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'. 4i" '..�. �' 'i j y" �' pp .� tt r� � + .r T4•f` ✓ '4. .f i r °ram i .d '�- r .k ., ''���- •� '�:.7 jJ•� �' f }N, � � .f, te, f. r l{ i 4. }• �4 :rb drz *i d � ,l L• a � 1t ., �f' r ;h l y r t, tt �j I' 17 t f+. '�'' t} �� �,:. �s+ •�t �T '.! .,] 14'�r�•. y '7 A, 1' ,..r f' _ r, t =,�,r P t � Y l, S r�i �i' d� • �"{��Y +��r�� 1 ! t'1 ' � r '•'i ! r � •�, .4, r. Pi ' CP�• r of t h. .:AS +i�'! I'� u � '•.f� r ,r e r '�4'I, r^^ ��: } ,�4� / 'rr• 1�r ' 1.t3.T a;'�' �.1'fi�i r {i ,� t1;. r Town of Barnstable Building .Bost ThisCard So:That rt u 3Uislbles;Fromthe,�Street', Approved Plans Must be.Retainedon�Job�and;this Card Must be Kept sAl1Iv'f3TABL6. z :n3 � �.._. / a `"� v �• �;� � i may..�c ', • e" Posted UntihFinallnspection Has Been Made �E g , ificate of Occu �anc�»is Re aired su'chBuilcJ�n 'stallfNot be Occu ied'until a Final Ins ectio�n has been made �� �� Where a Cert Permit No. B-17-4281 Applicant Name: REVISIONS, INC. Approvals Date Issued: 05/08/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/08/2018 Foundation: Location: 23 LAUREL AVENUE,CENTERVILLE Map/Lot 226-077 Zoning District: CBDCV Sheathing. o �s b Owner on Record: -GERARDIN, ROBERT&MARIE C tor Contrac Name REVISIONS, INC. Framing: . 1 y k , Contractor-License' 108901 2 Address: 27 LAZY VALLEY ROAD :j e GLASTONBURY,CT 06033 Est Project Cost: $ 199,500.00 Chimney: Description: New Addition on Back of House/extending family room Permit Fee: $ 1,067.45 r ? Insulation: gb I.. �f Fee Paid $1,067.45 Project Review Req: TO BE CONSTRUCTED AS PER SPECIAL PERMIT 2018:014 Final: Date 5/8/2018 d k�cNy r Plumbing/Gas �-� Rough Plumbing: _^ k eBuilding Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by',this permit is commenced within six m"onths after issuance. ou g All work authorized by this permit shall conform to the approved appl cation and,the approved construction documents for which this permit has been granted. r , Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for publicinspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures y the Building andlFire Officials areiprowded on this"permit. Service: Minimum of Five Call Inspections Required for All Construction Work M Rough: 1.Foundation or Footing .• _" -• _ �^" 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire bepartment ^- k Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT CV C Application Number........................ ...:......... 7�Bg •o�S • ....... 06=Fee........................ r Total Fee Paid......................................... TOWN OF BARNSTABLE / Pend Approval try.. ... :..............On..�k.. L BUILDING PERMIT ZL .. �...I. ...... APPLICATION .: ............ .. ...... ... Section 1-Owners Information and Project Location Project Address . j_� LAuizi;L wL✓ - vie Owners Name Owners Legal Addres L 4\J 9r -; City �C k,VI1 LL State Y"\ J d. �p owners Cell 02SU Email La��l C--b DC '\Q,t 6t Section 2—Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Stricture under 35,000 cubic feet S on 3-Type of Permit r ❑ New Constriction V ove/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(emire structure) ❑ Finnish Basement ❑. Family/Amnesty ❑ Fire Alarm I( build ❑ Deck Apartment ❑ Sprinkler System Addition ❑ ReWning wall ❑ Solar Pkenovation 0 Pool El Insulation Other—Specify k 6 q 61Cn 4—Detail Cost of Proposed Construction Square Footage of Project 7 Age of Stricture r10 .as� Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updated:1117/2017 t j Section 5-Work Description dA, w ly " Section 6—Project Specifics, J ing [] Oil Tank Storage : - u ❑ Smoke Detectors Wl=1'3 bing ❑ Gas ❑ Fire Suppression 04i;tin S �U�sonryChimn ❑Addhelocate bedroom g y� Chimney ............. -Water-Supply.- e ------ -Public----- -- — -- S sal Municipal L 'On Site � Disposal El Ilistoric District 0/H'yannis historic District ❑ Old Rings Eighway Debris Disposal Faciility: �J��� t �- I am using a'mane C Yes /XO . Section 7—Flood Zone Flood Zone Designation _ Within or adjacent to a wedand,coastal bank? Yes No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft e P of Lot Coverage #of Units on site Total Frontage Percentage 'rag Dwelling ( ) Setbacks Front Yard Required Proposed LL Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past?. ❑ Yes 0 No Last vpdated:11172o 17 1 Section 9—Construction Supervisor Nance _a \ Telephone Number .�0 8- LA 13-2 L E� Address lS r_�S a LCity 0 — state Zip C)2.6 u Q License Number L-S--05S3.7 6 License Type Expiration Daie S t -20 k Contractors Email Y\Q• �� J(JV' .� �. ell# �5 I understand my responsibilities tmder the rules and regalations for Licensed Const raction Supervisor m accordance with 780 the Massachusetts State Bu>Z . I m ierstand the constm=on inspection procedmms,specific inspections and . ocumeatation by 8 an the T Ie.Atta a copy of your license.. . Signature Date \2-�- Z o l 1 ch Section 10—Home Improvement Contractor Name dtvl s s � Telephone Nmmber Address I.2t,�U M OA 4-8 e . City ` � .Q2:. state VAA Zip OZ6N 4 xe fionr� d t Eipn an Data Z7 I understand my responsibilities#ackr t4e roles and regalatioms for Home Improvement Contractors in w=dmwe with 780 CMR the Massach jy7 ding de. I understand the coastructiom inspection procedures,specific mspeclions and docomentatiom 0 �theT �anzstable.Attach a copy of your H.I.C... Signature Date 1`nC- 6 -2617 Section 11—Home Owners License Exemption 1 Home Owners Name: Telephone Number Cell or Work Number ` I understand my responsl ities muter the roles and regulations for Licensed Construction Supmrvbw in accordance with 780 CMR the Massachusetts State Bmf1dmg Code. I understand the mnstrvation inspection procedures,specific inspections and docnentadam requed by 780 CAR and the Town of Bamstable. t Side Date APPLICANT SIGNATURE Signature Date Print Name Telephone Number E-mail permit to: _���o• CAt� 4 l�rLy t ZC�aI - 'p U t updatrd:1M120i7 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) El Historic District ❑ Site Plan Review(if required) ❑ Fire Department El Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization is Mck r%.F, '�9�('Ci.� rl. as Owner of the sub 'ect hereby j property y authorize kj .k® t S. to.act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name t e 3 Lastupdah:t 1 /7R017 BARNSTA LE LASED couRT REGISTRY d Town of Barnstable Zoning Board of Appeals Decision and Notice Special Permit Application No. 2018-014-Gerardin §240-131.4.(D)(2) -Change, Expansion or Alteration by Special Permit To allow the dwelling to be lifted, new foundation, enclosed patio, new deck, and new roof Summary: Granted with Conditions BUILDING DEFT. Applicant: Marie and Robert Gerardin 194 Georgetown Drive, Glastonbury CT 06033 MATit O7 2010 Property Address: 23 Laurel Avenue, Centerville Assessor's Map/Parcel: 226/077 TOWN OF BARNSTABLE Zoning: Craigville Beach District-Craigville Village Neighborhood Hearing Date: March 28, 2018 Recording Information: Book: 18770 Page: 304 Certificate 201230 ;lg; =":'=�; ' ;1�! ',€+; 3'I' i,;.. +. Background Marie and Robert Gerardin are applying for a Special Permit in accordance with Section 240-131. 4. D: (2) Change, Expansion, Alteration by Special Permit. The applicants are proposing to add 206 square feet of living space. The property is located at 23 Laurel Avenue, Centerville, MA as shown on Assessor's Map 226 as Parcel 077. It is located in the Craigville Beach District (CBD) and the Craigville Village Overlay(CV)Zoning Districts. The subject property is a .39 +/- acre lot located on the north side of Ocean Avenue abutting the marsh in Craigville (Centerville) and, according to the Assessors records, is improved with a single family dwelling constructed in 1920 and containing three bedrooms and a gross floor area of 1,929 square feet. The property is within the Craigville Beach District, an area designated by the Cape Cod Commission as a District of Critical Planning Concern. The Craigville Beach DCPC was initiated by village residents concerned with the changing character of the area and adverse impacts to the Centerville River. The DCPC addresses issues related to natural and ecological resources; cultural, historic and architectural resources; natural hazards; wastewater management; and waterfront management. The regulations contained in Section 240-131 are the adopted DCPC implementing regulations. These implementing regulations are the means by which all development is regulated within the district; grandfathering provisions and/or nonconforming rights conferred by M.G.L. Chapter 40A do not apply within the Craigville Beach District. Procedural & Hearing Summary Special Permit Application No. 2018-014 to allow the increase in living area at 23 Laurel Avenue, Centerville, was filed at the Town Clerk's office and office of the Zoning Board of Appeals on January 29, 2018. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested parties in accordance with MGL Chapter 40A. The hearing was opened on February 28, 2018 and continued to March 14, 2018 and again to March 28, 2018 at which time the Board found to grant the special permit subject to conditions. Board Members deciding this application were Alex Rodolakis, Herbert Bodensiek, David A. Hirsch, Jacob Dewey and Kyle Evancoe. Attorney Albert Schulz presented the application. Mr. and Mrs. Gerardin were also present. Attorney Schulz reviewed the project and stated the setback to a Way is the only issue. The Applicants need to lift the dwelling out of the flood plain and add 200 square feet of living area. Town of Barnstable Zoning Board of Appeals—Decision and Notice Special Permit No.2018-014—Gerardin Attorney Schulz stated the project has been reviewed and approved by both the Conservation Commission and Barnstable Historic Commission. The Board questioned the flat roof and Mrs. Gerardin stated the flat roof is necessary so the second floor windows are not blocked. The Board Chair requested public comment and no one spoke. Findings of Fact At the hearing on March 28, 2018, the Board unanimously made the following findings of fact for Application No. 2018-014, a request for a special permit to add 206 square feet of living area: 1. The application falls within a category specifically excepted in the ordinance fora grant of a special permit. Section 240-131.4(D)(2) allows for expansion of an existing lawfully established structure in existence as of January 19, 2011 and relief from dimensional requirements with a special permit from the Board. 2. After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. 3. The proposed alterations and expansions are not substantially more detrimental to the environment, community and/or historic character of the neighborhood than the existing building or structure. 4. Contributes to and respects the character and historic development patterns of the area and minimizes inconsistent redevelopment impacts to the historic and community character resources in this area. 5. Protects and preserves scenic views and vistas and ways to the water. 6. Protects and improves natural resources, including but not limited to the barrier beach and groundwater and coastal water quality and minimizes development and redevelopment impacts to the natural resources and ecosystems in this district. 7. Protects human life and property from the hazards of periodic flooding. 8. Preserves the natural flood control characteristics and the flood control function of the floodplain 9. The development complies with the setbacks and lot coverage requirements set forth herein, and is in character with surrounding structures, particularly structures that predate it. Relief is being requested for expansion of the structure in accordance with § 240-131.4D. 10. The redevelopment complies with the height limitations set forth herein.1 11. Exposed foundation walls for raised septic systems and/or elevated structures are prohibited; foundation walls shall be screened through the use of foundation plantings and/or the use of other natural materials. 1 BUILDING HEIGHT:The vertical distance from the grade plane to the highest point of a gable,hip or gambrel roof and the highest point of the coping of a.flat roof. These height linnitations shall not apply to chinuneys Cupolas,flagpoles or other similar appurtenances as approved by the Building Cornrni.ssioner.)(Gable roofs having a slope of 7/12 or greater allowed maxiunum height;hip and other sloped roofs with a slope of 4/12 or greater are allowed five feet less than the max) 2 Town of Barnstable Zoning Board of Appeals—Decision and Notice Special Permit No.2018-014—Gerardin 12. All new non-water-dependent development shall be set back at least 50 feet from the top of the coastal bank resource area. Change, alteration, or expansion of existing structures shall not be sited closer to the top of the coastal bank resource area than the existing development to the maximum extent feasible. 13. Existing natural vegetation within the fifty-foot buffer area to salt marsh and undisturbed buffer areas 50 feet landward of the mean high-water mark of coastal water bodies shall be preserved to the maximum extent feasible. 14. Is consistent with § 240-131.1, Purposes and intent. 15. Is consistent with.the performance standards for the neighborhood district where the development is located in accordance with § 240-131.7, Neighborhood Overlay regulations; and 16. The applicant demonstrates undue hardship without desired relief. 17. Building design. The guidelines shall apply to construction of new structures and expansions and alterations of existing structures. 1 Preserve the original _ [ l massing of historic structures (pre 1945). [2] Additions should be attached to secondary or less prominent facades of the building (the side or rear facades), and should be stepped back from the front and rear corners of the building so as to preserve the original massing of the structure, including its roof form. [3]Work with modest massings. Additions should be scaled to be consistent with or smaller than the size of the original historic structure, following the neighborhood tradition of expanding small cottages incrementally with modest additions. Additions should generally have a lower roofline than the original structure to maintain the prominence of the original building, though some additions may be slightly taller than the original structure if attached to the original structure with a smaller connecting mass. [4] Roof forms. The roof pitch on new construction and additions should complement the roof pitch of the original historic structure and should maintain a pitch of at least six over 12. [5] Retain original architectural details and unique forms. Additions should be placed so as to limit the removal of distinctive architectural trim and features that are unique to the building. Additions and alterations should not interfere with character-defining features, such as open porches, steeply pitched roof forms, unique windows, and carpenter gothic trim along eaves and entries. Siding materials used on the original structure should be retained, though other regional siding materials may be appropriate on additions. The vote to accept the findings was: AYE: Alex Rodolakis, Herbert Bodensiek, David A. Hirsch, Jacob Dewey and Kyle Evancoe NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No. 2018-014 subject to the following conditions: 1. Special Permit No. 2018-014 is granted to Marie and Robert Gerardin for the alteration and expansion of the dwelling and deck and elevating the dwelling out of the floodplain at 23 Laurel Avenue, Centerville pursuant to Section 240-131.4 of the Craigville Beach District. 3 Town of Barnstable Zoning Board of Appeals—Decision and Notice Special Permit No.2018-014—Gerardin 2. The alterations and expansions shall be constructed in substantial conformance with the site plan entitled "Site Plan of 23 Laurel Ave Craigville" by Down Cape Engineering dated August 8, 2017 and design plans stamped by Mark McKenzie. 3. The above-described alterations shall represent full build-out of the lot. No further alterations shall be permitted without approval from the Board. 4. This decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to issuance of a building permit. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Alex Rodolakis, Herbert Bodensiek, David A. Hirsch, Jacob Dewey and Kyle Evancoe NAY: None Ordered Special Permit No. 2018-014 to add 206 square feet of living area to the dwelling at 23 laurel Avenue, Centerville, MA in conformance with the requirements of Section 240-131(D)(2) has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision, a copy of which must be filed in the office of the Barnstable Town Clerk. 11 ZOO Ale ✓hie skis, Chair Date tigAed I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this �Nb day of under the pains and penalties of perjury. Ann Quirk, Town Clerk 4 f Qp,HET�ti Town of Barnstable 9AII .F bUss. Assessing Division &R. °rFUMas0. 367 Main Street,Hyannis MA 02601 www.townofbarnstablems Office: 508-862-4022 Edward F O'Neil,MAA FAX: 508-862-4722 Director of Assessing ABUTTERS LIST CERTIFICATION DATE: February 16, 2018 RE: Adjacent Abutters List For Parcel(s) : 226-077 23 Laurel Ave Centerville, Ma 02632 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. r Board of Assessors Town of Barnstable I 2/12/2018 AbutterKepott Zoning Board of Appeals (ZBA) Abutter List for Map & Parcel(s)o '226077' Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring of the subject lot. Tot al al Count: 42 M (01 Close Map Lr Parcel Owrter! Owner2 Atltiressl Address? Mailing CtlunirV Ci 1)eect ;VSt7tez1p 226058 HARTUNIAN, NELSON 84 OCEAN AVE CENTERVILLE,MA C183993 S&JOANNE G 02632-0922 226059 CHRISTIAN CAMP 39 PROSPECT AVE CENTERVILLE,MA MEETING ASSOC 02632 226060 GAHAN,JOHN W III& 7 OLOHAM RD ARLINGTON,MA C109860 CATHERINE M 02474 226061 FARQUAR,DOUGLAS 1601 OLNEY-SANDY SANDY SPRING, 24991/15 &FRANKLIN,ANN T SPRING ROAD MD 20860 226062 LANE,JAMES A& II6 SUMMERBELL AVE CENTERVILLE,MA 745986 VALERIE B 02632 / 226063 LONGO, PAUL& IBS STANFORD DRIVE WESTWOOD,MA TAMMY 02090 /30799 246 226066 MATTHIJSSEN,JUDITH 8 SKINNER TRAIL CHESTER, NJ E 07930 27927/118 226067 LYNCH,EDWARD JR& 4 VALLEY AVE CENTERVILLE,MA 17984/246 CARROLL 02632 226068 OATES, DALE C 75 WARREN ST WEST RAYNHAM, MA 25013/236 UNIT 16 02767 226069 MASCIA,ANTHONY F 610 OCEANVIEW BRIELLE,NJ 16159/237 ROAD 08730 226070 LEBEL,SANDRA C/O MURPHY,SANDRA 17 VALLEY AVENUE CENTERVILLE,MA 11568/73 02632 226071 BARKSDALE, 20501 BORDLY CT BROOKVILLE,MD 17942/26 KENNETH P&LISA F 20833 BROWN,STEPHEN, ROBERTSON& 173 LAKE ELIZABETH CENTERVILLE MA 226072 ALICE,AMELIA&LISA MCLENNAN FAM TR II DRIVE 02632 29393/235 TRS HANSON,CANDACE CRAIN,CYNTHIA& 5536 ILSEWORTH CC WINDEMERE FL 226073 M,RAMSAY A& RAMSAY&HOFMANN,S DRIVE 34786 30285/316 EMERY D& TRS 226074 CURRIER,DIANE L 47 TROWBRIDGE NEWTON,MA C181266 AVENUE 02460 MCCORMICK DAVID 226 OLD LANCASTER SUDBURY MA 226075 W JR&ELIZABETH A ROAD 01776-2212 C199800 MCCORMICK DAVID - 226 OLD LANCASTER SUDBURY MA 226075001 W JR&ELIZABETH A ROAD 01776-2212 C199800 226076 VESTER,NANCY N TR NORWOOD REALTY P O BOX 182 ST ALBANS BAY, D848500 TRUST VT 05481 226077 GERARDIN,ROBERT& 27 LAZY VALLEY ROAD GLASTONBURY,CT C201230 MARIE C 06033 226078 CONNOLLY,GERALD F 14 TOWER AVENUE NEEDHAM, MA 25591/110 &SUSAN K 02494 NORWOOD,STANLEY C/O VESTER,NANCY ST ALBANS BAY 226082 W TR NORWOOD PO BOX lII2 VT 05481 9488/7 226083 CHRISTIAN CAMP 39 PROSPECT AVENUE CENTERVILLE, MA 27639/316 MEETING ASSOC 02632 226084 CHRISTIAN CAMP 39 PROSPECT AVE CENTERVILLE,MA MEETING ASSOC 02632 ALMY,DEBORAH C& DEBORAH C ALMY 86 26 HUNNEWELL NEEDHAM,MA 226085 VELELLA,ALBERTO REV TRUST STREET 02194 27901/203 TRS 226086 GOODING,MYRA 145 OCEAN AVENUE CENTERVILLE,MA 21754/122 02632 http://maps.townofbarnstable.us/arcifns/appgeoapp/AbuUerReport.aspx?type=ZBA 113 2/12/2018 HoutterKepon 226086001 CHRISTIAN CAMP 30 PROSPECT AVENUE CENTERVILLE,MA 1080/102 MEETING ASSOC 02632 226087 GOODING,MYRA E 145 OCEAN AVE CENTERVILLE,MA 11409/93 02632-3699 hUp://maps.townotbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 2/3 2/12/2018 AbutterKeport SWANSON,EILEEN 132 BOULDER CREST VERNON,CT 226088 MARGARET STRUBE SWANSON REALTY LLC LANE 06066 27880/184 MGR 226089 NORWOOD,GUY PO BOX 732 MONTPELIER,VT 28488/106 05601 226090 CHRISTIAN CAMP 39 PROSPECT AVE CENTERVILLE,MA MEETING ASSOC 02632 226091 CHRISTIAN CAMP 39 PROSPECT AVE CENTERVILLE,MA MEETING ASSOC 02632 588/439 STEAMBOAT 226092 DUCKWORTH,PAMELA P O BOX 775012 SPRINGS,CO 3327/313 80487 226093 CHRISTIAN CAMP 39 PROSPECT AVECENTERVILLE,MA MEETING ASSOC 02632 226094 CHRISTIAN CAMP 39 PROSPECT AVE CENTERVILLE,MA MEETING ASSOC 02632 588/437 BUFFINGTON,PETER, BUFFINGTON NOMINEE EASTHAM,MA 226149 ANDREW&JOANNA TRUST 1395 SAMOSET ROAD 02642-2332 D1172879 TRS 226189 CARDARELLI, PATCO NOMINEE TRUST 208 PERCIVAL AVENUE MONTREAL WEST CANADA,. . 7846/44 PATRIZIO Q TR QC H4X 1T9 227006 CHRISTIAN CAMP 39 PROSPECT AVE CENTERVILLE,MA 1080/102 MEETING ASSOC 02632 227007 LAHEY,FRANCIS D& OCEAN AVENUE 15 WESTON AVENUE FISHKILL,NY 27381315 SHEILA RTRS NOMINEE TRUST 12524-1101 / 227008 SHEILA R NCIS D& 15 WESTON AVENUE FISHKILL, 27381/308 12524-I101 227128 KOGUT, MAURICE D& 49 SEA MARSH RD CENTERVILLE,MA 11979/40 TUNE P 02632 227130 LAMBERT,MARGARET 48 SEA MARSH ROAD CENTERVILLE,MA S 02632 29165/268 227146 CHRISTIAN CAMP 39 PROSPECT AVE CENTERVILLE,MA 1080/102 MEETING ASSOC 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 2/12/2018. http://maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 3/3 Town of Barnstable Geographic Information System February 12,2018 :��-_227122 ...... --492 227127 #47 -7 227037 lr 227009 -260 #251 Z 7, 227039 #246 Yt 227040 242 V, e 227041 22700eOOI 238 �rf -zz --:227008 N 2260-05 e, "M #153; 9 X Os 0 522 89" X iiv -222--(z X :2260 z, ........... 226W #202 '.47 0 v .:22609, #19A J. zz .......... bijok ROW., 226184 on 226072 200E7' '"603eet $ ;t 67 X6 -134 22606-3. 16 3 0 1.-.::;:"--*.7'-, - r� . : DISCLAIMERS:This map is for planning purposes only. It•is not adequate for legal Map:226 Parcel:077 Zoning Board of Appeals(• ZBA) N boundary determination or regulatory-interpretation. Enlargements beyond a scale of Selected Parcel 1'=1 Do'may not meet established map accuracy standards.The Parcel lines on this map Abutter List Type-Parties of interest are those directly opposite subject lot on are only graphic representations of Assessor's tax parcels.They are not true,property any public or private street or way and abutters to abutters. Notification of all Abutters W-�Ipii-E boundaries and do not represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot. such as building locations. Buffer } rk< a �S.TownntBeinstahle' "Tr tsx� xf h�""i'r y Town of Barnstable , ,,�.; , ,� � Notice of Public Heanngs under the Zoning Ordmanee��� '` Zonmg Board of'Appeals f7 ` 1ti t r",,Febrpary 28;2018i 'fa sP Nonce of Public Heanngs undo the Zoning Ordinance {; + _` To ail persons mteVj ;Arestetl m or affected by the actions of the Zoning q February 28 2018 ,� Board of Appeals you are hereby notified pursuant t^Secbon:l B a d l tpAersons mterested'm,or affected by tiie echbns of the Zonmg;.; Chapter 40A'of the General Laws of;the Copimonwealth of Massa �. pQeals you arehereby notified pursuant;to Sechont.t of ghusetts and.all amendments thereto',that a public heanng'bn the s Chapter 40ATof the General Laws of ftie Commonwealth of Massa..,I following appeals well be held on Wednesday February 28 20]Brat r 'ti cryusetts gang all amendments thereto that a publ,c hearing on;the the time indicated {, y fdllowin9rappeals will he held on Wednesday February 28 2018 at ,� s '�uq,a� r€1 s ' r E" ' ffte bmeimd �ted t �y ,��ar� ) 3 1r 'a r : y (t m 7 00 PM� APPeaI No 2018 014 a r � s r� Mane and Robert Gerardm are applying fore$p clalGPerm tnln ack 7 00 PMf Appeal Now 2018 Ot4j `f r +' Gerardm cordance with';Sectors 240131 4 Dn-(2)Change Ekpanslonp'Alfera ;Mane and Robert Gerardm are applying fora Special Permit in.ac md;end Section 240 7 G (1)Setbacks to-'Wet , cordance wdh;Section 240 131 4 D:(2)Change`,Ezpansion Alfera= ,I lion by Special Per lion by Special�Permrt and;Section 2917 7 G 1;Setbacks to;?Wet:".; Idnds The applicants are proposmg't6 enclose an}existin RCOI red lands The applicants are ini proposmg to;enplose Wexisting covered „which adding 20B pliance1with thee et' vordmance r'enu'rem6- 2 d a flaf;roof whoh is not m coin porch adding 206+squ4re,feet of liwng,'spape and to add a flafroof, Whin, a prtcfi of at leasfsix over live In q l of mom wfioh is not m compliance-wdh the ordinance reghl�ements of ream..: A" The property Is located at', _.. talnmg a pdchof at least si%over twelve:The rd e: is'locatetl at`` 3 Laurel Aver ue Centerville MA as3slown on Ass@ssor s Map 226 ?' p P,m as:parcel 077-1t I5 located in the Craigviile Beach Distnct(CBD)-end -- 23Laurel Avenue ¢entervillet MA as shown on Assessor s Ma 226:;; the CraigvdieNlllage OverlaylCU)Zoning Distncts as':Parcel 077 It istlocated in the Craigviile Beach Distnct(CBD)and` k 3 e thetCraigvllle Village Overlay;(CV)Zaning Districts�I i 7 01 PM A""eal fdo 2018 015 tE b 7 , Bs "r1r t a t JNJ Holden s LLC have applied for a'S ec!al Perinft-Hold under 5ectio l01 PM A`eal No�2018 01r5 tf Sf 240 25 HB+Condlhonal Use;:Sectlon:'2405 Well Prhtection Overlay i x, PP JNJ'Holdmgs Lib I,TilNJ Holdings LLC have applied for a Special Permrf'under Section District Section 240 53 Landscape;Requirements`for Park(n Lots 240 25 HB Conditional Use;Section 240;35 Well Protection Overlay. tandI,St,Sechod 24053 Landscape Rejuuementst'foi Parkingaots add Setbacks_$echon 240=54 Location pf parkinglot"in relationship to;budding,and Section t240 57 Circumstances W$rrantln V. andlSetbacks rSectlop 240 54 Location of parking!dE m relationship; tiq i of Regmremenis The gppllcant Is proposing tp;demohsh the ez ri lo.building antl;Section 240 57 Circumstances Warranting Reduo- lsting structure;remove„the�!undergrdund tanks(and construct a ' tior%of Regmremepts The Applicant is proposmg to demolish the ez,:'Isfing structure remove the underground tanks "and construch.a quick change;dil tacdlty buhd,ng of,6324,square feet fryers,vice bays with paving and landscaping i 7he.property is.`tocated a1326 s ,; quick change ofPfacility bwldmg of 6324 square feet f,ve setvice West Mom StreetYHYdOnis :MA as shown on Assessors Ma bays wdh paving and iandscapm9 r Tn6'property is located at;326.-. , p 269 , West Maln StreelsHyannis MA as shown on Assessors Map 269: Parcel 159 It is located loth,Highway Business(HB)and Rest dence B(RB)Zoning Distncts and Well Protection(WF)Overlay Dis t1 Parcel 159 It is bcated m'the Highway'Business(HB)and Resi-: tact s dence B(RB)Zoning Distncts and Weli Prbtection Overl (WP) ay Dis- r r tact' �p t „rl These public hearings will lie held at the Barnstable Town Hall 367 t Main StreetrHyanms MA'Hearing Room located on the 2nd Floor z These public floorings will be held at ili'e— rnstable Town Hall 367,Main Street Hyannis MA Hearing Room;located on;the 2nd Floor;,_JI Wednesday Fepr. . B� a20.78 Plans and apphcahons Wednesday February 28 2t)18 Plans znd?applicahhns may be re I welded at the Zonmg Board of,Appeals Office Plannmgapd Develop? merit Department Town Offices 200 Mom Street Hyannis MA F r wowed at the Zonmg Board ofAppeais`Offce Planningand Develop-=ment,Department.Town uniices 200 Mam Street Hyannis MA , , Barnstable Patriot 1 t t t ?r k + Fehrua u 9&Fehruary 16'2018 f Zo�x^ooenaakls;rOhair Bamstahle Patr bt 1 w '"�'t} als t, - Alex Rodolakis;Chair February 9 8'February 16 2078 r `t,.Z rib.Bdard of Aooeais JOB SITE: ; -TS l3 • i MAP IN S TALL ED 'i.)ILDINC�i PROD.UC. _. 'Po Box 1 Boa _. )2.56 2 • MORE L;tAC1-1;f�llg C „ SAGA MORE, INSL.I'LA`T.ION-CE RTI FICATION N.ER.►ECC l3P.TTNSULAt'ION 4. , Exterior Walls: Manufacturer: Type: ff. - or walls(other). - rer:., Extern 'Manufactu TVpe• Stairwell: _.. h Value' Interioit Walls/ ------ 11 _ - _ Manufacttrer- �-- , 3 I,,IjF:, ---•----•'-` r T R-V a l,i e:�--=-='•-- •anent Ceiling pyv��,a'csrY lv i MarnifaCturer L_- :� , R. A It Flat Ceilings: Manufactu,cr c - R Valkp SIoP- I\AanufacUirer: 1 ION FIBERGLASS OR'CELLU:LOSE BLOWN If 15ULA - Installed.:�hickness w a Ils: �! r re it _...- i u L"xter.o -' Manufaca Installed dens, ,_. _-_'— R-Value:�------•. jwe: Settled'. d Settled Th�clmess:y='' Nu„giber of Bags;,- cove Be urea: ---" Ins talled'thirkires� Flat Ceilings: _ _ _. Manufacturer lip stalled densl,Y::�--=-----= I Ype:. Settle d:R-Value: l 5cttled Thick ness;_---= Number of Bags*.----- % AR ' Coverage Installed th,rkiaes5 Sloperi C�II,mRS Manufacturer: _ - li°rSCalled d�ncii:�i ,._--- T led R-Value; Sett E Settled Thickness: ----= Number of ----- covera(,e A, a-. --- t ` Lr,.~i1�I� Ilea Building Pr is l � I r Instal t ' , a ij R Town of Barnstable Building - PostThis Card So..Tha,�t�,�t.is V�s�ble From the.Street .:.A►111roued-Plans.Must b'e-Retarned�on aob and;this`Gard�Must>be?Ke t s �ex�it;•rw.sts._ .- � „ 1 +;z x�' � 3 . °, "�.:, � pp ��L c ,,:: � � `�'x�`�.' '`..�, � "T��'3.. `� "�v,�_p`�e •MA�re: Posted UntilFinal.�lns ectlon Has�B'een:Made � � ° �� � � s '� ��� �x - ,p .,. � .....,.., :.;�.�... a to ,.�v,�s. •....,�"" .'', g �E u�.•�.. �3"'�" ...�5, -e`�,.,* .•""+�"-'� •`s..,.,x.�i:" v;. .\ �, Permit ` �S- _:. ;Where�a•Certificate:of�Occu anc ;;is Re wiredr: uch Buildin >.shall�Not.be.Occu ietla:untrha;Final Ins ectioe has;.been made, �: ; `� .�:na�.:.,. .>�:_ .;�t. .`w>.. GH„p�3Y; •" Q-x: ..:�,..:'' :.:.:a;:s:; ..ag f.� a. wS L�-`�: :p�.,` �a�w..�.���,.:..' .�.>. ph..,. '�,::e�;a<�,.wa�:'�;,»s.�ia;.a>. Permit No. B-17-4280 Applicant Name: REVISIONS, INC. Approvals Date Issued: 02/02/2018 Current Use: Structure Permit Type: Building-Move/ReLocation Building(Includes Expiration Date: 08/02/2018 Foundation k &Z4A- Foundation) A5 04eita— �v Map/Lot 226 077 Zoning District: CBDCV Sheathing: Location: 23 LAUREL AVENUE,CENTERVILLE a I zRwl Contractor.Nape DAVID P SHASTANY Framing: 1 Owner on Record: GERARDIN, ROBERT& MARIE C I Co tractor License fi CS 058376 2 Address: 27 LAZY VALLEY ROAD � 4 I Est Project Cost: $60,000.00 Chimney: G LASTO N B U RY,CT 06033 Permit Fee: $250.00 Description: Lift House up above flood plain 's. Insulation: Fee Pald $250.00 Project Review Req: �,. p 2/2/2018 Final: f z Plumbing/Gas �x Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents fof whi h thesis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and stru�ctures`;hall be incompliance with the local zoru g by lawan codes. �� Final Gas: This,permit shall be displayed in a location clearly visible from access street orxroad and shall be maintained open for publ c inspection for the entire duration of the work until the completion of the same. ' x Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire®ffiicials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: �E Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 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 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal-Emergency Management Agency Expiration Date: November 30,2018 f;&ional Flood Insurance Program ELEVATION CERTIFICATE BUDDING DEPT. Important: Follow the instructions on pages 1-9. (SAP � ;� Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company9and,(3)ibuilding owner. SECTION A—PROPERTY INFORMATION P''O"MNSURANCE COMPANY.USE Al. Building Owner's Name Policy Number: Robert&Marie Gerardin A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 23 Laurel Avenue City State ZIP Code Barnstable Massachusetts 02632 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Map 226 Parcel 77 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude: Lat. 41°38'29.50" Long. 70°20'1.09" Horizontal Datum: ❑ NAD 1927 QX NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 7 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosures) 1,199 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b 1,200 sq in d) Engineered flood openings? ❑X Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑X Yes ❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3. State Barnstable 25001 Barnstable Massachusetts B4.Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel B8. Flood Zone(s) B9.Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 25001 CO564 J 07/16/2014 07/16/2014 AE EL 13 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 139: ❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑X No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2018 hPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 23 Laurel Avenue City State ZIP Code Company NAIC Number Barnstable Massachusetts 02632 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑Building Under Construction* ❑X Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: RTK GPS PER MTS NETWORK Vertical Datum:NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 7 8 X❑ feet ❑ meters b) Top of the next higher floor 17 0 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) NfA. ❑x feet ❑ meters d) Attached garage(top of slab) 7. 8 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 17 8 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7. 65 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 9 91 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 6. 66 x0 feet ❑ meters structural support SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑No ❑Check here if attachments. Certifier's Name License Number Daniel A. Ojala 40980 Title jH OF rnAss9cy Prof.Civil Engineer, Prof. Land Surveyor �o DANIEL Company Name Plats A Down Cape Engineering Inc. A,{\,�ea1980 Address PoHere oaP ess\ 939 Main Street SUR\] City State ZIP Code Yarmouthport Massachusetts 02675 Signature / ") Date Telephone 1�J (508)362-4541 Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable) Vertical datum is NAVD88 from MTS RTK GPS. Six smart vent flood vents exist totaling 1200 s.f.of effective area. House is drive under garage.All living space is elevated above on first floor.Lowest elevation of equipment is expansion tank at elevation 17.8'. Hot water and furnace are located at elevation 19.2' FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November30,2018 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number: 23 Laurel Avenue ' City State ZIP Code Company NAIC Number (Centerville)Barnstable Massachusetts 02632 SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C.For Items E1—E4,use natural grade,if available.Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawispace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawispace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2018 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 23 Laurel Avenue City State ZIP Code Company NAIC Number (Centerville)Barnstable Massachusetts 02632 SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information(Items G4—GI0)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑ meters Datum G10. Community's design flood elevation: ❑feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 4 of 6 Cy m o S < r=s n n w Co �- D $ a = CD � � o O Ill oT -� Q in Cn 0 �. m �' C m D CO rn 0) a<o CD co a _� O 0 0 o TL v —� c Q 3 Z 3 m CDs' � U) m 0) n•CD 0n 'n CD 7 C CD D0) 0 J/ Y-• �, v N to O 'I a m CD p(Q —• C1 s � E — O a) 3. O C N r ``r �yFty -.-D N 0 CD v c CD B Q� n a C i OS�'.0.O N N O 3 CD r ;9 Q Co CD co CD 0_ CD coo O a) 7, N a -w 7 Z O ^O O ti YI CD7 N p CD N .0..CL C X Q O '+ O CD 3?0-0) N [7 CD C •U CL cr SD In C= x OL L'1 J CD _ 4 _ CL� c .n-O •a `< z M CD C•N = Z Z 5,0 O O CD �< C _ O_cr C _0 - D Q wrn N coD n n o Z .. 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ToilFee Paid..................................................................... yri TOWN OF BARNSTA13LE P==itAppsvv&by.................................on-....................... ... BUILDING PERMIT 4 APPLICATION ... Z: .......:............... a... .. . ................ . , . ... Section 1 — Owners Information and Project Location Project Address J3 LAU26L &L 3�- OwnersName ��r��I Ce� / g Owners Legal Address 23 L,A U ee L 4\1 9 ��, x city C1�,� Ek11 LL L State T7a�'�t�0/:- Owners Cell# E-mail l� �t"�r�t 0-0 DC '(\O t Section 2—Structural Use S1 ' e/Two Famt1 � y Dwe ' � (] Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet r on 3—Type of Permit ❑ New Construction ff. Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire&act=) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm )teb!ild ❑ -Deck Apartment ❑ Sprinkler System S ❑ Retaining wall ❑ Solar ' n _ ❑ Poo ` t n u l ❑ Instllatl.On .. Other-Specify U P , � 'on 4—Detail Cost of Proposed Construction Square Footage of Project Age of Structure rt® q(LS Dig Safe Number #Of Bedrooms Existing -3 Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 5 -Work Description � f V� ` C C Section 6—Project Specifics firing ❑ Oil Tank Storage . ❑ Smoke Detectors lambing El Gas ❑ Fire Suppression 04e dog System S �M omy Chimney ❑Addfrelocate bedroom ---------Wateer-Supply _ _Public Sewage Disposal ❑ Municipal Ly'On Site Iistoric District 0//H�yannis Historic District ❑ Old Rings ffighway - Debris Disposal Facility: � �bUX,4 - I an using a crane C Yes ZNo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes No ❑ Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this properly had relief from the Zoning Board in the past? ❑ Yes 0 No Last update&11/72017 UG Town of Barnstable - Planning&Development Department C „ Barnstable Historical Commission ` 200 Main Strect,Hyannis,Massachusetts 02601 d a • (508)862-4787 Fax(508)862-4784 4� crm louan@jown bamstable ma us e• ' COMMISSION MEMBERS: L'tizaticth Jenkins,DirectorErin.K:l:ogdn,Adininistrativc Assistett Laurie YoungsChair Nancy Clark,Vice Chair Marilyn F,ifield,Clerk," lerk" GeorpJcssop,AIA Nancy Shoemaker.. Blizatieth°M�uiford - DECISION Summary: Demolition Delay Not imposed Pursuant to Chapter 112 Historic Properties, Section 112=3:F Applicant/Property Owner. Maria&Robert Gerardin Subject Property: 23 Laurel Avenue,Centerville Assessor's MapTarcel: 24WO77 Heating Date: August 15,2017, Pursuant to the Barnstable Historical Commission receiving your notice of intent on.July 7,2017,a duly advertised and noticed public hearing was held on August,15 2017 to determine whether the significant structure identified as a single family structure on.this property is:pref biy preserved,sip ficant building and whether demolition delay would be imposed for the partial demolition of this structure on the parcel addressed as 23 Laurel Avenue, Centerville,Map 266,Parcel 077, After review and consideration;of public.testimony;.application and record file,the Commission by-a;unanimous vote, found that inaccordance with',Gfapter 112E the partial demolition'ofthe single family structure is not a preferably preserved;slgnificanrbuilding; In accordance with Chapter 112.3 F,the Commission determinedunanimous vote that.the partial detnolit9on of the;sin�le family dwelling would`not be detrimentatto the histortca7;cultural.or architei turai heritage or>iesoutces:of "the Town. Laurie Young,Chair Datc: cc: Brian Florence,Building Commissioner Ann.Quirk,Town Clerk 200&W sweet,wrmis.Mn 02601"(py W-W4M(q,500624784 367,Alain Street,Hyawls,MA OZ60t.(p)508W 40(1)5085624782 ZQWG SUMMARY _AO"C DISTRICT: CRAIVERLACVIL DWLLAGE NEIGHBOMOOD REDl9RED: E,9STTNG: -NM.LOT,'SIZE 87,120 S.F. 17.930 S.F. 17AM S.F. MIN.LOTFRONTAGE 75'. 3y:k 33't MIN.FRONT SETSAC* is'- 3.4' 3.4' 1 / MIN.WE SEWACK 10' 117' 117' REAR SEMACf 10' lar C_S MAX BUILDINd HEIGHT 30, MAIL 8l9LDINC"HEIGHT 2 STORIES COVERAGE Z177 S.F. 1.261 SF. T,894 S,i. . �1 LOT COVERAGE 3.400&F. 1,449 SF. 2,107 S.F`.. MR'E79STING PER BxAw .. . _ Nanftcka 3IlE4S LOCATED YgTHIN AP,RESOWCE PROTECTION ESTUARME_FRoTECT1o1 GsTRICTs o�Po:AY AM MA Loam p I- 20DQ�E •`N\ LITIGATION CALCULATIONS: ASSESSORS NAP 229 PARCEL 77 0-So' so-too• i(EL H&ISE13 PPHC OAF:o IMT�2�AE(DEL /1 ,.440 S' a SF )As sHogil aN COWNNITY PANEL 923occ:oaea DATED 7/18/2014 PROPOSED: 1,818:SF 39> - / 3 Ae-a¢arnre ��,f ^ ..I Ilk, ' .. PURPOSE OF R :Vft-TINO{YFFJ= c - \ r INCREASE. 37B f ;SF ON NEt'/FFdHA FLOOD ZONE-COGR.IANT REOURED MITIGATION:.2.383 sF(2800 SFt FRONDED) POM4710N PftwDE 5f0RAOE AMNO RASED D6£L17NQ'ADD ALL �. t! -•( .,F ROGF AOG7m - °o£Ck 01 :AN0 EXTERIOR � C705T94C CONCRETE PATIO'-AREA Q mil, '` ,/ �Z \ 1 6w r= OF FfE(:O�iD ::. ' � QLASTONBUAY :. r Rr7EE1En4CEs 201230 K -'LCP 17BOB-o,17009-0 MOTE$_ I0{ OT flfd(1ALY;AND N TO. U TCN LOT M, A10 OR ANf'.OD W yND1• ~� 1� � { '.S CWMAOTOR SHALL 1E RESIORSRIE FOR'.ck" 6,°ALL wm °O FATO umiTas. - ft ro colamoPMNT OT.'WAL /S( ppµ 1• � �" �r \..i ( / :f.RDOD RE98TANT TdAiQA71mV OF9GN)/ 9Y Oftomgyp+ /- Oi � \ /v i, _ l . SITE 1'Le4 = of EL. AVE. CRAIGVLLE taxy��, . •�---� Tsy 1V� 1 �-Pi6EPAREO FOR. aR SO9-JO1-134T �161� � ' fa SOS-J67-�80 V 'ROBERT" GERARDIRN 1 0ne en9/neara /and Sur>,reyvrs MARCH 14, 20,6 'HJ9 moth S11—I(Rfe B.R) - r " . ARM17l/TAIPORT MA 02673 DATE DANIEL A.03ALA,P.L. I- �\ „27 CRAIGUILLE VILLAGE NEIGHBORHOOD 0 7.2 i 00 ;� � 'f 3.41 1 14.26 1 yt X-10.03 96 # .47 ss� JI 9.5 1 4.14 14.13 T.56 3 R95 \ 1 rn 4.50 p r f2 EXIST. DWELL: \ �6FN 5N. s O o rn 13 FF Et 7.4' 5 l^� x 10.1 -2 O !ST. DWELL !PORCH. 0.57 e ' , FNDN. = 9.4' x % m r. 6.88 _9.10 1W MAP 8:00 7 x 33� 2 ABUTT. of ti 1, FNDN. E x17.21. �• \�/ x-43:25 x 45 ABUTI LO,T 7 A i ELEV. x 9 I 1 251 j..04 ^l,' x.15."1 x 13.2 l�E EP x 14.67 x 12,7 ,PRAVEL WAY x 12.9?"- S NGO 1'- SB FND CS FND EASEMENT GIVEN BY CHRISMAN CAMP MEETING ASSOCIATION OF CRAIGVILIJ FOR.CONSTRUCTION AND MAINTAINING`-SEPTIC SYS7E) (LOT`257 ON PB 24 PG .4S Commonwealth of Massachusetts ®� � Division of Professional Licensure Board of Building Regulations and Standards Const; cti�ir�&Jpervisor • rr CS-058376 ? ... Lires: 08/1912019 DAVID P SHASTANY r>r 12 VISTA CIR% 'T J MASHPEE MA 02649.=_'" Commissioner Unrest,- ted Constr less than 36'00O ubic 9s ofany us Pee,rvisor _.. e sPace.cubs g►heter)hich of contain — enclosed Failure to State a .0 Possess a c For Code is Cap,t edition Of Call(617)727 3 Oprof ViSout thusfor re tiOn the ofth►s j c sert s it ense ense. wtvN. ss.9ov/dpl �lze�pomimz�zcoectl�i a�6�ac�CccaeGrd Office of Consumer Affairs&Business Regulation License.or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration; I08901 Type: Office of Consumer Affairs and Business Regulation Expiration=--271.2018 Private Corporation 10 Park Plaza-Suite 5170 r " Boston,MA 02116 REVISIONS,INC. uI C=y Wfy David Shastanyr 12 VISTA CIR MASHPEE,MA 02649 " = Undersecretary Not valid without sign re l P MAP Installed Building Products(350) � PMP osal PO Box 1309 Sagamore Beach, MA 02562 (508)888-3599 .. (508)888-9609 FAX a Customer Address Job Name 23 LAUREL AVE/PLANS REVISIONS :. 12 VISTA CIRCLE - Job Address MASHPEE, MA 02649 . i 23 LAUREL AVE ' ` CENTERVIL.Lf. MA'02632 ` Date: 12/21/201.7 Job-. .'- 3743124 9 Workarea r `Inventory Item Phase: r 7924872 ]A PO: k Exterior Walls R-21 15"x 93"-Unfac%d- Wood framing ; Exterior Walls 4MIL 8'4"X100'CLEAR Basement Ceiling W/Blockers R-30 16"x 48"-Kraft-Wood Framing'g ti Phase: 7924880 11 PO: , Flat Ceiling Demilec Hcallok Soy Plus B-200 7.5" R-50.00•6osed-Ce11,Foam We propose hereby to furnish material&labor,-complete in accordance with the above specifications,for tine sum of: ; $3,950.00 Terms:Net 15 pays.Payments to i be mailed to .O.BOX 13u9 I. againore Beach.MA 02562 1.5%)late paytnncnbcharge on balances outstamling nitre 1' than 30 days from date of invoice(18%annum). I.the customer representative hereby subjects themselves personal itnisdicliun it)the commonwealth of Massachusetts. R ' All material will he its provided in the attached description.All work will he completed in a workmanlike fashion,in accordance with the standards of the industry. Anv alteration or deviation from the above specifications involving'cxtra costs will he executed only upon-Witicn orders and will become an extra changeover and ' above the cstimatc(s).All agreements arc contingent upon strikes.accidents.acts of(iod or delivs beyond our control.Owner to carry lire and tonnada insurance and. other inmirance that may be required by law.Our workers arc covered by workers'compensation insurance to the extent reituind he lawn. . We do not warrant against and shall not he liable fix any damage or in ury,including but not limited to mold accumulation.when due to any of the following causes: the lailurc of the builder or contractors(other than our Company)to follow the instructions and specifications of ilic insulation manufacturer:faulty or improper installation or maintenance of drywall or other wall covering:use of aecassories or wall preparation materials that do not properly receive the insulation:and' compliance with applicable building codes or other government regulations relating to surface preparation.wall coverings.required materials or mandatory procedures. ANY WARRANTIES IMI'I.IEiD BY LAW.StRAI AS"I IIE IMI'LILD WARRAN I IES 01`Ml RCIIANTABILITY AND 11TNI`SS FOR A I'ARTI(t1 CAli PI IRn)S ARE Ill:f(I:BY I•:XPRIISSLY DIS(TAIM11).WE SIIALL NOT BF LIABLI:fOR ANY(ONSI•:Otll'.NTIAL DAMAGES OR INCIDI{NTAL DAMA61:S lie breach s ul':un warranty asstx lilted with the insulation.Our liability sha11 in no event exceed the cost of the materials set'lbrth herein.We cannot and shall mil he liable to you lifr the breach of any other express warranties,such:is those given to you by other•dealers-contractors.applicators:distributors or manutacturcrs.Your exclusive remedy wwilh respect to detective materials provided by its shall he repair or replacement,at our option.oft he defective tinatcrials. Note:this proposal may he withdrawn hy•us if not accepted within 30 days ACCEPTANCE OF PROPOSAL r The above prices.specifications and conditions are salisla t ry and are hcreby.acccpted. Yku are authorized to do the work as specified. ' PIcasc note(hilt we cannot schedule this job without rccei ing a signedpr p sal by fay or t il. DATE:. J2./2-t I1-7 SIGNATURE: "i Sales Representative: Dave Murphy _ \L DATE: SIGNATURE: - tIntnn17 . ( i • " h `r fi, , P:t::e t 11f I r EVERSI� URCE , + , ® 247 Station Drive 4 ` • Westwood,Massachusetts 02090 ENERGY December 18, 2017 ♦ ',, - Marie Gerardin ..: 194 Georgetown Dr , Glastonbury, CT 06033 RE: 23 Laurel Ave., Centerville, MA 02636 "} Dear Ms Gerardin: S" - ''♦� .are- y i .. 5.. At Eversource, we're committed to'deliv6dnd great service: This letter serves as confirmation•that, as of°1'2/18/17,fthe electric service:to 23 Laurel Ave., Centerville, MA 02636,has been..removed. x ' ° .. r '• _ - -1. _ [' ?�7. a .. y.9 Based on this information, there is no electric power at this address and you may have a proceed with the demolition. If you hny questions,. contact me at ; (888) 633-3797. a - .� h y Sincerely, Ms. Jur tlevV(cz g Electric Services Support Center r IJ - ♦ a �• < Tip K , R r Centerville=Osterville-Marstons Mills y Water Department PA BOX 369'-1138 MAIN STREET OSTERVILLE,MASSACHUSETTS 026M- 'www.bonimwater.com OFFICE OF v a, BOARD OF WATER COMMISSIONERS, WATER WATER SUPERINTENDENT z^6 ' +t DEPT, TEL.No.508-428-6691 ; $ TONS FAX.No.508A284508 t `" December 22,2017 Barnstable,Town of f4 Building Department r 200 Main Street, Hyannis,MA 02601 Re: Account#671 ' Gerardin,,Robert&-Marie r 23 Laurel Avenue Centerville, MA To Whom It May'Concern: ... k On Friday,'December 22; 2017 the water service was-dlsconiectedat the curb stop for the property mentioned above. It is our:understanding that the owner plans to raise the home and install a new foundation and will.install,a new water service at a later date. .' If you have.any, questions,please call our office at;508,428-6691: z 1, R V eryi truly Yours,. t Glen_Snell - f Assistant Superintendent.' CC/)W. e - nationa-"Qir'.td, November 21, 2017 x To: Marie Geradin . s 23 LAUREL AVE CENTERVILLE, MA 02632. This letter is to notify you that the old.gas service located 23 LAUREL AVE. CENTERVILLE, MA was cut off at the main on 12/26/17. his letter DOES NOT preclude the excavator or homeowner from calling 811 before commencing 2N work. State law requires anyone planning underground excavation work to notify local utilities by calling 811 to get your underground lines identified for you prior to doing any digging.The call to 8 1�' khe LAW and must be made in advance of starting work. This confirmation letter of a gas cut-off DOES, ,NOT relieve the excavator of making the call to 811. It is a State Law requirement."; If you have any questions, please feel free to'contafct me at 781-907=3664 ity Gas Connections Contractor nationalgrid . .Reservoir Woods y 40 Sylvan Road.Waltham,MA 02451 (781)907-3664' s. I.('.gend Parc Town Boundary Railroad Tracks F•I Buildings Painted Lines w• 2274d6 > / _ ? r Parking Lots. s _ • Paved - .. # �., 22 078 Unpaved- .... a Y #28 Driveways I Paved ..Mra ,� - `•:.Unpaved. i 22649 Roads x ; , w `� 92 Paved Road_. �t Unpaved Road �226O ®Bodge • s ; N�,.,,#^�4q� � Paved Median Streams Marsh - � Water Bodies, r i „xC 226077 3 #23 �' S t t sus r y 5 4 226089 ,., .. - "•,` - AF 226084 #A 25 226075001, , 2'26076 � k i t t 226083 226082 226075 - #9 Map printed on; 7/7f 2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic TOWIl Of BarnStA�Jle,GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This.map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,JlA o26ot p 42 $3 an on-the-ground sury' .it may be generalized,may not accurate'relationships to physical objects on the map SQ8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: I inch= 42 feet 0 cartographic errors or omissions. gis@town.barnstable.ma.us The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 7- S�st-� - Name(Business/OULSA14. rgani 'on/Individual):Address: 2 air City/State/Zip: Phone#: 51 "'-t ' 2,� Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I ,��ployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.&?1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Wuil;:g on workingfor me in an capacity. employees and have workers' y � �'• 9. addition comp.insurance comp.insurance t oworkers' . . P 10. Electrical repairs or additions 5 e ❑We a corporation and its P required,] • ❑ � 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself-[No workers'_comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we have no 13.❑Other. employees.[No workers' comp.insurance required.] ' *fury applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the poluy and job'sife information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL 6. 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 inffaice coverage verification.. I do hereb. certi r p nalties of perjury that the information provided above is true and correct _ �_6�2Of Si a �f 2 Date: ° Phone#: � `- vJ22 Z Official use only. Do not write in this area,to be completed by city or town official City or Town: Perinit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair,work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(o 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 constrict buildings in the commonwealth for any applicant who has not produced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." _► Applicants �. Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the 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 line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit is NOT t to burn leaves etc.) p required to complete this affidavit. The Office of Investigations would lice 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 GommmWealth of Massachusetts Department of Industrial Accldelats' Office of Investigations 600 Wasbbgton St=1 BOSWn,MA 02111 TeL##617-727-4900 ext 406 or 1-977-MASSAFE Fax##617-727-7749 Revised 4-24-07 w.mass.gov/dia. Section 9—Construction Supervisor Name ,Elva Telephone Number I,) g` �2 6 Address VI 1S 14-(`ad L7Cit3' =State Zip c)z 6 q Q License Number .-05S37 6 License Type Expiration Date 6-\q"Z(9 k contractors Ema31 Y`C, a V 4 J(P)d tkQ6 �Ltell# 5pg , 4ZS-2kU. I understand my respondffifiifies under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Bunt . I undetstand.the construction inspection procedures,specific inspections and doemnentation by 8 an the T le.Attach a copy of your license, Signature Date Section 10—Home Improvement Contractor Name a��s Telephone Number 3N - WZ 3'2 b 2� Address_uw �& (X���Cityv State V"1 Zip oZ6 G RC-�-� - - - - .:-- — - ------- - egistFationNumber -- - -Fon Date �'21= ��.� - I understand my respmmIn'7ities a rules and regalations for Home Improvement Contractors in ac=rdaace with 780 CMR the State ding Pode. I m0arstaad iiie construction inspection procedures,specific inspections and documentation by 7 U the T ainstable.Attach a copy of your H.I.C... Signature Date ll- 6 "2 B t 7 Section 11—Home Owners License Exemption Home Owners Name: .i Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Camstrucdon Supervisor m accordance with 780 CMR the Massachusetts State BWUW Code. I understand the construction inspection procedtues,specific inspections and docmmentation required by 780 CMR and the Town of Bible. Signature Date APPLICANT SIGNATURE Signature Date L-gip ®l'7 Print Name 0 � ". Tel `-t 73°Z L 2b �.S ephone Number �VO/�- E-mail permit to: C!:Aav A 5- JZrk ZCWI n�j Last updated;11nrz017 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review Cif regaired) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plwa erectly to the fire depoftent for approval Section 13—Owner's Authorization I, MokR r%le, Q7�V_C�_('ci c rl , as Owner of the subject property hereby authorize u t s k® tj s. to.act on my behalf in all matters relative to work authorized by this building permit application for: e 4 (Address of job) nj Signature of Owner date M2,C� � � � � � Print Name _ I i Last updaftd;11172017 • �I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' OF 8ARAISTABLE Map Parcel :, Application,# Health DivisionU rill Date Issued: !O-7-1 P Conservation Division Application Fee Planning Dept. Permit Fee -.0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 4,4 u lrz e,,_ 49✓: Village Owner�ji2>� Address Telephone ?4 2,9 Permit Request /Wsr2z I'J9�1�1& /Z_ 12_'7 i,�,r,�.�1�va� �"ii �29li9s� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ® ® Construction Type //1l1i✓/��f� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes gNo On Old King's Highway: ❑Yes dNo 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: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - _ APPLICANT INFORMATION-- (BUILDER OR HOMEOWNER) Name '1ja� Telephone Number / — — Address,/f .���9,�4Z29 ,4/� License # 1-e9 e 9? Home Improvement Contractor# Email Worker's Compensation QQ1Z -®o 3�_�/fie ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE A1211 DATE /.,P��ZZ k� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED S MAP/ PARCEL NO. ADDRESS VILLAGE 1 OWNER 'L DATE OF INSPECTION: FOUNDATION `y FRAME INSULATION FIREPLACE A ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS: ROUGH FINAL FINAL BUILDING a Y DATE CLOSED OUT { ASSOCIATION PLAN NO. V Town .of Barnstable , .: • Regulatory Se ees ° aid*.SCaL, o, $iRd.1 Di ion Tom.Pv iry,Au.M�W C:aiusnissiouer 200 Mew Street,Hyannis.MA 02-601 wwwAe*n.barnstable.>zta vs offiee: 5084-62-4038 Fix: 508-790.-6230 Tropeityhex Must Co l x ete ami SAg This Sector If IJsnn t der 0.r d,_n as Own&-0 the S.PP property hero-by authorize_ Cct pe, QC4S. a ro ash an Adlialf, in aft mallets Whivo to av01 authorized by this brlding pert it'application for -63 Uucel �_�Jlen ue r a _ °Pool fences and ahu=am the respom i of ffie-."apphcadt li t .ate j�o :t6be.f&d or: Mare-`kiid.�°ins..,alle�and ail feral x spectio s are p`exfazmed:and.accepted. ,sigmmr m of Owner. S4aaWre:of A,pplican Piritt lTlame Print Name 1 D FORMS:0 Q mI 1S : 1�?ZF.RP T5Si0NE'o0 The Corrtmortwetchh of Massachusetts Departrrr.ent oflnrlccstrlrclAceidents 6 1 Congress Street, Suite 100 Boston, MA 02114.2017 Mm'Mass.-go v/(lire YY-Q 'kcrs' Compensatlon Insurance Affldavlt; Build TO BE FILED WITH THE PERMITTI GoAtUTHOR�yctr101nns/PIumbers, Iicant Information Name(Business/Orgenization/Individual)'. l' n Please Print Le ib!y Address. y2 City/State/Zip; PhoneAre you on employer?tecklZ.� appropriate box; an)a employer with_'zZ^employees(full and/or part.tlma). Type of project (required) 2.[]I am a sole proprietor or partnership and have no amployoos working for me in 8' New any capacity,(No workers'comp, insurance required,) $' Q delin�telion l.�I am a homeowner doing all work myself. "C] Remodeling (iJo workers'comp, insurance requird,)► 9.a I am a homeowner and will be hiring contractors to conduct all work on m roe Demolition ensure that all contractors tither have workers'compensalion insurance or arc solo i will 10 Building addition proprietors with no employees. S•['t am a general contractor and I have hired the sub-conUaclors listed on the anacl 1 I'll Blectrical repairs or additio,�••, These sub.conrraolors have employoas and have workers'comp, insurance.i 1ed sheet. 12'Q Plumbing repairs or addltir„,. 6 We are a corpora11on and its officers have exercised their right of exemption per MG 13.Q Roof repairs I S2,§ 0),and we have no ompioyces (No workers'comp,insurance(equir d.) L o' 1 a'Eg Other �`. Any applicant that chock;box NI must also till out the soelion below showing!hair workers'compensatio ' Homeowners who Check this box afvst a tt indicating they are doing all work and than hire outside cent rConuaclors Thal check This box must attached art additional sheer showing the name of the sub�contrao n policy information. � —'•---•- - employees. ItUro sub-contractors he vc employees,they muss showing workers tom , factors must submit a new affidavit indicating such. fors and slate whether or not Ihoso onlities have «nr«n employer!/rrtr is provlrllrtg workers'conrperrsalton lrrsur«rice or oiicy number. i,:for„ratlon, f my employees, Below is ilia ��'�"'••Insurance Company Nama Polley anr(/vb site l2• .r P011cy a or Self-ins. Lic. k; Job Sile,Address: ✓ Expiration Date:. � .0 U �� Failu a copy of the Workers' compensatlon policy declaration p ge sboW City/State/Zip: Failure to secure co'4erage as required under MOL c. 152, §25A is a crimina d ��^ ( Ing the policy aumber•and expiration dale. and/or onetyear imprisonment, as well as civil penalties in the form of i STOP W day agatrist the violator. A co d'f,tl;is statement May 1 violation punishable by a fine up to$1,500 00 coverage verification, i y y be forwarded to the Office Of Investigationst of the DI R and a finef up to$250 Oii-: -� ....... bee .' A for insurance Y rr(�y ur►rlerthe paltry artrlPertaltles ofperJtary l/tally1e lr(/'or...... ion provlrled Si above is?rue and correct ' ion �8 7 's G OfJtcl«l use orlly. Do111 oI ►vrlee lrt l/tls area, to be colnpleNd by clry or town o✓,/iclal --�=--.- CITy or Towa1�� a Issuing AuthorityPermlt/I Icease h-------- !I 1, Board of Health 2rBuilding De art it 6. Other p meat 3, City/T01Ya Clerk 4, Electrical-Inspector 5, Plumbing ---___ w II umblag Inspector ;I Contact Person; Phone N1. ---------------------- I o �. Massachusetts Department of Public Safety ��^�^^ I•�j Board of Building Regulations and Standards License; CS•100988 Construction Supervisor HENRY E CASSIDY ^stJ 8 SHED ROW WEST YARMOU`fH • ,Z' .' ;cJ''„r;S 0 Expiration: Commissioner 11/11/2017 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY ---- 18 REARDON CIRCLE 30. YARMOUTH, MA 02664 Update•Address and return card, Mark reason for change, SCA1 .-:'+ 20M05n1 [] Address Renewal Employment (� LostCnrc! _..... ........................ ..... ... �ie amu�+caracue<r./G/c o�'C�/l/l�wda.c%ccdeCZd ate\ Ofki of Consumer Affnirs& Business Regu!ntlon License or registration valid for indivldul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to; eg!stration; 1.53567 Type; office of Consumer Affairs and Business Regulation j xp!rat!on; ::N.1-1:5120:1.6 Private Corporation 10 Park Plaza -Suite 51,70 Boston, MA 02116 CAPE COD INS ULAT.CQN;::INC' . HENRY CASSIDY 18 REARDON CIRCLE' � Bh 10. YARMOUTH,MA 02664 Undersecretary Tya ut sign e 0 �1 CAPECOD-27 CLEDDUKE ACORO° CERTIFICATE OF LIABILITY INSURANCE 77/1/(MMID61YYYY) 2016 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(les)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 Ileu of such endorsement(s). PRODUCER CONTACT NAME: Barbara DeLawrence Rogers&Gray Insurance Agency,Inc, PHONE AX 434 Rte 134 c o E t• IAC No South Dennis,MA 02680 ADDAIL RESS:bdelawrence rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company INSURED INSURER s:Safety Insurance Company 39454 Cape Cod Insulation,Inca INSURER c:Endurance American Specialty Insurance Company 41718 18 Reardon,C.l�cle INSURER 0:Atlantic Charter Insurance Company44326 South Y8rI110Uth,MA 02664'.: INSURERE: INSURER F: COVERAGES CE01FiCATE`•NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF:INSURANCE-;LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR,CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY ,P,ERTAIN, THE.:I,NSUTANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH .OLICIES.LIMITSISHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUUL LTR TYPE OF INSURANCE I S - .POLICY••NU BER MMIDD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 0 OCCUR CBP828'3;063 04/01/2016 04/01/2017 PREMISES ER e�ce $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 N'LAGGREGATELIMIT.pPKI PER; GENERAL AGGREGATE $ 2,000,000 POLICY PR0- �J6CTLOC PRODUCTS•COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT m E.MOIN D $ 1,000,000 B ANY AUTO 6232707 COM 0'f 0401./2016 '04'/0:1l2017 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X :AUTOS NON•OVVNED PR PERTY DAMAGE $ ; . .. Per accident $ X UMBRELIALIAB X OCCUR,o EACH;O.000RRENCE $ _ 2,000,000 C. EXCESS LIAR CLAIM•3•MADE EX610006635001 04/0112616 04/01/201?'':' GR6caTa $ DED I X I RETENTION$ 10,000 -Aggregat`e.,; $ 2,000,000 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y)'N STATUTE' ER D ANY PROPRIETORIPARTNERIEXECUTIVE WCE00431902 06/30/2016 06/30/2017 'BI,,�EACHAccIDENT OFFICERIMEMBER EXCLUDED? ❑ N I A ,:.. $ 1,000,000 (Mandatory in NH) E.L.DISEASE•Ep?.E.MRLOYE I(Yes,describe under $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEA$,g;?:P.•OLICY bMI;T:::$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE'§ (ACORD 101,Additional Remarks Schedut9,.may,;be;at4chbd'I(tmore space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status Is provided under the General Liability and Auto Llai lilty4'on required by written contract or agYeBmer t<with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION n> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE V-al g Ujjdg g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 94A Co erce Park Sbu.th ACCORDANCE WITH THE POLICY PROVISIONS. Sou hatham,MA 0266!P-, AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD Town ®f Barnstable *Permit F-Vires6months ors issuedme Regulatory Services Pee saEtNsrtsr.� � . a°"9' Thomas F.Geiler,Director Bu Mug Divisionl Tom Peary,CBO, Budding Commissioner Y7? 200 Maus Street,Hyannis;MA.02601 www.townbarnstable.ma.us Office: 508-862••4038 Fax:508-790-6230 EXPRESS PERNM APPLICATION RESIDEN L4,L ONLY Not Varid xeIwz t Red.YFress2inprint • lV1ap/parcelNarabes�� " - �-ac����,��. = - � - - Property Address A NA Residential Value of Work_ �� Minimum fee of$25.00 for work under$6000-00 Own&s Name&.Address Contracbor'sName � v- Telephone Number (, 'O8)yo?8-_��r-1� Rome Improvement Contractor License#(if applicable)---! Construction Superviscr's License n Cif applicable) �- ✓�Wotk nan's Compensation Insurance S E P 112013 Check one: ❑ I am a sole proprietor zam the Homeowner . TOWN OF BARNSTABLE T have Worker's Compensation Insurance •- Insurance Company Nan= A+,n ) j ( f)i o Y> Fl r e kS U n C g C o- . Worlam,au's Comp.Policy C—6f5a Q '4(DO J Copy of Insurance Compliance Certificate must accompany each permitt. )Permit Request(check box) p, Re-roof(stripping old shingles) All contraction debris will be taken ❑Re-roof(not saipping. Going over existing layers of roof) , ❑ Re-side " #of doors ❑ Replacement Windows/doors/sliders.U-Value (man;*+1,=.44)#of windows "Where rcquard Iss�aacc ofthis peffiir does got«empt compliance with othu sown depattmr�neg,ilatioru,i.a fistnriq Conservation.etc. ***Note: Property Owner must sign Property Owner Letter of permission. A copy of oime]Cmpro Contractors License&Construction Supervisors License is require& S14MIATTJRE: QCWPML ST0XMftw3diugpatriefotms ss.do Revised'090809 i Toe corrm ea weaft o} assacJzreSefLs - �eparbtrent�'�rralustrial,,4ccide>t�s - . ; Oj9ke of- Invesgg • trOf1 NTarhvtgton�b� ,. Boston,MA 02IIZ > ns.masgovldia _� oxers'cQmPeoaa unft - eCoctors/ Iic antluformatsoa eciraciansJplu bets ' N2zzle( ess/Qrgani zaz Please F'liatL o�nflivichral}- AddtmssS } 41,35er2� o;�Are�eu as emtpTpygy?Cfierkthe a pFrogairate locov T 1 { r — I am a gcluraaI aad I } e afprq ecf(r�zed): E e Io ees � 2.0I.am mpasale t ) basehhdthemab-coa gFewconshOcetion pmprift'm P=er- bsted.oathe attached sheet Ship mtti have zto empinyees These snb-confrartor h VO �" 0 Remadela b w wcd&g forM--im arty aapafty employees andbave w,,k 8 Aemomaa jNo workers'coon-bsmnce P iavice$ 9, [j Bm7ding addition i 7 �.❑ We area emWmdoa and its' 3.0 I am a homwwDerdoiag all wmk Offc6ws bave exec d,-Ir icxl jepaits or additlOns myself.INo tvozi=e CoMp. tight of exemption per Mt,'Y I MmabirD.-repais or additions msnr avice required 1 G 152,§1(4),and ave have no MO Roo€repzirs mPibyees-INO 13.0 other cmP-�•aace regrdred] 1 °�app>�1t�Ccitckt�aa�j mas:slmEilouirbe i ?gr a=kff,6aocco zm� m�b�tmgthey dm. tiaupoWS i tioa. { employ-es Tf�e d�'zdmnaoarsheect�toa+ yroeoft8e '�stsaSmQeanewa�d�vicdicatnsacTs c�rsl�,eempiQyecsg,e3'�rpmvidetheirwadcas"camv pob�andstarewbeetberornattl<oseeata�esbave {; law 49 a ployerdwis prorrft,+�,1�'�y arliog i�omce or i ornsaaon 1' joye� 8efo�£s tliepolicJ'imdjob site insurance Company Name a�Q f { ,` irLc5`va— f Policy i#or 5elins.Tic,#: W c Qcq� 8 BtpiratimD A: Oaf 2� Job Site Address: �GZUr� Atta,*a capyof the vvozfte&coat City/5 Fa&mtosec�¢eopvomg as dmaw ecTstrationpage(sl<owi�g8lepofic9ztamtberan& 4�ed dezSecdoaZSAofMGLc 1�2canIead�ntheimposidon.ofc hwpeugkesOfa � fine to tO 1,SQp 00 and/or ane-year hAPrisoam Eswedi as civil per�tieg iu ibe form of a SI OP W012R O ofvpto Q00adaya$aiusYtheviOlatox. Beadviseat=a COPY OfII.11 eatmm f Rhonda Investio tior�s offheDIA-tr>�cecav �dedtothepfce of - �ve�cation. I do hereby aer . dp�es�per.�i$at'the v}ora�ax providedl8bove is Imre n�rdconr.� aZummay. Do not a-iteintltrsare¢,tobecoqple%e dby coy orzmm Offl a City or Too= 1'eamrptL`ieense� $ssrcie�;�..u8torify[cicdc one): - 3.Boardo€Heaft 2., aDepmtm=t 3. S..Odar 2dy17towa E7erZc 4.I'ge�cirsII Tasliector S.PImatbiu�Zxvector �oafiact�'ersOa: �ane�: j • ACORN" FRASC014-o1 MOSU �- CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDrYYrn THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO l�GHTS UPON THE CERTFICATE HOLDER. HIS BELOW /51201 CERTIFICATE DOES N07 AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES B . ,THIS CERTIFICATE INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED ERTIFICATE HOLDER REPRESENTATIVE OR PRODUCER,AND THE C IMPORTANT: ?f the certificate holder is an ADDITIONAL INSURED,the poflcy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the poCcy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certi5cate holder in lieu ofsuch endorsement(S). PRODUCER (508)676-0309 I-. Suze V tte Moniz 'rveiros Insurance Agency,Inc. PHONE 375 Airport Road Arc.No. :508-976.0309 ;508-324-9947 Fall River,MA 02720 AODREss:SMOn1Z ViVeiroslnsurance.corn (NSURER(S)AFFORDING COVERAGE NAIC* INSURED - INSVRRERA:National Union Fire Insurance Com an - Fraser Construction LLC INSURER Bt P.O.Box 1845 ' Cotuit; MA 02635- lNsuRERc: • INSURER b• INSURERE• COVERAGES INSURER F: CER71FIGAT'E NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSU RANCE Li BELOW RAVEINDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM LISTED CONDIT(O.N OFBANY CONTRACTOR OTHERTO THE OCUMENTRED NAMED AWITH RESPECT TO WHICH PERIOD S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED HY PAID CLAIMS. L7R TYPE OF! AD L. INSURANCE t R VJVD POUCYNUMBER POLICY F POLICY EXP GENERAL LIAB]UTY MMlDD MMfpp LIMITS i COMMEP.C(AL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE 7 OCCUR , _ PREMIS S Ea occurrence ,S MED DIP(Any ane personl S PERSONAL$ACV INJURY § GENLAGGREGATEUMITAPPUESPER: GENERAL AGGREGATE § POLICY FR?i LOC PRODUCTS- § AUTOMOBILE LIABILRY S - COM3INF.DS! GLE UMIT PWC:RKERSCO Y AUTO Ea accident g OS SCHEDULED - «. - BODILY INJURY(Per person) S TOS A(ITOS BODILY INJURY(per acddent) S REDAUTC NON-OWNED ' AUTOS PROPERTY MAGI S.. er at Udent BRELLA LtA6 S OCCUR ESS LIAR C AIMS NWDE EACH OCCURRENCE E D RETFNTI]ON S AGGREGATE S RS COMPI3LSATION SPLOYERS•LLABILrrYXWCSRY L•ITLI. O ROPRtETORfygRTNERlD(ECtlrIVE Y/N WC009930601 9/2fi1 012 9126120oMEMBEREXCLUDCD4 NfAJ E. EACH ACCIDENT S 500,000 oryln NH) I _sptbe-nder LDISEASE-EA EMPLOYE § 500,000 PTION OF OPERATIONS below E.L.OISEASE-POUCYUMrr S so ,000 . OESCWP'RONOF OPERATIONS/LOCATIOIJS/Vc'FIICLES(AtfachACORD9ut,AdMonalR=aftSchetlule,ifutorespaceIsrequbed) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fraser ConSiructiOrr LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED Iwf 31$Owdoln Rd 'JAUTIJORIMrWl ACCORDANCE WrrH THE POLICY PROVISIONS. ' Mashpee,MA 02649- - REPRESENTATIVE ACORD 25(20.10105) ©1988 2010 ACDR D CORPORATION. All rights reserved. The ACORD name and logo are registered marks Of ACORD , a, 646-1-1014 �LCJGPt Office of Consumer Affairs and Business Regulation * .5 ` 10.Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration a Registration: 112536 Type: DBA Expiration: 3/23/2015 Tr# 237059 FRASER CONSTRUCTION CO. DEAN FRASER - P.O. BOX 1845 - COTUIT, MA 02635 Update Address and return card.Mark reason for change. SGA i Co 20Ma 05rr, Address Renewal Employment Lost Card '!/f ICnartirrnirrnrrr r t. ''-,� a Office of Consumer Affairs&Business Regulation License or registration valid for individul use only An HOME IMPROYEMF`T CONTRACTOR before the expiration date. If found return to: + ,egistration: 1125361-1 Type: Office of Consumer Affairs and Business Regulation +iExpiration: 3/23/2015 DBA 10 Park Plaza-Suite 5170 FRASER CONSTRUCTION CO. I Boston,MA 02116 DEAN FRASER 104 TWINN VIEW LANE,, E FALMOUTH,MA 02536 Undersecretary Not valid without signature I _ Massachusetts - IJepartment of Public Safety Board of Building Regulations and Standards Constr>Ictinn Super%isor License: CS 097665 DEAN C FRASER 104 TWINN VIEW LAND EAST FALMOUTH Mk.'025,M` .' ✓.�.. �J/Sf ,a n)=06/07/2015 Commissioner Sep 04 13 11 : 08a Bob Gerardin • 877-396-6959 p, g r FRASER CONSTRUCTION, LLC: Carries Workman's Compensation,and ]Public Liability Insurance on the above work, certificate available upon request. .T DATE OF ACCEPTANCE: Homeowner Fraser Construction, LLC Town of Barnstable *Permit 2o —t10 S Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building.Division Tom Perry,CBO, Building Commissioner (6cfl 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address r22- [Residential Value of Work Minimum fee of$25.00 for work under$6000.00 _. Owner's Name&Address Contractor's Name U�I r I Telephone Number Home Improvement Contractor License#(if applicable) I I Construction Supervisor's License#(if applicable) 9 9 I3 6 ❑Workman's Compensation Insurance ..ck one: I am a sole proprietor F F ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance 'T VVI�J OF EARNS F ABLE Insurance Company Name Worlman's Comp.Policy# Copy of Insurance Compliance Certificate muse be on file. Permit Request(check box) a &Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum,44) "Where required: Issuance of this permit does not exempt compiiancc with other town department regulations,i.e.Historic,Conservation,etc. ***Not ---' -ProperV Owner gnProperty Owner Letter of Permission. A co d th ome lm ro v ent Con ct r PY P t�a o s License is required. SIGNATURE: "y- Q:Forms:expmtrg Revise061306 Town of Barnstable. • - ►STAB , : Regul Atory Service s �� • 1639, � Thomas F. Geller,Director ArF°►��a Building Division Tom Perry, Building COMI'lisSioner 200 Main Street, H annis M Y ,Iv1A 02601 1 f'ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Musf Complete and Sign This Section If Using A Builder --� , as Owner of the subject property herebyauthorize to act on my behalf, in all matters relative to,work authorized by this building Peru application for: Loure.1 l e� (Address of J"ob) Signa of Owner Date Maq c Pnnt e Q:FOR-MS:OWNERPERMIS SION - The Commonweafth ofMassachrisetts Department oflnditstriaC,4ccidents 4ffrce aflnvestlgations.• 600 Washington Street Bosfors,ALI 02zIz www°m ass.gov/did Workers"Compensation rnsurance_Aflidavit: Builders/Contractors/Electrieians/Plumbers Applicant Information .Please Print Le 'bI Name (Business/Organization/Individual);_ S Address: (9 X City/State/Zip: m n i Phone.#: I ' y'� Are you an employer? Check the appropriate box: 1.❑ I am a employer with 4. [] I am a general contractor and I 'Type of project(required) �mployees (full and/or part-time). have hired the sltb-contractors 6. O 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 working for me in any capacity. employees and have workers' 8' ❑Demolition [No workers' comp.instrranee comp.insurance.#' 9• 0 Building addition required.] 5. [ We are a corporation and its 10. 3.❑ T am a homeowner doing all work officers have exercised the ❑Electrical repairs or additions their 11.O Pl bing repairs or additions rnyseli: [No workers' comp. right of exemption per MOT, insurance required] t c. 152, §1(4)�and we have no 12 oof repairs employees. [No workers' . •13.❑ Other comp.insurance required] *Ally applicant that chcelrs box#1 must also fill out the section below showing their warkcrs'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and tbcn hire outside contractors must submit a new a�davii indicating such. tContractm that check this box must attached an additianalsbret showing the niune of the sub contractors and state whether w A those entities have employees. If the sub contractors have employees,they must pro their Wor]cers co' mp.Policy number. am an employer that is providing 7porkers'compensation information. invrlrance for my employees Below is.the policy and joh site Insurance Company Name: Policy#/or Self--ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(sbowing the policy number'and e Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal rpu atlon date), fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form oa STOP WORK ORDER and a a Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of tine Invest ations of the DIA for insurance covers e verification. 16 her fy;r er th p ns- dpenaldes ofperjury than the information provided hove s true and correct, Sienature: a O q Date: Phone #: I Offzcia!use only. Do not write in this area,'-t,be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one); I.Board of Health 2.Building Department 3° City/ToTi Clerk 4,Electrical inspector S.Plumhina 6. Other • o Inspector Contact Person: Phone#: s w „ „., r- .�"3r ',+-..,.:.r., '.,c .5�n„t. .• k.+�s"r. f:, .�..5 e$' o. :vb, ek icy`* 4 h b '1 •.w. k kt .. a ., : , € a. fir. r a" ttz :R,a•S },u.. -d✓� r. �2 ,tv,.. ,T'i sX a. .A.- ,k,.. iv u3 p;�u.'•' s la' '1,�;.• r ''::7� ''fir'. y �t »..�.,. .,, <.•. -'4S:^m _. •'y?,. ,>... ..F,s •.'1> 7 "i Ito'_ 9 °ia".-c «t r•� Av,t,. 5... L 'E ,v.,K h. f :•�''�. J ,� .>` ",."� `-�`,e, _ �... i.s�' '"- ;,..,ry.,a t s•''. :`at:.. r„ .,'S•..' F^t- r •t- ..' {yy��:y, a 't .�« FY' H a .a as ii. '��1':�';a� . .i: '.�. ..*�•_ .t. e�4�".,< -`K`: ���.F "^si•.�Z r�<.,�;s� ,'�. 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'.:... .:. . . ... ...,_. �.�. ,.7.�: f - :<, ......_.r :.,.Y r -a•� ..�. ...�. ;. 3 h:.r::.<'';��'�s', ,,e a u, -,•:.:��a ._ -'•w.. .. �.'.'.:r ; .. ..:... .:.: .?. +z{'^L:.-:'�7. ,i tl.._e_v,�r+.-���T-,._...�.� t"^:n�:-r3�- -k. •-.z .y-,,.. �"i� r'Y t�" �' J,^P 4�}'^,::rr`-'fe.�:y�,.i?'"•R-. 3'-�.'gi�.�-iW'6 5�' �':'�•6 v2-:Y... ,�ir'�-.�� <.. _.. .. _: ,. : .,:::.. t, ._': ..; .,T: _ :fir r.,�.... .L.. ���Y-L ''�`_•: .r,^r..t'�-�`�e-��s3', <".��.r.y-.,-4 `-'t- .. ,,.,.., .:.w. , Y".x >_,,y '�• ,,.:• ra st;..x tL".. :.x r,�v -.u W ;w• �.a. t z .. how .-, r : , , _ ... _Ni r - Anz i , , � em r Engineering Dept. (3rd floor) Map 07�' Parcel ^� dlCl?ermit# House# '� l� Date Issued /! 'a(o -,9 Board of Health(3rd floor)(8:15 9:30/1:00-4:30) Fee,.# , ln. g. tME 19 bA 39. . TOWN OF BARNSTABLE Building Permit Application7 1 Project dress l-a�C �L AyE7,3ut Village ,f-/1 !TI I t_L� ;Owner_r,St9 :7-ANJ 1 e- � . L MLz.`P.'CE- -,Address -c&AMt N>G cf C Telephone �y- /�ermit Request 1) l ) i C� IV 1 ( -t�t i� �X(S 1 l N G-- :tZ7CU l PQ(AJ T O -t too l� S O ir�- LC-� 04�� First Floor square feet Second Floor square feet Co traction Type W nn L Estimated Project Cost $ !:2 d b a o ,,Azoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 2& Two Family ❑ Multi-Family(#units) Age of Existing Structure 0 Q Historic House ❑Yes 21No On Old King's Highway ❑Yes No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 11y/4 Basement Unfinished Area(sq.ft) a Number of Baths: Full: Existing New_� Half: Existing 4-- New No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing 6 New �_First Floor Room Count Heat'Ape and Fuel: IS Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes 2M Fireplaces: Existing { New Existing wood/coal stove ❑Yes XNo 3 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ,${None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes NNo If yes, site plan review# Current Use IQ$hU C Proposed Use aA3 t Builder Information Name L1�2j Telephone Number �ti-3 Address r3 44-z ram[ Atw„ License# t-Li�:-. A-1 A OQ„,� L34 Home Improvement Contractor# -I Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOE SIGNATURE _ "-�' DATE �crn/!e✓ a ) �6 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) • FOR OFFICIAL USE ONLY PERMIT NO. _ DATE ISSUEDk ' E MAP/PARCEC NO.' ADDRES S VILLAGE OWNER DATE OF INSPECTION: z FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH. FINAL- PLUMBING: ROUGH FINAL " GAS: ROUGH FINAL •fit - FINAL"BUILDING / .y DATE CLOSED OUT ; ASSOCIATION PLAN NO. ` . E� Doo/l RaLocAlF ------ LAC. 96 GT LEL G44 , Y'-�_I C HA•>4 noon. a Y rn 4 pLL 8"CON[. a a 1 nc ccSy-IvcAnca Ntw a '„� WALL W�/4"% ALIV Vt/LIFy. w..r...r.c$T. Y Coa1T. f1b.TL1)i�C f..�r nF s.rE �W,IL DROP To ADI,.uT oFrOOR HE1611T__-_ T . Cr> O Aaw 10•p" -T— - ,' �ow ( RATH� CRAWL S/ACE nv ... I N •O y" I VENT AS PtR CODE+ ✓/D�!. ,,�P i NI �i _ 10 �IUT [LDOR DUJ •�EcogD GLO02 Prat �O-VNLAI�D/J PLw.1 ___ ' cR1D("E VEr•1T rCONT. N . $OFTIT \)ET . ASPHALT ROOF - — -41 r OVER. �e"CDX - � d f-EE ,d-JK4 TOP..PLATE. u d-axd.HDR,L o-4"TDi ioo.�T �� 1� . .G.-8."./JT.fIL10R 3'b"d IDE TeP IT 1 I I 'i J `� Si�•Jue Ft .7x4 SHOE � WOOD w,4Doa.IJr If1I HT�-T� ®j� �� _® it i. woo D`.6RaLt,y TSLr p"Srwy oN I. a.EaGws f Ir T II_I' z eNCDX PLI Cr,T. �H EATHI Nb. 11L.I � T I mo."t11 T.-Tv). MAT[N. I+a CRAWL Jg/PALL -- W/DDyTCAP dx8 HDL - ))k& p.T. JILL - T'LOa1T 6LS VA TJ f/J -......._ . . . �uJ/SEAL APlaH WA AM/A6 �SECTieN tTb. DAMP PROOF �.r W r/VDow+Doos. "cbVLE ` RO. bLA L IT6 OTNe � A -_ w'��!'�"X 3-S V• BO%JY /S' /6 Lor<r O ADDiTrOIJ PI A..IS- fM jj REE /:ly/CEn'CE ' ...9.y/k4R--/SLT DO*' J'X&F _- ]a Xb/-/.aT. B,y SHARpr+ AiAaO/•'L-JonnSDN )7b-(s•67Y Fek --MHO •DA 013 sw.rorrro • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE �d 9 /JOB LOCATION - Number Street address Section of town "HOMEOWNER" J� 7 Name Home phone Work phone - PRESENT MAILING ADDRESS 19 O'a y aa-b a,!? City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sJ who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acGP-ptAble to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes ..responsibility for compliance with the Stat Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands ...the Town of Barnstable Building Departament minimum inspection procedures and requirements and that he/she will compl with said procedures and requirements. E HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home 'Owner� actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. • 4 Tllc• Connnuntrealth gfAfassachusetts Depurt»tetrt njlsdustrial.4cciJetrts - Olfice OfIMS1fgaflons 600 if'as/dIll, n Street Bu-M)iz, Afass. (12111 �• Workers' Compensation Insurance Affidavit c • t •0 7 71',3 Citv I am a homeowner performing all work myself. Q 1 am a sole proprietor and have no one working in any capacity _ Q I am an emplover providing workers' compensation for my employees working on this job. cmmn•tnv n•tme• address-, city phone t!• ' inuornnce en neiicv ft Q I am a sole proprietor, beneral contractor, or homeowner(circie one) and have hired the contractors listed below A the following workers' compensation polices: nm nnv nnmc• ddres - cin phone i3• insurnner rn noiic� nm nn%, nnmc• lddre s• �n phone rf• insur.-ince co neiicv� _ :Attach additional sheet itnecessa Failure to secure cuverage as required under Section 35A of h1GL ISZ can toad to the imposition of criminal penalties of a ftae up to S1.500.00 one.cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understanc copy of this statement may be furwarded to the Office of Investigations of the DiA for coverage verification. !do herehr certif• rider the pains and penalties of perjure t/rat the information prodded above is true and correct. •� Signature Print name S L1'"ti P, 0 r1 t= �-1 E i��`R-� � Phone Mp.www �otrtcial use unit' do not write in this area to be completed by city or town otlicial permitilicense f; r'111uiiding Department city or town: CUccnsing Board C2 check if immediate response is required 05clee 1% Office �ttealth Dep Department phone contact person: #• rlUthcr v r• 80 information and Instructions to ter 152 section ''5 requires all employers to provide workers' cnntpetts�I iO ao Massachusetts General Law,; chapter employees. As quoted fmm the "1a��•". mt e�nrpturee is defined as every person to the service of anc�therul• contract of hire. express or implied. oral or written. er legal An eynptnrcr is defined as an individual, partnership. association- corporation ernresen representatives a deceastetltemplovc- or i the forcgoin'u, enLascd in a joint enterprise. and including the le-al p receiver or tntstee of an individual , partnership, association or other lecal entity, employing employees. Ho��e�. �� iveIIiit�a House lla%.in` not more than three apartments and who resides therein. or the on sucltupald��elIlir lt o ncr of a d d%%cilin�� house of another a•ito elttploys Persons s al maintenanceobecause of such emconstructployment loym nit be deemed to be an em: or on the _rounds or building appurtenant thereto shall not b P L cha`picr 15 , scaion 25 also states that eve state or local licensing agencti•shall ��•ithhnld the issuzncc MG renewal of a license or per to operate a business or to construct but ld the insulrance co cirigelrequ red, applicant who has not produced acceptable evidence of compliance ��it commonwealth nor am of its political subdivisions shall enter into any contract for rite Additionally, neither the commot uirements of this ch: perfortttance of public work until acceptable evidence of compliance with the insurance re q been presented to :lie contracting authority. ......, w--L' , Applicants Please fill in the workers* compensation affidavit completely, by checking the box that applies to ;your situation supplying compam• names. address and phone numbers as all affidavits sure to sign and datethe tl e ffidav tnt TIC Industrial .�ccidestts for confirmation of insurance coveraffe. Also b affidavit should be returned to the city or town that rite application f questionor tile s a to dingy tltet or e`la is being ou are 'e not rite Departttteitt of Industrial Accidents. Should you have any q _ to obtain a workers' compensation policy. please call the Department at the number listed below. C•In• or Please sure that tite affidavit is complete and printed legibly. The Department has provided d a space the appec n Ple _ be the affidavit for you to fill out in the event�titD�fw it be used as a reference number.e of Investigations has to contact yTlie affidavits may be rev be sure to fill in rite permit/license number tite Department by mail or FAX unless other arrangements have been made. The Office of Inve stigations would like to thank you in advance for you cooperation and should you have any q _ 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 ` OFTMB _Iyp� : . The Town of Barnstable • ,�arsresrE, • !' �0�'' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no.. Date i AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. j Type of Work Est.Cost Address of Work: — Owner's Name —IgLg�,,m_e Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. By Ading not owner-occupied Owner pulling own permit m Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name L ' Hyannis Trust Company Trustee et al, Owner Cert. 4 59 .7 Subdivision of part of land shown on plan 17u09'i oa r j. Filed wi.tti Cert . of Title No . 5947 Registry District of Barnstable County Cb A o LAND IN BARNSTABLE �q July 17, 1341 nctoF -__ Bearse 8� Ke11oga,yC_iv--il—Eri�ineer� u Hyanvis Trus ComponZIA y TI~usteP. et A/ �i C) o, erf S 9 7 0 S,U u �� . 1 G7 23 ItC L�6y •} �Sn�l d. 46'S4.f0E. k t'.S2=S3�QO;E. nll v \� duiO3 " ;M ,3 0 69.49 �• 'yS9. 4 �1 5 Ad£9'L 6/,u:. _ .5E���� 314 \\ —80.62 ,,? 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G• .y h Ix COMroSTC r .G P.T..2x10 DECK JOISTS®I'G:O.C: elBv.'16.0' —_ -_____ proposed K ; .. elev.1.6:0' ProPos-$- .ed,first floor - first floor' . _ elm.140 12 0 woad deck - Proposed top of foundation proposed top m m.. r nl d �finished�rode o Q. prop05ed B I I F I I elm � - � 01 prop.t.o.foundation m � - . . � ..< , :.I:'I:. ... . .. I. I .I.,.:• ..o .. II, I ..I .. I .. .. LU prop.t.o.basement slab I I -� - L. - I. _ ..f I - .. I e.ev.6:0' -- -- -- - _ -- ---- eX sting.Bratle .proposed finished Orade .. - - .. .: .-.�_ _ 1- - -L1.---- __ .--- ---- --.__ -..-------._.---__._--- 1. elm.5:0' � -r (. �. �. '..I __-.------r-F--.- -- ANDFR9 EN WINDOWS ". L-�_,J--_-_J-____ -J L -.------- --- -- J------------- --- ----------J . - W/1.4 CASING a MATCH MST. . .I I. ._ WMER[5HO"-TYMCAE- elev.'a.0' P Z. --.-. ----- r---- --'- -�7-. -:-� _ , - LJ LJ --�--- -- -----------=- -=---- ---�-----� proposed . Proposed _... .. Q - .. _ NOTE,RESIDE EXISTING HOUSE V/ITFt VIHfiE CEDAR SRINGLr®s°,EXPOSURE _ _ A J._ _ - - = LEFT SIDE'West ELEVATION nATCHnu NEW oDlrloN91DINGTOIT. o . W ( ) at R FRONT(south) ELEVATION, O �RUC.BER ROOFiNG� el second floor' .. _ second floorH. second W. _ANDERS[N-OH REP MY WINDOW . 'W/.I x4 CASING a MATCH D(IST.` at..22.0'- - . - MATCH NEW TRIM TO MST! elm.Poff: NG G F1 - ❑ xCOMPD5IT[DECNNG ON lID .T.C DECK JOISTS®'16 O.C. - :ANDERSCN AWNING WINDOW \ W I x COMPOSaC DECKING ON - O'.- --�— W/I ©. RR,� _ (0. el-18. s4 CA51NG ar MATCH EXIST. P.T,2xB D[CK JOISTS®16.O.G.-. - - HE . M 'B \ Q lendingM. p eEE1�tIOn bolos 0PHALT ROOP sHINGtIS�E_TCH SOPPIT DTLS TO MST. firs[Iloor _ _ TO MATCH MSTING proposed first floor "I 'L[ �_ __- __ _ first floor .[ Z elDv.i6'0' ��- '� � � � � .9 LLI Ing ' proposed' - uWG� � Proposed ele.t 2.0' frond - wood deck = '. foundation - - .. m propose nis e,Bra e - .. P.T.G.G POSTS. - - 'OA 1 A y d. - - _- =f- prop.t.o.foundation alev.7-0' o ' a I, 'I J �B116'SMART VPNT Y.�8.0' o.t p.base t C )t'- y W P.T.6xG POSTS 'proGosed proposed finished 0rede BIB S.0' r T -AN"4 C DM WINDOWS. R ' -L_ .. I. I I 5._O. garage in new basannenl ...' I- I 1 -0----- .. ed FIPI I I A� I I I ..,I W/1,4 CASING ornMPi MATCH EXIST..' N D IG'SM elm,a. ''' I I I' .I I I. I .I I. I .I wn 1 pm(wsed atldilion. '6 propos shad Brade � . I . I I afdundatron f000fpdnt : I - - _ I I I I I I I• `' I I ERe snowN- I . - I' I -''H+. I-�- -+ -1-1-- -1- ------ ---- 6 eleY:z.o :�-- y. L------L-L -=------1-I- ------ -=--=------------ -- -----J .. LJ - - L------ --LJ- _ _ L.L- ----J-I-1-J_ I I ------ --------- - — E,�. proposed FAMILY ROOM and WOOD I IECK ADDITION : DA 11/2712017 a, . .. proposed . . .. .. .. (east), RIGHT SIDE t �ELEVATION' ... � .. �. ( ) . � : ... .. � ., .. Proposed'. 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I. .- -. I. .. _ �. ®WINDOW .. .XK, D518 JACKSNDS REO ED . .. - I ' D . : ', I - . .. � _ .. a � EYKIJ UN�IES$NG TED OTHERWISE .'" IC US .I ., : . . . . . . ..O WOOD�EC I Rmxe- 4:-DOOR . .. . .. D 4 r ` ry T 7 _ 3'-101' 4 .N . I .:I z.' : . . .. . . _ . .. :. a 0 « 6'10' .. .. : \i . .. . .. . . -. ,r----- ..--- --- ----- I - - . . .. . _ I .-.'�..: n s ,, I . : :. •b I - ------------ --L . I : LAUNDRY/STORAGE'' . .. .. .. _r - .., .. I ... .. .. rRanoe uccss ro - . - -'. . .- I - I . . . ' . . :`1 I Law Hvoaoora sPAce : I .. .. :... 'r.' - 7 4•.BARN DOORIHEIGHT T.D.D: - ... . . .I . . : . . :..'. . 'Leunou or wiD T.e.D. - - . I .. .'.air . .. - ACCORDMG TO HrADROOM 1 . ' .. - � _ APr[R-rWJAINGIN .. . I AVAIUBIL I NPw r OOx I - - y a F - .. ..I ::`?:.Proposed}:::;i.�.i. >: ;,/ G . .. . ., I . . -. .. .'.T ,:$.FAMILY ROOM.. '?:..,... . 1 i 0�. . . . . }:! .. ::w: .. .. U I• .. _ .. - boar lv ' - I ' I _ .I - � iosreaox.. .. 4 o �' ITX r. .P. �. : I .- .. .. ... ro - Het ROOF' _ v rc(':: ...Pe .I :.';:.t.>• .....:......:. .,!.5...... :: : ': .. :: 6 .. - . . .. - .. _ . . - -. _.. _ „.BEDROOM : - :.::::.::::. I. .existing ROOF ..:.::':--`.:: ......;.�..:.;. d r. I. (tyWcaG oMer is noted) .. ... _ .. - . . - I R . .-- I � REMove�ISTING WALL, BATH _ 'C. W :' _ - I . -` - .. a a . 9 � 0 I. . ., -. _ . : - I.. .- - .. - .. " BATH�i O g -: , I 88 , . . ---- . - - i ii ,;,,,;. 2 I .. . , : - Q . .. _ -. BEARING WALL . . . . . . . . I .. . . - . _ I _ - :. I #r##.stied ROOF - - o,mrskliton nw . ,� _ ,I.,. I � M . . .. BEDROOM '. z«e Rooi=RAFTERS '_ - _ J . DINING ROO KITCHEN N' F1,. ------ G, I:. .. I . . I,.. _ G . , . .. . .. re}alnirg wall ___ Proposed. Z - I.. . . -__ v O. f-1' . --------- , . - F'- .. - .. - - - _ WOOD D�CK.' .- t L I N I, n . . . .I -_ J_ _ iI N z. . 1 _ ^ J t . I 1. - ! I I/ � L' I' . - ._ .., I .. I. .. .. " I . . . . I' I 3 s _ .., - _ : ' • : �_ �. BEDROOM. - I :I. - ': .SCREENED'IN P.ORCH1 _ .. „ + rc .-'.: ;t.l - I OFFICE b. Z ' I a . I -W . I _- .. - 'I .. - � LIVING ROOM - i a� fA• .. I . . I'(. retaining wall `� IN1 ING 4 STEPS TO GRADE I. .. , _, . - I- _ e y . - -i A W s ------------ ------- '. I : 5 - .. j . za . b'0' - .. _ . _ , - .L__ __ _ __J _. . . _ - I: 0.2 . . .- ... . .: NOTE: _O Z : - . 1 - '`. I. I EXISTING FIRST AND SECOND FLOOR WALL RFMAIN UNCHANGED I' is WITH EXCEPTION OF FAMILY ROOM ADDITION ON 1ST FLOOR -AND ADDITIONS OF DECKS WITH STAIRS TO GRADE I .#mj 9 O. . : :. :...Proposed/.extsdng- .. _ H T stDE . proposed/existing .. . . . . . - W g ON NORT AND EAS OF EX HOUSE: I d , ..SECOND FLOOR-PLAN .. fIRST FLOOR PLAN :. o,C7 a s 1 , • . . . : - - 1/4"=7'-0" '.-. living area...400+/-s.f: 1/4"=1,0". I existing living ar'a...1075+/-s.f. w - . .. _ . e , . . P. . ... .. . � •'proposed additi9nal,living ar�a....206+/ s:f 3 a - gross existing living area ..••, 1475+/s f: . - .. : ross living area 221 s:f. _ . . I. DATE' 11/27/2017 ,. 15%ofg ...,.... _ proposed dditianal liyirig area(foot print): 208+/s f'<221 s f . s - .. i .. DRAWING#: OTF P n . .. - .. .. ' .. .. . .. - .. -. A2 - 4. I . . . . .. . . : - - . - . . . . .. . i °%'c �O,A . d•'`� 1. NO RESERVE AREA IS SHOWN. 310CMR 15.248 2. VARY'LEACHING TO LOT LINE BY 7' (3' PROVIDED) sr �0 3.4oQ 310CMR 15.211 (1). • ,. 3. REDUCE LEACHING AREA BY 2 (325 GPD PROVIDED). 310CMR 15.242 (1). 4. VARY DEPTH TO GROUNDWATER BY 1' (4' PROVIDED). TOP COASTAL BANK 310CMR 15.212. 5. VARY DISTANCE OF SEPTIC TANK AND PUMP CHAMBER TO'WAY BY UP TO 4' (6' PROVIDED). 310CMR 15.211 (1). N/F TOMALDO REFERENCES / LOCUS DEEDS: CERT. NO. 74370 h PUMP & FILL OLD 5� / DEED BK 1176 .PG.108 x 5.2 LEACHING FACILITY PLANS: L.C. PLANS NO. 176098 & D 9 00. PLAN BK. 24 PG. 49 PLAN BK. 195 PG. 33 x 10.5 PLAN BK. 165 PG. 27 1. LOCI.1 7.3 p AND 2. ELEV I 3. LOCI_ g. BENCH MARK--TOP OF CONC. & C; 1 BOUND = 11.55 NGVD29 t0.1' DATE! 11.5 4. PRE`. / x 8 x 10.4 LOCH co C.B./�.h. 5. LOT ! found x 6 6 xl 11. DEEP LOT D DO H 5red (�® `� 11.5 SUIR\ - _ 7.0 _ N 11.� _ 1+ 5.6 _ _ = VSE _ ' �O �1 8 LOT;1 '256 _ EX\5 2:5 - x 9,4• / k•NORWOOD 3 x- .5-- 3 9E oY,\ .7 W�I aye --= _ = - = SIP1�5 �. 9 THIS PLAN IS A VALID (_:l 12. AN ORIGINAL RED STAMP 0 E P x 7.2 _ x 8.7T I `12.1 7 BENCH MARK--TOP OF STONE 0 Z x 7.4 >>s 0 a510 4 BOUND = 16.50 NGVD29 t0. ' 8. e� .5 x 8.9 x g0 a �6> 10. x � \ � 8 .5 9.4 D wad .3 \ N/F CHRISTIAN CAMP MEETING ASSO' a� LOT-25 � \ 1(Tv �D A 9 .ii x 10. ;12.8 �\ `oN�ER 3'h+ 1 1' 13. \4.0 1 .8 -----LOT T - 2 5 0 -x 10. 1 .,�, -_ SITE PLAN x OT 252�,= �3:4� � 115.0 \ FOR ::.: �. :;:::•:•: 6 .0 0 13. ' SUZANNE HARPOI W -� -x'17.6 EXISTING TRAVELLED WAY 1 r .::... S.B./d.h. 23 LAUREL x 15. -::y d AVENUE, S. NORWOOD,--- BARNSTABLE. E FEBR UARY 20, 1996 9.0 RONALD J. CADILLA+ C.B./d.h. x-1-0.7 O O PROFESSIONAL LAND SURVEYOR & f found '` x 19.9 P.O. BOX 258 WEST YARMOUTH, MA 0: HEALTH AGENT APPROVAL DATE (508) 775-9700 4 t ,, .,- ` ' S1 . .. a s, . . _ .. .. . 1. .,...I.II..,%.I.I.......'.11I-..�;--�..-...�...:�!,�....4-..�...-II.'I.I I.-pI.�I.%.p.e..)-...�-*t. �I�I ffI I.j.��l..-1.I.t 1�I.f�I..--�,fflI.�I.1:I I�.-�..:.�.,..�..I...m.+,�.'......,;..,.�I,.I..I.:=.I...-.I,....�:.1 I.....*..I...I.,1..�.I-.I�.�......,..I.-.-�.I-.�I,.,....'�.j..-�.I.��.....f�..:Io I,.--...I�4-X...'.�---;'1.:I.-,7*f./.(.9....II...'_//:���;.7,,�,.�-7A- II . . . : - _ .. ......,I;.t.A III Y, . .. - -_- TT.1. I-r-TZ1-rTT1:. --- 'rT: 'il-I-T.-[-T ri--r .. P.T.Iz)a,m 1 'I:.I. I. `Y" I. I I' I I ., :,t..f:i - •.I'. "..I ':,I • " .. .. .1. 11 ..1 I I:'1 .I..1 I I. 1:. I :. ..,.I.. . . 1:1 :I. I. 'I 1� I� I..I I I"�:"I I � , . . . .Q "3• s'-10' I, I' I�I l -I I: '1" IS'-llal.. 's•.; f I. I" I".1 I'-1-:1 .1:' 'I:-I' I: I . . .I. I .I i :. .1.. .. 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I 1 I i o B _ i II . . ,..,POST UPr - • - ''-0 .II �'OP LNEW FON A NWLLS O .'V ... I POST UP -- I I .: ... .::." G.O.C.S'T,E EDGCS,12'O.C..IN T,E FIELD_ .. � . - ' I . .. - ' I 55 49 441/4• TYPICAL S AL W L I..' .. .. ;.. : '.I TYPICAL _ tV W . . r 3J .. '. ,55414.1/4 I .. .. 5KU •o ^j . U' '. .. ON'42Y4211 S' : ..- . 3 I _ �mI / 8 C , Z ::' I ' I. L.!_� -'�.GONG.FOOTINGS' : - XKJU,a OF KING STUDS S JACK STUDS REOUIREU C - I ? I L . / ,: .. 2KIJUNLPSSNOTED OTHERWISE '. /: • �• 1Jy u� I L -------tn[ oaNny fo M.- -- �'.. .. - 9 L - _ _ ._.� I - `. J; I P 414 I/4' 3 ( It O III m I - ` __ . I ON 42142k 1.5• .- `. .: p-PD8ad' D d 7 o QK, .I 'F 8 -CoNc..lO09W5 I .. rc'o �25 1 gW - - - -GARAGE . _ .A 'g-= - . . _ 'o z - o . I'S .. - -' .. - O . I . .= 41 Sa exisCnB 2x10.FLOOR JOISTS % '.. - x - " -�n - ,5 50-FIRECODE GYPS:BD - - �.. n Y. - ul - _ ... e I $ O "� '@ ®WALL51_Cc1uNG - . m O .. 1' , � b . }} J ^ n5541 4'.14: Y. ..K 1- I, O a, tD O - .. .I .. aIALLY ON/ ., 2 _ CrI F - -.0 _ - .. . F � O - ' L _N .', .: .: I .r-/ CONIC.FOOTINGS '. . ;r h . a LL . I . 81 _ . . . . . . . .4. ... ' : S.L)1 314 x i 1 7/8'LVL BEAM flush_ : - 4 13/4'r117/B"LVL BEAM ftsh above Y I a - .-SRNG W.ebo.e ,ANGERS-110 - JST .. - • m ' = - � Y,fR' a I eQ : n,Lls7:zs/lo I � newzxcwoJsis ., _.' .. �: 1 '. '' '' .. .. - I / Y 4'TICK POURED CONCRETE SLAB FL R 6 ' . ®16-D.C. .. - - .. .... -1j. 1 .. WffH 6Y6'-10410'W.W.M.ON F- _ _ '. ("" R. N .. 6 MIL VAPOR RETAINER OVER CLEAN :. - : PROP.TOPOF FWD.®ELEVATION 8.5': Z ': .. - Ol. fJ(15TING I u 13: COMPALIEO GRAMULAR BASE . I I -. DEPRES5 T.O.FWD.WALL' ....t- TfPICA L f. .. MISTING CORN . - "- 2 (a' PRC,2-TO O.,:DOOR" -. `- 1' TO B'ABOVE GRADE .to - .2v6 WALLS N 10'.CONCRETE FOUNDATION/FROST WAIL t„" -F _ . .. _ _ . H 1 .r "I .:!FULL WPIK OUT) - _ _ .. . _ �' F. '.`.ilfZJ b . I- _ " - b _ _ - 1:2'bw.CONCRETE soNOTUBes. - QA b-_ N_ I I _ t- - .t - PruDOsed .-.. .. I I. .' _..in.. . ' ' - - . :. -. .:.TYPICAL DROP TOP.OF FNO WALL TO FULL WAmM OUT hME . . PRbP.TOPOFFND.®F1ET/AnoN B.S' .;. '1 .: FULLBASEMENT-..' 1' - B'CANC BLOCK - - . DEPRESS T.O.FWD.WALL - / . TO B'ABOVE GRADE .. :I '... - n55 44 4YI/4•:' .. I ,. 3'-I O°. M - - C,IMNEY FOUNDATION - - I. P.T..fu6 POSTS'ttP.' . I RILL WALK OIIf)' - . ON 42%42M15 .a •' I, :. 'SRE ADJUST IDCATON5IZE ,. - . ., .I .. CONC.FOOTINGS Ti I .Z -: I.. 2v4 PART WALL .. . - e L _ �i B_d I ' PosT urmN taininwall .: ...4.... ___ ---- A ?- '. I :.; - re inin wall' ' . 16 9 ., .. _ _- IyL///7// - .-_- .0-- u . ..1 - ° .PROPOSED .. '.: - f '/ .te a' :" I L.-----1: F. .. 4 : WOOD DECK ABOve .�L`_ -1 " ' //,////////�////�I• . - .. I L!'L �2.a7ARr.WALL - r. _. I: : AND STEPS TO GRADE - o _ �..I�II.I�1 I.�I..:*..,:���I....��,....'.�I...:.�I..".1.f".',...,.-.II.,.-�%.-,.....I I.I��.P.'.,.���...I---...,.0.....I..I..'�...�..I.:........(I.....5.�................�I:1.,..'T:0,...-.,,.'...�.......:.T.1I.U',...:..:­..�I..�......P.I.:....:�...;I:A..-.....�....1�..�I..I).,1.�..r..�.-�.NI..--..,�..�......�..:.I:.�-1:.....'.�7:.I4./1;.-...: . I2'C,IMNEY BASE .�� P.T.2c8 DECK JOISTS I -- J . _ . I, - _ _ r.-___ I . . IXISTING • I SRE ADJUST LOCATIONOSIZB' LI .. '.n I. IV O.C. r. _ I I ----- I . .. ' .�6.'1.".�......,....-.�..%..1.�.I....'�Z..�-�.P.I.-1'I­..I:.I�..�..I,.I'�.-p:..1'I.��T.�.."�..�.:...:I.',.�,.�..I.I-'-.I'II I I.I-.....I.I.%:.'�,.I:oi.I I....I-�-I�..,....:-+:...TR,.�.,:I..:.....-...:I.�I'.-..-.'I..�I�,.m.1�...-..I.:'-:I 1,''.....�-I:.�..�".I...�.....-.5:I..:...m'.:......,.+�.4..:I�.. --- .. -. . . '. o __ - I. L F . -' . . . I I " I -% I PROP.3 I/2'DIA:UNLY COWMNS - - ,. ' . I I 9 Z .. DtSTING ON30'v30'.12'CONIC:FOOTINGS n" 4... ..- --- -I . �9.- 1 m v ~ - 1C DIA.CONCRETE SONOTUBES . . - L 'I.. 'a� - r z WOOD O[LK/PORC,ABOVE.I I e 2xID FLOOR JOISTS � ,0 - t T --A' . .. - ---f'- -4 .' - ON CONCRETE 20'Dbl'&G FOor PrG.I .. 7'9' I' 3 1/2'DIA LALLY COLUMNS W U' F.T.6.6 POSTS Aeove �' _ . -- --- - .. \.. - -+-----I,_ .. . .z. : t. P, /: .. .. ..I. I ' -. z ) ;'.11':.P.T.2�B DECK JOISTS b .. .V1oposed i.' C . 1L� I a 1 _ ..N ....I ®1r e:°'a i -.1,. :'FULL BASEMENT I .. � �,/w� m. ' ... ... I . m unfinished.' I, r Y/ .n n " -Q I I I... I. 4'T,ICK POURED CONCRETE SLAB FLOOR _ N I : :� - retalnin8 Wall .. . I .WOOD DECK/FORM ABOVE : - retaining WSII : ' O W S' 'Q I C ON 6 MIL VAPOR RETAINER OVER CLEAN. "I I. _ C z r': I'". I "COMPACTED GRANULAR B. . ) - . QQ / \ - I . ._ -- /-. POST - - Z. �. - \17--- ----.- -__----- - - _. \�7 -- -- - - W .W J UP ON �.. r z . z i. I ., 'I Nnv-oTplcK PouReo mNcxert - .. - - C o N .. FOUNDATION WALL ON 12}20' - S'-2 .. ~. - m .: ' ,. I .L _, .:_- J I NUOUSFCONCRER f'OOTING .. .. O i 9.19 Q . .. - GON PNOP.TOPO FND SELF/AN 1073' '.y Q . .. .. .. - .. .. _ . z . .. - .. . . . EQUAL EQUAL' a I S O -- .. .. ., p ` FWVIDE.AROLIND FWD.WALL FEWMERR:. IX. - EXI5TING'. , .EXISTING 'GENERAC.NOTE:' ... - - .. . VS'GALVD ANC,OR BOLTS S MAY.32'O.C.4 6'-12'PROM . .. ' .eso or Pores.use 3k3-.IPP PLATE WAS.M - .. - ` - VERIFY ALL E)CISTING CONDI710NS. _ w . . .. ' BOLT EMBENTMCM MIN.T . :.'.. - , PROVIDE: : . ttyy . - TOP 4 BOTTOM OP FWD.W -. . _ .. $ . OTIFY.ENGINEER IF ASSUMPTIONIFRAMING COMIN.I5 RE9AR�i tzI® at - HOW,IS DIFFERENT THAN DEPICTED. . 't . (2nNPoonNG - .ONTHESEPLANS ._ .. .. : . EX STMG' FOUNDATION PLAN " wdecw 1 .... - ' .' - . I :. .I ... , 1/.q"=VwO" .. .. ,'Sams - .. . . . FLOOD�VENTS: .. . - . BASEMENT'PLAN °AT '2'"'20" . _ .\ .:' .AREA OF BASEMENT 121X1 S.F.+E .. G16. ., -:. • .. .l:#OF SMART VENTS REQUIRED a 8'..' nRen or PROP 2{4•%7. 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