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HomeMy WebLinkAbout0152 LAKEVIEW DRIVE view d 1 i d , F ls� ` A.M. 214 PAR 43WB & 43CO :Z� N1419,30 °E tz ti S14.19'pq'rw tz b ' , 136.9 C � O FOUNDATION 4 LOT 2 y 79.0' A.M 214 PAR 42WB & 42C0 r, AREA=39,396f S.F. i 225.26 c 9�p0"W LOT I m 514.1 A.M. 214 PAR 64 JYB & 64CO o ' 619 p"E ,414.1 FLOOD ZONE "B" FOUNDATION CERTIFICATION RES ZONE TOWN CENTERVIMS SCALE 1 40' PL REF` 298-18 ELEV N/A SETBACKS: 20'-10'-10' I CERTIFY THAT THE p AA YANKEE LAND SURVEYORS "FOUNDATION" IS SHOW °r c`'�o y® & CONSULTANTS ON THE PLAN AS IT EXISTS G'J RF G P.0. BOX 265 ON THE GROUND. __ ® �J. N UNIT 1, 40 INDUSTRY ROAD a DOnE. MARSTONS MILLS, MA 02648 TEL• 508-428-0055 FAX 508-420-5553 -- ---- t � � JOB STEPIIE 4J2D570 YLE, P.L.S. DATE- 09-29-06 NUMBER 54120FND Town of Barnstable Building Department - 200 Main Street ASTABLE.* Hyannis MA 02601 MASS. 1639- . (508) 862-4038 r ifi f anc . Ce t cats o Occu . p Y 1 Application Number: 20060866 CO Number: 20070268 Parcel ID: 214042TOO CO Issue Date: - 1210 610 7 Location: 152 LAKEVIEW DRIVE Zoning,Classification. SPLIT ZONING Village CENTERVILLE Gen Contractor: POLHEMUS & SAVERY Permit Type:, -RC00 CERTIFICATE OF OCCUPANCY RES Comments: U9, -z Z4 h Building Department Signature Date Signed t TOWN OF BARNSTABLE ILd Building Application Ref: 20060866 • BARNSTABIE, * Issue Date: 08/25/06 Pe I I l l It 7 MASS. 639. Applicant: POLHEMUS&SAVERY ArF p .I a� pp Permit Number: B 20060962 Proposed Use: Expiration Date: 02/22/07 Location 152 LAKEVIEW DRIVE Zoning District Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 214042TOO Permit Fee$ 4,710.08 Contractor POLHEMUS&SAVERY Village CENTERVILLE App Fee$ 100.00 License Num Est Construction Cost$ 1,148,800 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REBUILD NEW SINGLE FAMILY 4 BR DWELLING THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BAD JAM INC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 6 BRIDLE PATH INSPECTION HAS BEEN MADE. SHREWSBURY,MA 01545 Application Entered by: DB. Building Permit Issued By: THIS'PERMIT CONVEYS NO;RIG HT`.TO OCCUPY ANY.STREET`ALLY OR SI' LK'OR A PART THE E •TEMPORARILY OR PERMANENTLY. ENCROAGIIEMENTS,ONPDBLIC PROPERTY„NOT.SPECIFICAliLY PER1V[ITTED.UNDERTHEBDILDING CODE; UST BE APPROVED BY THE JURISDICTION. ` STREET'ORALLY GRADES AS W ELL,AS DEPTH AND'LOCATTON OE;PUBLIC MA SEWERS Y-BE,OB IN TAED FROM:THE DEPARTMENT OF PUBLIC WORKS =` THE ISSUANCE OFTHIS.PERMIT DOES NOT.RELEASE THE APPLICANT f FROM:THE CONDITIONS'OF ANY APPLIC?BLESCJBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. ` 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). - - 5.INSULATION. 6.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 WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). a j„�se� � ���..,.�, , �,.: .a ...® .. D I7 ® •.. ,€: x a..,..D. D �at.,.r D ._ ,YM� e..�z k` s • � � x � ; Ago'Y ;fi BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3F-f2m '21113/0'7 ►�� _ t j' 2 2 � ����«� 2 3 1 He ng Inspection Approvals Engineering Dept e� Fire Dept 2 Board of Yealth oD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map 21 4 Parcel DO Application# cO�'1o.3 � o Health Division Conservation Division 6 Permit# Tax Collector ` Date Issued Treasurer Application Fee �7�' Planning Dept. A,, Permit Fee q2i) 0 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address i r2Z LA VEy I EW L)i7 Village U aw L( Owner .lJC MME&A MC[AMPLIAddress 29 •1'f()w Ca, LDa.II► AC�15?� Telephone ���� ��� � (���� Permit Requestbtm&214 ,j_.,xid; Square feet: 1 st floor:existing proposed 2nd floor:existing proposed p Total new�i� Zoning District P F �QQ®"I Flood Plain Groundwater Overlay Project Valuation O Construction Type WOOD-P&AE3 Lot Size 31-3� 4 Grandfathered: ❑Yes YNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1�YplS 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) -7 3 Number of Baths: Full:existing new Z Half:existing 1 new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count 1 Heat Type and Fuel: )qGas ❑Oil ❑Electric ❑Other i j Central Air: )(Yes ❑No Fireplaces: Existing _ New Existing wood/coal stove: 0 Yes- )(No -:r Detached garage:❑existing ❑new size A Pool:❑existing ❑new size N/A Barn,❑4izisting 0 new ;size NIA Attached garage:❑existing ❑new size '~T Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal#, - - - Recorded❑ C17 .�--- ---- — - Commercial ❑Yes $No If yes, site plan review# Current Use_ 0&t)QNM Al, Proposed Use V43S 1 1) TI A:L._ m m,v ~Ztnan BUILDER INFORMATION r79 V- 922_p5 5D Name(, M'U aVbASILVA Telephone Number (508., 014-154i30o Address ml DizaO? License# CPAVA64 , A4A 02,to-Z-� Home Improvement Contractor# Worker's Compensation# 78Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 122,4,dW_1Y_ &Cnv� 2°I Un r2� 53- 2®0 SIGNATUR DATE �/Z�l0(151 l 1 FOR OFFICIAL USE ONLY _ t PERMIT NO. DATE ISSUED — -MAP/PARCEL NO. r r ADDRESS_ VILLAGE t OWNER �_ _ •'~� 1 _ � i � . r DATE OF INSPECTION: !1� FOUNDATION 9t9'5z'-� FRAME !IT7 I3 0 .= INSULATION & Z713167 -x FIREPLACE 5 ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL __ r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. _ ' °FIME The Town of Barnstable BARNSTABLE,g` Department of Health Safety and Environmental Services MASS. f63q'AIFs639. Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspectionr Location )5 Z_ U kc e-6 e r- Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: `{ r 02 r.N 3 1A S Pr.o.u� 1�2ec� r vt;In -4 p r� Y Please call: 508-862-49-3,8•for re-inspection. Inspected by vj, l / '— Date 011467 Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: McLaughlin Residence Report Date:04/20/06 Data filename: F:\MASCHECK\Mclaughlin.rck Energy Code: Massachusetts Energy Code Location: Centerville(Barnstable),Massachusetts Construction Type: 1 or 2 Family, Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 22% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: . 152 Lakeview Drive Polhemus Savery DaSilva Centerville,MA 101 Depot Road Chatham,MA 02633 508-9454500 Assembly 1 st fir over basement:All-Wood Joist/Truss:Over Unconditioned 1915 30.0 0.0 63 Space: 1 st fir walls:Wood Frame,16"o.c.: 1899 19.0 0.0 85 Window 2:Wood Frame:Double Pane: 268 0.370 99 Door 1:Glass: 208 0.370 77 2nd fir walls:Wood Frame, 16"o.c.: 1300 19.0 0.0 63 Window 3:Wood Frame:Double Pane: 223 0.370 83 attic door:Solid: 24 0.500 12 2nd flr over screen porch:All-Wood Joist/Truss:Over Outside Air: 180 30.0 0.0 6 flat ceiling:Flat Ceiling or Scissor Truss: 1008 30.0 0.0 35 ceiling @ dormer:Cathedral Ceiling(no attic): 120 30.0 0.0 4 Furnace 1:Forced Hot Air:80 AFUE Air Conditioner 1:Electric Central Air:13 SEER Compliance Statement.The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for thisbuilding,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design I a as specified in Sections 780C R 1310 and J4.4. 4 ui der/De er Company Name Date Page 1 of 4 McLaughlin Residence REScheck Software Version 3.7.3 Inspection Checklist Date:04/20/06 Ceilings: ❑ flat ceiling:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ ceiling @ dormer:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ 1st fir walls:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ 2nd fir walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 2:Wood Frame:Double Pane,U-factor:0.370 For windows without labeled U-factors;describe features: #Panes Frame.Type Thermal Break? Yes No Comments: ❑ Window 3:Wood Frame:Double Pane,U-factor:0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.370 Comments: ❑ attic door:Solid,U-factor:0.500 Comments: Floors: ❑ 1 st fir over basement:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: ❑ 2nd fir over screen porch:All-Wood Joist/Truss:Over Outside Air,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:80 AFUE or higher Make and Model Number: ❑ Air Conditioner 1:Electric Central Air: 13 SEER or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. . ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type.IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference Page 2 of 4 McLaughlin Residence a and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. e Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. McLaughlin Residence: Page 3 of 4 i Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1.25" 1.5"to 2.0" Over 2" Temperature ff) Up to 1" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range ff) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) r Page 4 of 4 McLaughlin Residence i �u �-. Lc.ic.iu tV JV IIVLJVI`I LLLI\1LUL 11YJ J✓JO 7-FJ 71 JO r—.ell/ell AC—QRDo CERTIFICATE OF LIABILITY INSURANCE """'�""""'Y"'� POLHESI 08 25. 06: RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IUDSON ELDRIDGE INS. AGY. , INC HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 65 ORLEANS ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. IORTH CHATHAM Mh 02650- ?hone: 508-945-0446 Fax:508-945-9136 INSURERS AFFORDING COVERAGE NAICS ; ISURED - INSURERA: American Homo AaBLzr. CO. INSURER B; Polhemus Save:y Da3ilva, Inc. INsuRER c; 101 Depot Road INSURER D. Chatham PIA 02633 _.��__—.._..._. :... . INSURER E; OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR WORC TYPE OF INSURANCE POLICY NUMBER DO NMlD DA E N ID LN11R5 GENERAL LIABILITY EACH OCCURRENCE $ I COMMERCIAL GENERAL LIABILITY PREMISES(Ea a=umnoe) S CLAIMS MADE OCCUR MED EXP.(Any one person) S PERSONAL 6 ADV INJURY S I GENERAL AGGREGATE _ S _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $- P0UCY T17 LOC /WTOYOBILE LIA11111lfI7 COMBINED SINGLE LIMIT ANY AUTO (Es atrideM) $ ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS (Per Person) i HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pat eradenl) $ i I PROPERTY DAMAGE S (Peraaydent) OARAOELIASILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO —EA ACC $ P. OTHER THAN. AUTO ONLY; AGO S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR n CLAIMS MADE AGGREGATE S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER NPLOTERIETO ANY PROPRIETORIPAR AR TNER/EXECUTiVE WC8947753 07/30/06 07/30/07 _F-LEACHACCIDENT $ 0 5000 - _ A __ _ OFFICER04EMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500006 If yes,deecnbe under 50 000 d SPECIAL PROVISIONS below E.L.DISEASE.POLICY LIMIT S OTHER MCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS i i I ERTIFICATE HOLDER CANCELLATION MCLA—Wl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E*RRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO NA L 10 DAYS ijRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SHALL Ward 6 Melissa McLaughlin IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INsu RS AGE 152 Lakeview Drive " OR Centerville MA ,02632 REPRESENTATIVES. AUTHORIZED REPRE IENTATNE Hudson Eldri e Ins. en -l' CORD 23(2001108) ®ACORD CORPORA ON 1968 TOTAL P.01 r MAY-23-2006 15:50 HUDSON ELDRIDGE INS 508 945 9136 P.02i02 atom CERTIFICATE OF LIABILITY INSUKANC:t POLIiE OP1D K Sl 05 23 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IRMSON ELDRIDGE INS. A=. , INC HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 265 ORLEANS ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ NORTH CHATHAM MA 02650- Phorie-- 508-945-0446 Fax:508-945-9136 INSURERS AFFORDING COVERAGE NAIC# NSURED INSURER A: Scottsdale Insurance INSURER B_ Amer1C.3n International Group - Polhemus Savory DaSilva, Inc• INSURER C: 101 Depot Road INSURER D! Chatham ]MA 02633 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - —._ -............. OiLify EXPIRATION S POLICY NUMBER DATE YIMID PDATE MMMD/W LIMITS LTR TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE $1000000 'PREMISES -- - A X COMMERCIAL GENERAL LIABILITY CLS1154180 09/17/05 09/17/06 PREMISES(Ea oxurence) E 100000 CLAIMS MADE LX J OCCUR MED EXP(Any one person) S 5000 PERSONAL&ADV INJURY $ 1000000 _ GENERAL AGGREGATE S 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 X POLICY 17 PJECTRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S -- (Ea accident) ANY AUTO ... ._ .. ..._._ ALL OWNED AUTOS BODILY INJURY S (Per person) SCHEDULED AUTOS — HIRED AUTOS BODILY INJURY 5 (Per accident) NON-OWNED AUTOS .. PROPERTY DAMAGE S •• --'- (Perarcident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S — AUTO ONLY: AGO S EXCES8lUYBRE1I AIIABILITT EACH OCCURRENCE $1000000 A X OCCUR CLAIMSMADE TJMOOI8464 09/17/05 09/17/06 AGGREGATE $1000000 __... 5 DEDUCTIBLE X RETENTION $10000 S WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS LIABILITY >3 WC6709051 07/30/05 07/30/06 E,L.EACHACCIDENT a500000 _ ANY PROPRIETOR/PARTNERJEXECUTIVE -' OFFICERIMEMBER EXCLUDED? E.L.DISEASE•EA EMPLOY $500000 If yes.describe under E.L.DISEASE-POLICY LIMIT $500000 SPECIAL PROVISIONS Delon OTHER ,DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSKNS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION r� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL Ward be Melissa McLaughlin IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUR`ITS AGENTS OR 152 Lakeview Drive Centerville MA 02632 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE , Hudson Eldridge 12jefricy ACORD 25(2001108) 0 ACORD CORPORATION 1888 TOTAL P.02 f, KRY-26-2006 11:01 A.M.WILSON ASSOCIATES 5084209795 P.01 Sk 20619 Pw169 091000 12-30--2005 a 09=09a QUITCLAIM DEED KNOW ALL MEN BY THESE PRESENTS THAT BAD JAM, INC. , a Massachusetts corporation having an usual place of business in Shrewsbury, Massachusetts, for consideration paid of LESS THAN ONE HUNDRED 00/100 ($100.00) DOLLARS grants to WARD W. McIAUGHLIN and MELISSA M. McLAUGHLIN, husband and wife, as Tenants by the Entirety, of 29 Holly Circle, VHolden, Massachusetts 01520, � WITH QUITCLAIM COVENANTS L 4 Certain real estate situated in Barnstable (Centerville) , Barnstable County, Massachusetts, shown as Lot 2 on a Plan . y entitled "Subdivision Plan of Land in Centerville, Mass. j belonging to Florence M. Hayes", dated August 15, 1975, drawn by Nelson Bearse-Richard Law, Surveyors, Centerville and recorded in the Barnstable County Registry of Deeds in Plan Book 258 Page 18, and being more particularly bounded and described as N follows: NORTHERLY by Lakeview Drive, (formerly Lakeview Avenue) a private way, one hundred forty and 68/100 (140.68) feet; EASTERLY by Lot 1 on said Plan, now or formerly of Florence M. Hayes, about two hundred eighty-six and 28/100 (286.28+) feet; SOUTHERLY by Wequaquet Lake; and WESTERLY by land now or formerly of Edward H. and Natalie W. Kneale about two hundred seventy-six and 55/100 (276. 55+) feet. Containing 39, 838 feet, more or less. So much of said Lot 2 as by implication of law lies within the sidelines of said Lakeview Drive is subject to the rights of all persons in and .Over the same. Said premises• are conveyed together with the benefit of all rights of way, easements, conditions and agreements of record with the right to use the beach called "Open Landing" on a Plan entitled "Key 'Plan of Property in Barnstable, Mass." dated September 1, 1915, recorded in Plan Book 1, Page 53, insofar as now in force and applicable. a � hiW-26-2006 11:02 A.M.WILSON ASSOCIATES 5084209795 P.02 DA. 4Vvi7 ry i0v Tr Said premises are conveyed subject to an easement for a poleline k 298 Page 18 and to Plan Boo � as shown on said Plan recorded in 9 easements and restrictions, of record, if any, all insofar as now in force and applicable. Being the same premises as conveyed to the Grantor by Deed dated November 10, 1995 and recorded in Barnstable County Registry of Deeds in Book 9933 Page 211-212 . Executed as a sealed instrument this 1 �� day of December, 2005. BAD JAM, INC. by: AWad cLa) g n Its Prg,�S d nt WBJansson Treasurer COMMONWEALTH OF MASSACHUSETTS County of Worcester On 'this 14 day of December , 2005, before me, the undersigned Notary Public, personally appeared the above named Ward McLaughlin, President and Brian Jansson, Treasurer of BAD JAM, INC., who proved to me through satisfactory evidence of identification, which was their Massachusetts drivers licenses or who are personally known by me, to be the persons whose nam are signed above, and acknowledged to me that they signed — voluntarily voluntarily on behalf of BAD JAM, INC. , for its stated pu " 'f before me. x Notary Public �1r� My commission expires: mlYt�d� olh„a, appeared before m an prove I Is er i enhftolianhro h saksfaeory evidence,whiter were DEBORAH D. MaKONNELL be the person whose name is signed the prxed1n0 or anach".... t Notary Public doameminmypresenteonNis fyol �, Corn morwe:'r� of Mossothumm Deboroho,Ma(Correll (=monvealrhofMassochuserts My Commission Expires Hotoryhblic My(ommission Expires February9,2012 February 9, 2012 BARNSTABLE REGISTRY OF DEEDS TOTAL P.02 0512'5/2f-906 08:52 9783456374 EOUTb,]ELL OWENS CO IE PAGE 04 MRY.25.2EI05 10;iOAM POLHFMUS AND 4qVERY N0:B82 F.A T- oowu of Barnstabl Regulatory Service's ' mamas�,c,�x,�73rertar Enfld ng DiYislon. To-=ierrp, Budding CautfsAmor 200 Man Atree� $y=tLI,MA WoS �ww�ta�A.la�I:tst+�bleteA.its Office: 508462-403 9. Fax: 508-790-6230 Pro PeltT Owner must Complete and Sigu This Secdan If Us q mg .A Builder I, Wi 1 ljLS&- � 1 �,as,O.-ner of t Subj ect PZOP=y hez ebp attl.ip m t LV h. act on my behaX, iz1 all mars mlative to work authonzed bvthit bu 3iag per=apply_a'tioz fQr Address of job) D1.2 SIGN ICE Print Name . . .. "-ek tc � o r . r� i BOARD OF BUILDING REGULATIQNS I'• ° ' License: CONSTRUCTION SUPERVISOR s.� ' I � Number CS 092991 � B-irthdate-06/l0/198Z f tExpires 06/10/2009 Tr.no: 92991- ' .AARON D P-.LHEMUS js e M KENDRICK ROAD--- J f; NO CHATHAM, MA 02650 1 r Commissioner i The Commonwealth ofMassachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street ,Boston, MA 02111 y www.mas&gov/dia' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plnxx hers Applicant Information Please Print Legibly Name pushess/or, ni?ationdodividuan: PQWMMSGAV= DL� /At,()P—c Address: u➢ bk-,TDT I�-p City/State/Zip • 1kVl/1 Phone t Gob 9+5 4G O O• Are you an employer? Check the-appropriate bog; Type of project(require ci): 1, 4►I am a employer with, 4• ❑ I am a general contractor and I 6. M New construction employees (fall and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on fe attached sheet t 7. ❑ Remodeling ship and have no employees These sub-contractors have & t&Demolition e' a workers co nip,insurance. working form many capacity.crty. mP 9. ❑ Building addition [No workers' Gomp.insurance 5. ❑ We are a corporation and its required.] officers have exercised then 10,❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL M❑ Plumbing repairs or additions myself(No workers' comp. c. 152,.§1(4),and we have no 12,❑Roof repairs insurance required.]t . employees.[No workers' 13.❑ Oihq comp,fim=ce required.] *Any applicant that checks box#1 must also U out the section below showing their workers'compensation policy information: t Eorneoman who submit this affidavit indicating they era doing a1i work andthen hire outside coahactors must submit anew aMdavit iadicatini each ;con h acturs that check tbds box must attached an additional cheat showing the u=e of the aub-contactors and than•workers'comp policy information. ram an employer that is providing workers'compensation insurance for.my employees: Below Is the policy and job site information. '•Iastrance Ccmpany Name• rJ T�ATwMAL Pz l.A P F #or; a.Lic. l�l(J� or 3�a it`�0 lob Site Address: 4 r2 City/5tate/Zip: CewMl� o�Z Attach a copy of the workers' compensation p.oiicy declaration page(showing the policy number and expiration date). - Fai'lure to secure-coverage as required trade=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 impdsmmcnII as well as civil penalties in tbe.form ol.a STOP WORK ORDER and a fore of up to$250.00 a day against the violator. Be advised fhat a copy of thus statement may be forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby certify er the pains and penalties of perjury that the information provided above is true and correct; Sr tore' G% Date: 6 '2,to •C'G Phone#; /®o9 4-s t Ci µ c off. Do ft M this area,to ca d.b.C4 or e mid , • l l City or Town: PermittLicense# Issuing Authority (circle one) 13oard of Hesi{h 3.Building Department 3.City/Town Clerk Q.Electrical inspector 5.Plumbing laspector 6.Other i C0 utact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide Vat'kers' compensatimfortbeir employees. Pursuant to this.statute, an employee is defined as"...Cvery person in the service of another under any contract of hire, express or IInplied,.&O or written." . An employer is defined as-"an individual,partnership,association, corporation or other legal entity,or any two or more of a deceased employer,6r the . e foregoing engaged in a joint enterprise, and including the legal representatives e� y . of the f g g eIIg g 7 receiver or trustee of an indivMdual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three spar inents and who resides,therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair words on mch dwelling house or on The gronrids or building appurtenant thereto shall not becaus a of such employment be deemed tube an employer." t MGL chapter 152, §25C(6),also states'tliat"every state or local licensing agency shall V fthhold thp.issuance or renewal of a license or permit to operate it business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence oUcomplianee with the insurance coYerage required" Additionally,MGL chapter 152,§25C(7)states"Neither 1he commonwealth nor any of its political subdivisions shall enter into any contract-for the pefformanct ofpublic 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 l;bikers-'compensation affidavit completely,by cheeldng the boxes that apply to your.situation and, if necessary,supply sub-cont-actor(s)name(s),addresses)and phone numbers)along with their certificate(s)`of once, Limited Liabfity;Campanies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or p aeas,-are'not required to carry worker compensation insurance. If an LLC or LLF 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•aff davit should be returned to the city or•town that the application for the p ermit 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 it workers' compensatimpolicy,-please call the Department at the munber 1istedbelow. Self-insured compan cs sherd curter their self-insurance license number on-the appropriate line. City or Town Officials Please be surd lhat the affidavit incomplete and printed legibly: The Department has provided a space at the bottom. 'of*�afdavit far you.to'fi'll outin the event the Office of IM:VCStiiations has to contact you regarding the applicant - Please be sure to fill in the permirlficense number which will be used as a reference Ayer.,Inadi d03:,'am;app3irant that mmst subniitmultiple pmmi*cense applications in any given year,necd only submit�onb affidavit indicating current policy information(if necessary)andundei"Job.Site Address"the applicant should write"all locations in (city or taws)."A copy of the affidavit that has been officially stamped or markedby the city or town may be provided to the applicantos proof that-a valid affidavit is m file for faturre permits cr licenses. A new'af5davit mustbe filled out each ' year.Where a dome owner or citizen is obtaining a license or permit notrelated to any business or commercial venture (io. a dog license or pemrit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department°a address,telephone and fax number: _. - The com nonw of M- Miachuetts Deparrtment of Industrial Accidents 600 Washington Street Boston,MA 02111 Tel, #617-727-4900 ext 406 or 1 o77-MASSAFE ' Fa.#617-727-7749 Revised 5-26-05 W, -wxams.crov/dia SM i File Edit"'•Tools Help a c _� ft�ems" I'oy '-1J -„.;3E •=1, � `` ® V �! tY:YT . Action r -�- � - I ¢ � r Detail Application 20060,866 �I w� � `�� � '-;ZApplcant , GC:.GENERAL.CONTRACT( +t.... ,f+ '.. ... �. F y ' h' arui� a ,�NIP �i�agg'"3`wM" o-"wr�a-a IT�r ,i ,,i Status DENIEfJ" � t ' ram "` rOwnerr :°171548;1 Collect- a_.----eD, � - Department" 6300_EUIL`DING DEPARTMENT a ", BAD"JAM INC i - - ProiectlActivity 106•REBUILD:HOUSEAF.TERTEARDOWN4�aContractor POLHEMUS &SAVERY=x i I'' Workflow Description 1 REBUILD NEW SINGLE`FAMILY4 BR DWELLING Business Descri tlon 2 "G a z a-- y' qy& ada4•. yy FK'� a 1k R¢ ; Parkinglf'+11SC ,4 _ t- •. ._ . rn ae - !�. ,: � _,� "`'°' m—"- p P or pertyJUse I':'Non-(, DatesJMise � Permts 5'`� x `Y- t i Property �• I e t Property x Property Use ! Reactivate .��- -f - � .� Y Location 152 Unity Existing use= 1010 SINGLE FAM <a k *{ P Adjust Fees Streek LAICEVIEWaDRIVE ' ' l �' _ .. tea _ a � i zoning a °& --- Parcel' 214042T00 e 1. Escrow r ,memos t `. I . . r Municipality CENT CEN'TERYILLE 3 � µ Misc Chgs j k ;k `zz i, Subdivision/lot - '=- -� = T Proposed use1010rr SINGLE+FAM Paymt Wstory l Bet ' g _ � ` r� u r... *a ims " r r� a.. _ i.[�C �"' h.iS'T" .,aa _ t. `.., r .ctp ^"h C awa G Zoning SPL-T ,SPLIT ZONE and ! d q ; C j Audit History = _ t . F'-a x memo r Location desc LOT PT2 Summ Permitx •"` �� r x $ 4 ,x �S 7 ,' �� r „-,S " .4�.�3 ,y c,_ ° � =' 'a k z s. `.iCopy App � " m. m € 2L ' tp;._.....�....,,,...,�::w �, .aaad,,,a. «.,a,.,, ,�;�a , =�#dU�� I 'y ', h , n'd"�fl y ,y r, ti,.HazrijlRestr Names onds ST L3 Prerequisites ' B 1 "'Plan Review - _ Prior History � Inspections: Violatioris [ Reviews (�'`Open Items Warnings' [� Fmd Related' f -s'X S' .� w11F— '� � _ r w I Maintain project activity detail For the.,curr•ent appI -k on K � 1 1 1 / "' ,s'e P p,. ,� a��`... ";4E {,,•$" .4 a q; �'�s,� tee; � � Mm File `Edit Toils Help ` yFfs 4 rt t 5� za .-Jrff UP frWF' ;Prerequisitetl € "Action . Dept r,µ , Needed Comment tatus. k j �� . . .. AudiTHistory HEALT APPROVAL 6500 DSTA XELG ,r `t PLANN APPROVAL 4100 TAX APPROVAL 6300 05126I2006 ERIN APPR WORK APPROVAL 6300 i':f T _ - 5�7�`t, €, z wr"np u€ 'v P y �r � ! uti -'?Fr' ,i 2a aau`a'. :-7er = ^.hf` .°, Prerequisite fl CONS CONSERVATION DEPARTf+�ENT� =s 3. r Inay,ector ,Action APPROVAL .,_ 14 r Responsible°dept ' 6701 CONSERVATION �Nnspecbon_type �p q =` reference ' g Status ., -Applicant Yf� g .gym 4� d8te Comment coder key. , ; �sm` Ap iraved' 4 _ n� .. �t h','', Te}{t 7 3..,r.+ .>.. tx.#+ e 1s ¢ sy:..ar �att, Az `h a:: t .: ,.,t a • . -+. � z tro �. r a. . .. a 't - '�•^�`'j 9€' ,;� `. byb s ' ' X` raw „ems+ i�nsn€ "' `1 B y, z '''ip ati ` � v�.: S. @ f -,_ 6� € „, 17, y+^' ;2t� � ^` X €� 6 a aEc b p ` A_ } i�M ii r 2e � -�F•e✓+� �L {� «tea-i- V vb(l7.fybsL:LO fi VV'I/G'JI GL(i(►-LUNG °` V'i r�OtOilL o� fi Q/I/1L6C0.��t3 F t1A ItN NTAIII,V m 230 South Street \FD MAC s Hyannis. Massachusetts 02601 ;.�,,t,, , C._---'K Notice of Intent to Demolish or Move an Historic BuildiM/'q/ �'"ture Lim 1'u3 int in Ink ff Date of Application: (01 ®�(0 Building/Structure Address: 2 L e7&, Assessor's Map and Lot Number: _ A 1 oA-2 . Zs building structure located in a local or regional historic dietricte X N x If yea, Protection of Historic Properties Bylaw does not apply and it is not necessary to complete the remainder of this forgo. Is building/structure listed on the Rational Register of Historic Places Ox pending listing on the National Register of Historic Placeei Y N How old is the building/structurer Architectural style of building/structure, describe If not known v Qam`/A p— Is this building stucture associated with one or more historic events or persons. r name and description (Vl7 • Type of Building/Structure and Proposed Work: w � — EISETVUACL 1 • Zoning District: JV�—Dtl� Fi.►-e Uj.9Lrict: ' Applicant's Name: Address: �P Lk A. • Owner's Nante: �A /�M �� lJl�'✓"� Tel . # b Address: • Contractor: Pk P2 1'el. N deq Po�N�MuSSvv Address: Material of Building/Structure: How is Building/Structure Occupied : � � TIA L- No. of Stories: Explanation of t•Ire liruhosc J use Lu be made ell' Lhe site: �= ` ( TDA U—K A6 " tj 5 'i1t2e&A��j . cn _agraln of Lot and Building/Structurc wi.Llt Uimc 'Siults : rid Narrative supporting demolition of: 152 Lakeview Dr., Centerville The house was built in 1930 as a summer cottage not intended for year-round use as is true for most cottages built in that period. Over the years, a small el addition and as well as a sunroom were added. It is structurally sub-standard in regards to the current building code. The individual spaces are small and dark. The electrical system is old and sub-standard. The rear of the house has contact with the ground. Hence, there is a considerable amount of rot. The house has no architectural significance either inside or outside. L 2 keV Polhemus Savery DaSilva ovaar aal 7WHB20 Pl 2: 29 February 16,2007 Mr.Jeffrey Lauzon Building Department Town of Barnstable 200 Main Street Hyannis,MA 02601 RE: Vapor Barrier at insulation between the Second floor ceiling and attic Dear Mr.Lauzon, Polhemus Savery DaSilva Architects Builders does not feel that a vapor barrier is necessary at this location as the building shell is insulated by Icynene Insulation. The Icynene Insulation functions as an air and thermal barrier, allowing the air to circulate with-in the shell of the building while preventing air leakage. With the shell bein enclosed with Icynene insulation,the attic becomes a conditioned space so the build-up of moisture on the 2° floor ceiling will not occur. a.: If you have any further questions,please feel free to contact me. Sincerely k David Pfeifer,Leed AP Polhemus Savery DaSilva - 1r PROJECT 7 \[Y NAME: ADDRESS: "bll o��v PERMIT# PERMIT DATE: D ro M/P: i—To C) LARGE ROLLED PLANS ARE IN: BOX SLOT DATE COMPLETED: l U� BY: q/wpfiles/archive `ppfHEipk� The Town of Barnstable pn RARM.T111 E. MASS • Department of Health Safety and Environmental Services 9 . 0q tb3q. �0 prEO MAC a� Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following s�items need icorrecting: © Tel n3 M u S�T y e-A d i rf c4 1, Ai pPr '� �s� I y1 /J�GtS 1 �d 5f SC' US LAD DAA- 'A4 berAo.0 R�r-a 1 Sia 1)06r� � I J / ► J -r/o.- TTT ��fSTS ti/15nPer T� Uno o✓(4r 2n) / i.,a 3'/ Please call: 508�}-862-40/J3.8/-for re-inspection. Inspected by Date �'I t7J a FEB-9-2007 11:43 FROM:POLHEMUS SAUERY 508-945-8784 T0:715084953707 P:1f1 easy` Cape engineering, inc. 44 Route 228 P.O.Box 1525 GIYII.,ENGINEERING Orleans,Mass.02653 LAND 9URYEYING 4VArrR R£94URCE5 - 4rND covRr "- VIRONMrRTAL 500-255-7120 SITE ETT rIAo SING nAWITARr r1TRUCTURAL FOX 50$^2W3175 - WArr,RrnoNT - February 8,2007 Building Department Town of Barnstable 200 Main Street Hyannis,MA.0260T RE: F air.e.Inspection,McLauphlin Project, 152 Lakeview br.,`Centervillc East Cape Engineering,Inc, completed a frarning inspection of the house under construction for the McLaughlin Project located on Lakeview Drive in Centerville along; with.the building inspector on February 7,2007, Based on this inspection,we find�that the frame was conmpleted in substanti.al`comp].Mme with the building plans and our structural design as well as the resideuti;al structural requirements of 6"'Edition of the Mass Building Code. If there are any questions, feel free to contact me. `' r Sincerely, Mark A.McKenzie , Treasurer,East Cape Engineering,Inc'. Cc P.S.D. � {ram Yyr �I ��v4vr _ i 1 L •��'�4 N .r r •.y..,,� 1� /'^I, �_'- 'i '` `ey_, •, 6 4 M.�i' C Il� �' yR' �. F .. Aria 7-.J.. t a � af 1::?"h�l�yf�'•.,T•. ,,;,�'� �;,. ' ,�h�N; `G�it� r=7;"(,� y.�r� -Y 1 1` .. .;' A. -+ ,•;,yam• Ksi�-�. �„X ��� ' 1''°"� x t', •.r: . ,� L.:,�11L�-•r���,.I 4:� 3'�aj '��" ` i J -14 Art ,. r . - VO f r„ f 1 �Z LAe-0VI-FW J)P- OWN fy I,} Y i I y w OUTH L�-6VATL OM WATaR-G t DE- r.?Z, [)L .�•� � J `fit -�'`y _ ��j,, � �• t •-- ,'�a � :S lip _ 1 152- L,44E,:V l C:,W bi-- IT .\t ,ram �� •� � ` h : .T'-�� ;. - i Ok ta b,&'YA-IIUQ i ,y Y � e6` •'' .� `.. s� f _. � , ,.�I �'lIr� � ,. � � 1 ""F a� � }gip f'�.+•a .' - °AI- �� p♦ �°"`. 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