupied Owner pulling own permit Notice is hereby given that: DWnis pUL1JNG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME WROYENIENT WORK DO NOT HAVE ACCESS TO THE ARBITRATIONPROGRAM OR GUARANTYFUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF P$P JURY I hereby apply for a permit as the agent of the owner; 3 0 2 13 5-Z Date Contractor igmture Registration No. 0 - Date lowz s Si ature Q;yt'P'zles.forrns:homeafitdxY • Rev: 060606 f izs�r°rY�)t -.•ate. _ ... N _ — (t:11JI}IT[ON.AL.WORK SHALL BE iiNIi)EIYl;1Kk""ti ' (;t'Ct\1'ilESLi E'RF_I19[51;S.ORTHE PREMISES � <x f E't'iI_f)UtiTI[.'['IIP HBO}'E VIOL✓Vl'll>NS ARE CORRF'C I E D. . I'EfZ., JON Rl MOVING TlilS NOTI!'li N ITIIOZ I" , PROI'I�,R t�L TIIORI"L�ITION S ALL BV L1.A.BI1s. TO A FINE OF NOT LESS THAN I'Iti'Tl',NOIL MORE FHAN ONE HUNI)IRED I)OLLARS. w '. lddres- �T; - imic --- ' P g ng C SmmAs ioncs � p1S I� -„�� =` ...�... .. �-- .•.<:x- erg. ,� '�- ties rrr� Pon- iiiiijilli of • `a 'fir„Nw pp 'mp1�Gl.. ,xrc swc}, ie �L. • . , y ;?a � f , � `t��J ter k��.' �•__'�' + ' ' t I he C.'ommonwealth o f Massachusetts Department of Industrial Accidents W Office of Investigations. ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation Iitsurnnce Affidavit: Builders/Contractors/Electricians/Plumbers Applicant][reformation Please Print Legibly Name(Business/Organization/Individual): . : ,4 Address: 9i9 City/State/Zip:_ �'�7�t� ` ��.<, Phone:#: �O/. —� 2 —2Z.) CJ Are you an employer? Check the'appropriate boa: -Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I employees (fall and/or part-time). have hired the stab-contractors 6.. New construction . 2.7 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 working for me in any capacity, employees and have workers' 9. []Building addition [No workers' comp,insurance comp. insurance.t required-] 5. 'We are a corporation and its 10.❑Electrical repairs or additions 3. I am ahomeowner doing ill work officers have exercised their 11.❑Plumbing repairs or additions myself. o workers' co right of exemption per MGL y � �• - 12.❑Roof repairs insurance required.]t c. 152,§1(4), and we have no employees. [No workers' 13:❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing ail work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees: if the sub-contractors have employees,they must provide their workers'comp.policynumber. I am an employer that is providing workers compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self ins.Lic.#: 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 maybe forwarded to the Office of Investigations of the DIAA-for insurance coverage verification. �. f I o hereby cert' nd r the pains and enalties of perju thaf the information provided above is true and,correct,' d" .Si afore:. Date: Phone#:' Official use only.. Do not wrife.in this area, to be completed by city or town offfciaL City or Town: PermitlLicense# Issuing Authority(circle one): �) 1..Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other ContactPerson: Phone#: Information and InsAructions 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 hiie, 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 =ec IPT nr t,u� ee of an individual artners 'p, 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 rene`val 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 insirance 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 orpartners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required, Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or.license is being requested,not the Department of Industrial Accidents., Should you have any questions regarding the law.or.if you are required to obtain a workers.'- compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials. Please.be sure that the affidavit is complete'and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all•locations'in (city-or town)."A copy of the aff 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 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 fo any business or commercial venture (i.e. a dbg 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 can. The Department's address,telephone-and fax number: f,-Comm,ouwt,-dth of Musacl=tts Qffice of Investigations. 600 Washinatt6 Strea Boston,ILIA 0.2111 TeI,#617-727-490.�-ext 4.06 or 1-377 MASSAFE Fax# 617-727-7749° Revised 11-22-06 WWW'Mass.go-v/dia oFtHKE,� Town of Barnstable Regulatory Services swxxsrns Thomas F.Geiler,Director MAW. ,�� Building Division if o �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: U �j,, 9 ` JOB LOCATION: CC,4 c)o!`E A � 0.Xd /� d° number ^" 1 street village "HOMEOWNER": ( 1�t��I l�(�� 3D(- Ga V j 3,G� 1 S SQ_ll CIL name q home phone# work phone# CURRENT MAILING ADDRESS: ( L/ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner".shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit, (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirement . / Signature oftomeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner.shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt BOISE' Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamT1301 BC CALC@ 9.3 Design Report-US 1 span I No cantilevers 0/12 slope Friday,April 06, 2007 10:27 Build 057 File Name: M Bibbo_Hash.BCC Job Name: HASH Description: GABLE END#1 Address: 1199 CRAIGVILLE BEACH ROAD Specifier: City, State,Zip: CENTERVILLE, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: a 1 i 08-00-00 BO,3-1/2" B1,3-1/2" LL 160 Ibs LL 160 Ibs DL 377 Ibs DL 377 Ibs SL 120 Ibs SL 120 Ibs Total Horizontal Product Length=08-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 08-00-00 40 10 01-00-00 2 Trapezoidal (plf) Left 00-00-00 40 n/a 04-00-00 80 n/a 3 Trapezoidal (plf) Right 00-00-00 40 n/a 04-00-00 80 n/a 4 Unf.Area(psf) Left 00-00-00 08-00-00 15 30 01-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 1221 ft-Ibs 7.6% 115% 2 1 -Internal Completeness and accuracy of input must End Shear 495 Ibs 6.8% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. U3641 (0.025") 6.6% 2 1 output as evidence of suitability for Live Load Defl. U8884(0.01") 4.1% 2 1 particular application.Output here based 0.025" 2.5% 2 1 on building code-accepted design Max Defl. Span/Depth . 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 - or BO Post 3-1/2"x 3-1/2" 657 Ibs 7.4% 7.2% Spruce-Pine-Fir ask questions, please call (8 B1 Post 3-1/2"x 3-1/2" 657 Ibs 7.4% 7.2% Spruce-Pine-Fir 00)232-0788 before installation. BC CALCO, BC FRAMER@,AJSTM, Cautions ALLJOIST@, BC RIM BOARD- BCI@, SIMPLE FRAMING Column at Bearing BO analyzed for bearing only, column analysis has not been performed. BOISE GLULAMT""SYSTEM@,VERSA-LAM@,VERSA-RIM Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are Notes trademarks of Boise Wood Products, Design meets Code minimum(U240)Total load deflection criteria. L.L.C. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b d� a c a minimum=2" c=5-1/2" b minimum= 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam\FB02 BC CALCO 9.3 Design Report-US 1 span No cantilevers 0/12 slope Friday,April 06, 2007 10:27 Build 057 File Name: BC CALC Project Job Name: Description: GABLE END#2 Address: Specifier: City, State,Zip: , Designer: Joe Madera Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc: 2 3 ��y a . �N �r, ��. 08-06-00 1/3 60,3-1/2" B1,3-1/2" LL 170 Ibs LL 170 Ibs DL 328 Ibs DL 328 Ibs Total Horizontal Product Length=08-06-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 08-06-00 40 10 01-00-00 2 Trapezoidal(plo Left 00-00-00 40 n/a 04-03-00 80 n/a 3 Trapezoidal(plf) Right 00-00-00 40 n/a 04-03-00 80 n/a Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 1007 ft-Ibs 12.0% 100% 1 1 - Internal Completeness and accuracy of input must End Shear 407 Ibs 8.4% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. U1845(0.052") 13.0% 1 1 output as evidence of suitability for Live Load Defl. U5700(0.017") 6.3% 1 1 particular application.Output here based Max Defl. 0.052" 5.2% 1 1 on building code-accepted design Span/Depth 0.05 n/a 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 BO Post 3-1/2"x 3-1/2" 498 Ibs 5.6% 5.4% Spruce-Pine-Fir or ask questions,please call (800)232-0788 before installation. B1 Post 3-1/2"x 3-1/2" 498 Ibs 5.6% 5.4% Spruce-Pine-Fir BC CALCO, BC FRAMER@,AJS-, Cautions ALLJOISTO,BC RIM BOARDTM, BCIO, BOISE GLULAMTM" SIMPLE FRAMING Column at Bearing BO analyzed for bearing only, column analysis has not been performed. SYSTEM@,VERSA-LAMO,VERSA-RIM Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are Notes trademarks of Boise Wood Products, Design meets Code minimum(U240)Total load deflection criteria. L.L.C. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b d a r � c a minimum=2" c=3-1/4" b minimum= 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 BO1SE- ' Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Roof Beam\111301 BC CALCO 9.3 Desigrf Report-US 1 span No cantilevers 0/12 slope Friday, April 06, 2007 10:27 Build 057 File Name: M Bibbo_Hash.BCC Job Name: HASH Description: EXTERIOR WALL Address: 1199 CRAIGVILLE BEACH ROAD Specifier: City, State,Zip: CENTERVILLE, MA Designer: Joe Madera Customer: Mark Bibbo Company: Shepley Wood Products Code reports: ESR-1040 Misc: �o 12 2 110 /� „ 08-00-00 BO,3-1/2" B1,3-1/2" LL 80 Ibs LL 80 Ibs DL 237 Ibs DL 237 Ibs SL 240 Ibs SL 240 Ibs Total Horizontal Product Length=08-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 08-00-00 15 30 02-00-00 2 Unf.Area(psf) Left 00-00-00 08-00-00 10 10 02-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 991 ft-Ibs 6.2% 115% 2 1 - Internal Completeness and accuracy of input must End Shear 406 Ibs 5.6% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. U4462 (0.02") 4.0% 2• 1 output as evidence of suitability for Live Load Defl. U7773 (0.012") 3.1% 2 1 particular application.Output here based 0.02" 2.0% 2 1 on building code-accepted design Max Defl. Span/Depth .5 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 - or BO Post 3-1/2"x 3-1/2" 557 lbs 6.3% 6.1% Spruce-Pine-Fir (8 ask questions, please call B1 Post 3-1/2"x 3-1/2" 557 Ibs 6.3% 6.1% Spruce-Pine-Fir 00)232-0788 before installation. BC CALC®, BC FRAMERO,AJS-, Cautions ALLJOISTO, BC RIM BOARD- BCIO, BOISE GLULAMT"" SIMPLE FRAMING Column at Bearing BO analyzed for bearing only,column analysis has not been performed. SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. PLUS@,VERSA-RIM@, VERSA-STRANDO,VERSA-STUD®are Notes trademarks of Boise Wood Products, Design meets Code minimum(U180)Total load deflection criteria. L.L.C. Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Member Slope=0,consider drainage. Connection Diagram b d a c a minimum=2" c= 5-1/2" b minimum=3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 L--� Z -- LCC 12734A Ci f�EEK ASSESSORS REF.. lloodeb6 Map 206 Parcel 053 ZONE: 2nd Floor E1=20.8' RD-1 l Area (min.) 87,120 SF (RPOD) Frontage (min) 20' Width (min) 125' ir) Setbacks: 1 Front 30' i 1st Floor EI=12.1' T.O.F E1=11.1' Side 10' Stone (3/4") Rear 10' Footing Top EI=5.5' OVERLAY DISTRICT: ." Footing Bot. EI=4.5' AP - Aquifer Protection District Profile View I+ Salf Mardi �; Datum = NGVD '29 n p n o FLOOD ZONE: ,,��, -------------------------____-, a ; •:rd9e ,\�I, Q Zone A10 (el 11) \li, °gosh a Community Panel No. ali, c`O #250001 0008 D _ __ __ -_.-� li, ?� July 2, 1992 Edge of BVW m as Flagged by °� ENSR 51JAN105 3 �m j •� W I 1 O O I 1 oo I 1 ice Fnd 1 CU 'fir r99 ; o I 3 47.8' F New 1 del, j IP Fnd Top of 35.4' - !�� j Foundation 91.19, Fie j EI=11.1' (NGVD '29) N1�°3805,W ; 1 CFnd Fnd Road �L i N23 3�,g5 a N/FNomiltol Thomas 126 0 , H14/1g4 13V 72 r OA I certify that the foundation g� RICHl1RD � R. �� shown hereon conforms to the LHEUREUX setback requirements of the A 12 Zoning Bylaws of the town PLOT PLAN IN of Barnstable. BARNSTABLE Professional Land Surveyor Date (Centerville) MASS. NOTES: DATE: 04/APR/07 SCALE: 1"=40' 0 10 20 30 40 60 80 FEET 1.) The structures shown were located on the ground by conventional survey methods on (or between) PREPARED FOR: 061OCT106 and 05/APR/07.2. The property information shown hereon w as Steve & Mary Hash 3944 Baltimore Street compiled from available record information. Kensington MD 20895 3.) This plan is not for recording and is not PREPARED BY: CapeSurv to be used for construction layout or deed description purposes. 7 Parker Road Osterville MA 02655 DWG #: C442_1g1 FIELD BY. RRL/WHK/DWB (508) 420-3994 / 420-3995fox U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Mary B. Hash Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 'Company NAIC Number 1199 Craigville Beach Road City Barnstable(Centerville) State Massachusetts ZIP Code 02632 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel No.053 as Shown on Barnstable Assessors Map 206, Certificate of Title#177258 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude:Lat. 41-38-23.97 Long. 070-20-44.68 Horizontal Datum: ❑NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 2 A8. For a building with a crawl space or enclosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 1600 sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION ate B1.NFIP Community Name&Community Number B2.County Name B3.St Barnstable-250001 Barnstable MA B4.Map/Panel Number B5.Suffix 86.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s) one 0008 D Date Effective/Revised Date Zone(s) AO,use base flood depth) July 02, 1992 A10 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on:.. ❑Construction Drawings* Q Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO: Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized M 28 QS Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 4.5 ©feet ❑meters(Puerto Rico only) b) Top of the next higher floor 12.1 ©feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) _©feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) -El feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 5 5 ©feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) design= 10 0 0 feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) design=10 0 Q feet ❑meters(Puerto Rico only) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. l certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. � QF W sq El Check here if comments are provided on back of form. �g w. ! � °F �O �lf3 � k Certifier's Name License Number c t Richard R. L'Heureux, RLS 34312 Title Registered Land Surveyor/Owner Company Name CapeSury �'� _ ,•� `�� Address City State ZIP Code ' ' 7 Parker Road Osterville MA 02655 Signatur Dat Telephone (508)420-3994 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For.Insurance Company Use. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 1199 Craigville Beach Road City State ZIP Code Company.,NA.I.0 Number Barnstable(Centerville) Massachusetts 02632 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments The structure was under construction at the time of these observations. Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑ meters ❑above or ❑ below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is El feet. ❑meters Elabove or below the HAG. E3. Attached garage(top of slab)is ❑feet Q meters ❑above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company_Use::;; Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 1199 Craigville Beach Road City State ZIP Code Company:NAlcNumber Barnstable(Centerville) Massachusetts 02632 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View' and "Rear View"; and, if required, "Right Side View' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. 51 « € � ' O era Itsh5 az x 4 . y t +r z Front View(east side)-Taken April 05,2007 A t N . 1. Fv Right Side View(north side)-Taken April 26,2006 n. Nk e� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION U*� Parcel a S3 �QYn �� ermit# Health DivisionD1 o o— : w - 29 rI6D-ate Issued Conservation Division ��3iV V "wee Tax Collector �� /;�s�/!/ Application Fee Treasurer - C=EP YSTEM MUST BE Planning Dept. 1h, PAR of H TITLE S CE Date Definitive Plan Approved by Planning Board E WTAL�:y .TOWN RE�t1 CODE AND Historic-OKH Preservation/Hyannis NS Project Street Address Village Owner y / Address Telephone 3D Permit Request 0 MA 11VV_ s Square feet: 1 st floor: existing _ proposed 1 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay, µ Construction Type &tT J4el! LOW C-1 Lot Size + Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) t, Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: Yes Basement Type: ❑Full �rawl ❑Walkout ®'Other /tyr <.✓ 1�� .(✓1 v`-4, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ O❑Gas Electric Other Central Air: ❑Yes o FireOil places: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes ❑ No If yes,site plan review# Current Use �Sh Proposed Use r BUILDER INFORMATION Name 64t- Telephone Number - 3 Address License# Home Improvement Contractor# Worker's Compensation# 6 _ 71,N)47 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P JECT WILL BE TAKEN TO ! Gtii SIGNATURE D TE I FOR OFFICIAL USE ONLY I PERMIT NO. , DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE i OWNER I DATE OF INSPECTION: , FOUNDATION, FRAME INSULATION - ` FIREPLACE ELECTRICAL: ROUGH R:r FINAL co� � PLUMBING: - ROUGHr FINAL GAS: ROUGHS ,-� , -, cz FINAL i FINAL BUILDING m o DATE CLOSED OUT E ASSOCIATION PLAN NO. i of � Town of Barnstable Regulatory Services ` s�RNs'AB Thomas F.Geiler,Director 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 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. _ ova Type of Work: F"'" E timated Co Address of Work: Owner's Name: G/ /7141 1 Date of Application: 6 G. s I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND ER MGL c. 142A. =hege D E PENAL OF PERJURI hereby apply for a permit as of the wner: o G Date t Contractor ilame RegistritionNo. OR Date Owner's Name Q:forms1omeaffidav - Oct 12 05 10: 00p Mary Bailey Hash 301-942-6055 p. l iPA- \�e�6.1 fly ik to At �`� 1► it I F b .:� • ' J1 eel 16 ��.� .ram " ��°•'�� i % J F � v l r y 1 yt, 7 r 1 `� Ll 1 •� � r `q! 1 I ' 1 1•�Vr. p �_, r' t� A V- V W j am '�`''`'� • ' 'rows or 888NST8SI+2 1�0 -i— A$Y/QO Os g�GUT $�IPoBT OZQISZOA Ing" =TA= i CBSFR C8. SZ"" 16 ErC- OATZORS�iTZl1IZE EVZDm Iu CplD c� RESIDENTIAL PROPERTY DISTRICT MAP NO. LOT NO. FIRE SUMMARY STREET 1199 Craigville Beach Rd. . Centerville 2o6 53 C-Q 7.3 LAND OI BLDGS. 3 3 G u OWNER Z�-s-�C L�' G `jam-Q.� � TOTAL LAND � ' RECORD OF TRANSFER DATE BK kPGI.R.S. REMARKS: BLDGS. Maher, Robert C. & Thomas F. 2 6 2 TOTAL LAND G 3 0I. BLDGS. TOTAL 1 LAND BLDGS. TOTAL LAND :; ... BLDGS. -. 0) TOTAL LAND BLDGS. TOTAL LAND BLDGS. I TOTAL LAND A INTERIOR INSPECTED: "�l rn BLDGS. -- j -' } !3 TOTAL DATE: �d ��/ 7� ,;i T J 9 , . .--� � �. �!�_-- LAND ACREAGE COMPUTATIOrWS rn BLDGS. ND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUS ZjOOJ C D D / 73 U LAND CLEARED FRONT BLDGS. 01 _. REAR TOTAL WOODS&SPROUT FRONT LAND REAR rn BLDGS. .- WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND �• GaL I S O O BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND oC C ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. LAND COS"r ' ne.Walla Fin. Bsmt.Area Bath Room Base ©LOG. COST onc.Blk.Walla Bsmt.Rec. Room St. Shower Bath Bsmt. 0 PURCH. DATE one.Slab Bsmt.Garage St. Shower Ext. Walls PORCH. PRICE. .� rick Walls Attic Fl.&Stairs Toilet Room Roof 7.!r RENT tone Wells Fin.Attie Two Fiat. Bath Floo ASS iers INTERIOR FINISH lavatory Extra GP a0 smt. F 1 2 3 Sink /O . /y, / Attic 3 3 a{C> s rh r/ Plaster Water Clo. Extra _ ?. I '. EXTERIOR WALLS Knotty Pine Water Only 00.S :/O ruble Siding Plywood No Plumbing Bsmt. Fin. G ingle Siding Plasterboard Int.Fin. Wj Shingles y TILING allC 770 S nc.Blk. G F P Bath FI. Heat 1A 4o --- —J / �/� ace Brk.On Int.Layout Bath FI.&Wains. Auto Ht.Unit 3 ya Veneer Int,Cond. Bath FI. &Wells Fireplace 30 e)Uo om. Brk.On HEATING Toilet Rm. FI. Plumbing SD olid Com.Brk. Hot Air Toilet Rm.FI. &Wains. Tiling /7G Steam Toilet Rm.FI.&Wells lanket Ins. 11,0 Hot Water St. Shower oof Ins. Air Cond. Tub Area Total — — �_--�- Floor Furn. J/0 ROOFING COMPUTATIONS sph.Shingle Pipeless Furn. S.F. ood Shingle No Heat S.F. .3 O I O sbs.Shingle Oil Burner S.F. , v �; . late Coal Stoker D S.F. its Gas S. F. OUTBUILDINGS ROOF TYPE Electric able A Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 ME U ED ip Mansard FIREPLACES S.F. Pier Found. Floor -;-7 ambrel Fireplace Stack 3 i Wall Found. 0. H.Door LISTED FLOORS Fireplace Sgie.Sdg. Roll Roofing � — onc. LIGHTING T! Dble.Sdg. Shingle Root a No Elect. DATE Shingle Walls Plumbing —_ ine Ijf/ t 5_ ardwood ROOMS Cement Blk. Electric sph.Tile Bsmt. 1st TOTAL 3 9 [� Brick Int.Finish ED ingle 2nd `�- 3rd FACTOR j J�/ e�e `. REPLACEMENT NS3G.S� OCCUPANCY CONSTRUCTION SIZE AREA CLASS �A7GE REMOD. COND. REPL. VAL. jy.D PHYS. VALUE Funct.Dep. ACTUAL VAL. - WLG. SG / 7S0 2 3 4 5 6 7 9 _ 9 10 ' TOTAL IOPERTY ADDRESS I ZONING (DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE I PCS I NBHD KEY NO. 1 CLASS 199 CRAIGVILLE REACH R 10 RD-1 300 1000 07/09/95 i041 Uii 4314A �R2'JltS 053 9 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T 49 Lana By/ S'ze D�men<�on v UNIT ADJ'D.UNIT ACRESIUNITS VALUE Descti t A N t R� MAP- 1�LOC./YR.SPEC.CLASS AOJ. COND. PE PRICE PRICE pion R O L E RT C eo. FF-De m/Actes #L AND 1 34,300 r- CARDS IN ACCOUNT - 15 1WATERFNT 1 X ..508=14 1501 79999.95 167999.98 .50 84J00 43L0G($)--CARD-1 1 143o000'' 01 OF 01 16 lWt(LAND 1 X .52 =10C 146 1000.0 c 1460.00 .52 300 MOTHER FEATURE 1 3,60n CST 231400 .rPL 1199 C I:AI GVL 8CH ARKFT 349600 (9ATH5 2_1 U X i 5= 100 12000.0 12D00.00 1 .00 12JJb J :;;2R 0 ;b9 G>?'� iNCJIbIE A F& 3S+1T $ Xi= 100 3.91 4.91 442 22+JU-3 USE LACE U X �= 100 390i.00 3900.010 2.00 73JU 3 jAPPRAISED VALUE TEXT FIREPL U x 100 1700.(i° 1700.00 3.00 51UU .1 A 231.40C J ; u RG1 DETGAR S 22 X 20 I 192. F= 20 19..3 8.10 440 35J0 F iPARCEL SUMMARY j , A h D 84800 S I =:LOGS 143000 T O-IMPS .3600 M I T TAL. 2:3140C E ' j rucT I DEED REFERENCE Type DATE Retlp,tl. R 10 R YEAR VALUE T Book Page MO. yr D S.les Price N 1 84 O I1 f S I j C35124 �)0/00 LD16S 1446C6JI0C; TOTAL 23140C I BUILDING PERMIT Number Date TyI m Amount j LAND LAND-ADJ INC+E SE j SP-SLDS FEATUR=S rL D-ADJS U;'JT'TS 84600 � � � 36GGI 2270G I Class Const- Total Base Rate Atl.Rate 'Bt, A Norm. Obs� T U-. L'ni,s �Ar a , 3e, C.ntl% CND Lot, ao q.G Repl Cost New Atl, Real Velue Storie_ ..,go, Rooms F3ewt qms.Baton /Wiz. f Patywall�K. 018 0100 115 115 70.75 61 .36 20 70 24 74 100 74 193252 14.500J 2. ) 9 ff 4 2.1 9.0 _v l_a on Rate Square Fee, Repl Cost MITT.INDEX' 1'J IMP.BY/DATE. / SCALE'. 1100.5 2 ELEMENTS CODE CONSTRUCTION DEl'AIL JO sl .36 884 71922 0KUSS . 5 z Z)I N UL t q E L L i L N 5, jr i U FJP 35 23.43 176 5012 N *-8-*----20---* "TYLi 1J. LD STYLE (! 1 U A 105 85.43 564 481F,,3 1FOP10 1 U A ! L GF ;DJ%17 J3) ' S.IGN 95JUS7 FOP 35 28.48 80 2278 ! ! 14 XT- R.-WAILS JTA-J-65-THAN ---,1 620 60 46.62 zi34 4.3157 *-8-* ! ErAT✓AC-TYPE 3u ------------------- �I 18 ! 1hTzR.CIYJ0T- 72 I Vl_ER.7l+f6RAA1------ ! 14 I R7c .4d.f/"LTY -J Aif= AI rXTEW ! ! F LD-i T:;UCT- -+J1 .,1J-0 J-D-I;3T--------. D � CJ_j; :D vER 11; ----------- I E TotalAreas A.. 255 Base1448 *-S-* D20 ! 2UD T7PC---- -J . ----------------- _n BUILDING DIMENSIONS !F 0 F 1 L (_ ��T 1_- ',.�T U ;� !�T------------ T ( r' OAS W54 tr_4 fO-Pi DS S22 EJ3 N22 ! ! 0JWJATZtnT -U? -UU4EO COIVC----- A77 'I ._ 5AS NO2 E34 1UA W09 Y13 FOP 22 24 CASE 26 -- - --- - - --- - -- 1 N10 EJ8 $10 «1J5 lUA E03 N10 ! ! ! - ---iV�-1 70FH )u 7+3WA TEhTTETrVICCF - L E20 S14 W10 S'14 W09 3AS S26 ! ! ! L.AND TOTAL MARKET 820`N26 W34 S26 E 3 4 _. ! ! ! *-o-*--------a4-------X ARC A 106400 VARIANCE +0 +11 ? ;T'A`4DARD 25 Engineering & ivan Consulting,Inc. John C. O'Dea, P.E. john@sullivanengin.com (508)428-3344 • www.sullivanengin.com P.O. Box 659, 7 Parker Road, Osterville, MA 02655 s 'Aue ` } z MEN,,, �a ,F y x i •awi;anon(aol no%juegl -wooapaq aool3 3s'ig aqj jo fed uMogs aaeds aoiaaixa aqj SuiNew Su:laap!suoa aie affi Z Malnaa uolsslWWO:) uoilemasuo:)aaSSul 1! pinoM uoilepunoj juaaana aqj uo pue}ooi aqj aapun uMogs aaeds aqa asopul o;asoga am 11 •Alaadoid aqj uMo am_Begj Mou/uinbui Aw of a}elai Aagj se noA puas o;In jdlag aq Aew sgdejSo;ogd oMj asag;jgSnogj pue Suivaow siq}aapea I!ewa:)lon a not dal •Suluaow poop 'ugof pabbel� :snjejS 6elj Ajinbui a11!nae1uaD peo21 gaea8 a11!n61eJD:66TT :;:)afgnS al!"DIFE) eaegae8 :>> uaoa'uibuauenullns@ugof :ol Wd 817:L 8TOZ '6T aagWanoN 'Aer•uo1N :lugs <woa•dnoa6sjaoMu6lspaluaaq> Mogal pieung :uaoaj eaa.0 u4of . Z o 060ydi L198-Z6S LZ9 a:)i}}o Z6ZO-t Z6 LT9 Sul 'dnoag sNaoMuSiS mogal pieuaag F Aw g i T t ie�a r 011 It it ilr rr x �� 4 s :.k Legend a ► rilk - "v FEMA 2014 CBRS&OPAs -• '' � ®COASTAL BARRIER RESOURCES **.. 20706d SYSTEM /l23 OTHERWISE PROTECTED AREA _ 2014 Flood Zones 20608,5.%. 93 VE-Velocity Zone _ - .�AC F � � �AE-100 Year Flood /iG 1" t 20608'5002 � ;` #'6220 0 A0-100 Year Flood - 1:,.;. L �` �,4 06054 ,. l 7 .,,. 41210 - _ 5 13 0.2%Annual.Chance Flood 0 Open Water Parcels Town Boundary ` Railroad Tracks Building s - "- ,.'c, '"" � In Approx.Building v, [o-rl Buildings Painted Lines I ` Parking Lots 13 Paved 206065 w Unpaved �5 r `� L Driveways h k v, L, 206085001 `--r 0 Paved �. #1204 "�0� .. 'i t "4 Unpaved Le Roads 0 Paved Road - ,. L 12) '•� 0 Unpaved Road - ° N. 0 Bridge , Paved Median EStreams 4 , w a __--. Marsh = EL1 0 Water Bodies x"� 17 206®87 .v `- 20605plive River Map printed on: 11/20/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA o26oi O 83 167 0 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 83 feet cartographic errors or omissions. gis@to wn.barnstable.ma.us _ STANIP CONTINUOUS 2xb P,T. SILL - PLATE/SILL .IN5UL, w/ 1/2" DIA GALV. A.$, CID 6'-0" O,C. t �, a8tl a'NIGH ; . PLOOp PANEL. _ CELLAR SASH-TYP. PORITZ a RETAININGCONC CONC. WALL ON WALL 20"x 10" GONG, FTG. w/ 2"xA" CONT, KEY z Q 09 VERT. 686" D.C. Z CIS 24'xI2' DEEP O /ex —t CONC, FOOTING - - = V 0 L.Ltn Lu O U 8' WIDEx nOUNDATION_ 1s�TAINING_ WALL DETAIL 2' ulGu - - -- tT - PLOOA PANEL - ", • • w { TITLE: Aq f • � � No ' • ASS. j DATE ISSUED: SQO� �r I 07/28/04 REVISIONS: FLOOD ZONE REOUIREMENTS Ia-o" 9'-0° 20-0" - FLOOD ZONE AIO(ELEVATION 11.0) - PROPOSED TOP OF FOUNDATION(ELEVATION 11.0) DRAWN SY: sD -DESIGN CRITERIA-"IL30 GMR- 510-1.5.5 PROJECT#: (I SQUARE INCH OF OPENING PER I SQUARE FOOT OF FLOOR AREA) R-20002 ' CRAWL SPACE = 1,591 S.F. (1,541 50. INCHES REQ'D);OPENIN65 PROVIDED = 1,125 50. INCHES DRAWING NO,: OO N LAN F UDAT I ON P -THE BOTTOM OF ALL OPENINGS SHALL NOT BE HIGHER THAN 12 INCHES ` (305MM)ABOVE GRADE IMMEDIATELY ADJACENT TO THE LOCATION OF -Al THE OPENING. OPENINGS SHALL NOT BE EQUIPPED WITH 5GREEN5,LOUVERS, oI VALVES,OR OTHER COVERIN65 OR DEVICES UNLE55 SUCH DEVICES PERMIT I THE AUTOMATIC ENTRY AND DISCHARGE OF FLOODAATER5 RD 1 Zo 36 —�o—i° b,mo) W P0,, i 5 r 'ya - .__.. �,• ,`rat f,l ,a `. +.y,,.�"f!t '�a�lTf�'yM1. #• a.�i .. � ._ 44 Finished Grade L \ram " r�»'• T8M EI=8.6 NGVD - LoBaranCaetlronLA0910 ri»r4-. '•a �,.? ?S17ff p EaeA End • Threodeed PluqL�r To Conc Nail ; 1i r V1 M-20 Vaive Sox to Grade at Felnals Adapter!! , Ff fee///n9 f rPoure- __- __ -__ i � .•w- /c 3.�,/�J �, �.. t� „� •r",.� ��!11 i �Y�Y�y;t,�µ, » „ 1.5Cu. Conaeap - '>ts' .w�� " a \ ! x Filter LSCu.Ft. �= e S Orifice(T ) o a, Poo Stone Fabric w SleevetoAllow A YP. Movement N d Orfiee Shield I I/4'0 Lateral Conrad A c I I/2"0 Sch.40 PVC 90 e e Elec.Conduit Sweep & Christine E Thpmm A(T P) o » » 4"0 Sch.40 PVC Vent. 244 f(Record) Ctrp 15o74sd9e �., U .. . ( -••� Laterial - I 2"0 Seh.40 PVC 3/4-t I/2 Double /J� ` /� -- -- -- -- -- -- -- -- -- ...- -- - 193'f(Record -\ �OJr„\ Q FEMA Zone Line o 1 A o� Manifold Waehad Stone 1�• Aa ry •I a t ) ....- _-4 \SBB��'43'05 E As Shown on FIRM i E d Y• i (,/� / .... -- Fnd Panel #250001 0008D 1 1 rn _ IF, L SECTION VIEW LCB Rev July 2,1992 3-6 t - ' . *,v� \ Find Find I I 4"0 Sch.40 Peforations b f r / o - 1 A7 - w ant as Shown. '� '\J "-_ • +'."PCri.,;� �.,\ .. O " t ------ ------ --- i II/4°OSch.40 Down ,° a •• O - N O'r E A \ -� {- _ -- ___-_ -� , u PVC Lateral(Typ.l ''�. y �9r~�% O PLAN-rINGS To BE t,N CoNs•uu-rA-rtoN '� „ I -9 (Typ.) Vent t CastlronCover \ • +• '•• O y111C % \NITN C:ONSt=RVATION C0MM\5610t4 1 �l 2 0 Manifold q 33.13' P• Connection. - 6 4'-0'Q.C. p.: . y�•"-Y. / o e I I a•:� Pc4lic l i ° ° ' 1 ` 1 \ D E D a I I La,,dinq ; `+3 o ; �/ ` N PRESSURE DOSE FIELD g I Feld Leachinge s s 20, o m3 Scale: 1/8n= 1'-0" IUF I I n ;,. (D °n - c Cone.Base Qx O Rio°s/90 / D N=z - _ r}ite o, Shield I r>•' •a• O W _ _ i ) 131 ENTIRE BOTTOM OF;^SOIL ABSORPTION I i T 1 O r \ P/ I A 1 ORIFICES ON ADJACENT LATERALS SHALL 60 .� o BE STAGGERED TO BE EQUIDISTANT AS AREA SHALL BE SCARIFIED TO A 1 O a % Jr_ SHOWN ABOVE MINIMUM OF 3 INCHES JUST PRIOR TO i i 1 j o , , Az \ `� u: o TABLE OF DIMENSIONS PLACING STONE Locus 1V+ _ ' DESCRIPTION VARIABLE QUANITY UNIT b i21 ALL ORIFICES SHALL BE DRILLED IN CROWN (41 ALL STONE SHALL BE DOUBLE WASHED. ---- 1t O �� (n FORCE MAIN DIA. OF 2 IN. OF PIPE t Mitch For L - - SCa/e: 1 2,000± t O O /' 1-r VIN Gj<Ap0 / MANIFOLD DIA. DM 2 IN. - Dosing Force Main. r t / Edge of BVW / aK L.l lvt of LATERAL DIA. I I/a IN. Inspection Schedule yame.r �'m seh.4o pvc FLOOD ZONE: A SSA SSO,RS REF.: .. 8aeoin O / Wo IgING '� P Pour I Cubic Ft.Min. \ as Flagged by Pppl P�'` #OF LATERALS N 4 EA. 24 hour minimum notice required phone 509 428-3344 3000PS I Conc. PLAN VIEW Zone A10 (el 11) top 206 ENSR 51JAN105 HouSE `` \ \ ORIFICES PER LATERAL n I I EA. 1. Soil removal to be inspected when excavation completed for each field. Thrust Block. Community Panel No. Pa cal 053 \ A4 e - �!� m #250001 0008 D \ O / / A5 ��` cF p ORIFICE TYP.SPACING S 4 8. IN. 2. Replacement dean sand to be verified at time of bed installation. July 2, 1992 _ y`� w PIPING DETAILS y ZONE: \o O / o j O` tp ORIFICE DIA. Do 1/4 IN. 3. Engineer to inspect shop drilled orifices to ensure size and burl•removal �� _---1 r� : BEGIN OFFSET A 12 IN. 4. Engineer to inspect pump installation,float levels&alarm. Not to Scale RD-1 \\w O 4$/ / - -�"••5 A3 \ Us ' END OFFSET B 36 IN. Area (min.) 87,120 SF (RPOD) \ O ! A6 �� 5P1_1-r RAIL 1 / `L i n) 20 \ O/ / / ��TacG I - - _ OVERLAY DISTRICT: Width(min)Ir125' O / 02 Setbacks: \ j / �� -- - Finished Grade DRAINAGE slots AP - Aquifer Protection District Front 30' \ O 0 I : 1 1l/4"m / J - SH1D-oN As Shown on Pic^ cntit;ed Side 10' \\ Salt Marsh ( i Q / --6 o a so' ,��5 ° rLxl TERA !/4'2 - �- -- ._ . _.._-__.� -- -- - w baEL901"J "Revised Groundwater Protection Hear iv 3 i / r::::::;:;::;':;:::::;: Overlay Districts" - April, 1993 m / +? 1 : w w ..:.; ORIFICE SHIELD Os200 - \ \ / ,O d Q Q• I oA oh v Dye �ie -0 1 II t VC OREOUAL MS INC:' Compacted Filter It a°fDS 40 OREIOU s1sTE I _.:` ohw. 11/4"x 2" _� O r Fill- Fabric ( P Laterial L_e end: oh 7FE Light A7' ��\� / \ \ 3 Pg st t� WetiandoFlog d e& °1r1888oQ .08 `. I/4"0 Holesta"�4-O o. ® Water Manhole \/ �\ FORCE MAIN 2'O " IN 12 o•CLocx POSITION t i A / �r �. °hW hAI` ,-�. oP or urERas O Iron Pipe I I / Fie/os �o >° Poe \ ° 2'0 p Orifice I/8 -I/2 OBE SHOP r IALUED WITH NOTE:ORIACE SHIELDS PREVENT PEASTONE: O CB/DH - Concrete Bound w/Drill Hole \ I w ` L F Flog i o �( p eQr MANIFOLD -Shield - �- O Pea Stone WASHED saJE FROM PLUGGING oltslcE A DPoII PRESS TO ENSURE O LCe - Land Court Bound •° - I UNIFORMITY. REMOVE BURRS 0'117 T°/ : r0 ;Z ti o PRIOR To PLACING PIPE O Guy AIL I a b °hw Q` p\ h \\ 4 1 , -If, 10 N� ..... ... Ci - 3/4 atl I/2 ubl ( wsPECT) Not to ScaleUtility Tree L ENCeJEER To .ORIFICE SHII:L D DETAIL O• 'it Pole 0 .............. MANIFOLD DETAIL „ a Deciduous I -~ Do e .AJ \- ' 1J1 �, __--- \ a 0�0=..� 'S� p7-�,4 Not to Scale _"_.... \ I \ as n W o m \ ! I ----- _ d y �o Washed Stone Ground Water.Dbservations - -- - overhead Wires m \ 2� -- i-i---- 0 1 1 O.: 5 ,_�fit-. r=IN-1 =Ur�nr, -I- Q \ - , I +�`\ Lowr► ,q o �L \ _ _ J _ Date i Ime Elev G.W. Tide --,` --_ ° �s� #1199 � ^A IN. o ? 9, DESIGN DATA 4/20/2005 11:10am 2.84 2.9 H 10:15am y t t �� Sin 4/22/ 1 '54am 2.83 3.1 H 11:46am i I �'s> �W@ll%11 e I J A ��r \ No Garbage Grinder _ -_-_.$ot to ON A`A4 µ 17pm 2.88 0.2 L 5:19pm A < Q 2 S W/f � gle Family-4 Bedrooms tl� , < � \ a 4LL - g o wn o- - Y . 9 e 9P N DOSING CHAMBER VOLUME 4/22/ 5: ! A8R 1 F �}, ��NKCU1 AT\oN S- o u: \ Daily Flow: 4 x II9 d x 200% 880"9Pd 4/23/ 5�1am 2.92 3.1 L 12:28p �c� tP Septic Tank 440 :30pm 2.92 3.1 H 12:28pm 9�4\ �p^I�c o \o Use a 1500 Gallon Septic Tank'. 1.DOSES PER DAY. 4 1RLVMMPL.ANSUNIMIr TALSIXL•I' k A't`J /► 2.AVERAGE DAILY FLOW: 440 d 4/23/ 6,"J5pm 2.96 0.1 L 5:59pm fgCPosBa \ \ m e LEACHING AREA 3.MIN.VOLUME PER DOSE: 110 Gal. 4/24/ 6*.L8am 3.1 -0.1 L 6:26am FuilMoon sm. H O 1 t Qr °ra, % �'�� 1 440 gpd/0.74 = 595 s.f.Required 4.DESIGN VOLUME PER DOSE: 110 Gal 4/24/ 1:10pm 3.13 3.2 H 1:09pm 6:09am / \ \ �• �p'i/ t� oo' Use Bottom Area Only 5.EMERGENCYSTORAGE: 440GaL 4/24/ 6:35 m 3.17 0.1 L 6:39 m sr \ l v�N .`• \ 0 14�x 44�= 616 sf. Provided 6.USE CAPACITY: 1000 Gal. P P Al7ru:ax^sNAMa 5`tEl/Ec�,.1 +R 1 j A S `s 0 4/25/ 7:02am 3.3 -0.2 L 7:09am Controls 11�i c tzr,i c tr't t_L-c � r?60 'RD. 12 p/to17u\ s \ TAOIFCTLOCATION. ED DESIGN 4/25/ 154pm 3 27 3 2 H 1 52pm -\\ � _ �.. LEACHING B '\ �t�c�ERVA. ION A11 Pipes to be Schedule 40 PVC -- -`-��"- -`_'---- ��- 4/25/ 7:17pm 3.29 0.1 L 7:20pm r „ , 1 of t I \ �- _ Ho`� � - z �__ \ Use 4 1 1/4 0 aterlals in a 14 x 44 4/26/ 7;57am 3.29 -0.3 L 7:53am "> \\\ As - ,' .'fir b�_ ..... .- _r A13 Washed Stone Leaching Field as Shown. 4/26/ 7:31pm 3.17 0.1 L 8:03pm IWS project has AlreadX been ix./ eanOrderofConditions ��.�� .-1- './ _..._....._ - ITN T.H.-I LLF•V. Ie,B car - \ , 1,.„ � ---•..� ._...._._._.__��GG•I�A �o.rg \ 0 4/27/2005 8:50am 3.25 -0.3 L 8:39am \ _ _•-_ NOTES 0 ORGANIG/LoAM OR cl• Ow `305 t LEACH �R,COrd� .,� \\\ \ \` / ROOF R Irs FO gXIST ��- �` lo' �- \ \ �- 47.8' uNOF CT R �L„ t-A\A✓NA .R6 \ \\ I. WaterSuPPIYForThisLotisMuniNpalWater. 8 yELISIJ D�*1, seNpy OrdaofConditions 1 \ Yq 1� NZ-�p A T v ,, 1-OA M 10 R 5/G not Yd 1�neA Board of Healf;h Variances Required \ A13ovc S�� No-t�aE \ 2.Location of U ilities Shown on This Plan Are Approx. 23 sLteTM*V \ At Least 72 ours Prior to Any Excavation For This ouvE aaH, me-r>, 310CMR14.211 Minimum Setbacks 3 ` a \ Project The °ntractor Shall Make The Required C SANS z a6Y t, 7Wsplan will beconsideredan �, _._� Cellar Wall 20 feet required; ° `.� O Notification p DIG SAFE-1-888-344-7233. yp4' 0,,e 10 feet \ \\\ 3.The Contrac pr is Required to Secure Appropriate GRouNowA-rt3RC�7 el_ 2,9 provided O i I Permits From Town Agencies For Construction I-ERK No. I o,95S 50feet / -- -- -- -- --•- \ G1r.TE: H 20 \ �- � _3_._ mil_---•--• -•__ , Defined byThis Plan. / /0s Q gVW required O .", - �.�� \ \\ , LESS THAN 2A111 N/1 NC.1•t a 12 feet 25038'__ '� 1r a \ 4.Install Risers as Required to Within 12 of Finished o ig7 .. \ 1 i� Town of Barnstable Chapter360 5.At Structure Buried Four Feet(4) Or More Or wlTtluz53; P. DP_5MAT2AIS,T,O•E+, - " H \\\ \\ \ Subject to Vehicular icular to be H-20 Loading. o ; ^ On-Site Sewage Dlapoaat Systems � n'omos � O 1 1 V Article 1:Location of Components HO \\2 y iQ be Installed in Accordance With Ilk r" Ion 100 foot separation required />s4 ° �d°Osi R°n \ '' \ w 310 CMR 15. 0 Latest Revision And The Town of o 1� W 12 feet provided 21¢ Fens° 1i \ aa' °TI 6 Barnstable t8dard of Health Regulations. 3 ToP of w,.L�lo.o -- te Article Vill: Marginal Lots PLAN VIEW ° =h\ S g Tz�r>t;1,c t�tai.if , 41'eet of dry suitable material above corrected ground water 7� s� 7. All Piping table Sch.40 PVC. r--- approxlmatel 3.2feetprovlded _ `�\ Depth of Inlet m .° ppol= r 1Nlc++cD . g 'YE<_'\SI-1 L31ZN SANDY H + T xl r F.F /.q Y Scale I lt-201 ° 1 S.De Tee Below Flow Line 10°Min. RAD6-LAwN �I OLiVE C3f2N, MCI=. 4 - N-QIE: 1. GREEN POLYLOK RISERS AND 2 Gcirao� ah. , Oat CONCRETE COVER COVERS TO FINISH GRADE, UNLESS OTHERWISE NOTED, GrzouNbwA CCR(0 +=L, L.t?� o 6" BELOW AND BACK FILLED BY HAND FINISH GRADE 2. H-10 COMPONENTS AND SCHEDULE 40 PVC PIPE THROUGHOUT 6"-8" HAND HOLES REAR YARA SECT\ON A-A TO WITHIN 4" OF FINISH GRADE Nn7 To SGALE ELECTRICAL NAND HOLE THRU-OUT SYSTEM - 11.0 POLYLOK RISER & COVER 1 1/2" PRESSURIZED: 10.1 10.0 TO FINISH GRADE PVC LINE „ - pRaF• MULCH COVERING � a 10.0 10.2 10.0 FItiLv FE.NCE� 1 W 1 I/4 (d SCH 40 PVC LATERALS �-O Frio P,FtNlsl•+ep FgoP LEACH a 6.54 6.39 10 G S=1X MIN. - _... _._- ICMAMFp.R AIDI?c ) j2 TnP of P R o P.FOuN0.-1 t.0 >tG[�E L-^wN r ' E-LEV.VARIES .:;.a 6.79 •� 8•S _.. INLET FROM SEPTIC TANK � 6.39 3 VC OUTLET ��""- - t-rrzn rr� 16 » P SG�711 ( _ 1-1/2* FORCED MAIN aIR AC �- AC -� FROM RECIRCULATION TANK AC 1-1/2" PVC FORCE _'cw to -e,F - • TO RSF MODULE �''� - --- -- =Ll 1 I -� - - - _ L : a5Bea•ITS�IZ r, ExIS",' 4j . - ILTER MODULE - L-� _ s FILTER CLOTH T i ' ` • - ITCH LATERALS TOWARD MANIFOLD BUBBLER SYSTEM COVER F -- - - -�- -< Ja es ,;s - r �::• _ _ v r � MULCH COVERING AC POWER 4 HR RESERVE CAPACITY 6.99 ,:;. _ -: - - - - - _ - - - 1 �• ,, �;a�av OMNI RSF BUBBLER SYSTEM supply LocATEO _ 0 1=EAalorvE�wcs,a Z fj� r'r TO•,.aiRVi<D GRf)UtJDWATPR Ems. .-S SCHD. 40 PVC TEES c -„ , xY": I / iy�I HArE+D�HaECAE UI Y7-TINTING .Jr��ES, 1 c,F. _ -• - - - - - <.' II�:_.. m �_ �.{A)-_-A�iTL[1illIiLl LL.,illa, IS.: ,: BEp _ INLET,TEE WITH j i -�.. H,. _._ 1 1E/4ENCONWIT AT NOTES wis HOLES- t°el FR,O nIT VARD 5ECTI OI`t f-a - ZABEL MODELS PVC MANIFOLD _ l - :: AIOO-12x28VCF 7.03 -ill 2 f } PULL Cato-- ALL PUMP FLOATS ARE TO BE LOCATED EFFLUENT FILTER 1 6.7 - i�=L x` d, DRAIN HOLE N AWAY FROM INLET FLOW l_ o 1 _ 2 MYERS PRESSURE DOSING MANIFOLD SYSTEM a. I ; N.' a # j\ FLOAT POLE 1 llf ALL FLOAT T -"- - - - -- ''• • r», ,�: a S 0 HAVE 4" TETHER T i ( ) - cl'1y', .n,�: 21P TIE TYPE X - llj RETURN LINE FROM 6.29 ME40PC-1 r. a . -I c0 FASTENER sa C ax1 s r, • RECIRCULATION TANN PUMPS _ Ln i CH VALVE 2 1. PUMP ON/OFF °,u"•0 5�1z'coNr =r=AI'� GENERAL NOTES 1500 GALLON SEPTtC TANK _- = OMNI RECIRCULATION TANK =)) ILI-, - 2" PRESSURIZED TRANSPORT LINE 2. TIMER OVERRIDE e,F -, .•. , 1-1/2•PVC FORCE ELGA/.-5.8 I H-10 PRODUCT ACME - RETURN LINE TO - _ `` ' 't6 To RSF MoouLE , 3. HIGH WATER ALARM - -- 1 1tX10 GALLON N 10 LOADING SLOPED TOWARD DOSING CHAMBER NOTas PRECAST MODEL OR EQUAL - _ - - - -I RECIRCULATION TANK ll 1000 GALLON DOSING TANK u._ I FRONT VIEW I OMNI Row MYERS ME10PC-1 1 " -- 5rit t2'' -A1_I_f1ti1NrORGING STEEILTO 1. ALL CONSTRUCTION AND MATERIALS SHALL CONFORM TO MASS ENVIRONMENTAL L- '• - H-10 PRODUCT ACME SIDE VIEW SPUTTERwIN EFFLUENT PUMP �N KE WAy G.F, EPEE%PDXYCOA�ED 4o,000asl CODE (310 CMR 15.00,TITLE 5), AND THE LOCAL BOARD OF HEALT'i. CONCRQXt-TO B2 AIR CNTRAINGD CO I RETURN LINE TO L PRECAST MODEL OR EQUAL it SEPTIC TANK INLET ='I - - , "-LLI-1 Observed Groundwater(a1Elev. 3.3 ,1 - BOAT VALVE N v E WRITTEN 2.29 =1 � -I - - �(-�Zl .:,,, ,:..•,- , 2'B10Ca`; 23,nooc-sl WtTN IPANCAAt)p�D PERMISSION OF THE LOCAL BOARD NGES E HEALTH. 6" MIN. CRUSHED STONE BASE 1.89 111 1T _I ILI 4/25/05 I V g'-6to " I SIDE VIEW ' 3. PERMISSIONALL OF THE L C THERE SHALL BE NO AL BOARDIS PLAN SHALL ForSEWAGE SYSTEM PROFILE a DETAILS 2.29 See Dosing dmbem Detail ' "' �_ WALL SECTION BE BROUGHT TO THE ATTENTION OF THE ENGINEER PRIOR TO PERFORMING THE _ See Dosing Chdmber Detail Below r 8 -6� I .. -" � :;.,. ,;->•._•,.:,•-�,...; •..:•-;>.,• :,..�:.; , _._.;.• .:.�. No Scale RELATED WORK 1t0 4. THIS PLAN HAS BEEN PREPARED SPECIFICALLY AS ASEPTIC SYSTtCM DESIGN AND Not t0 Scale X Waterproof/Seal Concrete Septic Tank,Recirculation IS NOT TO BE USED TO ESTABLISH PROPERTY LINES OR BUILDING SETBACKS. Tank a Dosing Tank W/2 Coats of Approved Sealant o _ , I i ` _1 PIPING NOTES PROPERTY LINES AND BUILDING LOCATIONS ARE GRAPHIC ONLY, PROPERTY LINES \ \ 3" RETURN LINE FROM FILTER MODULES NOT HAVING BEEN VERIFIED. NO REPRESENTATION OR CERTIFICATI)N AS TO THE Or Concrete AddatlVe• O I AND 4" INLET FROM SEPTIC TANK „ ACCURACY OF THOSE SHOWN IS IMPLIED OR INTENDED. RSF DESIGN CALCULATIONS ( FOR 4 BEDROOMS I j ALL ENTER ON SAME SIDE OF TANK 24 0Opening Above For M.H. 1/2 0 Galv.Pile FOr Frame f3 Cover. T ) 5. ALL DISTURBED AREAS ARE TO BE LOAMED, SEEDED AND MAINTANED q- \ 3" RETURN LINE FROM FILTER MODULES Float$U ( yp / ENTERS ONE SIDE OF FLOW SPUTTER AND pporl TO PREVENT EROSION. Plops Not VOlid Without An Original Sand Filter Media_24" minimum depth 'd% #200 sieve, 2mm to 4mm size - EXITS ON OPPOSITE SIDE TO LEACHING FIELD 6. FOR PROPER PERFORMANCE, SEPTIC TANK SHOULD BE INSPECTED AT LEAST Signature 8 Stamp. - Average Daily Flow Flow = 110 gpd per bedroom -.cr.: ' ':._-::;'4..r.;. .' ;-�� '• :'a'Oj''. 1T` ONCE A YEAR AND WHEN THE TOTAL DEPTH OF SCUM AND SOLIDS EXCEEDS LJ TOP rtEw a• _ 1/3 THE LIQUID DEPTH OF THE TANK, THE TANK SHOULD BE PUMPED. Wastewater Strength-BOD5 Residential = 230 mg/I TOP VIEW Pump Power FloatCcntr)l /� 3000PS1 Thrust 7. THIS SYSTEM HAS BEEN DESIGNED FROM DATA REVIEWED AND ACKNOWI-EDGED FLOW SPUTTER Cables Installed inAccod nce I Q. ' Block(Typ.) BY THE MASS. D.E.P. AND THE LOCAL BOARD OF HEALTH; AND Recirculation Ratio 3:1 �+ +� rr n With.Local Bldg.8Elec.Codes. CONFORMS WITH THE REQUIREMENTS OF TITLE 5 OF THE MASS. SANITARY CODE. OMNI RSF SAND FILTER DETAIL 1,000 GAL. OMNI RSF RECIRCULATION TANK DETAIL �r NO GUARANTEE OF PERFORMANCE IS EXPRESSED OR IMPLIED. Recirculation Tank Size 150% of Design Flow (Use a 1000 gallon tank) NOT TO SCALE NOTES NOT TO SCALE -� a. „ 8. TEST HOLE INFORMATION SHOWN HEREON IS LIMITED TO SOIL COWATiONS FOUND 4 ci PVC From AT THAT PARTICULAR TEST HOLE LOCATIONS AND 1S NOT CONSIDERED AN Sand Filter LoadingRate Residential Loading Rate 1219 BOD5 = 5.3 Recirculation Tank _ (Residential) g / gpd/ft2 NOTES.: 1•) OMNI RSF RECIRCULATION TANK (NO SUBSTITUTES) � ) _ IMPLIED OR EXPRESSED WARRANTY OF SOIL CONDITIONS BEYOND l.'MITS OF SUCH TEST HOLES. - Sand Filter Surface Area SA = (Flow gpd) / (Loading Rate 1) OMNI RSF MODULES NO SUBSTITUTIONS). 8-O- g gpd/ft2) ( ) 2.) PUMP CHAMBER SHALL BE STEEL REINFORCED CONCRETE. A; ' 'g � 9. ALL ORGANIC AND UNSUITABLE MATERIAL MUST BE REMC° -D FROM THE AREA 440 gpd / 5.3 gpd/sq. ft = 83 sq. ft. Required (103 sq. ft. Provided) 2. FILTER M "o' 2"0 Sch.40 PVC Force DIRECTLY UNDER AND 5 FEET BEYOND THE PROPOSED LEACHING FACILITY. THIS Directions to the Site: From Hyannis ) OODLES SHALL BE COVERED WITH MULCH TYPE MATERIAL PUMP CHAMBER TO WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR R e`�;••;+� /; Main t°Dosing Field. AREA MUST BE BACK FILLED TO THE ELEVATIONS INDICATED ON THESE PLANS Town Hall, take Main Street to the 3 OMNI RSF Filter Modules Required ONLY. West End Rotary and then take a right 3.) TRAVELED WAYS, WHEREIN H-20 LOADING SHALL APPLY. WITH SELECT ON-SITE OR IMPORTED SOIL MATERi>±L, CONSISi'NG Lt CLEAN GRANULAR SAND OR OTHER GRANULAR MATERIAL, FREE FROM ORGANIC Onto Scudder Avenue; At the stop' Recirculation Pump Size Average Daily Flow + Recirculated flow + Back flow 3.) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATEITIGHT. 4•} ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. P A MATTER AND OTHER DELETERIOUS SUBSTANCES. MIXTURES AND L6,YFRS P 440 + (4x440) + 5 = 2,205 gpd Per 3/24/05 Conservation Comm:Hearing Sign take a right onto Smith Street 2,205 / 24hrs - 92 gol per 60 Minute Cycle 4.) OUTLETS TO BE SCHEDULE 40 PVC. 5,) 27" MANHOLE COVER TO BE BROUGHT TO FINAL GRADE. L N SHALL NOT BE USED. THE FILL MATERIAL SHALL CONFORM TO MA STATE 5/26/05 Added 24/0Plantin Note v Deleted Deck which will turn into Craigville Beach Use Myers Model #ME40 or Equal (65,gallons/min 0 12 ft. Total Head) HEALTH CODE TITLE 5 - 310 CMR SECTION 15.225(3) AND SHALL HAVE " " PERCOLATION RATE OF BETWEEN TWO AND FIVE MIN. PER INCH, BI`FORE AND Road and COntinUe Past the beach and 5.) 1-1/2" PRESSURIZED LINE TO BE BACK FILLED BY HAND. 6) INLET.AND OUTLETS TO BE SCHEDULE 40 PVC. Finished M.H.Flame a Cover AFTER PLACEMENT. Added Dewoterin9 Area a work Limit Line over the small bridge and then the Sand Filter Module Setbacks Some as Title V Septic Tank 4"0 Sch 40 PVC From 5/16/05 For Raisin of House house Is On the left#1199 Grade to Grade Recirculation Tank 10. ALL STONE MUST BE DOUBLE WASHED AND FREE FROM FINES AND ANY •.• ••••• •'•• •• ••'•••'•"'•"'•" ORGANIC MATERIAL AND MUST HAVE LESS THAN 0.2 PERCENT MATERIAL Per B.O.H. 4/19/04 Meetin Modified S.A.S. _ �y-�' •s° �.,,., ,,,:>Apo FINER THAN A NUMBER 200 SIEVE. q " 11. THE DESIGNER HAS NOT BEEN RETAINED BY THE CLIENT TO CONSTRUCT OR REVISION 4/28/05 to Recirculating Sand Filter a Pressure Dosing Y-- _� oY Conduit Thru Chamber " SUPERVISE THE CONSTRUCTION OF THE SYSTEM. THE CONTRACTOR IS Title; PREPARED BY. PREPARED FOR; Notes/Revision: Emergency Storage � For Power&Float Gal\. ° To Dosing Field 2' RESPONSIBLE FOR MAKING ARRANGEMENTS FOR INSPECTION OF INSTALLATION g y g r` I Cables. Chain oe Min.Covec OF THE SYSTEM WITH THE LOCAL BOARD OF HEALTH. Vol,440 Gal. l y c. Alarm n 4.59 I Inv ° 12. THE GENERAL CONTRACTOR IS RESPONSIBLE. FOR ALL HORIZONTAL.;AND :o VERTICAL CONTROL OF ALL SYSTEM COMPONENTS. Laa Pumpon4.09 I O 2"0 Sch.40 PVC 13. TIGHT JOINT PIPING TO CONSIST OF POLYVINYL CHLORIDE P.V. .� Mercury Float '.r 5 YL C L E C Sullivan Engineering, Inc. CapeSury y Threaded Pipe ( ) �r �1' �- Lead Pump on3.59 SCHEDULE 40, UNLESS OTHERWISE NOTED. SITE PLAN b b� SfG'Ve �C MOr�/ HOS�'1 1.) The property line info ation shown was $Witcns-4Req'a P I/8 Wee Hole � 7 Parker Rood compiled from available record information. (D 14. THE CONTRACTOR SHAH NOTIFY THE DESIGN ENGINEER FOR CONSTRUCTION PO BOX 659 {e► P Pumps Off 3.17 Check Valve INSPECTION AFTER EXCAVATION FOR THE LEACHING BED (PRIOR TO THE PROPOSEDIMPROVEMENTS Osterville, MA 02655 Osterville MA 02655 3944 BOI fICYl01'e Street L Secure PipeatTop& Gate Valve PLACEMENT C STONE) AND ALSO AFTER PLACEMENT OF PIPE k STONE Bottom of Chamber ,• PRIOR TO BACKFILLING. p 2. The t0 O ra hic infor ation was obtained I 4' 15. DESIGN ENGINEER SHALL CERTIFY CONSTRUCTION OF SYSTEM AND MATERIALS 1199 CRAIGVILLE BEACH ROAD ) ( ) (508)420-3994 (508)420-3995 fax Kensington M® 20895 P g P Bcttcm El. 2.29 !' : 6"Washed INSTALLED. THE CONTRACTOR SHALL PROVIDE A SIEVE ANALYSIS OF THE FILL (508 428-3344 508 428-3115 fox ,.. „°-, from an on the ground survey performed , o >.' ?. Stone Min, MATERIAL REQUIRED. AN AS-BUILT PLAN SHALL BE SUBMITTED TO THE LOCAL CENTERVILLE , MASS. on Or between 02/FEB 05 & 10/FEB/05. Ba" r� a BOARD OF HEALTH UPON COMPLETION. �+Y SECTION T- 16. NO RUBBER TIRE CONSTRUCTION MACHINERY SHALL DRIVE OVER THE PROPOSED SEPTIC BED EXCAVATION DURING CONSTRUCTION. Draft: MJD Field: RRL/WHK 20 0 10 20 40 BO J.) The datum used is N VD 29, a fixed mean (1000 GALLON) ; •, ' � � 17. DIG-SAFE AND ALL OTHER NECESSARY AUTHORITIES SHALL BE NOTIFIED FOR sea level datum. DOSING CHAMBER DETAIL THE PROPER LOCATION OF EXISTING UTILITIES PRIOR TO ANY EXCAVATION. Date: Scale: Review: PS Comp/Draft: RRL/WHK Not to Scale ' March 22, 2005 , As Shown Proj. # 25005 Drowing # C442_1G1 1 n t> _► Nit-A-Ti b K 3() C,I b R W At 1X ,5 rAl</ A -r AY Q- A Q- I� ti C o l Try lo --- /3 cf" i l5T -t Ti I XF ` - - _ - ----- - -- _--------- - - F oo --AA- L-tvEL - -------— _ __ - --�-- MAW Noo,)f l-CO5; l 'V �a.) 17 , I i JG> - O a I -(a 3 5 it off 12 9 LV.t,,- pool ply ,( AST fy) C,/6 3 LI 847)-1 I Qf RFD r9 joq i)()o R IF S 1162114) lqo p WAS 15 UT, Doi LAtl�) 60 Law ply 15 Ll r f �'{l�►{ ayld4 -3r- 3ox(,g I C)" C2 ------- k PLA Da 2P-E/Z— orl _ t t111dol 12,� 1 to al'l dl �V)dj a ATZb1� 1K ,' r"A </ A x yo ��► I� Pf 31) J x U X'l / 1 - - --- 11 C 1 I I I S T - x C ox- ` 1 � J Y