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Home My WebLink About0203 GREEN DUNES DRIVE a , i 1 0 o Town of-Barnstable RECEir ti MASS 200 Main Street •Hyannis MA 02601 508-862-4038 NU A{,'MaQt; Application for Building Permit Application No: TB-17-4114 Date Recieved: 11/30/2017 Job Location: 203 GREEN DUNES DRIVE,CENTERVILLE . Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: ERNEST J JAXTIMER State Lic. No: CS-003251 4 Address: HYANNIS, MA 02601 Applicant Phone: (508) 778-4911 (Home)Owner's Name: E&L BENTAS LLC Phone: (508)771-4498 (Home)Owner's Address: 3 BATTERY WHARF,#3411 , BOSTON,MA 02109 Work Description: Install(18)Windows and(1)Door on existing screen porch. Install(2)sliding doors and(2)fixed panels in Dining Room and.Living Room. - t cr Total Value Of Work To Be Performed: $15,000.00 rin Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers''_Compensation'Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business.is not required to have coverage unless he files his intent to accept-coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. [understand that when a permit is issued;it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: EJ Jaxtimer 11/30/2017 (508)778-4911 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost.: $15,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $76.50 Total Permit Fee Paid: $0.00 - ��s� .v,..�eaa.Sg�.•ti:xm�..� .�v ..�. ..tea,�..�,�...,�.�u,.it».,ro«,. ,. . s�.aa,•.. .s' ��sS.. h., `,.. ., - Town of Barnstable _ _ _ _ Building �.,�� .�.,vr> • J1H Post This Gard So That it is Visible Fromahe Street Approved Plans Must be Retained ohJ-o and this Card Must beSAWMASM Kept a Posted Until Final;Inspection Has.Been;Made .'; y., ; a639 �� y y_ _.. . + Certficate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has Been made �ern11� _ . ,r. _ .. . .2a ,Re _ ...��. � Permit No. B-18-77 Applicant Name: - E J JAXTIMER, BUILDER, INC. Approvals Date Issued: 02/07/2018 Current Use: Structure Permit Type:• Building-Addition/Alteration-Residential Expiration Date: 08/07/2018 Foundation: Location: 203 GREEN DUNES DRIVE,CENTERVILLE Map/Lot 245 023 .� � Zoning District: RD-1 Sheathing: Owner on Record: E&L BENTAS LLCM ; }. Contractor Name: '.YE J JAXTIMER, BUILDER, INC. Framing: 1 WC L�=,(,'1 S K Address: 3 BATTERY WHARF,#3411 .' Contractor Licenser 110609 2 BOSTON, MA 02109 � Est Project Cost: $100,000.00 Chimney: Description: REMODEL EXISTING KITCHEN LIVING AND DINING ROOM.GAS Permit*Fee: $560.00 FIREPLACE FOOTPRINT ADDITION APPROX 8X3 OFFµDINING ROOM. Insulation: d k 3 T t ��Fee Paid: $560.00 REPLACE WINDOWS AND DOORS AND DOORS AND'ADD-NEW WINDOWS AND DOORS.TURN EXISTING SCREEN,PORCH INTO Date _• 2/7/2018 Final: 5 UNHEATED 3 SEASON ROOM WITH WINDOWS AND DOORS Plumbing/Gas Project Review Req: 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. Rough Gas: All work authorized by this permit shall conform to the approved application'and thegapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structure's shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forkpublic inspection for the entire duration of the 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 Officals are provided on thisypermit. Service: Minimum of Five Call Inspections Required for All Construction Work: r Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. 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 16 Applicatioa rtumber...... .. ..................:............................ .� s s IMMaE .NAM P=Za Fee.......................................other Fee........................ TailFee Pmd.......................................... TOWN OF BARNSTABLE appvsiby.........:;N.k..........o�.......I...�I 1� ....... Pry ...... 2� t BUILDING PERMIT APPLICATION .................................F=4...............US. Section 1—Owners Information and Project Location Project Address 2O' &re e►, iy1aj /�� V1-lla9ezW15y G Owners Name Z h Q) LA Owners Legal Address (� city- r-,--��'�1 Staxe zip CrLlu Owners Cell# E-mail l► A L i`O� Section 2—Structural Use KSingle/Two Family Dwelling ❑ 'Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ .Move/Relocate ❑ Accessory structure ❑ Change of use ❑ Demo/(entire structue) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System 4 =vation tion ElRetaining wall ❑ Solar ❑ Pool ❑ Insulation _ Other— Section 4—Detail Cost of Proposed Construction I SpcO Sgaare Footage of Project «3 Age of Structure �� ` Dig Safe Number #Of Bedrooms Existing Jd— Total#Of Bedrooms (proposed) 110 MPH W"mti Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updated:1 LIMO 7 4 ✓ Section 5 o Work Description o o vy, `f l n N L- t� -5 d-c) I h m (� h �(- r�cS. bv-Gk aS� `w bw S Section 6—Project Specifics ' Wiring [] Oil Tank Storage . ❑ Smoke Detectors Plumbing Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney ❑Add/relocate bedroom -------- W-ateer-Supply _ Public_--_-- -- ❑_Private_— Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Rings Highway Debris Disposal Facility: IMa(()frn 1;e✓S %Ma'�kZS I an using a crane C Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adj scent to a wetland,coastal bank? Yei 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 properly had relief from the Zoning Board in the pasfl ❑ Yes 0 No Last updated:11172017 roRo CERTIFICATE OF LIABILITY INSURANCE 701/03/2018 ' 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 NAME: T Erica H.O'Connor HART INSURANCE AGENCY,INC. PHONE 508 759 7326 x205 FAx 508 759 7366 243 MAIN STREET c o t A/c No PO BOX 700 E-MAIL ADDREss: eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC V INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc INSURER e: ARBELLA INDEMNITY INSURANCE COMPANY 10017 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. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDIYYYY I(MM(DDIYYYYI LIMITS A COMMERCIAL GENERAL LIABILITY 8500042039 01/01/2018 01/01/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE ToPREM SES ea occuE ence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL 6 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑jECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ A UMBRELLA LIAB OCCUR 4600042040 01/01/2018 01/01/2019 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$10,000 $ B WORKERS COMPENSATION 4220048905 01/01/2018 01/01/2019ER AND EMPLOYERS'LIABILITY Y/N STATUTE EOR� ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F_N] N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it 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 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. ' 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 The Commonwer:,,'th of Massachusetts = Department of idustriad Accidents I Congress treet;.Suite 100 Boston, AIM 021/p14,22017 ��9M S�OyeC wtvwo�mass.gyovla.i a Workers' Compensation Insurance Affidavit:B uildprs/Co►atractors/Electricians/Plurnbers. TO BE FILLED WITH THE PE��il�I '�1G AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):E.J. Jaxtimer Builder, Ifs Address:48 Rosary Lane City/State/Zip: Hyannis, MA 02601 P;,ola (508)778-4911 Are you an employer?Check the appropriate box: Type of project(required): 1.®✓ I am a employer with 30 employees(full and/or pail-time). 7. New construction 2.7I am a sole proprietor or partnership and have no employees working for me in 1 any capacity.[No workers'comp.insurance required.] E. Remodel - ®3.®1 am a homeowner doing all work myself.No workers'comp.is surar:ce required.]�' 9. Demolition 4.R 1 am a homeowner and will be hiring contractors to conduct ail work on my property. I will 10 E] Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.17 Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 1 5.F]I am a general contractor and I have hired the sub-contractors listed on the attached sheet: 1.3. Roof repairs These sub-contractors have employees and have workers'comp.insurance.'+ I 6.0 V,e are a corporation and its officers have exeresed their right of exe�l:;aion per>ti•1GI,C. 14.®Other_--- — � 152,§1(4),and we have no employees.Tfo workers'comp.insurance iequired.] ! 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all w6rk arid'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'ttleir workers'c:ini� p'olicy number. I am an employer That is providing workers'compensation ins uran' for!y employees. Below is the policy and fob site information. Insurance Company Name:Arbella Protection Agency Policy#or Self-ins.Lic.9:4220048905 _ Y Expiration.Date:01/01/201 .Lob Site Address:q,01) G.f t Qk, V�kS City/State/Zip: /V 0263 2 Attach a copy od the sv rokerV' ompensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 1.52, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and pains perjury that the information provided above is true and correct Si nature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Pea enit/llaceaa.se# Issuing Authority(circle one); 1.hoard of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector s.Plumbing Inspector 6.Other Contact Person: Phone#: Fwd: Signed Permit-tina@jaxtimer.com-E.J.Jaxtimer Mail https;//mail.google.com/mail/#,inboV!5a3Sd3c3405aed6?projector=l Son Feb 13.2017.120 PMplf - .�O,D�enwM W,m/URLw Gx o_. - M"M 'Town of Barnstable Regulator Services' Thomas F.Geiler,Director BuIldina Division - Thomas Perry,Cl3® Building Commissioner 200 Main Street,'Hyannis,MA 02601 v+ Aown barnstable.ma.us Office 508-462-4038 Fax;:509-790-6230 property.Owner Mst ; Co>��l�t� end Sizn This Section. if Us A Buil $er �, •,csPvnier of the siabject proper`; hereby authorize k/.✓/22 6-�' ' to act on my behalf, in aid matters relative,to work authorized.by this b--,d g permit appLcs-tion for.. . Otd.r 9,,P- -_s .C//2 J.v L'' C�� l%�✓./min /7/1C P// I (Address:of Job), Signature or er: ate. Print,Name' If Property Owner.is,applying for permit,please complete the Homeowners License.Exemption Form on the reverse side: 1<of 1 2/13/2017 1:57-PN REScheck Software Version 4.6.4 Compliance Certificate Project Sun Room 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: 203 Green Dunes Drive Lily Haseotes Bentas EJ Jaxtimer Centerville,MA 02632 E&L Bentas LLC EJ Jaxtimer Builder 3 Battery Wharf 48 Rosary Lane #3411 Hyannis, MA 02601 Boston, MA 02109 508-778-4911 EmEm- Compliance: 8.6%Better Than Code Maximum UA: 140 Your UA: 128 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 Cavity Cont. Assembly or U-Factor UA Ceiling 1:Cathedral Ceiling 226 38.0 0.0 0.027 6 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 226 30.0 0.0 0.033 7 Wall 1:Wood Frame, 16"o.c. 662 24.0 0.0 0.054 18 Window 1:Wood Frame:Double Pane with Low-E 333 0.290 97 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 4.6.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Keith Presswood VP 01/04/2018 Name-Title Signature Date , Project Notes: REScheck by Cape Cod Insulation, Inc. 18 Reardon Circle South Yarmouth, Ma. 02664 800-696-6611 # 726686 Project Title: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 1 of 9 REScheck Software Version 4.6.4 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 # 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 ' I building envelope.Thermal j ❑Not Observable lenvelope represented on r ❑Not Applicable ;construction documents. 103.1, ;Construction drawings and ❑Complies 103.2, 'documentation demonstrate ❑Does Not 403.7 ;energy code compliance for z ❑Not Observable [PR3]1 ;lighting and mechanical systems. Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ;compliance with the IECC iCommercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: ,❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr_ Z Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: Manual]or other methods Btu/hr_ ; Btu/hr ❑Not Observable approved by the code official. .j❑Not Applicable j Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 2 of 9 I . Section # Foundation Inspection Complies? Comments/Assumptions & Req.ID 303.2.1 JA protective covering is installed to ;DComplies Exception: Requirement is not applicable. [FO11]2 protect exposed exterior insulation :❑Does Not and extends a minimum of 6 in.below ;❑Not Observable grade. ❑Not Applicable 403.9 Snow-and ice-melting system controls;❑Complies ; [FO12]2 installed. :❑Does Not l� ;❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) j 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 3 of 9 . r i Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, Glazing U-factor(area-weighted U U- ;❑Complies ;See the Envelope Assemblies 402.3.11 !average). ❑Does Not ;table for values. 402.3.3, I 402.3.6, ' ❑Not Observable 402.5 ( ❑Not Applicable [FR2]1 I 303.1.3 1U-factors of fenestration products { ❑Complies ';Requirement will be met. [FR4]1 are determined in accordance []Does Not ;with the NFRC test procedure or ;taken from the default table. ❑Not Observable ❑Not Applicable j 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 I ❑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/CSA 101/I.S.2/A440 'or has infiltration rates per NFRC ❑Not Observable 1400 that do not exceed code ❑Not Applicable Y limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies ;Requirement will be met. [FR16]2 sealed at housing/interior finish t ❑Does Not and labeled to indicate:52.0 cfm leakage at 75 Pa. 4 ❑Not Observable f, ❑Not Applicable 403.2.1 ;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 fi !for<3 inches in diameter. 403.3.3.5 `jBuilding cavities are not used as ❑Complies ; [FR15]3 ducts or plenums. # ❑Does Not ❑Not Observable 4 ❑Not Applicable 403.4 HVAC piping conveying fluids• R-_ ! R- ;❑Complies [FR17]2 above 105°F or chilled fluids ;❑Does Not 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 C7 i []Not Observable iE]Not Applicable 403.5.3 Hot water pipes are insulated to R- R-_ ;❑Complies [FR18]2 >_R-3. ❑Does Not l� ;❑Not 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. ❑Not Observable IONot Applicable i Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 4 of 9' I - 111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 5 of 9 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]2 or the installed R-values ❑Does Not provided. ❑Not Observable IONot Applicable• 402.1.1, Floor insulation R value. R- R-_ ;❑Complies ;See the Envelope Assemblies 402.2.E ;❑ 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 imanufacturer's instructions and ❑Does Not [IN2]1 Jn substantial contact with the CO) 'underside of the subfloor,or floor []Not Observable {framing cavity insulation is in ❑Not Applicable ;contact with the top side of , ;sheathing,or continuous linsulation is installed on the F I underside of floor framing and extends from the bottom to the Itop of all perimeter floor framing !members. 402.1.1, ;Wall insulation R-value.If this is a; R- R- ;❑Complies ;See the Envelope Assemblies 402.2.51 "mass wall with at least'/z of the ❑ Wood ❑ Wood ;❑Does Not table for values. 402.2.E wall insulation on the wall Mass Mass [IN3]1 'exterior,the exterior insulation i❑ ❑ ;❑Not Observable !requirement applies(FR10). ;❑ Steel ❑ Steel ;❑Not Applicable i 303.2 ;Wall insulation is installed per ❑Complies ;Requirement will be met. [IN4)1 manufacturer's instructions. ❑Does Not I ❑Not Observable . ❑Not Applicable Additional Comments/Assumptions: 1 lHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 6 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? TC omments/Assumptions & Req:ID 402.1.1, ;Ceiling insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, ❑ Wood ;❑ Wood ❑Does Not ;table for values. 402.2.2, I❑ Steel ❑ Steel 402.2.E :❑Not Observable [FI1]1 ;❑Not 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 ;Exception: Requirement is [F122]2 insulation include baffle adjacent ❑Does Not 1 not applicable. to soffit and eave vents that extends over insulation. ❑Not Observable IE]Not Applicable 402.2.4 ;Attic access hatch and door R R- j❑Complies ;Requirement will be met. [FI3]1 'insulation zR-value of the ❑Does Not ;adjacent assembly. ;❑Not Observable i ❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50= ACH 50=_ I❑Complies ;Requirement will be met. [F11711 'ach in Climate Zones 1-2,and I❑Does Not <=3 ach in Climate Zones 3-8. ;❑Not Observable ❑Not Applicable 403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 I❑Complies [FI4]1 cfm/100 ft2 across the system or 1 ft2 ft2 j❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ;❑Not Observable . ;tests,verification may need to ;❑Not Applicable ;occur during Framing Inspection. 403.3.2 Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies [FI27]1 ;determine air leakage with ; ftz_ ft2 ❑Does Not ;either: Rough-in test:Total I ;leakage measured with a I❑Not Observable pressure differential of 0.1 inch 1 ;❑Not Applicable jw.g.across the system including Ithe manufacturer's air handler {enclosure if installed at time of ;test. Postconstruction test:Total (leakage measured with a ;pressure differential of 0.1 inch I ;w.g.across the entire system including the manufacturer's air I Ihandler enclosure. 403.3.2.1 ;Air handler leakage designated ❑Complies ; [FI24]1 :by manufacturer at<=2%of ❑Does Not ;design air flow. ❑Not Observable t 1E]Not Applicable 403.1.1 Programmable thermostats ❑Complies [F[9]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 JHeat pump thermostat installed - ❑Complies (FI10]2 on heat pumps. ❑Does Not ❑Not Observable t I " ❑Not Applicable 403.5.1 Circulating service hot water ❑Complies (FI11]2 systems have automatic or ❑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: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 7 of 9 Section Plans Verified Field.Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 403.6.1 All mechanical ventilation system ❑Complies [F125]2 fans not part of tested and listed []Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies (F126]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- ❑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 w automatically turn off the pump when water is in circulation loop is at set-point temperature and I no demand for hot water exists. 403.5.1.2 Electric heat trace systems ❑Complies [F[29]2 comply with IEEE 515.1 or UL ❑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]2 have recirculation pumps that ❑Does Not pump water from a heated water supply pipe back to the heated ❑Not Observable water source through a cold []Not Applicable j water supply pipe have a 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 104°F. 403.5.4 Drain water heat recovery units ❑Complies [F131]2 tested in accordance with CSA t ❑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 a three or more showers. 404.1 '75%of lamps in permanent t ❑Complies [F16]1 fixtures or 75%of permanent ', ❑Does Not Mixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable ;lighting. ❑Not Applicable 404.1.1 j Fuel gas lighting systems have ❑Complies [F123]3 ono continuous pilot light. ❑Does Not J ❑Not Observable ' ° []Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sun Room Report date: 01/04/18 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. [F17]2 ❑Does Not ❑Not Observable 1E]Not Applicable 303.3 3 Manufacturer manuals for []Complies [FI18]3 mechanical and water heating ❑Does Not systems have been provided. ❑Not Observable », ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sun Room Report date: 01/04/18 Data filename: Untitled.rck Page 9 of 9 2015 IECC Energy Efficiency Certificate Above-Grade Wall 24.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling /Roof 38.00 Ductwork(unconditioned spaces): Window 0.29 Door . . IN Heating System• Cooling System: Water Heater: Name: Date• Comments . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - . . ... . . . . . . . . . . . . . . . .. . . . - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . . . . .. • � Massachusetts Department of Public Safety' '•' ' '• -`•`• • '�`-'-'- - r - • ' ' 1 Board of Building Regulations and Standards . . . License: CS-003251 . . . . . . . . . . . . . . . . - - - - - - - Construction Supervisor r 4 ERNEST J JAXTIMER 48 ROSARY LANE HYANNIS MA 02601 �-ZC - Expiration: Commissioner 01114/2018 r r c5" Ov��*ad Office of Consumer Affairs and Business Regulation t 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Corporation M c P r r r Registration: 110609 E J Jaxtimer, Builder, Inc. 4 Expiration: 11/02/2018 �` 48 Rosary Ln } �x ' .. �i R k T Hyannis, MA 02601 aa r� 1 ` Update Address and return card. Mark reason for change. SCA 1 C; 20M-05111 - - . _ _ _.._. _ _��_ .. . r .__._ _ _ ..O_Aiidraac n Rarte>n+Tl_O Employment ❑lost Card 0. F'.��R (!'1t��77�ta�rt[c'�tll�n`f�''F tlliaL!'�rtlnl�J Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Type: Corporation before the expiration date. If found return to: Z `Registration Expjration Office of Consumer Affairs and Business Regulation ` may 110609 11/02/2018 10 Park Plaza-Suite 5170 Boston,MA 16 E J Jaxtimer,Builder;Inc. Ernest Jaxtimer 1 , 48 Rosary Ln Hyannis,MA 02601.` _ Undersecretary Not valid without signature ARTHUR CHOO ASSOCIATES, INC. CONSULTING ENGINEERS ONE BILLINGS ROAD QUINCY,MASS.02171 SHEET NO. �=t OF (617)328-3r3�200 ems a/il aca@choo-design.com ! FAX(617)786-7715 COMM.NO. c� CLIENT—6—�-tp�� r�l rrk-8—J,Q �L/� 6.�` F j DATE a t d C SUyBBJ�EECT��119- rY�. 'k'1 ��I+� IkR /y r40502,!M L4--� , DESIGNED BY � t3 CHECKED BY I i 4A- e , i ± Imo. v 60.1 py �� Crp01-11aW..5. �rt�" log �► � E�� -�- -jr-1 E �2 i I . f Section 9—Construction Supervisor Nmme Telephone Number 56� ��6 q Aadressy W City 11 n I S State A� Zip License Number License Type CS L aw'M won Date 8 Contractors Erna ,� 6 LCt , nQ Cell# , �G x fi rye � m c�- �. I understand my responsibiilid under the roles 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 w documentation required 7 CMR and the Town le.Attach a copy of your license. w Side x Date I �} Section 10—Home Improvement Contractor w Name ('i� � �f1ti Telephone Number 66-24 77 Y 'L/q Address I S" /- _City X x A W State M 4 Zip oZ(eDI onNvmber --�- Eiratlon I und==d my respansi Mes under the Tales and regulations for Home ImFovement Contractors in accordance with 780 CMR the Massachusetts State Budding Code. I undcrst25d,the construction bspection procedures,specific bspections and documentation 780 CMR and the T arastable.Attach a copy of your H.I.C... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I I understand my responsibilities under the roles and regulations for Licensed Construction Supervisor m accordance with 780 k CMR the Nf&wachusetts State Bmldmg Code. I d the construction inspection procedures,specific inspections and documentation reqused by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signalur Date 2-1 t°o I •Print Name -� �� `m�✓ Telephone Number z5V� `19 h E-mail permit to: �►m ►� ' p � . Last updated:1in2017 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 i&ec*to the fire depw*ne&for approval i Section 13—Owner's Authorization 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 Print Name 'I 1 I I 1 I Last UpdWri 11/72017 I Town of Barnstable 'RECEIIi?T ` MASS 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-3787 Date Recieved: 10/31/2017 , Job Location: 203 GREEN DUNES DRIVE,CENTERVILLE Permit For: Building-Alteration INTERIOR Work Only-Residential Contractor's Name: ERNEST J JAXTIMER State Lic.No: CS-003251 Address: HYANNIS, MA 02601 Applicant Phone: (508) 778-4911 (Home)Owner's Name: E&L BENTAS LLC Phone: (508)771-4498 (Home)Owner's Address: 3 BATTERY WHARF,#3411 BOSTON, MA 02109 Work Description: Add an elevator within existing home. Remodel bathroom and back hall. Relocate door. Ou Total Value Of Work To Be Performed: $60,000.00 COO LU -� Structure Size: 0.00 0.00 0.00- Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant-to 31-275 C.G.S.;officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the,subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: EJ Jaxtimer 10/31/2017 (508)778-4911 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $60,000.00 Date Paid Amount Paid Check#or CC# € Pay Type Total Permit Fee: $306.00 i .......... .............I Total Permit Fee Paid: $0.00 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION y Map Parcel y BUI Application # Health Division �LDING DEPTDate Issued, 1 Conservation Division MAR O 2017 Application Fee Planning Dept. ®WN®F QqR NsqF3L Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 2 0:� 62 r at h DUV\oi �e 1 d L= Village n � eKu I k Owner rn 4 L 4�u �pn"j'A S Address \3 k4 Yu u K = Al U Telephone (b 319-) yq _I I 13 od T"�mov+2 OI Permit Request CL a PN1 Ni ffiN� Gt Square feet: 1 st floor: existing "Proposed 2nd floor: existing InZ, proposed CD -Total new O Zoning District Flood Plain Groundwater Overlay Project Valuation 000"' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No, Basement Type: KFull ❑ Crawl ❑Walkout Other �SZ kj Co &e*2� k///'�S% (V At If Basement Finished Area (sq.ft.) V)1)C!I bLyV1 Basement Unfinished Area (sq.ft) Uh en 0AA VI Number of Baths: Full: existing_ new Half: existing 1 new Number of Bedrooms: W existing new Total Room Count (not including baths): existing new b First Floor Room Count U�hJ�.��l Heat Type and Fuel: UGas ❑ Oil ❑ Electric ❑ Other Central Air: kYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:)(existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ANo If yes, site plan review# Current Use �P4��Pih'�1 Proposed Use PN U ,77"i _ ��mL APPLICANT INFORMATION (BUILDER OR HOMEOWNER) i Name �.J r dt f Telephone Number ) 7 7 Address CDs �� License # //W kl-,l1 S A114 0 2!,!�01 Home Improvement Contractor# Email C� ` �� Worker's Compensation # I'S �O5� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C DATE 2 C c FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED j MAP/ PARCEL NO. .. i ADDRESS VILLAGE s OWNER f DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f w 5 � c DATE CLOSED OUT ASSOCIATION PLAN NO. 1 Fwd: Signed Permit-tina@jaxtimer.com-E.J.Jaxtimer Mail https://mdil.google.com/mail/4inbox/!5a38d3c3405acd6?projector=l Scan Feb 13.2017.1.28 PM.pdf Open wV Copy,URL to Google._ T ABiE, i Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 f Property ®wrier Must Complete and Sign This Section If Using.A Builder as O«*ner of the subject property hereby authorize ° �� k �� to act on my behalf; in all matters relatiN a to work authorized by this building permit application for: �� 12 r :s/.21/c'Pry T (Address of Job) /� Signature oF&wrZr ate Print Name If Property Owner is applying for p Exemption ermit,please complete the homeowners License Eion Form on the reverse side 1 of 1 2/13/2017 1:57 PM f Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor registration Registration: 110609 Type:, Private Corporation Expiration: 11/3/2016 . Tr# 258860 E J JAXTIMER, BUILDER, INC. ERNES I JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 Update Address and return card.]mark reason for change. sCA t C: 20M-05/11 Address Renewal E] ]Employment ]Lost Card &21e i"povivzomveaN alb/jmadmietli Office of'Consumer Affairs&Business Regulation License or registration valid for individul use only kVjOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 1 10609 Type: Office of Consumer Affairs and Business Regulation ,!'F-xpiration: :11%3/2016 Private Corporation 10]Park)Plaza-Suite 5170 Boston,MA 02116 E J JAXTIMER, BUILDER,INC. ERNEST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 i inderse'cretary of valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards lug License: CS-003251 Construction Supervisor R i ty ERNEST J JAXTIMER 48 ROSARY LANE HYANNIS MA 02601 ( .tin Expiration: Commissioner 01/1412018 I i I I OF _. _ �Q a r J Z : C0100 I. m .w �pp OD 0 .... .... ' i .�'. .. ... f W N .. i I .. .,........ .. .: f.... .. �` I A I1 -... r r. I td cn __. _ .... ..._.-....� I �-- _ , I r— I �t - - F �.I fr3ci1I_`Pl I <I ... jp` m_ 3oa0 �Yt cn Dcn Nz�� cn Ll ®r� 4 PL Lo ' ' m lie ... ai e o; i t I I All 14 Ns -��.� ��. ,, �� Yam_ ' _ ._.. . _ - _ _ _ : T,4e Commonwealth of Massachusetts Department of Industrial Accidents ®face of Investigations . d 600 Washington Street Boston;ILIA 02111 . °,M s�my'W www.mass.gov/dia Workers'�9 Compensation fansun>raffice fndavit: Bunilde>rs/Cont>racsous/EleCt>ricians/Flumhe>rs Applicant Information Please Print Legit Name(Business/Organization/Individual): r—J 17fn4� i Address: City/State/Zip: ;� a°� t� 0 Phone.#: Are you an employer?Check the appropriate box: 'Type of project(required): 4. ❑ I am a general contractor and'I 1.[�I am a employer with 6. ❑New construct-ion employees(full and/or part-time).* have have hired the sub-contractors 2:❑ I am a sole proprietor or partner- listed on the-attached sheet. 7...❑Remodeling ship and have no employees, These sub-contractors have g. ❑Demolition employees and have workers' working for mein any capacity. 9. ❑Building addition _ comp.insurance:$ - [No workers comp.insurance -10.0 Electrical repairs or additions 5• ❑ We are a corporation and its required.] 3.[_] I am a homeowner doing all work officers have exercised their 11,❑.Plumbi_ng 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 infomnation. t Homeowners who submit this affidavit indicating they are doing:all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'cornpeiisation insurance for my employees. Below is the policy and job site information. Q , Insurance Company Name: "I �CaT Policy#or Self ins. Lic. #: '/"01 010 0��'.(' C� Expiration Date: Sob Site Address: / City/State/Zip: % f�� (/"14 Attach a copy of the workers' edimpensation policy declaration page(showing the policy number and expiration date). Q 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 certi the pains'and penalties of perjury that the information provided above is true and correct. - Si afore: Date: — Phone#: Official use.only. Do not write in this area,to be completed by city or town offcciaL - - - - .City or Town: Perniit/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#: TE AC®RO® CERTIFICATE OF LIABILITY INSURANCE DA01/02/2017 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` PHONE FAX 243 MAIN STREET A/c No): P.O BOX 700 E-MAIL yMAIL eoconnor@hartinsurancea enC .com - - - ADDRESS: BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc INSURER B: ARBELLA INDEMNITY INSURANCE COMPANY 10017 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. ILT R TYPE OF INSURANCE _ ADDL SUBR POLICY NUMBER POLICY NLDD�F MMLDDmY LIMITS LTR A COMM ERCIAL GENERAL LIABILITY 8500042039 01/01/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISE Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO ❑LOC JECT PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2017 01/01/2018 COMBINEDSINGLELIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED i BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED .NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB OCCUR 4600042040 01/01/2017 01/01/2018 EACH OCCURRENCE $ - 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$10,000 $ B WORKERS COMPENSATION 4220048905 01/01/2017 01/01/2018 PER oTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN. 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. 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 2 , +r« { . t WISNI W021=1 MOaNIM A3019 - E zll�r� , OHS ;- r -------- ------- , 419NI W021j ' MO4NIM)10019 ILL)/No D Ar� 012 'rOWN OF -------- -- - S7,q�L r » : h I { -1 w } NEW BUILT IN i CL05ET CREATE.DOOR . OPENING ADD TOILET POWDER REMOVE WALL �. SHOWER CLOSE DOOR OPENING 5H OWN: 42"z54"� 5TAIR BLOCK WINDOW\ FROM IN51DE 1 Town of Barnstable Permit# 4611 Expires 6 months from issue date Regulatory Services Fee • �anlvsTnsi.E. MASS.639. Thomas F.Geiler,Director I O V 1� V M� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY _ 2 Not Vidid without Red X-Press Imprint Map/parcel Number O �J Property AddressO �u i residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address udvs 103 bran-,A Contractor's Name SC h/ ?? 1—b Telephone Number Home Improvement Contractor License#(if applicable) ! l Construction Supervisor's License#(if applicable) V 0 J),5—/ kworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �I have Worker's Compensation Insurance ® Insurance Company Name ce �� Workman's Comp.Policy# �04 `(7 l Copy of Insurance Compliance Certificate must accompany each permit. �'r O1/ RPermit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to � ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side IE #of doors • KReplacement Windows/doors/sliders.U-Value (maximum.35)#of windows--,3 _ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ' A co f the Home Improvement Contractors License&Construction Supervisors License is it .. SIGNATURE: C:\Users\decollik\AppData\Loca icrosoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations _ d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): d'y 17me 8U1LpL%'Yj IA16 Address: JY AkA-- City/State/Zip: 14V fi&U-S AM p Phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1.0'.I am a employer with _a 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 partfler-- listed on the attached sheet. 7...❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEl 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. xContractors 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: /'►K,�t �T P� �O/�' CO � Policy#or Self-ins.Lie.#: '/" D ��/ .� Expiration Date: Job Site Address: a 7j o/ /� «-Q� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 03 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 the pains andpenatties of perjury that the information provided above is true.and correct; Signature: Date: — Phone M 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#: r- CERTIFICATE OF LIABILITY INSURANCE DATE /02/2017 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 PHONE Ex • NC No): PO BOX 700 E-MAJL s: eoconnor@hartinsuranceagency.com ADDRE BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41260 INSURED EJ Jaxtimer Builder,Inc INSURER B, ARBELLA INDEMNITY INSURANCE COMPANY 10017 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. 1�TR TYPE OF INSURANCE INSD ADDL WVD SUER POLICY NUMBER MMIDD/YYYY MM/POLICY EFF U/Y`/YP LIMITS A COMMERCIAL GENERALLIABILITY 8500042039 01/01/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE V OCCUR DAMAGE PREMISESS(RENTED 300,000 - Ea occurrence $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $. 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PEA LOC - PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: - $ A AUTOMOBILE LIABILITY 102001.1547 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT Ea accident '$ 1,000,000 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 UM13RELLALIA13 OCCUR 4600042040 01/01/2017 01/01/2018 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$10,000 $ B WORKERS COMPENSATION 4220048905 01/01/2017 01/01/2018 PER OTH- Y/N AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N N/A - (Mandatory in NH) ` E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below - c E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) _ ' f CERTIFICATE HOLDER CANCELLATION Fax#:(508)775-3344 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. 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 Fwd: Signed Permit-tina@jaxtimer.com-E.J.Jaxtimer Mail https://mail.google.com/mail/ginbox/15a38d3c3405acd6?projector=l Scan Feb 13,2017.1.28 PM.pdf Open wnn Copy,URL to Goople... xg BARMNSM PAAJK S63 Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 50.8-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize C I ' y� k �� to,act on my behalf, in all matters relative to work authorized by this building permit application for 0 03 G.e6-fAl A44/ s ZR ivr' �. /��i9/ZW/SF'd (Address of Job) Signature o er ate Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Pape 1 1 1 1 of 1 2/13/2017 1:57 PM 0 ff 'ice of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Dome Improvement Contractor Registration Registration: 110609 Type: Private Corporation Expiration: 11/3/2016 . Tr# 258860 E J JAX I IMER, BUILDER, INC. ERNES I JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 Update Address and return card.Mark reason for change. sCA 1 0 20M-05/11 Address Renewal Ernployr-aent Lost Card �fe�o�zznzn�azuealC�n��U��tiaaan�rz9eCf Office of Cousuner Affairs&Business Regulation License or registration valid for individul use only —° OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 110609 Type: Office o` un:e. � s°Re-ufl t•o-.Cors p Affairs and .,b,..a�r.... Expiration: . 1113/2016 Private Corporation 10 Park]Plaza-Suite 5170 Boston,Iy[i A 02115 E J JAXTIMER, BUILDER.,INC. ERNES T JAXTIMER 48 ROSARY LN HYANNIS,MA 02601 �nceersecreta; )Wot valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-003251 Construction Supervisor ERNEST J JAXTIMER i 48 ROSARY LANE HYANNIS MA 02601 ; . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . :. . . . . . I\�'� . lam- Expiration'. 1 Comm'issiorier - 61/14/2018 PROJECT NAME: d. ADDRESS: rT- lz PERMIT# y 1 D CU PERMIT DATE: ' M/P: t-'l LARGE ®T LED PLANS B® Data entered in MAPS program on: Z BY: i t� t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' �s Parcel D Application #C46 I'6 6's Health Division Date Issued 2177114 Conservation Division Application Fee Planning Dept. Permit Fee I7 Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/Hyannis Project Street Address a3 Green 'j��(,Q�S Village �� " Owner �lt U &A US Address ow b(VW,S , U) pfi+ Telephone Permit Request `' S C L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (9.ft) o Number of Baths: Full: existing new Half: existing Number of Bedrooms: existing _new C CD Total Room Count (not including baths): existing new First Floor Rom Counter Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove' ❑Yes ❑ No Detached garage: 0 existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION _ --- - (BUILDER OR HOMEOWNER) Name i�-J YI'1 61ULA&Y— Telephone Number Address 1-g 0 License # v Home Improvement Contractor# 29 Worker's Compensation # ® O 9o/13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AA SIGNATURE DATE1-bbc-i FOR OFFICIAL USE ONLY APPLICATION# .y DATE ISSUED MAP/PARCEL NO. J - 3 ADDRESS - VILLAGE OWNER' 1 DATE OF INSPECTION: .—FOUNDATION: FRAME ' INSULATION a` r '= FIREPLACE ELECTRICAL: ROUGH FINAL- p PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT s _ ASSOCIATION PLAN NO. 'E 5 f> The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeL-ibly Name(Business/Organization/Individual): i6j d' T/ lA ex [3 U I LZ F_X� /&C Address: City/State/Zip: I Phone.#: af Are you an employer? Check the appropriate box: Type of project(required): 1.( I am a employer with 30 4. ❑ 6.I am a general contractor and I ❑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...❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp. insurance comp.insurance.$ .required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]f c. 152, §1(4),and we have no f employees. [No workers' 13.V Other (, e kno comp.insurance required.] *Any applicant_that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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. QQ Insurance Company Name: 10& L 1, 4O INS ' Policy#or Self-ins.Lic. M 0,63 Q q Q 13 Expiration Date: Job Site Address: 6 ree '! j[(w_s ,kt r4 City/State/Zip: W $ ad Attach a copy of the workers' compensation policy declaration page(showing the policy number Ad 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 certi the pains and penalties of perjury that the information provided 11b--``ov is true and correct Signafore: < 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#: office of consumer �iffaiics and Business Regulation i = 10 Park Plaza - Suite 5170 Boston, Massachusetts'0211.6 Home Improvement Contractor Registration Registration: 110609 Type: Private Corporation Expiration:. 11/3/2014 . Tr# 233027 E J JAXTIMER, BUILDER INC. ERNEST, JAXTIMER 48 ROSARY LRl HYANNIS, MA 02601 k t Update Address and return card.Mark reason for change. Address Renewal Employment . ]Lost Card OPS-CA1 e's SOM-04/04-G101216 ✓,ice ��a�na;o�zuea�di o ' ll�fJa[[C� ]License or registration valid.for individu!use only Office of Consumer Affairs Austness Regulation g y i HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to Registration: 110609 Type:' office of Consumer Affairs and Business Regulation :.� Expiration: 11/3/2014 Private Corporation IlO Park]Plaza-Suite 5170 < Boston,lV[i A 02116 E J'JAXTIMER,BUILDER,INC.. ERNEST JAXTIMER 48 ROSARY LN HYANNIS,MA 02601. Undersecretary Not valid without signature z Massachusetts • ., , =Department of Public Safety y. Board.of Building Regulations.and Standards Construction Supervisor _ License: CS-003251 ERNEST J JAXTl1VYER Y. 48 ROSARY LAIC HYANNIS iVIA 0E601 _ Expiration 1 Commissioner 01/14/2016 AC R® CERTIFICATE OF LIABILITY INSURANCE °A 2/31"013"' 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 & Erica H O'Connor _ HART INSURANCE AGENCY,INC. PHONE 243 MAIN STREET No 508-759 7326 x205 FAx 508-759 7366 a/c PO BOX 700 ADDRESS: BUZZARDS BAY,MA 025320700 INSURE S AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Ja4mer Builder,Inc INSURER B: ARBELLA INDEMNITY INSURANCE COMPANY 10017 48 Rosary Lane Hyannis,MA 02601 INSURERC: . INSURER D: INSURER E: - - - INSURERF: 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. LTR TYPE OF INSURANCE INSR wyn SUER POLICY NUMBER POLICY EFF POLICYI EXP DrfYYYI LIMITS ` A GENERAL LIABILITY 8500042039. 01/01/2014 01/01/2015 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED PREMISES occurrence) $ 300,000 CLAIMS-MADE OCCUR MED EXP Ari one arson $ 5,000 PERSONAL&ADV INJURY. It . 1,000,000 GENERAL AGGREGATE $ 2,000,000 . GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY PIECTRO- LOC $ g AUTOMOBILE LIABUJTr 1020011547 01/01/2014 O1/O1/2015 COMBINED SINGLE LIMIT 11000,000 E eccld m ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ` BODILY INJURY Per oxidant $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE s HIREDAUTOS AUTOS - _ Peraccident $ $ A UMBRELLALIAB OCCUR_ _ 4600042040 01/01/2014 01/01/2015 EACH OCCURRENCE $ 2,000,000 EXCESSLULB CLAIMS-MADE - AGGREGATE $ 2,000,000 DED RETENTION$ 10,000 $ B WORKERS COMPENSATION 0053890113 01/01l2014 01l01/2015 wcSTATU- oTH- AND EMPLOYERS'LIABILITY Y 1 N .RY ANY PROPRIETOR/PARTNER/EXECUTIVE -- E.L.EACH ACCIDENT $ SOO,000 OFFICERIMEMBER EXCLUDEW N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 It yea,describe under - - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ A 500,000 DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) •' - CERTIFICATE HOLDER CANCELLATION Fax#:(508)862-4717 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ° ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE - ©198 In 0 MORO CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r FALLON FENCE INC PROPOSAL RESIDENTIAL&COMMERCIAL WOOD • CHAIN LINK • PVC CUSTOM FENCES—FREE ESTIMATES Y • 4 Office 508.420.2817 FAX 508 420 2339 PO Box 276 Email fallonfence cr"comcast.net Centerville MA 02632 To E.J. Jaxtimer Bldr. 508-771-4498 " , 12-12-13 48 Rosary Ln. Phone Date Hyannis MA. 02601 Job Name/Location µ E&L Bentas,LLC 203 Green Dunes Drive We hereby propose to furnish the materials and perform the labor necessary for the completion of:. • Take down and remove approx.370 ft.of 4 ft.black chain link. $ 1,100.00 • Install approx.370 ft. of 4 ft.blk.Chain link with 2-4x4 gates . $ 6,420.00 • Install approx.370 ft.of 54"high decorative aluminum with 2-54"x4 gates. $ 17,466.00 • Take down and reinstall garden fence . $ 1,600.00 • Optional 40 ft. of 4 ft.high wood baluster fence stained white.$ 2,342.25 or'at$58.55 per ft.and gates at$600.00 ea. • All materials and workmanship to be pool code compliant. WE PROPOSE hereby to furnish materials and labor—complete in accordance with the above specifications for the sum of- Dollars($ See Above) PAYMENT to be made as follows: ~ 50%deposit upon acceptance of proposal Balance due upon completion" r All material is guaranteed to be as specified. All work to be completed according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over the above estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Qwner to carry fire;tomado,and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. Javms Fo[Low Authorized Signature Note:This proposal may be withdrawn by us if not accepted within 36 days. ACCEPTANCE OF PROPOSAL—The above prices,specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. --Date of Acceptance: X X Signature . Signature Custom Quality Pools, Inc: 16 Wyman Road Billerica, MA 01821 (978) 663-8290r M Fax: (978) 663-8288 1/2/2014 EJ Jaxtimer Centerville, Ma project We propose to construct a 20'x 60' 1200 Sq. Ft. steel reinforced gunite inground, spa and swimming pool with' two set of stairs per plan. Installation to include building permit,normal excavation,rock packing complete bottom of pool with 1-1/2" stone with hydrostatic relief valve, steel reinforced with,all#4 rebar and extra steel' ' in transition and pneumatically,applied rgunite vessel..with minimum 12"beam and 10"walls and 10".floor. Depth 3'4"to-8',Equipment to include a 2- 1/2HP Sta-rite IntellaPro variable speed pump, a Sta-rite System III multimedia 500 sq. ft. cartridge filter, a 400,000 BTU Maxi-Therm electronic gas heater, 3 surface skimmers, two separate main drains, six returns with adjustable eyeballs, 6" of ceramic tile around water line,white marcite plaster finish, four 120V 50OW pool lights. Manual cleaning equipment including,vacuum head and hose,test kit, brush,net, balancing chemicals,seasons supply of pool chemicals, start up and operational instruction. Deluxe separate IOA 10' spa with infinity edge, to come complete with 14 hydrotherapy jets,intellapro variable speed filter pump,,l %HP edge pump;and Levelor electronic autofill, a 300 sta rite system 3 spa filter and 400 BTU starite maxitherm spa heater, two.main drains, a 3HP jet pump, a 2 HP air blower with floor air jets, 2 air controls, 2 jandy valves for easy pool/spa switching, 4 function,spa side switch and.one 1.00W 120V spa light. If any underground conditions arise, such as, excessive ground water, or non-load bearing earth there will be extra charges-not included in this proposal. Price includes two 10.Wheel loads of l 1%2" stone. Pool equipment to be located inside pool house basement. , Base pool Extra for wide beam detail UV or Ozone alternative Pool/spa sanitizer Pool heater. Polaris automatic pool cleaner Deluxe separate Spa - Spa Infinity Edge detail Aqualink RS 12 pool/spa control system Meyco'winter cover pool'& 'spa Up charge to PebbleTee or Pebblesheen ' Custom Hard Spa Cover No electrical;no gas piping or venting for heater, no coping no water to fill"included:' '' y 1 i b' .f. er .k,,. � ��' �� viz ,_":1 "� ' � � Y �. �, ,� •� '�r'- 1. �,!Y V SNP j, �h S � -� ttii �; �+ I C .C. � �•_ p Iry �' i e� 7�} M .'� 1,. ' aC�,t ,,?�+y f �'� _ .sr s` � � t 2q..' -* -•j.' �S aAwl s :�Zh?sxi y, �q� "• Ni j ? 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Y{ P °'�r.,.a �` 'y.r � P�Q�� ♦Al �� 4•+ � a ,.`- ♦ y:.r r�,, ,-.',�� µ�r e y6 rr-t"��;� �T r� �� `� i -.f�e � A- 1 y ,.. � .° t-r a ?z. •r k�^'.'�� ' '.... ` 1",:� t�� ,.;C^aj r -�..,-ter ,� � ...f" 'K i.'. r p M. � �.-' .� :yam .... 1 K °A.f� ' 1 �. { � •A(• t: -a..- "- - �,�4 � :* ",�ytP ♦e .� ; .A I. .� +A6�t,,�;.,•+' .:.�.. .y , } t,�.la,; ;,.. ,r +, - ": , �- ,pry, �. -' �` .: + �' '- t � s �"' r•� r v . .yy a+..qp �,/� #:�`_.� }r '. Y� .� A e -_'� .w• -t{ `,• _ _ .,t ' ��M►�h �t^ .�� i� a{ .+• #' P o.u�* Auto Pool Latch 1-3/8"X 3"For Pool Chain Link Fence Gate 3J18/13 2:53 Pi \;iev:�Cart I Tick i•iS%Order I C^n=ct I .bout _ r „ What item are you.looking for?Type here._- Search i - I -_ _LutoPool Latch 1-3/8" X 3" for Pool Chain fink Fence Gate = \Price. $88.99 US® iroduct Code: RT9020014 f Availability: in Stock.and Reedy to Ship! I i ?" Q antity 1 Add to Cart Fn Similar Items: I Black poly-bagged with,screws and instructions?Horizontal&vertical adjustment? Reversible(right or left handed)?Easy ; - - grip release knob?Marine grade powder coated?45 deg key angle for easy key entrance?Stainless steel screws included? I _ Fits any standard Gate Needs Spring Closer to self-close and latch GATE FRAME 1 3/8"or 1 5/8"O.D.GATE POST 1 3/8", 2", I - -- _= 2 1/2",or 3"O.D.?Easy to install,even on existing gates?Will allow gate to swing both ways?Can be padlocked from either side?Self-latching with spring hinges?Made from high impact plastic. Model_AL13830o Faat„rec• Faay rn install on all I standard gates,even on existing gates fleets Pool Codes.Will allow gate to swing both ways Keyed at easy.45 degree I convenient angle Self-latching with spring closers(See picture below)QL/GC 1101 available in our store.Fits Round Gate Frame 1-3/8"X 3"Post.Works with Gate Spring Closer 1-3/8"X 3" ? With your purchase, you will receive a 3-in-1 Guarantee at no cost. a j Purchase Guarantee •1D Theft Protection -Lowest Price Guarantee Corporate names&trademarks mentioned herein are the property of their respective companies.- a ! http://www.righttoolusa.com/p/Auto-Pool-Latch-1-3-8-X-3-For-Chain=Linl(-Fence-Gate-9020014.html?gelid=ClbztuL3hrYCFUVN4AodMzyAyw Page I f.- t , Jan 28 14 01:53p Bentas 561-318-6785 p.1 • . _ •....-.�.o.au< ►.om 3sue TeoneY BPex Town of Barnstable ReguWory Services awsa �, 'Thomas F.Geiter,Director Btiiitiing DWislon Tom perry, 3UNding Commissioner 200 Main Street,HYnnt%MA 02601 ,mi%w;town.dat�'rbibie:ma,us Office: 508-8624038 E w Fax: 508-790-&230 Property Owner ME2st Umptete and Sign'4h-js Section 's A Btulder , as Owlet of the subject pzope� hereby authazize 'e"• '"k7"!/rIE/2 �{/�Ocrre / .,._._�to act on my 5ehult; . in all=ttexs Mlativ+e W work acthotizca by this bWj ag permit oLd�.', �/P.,c�c�N �f/LG/r/�S L/�i�G�/'!7/i.'�!✓/�`,{f'Df�, ,I , '(Address ofrab) -' *2'kpool fences azid atarrxts ate the responsibility&the applicant. Pools are not to be filled az utilized before fence is ins,tatted and att final inspecrio.us am petforrned and accepted ,agnaturr d� Sigdatirc of A.pp;icarat - pvar Name print Name A / _. Date Q:FOR1f5:�W:»gp'pRl'dESS]QNfOULS6i2g2Z ° . I Mass. Corporations, external master page Page 1 of 2 +L`�-��•NR S,��C William Francis Galvin Secretary of the Commonwealth of Massachusetts ............... HOME DIRECTIONS CONTACT US Search sec state.ma us search Corporations Division Business Entity Summary ID Number:001094146 f Request certificate New search Summary for: E&L BENTAS,LLC The exact name of the Domestic Limited Liability Company(LLC): E&L BENTAS, LLC Entity type: Domestic Limited Liability Company(LLC) Identification Number: 001094146 Date of Organization in Massachusetts: 12-11-2012 Last date certain: The location or address where the records are maintained(A PO box Is not a valid location or address): Address: 171 MILK STREET SUITE 32 City or town,State, Zip code,Country: BOSTON, MA 02109 USA The name and address of the Resident Agent: Name: MICHAEL S. MARINO Address: 171 MILK STREET SUITE 32 City or town,State, Zip code,Country: BOSTON, MA 02109 USA The name and business address of each Manager: Title Individual name Address MANAGER LILLY BENTAS 3 BATTERY WARF BOSTON, MA 02109 In addition to the manager(s),the name and business address of the person(s)authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY LILLY BENTAS 3 BATTERY WARF BOSTON, MA 02109 The name and business address of the person(s)authorized to execute,acknowledge,deliver,and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY LILLY BENTAS 3 BATTERY WARF BOSTON, MA 02109 r Consent r Confidential Data r Merger Allowed r Manufacturing View filings for this business entity: ALL FILINGS Annual Report I " Annual Report-Professional : Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: f" i, http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001094146&... 1/3 0/2014 T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel " " Application # U� Health Division Date Issued a Conservation Division Application Fe Planning Dept. 1 Permit Fee for Date Definitive Plan Approved by Planning Board p�C f 12 l Historic - OKH _ Preservation / Hyannis Project Street Address za3 ro re i _ Village T �.. Owner Li un fA S Address 11�_U roriall-01A AT44V Telephone Aar7` Permit Request S"I ,vL� 15f X 15- SCe,-) Y,2o&k Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ,S, 611R) Construction Type 'Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) _ Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floore. om Coug C! Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stave: ❑'S'es ❑ No UJ Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: 0 existing.. ❑ net size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: � rn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name,, I A 1 4),r /nCTelephone Number Address &Saly License 3 a i Home Improvement Contractor# Worker's Compensation # M-63 2 9®//3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I E S FOR OFFICIAL USE ONLY 'APPLICATION# } SATE ISSUED MAP/PARCEL NO. t . . ADDRESS VILLAGE ` OWNER X. E .i DATE OF INSPECTION: -FOUNDATION- FRAME nk S.' INSULATION r FIREPLACE c = I ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL FINAL BUILDING a - I g DATE CLOSED OUT ASSOCIATION PLAN NO. e`6 The Commonw' ealth of Massachusetts Department of Industrial Accidents W ®face of Ilnvestigations . a 600 Washington Street Boston, MIA 02111 www.massagov/daa Workers' (Compensation Insurance Affidavit: Bu ilde>rs/Cont>raeto>rs/Eleetriciahs/Pll>l mbe>rs Applicant Information Please Print Le ibi Name (Business/Organization/Individual): CJ CJ o -,t 1 W K �d c rp Address: U OSG�frlr I.CG(�Q� City/State/Zip: G, © / Phone.#: Are you an employer? Check the appropriate box: 'Type of project(required): 1.04I am a with employer 0 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-tim.e).* have hired the sub-contractors 2.0 I am a sole proprietor or partner listed on the attached sheet. 7...0 Remodeling ship and have no employees These sub-contractors have g• 0 Demolition working for me in any capacity. employees and have workers' 9 [ Building addition [No workers' comp.insurance comp. insurance.$ 10.❑ Electrical repairs or additions 5. We are a corporation and its 3.0 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 13.❑Other SC W�. employees. [No workers' comp. insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: GO - Policy — #or Self-ins.Lie..M d Q S 3 �D 113 Expiration Date: Job Site Address: n �1°i ' �\� �r " — City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 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 h pains'and penalties of perjury that the information provided above i true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL f 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#: J I A CERTIFICATE OF LIABILITY INSURANCE °Al2/331 013 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 endorsements). PRODUCER NAMEo Erica H O'Connor HART INSURANCE AGENCY,INC. PHONE 508-759-7326 x205 Fax 508-759-7366 243 MAIN STREET C.No PO BOX 700 ADDRESS: BUZZARDS BAY,MA 025320700 INSURE S AFFORDING COVERAGE NAIC# INSURERA: ARBELLA PROTECTION INS CO 41366 INSURED EJ Jaxtimer Builder,Inc - INSURER a: ARBELLA INDEMNITY INSURANCE COMPANY 10017 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. NSR TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER (MMIDDporyn LIMITS A GENERAL LIABILITY 8500042039. 01/011/2014 01/01/2015 EACH OCCURRENCE $ 1;000,000 DAMAGE T RENTED COMMERCIAL GENERAL LIABILITY - R a dip, $ - 300,000 CLAIMS-MADE V OCCUR _ - MED EXP(Anyoneperson) $ - .5,000 PERSONAL&ADV INJURY $ - .1.000,000 GENERAL AGGREGATE - $ 2,000,000 ' GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO-JECT LOC B AUTOMOBILE LIABILITY 1020011547 01/01/2014 01/01/2015 COMBINED SINGLE LIMIT - 1,000,000 Me accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED n i P INJURY BODILY INJUer accident)AUTOS AUTOS ( ) $ NON-OWNED - PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peracddent $ A UMBRELLA I" OCCUR 4600042040 01/01/2014 01/01/2015 EACH OCCURRENCE a_ 2,000,000 EXCESS LIAR HCLAIMS-MADE - AGGREGATE $ 2,000,000 DIED RETENTION$10,000 - $ - B WORKERS COMPENSATION 0053890113 01/01/2014 01/01/2015 wcsTATu- OTH- AND EMPLOYERS'LIABILITY Y/N - - im ANY PROPRIETOR/PARTNERIEXECUTNE N E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED9 NIA (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $. -- - 500,000 If yes,desarbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT. $ _ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AddKtonal Remarks Schedule,B more space Is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)862-4717 t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS, HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE 01 ©198 -20 0 ACOAD'CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD S� ��1J ��G df7%!.'D rl�J"�('�✓i:f 4/'ff��JL�/ ''l�� ? l; VUJ%^✓�f✓✓��^lc/J.�kr�l� — ! Office of Consumer Affairs and,Business Regulation r 10 Park Plaza - Suite 5170- ''` Boston, Massachusetts 02116 Home Improvement Contractor registration Registration: 110609 Type:. Private Corporation Expiration: 11/3/2014 Tr#k 233027 E J JAXTIMER, BUILDER, INC. . ERNEST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 Update Address and return card.Mark reason for change., Address ❑ Renewal F] ]Employment F� ]Lost Card BPS-CA1 0 50M-04/04-G101216 ✓f7.2 t/C)TVYt4'J2Lf!P.CIGC� C�.["L.(XJJCLCfLLG;IPt .. Office of Consumer Affairs&]Business Regulation ]License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR `before the expiration date. If found return to: c' Registration: 110609 Type: Office of Consumer Affairs and]Business Regulation 1 J` 9 u Expiration: 11/3/2014 Private Corporation IlO]Park]Plaza-S ite 5170 ]Boston,MA 02116 E JJAXTIMER,BUILDER,INC. ERNEST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 Undersecretary Not valid without signature 3an ^c PUvllc JaN-lassi Dc Ct ..i ds Board.of Building Regulations n_ S'•�ndsi Cun�tructiunSuperrisiir License: CS-00.3251 . 41 ERNESTJ<1fA3�TIMER 48 RoSARY EAN E -, HYANNIS I04[A 02601 — _ I J c;cpiratlon Commissioner 01/14/2014 I , Jan 101401:29p Bentas 561-318-6785 p.1 URrtsraaas e. MAM 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBo Building Commissioner 200 Main Street, Hyannis,MA 02601 wwv.town.barnstable.ma.us Office:.508-862-4038 Fax: 508--7,90-6230 Property Owner Must Complete and Sign This Section Tf Using A Builder' as Owncr'of the subject properry hereby authorize to act cin my behalf, in s11 matters.relative to work authorized by this building permit application for. (Address of job) Signature of Owner ! Date Print'Nimne rf Property Owner is applying for permit,please complete the Homeowners'License Exemption Form on the reverse side. C E _ d C:'.Useiskdeco]tik-Appt)atallocalthiictosoll;Windows%Ternporarydntermt FilestContent.outlooklDDV87AAZlE?PRESS doe Revised 072110 1/23/2014 , Webmail-Print View <tina@jaxtimer.com> R_&V Dl�m From: tina <tina@jaxtimer.com> � q To: tina@jaxtimer.com Date: Jan 23'14 7:57am l Subject: Fw: RE: CSL#003251 Pam -Original Message------ From: Spencer, Kimberly (DPS) <kimberly.spencer@state.ma.us> ; To: tina <tina@jaxtimer.com> Subject: RE: CSL #003251 Sent: Jan 23 '14 7:26am Good Morning, The license was processed January 21, 2014 and should be received by Friday. Thank you, r ' 103 ' TM cAJ Kim Spencer (10 617-826-5236 617-248-0813 fax From: tina [mailto:tina@jaxtimer.com] Sent: Tuesday, January 21, 2014 4:01 PM To: Spencer, Kimberly (DPS) Subject: RE: CSL #003251 Hi Kim, Can you please tell me the status of license renewal for.my employer, E.J. Jaxtimer Thank you, https://mboxseRer279.com/showL_body.php?ffisg 1 9515&folder=Inbox 1/6 - PROJECT NAME. ADDRESS:o2 i�✓ PERMIT# ` PERMIT DATE: r 10 M/P• C:?) ' �Qa3 LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: BY: i q/wpfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel E�2 F ?!,';t i;, -,.+•• �. ,. Permit# 2 2 Health Division Date Issued Conservation Division 2 � .U'S 28 Application Fe Tax Collector Permit Fee 8 Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE / WITH TITLE 5 Date Definitive Plan Approved by Planning Board N I14 ENVIRONMENTAL CODE AND Historic-OKH / Preservation/Hyannis N * TOWN REGULATIONS Project Street Address �(�i•� lY it s - - Village Owner IE phtEm 1©S �--1 Li/ "j' Address L III QsT®� Telephone D �-6 IJ&KR 15 . hl 7'7 S O4-S7 Permit Request CO 2, Square feet: 1st floor: existing* Z0 c°4 proposed 2nd floor: existing 1200 proposed lJ Total new Zoning District I\r Flood Plain G Groundwater Overlay P A Project Valuation ' - Construction Type Lot Size Grandfathered: ❑Yes NNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House: O Yes • XNo On Old King's'Highway: ❑Yes XNo Basement Type: '-'Full (Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �A Basement Unfinished Area(sq.ft) 1000 Number of Baths: Full: existing _ new 0 Half: existing 1 new (� Number of Bedrooms: existing new 0 Total Room Count(not including baths): existing C new 0 First Floor Room Count 4 Heat Type and Fuel: A Gas , ❑Oil ❑ Electric ❑Other t4`r 6- 1 F, Central Air: Yes ❑No Fireplaces: Existing �_ New /0 Existing wood/coal stove: ❑Yes >No Detached garage:Aexisting ❑new size Pool:Xexisting ❑new size Barn:❑existing ❑new size 0 Attached garage:❑existing ❑new size A' Shed:❑existing ❑new size Other:CA A, Iv C 15111��> Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes XNo If yes,site plan review# Current Use 19-Er2 l'V EO<�:E Proposed Use I?a. BUI DER INFORMATION "` Name ('Z Ci Telephone Number -77 5 0-44; Address L5 License# Home Improvement Contractor# Worker's Compensation# 5400 6'7� i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE FOR OFFICIAL USE ONLY . 1 • PERMIT NO. ry 1 DATE'ISSUED -. MAP/PARCEL NO. - - i,� r ADDRESS ;! - VILLAGE ' - ' ' 7 OWNER DATE OF INSPECTION: _ FOUNDATION 0K, 1 FRAME ; INSULATION - FIREPLACE - ELECTRICAL: ROUGH - FINAL !Ri , 1 PLUMBING: ROUM, N FINALr. GAS: ROUGfI> _ r U FINAL-in x - - FINAL BUILDING ty s -- mc- � a -1RlQ co '1 DATE CLOSED OUT - ASSOCIATION PLAN NO. i . RESIDENTIAL BUILDING PERAHT FEES APPLICATION FEE ; New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 So Building Permit Amendment $25.00 � 224 u, FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96%sq.foot= x.0041= plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE i.O square feet x$64/sq.foot= I �14 Z) x.0041= 9 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.8.= x.0041= 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.0041= STAND ALONE PERMITS Open Parch x$30.00= (number) - Deck �_x$30.00= � (number) Fireplace/Chimney x$25.00= —7 x (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) _ Permit Fee Projcost Rev:063004 / J oFiME fp�y `�+ rst e JD BARN AS E. _ Department of Health Safety and Environmental Services 4. ASS. a v� A,fo �p• Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: / ��-h�� Map/Parcel: Z� 3 Project Address: ?0 3 Gy -b r Builder: -V� . N) The following items were noted on reviewing: Gv-t- Reviewed by: OA-aa Date: "� The Commonwealth of Massachusetts Department of Industrial Accidents alfice offayestigatiaos _ - .600 Washington Street - s Boston,Mass. 02111 Workers' Com cs ensation insurance Affidavit name: location rid, vhone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worku in ca achy g am an em 1 roviding workers'.compensation for my employees working.on this job. IX aiddcess.. .:. .::..:.:::::................::.:.....:.. insurance co:>«.>:.: :;.;:;.::::>.:>., ❑ I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: tom an ;. .............. :::.::,.... ....:::>::.::,,::::... .. :.::.:. ::._::.:.:.:.. :.::::.::::::::::.::• .:::..:.:.:.:::.:...:.. :..... ........ ..r.J..:::..........v............ �h J.b :...................................... ..... ...::...:.::::.:..............:....::•:v:•:::::.:.v:.:..:....................:::::::•:::::::::.:::::::::•:::.v::.:}:::�ii:•}:CJ:;.};}:+,:•i}: .:M."::':.}i'::.;':{::::.:Y.ii'r.ii:;:}v.<5+.:•i:':^':r.;:•i}vi:_:.i:•::::y::::::;::.::::••?!:i^:::iiiiii•:::i::: <:>'•s ;� anv�:name:�:.;:.:::•;:::::,.}...;..,.....:,..:.. ..:: .... .. •:• w...........:.:........ ex "lo ti r:"•:; ::::.....::......:.:.. ::..............:::...:.....:::...:....:..:. ......... . :................::::::.::::... ............:.....:::.....:.:... .... .. .......... Faibae to aecme coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1,500.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me..I understand that a copy of thb statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of ped at the information provided above is tru<and correct Signature Date printname Craig N. Ashworth phone# 508-775-0457 ------------ -------------- official use only do not write in this area to be completed by city or town official city or town: peradtllicense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: Phone#; _ ❑Other umud 9195 e» or,THE Tp� The Town of Barnstable . � . : MAS& g Regulatory Services i639. �0 plf0 MAC► Thomas F. Geiler, Director Building Division Peter F. DilMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-362-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction.alterations,renovation,repair.modernization,conversion, improvement.removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. � 2 Type of Work: �KCGON � l: J�` Fstimated Cost Address of Work.—6;V3 G P,ET70-I;k)OM5,T)<t �� Owner's Name: k/ Utz S &W Date of Application: QZL9 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ow r•. Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav:rev-070601 . .JI6 llJO�lLIJ2IN2GJl,CL/,UL- !J/...<lnlJlLrJ7lG6P.�,�d BOARD OF BUILDING REGULATIONS - License: CONSTRUCTION SUPERVISOR Number: CS 015851 Expires: 09/28/2005 Tr. no: 6861.0 Restricted: 00 CRAIG N ASHWORTH r, 385 SEA STREET HYANNIS, MA 02601 Administrator ',Ilkd,d' I,i,I4, ilij tf��+ 9.4e &/j' Board of Building Regula ions and Standards One Ashburton Place - Room 1301 tit Q" Boston. Massachusetts 02108 .; Home Improvement Contractor Registration Registration: 102014 Type: Private Corporation �, /�w Expiration: 6/30/2006 ERNEST B. NORRIS & SON INC t� Craig Ashworth -= -�" 385 Sea St Hyannis, MA 02601 i{ " Update Address and return card.Mark reason for change. Address E] Renewal ❑ Employment Lost Card ✓x. e�II?/I9ZI1'IBCl/P.CLGLit O��liGQ.Od uldCltb ``•:;::. \- Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 102014 One Ashburton Place Rm 1301 Expiration:: 6/30/2006 Boston,Ma.02108 `Type Private.Corporation ERNEST B. NORRIS&SON INC' � Craig Ashworth i f;Il,q't 385 Sea St Hyannis, MA 02601 Administrator of valid without signature il�I�t 3•��`b FEB Oe '05 11:56 FR CUMBERLAND FARMS EXEC781 82e 5246 TO 150e7757877 P.03iO3 02/08i2005 07!41 PAC 508 775 7877 EB NORRIS IM 002 Notr 'Town of Barnstable -. Regulatory Services ' gT)Lomas F.CeDer,Direetor Building Division TomlluTn Buff tng Commi Skim 200 WjaASaeu�x,►a=js,MA,02601 �vw.'tew,abaY�stable-m�t.us Office: 508-862-403 8 F9x: 508-790-6230 Prop eAy Owner Must Complete and Sign This Section If Using ABuflder as Owner of the subject prapmtp '1 hereby authorize.'.' F.13.•tl 6I2t2I to•=on niy behalf, in 2n matters relative to work at&otized b76is buRding permit application for. (Address ofrob) S' a of Owner Da Print Name .� ..ono�,�c.�141ATg1i�trl'tR�T�1N ' FEB 08 '05 07:26 STIR 771:; 7PW arc a� ** TOTAL PAGE.03 q r, }� • �x * . CC BENTAS RESIDENCE CENTERVILLE, MA CONSTRUCTION SET FEBRUARY 7, 2005 ^ifPco Fl4��, Ahearn - Schopfer and Associates P.C. 160 Commonwealth Avenue Architecture Boston,Massachusetts Interiors 02116 Urban Design hFr�T �F MASS°` LIST OF DRAWINGS COVER SHEET S1 STRUCTURAL FRAMING PLAN Al PROPOSED FIRST FLOOR PLAN x A2 PROPOSED SECOND FLOOR PLAN . I nurwr,w�n°w-w.,w, ew� Nd eti< dm a,a.awn�w wr ss+a e.a 1,1 d � niu �lll^KKK' 0 Ye i—j XTE R�OR.OEZGie.. FRbrn WG GLP�-J •t Fyy< w.w4nesra unn Ha.Wt�A. - 1 ' 3 moo• / � vaw Cw �a. � o . N w P M1 . [ p I F O NC €0#0 I' c3 tv 'µ^aLU s y I `.. - FXISfilkiCb6lpEt:Ic.E - LLl < c ❑ 5 i I w w I I I cr Ar co L -_-- ---� r - - _ - I r vl L--------------- - ----- ------� )) LU'.UJm LE iw 3 ..< I - - -} / 6 i I e F.cvaral e McStuz&Mt '� E 9 ry E a M I� •„ � i � r F,rnn�rbrEc P>Eoem1 �. K�._, �i LU N n z Uf MPSSPG�* .. W — I \ fY Q LLI 4Q6,jt m 71 a 5 r / i Ili III i ,"f i II ii coo a E�vanaJ�Mwte�Ewni.. . TOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION Map X Parcel oft Permit# Health Division f; Date Issued Conservation Division Fee Tax Collector ' SEPTIC SYSTEM MUST EE Treasurer INSTALLED IN COMPLIANC2 WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE ANL Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis ; Project Street'Address a.? .(§�A-ff'W DVA4:�5_ 1J� Village t%✓• Owner XY R,9:-r Al 7 A-1 Address Gne__O_ j�` '.Obwk:�, og i Telephone Permit Request Qo—g y C /1�,/ '� � t4�7'� {„S` �, 2.5"_ P-tPx 70 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 3 Valuation Zoning District Flood Plain Groundwater 0 flay Construction Type ems; c; CU Lot Size Grandfathered: ElYes ❑ n No If yes, attach supporting�tumenta . > Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's High ay: ❑Yes 7 No cv M Basement Type: ❑ Full ❑Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 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. BUILDER INFORMATION Name Jesse G. W1111115, Telephone Number 6 d Address 56Plea ant Street License# Watertown, MA 02472 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -� 5 ,�/ DATE �►/ �,,Z�� P Y- K' FOR OFFICIAL USE ONLY 4 PERMIT"NO. - DATE ISSUED MAP/PARCEL NO. ADDRESS F_ VILLAGE "= r OWNER ,• m`{ 'r DATE OF INSPECTION: y '- FOUNDATION ' FRAME INSULATION 4 4 FIREPLACE q F , f •ELECTRICAL: � ROU1� � � FINAL" E PLUMBING: ROUGHS FINAL GAS: ROUGI�1 JI FINAL FINAL BUILDING '`� ri � DATE CLOSED OUT . f ASSOCIATION PLAN NO. C�1 t rc�a �Pr�rlrJr�I-I r�r�i�rr�rPr�c r=r r�r u-cI�r�rrcJ 1 .11 [ M P O T A N T '- O C U M� E F1 c l�rcrePr I`'cI J L1e€ �1?fi le�le��l r T cJe� Ll v v a - , . 5 ratt _ 5 5_ q 5 5 REGISTERED ISSUED BY APPLICATION Date of Manufacture .� �� 5 NUMBER � Illq TRIES u.c. 05/22/01' S c5 K�r� 4�y � EVANSVILLE, INDIANA 47711 Order Number 5 5 F 121.4 'QI 338696 5�5 - MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN 5 5 This is to certify that the materials described have been flame=retardant treated 5 5 (or are inherently noninflammable) and were supplied to: 5 5 _ c5 J56150 ESSE G WILLIS INC 5� 586 PLEASANT ST 5 5 5 " WATERTOWN MA 021722408 5 5 5 _ 5 Certification is hereby made that: 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 5'r y chemical and that the application of said chemical was done in conformance with California Fire 5 5 Marshal Code, equal to exceeds NFPA 701, CIPAI 84, ULC 109® _ 5 5 The method of the FIR chemical application is: 5 Serial #: 5 + 8023040 1 , • 5 � ) 5 Description of item certified: m FI EXP TOP 20W X 20 VL G•W 5 _ Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And is Effective For The Life Of The Fabric 5 5 JOHN BOYLE STATESVILLE NC Signed: 5 Name of Applicator of Flame Resistant Finish TENT DEPARTMENT—ANCHOR INDUSTRIES INC. 5 0 n��uuuu�-�n��rsr�rs��r�� I��i FIT P O FR T A N li 0 C U M1 E N T Cil RE 5 o Certtfirao � 5 5 ISSUED BY 5 REGISTERED GrIE�� Date of IJanufacture APPLICATION g ?TIR opi. 06/29/00 �NUiJBER �. v5 5 EVANSVILLE, INDIANA 47711 Order Number r 5 F121.4 � ��e� 323578 1L Pj to MANUFACTURERS OF THE FINISHED 5 - TENT PRODUCTS DESCRIBED HEREIN F 5 SThis is to certify that the materials described have been flame-retardant treated 5 (or are inherently noninflammable) and were supplied to: 5 856150 5 JESSE G WILLIS INC CS 586 PLEASANT ST 5 5 - 5 5 WATERTOWN MA 021722408 5 5 5 certification is hereby made that: S 5 The articles described on this certificate have been treated with a flame-retardant approved 5 chemical and that the application of said chemical was done in conformance with California Fire 5 5 Marshal Code, equal to exceeds NFPA 701, CPAI,84, ULC 109. 5 5 The method of the FR chemical application is: 51 5 Serial #: 8023300(8) S Description of item certified: 5 5 5 FIEXPMID20WXIOVLWW 5 5 _ Flame Retardant Process Used Will Not Be Removed By - 5 Washing And Is Effective For The Life Of The Fabric c 5 JOHN BOYLE STATESVILLE NC Signed: 5 Name of Applicator of Flame Resistant Finish TENT DEPARTMENT—ANCHOR INDUSTRIES INC. 2 L - Lr[j-r3Po � � Gr I U � T O � DOCUMENT�� n�nn� 5 5 sterttfirate of 'tame Rtgi ISSUED BY REGISTERED CAt�,c 4 Date of Manufacture CU 5 APPLICATION m 09/14/00 5 5TRIESINC.NUMBERINDUS EVANSVILLE, INDIANA 47711 Order Number 5 326704 5 E cP MANUFACTURERS OF THE FINISHED 5 TENT PRODUCTS DESCRIBED HEREIN 5 This is to certify that the materials described have been flame-retardant treated S 5 (or are inherently noninflammable) and were supplied to:856150 55 5 JESSE G WILLIS INC 5 5 586 PLEASANT ST 5 5 5 5 WATERTOWN MA 021722408 5 5 Certification is hereby made that: 5 5 The articles described on this Certificate have been treated with a flame-retardant approved S chemical and that the application of said chemical was done in conformance with California Fire 5 0 Marshal Code, equal to exceeds NFPA 701, CPAI 94, ULC 109. 5 5 The method of the FR chemical application is: 5 5 Serial #: 8040000C(1) 5 Description of item certified: 5 5 5 FI EXP TOP 2-PC 25WX 25 VL W W 5 5 - Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric c5 5 JOHN BOYLE STATESVILLE NC Signed: C5U' Name of Applicator of Flame Resistant Finish TENT DEPARTMENT—ANCHOR INDUSTRIES INC. 5 20 Pr�r�[PrJ�CPC�CPCI�CP[PCnCP[J�CICPCJ�CJ�[P[1�Cnr�CPCP[J�CPrJ�CJ�GICPG1��PEJ�[1�[17CPrjCn-rj3 -r1�[1�GPr�r�[1�C1�[�CP[Pr�CPrJ�CPry[PrJ�C�r�Cl�r�r�CPCJ�r�GPC1�r�[J�CPrJ�rlr�[PcPCPClCnCPC�rJ�rF Q The Ct1111111ew"wult/t of Afassachuseav Depart111cM of!ltdustrial Accidents ' 600 11 UShin-ton Street Bostolt, 111as:r. 02111 Workers' Compensation Insurance Affidavit A ,nlic tnt tnformatinn = Please PRINT1C-0y sn_ r m • ciiv nhonc# 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity __— �] I am an entplover providing workers' compensation for my employees working on this job. com anv name: Jesse G. Willis, InC. 586 Pleasant St. •tddres : Watertown, MA . 02472 617-527-0037' `. nhonc#• Effective dates. T I G Insurance Co. , Managed Comp 80660630 1/18/02 to 1/18/03 u insrance co �tnlic� # is •- - - - ._,_..... ..,,•.,,"�.�.:-,.r-.......an..-�+-'�-�•.n...,.,...�...,........s,...-,•..n.....+7. '...,.w-_--.ws'�`-• _ .. ,. _ - - :,I I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: c n m f2anv name: address: cin phone##• — insurance co policy# r,. r.;�: ,.�w:'_^•--•: •"r•�:t•-• -�.^r"._�..r-_•ter•--r-a�.:_...^.�;��'l��e+.si�Fr.-T- _ ''fir` - �� `-�'. '� .a..�..i cnm anv name: address: cirv• phone#i insurance co, oli # :Attach additional sheet if oi.cS]a : 'F-•••�':'.JP.t;ss:c,- •`••;.. :•v:;,d,.�'.�'.�.'_r`..•....,.• n.+w.'" "`3A "�..,.... %�•.. T'� �.a.r..+� ....lt�i.►r.a�r`.�:v.+fts �.li�ia�*a i 5:�>:u�S�Srswle�.r'-'�•..r.:.c:.z.,a.. Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/ur une years'imprisonment-as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a'day against me. 1 understand that a cuPy of this statement mqy be forwarded to the Oftice of Investigations of the DIA for coverage verification. 1 do hereby ccrti •under 1he puin'nitti peltnllies of perjury that the information provided above is true ail correct. Sienatun �C� - ��s Date 'J Print:name /�� /� ZI Z_Lf_IL2 Phone# official use only do not write in this area to be completed by cin•or town official city"or town: permit/liccnsc# rlBuildin;Depar[men, ❑Licensing Board, " Selectmen s Office '._ ❑ check if immediate response is`rcyuired ❑ C)llcalth`Department # :.. concontactct crso p h one _❑Olhcr. irc.uca;:ni VA) ~ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION - ( f Map 5 Parcel m 3 w Permit# Health Division /—�� 7�� Date Issued Conservation Division e l : Fee �a;&R QD 4' Tax Collector. - ; � a `�. v� rtid `s Treasurer �o .7 CCU GOTIC SYSTEM MUST EE INSTALLED IN COMPLIANCE Planning Dept. r , WITIIIT :E6 Date Definitive Plan Approved by Planning Board. ENVIRONMEI1l1'AL CODE AND " 'TOWN REGULATIONS Historic-OKH �)A- Preservation/Hyannis 10 A ,{ Project Street Address 20 3 N Do t-S t;s Ole I fir✓ - Village yA�,►J 0 I .9�, poti!� t- ! ` Owner Address . ' 15�A Al 1:5- . Telephone c% 5 ^ `7 �D Permit Request . I . T fr �tl� , t� A4 O L 15 (67'� ct 0 No _GT&- VW roQK s t&1 < t#3CLO t-Acp Square feet: 1st floor: existing . proposed 2nd floor: existing proposed Total new Estimated Project Cost UA66 Zoning District — Flood Plain 4o. 56-5 Groundwater Overlay Construction Type D0C7• tiRpL�6 Lot Size IZL% Grandfathered: ❑Yes �?(No If yes, attach supporting documentation. Dwelling Type: Single Family? Two Family ❑ ' Multi-Family(#units) Age of Existing Structure YP,5 Historic House: ❑Yes MNo On Old King's Highway: ❑Yes No Basement Type:X1 Full -(Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new D Half:existing j new C:) Number of Bedrooms: existing_ new d Total Room Count(not including baths): existing I/ new O First Floor Room Count 2 Heat Type Type and Fuel: A Gas O.Oil ❑Electric ❑Other Central Air:)(Yes ❑No . Fireplaces: Existing /__�,New- O Existing wood/coal stove: ❑Yes g No -Detached garage:4 existing ❑new size ^J`'¢ Pool:)4 existing' ❑new size '4' Barn:0 existing ❑new size �_+ Attached garage:❑existing ❑new size Shed:U existing,❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# /`j Recorded❑ Commercial ❑Yes ONO If yes,site plan review# Current Use Proposed Use BUILDER_ INFORMATION / I ��rr � (9 Name Es deams � /-/ `,J C Telephone Number 775- ©' s461 Address 3S'5_ License# D/s- 9,51 #}` Home Improvement Contractor# Worker's Compensation# ,�G�-T Ae 847 f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 64V DATE le zl f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r MAP/PARCEL NO. �„ L r is � ` , „�# ....: , i.. - .. _ <, ..- '* .- - . r, • x - ADDRESS VI�• �` =' `• ` , .. { � .,r' `" F � .• � . -. F ,•, LLAGE n' a . ..� a , .. -.�..{ r' . ..! Sri. -. r c .. _ t •i OWNER r r r f t a yw1 r r. h E �DATE OR INSP CT IO.I`I: FOUNDATION A FRAME g ' INSULATION . i FIREPLACE -�. ,1,t r`r s t~� i+ - • a err � - r '+ _ 0. � .. s r .! .' ELECTRICAL: ROUGH FINAL, PLUMBING: ROUGH. --FINAL GAS: ROUGH. FINAL' <... s FINAL BUILDING;' � # ` e ' .al was log : [ DATE CLOSED OUT s ASSOCIATION PLAN NO. All TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel a 2 3 _ y' Permit# = ?� Health Division Date Issued. ��/l74 Conservation DivisionA LZ4 -. 9 - Fee :,Tax-.Collectnr y - Treasur "AR Planning Dept. , Date Definitive Plan'Approved by Planning Board Historic-OKH Preservation/Hyannis ; Project Street Address ° z �� ►��5; FZ`I YJ Village T�-.i��-r��--r��:'s' Owner R.S ` G�-1 dT�4yI��S Address Telephone 2 S o q-5 7 Ll U"A c, 0 Permit Request V_ � �( n� s- � -°�-I o� . — � dye• �_'� ,.�5 re feet: 1 st fl r:"existing proposed ) a 2nd floor:existing proposed t- QE- Total new �J O Estimated Project Cost GQ,©©o Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes , ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 14 Two Family O 'Multi-Family(#units) Age of Existing Structure 7 t2-S Historic House: ❑Yes° )&No On Old King's Highway: ❑Yes JXNo Basement Type: %Full ;4 Crawl ❑Walkout O Other Basement Finished Area(sq.h.) ►`�©�- Basement Unfinished Area(sq.ft) Number of Baths: Full:existing A new Half: existing new Number of Bedrooms, existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: P Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 'No Detached garage existing ❑new size Pool/Xexisting ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other. t -Zoning Board of Appeals Authorization ,❑ Appeal# ►� Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use �2 ( Proposed Use BUILDER INFORMATION Name � � PO !S OO ►N Telephone Number T7S © �� Address License# S �� Home Improvement.Contractor# /0 2- ® / 5 Worker's Compensation# Vim' C G� DDD S a7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � SIGNATURE DATE _ �� 19 • FOR OFFICIAL USE ONLY- PERMIT NO. DATE ISSUED + 4 MAP/PARCEL NO. • ADDRESS _ VILLAGE OWNER - DATE OF INSPECTION _t - FOUNDATION FRAME INSULATION FIREPLACE ^ ELECTRICAL: ROUGH FINAL a - PLUMBING: ROUGH FINAL' GAS: ROUGH t FINAL FINAL BUILDING • ! „ DATE CLOSED OUT ASSOCIATION PLAN NO. _ • _ �txe r The Town of Barnstable mum ,�`� Department of Hen1th Safety and EnvtranmeIIbj Services Buflding Division 367 Main Stctzs,Hymmis MA U601 Raipa C.-c—s Office: 508-;90-6Z? ` Building C;, Fax: 508--,90-6230 For office-use only 1 Permit no. Dare AF MAVIT HOME McROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or coustracdon of an addition to any pre-esistin; owner occupied building containing at least one but not more than four dweiling units or to structures which are adjacent to such residence or Building be done by registered contractors, with certain exceptions.along with other requirements K�fff,&L\(2,_ a(,(JA.As Type of Work: L DfZs " t OZ X]5Fst. Cost 5® O© Address of Worts: Owner's Narne M tz/lu V,S -71 g oTrf ��7_A. Date of Permit Application: I hereby certify that: Rerristration is not required for the following reason(s): Work excluded by faw Job underS1,000. Building not owner-occupied Owner pulling awit permit Notice is hereby given that: ?5 7'F�Ay OWNERS PULLING Tja OWN PERMIT OR DEALING WITI� UNREG CONTRACTORS FOR APPLICABLE ��OVEMENT LAORK DO UNDER MGZ.O �I4ZA ACCESS TO THE ARBITRATION PRO GRAM OR SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner.- . � 0 2- d � � - Dare zor iYsaae Regisrrarioa-No. /tE V0097/I920'I21�/6CLLI/t O�✓!/LCaJ:1CLClL[CJP.C�d I� DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION''SUPERVISOR LICENSE i Number: Expires: ted To. 00 Restric � _ CRAIGNASHWOR7H I 385 SEA STREET ^ HYANNIS, MA 02601 �kE�`�„�d w - r * r I. y*a ''a � �,..��?� 'si�A�.,,:.�f�°�„" 1� t✓� 3��fY.rt'. ' ��>.r� ��. r.§��,° •; /— air .1. .��i u_..5�:R.• �l. { -i. +..a •�. �s+a�� t,��',,�'�i`.;rk`'<�'�L<.1 Bu.x�lNdin "" � 9. g .x� .ns anal F a.nciar ds � �. � `?'�" •� 'aiYe , ��'� � "�F ,,Y w6' - � ' g-... �. k �',� g vs` a��n`+' '�.4 i-s+l . �S;I't1b.,U2T'tO,il Irtassa.c:huset, s 021:.0£3.,, .� � F I#f � ��t„�', 4•s�;�� "mg H0M,E ��`"�':� =Re ,�.stFr.�atio• 4 h, "" , '� E�x ��,r�.a�t:.ari O6/3O/:O.Q. � I�� ` �° `.' 11,/.�a� �. 'S Sol :gigNE IHohwENENT CONTRACTOR 7� NO ,"'; a. .�;. w: Sy � �k 'p. �'•.z$: �f• �+�,: ;piM"��+�'.�^� �� ; .:, - _ � •x� , ,,• :i. � :; � ' R_eR y��,str o�i O'144 ,�,��,, 0,2 ER;NES:T B NORRIaS`k& #SQN ANC: ' ° ° Type RRI:Ii TE CURORATION 1 ; a � ` 1 y . ;* yanns� MA', Q26Q.10EOx - ER N RIS $ SONI C R A Vr L f,• 1= Cr.al' NAshwor,3t � j s•Ri 5 '�� . �'Cr'�` I'� EYr",r� 'nY }3 �. �b.�.t j� F 'C� 35� � • f &r?��c�rs.�`�,`fi�`i.-:.ik%�; ?Y.: a �'. �a�� '),}�,u :� �'s '�(��47+'I 40.�,�,.� '�SeaSt :',#� k ��a3t'�t {�,i�,w . •�,� � M�. .,.Y��w9r F- $,t`- w ;g':}.. ,,,� �X,.',r �,`' �~t ,v^ ��.,,. r, t ,��,'�.��"�S�"?a�'+I �r.,��*(�+9ti�i`4�.c<�—��ld�2�0�j•,f xr .rF' x � �er; 's .;t' +a � o-..�^. �-,•;�; :r, - ��,i��#`.a,L��.�o+ ��'��.1 j : The Cumtnunwealtli of 4fassacltuscns. ,,;;. :_'.i.:•� Department of I,tdustrial Accidents All z ' ;" -=1� OlYlce�llryrs�gdtlout :;i; ;';a� 600 !f'ashinr,7oaStreet Boston,Afa= 02111 Mod �--" Workers' Compensation InsumneeAtllidavit nhnn,.it r ❑,1 am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity _ I am an employer providing workers' compensation for my employees working on this job. ERNEST B. NORRIS & SON, INC. - 385 SEA STREET HYANNIS 508-Z75-0457 nhnne fh EASTERN CASUALTY INSURANCE CCMPANY nnlin• _ WCG 1000807 A �li . rinCe CO r �❑ wner(circle one) and have hard the contractors listed below wh !am a sole proprietor, general contractor, or homeo .;. the following,workers' compensation polices: .... ••„ :,, •,, .• 3 COMMA,n V. . • rr , • nhone 1h �•.insurnnee Co. m snv'nn e- •n.. su _ . ;Attach addlttotial'shit:i ff"aecerss '""`-•� � rr� �� Fnilure to secure coverage as required under$ection'5A of AIGLL 1.'can lead to the itaposi6oa of criminal penalties o!a fine np to SISOD-00 one ears'imprisonment a><�rc11 ns civil penalties in the form of aTO STOP WORK ORDER and a flue ofSI00.00 a day against me. I undasund COPY of this statement tnasi•be forwarded to the orrice,of Investigations of the DIA for eoreratt veritfatiou. 1 do herchr certify under the pains and p aldcs of perjurr that the infornsation ptm ided abov+r is true and correcL Sienaturc ate Print name CRAIG N. ASHWORTH Phone# 508-775-0457 Fcheck-si"f niv do not irrite is this area to be completed by city or two 010ci2! permiNtcease ft r guildIng Department Dt.tcensiag Board aSdeetmen's Omce mmediate response is required �tiealth Department phone tl; MOtber on• I MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 6-7-2000 DATE OF PLANS : TITLE: COMPLIANCE: PASSES Required UA = 390 Your Home = 365 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 324 38 . 0 0 .0 10 WALLS : Wood Frame, 16" O.C. 864 15 . 0 3 .0 -58 GLAZING: Windows or Doors 100 0 .400 40 SLAB FLOORS: Unheated, 24 .0" insul . 324 6 . 0 257 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the desig -load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer ��'��' Date7�� MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 DATE: 6-7-2000 Bldg. Dept . Use CEILINGS: [ ] 1 . R-38 Comments/Location WALLS : [ ) 1 . Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1 . U-value: 0 .40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SLAB-ON-GRADE FLOORS: [ ] 1 . Unheated, 24 .0" insul . , R-6 Comments/Location Slab, insulation to extend down from the top of the slab to at least 2411 OR down to at least the bottom of the slab then horizontally for a total distance. of 24° . AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings -in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 .0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape., Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS : f 1 Thermostats are required for each separate HVAC system. A manual 000:802,,313 i i6-►6-20 li i 1 :41 EWNSTHBLE LAHO COURT REGISTRY DEP File Numb Massachusetts Department of Environmental Protection _ ? Bureau of Resource Protection - Wetlands SE3-3675 WPA Form 5 — Order of Conditions Provided by D=—:P Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C4 TH F4 TOWN A. General Information. t x,.n i Important: When filling From: out forms on Barnstable the computer, Conservation Commission use only the tab key to This issuance if for(check one): move your cursor-do Order of Conditions not use the return key. ❑ Amended Order of Conditions To: Applicant: Property Owner(if different from applicant): E.J. Bentas Name Name 431 Lewis Wharf Mailing Address Mailing Address Boston , MA-. 02110 ti City/Town Stale Zip Code Cityfrown State Zip Comae 1. Project Location: �Q 203 Green Dunes Drive, Qot_ pie I Street Address City/Town - 245 -023 Assessors Map/Plat Number Parcel/Lot Number J N 2. Property recorded at the Registry of Deeds for: C Barnstable County Book Page 49140 h 4 Certificate(if registered land) ' 3. Dates: lzz >, May 3, 2000 May 23, 2000 June 6. 2000 �Q !U Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 1 � 4. Final Approved Plans and Other Documents (attach additional plan references as needed: Rev Site Plan April 2R, 20no— •� lq Title Date 5. Final Plans and Documents Signed and Stamped by: JIAJ Stephen Wilson, RPE Name 6. Total Fee: o $110.00 y (from Appendix B:Wetland Fee Transmittal Form) Q VJ'A Form S Fade t Rev 02100 DEP File Number: Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 5 - Order of Conditions Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: ❑ Public Water Supply ❑ Land Containing Shellfish 5d Prevention of Pollution ❑ Private Water Supply ❑ Fisheries Lra Protection of Wildlife Habitat ❑ Groundwater Supply [Storm Damage Prevention Flood Control Furthermore,this Commission hereby finds the project,as proposed, is: (check one of the following boxes) Approved subject to: 2-1the following conditions which are necessary, in accordance with the performance standards set forth in the wetlands regulations,.to protect those interests checked above.This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the.extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations to protect those interests checked above. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect these interests, and a final Order of Conditions is issued. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). General Conditions (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. .The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3: This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state_, or local statutes,_ordinances, bylaws, or regulations. . VVPA Form 5 Page 2 o'7 Ray.02100 i ' DEP File Number: . ..... Massachusetts Department of Environmental Protection r n Bureau of Resource Protection - Wetlands WPA Form 5 — Order of Conditions ProvidedbyDEP Massachusetts Wetlands Protection Act M.G:L. c. 131, §40 B. Findings (cont.) 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or-parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon'which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or, "MA DEP"] "File Number SE3-3675 " 10. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A) to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition#12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to-evaluate compliance with the conditions stated in-this-Or-del,, and-may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. WPA Form 5 Page 3 of 7 Rev 02100 i DEP File Number: Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands _ WPA Form 5 - Order of Conditions Provided by DE Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 W B. Findings (cont.) 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. Special Conditions (use additional paper, if necessary): see attached Findings as to municipal bylaw or ordinance Furthermore, the Barnstable hereby finds (check one that applies): Conservation Commission ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: Name Municipal Ordinance or Bylaw Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of C nditions is issued. that the following*additional conditions are necessary to comply with a munici al ordinance or law, rY P Y P Y , specifically: Article 27 of Town Ordinances Name Municipal Ordinance or Bylaw The-Com ission-orders that all work shall be performed in.accordance-with-the-said additional conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted wit the Notice of Intent, - the conditions shall control. WPA Foam 5 Pape 4 of 7 Rev 02/00 SE3-3675 Bentas Approved Plans= April 28,2000 Revised Site Plan by Stephen Wilson,RPE Special Conditions of Approval 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein, General Condition number 8(preceding page) shall be complied with. 2. The work limit shown on the approved plan shall be strictly observed. 3. The work limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer prior to the start of work. 4. Prior to the start of work, staked strawbales backed by trenched-in siltation fencing shall be set along the approved work limit line. Effective sediment controls shall remain until the site is stabilized with vegetation. 5. There shall be no disturbance of the site, including cutting of vegetation, beyond the work limit. This restriction shall continue over time. 6. All areas disturbed during construction shall be revegetated immediately following completion of work at the site. No areas shall be left unvegetated or unmulched for more than 30.days. 7. Drywells or gravelled trenches along the drip lines shall be installed to accommodate roof runoff. 8. The Conservation Commission will not approve any subsequent application for alterations within the 70 ft.buffer until a Certificate of Compliance is issued for this Order of Conditions. 9. At the completion of work, or by the expiration of the present permit, the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Where a project has been completed in accordance with plans stamped by a registered professional engineer, architect, landscape architect or land surveyor, a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation, if any, exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. f Massachusetts Department of Environmental Protection DEP File Number. _ Bureau of Resource Protection - Wetlands WPA Form 5 — Order of Conditions Provided byDEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings (cont.) Additional conditions relating to municipal ordinance or bylaw: see attached This Order is valid for three years, unless otherwise specified as a special condition pursuant to General Conditions#4, from the date of issuance. Date This Order must be signed by a majority of the Conservation Commission. The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant.A copy also must"be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office (see Appendix A) and the property owner(if different from applicant). Signatures: b sit WA14 k—I y On Of ;c Day Month and Year before me personally appeared to me known to be the person described in and who executed the foregoing instrumented�: �+ acknowledged that he/she executed the same •• as his/her free act and deed. 1,00 Notary Public — My Corn�missiofi Expires _ —This Order is issued to the applicant as follows: by hand delivery on ❑ by certified mail,return receipf fiequested,on June 6, 2000 -- Date Date Pace 5 d ee �„ —------- j DEP File Number: Massachusetts Department of Environmental Protection Bureau of Resource Protection Wetlands ' Provided by DEP WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Appeals The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 1.0.03(7) within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands. Protection Act, (M.G.L. c. 131, §40) and is inconsistent with the wetlands regulations(310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. D. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property. In the case of.recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate.of Title of the owner of the land subject to the Order of Conditions. The recording information on Page 7 of Form 5 shall be submitted to the Conservation Commission listed below. Barnstable Conservation Commission WPA Fom 5 Rev.02100 Page 6 of 7 BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER DEP File Number: Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands ' WPA Form 5 - Order of Conditions °videdbyDEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Recording Information (cont.) Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. • Tile Cu111n1f111H'Calth of Afasachusctts Department of Industrial AccidenuY . z ' ;y -�� OfilceallavrAs�9ativus 60011'ashingron Street ' Boston,Afa3m 02III �- Workers' Compensation insurance AMdavit Atlniirnnt infnrm�tinn• i i,—is FffRI 4tI 1�1_y• - incatinn CM, nhnnc - - ❑ 1 am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity am an emplover providing workers' compensation for my employees working on this job. ERNEST B. NORRIS & SON, INC. cmmn•tny nnmc• 385 SEA STREET - ... ��ttirctt HYANNIS 508-'175-0457 EASTERN CASUALTY INSURANCE.CCMPANY" 'Incitnnrrrn [tD11C1'# WCG 1000807 A - ;;..., ❑ I am a sole proprietor. general contractor, or homeowner(circle one)and have hired the contactors listed below wi ' the following workers' compensation polices.• cornryiny n 'City- nhone#? inturnnrr rn nollt•rt� �: '�� -- rcsran s•.Tc�+�-v*'r,''T-�"T..s*�F' ..,� _ '�Tfpi�'4TS'.'_��'�T•T"��.-ten�s��- _ address .. . tin•• nhone N. Attach addltliisl'sheet 1f nccCs3a • �+�:"'►R-77 t.—are-•�.+..—~•: !-sa+.� �^� Failure to sccnrc coverage as required under Section 3A of AIGL is-7 can lad to the imposition of esimiaa!pea.altles of a flat up to SIS00.00 One rears'imprisonment of Well as civil penalllcs in the form of STOP 1VORK ORDER and a line cfS100.00 a day speinst tau I aaderstsac copy of this statement rnnv be forwarded to the Ofiice of Iarestigstioas orthe DIA form.crate rtsitlextion. I do herrhr cerrif}•unrlcr the pains and p alder of periurr that the information pmided above is true and correct Signature Print name CRAIG N. ASHWOR'IH Phoned 508-775-0457 omciai-use only do not mrrite is this am to be completed by city or torn ofAtial cin or torn: lxrtaiL4lcea3e>y nSaildlatDcpartment buernsitg Board • mews O -. ❑check if immediate rupunse is required MCCI 13 th Department t7ther i -------------- BOARD OF BUILDING REGULATIONS o- License: CONSTRUCTION SUPERVISOR Number: CS 015851 a ` .Ex if6s. 09/28/2001 Tr. no: 5743 Restricted To: .00 CRAIG N ASHWORTH �.. 385 SEA STREET HYANNIS, MA 02601 Administrator w 7:: : . . : The Town of Ba 'stabl • s�>zxsrJ►stc • - 'K" $sa Department of Health Safety and Environmental Services e y, Building Division 367 main Street.Hyannis mA o2601 Offioe: 508-790-6227 Ralph Crvssea • Far- tQQ_�C.3?dE pp:1.�:r.{�(y.....�:�. Date _ AFFIDAVIT HOME 5WRO'VE MMOONTRACMRIAW , SUPPLEMENT TO PERMEr wr MAZOH MGL c 142A requires that the"repot wuctioa,sttetatioas,tcnavxdoq tqxtk modatninting.eonvtrson, 1 improvement, remrnat, demolition or construction of an addition to tom►pre-adsting aw= ooeupied building containing at least one but not more than four dweMag units or.to V&ch am uilaoeat to such residence or buil&g be done by gored caatraaors,with ttab eao Vdotts,along with other Type of Work: �i4 g!, tj/� rat Cost Address of Work: �_3 � v�� tZ. _ C�'K• /15 f Omer Name- Dace of Permit Appli=tivn: � � L _ x I herebv cerdN that. Regisuation is not rcquired.for the following rrason(s): Work trdudcd by Law Job rmda$1,000 Building ratow=e *ocupied Owner palling MM permit :1, cc is hcrc ptirn the:: OWNTRS PULUNG THEIR OWN PERMIT OR DEALI?41G tiVITH UNREGISTERED CONTRACTORS FOR APPLICAELE Ho,\T M9ROVafE.N7 WORK DO NOT 'HAVE ACCESS TO THE Filti'D,LT'•'7r �'fGi.t. 147}: SIGNED UNDER PENALTIES OF PERJURY I hereby a 1� for 2 .: pp permit as the agent of the owner. Dzs C uacior name Rrgistration No.. OR ' �� ✓r<.w �tL v:'.wM'41a' �*d tid? 'Y A',ij" n t�tl,�' .1 i � �,�i,' .d» ; � y`�',��Y�=, .. _. .Y ¢f x aw' x�`�y��rt� 1.a�vi� � •,��,.�� + �a.. �t y''' �1" � �; ��"�'{�"} a � `� �'�`�'�°{�^� �'3v�''r�'t s� ` ads a^ '� x. �i,�3s�'�+ .c,� • ^r� o ,,,�, ��' ! � �a�� .'""�1'w ti�a �°S,`�Y.¢.. +v7,� .,&�''+ �• .+,,: d�e � ° ��"x +S i ': 1�p„* i1 �Pt£itw �� &ri £ �z •Y+Y" •�a,'. '.,Y , a'Y r "i 4 1 �'^�3'�' i r ,r - `'` �t-9tt""� 4�.sa�� ''' .rC e,��. �#' `� sy - ��Fnx�a ° � yATYPe� PRSFI�IT�ECOROAT � "` P 9� Yl�:"t x �. :• ° t fa, s tj � $x e _ 3f p n},.t3' iN�a,,� R%ZA 1 g, y�L�` �s}yat^;. ' 'x�a�yaule3g1` 54 ' fiha}i _ �: � � ' fir,• - y ERNES�T B. iNO RI� SON IjN'C sp ..� N r ;+ ', ' myt;ja+*,�, {7fi r'z(,�fy;y� r'• -t Caig �!, Ashw�rtt _��. ° pL ° thv °r�� f 1 f+ t: 1 r a s xex t d✓ t _ a} 4Alvk?A 't r +v r * 1 .r'°vu [^�s t rax �..� � Sed St x } r�7 � ti. i tr i"#t. a F't' v a. w s T'rr}aflp ,3-A � ° t �� •= i Y i�t � 2r °c; z r�s� d�tv N�., r x ADMINISTRATOR 1 Hyannt {MAl. 0.z t c� v '1 f 4a s Y 435 a a. i d." =Ad$«.v �, t ✓ h 00/07/00 WM 18:02 PAX 508 775 7877 ® NORRI9 14U01 E. B. NQHM SON, INC. 395 Sea Streit Hyannis, Massachusetts 02601 775-0457 775-7977 'F To: Ralph Crossen From: Mr. and Mrs. Bentas Date: 6/8/00 Re: Cabana Dear Sir, We.are writing this letter to verify that the future use of the proposed cabana will be for the expressed use of the residents. It will be used as an adjunct to the swimming pool for the'purpose of entertaining, after pool use wash up, and as a protected environment for around pool aCdvities. It will never be used as separate living quarters and all cooking will be done on an exterior gas grill. We hope that this Is satisfactory explanation for the Future use of the cabana. Thank you for your Cooperation, Efthemlos 7.Bentas: Date: ulys entes: Date: d� *pawl , • � 1I GONT:MOUL.DIN6 FORESTER F414. om F1D PM. TYI° j y'-FSTG K om GORfCR 5HELVCB GLASS DOOR ^YP CABINET GRAM TOP F f ri.-Tyr, 2xl1 6 qMTI! 4.ORANIT!'SPLASH d PLINTH RX. :.W Vo.BAST ��ic�o 00455 o ill-D.-Tl1' o V INN IT. ELE1/ a m M.-TYP LE I2xd2 MARBLE 'l/7, sr�r►rc,� INT. ELEV 7 AU�EXI. IN TO ` ouw_ AH06ANY aCK .01 4- MARBLE---". BASE " _ 10 INT. ELEV i am rm F4ry9 PTP—T'CP WD GP51Nt4 TYP Yo.PLINTH PTD.-TYP C4NT.,m DA9E Eft-C.O My{$B PTO.-TYP MARBLE.T �. 4• MweL>: INT. ELEV BASE _ ® INT. REV r Coow.MOULDING L POFM51M t P4'1-1. PTD.-TYP SL b[!✓ TbZcjbcl, ev- 5!0 o X (� _ celuNs FAN d - wAL� `GrB PTD� E 2xb ROOF SYSTEM 746 E'q'OSED BEAMS. J - GNU GONE.MOULDING FORESTER F4141 PM.-TYP iv✓�1�NC. 1 1/2'►HD. 'D f6(�-2x4 To BuSHW.LNASogEVV gm / � y �• 4 P9 GA51NG iT \ SPLASH a sjBCi)c ;. 2x4 sTot7 r 4'MAFZLJ! BASEwall M VOLTAGE 'HOCKEY INT. EL.Gr T'xb'xi• M.PLINTH 7 faE SPECIFIED, PM'-T(F' CANT.M.BASE - AN I M.-TYP 12X1 K&ABL.L ` e{ - s+ RETRACTABLE AYA11N6 i i EXIS STUCCO., STUCCO TO 4 MATCH N6 a ��EXISTING MA4I06ANY l MAH06AW To— DECK DECK E] SL.I12IN6 FRENCH SLIDINS FRENCH ELEVATION ELEVATION IT DOORS UNIT 000"� 2 1 l-N SLATE ROOF TO MATCH THE EXISTING Hom ST1,11W TO MATCH A@ L°XISTIN6 NICHE DETAIL TO MATCH EXISTING lz€...; OUTDOOR SHONE3t NV MAHOGANY PANEL- z ... IY/✓Lily. - i . R � ' I L iL1 ELEVATION 5 ELEVATION y _1 1 MAHC AUi1'DECK FULL our co" SHELVES L Em Ed, SHELVft 78---r---- ----�f-----1 -\, I / n 2'-O'f , R _ I. 4`----------- MIT! `j^I � ' o UNAF�FIaf Nr ANVAS AWN i I��' . I \`O (%� O �' I q'-0"SLID N6 DOOR I REFLECTING CEILING PLAN L----------- -----------J L1LL 5AO r1 6m I go EQ I71, WRE Key -ROTES AND FI&T DOOR L---i ©-- CABLE T.V. o UNDER CABINET LOW VOLTAGE"HOCK UC PK"LI6HT. v�1 N/ � PHONE JACK AALL.SCONCE-TO BE SPECIFIED, �u 110 4 2 ALLOW$150 PER FIXTURE. V9-111ELECTRICAL ♦ PLAN " �� _ OUTLET-WHITE � TOILET EXHAUST FAN 1 0 HALO 1499-T LOW VOLTAbE RECESSED ID LUTI¢ON"DEGORA"DIMMER LIGHT N WHITE 5TEPPED 5AFFLE. SWITCH r .ice ILL ED Gtrf ) Tr� KeM:'vw OF - I I I I . N I I ► � _ I I 0 3 �_ j VJ/ TOf ¢n GDP lG.�LAj �, I ,GT3Q-t __ --- _ 4 Assessor's Office(1st floor) Map ' Lot Permit# 35�0 Conservation Office(4th floor) Date Issued 3 "9G Board of Health(3rd floor)(8:30-9:30/1:00-2:00 r l c�! •.S� Engineering Dept.(3rd floor) House#1 � ln S Planning Dept.(19t floor/School Admin. Bldg.) �_` ��L BE iANDE Definitive Plan_A& oved by Planning Board 19 ENVO �l M . DE AND TOWN OF BARNSTABLE ®� '� ``��TI ' Building Permit Application Project S ee Addres 2,0 3 CZ tZ J�F6 N, DO 01:S Village 1,35 Owner Address Telephone -7 7 13 C0 4 5-7 Permit Request 2 _ &t:>J;:> 2- - �jlCrGl4iZf� �M, 0!-A y - Total 1 Story Area(include 1 story garages&decks) �` d square feet Total 2 Story Area(total of 1st&2nd stories) — square feet Estimated Project Cost $ ( 2 &-O-a Zoning District ®-- Flood Plain Water Protection Lot Size 1 , -33 A C Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �Cf�_ Proposed Use FIC`5�,l DL;-�NJGe Construction Type �1.� Commercial �� Residential r. Dwelling Type: Single Family V Two Family Multi-Family Age of Existing Structure - N V_-S Basement Type: Finished Historic House t Unfinished Old King's Highway A Number of Baths No.of Bedrooms Total Room Count(not including baths) 'Heat Type and Fuel 4�tg A/�A6 Central Air x Fireplaces Z Garage: Detached. ✓ 2 GAS Other Detached Structures: Pool Attached Barn KI/A None Sheds t`'/A Other ►`►ZA Builder Information Name PJ o©Q,etS �,,5p0 I mac= Telephone Number 2 75--D Address 3$5 5E�A GJ License# d 15 6,67 i Home Improvement Contractor# 16 r2---O I Worker's Compensation# C(�r 7A NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE fz]�� DATE i BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) J FOR OFFICIAL USE ONLY Z:. PERMIT NO. �. DATE ISSUED MAP/PARCEL NO. An�ii�c eS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:. , ROUGH FINAL GAS: ROUGH FINAL q FINAL BUILDING / 2-:4 "-, b DATE CLOSED OUT.,:; : ASSOCIATION PLAN'NO. ':..: r — �I .....�.. .t: ,'.• .� ..� '�.i.:"tit7r.;18i.`-:''� �" uct ` V,>t.f �... �f cat` �c ens : • ��>,��..• .•.7'sr. .1, �,�'�;v�a�tt� �r;�`.�u;' �.�M �: ,"�i', .. yiw :•-�-� Fibertrox 55o Paper is a rommerciai grade ceramic fiber palter.it has good r a handling Strength,smooth uniform surfaces and continuous use temper- atures to 1260°C(23000F).Thermal , , (... ,� conductivity Of Fibertrax SSU Paper is approximately 200h higher than the standard 970 series.This paper Is • ' " ' ;:. dssisned specifically for applications where high temperature protection is more critical than heat retention. Typical Chemical Analysis A1103 50.0% t Slog 48.0% +-y' Chemical Properttes �1 Fiberfrax 550 Paper exhibits excellent chp ili6al stability, it has Rood resist. ; anre to most chemicals with the excep- tion of hydrofluoric and phosphoric acids end strong alkalies.if wet by water or steam,thermal properties Typical Physical Properties remain unaffected after drying..There Color Cgded Blua �! to no water of hydration. Lip to 25 rnm(1") Fiber Length - Typlcel Applications Fiber Diameter 2-3 microns(mean} —industrial gasketing 1260 2300°C °F —Liquid metal back-up insulation Continuous Use Limit• ( ) --Brazing furnace insulation Melting Point MOT(3200°F) —Investment casting parting agent Density 192.224 kgrms(12-14 lbiftl) organic Binder (approximate) 8.14%. 'The Continuous Use Limit of Fibertrax insulation Is detltrmined by Irravurstbit linear chtat,gr criteria,not product melting point. Specifications Nactenctaturts 59 350•K Nominal.Thickness. 1141. 3.18 Mm(t/e") 6.30 mnl(Ih"I .r Th•Inror motion,utommemtttlnn•and apinlon•w 190h h•rmn 4•unerrd mars$Ise your tonudu•Ikn,Inquiry •nd r•rtrl•lilom and•n AM,In pert nr tout,la b•ton• atru•da(01811MIAT•wur•niy Or 849rn••nUuon far ��B�� ®u which wt asrumr ieerl nrpawUllity.Nothfne eont•intd . ""in it Is be int•rpr+t•d n oulhcI11Il16ntO ntOctic• •psuMrd Invention without•Iltrm•. Z00fj SISSON 'fl '3 LL9L 5LL 902 Xdd 9Z:9T 96/VZib0 `�.INETp, The Town of Barnstable BARNSTABLE. ' P De artment of Health Safety and Environmental Services MASS. t6)q �0 �FDP1A�a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location -2-C>-7') Permit Number i Owner �- ��:��;�,S Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: -- C-L Please call: 508-790-6227/�for reeinspection. Inspected by Date 4 " ,�J I y 298087 " e s . 0000000 a� s uel o LOT 64260/42 0.80 rr OBRIEN,JOHN F&MARGARET H 130 x f s: 11 HIGH ST `/ eaCJlticle 00 , x RANDOLPH MA 02368 CC 00-0000 000 Qee ate I M 97 efe nci 1166030 j J - OBRIEN,JOHN F&MARGARET H e 0000 3364/184/ � > 000049700 000000000e` 0000000000 acatla 6121 COACH LANE 0326 0221 BA ;•� X 0000 �0000 R ��,w r n h`. ��- 6 � 0 � T� Ali I �� I ALLMERIC RECEIVED ` HANOVER INSURANCE �f HANOVER INSURANCE NOV 3 2000 THE HAD OVE{RjNS 51 1XM COMPANY D.P.W.ENGINEERING NOTICE OF CANCELLATION Town of Barnstable October 30 20 00 Public Works Department Highway Division 382 Falmouth Road Bond No. BLN-1649614 Hyannis, MA 02601 WHEREAS, on or about the 23rd day of November 119 99 THE HANOVER INSURANCE COMPANY, as Surety, executed its bond in the penalty of Five thousand and00/100------------------------------------------------------------------------------------------------- Dollars $5,000.00 on behalf of John White 322 Framingham Road, Marlboro, MA 01752 as Principal, in favor of Town of Barnstable as obligee (Nature of Risk Street Permit Bond - 62 Coach Lane, Barnstable, MA ), and WHEREAS, said bond, by its terms, provides that the said Surety shall have the right to terminate its suretyship thereunder by serving notice of its election so to do upon the said Obligee, and WHEREAS,-said-,Surety.desires to take,.advantage,of,the terms of said bond and does hereby elect to 11 terminate its liability in accordance with the provisions thereof. ,. t NOW, THEREFORE, be it known that THE HANOVER INSURANCE COMPANY shall at the expiration of November 30, 2000 be released from all liability by reason of any default committed thereafter by the said Principal. Signed and sealed this 30th day of October , 2000 THE HANOVER INSURANCE COMPANY BY Rose Mary Dye Reason for cancellation: Per agent bond no longer needed I cc ..... John White 1 Mar s hall K Lovelette Insurance Agency;Inc ,' West Yarmouth, MA (32-05267) uI. !,. 4:. i� �9flo97 CO i,J.A.t O�r``r,�r� ,V' .a+.VC ��ll�Y.l.j;•.v ?\T1-Or• P\MUST UJQ&,nCCIDFNTS (,00 V,'/,SJJI-NGTON slit i'�r 130ST01. )`4ASS/.C1-3 USI:'7"1�S 02111 James- Gar,a2c+ �c--,:ss''"c• tvORIC RS'COMPENSATION INSURANCE AFFIDAVIT , I• with a princtp2l'pl2ec of business/residmcc2c 385 •Sea Street, Hyannis, MA 02601 (City/S z=(clZip) _ do hereby certifj; under the pains and pcn2)acs of perjury jh2t: l am an emplovcr providing the following workers'compensation coverage for my employees worl6rig on LhiS 'Job. 1`. ? FA�"i'FRN CASUALTY wr r,10 0807A Insurance Company Policy Number I) l am 2 sole proprietor and,h2vc no one working for me j) 12m 2 sole proprietor,gener.-J eonmaor or homeowner (circle one)2.nd have hired the eoncnaors listed below • ho h2vc the following worker compuuation insuranac politics: �3of l�r',of Con=aor - In==cc c;ompsny1poIicy Number N2mc of Contraaor Ins=ncc Comp2nylPolicy Number K-2mc of Contraaor Insura.ncc Comp=yfpolicy Number 0 I Zm 2 homcowncr performing211 the work mysdC , Nom- PIC=C be aMsrc tS.t%A-li c Lee-co-mcrs w3o ccnploy pKrtoat to Zo cut iotcnwce,coo ttructioo or ccpcir��vn 1••c11inr of not rnor<tb:a tSr<c uciv is i�t<<borxowacr slw ruidcs or oo 6C r.muoZr tppuctcotot tscrcto trc aot fcocrsll)� I . fig <cnr:2<rc1 to be<Mploycrt t=&(vt c Cvor:c(I C0rpca12tio0 Act(Cl_G 132.cccL 1(5)).appliat;oo by:borocoMrocr.(or a ticca:< or perrnit r-:y cYidct ec the 1<tJ sun:+c! <r_aoycc coder vt<CJoticert'Corapcotatioo./�et r=ge i unctrtr:nc tn:c--copy ci irut to t��< �<p�:-ent o�JnduttriJ/�eodcnv'OGr<e oilfor.m�e " <rilrtstion�nl ch=t f:.ilurc to a<curc ca�cr-�c_ r<Suucd undu S<cc6on_'S/�of NGL 1 S.Z 1<ad co the irrporiuon of rtin+n�p n'lucs " k O du�d_ contistinb of a rinc of up to sl So0.0o=.d/cr i:rri:onmcnt of up to onc yur and evil pcn.ltiu in dK form or:Stop orr I Gnc of s100.06 s d:y q.:swt mc. y. February , 19 94 ' Si-ncd this 28th day of_ •L� '. Lice :ce/Permircee Licensor/Pamiaor j r 1 ,.,_:fig::. • - O ,A _ The Town of Bsac-nsta ble. � $ Department of Health Safety and Environmental Services Building Division 36.7 Ivl<ain Street.Hyannis MA 02601 Office: 508 790.6227 Ralph crow x{H Date 'L Z2� �v AFMAVIT HOME VUROVETMMOONTIZ CMRLkW SUPPLEhi=TO P APPUC,MGN MGL c 142A requires that the"nxonAruction,aftecUjoas,rc=46cm,Mp*modernb2don-conversion, impromnent, rentrnaI, demolition. or consetucdon of act addition to nay pm-�ng vwart aoeapied building containing at least one but not mom th=foar dwelling units or to sWref PvvWchare240CCM ! to such residence or building be done by rt&crod contractors,with ctrWa aomptions,along with other T3peofWork fQt T 01-�S Cs1 Cos< 2 ©oa ' Address of Work: 1-0 1?-el�:4 Vu.oES. , y fD - ::. N-rier Name- Date of Permit Application; :. I herein-certify that Registration is not requited for the following rrwon(s): Work c_�cdudctl by lac Job rmdtr SLOW BuMng not ow=occupied Owner pulling own perinit ;�cticr is hcrcb)•given OWNTM PULLING ThTIR OWN'PERMIT OR DEALING WITH UNREGIS7MED CONTRACTORS FOR ,4PPLICAELE HO, I'tT TROVZj ffi.7 WORK DO NOT HAVE ACCESS TO TIC f r�:TION F-,C!C- 4= CUA AJM'Rj_ND L"�'OER MG'.t. 342A SIGNED UNr)ER PENALTIES OF PERIURY I hereby apply fora per,-nit as the agent of the owner: 17zt C tractor name 1tecistration No. ". OR I \ Restricted To: GU {{ yi eARTRENT OF PUBLIC SAFET 1 CONSTF 10TION'SUPERVISOR LICENSE, E9 - None I _'Iuw�El EXpirES: ° lG - 1 & 2 Family Hones destr> BEd ? :. H Failure to possess a current edition of the Massachusetts State EuiilcinG Code CRAG N ASHWORTH is caase for revocation of this license. 7 385 SEA STREET HYANNIS, HA ''026@ , 1 1 CT,4 L/ao�vlYtOO_ttl�C� ��'" •Q HONE IMPROVEMENT'CONTRACTOR!"3 Registration 1020i4 K y . Type -' PRIVATE.CORPORATION 'Expiration 06/30/96 1 Ernest.8. Norris Son Inc e >;. Craig N. Ashworth Sea st ADMINISTRATOR yannl$ MA O2bO1 ' w i .. J Assessors office(1st Floor): � L� �, �� ,3 �� E�C SYSTEM Assessor's ma and lot number T 7 MUST B �THE Board of,Health(3rd floor) INST IN C�MP�AN Sewage Permit number o r I Engineering Department(3rd,floor): _ n F lfAs� °�L E 5 t Dsas9rsnLE J . House numberNAXL C' ! ( y' CODE o6 TOWN , Definitive Plan Approved by Planning Board At LA — 19 i REGULATIGNg d� APPLICATIONS PROCESSED 8:30-9:30 A.M.an 1:00-2:00 P.M.on y,. - TOWN OF BA"RNSTABLE 4 A P P R O V E D (BUILDING INSPECTOR . B n ble Conservation Commissi j • APPLIC 0 FOR PERMITt0 LJ� NCTL� IL �f �� SiggfY$E OF CONSTRU.TIO a 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for apermit according to the following informatiogn:� Location --®` S� �?VE s �1� W s-• Proposed Use Zoning District Fire District Name of Owner D� y Address o Name of Builder C'S(1 Address6i _. d'1 ikLh U —go Name of Architect /f — Address -�>' 4 Number of Rooms Foundation D-V Exterior — u'- '� Roofing s� Floors k '1C Interior Heating P Plumbing / Fireplace j 3 1 Approximate Cost o 070 0 Area q$!�- Diagram of Lot and Building with Dimensions Fee J� X bvse a2 SI'ory c2, 6g9' 117�. ra � Sir ybb � y z. 06 11� 8 0,7-3r 5 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable- r ing th b ve( n truction.. sr Name Construction Supervisor's License ' I f BENTAS, EFTHEMI OS J., -.. � r '• i q-�` F f3 No' 3 4 2 0 6. Permit For BLD. SWELLING GARAGE & POOL - Single Famil •dwell ''i -' i`` - !` Location Lot #5 0 , s: 2�0 3 G een Dunes Road _ - - • W. :Hyannis or�i Owner Ef-ftemios J. Bent�as r - {. U 0 . 1 f Type of.0onstraction Frame p Plot Lot F --, Permit Granted{' ' March . 11 , 19 91 ' - Date of Inspectioft - 19 Date Completed � �� 19 rn dg in F y • ,. P +( 1 7 .i, Gtr.t' iyP;�, ir'4. :�i VCt �tF� _,!' I % `i _ rr arm Y AN'}tNm0�ttwy oMV YItRA \: ,j + II � rr K nunwtumwpu III � •� is � � ...a:. ": (it mv 7WFwit . ,p .. .• r_..sr ��v-(Tic*+ ',n... c .:I T � a ��ci'+- *'�a.'@` "� rrvWe M� �. "u' cam ray ?£rr r1 � - ,F � 9rr7' TIC I. ��..�.'.!�=!� 1 .•'111'M1tiW4r >'i - .,r4 t'�`-g5 �-' .' 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I (-� � m � (-r d �•r r, I I+: ,I _ s I_ , .;•_1 ' i {~i�+ � _ I I i } { ! i yy l h.. 1, t 1 I ' -- .( -� 1 r_ f } { i I I i ! k I + t 1 } I r 1.4 1 ..(. .�7 . i. .c, 1 - 1 �...- I (^;_ _ ,_ t + I � - I ~t --, ►111.1dd��-.- r`i -,--� , __... - { 1 1 � �-., , AtCHAp6 r 1 o A 1 r I71 - f j E,27, sac d Tio ci 1 WyA ;S.yOW/V�lE.2E0<</COtil d YSCA L G— '�EG�!/%,eE�1E�c%TS G I 1 ',8.Qr2�lST.48L�= t 1 IT,SYE 1Ailb Cokv�zT= '4-,4SE °✓ �f E4 XTE�E TN/S �.C�Lt//S i(/�T BASSO diN,4A-1 YE /iUC. • %/t%ST,eUiy.�it/T s'U.e!/EY� Tye .2EG/STE,2E� L..q�c/p SU�l�6ya� lisp 7-0 oE�-��iy%u� ,wT /.cites �/.%,q V7 C°gFco Cov. vcr/v + TOWN,0F.BARNSTABLE, MASSACHUSETTS BUl ' ®� G PERM' DATE 19, PERMIT NO ;i APPLICANT ADDRESS IN0.) (STREET) (CONTR'5 LICENSE) (. .' PERMIT TO (_)""STORY - NUMBER OF ` - (TYPE OF IMPROVEMENT) NO, DWELLING'UNITS` (PROPOSED USE) - AT (LOCATION) ZONING };>» (NO.) (STREET) DISTRICT_ BETWEEN AND (CROSS STREET) - (CROSS- STREET)a .•. SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY. FT. LONG BY FT. IN HEIGHT AND-SHALL CONFORM IN'CONSTRUCTIC TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATIONS (TYPE)- REMARKS: h ! - -> AREA OR VOLUME ESTIMATED COST:$ _ PERMITS (CUBIC/SQUARE FEET) R FEE OWNER 3,ta a f ADDRESS �� /� i� tJ t'3 BYILDING.DEFT.. ,r� rar �aR ee rs� '.T ,P •F e8 �C_[rke�c��C`RAKt1Lt�. rHUM THt utrAR7MENTOF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM9THE CONDITIOk OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -"APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APpLiCABLE SEPARATE. QUREDFOR INSPECTIONS RE I ' ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL PLUMBING �AND. PERMITS ARE, REQUIRED'.)rFOR 4 1. FOUNDATIONS OR FOOTINGS: MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL�INSTALLATIONS_ 2. PRIOR TO COVERING STRUCTURAL, QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. Y 3, FINAL INSPECTION BEFORE OCCUPANCY. - - POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /�/f�✓)i'� 1 ✓��o a/" ✓�'e4 C �� 1 ,t�b�P.;�?'��... '��'�✓�" %)j� All f �l/mil J l 2 T el/ �l � III 3 1(\7 R-S-HEATING INSPECTION APPROVALS ENGINEERING'DEPARTMENT Z lb y 15 I 0, BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL i k WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN INSPECTIONS INDICATED ON THIS CARD CAN I SIX MONTHS OF DATE THE CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTI NOTIFICATION. T E M P O R A R Y ,f TOWN OF BARNSTABLE Permit too. 34206 . BUILDING DEPARTMENT I "a'n I TOWN OFFICE BUILDING Cash 7 .Nl HYANNIS,MASS.02601 Bond 1x CERTIFICATE OF USE AND OCCUPANCY Issued to Efthemios J. Bentas Address Lot #50, 203 Green . Dunes Road West HYannisport, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT`BE VALID.'AND THE BUILDfNG.SHALL°NOT BE'OCCUPI6,UNTIL, SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE';WITH -TOWN° REQUIREMENTS AND IN ACCORDANCE WITH 5ECTIO,N 119:0 OF THE MASSACHUSETTStSTATE :: BUILDING CODE { ....................August 13r.... I9 91 _.--- t e . Buildirig Inspector f :.-.. •v'•'+- N r_;...+-•.'�..-.+�,,,w:-•rig. ... :_ _._..: .. - r_"'" -••.'.,."''.�-f"'�.-.�{�r�,�. f�r._v-�".r.•..r - ... _ 47 •..T.+,.,r,.r'AL.f,..-.,�-�.•-.f .�}...af"•'-.'�.•-c.rtlT^•r.,:f�'r`•nr-."�,.r'.�*'*.. ! .., � T E M P O R A R Y O�tM[T9 TOWN OF BARNSTABLE .Permit No. ..34206 BUILDING DEPARTMENT i I ,..■n I TOWN OFFICE BUILDING Cash �q wa V �arY HYANNIS,MASS.02601 Bond CERTIFICATE OF USE-AND OCCUPANCY'S Issued to Efthemios J. Bentas Address Lot #50, 203 Green Dunes Road I West Hyannisport, MA USE GROUP FIRE GRADING OCCUPANCY LOAD n THIS PERMIT WILL,NOT BE VALID?' AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL ` SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH.TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION'119.0 OF THE MASSACHUSETTS STATE ' BUILDING CODE. ......August 13•.... l9...... 1 ...... ,! �.! . .... Building Inspector s f JF BARNSTABLE, MASSACHUSETTS • BUILDING PERMIT DATE 19 PERMIT NO. 'LICANT ADDRESS .. (N0.) (STREET) (CONTR'S LICENSE) PERMIT TO (_) -STORY NUMBER OF (.TYPE OF IMPROVEMENT) NO, DWELLING UNITS (PROPOSED USE) AT (LOCATION) ZONING (NO.) (STREET) - DISTRICT_ BETWEEN (CROSS STREET) AND - (CROSS STREET) SUBDIVISION LOT LOT BLOCK - SIZE BUILDING IS TO BE I FT. WIDE BY FT. LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP ( ` BASEMENT WALLS OR FOUNDATION \REMARKS: (TYPE) AREA OR VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) :OWNER ADDRESS �4"--/-� BUILDING DEPT. BY FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB A7HERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FORALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCYECHANICAL INSTALBLIATIONS.D2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS 1 �/A ELECTRICAL INSPECTION APPROVALS 2 ) — 2 L�- 2 e.. g ( 2 'D lit (� // �LIC Jn CA„ HEATING INSPECTION APPROVALS x ' NEERING ARTyyEN7 �)- p ~ 15 ' 0 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL 4 ' WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION 1 TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION, PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN . NOTIFICATION. `7 l►�fi•�4iI1�1Flfi°��11�.' � r t �. t may.". r y. �,,. .��;,_+w, .�..} � i�4 0�7W.r>9 TOWN OF BARNSTABLE 34206 Permit No. . BUILDING DEPARTMENT I s.,,n TOWN OFFICE BUILDING'S Cash ■Ml i679• '>rarrr+ HYANNIS,MASS.02601 Bond .... .......... CERTIFICATE OF USE AND OCCUPANCY Issued to Efthemios J. Bentas Address Lot #5 0, 203 Green Dunes Road West . Hy, annisport USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT. BE VALID;'AND THE BUILDING SHALL NOT"',BE OCCUPIED UNTIL.. , SIGNED BY.THE. BUILDING INSPECTOR UPON SATISFACTORY a CUMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACH.USETTS STATE BUILDING CODE. December 20, 19 91. ..... r4� ��" .^" �"` " -, Building Inspector ..� �•. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has beeen� issued for the building authorized by Building Permit # �� ..... ................ ............. ._...............................»................. .»» » issued to ............S..y?/�...!u � . �`��..� ? .: .. ....... ------------------ ------.........__.........». Please release the performance bond. } 'rn. :;::.....yr.,,,_,+rr'tn".•" '"'t^}y - y +.`"' r i'r ;J i• ter._-,'�-'.+�•.' t• !!'" 'L•r "1 1� - .. #' .. rS��`,,w�t'"'�S�' �d� .,�.n�"K "�!`�'' �' r '��r,' i�;•.. y f.;�i�kf�'4;�"a� Assessor's office(1 st Floor): Assessor's ma and lot number P i o o i Board.of Health(3rd floor)Sewage'Permit number r Z DAMITULL Engineering Department(3rd floor): /� .�, rua House number '�. O o i,.."' 'oo 1639. Definitive Plan Approved by Planning Board — ./1,0 S"-Vj 19 �o.yry b APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.on y TOWN OF BARNSTA�BLE BUILDING INSPECTOR �APPLI ION•FOR P FtMITWT0 1LD StN&t ILL i, �yz#- /W L TYPE OF CONSTRUCTION 19 / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location a 3 Cme-r-EaJ Proposed Use: S7 Zoning District Fire District / =`.Z �` Name of Owner .4`0 S C� f Address ¢ 1�6 }ri'(.p�, \ ' `✓�T/r/ V�V i ///J PS P I Addres Name of Builde Name of Architect :Yt Address Number of(looms / ,� Foundation Exterior �2,► 1f1f� Roofing Floors `+ Cep Interior Heating //" I r Cy " MC. 1 • l� Plumbing -T /'J•► _� 3 Fireplace t°2 7 Q/ Y S Approximate Cost Q, t _ _ owb&7 S29277t vSE [�_VsC- px� Area Diagram of Lot and Building With Dimensions Fee e7l'/Ir 4/Z o© `44, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS d I hereby agree,to conform to all the Rules and Regulations of the Town of,Barnstable >egarding the above ek'o struction. s • Name 21 z Cif l . n/1 ? S ?AF .r Construction Supervisor's License } i BENTAS, EFTHEMIOS J. A=245-023 • �" 0 No 34206 Permit For Bld. Dwelling/Garage /Pool Single Family dwelling Location Lot #50 , 203 Green Dunes Road W. Hyannisport Owner Efthemios J. Bentas Type of Construction Frame Plot Lot f Permit Granted March -11 , 19 91 "Date of Inspection 19 Date Completed 19 PERIViIT COI PLU Assessor's office(1st t number ,�� - �.-3 SEPTIC SYSTEM MUST BE Assessor's map and lot U 0 ITNE TO Board of Health(3rd;floor): q • INSTALLE®W �+� �� Sewage Permit number / IT"g . Engineering Department(3rd floor): , ENVIRONMENTAL CODE ANU = Dsas9TODLL 3 rua House number '^�� wTol"M Pr T I� 3 Definitive Plan Approved by Planning Board s' 19' �� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-,2:00 P.M.only t Barnstab� A P P R 0 TOWN OFiBARNS1 °.,_ ,rYat on BUILDING ,,INSPECTOR d 19 -m�s-sioll C APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION �J T G1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2-0 �S GW PY\ bunf S ��j �GI yl ti1\S D fir Proposed Use 1 1 6 U Zoning District 1 t ( Fire District l-S Name of Owner ��1`1� f'(� �15 Address Z-GS U q f Vl U�n S IUf Name of Builder (� �.b0\3 Address 101 FWA�VS �OaiJ, W SAO Name of Architect \� T C O Address C.Qy, oq (,11 U LI 5- l 6 Z- Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost o 60 Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License L/3-S3 - BENTAS, LILY + No 34370 Permit For Build Swimming Pool r Accessory to Dwelling Location 203 Green Dunes Drive West Hyannisport Owner- Lily Bentas —E Type of Construction Frame - Plot Lot Permit Granted June 31 19 91 ; z. Date of Inspection' �! °2�`` 19_ �a Dat ompleted- 19 t 3; 14 t C EMIRS n _ N _ _ t EN ✓O W Z. 1\ W Bt iS J J.ti � 1 V. ✓�V � \ 1 1' D i 1 V i i ro � Y t� 'v ik T 0-0 \ 0 � ' -76 /* ti `_ ►ono o f - - � � \ '_ .._. —� .-- --- / '� � _ � 4 Assessor's office(1st Floor): Assessor's map and lot number v c�THE to Conservation �� Board of Health(3rd floor: V.v TALL IN OOMPLgANOI WITH TIT'LE.5 1 DAIil�rantt Sewage Permit number ' _ � rua o639Engineering Department(3rd floor): a - - ,J TOWN �L�� CNIAROMMENTAL CODE AND �� I) �a Definitive Plan Approved by Planning Board 19 House number O�S APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO o u),�3 u u_)c-L I LU21 TYPE OF CONSTRUCTION Uoc�, (�T• 19 13 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location L0�' J� e e �U , Proposed Use t>_ e-�k w a-u b Zoning District Fire District 1I_ Name of Owner 2�� Address L13 1 �e� s 1-0 Y�A 1-4 -3�?6-54 o, Name of Builder �� wll .s Address i u I pd� `,f s ►14 Name of Architect �— Address Number of Rooms �^ Foundation `� tl Exterior Roofing Floors / Interior Heating ! Plumbing Fireplace Approximate Cost ©O a6 Area L'�L Diagram of Lot and Building with Dimensions Fee 14 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 vsiy� Construction Supervisor's License f 0 ` BENTAS, TIM ` No; 3559�5 Permit For BUILD WALKWAY TO' BEACH R `' ' 'ccesso:ry to Dwelling 2 3 Dunes Drive .Location Lot #5 0�- 0 Green j •- . -Hyannisport " i Owner Tim Bentas Type of Construction Frame Plot ( t Lot ` ! Permit Granted ' 'January 4 , 19 93 Date of Inspection �,�.26-1,3 19 i Date Completed _19 S y I ' ate. ' ' t ' , , t � ,- •' � `. I r v g d v e.►- b ��k , I 1 F I Jack Gillis F 10 Leda Rose Lane Malstonit Mate. MA n9r,4q Jack Gillis Custom Building Remodeling �� 608-420.1301 �rePav�urved I�� . -r* The Tow o(Barnstarble t . Conservation Depart.flent xurora>sx, , a. ,r 367 Main Street, Hyannis, MA 026t�1 S0$ 794-f,245FAX 508-775-3 344 Gonse,v.Atiun Acnaiw,. ttmo, Dec. 22., 1992 Mx : Jack "G.i'?l is - f :IO, .recta Rose Labe 4 Ma�r:stons Ma13s � ItA�r -48 Re SE3=1946 Dean Mr Gillis.. �. At it's , Dec. 15, 1,992 meeting, the Conservation Commission unanimously approved the elevated stairway sketch - p:}.ans for the Betttas project sit Green •. Ding:; '---Cerrtervi let 'As 'the t rr-9-C)-dQr :pf C6rfd3-tions -•is felt to adequately serve all wetland protection interests at the locus, no amended Order r will emerge. Taus, for the record, please be ado sed that your sketch ,plans will serve as plan addenda for the work ensuing under permit SE 3--1946. PI ease• ensure that the DEP Southeast Regional office is copied 'on the _revised fans: and *� plans: please don't hesitate, ty8 corrtsct me 'should you have any qurestions. .' �Y, leBSe x i note that the Order '. of Cond:'Lions f`6r the; prc je t, ea++��rnrypryes, `31 Jan: 93. The order has already been extend'.�7'id , 3 .. , fit. •+.i.4'i�•'T• F Y.. .. Yr Sincerely, Robert W.- Adm.inistr'ator cc. DEP Southeast Regional office . '�'`• f ;i :j I i - � I S r Oe Jack Gillis � ---10 Leda Rose Lane a d Marstons Mills, MA n9Ra� Jack Gillis Custom Building '.. Remodeling } . � i Lic.#051497 Reg.#104896 Jack Gillis Construction, Inc. QUALITY BUILDING & REMODELING Fully Insured 10 Leda Rose Lane (508)420-1391 Marstons Mills,MA 02648 FAX(508)420-1618 y.y.r.p.r+„z.s'tiritft�"'•r''b'y�g-+e"`�"""'Fs"#r�'Sn..a✓�.,—"n•^^ws .t"Fy..it„j �.�,h..s+r'�"Fr�•-"^`+�,5�-,""'"' '^ ^t'�.✓•�" y - h +.t''^`r {1•w,.•..,�•ikM1 "^^F�,,,»�,r9" "YN`!•7Y.,1D3..rW �,c c a,gL`�'^'•']ri.`f1r'+ , �C"-. Assessor's office(1st.Floor): a Assessor's map and lot number ' Q� _ poi THE rod Board of Health(3rd floor): q " eve o Sewage Permit number x .. 71 Engineering Department(3rd floor): V " t Ddsa9rsnLt J House number .� `�' °o ,a}9. Definitive Plan.Approved by Planning Board 19 �0 rrar d APPLICATION'S PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTAB BUILDING INSPECTOR ` rn APPLICATION FOR PERMIT TO U�' Q _ �,1 YN Vv�Y^(1 G � ooia D R TYPE OF CONSTRUCTION 1 U' ) 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �1 1 Location 2 Q ca g f y,\ bitV-e, ►'h`l G p�1�S GrT Proposed Use S V�YI)lr kG G �- Zoning District ` l Fire District /' r Name of Owner �� 1`�1 flnT�S Address z os U wf yl bunr s r a Name of Builder ��rv�r� �G�,> Address �6 A GY�GI�'S 1- OQj, �l1PSG10 Name of Architect W(o Address cGn Atm (p Number of Rooms Foundation s Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost �, 0o Area D Diagram of Lot and Building with Dimensions Fee i' i i { i i i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name V V4' h GJS i W S3 P Construction Supervisor's License U l BENTAS, LILY A=245-023 No 34370 Permit For BLii1d Sw;mm;nq pool Accessory to DwP1linq Location 203 Green nunPG nri v-p W. Hyannisport Owner. Lily Bentas Type of Construction Frame Plot Lot Permit Granted June 3 , 19 91 Date of Inspection 19 Date Completed 19 J PERMIT GOMPLETEG tJ \ ATER VALVE } \ TO BE _ LOCATED ------------ �RO PARKING. ; 110N \ 47 CARA NEW ♦ ;.t" GRMIEL- f:ivG FONCE i ` 1 ♦ 1 V G ADEN'R ♦ � DRIVEWAY / ` t _`z 1 RELOCATTION LAYOUT ♦ i tip. `.�.-----� •,�\_ : '•, � ! � 1 / `� , OVER•'. ; STOR J , liz d [)WELLING:,...IT f ,� .. OVERHANG �•• 1. I ; t y. ,` tj +. 1 COASTAL BAN jt C ;BRICK t 4 ; ' 1 . ' _ ... - _ .. . � _. _ _. -3:.: �� .+r.L-a*`-etL•.---c•ed aC :i4-tzr_. yam'".. J, PooL 4f� CV ^-`{ ,�\ = O c» `• NEW. '� ,��\ '' O W . �. SAFE TY ~•�' ` \� d ''• Q q� '`,, :' FENCE ' ' cy TOWN' QASTAL, K ' - K �' +� x FLOOD.. BAN E ,�.. `,� tea. +' �• i '^ . Q;- - f LEV= • •j/w. '\_. _ n gyp( t .r F� . . 1. }. . . , . . . r, . �� o . a y °`'77 r_T , i �� )� OV,.ERLAY DISTRICT: DIRECTIONS: LGGUS d. AO-Aquifer Protec.ion-District From Hyannis—Follow Main Street to the .A: - - - ln'' 0 � West E d Rotary, Take Scudder Avenue to _ . 39 l9n e stop sg nd the take'.right onto ' - Smith Streel, which turns into Craigville \'� r Beach Road; Take o left onto Green Dunes b *ttys 1, Ti - - Drive, and follow to the aright; Site is on it V.a,r P Asa;"'S z.:.. ZONE: the.righ. J/203.: - - - - - LOCATION MAP: RD-, i, Area.(min.)43,560 SF: Scale: I` 2000•t Frontage( in)20• I. 't width(min) 12s �' _ - . . Setbacks: _ .. .1 .,. i Front 30' ASSESSORS REF.: side 10 t Ii Rear id _ t a op 24,Parcel 023 - - ^ , _ - I FLOOD ZONE: 7OG',. , .Zone B, C. & V15(EL15) I - t � '/ - Community Panel No. tl . _ �;9 i #250001 000E 0 i i {I .\ 4 . . July 2, 1992 '' .. rQ. d .! - . } k 1 i.. t .. i © -,e 1 Lam•" �, Ord` Bose eh f {'• ,, P. . �',, R7 I , ® Air Co ditione M-1 Pb,, � C. R \ '. . ® General., - _ .% S, _ — --—' . ® We,Gone - - / \ _ i ® .'Catch B 'n s ,i.. ' I. ' ��a 1 f ( p \ O Light Pest - _ i .. O CB/DN C fe B d i -k - :, 1 �' ,�� • \.\ f ` O LCB—L d ll rt B na i q ) - - ` --zs-- L1emt c t r 13y^I - _ i _ l • �'' I o•. . `i �.� t J \ " Spot El 1 .j - ! s \ ar.s' \\ _ r �25 t' OEueie O.Beciau s Tree { I:. 11 i i 1 % ` 1- . { I S "I , I .� [ . j Confer s Tree i i. ."25 j ____- �w.f Ceder r a {.. !t • t I.- 11 �" I .1-� - .j/ / � - 11 1 t{ t ,k -- - ( ' . - •Is 4 C SJ' `T j :1 Sly C "~ - .. r P I I ,t )( Garage ^g �� '%, � L 8 %" _ r r i a`�. . L I . ,. .t .:/ .� r _ 5 �_�N . f _ y.1 4 i f a ;� I. _ ° � y I11 t $ ke r } $ w9� 1 . i I. x/ ( ( t i, . - - °1 (,I ,' + LI I \I.-'y \ k. nre 'mr�ir J/203 }.`ad r, s +, r �i 1 +. r `s>.f. _-'. 2 Sty W/F r I ''I { r I -' I Dwelling / �` _ T I , O a' `, I",, �, s x !a. _ vwx $ ` u „^era .r �i I L. . _ - n� _ -� tia A ` 1 D" 4I III . \ I w o $ _ / n �•� (\ . 1. `1 . - I \ it � -I r ' . - `� °ra / ®' /_ _ : - .. t \ I� I1 -if, is ��, o w i \ i i I. #`/ - . , ` . s \', \ \'\ 'I\I ( ,,.� i ,i} \�\ 1 '$t I qo iPool i$ �° _ t . / ° I 1 n "Iwa Cabana + e. \\'. 1i. '� i J �' /' . > . ce/BB t S 1, - / > \ I re r _ \I \\ \\\j {Lla 9p6 G \ , . 5a 0� . \ k9k6h�GQ l j\, 1\ < \ �y 4 :, ffi t I. 1. -5 '+ \ \ '\(�l ,ia I fin honJ \ # �` � ' i J \ \ y \ . s \ rt� \- ��PP � , ._ -` \\ �' 9 1 m99 (1..°°m'r z I x) I \ m?i - , v x - - F \ G0Y In \ . O % 0. 4 " oti' \ g JOI{N C. J, G� rn . 4' o - o /r L - • °0 ,L 168 r', �P.Cg 4.A Cam ; -:.. �� fF,STEREO, �� C+opy FF`�S�ONAI y6��k ,'` it . REVISION:Add Screened Porch Oi 13 14 `I - - I ' e :.y TITLE: SIte.Plan - PREPARED BY - ': `' PREPARED FOR: NOTES- - Proposed Improvements' Sullivan En ineenn Iw..• Ca eSur E & L Ben tas,.LLC .1.) The property fine information shown.wos i •a,:v - '>,. g g' compiled from ovmlobte record information. ,(*) I 1 ''. PO Box 659- arker'Rcad/► :3 Battery Wharf,.-Unit 3 m ' At 9+�.a „Ostecville, x 02655' : Osterville MA 02655 - . - " -y ' t -: `2.) 7Ae topograpfilc information was obtained 203 Green'Dunes Drive'' ., (508)42;-3744(508)428-9617 rs,- '(503)4 0-3994(508)442,-3"5 ro= .:,BOstan Mf1-_02109 from on on the ground survey performed on -1 I 7 �v } _ I o 4 .. - . or-between 231OC T/13 and 3I/OCIll3.. _ Barnstable(west Hyon isporI IF IaSS. Draft: 1JOD, t Field: WHK ec LL MJD 3.) The datum used is NGVD '29 a fixed mean a t _ / 2B 0 iB 20.- 4G BG DATE: ' SCALE Re'ew: IoS _ Com RRL. sea I el datum. i _4 Nov. 11 2013 1'.=20 d '4 p.: i I :. Pro)ecf:{33033.. Project: C412_5 _ .:- � ,, :,a � . ;.. '. I . . I - . . . . i � I .I I' ••L( 1. n�,- ;�t Y a. + .1`, fI 1— •I_ .. I ' ' t. ia' ., ' - ' U t . PATRICK AHEARN t- ARCHITECT Boston www.patrickaheam.com Edgartown EXISTING TO REMAIN EQUAL EQUAL • NEWINSWINGING } FRENCH DOORS IN EXISTING OPENING TO .. ....:............... MATCH 145TING . • b JL J — ...........:...:.................... .:...:........... b ..........:. b • 1 . ._ a 14.,4.E • • EXISTING TO REMAIN 4 - _ EXISTING TO REMAIN NEW COPPER 5KYLIGH CENTERED " ` NEW COPPER SKYLIGHT con ON - CENTERED ON - - -` SCREENED PORCH F3 SCREENED PORCH (IJ NEW SCREENED PORCH - NEW SCREENED PORCH Q TO ALIGN WITH 60TTOM ...._._... ___.._. _._ _— I - __ TO ALIGN WITH BOTTOM OF EXISTING CORNICE: -® OF EXISTING CORNICE: - TRIM TO MATCH EXISTING - - )� TRIM i0 MATCH EXISTING U NEWPAINTEDCOLUMN5 .. I.I NEWPAINTED COLUMNS Im El NEW BASE TO MATCH NEW BASE i0 MATCH Q EXISTING Lm 19 'i. • I EXISTING ('v AA ll _ 0 W �`t0f il�b� _o U 1�71i Wd C I ��EYi WE '4 Scale:,,4'�-,--p•• Proposed Plan and Exterior Elevations i'1t �'11 i'4f . k e A0 �+ sal 1d0 �k1 The Bentas Resid ence Centerville,Massachusetts a 1 c 2013 Patrick Aheam AIA Architect ' a -3ATRICK AHEARN ARCHITECT • Boston www.patrickaheam.com Edgartown f COPPER SKYLIGHT _ • - MEMBRANE ROOF ON PLYWOOD SLOPED FOR r - DRAINAGE ' - - 3/4"PLY SHEATHING. TYP. - .- r - JOISTS.SEE 5TRUCTUKAL5 - - _ NEW TRIM TO MATCH3 • - ALIGN NEW TRIM WITH EXISTING -FEXISTING BOttOM 0 , CORNICE I, COLUMN BEYOND - - - - PAINTED WOOD SCREEN . DOOR AND TRANSOM. 'S"' - -. • SEE EXTERIOR ELEVATIONS O_................ -. - X . EXISnNG HOUSE TO - r' BLUESTONE DECK ........._......_ ......._ .......... .._ ......... REMAIN - • PROVIDE WEEPS FOR \ c a ` DRAINAGE EVERY 16' \ "' O.C. ............. ......................... .......... ........ c . _ _ E)(ISTING FLOOR i0 REMAIN _ e FIN15H TO MATCH - - - a EXISTING - - S DO NOT UNDERMINE ' - EX15nNG CONCRETE FOUNDATION, •H REFER TO STRUCTURAL r - DRAWINGS.Tn. 03 en . 4 • - N • _ o U Y U t 5c 1t.Vz'=V-O" Proposed Building Section/Interior Elevation The Bentas Resid ence a2• � Centerville,Massachusetts • c 2013 Patrick Aheam AIA Architect (3) 2 X 6 HEADER (MIN) t . IL PROVIDE MECHANICAL CONNECTION TO I I THE EXISTING STRUCTURE VIA TIMBERLOK I I OR EQUIVALENT MEANS. PROVIDE (2) LS50 (1 ON EACH FACE) (4).2), X 8 GIRDER -- -- — 6 X 6 P.T. (TYP) — I 2 X 8 JOIST (EA. FACE) I I (2) 2 X 8 BAND JOIST (rYP). n (4) 8 C6 POST CAP TO .-. 2 X GIRDER y BAND -- — 1 "ABE66 POST BASE W/ 5/8 X 5" WEDGE ANCHOR ('TYI') U28/LU28 a") _ LCE4 POST CAP TO BAND (EACH FACE) __rABE66 POST BASE W/ 5/8" X 5" WEDGE ANCHOR (TYP) Aline Architecture Inc. /. A - 100 Route 6A GENERAL NOTES: [ L 1 6 Y•� w` b ve Orleans MA 02653 1. ALL CONSTRUCTION NOT SPECIFICALLY NOTED ON THE PLANS TO BE IN ACCORDANCE WITH I 1 THE INTERNATIONAL RESIDENTIAL CODE 2009(IRC 2009)AND THE MASSACHUSETTS STATE BUILDING CODE Sth EDITION AMENDMENTS. DATE: 11/24/2013 2. ALL FRAMING MATERIALS WITH CLOSE PROXIMITY TO THE GROUND TO BE TREATED TIMBER OR APPROVED LOWER PORCH ROOF FRAMING MATERIAL FOR EXTERIOR USE. BENTAS RESIDENCE REVISION: 0 3. CONTACT THE ENGINEER OF RECORD FOR ANY AND ALL CONDITIONS THAT MAY DIFFER IN THE FIELD FROM THE CONTRACT DRAWINGSLEET, CENTERVILLE,MA DRAWINGS SCALE: 1/2"=1' 4. ALL DIMENSIONS TO BE VERIFIED IN THE FIELD PRIOR TO CONSTRUCTION. E.L.LARSEN CONSULTING SHEET: STRUCTURAL-CIVIL-PLANNING 5. ALL CONCRETE FOOTINGS TO BE POURED CONCRETE WC=3000 PSI:)AND INSTALLED A MINIMUM OF 48"BELOW THE pJQ5rING GRADE. POST BASES TO BE k 1 213 WEST MAIN Sr.-WELLFLEFF MECHANICALLY FASTENED TO FOOTINGS BY WAY OF CAST IN-PLACE BOLTS/WEDGE ANCHORS OR EPDXY GROUTED THREADED RODS. (P). 774-722-00042 S 1 •O ERIC.LARS.LARSENOGMAIL.COM 1 j H2.5A FROM RAFTER TO 2 2 X 8 BAND JOIST BELOW (2) 2 X 8 HEADER (2) 2 X 8 HEADER 2 X 8 RAFTERS TAPERED PPTCH PUCH I I FROM CENTER (1/8" PER FT.) F4 �rzwVi f7 w' Aline Architecture Inc. rcry rwv�d b 100 Route 6A GENERAL NOTES: Orleans MA 02653 1. ALL CONSTRUCTION NOT SPECIFICALLY NOTED ON THE PLANS TO BE IN ACCORDANCE WITH THE INTERNATIONAL RESIDENTIAL CODE 20W(IRC 2009)AND THE MASSACHUSETTS STATE BUILDING CODE 8th EDITION AMENDMENTS. DATE: 11/24/2013 UPPER PORCH ROOF FRAMING 2. ALL FRAMING MATERIALS WITH CLOSE PROXIMITY TO THE GROUND TO BE TREATED TIMBER OR APPROVED MATERIAL FOR EXTERIOR USE. r, BENTAS RESIDENCE REVISION: 0 CENTERVILLE,MA 3. CONTACT THE ENGINEER OF RECORD FOR ANY AND ALL CONDITIONS THAT MAY DIFFER IN THE FIELD FROM THE CONTRACT DRAWINGS LASS ET' SCALE: 1/2"=1' E.L.LARSEN CONSULTING SHEET: 4. ALL DIMENSIONS TO BE VERIFIED IN THE FIELD PRIOR TO CONSTRUCTION. ! STRUCTURAL-CIVIL-PLANNING 5. ALL CONCRETE FOOTINGS TO BE POURED CONCRETE(Fc=3000 PSI.)AND INSTALLED A MINIMUM OF 48"BELOW THE EXISTING GRADE. POST BASES TO BE 213 WEST MAIN Sr.-WELLFLEET 4-7224)042 MECHANICALLY FASTENED TO FOOTINGS BY WAY OF CAST-IN-PLACE BOLTS/WEDGE ANCHORS OR EPDXY GROUTED THREADED RODS. �)- 9 SEE ERIC.LARS.LARSEN@GMGM AIL.COM S-101 i (3) 2 X 6 HEADER (MIN) L�< PROVIDE MECHANICAL CONNECTION TO I THE EXISTING STRUCTURE VIA TIMBERLOK . . , . - E UNA OR LENT MEANS.. , . PROVIDE (2) LS50 ! i (1 ON EACH FACE) (4) 2 X 8 GIRDER IF 2 X 8 JOIST (EA. FACE) ( I (2) 2 X 8 BAND JOIST (TYP) (4) 2 X 8 GIRDER - ( AC6 POST CAP TO BAND - - i ABE66 POST BASE W/ 5/8" X 5" - - - - - WEDGE ANCHOR (TYP) 1 U28/LU28 ' LCE4 POST CAP TO BAND (EACH FACE) (TYP) I ABE66 POST BASE W/ 5/81t X 5" WEDGE ANCHOR (TYP) Aline Architecture Inc. 100 Route 6A GENERAL NOTES: ( rG V•v +n/� b # Orleans MA 02653 1. ALL CONSTRUCTION NOT SPECIFICALLY NOTED ON THE PLANS TO BE IN ACCORDANCE WITH THE INTERNATIONAL RESIDENTIAL CODE 2009(IRC,2009)AND THE MASSACHUSETTS STATE BUILDING CODE 8th EDITION AMENDMENTS. DATE: 11/24/2013 LOWER PORCH ROOF FRAMING 2. ALL FRAMING MATERIALS WITH CLOSE PROXIMITY TO THE GROUND TO BE TREATED TIMBER OR APPROVED MATERIAL FOR EXTERIOR USE. '� BENTAS RESIDENCE REVISION: 0 ' LEFT, CENTERVILLE,MA 3. CONTACT THE ENGINEER OF RECORD FOR ANY AND ALL CONDITIONS THAT MAY DIFFER IN THE FIELD FROM THE CONTRACT DRAWINGS MASS ® ��,\j ,(�jj�j L� SCALE: 1/2"=1' ,1 4. ALL DIMENSIONS TO BE VERIFIED IN THE FIELD PRIO TO CONSTRUCTION. E.L.LARSEN CONSULTING SHEET: STRUCTURAL-CIVIL-PLANNING 5. ALL CONCRETE FOOTINGS TO BE POURED CONC (Pc=3000 PSI.)AND INSTALLED A MINIMUM OF 48"BELOW THE EXISTING GRADE. POST BASES TO BE 213 WEST MAIN ST.-WELLFLEET MECHANICALLY FASTENED TO FOOTINGS BY WAY OF CAST-IN-PLACE BOLTS/WEDGE ANCHORS OR EPDXY GROUTED THREADED RODS. (P)' 774-722-0042 S-1 O ,i ERIC.LARS.LARSEN@GM AIL.COM • �s.r�'• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . F1 . . ... . . . IF- H2.5A FROM RAFTER TO (2) 2 X 8 BAND JOIST BELOW (2) 2 X 8 HEADER (2) 2 X 8 HEADER _ � — � L _ _ -1 F 7 F nrrcH nrrcH 2 X 8 RAFTERS TAPERED FROM CENTER 1/8" PER FT. tYrlMi1�1 p* Aline Architecture Inc. ; 100 Route 6A GENERAL NOTES: Orleans MA 02653 1. ALL CONSTRUCTION NOT SPECIFICALLY NOTED ON THE PLANS TO BE IN ACCORDANCE WITH THE INTERNATIONAL RESIDENTIAL CODE 2009(IRC 2009)AND THE MASSACHUSETI'S STATE BUILDING CODE 8th EDITION AMENDMENTS. DATE: 11/24/2013 UPPER PORCH ROOF FRAMING 2. ALL FRAMING MATERIALS WITH CLOSE PROXIMITY TO THE GROUND TO BE TREATED TIMBER OR APPROVED MATERIAL FOR EXTERIOR USE.} BENTAS RESIDENCE REVISION: 0 3. CONTACT THE ENGINEER OF RECORD FOR ANY AND ALL CONDITIONS THAT MAY DIFFER IN THE FIELD FROM THE CONTRACT DRAWINGS ' FLEET CENTERVILLE,MA BASS. ") G2C�� hIf-E3 SCALE: 1/2"=1' 4. ALL DIMENSIONS TO BE VERIFIED IN THE FIELD PRIOR TO CONSTRUCTION. E.L.LARSEN CONSULTING SHEET: STRUCTURAL-CIVIL-PLANNING 5. ALL CONCRETE FOOTINGS TO BE POURED CONCRETE(F'c=3000 PSI.)AND INSTALLED A MINIMUM OF 48"BELOW THE EXISTING GRADE. POST BASES TO BE 213 WEST MAIN ST -WELLFLEET S-191 MECHANICALLY FASTENED TO FOOTINGS BY WAY OF CAST-IN-PLACE BOLT 722 BOLTS/WEDGE ANCHORS OR EPDXY GROUTED THREADED RODS. W): 774- -0042 t ERIC.LARS.LARSEN cCOGMAIL.COM G GQ�Q�QO . ow �cJi m(Y C)Y w U G O�G - GREEN DUNES DRIVE LOCUS #203 CENTERVILLE HARBOR REEDLOCUS =_ N.T.S. N T S MAP 245 PARCEL 23 : 00- R-1437. 55' Cu r S , r') r RAVEL DRIVE . N p ATER VALVE 1 - TO BEIN LOCATED ♦ ��N j o a`� 1�\ WALK tr , , , APDtr.r 1;, ,_... . ARAC E 'er FNCEGRAVEL 1DRIv"E GARDEN r. 11YOUT ♦ l __•-. . ;z; f DRIVEWAY / I RELOCATTiON -, _ j i , 8 t Ix S r , / • w 1 -03 1 " f ' . ELEV.=15 ,� d_FL j / RTQWN f Y _ STI4L BANk r PA r START OF STAT COASTAL BANK ' r r _ r , - A l E' { 8 \ t C C ; tax r/ 2a i ti f /f iy r w ILP 016 r i r b�• � , 7' aqCV IN to NEW ♦p+ '• :4 •� O 4 . SAFETY - �•.: � $,?i~ FENCE � n Tt1 � �� ♦ 4�" w N + , aat GENERAL NOTES TOWN BENCH MARK OASTAL FIRST FLOOR AT THRESHOLD -BANK ,° FLOOD ,? °,a ELEV=15' No, ` TOPOGRAPHY , TOPOGRAPHIC CONTOURS BASED ON bt •w. . ,■ LOCUS OWNER: 1 • E. J. BENTAS .._~. _,..~ ... �--a�: ..__.~. h ..■• ' r , 203 GREEN -DUNES DRIVE WEST HYANNISPORT, MA 02548 ASSESSOR'S MAP: 245 PARCEL: 23 � y N STATE DEED REFERENCE: CERT. #49140 OASTAL PLAN REFERENCE: L.C. PLAN 11408 W CID !^ .,_. _..._ 12 BANK CONTRACTOR __.. ,..._.._.. DIG-SAFE 1-888-344-7233 C-0-MM WATER DEPT. 428-6691 0 , _ f FLOOD INFORMATION ......- - FLOOD ZONE V16 - AREA OF 100 YEAR COASTAL FLOOD; WITH VELOCITY (WAVE ACTION); BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINE.'' ON F.LR.M MAP COMMUNITY-PANEL 8 OF 25 NUMBER 250001 0008 G, JULY 2, 1992. WETLANDS PERMIT 203 Green Dunes Drive West Hyannisport, Massachusetts CEN TER VILPREPARED FOR RR H� RR E.J. BENTAS BOR B ax ter, NY Holm e & ren, Inc. g Registered Professional t3ls" s<A", Engineers and Land Surveyors u 812 Main Street, Osterville, MA 02655 os s-tom ti t Phone - (508) 428-9131 Fax - (508) 428-3750 EVO:50215 � L7 d 0' 20' 40' 60' _SCALE:1 "=20' DATE: FEBRUARY 24, 2000 REVISED: APRIL 28, 2000 - - H: 1 999 99151 151—FLOOD.DING Pp ` O O O 3 0 ow - G�Pc� � 0 GREEN DUNES DRIVE LOCUS - 203 CENTERVILLE HARBOR LOCUS �""� N DRIVE GREEN _ N.T.S. MAP 245 PARCEL 23 _ -1437. 55 , 0. 00 R `.., a r r \ t r _.- �7 , W LIGH4T N f ' - f ,1 �. /r 1, '•,``• RAVEL DRIVE . , N , ATER VALVE TO BE -_.. LOCATED c3., , .` T n.E \ BRICK \'•.. �, 0 PR_,+•^ I'Y� '3`-. t`t l" \T i '�'' iJ FCSL,Y� t WALK O f f' NEW . l - NCE ♦' tµ`' —.�` GRAVEL t�n,Vf GARDEN CR ♦LAYOUT WAY �� a f DRIVE r ♦ � ' f' ♦ a r .. ..N 4 . `" 1 RELOCATTION rf r 4X '- r f ;, j i I { I•. ,aW ' 0 Y.ER" %. a FLOODee• 7� f l r ; I z STORY fs _ ! tN: . t , ELEV.-15' ,.., r� sg;t � r .` � 1 i I � �''`,, 14 a OVER 9W ' }7 , CbAST¢4L BANGit / ti t N ,,..,°� F S d . ,0 j f i ! • f P r ,' i..3 R I v / Sx , START x OF STAT = r z 1 COASTAL BANK r t s 1 • F _ - - , 1,3 r Y Ok, S / ✓L. \ ` IS PY CY , , a l` . - • , '` N NEW CV� , �•`• :�: SAFETY.- FENCE 4 , , •w. d N �= ` GENERAL NOTES *a C BENCH MARK TOWN' �,• FIRST FLOOR AT THR ESHOLD _,... BANK ., b1 FLOOD F E =24.6' E TOPOGRAPHY BASED ON gyp, . TOPOGRAPHIC CONTOURS . K N V D .W , LOCUS f k,, — • 8�s , '° ' , OWNER: Opp t- .f b f 14 E. J. BENTAS ,yc 203 GREEN DUNES DRIVE WEST HYANNISPORT, MA 02548 ASSESSOR'S MAP: 245 PARCEL 23 ., ' . •, - w• STATE DEED REFERENCE: CERT. #49140 OASTAL PLAN REFERENCE: L.C. PLAN 11408 W 12 BANK 4� I ' •`. ,, t._....� � CONTRACTOR DIG-SAFE 1-888-344-7233 O -•.f C-O-MM WATER DEPT. 428-6691 FLOOD INFORMATION FLOOD ZONE V16 AREA OF 100 YEAR COASTAL FLOOD; WITH VELOCITY (WAVE ACTION); BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINE. ON F.I.R.M MAP-COMMUNITY—PANEL 8 OF 25 NUMBER 250001 0008 G, JULY 2, 1992. WETLANDS PERMIT 203 Green Dunes Drive West Hyannisport, Massachusetts CE N TER V PREPARED FOR I TEE _ H O000/�) E.J. BENTAS Baxter, Nye & Holmgren, Inc. Registered Professional � Engineers and Land Surveyors i•S. aF 4``` " 812 Main Street, Osterville, MA 02655 CTEri" 1 E p Phone - (508) 428-9131 Fax - (508) 428-3750 a :f v0 :, t!o,3026 ` , Fes\ 0' 20' 40' 60' SCALE:1 "=20' DATE: FEBRUARY 24, 2000 i REVISED: 'APRIL 28, 2000 H: 1999 99151 151-FLOOD.DWG' PATRIC K AH EARN ARCHITECT Boston www.patrickahearn.com Edgartown g = ZEE LLI LU ILI /71 z l - HEADER A5 REQUIRE y EX15TING FLOOR - STRUCTURE TO REMAIN N I ai t J EXISTING WALL FOUNDATION TO REMAIN LL LLI LL z O U O 5TlJCCO OLU LU w ,J O HEADER A5 REQUIRE z EXISTING FLOOR 0 5TRUCTURE TO REMAIN - w = p Proposed Front Elevation �� EXI5TING WALL/ Scale : 1/4" = V - 0 FOUNDATION TO REMAIN I View from driveway O FOOTING TO REMAIN;PIN _ N A5 REQUIRED - J M Cd ELEVATOR PIT A5 REQUIRED h Proposed Section 1, 2 4 Scale : 1/2„ V- o., Proposed Floor Plans - Elevator Addition R i enc e TheBentas es d a2Green Dunes Dr Marstons Mills, Massachusetts © 2016 Patrick Ahearn FAIR' Architect I