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HomeMy WebLinkAbout1169 SHOOTFLYING HILL RD Z Q V-0 , i NN'V, . , .i � '­ -Z. ��NPM15� 4 pan* MUM Az, W'41i 'f 6 4W R oN mxi' .1 )T �n 01 OR "d ess gg 7 R3 in MINN L k Wt"FQ�.�';kpf AN1 YN Wkkr il'U N cy �ga "Or'; KNO--k,fm'_ '111T'4'�_""MW A 'W'.Ri�'IWRIK�iw P* tF f"'B""'ROO-SW U AS , '%UD A R I :"'.pzif'qA TIM, -'g U, �"g—-"_' R, ujNmp V-� vni all' a Man 5 on 'g" W gin mg RA114"N R 'AMN IF im A MEN V'M "(0 MEN vmmm�M�WM Mpg I r.-"WAIR Rkl W; A". V"`4 "'T WEBMSe" �gn pp -4 '1,4' 11W tN11 ANNE, `03!Mv"�'k W gg W. �seq low kvu '2 qg 4 "M'2 R�7 mw qV.7 V =low" A MR wfi M; k" NOW 3'4§"§V Al 2'v millV, N6, gm .mug -A 10 'g _P, INV Z"A Env V v 11.1'9 typ .�OR, O"RYPR W VRR _0 n� Pei o p�D2� � C�-�'►�0^� i Town of Barnstable Regulatory Services • �xivsresi.E, • Huss Richard V. Scali, Interim Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 16,2013 - Markwood Corporation 110 Breed's Hill Road Unit 10 Hyannis, MA 02601 RE: Road Bond for 1169 ShootflvinE Hill Road, Centerville To Whom It May Concern: Enclosed please find the original Road Bond which was posted for the above referenced property. This bond is being returned to you because a Certificate of Occupancy has been issued, and the . Town of Barnstable has no further interest in any performance bond for this property. It is important that you return this document to the insurance agency who issued it in order to avoid w a renewal and fee. Sincerely, A Debi Barrows Administrative Assistant _ r Enclosure �t LICENSE OR PERMIT BOND Travelers Casualty and Surety Company of America Hartford,CT 06183 BOND NUMBER: 104011225 KNOW ALL MEN BY THESE PRESENTS: That we, Christopher and Carol Olsen , as Principal, and Travelers Casualty and Surety Company of America, a corporation organized under the laws of the State of Connecticut with its principal office in the City of Hartford; CT, as Surety, are held and firmly bound unto TOWN OF BARNSTABLE,.as Obligee, in the full penal sum of FOUR HUNDRED AND NO/100($400.00) Dollars, lawful money of the United States, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, the above bounden Principal has obtained-or is about to obtain from the said Obligee a license or permit for STREET PERMIT—1169 Shoot Flying Hill Rd., Centerville, MA ; and the term of said license or permit is as indicated opposite the block checked below: ❑ Beginning the day of, and ending the day of , ❑ Continuous, beginning the FIRST day of October, 2012. WHEREAS, the Principal is required by law to file with the TOWN OF BARNSTABLE, BUILDING DEPT., 369 SOUTH STREET, HYANNIS, MA 02601 a bond for the above indicated term and conditioned as hereinafter set forth. NOW, THEREFORE, THE CONDITION OF.THIS OBLIGATION IS SUCH, that if the above bounded Principal as such licensee or permitee shall indemnify said Obligee against all loss, costs,expenses or damage to it caused by said Principal's non-compliance with or breach of any laws, statutes, ordinances, rules or regulations pertaining to such license or permit issue - d to the Principal, which i p p said breach or non-compliance shall occur during the term of this bond, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED, that if this bond is for a fixed term, it may be continued by Certificate executed by the Surety hereon; and PROVIDED FURTHER, that regardless of the number of years this bond shall continue or be continued in force and of the number of premiums that shall be payable or paid, the Surety shall not be liable hereunder for a larger amount, in the aggregate, than the amount of this bond, and PROVIDED, FURTHER that if the Surety shall so elect, this bondmay be cancelled by the Surety as to subsequent liability by giving thirty(30) days notice in writing to said Obligee: SIGNED, SEALED AND DATED this FIRST DAY OF OCTOBER, 2012. Markwood Corporation By: Timothy Pearson, Pres. By, a F. Diane Fredericks,Attorney-in-Fact S-2133 ED. (2-73) WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WSTPAUL POWER OF ATTORNEY TRAVELERS Farmington Casualty Company St.Paul Guardian Insurance Company a Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard.Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company . United States Fidelity and.Guaranty:Company r Attorney-In Fact No. 213732 Certificate No. 000046178 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint F. Diane Fredericks, John S. Dugger, Sr, and Derry G. Fredericks of the Cit y of ctPrvtll . ,State of Massachusetts ,their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their-business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in anycacfions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be,signed and their corporate seals to be hereto affixed,this - 24th day of January 2006 ' Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty'Insurance'Company,`, St.Paul Mercury Insurance Company .; Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company pASU,��♦ stwEry yp1PE 6 \�M DNS . ,�1NSU ,1Y ANO GA HAKrFoR wli+ OtCONN. n A State of Connecticut By. City of Hartford ss. G rge W ompson,Sen' r Vic President On this the 24th day of January 2006 before me personally appeared George W.Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc.,Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company;Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. G.TlT ^ In Witness Whereof,I hereunto set my hand and official seal. My Commission expires the 30th day of June,2006. Marie C.Tetreault,Notary Public 58440-9-05 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER' WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER .i>f r• This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Corppany,Fidelity and Guaranty Insurance Underwriters,Inc., Seaboard Surety Company, St.Paul Fire and Marine Insurance Company, St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any.Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice.President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to,which it is attached. I,Kori M.Johanson,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc., Seaboard Surety Company,St. Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company, St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety_Company=of America,:and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Att& yr.executed by,said Companies,which is in full force and effect and has not been revoked. j :F IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of sazd Compantes this day of 20 _. Kori M.Johans Assistant Secretary r G/.6mfq�r` SUNETy JV F\RE 6 y �\�'N•INSG9 Jpt.1NS�gq �,P�TY gNOa NW� 1��Y�y � �w �tOOPORq>'i Q: PORgt'Cn: 9p 1981 0 'f 1927 < � �: 'm a¢ o: NARrFORD, � HARfFOHG� < t a 1977 g ! t 'o '• 896 �.SEAL,,AP Iod SRAL:'a rANN. �% e' m. �OFNtN s,�c�NCEa y To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.stpaultravelersbond.com.Please refer to the Attonyey-In-Fact number, the above-named individuals and the details of the bond to which the power is attached. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER L-18-2008 17:27 From: To:15087906230 P.1/3 TOPIN OF f TA- 2013 A,} ; MARKWOOD CORPORATION MEMO ■ 'opal FACSIMILE TRANSMITTAL, 1 U1 F FROM fSCAo? FACSIMILE: (508) 778-0770�_. .., DATE 4-Z _ If, VQ- CDMMGNT , If R()N!,MI I ! IN(-,[ LIDINI`, I'PAN";MI 1 TAI !111 17'f., f I I IIf W fINE '1Nti' 7.(4. 11IAN1; YI)I1. 110 Breed's Hill Road, Unif 10 • Hyannis, MA 02601 508-778-0734 • Fax: 508-778-0770 • E'=1-n-all: ir1(o( 1T-irjikwood.nnt JUL-18-2008 17:27 From: To:15087906230 P.3/3 FREDERICKS INSURANCE AGENCY INC PO Box 427 INVOICE Ostervllle, MA 02655 Phone:(508)428-8999 pate: 9/13/2 013 Fax:(508)420-1637 Producer: FDF Entered by: xI Markwood Corporatxon m , 110 Broad's Hill Road Unit 10 e v:oi Hyannis, MA 02601 000094 09 28 2013 189-13 mrn 104011225 10 01 2013 CONTINUOUS -Please detach and return with remittance Amount Remitters $ - - - '- - - - - - - - - w - - - - - - - - - - - - - - - - - - - - - Pollcy:104011225 Effective: 10/01/2013 to CONTINUOUS e Please Pay This Amount NOTES PERMIT B01M FOR 1169 SHOOT FLYING HILL RD. , CENTERVILLE 632 ue and Payable no later than 09/28/2013. ( If bond has been released by Town, please send us a copy of the Town's release to cancel this renewal. ) L THANK YOU FOR YOUR BUSINESSI JUL-18-2008 17:27 From: To:15O87906230 P.2/3 MEMORANDUM TO Jeff— Centerville building inspector FROM Tim Pearson DATE 9-15-13 RE Road bond release 1169 Shoot Flying Hill Rd. Please see attached I need something from you that this bond has been released. Can you please fax it to me at 508-778-0770. Any questions my cell is 508-509-3971. Thanks Tim �t"E' ti Town of Barnstable Building Department - 200 Main Street * MRN"ABLE. * Hyannis, MA 02601 9 MASS 1639. , (508) 862-4038 Certif icate of Occupancy Application Number: 201.206083 CO Number: 20130055 Parcel ID: 190082 CO Issue Date: 05/21113 Location: 1169 SHOOTFLYING HILL RD Zoning Classification: RESIDENCE D-1 DISTRICT Proposed Use: SINGLE FAMILY HOME Village: CENTERVILLE Gen Contractor: MARKWOOD CORPORATION Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: 2 r Building Department Signature Date Signed tNE T°� TOWN OF BARNSTABLE, ��n'�•� ' � � g 201206083 BARNSTABLE, Issue Date: 10/24/12 Permit MASS. ?, �ArFC �s� Applicant: MARKWOOD CORPORATION Permit Number: B '20122591 Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/23/13 [Location 1169 SHOOTFLYING HILL RD Zoning District RD-1 Permit Type: NEW SINGLE FAMILY HOME Map Parcel 190082 Permit Fee$ 1,124.12 Contractor MARKWOOD CORPORATION Village CENTERVILLE App Fee$ 100.00 License Num 005867 Est Construction Cost$ 135,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BUILD NEW SINGLE FAMILY WOOD FRAMED 3 BEDROOM HOME WITIJIJIS CARD MUST BE KEPT POSTED UNTIL FINAL CAR GARAGE ATTACHED INSPECTION HAS BEEN MADE. WHERE A , CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HILLS,DOROTHY W BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 16 AUTUMN ST INSPECTION HAS BEEN MADE. DANVILLE,NH 03819 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT,TO OCCUPY ANY STREET,ALLEY OR SIDEWALK'OR ANY PAR WT THEREOF,EITHER T PORARILY R T .--ENCROACH ENTS.ON:PUBLIC PROPERTY;NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE--:APPROVED:BY THEJURISDICTION2. STREET OR ALLEY:GRADES%AS WEL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY.BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES'NOTRELEASETHE APPLICANT FROM,THE CONDITIONS OF ANY:APPLICABLE SUBDIVISION - RESTRICTIONS` r ... MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 C3}een v v d" it. ° V /f Sit d kL13, 2 v 2 � 2 f-/NAL- s-�V7-13 off IdVA //j -3113 3 1 Heating Inspectio Approvals Engineering Dept Ito v /v e4/d S Fire Dep 2 '�,,,L C,r-5, of TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M �, Application # ap Parcel Health Division Date Issued ` Conservation Division Application Fe &__�7_' Planning Dept. Permit Fee V Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis �� Project Street Address G I 4,111 Village Owner AddresAD )( )1) M �' Y`"• cz-z;) Telephone Permit Request i T j►yC wG-'L�_ du(- 6Gn �JCGIc, f�a((2 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District — 1-• Flood Plain Groundwater Overlay Project Valuation 057,Q Construction Type Lot Size dQ� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. v � o Dwelling Type: Single Family Two Family ❑ Multi-Family units) Age of Existing Structures Historic House: ❑Yes No On Old King' ighway: 0 Yet I�No _ NJ �o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) -' "' q Number of Baths: Full: existing new Half: existing nev _ � 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 dd No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name- I 1'I'1 ��SGr7 Telephone Number Address u�u 1 ( WI L O License # y� L`1�-�GY1�'� � • �� � Home Improvement Contractor# ��f Worker's Compensation # «7ll-Uk3 ALL CONSTRUCTION IS S TING F OM THIS P�OJECrWILL BE TAKEN TO C SIGNATURE DATE " �� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t OWNER DATE OF INSPECTION: a:_ FOUNDATION: FRAME INSULATION r FIREPLACE r . t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING l U�O� Wf DATE CLOSED OUT ASSOCIATION PLAN NO. s'1. C, 44 N.j lr j I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street. - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A plicant Information o A / Please Print Legibly Name(Business/Org ' 'on/Individual): Address: Wd PCC_4 City/State/Zip: I� itl)nn q, Phone#: Sty- 77�U73�/ Arrewu an employer?Check the appropriate box: Type of project(required): 1.LrI I am a employer with Jf 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Demolition working for me in any capacity. employees and have workers 9. ❑Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. We are a corporation and its 10:❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑R of re airs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[5-Otherg comp.insurance required.] *Any applicant that checks box#I 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: r �+ Policy#or Self-ins.Lic. 3((S_ U33 Expiration Date: Job Site Address: ' ��� C1(4 j 2:7 �tL `' pe f City/State/Zip: C;n I Ae-, AU Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby penalties of perjury that the information provided above is true and correct Signature: Date: J w l� Phone#: Official use only. Do not write in this area,to be completed by city or town official j City or Town: Permit/License# Issuing Authority(circle one): C 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector.5.Plumbing Inspector 6.Other Contact Person: Phone#: t Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership;association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee.of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter.152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'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 curient 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 to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia '��D CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DDIYYYY) 3/2012013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights-to the certificate holder in lieu of such endorsements . PRODUCER FREDERICKS INSURANCE AGENCY INC - coNTACT NAME: 1046 MAIN STREET OSTERVILLE, MA 026550427 PHONE C Nu t: s 4 8-s s F AIC.No: 508 420-1 37 E-MAIL ADDRESS,.. INSURER(S)AFFORDING COVERAGE NAIC B INSURER A: INSURED - MARKWOOD CORPORATION INSURERS: 110 BREEDS HILL RD UNIT 10 NSURERC: HYANNIS MA 02601 NSURERD: INSURER E: INSURERF: S COVERAGES CERTIFICATE NUMBER: 15770956 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR VWD POLICY NUMBER MMIDD/YYY MMIDD/YYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES a occurrence $ CLAIMS-MADE F—IOCCUR MED EXP(Any one person) $ PERSONAL BADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMB APPLIES PER: PRODUCTS•COMP/OP AGG $ POLICY PRO• LOC $ AUTOMOBILE LIABILITY '- -" - - COMBINED SINGLE LIMIT- _ (Ea aaiilan!) $ ANY AUTO BODILY INJURY(Per person) $ A OWNED 8 SCHEDULED $ AUTOS AUTOS BODILY INJURY(Per accident)HIRED AUTOS NON-OWNED ;- 'PROaPER'ZDAMAGE $ AUTOS F UMBRELLA LIAR OCU+IMCUR ° EACH,OCCURRENCE $ EXCESS LIAR CS-MADE - ~ AGGREGATE $ DED Li RETENTION$ $ $ $ " A WORKERS COMPENSATION WC5-31 S-319674-033 .2/112013 -2/l/2014 WC STAT, 0TN- AND EMPLOYERS'LIABILITY Y/N J TORY LIMITS ANY PROPRIETORMARTNERIEXECUTNE " OFFICER/MEMBER EXCLUDED? aN NIA E.L.EACH ACCIDENT S 100000 (Mandatory in NH) E.L-DISEASE-EA EMPLOYEE S 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Allach ACORD 101,Additional Remarks Schedule,if more space is required) " Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SANDWICH MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 16,SAN SEBASTIAN WAY SANDWICH MA 02563 AUTHORIZED REPRESENTATIVE l Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD �6RT NO.: 1517?956 CLIENT CeTs: 13I9674 Anne Lhandl< 3/20/2013 5:26:43 AN P ge 1 of.I MT cert"i icatecance s and supersedes L), previously issue certificates. _ Office of Consumer Affairs and. usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cpntractor Registration # i Registration: 10087.1 i r a Type: Private Corporation ;`Expiration: 6/24/2014 Tr# 223965 MARKWOOD CORE ,'t , y a i TIMOTHY PEARSON . __-- —. -- • -- _ _— ,- — 110 BREEDS HILL ROAD UNIT 10 `-. -- HYANNIS, MA 02601: — f Update Address and return card.Mark reason for change. J F] Address,,❑ Renewal Employment (� Lost Card DPS-CA1 it SOM-04/64-GGlOI2166� p ✓he 'C�Jo�rvr�zan�uea� ay✓��dac�iuJe�a' '.- `'_ , .. .. e Office of Consumer Affairs.&B siness Regulation, License or registration.valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. Registration:5 00871 Type Office:of Consumer Affairs andsBusiness Regulation Expiration 6/24/2014 Private Corporation 10.Park Plaza-Siiite 5170 s ram: Bost on,MA,02116 MARKWOOD CORP f TIMOTHY P:EARSON .� 110 BREED'S HILL ROAD UN1,T,1'0 � 6 _ HYANNIS, MA 02601 , . ` Undcrsecretar ----V—�—`-�--- 'y Not valid without signature . I �. i assa hus�t s _ . Dena,:men mad o� i3uaid�n ub)fcat�gy iZ gulatiOnt and Standard Construction Suprt�`is�ir ' � rce�ss CS-005867 T�IOTHy PEAASOIV POB�X519�' CENT ERLE MA .02632. a Com: missf(yp�@�- cA i v p 3.ati6 � E Teti Town of Barnstable Regulatory Services KAM Thomas F.Geiler,Director i639. �0 .7 Buildin g Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. h , as Owner of the subject property hereby authorize�»'1 L'Cc�� to act on na behalf, Y in all matters relative to work authorized by this building permit Address. fob) T— **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signs of C4et Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS 6/2012 i t r Town of Barnstable Regulatory Services „STAB Thomas F.Geiler,Director MASS. r� 059. ,�� Building Division �rED MA'1� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax::508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. - DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit: (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a pmon(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ,• • ION APPLSLART TO COMPLETE 6 SUBMIT t1ITR P _aT AP?LICAT AfVCQuidc fo iVrwd COnsrructian in/fig/.k-ind Arcns_;170 u�l.iV, Znnc ibl jssachusetts Checldist for Cum.Q(ixnce(m rxR avtsaa)t 0ch.*-. t.t SCOPE -Ph]caan 9ua0_�.._..__,_..._.._._...._.. ........_.. ad FyP°wre cet.9+n-------_.._...-.__._,_.._._. -Jy ApDLICABILJTY raahvbid,ataeeds Bin aZlaan,slws be ccn:rGYeOacdm¢ a li s�t2„u _3[� Number otscodee l+ __(RDxI-_- _.-_.-- 26 rt.s33• ROor Pitdt _28 E 580" ��S luaan Raof Het9nt.-.._,_--- •_-_ -(R93)_._.--.. rep R SHO -u i _ 8utldin9 WidtRW -_- (RD7}-__,_ ..lFt9 d)—_• 6'B' .. f Hu8dia9 Aapea Rage(LPN).--•.i-_------....--`(F9 ,t� Nom7+la(Md9M of TeBeat OpeNn➢-•--- `/ p i.]FRANINO CONNECTIONS (Table ®]1�q'� GNad mmprtanm wOR rnm'ol9 `� V x.l.FOUNDATION am°nts a/TBO CA tM:l - __. ..__ FouMatlan Walb meelln➢tealdr .. CaP+ate hlason7........__.•--"-�-'•"_ 22 ANCMORAOE TOFOUNOATION Pte h(eNaNcefAniRers UemaOwe{n oalaaae anh(� -.� SW AW Ho Os knbedded orbl8', p^ d Oe__ au _— esa.dn9-sen fFro In.z isr Halt 6Pad^D bom e�eW°f plaL art ------,-,_-R9 '� A' pp B Embedment-mods- -„-(Flg 51--,-- (fa-In.x A' eau Embedment-mn ann-- (Fig ..- s:r.• .I FLOORS a 780 CUR CnnPta _ll R i t2 Floe rmminD member apa°a cnedled• "--"-"(�q 8},- htarlmum Floor OpeldnDOknenslen.-'- Por1Md9RtWaesh4 atf,o Opar,(Iga Ies Wn7.Irem FjdWlorWn0(Fl98)_.._...__:.._•-_.-_w_----• - Msdmual Floar Joht Selnatlp /R SO Suppot0n9 Loadbeadn9 We0a err 5ReatwaLL____.--(FlD 71•-- ' I tdnewnum C lHeverM. - - I FRltowarSr LPrpanln9 L aadbeaFdlon.s9.Wsaat-eOKs err SR e780 0 CMd-RR.Ct-n(l-e-a-,pp_ta a...SS)--: tlHn9 Typ. (P -•-=:/--••./T Fl-SSW9'Lkkn I�R Z = ( F1 Sh-.InDFastMn9 • ��]L•� . r - / y' a.t WACL'+. ga VJe0 ttd9tat - D-lOaMTeb al R 52O' - �� H �peOt.W(n?wdlhi^ _-_(R910eM TatJe S)-fiA64fl- t Nort1� - (Figjow4TaWeb}-� Lkl- 'ixaRo: - Wee SAW Spadlg 7 a.4- '�- - - - - , 43 EXTERIOR WALLS' W-d Studffi . `J�,({obte•5)�! .- 9:6 f7 .tAadb-dbg walls- ---`"'j,_,,,_,_(Tabla5)_- -..—. J t 'WWa End Wa99fadlpf ._-.--(R9 tU1--•- - -•-'-`� RYN!! FuUM l9ht EtW UStu6s._.-._..---• -_,IFI9 tt)_.._ ----`• �R20,H,N• WSPAtUCR09rlm9th_-...- _•-(RDtt)_._.- . -- f/ _ -- �'N m Cadln➢Len ant WSP n°t ad) -- __ -__ •rt o=ad Co�tM lateral Bteae®8R•o•Tin-l�2Yd Eladdn4®60-epadn9 UondjatStdr Wss l>allw,- a - ... I Lttt(lEGK Do,SpBm Laro n to dn9 etrlpe +c npndn9 (� �( d Talde e _ (Rg 13 as comedian(c..w w tea A 6 Or LTC - err-o• - - - —.-. --- , - S� SfHT.e.[O sLuetLtKous wwuf lS ra•1-- 4 � Ir O - e NI (4rL'"� '- - PM1MTtLY �ObT BA:flWn p • I Q 4••Tuw-CGVG5,A,%-t toCi - _ •G �. - � J .. (Z�tt'S ntw°'arise-aw 4tAn84 to j' f — _ _ 4 O_• -.- - ---trra ._ 1 I . 36 0' F:R51 [CfJOR Pv't,4 �l - 125..00' LOT AREA - N 12,500 SF o N O 41.0' Q 49.7' j 'EXISTING CONCRETE Q FOUNDATION TOP FNDN. z S EL. = 63.1' BO O FO �J N AT1ON ��®� PLAN DCE #11-181 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 1169 SHOOTFLYING HILL ROAD CENTERVILLE, Mm SCALE : 1" 20' DATE NOVEMBER 15, 2012 ' w REFERENCE `ASSESSOR'S MAP 190 PARCEL 82 ` REGISTRY REFo:PB 129 PG 35 DB 26602 PG 61 PREPARED FOR: I HEREBY.CERTIFY THAT THE STRUCTURE 4 SHOWN ON THIS'PLAN IS LOCATED.ON THE J a� - F ��®�� GROUND AS SHOWN ,HEREON. c , off 508-362-4541 rQ DAN I E L G 4 I fax 506-362-9880 q` A. m , downcapaxom O U OJALA down cafe engineefin,f,ift 1 , 40"8 , civil engineers land surveyors t�� Z _ ��q F $% e-1 ----- •939 Main Street (Rte 6A) —————— ——— '� ---_-- YARMOU7HPORT MA 02675 DATE REG.`'`LAND SURVEYOR Pam« `OFtHE T ��.w Town of Barnstable ` BARNSTARLE. Regulatory Services " «. 7` MASS. g. - 039. Building Division pTFD MA'S A 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection F- AJA L Location h V S 14d 6TFLy=A)6 1.=u- P-1) Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. ,We following items need correcting: 1; P 7 t2 F_ft) b F 8AS►=rAE-^j-r .s*rA=rz.S L-F-:�35 i SO%P 14TGr+ EFr--T-crFdc ' S Br7Z)m 0 i I-NLL� CO L A M WS JQ TF S S L u 2f-i� Please call: 508-862-4038 for re-inspection. Inspected b r P Y Date.5/2.0)13 T 0?b Q606� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 5 ®Lzvcoo�6 Map_t Parcel Application # Health Division 10 �31 z RtdM f Date Issued t o Conservation Division C- Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board i : p/� 0)2,y z.. Historic - OKH �� _ Preservation/Hyannis W N Project Street Address ���ci �t,�� r� �n t1111 79 Village I L Owner G t'�Scr�Tf Address Telephone S 7�ff�nn V�3� ermit Bequest I. V CXst'� S �GU� �►� r o�. &W CCz-�- d4Z�meC_J 3 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new a Zoning District A. — Flood Plain Groundwater Overlay Project Valuation Construction TypeLkXA— Yvr^e— Lot Size P02 SZX'-) Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family l� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes YNo On Old King's Highway: ❑Yes S No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) `V— Basement Unfinished Area (sq.ft) f � Number of Baths: Full: existing new Half: existing `new Number of Bedrooms: existing-3 new o Total Room Count (not including baths): existing new 5 First Floor Room Count � Heat Type and Fuel: M Gas ❑ Oil ❑ Electric ❑ Other entral Air: ❑Yes Y No Fireplaces: Existing New Existing wo d/coal stove: O'Yes ®'No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing 9/new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑ Yes 2 No if yes, site plan review# Current Use � 1L.A", Proposed Use, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) f�I,IL� r Name �m CG�J� � 6 ��� Telephone Number Zd — Address I C) � I C � r U 1d l/l(�1 ��U License # 1� Y7 h V) VGC J Home Improvement Contractor# Worker's Compensation i ALL CONSTRUCTION DEBRIS ESULTING FROM T IS PROJE T WILL BE AKEN TO L Coco DATE SIGNATURE ��' �� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MIP/PARCEL N0. ADDRESS' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ® - INSULATION 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department ofIndustrial Accidents Qffice.of Investigations.. UV. 600 Washington Street _. Boston,MA 02111 www.mass.gvv/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information J Please Print Le bi Name(Business/orgmdzation/Fndiviffian: / G.,r Address: W -r I 0 a lit VI i 1d City/State/ZiP j��VI'�, k V4 CZV/ Phone.#: gt�--. 7 7,P-07 - Are an employer?Check the appropriate box: 4. I ani a eras contractor and I Type o oject(required):. I. I am a employer with 1'f [] �n employees full and/or P art t�el.* have hired the snb=contractors 6. New construction ( 2.❑ I am a•sole proprietor or partner- listed on;the-attached sheet. 7. Q Remodeling and have no employees These sub-contractors have,� �P Y 8. E]Demolition . working for me M arty capacity. employees and have workers' [No workers' comp.in�ttranr•.e comp:inSM=e,# g Big addition required.] 5 We are a corporation and its. 10.❑Electrical repairs or additions 3.❑ I am a homeowner ill.work officers have exercised their Q ltn�g ep �� � I1. P r airs or additions myself [No workers' coup, right of exemption per MCIL 1Z.[]Roof repairs insurance rego red.]t c. 152, §1(4), and we have no . employees. [No workers' 13.[] Other Pam.fimn•a„ce regBired.] *Any applicant that checks box#1 mud also fill out the section below showing their workers'compensation policy infomhation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicatiag such. Id mtractors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employers. If the sub-contractors have employees,$hey mustprovide their workers'comp.poHcynomber. I am an employer that is providing workers'compensation insurance foamy employees. Below is the policy and job site information. fr. .Insa ance Company Name: L I V�CL� G ftAC,. Policy#or Self ins.Lic.#k CLX. 7(5-31 7H-6>3 1 LL (ry rr a Expiration Date:' lob Site Address: SG,w Tit 1 t 41-h., `�t� .Q� Chy/State/Zip:(�C,h f VT�►1 I'L 0.y�,3� Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure,to.secure coverage as required under Secti.on25A ofMGL c. 152 can lead to the imposition of criminal penalties of'a fine up to$1,500.00 and/or one-year imprisomnent,as well as'civil penalties in the form of a STOP WORK ORDER and a fine of up to$25b.00 a day against the violator. Be advised that a copy of this statenmit may be forwarded to the Office of Investiaations of the DIA for insurance coverage verification I do hereby cerd under airs-and penalties of perjury that the information prgvided above is true and correct Phone#k G(Jd 7 �!U Official use only. Do not write ire this area,tb be completed by,city or town official City or Town: PermitUcense# -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#: %1li012 7:40:14 AJ4 EST (GiiNIT-8) ROM: insurarcevis?ons.com-TO: 15087780770 Pale: 2 of 2 'Ac' CERTIFICATE OF LIABILITY INSUR�4NCE DATE(MM/DDIYYYI7 �� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY.OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY.THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING-INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER FREDERICKS INSURANCE AGENCY ING CONTACT NAME: _ 1046 MAIN STREET PHONE AJC a -89s Alc No: (508)420-163L- OSTERVILLE, MA 026550427 E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIC S 4 _ NSURERA: f NNARKWOOD CORPORATION INSURER B 110 BREEDS HILL RD UNIT 10 NSURERC: HYANNIS MA 02601' NSURERD: NSURER E: NS URER F: COVERAGES CERTIFICATE NUMBER: 12310557 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED-BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IHSR TYPE OF INSURANCE ADD SUBR POLICY EFF POLICY EXP - LTR INSR INVD POLICY NUMBER lwanp (w"DIYYYY) LIMITS GENERAL LIABILITY - EACH OCCURRENCE COMMERCIAL.GENERAL LIABILITY DAMAGE Eaa occurrence $ CLAONS-m10E 0OCCUR MED EXP(Any one person) $ PERSONAL&ACV INJURY S GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: PRCDUCTS-COMP/OPAGG S POLICY PRO- LOC > AUTODSOBILE.LIABfLffY .. - - �E 1.181irde�tj SINGLE LIMIT S AN'AUTO BOCILY INJURY(Psr person) S ALL OWNED SCHEDULED BOCILY INJURY(Per acr3jeM) S AUTOS AUTOS NON-OWNED PRROPERTY DAMAGE HIRED AUTOS 8 AUTOS - •Psracdi�q $ 5 y U1178RELLALIAB HOCCUR EACH OCCURRENCE S - EXCESS UAB CLAUS4AACE AGGREGATE D DED HRETENTION$ 5 - S A WOR1�ERS COMPENSATION WC2-316-319674-032 2W2012 211 i2013 T wcO R Y L STATUIM - AND EMPLOYERS'LIAe1LITY Y/N ✓ ITS CR _ A1%Y PROPRIETOR/PARTNER/EXECUTIVE - E. EACH ACCIDENT 5 100000 OFFICERIMEMBER EXCLUDED? N N/A (Mandatory in NH) 4 E.L.DISEASE-E.A EMPLOYEE S 100000 If yes,de3obeunder DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY L MIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) Workers compensation insurance coverage applies only to the workers compensation lams of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SANDWICH MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE NTH THE POLICY PROVISIONS. 16 SAN SEBASTIAN WAY SANDWICH MA 02563 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CEAT p0.: 12310557 CL:E'IT CODE: 1319574 Deb Corby 21LI2012 7.39:51 _14 Page 1 of 1 This certificate cancels and supersedes ALL previously i3sued certificates. VO FrocNational Grid Braintree Ma. 781 356 7360 10i05/2012 10:46 #491 P.0011001 nc-ationalgrid April 9, 2012 Attn:Term Land Re: 1169 Shoo'tflyina Hill Rd, Centerville, MA. This letter is to notify you.that after our investigation it has been determined that there is no gas being supplied to 1 169 Shootflying Hill Rd, Centerville, MA. Diane Camara National Grid Gas Customer Fulfillment 40 Sylvan Road E-3 WOham, Ma 02451 Oct. 3. 2012 10: 1 iAM NSTAR-SUM i'13 b. 0035 P. 2 ) STAR One NSTAR Way ELAOCTR/C Westwood,Massachusetts 02090 GAS October 3, 2012 Jeff Prescott 110 Breeds Hill Rd Hyannis, MA 02601 r RE: 1169 Shoot Flying Hilt Rd, Centerville Dear Jeff Prescott: At NSTAR, we're committed to delivering great service. . . This letter serves as confirmation that, on April 12, 2012, the electric service to 169 Shoot Plying Hill Rd, Centerville, was removed. Based on this information, there is no electric power at this address-and you may proceed with the demolition. If you have any questions, please contact me at(888) 633-3797. in erely, Do othy Ma -Kentley New Customer onnects OCH/03/2012AED ' 2:54 FM COMM Water Dept FAX No. 50842835D8 . P. 001/001 Centerville-Osterville-Marstons M.iis Water Department R0.BOX 369-1138 MAIN STREET OSTERVILLE,"SACJgUSETTS 02655 www.commwater.com OFFICE OF WA7`E R BOARD OF WATER COMMISSIONERS A'ATER SUPERMENDENT ce ' TEL.No.508-428-669I FAX No-5094n-3508 October 3, 2012 Town of Barnstable Building Division Via Fax-808-79M230 RE: 1169 Shoot Flying Hill Rd, CEN, To Whom It May Concern This letter is to inform you that currently COMM Water Dept. had a water service. at the*above mentioned address that has been completely disconnected from the water main since 1983, This water service is considered a discontinued water service and the current owner will need to reapply for installation in the future_ If you have any questions regarding this do not hesitate to contact our office Monday through Friday, 8:00AM until 4:30PM:Thank you. Sincerely �W' 4 Herbert L. McSorley, Asst. Superintendent Centerville-Osterville-Marstons Mills Water Department HLM/bf 1937 to 2012 Celebrating 75 Years of Service" Bk 26602 Ps+61 478 06 08-21-2012 a 10 33L% MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 08-21-2012 a 10:33am Ct1T: 471 Doca: 47806 Fee: $188.10 Cons: $55t000.00 BARNSTABLE COU14TY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 03-21-2►.�12 D 10:33am 471 Doi:--' 47806- Fee; $148.50 Cons: 'iS��sOCi0.ilii Q I'TCL:UM DEED 1,Scc►tT E.IIILLSr of Danville, Rackinaham County, New Ilampshire, far considcrmtion paid., and in full wnsideration of FI 'I*Y-FIV 1'HOL!SAND DOLLARS(355,000.00). grant to ,IE.FfVEV A,PRFSC(NTT, of P.O. Bum.777, Barnsiable,Barnmable Comity.Massachusetts. With 401thlirlt WVertsitlts, The lama now kctwwn and numbered 1169 Shoottlying hill, Wrostable (Conteville). Barnstable Cotrnly. Commonwealth Of Massachusetts. more particulardy described on Exhibit "A',amiched hereto anti incorporated hertnitto by tefaence. For trey title sce deed of Neal L. Newton & al. dated June 9. 196: in Book 1163, Page 31-0. My grandmother. Dorothy W. Hills, died hone 22. 1978(see death certificate to be recorded herewith). lAy father, ThaThurn W_ Hitis, died testate October [6., 2001 (see Essex County Probate 0C-P-04- 77). See also Middlesex County Probate No. S t3192. Estate of Dorothy W. Ifills: Barnstable County Probate No 07P-0652,Fstatc of(}r%lrc VV;tTO Ca mcron; anti A 12.pediment on the f'lead1 p issued in Land Cuurt Case \u. 10 MI SC 442018-Al IS. Ifills v. Emery, a certified cQl)v orwhich is to he recorded herewith. L AILIA P HlWK non-titled spouse oif dw Stator, release to the grantee(s) all rights of Homestead and other intcresis in the!}remises her bt - ennyowd. 11.IIvwIof2 I Bk 26602 Pg 62 #47806 Witness my hand and seal this 1�day of August, 012. Scott E.Hills Julia P.Ifills STATE OF NEW HAWSHIREAd ff •.,,,,����u"�u,, SS. AuguCc s' i On this 11 day of August, 2012, before me, the undersigned appeared Scott E. Hil proved to me through satisfactory evidence of identifi 4��` hl w Cey-��- a� IJwpS be the person whose name is signed on the p acknowledged to me that he signed it voluntarily for its stated purpose.Lai :t ,% ,t'•,• .�r�; ti bti •'•t Name: /- ,���.,••+� NANCY C•FA W re Notary Public MWy Publ Jung 1 2019y commission expires (.I ! ayl7 My� Page 2 of 2 Bk 26602 Pg 63 #47806 EXHIBIT "A" PROPERTY DESCRIPTION Beginning at a stake at a point on the Westerly side line of Shoot Flying Hill Road, thence N 84 degrees 32' 20" West one hundred twenty five (125.00) feet by land of Barbara C. Newton, to a stake, thence N 5 degrees 27' 40" East one hundred (100.00) feet, still by other land of Barbara C. Newton to a.stake, thence S 84 degrees 32' 20" East one hundred twenty five (125.00)feet, still by land of Barbara C. Newton to a stake set by the Westerly side line of above said road, thence by said road S 5 degrees 27' 40"West one hundred (100.00)feet to the point of beginning. The above mentioned premises are shown on a plan entitled "Plan of land in Centerville, Mass. - Scale 1" - 20' - May 15 1956" John L. Newton, Surveyor, to be recorded herewith, containing 12,500 sq. ft. more or less. RNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER BARNSTABLE REGISTRY OF'DEEDS TME Town of Barnstableg� Re ato Services } 16 Thomas F.Geiler,Director l619� �`� p Building DivisioII,. Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA.02601 'www.towa.barnstable.ma.ns Office: 508-862-4038 FaIc: 508-790-6230 Property Owner Must Complete and Sign This Section If Usin 6 A.B udder as Owner of the subject property hereby authorize to act on my b.ehal� in an,matiers relative to-work authorized by this building pertnit vu (Address of Job) - "Pool fences and alarms are the responsibilityf the lican o e a pp t. Pools are notto be filled before fence is installed and pools are not to be utilized until all final inspections are `performe d d and accepted. Signat¢te of Owner' Signature of Applicant Print Name Print Name /p? Date Q:FOR :0WNERPERMIMSION D0IS tHE Town of Barnstable , Regulatory Services snxivs, * Thomas F.Geller.,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA Q2601 www.towmbarnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more'than'one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a'form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buil inv permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. . Signature of Homeowner 1 Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that `Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption.are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. .The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fmmi/cerlification for use in your community. i Q:forms:homeexempt f : I Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor, icense:;CS-005867 ~ !, !j�' TIMOTHY PF.1►�tSON PO BOX 519 ' CENTERVIILE MA;02632 �' 14i1A Expiation commissioner 11%12/2013 1, a Office of Consumer Affairs andB/usiness Regulation` - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 F .. Home Improvement Contractor Registration ti Registration: .100871 fr Type: Private Corporation 4 I F 1 t : Expiration: 6/24/2014 Tr# 223965 MARKWOOD CORP TIMOTHY PEARSON; ,I --- --=-- ---- 110 BREED'S HILL ROAD UNIT 10 ^. --:— HYANNIS, MA 02601. Update Address and return card.Mark reason for change. Address Renewal Employment (] Lost Card DPS-CA1 0 5OM-04/04-GGIO12166� • - .JfLet00417i172G+92lUCCLGIlL Oy /IJCLClbCWe�6 : ' .. ': „ Office of Consumer Affairs&B sines Regulation License or registration.valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. 6 Registration:,-*100871 Type: Office of Consumer Affairs and Business Regulation F , - .r._ Expiration 6/24/2014 Private Corporation 10 Park Plaza-Suite 5170 • 'Boston,MA 02116 r MARKWOOD CORE ' xA TIMOTHY PEARSON T� I 110 BREED'S HILLdROAD UNIT 10 � ' HYANNIS, MA 02601 Undersccretar --�--- --'�-- Y Not valid without signature REScheck Software Version 4.4.2 Compliance Certificate Project Title: Markwood Development Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Familyy Building Orientation: Bldg,faces 180 deg,from North Conditioned Floor Area: 2920 ft2 Glazing Area Percentage. 9% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Prescott Residence Markwood Development Colony Insulation,Inc 1169 Shoot Flying Hill Rd 110 Breeds Hill Road 28 Jonathan Bourne Drive Centerville,MA Unit#10 Pocassek MA 02559 Hyannis,MA 02601 508-56MO49 Compliance:1.7%Better Than Code Assembly Area or R-Value R-Value or Door Perimeter Gross Cavity Cont. Glazing UA Ceiling 1.Flat Ceiling or Scissor Truss 1400 38.0 0.0 42 Wall 1:Wood Frame,16"o.c. 570 21.0 0.0 28 Orientation:Front Window 1:Wood Frame:Double Pane with Low-E 51 0.300 15 SHGC:0.50 h Orientation:Front " Door 1:Solid 20 0,300 6 Orientation:Front Wall 2:Wood Frame, 16"o,c. 770 21.0 0.0 37 Orientation:Back Window 2:Wood Frame:Double Pane with Low-E 82 0.300 25 SHGC:0.50 Orientation:Back Door 2:Glass 34 0.300 10 SHGC:0.50 Orientation:Back Wall 3:Wood Frame,1'6"O.C. 420 21.0 0.0 23 Orientation:Left Side Window 3:Wood Frame:Double Pane with Low-E 24 0.300 7' SHGC:0.50 Orientation:Left Side Wall 4:Wood Frame,16"o.c. 420 21.0 0.0 22 Orientation:Right Side Window 4:Wood Frame:Double Pane with Low-E 8 0.300 2 SHGC:0,50 Orientation:Right Side Door 3:Solid 20 0.290 8 Orientation:Right Side i Floor 1:Ail-Wood JoiSUTruss:Over Unconditioned Space 940 30.0 0.0 31 i Floor 2:All-Wood Joist/Truss:Over Unconditioned Space 580 30.0 0.0 19 Furnace 1:Forced Hot Air 85 AFUE Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4A.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Project Title:Markwood Development Report date:09125/12 Data filename:C:1Usersljune.0001DommentslRESchecklMark%voods-9-25-12-PrescottRes-1169ShtflylnhHllRd-Centrvlle.rck Page 1 of 5 Z0012 NOLLV'IIISNI AN0,100 LTT9t95905 XVd 0:5T ZTOZ/SZ/60 F9 .44.s&� Name-Title Date j Project Title;Markwood Development •_.._��-,--m_,• �.,���•����.- ,~•��•� �-� �.m-�,� Report date:09/25/12 Data filename:C:IUsersljune,0001DocumentslREScheckVvlarkwoods-9-25-12-PrescottRes-1169ShtflyinhHllRd-Centrvlle.rck Page 2 of 5 E00 NOIIVItISNI NK0,103 LU0,95909 YU W 5T ZTOZ/9Z/60 REScheck Software Version 4.4.2 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-36.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21,0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 3:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall4:Wood Frame,16"o.c..R-21.0 cavity insulation Comments: Windows: ❑Window 1:Wood Frame;Double Pane with Low-E,U-factor;0,300 For windows without labeled U-factors,deschbe.features: #Panes—Frame Type Thermal Break? Yes No Comments: ❑Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: Wanes—Frame Type Thermal Break?—Yes No Comments: , ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break?—Yes No Comments: ❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor.0,300 For windows without labeled Vectors,describe features: #Panes—Frame Type Thermal Break?_Yes:No Comments: Doors; ❑ Door 1:Solid,U-factor.0.300 - Comments: ❑ Door 2:Glass,U-factor:0.300 Comments: ❑ Door 3:Solid,U-factor:0.290 Comments: Floors: ❑.Floor 1:All-Wood Joist7russ:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subnoor decking. ❑ Floor 2:All-Wood JoistlTruss:Over Unconditioned Space,R-30.0 cavity insulation Project Title; Markwood Development ��----.�-.....-� Report date:-09l25J12 Data filename:C:1Users\june.000\Documents\RESchecklMarkwoods-9-25-12-PrescotfRes-1169ShtflylnhHllRd-Centrvkle.rck Page 3 of 5 j too In NOLLVIf1SNI NNO100 LTTM2902 XVJ 6V:5T ZTOZ/SZ/60 r Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Heating and Cooling Equipment: i 0 Furnace 1:Forced Hot Air:85 AFUE or higher Make and Model Number: Air Leakage: i O Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing, Recessed lights In the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. 0 Wood-burning fireplaces have gasketad doors and outdoor combustion air. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: fj Building envelope air tightness and insulation installation complies by either 1)a post rough-In blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: i (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceilinglsoffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation, (e)Plumbing and wiring:Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing,or sprayedlblown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Materials tdentificatlon and Installation: Lj Materials and equipment are Installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. 0 Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water healing equipment have been provided. Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: All ducts not completely inside the building envelope are insulated to at least R-6. Duct Construction and Testing: t] Building framing cavities are not used as supply ducts. 0 All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 Inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially Inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). 0 All ducts and air handlers are located within conditioned space. Temperature Controls: At least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. ❑ Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Project Title:Markwood Development - M Report date:09125/12 Data filename:C:IUsersljune.0001DocumentslRESchecklMarkwoods-9.25-12-PrescottRes-1169ShtflyinhHllRd-CenWlle.rck Page 4 of 5 20012 NOLLV13SNI XK0103 LT19V99805 XH3 0:5T ZTOZ/EZ/60 f Heating and Cooling Equipment Sizing: O Additional requirements for equipment siAng are included by an inspection for compliance with the international Residential Code, Fj For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. I] Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3, Swimming Pools: 0 Heated swimming pools have an on/off heater switch. 0 Pool heaters operating on natural gas or LPG have an electronic pilot light. ❑ Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heatfng energy is from site-recovered energy or solar energy source. Other Requirements: p Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation Is failing,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'd). Certificate: Lj A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-ccnditioning and water heating equipment The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) 6 Project Title:Markwood Development Report date:09/25/12 Data filename:C:1Users june,0001DocumentslREScheckiMarkwoods-9-25-12-PrescottRes-1169ShtflyinhHIIRd-Centrvl1e.rck Page 5 of 5 90012 N0I,1V'Tf1SNI AN0103 LTT9V99905 XVd 05:5T ZTOZ/EZ/60 f 2009 IECC Energy Efficiency Certificate 11� :ailing 1 Roof 38.00 Nall 21.00 r °loor 1 Foundation 30.00 )uctwork(unconditioned spaces): �i�ass&Door Rating U-Factor SHGC II `Nindow 0.30 0.50 ,)oor 0.30 0.50 C►Pating&CoolingEquipment °orced Hot Air Furnace 'Hater Heater: hl a;me: Date: C r,mments: L00 NOL1HIf1SUI AN0100 LTM99S09 XV3 09:5T ZTOZ/CZ/60 P ;�SCOTT GARAGE BEAM MA BOTELLO LUMBER CO.,INC. 2012.2 Allowable Straw Design LOAD TABLE MSI: 0,53 NOTE 7.000 B.000 LP LVL286DFb-2.OE DESIGN CRITERIA v8I: 0.32 1. THIS COMPONENT IS DESIGNED TO SUPPORT ONLY NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1).OTHER LOAD CASES RBI 1 0,43 THE VERTICAL LOADS SHOWN VERIFICATION OF FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. LOADING,DEFLECTION I FRAMING (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) LIVE LOAD m 40 Par METHODS,WIND AND SEEISSMICMIC BRACING, ING,AND OTHER DEAD LOAD 12 Pee LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/BIDE LOAD FROM TO LOAD LDr _ TOTAL LOAD 52 Par - THE RESPONSIBILITY OF THE PROJECT ENGINEER rT-IN-eX FT-IN-SX _ ORARCHITECT. - UNIFORM FLOOR LIVE SIDE 480 PLr 00-00-00 24-00-00 1.00 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM FLOOR DEAD SIDE 144 PIT 00-00-00 24-00-00 0.90 FLR LEFT SPAN CARR. 1 10.00 PT LATERAL STABILITY. UNIFORM BEAM WEIGHT 36 PLF 00-00-00 24-00-00 0.90 FLR RIGHT SPAN CARR. 14.00 FT 3.DO NOT CUT,NOTCH OR DRILL LP LVL. 4.SHIM ALL BEARINGS FOR FULL CONTACT. WARNING NOTES: DEFLECTION CRITERIA 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL LIVE LOAD DEFL: L / 360 TO SIZE. THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. TOTAL LOAD DEPL t L / 240 P LVL IS TO BE USED AS A FLOOR USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LBL OR LP 1-JOISTS IS 1.COMPRESSION EDGE BRACING REQUIRED AT STRICTLY PROHIBITED,ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW - CODE COMPLIANCES EACH END OF COMPONENT. BY A DESIGN PROFESSIONAL. REPORT 0 APA PR-L260 MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL ICC-ES FOR-2403 BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, LADES RR-25783 ARCHITECT OR DESIGNER TO VERIFYTHAT THE SUPPORT STRUCTURE FOR THIS CCMC 11516-R BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. Florida PL15228 ANCHOR LP LVL FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. LP COMPONENTS ARE MANUFACTURED WITHOUT CAMBER,THEREFORE IN ADDITION TO COMPLYING WITH BUILDING CODE DEFLECTION LIMITS OTHER DEFLECTION CONSIDERATIONS SHOULD BE EVALUATED BY PROJECT DESIGNER,SUCH AS VIBRATION,BOUNCE,AND AESTHETICS. rao .0 144 SUPPORT REACTIONS (LBO): 18.006 MAXIMUMBEAR ING NUMBER ' 1 2 117.000 DOWN 7921 7921 ' UPLIFT --- - --- CROSS SECTION MIN BEARING SIZES (IN-SX) 3- 8 3- 8 MAXIMUM DEFLECTIONS - CALCULATED ALLOWABLE- LIVE LOAD 6.5011(L/567) 0.79' *DEAD LOAD 0.28" 24- 0- 0 TOTAL Lt)AD. 0.69" L 412 1.19' "•THIS DRAWING IS NOT TO SCALE Handing&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP I-Joist Spedncallone Software Provided By: Temporaryend permanent bras for holds component Tho we of this co .09Y27r12 1RC p 6t0 holding po component shad be specified by the designer of the � Supports end connections for LP LVL,LP LSL,CTR end LPI to be epeolflo appfioetlona, LP Engineered Wood Products plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary code compliance approval and•Common nails driven parallel_to glue lines&hall be spaced a minimum of A'for 10d 414 Union Street,Suite 2000 Installed by others.No loads are to be applied to the Instructions from the designers of the complete structure boforo using this end W for Bd. Nashville,TN 37218 • component until aver all the training and faetening are component.If the design criteria listed above does not most local building 'Do riot out notch,drill or alter LP LVL,LP LSL and CTR,LP IJolste except as shown Phone e,TN 37219 completed.At no time shell loads greater than design loads code requirements,do not use this design When this drawing le stgned In publehed material from LP any use of LP LVL,LSL and CTR,LP Waists contrary be applied to the component and seated,the structural design Is approved are shown In this drawing to the limits eel forth hereon,negates any express warranty of the product and LP Fax 866.753.4369 Design Criteria based on data provided by the customer.LP LVL,LP LSL and CTR,LP disclaims all Implied warrentlee Including the implied warranties of marchanlablllty 0 I-Jolsts ere made vAthoul camber and%Nll deflect under load.Wood in direct and fitness for a particular use. - The design and material apesifled are In substantial contact With conorete must be protected as required by code.Continuous DWG # Gonfonnlly with the latest revisions of Nos.'Deed load lateral support is assumed(wall,goo boom,etc,).LP doe.not provide do Ion Includes ed)uetment factor for creep.Total load on-alto Inspection.This drawing must hove an Architect's or Engineers seal•A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # -deft la Instantaneous. fixed to be considered an Englnewng document. LP le a mAtetered trademark of Lm11&lena-Paclno Corporallcn. - File:C:Wrogram Flles\LP\Wood-E Design\2012.21WOODE.SPX PR92COTT 1ST FLOOR FLUSH BEAM MA BOTELLO LUMBER CO„INC. NOTE: 2012.2 Allowable Stress Design LOAD TABLE 2 PLIES 1.750 X 9.600 LP LVL296OFb-2AE DEBION CRITERIA : MOM: 0.75 1. THLSCOMPONENTISDESIGNEDTOSUPPORTONLY DESIGN CONSISTS OF 2 - PLIES FAS'TENEU Val: 0.44 THE VERTICAL LOADS SHOWN VERIFICATION OF NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE f1�. OTHER LOAD CASES TOGETHER (REFER TO NOTES). RBI i 0.82 LOADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REQUU RED. LIVE LOAD 40 P8P METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD 12 PBF LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD PROM TO LOAD' LEY TOTAL LOAD 52 Par THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-SX FT-IN-SX OR ARCHITECT. UNIFOPM FLOOR LIVE TOP 260 PLY 00-00-00 12-06-00 1.00 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM WALL DEAD TOP 85 PLY 00-00-00 12-06-DO 0.90 FLR LEFT SPAN CARR. 13.00 FT LATERAL STABILITY. UNIFORM WALL DEAD TOP 85 PLY 00-00-00 12-06-DO 0.90 FLR RIGHT SPAN CARR. 0.00 FT 3.DO NOT CUT,NOTCH OR DRILL LP LVL. UNIFORM FLOOR DEAD TOP 78 PLY 00-00-00 12-06-00 0.90 4.SHIM ALL BEARINGS FOR FULL CONTACT. UNIFORM BEAM WEIGHT 10 PLY 00-00-00 12-06-OD - 0.90 DEFLECTION CRITERIA : 6.VERIFY DIMENSIONS BEFORE CUTTING LP LVL LIVE LOAD DEFL: L / 360 TO SIZE, WARNING NOTES: TOTAL LOAD DEFL: L / 240 S USED* O MO 7.COMPRESSIO EDGE SRAC Q D THIS COMPONENT DESIGN IS SPECIFICALLY FOR L•P ENGINEERED WOOD PRODUCTS. CODE cox�LlANc®e : 24"O C OR LESS. USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP I•JOISTS IS REPORT 9 STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW APA PR-1,280 DESIGN ASSUMES COMPONENTS CARRIED ARE BY A DESIGN PROFESSIONAL, ICC-EB- POR-2403 APPLIED TO TOP EDGE OF LP LVL,SUCH THAT LADBB RR-25783 LOAD IS DISTRIBUTED EQUALLYTO EACH PLY. MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL CCNC 11518-R ATTACH THE TWO PLIES WITH 2 ROWS OF 18d BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, Florida PLi6228 (3-112•)NAILS AT 12"OC.STAGGER ROWS. ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. FROM EACH FACE, NAILS MAY BE COMMON OR BOX NAILS WITH A MINIMUM SHANK DIAMETER ANCHOR LP LVL FLOOR BEAM SECURELY TO BEARINGS OR HANGERS, OF 0,131". 16d SINKERS(3.114")MAYBE USED,BUT 14ALF MUST BE DRIVEN FROM LP COMPONENTS ARE MANUFACTURED WITHOUT CAMBER,THEREFORE IN, EACH FACE. ADDITION TO COMPLYING WITH BUILDING CODE DEFLECTION LIMITS OTHER DEFLECTION CONSIDERATIONS SHOULD BE EVALUATED BY PROJECT DESIGNER,SUCH AS VIBRATION,BOUNCE,AND AESTHETICS, THIS FLOOR FRAMING COMPONENT HAS BEEN DESIGNED WITH AN INPUTTOTAL LOAD DEFLECTION LIMIT OF L240,(PROVIDED BY THE LP CUSTOMER). THIS COMPONENT CANNOT BE USED TO SUPPORT CERAMIC TILE FLOORS.. T F '• i 2$ �C w " �I SUPPORT REACTIONS (LB8): 9.500 MAXIMUM B E A R I NG NUMBER 1 2 1.750 - DOWN 3234 3234 3,500 UPLIFT --- --- CROSS 5ECTION - MIN BEARING SIRES (IN-8X 1- 8 1- 8 MAXIMUM DEFLECTIONS CALCULATED ALLOWABLE LIVE LOAD D.27"(L/541) 0.41" - tDEAD LOAD D.41" 12- 6- 0 41 TOTAL LOAD 0.55" L 272 0.62" ^•THIS DRAWING IS NOT TO SCALE"• Handling&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP 1-Jolat Spedflostons Software Provided By: 00/27112 -IRC Temporary and permanent lxeohq for kidding component The use of this component shell be spavined by the designer of the •Supports and connections for LP LVL,LP LSL,CTR and LPI to be eped0o epplloatlons. LP Engineered Wood Products - plumb and for reslsling lateral forces ahall be designed and complete atmduae.Obtain all the necessary code compliance approval and•Common nails driven parallel to glue lines shag be spaced a minimum of 4"for 10d Suits 2000 Installed,by others.No tootle are to be applied to the instructions from the designers of the complete structure before using this and W for ad. Nashville,414 Union Street 3721reet,Su component until after all the framing and fastening are component.If the design crlteds listed above does not meet local building •Do not cut,notch,drip or alter LP LVL,LP LSL and CTR,LP IJolsta except ae shovm completed.At no time$hall loads greater Than dodgn loads-do roqubomonto,do not use this design When this drwMng Is signed In published material from LP any use of LP LVL,LSL and CTR,LP IJolets contrary Phone 800.616.7670 be applied to the component. and sealed,the structural design Is approved as shown In this drewing to the limits set forth herson,negmes any express warranty or the product and LP Fax 885.753.4369 Design Criteria based on data provided by the customer.LP LVL,LP LSL and CTR,LP dlaelalms all Impllod warranties including the Implied warranties of merchantability g I-)olals are made vAtlrou:camber and w111 de0ed under load.Wood In direct and Illness for a particular use. Tho doolgn and malodal specified we in substantial contact with concrete mud be protected as required by code.Continuous DWG # conformity with the latest revisions or NOS'Dead load lateral support Is assumed(well,noon beam,eto.).LP does not provide donectpon Includes adjustment factor for creep.Total bad on-site Inspection.This drevAng must have an Architect's or Engineer's seal•A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # de0ecllon le Irretantaneoua obrod to be considered an Engineering dooumeel. - IP Is a registered trademark of Louisiana-Pacific Corporation. File:\Vs1\users\dgreenlawAL.P\Baam Cetcs\PRESCOTT\WOODE.SPX Q0 HEADER MA BOTELLO LUMBER CO.,INC. 2012.2 Allowable Straw Design III 1 0.62 NOTE: LOAD TABLE 2 PLIES 1.750 9.500 P L L295OFb.2.OE DESIGN CRITERIA.: vat: 0.S3 1. THIS COMPONENT IB DESIGNED TOSUPPORTONLY (� DESIGN CONSISTS OF 2 - PLIES FASTENED RBI: 0.79 THE VERTICAL LOADS SHOWN VERIFICATION OF NOTE LOADS SHOWN ARE FOR INPUT LOAD CASE U�.OTHER LOAD CASES TOGETHER (REFER TO NOTES). LOADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REOU RED. LIVID LOAD 40 PSs METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 12 Pas LATERAL BRACING THAT 18 ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF TOTAL LOAD = 32 p8F THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-SX FT-IN-BX OR ARCHITECT. UNIFORM FLOOR LIVE TOP 500 ?IF 03-03-00 06-06-00 1.00 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM ROOF LIVE TOP 450 PLF 00-00-00 06-06-00 1.3.5 FLR LEFT SPAN CARR. 0.00 PT LATERAL STABILITY. UNIFORM ROOF DRAD TOP 226 PLF 00-00-00 06-06-00 0.90 FLR RIGHT SPAN CARR. : 0.00 PT 3.DO NOT CUT,NOTCH OR DRILL LP LVL. UNIFORM FLOOR DEAD TOP 123 PLY 03-03-00 06-06-00 0.90 4.SHIM ALL BEARINGS FOR FULL CONTACT. UNIFORM WALL DEAD• TOP 85 PLY 00-00-00 06-06-00 0.90 DEFLECTION CRITERIA ; 6.VERIFY DIMENSIONS BEFORE CUTTING LP LVL UNIFORM BEAM WEIGHT 10 PLY 00-00-00 06-06-00 0.90 LIVE LOAD DEFL: L / 360 TO SIZE. 1-CONCENTRATED FLOOR LIVID - TOP 2488 LBa 03-03-00MIIiBR0-3.00" 1.00 - TOTAL LOAD DEFL: L / 240 S /LISTOBEUSEDA BE 1-CONCENTRATED FLOOR DEAD TOP 746 LBO 03-03-OOMINBRG=3.00t' 0.90 7.COMPRESSION EDGE BRACING REQUIRED A7 CODE COMPLIANCES 24"D.C.OR LESS. WARNING NOTES: "AREPORT # DESIGN ASSUMES COMPONENTS CARRIED ARE THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. , ICC-Re RSR-2403 APPLIED TO TOP EDGE OF LP LVL,SUCH THAT USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP IJOISTS IS LADES RR-25783 LOAD IS DISTRIBUTED EQUALLY TO EACH FLY. STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW CCMC 11519-R ATTACH THE TWO PLIES WITH 2 ROWS OF 18d BY A DESIGN PROFESSIONAL Florida FLIS228 (3.1/2")NAILS AT 12.00.STAGGER ROWS. NAILS CAN BE DRIVEN FROM ONE FACE OR HALF PROVIDE RESTRAINTAT CONCENTRATED LOAD TO ENSURE LATERAL STABILITY. FROM EACH FACE. NAILS MAY BE COMMON OR ' BOX NAILS WITH A MINIMUM SHANK DIAMETER MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL OF 0.131". 18d SINKERS(3-1/4')MAY BE BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, USED,BUT HALF MUST BE DRIVEN FROM ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. CONCENTRATED LOADS MUST BE EQUALLY DISTRIBUTED TO ALL PLIES.ADDITIONAL ANCHOR LP LVL FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. REQUIRED,FASTENERS MAY SE cos e 9" 228 as tag 9.500 SUPPORT REACTIONS (LBS)t MAXIMUMBEAR I N G NUMBER 1 2 1.750 DOWN 3848 4660 3.500 UPLIbT --- -'- CROSS SECTION MIN BEARING SIZES IN-SX) 1-1.0 2- 4 MAXIMUM DEFLECTIONS CALCULATED ALLOWABLE . LIVE LOAD 0.07"(L/1059) 0.2111 *DEAD LOAD 0.06" 6- 6- 0 TOTAL LOAD 0.11"(L/672) 0.3211 "'•THIS DRAWING IS NOT TO SCALE•" Handling&Erection Miscellaneous Informaflon LP LVL,LP LSL and CTR,LP Wolst Specifications Software Provided By: 09/27/12 IRC Temporary and pormancrd bracing for holding odmpononl The use of this componont shell be specified by the designer of the •Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific apphoations, LP Engineered Wood Products plumb and for resisting lateral form shall be designed and complete structure.Obtain all the necessary code compliance approval and'Common nails driven parallel to glue lines shall be spaced a minimum of 4"for 10d 414 Union Street Suite 2000 Installed by others.No bade ere to be applied to the Instructions from the designers of the complete structure before using this and 31 for Od. 44UoSt 3721 u • component unlit after all the framing and fastening are component.If the design crltede listed above does not meet local building 'Do not out,notch,drill or alter LP LVL.LP LSL and CTR,LP Wolals except as shown Phone Nashville,TN 37219 completed.At no time shell bade greater than design loads code requlremonls,do not use this design When this dr&Mng Is algned In published materiel from LP any use of LP LVL,LSL and CTR,LP Woists contrary 5.7570 be applied to the component. and sealed,the structural design Is approved as shmn In this drmMng to one limits eat lotth hemon,negalee any express vsnanly or the product and LP Fax 088.753.4369 based on data provided by the customer.LP LVL,LP LSL and CTR,LP disclaims all Implied"mantles Including the Implied warrandee of merchantability Design Criteria I-)olels are made villhout camber and will deflect under load.Wood In direct and fitness for a particular Liao. The design and materiel specified are In substantial Dented Win concrete must be protected as required by code.Continuous DWG confor ally with the latest revisions,or NDS,•Dead load lateral"port Is aseumed(wall,floor boom,do.).LP does not provide - deflection Indudes adjustment factor for creep.Total bed on-site Inspection.This drawing must have an Architect's or Engineers seal•A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # deflection to Instantaneous. eflxed to be considered an Engineering document. LP la a registered Iradnmark of Loulslene-PeoHlo Corporation. File:AfslluserskdgreenlavALPlBeam CalcsIPRESCOTTIWOODE.SPX L ` Travelers Casualty and Surety Company of America TRAVEi�E+�J J ' , Hartford;CT 06183 License No. TOWN OF BARNSTABLE 4 BUILDINGS DEPT 369 SOUTH STREET HYANNIS, MASSACHUSETTS 02601 + :, • , Ye .. i ` • .. .. k.. .. .. • 'i • of MARKWOOD CORPORATION 110 BREED IL SH L ROAD STE 10 HYANNIS, MASSACHUSETTS 02601 To Whom It May Concern: We hereby rescind the Notice of Cancellation, dated 04/17/2013,which is applicable to the above'captioned account. Please enter this notification into your files immediately;thus avoiding any possible confusion. Your cooperation in this matter is greatly appreciated., RE: Policy Number 104011225 Policy Name: MARKWOOD CORPORATION r 601lr� S-4121o.502: r _�, ra�. �,� a.:i` I. (, r?�}G� -w f..i s rlrlt�f r� ti..:.:•i irk !J y(a. .5E r6:,J:lvPPL3; .Ll M11y'{.et..: - .i tt., F'z::.:.''1, '� r;rl.Sfl ii';: r4 =7 •t"r�{;C}° Iuic. 153't r' sf`� ';t' 1Ce..'! ".'i;h v r r °} t r�i r. t 'Er. _ b ...,% �` '^5. a i:t Cq x..: •y. izj.. .7 i. ..£:l� ,V, _ f Home Energy Raters LLc BTorrey @EnergyCodexelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 N Gm-•7 4,w1 -'E Duct Leakage Test CO Address - 1169 Shoot Flying Hill Road Centerville, MA 02632 Date - January 23, 2013 ` ' -Contractor - Heating + Cooling Concepts ` Test Type - Rough In - Total Leakage-Includes Air Handler/Furnace " Conditioned floor area =2325 sq. ft. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM < 139 CFM '(2325/100 x6 = 139) Duct leakage tested = 81 CFM This Home,complies with Section 403.2.2 Of the 2009 I ECC Code Test M Pr urization ' Test Presrr = 5 Pcals EquipmtrieFll'rteapolis Quct Blaster Duct Leak �etcent Floor area = 3.48% . p Contact our oftpany questions, Bruce Torrey, Certified HFRS Rater Home Energy Raters LLC Commonwealth of Massachusetts Sheet Metal Permit ( I �u�►s U Map O Parcel C/ D� X-PRESS PERMIT Date: ) i(o 13 JAN 1 2013 Permit# Estimated Job Cost: $ ILI D06.° Permit Fee: $ y5oo TOWN OF BARNSTABLB Plans Submitted: YES V' NO Plans Reviewed: YES NO Business License# Applicant License# I �^ Business Information: Property Owner/Job Location Information: ` Name:Aea,,Tf- C,-,1, ,cnrcep�S Name: NGr104-oac Co R . Street0-go X O47 Street: I I bit Sll00K1 City/Town:la A ci+►-n o A'L . 6b L�73 City/Town: Ce.r�p6ye I e NA Telephone: Sn Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO S Initial J-1 estricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roof ng Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: o o o `,T .y VfnCj"4_ 2:, , av, w ►) '�v�l- glen 6Z�� X)�o 0o r37-1.7 " 0,51e (YSQL¢ �y�v1a c 2�2_`Oln C_ NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No ❑ f you have checked Y-,A, indicate t1w type of coverage by checking the appropriate box below: liability insurance policy Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER: I am aware that the licenseeidoes not'have theinsurance coverage required by Chapter 112 of the dassachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 3y checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: 3y aster Ile ❑ Master-Restricted :ity/Town ❑Journeyperson Signature of Licensee 'ermit# ❑Joumeyperson-Restricted License Number: q/3 � :ee$ ❑ Check at www.mass.gov/dI2l nspector Signature of Permit Approval ct �'' The Commonwealth of Massachusetts Department of Industial Accidents Office of Investigations '600 Washington Street _ Boston,MA 02111 www.mass.gav/dia ' Workers' Compensation Iusuran.ce Affidavit: Builders/Contractors/Electridans/Plumbers APPReant Information Please Print Le 'bl X Name(Bnsiness/Organization/individual): . City/State/Zip: y (41f,J'4 Phone.#- 5 e� `'I 5 9 Are you an employer? Check the appropriate box . -Type of project(o e -4. am a contractor an P 1 . 1.El I am a employer with I❑ �neral t t d I 6. ❑New construction . loyees (frill and/or part timel.* have hired the sub-contractors 2.9311 am a'sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition worlang for me irt.any capacity. employees and have workers' 9. [No workers' camp.insurance - comp.msmance.$. - Bufld�ni addition required.] 5. ❑ we are a corporation and its 10.[]Electrical repairs or additions 3.❑ I am a homeowner all.work officers have exercised their 11. Plumb' doing ❑ mg repairs or additions myself [No workers' comp. rigbt of exemption per MGL 12.❑Roof repairs Tn—ice required_]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.fimmance required.] *Any applicant That checks box#1 angst also M oat the section below showing than•workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and dies hire outside contractors must submit a new affidavit indicating such. tContractms that check this box Est attached an additional sheet showing the mine of the sub-contractors and state whether or not those entities have employees. If the sub�ontcactnrs have employees,they—stprovide their workers'comp,policynamber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information ii Insurance Company Name: uT Q, Policy#or Self-ins.Lic.# 367�1 1 ExpirationDate: Job Site Address: r ItA L'" � Inc. I PJ �State/Zip: . Attach a copy of the workers' compensation policy declaration page-(showing the policy number and expiration date). Failure,to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of cshiiinal penalties of'a. tine up to$1,500.00 and/or one-year miprisomnent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up tD$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 RrAinsurance coverage verification. I do her certify fhe airs-and penalties of perjury that the information provided hove ' true and correct; Siatore: Date: Phone# 4ffzcial use only. Do not write in this area,tb be completed—by city or.town official City or Town: PermitUcense# Issuing Authority(circle one): 4 . .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: WE ,y Town of Barnstable Re Iato ervices • F rY,S •. BAPUNSM&=i Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner. 200`Main Street,Hyannis;'MA 02601- :wwwtown.barnstable.ma us Office:_ 508-862-4038 Fax: .'S08-790-6230 . . r , Property OwnerrMust Complete and Sign This Section If,Using A Builder I 1 � ,�► S , as'Owner of the subject property y hereby authorize, h VhZ•►0 Y)ci Db�,��;ti a to act on my behalf, + in aIl matters relative to work authorized•by this building permit (Address of Job) . 5, r *Pool fencesand, alarms are the responsibility of the applicant. Pools F; are not to be filled'or,utilized before fence is installed and all final inspections are performed and accepted Signature of Owner Signatur of Applicant Print Name Print Name q. Date Q:FORMS:OWNERPERMISSIONPOOLS;62012 THE Town of Rarristab e "* Regulatory Services r * snaxsr.►s> Thomas F.Geiler,Director. mass Ar w � Building Division Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 . wwwaown.barnstable.ma.us Office: 508-862-403 8 - Fax: 508 790 6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 homeowners to engage an individual for.hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner'..'assumes responsibility for compliance with the State Building Code and other. applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and: requirements. Signature of Homeowner. Approval of Building Official Note.: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code.states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109,1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons: In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure.that the homeowner is fully aware of his/her responsibilities,many communities.require,as part of the permit application; that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is-a form currently used by several towns. You may care t.amend and adopt such a form/certification for use in your community. Q:fortns:homeexerhpf. i S� ST OP -61 1 - 1 �l 10 S vpp l-\ D 0,0 t.117 ? surf)-\ 60 IIl I1 . COMMONWEALTH OF MASSACHU$ETTS SHEET METAL WORKERS AS A MASTER UNRESTRICTED ISSUES TWABOVE LICENSE TO NUNZIO L; NAP0LITANO 76 CAMP=tST m> W YAR110UTH MA 026`73 3207 4132 06/28/14 181012 • qT Cti 125.00' LOT AREA N 12,500 SF- N 41.0' 0 49.7' cif ' o _j ' • . o J EXISTING w 0 • _ CONCRETE 0FOUNDATION TOP FNDN. Z. . EL. = 63.1' O O - FO�JNDATION PLOT PLAN- i + DCE #„-,81 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION : 1169 SHOOTFLYING HILL ROAD CENTERVILLE, MA . SCALE .: - 1" 20' DATE NOVEMBER 15,� 2012 REFERENCE : ASSESSOR'S MAP 190 PARCEL 82 REGISTRY REF: PE 129 PG 35 DB 26602 PG 61 t PREPARED FOR:. I HEREBY CERTIFY•THAT THE STRUCTURE' 'R SHOWN•ON THIS PLAN IS LOCATED ON THE JET,, 0 VYgs" SCOTT GROUND AS SHOWN HEREON. 2-4541 off 508-36 .DFi1'�!EL CMG n foz 508-362-9880,, ( A. v I downcape.com e G 0JALA j. doWO C9 a en keffin 14C. II o. civil engineers Z - �0�. -- land surveyors __ _ _ _ �� ��s s V 939 Main Street (Rte 6A) ciri�,E , YARMOUTHPORT MA 02675 DATE REG.y '"CAN1Tz'-'�S URVEYOR • e ' 1 1 V Y'1} l'IY IYF -TA 13 D •t`-. .t: 03' 12..02:52p Comm_ Water. Uept 0U,04ZW0U07 P. Centerville-0sterville-Marstons RZills 4 Nvater.Department P.O.BOX369- 1138..MAINSTREET, � ' N;. OSTEAVII.LE,MASSACHUSETTS 02655 wwwxommwatencom ,J} l q OFFrCF OF u W/4TER BOARD OF WATER COMMISS{ONLRS WATER SUPERDENT DEPT. IN•fEU' sToNS�►� TEL.No.508-42"691 FAX.No.508-428-3508 October 3, 2012 Town of Barnstable Building Division Via Fax-508-790-6230 RE: 1169 Shoot Flying Hill-Rd, CEN, To Whom It May Concern: =� r } This letter is to inform you that currently COMM Water Dept. had a.water service. at the above mentioned address that has been completely disconnected from the water main since 1983. This water service is.:considered a discontinued water service and the - current owner will need to reapply for installation in the future. If you have any questions regarding this do not hesitate to contact.our office Monday through Friday, 8:OOAM until 4:30PM. Thank you 4Sincerely, ,� y Herbert L. McSorley, Asst. Superintendent Centerville-Osterville-Marstons Mills"Water Department " HLM/bf a J .S: "1937.to 2012 Celebrating 7.5 Years-of Service" 7 ............................:. >: '` :•': �:.:.::::; en Loura. 62 0 ORE Ems lv .. ............ ........... ........... ....:..........:..:..........:::......... 1 .his+>€�<:B:::::ILDI • :::;:.........:......... :....::... B � : .:. n �. :::� ........... �y......,.....unknown ................ ..::ShL. oot D Hill'Road. ;{> >:<:>::: ... :ENTE......V.... ................... :::.............:::............................................................................................................... NNW :Xi:s: ax...:::> n si .... .......:.:::. Caller unsure. Next to #11 83 Shoot Fl • Hill Fly ing �. .�.�.. t11. � 771-4687���•� ................................... 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From: Maloney Kathy To: Coleman Paul Subject: RE: 116 Shootflying Hill Road, Centerville Date: Thursday, April 08, 1999 3:24PM Whoa! We want it boarded up- not ripped down. From: Coleman Paul To: Maloney Kathy Subject: RE: 116 Shootflying Hill Road, Centerville Date: Thursday, April 08, 1999 11:45AM We'll take care of it. Is that a buildable lot? From: Maloney Kathy To: Coleman Paul Cc: Crossen Ralph; Perry Tom Subject: 116 Shootflying Hill Road, Centerville Date: Thursday, April 08, 1999 10:33AM Priority: High Paul, I think your guys secured this building back in '96. It's apparently wide open again. Would you please have it taken care of? Thanks! :5 ,( 1c �o,�z���Q �P, sT�rr A-r'! c(of�1 Page 1 -` 02, Maloney Kathy To: Coleman Paul Cc: Perry Tom; Crossen Ralph Subject: �M Shootflying Hill Road, Centerville Paul, I think your guys secured this building back in '96. It's apparently wide open again. Would you please have it taken care of? Thanks! Page 1 I QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 04/05/99 PARCEL ID 190 082 GEO ID 11244 LOT/BLOCK DBA PROPERTY ADDRESS OWNER HILLS 1169 SHOOTFLYING HILL RD DOROTHY W %ORDRE T CAMERON CENTERVILLE 34 OLIVE ST METHUEN MA 01844 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR'S CODE CAPACITY(NOTES) ZONING DIST/ZOC RD-1 SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 12196.8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST AP (N)EXT / (P)REVIOUS / NO(T)ES / PER(M) ITS / (V) IOLATIONS / (G)EOBASE / (E)XIT U� 5 ��- _ l CAPE & ISLANDS GLASS C.O. 's, INCw' 73 IYANOUGH RD.(RTE. 28), HYANNIS,MA 02601-4729 775-7742.394-4599 1-800-540-7742 71 FINLAY RD.,ORLEANS,MA 02653 SANDWICH IND.PK.,SANDWICH,MA 02563 255-8131 888-6565 AUTO • COMMERCIAL • HOME OWNERS FREE MOBILE SERVICE&ESTIMATES AUTO GLASS•PLATE GLASS•WINDOW GLASS•MIRRORS INSULATED GLASS•SCREENS•PLEXIGLAS•SUNROOFS. oFtM Town of Barnstable I 'p Y ' �0� Department of Public Works Fo '' 367 Main Street, Hyannis MA 02601 Office: 508-790-6300 Thomas J. Mullen Fax: 508-790-6400 Superintendent TO: Ralph Crossen, Building Commissioner FROM: Robert A. Burgmann, P.E., Town Engine DATE: 5/16/96 SUBJECT: 1169 Shootflying Hill Road Map 190, Parcel 082 On May 14, 1996 this office inspected a small wood frame cottage at the above location in Centerville. was unable to gain entrance to the cottage. The outside shingle siding doesn't look good but overall we could not detect any structural problems. It is recommended that they windows and doors be re-boarded to prevent entrance to the dwelling. l F ���� � ��� � � ��,��, �/'� ���` � � � � ��� � Y __ _ QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 05/01/96 PARCEL ID 190 082 GEO ID 11244 LOT/BLOCK DBA PROPERTY ADDRESS OWNER HILLS 1169 SHOOTFLYING HILL RD DOROTHY W .ORDRE T CAMERON Centerville 25 INMAN ST CAMBRIDGE MA 02139 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RD-1 SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS . ZBA DECISION FAMILY APT LOT SIZE 12196 . 8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT This value is not among the valid possibilities �U/G�/�✓� /s' a�_�=i�S �C yr, � ��v <i��------- --- Crossen Ralph To: Burgmann Bob Subject: Abandoned Building Would you please do an inspection of an abandoned building and let me know what you find. The address is 1169 Shootflying hill rd in Centerville. Page 1 CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE & EMERGENCY SERVICES 1875 Falmouth Road,Rte.28 1.S7C7 Emergency Number: Centerville,MA 02632-3117 9-1-1 Business:(508)790-2375 John M.Farrington Facsimile:(508)790-2385 Chief of Department 1926 "Commitment to Our Community" May 9, 1996 Ralph Crossen Town of Barnstable Building Commissioner 367 Main Street Hyannis, MA 02601 Dean Ralph, On May 9, 1996 1 reviewed 1169 Shoot Flying Hill Road, Centerville at the request of Bud Martin regarding public safety issues. This small, woodframe, unoccupied dwelling is not completely boarded up and it is very apparent children are using this structure for a meeting place. The interior of the structure is full.of debris, mattresses, old clothes, etc. Looking from the outside only, the structure_appears structurally sound; but no question it is a public nuisance since it is not secured allowing,children access. It is just a matter of time before children cause a fire in this structure if access is not stopped by securing properly. Thank you, John Fa ington, C f C- M F re Distric Town of Barnstable Building Department Complaint/Inquiry Report Date: , 3- 9 6 Rec'd by: Assessor's No.: Complaint Name: 1�r5�� \Al,- 14iL- f Location Address: M/r Originator Natne: l�G ti O A N e-�J Street: Village: State: Zip: Telephone: D/E Complaint 4ascription: 1) LAP 17 A &0 AJILZ) l/ Z( r Inquiry Description: For OlTice Use Only r Inspector's �,� �j Action/Comments Date: _ Inspector. l� T- rL-4161AU /v' rl Z? L)J C111-6 v L G� Follow-up Action Additional Info. Attached Cop},Distribution: Ml to-Department File 3'ellory—Inspector rn L)lrir&_Sf7mm-H �a Z Y .�,k,�, as1 a# r{ �..rs.c..• b€.� a�. F. _5.r`�. .i ;._ =. M ,,...rTR 4.�...�i ✓_�a'!id-.;...,,.. _. �. . .508-790-623C May 19, 1.99`; Dorothy Hills 25 Inman Street Cambridge, MA 02139 Re: 1169 Shootflying i1ili Road, Centerville, MA Dear Mr. and.Mrs. Child: Please be inr nrmed that a jreceill,-H-1spe tion of tiic above referenced enced property revea!ed that the plywood covering the rear door and bulkhead has been removed. It has been reported to us that children have been seen playing in and around the dwelling. Therefor, it is imperative that the plywood be replaced to ensure public safety. Thank you in advance for a rapid solution to this concern. Very truly yours, Alfred E. artin Building Inspector . 4 AEM/km Q950512A 05-09-1996 11:41AM CENT OST FIREDEPT 5087902385 P.02 CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE& EMERGENCY SERVICES 1875 Falmouth Road,Rte,2$ >�Sr Emergency Number: Centerville,MA 02632.3117 9-1.1 Business:(508),790-2375 John M.Farrington Facsimile:(508)790.2386 Chief of Department 1926 "Commitment to our Community May 9. 1996 Ralph Crosson Town of Barnstable Building Commissioner 367 Main Street Hyannis, MA 02601 Dear Ralph, 4n May 9, 1996 1 reviewed 1169 Shoot Flying Hill Road, Centerville at the request of Bud Martin regarding public safety issues. This small, woodframe, unoccupied dwelling is not completely boarded up and it is very apparent children are using this structure for a meeting place. The interior of the structure is full of debris, mattresses, old clothes, etc. Looking from the outside only, the structure appears structurally sound; but no question it is a public nuisance since it is not secured allowing children access. it is just a matter of time before children cause a fire in this structure if access is not stopped by securing properly. Thank you, John: M. Farrington, Chief-- C-0-MM Fire. District 6 / 7 9w - k� 3 a r t3� bjp a a7T3,7 •k 'S t >08: g 1`t/ial, 1 L Ms Doroth, Hilis 25 Inman Street Cambridge, M. A. 02139 ReShootflying Dill Rcad, Centerville, MA Dear Ms Hills: plPacP bp-infnrmPd that Rrecent }xsp +n nfthe above referenced property rPvealPcl that_ the plywood covering the rear door and bulkhead has been removed. It has been reported to us that children have been seen playing in and around the dwelling. Therefor, it is imperative that the plywood be replaced to ensure public safety. Thank you in advance for a rapid solution to this concern. Very truly yours, Alfred E.Martin Building Inspector AEM/km Q9505 t 2A JOSr PH D. DALUZ TELHPHONEt 775-1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE E UILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 June 21, 1989 Ms. Dorothy W. Hills c/o Ordre T. Cameron 25 Inman Street Cambridge, MA 02139 RE: A=190-082 1169 Shoot Flying Hill Road, Centerville Dear Ms. Hills: Your dwelling located on Shoot Flying Hill Road, Centerville, appears to be abandoned and is open to the weather. The building is in an unsafe condition and must be permanently secured to prevent access. Please contact this; office immediately re this matter. Peace, luilding ph D. DaLuz Commissioner JDD/gr I cc: Board of Selectmen y 1 Certified mail: P 017 �.`14 275 R.R.R. i ,. P4-4 of y t Cv I,�)dd GO S � I, 1,5 �!e�s G i�✓ w o o � S ,h e�'id� �c )43 Y o�THE ro` • ,Ild7ti .uf' rasa ` 1619. CEO MIV M' //// �j 36 7 Main Sired, —)Jpnnae, ///am. 02601 June 2, 1989 TO: /Joseph DaLuz, Building Commissioner Tom McKean, Director, Board of Health FROM: Martin J. Flynn, Chairman, Board of Selectmen �---- Attached is a copy of a complaint from a Mr. Robert Wilson about an abandoned house on Shoot Flying Hill Road. Could you please check it out and see if anything can be done about the condition of it. You will also find the Assessors record of who owns the property. Please get back to me with any suggestions or solutions. Thanks. THE FOLLOWING' IS/ARE THE BEST IMAGES FROM POOR4 QUALITY ORIGINAL (S) IMF DATA ` . ` R190 LOC 1157 SHOOTFLYI�G HILL R CTY 10 TDS 300 CO KEY 112443 ----MAILING ADDRESS------- PCA 1011 PCS 00 YR 00 PARENT S HILLS, DOROTHY W ' MAP AREA A. JV 2S6096 MTG 0000 . %ORDRE T CAMERON SP1 SP2 SP3 25 INM . 449A CAMBRIDGE MA Y�02139 A 1952 EYB 1952 OBS 150 CONST 0000 LAND 51300 IMP 15800 OTHER DESCRIPTION---- TRUE MKT 67100 REA CLASSIFIED #LAND 1 51 , 300 ASD LND 51300 ASD IMP 15800 ASD OTH #BLDG(S) -CARD-1 1 15, 800 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 1169 SHOOT FLYING HILL TAX EXEMPT RESIDENT'L �7100 67100 67100 OPEN SPACE � COMMERCIAL INDUSTRIAL � � � EXEMPTIONS SALE 00/00 PRICE ORB 1163/320 AFD � MY T. ON LAST ACTIVITY 08/19/87 PCR Y \ \ . .. � � � � ` } � ' h ,G� /�'�-/.cam A ,. 41 kr .105EPH D. DALuZ _ TELEPHONE: 775.1120 Building Commissioner EXT. 107 TOWN OF BARNSTAELE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 July 31, 1987 Ms. Dorothy W. Hills 7 Newport Road Cambridge, MA 02138 RE: A=190-082 Shoot Flying Hill Road, Centerville Dear Ms. Hills: Your building located on Shoot Flying Hill Road, Centerville, appears to be abandoned and is open to the weather. The building is in an unsafe 4 condition and is a hazard to life and limb. The building must be secured immediately or demolished. Contact this office immediately re your plans for the building. P ce, osep D. DaLuz Building Commissioner JDD/gr cc: Centerville-Osterville-Marstons Mills F. "D. Barnstable Police Department Board of Selectmen Town Counsel Certified Mail P-539 082 809 R.R.R. _ r rf ` i 9Li U a''1 oa✓�� d�� �2aY,vh,�'?�rr�� ���� TOWN OF BARNSTABLE - BUILDING DEPARTMENT P-5 3 i9 U82 8 Q,9' 367 MAIN STREET USA, .. HYANNIS,MASS.02601 iQuil kill .:A Claim./Gheik SFH E` U11 NOW ?�}�`�". K ��- fl `` PF 1 C1 c ola ��� _ w�p��/•3 / - U7� of'' uJ Q. �� xBT Ms. Do th W. Hills \ 42 b > 7 a °l0 y N No Camb dge, cv- 41- / DA l Y Qctachedirom � � � r t PS"Form 3849-k•�' if[��j�(� A t a • "`tJ'r 7 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS j SENDER INSTRUCTIONS Print your name,address and ZIP CQde M in the space below. Y a Complete items 1,2,3,and 4 on U.S MAIL. the reverse. ' a Attach to front of article if space ' permits,otherwise affix to back of article. PRIVATE I *Endorse article"Return Receipt USE,PENALTY FOR P ` Requested"adjacent to number. I ERETURN Print Sender's name,address,and ZIP Code in the space below. � TO Mr. Joseph DaLuzi Bldg. Commissioner Town of Barnstable 367 Main Street f Hyannis, MA 02601 i i l I ®SENDER:Complete items-land 2 when additional services are desired,and complete items 3 and 4. Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this card from being returned to you:The return receret fee will rovide you the name of the erson delivered to and the date of delive .For additional fees the following services are available.Consult postmaster for fees and check box es)for additional service(s) requested. 1. ❑ Show to whom delivered;date,and addressee's address. 2. ❑ Restricted Delivery. 3.Article Addressed to: 4.Article Number P 539 082 809 Ms. Dorothy W. Hills Type of Service: 7 Newport Road ❑ Registered ❑ Insured Cambridge, MA 02138 Certified ❑ COD Express Mail I I Always o ain signature of addressee or agent andbD TE DELIVERED. 5.Signature—Addressee 8..Addressee's Address(ON4Y'if X requested and fee paid) 6.Signa gent ! �� X 7.Oate of Delivery PS Form 3811,Feb.1986 DOMESTIC RETURN RECEIPT J05EPH D. DALuz TELEPHONE: 775-1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE "' BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 July 31, 1987,' - Ms. Dorothy W. Hills 7 Newport Road Cambridge, MA 02138 RE: A=1907-082 -#Shoot Flying Hill_Road; Centerville' Dear Ms. Hills: Your building located on Shoot Flying Hill Road, Centerville, appears to be abandoned.and is open m the-weather. - The building is in an unsafe condition andf is a hazard to life and 11mb t The building must be secured immediately or demolished.- Contact this office immediately re your plans for the building. P ce, e osep D. 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Bq� +q• Gq' 4s.'. t;D• bO` O.O• �'. aO• a.i' 1.4• •q• d0. a,19•• (t:O• �' �_.- F} - 1���• TWft — --- fkoop, MAN Bruce pevuvi, •Y°-- Dimigno 77+ W773 (lC [ yI x cr; I SuuM gIACKtyS - ._.. ?CwuN ,r.JuL-sCLLS. —: -so.4.lV!4 w8'.U:teL....... _ �etTAL._mw-E04ft•..�— t !_ -G(`�Ml Qlx 2+•14.IN I6•Y 1!,'R•� y' ' 4rtte ..... viE0. tl R,!avetf - - - - ARAG i SuvFR\V�Vl'CIT Z.6"cup-ATnccf/1LS91HtCti, ' � ti,S 9TRArmlw4 � ♦S bTC+.6.[Y �� — - .4 i`94NT 0.0CK� D ....yv 4Ys.e�2s�K .'IL 6UFCCTOECiCtL(<'g•.t•O'� I2 ! 111\ntSTER SUITE ._. .. tYROOM - - -- •m - Z�61[f1GRi- - 114 Ta.�fSe��.E LOOR:_ 2a.o J4WT5i - ---J- 7 ..�d.ctAe_Ix»ttYJi_�a2nElrvCai 9AfK1.) _. .. e Pi�Ta - .1•SYElT0.�'-IC � IvlAt tS-.bR Al Nit 0..4�ftAL- 1 1 6 SNOS V."O•�.�v/R.LI IWlul. ..... KO..\MS1�IL.TABIi.____..____..—.._ - - Q f a' 4REnTROOr\n, __ v_r.suLwL:L��9 ._..: - : -• � aia••tc5 aue•Fux¢ _ _ l0"d AweW4p:RCla-rS:\Y/3 w3•Kt,4•• � '2Kb JClaT3 � e _ . � � I 2aC e•TFa\tl w/SlALaq�._ R.20 146UlJ�TIUN . I rue.vacx>ctNq � k /tlt'4 S r F 6?• s aTgln-.Atc;..Klw44tl`4.G.T++w. _ .._SHS.S '.y. -_::. _:... �.�' � ��'`.: �. to � •I - o 7 STnitSwfFLL... a SLClt1 Ptx. j,15tS L. T*A KL.0A47tTWRif Ai)ATA&AQ'S . f G t Rs ncx�f�FtY/A a uyc7.... -kw � seCcx.,r�F.nc)x Fle�M�NS Bmce pevlin Designo T�DT.LO/2. pwa 77423�0"773 •�E 110 MPH EXPOSURES WIND ZONE ' c Table Z General N9glng Schedule - - w.0 I JOINT DESCRIPTION Numberizf Number oL Nail Spacing ` ^ mwd na Common Nalls Box Nalla ', - - r• �, ..tom .•s ' d.send Roof Framing h�dw - Bixking to Rafter(Toenaaed) / 2-Bd 2-10d b each end . Rim Board to Refer(2nd nailed). 2.16d 3.18d .each and Wall Framing Top platen at lntem9etions(Face-nailed) 4,1Hd S16d �'i+'at Joint': - . Stud to Stud(Face-nailed) 2-16d 2-i8d 24'.C. 1 - Header to Header(Face•nailed) 16d 16d 16'oR,along edge Floor Framing - �••'� " , 1 l f jr Joist to SIN.Top Plate or Girder(Toe-Naaeo(Fig.14) 4-8d 4-10d .SlorJdng mJolat(Toereiled) 2-ad 2-10d. - mdheennd - O Blocking to,SIN or Top Plate(Too nailed) `, 3.18d 4.18d each block. - CR -. Ledger Strip to Seam.or Girder(Fape+eiled) 3-16d 4.18d each Joist Noa sd^edule Joist on Ledger to Beam(Toe-Nailed) 3-BC 3.100 per Joist .. L� ,g •a s a`a > - i y^t r w. N ad mmmon Band Joist to Joist(End.naaed)(Fig.14) 3.18d 4.18d per Joist r EI(TERIOR eta•o.c. Band Joist to Bill or Top Plate(Toe•nalled)(Fig.14) 2.1Ed 3.16d par fool VIEW of GARAGE 'Roof Sheathing ^ OPENING Wood Structural Panels .1 '• , Y Wall Raaer or trusses spaced up to 160 o.c lid 10d 6'edge/Q'field - a... 'd.eathina Kaftan or}lUeaea apentl over 18'o.a,. ad tOd 4'adpd 4'field men eaend Gable endwall rake or rake Was w/o gable overhang Btl 10d 8'edge/a'flaw hinder Gable andwall rake or mks truss w/structural out loo am Sal 10d � 6'edge/8'laid , , Gable endwea rake or mks trues w/lookout blocks I Sd 10d 4'edge/4•field ^Calling Sheathing Sh-thin' Gypsum Wallboard Sd.coolem 7•edge/10-field join)CI � - oppro.. Nail se/ V. Wall Sheathing - mid heigM ad common _ Wood Structural Panels - - m 3•o.c Studs spaced up to 240 o.p - ad 10d e•'edge/12•fldd W and 25/32'Fiberboard Panels Sd('1) _ 3'edge/W field' .. '%'Gypsum Wallboard Sd 000lam 7'edge/10'field - Floor Sheathing _ - . Wood SWc(uml Panels L.. ' V or leas ad 10d 6'adge/12'field A PA I Greater Nan Ire nails an s 1od 16p 6•r�eg9e/@':fie .. _ _ -.. .. .. . - ('1)Corroakm resistant 11 gage n it d 16 gage staple an permitted;check IBC for additional uirerr to ( T?usE nETERf^1e1� - - i yy CDI4T tJ:Aq rLliM`LI —. ......_._ .._.:.. _......__ _..... - _ Nall: Unless otherwise stated,sizes given for nails are common wire aizes.•Box and pneumatic nail.of equtvale diameter and equal or greater length to the speoified common nails may be substituted unless otherwise "a•A-T.4"•.Cx-T S Inhibited. ..__. P11-T4:.lt L1C SP6SSG1?FJ� IZ'd1•etG-etxrt.'Suelo tuetY_So+►o.ur�) ,• . y F ..� '4.L6-4._fiw.T - + ia i 46-PM.a.+7t).uH 4^?.ME 6!4•veu.SJ wC4..P. UP - 1 - a:o s-e s.:o' 1.to ,�.—c:e —, T:o•. a y A:o I r o is-ne^e.' I r - - � - - .. yxto 13l.00K'S./slrtexJal'u.S:S++Pf•eT9rt)- . ie�r- i 1 2 _ 0 T— - 1 o —" -71 N I --rl i9 a C'r' \ - _ i I" anrttiaS.. I � 'La.Lr."TWA.eo.c.CM/ _ I •r- a'•a•m ca.ra.nu_ao t.AALV crxa - - - llj 9 •:�— Cb)a�•w'i"tJA�.aneR•S - 1' �' h RC)OCFRrc.t.11i�IC Ct.�- ,•�-1 r ,d Gla 14N GanOa i j �- - - __- . y .13.4' Ei o' � .._. ._-.-,4:o`�-Y-c• ro'nrr4p Lam- e:c` l0-nRop I:c,. .;.. ��r//AA ... i JLLL As wTcf DruCe. ��.VL�1 tiEVT:LeIL n .. Fcyi «Lott/PLAN c'.4 .:,o"�-- 774 773 C��. . (fi p-TMk.I•�A-f o41:4•..9-Tu.4.46Min Gr4 - _ 'VwpUa Br`4Wa1Z-Wn'aa aNe:cAwTRLJs JU"VT4 Vb.'1kq GlwOeq V`+a '/ a_ U /VOT cCA01y LIM.Sf1)ts �6y 1 �, 04- a Go F 14,0,ft S ✓iO4- 5 ecLtrt d 1 t' r ALL SYSTE SHALL SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES We�8 et 1. DATUM IS ACCESS COVERS TO WITHIN 6" OF FIN. GRADE APPROX. NGVD \ TOP FOUND. EL. 62.5' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE �00 y \ � � � 2. MUNICIPAL WATER IS AVAILABLE �o �°o � yoke pt 61.0 MINIMUM .75 OF COVER OVER PRECAST 2% SLOP REQUIRED OVER SYSTEM 60.0 v z 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Jc r d PRECAST H-,o RISERS (TYP.) 4. DESIGN LOADING FOR ALL PROPOSED PRECAST rt Locus 2* PROP. TEE 4"0SCH40 PVC UNITS TO BE AASHO H-1Q Q) PIPES LEVEL 1ST 2' 2" DOUB�F� WASHED "EASTONE 73 OR GEOT TILE FABRIC' 5. PIPE JOINTS TO BE MADE WATERTIGHT. 0 d ^.: * 1500 GAL H-10 57.5 59.5SEW 59.0' TEE SEPTIC TANK TEE 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE �<` S 8.75 00 00o WITH 310 CMR 15.000 (TITLE 5.) e 00000000000 0 ' o GAS BAFFLE::: °40go�a°o°o° 0 57.0 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND Locus ' 7' 0' 8o FOR LOT LINE IN ANY 4' LIQ. LEVEL ACME OR EQUAL 57.1 57. � o E STAKING OR A Greo arsh Q :...;•.. .;r (ACME ) •.? �0 55.0 OTHER PURPOSE. � 2' N "•:.. p0o0oo00000000000000000000000000000000000000� 6" MIN. SUMP pW e orn 9,000,0^00,°0,°,0,0,0°,0°,0�0000000�°,o�°or°o,°,o°�o,°,o,°�00000° H-20 3050 INFILTRATORS " y 12" MIN. INT. DIM. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. 3 i 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBLE, WASHED STONE 9. COMPONENTS NOT TO BE BACKFILLED OR Rpute 28 Rd j COMPACTION. (15.221 [21) CONCEALED D OF HEALTH AND PERMISSION� POBTAINEDECTION YFROMRBOARD 010 Pos OVERALL DIMENSIONS To OUTSIDE OF STONE: 30.4' X 10.25' OF HEALTH. ( 3 •G SLOPE) (1 1 % SLOPE) ( 1 % SLOPE) 51 FOUNDATION 17' SEPTIC TANK 14' D' BOX 2' LEACHING to. CONTRACTOR SHALL BE RESPONSIBLE FOR FACILITY AND VER VERIFYING LING ITHE LOCATION OF ALL UNGSAFE DERGROUND RGROUND & LOCUS MAP *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS _ WORK. NOT TO SCALE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM N00TTOM GROUNDWATER FOUND 50.0' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 190 PARCEL 82 TESTHOLE LOGS SHALL BE REMOVED 5' BENEATH AND AROUND THE G HOLE PROPOSED LEACHING FACILITY. ZONING DISTRICT: RD-1 i 12. EXISTING LEACHING FACILITY SHALL BE PUMPED FRONT: 30' ENGINEER: ARNE H. OJALA, PE, SE BENCHMARK: USE CONC. AND REMOVED OR PUMPED AND FILLED WITH CLEAN SIDE: 10' BOUND AT ELEV. 58.9' SAND. WITNESS: D DESMARAIS IRS REAR: 10' D 8/2/11 ATE: SITE IS WITHIN AP & ESTUARINE PROTECTION PERC. RATE _ < 2 MIN/INCH x 59.34 DISTRICTS (NOT WITHIN ZONE II) CB FND. PROPOSED LOT COVERAGE: 13.8% CLASS I SOILS P#13365 125.00, PROP. F.A.R.: 26.7% (NOT INCL. FIRST FL. GARAGE o 4 ELEV, ELEV. r 61.41 PROP. BUILDING HEIGHT < 2.5 STORIES AND < 30' 0" 61.0 0" 61.0' 6° b 0/A 0/AUi x LOT AREA: 12,500 SF /I LS LS h _ „ 2.5Y 4/2 n 2.5Y 4/2 -- --- -- 59. x 60. GARAGE 1 TH 1 x 6,-.3,- - I SYSTEM DESIGN: 6 - 6 S S B B TH 2 �P,t i 1TRAFFIC LS LS 0�`.1= .' 1.84 �t.�r: GARBAGE DISPOSER ;fS NOT ALLOWED 61.58 „ 10YR 5/6 8.2' 10YR 5/6 58 2, 0 10.4' TH 3 QR°x 61.65 // I DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 5 34 0 x 61.74 Q 20.8' 4 0o r -'-� / I O USE A 330 GPD DESIGN FLOW ` Q ' ^49.4' a 1 C1 C1 O a I SEPTIC TANK: 330 GPD (2) = 660 MCS & MCS & PERC GRAVEL GRAVEL x 6 I 10.6 _ I \ / o „ 1 OYR 6/6 55.0' 10YR 6/6 55.0' i � TH 4 r ' W ' x 61.84 0 6173 J USE (1) H-10 1500 GAL. SEPTIC TANK 72 72 I I W ►- x If.6 DECK I PROPOSED WATERLINE I _ LEACHING: SIDES: 2 (30.4 + 10.25) 1.85 (.74) = 111 GPD C2 C2 L_J x 61 2s I IW 0 BOTTOM 30.4 x 10.25 (.74) = 230 GPD MCS MCS PROP. 3 BR DWELL. Io Z TOP FNDN. _ w - TOTAL: 462 S.F. 341 GPD 33 ELEV. 62.5' 132" 50.0 132 1OYR 6/6 " 50.0 1OYR 6/6 \ 2.23 _J H-20 3050 INFILTRATORS \ USE (4) o \ x 6� �-- WITH 1' STONE AT ENDS AND 3' AT SIDES NO GROUNDWATER ENCOUNTERED x 60.74 x 60.75 O .08 125.00' �1.93 O MA x 60.49 ELEV. ELEV. APPROVED DATE BOARD OF HEALTH 4 4 EXISTING BLDG � I 0" 60.0 p" 60.5 "��07 _ (TC BE REMOVED) \ t2.09 (f) TITLE 5 SITE PLAN LS LS _ - -�0_{2_ _ _ _ 1 OF 6�. 2.5Y 4/2 6" 2.5Y 4/2 � -�„ STONE _ 1_ - - - - .J61.83 Q �`�1 -,.�..:....;,, DRIVE 161.82 B B _ I 1169 SHOOTFLYING HILL RD. LS LS 5 CENTERVILLE 10YR 5/6 „ 10YR 5/6 6612 I � 30" 57.5 30 58.06 a % gyp�jN z_ ss PREPARED FOR dF MG OF A� -4 r a��P�1H �qss�� nova DANIEL c � c1 c1 /� DANIELA. ti�N E. A. JEFF PRESCOTT MCS & MCS & CJALIA NO�LA f!> PERC GRAVEL GRAVEL 61 " - 10YR 6/6 10YR 6/6 ' i�n.4a502 � a SEPTEMBER 27, 2012 60" 55.0' 60" 55.5' �a-1- Foss °? � aF y5 off 508-362-4541 fax 508-362-9880 LEAN FS J14! downcape.comAA C2 C2 JAL A .. GlvlL 4� .` Nu , ,� r down cope engineering Inc. MCS MCS 2 . �, o .yp`� V T^C •.. 10YR 6/6 10YR 6/6 Scale: 1"= 20' `F /sTC`,` ` Bess °ice C%V%/ engineers _Z�_`-�` F� ',� �, land surveyors 120" 50.0' 120" 50.5 ����:��� `_" � ;, <: ` -. ` 939 Main Street ( Rte 6A) NO GROUNDWATER ENCOUNTERED 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 - -- -