The URL can be used to link to this page

Home My WebLink About0385 ELLIOTT ROAD t rzo �. ` i e —1 `� .,��O h7 i S ��-� ' TOWN OF BAASTABLE BUILDING PERMIT APPLICATION OF BARNSTABLE Application # Map 22 Parcel / . Health Division =# i o 2, Date Issued r . Conservation Division _ Application Fee Planning Dept. t. 'I cy r ` Permif Fee S Date Definitive Plan Approved by Planning Board 6 Historic - OKH _ Preservation/Hyannis Project Street Address ai _�S EW OT I k4AD Village �C! Owner Address Telephone =g-zea M ( L�/� V l��v t P4 11- 0 Permit Request--:Pi tS h 17(rnA f-wm Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type Lot Size �� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing V new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 90il ❑ Electric ❑ Other Central Air: XYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use '1'�IttAfj�=!. Proposed Use f5` 'Y1�1 i APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 9,420 •Address OLMOMOM , M� &--3 License # L�N`f J m _P°0" a, I I t �i�� _ UP Home Improvement Contractor# Email Z-P-�I,I-1"&&" ywm.a�L Worker's Compensation 46005-st.514,04 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �uu� u_LL SIGNATURE DATE�-J/ �F /6 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' s r AC RO f> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) Ilw� 06/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Germani Insurance Agency PHONE FAX 908 Main Street 508 428-9194 A/c No: 508 428 3068 Osterville,MA 02655 E-MAIL ADDRESS:certs@qermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC N INSURER A:SAFETY INS CO INSURED INSURER B Scott Peacock Building&Remodeling,Inc. INSURER C P.O.Box 171 Osterville,MA 02655 INSURER D:Commerce&Industry Ins.Co. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADOL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INqD WVn POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A x COMMERCIAL GENERAL LIABILITY BMA0022118 7/5/2015 7/5/2016 EACH OCCURRENCE $ _ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO 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 ' HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2015 6/22/2016 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A — (Mandatory in NH) 1 E.L.DISEASE-EA EMPLOYEd$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZE TATIVE i © -2014 ACORD CORPORATION. All rights reserved. 2 1 0 1 ) The ACORD name and l ACORD 25 4/01ogo are regis ed marks of ACORD . r , The Conmton+veakh of Massachmetts Department of IndusoidiAcciderds Office of Investigations 600 Washington Street ,Boston,AM 02111 wsv►r.nasLgovldia Workers' Compensation'Inauranc-A#idavit:Buil&rs/ContractorslElectriciaus/Ptuinbers Apphcant Information Please Print Le 'bl Name(Business'OrganintioattndividwD: Address: .I q, .Mali, �Sr_ Asa b- `7 C.F 0 City/StateJZi ! h 02(o5-S Phone 4: 5?y-d"(4Z,3 --7&()0 Are.you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with _ 4• ❑I am a general contractor and T 6, New tsmstr tion employee(fill audlor part-ti=)-* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition worlang for me in anycapacity- employees and have wotieers' 2 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10❑Electrical repairs or additions 3_❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs s insurance required.]1 c.152,§1(4),and we have no employee-(No worlrers' 13_0 Other comp.insurance required..] 'Any applicant that checks box#1 must also fill ant the section below showing their workers'compeasefiau policy inbrmateon. I Homeowners who submit this affidavit indicating they are doing all work and i ten Lire outside contractors most submit a near affidavit indicating such tContractors that check this box must attacbed an additioniii sheet showing the name of the sub-contractors and state whether or not these entity bxve employees. If the sub-coutsactors have employees,they arm provide their workers'camp.policy number. lam an errrployer tliat is providitrg tvorkers'compensation fresarauce for my ompinym& Below is the poUty and job site irafor►rratiare. CC,, II Insurance Company Name: �ommer6e,_ c Policy#or Self-ins.Lic.#:__W t1 lJ 5" U i %A Expiration Date: ZZ 16 Job Site Ae9riress: G��I V J l CitiytStatelZsp: �(�nm �' 'l I �2 94 Attach a copy of the workers'compensationn policy declaration page(showing the policy Humber 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 andtor toe-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Oftise of Investigations of the DIA for insurance coverage verification. I do hereb t ,un. tlr pedals and penalties of perjury that the ueformation prmided a. is true and correct Si a C Il 1 C0 Phone#: O idol rose only; Do not writer'in this area,to be comtpktad by city or town a�e ial City or Town: PermiVLwense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrmm Clerk 4.Electrical Inspector S.Plumbing Inspector +6.Other Contact Person: Phone p: I - Office of Cousunler AfO,irs Business Regulation License or registration valid for individul use only before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR egistration: . 151853 Type: Office of Consumer Affairs and Business 12egulation pExpiration: .7M2016 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 - SCOTT PEACOCK BUILDING.&.REMODELING INC JAMES PEACOCK 1046 MAIN STREET SUITE 7 OSTERVILLE, MA 02655 Undersecretary — Not valid without signature'— — - - if Nlassachusetts -Department of Public Safety --1 Board of Building Regulations and Standards C'untitruction Super k0l- License: CS-094500 il, JAMES S PEACOCK l . PO BOX 171 Osterville MA 02655 Expiration Gonlnlis51ioiler 07/22/2016 • j L oFine rq� v�' c ' Town of Barnstable LUMSTIWLE, ""' s659-. Regulatory Services �� 'OjFo Ivr° Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601. ww w.tow n.barnstable.ma.u-s Office: 508-862-403S , Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder • i h as Owner of the subject property hereby authorize S(� hn 60ct to act on my behalf, in all matters relative to work authorized by this building permit application for. - (Address'ofrob) Signature of er Date Print Narph ' Q:"WPFILr•S',FOR%9S'•.buildine permit formS'%EN 1RESS.doc Revisc020 i 08 • R Uo42 b �v V 30 o GT LL�-2tO N K I7, 1 a a �uj Alp 30\ i a � r a � a ,I Q , on uj r i r y221 T. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2Z7 _ Parcel- LOY Application # 8 S -5 Health Division Date Issued 2 1'rI& Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation/ Hyannis Project Street Address Village c Owner Address Telephone ca�� - f1. 1F�" Permit Request su&. , er"'�'` 3 a-® Square feet: 1 st floor: existing tJ�9_ proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _LQ, Construction Type Lot Size DJ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ®--- Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes CIf4o On Old King's Highway: ❑Yes Lti]'No Basement Type: Uull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.)-- 0 — Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 1))PF new b Half: existing new O LJIJILUING DEP Number of Bedrooms: 771i existing 0 new T. Total Room Count (not including baths): existing new First FIoFoFfidaa Heat Type and Fuel: ❑ Gas 5'6 ❑ Electric ❑ Other TOWN OF BgRNSTgg L r_ Central Air: U1es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No p g 9 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 31 If yes, site plan �review # Current Use . _90 �ca,.�.`: Usex�cT-� Proposed Use APPLICANT INFORMATION (BUILDE OR HOMEOWNER) - kk r,1 n Name \ el one Number �`U Address `� 1 License # C 90 W4 Home'lmprovement Contractor# h S� Email Worker's Compensation # QC Dy S— 9,( S ( �- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY -APPLICATION # DATE ISSUED MAP/ PARCEL NO. ' ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: 1 FOUNDATION r, FRAME C0 c_2 LL t INSULATION # FIREPLACE r� ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J r 1 l 1 �1He Teti Town of Barnstable Regulatory Services w snxxsTABLE, 1639 Richard V.Scali,Director 'gFo w►a�" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Properly Owner Must Complete and Sign This Section If Using A Builder L ,as Owner of the subject property hereby authorize Iscoll CcCOGh to act on my behalf, in all matters relative to work authorized by this building permit application for. 3g ' )e-0i69- i2d nl+ 0Z632. (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. Signa of Owner Signature of Applicant Print NAme Print Name Date UORMS:O WNERPERMISSIONPOOLS Ae Countionwealth of Massachusetts .�• Ueparttnent of Indust al Accidents Office of Invesligagions 600 Washington Street I .Boston,MA 02111 , tirmntxtas&govldirt . Workers' Compensation Insurance Affidavit:BudderslContraderslElectricianslPlumbers Apphcaut Information f Please Print Le 'bl Name tBtsinessiorgau zadon/lmlividuei): V t I &OCOCL ( ti 1 i . Address:loq {FYI.C�.f�l �� S� (t l f 0 X 0�[ ) City/Sirate/zi I( h 02(05S Phone#: 5V-QZ9--7&00 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer urith 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or pa:t4ime).s have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet` 7. ❑Rmodeling slip and have no employees These sub-contractors have S. ❑:Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'camp.insurance commp.inwrame,1 required.] 5. ❑ We are a corporation and its 10.[]Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 L[]Plumbing repairs or additions myself [No workers'comp- right of exemption per MGL 12-❑Roof repairs insurance required.]t c.152,§1(4),and we have no employees-[No was'comp- Other comp.in =oe required.] ;Any applicantthat checks boat*1 muse also fill and the se=n belaw showing th w workers'compensation pohry information. Homeowners who submit this affidavit indicatmS they ate doing all wtuk and.Then hire outside contsectors mast submit a new affidai it indicating such- lContracTnrs that check this box must attached so additional sheet showing the usnte of the alb-comtactats and state whets or not these entities have employees. If the sub-coot moors have employees,they smut provide their workers'romp.policy number. I ain an employer that is providing workers'compensation insurance for my employees•, Below is the policy and job site Informadon. Insurance Company Name: Policy#or Self-ins.Lie..#:_ 1 0 V J• 1 ' %A Expiration Date: Job Site Address: City/StateJZip: Attach a copy of the workers'compensation policy declaration gage(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGLc. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or sure-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a line of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office.of Investigations of the DIA for insurance coverage verification. I do herebj rti.6 u e ' s an nabies of perjury that the inforination provided abate is true and correct ' a 2- 6 o #: i Z --7�) ' official rue only. Do not iw t+t In this area,to be completed by caiy or totti I aft iaL City or Town: PermitgAtease Issuing Authority(circle one): ' s I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Lupe ctor S.Plumbing Inspector 6.Other Contact Person: phone#: 6 ACCAZ& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 06/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Germani Insurance Agency PHONE FAX 908 Main Street 508 428-9194 A/C No: 508 428 3068 Osterville,MA 02655 E-MAIL ADDRE S:certs@qermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC ti INSURER A:SAFETY INS CO INSURED • INSURER B Scott Peacock Building&Remodeling,Inc. INSURER c P.O.Box 171 Osterville,MA 02655 INSURER D:Commerce&Industry Ins.Co. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD MM/DD A x COMMERCIAL GENERAL LIABILITY BMA0022118 7/5/2015 7/5/2016 EACH OCCURRENCE _ $ 1,000,000 TO RENTED CLAIMS-MADE OCCUR DAMAGEPREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO- ❑ 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 RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2015 6/22/2016 PER OTH AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FN] N/A - E.L.EACH ACCIDENT $ - 500,000 (Mandatory In NH) 1 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZE TATIVE , M_ © -2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and re logo are is ed marks of ACORD 9 Oflicc ol'Cousun,er it IT & Business Regulation License or registration valid for individul use only lid =i��OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �} egistration: ... -51853 Type: Office of Consumer Affairs and Business Regulation 1 `.:;7Expiration: .7/7/2016 Private Corporation 10 Park Plaza-Suite 5170 VMW\ Boston,MA 02116 SCOTT PEACOCK BUILDING& REMODELING INC JAMES PEACOCK 1046 MAIN STREET SUITE 7 OSTERVILLE, MA 02655 +< -yF1.aP— udcrsecrct:ary t valid without signature • 1 tins Niassachusetts - Department of Public Safety Board of Building Regulations and Standards Constructimm Supers isnr bra License CS-094500 JAMES S PEACOCK PO BOX 171 Osterville NIA 02655 J.�..., �l1/e j• a Expiration Gvintnissroner 07/22/2016 i i Z�S E CL-T-Or-r b� � C LF v 3�0 � BUILDING DEPT. FEB 02 2016 P TOWN OF BARNSTABLF 3-Km C EuT, A b Z63�- � - � t V q, t a C) BUILDING D EPT.- �---f FEB 022016, TOWN OF BARNSTABLE .3P+ ,, r � - g E cL- CC L� Al v BU/LpfNG r 3 a ®EPT V F t EB 02 2016 . T o N OF BgRNSTAB LE .�� , � F Rb CeuT, A. bZU3�- 1 � { l �Sc LF v KLI BUILDING DEPT. j �---� - FEB 02 2016 TOWN OF BARNSTABLE -- C EA)T, A 0`2-G-3�- b cv1 a � —_ ' BUILDING DEBT, ' . FEB 02 2016 TOWN OF BgRNSTgg�E .3`-�K" 3 g� E L-T-c77T (L EUT, MH- b`2-G3�- _� �C z � C) 3ac) , BUILDING DEPT. FEB 02-2016 S TOWN OF BARNSTABL.:E TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map cW7 Parcel �. Lr Application # (I aQ l;� Health Division j :; 1 r: r`' Date Issued /S Conservation Division Application F Planning Dept. Permit Fee b 00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village C.��-ev Owner ,, Address r.- Telephone "77-1-�-3B -G da-i Permit Request CA LI n z,6!��,,, 1 ' ccll��. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ' Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Mr,", r Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION- - - - — - - - - (BUILDER OR HOMEOWNER) Name mume myCa-r-tB3, Construction Telephone Number PO fox 52 Address West Dennis,� 6� License # Cell (508) 280-6964 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r,Nn- a I..,V SIGNATURE DATE �� f' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Y F 'i r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL t. FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. OWNER AUTHORIZATION FORM 1 I, t seams her � (Owner's Name) owner of the property located at 3 � Sii�' � -�� (Property Address) (Propefty Addrbss) r, I t hereby authorize �`T � .JCAI Q` , (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Si nature C. Date Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction supervisor License: CS-058633 MICHAEL J MCCAR PO BOX 52 W DENNIS MA 6267 ,E 1 r Expiration Commissioner 04/10/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY ---- - ---- - ---- P.O. BOX 52 ---- ---- — ---- WEST DENNIS MA 02670 ------ ------.---- —__ / Update Address and return-card.Mark reason for change. f Address Renewal 'Employment (� scA t Co 2onn-osn t _.'/ ❑ Add Lost Card❑ ❑ - y a, f The Commonwealth oflMlassacltusetts Department oflndustrurlAccidents Office of Investigations 600 Washington Street Boston,MA 02111 wive niass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Eleetriciamffllumbers A licant Information Please Print Legibly ike McCarthy Construction Name(Business/Organization/Individual): PO Box 52 Address: West Dennis, MA 02670 City/State/Zip: C91 pa§Q3 >rIIC469393 Are y r an employer?Check the appropriate box: Type of project(required): 1. I am it employer with 1 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole propridtor or partner- listed on the attached sheet:t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity, workers'comp.insurance. .9. (]Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required,] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself.[No workers'comp, e.152,§1(4),'and we have no 12,F]R If repairs insurance required,]t employees.[No workers' 13. er comp.insurance requited.] *Any applicant that checks box#1 must also fill out the section bclow showing their workers'compensation policy hdbrmadoa. t Homeowners who submit this affidavit indicating they are doing all work and tbm We outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and their workere comp.policy InOrmadon. lam an employer that is providing workers'contpensadon insurance for nzy employees Below is the policy and Job site Information, Insurance Company Name: -�• �� v` Policy#or Self-ins.Lic,M V W L I-GO'1 `1'4 Expiration Date: Job Site Address: :$U, �/,d)I 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 ofMGL c.152 can lead to the imposition ofcriminal penalties of a fine up to$1,500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine ; of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of j Investigations of the DIA for insurance coverage verification. I I do hereby cert fy Pe pa arp6gnaliks of perja y that lire information provided a71s-)) vets true and correct Si tore: Date Y_ Phole M ` Of'letal use only. Do not write Its flits area,to be completed by city or town off 1claL City or Town: Permit/Lltense# i Issuing Authority(circle one): r 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i iAcoRV CERTIFICATE OF LIABILITY INSURANCE DATE 07110/201°4m) 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 01962-001 NQaJ/►CT Bryden&Sullivan Ins Agcy of f Dennis Inc )J8, 0.Ext: (508)398-6060 ,No.: (508)394-2267 PO Box 1497 �Sss: So Dennis,MA 02660 INSURER(S)AFFORDING VERA E _ _NAIC N IN RE A: A.I.M.Mutual Insurance Company 26158 INSURED INSURER B: Michael McCarthy Construction Inc INSURER --- C• P O Box 52 INSURER D: West Dennis,MA 02670 -- INSURER E: _ INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N0 i WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHCR DOCUMENT WITH RESPECT TO 'Al-IICH 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. ILTR TYPE OF INSURANCE ;}gyp � POLICY NUMBER ANSI A/ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ bCOM MERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES E occurrence) _ CLAIMS-MADE OCCUR MED EXP(Any one person) $ i PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ --�OLICY —UECT I �OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a aai t _ ANY AUTO BODILY INJURY(Per person) $ r ALL OWNED ISCHEDULED BODILY INJURY Per accident $ _ AUTOS % AUTOS ( ) HIRED AUTOS AUTOS (per PPROPERde DAMAGE $ $ - - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ o I KDDEEERRDgg ooMM RETENTION $ yy�gT TH $ ANND EMPLOYEERSR��LIABIUETY X A MS OER _ A oFFICERlMEMBER EXCLUDED�ECUTNE FYI N/A VWC-100-6017656-2014A 7/17/2014 7/17/2016 E.L.EACH ACCIDENT $ 500,000.00 (Mandatory YIIn�OF ON�H))p� E.L.DISEASE-EA EMPLOYEE $ 500,000.00 � rCRd�MON PERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thieisch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Centerville River ASSESSORS REF.: \ Map 227, Parcel 104 ��°5,Q3 \ OVERLAY DISTRICT: v �L 3 All, \\ AP — Aquifer Protection District A o \\ ZONE: ILI AL All RC Area (min.) 87,120 SF (RPOD) i N Frontage (min) 20' � N Width (min) 100' \ Setbacks: .. N, Front 20' Side 10' Rear 10' j 0 / �. A / //New Foundation j 1 3 . 33.09' 1 - S 29.2 03 Wi CBI DH 1 . 1 `:9 \ \ 34.1 oy�s I certify that the foundations shown hereon conform to the setback requirements of the Fctl" �`•� L Zoning Bylaws of the town \ `• 15.T L of Barnstable. � IF ��°°' (H OF 44,q - New Foundation �,— - c�ee�� - �� . _.___ �� - eti' , � so RICHARD P; \ e� �e o,` 0 R. ` ° LHEUREUX \ #34312 ° 1 SS A� o \ 1 m 0 oo- N �' NOTES: Cb 1.) The new foundations shown were located on .the ground \0 by conventional survey methods on 09/JAN/07. �9� \ 2.) The.property information shown hereon was P Pert Y compiled from available record information. \ 3.). This plan is not for recording and is not to be used for construction layout or deed \ \ description purposes. z oN PLOT PLAN AT \ 385 Elliot Road BARNSTABLE r (Centerville) L=53.01 °o MASS. DATE: 091JAN107 SCALE: 1"=50' 89ak WIpE) Road 0 25 50 75 100 FEET �N O PREPARED FOR: ",6 III John J. & Carol Crouthamel 385 Elliot _Road Centerville MA 02632 PREPARED BY: CapeSurv , � 7 Parker Road Osterville MA 02655 DWG #: C47491 FIELD BY. RRL/WHK (508) 420-3994 / 420-39.95fox TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � Parcel 10y � lic n (06-3-3 Health Division Date Issued 34 1 S Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 3$ 'a Village 6141v1 11% Owner Sckr Address Sir,c Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes , ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 6i Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft). Number of Baths: Full: existing new Half: existing P! new , 1� Number of Bedrooms: existing _new ZZ :5 Total Room Count (not including baths): existing new First Floor Room ount : , Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Moke McCarthy Construction Telephone Number PO Box 52 Address License # —��6�es� 1✓1e��1s�M�-1��-7� � Cell (508) 280-6 964 nSL 58633 HIC 16 -39,-3 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 4X DATE 11 i i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 'J PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. A OWNER AUTHORIZATION FORM I, ,� Stav Oher y (Owner's Name) ' owner of the property located at ' i o (Property Address) 0C2 (Propefty Addrbss) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act,on my.behalf to obtain a building permit and to perform work on my property. Owner's Si nature 201 Cl/ Date 41 _. .. ♦. 4.+, ; w .. �..M k SKY. .. .. t „y„ . ,,, .J' _ rt .-L. 4 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction supervisor License: CS-058633 MICHAEL J MCCAR PO BOX 52 W DENNIS MA 11267t I .y i — � Expiration Commissioner 04/10/2016 - C�(�77 j�e Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY -- _-- - — ---_-- P.O. BOX 52 -------------- -- WEST DENNIS MA 02670 --------------.--.----- —_—_.�_—___ Update Address and return-card.Mark reason for change Address Renewal Em to ment ❑ Lost Card c' f The Commonwealth of Massachusetts Department oflndustrial Accidents IF Office of Investigations 600 Washington Street Boston,MA 02111 ivivip mass gov/dia Workers' Compensation Insurance Affidavit: Btuldcrs/Contraetors/EtecWcians/Plumbers Applicant Information Please Print Le ' I Mike McCarthy Construction Name(Business/Organization/individual): Po Box 52 Address: West Dennis, MA 02670 City/State/Zip: CSIpht§§i#3 HIC-169393 Are y u an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 1 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole propridtor or partner- listed on the attached sheet t 7. []Remodeling ship and have no employees These sub-contractors have S. []Demolition working for me in any capacity, workers'camp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation aad its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.(No workers'comp, c.152,§I(4),'and we have no 12.❑R frepairs insurance required.]t employees.[No workers' 13. er comp,insurance required] *Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy taformadon. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contmetors must submit a new affidavit indicating such. tCoatmetors that check this box must attached an additional sheet showing the name of the subcontractors and flair workers'comp.policy Information. lam an employer hurt Isproviding workers'compensation insurance for ury employees Below IS the policy andjob site information, Insurance Company Name: Policy N or Self ins.Lic.#: VWL I-GO 11(� ` 4 Expiration Date: Job Site Address: � 1�2 City/State/Zip: Attach it copy of the workers'compensation policy declaration page(shomIng the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL 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 4 of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify rt d e pa a enallks of perjury that tine information provided above is true and correct Si ture:Phone .- 1 Ojj'Icial use only. Do not write in this area,to be completed by city or town af,f lciaL � City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2,Building Department 3,CitylTown Clerk 4,Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: Phone#: i coR�z® ' CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 07/10/2014 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 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 01962-001 RROIACT Bryden&Sullivan Ins Agcy of Dennis Inc p/C,jo,Et): (508)3984060 � ,No,: (508)394-2267 PO Box 1497 �"Sss: So Dennis,MA 02660 — SURER(S)AFFORDING COVERAGE _NAIC# IN RERA: A.I.M.Mutual Insurance Company_ 26158 INSURED INSURERS•_ Michael McCarthy Construction Inc -- IN U R : P O BOX 52 INSURER D: West Dennis,MA 02670 INSURER E INSURER F I 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. N0 i WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'A1-IICH 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. Ity TYPE OF INSURANCE INStt � POLICY NUMBER M �j MM/DD LIMITS rt GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ P EMI E rre CLAIMS MADE OCCUR ME EXP(Any one person) $ PERSONAL&ADV INJURY $ —d GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY I DECT —LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident)�I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS j_ AUTOS BODILY INJURY(Per accident) $ r HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS P accide — F $ --- UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ p I DDEERDg pM RETENTION $ yy�gT TH $ AND EMPLOYERS€LIABILITY y X TORY LAS OER A I AOI�YIEROPRI�;ffPARTNER/&�ECUTIVEr N NIA A VWC-100-6017656-2014A 7/17/2014 7/17/2016 E.L.EACH ACCIDENT $ 600,000.00 (Mandatory in N�rH))CrEXCLUDE U E.L.DISEASE-EA EMPLOYEE $ 500,000.00 WCR�MON OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thielsch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE `�ti--tom ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD l SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BO �659 OSTERVILLE, MA 026 . AlNSTAB Peter Sullivan P. E. Mass Registration No. 29733 eter sullivanen in.cori09 [117C 154 phone 508-428-3344 fax 508-428-3115 December 16, 2009 Thomas Perry DIVISION Building Commissioner - - Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Chapter 91 License Application Carol Crouthamel 385 Elliott Road, Centerville Dear Mr. Perry, Please find enclosed a Municipal Zoning Certificate along with a copy of pages 1-5 of the Department of Environmental Protection Waterways license application and plans for the above referenced project. Would you please review the application, and sign the Municipal Zoning Certificate and return it to me in the enclosed self addressed stamped envelope. Thank you for your assistance in this matter. If you have any questions,please contact the office. Very truly yours, Paula Sullivan Sullivan Engineering Inc. Attachments f Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x23�126 Transmittal No. Chapter 91 Waterways License Application.-310 CnnR 9.00 Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Carol Crouthamel Name of Applicant 385 Elliott Road Centerville River Barnstable Project street address Waterway (Centerville) Description of use or change in use: To maintain a timber boardwalk. To.be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." Printed Name of Municipal Official Date co., Pti s c n Signature of Municipa O it e -� ci y own k CH41App.doc•Rev.6/06 Page 6 of 13 t Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program X231126 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent,Nonwater-Dependent,Amendment Important: A. Application Information Check one When fining out PP - ( )' forms on the computer,use NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing only the tab key Package for BRP WW06. to move your cursor-do not Name(Complete Application Sections) Check One Fee Application# use the return key. WATER-DEPENDENT- 'ICI General A-H ( ) ® Residential with <4 units $175.00 BRP WW01a ❑ Other $270.00 BRP WW01 b ❑ Extended Term $2730.00 BRP WW01c For assistance - - - - - - - - - - - - - -=- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.._..- - - - - - - in completing this Amendment(A-H)application,please El Residential with<4 units $85.00 BRP WW03a see the .°Instructions". ❑ Other. $105.00 BRP WW03b NONWATER-DEPENDENT- Full (A-H) ❑ Residential with <4 units $545.00 BRP WW15a ❑ Other $1635.00 BRP WW15b ❑ Extended Term $2730.00 BRP WW15c ------------------------------------------------ Partial (A-H) ❑ Residential with<4 units $545.00 BRP WW14a ❑ Other $1635.00 BRP WW14b ❑ Extended Term $2730.00 BRP WW14c -•---------------------•-•-----•--------------- Municipal Harbor Plan (A-H) ❑ W Residential with <4 units $545.00 BRP W16a ❑ Other $1635.00 BRP WW16b ❑ Extended Term $2730.00 BRP WW16c ----------------------------------------------------------------------------------------------------------------- -------------•-•--------------------. Joint MEPA/EIR(A-H) ❑ Residential with <4 units $545.00 BRP WW17a ❑Other $1635.00 BRP WW17b ❑ Extended Term $2730.00 BRP WW.17c- --------------- Amendment(A-H) El Residential with <4 units $435.00 BRP WW03c ❑ Other $815.00 BRP WW03d ❑ Extended Term $1090.00 BRP WW03e � 00 PY CH91App.doc-Rev.6/06 Page 1 of 13 I - . Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program X231126 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment B. Applicant Information Proposed ProjecVUse Information 1. Applicant: Carol Croutf�amelIN Name E-mail Address 385E rll ottRoad Mailing Address Note:Please refer Mq 02632 to the"Instructions" Centerville City/Town State Zip.Code WIN FIN Telephone Number Fax Number 2. Authorized Agent(if any): Sullivan, ngtneerrng,,Irc: peter@sulllyanen morn Name E-mail Address �7Pa`ker Roa_tl P bBo�x 659 Mailing Address Offer Ills, MA 02655 Cityrrown State Zip Code 508-428-3344 5Q8-4283a1'w15 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): Owner Name(if different from applicant) Map 227Pace1104! - 41 38'46" 70 20' 09" Tax Assessor's Map and Parcel Numbers• Latitude Longitude 385EI10tt4Woad;Barnstable(Centervtlle) MA 02_632i Street Address and Cityrrown State" . Zip Code 2. Registered Land ❑Yes ® No 3. Name.of the water body where the project site is located: Centerville River 4. Description of the water body in which the project site is located (check all that apply): Type Nature Designation ❑ Nontidal river/stream ® Natural ❑Area.of Critical Environmental Concern ® Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary El Great Pond ❑ Uncertain ❑ Uncertain CH91App.doc•Rev.6/06 Page 2 of 13 L " Massachusetts Department of Environmental Protection Bureau of Resource Protection- Waterways Regulation Program X231126 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the "Instructions" To maintain a timber boardwalk that provides access to navigable water, and is also used for bird watching. The boardwalk is 3 feet wide by 84 feet long with a 4'x 6'viewing platform at the end. Ladders are provided for public access. The sturcture does not extend below the mean low water mark. 6. What is the estimated total cost of proposed work(including materials &labor)? $25,000.00 7. List the name&complete mailing address of each abutter(attach additional sheets, if necessary). An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50' across a waterbody from the project. Jean M. Creelman 377 Elliott Road, Centerville, MA 02632 Name Address David A. Sandell 423'Elliott Road, Centerville, MA 02632 Name Address Name Address D. Project Plans 1. 1 have attached plans for my project in accordance with the instructions contained in (check one): ® Appendix A(License plan) ❑ Appendix B(Permit plan) 2. Other State and Local Approvals/Certifications ❑401 Water Quality Certificate. Date of Issuance ®Wetlands SE3-3881 File Number ❑Jurisdictional Determination JD- File Number ❑ ME PA File Number ❑ EOEA Secretary Certificate Date ❑21 E Waste Site Cleanup' , RTN Number CH91App.doc-Rev.6/06 Page 3 of 13 a Massachusetts Department of Environmental vironmental Protection Bureau of Resource Protection -Waterways Regulation Program X231126 Chapter 91 Waterways License Application -310 CMR 9.o0 Transmittal No. Water-Dependent,Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents_must sign this page. All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license.to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my 'knowledge. Applicant's signature, Date . Property Owner's signature(if different than applicant) Date Agents signature(if applicable) Date CH91App.doc•Rev.6/06 Page 4 of 13 l I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program X231126 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment F. Waterways Dredging Addendum 1. Provide a description of the dredging project ❑ Maintenance Dredging (include last dredge date& permit no.) El Improvement Dredging Purpose of Dredging 2. What is the volume(cubic yards)of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location(include separate disposal site location map) 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark-shall be secured by applicant and submitted to the Department. CHMpp.doc-Rev.6/06 Page 5 of 13 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .Map 227 ,y parcel 104 Permit# `( Health Division Date Issued ConservationNvisio* �: lk 'qA0 Fee Tax Collector Application Fee Treasurer ��• �� Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 385/ Elliot Road Village Centerville Owner Carol Crouthamel Address 385 Elliot Rd, Centerville, MA Telephone (508) 775-5317 Permit Request Renovation & addition to existinn home ' AAA 0 1 �1- Ca5 Square feet: 1st floor: existing 3,f32 ± proposed 320 ± 2ndfloor: existing 1,391 ± proposed - Total new 320 ± Valuation $140,288 Zoning District RC Flood Plain B,c, Alo Groundwater Overlay Construction Type wood framed Lot Size 1.42 acres Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure 21 years Historic House: ❑Yes JU No On Old King's Highway: ❑Yes 1;7 No Basement Type: ® Full ®Crawl ❑Walkout La Other SLAB ON GRADE .Basement Finished Area(sq.ft.) _ Basement Unfinished Area(sq.ft) _ 3,200 ± (1 is being Number of Baths: Full: existing 2 rpmoyt-d pN 1 Half: existing 9 new Number of Bedrooms: existing 4 new - Total Room Count(not including baths): existing 8 new 1 first Floor Room Count 6 Heat Type and Fuel: ❑Gas ®Oil ❑ Electric ❑Other u Central Air: ❑Yes 1 i No Fireplaces: Existing 2 New 1 Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existin ❑newA size Attached garage:,®existing ®new size 624 ± Shed:❑existing ❑new size Other: fr N Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ a Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use � r m BUILDER INFORMATION Name Robert H. McPhee/ McPhee Associates, Inc Telephone Number (508) 385-2704 Address 1382 Rt, 134, PO Box 797, E. Dennis, MALicense# CS 018520 Home Improvement Contractor# 104158 Worker's Compensation# WCC5002061012006 ALL CONSTRUCTIO BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO An aDoroved transfer iacili y. SIGNATURE DATE c �r FOR OFFICIAL USE ONLY �� I . f PERMIT NO. DATE f'SSUED MAP/F*RCEL NO. r m ADDRESS VILLAGE OWNER DATE OF INSPECTION: y FOUNDATION fK� � i C'7 �. S� 617167 �. FRAME (�� 3 6(s1._� (-`�S ql-- 07, w wk lls E I u l ...8� 3INSULATION el FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 7�3//a7 r-cps c 1A117 N + ss oK, DATE CLOSED OUT r ASSOCIATION PLAN NO: I °F'THE Town of Barnstable Regulatory Services ' SAMSP"BM ' Thomas F. Geiler,Director + 9 MAM Ep.1;;.,p`` Building Division ' Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW _ Owner: ( ',r0L' aw"e..l Map/Parcel: ��°7 J O V Project Address 3'9,5 Builder: C, 1° Cc, The following items were noted on reviewing: l% 22c� e AQ evee—T i ms, ! e ClSs t-e r� �l h� 2 ( �/ Reviewed by: Date: Q:Forms:Plnrvw f Permit# l; Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Carol Crouthamel Report Date:12/12/06 Data filename:C:1Program FilesIGheck\REScheck\ReportslCrouthamel.rck Energy Code: Massachusetts Energy Code Location: Centerville(Barnstable),Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 9% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 388 Elliot Road Northslde Design Assoc. Centerville,MA 141 Main Street Yarmouth Port,MA 02675 508-362-2210 r Ceiling 1:Flat Ceiling or Scissor Truss: 1657 30.0 30.0 28 Walt 1:Wood Frame,l6•o.c.: 1601 13.0 13.0 70 Window 1:Metal Frame:Double Pane with Low-E: 27 0.330 g Door 1:Glass: 124 0.330 41 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space: 1657 19.0 19.0 41 Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Cheddist.The heat' load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Co ' o and in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the de ' n I as ad in Sections 780CMRR11310 and J4.4. /17 31d e !�l�JZ f// ' QCOLS /02—/o2-0(.P Builder/Designer C4npany Name Date Carol Crouthamel Page 1 of 4 i REScheck Software Version 3.7.3 Inspection Checklist Date: 12/12/06 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity+R-30.0 continuous insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity+R-13.0 continuous insulation Comments: Windows: ❑ Window 1:Metal Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.330 Comments: Floors: ❑ Floor 1:All-Wood JoistITruss:Over Unconditioned Space,R-19.0 cavity+R-19.0 continuous insulation Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the wane-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing 1-1-factors must be dearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4A.7.1. Dud Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Carol Crouthamel Page 2 of 4 Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1, Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Carol Crouthamel Page 3 of 4 Y � t Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness In inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ff) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Carol Crouthamel Page 4 of 4 Client#:20MI MCPHASS ACOR& -CERTIFICATE;OF LIABILITY INSURANCE ;zE2a-05(MMIDDrfYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. ).Box 1601 south Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURERA: Pennsylvania General Insurance COmpa McPhee Associates Inc P.O.Box 797 INSURERS: Associated Employers Insurance Co. INSURER C: East Dennis, MA 02641-0797 INSURERD. 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 MAYBE 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. IN SR D 'L POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER LIMITS A GENERAL LIABILITY OBR816921 01/01/06 01/61/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY - - DAMAGE TO RENTED $1 OO OOO CLAIMS MADE OCCUR - MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 00O GENERAL AGGREGATE s2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 P POLICY LOC RO- - JECT 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 - AUTO ONLY-EA ACCIDENT $ ANY AUTO EAACC $ - OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ _ $ B WORKERS COMPENSATION AND WCC5002061012006 04/01/06 04/01/07 wC STATT oTH- EMPLOYERS'LIABILITY TO Y A. S - ANY PROPRIETOR/PARTNERIEXECUTIVE - EL EACH ACCIDENT $SOO,000 OFFICERIMEMBER EXCLUDED? a E.L.DISEASE-EA EMPLOYEE•$500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER - - - - DESCRIPTION OF OPERATIONS LOCATIONS 1 VEHICLES EXCLUSIONS ADDEO,BY ENDORSEMENT I SPECIAL PROVISIONS ` CERTIFICATE HOLDER- CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL" 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR 6ABILITY.OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. v AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S19745/M19744 DJH ©ACORD CORPORATION 1988 Town of Barnstable Regulatory Services it g Thomas F.Geffer,Director Building Division Tom Perry, Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I Carol Crouthanel . ,as Owner of the subject property hereby authorize McPhee Associates, Inc. _ to act onmybebA s in all matters relative to work autliotized by this building permit application for: 385 Elliot Road, Centerville, MA (Address of Job) Signature of Owner Date Print Name Q:FORW:0WNERFERNM SIGN ��e 1 novrzrrzanufecalC/r o/4 ''��aaj"/rredet! . BOARD OF BUILDING REGULATIONS _ '//zz ('o.,.ziizr izuNzclC! License: CONSTRUCTION SUPERVISOR r�, l/o uec�.u.;eCG Number: CS 006417 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR_ Birthdate: 04/18/1944 Number: CS 018520 Expires: 04/18/2008 Tr. no: 24221 Birthdate: 04/36/1946 Restricted: 00 Expires: 04/30/2008 Tr. no: 23838 RICHARD A MALONE 205 SETUCKET RD Restricted: 00 SO DENNIS, MA 02660 ROBERT H MCPHEE Commissioner 47 INDIAN FIELD DR / c, E DENNIS. MA 02641 Commissioner Board of Building Regulations and Standards lug HOME IMPROVEMENT CONTRACTOR ' Registrationer,104158 Expiration ,7l23/2008 Type Pnvate-Corporation MCPHEE ASSOCIA TES fNG_: Robert McPhee PO Box 797/1382 Rt 134 E. Dennis, MA 02641 ' Deputy Administrator RESIDENTIAL BUILDING PERMIT PEES APPLICATION FEE _ New Buildings $100.0.0 Residential Addition $50.00 $5 0.0 0 Alterations/Renovations $50.00 $5 0.0 0 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET -NEW LIVING SPACE 320 _square feet x$96/sq.foot= $30,720 x.0041= $125.95 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 1,400 square feet x$641sq.foot= $89,600 x.0041= $367.36 plus from below(if applicable). GARAGES'(attached&detached) 624 square feet x$32/sq.1 $19,968 x.0041= $81.69 ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 . >750 sf-1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit. square feet $96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck 1• x$30.00= $30.00 (number) FireplaWChimney 1 x$25.00= $25.00 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocadon/Moving $150.00 (plus above if applicable) Permit Fee $730.00 P'njcost , K Town of Barnstable Regulatory Services • 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 adj scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. fiype.ofWork, Renovation/ Addition Estimated Cost $1411,111 Address of Work: . 385 Elliot Road Centerville Owner's Name: Carol Crouthamel Date of Application: 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 WTI'H.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNEptf ER PENALTIES OF PERJURY I hereby apply for a permit as the a the weer: 104158 Date Contractor Name Registration No. OR . Date Owner's Name QArmshomeafdav XON The Commonwealth of Massachusetts Department of Industrial Accidents i Office of Investigations 600 Washington Street 6 Boston, MA 02111 l' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): McPhee Associates, Inc. Address: 1382 Rte 134, P. 0. Box 799 City/State/Zip: East Dennis, MA 02641 Phone #: 508-385-2704 Are you an employer?Check the appropriate box:1.0 1 am a employer with 13 4. ❑ I am a general contractor and I Type of project (required):6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• n Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. M Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Associated Employers Insurance Company Policy#or Self-ins. Lic. 900206101 200E Expiration Date:AFL 1 2007 Job Site Address: 385 Elliot Road City/State/Zip: Centerville, MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152.can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of e DIA for insurance coverage verification. I do hereby c r f under the pains and penalties of perjury that the information provided above is true and correct. Si natur Date: —C& Phone#: 508-385-2704 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." 1. 4' 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"ever state or local licensing agency shall withhold the issuance or P � § ( ) Y g g Y renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been resented to the contracting authority." q P P g ty Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their R self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents -Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia JOB C -DQ I yAA�KE(- i�.Lt,• I�J�LT��117� TAYLOR DESIGN NC. ! ASSOC.,f SHEET NO. OF � 1 P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY [ DATE S TEL./FAX: (508) 790-4686 CHECKED BY - OF T jZ�V( L�� SCALE TAYIOW, ..................... ............. __ .... - -- - ..........._ ........... arse ----......... --------`---- ....... ... -_.. - :.......__....... ¢ ... . i Y .. .a.......:......... ............ _. .......... ... ... .. _... ........;........... .......... ... _. - - _... __ .. . - _ ..._ S3-_.. � .. Z... _. .�. a ...:....._.._ ..... ._. .. . ... _ "7 a P co- :. . ...... .. ... 3... i .._ .. : . .__ ....._... .... ..' .. .._....... Jc- .._ r C ..........._.......................: _ _ _ --------. . 4 _ .. .. . _ ,2 _ :............ k%. .. _...... .:. ......_.......::. . -... °... .. --. .-o-..... .. :. ... ........ . . 1 j + 1 1� .P.. e cr._ cc __ : ._? ' P ....: ... ...... .:..... . . ._. �... ..7.. ----------- i _... s. (` �°a Cam........ .... ......._................._._.__ e ..... __ e _... ..._ ...... ........ .. JOB cA c J TAYLOR DESIGN ASSOC.,_INC. "SHEET No. Z-- OF— P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY Y DATE I .� - TEL./FAX: (508) 790-4686 CHECKED BY DATE �`i� i.CG►`T A a. SCALE .. .. : {J gat-s.� Cam..... .: . C-? A; _•' '� ... . ..... r .._ ..,.... .... _ .. :._ tJ ._.t. - _: rL -- 3 w .............................° � --..---------- ._ : - ... .... e , .... rT 1. . ,.. , .. ..... ... . .. ................. ... 14 13 .. ... ..... _.. .. ._ .... ..... a ...... .. :... _ _ _ ° � .._;....... I - '. cos C)`�►-L TAYLOR DESIGN ASSOC.; INC. SHEET N0. -� OF P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY DATES— TEL./FAX: (508) 790-4686 CHECKED BY DATE CrL-avFV-T ? j SCALE = .......i ._ _ .. _ _.'... _ _ ..........._ -------------- - -- r...--.. . E'er �. -.. `, { ':L` . 'P... ` ..:...... .......... _-r �. c� ------------- . -3 cs.� . �3 ,.._._ . .. .. .: _--_.-- ......... ------- ... _ - .. _ 17 � __ 1/ .. _ .M4. .. -. ._ . . a ._...._ i_.- _------- .. .. .....:... .:.. ........ . . .. . .: . . :__._. r � 5 - - . r Lam% 2 CA '� 25 ?alp f RICHARD .` 1 q � � BAXTER v 48 'o No.240 5 � i GLISTSO OT F��L4 Al G'E2'T/,Cy TN/aT SHOWN f�E�2EO.1/Coo /-CL YS /rh' SCA, E- OATS Y"NE SIOE.0/.</E AA/41-7 SETBA Ck �E4vieEA-lE•c/i-s of T.y�' 'row�va� �,L.��t/ .2E�'"E.eEtiC'� :� GATE: g J ,aAXT.E,e6 A/YE /NC. f TiS�/S PL4�t//S i!/a�' BASED O.v Aif/ .2E'G/STE.2E� O SU.e�EY�r�j /NST,2Uiti1AG-.t/T O,�{5'ETS Syoy✓y S.�vL� ,t/a7- B� LL C.--1 I(/oRIZ/SC= Centerville River ASSESSORS REF.: \Hood \ Mop 227, Parcel 104 All, \ -el�010 \ OVERLAY DISTRICT: P �l, 3 — \\ !' AP — Aquifer Protection District ,1-I, % h s \ ZONE: •'. " h a�l, J�I, Area (min.) 87,120 SF (RPOD) �' N Frontage (min) 20' Width (min) 100' �- Setbacks: ,lil, N_ Fron t 20' \ J Side 10' Rear 10' — Qw�\ l, ,L //New Foundation 1 3 / 1 awl all, o o' 33.09• ( alb S 29'2 03 Wi I CB/DH 1 `III• Fnd 1 \ \ 34.1' OAP/y�S 1 certify that the foundations shown hereon conform to the \ setback requirements of the \ Zoning Bylaws of the town 75.7' of Barnstable. ` �15 ` \ _ _ _ _ _ E °° S�10ytlF s�v wa-t New Foundation 1-Se, g� —_ — o�'a = ass`-, —- �n9��ti9 °n CP$,j6 RICHARD LHFUREUA s a #3Q12 ., �oESco SJQae �s ce/oH �I n9 •� i C) \ 00 0 e NOTES. 09/��/07 m \0 1.) The new foundations shown were located on .the ground �4- by conventional survey methods on 09/JAN/07. 2.) The property information shown hereon was \ compiled from available record information. \ 3.) This plan is not for recording and is not to be used for construction layout or deed \ \. description purposes. z U N \ PLOT PLAN AT 385 Elliot Road BARNSTABLE :r (Centerville) L=53.01' - MASS. R-1,30.0 Road DATE: 091JAN107 SCALE: 1"--50' a9�� WIOE� 025 50 75 100 FEET (40 o00 NN ' O PREPARED FOR: J��, (rv'• John J. & Carol Crouthamel 385 Elliot Road Centerville MA 02632 PREPARED BY. CapeSury 7 Parker Rood Osterville MA 02655 DWG #: C474gl FIELD BY. RRL/WHK (508) 420-3994 / 420-3995fox •TM• TOWN OF B?,RNSTABLE Permit No. ` . Building Inspector UML Cash 41 D/ . 00CUPANCY PERMIT Bond Issued to Allen W. 'Morrisev Address Lot 3, 3.85 Elliot Road, -e.nterville Wiring Inspector Inspection date Plumbing Inspector \, Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health ,� r�� - Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ......................................................1 19......_._ ..............................B........uildi n..... .g I...... .ns p p..... .ec t too..... .r............................._... B TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes Parcel r°. ® � - Permit# Health Division Date Issued 01 03 P000 Conservation Division ,' Fee Tax Collector G3�o�00lp� F , _ i/��A •. P Treasurer G Planning Dept. , Date Definitive Plan Approved by Planning Board r Historic-OKH Preservation/Hyannis r Project Street Address Village Owner dwyl r�/"�((��CL �f Address i? Telephoneit�' Permit Request 64Pi4 9- JP_Ekn/a t4A:r h S)Q A C!�i oA) Square feet: lst floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 000 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House:, ❑Yes, ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other; Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: • Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor'Room Count Heat Type and Fuel: ❑Gas' ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No • Detached garage:O existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new -size, Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review.# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number � � f Address Q 9,3 6 License# Home Improvement Contractor# Worker's Compensation# kip /9(9 �V.�4_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU - DATE �— /� 0C') G FOR OFFICIAL•USE'ONLY PEIRMIT NO. ' r '. DATE ISSUED." r - ', c r. MAP/PARCEL NO. ADDRESS VILLAGE 4 ,. r OWNER 4., : i n DATE OF INSPECTI00 FOUNDATION ` FRAME , '•"r `'-, ; Y r - - f INSULATION � it FIREPLACE ELECTRICAL: ROUGH FINAL- J - PLUMBING: ROUGH ' FINAL' ' ' '. GAS: ROUGH c. FINAL r. ` FINAL BUILDING " . f DATE CLOSED,OUT ASSOCIATION-PLAN NO. a 4 I ' The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: PA&621 - t��location: city phone# ❑ I am a homeowner performing all work myself. v ❑ I am a sole rietor and have no one rkin in ca achy (�'I am an employer providing workers' compensation for my employees working on this job. maanv name: mil � f�� 1 mddX. U. ttiess. {� -:phone. f{�1' insurance co' > :': okicv# -� _. .,... ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractarrs listed below who have the followingworkers' compensation polices: _.. . .....................mP....._...... .P ........._..._.... :company:name. address. :.•. :..;....: .. .....:... :;::.: $ o r;.:-;;: .... .......................................... 0 one ':......:::: ... ..... ...i:v:'F ......... ::::::.:.... ..:'..;:......: ... ...::::: :'i:'::::::•: ..ii:':::ii;:.;... y: �::<v iiiii:«iii:%:::::i::i ii:iii:iri::i::ii::ii .. ........... :iiii:?%viiiJJ '.i::!>v i:isj':is is'is i i:%».::!:: ::iiii>y;:::iiiiiYji:?if:tiv t iii:iiiii fiii i::is i .... ORE ivi vY i>iYv:vu »:e.e'c' : .. ... ••:::•:::. ur8ic O? ;i; sisj' i%'' :i;i;[>:r_?;: :;;; : piety# ... .:::.::.::.... . ::........%.:.. campanv name:: : ......;..... cktw. ..... .... .... .:....:.:.:.:. x. .....: ................. .::' ... .::.... :.:' . agaranceco..:. ,:...,.. oliev#" Fafime to seeme coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine rap to$1,500.00 and/or one years'imprisonment as well as dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day agahat me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification 1 do hereby certify under the panes and penalties of perjury that the information provided above is true and coned Signature _ Date (� Print name v L.. �� Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# . ❑Building Department OLicensing Board ❑checkifimmedlate response i,required OSelectmen's Office contact person: phone#; _ Health Department ❑Other ormed 9195 PJIU r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the�.r employees. As quoted from the "law", an employee is defined as every person in the service of another under any cc=-; 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 receive:c- g g g� J rP � g g P trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewa of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contractingauthority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to cmrtact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation'and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents emce of Imrestleatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 Olt066 The Town of Barnstable HAM 9 � Department of Health Safety and Environmental Services iOrEo r�t► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. -/ OE :E'/ ��"� Estimated Cost �d�. Type of Work: Address of Work: �.. 10 ,4 2k Owner's Name: C 1 .1�D�. l� U M A M l a � U , Date of Application: / %®D - ' I hereby certify that: s Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied } Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN'PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the ageA of the owner: 340 Date Contractor ame Registratio9No . OR Date Owner's Name q:forms:Affidav f HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards _ one Ashburton achusetts Room 021O8O1 I Boston , Mass I l;,)ME IMPROVEMENT CONTRACTOR ©gistration 103714 Expiration 07/09/00 I � -- _—_ HOME IMPROVEMENT CONTRACTOR y p e ' — PARTNERSHIP I _ Registration 103714 I I — Type - PARTNERSHIP PAUL J . cAZEAULT SONS ROOFING I -- Expiration 07/09/00 Paul J - Caze P .O,- Box 2781 I PAUL J. CAZEAULT h SONS ROOF! 22 Giddialt Rd - I Paul J. Cazeault Orleans MA 02653 I � �,,%lddialt Rd. P.O. Box 27 i stnmon Orleans MA 02653 e Regulations0w Board of Buildin ll e Ashbu rton Place, Rm 1301 On ,11f X -1618 Boston, Ma 02108 Birthdate: 10120/195 License: CONSTRUCTION SUPERVISOR LICENSE Restricted To: 00 Number: CS 026325 Expires:10/20/2001 PAULJ CAZEAULT 1585 MAIN ST OSTERVILLE, MA 02655 7665 Tr.no: and change of address notification. Keep top for receipt .. CERTIFICATE OF LIABILITY INSURANCE OB/11/� PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ma,tor; Servant, Ltd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5700 Post Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1158 Cast Greenwich, RI 02818 INSURERS AFFORDING COVERAGE 1N5UHE0 INSURERA:Transcontinental Ins. Co. (C��) Paul J. Cazeault & Sons Roofing -------------.--...--_ - ------.._........_...__.. ... . .-...._ .. . - IN;UREA R: _- INSURER C: I N:i 11HFH O: .__. .. .... INSURER E: COVERAGES TI lE POLICIES OF INSUFIANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEFVOO INDICATED. NOTWITITSTANDING ANY REQUIREMENT, TERM CR 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 FtEDUCED BY PAID CLAMS. IN�,I�' f'OIIGY EFFECTIVE POIIf,V FXVIRAIIpN LIMITS _ LTR TYPEOFINSURANCE POLICYNUMBER ATE MM DD DATE MM CLYVI A GENERAL LIABILITY C180024822 04/30/99 04/30/00 EA(_F)OCCUHHENCE 0001. X COMMEH(:IAL(.;ENEHALUAHILIIY FIRE LIA MA( . E(Any unelre) 5100_ . ./ OOO. .__. .._ ._.__. . ._._..... ._. . ._.. .. . ... -_-_I QOO CLAIMS MAfJFIXd OCCUR - MFD FXP(Anyone person) SrJ — _—_-_ X PD Ded: 1 , 000 PFHSONAI AAC)V IN.IIIHY $1 -- IBOO_ — (."ENEMALAGGHE(;AIE SZ 000,-000 fiFN'I A(i(iN FCiAIFIIMIIAPPI IFS PFH: PHOI)11CIS-COMP/OPA(;G L2 OOO OOO POI ICY I X .IFCI I.00 AUTOMOBILE LIABILITY COMHINFU:;IN0I.l-LIMIT S (L'a W.0denl) -- ANY AUTO Al I OWNFU Ail IDS HOUILYINJUHY S (Per person) SC H 17I)il 1.I-O All IOS - IIIHM.I)Al1IO:i 80UII.YIN.1t1RY S (Per ecddenl) NON-OWNEDAUTOS --- PHOPFHIYI)AMA(it. S (Per ncu enq GAHAIa-LIABILITY A1110 VNI Y-FA AGCIDtNI S - ANY AU IU (1TIIER TIIAN HA AGG S AUIOONLY: AGG S EXCESS LIABILITY EACHOCCLIHHENCE S 71 OGCl1H u CI.AIMS MADE AGGRFGATF S S HFIFN II(1N S AWORKERSCOMPFNSATIONAND WC199413744 08/09/99 08/09/00 X ly`Hy'"I�, IH EMPLOYERS'LIABILITY FL.FACH ACCIOFN I - — $1_00 E.L.DISEASE EAEMPLOYFE $10O./.0.01.0 EL.OISF.ASE P(TI.ICVLIMIT $500 000 WHO% DESCRIPTION OF OPEIIATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BYENOORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER LETTER. CANCELLATION SHOULDANYOF TH E ABOVE DESCRY BEDPOLIGES B ECANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSUR Ell WILLENDEAVOR10MAIL3O -OAYSWRInEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON TH EINSURER,ITS AGENTS Oil REPRESENTATIVES. AUU T HORIZ ED R EPR ES ENTAIIV E ACORD 25-S(7197) 9 S8 2 8 9 4/M8 2 B 9 3 IIAM D ACORD CORPORATION 1900 !_ r Q6124 )11 of«rr Town of Barnstable # *Permit# Regulatory Services ��eCes6mnnfhs ran issue dare �� an.Rvsrca[.s. : 1619- Thomas F. Geiler, Director Building Division �P ESS PERMIT Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us �� '� � Office: 508-862-4038 TQtf N OF EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 508-790-6230 Nat Ya1id)P11haxtRe.dX-Press Imprint Map/parcel Nurnber_.0?0'7 j Pro erty Address Residential Value of Work Minimu fee of$35 00 for work underS6000.00 Owner's Name d Address 0U7 l f /�l e Contractor's Narne Telephone Number Home Improvement Contractor License#(if applicable) // J ZWol-kman rction Supervisor's License#(if applicable) S Tt�'s Compensation Insurance Check one: �❑ am a sole proprietor Ey 1 am the Homeowner M I have Worker's Compensation Insurance Insurance Company Name &/�&�OA)4tV1 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. °ermit Request(check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of rood ❑ R side ' Replacement Windows/doors/sliders.U-Value #of doors (maximum .35)#of window_ *Where required: Issuance of this permit does not exempt compliance with other torn 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, 'NATURE: PFILESTORMSIbuilding pennii formsTXPRESS.doc T } 1137 Park East Dime Fu Reg.o.12Z59130839(MQTM A»oueres lnr; & v T nr.ae Coom HICAS5272S IMmnn ASSW-M-S W-1 ` Woonsocket.Rhode Island 02895 r, (800)975-6666 Mass.Ht tl t195351M�^A of 1 gp Purchasers)Name: . fZ O L C fL Q V T/4AM JfL r ry installation Address: 3S-r- J;—LL.J o7"TJ k h 70 y/L.t I' A/A 0." 7 2 Malling Address: Home Phone:mf 7S' 17 cell Phone: E-mail: Year Home Built:- Customer Initials:G5 C- Taxes Paid in Town of B/g�1)f ST1q�!L I/we,the above purchaser(s)("Purchaser(s)")and the owner(s)of the property located at the above installation address,hereby jointly and severally agree to contract with Moon Associates,Inc.("Moonworks")to furnish,deliver,and install of all materials as described in this agreement("Agreement"),the attached Spec Sheet(s)and diagram(s)which are incorporated herein by reference and made a part hereof.A Completion Certificate will be executed for all jobs at the end of the installation. I i _Order Number_ I Order Number:. Order Number: Project Type: t.,J 043 TTT Project Type: i Project Type- u Agreement Amount S 6 6o Agreement Amount 5 _. Agreement Amount $ i Less Deposit* $ ! Z Less Deposit# S Less Depositt $ i Balance Due On Completion $ y c y Balance Due On Completion $ Balance Due On Completion $ _ 1 1 iMm,mum 33%of Agreemenl Amount due upon enecutipn tMmrumum 33%of Agreement Amount due upon eaecui0n. 3Mipimum 33%of Agreement Amount due upon,executer,. i Indicate Payment Method For Balance indicate Payment Method For Balance Indicate Payment Medwd For Balance Due at Time of Installation: Due at Time of Installation: Due at Time of Installation: 1 Est.Start Date: Est.Completion Date: Est.Start Date: Est.Completion Date: 1 Est.Start Date: Est-Completion Date. I CO DEPOSIT/PAYMENT OPTIONS(suh)ectto food verification and/or ttredit approval) 1.Check,Cashier's Check or Money Order Ck a 3.Financing (Made payable to Moonworks! Acct A Approval Code 2.Credit Card'icircle) MasterCard Discover Acct N Approval Code y�'r^ •/We agree to allow Moonworks io charge the referenced credo card for the depmit amount Acct ol�sr 1 0 Exp Date ecurity Code a y� Indxated.Balance to be charged toueditcard uponcompietion of imtallat on if noted abore. It is agreed by and between the parties that this Agreement cortstitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement.Purchaser(%)hereby acknowledges that Purchasers)1)has read the front and reverse of this Agreement and has received a completed,signed,and dated copy of this Agreement,Including the two accompanying Notice of Cancellation forms,on the date first written above and 2)was orally informed of his/her right to cancel this transaction.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Purchaser Purchaser Moonworks 6 Signature Signature lure Cali Print Name Print Name Print Name YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE NOTICE OF CANCELLATION FORM BELOW FOR AN EXPLANATION OF THIS RIGHT. NOTICE OF CANCELLATION NOTICE OF CANCELLATION Date of Transaction Lt.- Date of Transaction Lf-30-// You may cancel this transaction,without any penalty or obligation, You may cancel this transaction, without any penalty or obligation, within three business days from the above date.ff you cancel,any within three business days from the above date. If you cancel, any property traded in,any payments made by you under the Contract or property traded in,any payments made by you under the Conitract or Sale,and any negotiable instrument executed by you will be returned Sale,and any negotiable instrument executed by you will be returned within 10 days following receipt by the Seller of your cancellation within 10 days following receipt by the Seller of your cancellation notice,and any security Interest arising out of the transaction will be notice,and any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the Seller at your canceled.tf you cancel,you must make available to the Seller at your residence, In substantially as good condition as when received,any residence, In substantially as good condition as when received,any goods delivered to you under this Contract or Sale,or you may,If you goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return wish, comply with the instructions of the Seller regarding the return shipment of the goods at the Sellers expense and risk.If you do make shipment of the goods at the SeRers expense and risk.If you do make the goods available to the Seller and the Seller does not pick them up the goods available to the Seger and the Seger does not pick them up within 20 days of the date of your Notice of Cancellation,you may within 20 days of the date of your Notice of Cancellation, you may . retain or dispose of the goods without any further obligation.If you retain or dispose of the goods without any further obligation.if you fail to make the goods available to the Seller,or if you agree to return fall to make the goods available to the Seller,or if you agree to return the goods to the Seller and fail to do so,then you remain liable for the goods to the Seiler and fail to do so,then you remain liable for performance of all obligations under the Contract.To cancel this performance of all obligations under the Contract. To cancel this transaction, mail or deliver a signed and dated copy of this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice,or send a telegram to cancellation notice or any other written notice,or send a telegram to MOONWORKS, 1137 Park East Drive, Woonsocket, Rhode Island Moonworks, 1137 Park East Drive, Woonsoc et, Rhode Island 02995,NOT LATER THAN MIDNIGHT OF -�-- (Date). 02995.NOT LATER THAN tADNIGHT OF_ -� (Date). 1 HEREBY CANCEL THIS TRANSACTION. 1 HEREBY CANCEL THIS TRANSACTION. Consumers signature Date Consumer's Signature Date REP`W ER O M E The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatio ividual): a $SOG Vc Address: Ci /S to/Zi //'',^, > /�,,, ty �Y//' �� 6 Are on an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 11_�o 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑N construction 2.El 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. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs . insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation in urance for my employees. Below is the policy and job site information Insurance Company Name: ACGAf Policy#or Self-ins.Lic.#: p� 0 S �j Expiration Date: /0 Job Site Address: ELlidCity/State/Zip: Y) 't Attach a copy of the workers' compensation policy declaration page(showing the policy number and exp ation date). Failure to secure coverage as required under Section.25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true an correct. Signature: �/--- Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE OP1D SR DATE(MhVDD1YYY MOONA-1 10/05/1 PRODucER THIS CERTIFICATE IS ISSUED AS A({BATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunter Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOTANIEND,EXTEND OR 389 Old River Road, P.O. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI 02838-0001 Phone: 401-769-9500 Fax:401-769-9502 INSURERS AFFORDING COVERAGE NAIC INSURED Moon Associates Inc. INSURER A: gatlonal Orange.Mt uranee-Co 14788 DBA Gutter Helmet DBA Renewal by Andersen of RI INSURER s: Beacon Mutual DBA Gutter Helmet Roofing INsureERc DBA Moon Works 1137 Park East Drive INSURERD: Woonsocket RI 02895 INSURER E: COVERAGES THE POLICle,s OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH. PQLICIES.AGGRtGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYYYY) DATE(MAIIDD/YYYY) .LIMITS GENERAL LIABILITY EACH OCCURRENCE $10 0.0 0 0 0 A X COMMERCIAL GENERAL LIABILITY 14PS26619 - 09/16/10 09/16/11 PREMISES(lu'(EnT ranca) $500000� CLAIMS MADE FX]OCCUR MED EXP(Airy one person) $10 0 00 PERSONAL&AQV K_lQRY $10 0 0 0 0 0 GENERAL AGGREGATE $2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 O 0 0 0 0 0 POLICY PERO- LOC AUT01410BILE LIABILITY COMBINED SINGLE LWrT $100000O A X ANY AUTO BIS26619 09/16/10 09/16/11 (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 AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTOOKY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $10 0 0 0 0 0 A X OCCUR cLaIMsMADE CUS26619 09/16/10 09/16/11 AGGREGATE $ $ 0DEDUCTIBLE $ X RETENTION $10 0 0 0 $ WORKERS CO ENSA5-ON X DORYLIMITS ER AND EMPLOYERS LIABILnY YIN B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? 28586 10/01/10 10/01/11 E.L EACH ACCIDENT $500000 (Mandatory in NH) E.L.DISEASE-EAEMPLOYEE $500000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMTT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO MOONASs DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrrrEt NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABUM OF ANY KIND UPON THE INSURER,ITS AGENTS OR' REPRESENTATIVES. AUTOO REPRESENTATIVES O W-7. ACORD 25(2009101). 019B8-2009 ACORD CORPORATION. AR rights reserved. The ACORD name and logo are registered marks of ACORD ab x _= $ on �3 'Kg-'K� 13- g z � . . F �. sa- OiArIt f4 Public %ref) >- u � Speciafty, Use 4.3 PAHME ROAD CLIMS-TE N , RI 02£64 Tr#; Assessor's map and lot number ....... .. ..'�' j PROF TN E t0� - Sewage Permit number ........................................................ Z BARNSTABLE, 1 1106se number .................... ��'... .':...` ............................:.... ro rasa 9 O i639• 9� a` TOWN OF BARNSTABLE BUILDING INSPECTOR �t APPLICATION FOR PERMIT TO . . ......... .k.lr .1 5.. .... U��l� tdc-l m� TYPEOF CONSTRUCTION ....u2 qn.... r`AA.M e.................................................................................. :I. / ../. !�....................19`...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ .0.7.....:4:�..qeZ.............. 1.�.. ...&i. ..........0.. �.. .(.uE... . A.,.... Proposed Use 4! �. ...t. .0 ...... ZoningDistrict ........ a.................................................. Fire Distract... ....c.......�....................................................... Name of Owner ... uF—.? ....... .� �R..�.S ........Address 3.01..�� {,1 13�r S. , / kW. .... ... ........ ................ ................ Name of Builder . �5. �'Y....Address p �o Name of Architect .. L.. -�, ..... 1�.�`.....Address .....C� ��.Uf(_( .. !. ..: .... ........ .... ...... ............................... �-) Number of Rooms . ........r7..................................................Foundation ...12P .p (!a"Oi`ET CEU Exterior ..�-� D .�. ...............................................Roofing ......1 ... .:................................................. Floors .F i-- r (4) D Ob .Interior ........ Heating h . .......Plumbing ......: � `� / :..................... 01 Fireplace .......OL . roximate Cost....................................................................App ......�. (5ya.p L^v.......... ................................. C . y �. Definitive Plan Approved by Planning Board ________________________________19________. Area ................ � ,................ � Diagram of Lot and Building, with Dimensions Fee .......................,........................i SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License ..:"T.( .:?...\i............ , ^ , ' MJRIDSEY AMEN W. \ � ' No -----.. Permit for ................ ....................... Location W.t..t.... .^^++~+��..~»^°°+ ---.. . -----'------'----------------'' Owner ... ......................... | Type of Construction .....Frame... ..................... | ' ' --------------------------' Plot ............................ Lot ----------' - Permit G,onh*6 ..... . I9.---lg85 ] Date of Inspection ------------l9 ' } Date Completed ------------.lV ` � ' | | / - - | - '. ^ ' . ' / . U ^'^� K � �� Assessor's,map and lot number .......�. .;.7.. ..,�.�.. ' CF THE TO Sewag ` Permit number ..... <?. .. '.. -3.... .. T SEPTIC SYSTEM INSTALLED 1N COMPLIANCE % Z BAH.HSTADLE, i Ho(se number �................................. �T TITLE 9 Maea ENVIRONMENTAL ENTAL CODE �"��'D o 19 TOWN OF BARNSTABE'E`;. �n� • r BUILDING INSPECTOR P A� @ APPLICATION FOR PERMIT TO ... .L1, ..t`!........M.b.. .1.S..F..�.....� vlt� .... �ce.IN r TYPE OF CONSTRUCTION ......LO 0 ...... A.ftfAE................................................................................. .........: ...1....1. ....................s F TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: T # � . 1...... Location ..................®...................................... ..... 6� .........bl..........1..�.5.�� .�`. .1.�Ll ,...f...r"�. !.... .. --. -...!". ............................................................................................................................Proposed Use .... .......... ZoningDistrict ........&C....................................................Fire District .....C........ ....................................................... Name of Owner ...AUE0...........L.n. .11 5 ........Address ....d.q... .�� Name of Builder .....�.....�.................!-4�9.��. .....�...Address .................................................................................... p pp Name of Architect .. � LID.. .. r .E.h .....Address .....p:�� V..LL�. .... ............ /`� .... ..... 1........ ...................... Number of Rooms ...............1..................................................Foundation ...P OV� C-D.....�.�.OJ6RETECF(4 L Exterior c-� D g j� 1C .............Roofing ......AW l L_ [.:.............................................. Floors .......l.. ..�.t fJ ................................................Interior ........ . ,......................................... Heating .....0111................................................................Plumbing ........K.. �r . TX Fireplace .........Approximate. Cost �®O 0t�� Definitive Plan Approved by Planning Board ________________________________19________. Area ......� _� S //.......................... ... Z Diagram of Lot and Building with` Dimensions Fee SUBJECT. TO APPROVAL OF BOARD OF HEALTH ((UNeo 1 �a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. C Name ... .... .... ...........:.Vi! Construction Supervisor's License ... .. .. .�.Y........ MORRISEY, ALLEN W. c 2. Permit for l z Story ► � o ..................... s "` t Single FamilX Dwelling....................... Location ........ Lot 2 .....'385 Elliot Road. r .....r .............................................. `. ................... enterville .......... !� ' _ r Owner Allen W. Morrisey -- Type of Construction. Frame............................... r' Plot. ............................ Lot ................... - .� .. .ram �_ + .•"' —• y"� - Permit Granted Februray 19,-1 .19 85 -� Date of Inspectiorr ./ may. _ Date Completed ............. .. L] . ......'.....,�19 r' •� ` LAI Z _ - it QiG 1111-Ater el y N�/J %Gl - - I ROPERTY ADDRESS I I ZONING I DISTRICT CODE SP • DISTS.I DATE PRINTED I STATE CLASS I PCS I NBHD PARCEL IDENTIFICATION NUMBERKEY NO, 0385 I=LLIi3TT . RflAD !2 RC 300 12CO 07109195 1011 . 0 48VtA �2227 1�34. 1381�?3 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT 'ADJ'D. UNIT ACRES/UNITS VALUE Description CROUTHAMEL, JOHN J Q'r . CAROL MAP- . Land'By/Dale Size Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE � - PRICE CD. FF-De IN cres E 4 L A id D 76,P500 CARDS IN ACCOUNT - 15 1WATERENT. 1 X .9 =10C 104 79999.9 83199199 .92 76500 #8LD {S)-CARD-1 1 313,900 01 OF 01 1 T .3YU4UU BATHS 2,2 U X `. A= 1010 1 86100.0 18600.0C. 4`OL .385 A.RK ] - 1;.U�, 9i9r�:3�'! 3 �>'L . .383 ELLIOTT;` �� CE:NT aARRCET 331200 €IREPLACE U X . A= 100 4800_0C 480I aU 1 _00 4800 _ 3 4YRR _ U492 0030 INCOME 'EXT . FIREPL ' U X A= IGO 2100.0 21G0.3 1 .00 21 0 a USE A AIR . .COND S X° A 100 1 .5 2..32 2784 65 0 8 APPRAISED VALUE A . 39UAP400 I PARCEL SUMMARY AND 76500 T LDGS 313900 -IMPS M TOTAL 390400 E CNST _ N - f DEED REFERENC Type DATE RecordedPRIOR YEAR VALUE r p T Book - Page Ins,. MO. yr.D Sales Price LAND .5 i3 Q S 8 i55/19 7EI 619:3. 380000 LDGS 313900: 7667/.2401 109/91 A. 100 . TOTAL 390400 I 4948/3'19: Ib3/36 A 1 . BUILDING PERMIT Number Date Type Amount LAND LAIND-ADJ INCOME . SE SP�-SLOS FEATURES BLD-ADDS UNITS. 7b51 3 32000 71522 2/8.5. ? ND Cons,. Total e r B ilt Norm. Obsv. Class _ Units Units Base Rate Ad).Rate A AgeDepr. Cond. CND Loc - Wo R G. Repl Cost New _ Adl Rapt Value Stories Heigh[ Roo ed Rms Baths e'Fix. Partywall Fac. 01A UU3 115 ,15 84. 55 : 97.23 85 85 9 .92 100 S02^��`� 341249 313900 . 1_5 4 2_2 11 _b ' Description Rate Square Feet Rapt.Cost MKT.INDEX: 1.+ IMP. BY/DATE:�-'"",r SCALE: ELEMENTS CODE STRUCTION DETAIL BAS ' 100 97 23 1555 151193 5 [ FAMILYLING CNST d�P.DWELLING 815 42 40.84 .. 1555 63506 � STYLE 04 APE COD 0.0 i FOP 35 34-03 50 . 1702 y SicS�iA! #�i3J T i33?�Sf �115jD-§ 1Y.�? 1 SB 100 97.23 . 452 43948 1. XT�5 ;IA-CCS-- -12 L�P�O�I�D-- ----- � FWD 85 8.50 811 6894 THIS 14OUSE CONTAINS ANGLES OTHER THAN RIGHT : REAT.IAC TYPE G15 . 7.2 70.01, 600 420.06 ANGLES AND CANNOT BE VECTORED . BYITHE CI3MPUTE�2Z 7=3�.E��t S1# -I�ii y PLEASEH - - -- - - aT.7tlft5R�A1 __ A53C : FI3R THE SKETCH CARD IF YOU DISH T.b I+IT�R L;�-'i��Ti}T 1-2 SEE BUILDING DIAGRAM! } JUTE �2 �1i'�E AS EXTER. U. LDV9_C_3V R-- -T3 _A_WRET-_6_TIlE---�T.1? 861 ': 2�107 ! SEE AL�dOVE r G-r_TYP-E. -J2�G-A9CE=-_VUO -S�---i3;�3 E Total Areas Aux Base fT c e� �f BUILDING DIMENSIONS NOTE;.. ! - LETZAL --- f7Z '3�3VE AVE.4AG LI-i1 T . ! .!. "t3i3 T3 [TTT�7.--- .9T Z�f�£D-C-0NC---- 9V.9 As -------------- ---- ---------------------- at-_---_- Vi FWA-1-ENTEWTILLE L LAND TOTAL MARKET PARCEL 76500 390400 .: AREA 1.0640 VARIANCE +fl +2ts7 . STANDARD _ 25 vs IMPORTANT N EASES LIVING SPACE S ANY CONSTRUCTION THAT INCR F.T.SLEEPERS SQ. FT. PER LEVEL MAY REQUIRE THE •2w O.a,rrP. RL • BEYOND 1204 , �JE 4 INSTALLATION OF ADDITIONAL SMOKE DETECTORS. _ NOTE: A SEPARATE PERMIT IS REQUIRED FOR•THE PROVIDa"BARS• AL CONTRACTOR TO MATCH Ir o.C.VERT.IN MAIN �3H �✓ INSTAL THE ELECTRIC INSTALLATION OF SMOKE DETECTORS- maenrw.FLOOR NOGNTB FOUNDATION WALL TIE INTO ON C •ADJUST TnP w FaUNDAnoN FROST woos,Trwcu �_ � PERMIT DOES T'SATISFY THIS REQUIREMENT. AccORDIWGLY is NOT coo P0L" IS NOT CAITIMUOIB. CONC.WALL ON W O..11`T CONC. PROC E 60 Vmtr.M MAIN ``` .\` �:�• `` ````` ``. Y �5�73��T.i t!y FOOTING FOUNDATION WALL TIE INTO ` 4• ` TO,I�1gTTOI _ MOST WALLS,TYPICAL � ` N—Ow.mR NDGNre caNtRtcTOR eMALL /^\\ ICONKSCs NorCOINTIINUO{�18.FOYR Nip / ``. ` ``0 i ``. 4A�xORD1C OF P'QUIIDATION, `• \ z z i8 2 SING CO!RAGS M / \ \ - / •`� ` ••F •`� \ e�TMC x 4'-O' CONC.WALL ON FDMNG O / / a9• \ \ �a y�;� ` `,Cp�ONpTnyIItDaRbTOR TTO' ANDeRBmU '� \ \ P1eo1n!)z ae BARB• 4,1�,p `TO 1' . As Plar ec / selr o \ Ir oc vier,IN. ,SKY • (aPP°rt�c'LocATIpN) FOUNDATKIN,WAµ TICS INTO - O - `y / • - CONTRACTOR=k C.7 V ••• PweT wALLe,TYPICAL' `.f MaNiaN 4e'111NIPM1 E" ,-1 O 8 cm#Awrm mmu POUR ``.` `• FOOTING COVERAGE CRAWL BPAGE IS NOT COJT'INUQIS. ` `\ COlfTRACTDR TO C=)A 5 \ � i \ \ ro MAT6L OO;AaeAarole`aD `y / \`•/r /. �, ` PIWTo AD•a.ACCESS \ STINT CE TOP OF FO innON curLm POUONDAn WALLPTe INTO IXIBTING PTOP LOO�R 4�fiR9 �`f _ _ _ =:� =. - � s y P ACCORDINGLY OF FOUNDA'TICN L9 N F FROST MON TYPICAL. : S ¢ CorNECTION wweRc Pane � � � g. IS NOT CONTINUOUS. / ' b•y " �u&E i FLINT LOAD PROVIDE xe .IN • __ ii SQQ FO OJ:. ION IN MAIN O 3 PRowx Access FOUNDATION WALL TIE n � ��'$$$ ss a Tb cwwL / FROST WALLS,TYPICAL I Te.4x4x O60 / Jill q llamil . I I Is Nor cc nINUwus.�yR •EA.m+D I �9N g EXISTING TO REMAIN u tl / CONTRACTOR TO MATCH I w TMK x 4'-&mffTING / ACCORD TTT .JT�P FOUNDATION1 CaC'WALL ON — I P , FPDTING / Plow W12.511 B (AEOVE�., FCOYING COVGRAG� / , ,• 'A • ' Z LU — — — — - — GARAGE SLAB , OL LU as'-r I Tmlmm DoORe Top Z 8 =QE ,DO NOT BACI(FlLL WALL ? , OWALLL Poe E �D�"' 1 «. O I— ATTAINEDN77DA HSTRENGTH OFF NEEN'W DATTOgN WALL TO Ir EIGHT - / / J AND BOTH TOP k BOTITXJ E7aSTM1G FONDARON. - PROVIDE E .IN • � ' O F OF WALL ARE PROPERLY Ir O.C.VERY.IN MAIN _ OF WALL - FOUNDATION WALL TIE INTO �� FROsr WALLS,TYPxx PLACE 2 AS R®ARS AT • BIT.IT.FILLER, Is NOT co waDte Pane _ _ Z S U W WALL IS NOT CONTNUOUS. TOP OF &AROUND • TOP OFF W/FLE768LE _ _ _ ALL DOOR, WINDOW.h OTHER JOINT SEALANT e' _ J O -• WALL OPENINGS. •�•.�'�.'�• 'SIKAFlJ7f tA' - I V ":•.'•,�•�'-.`.•. WWF 6X6 6/6,TOP 1/3A ILL AB OF SLAB I�I I—III 4'CONC.SL - -P�, u III—ICI T7(I ITT T ♦� A. RITAINING WALL ' p.-a. CARRY DAMPROOFlNG —I I I—III •,j r 6'COMPACTED Y - FOUNDA 1 IOI`1 PI-/•1N OVER TOP OF — — I— FILL gam, 1/q•�"-W FOOTING 1 I 1=1 �.tr•�.tlFr. 2X4 KEYWAY - WATERSTOP'RX' III—I I ..` •�.: WALL KEY coLLao ,•;,. •, C� ExIsnNG wAus GENERAL NOTES: BY AMERICAN - • .;.-•:,: ::. . C=====7 WALLS ro BE REno✓m BASEMENT NOTES: 3 b `.':. •. ':: i'�i f=Ili= pOyREp NO.6 REBARS,CONT. TOP PRDPOS®WALLS YW@IPRAPIiNG IER91N�CQ'1! P�IUOR@IGOSUIRE BYI � A E�D'TIT7MOARea'.6T WNDA,ION gJS1a'7Q7 51mP1EIG E d Q — _ TTT III= WALL RAS'RR EOARDVFlNIEN. PROVIDE 0115HOCRIZ.BARS CpIWPNLXKM I STRIP.FFRDI�O,TIg&oW�/p� o SFIALJ.eW�ULE AND FORI'1 NFA7y�ER ALL S i l'711i.ABO✓6 TOP F�ODTNG.PRSDV�DE•V3.0 .— �I COMPONENTS AND I a18 DURING CONSng1CT1Ge1 BOLTS.4 O.0 MAX. I I I I I I I I J-ff 11 I Ire NEceBs�Rv To INsuRETO'P°"Awo7P "Rarecna"TU�1CLOs"N0° MAY BE s.Dou"'FLOOR JasrB LNDER ALL PARALLEL n PARTITIONS. �p�}1�gCr�R BNALL�T}�NSPECT ALL maenNG ve.PLtOF08m ...,. ��A�a DCdi PROMS pRtOle TO qNp DURINo CONSTRUCTION A/1D NOI'IFT DmIGNER a. CONTRACTOR TO PROVIDE BASm'IIXTVLNTIWnoN AS • ate...'..xu�vm.�. Q NNT'omen'vANam AND/OR"'•••'"—TFMr MAY BE WOpJNTmeQ7. REQJIRma Br eODE(WNDa•IS OR CAU as m �s`� CONTRAC CIR SMALL�rlq�Cr AND MAIWre Tm'7PORARY W,, ��ve�� ItmURE nL4r ALL FOUNDATION WALLS MAAINraN o eL1ORIWG 17C.MS MN TNr IAN/P�ROTEG'T mnsnNa NouBE AND STRYCTURAL I-p%,r.P.a�j,�•- a m INTEGRITY OP ma TINfi MOI! o 1 TYPICAL FOUNDATION 4 FOOTING aaDTONB PR OI[LLTO AND"�DUIU�Tw �'�OQb M"se wrmnmNTG e.PROVIDE WED snpn"M PLATES AT ENDS OF STEEL BEAMS,TM. .1 0 AC SCALP I-1/2° - 1'-O° To i wrcM Dm PARAF¢Tmte Ae 4.GM STRUCTURAL DRAWINGS FOR LOCATIONS OF ALL STRUCTURAL.COLW'NS. g � NW ORAMLL SPACE OUST CAP TO BE LOCATED NO MORE THAN W-4' a E E &dun.OPBROUOtT TTEKnON, ~ PROM TOP Q POUWDATION WALL, IN OZM SWAIM OF LOCATION THE ^ z o � Q In .. t ` Z Oo CAMI pf 4 _ 1�1 o FAMILY ROOM Jf ♦`� IMICAT6B ISIS exN c, pit- PROP HIM 20i0 �. MMAT �. � ., .. � ,S• - • ;I PROP. `�`�\ GERM ` `�rir � �� i - .. �eye LAUN- ♦` \ eewc-\ / W V] 0 2pqp �. I I ; ` `♦` ' ,N r , ` '" a g8g soar. a« / -i I I I I i.i INDIOAT7B i' �♦ ' RE�:/ V - V]Z�„ �8 M.BEDROOM / I I EKIsnNG TO i I I I SC nor-loves ;I , � PANTflT' b. ♦ r O W Cam/] a1r. dfT INOICATEe i i�� ELAY-77 « STM i mti. Q 6 PxIBTING TO r^; I I I v I PROP. I f P� 9 REnw® zwe DINING ROOM MIN. ram. .C♦~ ♦ I I 11 ♦ - GTAJFA44Y To T 1 I I I / STORAGE ASOVE�I 1 R p$ i t . ♦` . I - 9 . EXNn•i i 3 eraRwAr OFEN WALL ♦ -A INOCATEBTo FIRaPLACZ MCIIMKG To ♦`J II III I I 8 -- OE REMwCD ; ; I ' �; , • �'S gggg3 4g�e [ GARAGE � pggg �� " - - :: ♦♦ .r s `'{ -- ;. ; % TYRPOEI/�%'RIR W/� LEA g ® 6`=9 $ I'pOom WNW •p,7NN�TI0N8 "M IJVING SPACe 3d3 �p '�8 cm I. .53 gg i OFFICE I News u Q IU S AC,OI TD ,y, q °- Z iwwnNG.wln 9pso o•FL -". L^ w a o .. BUF • - - —t Re1.00AT6 EXISTING :.b' .' - _ . STONE RETAINING • O WALL KEY o E umt;mus - STRIM IIRAL N07M AlL EXTERI W NEAOExs To eE O m [-___-__-] WALLS M BE REMOVED .. 20IIO IOW 101 N%FLrt01 PLATES O • - uNtEs NotED. � a�D ® PROPMM WALLS ALL WMW MULLIONS TO BE SM c n 2IXZU PWM UNLM 01HMWSE NOTED. p e .. FlO�5Tm5 gOIES�IEELLALLY COLU s m 1 . «t .NOTES.ALL DINER POSITi 10 BE SOIID 8X0 O EXTETEOft WAl1S� O . SOUDOTNERMg NOIEA �- V / flu,®� MEN I%III - _ 7-1 I/II III/�I/ II/ - II/ I/I /II mill I/I,/II /II II/� Ip I I/J Mot A �!I,/ o WA .�: Wool ��'_ — jr�l%IIII I► II�� I I��.— / III�► — �/ —R�� Hill W/AN, Ii 0, I_�III/!J IUi'�IIl /�IIII I1 ,n VAR I �-----J� _ J► /-ram _ I __ _ __ %/_ /./��;�, �I'�I/ I�� ////a&I / � -- cn o m RGN ge�ga EIRED ASRIALT OWMA.m za: : €� • TO MATQI MQGrNQ TOMMATT04 0 6A'T`Rw w cna q w • CONTRACTOR To MATCH CZ.7 Vyb� NPv WNDOYiB WTTN SAME — —•—-—•—•—•- §v Sle•BTT12 OF DOSTINGMINDONAL • - SIDING To . - zQ"�' - MATW POsnNG • * €x CORNER Sm TO MAT07 POST. I —.-•— -.—.-•—•— � g>� � ©ll � � � m ♦e S S s r BEE Risk .. ©a TiOP OF Mt4flLT ROOM GARAGE SLAB SIDING To CONTRACTOR x ' CONTRACTOR TO MATCH _ _ MATW POSTING TO PROMO! SCIMM TO IZE 4 e'STYLS OF S c R.SIDE ELEVATION - W - _ o w OK u m m a • w a 0 } CONTINUdM RIDGE WHY -I%-.I&-sTRUCfURAL RIDGE � o 0 / / —•—•—•—•—•---•—•---.—..—.--- - _ ON2eo RROOr SHRHIINGLESa / / _ CONTINU011B RIDGE VENr SW COX SHEATHING. Y N B �IB{ - RR BUILDING PAPER• -OONN 21dO ROOF RAFT�H a u� I 2m•NY' xxisr. - crnf SHEp,TiiING . / aae IX FASCIA llNUM Gurrae � UNFINISHED nNY elntolNG PAPQt STORAGE R-30 FBGLa INSUL R-5E recta.R18UL _.— —. EXIsrING 2AG FLOOR JOISTS •— - - —_•—'—_ _._.—. — —.—.— RIWLOiOR .— —•—•—•—•—.—•—•—.—•—•—.— — — — —` 7+2•K O.C. '— — —•— — •nc FASCIA- - _ — — — —•v•— "'GLCED Y•pA1LED'TO 7DIST'O'•— — —.—.— W ALUMINUM GUTTER W —.—.—.—.—..- WM.M FLUSH 1X BOFrIT W/rALUMOL"GUTTER 'T G 4 —BEAM II SST-ppOpp® F�e1 i i - _ ___ _ _ - BTL aEAM _____ 2Hj=1j LVL y RRIT7VC IIOU8OR4RAP BEAM,TI•P. I I VAPOR BAWlIER 2O0•Y'O.C. TrAK WOUS5,IIAP wWaa DROPPED eTL 2 F M.SATH 3 > G FAMILY ROOM/KITCHEN ELM.) II .BIDING(SEE ELEVS.) g wa _ oi�6•Or- S N -X(4M'O.C. u TPrRpp�yGlypCAErRIAGE BOSTING rLOOR M.wom REMDVED �i R-Ia reGLa.INBUL .¢ •COWI�'f10Na W/LI DACE PML71 D�4•6UBPLOOR — — R-IE reGLa.INBUL I�>Iqqq�{yySy�1I,8f GLUED•NAILED TO JOISTS — yJ >s$ YS —.—.—. —.— ._. .— .—.—.—.—.—.—.—.—.—.—.—.— .—.—.—.—.—.—.—.—.—.—.—.—.— .—.—.—.—.--W —.—.—.-.—.—. —.—.—.—.—.—.—._.—.—.—.—�— _ °SUSPLOM III - w GLUED 4 NAILM TO Jcls'B II )CRAWL SPACE III= ��F 6� � 2m•IL•O.L. 4•CONCRETE SLAG .—.—.—. IIIIT — — $S ZU Inn. CRAWL - CLEAN COMPACTED BAND _ III 011M IIII �Ii IIII IIII= EXISTING GARAGE BtAe SPACE MON — gS+ P.T.aLEWERB - : , w CA c o •24'of AS REdo. oaSTING - ' PROP.ADDITION - Z t!1 GE�+Ej C]U3 $ se o A CROSS SECTION THRU FAMILY RM. $ KITCHEN CROSS SECTION THRU GARAGE G CROSS SECTION THRU M.BATH zA LE+ I/4°�1'-0° SGALEY I/4°�1'-0' SCALE+ 1/4'.1'-w SG4 0 tj WOUSVARAP, *, COX PLYWOOD I - ` gi l` E 9 P. _ $ 9tal n 26•16'O.C. y gill Y FIBERGLASS INSUL Y y 6 MIL.POLY VAPOR BARRIER s - . . ASPHALT SHINGLES , _T Y•.COX SHEATHING G•TOG PLwro.BuerLooR LUE 6 NAIL TO JOISTS I -. . .. . . • I. ` I N2.5 RATTER CLIPS + _ GNINLGIS TO MATCH EXISTING • I SIDING TO MATCH EXISTING + RIM JOIST OR DBL.PERIMETER 'rrVMV HOUSEWRAP ICE AND WATER BARRIER MEMBRANE J - - CARRY UP S'-O•FROM SAVE - - C0X P.6T.PLYWD. .... lj CDIf PLYWOODr� e01'TOM ' . AL DRIP EDGE ` OVER ICE 6 WATER BARRIER Q 2Q+P.T.BILL - 2Y6•Is,O.G. - =Q BILL SEALER I IX FASCIA 8 F . R-IR FIBERGLASS INSUL. W/ALUMINUM GUTTER Z `�W DO Y� .15'GALV.ANOR O.C. CH 6 MIL POLY VAPOR SAIMETL R CORA-VENT STRIP VENT v, LTDIA• YI �J FILL 4 TAMP W OUT FOR - 11 4,•�:' k G.W.D. CitOy1N MLDG. U S U Wlu SLOPE+PROVIDE _ - if d Iz rRE1ZEP WNERE NO GIlT'rER6 - I 2•65 REBARB t AROUND ALL OPENINGS DAMPROOFING - J /I 1TYPICAL SAVE DETAIL'® GARAGE TYPICAL WALL DETAIL I r 3 m m n TYPICAL SILL DETAIL YG � a w TYPICAL LVL/GLULAM BOLTING/NAILING MuLn i 3/B BEAMS � r P 2 fOte9 D•s" 2 ROB 6 IOD NlreB•1r QC ♦f•D3 D•4' 21106 m 1/r euel eaa.Ur oz r MULT 3 7 T BEAMS e pom ]UD-- x MOIo er 1/Y•Ax MM•Tr oe r ` - • \\ ` Z \ vs" x, x r® s•a' x aua a T/r awi eats•ur ao. \ zo � 2-1 D91 >;LVL • NPADER � a 2-2x10 waAm Y •T �Rz r2xlo 1nN Eli 77i r o . �_..------------------ — — — — — — = UN o RUDER NWULZM 1 _ __ ih::5iiiF_i5ii • _ LAY-ON CMCKMT AS r - ::::::::: iiiSl•'_::'. ::::• Ei:':4ii?��'.�.:` ii_�i•::. 14, . FUEMIRM '' 1 1E9'L .:_Xj: ... NAILUit. 2-2WO �e . \ - - `, • 'O -i£:idiiA i�iiil; 'S:::2i£•i iii 1 ?X•YgiX;•FiXi ii'-3i5i's::i:"?�3{}:{•T.::zC'FLiiii!.:....•. Eml l \11---J i i i i w be 1 ii .. Fl2AMING .i i NaLeR I I TO REMAIN. 1 i i 1 i i,.. r AREA =a � I - n u W I T ET ZM,we.LVL _ ♦ Y'" NlAD C. w Iu HEADER �2xlo : ------=-- 8- r- "VL STRUCTURAL NOTES: ROOF FRAMING PLAN E>a, Tm g RATES prA1 ALL NINOOw MONS tin 8E SOLID. 2-WO 2e7X4 POS15 UNLESS OIIffRNlSE NOTED. ME.4DFR - ��,� POSTS S STEEL L BEAM ENDS ARE 3 1 OCOMM THERWISE FltiJ77 sTm-LALLr COLUMNS UN�•TIgRwLg No>Fn.ALL otNER TW518 FO eE m mo co wLTD exe a ExTEFaaR wAus ANn 2-1 'ra LVL SOLOT eca o wli]OOR wALLs ueu>=s b OINFRMISE NOTED. WEAMM TO.4x4x.230 •TA PAD o_ GARAGE N FLOOR FRAMING PLAN . - y - EXIST GARAGESi� v� a - - - - — — — EXIST • M `, - H O 8 EXIST EXIST MORNING MASTER BEDROOM SUITE I (GREAT ROOM I I• O I\ Z w�c� m EXIST CLO II II II II mlls ' 11 11 pill fill III II RUM EXIST 8 KIT � � B i i g EXIST Z . DINING Q tu . EXIST T— ° DEN EXIST IL Q L1Q FOYER QO E EXISTING FLOOR PLAN N p 0.� 31 5 � — V � lu co m C s 3 EXIST BONUS/BEDROOM w - -.:APE INS-11 s _Will Y EXIST cn UPPER x Z U HALL E—cfa O_ 8 z pa . EXIST Jim ATTIC f EXIST ;jib 3 E= ATTIC t � � -EXISTING FLOOR PLAN J W (L k _ Z O :3 oclu JU t NQ o V�W J jZ 2 w fY - y to r N 1 y - i t:l; .. ' rt A - NOTES` FOR PROPERTY LINE INFORMATION SEE BOOK 8655 PAGE 196 ATE , PINE i St THE BARNSTABLE�COUNTY REGISTRY OF DEEDS. FOR PROPOSED BOARDWALK SEE ODER OF.CONDITIONS SE37 3881. �p�a RIANEVIEW SOUNDINGS'BASED-ON M.L.W. DATUM. 5 g� CENTERVIL LE RIVER EBy=FLb00 LOCus M.L.W. 0.0 (' CENLERV/LL'E 1 YL� LOCUS_ PLAN SCALE: l:t5,000 HYANNIS QUAD, , 110 e Rpp j PWRAGMITIES .... ... OgRw ° MARSH Y , ••a k 2 W vQy Y X rn1 vQQ ' tp m 2 10 • Q'' .;� N. � R1 �O.h � co fX # wE<<Nc g NG 15.31�S33• g I . Z T C p m o c, RO w LA • "�� c, 2� OF< 0 OVERALL l ! PLAN , o s �., 04 SCALE if"='Sd' i 0 , 50 poft. o : SHEET I,of 2 PLAN; ACCbMPANY-ING PETITION OF CAR;O CROUTHAMEL �385 IELLIOTT.�ROAD CENTERVILLE MASS. FOR CONSTRICTION, Ek MAINTAINING A TI MBER''BOARDWA .K IN THE CEhi ERVI LE R� .VE R U . O TOgh !17, 001 LI IAN ENGINE RING INC. . SUL�STERVILLE, ASS. ------—--- -----— - --- 1 � s law yIZI Y_ IzIl •f f �c 84� TOTAL A LADDER 4! 10 BENTS na 8 = 80. I x; W B SALT MARSH / A m Y y \ 0x2 il PROPOSED 4 x 6 PROPOSED 3�W IDE I f VIEWING B�III!, BOARDWALK PLATFORM- -0x/ 1 ^_ , 'h-/y Wo:( -Ox/ / yl II ( v• 2 3 ' i t..PLAN ,Vi W_.�,__ 5CALE:'� +' 0 } 841, TOTAL .10 BENTS_Q._B' '= 80' _ EL. 8.0 _� { EL. 5.0 EL.6. H.T.L.3.7 1 M.H.W.2.7� --- - - - -- - - - - -- STEPS AS M�L W 0 0' REQUIRED . f 4+ SALT MARSH PHRAGMITIES LADDER ADDE MARSH ACCESS LADDER WANDRAIL-ONE' BOTH SIDES SIDE ONLY SECTION A -A. 3-0 SCALE: I 20' 2°x.4°HAINDRAIL M ONE SIdE ONLY o M 2°x6°DE!CKING,I" SPACING;•M IN. EL.VARIE.S a 2��x,8"t W . _ 4� x 4 �POST a A M SALT;. 8'O.C. , MARSH i SECT.I ON ._.B;-_8 SCALE: I _4� SHEET.2 of 2 CROOHAM�L CENTERVILLE, MASS;, 0 2 4 Aft. SULLIVAN ENG,INEtRING;INC. OSTERVILLE;MASS ' p 10 20 Oft. OCTOBER 17,�2001 ; i -- — - ]UAL AL , l S 82 28 42 Lc- AL ' .. O r J f•� ec> DIREDTOI.a: .cN From Hyannis Take Main Street to the West End M Rotary, and then proceed on West Main Street; After • �, the, Star Market take a left onto Pine Street; Take Phragmities Marsh `\ gip, a left onto Elliott Road, and house is on the right, #385. "•• `' o ry r 1 10 5 �� 01 48 LOTS 4B & 2\ • o R o ASSESSORS REF.: .• .: .: " a. Map 227, Parcel 104dh N. 9xs � � . _-•' —• r-- •-,._ _ /_ �--a O \ \ � : � z L vtev txd• c'k"•x q k *.� mr�,'�}�� .. . ,�...:, o • r '. `.� AL \\ Resource Line OVERLAY DISTRICT. . 6Location Map. \\ ' as Flogged by NSR AP — Aquifer Protection District 1"=2,000f' 12 13 Ok du - E• . ZON . Solt Marsh "N �. 4 FLOOD ZONE: i Lawn _' 'L, RC Zone B, C & A10 (see plan) Area (min.) 87,120 SF (RPOD) ,.a AS MEAD W "•• — — _ TJ BE M NTAINED �. .. — —^ 1 / s /,k o ` ` ,, \ ` f Community Panel No. Fronto e (min) 20 / / / Birdhouse —5— #250001 0008 D Width min) 100 T \ r ---10 _'� . ' July 2, 1992LL Setbacks: ' / •� •..- /,� f .-- -' / `�'" -•-_._ '�,, � �' _ i -- _ _. ---. __ -� Front 20' ,•: /• ,�' \ �,, -' •.� -'' ,, A / ,�- \, ----- � � � r � . ,, � Side 10'� • / Rear 10 x \: • • •Ed9 /, `�/ - �'\ .. // / / ----r` .---11 � '•• ••j - eFR�A 0�_30' . \\ ,... .__ -...., o i . • ,, \ / - // I� / / �/ `cam 273 : . _ . r. Qn .�r"S:•. .. /... { IL (............... LOT 1 Fn d — _ / 111 \ �� °'/ i ,-'Lawn �IM�t FOR O B REg / h 1 \ \,.. i �OSEO /pSE�p OP.) TO \PR a8 \ . / PR N�VOPOSED GARAGE — — _. _. . __ -' '. •- -'" .'" -'' J.- --� ..•• \\ — •__,. •- "r / 1 �gQ°h`�•2• # 385 f ' .r ,-1� / i�/ � N l i \ Lawn I 22) / a `�}�_ � soo SE312 lawn o ° j/! +2 ( #377 jO'11 c, — / -"15 I "� _ '` C c o H \� Dwelling a .A wn PROP05ED \ 12 9 \ r STONE WAL LOTS 4A & 6 -- _"" y.-• •"• ,....• ••�•' `�P,-L, � Stone Drive I � 7 —20 \ J i \ _ . 41, .,.,., ....•- .,1 .�---+ __.- - -' ' /, -_.. \ 0 h/ \_.,. 'Fa •: \�„ ..,- `' � � \ FEMA Zone Line Ap . " \\ \ \ \ / I \ •\ Lawn ot/ per FEMA FIRM �~ FEMA Zone Line - '.' , a� r o \\ \ /, � 5i 'a.• i 1 \ Panel 250001 0008 D E Zone Line � . - # \ Mp as per FEMA FIRM _. /__' ' ,` — — — - —5-,-. \ \` / �,\ ...34. �� /' i p -� a \ \ /-CB/DN �Ct 1 �0 �....,. rev July 02, 1992 as per FEMA FIRM � Panel # 250001 0008 D ..- - ` �,•9Z \ .\ � `�,; i Fnd':• ,. '�•\�: . .... ..... .. i l ,; ;_ � '• �: ��anel # 250001 0008 D � ,/rev July 02, 1992 ...-•• — -- _'" -- -,. _\ w ,•.. \• \ •.,;r. • \ ' . � •. �; I r- -41 CIL C D -art t .. _ ._ I I / %� HWAY I 4 R �` \ I y Q 4 , Qj ^ to / Edge of Pave I ,\ / . : ........ .. .. :,,•.......catter••Eine.......• L=15.02' _. FEMA Zone Line . -- \ \ 63 as per FEMA FIRM l \ \ \ \ 3, TBM EI=12.3' NGVD I \ \ S \\\\ \\\\,\ _ \ Panel # 250001 0008 D / 30-._. / \, 3 top of CB/DH00 rev July 02, 1992 / / \ \ 2 Jam. D \\. f _ Q , LOT 5 \ N. \ N. ' \ ` \\ \ ( \\ ram\ ' 9eoy- Off. ?89 \\ �L AP \\ \ LU \; \ l L 30.08 � R=116.00 f 14 51'27" ` " T n=15.12 CIVIL • REVISION: Add Meadow Mitigation Area Per ConCom Request DATE: 09115106 NOTES: PREPARED FOR: PREPARED BY. TITLE Site Plan 1.) The ,property line information shown was Sullivan9 g a p e,`3) ry Proposed lmprov�ments compiled from available record information. John J. &' Carol Crouthamel S En lneerin , Inc. 1r-- PO Box 659 7 Par'(er '?oad 385 Elliot Road At �- 2.) The topographic information was obtained Osterville, MA 02655 OstervillefWJ O'655 from an on the ground survey performed on Cen tE:'f v �l e MA 02632 385 Elliott Road M Or between 12 MAR 01 and 24/MAY/06. j (508)428-3344 (508)428-3115 fax (508) 420-3994 (508) 42r7-3�"35 fax T / , / > PSWIPE®aol.com capesur;e@co�ecrl.net ' -,_.� 3. The datum used is NGVD '29, a fixed mean (Centerville)tervill e) MaSS . . . Bamstable, sea level datum. i Draft. JOD Field: MDH/WHK/JPM •• 20 0 10 20 40 80 Review: PS Comp.: MDH/RRC DATE: SCALE. rr r ., August 10, 2006 1 =20 roject #: 21011 Drawing # C474g1 l • �. Q.. Lp for 4, t ` ►, v \ .a S SULLIVAN 1 ; R►i AA:Ft ' No. 22 .f' i iPx xE�a - MT 6 art ` rt+�G x' �l► ! SN irs $5�$ Le6.gr oN '° 1 NA-,WA ,.A "c.,.mV A'T'^h IF.L Ct7 V 1='L A,I t o �—. '' u.3 �,� t 1 � ' ,_ 'ta �l�T ATE:� V,�e.Tl.-�►.biL� 4 �JL'� �3c-?c� aQ,' -Ira -Iw Vr�.�TAT w�s'rc..,ea ,� Q;�w J - \ s� a/, M tr Sven 9c� -I�� v`� 3vj `fir h - -r ( � � � ,� ' '�r .,.�-�f- ,,t „ ._ _.._p'�" r;. � Qom•I `�'� 40T'A L. \ i m A�z- !H p I 1 L: SF ., Ste- / r, �- \ ✓ ► '�� •o iEX.b+ Sy. a �� ^r's "'� s 'u e t. [3 �,gc'r3/►l sC., 12GQO I Q t�M B^ 1iC jj-A J!4 T14 6 rrt.--J V > t 1.,r• �F7Z JAM Q-`f`j p�1c.f, ou�IJ b`` , 1� t�At7> 1t (f( i �C�,• -� '• y� rue- 3+�X� �-. a`! lug.. ii 1� / i �G is"_C_"r_.•�".�,1�.. }'i t � �'-r- FiOi�:� r � t..m C�• �t ._ �' _ i 4 v '' � 142 r�OA 4 _ vaC� ;N v '. t _ .�LR.T i i ! iti1J fst l.. 14-6 `Y ; Ss '8( .L - f5 13 G 13'� Sly✓'i 1G A 4 / -- -•- 13 2. ` z - f I t Lq.9 '`�__ 1G .,¢ i ��._._._.__.__t2 _____-•� I /�i.t.• AGE;.=,�^a 'r I T i N J i <<-ri,,1 ✓� , V _T, ;; t• . Pk1 i,,�: ( +.1tfa ! ' F , ,'1 1 C L. �:> / _,'�• 9 _ i T>AAA? i L�CJ G► t... �, � UAW 1. e," S r, �� tZ C. �i FG? +. ✓r L ~ ....i-.- 'c'` ! (�'1.C:1.?1. ,.�"f OC:'t,.i y .: 4 ly°K11..: em ' �r ,..:...... ,........___.__..., ._-..+.__-_----- _.... ...._ ...___.,,r_T._._..,.. __ _.....,.. ...•......,,....... ......_.......___--•_•_•_