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1379 FALMOUTH ROAD/RTE 28
F4 . r, , r 4•- r • 'd 1 y � r , ' u h t , r i t s F lY ,- , III/k En `inedin & jo g g No120 SU' llivan 'ComIti.g,Ind ?� (508)428.3344•P.O.Box 659•711 Main Street,Osterville,MA 02655 Fa'7RN seci@sullivanengin.com www.suilivanengi'n.com STgn� May 24, 2021 Brian Florence Building Commissioner, Building Dept. Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Chapter 91 Pen-nit Application James& Catherine Fair, 1379 Falmoudi Road, Centerville , Dear Mr. Florence, Please find enclosed a Municipal Zoning Certificate along wide a copy of pages 1-5 of the Department of Environmental Protection Waterways Permit application and copy of die plans for die above referenced project. . Would you please review and sign die Municipal Zoning Certificate and return it to me in die enclosed self-addressed stamped envelope at your earliest convenience? Thank you for your assistance. If you have any questions, please contact die office. Very truly yo Leali O'Dea Sullivan Engineering`&Consulting, Inc. Attaclunents J J Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x2a7 Transmittal ittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment Important:When filling out forms A. Application Information (Check one) on the computer, NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing use only the tab p p g key to move your Package for BRP WW06. cursor-do not use the return Name(Complete Application Sections) Check One Fee Application# key. WATER-DEPENDENT- General (A-H) ® Residential with<4 units $215.00 BRP WW01a ❑ Other $330.00 BRP WW01 b For assistance ❑ Extended Term $3,350.00 BRP WW01c incompleting this .--.--.-..-..-........-........-..-:._.._..............--•--._..-.._..--.----..-..-..-..-........-..-..-..-..............-..............-..-.._..----........- application,please Amendment(A-H) ❑ Residential with< 4 units $100.00 BRP WW03a see the "I nstructions". ❑ Other $125.00 BRP WW03b NONWATER-DEPENDENT- " Full (A-H) ❑ Residential With<4 units $665.00 BRP WW15a ❑ Other $2,005.00 BRPWW15b ❑ Extended Term $3,350.00 BRP WW15c .-..--.--.--......--..-----.-..----.--.._..-.._.._..............--.-..............-.._.:-........-.--.._..-.._..-.--.-..................-.._.._..-.---.--.-..- Partial (A-H) ❑ Residential with<4 units $665.00 BRP WW14a ❑ Other $2,005.00 BRP WW14b ❑ Extended Term $3,350.00 BRP WW14c Municipal Harbor Plan (A-H) ❑ Residential with<4 units $665.00 BRP WW16a ❑ Other $2,005.00 BRP WW16b ❑ Extended Term $3,350.00 BRP WW16c .-.--.--.--..-..-..-........-.....-.--..-..-........--.-.--..-.._..-........-..-..-..-..-:.----..-.._..-..-.--.--..-..-..-.._.._.._..-........-..-.._.....--- Joint MEPA/EIR(A-H) ❑ Residential with<4 units $665.00 BRP WW17a ❑ Other $2,005.00 BRP WW17b ❑ Extended Term $3,350.00 BRP WW17c Amendment(A-H) ❑ Residential with<4 units $530.00 BRP WW03c ❑ Other $1,000.00 ` BRP WW03d ❑ Extended Term $1,335.00 BRP WW03e CH91App.doc•Rev.03/17 Page 1 of 13 J Massachusetts Department of Environmental Protection • - Regulation Program' x287m60 Bureau of Resource Protection Waterways g g Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: James G. &Catherine C. Fair Name E-mail Address 10 Fells Road Mailing Address Note:Please refer Winchester MA 01890 to the"Instructions" City/Town State Zip Code Telephone Number Fax Number 2. Authorized Agent(if any): John O'Dea John@sullivanengin.com Name E-mail Address 711 Main Street, P.O. Box 659 Mailing Address Osterville MA 02655 Cityrrown State Zip Code 5084283344 ry (508)428-9617 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): Owner Name(if different from applicant) 229 087 41.656480 70.337220 Tax Assessor's Map and Parcel Numbers Latitude Longitude 1379 Falmouth Road, Centerville MA 02632 Street Address and City/Town State Zip Code 2. Registered Land ❑Yes ® No 3. Name of the water body where the project site is located: Long Pond S 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 ® Great Pond ❑ Uncertain ❑ Uncertain - CH91App.doc•Rev.03/17 Page 2 of 13 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x287 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. so 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 construct and maintain an aluminum pier in Long Pond. 6. What is the estimated total cost of proposed work(including materials&labor)? $15,000.00 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. Alves, Emanuel &Andrea Emanuel &Andrea S. Alves L T, 1359 Falmouth Road, Centerville, S. Trustess, MA 02632 Leonelli-Elmer, Christine " c/o harold Leonelli, 610 Union St., Schednectady, NY 12305 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 SE3-5848 File Number ❑ Jurisdictional Determination JD- File Number ❑ MEPA File Number ❑ EOEA Secretary Certificate Date ❑ 21 E Waste Site Cleanup RTN Number CH91App.doc•Rev.03/17 Page 3 of 13 I J Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x2ss Transmittal ittal No. Chapter 91 Waterways License Application -310 CMR 9.00 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 Agent's signature(if applicable) Date S LCH91App.doc-Rev.03/17 Page 4 of 13 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x28ssso Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 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.) ❑ 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. 6 h CH91App.doc•Rev.03/17 Page 5 of 13 f 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x287860 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate James G. &Catherine C. Fair Name of Applicant 1379 Falmouth Road Long Pond Barnstable Project street address Waterway (Centerville) Description of use or change in use: To construct and maintain an aluminum pier in Long Pond. 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." ;22% 'W" -✓LAG-c � ( to Z&Zt Printed Name of Municipal Official Date Signature o0ftlicipal Official Title City/Town LCH91,App.doc•Rev.03/17 Page 6 of 13 Town of Barnstable _ �. �. �.� ..__�.� Building amvNsrn !Post This Card So That it is Visible From the Street-Approved Plans Must be Retained-on Job and this Card Must be Kept 'IAS& Posted Until Final Inspection Has Been Made. ° i64 +Where.a Certificate of Occupancy is-Required,such Buildingshall Not be Occupied until a,Final Inspection has been made. JL ermit - Permit No. B-19-1675 Applicant Name: ERNESTI JAXTIMER Approvals Date Issued: 06/25/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/25/2019 Foundation: Location: 1379 FALMOUTH ROAD/RTE 28,CENTERVILLE _ Map/Lot: 229-087 _ Zoning District: RD-1 Sheathing: Owner on Record: FERN, FRANCES R ESTATE OF Contractor'Name:` .E J JAXTIMER BUILDER INC. Framing: 1�T I1 It b` Address: 10 FELLS ROAD Contractor License-: 110609 2 WINCHESTER, MA 01890 n. .. Est. Proj\ct Cost: $ 105,000.00 Chimney: Description: REPLACE WINDOWS AND DOORS-SAME OPENINGS, RENOVATE Permit Fee: $585.50 Insulation: MASTER BEDROOM,BATHROOM, LIVING &DINING'ROOM, INTERIOR 9 ZS /9 REMODEL-CABINETS, FLOORING, COUNTERTOPS,CONSTRUCT DECK Fee PaidF S 585.50 Final: ON EXISTING SLAB HVAC-HYDROAIRE SYSTEM, UPGRADE!--,.,,— Date: 6/25/2019 / ELECTRICAL SERVICE ADD 1 BATRHROOM,ADD PANTRY-, Plumbing/Gas Project Review Req: NO SMOKE DETECTOR CHANGES SUBMITTED. Rough Plumbing: Building Official •"'-••- -� '`� Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by'this permit is commenced within six months after``issuance. All work authorized by this permit shall conform•to the approved application and the'approved construction documents.for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st ructuresshalkbe in compliance with the local zoning by-laws and 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. i- — -- 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 2.Sheathing Inspection _ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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" (asset forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: t AppucationNumber..................................... ................... * ; ..............Pe ...... .........Other Fee.................:...... MA88. rmit Fce .... IS; 0 Total Fee Paid......... .. ....... ....................................... TOWN OF BARNSTABLE Permit Approval by.... ......................::.on. BUILDING PERMIT Map.......�. ..................Parcel...............l..l.. ................... APPLICATION Section I—Owner's Information and Project Location &AYYt1v1: /C- Project Address l� Village �Qwners Name) --+ Owners Legal Address ✓ �% J' _ciy" 73 State zip ' Owners Celli email- ► Section 2—Use of Structure 7 =.Ue.Group �-3 ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet MISingle/Two Family Dwelling Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ElDemo/(entire structure) ElFinisli Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ R, mina wall ❑ Solar � I ovation ❑ El Insulation sulation L�'Ren Other—Specify (Sectio4-4 Work Description -/ It Corcylyu�f Deck a( ..F-Rlaa ` e Seevrc� a ---- T Act nndated:719=1 8 ApplicationNumber.................................................... Section 5-Detail-` �7 Cost of Proposed Construction Q Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) Zk 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics Wising ❑ Oil Tank Storage Smoke Detectors Plumbing ❑ Gas '(] Fire Suppression N-Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation -�. Within or adjacent to a wetland, coastal bank? Yes -v- No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard , Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated:2/9/2018 Z iA1ZN8fAtIi. s Town of Barnstable Regulatory Services Tbomas-F.Geiler,Director Building Division Tbomas`Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I '�► ,l'� 1'�- �`' as Owner of the subject property hereby authorize y (/�CI' 1� �i'u' to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) S' f Owner Date Print Name If Property owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:WsmW000t6WAppDawtoo RMi mffiWindows\Tempwm Inwmet Files\CommLOuNook\DDV89AAZTMRESS.dm Revised 072110 i 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 Legiblv Name (Business/Organization/Individual): Address: r�s , City/State/Zip: 2/uS Phone Are you an employer? Che k the appropri to box: Type of project(required): 1.[VYam a employer with 4. i] I am a general contractor and I employees(full and/or pan-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.1 9. ❑ Building addition 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.❑ 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site information. ,�7 /l Insurance Company Name: /��-tiL)ee- LZ7 e/K Policy#or Self-ins. Lic. Expiration Date: O/ b �Aog 137 �/ - - Job Site Address: 9 f hZ �� City/State/Zip: d4 t V, e�f� l�Z(V Z Attach a copy of the workers'_compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif er the pains and penalties of perjury that the information provided above is true and correct. Sijznature: 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#: . �txnrnaonrt-rt�l/���+,��iratY.it�i��el1� Office of ConsUmerAffairg S Busloess 1199408tlon 6 HOME IMPROVEMENT CONTRACTOR Re istratlon valid for individual use only Corporation before the expiration date. if found return to: IJO&`ati' ExpiratlQH OMce of Consumer Affairs.and Business Regulation = 11142f2020 1000 Washington: t-Suite 710 Kam` '�- B;n,MA 62t E J JAXTIMER0. i_�I-R. G fi ERNEST J.JAXTiM€R t<1 48 ROSARY LNd �` Ot valid WI ignStUf6 HYANNIS,MA p2fi41 Undersecretary =• Canm�onvrealth of Massachusetts. 4� Division of professional Licensure Board of Building Regulations and Standards Cons3r{�cti�6%bpenrisor CS-0032S1 ire :011141202D . ' r ERNEST J JAXTiMER 48 ROSARY LANr HYANNIS MA 62801 cz Commissioner . ... i I ,ac CERTIFICATE OF LIABILITY INSURANCE DA01/330�2o 9 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 Erica H.O'Connor HART INSURANCE AGENCY, INC. NAME: 243 MAIN STREET PHIC oNo Ex : 508 759 7326 x205 AC No:508-759-7366 PO BOX 700 -ADDRESS: eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder, Inc INSURER B: 48 Rosary Lane Hyannis,MA 02601 INSURER C INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES.OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER _ POLICY NUMBER MM/DD/YYYPOLICY F MMLICY DD YYYP LIMITS A COMMERCIAL GENERAL LIABILITY 8500042039 01/01/2019 01/01/2020 EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR _'AM AMAGE TO RENTED 300,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PE CT- POLICY❑JECT � LOC PRODUCTS-COMP/OP AGG $ _ OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT. $ 1,000,000 Ea accident ANY AUTO - - - -- BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB OCCUR 4600042040 01/01/2019 01/01/2020 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE .. AGGREGATE $ 5,000,000 DED RETENTION$ 10,000 $ A WORKERS COMPENSATION 4220048905 01/01/2019 01/01/2020 PER orH- AND EMPLOYERS'LIABILITY Y/N. STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A - E.L.EACH ACCIDENT .. $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)775-3344. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE: DELIVERED IN Town of Barnstable ACCORDANCE WITH THE.POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Application Number........................................... ` Section 9—.Construction Supervisor Name �� ��i , .s Telephone Number - r Address City 4"Ut-5 State /V' zip License Number 46 3;- 0 License Type Li r CSL Expiration Date Q Contractors Email ' �,c Cell# � � ���"��- i�� I un&Tstand my responsibilities under the rules and regulations for Licensed Constrtraction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re 80 CMR and the Town of Barnstable.Attach a copy of your license. i Signature Date 5 4 Section-10—Home Improvement Contractor Name _� � � � Telephone Number • - ' AddressL;d,61&City 2 "S State zip WWI Registration Number / 0 0 Expiration Date / /�2-/o I understand my responsibilities under the rales and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts Atate Building Code. I understand the construction inspection procedures,specific inspections and doczmmentad re 780 CMR and the Town ofBamstable.Attach a copy of your H.I.C... Signature Date Section 11—Home Owners License Exempti Home Owners Name: Telephone Number Cell or Work Number I understand my responsibiliti der the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts Building Code. I understand the construction inspection procedures,sp ' c iuspecti docmmien ation 780 CMR and the Town of Bamst'able. / p, Signature Date APPLICANT SIGNATURE Signature Date Print Name Telephone Number E-mail permit to: f��� I 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 deparknent for approval i Section 13—Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) ' Signature of Owner date i Print Name r . Last=ddmt 2192018 It 1211. THE Teti 'own of Barnstable *Permit# Expires 6 mon turn issue Regulatory Services Fee snxxsrnst.E, 7M^� $ Thomas F. Geiler,Director i639• �� Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number C1 Property Address ` _;Z CT ( Residential Value of Work Minimum fee of S25.00 for vvork under S6000.00 Owner's Name&Addres �' /Ci , .43 Contractor's Name: �`� �,�,� Telephone Number " Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 6 &�- X-P -S R IT' ❑Workman's Compensation Insurance ,C ( jO!( Check one: ❑ I am a sole proprietor I am the Homeowner TOWN OF BARNSTABLE �I have Worker's Compensation Insurance Insurance Company Name X/1/I P Workman Comp.Policy# lay— Copy of Insurance Compliance Certificate.must accompany each permit. Permit Request(check box) ft/Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing.layers, roof) ❑ Re-side #of doors. Replacement Windows%doors/sliders.U-Value (maximum :44)# of4indows *Where required: Issuance of this permit does not exempl'compliance with other town department regulations,i.e.Historic,Conservation,etc. *"*Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is re red. SIGNATURE: The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investigations 600 YVashington Street Boston, N1A 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): /� Address: fQ City/State/Zip: Phone#: s-d AVIou an employer? Check the appropriate box:: Type of project(required): am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. LXemodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' ' Y9. ❑ 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.❑Plumbing repairs or additions self,..[No worke>;s.'_comp,....._.- right of exemption per MGL _ _ y zn -- -.._.__. .._.T _ .- .,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 insurance for my employees. Below is"the policy and job site information. Insurance Company'Name:' .Policy#or Self-ins. Lic.#: l/ h �� Expiration Date: Job Site Address: City/State/Z1p: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that.a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify und4 the pains anA pe alties ofperjury that the information provided above is true and correct. Signature: Date: .,&A,> z Phone#: _ t 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 Phone a l Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for.their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire,. express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the s- -..�.__ _._._.... Tmembers or partners,are not required to c arry wo rkers compensation insurance If an or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit./license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 wwtiv.mass.gov/dia y ; , eY� r oFZHEr� 'Town of Barnstable Regulatory Services BAENSTAHLE, ' Thomas F. Geiler,Director y Mass. f%.639- m Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. I, &�6 � ,C � ,as Owner of the subject property hereby authorize --IW ,r/�_ � I to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature o Owner 4Dte Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the.reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable OF THE Tp� Regulatory Services anxxszas Thomas F.Geiler,Director toss. 1639. ,�� Building Division pjfo '�A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print " DATE: JOB LOCATION: number street .village "HOMEOWNER": name home phone#! work phone t! CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns z.parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"bomeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. t• , Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\VvrPFILES\FORMS\homeexempL.DOC an;eu2is;noy;lmyplle�n ION[ Cae;aaaasaapan z Nl2i30N3AVl66' xo0 piAe4 �h F F �J0N1 'X00 9IIZ0 Few`uo;sog i r C7 OLIS allnS-ezeld Iaed OI . uol;ejodjo0 a;enud MZ/9W. :uol;ejidx3 s' uoi;eln2lag ssaulsng pue sale,{JV iatunsuo3 jo aa03O � :adAj L6b006 ` :uol;ea;sl6aa �; :o;uan;aa puno33I 'alep uol;eaidxa aglaaojaq 2101 "INOO 1N3W3A0NdWI 3WOH Ciao asn lnpinlpui ao;Allen uol;ea;s1201 ao asuazIj uogein2a ssau� sa!e33 aau nsu 0aa03O 04 i 9vrn�n� 8fnr<�znxu ew° k Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS- 63537 e Restricted.to:,00 DAVID R COX S YARMOUTH; MA 02664 Expiration: 10/15/2011 Commissioner Tr#: 5822 i :CERTIFICATE OF LIABILITY INSURANCE OP ID KG DATE (MMIDD_09/14 0 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 - - - - - .: NAME: PHONE . "- Northwood'"Ins. Agency, Inc. _(aC,_ILN0,Ezq: E•MA 540 'Main%Street; Suite 9 ADDRESS: H annis MA 02601 PRODUCER y CUSTOMER ID#: DAVID-2 Phone:508-771-1632 Fax:508-393-2955 INSURER(S)AFFORDING COVERAGE. NAIC# INSURED INSURER A: . .:Travelers Insurance Company David Cox, Inc. INSURER B: P. O. Box 401 S Yarmouth MA 02664 INSURERC: INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB13 POLICY NUMBER (POLICY-EF PFa0CY_EXP LTIR TYPE OF INSURANCE INSR = MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY - - - EACH OCCURRENCE $ 1000000 A COMMERCIAL GENERAL LIABILITY "I6801481M796 03/14/10 03/14/11 PREMMASES(Eaoccurrence) $ 300000 — iM�MA-BE-y XX -9EEU MED-EXP-(Any-oneperson, —5-0"0"0 X Business Owners PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGRErGATE LIMIT APPLIES PER: - .- PRODUCTS-COMP/OP AGG $2000000 POLICY JE O LOC $ 1 --_— AUTOMOBILE LIABILITY - s COMBINED SINGLE.LIMIT(Ea - i ANY AUTO . BODILY INJURY(Per person). $ -_ �.ALL OWNED AUTOS'3.. - — — " P ITJURY,(Peraca dent SCHEDULED AUTOS �— _- __PE --_... I' HIRED AUTOS (Per-accident)DAMAGE, $ NON-OWNED AUTOS " " I `$ - UMBRELI LIAR OCCUR a' EACH OCCU RRENCE $ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DEDUCTIBLE - - - $ , RETENTION $ - -$ A WORKERS COMPENSATION 6KU691OX74221'0 07/15/10 07/15/11 WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N I TORY LIMITS ER ANY PROPRIETOR/PARTNERlEXECUTIV9 - ^PF b;E`CER; 1.S8C,^-.EXCLUCED? NIA: .,:L._ E.L.EACH ACCIDENT -$ 100000 IMandatory in NH) �'I I E.L.D15EASE-EA EMPLOYEE' $ 100000 If yes,describe under _ DESCRIPTION OF OPERATIONS below - I - E.L.DISEASE-POLICY LIMIT $ 500000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN - ACCORDANCE WITH THE POLICY PROVISIONS. Walter Korntheuer AUTHORIZED REPRESENTATIVE 10 Gages Way E Dennis MA 02641 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD MA SSA GHUS'L 1 I S, SIGNATURE: DATE.• -----�----- TH ROAD PROJECT FALMOU RourE 28) P , ' 30' 25"E — �o RTE. 28 �y 3 N86' 30 25"E N86 85.00' W 121.98' S � T -�ul m LONG POND M w � PINE ST. a �P� N LOCUS PLAN SCALE: 1:25,000 HYANNIS QUAD. z ^ N DEED BK. 31828 PG. 213 o PLAN BK. 1-77 PG. 129 F1 1'N to O O Z OVERALL PLAN VIEW 0 LOT AREA SCALE. 1" = 6V 120 ` r 83,300f SF I -- N 60 0 30 Q I O 0 ^ Z I�• cc 1 p � co 3G Z M .- C3 N m (MIN. OZONE 4 \ � ao. FEMME�T 6 ANCE) I y�FFE%TANNUAL CN (0.2 OF y4o i HN�/C� . sG r �''� O � /• Cn / / f .48168 z / vr1/ PROPOSED 4' WIDE O,FSFGISTER�G\�c,`Q / \\� ALUMINUM PIER S/Opp E� 0 i vx ,s�,,I �P�1 •'C o SOP�R LONG POND "GREAT POND" SHEET 1 OF 3 P PLAN ACCOMPANYING PETITION OF JAMES G. & CA THERINE C. FAIR 1379 FALMOUTH/RTE. 28 BARNSTABLE (CENTERVILLE), MA TO CONSTRUCT & MAINTAIN..AN ALUMINUM PIER IN LONG POND APRIL 22, 2021 SULLIVAN ENGINEERING & CONSULTING, INC. OSTERVILLE, MA - t � SIGNA TURF: ----------- DA TE #1379 _ o i N O � tC d � M N j V 'mom N (� D � LATERAL N _ _ _ •_ _ . � � .� ACCESS STAIRS BOTH SIDES . ORDINARY TER- — '�4 0 OF —24 S HIGH LAKE _ — ? �4 -�' EDGE — ' �¢ �4 '; ��RVEOE 243 40 240 ?43 �� WATER U 20 m 22 S 42 12/22/20 . " 22 7 `n ?2 4 S ?2 3 27 4 ?29??. 225 2 2j3 1 21> 8 4.020 S 20 4 �9 27 6 \ 9� 7B4 18S 204 2p6 2p0 78S �) 7 190 781�,� 18 8 �82 �B O 1) 6 16,p 16 9 �6 8 S �66 8 , 16PO O 16 6 16 8 ��� ZH OF MgSs�ti POND E C. LON EAT GR POND" 0 9 81688 `n i , FcIsTE?�`` . �Q FFss/ONAL SHEET 2 OF 3 PLAN ACCOMPANYING PETITION OF JAMES G. & CA THERI NE C. FAIR PLAN VIEW 1379 FALMOUTH/RTE. 28 SCALE: 1" = 20' BARNSTABLE (CENTERVILLE), MA 20 0 10 . 20 40 TO CONSTRUCT & MAINTAIN AN ALUMINUM PIER IN LONG POND APRIL 22, 2021 SULLIVAN ENGINEERING & CONSULTING, INC. OSTERVILLE, MA PROPOSED PROPOSED ALUMINUM PIER TIMBER STAIRS LENGTH OVERALL 27' 40' LATERAL ACCESS STAIRS BOTH SIDES INDIVIDUAL SECTIONS 8' ORDINAR Y HIGH WATER 25.5' NA VD --------------- ------ ------ --- --- --- -------- o era \\ EX/ST/lV OBSERVED LAKE � n T ORDINARYGRADE G 48 f ELEVA 170N i c c �. HIGH WATER 24.0 NA VD EDGE OF LAKE OBSERVED �� I m c I u Fq EDGE OF LAKE sll�� PROFILE VIEW v SCALE: 1" = 10' 10 0 5 10 20 I . Op L rriz I oj nl I rd cZN � -In mks z Z = rri= Zo � � w -Ti Zr- n1 n0 y Z �l N z c� LEGEND SYSTEM PROFILE NOTES PROVIDE MIN.20'DAM.WATERnIHT NOT TD SC.4 MARK CORNERS OF WeQM0QMe1 -'-99-- EXSTING CONTOUR ACCESS COVERS TO WITHIN S'OF FIN.GRADE. LEACMNO n"W/' PROVIDE WBPECTION PORTS TO - 1.DATUM IS NAW.BB -\ REBAR SET Y."OW WITHIN 3'OF nNISH GRAVE 1/fiEe X 9AI .EXIST.SPOT ELEV. IO.B' GRADE - 2X SLOPE 2.MUMCIPAL WATER IS EXISTING ^ 17.1 MWIMUM.75'OF CGYER OVER PREGSi mL, FABRIC —[B9]-- PROPOSED CONTOUR RE-ROUTE PLUMBING TO TOP 351• 3.MINIMUM PIPE PITCH TO BE 1/8'PER FOOT. FRONT OF HOUSE AS SHOWN FlNISNO GRADE-4'LOAM @ SEED OR PAVE AS RED. 198.41 PROPOSED SPOT EL D,.P;� /:,6'-37' 4.DESIGN LOADING FOR All PROPOSED PRECAST UNITS Hl •, -38.3't - PIPES M 15f 2' CLEAN FILL TO BE AASHO N-LLL Qv Y TEST HOLE _vmon4Wo - 1 ` 2�� SLOPE OF GROUND TEE 15EPItCLTANK 0 WE s-O.oOR—� o S PIPE JOINTS TO BE MADE WATERTIGHT. sss/// 9n TN4 20 UE 8.CONSTRUCTION DETAILS TO BE IN ACCORDANCE WTH 437.8' 35.37' 3/4'-1-1/2'DOUBIE WASHED BbEPTR MIN BELOW INV. 310 CMR IS.000 TITLE 5. L— CAS BAFFLE. WA D'BD% B' SSTTONE IFACI9N0 FIF1D ( ) Rcure B '01 UTUTY POLE `''E`°.`.^.^`FOR LEVELN65 34.75'1 3•5, FIRE HYDRAN' LEVEL BORON 7.THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO ,e'o4'LIO^LEVEL ACME OR EgUAL); 35.02' I 3 BE USED FOR LOT LINE STAKING OR ANY OTHER R .s�i .... n. . PURPOSE. 4D.0' n 340' 'S.PIPE FOR SEPTIC SYSTEM TO SCH.40-4'PVC. 1P4 Nme xar 4u svaoLs wY NmwR M DRNwvc ^6 a ^6>:06 =Qa,a; =:;;g 4•e^ -THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL -- e'CRUSF@D STONE OR MECHANICAL9.COMPONENTS NOT TO BE BACKFILLED OR CONCEALED UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS L_ COMPACTION.(15.221[27) 5.0'— WITHOUT INSPECTION BY BOARD OF HEALTH AND PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 3 PERMISSION OBTAINED FROM BOARD OF HEALTH. (_� SLOPE) (_2 x SLOPE) F 2 R SLOPE) �4 ADJUSTED GROUNDWATER 29.0' 1CALLINGCONTRACTOR SHALL BE RESPONSIBLE FOR CALLING i FOUNDATION— 92' DIOSAFE(I-888-344-7233)AND VERIFYING THE SEPTIC TANK 5' LEACHING LOCATION OF ALL UNDERGROUND h OVERHEAD UTILITIES LOCUS MAP ' • { FOUNDATION— 32' D' BOX 5' FACILITY PRIOR TO COMMENCEMENT OF WORK. T7.-5 K SLOPE) 11,ANY UNSUITABLE MATERIAL ENCOUNTERED SMALL BE SCALE 1"=2000't REMOVED BENEATH AND 5'AROUND THE PROPOSED ASSESSORS MAP 229 PARCEL.57 SYSTEM DESIGN: LEACHING FACILITY. 12.EXISTING LEACHING FACILITY SHALL DE PUMPED-0 REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. GARBAGE DISPOSER IS NOT ALLOWED EXISTING 4 BEDROOM DWELLING DESIGN FLOW: 4 BEDROOMS 0110 GPD= 440 GPD USE A 440 GPD DESIGN FLOW SEPTIC TANK: 440 GPD(2)USE A 1500 GAL SEPTIC TANK 33�'� 139 LEACHING: \\ 428 GPD(.74)= 579 SF REQUIRED 4 ; EST HOLE LOC9 � I u 15'X 40'- 600 SF OK I\\ 600 SF X.74 = 444 GPD OK ` ro \ CRAIG J. FERRARI SE 73B71 _ - ENGINEER: _¢ USE A 15'X 40'PIPE AND STONE LEACHING FIELD .- O° TM2 \� o ^L a" T DONALD DESMARAI y - _ - I \ •� 24 =3 _ .. DATES 8 15 18 °- a < _W 4 MA «. APPROVED DATE BOARD OF HEALTH K ( 'PERC. RATE _ 2 MIN/INCH "••yr•i ^'- CUSS I SOILS P,y' 1s 47 �� 1J r TTJ '4 ELEV. }B + 0" 33i ' Q 9 4 33_5 Cn STAKED SILT - S LS 3 Co . M FENCE WORK yo 1OYR 3/3 R OY 3 G9 �, �30 - SLEEVE LS 3' / t L+ 56 W IER SfR�I N ✓ m LS 0YR 4/4 / • OT AREA W � 18" B 32;•I 18" l0Y B 4 4 32 �'- 83,8 F.73 S. 'o�P ; - ' LS LS 71 1_ 30" lOYR 6/6 31, 26" IOYR 6/6 31.2' ( - �F_E ELECTRIC 100 Of/ ,T \�.90; C C PERC Barnstable Bld .Dept. p �E so.w BENCHMARK: \ I/ o /£-ROUTEFLU S \� G-W ADJ.DATA: MS MS I =405 NAVDBB / NO C/o PLUMBING J��O X I .� ONE DW 28 2.SY 7/4 2.SY 7/4 vAppraved 1. v"i 33 ADJ: 3.5' 23.5' X" X. JULY 2018 Perm•` GROUNDWATER ENCOUNTEREDI AT 96"EL 25.5 i FQ1a`4`tf 0fv _ TITLE 5 'I T PLAN COVER DB p / i / / 6 OF 1 }1 z6 // #1379 ROUTE 28 (FALMOUTH ROAD) / CE1\1TERV9LLE, MA - I •"'� ''L/ �3�/ /,/ PREPARED FOR I - ' \\ ESTATE OF FRANCES I FERN 32j / A09/20 20 DATE: AUGUST 22, 2018 33 Scale:l"=20' 0 10 20 �O o .O FEET R 508-362-4541 / f D orA rN IrEe Ipw A'd O°xA oBNvgI OJALA OA wE1 oL - JIO WT cape ensn ftloeov we5nr0c8io-np3ag6.c2,o- mi98 8c0 ,CIVIL NnJALA LONG POND 40980 Civil engineers ` Yan Surveyors 939 Moln Strer (Rte 6A) YARMOUTHPO,?T MA 02675 LICE #15-246 DATE DANIEL A. OJALA, P.E..P.L.S. 15--246 - - Revisions tl 5 E - L _0 LIMITOF WORK 11,, VJ 0 — I I I I . ".I Mn X U I !I I w I I I I I o I Nil I, I , I N - -- - - - I REMOVE CEILING FINISH i •1 =- -'>, RAMING IN THIS � AREA SEE •• - -- -I it LL-------------------- i ARCHITECTURALORWINGS FOR COU AH CE ANDCATHEDRAL -- _ FILING DESIGN .., / —• \ Imo_ e... ' - II -------------------------------------------- ------------------ Litx7 ..—.—..—..—....— -----i—�i-- ,I a ,.....,.,�...., r: ... �:t '•:I - -- - --- -- -- a i�-.........- - ---..__... - - w U It --------------------- REMOVE EXISTING RAMP EXISTI NG EMRV FRAMING STAIOVE RS AND LANDING m I ,I _I I I I Project Number 6 GC NOTE: 2019-02 1. GC TO REVIEW EXTENT OF INTERIOR DEMOLITION - 3 WITH OWNERS. ` 2. GC TO REVIEW EXISTING ELECTRICAL AND ` Data IssueO PROPOSED ELECTRICAL IN ARCHITECTURAL DRAWINGS. GC TO REUSE ALL EXISTING WIRING May 19,20T9 POSSIBLE AND MODIFY/REMOVE ANY WIRING THAT IS 0 NO LONGER NEEDED. D101 Existing First Floor Plan 1 Scale: 1/4=1'-0" - - GC TO REVIEW REMOVAL OR BLOCKING OF ' - Revisions EXISTING VENTS TO Be REVIEWED WITH OWNER INCONJUNCTION WITH SIDING REWORKING AND NEW FOAM INSULATION IN ALL ATTIC AREAS. 'n 6 'I�% 11 :•L. 'IIII IIII IIf. IIII II I IIII Ij i !j: IIII I ; ` \lel I r I I I I II I I II II j IIII - •__._....._.__ •_ tl � ,a...s...•_u,:- .,H. "- 4 11 L 41 w---':S:::t-,:�.Y;,�:;.. _______!.____________—___ :=�i3i:3:=:: -;✓f: - C:,+ /:i_�, jj-%i'�; 0 A+ c GC TO REVIEW EXTENT•OF VE0.TICAl SIDINGANDBED APPROXIMATE LINE OF NEW REMOVE EXISTNG STAIRS AND MOLDING TO BE REMOVED FOR INSTAU ATION AND WINDOW OPENING. ASSOCIATED FOUNDATION FLASHING OF NEW WINDOWS.SHADEDED ARE ASSUMES REFRMEASREOUIRED - µ/ 5IOING REMOVAL REQUIRED FOR INSTALLATION OF NEW f Front elevation WINDOWS WITH NAILING FLANGES.1 L Scale: 1/4=1'-0" O X o r- W it — — _ — i w L -. 73 .I :k .a,I 11 t - ., '-r•E= 3 Q' t 3 3 F 3 a : . r .:;i-{��`-;a: _.-,-.; 2 Partial elevation thru liven room 3 Partial elevation thru link 4 Side elevation Scale: 1/4=1'-0" Scale: 1/4=1'-0" Scale: 1/4=1'-0" O - - il Il I I 1 I I I 1.: I I IIII III 'ill IIII i, Il I "II IIII I. •II• •:• '�� .11 ;Ili I;II i�I N o iIi III !, it I'_ Iji l.' II III• I' lijl iit. IIIIili !i I: U ;j ;�I 'jj j r,. III ;: •I• III l� r,j ;;: II; i t III �: iii Ilr "� z IIII :II o I I I•_ I�I ;II Ills I j i I IIII IIII i IIII 1 ' i I I j •i I i • o .... � '�� .... :______:.; ) - � �•� ..:� '��• 41,d IIII II: d - -w+�vN�L'Yse'-`!Y`M�eW'v..-,.' .IS'l',l:•.W!':'Y%i��: ..i4YYY�tf'u'•ty..r!�,vC[!N�." �iW��HiY, ,yM�17.°5%YNi.YC"�: �.l y I NEW"R.O FOR STEPPED OUT WINDOW U FRAMING.SEEARECHITECTURAL AND STRUCTURAL DRAWINGS FOR FRAMING REOUIREMENTS Rear elevation C v Scale: 114=1'-0" D Project Number f{f � GC NOTE: 2019-02 1. GC TO SALVAGE EKSTING SIDING FOR REUSE TO THE EXTENT POSSIBLE. 3 i r i'i tl Date ISSueG ':ilia,. „U•:a; ° f S.; - May 13,2019 I]` G 6 ii D201 Side elevation_ Scale: 1/4=1'-0" -- ReYIS100S 6 E A303 - LIMITOFWORK - 3.ok 3•-1q- •y r_____________ ____ ----- ________T L Q II EXTENSION-SAND SU >n Q Master edroom I LL cD I mi � I I B B < I ---- - - . _ ------- ____ __ R. N L____ • Aim r__________________________________________________________ h G 0 B w - /� I O p O OG OG O Q F - I o © v I EXISTNG PORCH TO PEMNN V LIN L Bedroom#3 Den I ♦ st ath' In e z I � > 0 0 0 I ® 3-,0 3•-1Dj' � u a A301 —0.0. R0. R0. D B a'-np.l. s7i'3'a• act ' '. r-�' Ii FQ Closet DD - - - I -- - I: n IkB.throo 110 ______ ______ _i I� /Dlnin IHall/Entry m I mEFLooR -- i• 114 0, II 1 ' O ,m 102 ® 1m I OPEN Cg1QN--O TIES I O.W. V OO IF— CEILINGh BVGROOVE IL. NEW ENS.WODD FLOOR :I .I Laundry � ' Bedroom#2 Bedroom#1 ----- ?_ 51 d �__'•c O 113 '�,'[i ___- 0.0'_ ____-_ - 370�_-- -- E%TENI OF FPJVAING FOR •� DC -. ______________ ___ ______ __ ___ _____ _______ _ B b EXTENSION OF DECNING y u RO ___ _ _ _____ ________ _________ 0.0 f, U -- - el I I I I I O I I I < I ® ® I I ' Pan a I I s I I O I O I I ,Ds - Pow Far Rm. 100 LL A301 � ® � A301 .G next A D A I ��LINE OF ROOF I I OVERHANGABOVE 0.0. ----- ---------------------------------- L2 3 6 GC NOTE: Project Number 2019-02 1. GC TO REVIEW THE WIDTH OF EXISTING WINDOW 3 OPENINGS TO ASSESS THE RESULTING WORK ASSOCIATED WITH THE WIDTH OF THE NEW Date Issues WINDOWS.GC TO REVIEW INTERIOR TRIM SIZE OPTION AND WINDOW SIZE AS IT RELATES TO _ May 73,2019 - REQUIRED WALL REPAIR AND OPTIONS. 2 2. GC TO VERIFY ALL EXISTING R.O.'S 12 t 1 Pro osed First Floor Plan A10 - Scala: 1/4=1'-0" GC TO REVIEW REMOVAL OR BLOCKING OF - Re MbrS ENSTING VENTS TO BE REVIEWED WITH OWNER INCONJUNCTION WITH SIDING REWORKING AND NEW FCAM INSULATION IN ALL ATTIC AREAS. 1 1 - A300 A306 5 (( 6 1€ IN' : � n € NWFRAMING A D DECKING OVER BXS TING CONCRETE SLAB uo�, E 0Hill!11: ICU GCTO REVIEWE%TENTIOFVERTII—SIDINGANDBED APPROMMgTELINEOFNEW PATCH SIDINGAS REq EE%ISTING STAIRSAND NEW GRANITE STEP A• MOLDINGTOBEREMOVEDF00.1NSTALIATIONAND WINDOWOPENING. 1 WIN-OWSIHSTOPLL/:T ON SOC--B`1OUNOATION 1 - FL4SHINGOFNEW WINDOWS.SHADEDEDAREASSUMES REFRME AS REQUIRED A30A A.0 W SIOING REMOVAL REQUIRED FOR INSTALIATION OF NEW O Front elevation WINDOWS WITH NAILING FLANGES, i 1 Scale: 1/4=1'-0" �L 1 /——————————————————————\ /———————————————————- 'J1"1� A301 I - I uJ O n. Iil I 'll , � sS 14 fi'�I? 0 Q B j G II I ill A:I� �< �I I O 1a I I fII' U t F o I � _ I Q I a Partial elevation ffiru livin room Partial elevation thru link Side elevation <_ 2 Scale: 1/4= -0^ Scale: 1/4= -0" - 2 1 3 I••I••I E A301 A301 - A3D1 NEW FRAMINGAND O — HORRONTAL SHIPLAP SIDINGAT WINDOW BAY f.L� .Ettrx,'T:frL�i��:yll .. Eiqrl cz p. F e>v OO O O � OG p p � pI D D NEW—INGAND O O DECKING OVER EKISTING - CONCRETE SLAe I. ,(� C/J VJ I, F' ) 1 Nf •� ,� � u NEW GRANTS STEP NEW ALUMINUM SCREEN - I ^Y V Z INSERTS(TYP 3 SIDES) 1 NEW R-O FOR STEPPED OUT WINDOW , FRAMING.SEEARECHITECTURAL A301 - l301 AND STRUCTURAL DRAWINGS FOR FRAMING REQUIREMENTS Rear elevation C Scale: 1/4=1'-0" 3 I 4 , ii Project Number B❑ B I. B i� II _ 2019-02 ", 3 11HIN111 I I 1Date Issued »t I "i ,1'.: fp 'li€ May 13,2019 6 Side elevation A201 Scale: 1A=1'-0" I Revisions ASSUME EXISTING RIDGE BEAM A00 CONTINUOUS M BLOCKING ON FIAT SETW EEN NEW RAFTERS.TIGHT TO ROOF SHEATHING.GLUE TO ROOF I SIMPSON LN ANGLE SHEATHINGANDATTACH THRU BOTH SIDES TRUSS AT RAFTERS WITH AD NAILS AT Y•C.C. RIDGE CONNECTION ADD NEW EA RAFTER SIDE OF TIMBER.PROVIDE TIMSERLOCK FASTNF,RS FA SIDE :3r T° INSTPLL BLOCI(ING AS l-� �' � "w RE-1—STOP INSULATIONIONSTOP —T ' CLOSED CELL W ITHIN ENSTIN ' FLOOR FRAMING \ , REMOVE EASTING CEIUNGAND INSTALL SXB TIMBER COLLAR TIES NEW L.O.TO ENTRY d no ce O ♦/—�� O VJ 11 ` .. - .._: --------------------------------------------------------------------------------------- MGO U CLOSED CELL WITHIN EASTING FLOOR FRAMING F U CLOSE W F CELL FOAM OVER EMSTIN _ EAST NG FOUNDATION "I x a x a a Building section thru sittinq are looking towards Kitchen 1 Scale: 1/2=P-0" I I I I I U m � DG 0 - _---- ---� NEW HORIZONTAL SIDING • I'1/ K r tz 71 w U 0 a I O F LNG UP TED Y , : HE COMP ITEO CNN O R .. NC ETEF TIN TO EN : 2 % .. CO'OSITE LEE'RS mI 9T1 G C01 ERED RLN - -F TENED EXIS LNG 00 CO CRETE LAB I E O ITE S;EP ON 14 EEPITB P GTi S EO i0NEE 2X8 WALL FRAMING FASTENED FRAMING FRAWNI.SHN GABLE wKI— — COMPOSITE TRIM I :l Project Num ber " 2079-02 EMI SP Date Is sued Y i; %:",i�,,;;!i: 2 BGuildzng section thru existing Living Room looking towards main entry ��Wall�secoion thru Master Bedroom window bay A301 Revisions ki , 1 L ^r�0 t C r_______________ I y DL7 A A' t FE Cn Cn Master edroom I I I ; -------------------------------------------------------------------------------' - I - � I p 9 J_ A, AI - iIs I i i U AI 0 _ a 'Bedroom#3 Den I e aste Be - O aI a DLT- DL OLT- ` a p — h I ryt , r oo _ 1 - ,� A J :iLid, -------- --- -- --- DLT-1 L--------------------- J C� C� l f a —A A Hall/ nt --- w s ^ : Kitc Bathroom - - - ,09 i t DLT-6 _nEa o4AR: AI DLT-1 AI Ep Ed C TIES —_ _—_ _ A w \ � DLT-6 I� DLT S O O ' DLT �1 A. D.W. A t If, d O—ter I Laundry 8 tl A w — — LL ® _ "v i i i i - - ❑ a PLT-0 DLT-0 - Bedroom#2 - ---- - _. -._..- ._ Al I " � � Bedroom#1 _ - -- --- AI -__A -- _ M „: O --------- ----------------- --------- -------- ----- - ---- - - -- - --- - ----- - ---- ----; w v ---- -- -------- ---- a I l I - I yam. •- ' - C 2 I - I I I I I v Pan A, AI AI ' ' •.\ I Pow4er Rm. I F I I A p I a I 3 . . Project Number 6 GC NOTE: 2019-02 1. GC TO REVIEW EXISTING ELECTRICAL AND 3 PROPOSED ELECTRICAL IN ARCHITECTURAL DRAWINGS. GC TO REUSE ALL EXISTING WIRING Date Issued POSSIBLE AND ADD ANY WIRING THAT IS REQUIRED FOR NEW LAYOUT May 13.2019 o 1 Proposed First Floor Lighting and Power Plan A70 - Scale: 1/4=1'-0" L