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HomeMy WebLinkAbout0081 HIGH NOON DRIVE a s UT, V7,z � r 1" "Ab4. .. .. ;,fi ,s s '� ._ •.s L� eax't �r.:, 14''.,. �y^ �.re 5" ��� �'�_ �i �,� - 'f:.k� •r � `>� .4 s a 0 i u E a ,r A .a llow s to A 11 Kohl j, r. E 4 a � tij I I�r t 1� � x i 9 f t, i 4' S5 C l� �f I �, ft t y! kit s i.; &� loin AS SYS ASKS QUIT t. VIA kt u, I � A � e c , , y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel NG Application # N Z y .4 I Health Division ? Date Issued NOV p . Conservation Division Application Fee TavPlanning Dept. ' ri14!�TASLE Permit.Fee Date Definitive Plan Approved.by Planning Board Historic OKH Preservation / Hyannis SCANNED Project Street Address 1 Vr Village C —(fjiqQ Owner O C;j �eur Address Nuk Qf-hCC Telephone �3m f // r/ i Permit Request C.b`� '3t 9 (,([ I1 tVA_I 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Nik Groundwater Overlay.� Project Valuation Construction Type�� Lot Size Grandfathered: ❑Yes /NoIf yes, attach supporting documentation. Dwelling Type: Single Family ta� Two Family ❑ Multi-Fa mi (# units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas . ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: 0 existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use .Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) .� ..� -. __• � _ _ ....-- r, �- .! - - r_fir..-._..— 1 ame ,/`� Y' Telephone Number r- Address L h (ran License# r S44,661Home Improvement Contractor# Wblbs Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO n 1. rd SIGNATURE - DATE A FOR OFFICIAL USE ONLY r:. APPLICATION # DATE ISSUED MAP/PARCEL NO. _ ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION FRAME f, INSULATION 'z FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F FINAL BUILDING c DATE CLOSED OUT ASSOCIATION PLAN NO,� i Iy` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel f� / rLJ -� Application # Health Division '� I Date Issued Conservation Division Application Fee Planning Dept. ; Permit Fee Date Definitive Plan Approved by Planning Board i Historic - OKH _ Preservation / Hyannis i Project Street Address , f Qr Village e r1 VP fUt Owner u� ,-` .cy CUB ' Address nmN Qrq a Telephone 0� Permit Request b l.(I� rULN IG , v � x S�c c�� C Jw�� ���h L, 1 I,nM ry, `UA 1 �,r i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain \ I Groundwater Overlay Project Valuation _ k Construction Type Lot Size _ Grandfathered: ❑Yes /No' If yes, attach supporting documentation. Dwelling Type: Single Family `O1 Two Family ❑ Multi-Family(# units) -- Age of Existing Structure Historic Houser ❑Yes No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout 0-Other : i I Basement Finished Area(sq.ft.) I Basement Unfinished Area(sq.ft) A Number of Baths: Full: existing new r� Half: existing new tF Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric 0 Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: i Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �Te�ephone Numbet` Address Wori Se" ` '~ .. License# 1 W-) A Home Improvementw..Contractor# Email S6 tJv��► ���Sl�� ( �y►�v�, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "nf On r8 SIGNATURE DATE C� / FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i Town of Barnstable s�sxsTnsrs, � . Regulatory Services v� MAS& $ Richard V.Scali, Director i6gq. �e �Fo +A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ` a , Check One: ❑Shed ❑Deck ❑Pool ❑Porch ❑Gazebo FOR ALL APPLICATIONS:' ❑Determine map and parcel number and enter it-on application. (This information maybe obtained from the Engineering or Building Dept.) ❑Completed Building Permif Application Approval/sign-offs are required and can be obtained at 200 Main Street: ❑Historic District Commission ❑Old King's Highway Historic District(North of Route 6) ❑Hyannis Main St. Waterfront Historic District(see map for boundaries) ❑Historic Preservation(if applicable) ❑Health Department Hours are: 8:00-9:30 AM or3:30—4:30 PM ❑Conservation Commission Hours are: 8:00-9:30 AM or 3:30—4:30 PM ❑Tax Collector r ❑Treasurer v , ❑Homeowner License Exemption Form(if homeowner is acting as general contractoribuilder for project) or Copy of Construction Supervisor's License must be submitted(except for in-ground pools) ❑Worker's Compensation Insurance Affidavit must_be submitted. Copy of Insurance Compliance Certificate must be on file. ❑Copy of Home Improvement Contractor's License.(residential only if applicable) ❑ Property Owner must sign Property Owner Letter;of Permission. ❑ A NON-REFUNDABLE Application fee is due upon receipt of application number❑ ,Permit fee. SHEDS/DECKS/OPEN PORCHES/GAZEBOS: r " ❑Plot Plan or mortgage survey required to verify zoning compliance. Placement of proposed structure must be sketched in and the distance from property lines indicated. The location of the septic system should also be shown. ❑Two (2) sets of plans(8, 1/2"01"or 8 1/2"x 14) showing cross section and framing schedule. ❑Mass Compliance Checklist—not needed for decks ❑Prefab sheds require factory brochures &engineered specifications. Engineered plans for all sheds. ❑Prefab sheds require a copy of the Construction Supervisors License &Home Improvement Specialist's License unless the homeowner is applying for the permit in their own name POOLS(250 so. ft.and over or 2' deep or deeper require a building permit)-, ❑Plot Plan or mortgage survey showing the proposed location of pool and the distance from property lines. Plans must also show location of backwash pits if applicable. El Construction Drawings or Factory Brochure& specifications. 0 Show placement of fence,list description of fence and materials used. Q:bldg/wpfiles/fomms:sbed-deck Rev:031814 ----- ------- REFERENCES: ZONE:RB �'"� Road Map: 247 Setbacks: harbor Parcel: 060 Fron t: 20' oHw °HW Side: 10' ° Rear: 10' I o I j stone NOTES. i Parking Proposed Enclosure Q. Fence 1.) The structures shown were located on the ground ___----- N � Proposed by conventional survey methods on (or between) ` o Spa ao date(s). Total Area 0 37,87915F1 - Proposed 2.) The property line information shown hereon was t Pool compiled from available record information. _ ° Fire f 5.6' P't 3.) This plan is not for recording and is not to be ° used for construction layout or deed description purposes.. ..................................._. Proposed ° Pool Ste I !Equipment Plan Showing New Pool At 34 Sound View Rd x� �er BARNSTABLE #34 I sir w/F (Centerville) Dwelling I �� 4� �t44 15.6' ��Z MASS, m;� �? DATE:30/OCT/20 SCALE: 1"=40' m 3. 0 10 20 JO 40 60 80 FEET 44.5' c c Exisfin9 Septic NO PREPARED FOR: Cme 3 I certify that the structures Todd Brodeur ol,W shown hereon conform to --O"" the setback requirements of View Road the Zoning Bylaws of the PREPARED BY: Sound town of Barnstable. CapeSury 23 West Bay Rd, Suite G Osterville MA 02655 DWG #: C727-1gl cppl FIELD BY: WHK/ASK (508) 420-3994 / 420-3995fox T Town of Barnstable o� Regulatory Services w uAMNSTAarlr F y KASS. �, Richard V.Scab,Director 1639. Building Division t Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Omer Must Complete and Sign This Section If Using A Builder as Owner r of the subject property hereby authorize to act on-my behalf, in all matters relative to work authorized by,this building permit application for. ( dress of job) Pool fences and alarms are the responsibility of the'applicant. Pools 5 are not to be filled or utilized before fence is installed and all final -inspections are pe ormed and accep- Sigi aturelof Owner/ Of ant Print Name , Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS " T IM Cominomvealth of Massachusetts Departirma a,f rudustrid Accide as - O ce o f fmwstigatiom ' 600 Wadiuxgion,street ' Raston,-M 4 02111 wrvxn massrgavIdin Warkers' CampensatianInsuranceAffidavit B.gildem/GontractarslEIecfricians!Plumbers APPEcant Infcn-matian Please Frint Le�xI�Iy I�Tarizee�3ns�esst�OFganiza�iooJlndCQidnai� �1 ,, Address S V\`2f 9MY, I- . eitylstatd c 0 phone, 'e jou an employe . tote the appropriate bow Type of project(required)- Iam a employer with 4. ❑I am a gegeral contractor and I 6_ ❑Near g oanstracfiu employees(full andlor part me * leave Mired.the sub-contmdoLs 2_❑ I.am a sole proprietor orparbrw listed on the attached sheet 7. ❑Remodeling ship and have no employees.- . These sub-co tracters have g- ❑Demolifioa wod-ing forme in any capacity employees and hare workers' 9_ ❑Building addition Worloem,camp-insurancecomp- u -C"—I requured-] 5. ❑ We we a eorparafifln and its 10❑Electrical repairs or additions 3-❑ I am a homeov=doing all work affcers have exercised their M E]Plumbingrepairs or additions myself [Nb worfaers'CGMP. right of esempfion per MGL 13_0 Roofr imuz nce reclurired j 1 c.152, §I(4�and we Save no employees_(No o workers' 13_[]other corup.insurance required_) ;-A-ay apgtic=dwtcbac sbos R mmst else finoulthe secdonbelowsbgWng flmkwoAme co®pensat onpuBuina"Mam- &omevmnes who submit this affi&ndf ndicatmg trey are doing zU waah sad rhea hue au=&cDartacft==st submit a new affidwit indicating sacb_ tcoatmaostba2 check thk boa mast attached=additianal sheet showing the oEthe sub-contractors aad state whether onwtthase euntiesbnm employees.If the sabtantaictrrshave employe--%theymusrptvuide thek workeW tamp.paRg aim1bez: I am an erripInyer t7rat is prmzdirrg itrork¢rs'conrpetrsafiarr i�rsurarrce fur m�*¢rrrpfay�es Betoav it tlt¢pulley arsd;job rite irr�orrrrafion � - Insurance Company Name: Policy-,At or Self-ins.I[ic_�: W75 l=�piratiaa Date: l Job Site,Udres ,,-l ( \ (-VJ d 'Pr,' eitylStzW2«p: A 0'J Aftach a copy of the workers'compensationpolicy declaration page(showing the policy number and respiration date). Failure to secure covenge as regmrecl under Seztion 25A o€MGL c L52 c4m lead to the imposition of criminal penalties of a fine up to$1.500 00 amitor one-year impdsonmezd�as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250-DO a day against the violator. Be advised that a ropy of ttis statement maybe forwarded to the Office of Irrvestrgataans Af the DIA for' =ranee coverage-a mific ation_ T AFa hereby c f�wider th 'rs arrd perm of�ee�ra ry'fluor�t�lte ircfat�viafian prmzrTed abote ig hue arrd correct Signatur - Bate: Phone 0,0kial um mire. Da not ivrite in this area,to be cm npleted by city artolva o f rch:L City or Town: Perndtff&ease ik LssuiugAuthority(circle cure): . L Board of Health 2.Bailc&ng Department 3.Citytrown.Clerk 4 Electrical Inspector 5.Plumbing Iusp ctor 6.Other. Contact Person: Phone#: _ r Office of Consumer Affairs;and Business Regulation 10 Park Plaza - Suite 5.170 Boston, Massachusetts d!4 6 Home C Improvement for Registration Registration: 172668 Type DBA, Expiration; 07/07/2021 Tr# 419291 SWIMMING POOL & SPA DESIGN STEVEN SENNA 87 ENTERPRISES RD ' HYANNIS, MA 02601 ° Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment 0 Lost Card SCA'1 €,•. 2OM-05/11 - Office of Consumer Affairs&Business Regulation License or registration valid for individual use only ! before the expiration date. If found return to: fi (3•HOME IMPROVEMENT CONTRACTOR. i Regstration' 17266g Type: Office of Consumer Affairs and Business Regulation a zr 10 Park Plaza-Suite 5170 Expiration DBA 07/07/2021 x � + Boston,MA 02116 I SWIMMING POOL&s�S _ SIGNr j"j, i STEVEN SENNA <r l 87 ENTERPRISES RD, ^�'"• 4 ..,.:�.<.• ---- HYANNIS,MA 02601 Undersecretary j Not valid.without signature . . 9 I CERMCATE C#L IL �k � D7/27/20 tom. was a + us rr�r A WNW=WMAM T tSMM t },AM t a tenumAw Coaxb=of ft wras ' art cam A sment s+ �tfaa� ran�r r�giz#s 1a bea steam botdec to i ofsu � �onnc�t 9c.I'tiega C- ScM,eSIMI ins EMU=3d main ftmat t Wwt 3!b�l : Ift 02673 .aam tnsw�u smmw Sawa DR Somamm POCLTr-sm ugsxw 87 ,T.� I - i 'tHtS TF3G��lFhtt{Y� �3P�I,BBB.C�diANE13�fitlTSam ili�9�EE}L��Aflil�FCA7•bJE�79.iCYP itT�: itgl�lH�[A{1 (E 3E�b9CAA�l3i0$flF14f1tYi�ONi}�iC�CFtC�lk1��1Nf3�1P1�'#'?OV1iH1CldJlii8 If lM MAY BE!SMM OR MAY PRIVA,*DM MOMM A"QRW SYTBE PMrA R HE REW IS StG=70 ALL THE TOM. 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ACQY�17�2&{2�tlAlSj �A •� t - � S'ARD I Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, M ssssacphusetts 02118 Home Improvem ZVOontractor Registration Type: Individual STEVEN SIENNAW Registration: 172668 D/B/A SWIMMING POOL&SPA DESIGN + N Expiration: 07/16/2020 _ 87 ENTERPRISES RD n HYANNIS,MA 02601 H Update Address and Return Card. SCA 1 is 20M-05/17 ��ie �povn7rzo�recu�o�C�craaac�ucaelZa k Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: R ist tlo m Expiration Office of Consumer Affairs and Business Regulation :298 07/16/2020 1000 Washington Street-Suite 710 STEVEN SENN',A�" i �__ Boston,MA 02118 D/B/A SWIMMING ©OL&yPq DESIGN s STEVEN SENNA 87 ENTERPRISES�tiD C�� �'�J/�+-���. 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' :S ANI:'lu llhS:tTNST1• CYI.)GtR9ryi 1•t4,L:,}:.t S.'Yt '1 1.• .Ir, 1} . , , POOL 1tUriN/SjjL1O IVIII'l1 DjuuFIS'1T,lAN C0A1PL1i4.NCF,.,.+,, 1. GAUGE STEEL I�:YC,tGr' FRb11,lAA EtllA.4vlk'il 1! 1�7Ae •Ibs• .. .i',7fts%llt'Si\lt:t•a'dl,/.I sQ'b l2:F.) ., 'f,?'f'IFSVjRGIIt+fAGR.4E_Nfj; fCGR'NOULANI),SAI7`7Y.. 'GALVANI2EOcoF'�Urw�Lti:55G•225.. ._.R R 1' T A;er19.�QUn2i:D[ t }r_4 c35,Q1 t9G'1 c Ct �t,1 � ALL L,TEE l+t'GLE57».}11,9•uTIFPHIIER^, �1'\�''•,�x ' a0/Sq: !,j ]rICOV1iRSASA•IL)A112 19 8 300,?1Y'3••U'rAfUJ y. • ALL'OOLl9rlHRcr\Uct)N!A'rONEP1i5rli:•'f:AaflERdr3t5'FF.O`"7,;Atenli..0 1 ..r.1n.,G..'SI).1.'t-;r S�'iL_-L F.;s9•i,L615�1°'t6t4'.,•-°`:'•;. �': 4 Rt t'i,�4' APART-AND, AND ZINC]FUd FO. EN1RAAn1f:NT'AV iDANCGA4USTF3&1NSTAI,l.f:1), "t•ClfE,l_?!_�rt•c__:_J f t-�` a a r V �ae� �ax4Y+ �tr>rf+ iintrcrfst 36365 - t5 tt P A tl � 7 a! e r .��• �' :.. ., rAw �'"M1i �p'4>�. 'tl 4 �aa o T � py a +A'r^ b �". A z z' -�'>' f ;.,+� �,. httpsl/mail.google.com/rna!YuUftearchla.briggs%40baystatepools.com/1586d75claa6f6ac?projector=l 1/1 L- _ GET /DevMgmt/ProductConfigDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/ProductConfigCap.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET ./DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/ProductConfigDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/ProductConfigCap.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/Media.HandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP./1 .1 HOST:localhost l ` TOWN OF BARN'STABLE LOCATION �-t .JUy^ V`<W `nw SEWAGE J-7 7,/ VILLAGE r V l ASSESSOR'S MAP&PARCEL�q •2 INSTALLER'S NAME&PHONE NO. 'CDs- Qri L SEPTIC TANK CAPACITY I SOO i k t L �-� �,�� ®0 LEACHING FACILITY (type)o SZV (IrAAu (size) /A r s X V V.Z NO.OF BEDROOMS 1 OWNER U r PERMIT DATE: l � COMPLIANCE DATE: 172 , Separation Distance Between the' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on , site or within 200 feet of leaching facility) Feet f Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet , FURNISHED BY lot y L Av: ]D,� i R I o SQ?\1r\3 v t e,w CQ ----- ------- REFERENCES: ZONE:RB Map: 247 Setbacks: Hills Road Parcel: 060 Front: 20' ..__Harbor Side: 10' �OHW Rear: 10' I b I I Slane NOTES: o I Parking Proposed . Enclosure a a 1.) The structures shown were located on the ground N L--_--__- o Fence Proposed by conventional survey methods on (or between) o < Spa dates . Ad m Total Area 0 37,879tSF Proposed 2.) The property line information shown hereon was Pool compiled from available record information. 1 Fire Pit 3.) This plan is not for recording and is not to be used for construction layout or deed description purposes. ........................_.........._..............._ Proposed .................................................. . ° Pool sn d I 'Equipment Plan Showing New Pool ° At 34 Sound View Rd BARNSTABLE x� q3a , sty w/F (Centerville) 44 Dwelling 15.6 MASS. 0 o t` o c>2� DATE:30/OCT/20 SCALE: 1"=40' ^o o: 0 10 20 JO 40 60 80 FEET m 3. o 44.5' .... c Exi sting Septic ns°eco'e °00 PREPARED FOR: .I certify that the structures Todd Brodeur --OHW---�OHW shown hereon conform to _ the setback requirements of SoundView Road the Zoning Bylaws of the PREPARED BY: �� esllrV town of Barnstable. 23 West Bay Rd, Suite G Osterville MA 02655 DWG #: C727_1g1 cppl FIELD BY: WHK/ASK (508) 420-3994 / 420-3995fox 8'Rx6' 71RR ' I 4' 8'Rx6' RETURN 81Rx6' ' 81Rx6' 7'RRxRx2'611 , 8'Rx3'6" .M 8'Rxb° 16 8 - ---- N 8'Rx2' l.rGHr 1 8 Rx2 R8 . i ; ,'MIN. g I R II SAFE-ioar X4 3 f 18'-bi2ll f ' � p � 8'Rx5'311 _ - 8'Rx 6' 8'Rx6 RETURN RETUR y SKIMMER 22'Rx3 22'Rx6' '- �22'Rx6' 22'Rx6' 22'Rxb' Step Option 1 f r. ------------ II , 1 — 1 t' II "e ' __ E 3 -4 6"WA1ERLrN T------------------- 8 Rx2.2 w. --- -------------- cG g -- ------------ 11 —_ 11 i— 3 4 � 4' � � -----_— 14' 32 -1111 8 - z�l 8'Rx2'6" CENT 16-0 X 18-7 AL.WAY X 32-2 �r RIGHTr'� , , R� DIVING/SLIDING EQUIPMENT SHALL BE " Rx6' i �� i^ 84L6! VOLUME(US Gel) DESIGNED FOR SWIMMING POOLS AND ^' (t��r : SHALL BE INSTALLED IN ACCORDANCE RETURN•_J �aiN( � , rid 477 VOLUME(Liters): 15700 WITH THE DIVING/SLIDINGEQUIPME !Vial t 59400 MANUFACTURER'S SPECIFICATIONS.T _MI 1�94 GATE;. 1/1/2016. I�a� PLEASE CONTACT THE DIVING/SLIDING DSR: 149 Feet ,y�e EQUIPMENT MANUFACTURER FOR 40ALE, I�RIn 1��,' THEIR SPECIFICATIONS 1/8 2'Rx6 ��m 1' 2 MEETS DEPTH AND SHAPE MINIMU Step. M ANSI/APSP/ICC-52011 Opti on 2 - HE ET: 1,.017,3 v _ _ r i, �— r an to a' 9 toll 22'- W 4 15'-0" S1 t 114'.0"• 9'-3" 10 to 11 11'- Part number Description Q q q 2 to 3 14'-0" S2to 2 29,83 RA0722642X 22'Rx6' 3 3 2 to 4 15'-0" sit 2 '- t all 30'-2 3/4" 3 to 4 V-21/2" H1 toS2 2 '- to 9 11'-101/4" RA0722642* 22'Rx6'SKIMMER 1 1 5 to 7'- 8 to 10 25'-4" RA036264OX 22'Rx3' 1 1 RA0720961X 8'Rx6' 3 2 2 RA0720961* 8'Rx6'RETURN 2 2 2 RA0630961X 8'Rx5'3" 1 1 1 RA0510961X 8'Rx4'3" 1 1 I 4 RA042096OX 8'Rx3'6" 1 1 1 RA030096OX 81Rx2'6" 1 1' 32 RAo2sossox 8'Rx2'2" - - 1 . RA024096OX 8'Rx2' 1 1 1 1'7-1/4° RA0240960' 8'Rx2'LIGHT 1 1 1 A B RR0720841X 7'RRx6' 1 1 1; t ----- �, : --- -------- -- ----- — — ---------- RRO24084OX 7'RRx2' 1 1 1, Brace. . Brace 18 17 18 .: 5 / i IPC-STKPK25 REBAR STAKE 18"25PC 2 2 2: IPC-HDWSTRT150 BOLT STR 3/8-16X1"CM NUT 150PC 2 2 2: t / 1 '� 1 ��, �,��.�4 7 ��ce � � 1 " ST8049B THKSHT STEP CURVED S N S 8 1 _ 1CY I STPRM89P ACRYLIC STEP CURVED ROMAN 8' 1 I M d' I 1 M C C\l 10 , 1 — I A B C D 1 11 3 3/4 25 5 26-0 13-3 2 25'S" 11'-3 3/4" 13'-3" 261-4" 9 --- 1 3 16-51/4" 16-51/4" 27'-2 3/4 2T 2 3 ' D w ---��— -------- 4 16'-8 3/4" 16'-8 3/4"" 28'-2 3/4" 28'-2 3/4" '�1� 5 12-41/4 19-101/2 264 21'-2 6 19'-10 1/2" 12'-4114" 21'-2 3/4 R 7 32'-2" 5'-5 3/4" 13'-1 1/4" 34-3 ;A 8 32'-21/2" 14'-11 1/4" 5'-3"y 9 .25'-6" 23'-61/2" 14'-6 3/4" 10 14'-111/4" 32'-21/2" 29'-0' 4 €: 11 3'-71/4" 30'-8 3/4" 34'-21/4" S2 29'-51/2" 18'-11" 8'-3" St 24'-0" 8'-1 1/2" 1 20'-3" H2 2014, ,28'-4,�" 22'-1 3 4" -n I lnl......:-.� Town of Barnstable t $ Building Department Services aMMST UE. ' Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, S iwQ{i Furyw r) , as Owner of the subject property hereby authorize i to act on my behalf, in all matters relative to work authorized by this building permit application for: ' Address of Job) **Pool fences and alarms are the responsibility of the a cant. Pools are not to be filled or utilized before f e is install and all final inspections are performed and accep ed 01— Signature of Owner gnature of licant Print Name Print Name Dad Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 Town of BarnstableBuilding s Post This Card So That it is Visible.'From the Street-Approved Plan' Must be Retained,'on Job and this Card,Must be Kept MRNSTA PostedbUntil Final Inspection Has Been Made. •b3w ,� er it �Where'a Certificate of Occupancy�is Required,such Building shall Not be Occupied until a Final Inspection has been made ; Permit No. B-19-3299 Applicant Name: STEVEN SENNA SWIMMING POOL&SPA DESIGN Approvals Date Issued: 10/18/2019 Current Use: Structure Permit Type: Building- Pool-Inground Expiration Date: 04/18/2020 Foundation: Location: 81 HIGH NOON DRIVE,CENTERVILLE Map/Lot: 193-217 Zoning District: SPLIT Sheathing: Owner on Record: FERNANDES,STEVEN A&ABEGALE S Contractor Name:��-STEVEN SENNA SWIMMING POOL Framing: 1 & Address: 81 HIGH NOON DRIVE $PA DESIGN 2 CENTERVILLE, MA 02632 �i Contractor'License: -172668 Chimney: t Project Cost Description: To Construct 18x36x8 pool with vinyl liner and steel walls with pool Es : $30,000.00 rated fence Permit Fee: $ 175.00 Insulation: Project Review Req: AS BUILT SURVEY AND BARRIER INSPECTION REQUIRED Fee paid`. $ 175.00 Final: BEFORE POOL FILLED WITH WATER. Date: ' 10/18/2019 Plumbing/Gas C Rough Plumbing: 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 theapproved construction documentsfor-which.this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws;and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road,and shall be maintained open for"public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until ell applicable signatures_by the Buildine.and,Fme,Officials are,provided onthis�`permit. Service: Minimum of Five Call Inspections Required for All Construction Work: h: 1.Foundation or Footing Rough: �"* g 2.Sheathing Inspection , 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department " Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT e Application Numb y ..............................................^ 115' 00 y s639� ,� e. .....Other Fee,....................... ' Total Fee Paid =a TOWN OF BARN,STABLE Permit Approval by.... ....i on. !e'!.��� r•-,4j .{ .. ....... .. .. ................ BUILDINGf.P6RT Map........................................Parcel...................../....................... .APPLICATION Section 1 —Owner's Information and Project Location s' Project Address Gc•� �n �� lk Village rvo I c Owners Name Owners Legal Address } City 1 ( � �... State Zip 5 J Owners Celli#: �'q b 7� 0'> E-mail 4' Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet J,. ❑ CommerciaTStructure under 35,000 cubic feet Y ❑ Single/Two Family Dwelling s =Section 3 —'I`ype of Permit ❑' New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑_Addition ❑ Retaining wall ❑ Solar , ❑ Renovation Er Pool ❑ Insulation a . Other—Specify Section 4 --Work Description r nor,,-A.+.A• 11/1 Chnl 4 Application Number.................................................... Section 5—Detail ' 9 Cost of Proposed Construction 34(060 Square Footage of Project Age of Structure. Dig Safe Number # Of Bedrooms Existing N ' Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design F Section 6—Project Specifics,- Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ® Add/relocate bedroom Water Supply Vublic ❑ Private -. Sewage Disposal ❑ municipal Site ' g P P Historic District ❑ Hyannis Historic District ❑ Old Kings Highway T Debris Disposal Facility: 1 th�� rA - `1 am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation r Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use0��!l Lot Area Sq. Ft. � -r Total Frontage Go C' Percentage of Lot Coverage_#of Dwelling Units (on site) Setbacks Front Yard Required ProposedXb t - Rear Yard Required Proposed �f Side Yard Required a Proposed 10 1 rg Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated: 11/15/2018 �_ J ACCORDANCE WITH ANSI/APSP/ICC-5 2011,THE JSTALLER IS RESPONSIBLE FOR PLACING ONE SKIMMER RETURN DR EVERY 800 SQUARE FEET OF SURFACE AREA AND ONE 2'Rx3'2" ETURN FOR EVERY 300 SQUARE FEET OF SURFACE AREA. 8' 81 2'Rx3'2" SKIMMER 8' 8' RETURN 2'Rx3'2" a I I ; i 6, '1------------?— ; 41 i 81 I 1 , I I 18' 101 2' i = I'MIN, i 2'Rx3'2" ' --I SAFETY ROPE 8 i LIGHT C ; ; i AND FLOAT RETURN Step Option 1 ' i I I L6 -d- , 61 RETURN ----------- 2 Rx3 211 41 1 iI � I 3' 2'Rx312° 81 8' 81 8' 2'Rx3'2" o1 Barnstable Bldg.Dept. RETURN RETURN Approved by: 3' Permit#: ----------- — - -----7- —1 ' 3'-4'1 6"WATERLINE 3'-411 6 2'Rx3'2" 8� — -------------------------------------------------- = _T I RETURN Step Option 2 4'_811 8' RETURN ICC 4' 6 14' 12' 36' N Ing CERT#ESR-gL 2 a"N UWS _ATHAM STEEL RECTANGLE-2FT RAD 18-0 X 36-0 e�R poop. s P NON-DIVING POOL 2"-STEEL PANELS PERIMETER: 104-8" VOLUME(US Gal): 21200 , 11(�Jy. � .2I I ICG/lC Ill\/I AIr`_C/ll IIO�AC�IT / 1 U J I-I 0 too 3L-U.. k77 . HI H2 1 '-0" 1 to 4 37'-7" 2 to 5 18'-0" 3 to 7 384-71/2" 5 to 7 34'-3/4" a S1toH1 14'-X 1 to 5 36'-81/2" 2 to 6 36'81/2" 3 to 8 36'-0" 5 to 8 37'-7"S2to 2 14'-0" 1 to 6 18'-0" 2 to 7 3T-7" 4 to 5 2'-10" 6 to 7 2'-10" Part number Descri tion .S1 toH2 22'-9 3/4" 1 to 7 16'-1 1/2" 2 to 8 34'-3/4" 4 to 6 34'-3/4" 6 to 8 16'-1 1/2" ST0960002X 8'H1toS2 22'-9 3/4" 1 to 8 2'-10" 3 to 4 14'-0" to 7 36'-0" 7 to 8 14'-0" ST0960002* 8'SKIMMERST0960002* 8'RETURN ST0780001X 6'6" ST0720001X 6' 3 2 2 '2 ST0480001X 4' 2 ST0360000X 3' 2 ST0240000* 2'LIGHT 1 1 1 1 On CN0380241X M32" 4 4 4 2 Brace Brace 17 18 18 14 IPC-STKPK25 REBAR STAKE 18"25PC 2 2 2 2 ' IPC-HDWSTRT150 BOLT STR 3/8-16X1"CM NUT 150PC 2 2 2 2 ST6018B THKSHT STEP STR 6' 1 - ` + f 36' ST8024B THKSHT STEP STR SIT N STEP 8' 1 SSK-ST216STR2 FE STEEL STEP STR-2'RAD CN 3 TRD 1 ' 1 3 'o —�--- r, ------ - - ----- - o - ------------ 6i� 5 A B C D 1 2'-0" 34'-0" 38'-5 3/4" 18'-1 1/4" C 2 34'-0" 2'-0" 18'-1 1/4" 38'-5 3/4" 2'0" 3 36'-3/4" 2'-0" 16'-0" 39'-4 3/4" 4 39'-4 34' 16'-0" 2'-0" 36'-3/4" 5 38'-5 3/4" 18'-1 1/4" 2'-0" 34'-0" 6 18'-1 1/4" 38'-5 3/4" 34'-0" 2'.0" 7 16'-0" 39'-4 3/4" 36'-3/4" 8 2'-0" 36'-3/4" 39'-4 3/4" 16'.0" S2 30'-0" 21'-71/2" 12'-W 24'-0" S1 24'-0" 12'-0" 2l'-71/2" 30'-0" H2 20'-7" 31'-71/2" 26'-0" 10'-0" H1 10'-0" 26'0" 31'-7112" 20'-7" A 36'-0' 1 40'3" 1 18'-0" a , 6-0 K 30�0 a DWG USRE24S1836-16 DATE: 1/1/2016 SI IrF_T, 2OF2 I a 1 6/11/2017 P21P9 y rti�, . ..._.. 1 ' \' ) 'f!-n�d�GtVx V".r5+'C'T, • 1•. .� 14k V)��, i ` '' � •' •', ` .. 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' ��� h PIP -� rk p .Y \,•^h.•,l a ?hr;'F'if ,httpsl/mail.google.com/mail/u/0/#search/a.briggs°/q40baystatepools.com/1586d75cl3a6f6ac?projector=l 1/1 GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 �iOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 .1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/ProductConfigDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET ./DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/ProductConfigCap..xml HTTP/1 . 1 HOST:localhost 11 GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 .1 HOST: localhost GET /DevMgmt/MediaHandlingDyn.xml HTTP/1 . 1 HOST:localhost < SYSTEM DESIGN: - - SYSTEM pPROFILE- GARBAGE gSPOSER IS NOT ALLOXED - _ DESGN ROW,A BEDROOMS 0;10 TAD HO CPD 5¢ »a�� vvu 6A.p u5E A..o GPo DESIGN Row Smi500 1C TANN:♦90(AO(2). USE A I GAL%lK TANN LEA 1 tOTK: 6,5 SF. ass CPo L—.<mc�ow� mmmv wim[ /. USE(1)500 CAL mACIUNc CNAMBERs(ACNE OR—AL) 1=*anp L2A aav . -.yap I aTH a•sTorrt ALL ARowro w. .- - - _ T9UNDATpN—:w+s —sEP11C TANA— zfi —o'eax �.ii' ..Fz�aun� �.'IOCUS.MAP - Assisms MAr,1 PAR¢L r>a 21. APPROKD DATE BOAFTI 6 hiEl1LIH W: 'ME UKTKIFR 514LL VFI6iY THE AND t M Is wR11N—A.ROOD Z 1 C LOCAJIDNS OF ALL leOlRl6 ALL Lpq¢:5 w➢pH.AP g51-0Cl BUT AWE.OURETS A.p - ' ELFIARWs PRIOfl i0 WSTAt11NG AN(- Ppe110N oF.sEPr1c mr6u - -ZONING SUMMARY< aT szE-.. ar ss.cRPDo) - { M .ON�SE�>IXACH 2tl � Vil F PA.— .c T __ : PAP, . T q ._AA_ w"MSi oNe :. .z o fiuc vATu� lliiG aPnvi REFERENCES oEEn vogc vTRo zoz PAQ 9 LOT A-1 1'V ! ` ` 4 NOTES 73.818t Sq Ft A. tv 20 ,o r , P, Posicz �.N t' Ro$oSED n Ig`Kb/ '`•' '--- `, ----;� �P¢D „�—A. w i S W fi M ��� -_3O_ I TEST HOLE LOGS 1 �L RgTC FCNCE IN6 3,�9L �) N&T 6' E ENCI I ( S (1 .EER:DAN EI E WNS.LLVES SE I1158). x `J' �j! ✓ -.. I(/ 1 �_ j / `Y { DATE. 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YAH tlfstl W A Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual STEVEN SENNA Registration: 172668 D/B/A SWIMMING POOL&SPA DESIGN ,Expiration: 07/16/2020 87 ENTERPRISES RD HYANNIS,MA 02601 Update Address and Return Card. - P SCA 1 0) 20��M-05/177� kJ17N.• l(.'O�7t l7tQ971C/Pltf��O��iG��LIrJJCLCYIGIJC�fJ , Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Reoistratloh. Expiration Office of Consumer Affairs and Business Regulation- 17266B 07/16/2020 1000 Washington Street-Suite 710 STEVEN SENNAi, '' Boston,MA 02118 D/B/A SW IMMING.POOO L&SPA.DESIGN i STEVEN SENNA 87 ENTERPRISES AD ` HYANNIS,MA 02601 Undersecretary Not valid without signature St � r Town of Barnstable .� Regulatory Services t RAIUMAR►Z s 9 MA-M $, Richard V.Scab,Director 6_9. is Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, (7t:�njeva-'O, -5 ,as Owner of the subject property hereby authorize SCvI Pq J to act on my behalf, in all matters relative to work authorized by this binding permit application for. (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted.. Signature of Owner SInatuR of plicant Print Name Pnnt Name 5 Date - Q:FORMS:OVJNERPERMISSIONPOOLS + i Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual STEVEN SENNA W Registration: 172668 D/B/A SWIMMING POOL&SPA DESIGN Expiration: 07/16/2020 87 ENTERPRISES RD HYANNIS,MA 02601 Update Address and Return Card. SCA 1 l 20M-05/17 n���omznra�tu�eull�o�C�1l�aurac/%�Jejf Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 172668 07/16/2020 1000 Washington Street-Suite 710 STEVEN SENNAi; A., Boston,_MA 02118 D/B/A SWIMMING P.00L'&SPA.DESIGN STEVEN SENNA•: 87 ENTERPRISES AD HYANNIS,MA 02601 Undersecretary Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 46 Name(Business/Organization/Individual): �W(Mm 4t �'fl V '���.0 Address: City/State/Zip: Z V l r - ' Phone#•`. A;reru an employer?Check the approprilate bo : Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. These sub-contractors have g, ❑Demolition working for me in an capacity. employees and have workers' Y aP tY• 9. ❑Building addition [No workers' comp.insurance comp.msuranee t t. required..] . 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions. myself[No workers'comp. right of exemption per MGL 12.❑Roof rep ' insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.❑ comp.insurance required.] ;Any applic�rrt that checks box#1 must also fill out the section below showing their workers'compensation policy infDrmation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContnrctors 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 M employees. Below is thepolicy'and job site information. Insurance Company Name: � Policy#or Self-ins.Lic.#: Su w c Expiration Date:1 Wl Job Site Address: a+tah �IY City/State/Zip:h 6 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 under the pains and penalties of perjury that the information provided above it true and correct t Signature: Date: Phone#: OJ)Mal use only. Do not write in this area,to be completed by city or town ofj-iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person id the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receives or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct bm7dmgs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." ,Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of time affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to.fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or'town may be provided to the applicant as proof that a valid affidavit is on file for f rt re permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MA.SSAM Fax#61:7.-727-7749 Revised 4-24-07 www.maw.gov/dia g g OU FIN IN 028/19 Pm TM, elCti��?fs•1M!� !!1f�l. � YWA WWWW :+..ie Aw i �� $.aa-SST _. - •_ -_ _. ft �"f :BTld#Q1El � fl4x�.M C�notehisr ritf ii curse ` &. SchUMa Mdo S=kaw _ .n Sty ,z2� _ APA DB 736 'hest Tax oath, O2I13 8? , A . �� . .^—.. eane - s CIAMSOAM X R eon MYAMNr (tIL►R7Y'tErtramon). S..w�....,... • p _ VAN MIA �YSL7iiLRf�K/1WII_t - P- $ 72t3N&bow } Ewe Ma m 22, a A�Q.vt-m—s-61- 1p-owm-- -j{n�i ��i'.�.,t{�.y.�Q�y$�c�.tM�a}ts;•'• �jr Ar . � �. � •OI�A'�4i11. YF��a�erveb # o orbTim ADM mm and roseaft-860"ft" ` Application Number............................................. * Section 9- Construction Supervisor Name Telephone Number _ Address City State Zip . x License Number License Type= Expiration Date Contractors Email Cell # I understand my responsibilities under the`rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date ;f Section 10—Home Improvement Contractor 9 Name Telephone Number ��fi Addresa 6h�G�raSe r'4 City H i State- M& Zip ®�-(� RegistrationNumberL60 Expiration Date i. I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation r uired by 780"CMR an e Town of Bamstable.Attach.a copy:of your H.I.C... Signature DateZ3—)/a, Section 11 —Home Owners License Exemption Home'Owners Name: Telephone Number Cell or Work Number y I understand"my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. j Signature a" Date APPLICANT SIGNATURE Signature Date /O p Frs PrintiName 7 Telephone Number �, E-mail permit to: n =4 Last undated: 11/15/2018 ,I Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation E For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization L �,j f 7-eL : )..J 9,S , as Owner of the subject property hereby authorize a to act on my behalf, in all matters relative to workauthorized b this building permit application y _ g p pp n for. (Address of job) Signature of Owner ,, date l� •1�-' n Li Print Name r r Last updated: 11/15/2018 TM INDOOR AIR QUALITY SPECIALISTS Test Date: 10/16/2015 Technician Name: Pete PATEV Test Performed by: BASS RIVER DUCT TESTING Customer: Fernandez 18 willow In 81 High Noon Drive so yarmouth ma 02664 Centerville,MA,02632 508-958-4302 hdna@comcast.net Test Results: Measured Duct Leakage 24 CFM Equivalent Leakage Area 4 Square Inches Duct Leakage as a Percent of Total Conditioned Space 2.5 % Duct Leakage as a Percent of Total system Flow 2.4 % Pressurization/Deoressurazation Pressurization Duct Test Pressure Tested at 25Pa Type of Test Whole System Protocol PROTOCOL Property Info: Total System Airflow 1000 CFM Total Conditioned Floor Area 960 Square Feet Equipment Info: DLTS Firmware 1.2.0.3 DLTS Serial Number :-0000.84:-0001. Estimated Efficiency Loss from Duct Leakage:2.4 % Comments: 1ST FLOOR SYSTEM PASSED Test Date: 10/14/2015 Technician Name: Pete Patev Test Performed by: BASS RIVER DUCT TESTING Customer: Fernandez 18 willow In 81 High Noon Drive so yarmouth ma 02664 Centerville,MA,02632 508-958-4302 hdna@comcast.net Test Results: Measured Duct Leakage 25 CFM Equivalent Leakage Area 5 Square Inches Duct Leakage as a Percent of Total Conditioned Space : 2.1 % Duct Leakage as a Percent of Total system Flow 2 % Pressurization/Depressurazation Pressurization ' Duct Test Pressure Tested at 25Pa Type of Test Whole System Protocol PROTOCOL Property Info: Total System Airflow 1200 CFM Total Conditioned Floor Area 1160 Square Feet Equipment Info: DLT-5 Firmware 1.2.0.3 DLT-5 Serial Number :-0000.84:-0001. Estimated Efficiency Loss from Duct Leakage: 2 % Comments: Second Floor System Passed r Building Air-Tightness Test Form Customer Information: Building&Test Conditions: Name: D6 L�Q � Address: &X j]O �0 1! City: Date: : �/S State/Zip: I&I O 2C,7-2 Phone: So8, `77(o -3r-c5p Time: 11'004,W Email: aGlr3E' _ C�MAI4 .Gvrvt Building Address:(if different from above) street: %Y/&ti% /11vow DrCl ve Floor Area(ft): 367O P t Z City/State: (.LiyT62y"ttc r ,/�f� Comments: ST�yt7// � LEi/a'L. Ape'c v e.9C Test#1 Depress: Press: Test#2 Depress: Press: Pre-test Baseline Pressure: -1,7 (Pa) Pre-test Baseline Pressure: "/• (Pa) Bldg Press. Flow Ring fan Press Flow" Bldg Press. Flow Ring fan Press flow (Pa) installed (Pa) (cfm) (Pa) Installed (Pa) " (drn) 8•� ` 50,E /ZSO 5-6.7 193 yo-1 A n,6 110 7 7 Al 0, Y: IZS [ ,s' 12yq �j ai i A . av<s izyp 5-0d /ZYO .yy,s so.9 �233 Post-test Baseline Pressure: (Pa) Post-test Baseline Pressure: (Pa) _Fan Model/SN:Ai,WAD /30iZ7 Fan Model/5N.,0&Ar&✓ �692 Results: Results: CFM50: 1211s CEMJ CFM50: �� �. ACH50: 30 AcH 570 ACH50: 2157 eflxjo. , HERS Rater Name and Cert.#: �J J/G'fel;ezio. , 09 717Z HERS Rater Signature and Date: f ✓O ! /5� Developed by Advonced Building Anolysis,LLC '(HE Town of Barnstable Building Department - 200 Main Street RARNST"LE. * Hyannis, MA 02601 9 MASS. F1639. (508) 862-4038 Certificate of Occupancy Application Number: 201407864 CO Number: 20150209 Parcel ID: 193217 CO Issue Date: 10/23115 Location: 81 HIGH NOON DRIVE Zoning Classification: RESIDENCE C DISTRICT Proposed Use: UNDEVELOPABLE LAND Village: CENTERVILLE Gen Contractor: LEBEL, DOUGLAS W. Permit Type: RCOO CERTIFICATE OF OCCUPANCY RES Comments: l d lZ3 1/3- ildmg epartment Signature Date Signed i` TOWN OF BARNSTABLE �� I..l, 201407864 x : * BARNSTABLE, Issue Date: 12/15/14 Perm i %01 9 MASS. 1 639• A� Applicant: LEBEL,DOUGLAS W. Permit Number: B 20143373 D IVIA'1 - Proposed Use: UNDEVELOPABLE LAND Expiration Date: 06/14/15 Location 81 HIGH NOON DRIVE Zoning District RC Permit Type: NEW SINGLE FAMILY HOME Map Parcel 193217 Permit Fee$ 2,295.00 Contractor LEBEL,DOUGLAS W. Village CENTERVILLE App Fee$ 100.00 License Num 008124 Est Construction Cost$ 450,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TO CONSTRUCT FOUR BEDROOM SINGLE FAMILY HOME THIS CARD MUST BE KEPT POSTED UNTIL FINAL ATTACHED GARAGE WITH UNFINISHED STORAGE ABOVE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner ow-Record: GOLDMAN,DAVID ESTATE OF BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 156 LOCUST STREET INSPECTION HAS BEEN MADE. FALMOUTH,MA 02540 Application Entered by: JL Building Permit Issued By: 81"44;6 THIS PERMIT CONVEYSINO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PART,THEREOF,-EITHER•. ORARILY„R' E L NCROACHMENTS'ON PUBLIC PROPERTY NO SPECIFICALLY PERMITTED UNDER�Ti E BUILDING CODE�I"i iST BEYAPPROVED:BY THE IURISDICTION:�. STREET OR ALLEY GRADES A '.WELL AS DEPTH AND;LOCP.TION OF PUBLIC SEWERS�MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF'_THIS PERMPI`bOES NOT'RELEASE THE APPLICANT FROMTHE CONDITIONS OE ANY APPLICABLE IVI SUBDSION '>; RESTRICTIONS . MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. i 5.PRIOR TO COVERING STRUCTURAL.MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT VULL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE TH 'jkINk IS ISSUED AS NOTED ABOVE. w PERSONS CONTRACTJNG WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 0(2 2 3�;r45v% $lli�.Is 2 L�� 2 )VIC \Aj � y"3 3 i f 23 � j4d: 1 Heating Inspection Approvals Engineering Dept j ) { -- ^pt 0v- CO i 2 Board of Health ao/4 4.35 Town of Barnstable Building Department - 200 Main Street E AMSTABLE, 9 MASS � - Hyannis, MA 02601 1639. . (508) 862-4038 rF0 MA'S A .. Certificate of Occupancy Temporary Application 201407864 CO Number: 20150205 Parcel ID: 193217 CO Issue Date: 10108115 Location: 81 HIGH NOON DRIVE Zoning Classification: RESIDENCE C DISTRICT Owner: GOLDMAN, DAVID ESTATE OF Proposed Use: UNDEVELOPABLE LAND 156 LOCUST STREET FALMOUTH, MA 02540 Village: CENTERVILLE Gen Contractor: LEBEL, DOUGLAS W. Permit Type: RTCO RES TEMP CERT OF OCCUPANCY Comments: EXPIRES 1118115 11/08/15 �� V-.� Department Signature Date Signed Expiration Date r TOWN OF BARNSTABLE ''Dwti B' ' -d 201407864 I ARNSTASLE, Issue Date: 12/15/14 Permi ., y MASS. �p 03?. �� Applicant: LEBEL DOUGLAS W: rF0 s Permit Number: B 20143373 Proposed Use: UNDEVELOPABLE LAND Expiration Date: 06/14/15 Location 81 HIGH NOON DRIVE Zoning District RC Permit Type: NEW SINGLE FAMILY HOME Map Parcel 193217 Permit Fee$ 2,295.00 Contractor LEBEL,DOUGLAS W. Village CENTERVILLE App Fee$ 100.00 License Num. 008124 Est Construction Cost$ 450,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TO CONSTRUCT FOUR BEDROOM SINGLE FAMILY HOME THIS CARD MUST BE KEPT POSTED UNTIL FINAL ATTACHED GARAGE WITH UNFINISHED STORAGE ABOVE INSPECTION HAS BEEN MADE. WHERE A r CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: GOLDMAN,DAVID ESTATE OF BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 156 LOCUST STREET INSPECTION HAS BEEN MADE. FALMOUTH,MA 02540 Application Entered by: JL Building Permit Issued By: a THIS Puma CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEYOR SIDEWALK OR ANY PART THEREOF,EITHER:ljE OR 4RII Y„ E CROACHMENTS ON PUBLIC PROPERTY,NO SPECffICALLY PERMITTED UNDER THE BUMDING CODE MUST BE APPROVED BY THE JURISDICTION STREET OR ALLEY.GRADES A WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS:MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS:THE ISSUANCE OF..THIS PERhfPY bops NOT TRELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. ' 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT LL BECOME NULL AND VO IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THIk VOID IF IS ISSUED AS NOTED ABOVE. PERSONS CONTRAC`I'>ING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL a.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS -7_ C)a 174 2 3�5� S[�I�is 2 L 2 .Sx/Z I/lc�� oK�S— 15 }�r� 3 1 Heating Inspection Approvals Engineering Dept ``' "pt ©E toll 1� 2 Board of Health , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ! 1 Map/,�� Parcel Application # Health Division Date Issued t Conservation Division Application Fee V Planning Dept. 66 -e.� w•s CoOauj•44. i2, ?ov— Permit Fee Date Definitive Plan Approved by Planning Board 1�i� • /Uo /Zd,sp OP �r - Historic - OKH _ Preservation / Hyannis kffi­ Project Street Address Village Owner _./'� �� Address e4eIephone p _ r_ , Permit Request - �^ Square feet: 1 st floor: existing/' proposed��2nd floor: existing proposed AV—Total new Zoning District Flood Plaines®�� 1!�3 Groundwater Overlay . Project Valuatio Construction Type . Lot Size , 1� � _ Grandfathered: Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family' Two Family ❑ Multi-Family (# units) a Age of Existing Structure -s Historic House: ❑Yes ArNo On Old K IsHighway: 'es to Basement Type: `Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sc ft) Number of Baths: Full: existing new Half: existing ew Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existinq Z New Existing wo /coal stove: ❑Yes <0 -Detached garage: ❑ e ' ing aw' Size—Pool: ing ❑ n siz _ Barn: e ' new size_ Attached garage: Cl xisting ❑ new size _Shed: ❑ existing ❑._ e size _ Ot er: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )(No If yes, site plan review # Current Use ��G'�7 ,� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 6he ��6— /� Address License # Z!!�l��i s Home Improvement Contractor# • Worker's Compensation # 0 �L CC- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO� ,� SIGNATURE DATE FOR OFFICIAL USE ONLY ;, APPLnATION# DATE ISSUED { MAP PARCEL NO. i- 'r ADDRESS VILLAGE OWNER �a4 A DATE OF'INSPECTION: -'-' r: - • _ � e tfFQUNDATION&(6._)4.2- GAAmefda,3/1 t a - FRAME 7'ZI Ills- '0K 7/3 t I Is PROM 7 INSULATION�C� 11 11 I j FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT.. ' " ASSOCIATION PLAN NO. �' r - e� L Departinmt afl`iubut i.d-4ccident-v 600 WayhLigton Street B8 ,stgrj�,MA 02111, wrt�rti�rai gosldia W, arkers' CompensationTnsu nce Affidavit BuildersfCon"ctors/Elecfriciansfffumbers AppH"ut Infarmation Please Print bfy Name;( solo n;>ati-Ylndivi&=D- Addre-ss=�t�- —��, �Ida •��T �Cv �/ �%-�� -- ®� ��g vU City/5tai�J�ip= Phone _� —�__ Are you an employer:? Checktbeappropriateba-r: T „ of o:ect .z tz q -0_ I ama confracfor and'I Iuize )- \ I am a employer with 0 &_ Iew oaas`uucon �`1 employees{full andlorpazt time * have hired-the sub coIIifacfo_s. listed on the attached sheet - ❑Remodeling 2_❑ I am a sole proprietor arparfn�er- _ ship and hive no employees These sub-contractors ftxve 8- woricing forme in an c ci c employees and.have r.�or'cus' I 4_ $uilding addif c:� [No workers' C.OStlp_in etrr.�nre Celt-Si3alliffil�� reT ed] 5 Abe area corporation2md ifs If)_.0 Electrical repairs cT aciv .ei s officers bane exercised fn 3_❑ I am a Iurmr�u=n�zr doing all work I I_0 Plumhmg rep wi-mor L;arass myse ' - right.of e�mt fioaper MGL 1€ �o workers oomP- I2-0ltoofrepaiis inmtranrereT imd_]I c_ 15 §I(4},2ntlRTeh.Seao employees_[No leas` I _[]fti3er comp-insurance required f *knp applic&at that checks boa#1 bast also fill oA tip section below shag policy mFnMaxdCn- FnmeQwn s vrhn submit this sffids irxrir v they eSe fining sII tro>jc and then bZze w�tside ca tr�c;as�m�t submit P.new d m r iizs- - =�tncmrs fast A Ic this box must sttached wa:dditinnsI sheet shovvm5 rite h o� sutF nrs'.i:ztixx and smote uhEflec ocnni t' s� Pies- x Emplaye-es_ Ifthe rah-contmaushave.empIbyees,thiq must pi wide ti�aw warkers'comp_policy aumbt _ -Tam arz srrzplayer ihrcf isgmy�dfrr t►on e_rs'ca.r ruvrl�o.rr tr�rrrrrur far aty:e,rrptr Sees elotr is Stepali rid jot% :' ir{}ormaliotL Insurance CompanyName= Policy-Or Self ins_Lic- �� t�4 C C� 2 PiFatson Date: < -- Job Site ddress: 401 /�1 y CityiStateZip_ C'e&tedile/It_,/ 043)-, Attach a copy of the workers'compensation policy decIamtiou page(showing the:policy number and expi=_3t;•on da 61. Failure to secure cavierage as regmred under Section?5 k ofMGL c 152 can lead to the imposition ofcrirnireal pen�.lfi.es Of a fine up to$1,500.00 andlor oae-yearin4ni'saunent,as well as civil penalties in the.fog of a STOP WORK ORDER and a Eiaje ofup to$250.00 a day against the violater_ Be advised that a copy of this statement maybe forwarded to the Office of Livestigations of fhe DIA far insurance coverage vexification- I dd hRreby cetlr&under thepedns irtul aWas ofpedury tttstthe irzforrrd&n pravi d abtme is.hz:.s and correct Signature // Bate: Phone 9_ o t}.Of-i'al use only. Da not write in this arere,to bs compLeted by cfi? or town a�4cinL City or Town: PermztlIicense m Fssuing Authority(drde one): 1.Board of$eatth $uUding Departm.,at I CitFlTa-Ku Clerk 4_Electrical Fnspector 5.Plumbing Irsp--cfor 6.Ctther Contact Person. phone 9: nfofmafion and Instructions Massachusetts Creneral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an employee is defined as"___every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein.: or the occi)-Dant of the - dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant`hereto shall not because of such employment be deemed to be an employer." MGL chapter 152,-§25C(6)also states that"every state or local licensing agency shall withhold tl,e issuance or renewal of a license or permit to operate a business or to construct buildings in,the conau;oLrrca_th tor. )-)y applicant who has not produced acceptable evidence of coo)pl.iance with the insurance.covera2,- requirect." Additionally, MGL chapter 152, §25C(7)states"Neither the c_ov�monwealth nor any of its political s.bdi�isions shall enter into any contract for the performance of public work until acceptable evidence of compL.a.ncc the 111-1-SurC-nce requirements of this chapter have been presented to the contracting authority_" Applicants ----_.--- . Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to yc-or situation and,if necessary,supply sub-contractors)name(s),address(es)and p hone number(s) along v:tli u'aeu cer .sc.tc(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)w?ui_ _;�o e :11;}ets other than the members or partners, are not required to carry workers' compensation insurance_ If an LLC or LL l does Have employees, a policy is required; Be advised that this affidav t may be submitted to the Department of index gal Accidents for confirmation of insurance coverage. Also be sere to sign and date the a udavrt be returned to the city or town that the application for the permit or license is beirig requested, Dot?he Depa1 m eat of Industrial Accidents_ Should you have any questions regarding he law or if you are requil-ed to obt_:in a;lorkers' compensation policy,please call he Department at the nirn her list(:'below_ Self-insured comp aisles should enter their self-insurance license number on the appropriate line_ City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Departtment has provided a Race at the bottom . of the affidavit for you to fill out in the event the O,fficce of Inv slagations has to contact you rega rZmq t__e applicant Please be sure to fill in the permit/license number which v,�1t be used as a reference number_ L add�t:on_ ? applicant that must submit multiple pUmItllicense applications in zny given year,need only submit one ai_c_av-t indicating current policy information (if aecessaiy)and under".lob Site Address"the applicant should vzite"ail locations is (city or town)."A copy of the affidavit that has been officially stamped`or marked by he ci y.or town may be provided to the applicant as proof that a valid affidavit is on isle for future permits or licenses_ A new affidavit mist be,idled out each year,Where a home owner or citizen is obtaining a license or permit not related to any business or corn=Iercial venture (i_e.a dog license or permit to bum leaves etc.)said person is NOT required to complete his affda it. The Office of Investigations would like to thank you in advance for your cooperation and should you Lave any questions, please do not hesitate to give us a call_ The Department's address,telephone and fax number: '€�.e s�omm��>�al�t ci l�sassachUs�tfs Department of In ustdal Accidtnis Qff ice of 1nvestigptiants 600 Washmogtca Sit Bosta _NiA 02111 Tel.4 617 727-4i QO Qxt 4O G or 1-97 MASS.AFE Fax-` CI 7-<?7-�4-9 Kevised 4-2�07 - F�rw.�?�S��t��<tua - Client#:40507 2ANNABELLESCH ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)10/31/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil PHONE 508 775-1620 FAX 5087781218 A/C No Ext: A/C,No Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:The Hartford INSURED INSURER B: Anna ue,Inc.& Heritage Realty&Development,InC. INSURERC: . 7O INSURER D West Hyannisport, MA 02672 INSURER E INSURER F i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE a TO RENTED PREMISES E occurrence) ccurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO JECT D LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 08WECCROO57 7/24/2014 07/24/201 X WC Y IMIU ETH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXEC E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? (Mandatory In NH). E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION J.Bruce MacGregor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Drawer W ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 4 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S140359/M140356 NS2 r Liberty The Ohio Casualty Insurance CompanyMutu \ i 62 Maple Avenue, Keene, New Hampshire 03431 ......................................URETY BOND Bond#601082540 KNOW ALL MEN BY THESE PRESENTS:That we Heritage Realty&Development, Inc 5 Hayward Drive Centerville MA 02632 Street Address City State ZIP Code (Full Name[top line]and Address[bottom line]of Principal) (hereinafter called the Principal)as Principal, and, The Ohio Casualty Insurance Company with principal offices at Keene,New Hampshire(hereinafter called the Surety)as Surety,are held and firmly bound unto Town of Barnstable, Building Department 200 Main Street Hyannis MA 02601 Street Address City State ZIP Code. (Full Name[top line]and Address[bottom line]of Obligee) (hereinafter called the Obligee), in the penal sum of FIVE HUNDRED SIXTY-FOUR DOLLARS xxxxxxxxxxxxxxxxxxxxxxxxxxxx (Dollars)$ 564.00 for the payment of which well and truly to made, we do hereby bind ourselves, our heirs. executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has made or is about to make application to the Obligee for a Permit for General Contracting at : 81 High Noon Drive, Centerville, MA 02632 for a term beginning on October 22, 2014 and ending on*October 22, 2015 (*strike out if license or permit is for an indefinite term) NOW, THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to comply with the laws or ordinances under which said license or permit is granted, or any lawful rules or regulations pertaining thereto,then this obligation shall be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below;but if said license or permit was issued for a specific term,and is renewed for one or more specific terms,this bond will be extended to cover such additional term(s) upon the execution by the Surety of a Continuation Certificate, provided such certificate is acceptable to the Obligee. In no event , however, shall the liability of the Surety be cumulative from year to year or from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten (10) days in advance of its intention to do so. SIGNED,SEALED AND DATED October 22 2014 Herit a jealtyevelopment, Inc / The Ohio Casualty Insurance Company ) By. Nancy Tbule Attorney-in-Fact l S-3853 License or Permit Bond (Unnumbered) Liberty Report of Bond Mutual. Commercial The Ohio Casualty Insurance Company SURETY Agency_ 200226 Bond Number:601 082540 DOWLING&O'NEIL INSURANCE AGENCY Hyannis Massachusetts Principal: Obligee: Name: Heritage Realty&Development,Inc Name: Town of Barnstable,Building Department Street: 5 Hayward Drive Street: 200 Main Street City: Centerville City: Hyannis State: Massachusetts Zip: 02632 State: Massachusetts Zip:02601 Account Name: Authorized By: Authorized Date: Bond Amounts Premium: $ 100.00 Bond Amount: $ 564.00 Special Commission: Co-Surety: Co-Surety:% (If regular commission leave blank) Co-Surety Name: Bill to: Agency Bond Term Effective Date: 10/22/2014 Renewal Method: Renew By Certificate Expiration Date: 10/22/2015 Renewal Term: 12 (in months) Bond Details Risk State: Massachusetts Class Code: Bond Description: General Contracting at:81 High Noon Drive,Centerville,MA 02632 Remarks Execution Date: 10/22/2014 BESTReportOfBond User: NSOULE I_ c9' 0ncipal:Heritage Realty&Development,Inc POWER OF ATTORNEY Agency Name:DOWLING&O'NEIL INSURANCE THE OHIO CASUALTY INSURANCE COMPANY AGENCY Obligee: Town of Barnstable,Building Department Agent Code:200226 Bond Number:601082540 Know All Men by These Presents:That THE OHIO CASUALTY INSURANCE COMPANY,a New Hampshire Corporation,pursuant to the authority granted by Article IV,Section 12 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company,do hereby nominate,constitute and appoint:Kelly C.Bolton,Martha A. Kenney,Robert W.Miller,Mark McCartin,Nancy Soule,Joanne R.Sullivan,Kathy J.MacRoberts,Monica DaSilva of Hyannis,Massachusetts its true and lawful agent(s)and attomey(ies)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES, excluding,however,any bond(s)or undertaking(s)guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Keene,NH, in their own proper persons.The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact. In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 18th day of November,2013. ATV INS& Q 2°♦POR9TF'9y Ct 0 21919 0 ���NAMPS't'da Hl * 1 David M.Carey,Assistant Secretary STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY On this 18th day of November,2013 before the subscriber,a Notary Public of the State of Pennsylvania,in and for the County of Montgomery,duly commissioned and qualified, came David M.Carey,Assistant Secretary of The Ohio Casualty Insurance Company,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly swom deposes and says that he is the officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Plymouth Meeting,State of Pennsylvania,the day and year first above written. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Teresa Paslella,Nolary Public Plymouth Up.,Montgomery County a *"r My Commission Expires March 28,2017 Notary Public in and for County of Montgomery,State of Pennsylvania C� �A Member,PennsylvaniaPssociation of Nota es My Commission expires March 28,2017 This power of attorney is granted under and by authority oof`Article IV,Section 12 of the By-Laws of The Ohio Casualty Insurance Company,extracts from which read: ARTICLE IV-Officers:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bond,recognizances and other surety obligations. Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February,2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company,wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds,shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE I,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF,I have hereunto set my hand and the seal of the Company this 22 day of October 12014 �1V INS& yJ °aP° o Q ? FQ m �1 0 Z 1919 0 O HgMPS Gregory W.Davenport,Assistant Secretary HERITAGE REALTY&DEVELOPMENT CO.. INC. BOX 170 WEST HYANNISPORT, MA 02672 7 November 2014 Town of Barnstable Building Inspector's Office 200 Main Street Hyannis, MA 02601 Re: Heritage Realty&Development Co Inc. Workers Comp/Douglas Lebel Building Permit Application 81 High Noon Dr, Centerville TO WHOM THIS MAY CONCERN: This letter is in response to a request made by Jen in the Barnstable Building Inspectors office. This letter will serve that I,Laurie P Snowden Lebel,President of Heritage Realty& Development,hereby confirm that Douglas W Lebel is a consultant/employee/supervisor of Heritage Realty&Development Co Inc. Should you have any comments or questions,please do not hesitate to contact me at 508-778- 4700. Sincerely, Laurie P Snowden Lebel President 29250- f Affidavit of Substantial Financial Interest -- 1, `Gv of C�f1�2iLvll� , on oath depose and state as follows: 1. 1 am an applicant for a building permit for the property located at Map I , Parcel The address.of the property is V1 fV/hlLNOaRJ 2. 1 have % Iegal.or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is I have had a,1oor greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel All Address have submitted &building ' ermit a lications for 5. Within this calendar year, i h p PP property in which I have a 1% or greater legal or equitable interest. . . 6. Within the last ten days, [ have submitted building permit applications for property in which I have a-1% or greater legal or equitable interest. 7. Within this month, I have submitted e building permit applications for property in which I have a 1%legal or equitable interest. 8. Within this month, I have received building permits for property in which i have a 1% Legal or equitable interest. f Signed under the pains and penalties of perjury, this.lq day of , 200/ 2001-00501affin DILDTTERY/AFFIDAVIT C� 10--29--2013 a 03 9 29P i FIDUCIARY DEED I, JEFFREY W. OPPENHEIM, of 156 Locust Street, Falmouth, Barnstable County, I Massachusetts 02540, Administrator of the ESTATE OF DAVID GOLDMAN, Barnstable. I County Probate Docket No. BAl OP0337EA, under power contained in a License to Sell granted by said Court and recorded herewith, for consideration paid of ONE HUNDRED FIVE THOUSAND AND N01100 ($105,000.00) DOLLARS l grant to J. Bruce MacGregor, Trustee of the Cape Commerce Realty Trust, created under Declaration of Trust dated January 28, 1994 and recorded with Barnstable County Registry District as Document No. 605,915, with a mailing address of Drawer W, Hyannis, MA 02601 with FLO UCIAR Y COVENANTS, That certain lot of vacant land being shown as LOT A-1 on plan entitled "Plan of Land in Centerville,{Barnstable) MA on HIGH NOON DRIVE.Prepared for Estates of David and Joanne Goldman dated August 8, 2012"and recorded with Barnstable County Registry of Deeds in Plan Book 648 Page 8. Further subject to and with the benefit of all other rights and restrictions of record,insofar as the same are now in force and applicable. For title reference, see deeds recorded with Barnstable County Registry of Deeds in Book 4433 Page 86 and Book 4433 Page 87. Also see the Estate of Joanne S. Goldman,Barnstable Probate and Family Court, Docket Number BA09PO105EA, PROPERTYADDRESS: LOT A-1,High Noon Drive, Centerville,MA 02632 [Signature Page Follows] MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Dates 10-29-2013 0&. 03:29am Ctlt: 1175 Doct: 61846 Fee: $359.10 Cons $105000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY 'OF DEEDS Date: 10-29-2013 B 03:29om Ct.10; 1175 Doc:: 61846 Fee: $283.50 Cons: $105,000.00 i V, WITNESS my hand and seal this 28th day of October, 2013. ESTATE OF DAVID GOLDMAN by. Je pidpheim, A strator I COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 28th day of October, 2013 before me, the undersigned notary public, personally appeared Jeffrey W. Oppenheim and proved to me through satisfactory evidence of identification, being (check whichever applies) ❑ or other state or federal governmental document bearing a photographic image orkmy own personal knowledge of the identity of the .signatory to be the person whose name is signed above, and acknowledged the foregoing to be signed by him voluntarily for its stated purpose as Administrator of the ESTATE OF DAVID GOLDMAN. 4A Not Publ' ....L..«---------------- KATHY M. FERREIRA LEARY Notary PublIo COMMONWEALTH OF MASSACHUSEM My Commisslon Expires mmba 12.2018 i . s commonwealth of Massachusetts The Trial Court Barnstable Dhrision Probate and Family Court Department Docket No, BAlOP0337EA Decree of Sale of Real Estate Executor-Administrator After hearn ,, Barnstable Barnstable At a•Probate and'F lly,Court held at • ,In and for said County of,- �. on the 9th day of October 20I3 y. i On the petition of Jeffrey W. Oppenheirn administrato, of the estaterart „�n �l-of David Goldman. _. . . iateof Barnstable (Centerville) In said'County,deceased,-intestate-praying'tdr authoNty to sell certain real estate of said deceased' doWbed in-sold petition-at public auction-at private$afe.in gcoordance with the offer named inisaid petition or for a•targer sum,if he* s'y shall think best so to do;alt persons Interested having-assented been duly notified-and no person objecting dw—eta,it appeadngthat said offer is an advantageous one and thatthe interest " of all parties ooncemed will be best promoted by an acceptanoe of said offer. ` It Is expedient to sell►eel estate of said deceased. IT 1S DECREED that the petitioner(s)be authorized to sell and convey-at public auction-at private sale,upon the foilowing terms: to be sold for the sum of $105,000.00 or fox a higher sum. i for the sum of $105,000.00 in accordance with said offer or for a larger sum,-if he}Sl'%M*shall think best so-to do,the real estate of said deceased deiscribed•as•follows: A varant narral of land haing ahnwn aF LOT A.1 on a plan of land roc r�dad At Rarnmtahia County Raejetry , M Oaadgjn Plan 9nnk ft,4A Paea$ which is a rarnnffaliration of nroparty formarivknnwn ae straat' umharg 15 2A and'fin Judith Eva Lana Fnr titia rafaranra APA r1nAdsarnrdad at maid daadm In anok 443.1 Pao"B Honk 4433 PanA 87 Saa a1sn Prohata of Joanna Gnldman iRarnctahla Dorkat Niimhar RACr9P01iISM and Prnhata of navid nnidman 18arnstahla DockAt Numhar RAJOP0337EAi �Cffi �Dt�#rf��lftd�'F@fKt�NliiiZW.l4 •CrCk3�ll9[7�F8k�tlS�ft@0'iC$�$��t(Z4 ., ustice of the Probe a and y UNIN . �• :� A TRUE COPY : . m ; • '. ATTEST: i 41. REGISTER UPTBd(10/09) �; � �::; MRNSTABLE REGISTRY OF DEEDS �V Town of Barnstable ti - _ Regulatory Services • searsreBra, � - -Richard V.S ' Interim Director nn+ss. _ cali, . s63q- Building Drvidon Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.uus Office: 508-862-4038 Fax 508-790-6230 . _. J Property Owner Must Complete-and Sign This Section. H Using A Builder. G LC: nw JFVct � aet f the subject propctty (. hereby authorize I to act on ray behalf, in aIl matters relative to work authorized by this building permit Address f o � ( J b) 4� J Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Swatme of Owner Signor o pplicant Print Name Print Name ®G Date 1 U 1'Y1a Vt "a.l to Lauju. Regulatory Services ' Richard Y.Scaii,Interim Director. "• - Building_Division Tom Perry,Building Commissioner 2bO Main Street, Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-9 038 Fay 508-790-623t1 - Please Print DATE: JOB.LOCA=ON member sfrert valage "HOMEOWNER": name home phone# work phone# CURRENT MAnJNG ADDRESS: watt crtylYown �P The crnrent exemption for"homeowners"was /hocowner. ude owner-occupied dwellinis of six emits or Less and to allow homeowners to engage an individual for hire wossess a license,provided that the owner,acts as supervisor. . ON OF HOMEOWNER Persons)who ewes a parcel of land on which hor intends to reside,on which.there is,or is'intended to be,a one or twa family dwelling, attached or detached structures such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considerner. -Such"homeowner"shall submit to the Building Official on.a form acceptable to the Building Official,that he/she ssible for all suchwork erformed under the buildingermit (Section 109.1.1) ' The undersigned"homeownee'assumes r onsrbility for con liance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"c es that he/she understands.the wn of Barnstable Building Department m`nimum inspection proc6dures and requirements and the/she will comply with said pro dures and requirements. Signature ofHomcowncr Approval ofBuEdingOf5cial Note: Three- y dwellings containing 35,000 cubic feet or larger will be re ed to comply with the State Building Code Section 127.0 Co lion ControL HOAaOWNER'S EXEAIMON The Code tes that: "Any.homeowner performing work for which a buildin permit is required shall be exempt from the prov io of this section(Section 109A.1-Licensing of construction Supervisors);provided that if the homeowner engages,I perioo (s)for hire to do such work,that such Homeowner shall act as superyisor..". Many omeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor & lions for Ucens` Construction S ervisors Section 215).T z..lack of awareness often see A en Rules Regina mg up , ( rr � results in serious problems,.particularly when the homeowner hires unlicensed persons.. in this case;our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Superyisor is' ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:1wPFIIFSIFOR1vL51b�uTdmgpermrtfonnsiRFSS.doc .� Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-008124 Douglas W Leber 5 Hayward Road Centerville MA 62632 Expiration 08/13/2015 Commissioner REScheck Software Version 4.6.0 Compliance Certificate Project Energy Code: 2012 IECC Location: Hanson, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area g% Climate Zone: .5 (6225 H'DD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor:. 21 high noon dr. Steve fernandes MAP Inulation Centerville,MA p o box 171 west hyannis port, MA Passes using UA trade-off Compliance: 0.7%Better Than Code Maximum UA: 273 Your UA: 272 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. Enveloge Assemblies Gross Area Glazing Assembly or Cavity Cont. or Door UA Ceiling 1: Cathedral Ceiling 1,500 38.0 0.0 0.027 41 Wall 1:Wood Frame, 16"D.C. .2,350 21.0 0.0 0.057 121 Window 1:Vinyl Frame:Double Pane with Low-E 200 0,300 60 r Door 1:Solid 21 0.350 7 Floor 1:All-Wood joist/Truss:0ver Unconditioned:Space 1,280 30.0 0.0 0.033 42 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 2012 IECC requirements in REScheck Version 4.6.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Report date: 10/11/14 i' Data filename:.C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Page 1 of `8 REScheck Software Version 4.6.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% 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 —11-1 P1ansYeci#le"tl� FifetdYerlfletl ;`eur Value Complies•? Comm, 3 � _ � -� r ants/Assbmptio�ns;, 103.1, ;Construction drawings and `"S r-' 103.2 documentation demonstrate ❑Complies + (PR1)1 ;energy code compliance for the ❑Does Not -0J ibuilding envelope. []Not Observable [-]Not Applicable i 103.1, ;Construction drawings and x 103.2, documentation demonstrate x.❑Complies a �' ` ❑Do 403.7 ;energy code compliance for 4�� ,� " �, es Not (PR3)1 ;lighting and mechanical systems ❑Not Observable Systems serving multiple _ ❑Not Applicable j ;dwelling units must demonstrate compliance with the IECC Commercial Provisions. z 3021 ;Heating and cooling equipment is;wHeating: Heatin g 403 6 sized per ACCA Manual 5 based Btu/hr Btu/hr '[--]Does CPR2J2 ' on loads calculated per ACCA ;❑Does Not Manual J or other methods ; Cooling: ; Cooling: ;❑Not Observable Btu/hr Btu/hr ;approved by the code official. ❑Not Applicable k ' Additional Comments/Assumptions: ' 1 High Impact(Tier 1) �2'Y Medium Impact(Tier 2) s Low Impact(Tier 3) Project Title: Report date:. TO/il'/14 Data filename: C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Page 2 of 8 Q��■G'.�. ✓'S1 1t' 3 R �-+XC' .1 U �5:. kS ; '4 3 b I�"G11A�8t�'OFW��ECt�OA"+,r 3 2 I A protective covering is installed to N :0Complies s •,ern '' # r cs fF A protect exposed exterior insulation p s ;and extends a minimum of 6 in. below ,Does Not grade. l[]Not Observable 403 8 lONot Applicable ;snow-and ice-melting system controls,OComplies EF012t]2 installed. ODoes Not x ,E]Not Observable y ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Data filename:C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Report date: 10/11/14 Page 3 of 8 s-�[``J w �. ,�. eC0E1 Vaflles ,y'.z� vLr�fie tr.. •¢T��,'', c 7a - ''' h's,.,kf •f^4 'r' •c - ... A, 402.1.1, :Door U factor. U omr �1 402.3.4 ❑CompliesM See the Envelope Assemblies [FR1]1 ;❑Does Not table for values. M '❑Not Observable j F402.5i !Glazing U-factor(area-weighted U_ ;❑Not Applicable j rage). U" ❑Complies ;See the Envelope Assemblies ;❑Does Not ;tablefor values. ❑Not Observable [FR2]1 ❑Not Applicable 303,1.3 ;U-factors of fenestration products [FR4]1 ;are determined in accordance - 'N ❑Complies ;with the NFRC test procedure or ❑Does Not ;taken from the default table. ❑Not Observable 402.4.1.1 Air barrier and thermal barrier ❑Not Applicable j [FR23]1 installed per manufacturer's ❑Complies instructions. DDoes Not ❑Not Observable 402.4.3 ;Fenestration that is not site built " ❑Not Applicable [FR20]1 :is listed and labeled as meeting ❑Complies } jAAMA/WDMA/CSA 101/1.S.2/A440 ❑Does Not ;or has infiltration rates per NFRC ❑Not Observable �400 that do not exceed code limits. ❑Not Applicable 4Q7#44 IC-rated recessed lighting fixtures " [FR16}z sealed at housing/interior finish ❑Complies and labeled to indicate s2.0 cfm ❑Does Not r � leakage at 75 Pa. ❑Not Observable 403 2 1 ;Supply ducts in attics are ❑Not Applicable [FR12]1 ;insulated to>R-8.All other ducts R_ R ❑Complies j in unconditioned spaces or R- ❑Does Not ;outside the building envelope are ❑Not Observable insulated to>R-6. ; 403.2.2 Al joints and seams of air ducts, !❑Not Applicable [FR13]1 fair handlers,and filter boxes are ❑Complies ,e, ;sealed. ❑Does Not ❑Not Observable 40 Building cavities are not used as y ❑Not Applicable [FR15}� ducts or plenums. " ❑Complies ❑Does Not e ' ❑Not Observable j ,. 4033 HVAC piping conveying fluids R ❑NotApplicable p p g y g R- ❑Complies [FRI7]? above 105 QF or chilled fluids ;below 55 4F are insulated to>_R- ❑Does Not 3' ;❑Not Observable 403.3.1 I❑Not Applicable ;Protection of insulation on HVAC [FR24]1 ;piping. ❑Complies []Does Not `❑Not Observable 4U3 4M2 4- Hot water pipes are insulated to R_ ❑Not Applicable [FR1812 R'zR-3. ;❑Complies ❑Does Not ❑Not Observable - •.:ri_'..::a.-,; ❑Not Applicable j 1 High Impact(Tier 1) ;2 Medium Impact(Tier 2) `3 .Low Impact(Tier 3) Project Title: Data filename: C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Report date: 10/11/14 Page 4 of 8 eGttO1Y x7,Ma� 77-7 y # ,fF� t" Pf$ns Vey W rmed _ a arafng/t�ov gia-ie'Inspectl`on ed Ftetd te fFR19tzrinstalled on all outdoor air ❑Complies %aIintakes and exhausts. ❑Does Not I � rvable ' r' ❑Not Obse �_.,,._'E _ ':�..�.-.. .' ❑Not Additional Comments/Assumptions: Applicable 1 I High Impact(Tier 1) 2_' Medium Impact(Tier 2) 3;Low Impact(Tier 3) Project Title: Data filename: C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Report date: 10/11/14 Page 5 of 8 "`�' tir� w Plans Y� #ted f Field ltte�tffedi �", i' f�� ew i�15{l�at1011 1115p@CtlO1L t * L y y A es� � Cen�s/J�ss>�rl'�ons� .�; r s �,Wall•ue s� C ...,r""i 4�.c i '},.,..:� '�;.c;-_ems.h �r �" � _ 303;1 F 3'All installed insulation is labeled ❑Complies EIlYx3] x or the installed R-values ❑Does Not provided. fi ❑Not Observable ❑Not Applicable 402.1.1, !Floor insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies [IN1]16 ❑ Wood ❑ Wood ❑Does Not ;table for values. Jg ❑ Steel ❑ Steel ❑Not Observable ';[:]Not Applicable 303.2, Floor insulation installed per _ ❑Complies 402.2.7 ;manufacturer's instructions,and ❑Does Not [IN2]1 ;in substantial contact with the ;underside of the subfloor. ❑Not Observable I ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a R R- :❑Complies ;Seethe Envelope Assemblies 402.2.5, ;mass wall with at least 1/z of the ;❑ Wood ❑ Wood ❑Does Not ;table for values. 402.2.6 wall insulation on the wall [IN3]1 I exterior,the exterior insulation Mass ❑ Mass ❑Not Observable pj requirement applies(FR10). ❑ Steel ❑ Steel ;❑Not Applicable ; ; 303.2 ;;Wall insulation is installed per [IN4]1 ❑Complies manufacturer's instructions. k- - ElDoes Not ' ❑Not Observable []Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2'-Medium Impact(Tier 2) 3:Low Impact(Tier 3) Project Title: Report date: 10/11/14 Data filename: C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Page 6 of 8 .K? :J- y v t r. ti a '+.srF t..'z'M .7C�.0 HH'F s3 5' ..E Z a' S Imim7!Y, -`F- t`> ,C[,!f! •1 -a...m'..,`s x. ,"' ,xs+i3wrtLi.fc's'�' y#_�may 'A$ ItSjY@CtIOR PrOVIS1fOfi5 FVal II�P.s 7 Y2I[i'E' CO11Ip .4i<,tc Lbillfl�tFS�EC�[Ib�1 ���-1!�is��r'`r� 37,.' �s -s F� � 1, ,` '•3' x. _ �3.b:�. 4,e. .`Z.?°h. �`F�.�_,x�'� a.-,;..,... ��s.�"+k' 402.1.1, ;Ceiling insulation R-value. ; R R- ;❑Complies See the Envelope Assemblies 402.2.1, j Wood ❑ Wood ;❑Does Not :table for values. 402.2.2, Steel ❑ Steel ;❑Not Observable [FI112 6 :[]Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. � ❑Does Not [FI2]1 Blown insulation marked every �;` ❑ 1300 ft2. Not Observable ❑Not Applicable 402=23 ,Vented attics with air permeable x ❑Complies [FI2Z]?x ;insulation include baffle adjacent ❑Does Not 'to soffit and eave vents that F ; extends over insulation. h ❑Not Observable . -P �. •�:�� ��.s �❑NotApplicable 402.2.4 ;Attic access hatch and door R- ' R- ❑Complies [F13]1 !insulation zR=value of the-- []Does Not ;adjacent assembly. []Not Observable :;[]Not Applicable 402.4.1.2 :Blower door test @ 50 Pa. <=5 ACH 50= ACH 50 = ❑Complies [FI17]1 ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. ;❑Not Observable ' I !❑Not Applicable 403.2.2 ;Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 j❑Does Not J -<=3 cfm/100 ft2 without air handler @ 25 Pa.For rough-in ![]Not Observable ;tests,verification may need to ❑Not Applicable t ;occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated _- r 4 ❑Complies [FI24]1 :by manufacturer at<=2%of Y ,N []Does Not design air flow. ' []Not Observable ❑Not Applicable 403;1 1 ;Programmable thermostats - - "❑Complies installed on forced air furnaces. ' :: ❑Does Not ❑Not Observable � - MIN� ❑Not Applicable 40312 ;Heat pump thermostat installed n [ Complies •on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403 4 1 Circulating service hot water ❑"Complies (FIIl]z systems have automatic or t ❑Does Not 1 accessible manual controls. FIX �� F - ` ONot Observable ; ❑Not Applicable 403 51' iAl l mechanical ventilation system omplies �F125p' ;fans not part of tested and listed '- ❑Does Not r<. HVAC equipment meet efficacy z ❑Not Observable A- ;and airflow limits. 1 ❑Not Applicable 404.1 ;75%of lamps in permanent ❑Complies [FI6]1 Mixtures or 75%of permanent ry ❑Does Not ! u :fixtures have high efficacy lamps =�� ; gj ❑Not Observable Does not apply to low-voltage r lighting. � []Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3'=?Low Impact(Tier 3) Project Title: Report date: 10/11/14 Data filename: C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Page 7 of 8 f r � .# �lnaLtnspection Provisloris rt Ptansl�erFJed Meld 1lerldtl ¢ Comjiles7j9 � sixtela#.'s is/1 �ria�bpt�o�e� 4Q4:1w LrvP,Fuel gas lighting systems have f ❑Complies [FkZ3}3 :I no continuous pilot light. ❑Does Not y []Not Observable J x , ❑Not Applicable 40x3 Compliance certificate posted. ❑Complies []Does Not > 5• []NotObservable r r, � ❑Not Applicable 303,3��' Manufacturer manuals for ¢ []Complies [>=k18]3 f mechanical and water heating ❑Does Not ry ,systems have been provided. t ❑Not Observable w ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2' Medium Impact(Tier 2) 3;Low Impact(Tier 3) Project Title: Report date: 10/11/14 Data filename: C:\Users\gsmith2\Desktop\REScheck\fernandes,steve.rck Page 8.of 8 a r 2012 IECC Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 _.. ..... _.,_ Door 0.35 Heating : Cooling Heating System: Cooling System: Water Heater Name: Date: Comments i 1 LWIi Pt AFlpf�fL�Lin, rip Ai711°INl rn1Yv air su RIIM/ ,uaJnHnlnlall �- - w}rrirl lfu r.At 4f rdbuiva °umix A1M�t • ,Gaul `r'L'''I+Fii�9l ii� Ili iN N 111 1��l�ylJI��f.w"/'01'y.�,eEp.1'►�`oW'41�(tN"2'd'�:'I�n , • m},y'.v/ W nJuvw• M u•a' I.'III,YiI'u 1131AW n1 i1W01L Y1 NlN � urwY ' rlNuenlrw ' can Ny{.wc[,uwbalN IbWNiW iN� I,YWm '- Intl 10.►I1 NI4IVJ•JIL71,1YM HIl a[ n 944 N►W 4&W tM 1 as / rWu}r' lrM yr • 4' L.,p 4N la'iiFw Y�1 '�16ii' r�iWRjq W lIluu.cwti IW[ q, REST t aw tlDr"� Ib Y Q l,/ 'Jvl� 1►.t. 4� 't' eL a Y rM}_4t7rW'tWaua[IMCI tl L \ 1t !fin UPL1110 64.631a1 irq fl t�4 4�p ss �r ,4� J :I n�.ue"�+naP41.ngpai nelwro u,7a7x 64 f► . "'' IDrAL AMEAI 13,610#6q FI tr Ilwr N tl l t 'I �1[4 r 'M If� N«IWr[uw t.iwa Yu ui. / Ir ►°` '�► t,�l �iY.'>Jfl11�YrN ffpty;�! '�?Y� 1R J�� � `�\�/ ?j� l r W INr4m `r• `W1ygl mi t4wWTW�IY Itlf l l YUN lomnt � ••••••%%% ��yw all N �M "�ari y 1 LOT A'-2 tuu:At: m'4 Al wlMAimi' "rlla °=t�.�ISIr r,l 411W03 ff4* rp �w .ila�i.wa u[aanwam 96,17db.Dq fl wu "." X11 ........ ►y.µ. ....... �!lftll�l ................... . ....................................... . tl u I"m lu uwc rxl ✓ r� Ti ..................r......, .: (� «Il In mrN 'ir' sL �C• 1 � � 1 tw•u :A.� �. � '11a�� 1 �� 1 C al•ln. ��► So saki // �.l, twill y1 IIiJ � 1►-Ir/ ' I ra+l •�>•IVLiq 4Y•11% � y,Irl L un to ' q•S ! , 'r,N�Wy 1�'L�1+1 `� (b r �11i *• •�� 'A .Iw • " H rylIt m' r L01 A-a (r.U71 At..) M rrw,t ru u il'� lflrl ' uhLA161 a Ap.�7d'b 6q p1 . . . . . ., . (1 ball" �1 11&1tAlID.N '' rj 4 jJ :d%.`r'1l'n[n°9" �u,11�71'�1f1 wNrJNw + uu+Nr i 101AL AME1 a 7flif21L 9q F1 aY11r.its r 1 44, �rju�N•°'i/x'til LI Jl WII[flnq rl. $- fjj11 � 4ai��tti Ni (Mlw IlIllulill"'1 l ISI_LINrh_tJA- �„ PLAN OF LAND �l`IipS �r4.JFlVILLE BAANSTAS 1•-) MA •r" FIQF N°b(IILNptbN'I)FUVC A we c+�r ra Ira"rt fl�n;t4,- l�q1191 66' ksT/1T4fl 4tr UAV�!ANU ilOANry�[gpLpMAN NI uW.a�'i�� fita/x.a, warrta rni �+Yr.rr NEE 7 W NL,t a.+i[N[I,viG ► TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 9 L3 Parcel 7 Application #o;?Io Health Division Date Issued Conservation Division Application Fee .70 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board , Historic - OKH Preservation / Hyannis Project Street Address 8/ 14 t 614 Al ood ` 41 a R Village C e ilTy t!ii(C. Owner & u C e M 4c 61 e % ow Address 01f4u)eV u1 ��i✓f,a�A o 26 v/ Telephone Permit Request X ij ir., C 4 DER 0 %J/i e -r e A,ni ESA/� u/+ '?'d Al e lie e>-/?O t, 1WJ fdAZ"e A J I- R a. / 21/+// 90 amy ?hw Square feet: 1 st floor: existing proposed 2nd floor: existing .proposed Total new Zoning District IR G Flood Plain Groundwater Overlay Project Valuation S;000, Construction Type W Q 0 y FWArn 2 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;;7—Two Family ❑ Multi-Family (# units) Age of Existing Structure a ols� Historic House: ❑Yes Colo On Old King's Highway: ❑Yes ❑4o Basement Type: Cull D Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 new 6 Half: existing new Number of Bedrooms: existing v new Total Room Count (not including baths): existing new / First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ nph size_ Attached garage: Yexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 2 N0 If yes, site plan review # Current Use 4ZS4'e1VrA1, Proposed Use Aef 1,0e#rl;o,4 (Al C aO.A1541144i0l1 /0C,1�fi 1 = APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name JAJ 0r1 k c/4; ,L 05 Telephone Number c) 6Cx eS6116Yo Address � �3 �� License # �A/Id,O11J 1-1I�IJ MA 0;1 Ole Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS,RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE,_ DATE `_. ;r FOR OFFICIAL USE ONLY APPLICATION# b DATE ISSUED � t MAP/PARCEL NO. ',I<''t A ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: ' FOUNDATION "r FRAME : ` INSULATION f' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH. FINAL a. FINAL BUILDING, DATE-CLOSED OUT AWOCIATION PLAN NO. i * BARNSrAHM Town of Barnstable Regulatory Services Richard V.Scali,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 Property Owner Must Complete and Sign This Section If Using A Builder '6 �'e' Mac cpn 0 i ,as Owner of the subject / 1 property hereby authorize �/410 0 k- to act on my behalf, in all matters relative to work authorized by this building permit application for: AlcivAl D11. eentel?iQle- N4 (Address of Job) 1010Yl S a atuyof Owner Date B i��ce M4c6rQyo v Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.0utlook\2PIOIDHR\EXPRESS.doc Revised 040215 iPrintPage Page 2 of 3 • Sales History-Map/Block/Lot: 193/217/- Use Code: 1300 History: Owner: Sale Date Book/Page: Sale Price: C-Y* ACGREGOR, J BRUCE TR 2013-10-29 27790/202 $105000 GOLDMAN, DAVID ESTATE OF 2010-09-14 24824/228 $0 GOLDMAN, DAVID 1985-02-15 4433/86 $100 CROSBY, SANDRA L 1985-02-15 4433/82 $100 GOLDMAN, DAVID 1981-09-01 3353/207 $0 • Photos 193/217/-Use Code: 1300 a I t • Sketches -Map/Block/Lo : 193/217 -Use Code: 1300 A sketch is not available for this parcel. AsBuilt Card N/A • Constructions Details -Map/Block/Lot: 193 /217/-Use Code: 1300 Land USE CODE 1300 Lot Size (Acres) 1.69 Appraised Value $ 140,800 Assessed Value $ 140,800 Construction details are not available for this parcel. • Outbuildings & Extra Features - Map/Block/Lot: 193/217/-Use Code: 1300 There are not any extra building features on record at this time. • Sketch Legend Property Sketch Legend 62N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area SOL Solarium (Finished) http://www.townofbamstable.us/Assessing/print l 5.asp?ap=0&searchparcel=193217 10/3/2015 Sx The Commonwealth of Massaehuseeas Department of IndustrialAccidents" v Office of Investigations 2 Congress Street, Suite 100 Boston,AM 02110,201 7 www.mass.gov/clia Workers'Comr pensation In,surance Affidavit: Builld�rs/�®ratrract®rs/]E���trrn�Ilal�§/h�111n>r�nl�ers >r�Ilica>mt�»f®rmn�tn®>m Please Print Legibly Name(Business/Organization/Individual): 14d duo C lid` of - Address: City/Mate/Zip MA4J ii efl5 �' i'llfi MA P.hone#: -- -- - Ar e you an employer?Cheek the appropriate box: Type of project(required): 1. `l I am a . .employer with 4. [] I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2, I am a sole proprietor or partner- These on the attached sheet. 7. Remodeling /mil aJ r ship and have no employees These sub-contractors have 8.. Demolition Z`I vac workingfor me in an capacity. employees and have workers' t ` �� Y p tY 9. ❑Building addition [No workers' comp.insurance comp.msurance.r required.] 5. F1 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions right of exemption per MGL myself. [No workers' comp. 12.❑Roof repairs . insurance required.]t c. 152,§l(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] I� *Any applicantthat checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self ins.Lip _..__. au zxp avti Date: Job Site Address: d/ �t � y City/State/Zip: C e l�re LEI//{' 'i . Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration mate). 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 t of up to$250.00 a day against the violator. Be advised.that a copy of this statement may be forwarded to the Office of Investigations the DIA for insuranc coverage verification. I do hereby c tify under the pain d pe alties:of perjury that the information provided above is trine and correct. Si ature: Date: 80 Phone#: ' -- ®fficia o se only. Do not write in this area,to be completed by city or town official. ' City or Town::, Permit/License# Issuing Authority(circl¢.one): 1.Board of Health 2.Building Department' 3.City/Town Clerk 4.)Electrical Inspector 5.Plumbing Inspector 6.Othea Contact Person: Phone#: J. Iff"t y I. ' PO Bob 1 ,. A Expiration ` s sr 05122/2017 I The exterior walls in the room over the garage are insulated with 2" closed cell R- 14, plus 4" high density batts for a total R-factor of 27 in the walls. The slopes in the room over the garage have 8" high density closed cell for an R factor of R-30. And the flat ceiling in the room over the garage has 12 inches high density fiberglass batts for an R-factor of 38. The ceiling in the garage (floor of finished room over garage) has 12' high density batts for an R- factor 3 8. c e A � A.4 A.4 A.4 He u Sw@5 t � E— ; DECK ET11 4-- �p� V c Tit C/� Zod 3„ �n a II I zs� 3 • i- a u a awe FAMI�LfY-o�R M 2— b 4.4 ' n W r�aeR°u MASTER Z Z BEDROOM L Q W J w> i S ry � q�Q PORCH a uyIN �M, I 0.� W W z W J. N:--.> <!,o°.R.°e DooR i roio wR.°e DooRUPTo LL' R.W�u,w' ^" a agiF Q n U .. w "v.r:PoeI a PORCH LL C[RT[R[D �<X'Y 24'-0' ° c e A A,4 4.4 4.4 < rc iornc aw! i ie'o.cut[+L Be� [a� e m NOTE: 6 ALL WINDOWS ARE TO BE c STERGIS WINDGATE SERIES EroR u+'r ni°s=D if rwe nrrennw°r rNe Dee�°ReR. TO V a R W lux a�bg�i�oas a HM. C B A cewrea W aiz •_r - '_y _ EL7O _ zcd ? s 8 ..•w.�� ,> > O ec.a eo., ATH M. BATH P ewe 1 BS Y �> v.e ________BED •' � UNFINISHED STORAGE �o4e �a4ee sg86 � i 191919 980 � E 3 e• 6 e''d a gg g$# F ATTIC aBFs� 9e�z9@� :s vau BEDPop a GUES�TTS�UI� � o b - u a Z Z W b w Q 111> -1 0 CL N o L c Q Z�u e'-a - n-e• O (� W W 14•-0• N tL C B 4 A.4 A.4 A,4 ek?� <aga �yay��e •� m u a �y Q � e i B A A.4 4.4 A.4 ] C --- NEaD e've P.T.POET ERIPTTO 9LA0 a/6RaDE TYRCAL HGT. BreP � a __________-� eoo II FOR wE c.°o rm°ONOriRc III la-o• u N �_ Ss III wLu�r1 BU I.PPDRr = III III I Fl-, —.+•..]o•Tuee areeL III B P�:eie oiaII i s•-eV-II LABOLra w aeII '—R IIIII ii 1.1 . . ------- --------- ---------- -----L------- --- --� L---- �.�o r I r--- .oJe I I PRov,ov�Rrf°n'R' I I ,a THICK.r-,o• I I a �. • xauHo«oer wrLiB ro ne UNFINISHED CANORere wALL oR I �' r, Ir prlar� aF Pa'run a r Ic..r-Ia BASEMENT �DNCReUOTe aP oTiH¢ I � TNIu.4'-aB• C0NT1NUO1a. CONORETe w XLl Y aN ! ,I ca+nNuoup u�'. ae vAioe.`eAameR • RETWe vo^.Ia' cw+caere i I cGRCAere Pcr rirw I I e)z.Ia oaoPPeo GIRT � N I I I I ¢ r-R• G G ,_�. � a_R. 1 r_R• IL A.4 .=L= =J=gJ = 1= 1 1 ===L�=L====1= _��_— _ , 8$ B.BtlE �4a GARAGE SLAB —PRT —r—=r_= —_ �_ —7 r_—_�— I—==_ y' ,,$n En. L L __A9 iGwARoaFIR PLUB2�woa--� L a�6 �g��g gy I i•L_____________ ¢ cGRc.PDT I- iTP. al I $f���gg a ca,P.cTm nu __ •K'l uLeL PART,iI a II nl BINH 19,91,14 I uG B.,.T.c•°o:°e: I z. s I ALL PAR w it I I Beo, .P,cR L i .,•.�"•T„ae aTEeL I a 21112 o� L II ] - ————j .I UJ B'e• • pRDP TDP aP-ALL,RGB — — oP w.L` __ BTEP I. °cReTeRwaLL 10 IL__ II. U ] AT rooR P _ 1z °T°�°R°P`NiNGB I -' L_________ / 1 coRcneie PoorIRG II __II PLUBN 4— — PwaN NDR q Q > --- � ---------- ------ _---- -- aWz . 7 I LAG BOLTS I6�A.a.C. I4Ij I Mv\ R H N K q.6 Q K W�w z= .4 z z eU !r uBN Z a,o 4a 6N _ i Q OA. W acawnriGeu i°OTala"G FOR we lL era�Dv oo xnIT a II& Ra TOPD g z a�O G nU��n N T 6nn 9lMEIDe ep PEA IiKUOv[DwABNIR -W b ].ALB BTT—L-L aT eel—-rO e'B Ilj*.—ORI.S a•IL"1 LALLY S k o£ TYPICAL NOTES: WAY. O wAB°9:a Na „aw D PRO R TV eRlLGBBRe aT INTeRIDRFOL T!D:ILL.` A. CYV:j�rwP OR n .Rlc:�}L. n,Inun_ 16NR!THAT ALL—DATIOR IA—nAInTAIR eoeml°GRReR eaercrneABTLN"e neaAITp e"elunS`ruefcrvT�°prars:crorranaR •o IRA OR FOR—ATI-I 11 ILL ITRLITLRAL ALL.7 m TA Off¢„RAG!AD OTHER LLe°PWRDATi( W]C.IO BTRALL wall BARB. PROVIoe TRANeI la. RGING w.B O BT IazT 4N01oR m TB O.C,MAN.MINT!MBlOMENT w/9 v9 vl/4 PLPTe wAWlR Page 1 of 1 i tilt J : -i _ 3NAls. )J� r it 010, 1*4 10. f Ilk 1 , A,Jrt ut,'io http://townofbamstable.us/propertyirnages/00/17/31/60.jpg 10/3/2015 Ills a y/ o� EW-2 cd o� EW-3 LOT A-1 (1.69t AC) UPLAND 64,531f Sq Ft WETLAND 9,287f Sq Ft - TOTAL AREA: 73,818t Sq Ft 1 67.62' ��� io Ki co M - CONC FNDN. TF= 65.7' 26.2' co _ of 1ri HIGH NOON DRIVE. 70.54' i FOUNDATION PLOT PLAN 14-216 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 81 HIGH NOON DRIVE, CENTERVILLE SCALE : 1" _ 60' DATE : FEB. 10, 2015 PREPARED FOR: REFERENCE MAP 193 PARCEL 217 - STEVE ES DANIEL y� s HEREBY CERTIFY THAT THE STRUCTURE o A - m SHOWN ON THIS PLAN IS LOCATED ON THE C3 OJALA GROUND AS SHOWN HEREON'. , No.40980 off 508-362-4541 �p fox 508-362-9880 FESS%O downcope.com.® qN0 SURVE��� own cope eakkeeiina,inc. civil engineers 2- O -Lo ! 1 . land surveyors I ( l 939 Mafn Street (Rte 6A) YARMOU7HPORT MA 02675 DATE REG. LAND SURVEYOR ENE Teti Town of Barnstable BARNSTABLE. : Regulatory Services 9 MASS. 1639. Building Division ArFD MP'a 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 i Inspection Correction Notice Type of Inspection P-z;JA L- Location J t t oG nJ o O ti i}2 Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: `� A ,C, PULL Nw o fw7ssi:.�yG =,PJSW-A r o xj rhos 5a41_ ✓ � ��S i:.�,�'�� `''""�`�«���-5 h��"�'C� C)t�..� 12�-5 f�.2.S 'C_L..c�S�''� ti�� �'�s r•��,.�;- `.5"r 7�,"�2s F�-���2��-�,S ti��fl � ,�C C_�nS�i� S-r;4\'5% S N(—=t,.,_...D /+A,,)Dj2A".:L C m C-U VA CT L--EA V-NIAC S i CS k C 17- ��.� Please call: 508-862-403,for re-inspection. Uk�� Inspected by , 1 Date 0� i 'f c PROJECT t NAlYgE ADDRESS:. , PERNHT# PERIMT]DATE LARGE ROLLED. LA NS A. IN a SLOT �- Data entered n MAPS, program on. m q/wpfiles/forms/archtve. a 1 c'Jl.1 8.It Y1 tl S A ALUED B'V-iLJU' ING PRODUCI P_0- BOX 1309 S SAG MORE BEACH, NIA. 02562 (508) 888-359.9 (508) 888-9609 Fax Date Job coznple-Led:_ Address of foam '�j 4- Ge.4 rjob,; by --- application: Inches sprayed in: - -- CeiIing.�;-~~—�„ ._ r- Malls Slopes_- 6 C�vez-haxz '` Bsmt Cell + ------- S twl dockers, — �� Cath Cell C:ath Malls_.__--_-- Knee malls A,/H Walls_,_ Crawl Cell - - - j fustallers Signature: ' // ca HEATLOK010.0 DEINILEC m Heatloko is a two component,closed cell,spray applied, rigid polyurethane foam system.This product uses recycled plastic materials,rapidly renewable soy oils,and the blowing agent has zero ozone depleting potential.Heatlok complies with the intent of the International Code Council's residential and commercial building codes and is commonly used as a thermal insulation,air barrier,vapor retarder and water resistive barrier in above grade,below grade,interior and exterior applications. r � t --, Es`�"f��'�'L.�.,� ,f"�t�',� '' �! ���i.p � a�A'i3•�S � �F � F ct 4 mow. � � i ASTM D 1622 Density 2.1 Ib/ft3 33.6 kg/m3 ASTM C 518 Aged Thermal Resistance(R-value @ 1 inch) 7.4 ft2h°F/BTU 1.3 Km'/W See ESR 3210,Table 1 for additional R-value information ASTM E 283 Air Leakage @ 75 Pa @ 1" <0.02 L/smz ASTM E 2178 Air Permeance @ 75 Pa @ 1" <0.02 L/smz ASTM E 96 Water Vapor Permeance @ 1.2" <1 perm < 57.2 ng/Pa•s•ml Qualifies as a Class II vapor barrier per IBC Section 202 ASTM D 1621 Compressive Strength 28.7 psi 198 kPa ASTM D 1623 Tensile Strength 46.2 psi 319 kPa ASTM D 2126 Dimensional Stability @ 158°F(70°C)97%R.H. (%volume change) (168 hrs,sample without any substrate) L/W/T -1.37/-0.42/+0.27 CA Spec 01350 VOC Emissions Standard Compliant ASTM C 1338 Fungi Resistance No fungal growth ASTM D 2856 Closed Cell Content -90% Surface Burning Characteristics,4"thick Class I ASTM E 84 Flame Spread Index 20 Smoke Developed 400 Ignition Barrier-Compliant with 2006,2009&2012 IBC and IRC,and ICC-ES AC-377 NFPA 286 Appendix X,for use in attics and crawl spaces without a prescriptive ignition barrier,thermal Pass barrier or intumescent coating. NFPA 286 Thermal Barrier-Compliant with the 2006,2009&2012 IBC and IRC,as an interior finish pass without a 15 minute thermal barrier with Blazelok'"TBX at 11 mils dry film thickness. ASTM D 1929 Ignition Properties(spontaneous ignition temperature) 932°F(500°C) �.�.«fit • Wit a c Polyols Containing Recycled and Renewable Content -40% Renewable Content 13 5% Pre-Consumer Recycled Content In Progress Post-Consumer Recycled Content In Progress Total Recycled Content In Progress 4, "4 Cream Time Gel Time Tack Free Time End of Rise 0-1 seconds 2-4 seconds 3-5 seconds 4-6 seconds 3315 E.Division Street,Arlington,TX 76011 Heatlok Technical Data Sheet Phone 817 ( )640-4 900,Toll Free(877)336-4532 Last Revision 5-5-15 Fax(817)633-2000,Info Demilec.com www. Demilec.com Demilec.com Page 1 of 2 1 HE ip�;� Town of Barnstable - BARNSTABLE. • Regulatory Services - 7 MASS. a639• wilding Division p�FD MA'S a 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice t Type of Inspection I !`A(VyC Location I PT C H /0 0 W b/Z- Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: OVF ALL e Fp,c,s Q5 wNSV� &-oCk-UG NEEDS 70 P)C Pt.As4+Cb IRAC-kz -TU ,P)a7--T3 t-, o F 75-T-A-i-pwm CN0 DOW W-ZE01PY-1- 3 F61") LA,27N�6) g Please call: 508-862-40-38 for re-inspection. Inspected by � - Date 7/2-1 HEATLOKelo.o CB DEMILEC Heatlok"is a two component,closed cell,spray applied,rigid polyurethane foam system.This product uses recycled plastic materials,rapidly renewable soy oils,and the blowing agent has zero ozone depleting potential.Heatlok complies with the intent of the International Code Council's residential and commercial building codes and is commonly used as a thermal insulation,air barrier,vapor retarder and water resistive barrier in above grade, below grade,interior and exterior applications. y -Y p a fir• ,p` s� .ta -�..� -•..° as f r � x Ems - �l _' c-._� -na:et"&� ..•.'b, ,.-es i.x •c+Aa+.�., - ,..• 5 .d'.•;.r,.: .f?„�6.�.. :.§ a 4 v' ,,,,.sett. : r- .:W �7 -iia ASTM D 1622 Density 2.1 Ib/ft3 33.6 kg/m' ASTM C 518 Aged Thermal Resistance(R-value @ 1 inch) 7.4 Wh°F/BTU 1.3 KmZ/W See ESR 3210,Table 1 for additional R-value information ASTM E 283 Air Leakage @ 75 Pa @ T' <0.02 L/smZ ASTM E 2178 Air Permeance @ 75 Pa @ 1" <0.02 L/smZ ASTM E 96 Water Vapor Permeance @ 1.2" < 1 perm < 57.2 ng/Pa•s•mZ Qualifies as a Class II vapor barrier per IBC Section 202 ASTM D 1621 Compressive Strength 28.7 psi 198 kPa ASTM D 1623 Tensile Strength 46.2 psi 319 kPa ASTM D 2126 Dimensional Stability @ 1580F(70°C)97% R.H. (%volume change) ' (168 hrs,sample without any substrate)L/W/T -1.37/-0.42/+0.27, CA Spec 01350 VOC Emissions Standard Compliant ASTM C 1338 Fungi Resistance No fungal growth ASTM D 2856 Closed Cell Content -90% m'9.r,C'tl�.w. "`_� Surface Burning Characteristics,4"thick Class I ASTM E 84 Flame Spread Index 20 1 Smoke revel-op ed 400 1 Ignition Barrier-Compliant with 2006,2009&2012 IBC and IRC,and ICC-ES AC-377 NFPA 286 AppendixX,for use in attics and,crawl spaces without a prescriptive ignition barrier,thermal Pass 7% ^ barrier or intumescent coating. - - - NFPA 286 Thermal Barrier-Compliant with the 2006,2009&2012 IBC and IRC,as an interior finish pass without a 15 minute thermal barrier with Blazelok'"TBX at 11 mils dry film thickness. e ASTM D 1929 Ignition Properties(spontaneous ignition temperature) 9320F(500°C) t ,?"K+„' -..< .-t�L� ve!•4 rw.'aer.2 .. r ..:sx., .. ..,. e _ ..- ._s..z. .._ • .<� 7 -F_ >:;`Y',. 5' �h i .fit "X,k d Polyols Containing Recycled and Renewable Content -40% Renewable Content 13.5% Pre-Consumer Recycled Content In Progress Post-Consumer Recycled Content In Progress Total Recycled Content In Progress 4Y ; " jy emu; '� �d' r .,,4 d0 •..� ,�+a > r�`""s " '""". 'yy.d y''. w'"`-�* a �,' r.,:'��f «#~��5�, 4;'��,'".'hR�+n'`,..�i a.�1r4,w.`Fs -�.� .§n,.��" �.C--.'��'..nuk. �' `�?f� .' r��✓'t`��,s 7�.§"... 'm;'fi`�.W� rn Cream Time Gel Time Tack Free Time End of Rise 0-1 seconds 2-4 seconds 3-5 seconds r 4-6 seconds C 3315 E.Division Street,Arlington;TX 76011 Heatlok Technical Data Sheet Phone(817)640-4900,Toll Free(877)336-4532 Last Revision 5-5-15 Fax(817)633-2000,Info@Demllec.com,www.Demilec.com Page 1 of 2 Ta-4- i A B c A 4 �AA 42)2112 w 8'-Id 6'-1• la'-S•i•b•P.T.VERIFY"RAD CAL TO SLAB NGT. y j STLP =_ 7 _ _ _ _ _ _ If �Il l ALL POP B�•DROP WC'' rLE ' BULKHEAD 10'-d 1 II 2U V SrreuPPORTOAbOv II i o III 1 II � III W PROVIDE 5/6'ANCHOR I r—— 1 i II II i 7 �i5� AXE. BOLMIN r s 36'sE O.C.MAX. All u.ro'rd'./!/4'PLATZ Q� I 1 I I III 2=8 P-T.LEDGER IIi 4'X4'X.ae'TUB!STEEL WARNER a I I I I i II ,,,ia-B/B• DIA. III N et'OO. 1 l FLrAd2USH 1 1 i II I LAG BOLTS u•O.C. II'. --- �FJ IFWBN No L--- 111 ---=— ---------III ----------- �— ---- -- ----- ------ ---------- olo �� ok I r----J L— -------31,�T------------ ------------------ ^�---------- -------- �y� qp R �W O O�•ZW I 10'THICK x T-Id \ I j Ia'oc VERr IEBNRS 0 I I I� E"RA IM I COMCRlTE WALL ON UNFINISHED FOUNDATION WALLS TO TIE I = CONTINUOUS g BASEMENT / I I ICNONTi+°Ecr1�oNTWIaER�E Pauli' I • 1 ^� J/ i I� CONCRETE FOOTING. - N CC14GRETEYWA oON I I IS Nor CONTINUOUS. CO THICK.4'-6' Ili 4'CONC.SLAB cONrINuOUe ao•X1o• CON OR WALL ON I W ON VAPOR BARRIER CONCRETE FOOTING I I CONTINUOUS adX10 1 SpX12 DROPPED GIRT 1 I CONCRETE FOOTING I i �.�� .--0 Es� I • S'_B• �i. T,_q. Q. .T,_q. Q. 7'-q' �i T_y. P• 1 I +n 1 1 �wTl� tl O c I I r--� r--� r---I IPKr. . r--� r--� r--� I D rl� __= -- — —_== = —a'= — ------ --____ � - --- - r - - L— L--� eL-- L--�, L--J �--� ^cT•LED I ( GARAGE SLABSTL.LAALLLY OLUMN I a)dcla 1 ITW Iro'PER PaOrON 36,0•'xla'DP. NDR TOWARDS DOORSCONC.Po"NG, TYP. I • I r--------------I • ISc'DIAM.0 D RUGATED II I ' • • I ��ED FILLS I I ARRFAVxA,WAY CO�STEELF.L I ' I II DOUBLE JOISTS UNDER — l r 11 , I ••r altE BED, TYpI^w' ALL PARALLEL PARTITIONS , Bro•DNA. 1 1 I II I , I 1 LAG BOLTS 1•'O.C. I I 11 walla 1 L———— II Ip,_8, L • II—J _ i I FI.IR Z., 1 4'X4'X.166 TUBE STEEL: I I __ II I _ _ I W '• • I I 10'TA X 7'-10' I =—== —===r =— I 1a�AT=001oP IBIILL68 PROP roP OF WALL aJa�1s I aJaX1a I II caNCRere WALL l sTlP \ b AT DOOR OPENINGS. 10 CONTINUOUS adXld I T L---1—mot-- ----------J I Z Z o I FUS WEIR Lu PWBH NDR CONCRETE FOOTING —— W, — J APRON --- J 4W ' I aXs P.T. LEDGER ———————— 0 W Z I II BOLTS DNA. III 7 >O ILI IN 8 J I LAG SOUS LL'O.C_ I H � -- 1 11 A.5 (nZ . aJSX10 S•b'P.T.POST Q FADER MI L j 93 IL)q. PLUSH - _a. 14'-O. ".-w 4._O. F_q. q�_•. �_•• ql-,. p-q. � Z/V '-a. �a B5I . c 1'_y a4'-O' LL IZ J PROMO!10'DIAM.SOHO- W TUBE WBIGFOGT FOOTING W FOR COW"SUPPORT ABOVE . A ,8 ` BASEMENT NOTES: A.4 A.4 A.4 1.AIOTBDTiRF DATSOT ON 1oj:;PBRP OIG aM BARS TOP C R I 2 gg'PROVIDE BM NOR.-BARB CONTINUO..1 8TRIP FOOTING W AY.PROVIDE H VlRT DOWELS•74y O.C.NORIL EXTENDED _ DOLTS 10 36'D.C.TOP MG.F 7aT DM ENT w/b'l1iD yl/�RPLATE WASHER bpp; _ a.ALL STRUCTURAL STEEL COLUMNS TO EE S Va'CONCRETE FILLED LALLY ` j= TYPICAL NOTES: COLUMS TO EXTEND TO FOOTING SELOW.PROVIDE i'Xi'MJro•CAP PLAT! �g 8j •7'XIa'XS/4'BASE PLATE W 9 S!/4' OIA.BOLTS.WELD ALL CONNECTIONS t 6 FOOTING!TO BE B•'.MN12'SQUARE CONCRETE W S•6 BARS EACH WAY. BB pp STRUCTURAL LNGINEEWDC9IGNGR TOY6tFORM FRAMING INSPSECTION 8. DOUBLE FLOOR JOISTS UNDER ALL PARALLEL PARTTIONS. � Eq E 3 NWIAL�L IT R IGORINI�BILAND PRIOR TO ENCLOSURE BY INTERIOR 999 y 4.CONCRETE BLAB TO BE 4'POURED CONC.ON COMPACTED FILL. � w�> gqF CUT JOINT.ALONG WALLS AND BEAM COLUMN LINES, j �f S. CONTRACTOR TO TROVIDE IIA.'fQ10NT VQITII�ATION A6 REQUIRED BY CODE(WINDOWS OR MlO.14NICAL) m - II-O'C FION�NIFRlTI'IO C j%ENSURE THAT ALL FOUNDATION WALLS MAINTAIN 1.SEE STRUCTURAL DRAWINGS FOR LOCATION.OF ALL STRUCTURAL COLUMNS. p QO S CONFTRACTpORR SHALL NOT suLe DRAWINGS FOR DIMBVSIaNs. ANr HISSING, 1 O IOF ITN!DT�IGNER�BCGOM!TN!R�PO&NBIBIL Bp!T TO,TTATTlN710N 4 GARAGE AND OTHER PILLED FOUNDATIONS.IW PWRLD CpNCgET!WALL W 21•6 TOP 4 BOTTOM BARS, REST FOUNDATION ON AID'STRIP FOOTING. ,y p PROVIDE aI 46 CONTINUOUS NORIMTAL SARS AND KETNA7 IN STRIP FOOTING. = O LAP TOP BAIM MAIN WALL BARB. PROJID!7RgN9ITKIN RLINPORCING W O! BARB SPACED 4701 a'O.0 VERTICALLY. PROVIDE O •Xla ANCHOR W 1 J°OLTS•.9••O.C_MAX.MIN 7 LMBLDMQIT uJ9S0�/1'PLATL WABLIER 1 m O i 10/14/20141:42:37 PM DECK TC"" 1mg sw W iE p 1IIII IIIII r w a • s.T. .o e U r ; 8I aalI o o z aw ATuTw sRawTTn ❑ cn O romow►AM q LITE OOOR T ISATH KITCHEN SATN LIE SRIAKFAST f00 LOSE GAGE LNING au ROO jL11 AOT SENT II $ Eo ],I ONE nAnA 4umDCMW _ MASTER El / 6EDROOM II �tl Q zw PORCH D k , a D Q O= Qsi ❑ TVD Ofi � o W o j 4 ar o-OW GAMES MRAN TNJOR ,n0 MRAN oaoR w p o z TIARMIIW ALA7O TO IL L W `�z Or son son�.pis LL APR F 0 =W aan sm N z a IL J W orMk CCL r PORCH UL ow P.T.Post IN STEP 4' 1 yTa�00RA1so Va Fr. ■Ao� �a1a8# �EA � � 1 . mrK uwo TIT■ W MOAN OO R.Po ■rOM AAA A R. 9 ail TCTAL ■Y■ L ALL ax7■RWR 8A4S a,wa A EMS g •w x uaw onsuTo wTm c W p 0G IYOM OIIAO•NOTM •CONTRACTOR ON"V■R!►ALL WON I NOTES waON aNnas n■OR To Oa1AWW WOMMML ALL UUNDM ARE TO BE a CONTrAeroR SMALL Versa ALL Ti■RIROM■ m — STER618 UUNDGATE SERIES PEER To ooAflac7TOn oorTRACraR ",,elm Ar�aNaarTT POR Art Ma11a on■NW■ACT O■■EN01N wr awSTONf TO a "at ATTATWr or THE CORR OT o I I I \ wi sen ron n wa Q O -----' M.BATH -w - BATH 0 8f All . pa son CONDITIONED STORAGE NMp a U pR / \ DEDROO"� G v 3 - aw seou au• 2 w O RIF z A I I I ar. ~ I I 1 C►IMNET � sw aw I I 1 NJE7 � •an M I I Ir:::j aw g Ep III r------------ -- -----= J I u� ❑ !SWROOM i3 GUEST SUITE 3E I �\. �rrle� ❑ � ATTIC I 1� tl n Iaxla FURRRURE ; I �• '�•�• I I AREA I I \ I �---------- � I aw { � BHEAR \ ❑ v1LL I GAR W I \� -----1 I N ❑ , n NWL W I j U II N MIL I •°^ f0� f0u 2" sm Q W > ICI J p oe= OC OW0 o gof0 o � d, � W =_ ' p zn � III z QF O z ° U OC W W 1 M AR ' lip, o a, MM.STABLE � 4 e� go DECK 2T hill Ll Toga atu W � R Q . °°^ � I I rcra� �--- Q F�'1 0••o �--i e O � 6Z.7 22 v]C 4 I nraTATTeu rrwTM i i i � I I 1 i K 011TN O v] PMRawr 11 urN ooaR i i `J i Z A 6 gTCmN i BATH I I BREAKFAST � O-M-P I I T�oIRe $ aIm - I I IRr GARAGE LIVING ROO�p I Ip som-o � 3 I I rRw s„ II Dom wrarw •Irrm°i°Acro MASTER 6EDROOM / IIOI er�-a RORT W 0 O ❑ Z Z W )MCI.. W PORCH a Q p Wp L W N uj CYI ❑ PODH 0 O W 0 7 4"oARAoc oome ,oTo eARAM come UP o � OC > C 7I TM r o1{ATM To 4 W V z 6 ul M M A"90 DOM 0 s i W APRme am .�, soft N K W. OORT fORT N Z h U Q ~ W low-ow.col r PORCH LL VA.P.T.POOT Ci1TM•D RI! ��p�� rnooRuwRrPr. r 911�3pp 4R �� 8 >rw.00ern. .oe ��asld - Q'a 'dalR � TorAL wrrR IR OARAr r R. R4 W POAM AMA RC PT. TL F "M 9TY ALL iRfa°OR fL1AtL r xa 9 _ N•O1f:.NRW OT1rNMl wTM. C o a AILwns a."&ON"r3m .P olm uwM ova °OIM. ►CONTRACTOR SW"VOr ALL MOO° 1 NOTES RmwT OPM PRIOR To mermen Moaa ALL WNDOWS ARE TO BE a CON"AMM mIAIL VwT ALL rreRON° m _ STERGIS WINDGATE SERIES POM To ooNtRAeTOR Auer POR AN IrPONMRm T r sMo aR i rroolseaL�0 wr RRaMrr To TINT ATIM a TM CNMEW p a. 3 M M M jig ran ran .oa soe LL M.6ATH QE X -w 6ATH e �ur w t ' I — ==� � ---------- o ran 0 CONDITIONED STORAGE W"SALL pR / 6EDROOM 94 0"RALL Ir—— — _ i f0ar our sms rur sons O VimV]] I I Z A 6 I Rif fur M Itw I, I GUII@T - rur nlr —F ————— 7-- ❑ 89DROOM 83 ❑ GUEST SUITS! � S I I 1 I �� ,stet, swsefe ❑ stiorue•a ATTIC I I WIXIa FURNITURE I I \ ! I a I I AREA - IFousm u ❑ SALL GARTVAGRNM � \�� ❑ � 1 ul I V M WL rAl I r04 Oaf r0fa rWa ` Q z ' .�„ fu aN = O� OC O lll 1 $ � __� N II U. z Q � O z ° p w w to M M I M Nell E�1t1��lQtl�M$��Q� e g♦ � e - 4 . � e � Q BOOdd PAGE � - 6 — c0, { TOWN PLANNING BOARD RECS::`'A!0 APPROVAL UNDER ME SUBDIWS70M NO AN 25 AIR 31 CONTROL LAW/S NOT REOUIREO a REFERENCES oAjjj0 REGISTRY OF DEEDS JONuF!'EFDE PLAN BOOK 328 PACE 27 oe 24891 34 P 09 24824 SIRI PO 228, LC PET.PLAN 28427-A,PB 344 PG 78,.PS p� 386 PG 27 O " LCP 52373 1,PB 236 PO 127 OWNERS OF RECORD: ESTATE OF JOANNE S GOLDMAN C/O Am JEFFREY W. p4' �' Lake OPPENHDM SP ADM-P.O.BOX 704 FALMOUTH MA 02541 ,p 4$ ESTATE IM DAVtO GOLDMAN N C/0 ATTY OUTH M W. ` w OPPENNEIY SP EXE-P.0.80X 704 FALMOUTH MA 02541 ` }r NO D£7ERAI/NAA0N AS 712 COMP[/ANC£ HF7N 7NE IONNO ORDINANCE 1 R£0UIR£MEN7S YAS BEEN MAD£OR 4� e 7N70 0£0 BY TN£A80W ENDORSEMENT. . FOR REGISTRY USE LOCUS MAP SCREE r.z000't ASSESSORS MAP 193 PARCELS 215 THRU 223(9 PCLS) N 2709451.3796 BETTY L WILLIAMS TOTAL AREA.232,329t SF OR 5.33t AC ( E 270969146.973851.379 27 HAVILAND WAY LOCUS IS WITHIN FEMA R000 ZONE C n CENTERVILLE.MA 02632 L\ CHELDD MAP 193 935PCL 245 MATHEW J.k SHEILA M.SYLVIA LOWS 4 WITHIN AP DISRICT v 15 HILLSIDE DRIVE EW-0 CENTERVILLE.MA 02832 HAROLD 0.DEAN JR. ZONING SUMMARY MAP 193 PCL 247 613 SHOOT FLYING HILL ROAD CENTERVILLE,MA 02632 ZONING DISTWCP RC Qeoa I \ N82y4'38'W 23281/192 MAP58 0 3q,9 MIN.LOT SIZE 43.560(87,120 S.F.RPOO) y e ry ry A l \ 243,5Y / MIN.LOT FRONTAGE 20' W Q J 13 L( MIN.LOT WIDTH 100' a.rv, 3 1 •;'� f482^j4'38"W EW-8 MIN.FRONT SETBACK 20' Vi r- EW_1 MIN.SIDE SETBACK 10' n ry 108.55' MIN.REAR SETBACK 10' ^+ry �o n C, I C.B.FND. n t 4�1 / DISPL SB2'24.38% 0.29' MIN.SHAPE FACTOR 22 2S EW-2 • 49k. SITE IS LOCATED WITHIN RESOURCE yI "O PROTECTION OVERLAY DISTRICT AND v l /NO 8- EW-7 ESTUARINE PROTECTION DISTRICT \ - ! AP GROUNDWATER OVERLAY DISTRICT(NOT C.S.FND, A ZONE U TO PUBLIC WATER SUPPLY) HELD LOT A-1 (1.69t AC) EW 3�� / EW-6 C.O.MM FIRE DISTRICT it UPLAND 64,531t Sq Ft ° EW-4 NOTES' g �..__._...__. WETLAND 9,287t Sq Ft EW-5 1.LOT A-1 IS A COMBINATION OF LOTS 3,10 , TOTAL AREA: 73,818t Sq Ft m AND 11. LOT A-2 IS A COMBINATION of LOTS 1,4,AND 5,AND LOT A-3 IS A a u F / COMBINATION OF LOTS 2,6,AND 7,ALL OF H n a wi VYLE \ A q SAID LOTS AS SHOWN ON PLAN BOOK 326 PC 27. y3�N SHAPE=21.5 MAP 193 PCL 219 m P < SHAPE CONTAINS 57,745t UPLAND 2 WETLAND LINES CONFIRMED WITH R.D.A. BY BARNSTABLE CONSERVATION COMMISSION EL rv�, DATED 4-10-2012,DELINEATION BY HAMLYN W S h m^ I / MAP I"PCL 215 CONSULTING. q=5' I 3.BASIS OF NORTH AND COORDINATE SYSTEM Y� °d I IS MASS COORDINATE SYSTEM NAD83 U.S. e= I SURVEY FOOT,PER MTS RIK GPS NETWORK Y I 58546'30"YI 1 OBSERVATIONS. MAP 193 PCL 217 1 167.62' 1 4.10•WIDE UiRJtt EASEMENT ADJACENT r0 I p ALL WAYS SEE DEED BOOK 2781 PAGE 119 EW-7A 5.WATER EASEMENT SEE DEED BOOK 3212 LOT A-2 (1.82t AC) PAGE 239 FORMER UPLAND 53,611t Sq Ft IG N 2709214.3054 _ L07 LINE(TYp} j 1 EW-6A E 969539,4480 I WETLAND 25,273± Sq Ft EW-5A /'c 4 "I EW_9A C.B.FND. TOTAL AREA: 79,289t Sq Ft HELD N < ary` MAP 193 PCL 218 I SHAPE a 20.7 I EW-4A 1� O' Q p� SHAPE CONTAINS 47,671t UPLAND I o Q aq o g �b I I 3 j teary�\ EW-t0A `. EW-3A I ggg�0li t G�� C�<opi .�E. i dv A I MAP 193 Pa 220 I 1 ;� '� \• v) I I EW-2A �ip ;r EW 2 SHAPE LINE — .- - - - - =V- - ....�•=-c---- o I l EOM ONE �EW-tA � Pam/ � �EW-12A a z�a fOtLtT.fg ! �/ �• p'-Sdn p / \ � C.B.6.06'UP LINE Y n p•N < �EW-♦ \\ - , C,B.FND. U. V 47 y oq EW-13A EW-5 MAP 193 PCL 221 '• C.B.SET yt &EW-MA \�ZtC.B.FND. 9'10'37"E L-19.63' . 5 70.54' R-12.50' Nt9'1444"Wp'0 'C.B.FNO. h / HELD \70i SF / 54.92 �9 ry,OO .`EW-6PAVEMENT S4016S5E i / \EASEYAF-M NAIL SET •F �� d EW-15AEW-7 ,.i hJOHN A.NUGNES -J, � `'235 ROLUNG HITCH ROADCENTERVILLE,MA 02632 S yS. O 1 EW-f0 p MAP 193 PCL 71 ¢ S EW-8 \ MAP 183 Pp.218 2:O MAP 193 PCL 222 / EW-11 3122/54 AO. `•.� "`yEW-9°F47� '�is LOT A-3 (1.82f Ac.) \ A IV �2 2 UPLAND = 49,376f Sq Ft THOMAS&PRANCE$CASTIELLO 9rF Q WETLAND = 29,847t S Ft ry e 69 HIGH NOON DRIVE q MAP+93 PCL 223 = CENTERVILLE•MA 02632 'r 4- O Sr MAP 193 PCL 226 sa\ 7/ TOTAL AREA = 79,223t Sq Ft ,y 5347/266 sF, re'p, l0 SHAPE- 21.0 or s _NB2_J5�33"E DRAINAGE EASEMENT e ryJ �0�yg°i 3.494 SFt ,���,0h \10 �40 HIGH NOON DRIVE Y L JANICE A. SE MARK A. CENTERVILLE,MA 02632 r 33 HIGH NOON DRIVE I MAP 193 PC.224 CENTERVILLE.MA 02632 6092/200 MAP 193 PCL 227 `ryO 16208/108 0 nV 2l HEBDND. N 96934 S164 tiC ? t • E 9693428164 p 0i di G`1 PLAN OF LAND er,Y6� I CERTIFY THAT THIS PLAN WAS MADE IN IN G ACCORDANCE WITH REGISTRY OF DEEDS 7- REGULATIONS EFFECTIVE JANUARY,, 1976. ED CENTERVILLE (BARNSTABLE) MA 1976.AND AS AMEND JANUARY 7, ) o+l 509-362-454t ON I ay.�pe6com o DA�IEL HIGH NOON DRIVE down cape eagineefing,ine. IN' . - e.�.o�. PREPARED FOR cavil engineers. land surveyors 9J9 Main Street(Rfe sa) DATE DANIEL A.OJAL4.P.L.S. ESTATES OF DAVID AND JOANNE GOLDMAN Scdc.1'-30' YARMO(171HPOR7 MA 02675 I ®DCE ®+0-090 G -2 N- AUGUST 8, 2012 0 Is 30 45 60 75 FEET 10-090 HIGH NOON.OWG JI SYSTEM DESIGN: a - SYSTEM PROFILE ALL MTEM COMPONENTS SH L BE _ COMED PARABLE MANS M i4PE aE J COMPARMLE uEAxS FOR NNRF.LOGTIOx. '.GARBAGE DISPOSER IS NOT ALLOWED (,Hm TO sw.) ACCESS CODERS TO WITHIN 6'OF Bx.GRADE CONCRETE COVERS 10 WNHIN 3'GWE 2'PEISTONE OR MOTE IfT11 \ TOP FOUND.EL iLTER 58.8' r rMRIc ovEx s*oHE DESIGN FLOW: 4 BEDROOM'i®110 GPD= 440 GPD - 57.5 MINIMUM]3'OF COVER OVER PRECAST 2%SLOPE REQUIRED OVER SYSTEM 57.5 PDRes` USE A 440 GPD DESIGN FLOW NOTE:MIN.WALL THICKNESS Y PgCCrSi n6ERs d�o v° _ 1Vequaquel pP[SHALE,EI 1ST 2 couvox[Nis INVERT IN 53.67' o \/ lake c i9 SEPTIC TANK: 440 GPD (21= 880 I E"o5 ') vacs 59.5' g � a 5a.51 D• 1soD c.L o �3 USC A 1500 GAL. SEPTIC -ANK Sa 2J itE s c i„aR iE I 54 0 � -r 1p9. 00�� I GS DAff1E': 12'uN.S Ni DI 'ggJ_'L�r�-- C7t�t��E��[Ep�1�33� � FAO- i x / 'I.•i�A'' LEACHING: ®�0��faBS®l3� 14-u0.Lt EL(ACME oR EouAL); 53.94 ° oeo o 53.77 51.67- SIDES: 2(33.5+ 12.83)2(.74) = 137 GPD _ I 1 N e WATERTESi O'BOX L 'Y j At- FOR LMLNESS \ BOTTOM 33.5 x 12.83(.74 = 318 GPD """" :"`°" µ/�-I-1/z'aw6LE WASHED STONE a'wx. -10 500 GL.LEKHI(3 CHA4RERS V ACME PRECAST OR EOUAL _._. ) �•e"6 a^A^6?;? 6 o i L MOUND PRECA9 STRUCTURES (s)UNnS REOUIREO 6'CRUSHED STOVE OR 4ECH.WICAL -11 DIMENSIONS TO OUTSIDE O�STONE:33S x 12.83' TOTAL: 615 S.F. 455 GPD L_ coR-MM.(15.221[z]) USE(3) 500 GAL. LEACHING CHAMBERS(ACME OR EQUAL) ( MINx SLOPE) ( P X SLOPE) (1 W SLOPE) WITH 4'STONE ALL AROUND LEACHING FOUNDATION- 13' -SEPTIC TANK- 1' D' BOX 72' FACIUTY 43.0'BOTTOM ER LOCUS MAP NO GROUNDWATER FOUND SCALE 1"=2000't ASSESSORS MAP 193 PARCEL 217&218 MA *THE INSTALLER SHALL VERIFY THE APPROVED DATE BOARD OF HEALTH LOCATIONS OF ALL UTILITIES AND ALL LOCUS IS WITHIN FEMA FLOOD ZONE C BUILDING SEWER OUTLETS AND LOCUS IS WITHIN AP DISRICT ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM ZONING SUMMARY ZONING DISTRICT. RC MIN.LOT SIZE 87,120 S.F.(RPOD) MIN.LOT FRONTAGE 20' MIN.LOT WIDTH 100' MIN.FRONT SETBACK 20' MIN.SIDE SETBACK 10' MIN.REAR SETBACK 10, MIN.SHAPE FACTOR 22 N82'24'38"W 1\ SITE IS 243.57' P OTECT10NLOCAOVER AY WITHIN DISTRICT AND '' Ii ,, \ 5;_, .� / \ _ �•� __-___ ESTUARINE PROTECTION DISTRICT \`\ 1 _ AP GROUNDWATER OVERLAY DISTRICT(NOT \ A ZONE II TO PUBLIC WATER SUPPLY) �.7� `'.. V ] REFERENCES DEED BOOK 27790 PAGE 202 PLAN BOOK 648 PAGE 8 ti LOT A-1 > \\`J` 'Al �.\~\_, AV\� \ NOTES \ t / ♦ \ 1.DATUM IS ASSUMED -? $1 73,81$± Sq Ft( 2.MUNICIPAL WATER IS AVAILABLE y., 1. 9f AG. ) \ \ ; l \ ! \\ / ♦ , 1 \„ 1 \ \' \ -�' I (-J 3.MINIMUM PIPE PITCH TO BE 1/9 PER FOOT. l �\ ` / r"°' ♦ 1 1 '�. 1, -� \EW�3 Irtrt 0 4.DE91ON LOADING FOR ALL PROPOSED PRECAST UNITS & TO BE AASHO H-12 ♦ sy ` \ 39 'V, ^��\ �, 5.PIPE JOINTS TO BE MADE WATERTIGHT. 6.CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH V}�- �� ~ �. \ �` I 1`♦ / 1 �� �\ �./\ `-'^'� 2 I fr�'� 310 CMR 15.D00(TITLE 5.) E(y_5 _ 7.THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT ONE STAKING OR ANY OTHER 39.5 PURPOSE. B.PIPE FOR SEPTIC SYSTEM TO SCH.40-4°PVC. COMPONENTS9. O BE HE CONCEALED WITHOUT INSP INSPECTION BY BOARD OF HEALTH AND BENCHMPRK \I 'I �j-,� f \ ` PERMISSION OBTAINED FROM BOARD OF HEALTH. (i BIN TS&8'SET IN)`iREE G,1y�)►;�(.n \`- \.,�'` \\ sue\ \\' - \_� I 10.CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING 1\ �T U \ ��^ '�\.--A- DIGSAFE(1-888-3a4-7233)AND VERIFYING THE ^ I'Li• LOCATION OF ALL UNDERGROUND&OVERHEAD UBOTIES `�\ PRIOR TO COMMENCEMENT OF WORK. 1 / , •\, `,) �!`.. 1�`� I 1( 11.ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ! / I� , ) I �'\_ _ �•__v \�/ LEACHING FACIUTOVED 5' Y. AND AROUND RE PROPOSED !! I `c36� !�� /\ ,,,♦ r1 `\\ �� ) _J� ! 1CON2.NEC CONNECTIONS WITH APOR TO PROPRIATE VENDORS. RDINATE ALL TM u� �[Saj TEST HOLE LOGS �� �J,-__-- / DECK , N83.46'30"E ! i ENGINEER: DANIEL E. GONSALVES,_SE #13587 PRO I 167.6V �'� J r I ) WITNESS: DONNA MIORANDI, RS I TOP PROPOSED DwewNc 1 \•/ 7 f - // 1 J/ EL.'98.8 DA170N GARAGE I 1 \� \ S r DATE: 1/10/14 THt q I // r( I ,.o r1-I (/ [ PERC. RATE _ < 2 MIN/INCH PORCH I .� / r / __. 14253 /a. \F.I'v I'29 7 I r �(/ 0 f - I' f /J ELEV. L ELEV. f �~ _ 0" 53.0, 2 4 53.0 PAVED DRIVE I (% j V LS LS J - - - �. / 10YR 3/2 1OYR 3/2 Ew sn�/; B e / I M1 `� / I I LS LS [57.5 ,I I 1 )) ` f,.,,2��,J /po ..i, ' I /•_ ( I 1 ]Go,RESERVE I _] \ �'TH3 36" 1OYR 5/6 50.0' 36" 10YR 5/6 50.0' Ta `[ � T- (58J _ I 1 '1 ', ( 1; % J- - PEac C C I60 �\- I I e 111 I � � T j: J I/� I \ \� M/CS M/CS (, I �62J I I \I '.� 1 ! (D EW-3fi ..(64]�\_ \� - 1 hl ,\ I I ! % 1 I -/.4..._ 2.5Y 6/3 2.5Y 6/3 ''•_REMOVE EXISTING 1\ 1 PAVEMENT AND REVECETA E AREA I I r 120" 43.0' 720" 43.0' i i r. ( �) 1-�•.� '',I/ ., l\ NO GROUNDWATER ENCOUNTERED j .--f<-r I j ,y EW 2A E � i 1 I I L D (1.'J ELEV. ELEV. T-•-='J I ��``-._1i`'' E /I l\ \i ,I `, 11 ,I\ S I , I �, '� '1) Q 59.0' 0" 4 59.0' QEW-2 A - A C I \ BENCHMARK / Ifi \ r II LORN.CONCRETE PAD 1 1 LS LS 1 10YR 4/2 IOYR 4/2 CAPE ONE //_ 1 i \ \ \ \ \ `l \ , 1 I ,I \ 5" 5".. LS LS RnNSFIo LER ' vJc 111 \\ \\ \\ \\� 1 v\ ` ; l' ( 1OYR 5/8 OYR 5/8 p IO I / rQ 1 \ ( \I \ 1 } i \ ,1(,�;\E\lA C 42" 55.5' 42" 55.5' / / E \ TE�RISERI \ \ ) 1I l 1 l W , C�)RISES- I E� 7�11 `\ (TYPO 1 �\ \ iI I ';1 () "JJ 41 k4 Sit- SiL NAN BO�i I l (\ 11 j I 11 48 2.5Y 5/3 55.0- 48" 2.5Y 5/3 55.0' j`• 65 i.4 �_,kl `6 (tnHAN 1 ,) 'I/EW-41` T� PERK Gl c2 /CS M/CS 10YR 6/3 10YR 6/3 r_ \ `i v I, `)\ \ I 126" 48.5' 126" 48.5' 11`\ EW1\5 / NO GROUNDWATER ENCOUNTERED TITLE 5 SITE PLAN ° IL_i_ \ 1 o\\ � r OF p S89'(0'37-E C. SET 70 B� LOT A-1 HIGH NOON DRIVE 6- il \ 1 I \ \ \ \ l J J \ ' 1 `W-6 CENTERVILLE MA 411 PREPARED FOR LEGEND \ ) _99_ EXISTING GONTCUR � \.,( '\ \\•,`\ 'I\ �,] STEVE FERNANDES I X"I EXIST.SPOT ELM � \� /F PROPOSED CONTOURS J,`, \� \\''�\\ \l�\ DATE: OCTOBER 3, 2014 I \ \ �utH OF �S NOF4Me. 198.47 pROPOSED SPOT EL \\ l ,\, DANIELA. A. �1 �� 1 1 OJALA Y"a OJALA '^ {V� TEST HOLE \ CML No.40BB0„ ✓Aj 2� SLOPE OF GROUND I'lax 508-352-9880 UTILOY POLE 9S2oVAL EMO qT/Osu E oo- ly EOwncope.Com NRE HYDRANT yr down cape engineering,Inc. Scale:I"=20' I civil engineers IKne KOT Au mmoLs wr uPr a puwc �I[ [) land surveyors 10 3 Ohl V 939 Moin Street (Rfe 6A) 5'i F<,__: DATE DANIEL A.OJALA,P.E.,P.L.S. I YARMOUTHPORT MA 02675 DCE(14-216 R t 1 11� Oak Strut x V r ,3 LOT—C OR 4 ' WeptiWet Sh fl -V S /"i t , } ,1 � fit,_.•„ �.\ `� "' - - r O O O T U(l 213h, \_� �Ew • ,� LOCUS MAP t i LL _ t ! SCALE 1"=2000't ASSESSORS MAP 193 PARCEL 222 ET. AL t _ I IAVV LOCUS iS WITHIN FEMA FLOOD ZONE C i ( - THIN AP-�\ t , •, ; l LOCUS 1S 1M DISRICT if 121 t EW,-3 - ^'LOT CORN , ... f ED t 1214 `� '.�. - - SCANN L L ;, ..- �,� � �1, �%• \�. 1 1 EIAI�4' 1 �,•• :� `\ /' , t ` _ ti g . ..r_..•..rru•.rr•.•_,•.1.....•.. EW-5 x ry , BUILDING DEPT. .., L Nov 2020 - t •.- y , TOWN OF BARNSTA � sLE r ; ti 121 Q - LOT—LINE - t i 1215 r J LL rr r / f r J '. 11221 ► DOUSE -SOX< / 1.217 1 . ;- : 21 U / t f t' ., ~� - UtILL/LQT-- I N E O - TH2 r1222 . x �OU, SE HBO/29.72 TOP EL 60fi F0UNDAT10412.0 c6 J fr •� 10000, PJ r 1224 1223 HOUSE—BOX MED DRryE n OO 41, i � � � � ,.5 ;- f ; , .. •Q• ,�+•- 1209 ,'LO T—LI N TH TH4 j �; ,t l -4A AV- L ? i' /i A IL.- Y l•, '2 9- ,O T—LI N�E: r / r,+ , t /i- �y4 •i , / I , 1 t r 1 ' BENCHMARK —" } I i ' i EW— CORN. CONCRETE PAD 14 ! + EL - 70.65' SHAPE LINE 208 LOT' LINE , 1 , ; r ELECTRIC TRANSFORMER p i 4 220 ^'� 5 ( ` \ i`, 4 EW-1A - �0 V � � t.- CAN RISER t NEL RISER, �� ! t` (TYP.) ! ' r , E� HANDBOX i Ito- •-uc—�"•trwt , JTYP•� t 1 rl `� iEW-4',, y i .(� 1 EWES 06 AV- QT—C R 1-2.07 i _LOB- c'oRN •'11 _11p\, .� _ t TH � 2 : `x TH3 - f NA[L SET STAKE SHEET OF LOT A-1 HIGH NOON DRIV E CENTERVILLE, MA PREPARED FOR STEVE FERNANDES DATE: SEPTEMBER 24, 2014 off 508-362-4541 fax 508-362-9880 - ./ nff 508-362-4541 d0wd CAA! 00 169C /J! s loc. Scale:1"=20' civil engineers _ land _ surveyors H O M4 9 , 939 Main Street ( Rte 6A) P , DATE DANiEL A. OJALA, P.E., P.L.S. YARMOUTMPORT MA 0267� STE F"� ,N DES W 40980 Fts S%0 SURV DATE REG. LAND SURVEYOR