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0500 ELLIOTT ROAD
��o �11 '0�- ��� � 6 _.w m - , . o o .. o - '' .. ., .. .. .. ,. ,, 1 _ - ..�" .o ,i � — .. ,. .. - - -. - � r .. _e l_. -. . ,. Town of Barnstable , Building _ 7 �-" .� snxty rn 'Post This Card So That-it is Visible From the Street Approved Plans Must be.R stained on Job and this Card Must be Kept MAS&s Oosted Until Final Inspection Has Been Made `` ' wa _. s Where a Certificate'of Occupancy is Required,such 6u ldN shall Not°be Occu ied until a Final Ins ectiori has been made x ermit . ._ _ p. .. .. ._ �. .a "- Permit NO. B-20-733 Applicant Name: GABLE BUILDING CORPORATION Approvals Date Issued: 03/30/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/30/2020 Foundation: Location: 500 ELLIOTT ROAD,CENTERVILLE Map/Lot: 227-119 Zoning District: CBDCRNB Sheathing: Owner on Record: BALSAMO VICKI C&THOMPSON MELINDA L Contractor Name,h GABLE BUILDING CORPORATION framing: 1 Address: 5 MONTROSE STREET Contractor License: 182816 2 NEWTON, MA 02458 Est Proje t Cost: $98,000.00 Chimney: Description: TRANSFORM EXISTING 2 CAR GARAGE INTO AN OFFICE WITH FULL Permit Fee: $549.80 BATHROOM AND STORAGE CLOSET ADDING SMOKE DETECTOR TO Insulation: Fee Paid:' $549.80 PROPOSED OFFICE IN EXISTING GARAGE (' Date 3/30/2020 Final Project Review Req: NEW SMOKE DETECTOR IN NEW OFFICE ONLY:PER. CONTRACTOR. Plumbing/Gas Rough Plumbing: in B it u d g Official Final Plumbing: This permit shall be deemed abandoned and invalid.unless the work authorized by this permit is commenced within'sN months after,issuance. All work authorized by this permit shall conform to the approved application and the approved construction documentsfor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-lawsand,codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. _ .- Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ` Service: 1.Foundation or Footing `'s 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT tW r' r BUILDIIN P n E PT.. Application Number. .. MAR C 9 j20 ELAMSTAELF,MASS. Permit Fee.............. .......:... .0ther Fee:....................... 039. TOWN OF BARNSTABLE Total Fee Paid............... ...... TOWN OF BARNSTABLE Permit. Approval by..... 111f..................on...Zh / BUILDING PERMIT map...:.03.1...............Parcel......... ........................ APPLICATION � Section 1 — Owner's Information and Project Location . - SC+NED Project Address- f5QQ I l 0 Village Or V I Le APR 0 3 2020 Owners Name V (LLI bccl-S&MI) Owners Legal Address o ntyo.Se-- 5�rjuJ City. State KAA zip (-�g Ll 5 Owners Cell# (q1-7q0Z a�3 E-mail Vbol `JCS.-mo (eSalijU, IIC_, c6pA Section 2 —Use of Structure . Use Group------,— Fj Commercial Structure over 35,000 cubic feet El. Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate [] Accessory Structure. E] Change of use El Demo/(entire structure) 0 Finish Basement El Family/Amnesty 0 Fire Alarm Rebuild El Deck 'Apartment El Sprinkler System ❑ Addition E] Retaining wall ❑ Solar EJ Renovation ❑ Pool El. Insulation Other-Specify Section 4 - Work Description +h f2211 Arldinn jb qtpX" owsc-Q- Last undated: 11/15/2019 1 a r Application Number.................................................... Section 5—Detail p ���g OOD Cost of Proposed Construction � Square Footage of Project q�5�-1 Age of Structure Dig Safe Number 1 # Of Bedrooms Existing y Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage Smoke Detectors 0 Plumbing ❑ Gas ❑ Fire Suppression 0 Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom p Water Supply © Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site 1 Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes 0 No Section 7—Flood Zone I Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units on site g g g ( ) Setbacks Front Yard Required Proposed Rear Yard Required r Proposed Side Yard . Required Proposed k '.� Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 N SMOKE DETECTORS REVIEWED f Q �� A Felf0t BUIL DEPT, DATE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING Barnstable Bldg.Dept. i Approved by: i permit#: i ��®ad✓Cr� 4 6+•..L�Gv C os . O i • 1 V 5 ; 1 . SCAB NED a)0 APR 0 3 2010 Application Number............................................ Section 9=Construction Supervisor Name I ck'd G' Q Uu"K Telephone Number 6, 0g,30 t?Z0 Address Jd q i 0,1�h S' City State UAJ � Zip OJA&3 3 License Number CS c)5/8 3 0. License Type 0 Expiration Date Contractors Email Nsq ul Z& coLLby4 �A Cell #J7� Dq32� I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 the Town of Barnstable.Attach a copy of your license. �' Signature Date Section 10-Home Improvement Contractor Name (CkLl-L'I- IJ Telephone Number 60 9 5 ef d 70 F Address /,)4 / YUOL10 ,S1 City 01&4h0jT7 State.' Zip 0-6 Registration Number Co Expiration Date -7 1 a 00 I, I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780' CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific,inspections and documentation required by 780 d the Town of Barnstable.Attach a copy of your H.I.C... Signature r Date 1 ;;�S Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code: I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date 45 ; Print NameG�//l�L �QJIc Telephone Number 306 a .7tg E-mail permit to: t 15 QO1C-k'f-alLz��l 42n Last undated: 11ll 5/201 R Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ - - - : .. Conservation For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I, 5(,_pyl , as Owner of the subject property hereby authorize Gab UL 6ui l -K- to act on my behalf, in all matters relative to work authoriQ by this building p Anut application for: (Address of job) Signa a of Owner date I -Ci i Print Name • a 4 Last updated: 11/15/2018 REScheck Software Version 4.7.0 Compliance Certificate Project New room from garage Energy Code: 2015 IECC Location: Centerville (Barnstable), Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 500 Elliot Road Vicki Balsamo Mike Squire Centerville, MA 02632 5 Montrose Street Gable Building Corp Newton, MA 02458 1291 Main Street Chatham, MA 02633 k a Compliance: 4.3%Better Than Code Maximum UA: 93 Your UA: 89 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies :Gross Area Assembly or Cavity Cont. U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 314 38.0 0.0 0.030 9 Floor 1:All-Wood joist/Truss:Over Unconditioned Space 826 30.0 0.0 0.033 27 Wall 1:Wood Frame, 16"o.c. 656 21.0 0.0 0.057 33 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 52 0.300 16 Door 1: Solid 20 0.180 4 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 2015 IECC requirements in REScheck Version 4.7.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Keith Presswood VP ,1�aztf 104 y8eal4 03/05/2020 Name-Title Signature Date Project Notes: REScheck by Cape Cod Insulation, Inc. 18 Reardon Circle South Yarmouth, Ma. 02664 800-696-6611 Project Title: New room from garage Report date: 03/05/20_. Data filename: Untitled.rck Page-1 of 9 REScheck Software Version 4.7.0 Inspection Checklist Energy Code: 2015 IECC Requirements: 39.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. section Plans Verified Field Verified v # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, :Construction drawings and ❑Complies ;.Requirement will be met. 103.2 ;documentation demonstrate ❑Does Not [PR111 :energy code compliance for the 101 :building envelope.Thermal - []Not Observable ; envelope represented on ❑Not Applicable ;construction documents. 103.1, ,Construction drawings and ❑Complies 103.2, :documentation demonstrate ❑Does Not 403.7 ;energy code compliance for [PR311 ;lighting and mechanical systems. ❑Not Observable ; j :Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ;compliance with the IECC Commercial Provisions. 302.1;�u Heating and cooling equipment is;. Heating: Heating:. ;❑Complies 403.7 sized per ACCA Manual S based Btu/hr ; Btu/hr ;❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: gJ Manual J or other methods ;❑Not Observable Btu/hr Btu/hr :❑Not Applicable approved by the code official. � , ; Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 13 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/20 Data filename: Untitled.rck Page 2 of 9 Section # Foundation Inspection Complies? Comments/Assumptions & Req.ID 303.2.1 A protective covering is installed to ;❑Complies ;Exception: Requirement is not applicable. [F0 1 2 protect exposed exterior insulation :❑Does Not and extends a minimum of 6 in. below ; g grade. ❑Not Observable ❑Not Applicable 403.9 Snow-and ice-melting system controls;❑Complies [FO12]2installed. ;❑Does Not J. ;❑Not Observable; i ;❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/20 Data filename: Untitled.rck Page 3 of 9 i Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, ;Door U-factor. ; U- ; U- ;❑Complies ;See the Envelope Assemblies 402.3.4 �❑Does Not :table for values. [FR1]1 ; ❑Not Observable ❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted ; U- U- ❑Complies ;See the Envelope Assemblies 402.3.1, average). ;❑Does Not ;table for values. 402.3.3, 402.5 ;❑Not Observable j [FR2]1 ; ;❑Not Applicable ; 303.1.3 ;U-factors of fenestration products 111Complies :Requirement will be met. [FR4]1 :are determined in accordance ❑Does Not ;with the NFRC test procedure or 10) ;taken from the default table.,taken Observable ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies ;Requirement will be met. [FR23]1 :installed per manufacturer's []Does Not instructions. ` ❑Not Observable ; ❑Not Applicable 402.4.3 :Fenestration that is not site built ❑Complies ;Requirement will be met. [FR20]1 !is listed and labeled as meeting ❑Does Not ;AAMA/WDMA/CSA101/I.S.2/A440 or has infiltration rates per NFRC []Not Observable ,400 that do not exceed code ° ❑Not Applicable limits.. I 402.4.5 IC-rated recessed lighting fixtures o W ' a.❑Complies ;,Requirement will be met. [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate <_2.0 cfm leakage at 75 Pa. ❑Not Observable ; ❑Not Applicable 403.3.1 ;Supply and return ducts in attics ❑Complies [FR12]1 insulated >= R-8 where duct is ❑Does Not >= 3 inches in diameter and >= R-6 where< 3 inches.Supply and ❑Not Observable return ducts in other portions of ❑Not Applicable ;the building insulated >= R-6 for ;diameter>= 3 inches and R-4.2 ; :for< 3 inches in diameter. ; 403.3.5 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not []Not Observable ❑Not Applicable j 403.4 HVAC piping conveying fluids R- ; R- ;❑Complies [FR17]2 above 105 4F or chilled fluids ;❑Does Not j below 55°F are insulated to>_R- 3 ;❑Not Observable ❑Not Applicable 403.4.1 ;Protection of insulation on HVAC ❑Complies ; [FR24]1 piping. ❑Does Not a ❑Not Observable ❑Not Applicable 403.5.3 Hot water pipes are insulated to ; R- ; R- ;❑Complies [FR18]2 >_R-3. ;❑Does Not ' UNot Observable ❑Not Applicable 403.6 Automatic or gravity dampers are ❑Complies ;Requirement will be met. [FR19]2 installed on all outdoor air []Does Not intakes and exhausts. o _ ❑Not Observable ; ❑Not Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/20 Data filename: Untitled.rck Page 4 of 9 I Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/20 Data filename: Untitled.rck Page 5 of 9 I - Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions & Req.ID 303.1 All installed insulation is labeled ❑Complies ;Requirement will be met. [IN13]z or the installed R-values ❑Does Not provided. ❑Not Observable ; []Not Applicable 402.1.1, :Floor insulation R-value. R- - R- ;❑Complies ;See the Envelope Assemblies 402.2.6 ❑ Wood'. ❑ Wood ❑Does Not table for values. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable 303.2, ;Floor insulation installed per ❑Complies ;Requirement will be met. 402.2.7 :manufacturer's instructions and []Does Not [IN2]1 :in substantial contact with the aJ ;underside of the subfloor,or floor ❑Not Observable ; :framing cavity insulation is in ❑Not Applicable contact with the top side of ;sheathing,or continuous insulation is installed on the underside of floor framing and extends from the bottom to the :top of all perimeter floor framing members. 402.1.1, ;Wall insulation R-value.If this is a;, R- R- ;❑Complies ;See the Envelope Assemblies 402.2.5, ;mass wall with at least'/z of the ❑ Wood ;❑ Wood :❑Does Not ;table for values. 402.2.6 ;wall insulation on the wall ❑ Mass ❑ [IN311 ;exterior,the exterior insulation Mass ;❑Not Observable requirement applies(FR10). (❑ Steel ;❑ Steel :❑Not Applicable ; i 303.2 ;Wall insulation is installed per ❑Complies ;,Requirement will be met. [IN411 :manufacturer's instructions. ❑Does Not ❑Not Observable j IE]Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/20 Data filename: Untitled.rck Page 6 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, ;Ceiling insulation R-value. ; R- R- ❑Complies I See the Envelope Assemblies 402.2.1, Wood Wood ;❑Does Not table for values. 402.2.2, ❑ Steel ;❑ Steel ❑ 402.2.E Not Observable [FI1]1 i ' tlNot Applicable 303.1.1.1, Ceiling insulation installed per '❑Complies Requirement will be met. 303.2 :manufacturer's instructions. ❑Does Not [FI2]1 :Blown insulation marked every 300 ft2. ❑Not Observable ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies Requirement will be met. [F[22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that ; extends over insulation. ❑Not Observable iE]Not Applicable 402.2.4 ;Attic access hatch and door R- R- ❑Complies ;Requirement will be met. [F13]1 :insulation>_R-value of the :❑Does Not adjacent assembly. ❑Not Observable ' ;❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50 ; ACH 50 = ;❑Complies ;Requirement will be met. [FI17]1 ;ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. ;❑Not Observable ❑Not Applicable 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ;❑Complies [FI4]1 cfm/100 ft2 across the system or ftz ft2 :❑Does Not I<=3 cfm/100 ft2 without air ❑Not Observable , handler @ 25 Pa. For rough-in ;tests,verification may need to I ; ,❑Not Applicable ; occur during Framing Inspection: 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies [FI27]1 "determine air leakage with ft2 ft2 ;❑Does Not ;either: Rough-in test:Total leakage measured with a �❑Not Observable pressure differential of.0.1 inch ; ; ;❑Not Applicable w.g.across the system including ;the manufacturer's air handler ; enclosure if installed at time of " test. Postconstruction test:Total ;leakage measured with a pressure differential of 0.1 inch w.g,across the entire system including the manufacturer's air ; handler enclosure. 403.3.2.1 ;Air handler leakage designated ❑Complies ; [FI24]1 :by manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed for control of primary ❑Does Not heating and cooling systems and ° initially set by manufacturer to ❑Not Observable ; code specifications. ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not ❑Not Observable IE]Not Applicable 403.5.1 Circulating service hot water ❑Complies [FI11]2 systems have automatic or P e m r o ❑Does Not accessible manual controls. ❑Not Observable ; ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/20 Data filename: Untitled.rck Page 7'of 9 r � . Section IPlans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 403.6.1 1All mechanical ventilation system ❑Complies [FI25]2 fans not part of tested and listed ❑Does.Not j HVAC equipment meet efficacy and air flow limits. ❑Not Observable ; IE]Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [FI26]2 through,one-or two-pipe heating. ❑Does Not systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems _]Complies [F128]2 have a circulation pump.The ❑Does Not system return pipe is a dedicated return pipe or a cold water supply []Not Observable ; pipe.Gravity and thermos- t❑Not Applicable ,syphon circulation systems are not present.Controls for circulating hot water system pumps start the pump with signal for hot water demand within the occupancy. Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403.5.1.2 Electric heat trace systems ❑Complies [F1291z comply with IEEE 515.1 or UL _ 0 ❑Does Not 515.Controls automatically ` adjust the energy input to the [-]Not Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the piping. ; 403.5.2 Water distribution systems that ❑Complies [F130]2have recirculation pumps that ❑Does Not pump water from a heated water supply pipe back to the heated 4 []Not Observable ; water source through a cold z ❑Not Applicable ; water supply pipe have a j demand recirculation water system. Pumps have controls that manage operation of the pump and limit the temperature of the water entering the cold water piping to 1049F. 403.5.4 Drain water heat recovery units ❑Complies [F131]2 tested in accordance with CSA <` ❑Does Not B55.1. Potable water-side pressure loss of drain water heat ❑Not Observable recovery units<3 psi for ❑Not Applicable individual units connected to one or two showers. Potable water- ; side pressure loss of drain water ; heat recovery units< 2 psi for individual units connected to ; three or more showers. 404.1 ;75%of lamps in permanent ❑Complies ; [F1611 :fixtures or 75%of permanent ❑Does Not (fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable ; ilighting. ❑Not Applicable 404.1.1 ;Fuel gas lighting systems have ❑Complies ; [F[23]3 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable j 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/2.0 Data filename: Untitled.rck Page 8 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [FI7]2 ❑Does Not ❑Not Observable ; ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating w. `'' ❑Does Not systems have been provided. w' ❑Not Observable w ❑Not Applicable j Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New room from garage Report date: 03/05/20 Data filename: Untitled.rck Page 9 of 9 2015 BECC Energy Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): �.. Window 0.30 Door 0.18 .. Heating System• Cooling System: Water Heater• Name• Date: Comments 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 defimed as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency-shall withhold,the issuance or renewal of a license or permit to operate a business or to construct bwldmgs 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 a requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of - insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry.workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may:be submitted to the Department of Industrial Accidents for confirmation of insurance'coverage. -Also be sure to sign and date the affidavit. The affidavit should be retained to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete.and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in time 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 firture 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 buirn leaves etc)said person is NOT required to complete this affidavit. The Office of Investigations would bike 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. -fie of hnvestigatiEaaors 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877 MA.SSAFE Revised 4-24-07 Fax#617-727-7749 www.mam.gov/dia The Commonwealth of Massachuset>fs Department of IndustdalAccidents Of. lice of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Comepensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information , 9 Please Print Legibly Name(Business/Organization/Individual): ��Lx�t�L ) (�1�I'l Address: lag wnizi S City/State/Zip: Phone Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with- g` 4. F1 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. D New construction 2.❑ I am a sole proprietor or partner- wed on the attached sheet 7. [Remodeling ship and have no employees These sub-contractors have", g. Demolition working for me in anycapacity. employees and have workers' 9. ❑Building addition [No workers comp.insurance � ' Comp.insurance.: ., required.] r 5. 0 We are a corporation and its 10.�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 repair insuuance'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 most 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 insurance for my employees. Below is the policy and job site information. L Insurance Company Name: 'T Policy#or Self-ins.Lic.#: U ;CIV 01 1 ( C) Do Expiration Date: (3L Job Site Address: B)b�J U(�t K-1 City/State/Zip: 0 PX ruui t U Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.-Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi u e p • and penalties of perjury that the information provided above is true and correct Si �5 -� Date: Phone#• 150 j 00 Offu:ial 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/Tomm Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone It: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards CS-051830 expires 02/03i2022 MICHAEL K SQUIER 582 BAY LN g CENTERVILLE MA-026312 Commissioner � :�;1�.,�=y+• [ i Office of Co'nsumerAffairs&Business Reg ulaiion % ` HOME IMPROVEMENT CONTRACTOR TYPEc Corooration RegistratioFl, Expiration 1$2$t6 07/28/2021 GABLE BUILDING," .;N MICHAEL SQUIER r 1291 MAIN STREET;,, v�uT.-f zfli�L' CHATHAM,MA 02633''~ Undersecretary AC�® r ATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE l vs/zozo 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 have ADDITIONAL INSURED provisions or 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: Sandra Hartman Sullivan, Garrity&Donnelly PHONE FAX 10 Institute Rd. .0 No Ext: 508-348-3102 ac No):508-713-0964 Worcester MA 01609 ADDRESS: sandra.hartman@sgdins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Liberty Mutual Insurance Company 23043 INSURED GABLBUI-01 INSURER B:West American Insurance Company 44393 Gable Building Corp. wsuRERc: Attn: Brandy 1291 Main Street INSURER D: Chatham MA 02633 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1671619005 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY BKW57384569 3/24/2019 3/24/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR _ DAMAGE O RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECT PRO E LOC 'PRODUCTS-COMP/OPAGG $2,000,000 X PRO OTHER: $ B AUTOMOBILE LIABILITY BAW57384569 3/24/2019 3/24/2020 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO - BODILY INJURY(Per person) $ kxl OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED XNON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAR I X IOCCUR US057384569 3/24/2019 3/24/2020 EEACH RRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE $1,000,000 DED X RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N E ER ANYPROPRIETOR/PARTNER/EXECUTIVE - CIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A - (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ - If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable 361 Main St AUTHORIZED REPRESENTATIVE Hyannis MA 02601 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Y CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDtYYYY) . 01/09/2020 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: Sandra Hartman SULLIVAN GARRITY &DONNELLY INSURANCE AGENCY INC �cNN1L_E94, (508)348.3102 �AAiXc;Nol E-MAIL ..__..—.,......._...... ADDRESS: sandra.hartman@sgdins.com ._............................................................._. 10 INSTITUTE RD __.........._.............._.—_—_INSURER(SI AFFORDING COVERAGE NAIC# WORCESTER MA 01609 INSURER A. ATLANTIC CHARTER INS CO 44326 ............_.................._.. . -- ........ INSURED INSURER B: GABLE BUILDING CORP INSURERC: ................ ............... .__._............ ... . _....._..... _. _ ._. INSURER D: mm _ .........._..............__.._..........._..._........".... ..... .__.__.. 1291 MAIN STREET INSURERE'. _. -...._.._............................................._. .......... ._._._ CHATHAM MA 02.633I INSURER F COVERAGES CERTIFICATE NUMBER: 491387 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 TYPE OF INSURANCE AubL Su POLICY EFF POLICY EXP r__ LTR POLICY NUMBER MMIDD MMIDD I LIMITS COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $1 ...€ A _._..._._........_._........._ ......_.............................._.. DANI I CLAIMS-MADE 3 I OCCUR P EM SESOIEa occurrence $ D € I I MED EXP(Any one person) $ _...._..._ N/A PERSONAL&AOV INJURY_ $ i _ .W.._...._:_.. GEN'L AGGREGATE LIMIT APPLIES PER; - 'GENERAL AGGREGATE $ PRO OC ---.... POLICY L__ JECT _ - ' PRODUCTS-COMPIOPAGG $. 1._.._._... _._._.._.._........�.___......... ..................... OTH=R: I $ I AUTOMOBILE LIABILITY j COMBINED SINGLE.LIMIT $ Ea I .—_._.......... _ ANY AU I"O _ BODILY INJURY(Per person) $ .-.MI ALL OWNED 1 ._... SCHEDULED I .._.... ._.... .._._.... j AUTOS i AUTOS N/A BODILY INJURY(Per actidenQ :$ ... NON-OWNED PR60- ' HIRED AUTOS I @ PROPERTYOAMAGE I$ ._. AUTOS ; Per acadenQ I UMBRELLA LIAR 1 OCCUR t EACH OCCURRENCE $113 EXCESS LU48 ' I 'CLAIMS-MACE. 1 NIA i —.................._....._. ......._..---._........ i �...._....._?._._.._.._. (:AGGREGATE ..—__....__.�5...__......,_.. _....... DED I RETENTION$ $ `WORKERSCOMPENSAT10N X IPER AND EMPLOYERS'LIABILITYYJN j I STATUTE ANYPROPRIETOR/PARTNERIEXECUTiVE i - A OFFICEWMEMBEREXCLUDED? N!A`NIA NIA I WCV01219004 '03/29/2019 O3/29I2020 E.L.EACH ACCIDENT $ SOO,000 (Mandatory in NH) I I E.L.DISEASE-EA EMPLOYEE'$ 500,000 I yes.describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT I s 500,000 _ i ( r N/A I I 3 i € DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES.(ACORD 101,Additional Remarks Schedule,may attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 8,no authorization is.given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. -This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool atwv.w.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Nb-r. . l F ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �L;C) Parcel 1 ic� Permit# ;;e(o e- q Health D�ision !�'- y �fL'' Date Is .d (�4 f� Conservation Division U �. �'�,.-n Fee (� Tax Collector Treasurer r; Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address -5-00 L 10 �7 Village CZEN Ta Uj LI- /y1 A. Owner -3 0 H Ill T R0-1"I ) Address 6 00 07 FAJ7,CJ 1J® Telephone J 01?- -7 -7 5- -7 d- 1-7 Permit Request TO ia15-P L_glAC A L L S Zreyan �S i zit . Ao®�_ A T Tl U C47—"7R Y wA y) , o4 tvb S P08 11CZ :5 REAEALAC0 l � ! Square feet: 1 st floor: existing v proposed<;�b/® 2nd floor: existing /S00 proposed /. ®G Total new /a c) 4� Valuation Zoning District RC''S Flood Plain Groundwater Overlay Construction Type VV601 F o Lot Size ACt/rR:, Grandfathered: ❑Yes ❑No If yes, attach supporting dicumentaygn. Dwelling Type: Single Family T& Two Family ❑ Multi-Family(#units) Age of Existing Structure 30 �f� , Historic House: ❑Yes 0 No On Old King's Hi � ay: ❑des &No Basement Type: MFull ❑Crawl ❑Walkout ❑Other cn r— Basement Finished Area(sq.ft.) `_i®® Basement Unfinished Area(sq.ft) ®bo rn Number of Baths: Full: existing new O Half: existing new Number of Bedrooms: existing new 0 Total Room Count (not including baths): existing new ® First Floor Room Count Heat Type and Fuel: 91 Gas ❑Oil ❑ Electric ❑Other Central Air: Yes ❑ No . Fireplaces: Existing 03 New 0 Existing wood/coal stove: 8[Yes ❑ No Detached garage:❑existing ❑new size Pool:&existing ❑new size Barn:Cl existing ❑new size Attached garage:A 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 I BUILDER INFORMATION Name -TO P�,T t� �,Q I 3 Telephone Number SOV- -7 75" -7 7 S"'1 v./ Address (ol C_ leAW t "BERQ Y LA4JF License# C 5 6-7a5 79 /vkA Home Improvement Contractor# X Olo toy-" Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE W/a lov r FOR OFFICIAL USE ONLY I • k PERMITRNO. `DATE.ISSUED - - �` MAP/PARCEL NO. , f ADDRESS VILLAGE - - OWNER. ' f f � 1 ` ' •i _ ,, '� `r- ... DATE OF INSPE*ION: - y `� •_.. - FOUNDATION r&)QZJ0Y �� J FRAME I14)oy INSULATION FIREPLACE r y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. t Tablo JSZlb( od) gaud with Food Faeh ily pmeriptive Padnsa forOno a"Two-Fam Reaidestt�lBoiWhW c MAXIMUM Slab Lf�� Glaang Glazzag Ceiling Will E1aor 8ssemeat spipmcm =Y' Arm'(%) U.valuc R-valud R valuol Rrvaitta w au Packas_e MI to 6500 H Detce Daps' Norte Q 12T'. ,. 0.40¢` 3E 13 19 t0 6 t0 6 Normal R t2!'. 032 30 19 19 �AF7,TE S 12%, 0.50 38 13 19 to, 6 WA WitNormal T 15% 036 38 13 23 6 Normal U 15% 0.46 38 19 19 10 83 AFUE V 15Y. 0.44 3E 13 25 WA WA 6 8S AFUE W 15% 0.52 30 19 t9 10 Normal X 18% 032 38 13 2S WA WA WA Normal Y 18% 0.42 38 19 2S WA 90 AFUE Z 18% 0.42 38 13 19 10 6 AA 18% 0S0 30 19 19 10 6 A FUE 1. ADDRESS OF PROPERTY: ✓00 LL-L 107 (EM 6 FR li0 LL-C Ai W. l 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3 3. SQUARE FOOTAGE OF ALL GLAZING: '3 A0 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERO IING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms-080303a Footnotes to Table J5.2.1 b: o skylights. and Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doars0 the gross wall basement windows if located in walls that enclose conditioned space,but excluding opaque doors) f area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-valu�eaquuemeat. For example.3 ft of decorative glass may be excluded from a building design with 300 tie f glazing After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U4alues are for whole units:center-of-glass U-values cannot be used.4i ' The ceiling R-values do not assume a raised or oversized truss.construction. If the insulation achieves the foil insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R--8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of caviry insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wai1.R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or Garages).Floors over outside air must meet the ceiling requirements. `T1.e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must me.t the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned b..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4,or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating.Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). - 43 I RESIDENTL BUILDING PERMIT FEES IA APPLICATION FEE New Buildings,Additions , $50.00 Alterations/Renovatio $25.00 a Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE e�® square feet x$96/sq.foot= � 1 SoZD x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 1600 square feet x W/sq.foot= (o 46OO x.0031= g ► �� plus from below(if applicable) 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 x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) s Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost 77:e Commonwealth of Massachusetts —== Department of Industrial Accidents _ — 600 Washington Street Boston,Mass. 02111 dam=` Workers' Com ensation Insnra=e, davit j location. �-? 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ItCC'i'Rai:':::.;?'::::<.::.;,.::.:.::.:A........+ .... .... ...•..::..:.......?. .. otaimiod of a Doe ap to sumOo and/or FaOnre to seeoss eorerge as�adder 8eetlan 2SA of MQ.1S2 tsmieai to the impastlltsa p� om yemo}mprbor®mt as wa m dwD pemida in the form ofa STOP WORE ORDZR=d a Doe of i100.00 a day ataiosi me. lunderstundMA12 copy of this stdmmtmq be forwarded to the Oince of lnvesdg d m of Dm DlAfor.eovmP varACatbn. I do hereby c wtda theptmv patdties o the uifnrmiainst prt>rrded abotee is t7uc mtd coned Sigaatuce Date Print name �d/l'�9 /L� I" %,l1 L�-/�/2 Pltcme# 5,0 (- `7 7 5 /G/ 71 oindd we only do not write in this am to be completed by dryer town ofbW OBuUftCpep-ftcnt CRY or tam: UIIc==g Board' 1 ❑Seleennen's Office ❑checkif fumtediate response is required ❑Health Department - contact person• (mmed 9195 P1A) °p THE T°r,_ he Town of Barnstable &4msrAat.r, • , AS& g Regulatory Services � s639• ��p ,. Thomas F. Geiler,Director% . rED MA{ Building Division Peter F.,DiMatteo, Building Commissioner $' Hyannis.MA 02601 367 Main Street,Hy Fax: 508-790-6230 Office: 508-862-4038 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 dwellingunits or to structures which.are adjacent to such residence or building be done by registered contractors,with certain exceptions.bong with other requirements. ppU Type of Work: � ������L Estimated Cost =L Address of Work: Owner's Name: C) 1-1 PO "C Date of Application: I hereby certify that: Registration is not required for the following reason(s): [3Work excluded by law Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that:RS PULLING THEIR OW G WITH UNREGISTERED OWNEN PERMIT OR DEALING WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMPROVARANTY EMENT FUND DER MGL c.142A. ACCESS TO THE ARBITRATION PROGRAM SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. y �o d�R��fA� j F� 1,06 6 a �� J / Registration No. Date Contractor Name OR Date Owner's Name q:forms:Affidav:rev-070601 L - °FEE r Town of Barnstable Regulatory Services eile Le,$ Thomas F.G r, irector D 9� 059, .� Building Division - jDlfa Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax; 508 790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder J o rf INS o _ ._.._..._.. .: S __-- .,as.Oarnet.of tbe.subjectptoperty hereby authorize �� � - L = to,act on toy..behalf,. in all snattets relative to wotk autho=-ecl•by this building-pe=3#•application4or ; 500 (Addtess of Job) , �{ — 14- O\f Sigtote of Owner Date �\ rb Print Name f CicenSe O QF gUl� DO (' NUmb-r NET RUCFI NN S�G�LA,P, 1 etr�; 0 PER.Vi, , N5 / 72579 SOR ., ONq '14 Res 6 PO&- qN M Fr. wHYgNNC � nO 15p57 SPORT $ - 2 AbilWIX- ner of tu3Baing Re >_ HOSE I11gps SC>$§iQg➢y a.ld} Rem E/ � RIT C Siarjdards 1//GoR27.< OR O,0q al c !. q.02672 E' f EXISTING HOUSE 1 GRADE_ I I I - r ADDITION 1 FOUNDATION ; m POLLY BARRIER & I CEMENT FLOOR i i 1-10 112" 1 - - - - - - - - - - -- - - -- -- -� 1 I 1 1 - - - - - - - - - -- - ----- -- - -- -- - 1 7 13'_10, f r!%, 2x 10 rafters 0 Insulation w/ venting x6 beams 1/2 cdx ply W header e der —1/2 cdx ply 2x4 studs r 13 insulation r . Entry way addition- JOIST HANG AS NEC. EXISTING HOUSE 2X10 16 ON CTR 2X6 PT SILL & SILL SEAL m 3/4 CDX PLY T&G GLUE & RING NAIL m - 11 1411 ADDITION FLOOR FRAME PLAN TRa--'C) AFtC_/Zs 7N W R+F1ERs pew) Nr w�p $C� rL L 1p--\ CEtiTG R V01 L(,[ 0+1A, 77 I�ESZc„u3y SoN+ct+(A'�'Cy�E �� Ro'oTAT,oN I I PONT LLDATION ,UT ELEVATION haw-Rem-p; Ohm BE 991. RCHK EL TI'JN RI #I7 ELEVATION IOV 500 Fluor 777 00000 c'c h P, 0 00 0 i� IL----mare_ � 1 -Fi-obZ RAN }L �9AkDw00-A F(60'K tZEpLAcI- % psn-�N Boor^ REPL�cD qbt 500 LL/OT 1 I P<� I c�T 7L — %4K au I I 4- 'F-;K ,a�D Z'� FLOOPZ -PLAN '500 -ELL.I oT i RA PTE25 B= a x is R�DG,E Wl VftJT - A F: ax 8 fIEADfQ 3 i � o c D E ' D . ax � _ I u R Pv3 ER R°°F v BA2� cp 600 E-Lb O Assessor's map and lot number ...:......A.y.......... .... ....... o f TN E Sewage Permiv umber ............ d ,► / = RAUSiABLE, MI House number .J�.'a�......................................................... 90 163a YP a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION 't , j FOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ...................................................................................................................................... i 4 .............................................19..g Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............1.................................................................................1... .................................................................................. ►-1 z CL A,j%z X> � \-/!m M ) N(7 Proposed Use ............................................................................................................................................................................. ZoningDistrict ..... ..............................................................Fire District .............................................................................. Name of Owner ... A N ,a ..J, "T E 1L ......................... . ...................... .............Address .................................................................................... Name of Builder' ... NUri4.`"! 5.... ta!".!. �...4-......�.�..Address ...`... r°.u.Dt .L ....... h......N..........�Lt Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior .....................................................................................Roofing .................................................................................... ,Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate Cost .......10, U:......... ........... ................................. Definitive Plan Approved by Planning Board -----------___---------------19________. Area ...................`...:.. . :................ Diagram of Lot and Building with Dimensions Fee "" — SUBJECT TO APPROVAL OF BOARD OF HEALTH ►alb = AL L- 2,61 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. 30. Name ............................ ✓' . ...:: J..................... -jaNM 'Rou-LAA41 . � a /24PO6 / DANIELa 7 A/07)119 No mit for Install .................................... Pool ..... ................................................ Locatiop ..500 Elliot Road ......................................................... Centerville ............................................................................... Owner ....Daniel Hostetter Type of Construction .Fz amp............................ .............. ..................... ................. Plot ......... .................. Lot .......... ..................... Permit Granted ....... .. 18 \ Date 82 f Inspection .... ...............................19 Date ompleted ........ ............... .............19 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im ^ACC DATA sessor's map and lot number .. ........ AIM FqfC— i U .��..� ./../. � �'�r��.L-SIsTE� MUST�� ypFTNEr�� ID i� Q Sewage Permit-.dumber ,.1 �u.�..,�y,.. ...� ............ �-� COMPLIANCE ViRO TiTLE Z BABa9TABLE, i House number J���.., �(�Eb,9�ENTAL CODE A 9�O MU& D t63 4 s3�i!ATiOIQIS 'F0mxf0', TOWN OF B A R N S T A B U,E�T To AP�'S� lfi Comm, s®� BUILDING INSPECTOR C-D APPLICATIONFOR PERMIT TO ............................................................:........................................................... :... TYPE. OF CONSTRUCTION ..................................................................................................................................... r 1 1-4 .....................................191 Z PECTOR OF BUILDINGS: ` h' ed hereby applies for a permit according to the following information: ...1.....G Ro.......................�.l.................................�.................................................................................... a 1-3 to ........... M 1 1J .... ......................................................................................... rict ........................................................................Fire District ................................................... ....................... Owner ... �.bJ ET.. ................Address .................................................................................... "w"*0mci,WJ CVN\T IL CO C of Builder ....................................................................Address ... e...� f't 'B1 ...... (Jot�1lLSy\ lCA ......................... .......................... .. Nameof Architect ...............................,..................................Address ................................................................................... Numberof Rooms ..................................................................Foundation ..................................:.................................... Exterior ....................................................................................Roofing .................................................................................... Floors ..............................Inteyrior .................................................................................. Heating .......... ......................................... . ........................Plumbing .................................................................................. ..G� �ar.��0�� Fireplace ..................................................................................A pproximate Cost ..... .............................. Definitive Plan Approved by Planning Board ---------------—-----------19_______. Area P` �. ............. b� Diagram of Lot and Building with Dimensions Fee ............................... 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 �....... ...... �.................... )t?t��1....1 Q00�TNt f,-, TETTER, DANIE1, No 24D62.... Permit for ... ............... 6wimming..Pqq.j.................. ............. Location ................... Centervij,.Ip ...................................... ......... ...............I........ Owner ......D.a..ni.el..HQ...te.t.ter Type of Construction ...,VXaMe.......................... ...................................................................... Plot ........................... Lot ................................ Permit Granted ....... ................19 82 Date of Inspection ....................................19 Date Completed ......................................19 As4essorl map and lot' number � ............ ....3..... 1 y•7C 0 SEPTIC SYSTEM MUST- BE INSTALLED IN COMPLIANCE Sewage Permit number r................................ WITH ARTICLE II STATE SANITARY CODE AND TOWN r` - �F.7HET� , N OF ,BARNSTxgLE 0- TOW Z 898B9TAIILE, i r' .039 BUJLDING ' INSPECTOR �p • � �r �" _�� YY�• � 1 • 1. I r /r • I APPLICATION. FOR' PERMIT TO �►?.SJ.f ... .1`-!.e w.........hlom&..... ...................................... TYPEOF CONSTRUCTION '..........lrva......l................................................................ ......................................... Y.. .......Lo.. .a.b. .?.6...................1 9, ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... fM✓ l e �YPaO ��/.4... ��. (..�/�.!1.1 ` ProposedUse ....... lt�C2C,Q,,.......................................................................................................................................... Zoning District ......... �.. .................................................Fire District ....6.p,le................................. Name of Owner .T Rt2 � 4 �`� f @ 7�� . .Address .M?kk � �V..� e; ..�CL/r....... 6 J �( •. Name of Builder t ..........V ....................... ............Address ........i ��.�`.!.......� !'. /JVO..................... a ..... Name of Architect T]tG.`:.'.Q..vo...�.:...��bU��!.........:...Address . ��...wU,�i+�. .l.p� a)) ...NQ�!:i?:`!�`.AK Number of Rooms ....... .,.... ► ...................................Foundation ..... OJ .L .......... ................................... .....:. Exterior ... v > .P C� �a✓C� Roofing QSGX �....... ................................ ........... ......................................................... N S G?V. w�0 .......Interiorf - �� Floors ........ Neain � ...C .tV4+%1.( l.�l�j... �d...... v ��s�lO�.✓......Plumbing .................................................................................. g Y 1................... Fireplace ....... ri( .......1.'��:`�?.44'C i........... ....................Approximate Cost ....... C ........... ............... ........... ... Definitive Plan Approved by Planning Board -MaI06___3_________197 b Area �� Diagram of Lot and Building with Dimensions Fee �. �.......... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .1 �J� .4::... ........................ Hostetter, Daniel C. f40 .. 18844j Permit.for 1 1/2 stork',...... single family dwelling ....... ......Elliott` Road ... r. \ • Location ................................................................. ram. ........................Centervi l le ! ' w ................. Owner Daniel C. Hostetter' ..................................................... ............. _ F Type of Construction f rfflnA.................... R-`................... ................................ y .................. 'Plot ............................ Lot ................................ { November 29• 76 Permit Granted .......... .. 19 40 Q t Date of Inspection :.,/1..�.�......:..1. ...'1. 31 9 Date Completed ,...�;,5! 7........19 - - PERMIT REFUSED ......................; ............ ................... 19 ..... ....... ................................ r .... ........... .............. ...................................- ... ................................. ................................ ................. ......................................... i Jr. .. , { • - :_.� Approved •................................................ 19 ............................................................................... i r �.. ,.,,yo. •.>.C. .... �....rw.�...,, . ..� i �t . ..--..,:. >. .. ,,,,, ♦'V'1.. c..,r ...".` --^^-b.. ,.. . .k....., . .. .J..,. ..j.•y..s ... .e .. Assessor's map and lot number ...�'7!.�..............��.....:�..... Z c� !/4 C ` 1/_1-1`74 Sewage Permit number ..........:... .9...............I........:........ s � " ` TNET��♦ TOWN OF BARNSTABLE i EARX3TULE. NMI .•�p M BUILDING INSPECTOR v• pY a' APPLICATIONFOR PERMIT TO ............................................................................................................................. ' TYPE OF CONSTRUCTION ......... .�........ ....................................................................................................... eo/ t � ��....................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies fora permit according to the following information: Location �/....... �i�, l�hr.C°J✓�.��P. ��5 • ( � n ......... ProposedUse i cQ,,CA......................................................................................'...................................................... Zoning District ..........11—�...................................................Fire District t ptA- 5�vv;ll e ''�� g 1 .../...../..�.. ..................................... Name of Owner .:_fir. .YI t('jl f/C /........................Address .11l��1,/�I.............................................t ,,. .`'�t'v�1 I f C ... ....... �y . ` Name of Builder !C!�Q✓? ...�Vos................................Address .... S.I `✓v;/�� ... Q r..................................... ..... Name of Architect It,G1 � �C�UvG.............AddressClJ(afln...... .... v hnYX �� r ,�C y e Number of Rooms ...... ...... ......................................F.oundation ..... a� ..t/?........... i............................................ Exterior ...(-1! 'a'lt f'A�!, ...C1`3�.......... 1 ........................Roofing .....(...S �•.0�OG.`......... ....................................................................... Floors � y T ..............................................................Interior ..... �✓..G� Heating , .. ( ^ ... r; .... � SIGE . :Plumbing .................................................................................. Fireplace ... �°P.....Y C"J C �.'C�5.......... ......... .........Approximate Cost ... 9 C1 .............................................................. ' -76 31 Definitive Plan Approved by Planning Board _____t t_s____319 _ _. Area ....�� " ✓......... ............... Diagram of Lot and Building with Dimensions Fee ..........`5 b " -,` — ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 5 1 . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name '."...................... •� _ Y sir: Hostetter, Daniel C. A=22-6--j- single family .dwelling �ocation Elliott Road Centerville ^ . ' ' Daniel C. Hostetter Owner .................................................................. . frmma Type ofConstruction -------------- � � . ' ----.----..-.----------------. � . Plot ............................ Lot ----------.. ' � . ' ' November 29 76 . . Permit Granted .......................................lg � Doteof |nxpeFton ------------.lV ' '. . Date Comp|etb6 ----..--------lg ^ ' � ^ ' - .PERMIT REFUSED � .......................... --.- - . lA ' � .. -----. . ' ' .......... ---~-,.----------.- ~^ .. ............... -------- . . . -~- - -'------`----''^-^�1�---------' . . . -.---.. . ---------..-.---- C°1Ay� / '�/o� ��� ' / v T� . . W,9-^wE /*5 Approved ---'�.�.-...-----��-. lg . � ----------------------'r--- , { . . -------`---.---.-------..-.~.. � � | of _. 8 �2 s r rl - S - r � a a 5> � l- u k� 0000 /3 O r 0 I o 00 0 o.o / - I � i III :am cvv-IL 1' LOOZ RAN 0 4 e 31 x`3 s��ce se \o�c.�ed uj � Ne`� /a b AT)-I ►acorn REAL c E J qb� FT < _ J L a I �v F.- t W--o tj I � 05` i T ,�rrsRT/W Ar i 2rrJ T-LOOR -PLAN ' SDO. ELLIOT i 1. i t -ILL �L YL V/ Ql� G � .Ole 1 00 -00e Ar Ilk -�WE i" vT 1 ^/ 7 o � O I i v C�•v 7"� Ae v/G L. is y BX24ev,S TA�G s v2�/E �' C /Y�5-7` y'q•2•-•�U c�TN is7.qs S. ---_- •- - /f/E AeF Q y CE 2 T/�y -T•S/�4T T,y� ��[�-.�O.Q T/O S�OI?/� O v Ti�/�S .�.0�4✓ /.S .GU C 9TE t� o v -7-,A,1E �}'r,:f� JOSEPH M. Q G�E S CO �/.0 O sz( TG> '7-jS�.�= Z p�/ •�./ L I'J/SG MONAHAN,JR. y 13660 G7� ?/�� G>w- / O Jc QAe�/S T�QLE `YSfE ✓ T/ZUC7- 0 !a q T C tits .el-EGSr/.STEAZ F.O �Gi�EE�s �' G•�'�-./O sU2vEya�S. �� q GJ IZ 14 '+t v J 1 i + IV o .r M1 P L. k\ OWNER* .�r �J WET DOWN CONCRETE SHELL AT LEAST j TWICE DAILY FOR ? D4'S ! 1 G RC7�� :\+ 1`MM��1(� P:J L DO "JOT TURN ON POOL LIGHT AHEN POOL IS EMPTY DO NOT ALTER DECKING SPECIFICATIONS UNLESS SPE(IFIED NO GRADING i 1 l AUTO-,ORIZ ANTHONW OLS EQUIPMENT DF-ALEIR r RECE101) ctR11E g An 5 W 17 '81 • Jay a� REGiS,%I wEEEES N �� sjEAEa�Ss�� 4C YAiM ST. -+ c 14 uE d . AIMRVILLB MARAW po LOCUS MAPqr ti• SCALE 1" 2.000' NOTE= LOTS 178 8 188 ARE NOT TO BE ZONE, R-C CONSIDERED AS SEPARATE BUILDING ` r AsMSM01 MAP: 227 PCL. 119 LOTS. LOT 178 19 TO BE CONVEYED TO AND 4 COMBINED WITH IGA. LOT 189 13 TO BE CONVEYED TO AND • COM MM WITH I TA. 4r BARNSTABLE PLANNING BOARD APPROVAL UNDER THE SUNWISION CONTROL LANE NOT REQUIRZ& L D T 16 �� o SPA*?10 y C DATE= Q iim AAL O v h� C � o • a .,, 1 S / � • p...�. ;......�..�. . . :.,. 4mt 549499 S.F. UPLAND t ICI 0 1 = 3 I 89 848 S.F. 806 t I3` �`, I 26. 206 S.F. MARSH d IQ 3". WAIS 1399555 S.F. TOTALS 9�j � ��vG► � Cq Ntt HOUSE z �� y114 �► 1 ,�6` `ba PLAN OF LAND J z $ab• g�` 1 4L— IN --� Ilk .re-. :•' BARNSTABLE (CENTERVILLE) MASS. ..� POOL 6t6 '.F. ' 1 mft FOR �„�,�, , �� .00� .;sw ,.• T393.fr. DANIEL a PRISC 1 LLA H OSTETTE R • 64.* �\ SCALE: I • 40' MAY T, 1906 .. GRAPHIC SCALE top \ 40 0 40 - so in ' N BAXTER a NYE, INC. � /8A o REGISTERED LAND SURVEYORS ol 11 , 520 S.F 8061 a 369 147 S.F. UPLAND1 CIVIL ENGINEERS 29. 200 S.F. MARSH OSTERVILLE, MASS. S S, 3 4 T S.F. TOTAL s I CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN �� \ , CONFORMITY WITH THE RULES s AND REGULATIONS OF THE ,,y0 ; REGISTERS OF DEEDS. LOT /9 r 084227