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HomeMy WebLinkAbout0418 SOUTH MAIN STREET ""� •Q Town of Barnstable Building , gar Post This Card So That it is Visible From.the Street,Approved,Plans Must be Retained on Job and this Card Must;be Kept PostedUntilFinal=lns ection Has'Been Matle a o 1639 . p G er �t Far�a' Where a Certificate of Occupancy is Required,such Building shall Not\be Occupied until a Final Inspection has been made , Permit No. B-20-228 Applicant Name: ROBERT WALSH HARBORSIDE REMODELING Approvals Date Issued: 01/24/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/24/2020 Foundation: Location 418 SOUTH MAIN STREET,CENTERVILLE Map/Lot: 207-008 Zoning District: RD-1 Sheathing: Owner on Record: BEYER, ERIC C&YOUNG=BEYER, PATRICIA TR Contractor Name:' ROBERT G WALSH Framing: 1 Address: 5135 SOUTH WOODLAWN AVE Contractor License. CS. -057394 2 CHICAGO, IL 60615 Est Project Cost: $8,000.00 Chimney: Description: replace window in detached garage Permit Fee:'- $40.80 Insulation: Project Review Req: Fee Paid $40.80 Date 1/24/2020 Final Plumbing/Gas n Rough Plumbing: E y y Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within si months after issuance. All work authorized by this permit an shall conform to the approved application d f, approved construction documents for which this permit has been gra6ted: Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or load and shall be maintained open for public inspection for the entire duration of the Final Gas: } F work until the completion of the same. '. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and':Fire Officials are,prow ded on this`permit. Service: Minimum of Five Call Inspections Required for All Construction Work:'= � � � F � , 1.Foundation or Footing ��'� � �y �� Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed f Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection " 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation " 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �,�Z� Application number ,i Fee . ..W....................................................... Building Inspectors Initials.......................... ............. M� Date Issued..........:.........:..........:................................. Map/parcel......I TOWN OF BARNSTABLE rEXI'EDITED PERMIT APPLICATION:. ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: th)3)6 r>) NUMBER STREET VILLAGE Owner's Name: 60&rL.%6 to �/MA! +q -J;Q yPYlPhone Number Email Address: Cell Phone Number 7 7.3—(p► z = 11 .35 Project cost S ProJj A�010 o — Check one Residential V. Commercial ; OWNER'S AUTHORIZATION As owner of the above property I hereby authorize w C g w,e to make application for a building permit in accordance with 180 CMR Owner Signature: Date: TYPE OF WORK 0 Siding Windows (no header change)# 7 0 Insulation/Weatherization ED Doors(no header change)-# Commercial Doors require an inspector's review ED Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# , y I (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor 6Lxc— b. ,4/P 'Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ 1 *For Tents Only* Date Tent(s)will be erected Removed on number of tents total r 2 Does the tennt have sides? Yes .. t No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each'tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No t ,if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at.your event please obtain a Health'Department approval between the hours of 8:00am-9:30 am,or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: ,• . t Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. } Signature Date i APPLICANT'S SIGNATURE Signature Date All permit 1plications are subject to a building official's approval prior to issuance. 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/Co_ntractors/Electricians/Plumbers Applicant Information Please Print Led v Name(Business/organization/Individual): bev 14�-SA Address: 6Q ee r —6 C l City/State/Zip: ri , J4 , JdNb5",'_-, Phone yzc-aq, Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have.hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling, hip and have no employees These sub-contractors have g, ❑ Demolition working for in an capacity. employees and have workers' g Y P ty. 9.- ❑Building addition [No workers'comp.insurance comp.,,msurance.t° 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.❑ Roof repairs ' insurance required.]t c. 152, §1(4),and we have no - employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job-site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A-of MGL c •152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder the pains and penalties of perjury that the information provided above is true and correct: Si ature: Date: a U Phone - Official use only. Do not write in this area,to be completed by city or town official City oeTown: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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,constriction 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 locil licensing agency shalt 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-contractors)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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by'the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit 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 Revised 4-24-07 Fax#617-727-7749 ' www.mass.gov/dia a 4 \ZCJ VI) r t V� vv\�c pig , . � �VA ass. . r 4 i 1 :t commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction, I & 2 Family 1 06/0212021 CSFA-057394 Z E Aires ROBERT G V1ALSH 1 P.O.BOX 713rt 5� MARSTONS MJ�LS MA026'48 1 `` ,:. Commissioner I �� fumaaoasiapun Z£9Z0 b'W'3IIIAH31N3O eAnIeuBIS InOgJIM P!1�A ION ddOH 1.9SOH0 Nltlldt/O 05Z 1 J HSIt/M'!D 1H39O8 a JNII3aOW3H 3GlSHO9HVH`d/910 • 'HSI`dM iH39OH. 804Z0 VW'uo'sog OZOZ/ZO/£0 166tb4 " 10E4 apS-aaeld uo�ngysy aup uo!�ea uZ3 uo!;e13sl�aN uo!jeln6aH ssou!sne pue s�!eUV aawnsuoO;o aa! p l2npin!pul 3dA1 :o;uin;ai puno;;l 'alep uo!le�ldxa ayi aao;aq FiOlOVli1N0O IN3W3AOkidWl 3WOH lCluo asn lenp!n!pu!Jo;p!leAuollea SIBOU uogeln68H ssaulsng 19 sale0d jawnsuoD;o 00140 .�lf rf�dP)T)JIU`fIJ 0/0 Y,f/37r1O711J7!l IIC OJ) 1. e , r Town of Barnstable Building PostTh�s.,Card So,That°rt is,Vis�ble,From the Street-App;roved,P..lans.Must be„Retained oPermit n Jaband this Card Must be Kept ; « �: i"'n,H s"B4een IVlade: 3�. w F y Posted Until Final Ins ect o a : Where a Cdrrtificate of Occupancy s Requ�red;,such;Buildmg shall Not a Occup�e�d until a F al Inspect n has been made 1639. Permit NO. B-19-3229 Applicant Name: James Curley Approvals Date Issued: 10/01/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/01/2020 foundation: Location: 418 SOUTH MAIN STREET,CENTERVILLE _Map,/Lot: 207-008 Zoning District: RD-1 Sheathing: Owner on Record: BEYER,ERIC C&YOUNG-BEYER, PATRICIA TR Contractor Name: •,DAMES P CURLEY Framing: 1 Address: 5135 SOUTH WOODLAWN AVE Contractoricensei•CSSL-099138 2 CHICAGO,IL 60615 " Est ProJct Cost: $2,600.00 Chimney: Description: Strip and re-roof approximately 7 square of asphalt roof shingles. ,Per Fee: $35.00 Insulation: Project Review Req: Fee Paid�:� $35.00 Date- v 10/1/2019 Final: Plumbing/Gas Rough Plumbing: ^Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work auth nzedby this permit is commenced within six"­months afterissuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for whichths permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str>ucturesshall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or;road and shall be maintained open for publicnspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the BuilcJmg andlFire Officials are'prov-ded on this permit. Minimum of Five Call Inspections Required for All Construction Work 74 " a Service: 1.Foundation or Footing 2.Sheathing Inspection > ,„ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT—ISSUED RECIPIENT Final: I uFIKE Town of Barnstable BvsTLE �►��AB Growth Management Department MASS. 1639. 1`t$ Barnstable Historical Commission `QED AMA A www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Laurie Young,Chair f`='a a'' AUG,=" George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil ``t` Ted Wurzburg w Paul Arnold,Alternate August 29,2014 Re: Intent to Demolish Portions of Single Family Dwelling 418 South Main Street,Centerville, MA Map 207, Parcel 008 Steve Cook _£ t Cotuit Bay Design, LLC 43 Brewster Road Mashpee, MA 02649 j Ann Quirk,Town Clerk c 367 Main Street, Hyannis, MA 02601 J Thomas Perry, Building Commissioner 200 Main Street, Hyannis MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on September 16,2014 at 4:00pm, 367 Main Street, Hyannis,2nd Floor, Selectmen's Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant is responsible for advertising and mailing costs associated with the pubic hearing. Please contact Marylou Fair at 508.362.4787 or marylou.fair@town.barnstable.ma.us for processing information. Sincerely, y � Laurie x young Laurie K.Young, Chair 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 I " 1 ' �; Town of Barnstable • BARNSTABLE ' B"MASS. ` Growth Management Department say" vq'prFa``� Barnstable Historical Commission www.town.barnstabl e.ma.us/historicalcom mission Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil Ted Wurzburg Paul Arnold,Alternate Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 418 South Main Street,Centerville Map 207/Parcel 008 Pursuant to Intent to Demolish Portions of Single Family Dwelling The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address stamped by the Town Clerk on August 27, 2014. This structure, located at 418 South Main Street, Centerville, MA is a 1 '/2 story wood-frame Victorian eclectic residence built in 1890 and is known as the Horace Mann Bearse House. The dwelling is architecturally important in terms of period and style of the neighborhood and is a well-preserved example of a residence constructed in Barnstable during the late nineteenth century. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 Town of, 'Barnstable Growth Management.Department Satrnstatlble Historical ICornmissi®uo wuwr.town.bamstable.ma uslhistoricalcommission NOTICE OF INTENT TO SEMOLISH A SIGNIFICA NT BUIL DING* Date of Application E]Full Demotion Partial:Demolition Building Address: I+i p 6C5y`11-} Number Street �gCE7V I11 ' . O� Z Assessor's Map# � Assessors Parcel# 9 n -ZIP � Property Owner _E- F/gr"T)2tLCl/4 aZ_ II '. Name Rhone# Property Owner Mailing Address(if different.than;building address)_6135 50yi}I Property Owner e-mail address: CCkAl Contractor/Agent � �►18,� f= 60TIJ1 T A ! Contractor/Agent Mailing Address: 4-3 5 l p5 uA Contractor/Agent Contact Name and Phone: Name. Phone#- Contractor/Agent Contact.e-mail address: Detail of Demolition Proposed: r — 770o t AJ s[ Cat6 i 7Y��p�ttog�f�N..ew Construction Proposed: LEft-0` (;yt">%A-jS Ff�-F4A-,GE-f C1kAx16,, Provide information below to.assist the.Commission in malting the required determination regarding the status.of the Building in accordance with Article 1,§112 Year built: C l2C'.A 070: Additions Year Built. Is No he Building listed on the N nal'Register of Historic Places or is the building located in a National Register District? PopeAowner"IAgernt Signature May;2014 I a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .�7 Parcel 609 Application # ©� 023. Health Division Date Issued 1 Conservation Division '� Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board r Historic - OKH _ Preservation/Hyannis Project Street Address �18 SOUT4 MAIO Village C.F_L'TEr V'([i-E Owner0de, d ArAle A &tlSR, Address �cA&AQQ=L_ "W5�yf Telephone 773-&(iZ -1135 Permit Request CV --r A 32" )c 7.2" a CA/ A-X►17,elo4 F/A6-10X►4e67_ W17-kl C44-tmNim W t&)5-rA LA._ q811 X 80" t 60&,O b04 hV blu'06 . Square feet: 1 st floor: existing&Yproposed © 2nd floor: existing .5 proposed © Total new Zoning District RD'l Flood Plain N14 Groundwater Overlay a� Project Valuation oOO Construction Type AUK. -W00b FgAIL( Lot Size 32 3 L�3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ) Two Family ❑ Multi-Family (# units) Age of Existing Structure76 Historic House: O(Yes ❑ No On Old King's Highway: ❑Yes ! No Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) AWE— Basement Unfinished Area(sq.ft) -4 Number of Baths: Full: existing new, Half: existing neardy Number of Bedrooms: existing Q new Total Room Count (not including baths): existing S new O First Floor Roo, Count Heat Type and Fuel: 9 Gas ❑ Oil ❑ Electric ❑ Other ; Central Air: ❑Yes V No Fireplaces: Existing A OL New Existing wood/>oal stove❑Yee J (No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:X existing ❑ new size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �(A Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Y No If yes, site plan review# Current Use-S�AJA6E- i5ortIr-K Proposed.Use- _ S/_/Vc�r-0r-_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - ..�8 Name \T Telephone Number .52)8^ %q^ 7_6:5�2- �«-- Address &X 134 0 License # Home Improvement Contractor# /79992, Worker's Compensation # f/l ll.Zol ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IPIA. SIGNATURE W�� G? DATE J FOR OFFICIAL USE ONLY APPLICATION# tDATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: - FOUNDATION - =` Y ti `F i FRAME INSULATION FIREPLACE T Coo 2-1115 - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - FINAL i GAS: ROUGH FINAL " FINAL BUILDING 4f DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts UfDepartment of Industrial Accidents Office of Investigations 600 Washington Street _ Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeQfbly' Name(Business/Or nizadon/Individual): . Address: 190 O. • OS- 3�'f 7S5z-•' - City/State/Zip:(XTI't j!7�N4 DZ(o'S5 Phone.#: SLR- Y2B-7?Oq Are you an employer? Check the appropriate box: -Type of pro ject'(required):. 1. I am a employer with_�_ 4. ❑ I am a general contractor and I * have hired the stab-contractors 6. ®New construction.. .. employees (full and/or part time). . - 2.❑ I am a sole proprietor or partner- listed on the-attached sheet.' 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me i'any capacity. employees and have workers' co insurance.t ' 9. ❑Building addition [No workers' comp.insurance. mP• • required.] 5. [] We are a corporationand its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all-work officers have exercised their 11. Plumbing re airs or addi '❑ g p tions Myself. [No workers' comp. right of exemption per MGL . 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13. Other4lM�l ' employees.[No workers' comp.insurance required] *Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. 7 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information p Insurance Company Name: 1 tau-•� � Tl©/l� (�Q f � �, Policy#or Self-ins.Lic.#:_ �I'�l.�t7�� Expiration Date:.3 Job Site Address: 4t8 —CV 4" Mdk�.1 c'S.�: City/State/Zip:eVfLLE--/Yp� OZ�Z Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator, Be.advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification I do-hereby certify under the pains dpenal 'es of perjury that the information provided above is true and correct: Si ature: Date: Phone#: .��'3(O��'7JrJr�. (C�11�. deg 7tV q Official use only. Do not write in this area, to be completed by city or town offuaaL City or Town: Permit/License# Issuing Authority(circle one): 1:Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: . Phone#: . I ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) *�+ 10/14/2014 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur D.Calfee Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR vmwcatfeelrsLuw com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 336 Gifford Street Falmouth MA 02540 INSURERS AFFORDING COVERAGE NAIC# INSURED WlliamT.Everitt INSURER A ArWla PrOtechOn I=ffanOe CO P.Q BOX 1340 INSURER B: INSURER C: Count MA02635-1340 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION133L h= TYPE OF INSURANCE --LIMITSDATE(mminnrm DATE IMMIDDIM GENERAL LIABILITY EACH OCCURRENCE $1,000,= A X COMMERCIAL GENERAL LIABILITY WAMO 2614 03/31/2014 03/31/2015 DAMAGE TO RENTED $1rytOM CLAIMS MADE FX OCCUR MED EXP An one erson $MIX PERSONAL&ADV INJURY $IOW OK GENERAL AGGREGATE $2,OOQ= GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ZWOM X POLICY PRO LOC AUTOMOBILE LIABILITY A ANY AUTO 1020004853 03 (W31 14 09►30/Y015 (Ea accident)SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $2W,0K X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY woom NON-OWNED AUTOS (Per accident) $ ' PROPERTY DAMAGE $2WAM (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WCSTATU X OR A EMPLOYERS'LIABILITY 91116Z0314 03/3'I/2014 03131/20'15 ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT $500,000, OFFICERIMEMBER EXCLUDED? Yes E.L.DISEASE-EA EMPLOYE $50Q000. If yes,describe under _ SPECIAL PROVISIONS below E.C.DISEASE-POLICY LIMIT $OroO,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Carpentry-CenT Contractor. W11 EverRt Is excluded LB der corwage for Vftims Compensation, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Edc and Patncla Beyer DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 418 South Min Sit NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Centerville,MAO= REPRESENTATIVES. [AUTHORIZED REPRESENTATIVE p ACORD 25(2001108) -IjMCMD CORPORATION 1988 f Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: C"12955 _ WILLUM T EVENT PO BOX 1340 s COTUIT MA 02635 ;f D �. l. Expiration Commissioner 03/17/2016 (92.Wpanvnzacacuea 11'a�C�/l/�iaaac%ccaeCt. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR qg before the expiration date. If found return to: egistration: , j9992 Type: Office of Consumer Affairs and Business Regulation .Expiration: 9%29(20t6? Individual '. 10 Park Plaza-Suite 5170 P �mod... Boston,MA 02116 WILLIAM T.EVERITl , } iy WILLIAM EVERITT 155 RIVER RIDGE DR.,,, MARSTONS MILLS,MA 02648 Undersecretary Not valid without signature J. �pTHE Tp� Town of Barnstable 1 Regulatory Services * snRKAM. ' Thomas F. Geiler,Maa9. Director 9 g' e Tfo 3r a Building.Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.u.s Office: 508-862-4038 _ Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �Pk'T R��lA 3EY , as Owner of the subject property hereby authorize bV lL%_%0rM 5:0 RW 11"r to act on my behalf, in all matters relative to work authorized by this building permit. `l18 S ���� � Cam— r.�ey�c�E" , • (Address of Job) **Pool fences and alarms-are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. UU�U U C� .J Signature of Owner Signature of Applicant C G� V.J er �l E1/ER l Print Name Print Name Date QYORMS:OWNERPERMISSIONPOOLS 6/2012 THE, Town of Barnstable j °F oy� Regulatory Services s�sLE, Thomas F.Geiler,Director MMA9`b,, i6s9• .�� Building Division ' ren Ntn�" Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 I www.town.barnstable.ma.us jt Office: 508-862-4038 � Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION t Please Print DATE: JOB LOCATION: number street i village "HOMEOWNER": name home phone# 1 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 10911.1).. 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:forms:homeexempt 1 A PRELIMINARY DRAWING NEW LEE NO FOR DESIGN REVIEW WINDOW VERIFY WINDOW,VERIFY MFR.&OETAll9 r.iD• EXIST. 11 4 EXIST. HALL EKIST.12 QEXIST. LIVING I I • q CENTERED _ ' b NEW BRICK FIREPLACE B HEARTH PER IRC2N9 CH.III BUILDING CODE VERIFY ALL DETAILS I - W/OWNER .'l � 4 NEW LISHUN' DOUBG WIND HUN WINDOW.VERIFYFYI MFR.A DETAll9 M EXIST. COVERED �—Iz 5= PORCH ----------- --------- tj FIRST FLOOR PLAN �a NEW r9'•°S• OOUBLEHUNG NEW BRICK FIREPLACE WINDOW.VERIFY ¢ EXIST. LEFT ELEVATION - HERHRINGBONEPATTERN MFR 8 DETAILS HALL EXIST. BEDROOM CLOS. I I I I NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 - LEGEND: 4.) 110 MPH EXPOSURE B WIND ZONE 5.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE O EXISTING WALLS 6.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SECOND FLOOR PLAN `^-7 CONSTRUCTION TO BE REMOVED SIMPSON COMPONENTS ® NEW CONSTRUCTION 7.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE 3000 PSI ®(� NEW ADDITION FOR: SCALE: DRAWING NO.: COTUIT BAY DESIGN. LLC Ho 'm°sF�oFroa.A"=a w„L� a„.z,00 N o� ��8 1/4„=T-0" 43 BREWSTER ROAD 'L),�;ew.„;�;;F�,;,q„c,p„r MASH PE ,MA. 02649 BEYER RESIDENCE `^pm°'.w" a�, A PH.(508 274-1166 „„°""� °"R' "�°"�a„' DATE: FAX 50 539-9402 418 SOUTH MAIN STREET CENTERVILLE, MA a N�soE° „°o 't 9/2/2014 nEe`on"si co:IUNlroao,Lrn� e.o i I F0.N MDOOR I 12 NEW 4ND'. EXIST.D EXIST. VERIFY MFR.S HOUSE DETAILS 12 I EXIST.D Rpm I EXIST I RED a'° PORCH I NEW BRICK FIREPLACE R CHIMNEY W/INSET HERRINGBONE PATTERN I III III Mill IIIIIIIIIIIIIE FLOOR PLAN ❑❑ ❑ FRONT ELEVATION IZ EXIST.Ll ,z Bi p r= EE 00 ri oa ao RIGHT ELEVATION ®� COTUIT BAY DESIGN, LLC NEW ADDITION FOR: SCALE: DRAWING NO.: 43 BREWSTER ROAD 1/4"=1'-0" MASHPEE,MA. 02649 BEYER RESIDENCE6MP A2 PH.(508)274-1166 � ........ FAX 508 539-9402 TM�e° �"ems DATE ( > 418 SOUTH MAIN STREET CENTERVILLE, MA ° """"°'"E° "'" 9/2/2013 R!°�iVRALfoPVW°",PR°TE°TgN 1,o` N35°2 , APN 207-208 (32,343±5F) " . COTTAGE . i GAR. W� p sl p N o _ P� Q\ ' a90 ONC e No. 418 / I 2 STY. - f 'n WD. FR. .. O 9 O ro 30.G 23.G'- '� 4 }.5 • \ N PROPOSED COVERED PORCH 77.26 - 551°5$'OdW 1 5.65' 55 1°55'00"W s SOUTH---MAINy""5TREETy . - I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, AND IN MY PROFE55IONAL OPINION, THE LOCATION OF THE 5 PROPOSED ADDITION, AS SHOWN HEREON, CONFORMS WITH THE HORIZONTAL SETBACK REQUIREMENTS OF THE ZONING - BY-LAW OF THE TOWN Of BARNSTABLE m i �^ SITE PLAN JOB No.: 131 i 8 .. IN DATE: 22AUG 13 CENTERVI LLE, MA55ACH U5ETT5 SCALE: = 40' .PREPARED .FOR of COTUIT BAY DE51GN RCHOD `yam nchard j. hood, P15 v o. 35031 m land surveyors - engineers � �sTE�°� 35 timberlane drive - ma5hpee - ma 02G49 LAND a Ph / Fax: 508.833.7100 c N V ao I Town of Zarnstable Growth Management Department Barnstable Nes oricae Commission wvay.tovm.barnstable.ma us/historicalcommission NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING Date of Application �'27 I Zy Q-Full Demotion. Partial.Demolition> Building Address: 41S —5Ct>144 14A Number street UCC.L.� oZC�,3 Z Assessors.Map#M7:Assessor's parcel#00 Wagep t�ZIIPP Property Owner. 45ZW-'+ i4-2r`Cr14 1' 'ye►2_ Name Phone# Property Owner.Mailing Address(if different different than building address) -0ply7}{ -I, It Property Owner e-mail address: Contractor/Agent: ���11�1•��1� pK- co7Z717 t4 l T )C:—Contractor/Agent Mailing Address: J 32cao-5 �L PA5h P&=-, uA Q-Jz Contractor/Agent Contact Name and Phone.#:j'f .�.a G'g K 569-Z'7'+—t tC c Name Phone# Contractor/Agent Contact e-mail address: T Ay��(�jAJ,Gb�x Detail of Demolition Proposed: gt* svr. TYPir,,of New Construction Proposed: C f/�[1 • Provide information below to assist the Commission in making the required determination regarding the status of the, Building in accordance with Article 1,1 1.12' Year built: 11&CA l`00 Additions Year Built . Is the Building listed on the N nal.Register of Historic Places oris.the building located in a National Register District? No Yes ' Prppert Owner/Agent,Signature May:2014; yo< •. a rA V Q F aw oNlllc �I No. 418 2 5TY. :t� 23.6 Ctl►'� A t \ N PROP.05ED COVERED PORCH i 77.26 - 5!;i°s_cxnv 15.85' 551°55'00"W SOUTH �'MAI N STREET I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, AND IN MY PROFE55IONAL OPINION, THE LOCATION OF THE PROP05ED ADDITION, A5.5HOWN HEREON,'CONFORM5 WITH THE HORIZONTAL`5ETBACK REQUIREMENT5 OF THE ZONING BY-LAW OF THE TOWN OF BARN5TABLE m SITE PLAN Joe No.: 13118 IN- DATE: 22AUG 13 CENTERVI LLE, MAS5ACM U5,ETT5 : sCALE: = 40 PREPARED FOR OF COTUIT DAY DE51GN rlchard j. hood, PI5 land 5urveyor5 - engmeers ` ,°� 1ST 35 timberlane drive - ma5hpee- ma 02G49 I !Q 0 Ph/ Fax: 505.533.7100 / I Ai' ,f- f,- + a ,• 1_. Me ��®IE' p �, '�P,�� � ..,•_,��`,WYba.� ram', � f ,,, 1 Y am 1 1 L t 71, rSO<: � n�- �y�!•�','/`` a y.�7� �lIF1� f!".�J^'!�i t�•._��J i .W1� r. .afti iN ,. �t f v?I�. I) +✓ 1y.iiry�'�g16 16l�a9r AtYt ¢ � 5 *�: t r r i R 3 4 �'� j !'• , 4 'r 1.7 ` 4 A �i Fd :a, k t r Town of Barnstable i MAWM i Growth Management Department A88. fo39-."tee Barnstable Historical Commission �;_. www.town.barnstable.ma.us/historicalcommission _ N-5 OLE ; ,::•:,:;:._`"..;. JoAnne Miller Burrticfl;DireEtor= F'3' COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil Ted Wurzburg Paul Arnold,Alternate 'DECISION Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic . Properties, Section 112-3 F Applicant/Property Owner: Eric& Patricia Beyer Subject Property: 418 South Main Street, Centerville. ' Assessor's Map/Parcel: 207/008 Hearing Date: September 16, 2014 Pursuant to the Barnstable Historical Commission Chair's determination on August 29, 2014, a duly advertised and noticed public hearing was held on September 16, 2014 to determine whether the significant building on this property is preferably preserved and whether demolition delay would be imposed for the building proposed to be partially demolished on the parcel addressed as 418 South Main Street, Centerville. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112-F the structure to be demolished is not a preferably preserved significant building. The dwelling to be partially demolished is identified as the Horace Mann Bearse House located on parcel 207/008 on the Notice of Intent to Demolish application and by pictures provided to the Commission. In accordance with Chapter 112-3 F, the Commission determined by a unanimous vote that the partial demolition of these portions of the*structure would not be detrimental to the historical, cultural or architectural heritage or resources of the.Town`per plans dated 9/2/2013 by Cotuit Bay Design, L.L.C. Laurie Young September 30,2.014 . Laurie Young, Chair Date 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-8624782 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � _30 Map 2D 7 P rcel ©06 Application # Health Division Date Issued b 1 t Conservation Division C� Application Fee Planning Dept. \ �� Permit Fee 4Z Date Definitive Plan Approved by Planning Board col?li 3 Historic - OKH Preservation / Hyannis v Project Street Address Village CEIJ )1 P,V I LLC Owner C t!'��CR�Ct� �U Z Address ,d0_ff 6eDLmj� 4ve 61114y-ro..�� Telephone Permit Request RCiI` m_ UtS77A) - 194W d& , ITT Myuu-b 't��ki 51o0- OF &&67 10 r Ak-Sff1(1MC._ �"! '� ©Al -61F V�Q�t A04� ENGOT SKbE 6,46AE-- 1"esb S� ��' ui4v b,�5gk Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District FD I Flood Plain AM' Groundwater Overlay Project Valuation 1Z8 It 000 Construction Type Aob r&lr Lot Size 3z,23-5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure /938 Historic House: P Yes ❑ No On Old King's Highway: ❑Yes R No Basement Type: V Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) A11A Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 4 existing 0 new Total Room Count (not including baths): existing g new © First Floor Room Count Heat Type and Fuel: ;d Gas ❑ Oil ❑ Electric ❑ Other v Central Air: ❑Yes �(No Fireplaces: Existing O New Existing wooJi oal stogy ❑` No a Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:XE10 isting 0-new ize ff,40 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: g E� q9 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 00 "' Commercial ❑Yes No If yes, site plan review# �r ent Use-, -Proposed Use- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 8 - zq©9 Name W U LLAA�-C 7-. F_VE?,\_ \ Telephone Number Address 55 �V�lZ �ibG� �V� License # Home Improvement Contractor# 10 1 6LF5 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 6t/ DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. _ C ADDRESS VILLAGE OWNER t . ' DATE OF INSPECTION: w, i FOUNDATION ;c.asS d° 4 o r FRAME o� INSULATION FIREPLACE -- i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT q ASSOCIATION PLAN NO._ 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 • - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual):. I.fK Pq . T 6-11EZl Address: X 1.3LF0 City/State/Zip:Q i V rr .. 02.&S5 Phone.#:, r—YOB 7909 Are you an employer? Check the appropriate bog: Type of project(required):. 1. I am a employer with . Z, 4. .E] I am a general contractor and I * have hired the stab-contractors 6. 0 New contraction . .. employees (fall and/or part-:time). . - 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet.. 7. [rRemodeliug s and have no to ees These sub-contractors have �P � Y •8. Ej Demolition . working for me in any capacity. employees and have workers' - [No workers' comp.insurance. comp.insurance.t' 9. [✓]'Building addition required.] 5. ❑ We are a corporation-and its 10.0 Electrical repairs or additions 3.[l I am a homeowner doing all officers have exerci sed their -work 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL - 12.0 Roof repairs insurance required_]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurrance required] *Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractor's 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 jab site information Insurance Company Name:—�� �" e.-1Z Poficy#or Self-ins.Lic: Expiration Date: l y Job Site Address: :Sour bl A1n4W City/State/Zip.-dSVM4t/f"0 & Dz63 Z_ Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required'under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statemerit may be forwarded to the Office of Investigation of the DIA for insurance coverage verification I do hereby certify under the pains:and pen ' s of erjury that the information provided above is true acid correct , , . e Si afore: �. Date: ^Z7^/3 Phone#: �t�'•�ZB^7�DQ �7 U�' o�—7•�J�1v f, — Official use only. Do not write in this area,to be completed by city or.town offcciaL City or Town: Permit/License# Issuing Authority(circle one): A,Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . I09/30/2013 11:55 5084511715 ARTHUR D CALFEE INS PAGE 01/02 — — . .-.0 0— INSURANCE DATE(MNIIDplYYYY) 0913012013 acaRD CERTIFICATE OF LIABILITY A E IS SSUED AS A MATTER OF INFORMATION R F T141S CERTIFI PRODUCER CATE ONLY AND CONFERS NO RIGHTS UPONrE DOES THE OR THIS CERTIFICA Arthur D.Caffeg Insurance Agenry,Inc HOLDER, p ER THE COVERAGE AFFORDED BY THE AMEND OUCIF OF-LOW. wwW.calfeeinsuranee.c0m NAIC 11 336 Gifford Street INSURERS AFFORDING COVERAGE Falmouth MA 02540 INSURER n� ellrt0°Ins°ranee C�o INSURED William T.Everitt INSURERS: _ —�— P.0.BOX 1340 INSURER c: —— INSURER D: Cotuit MA 02635.1340 INSURER E: INDICATED. NOTW1 TH STANDING RIOO COVERAGES THE Poll ICIFs OF INSURANCE LLSTED BELOW HAVE BEEN ISSCT OR UEO Tb D HEDOCUMEIN Is S EJECT TO LLTHE TERMS. >rl(GLUg10NS AND CONDITIONS OF SUCH EOUIREMENT, TERM OR CONDITION OF ANY CONTRA EA DESC BE ER DOCUMENT EC RESPECT TO WHICH THIS CERTIFICATl BE ISSUED OR R MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN R�BY PAID l�IMS. ICY EFFECTIVE POLICY EVIRATION U"AtTSa 1 000 NO. IN9R D, POLICY NUMBER EACH OCCURRENCE JLJ DAMAGE TO RENTED S 100 GENERAL LIAll 0313112013 0313112014 FEIEMISPS1Ee.CcrvrouSB)� — 65000426/4 p ExP lA"�a+e reon)_$5,0. 00. A II COMMERCIAL GENERAL LIABILITY 1 001i 000. CLAIMS MADE 1 w.I OCCUR ' PER90NAL&ADV IN.WRY E i----�- GENERAL AG©REOA?E 1200 O'000` pRODUC7S.CONII?IOP AGG $2II01000. _ GEN'L AGGREGATE LIMIT APPLIES PER: - IK POLICY PRO- LOC COMBINED SINGLE LIMIT S AUTOMOBILE LIABILITY (1913012012 - 0913012013 (en accldenq A ANY AUTO 76497400002 DODLYINJURV $250,000. ALL OWNED AUTOS (Per Pereen) X SCHEDULED AUTOS l lLY INJURE' S 500,000- HIRED AUTOS (Per i ldeM) NON-OWNED AUTOS PROPERTY DAMAGE s 250,000. (par oWdenl) AUTO ONLY•EA ACCIDENT >F — GARAGE LIABILITY pTHERTHAN EA ACC ANY AUTO AUTO ONLY: AGO I EACH OCCURRENCE 5.-.--�-�—'— eXCESWUMBRELLA LIABILITY AGGREGATE — R — OCCUR C.J CLAIMS MADE DEDUCTIBLE RETENTION R WC STATU- x OTH- ,z WORKERS COMPENSATION AND 0313112013 0313112014 C.L.EACH ACCIDENT S A EMPLOYERS•LIABILITY 91116203w ANY PROPRIETORIPARTNER/EXECUTIl E.L DISEASE-EA EMPLOYEE 8 10,000� OFFICERIMEMBER EXCLUDED? Yes F L DISEASE•POLICY LIM17 S 500 000. IF deacirlbetmder 1 DV NS leW OTHER DESCRIPTION OF OPERATIONS 1 LOCATIDNS I VEHICLES 1 EXCLUSIONS ADD Eb GV ENDORSEMENT I SPECIAL PROVISXNV9 Carpentry-General Contractor Will Everitt is excluded under coverage for Workers Compensat on Job location: 428 South Maln Street,Centerville,MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLIM SEFORE THE EXPIRATI TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRtrT BUILDING DEPT. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SNI ZOO MAIN ST , IMPOSE NO OBLIGATION OR LI ITY OF ANY HIND UPON THE INSURER,I M AGENTS HYANNIS,MA 02601 ROnMOENTAnvM AUTHORIZED REPRESENT ®ACLFRD CORPORATION 1 ACORD 25(2001108) E I I 14 Massachusetts-Department of Public Safety . Board of Building Regulations and Standards " Construction Supersisor License: CS-012955V - J . WILLIAM T EARM— 'ter 3 PO BOX 1340" COTUIT MAj 02635 �, r ••' Expiration Commissioner 03/17/2014 F Office,of CQnsnmer Affairs&Bnsfi"s fliegulatiah: - E IMPROVEMENT.COPAA+i;TOIt eg ,10 5 T piration 6126/2014- Irrcitvieloa{ WILLI MT.EVERI7T t.a_ 1 c • Williattl Egentt 155 RIVER RIDGE DRIVE' x� MARSTONS MILLS,MA 02648 Undersecretary �I.cen3eorae tst t7PIRN2teifRri bet�ore6es�}14LaEf9i_.221`4,ai Offitc>yfCrT =t*3�+ 11.t$ii�sii $USinseSSlie�vflition 0 Nof vai�8,W166A$lgnature ✓ oFTHE A Town'.of Barnstable Regulatory Services * IARNSTABLE, + yQ MAss. Thomas F.Geiler,Director t rEorra�" Building.Division Tom Perry,Building_Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: .508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder g I, �'� ( ` ©�1 e✓ , as Owner of the subject property hereby authorize L l..L,l46�A `T EVER-K-S-T to act on my behalf,' in all matters relative to work authorized by this building permit (Address of Job) Pool fences and alarms are the responsibility.of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Sign tune of Owner Signature of Applicant v ` e e✓ �1111.L.t d fit. EVE -CT- Print Name Print Name Date Q:F0RMS:0WNERPEFMISSI0NP00LS 6/2012 THE Town of Barnstable � ip� , x Regulatory Services BMMSTABLE, : Thomas F.Geiler,Director es.y MA $ `b i639• Building Division 1 AlED �p 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: 1 number street village "HOMEOWNER": 4 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." '+ r 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, articular) P Y when the homeowner hires unlicensed persons. In this case our Board cannot proceed against P p g st the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor i Ps 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 tow ns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt 35°2 APN 207-208 : (32,343±5P) _ COTTAGE � . 1 GAR. r ww � N 'm p j Ov O o ONC No. 418 / 2 STY. / a.o WD. FR. 23.3'_ • O F 3. O +. 30.6' 44.5' 23.G'_ \ ro y PKOP05ED COVERED PORCH 77.26' -551°55'00'W 1 5.85' 55 1°55'00"W 5OUTh MAI N STREET I HEREBY CERTIFY THAT, TO THE BE5T OF MY KNOWLEDGE, AND IN MY PROFESSIONAL OPINION, THE LOCATION OF THE s PROPOSED ADDITION, A5 SHOWN HEREON, CONFORMS WITH THE HORIZONTAL SETBACK REQUIREMENTS OF THE ZONING. BY-LAW OF THE TOWN OF BARN5TABLE a ra M SITE PLAN JOB No.: 131 18 , _ - (f�J DATE: 22AUG 13 SCALE: 1 40' CENTERVI LLE, MA55ACH UHTT5: PREPARED FOR OF � 9 COTUIT BAY DE51GN RICHARD y� 0 cn rlchard j. hood, P15 5031 a` m land surveyors - engineers JJj 'Qf SiE� 35 timberlane drive - mashpee - ma 02649 LAND Ph / Fax: 508.833.7100 N U oD 200 Main Street . �-� Hyannis, MA 02601 Notice of ln�ent to-Demolish or Mo.�e�an,Historic Bfiurlding/Structure Is Building/Structure located in a Local or Regional Historic District: YES NO If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill out the remainder of this form. PRINT IN INK Date of Application: Building/Structure Address: �� V� AAW-S 61 • — f Ulm^ RA Q 40 z Number Street Town State Zip Assessor's Map Assessor's Lot#:. OO Is Building/Structure listM2a� a National Register of Historic Places or on a pending list with the National Register of Historic Places: YES How old is the Building/Structure: C �-A t 00 How.is the Building/Structure Occupied: v A-Z. Number of Stories: Architectural style of Building/Structure, describe if not known: 514106c& 'Si�LE V lC EN IA,0 Material of Building/Structure: 0OV> Is this Building/Structure' associated with one or more historic events or persons. Please list event, description or names: ng Type of Building/Structure nd proposed work: F16%,clyt✓ a? ty7l a rz—ncy% %RCH �'cx—sS�2 u�c � Explanation of the proposed use to be made of the site: e { :_: MM .tea_-- ��- w ig Zoning District: I`�— Fire District: C D � cs� Applicant's Name: e`1 CC9C� �[% N/�y ��� -.&-c Address: � Number Street - Town State Zip Owner's Name: GCCC `l• FA IX(CiA Sge7OZ A�-,� Address: 5135' �L)7m 606db &4j Al C14 f.CAo f L Number Street Town State Zip Contractor: �Wl L(-16h EVa21 IT Address: WIC I ` OV1% Number Street Town State Zip Program of Lot and Building/Structure with dimensions: - mot! tti '',n J G 1 PN t •J 1 rr-•r'TABLE �z�.u�c CLERK Name: ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Q Parcel DO 'Application`# o .�� 'SS .4ll .. ....:., i.. a. Health Division ``Date Issued Conservation Division `-.Application F' PlanningDepti _ Permit Fee Date Definitive Plan Approved by Planning Board Historic = OKH Preservation / Hyannis •.•` t Project Street Address q19 SOU MI Q S Village REV VILL 5 Owner t Pt GA &FYI Address 5f359, w#4&1 ' � Telephone -773 Permit Request �47C�� LuteU t�(1 , _:r_k67?9t_C =�1504ocw Pt1.--R46) Square feet: 1 st floor: existing proposed 2nd floor: oxistin`g proposed Totalmew z: Zoning District Flood Plain ND Groundwater Overlay Project Valuatiork 5co Construction Type 1( Q2� F AMA rn Lot Size 32 r 235 Grandfathered: ❑Yes �LNo If yes, attach supporting documentation. Dwelling Type: Single Family a4 Two Family ❑ Multi-Family (# units) Age of Existing Structure YRs. Historic House: A Yes ❑ No On Old King's Highway: ❑Yes ANo Basement Type: gFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) N114 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new D Half: existing / new O Number of Bedrooms: existing Qnew Total Room Count (not including baths): existing 7 new O First Floor Room Count y Heat Type and Fuel: �(Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes XNo Fireplaces: Existing O New O Existing wood/coal stove: ❑Yes XNo Detached garage:A existing U new size_Pool: ❑ existing ❑ new size _ Barn: 9 existing ❑ new size_ Attached garage: ❑existing ❑:new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal #— A11 Recorded ❑ Commercial ❑Yes 'No If yes, site plan review # Current Use S10kf FAyq«y Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W 1416wj T' 4 /_ 17--t- Telephone Number'- Address ZOX \Z4n License # /2 qs5 CUT T . NA, O 263.5 Home Improvement Contractor# /10/6 LI S Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO B0U-w-3E- t SIGNATURE f���o o DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. - 1 A ADDRESS VILLAGE ' OWNER ! DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION 11 ELECTRICAL: ROUGH FINAL k 4 • PLUMBING:. ROUGH FINAL GAS: ROUGH FINAL d FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` _ - The Commonwealth ofMassachusetts Department of Industrial ACCide72ts Office of Investigations 600 Washington Street Boston,MA 02111 ` Z www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information i' Please Print Le�i bl Wy Name (Business/Organization/Individual): 1 wLr N*k EENaTYTT Address: )�;oX t-:�sLko City/State/Zip: Z(_35 Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.t4 I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees (full and/or part-time).* have hired the sub-contractors ❑ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P Y� 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 - required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3•❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.�Other �hV�p(f, comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether of 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: � 'tle t� Policy# or Self-ins.Lic.#: Expiration Date: _ _ �► Job Site Address: %6 S90f 677 City/State/Zip:6"iettuz7,/�OZts3'Z-- Attach a copy of the workers' compensation policy declaratiori page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against.the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and,penalties ofperjury that the information provided above is trice/and correct. _Signature: 2tl . Date' 1: Phone 7qoq Official use only. Do not write in'this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2rBuiiding Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: r f , 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." j 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 iegal 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,constriction 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 conunonwealth 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." J Applicants 1 Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone'number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or�license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials t Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a.reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit 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 # 61742/-7749 Revised 4-24-07 www.mass.gov/dia 10/03/2011 09:52 5084571715 ARTHUR D CALFEE INS PAGE 01/02 .:/v Or -7cs4 d 0 AC_ORD CERTIFICATE OF UABIUTY INSURANCEliamliDAM '°°""""' pit THIS CERTRFROATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D Arthur D.CaIIBa Nl wnce Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, OR vAmeaiteellmummacoln ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 336 Gifford Sit INS Falmoplh NIA 02540 URERS AFFORDING COVERAGE NAtC n INSUR® vmkm T.Evam INSURER& Ar6Nta Protection Insurance CO P.0.Bo:1340 tta9uR�t B - CDtuff MA WM5-1340 INStIRsI o __ rasuRER�.- COVERAGES THE POLICIES OF IF�IJRANCE trSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RMUIRENWa. 'TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CSRTIRCATE MAY BE ISSUED OR MAY PERTAIN. THE 04SURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE UMTrS sMOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS. If�R POLICY NUIMBHe POLICY EI1�RA79�1 LIMTrS UABNdI 11 EACH OCCURRENCE S 1 OOD DOD. A x CoM mmml LlMUM 8500042614 0313112011 0313V2012 °A'"A ff s 100 000. CLatG MA1IF Q OCCUR MED ExP m+e s 5.000. PERSONAL A ADV INJURY S1,800,009. WWAAL AGGREGATE S 2X0,000. ( L AGGREGATE LOURf pPPt1ES PER PRODUCTS-COW$OP s 000• il POLICY El P LOC AUTOMOBILE LIABILITY COMBINED 81NOLE C 3 A ANY AUTO 76497400002 0913012010 04TJ0t2011 (Eee dam Alt OWNED AUTOS OWILY INJURY S 250,000. (Perpereon? X SCHEDULED AVTOS HIRED AVTOs Booty PIU(� $500,000. No"WNW AVTOS PROPERV DAVAM S 25 OK GARAGE LIAMUIT AUTO ONLY-EA ACCIOFAT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: A% S SWESSIUBREL&AUMUTY EACH OCCURRENCE S OCCUR CLANK MADE AGGREGATE 3 ' DEUUCTMW 18. RETENTION ® s YVOg1OS1S CO/MPENSATI011 AnWC 9T0.TU- X OTH. q AwYOPRIETORRARTtuER1E)ECUT 9i11b'R0309' 0.ff31i2011 0=13112012 EL EACH ACCIDENT S 500,000. OFFICERIMEMBER EXCLUDW? Ya EL DISEASE-EA EMPLOYEE S 50O 000. B Qme_r u1 E ELL DISEASE-POLICY LIMIT $SOD DOD• OTHER MWRIPTUM OF OPERATMMI LOrATMNS I VEHMM I EC,US W*ADDED BY ENDORREMEM T SPECIAL PROVISIONS Job LoeaBon: 418 So."SbeK C@awWte,MA. Witt fterm b 1'.Ilek"under cowame lot We"%Comp>uledon CERTIFICATE HOLDER CANCELLATION sxwwANY OF TIf£ABOVE DESCRI9ED POLIC�B 8E CANCp.LEO eEFORE THE EIS IRATroN TOWN OF.BARNSTABLE DATE THOU30F.THE ISSUING INSURER VJU ENDEAVOR TO WAR. 10 DAYS WRITTEN BUILD0 e DEPT. MOM TO THE C£ M'"TE HOLDER NAMEDTO THE LEFT.BRIT FAILURE TO 10 SO SHALL 7A MAIN ST IMPOSE NO OBUGATIDR OR UAB1UTY OF ANY KIND UPON THE INSURER,TTS AGENTS OR HYANNIS,NIA MN REFIiESENTATNESL AUTNORRM REPRRJTATMI �! ACORD 25(MD1f08j CORPORATION 1980 �1HE„ � > . 'Town of Barnstable Regulatory Services HARNSTABLE, Thomas F. Geiler,Director 1639. k � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.b arns taW.ma.us Office: S08-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using .A Builder as Owner of the subject property hereby authorize 01-t-1W`r'• V��`�"C� to act on zxly behalf, in all matters relative to work authorized by this building permit application for (Address of Job Signature.of Owner Date J e � Print ame If Property Owner is applying for permit please complete the . Homeowners. License Exemption Form on the reverse side. Q:FORMS:OWN ERPERMIS SION Town of Barnstable Regulatory Services. Thomas F. Geiler,Director aAxxgrABLE, 039. Building Division ,too 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: ! i JOB LOCATION: village number street "HOMEOWNER": work hone# name home phone# i p 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,bg 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 1 og.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." hat they are assuming the responsibilities of a supervisor(see Appendix Q, Many homeowners who use this exemption are unaware t Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This!ack 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. I 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:\WPFiLES\FORMS\homeexempt.DOC r> r - Massachusetts- ®epae-tment of PuHlic Safety Board of Buildin-- Re<,uiations and Standards Construction Supervisor License License: CS 12955 Restricted.to 00 WILLIAM<T EVERITT PO BOX 1340 ... COTU IT;.MA 02635 Expiration: 3/17/2012 ('unnnissi«ner Tr;r: 18525 y 71,E ��ltl� o�✓�aaauea Office of Consumer Affairs&Business Regulation - HOME IMPROVEMENT CONTRACTOR Registration:, 101645 Type: Expiration: <Z/26!1012 Individual �.° - - WI L IAM T.EVER4T V William Everitt 155 RIVER RIDGE`DRIVE MARSTONS MILLS,"lUl9_Q2648-=%' Undersecretary r F� ( V C t Customer. - UNIT SPEC REPORT Project: EVERITT LD Salesperson: KEN BUXTON iQ Version: 11.1 m Today's Date: 09/0712011 quote No: : 2233CD t: Andersen Unit Spec Report Page: 1 Of 1 Report , Date Quoted: 09M712011- t3 4 DlsolaimerlNotes CD CD tram 0001Ln Unit Siz® ((AAN2614y(ACW2634))-(AAN26141ACW2634) a cn Unit Operation Location Arm: NIA CD .... LD t tHeight Dtmenslone: Width , - Unit: 4'11 1/4` 4'?114' _ .. Rough Opening: nla n1a Me)(.Cir.Open: "is nla i i Subtloor to Sill Stop: nia j Projection: tt : Operafrig Specifications: i s I 1 z Glass Area: 4 nla SO FEET Vent Area: nla SO FEET Max.Mr.Open: nia SO FEET Extension Jambs: •� t '/Z u hwll S,pAc� � vr,��-cs i�t2� -5�++�#-c� . ••Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or fiashingo or sill panning or brackets or fasteners or other iteme. I T CD ,;gym n : - i i �.. V �"Ru Ott. _7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .207 .— Parcel*- 008 . .Application #,5QQ m000 Health Division " Date Issued I `� Conservation Division Application Fee Planning Dept. Permit Fee- r2 QFMs � Date Definitive Plan Approved by Planning Board 3TP wek D8 _ Historic - OKH _ Preservation / Hyannis Project Street Address y I S Sourllk MA-i W i Village CEkm;RVIU-e Owner ERt C a TATP_�e_j a "2�EYE-P- Address 5135 Solnwklea b 4w. etl<�ft l L 60(.45 Telephone -773 -(43 --6,803 Permit Request NONJ MgR58 1 afiA/boa l SUs77U_L 30 fool` i< TC_N*A) -ro i+A.L"Y. 1_rNSaAA1_0r_ r1257_?C 004 W1LrJ 6_ . I?Aar 5&zo ua F4. 04 C&u.yr- N aA+lu%/ W'b_0JSTALk_ z6'x5Y'' Puu bows r.f Atsa E A,ub 14"4 sez iv FAQ WALL6 4 e9(41416-5. Square feet: 1 st floor: existing 10W proposed 0 2nd floor: existing 'M proposed 0 Total new O Zoning District _ Flood Plain No Groundwater Overlay No Project Valuation OZZ.000 Construction Type Wee, mhw5 ' Lot Size 32 z3-� Grandfathered: ❑Yes ® No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure //O `fib. Historic House: gYes ❑ No On Old King's Highway: ❑Yes ;(No Basement Type: 21 Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) '"�� Basement Unfinished Area (sq.ft) qX0 So Fr. Number of Baths: Full: existing l new © Half: existing I new O Number of Bedrooms: 4 existing 0 new Total Room Count (not including baths): existing new O First Floor Room Count Heat Type and Fuel: t4 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes g No Fireplaces: Existing 0 New Existing wood/coal stove:`O Yes T No Detached garage: %existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑anew ,size_ `= - Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# r Current Use Proposed Use _ APPLICANT INFORMATION t T (BUILDER OR HOMEOWNER) Nrame t��1+ -1 —1. �11 t �i Telephone Number ,SAS - L{2_8-7 Q O q Address © 13 License# 0/21 q55 rt9tT _ M� o -2 Home Improvement Contractor# Worker's Compensation # WC 9 t 11%Zo 309 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE � �� e r�- � DATE 1 "'-Z— (C) FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. { ADDRESS - VILLAGE_ OWNER • DATE OF INSPECTION: Y FOUNDATION FRAME INSULATION 3 Y2,1 I/ Awe FIREPLACE ELECTRICAL: ROUGH FINAL = " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ? 1 DATE CLOSED OUT ASSOCIATION PLAN..NO. 3 Town of Barnstable Regulatory Services BAMSTABM ' Thomas V.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using A wilder I, �ATRtc.t A fey EZ , as. Owner of the subject property hereby authorize W U-k.I&N to act on my behalf, in all matters relative to work authorized bythis building permit application for. f 1 q18 5oO-4-t+ MA(Q S. C1 0-FKVIt46s7 (Address of job) Lf Signature of Owner Date Print Name If Property Owner is applying for permit please complete the . Homeowners License Exemption Form on the.reverse side. Q YORMS:OWNERPERMIS SIGN 12/18/2009 1:51 PH FROM: Fax Arthur 0 Calfee Insurance TO: 1 508 4282845 PAGE: 002 OF 003 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYM TM+ 12-18-2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ArthurD.Calfee Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR www.calfeeinsurance.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 336 Gifford Street Falmouth MA 02540 INSURERS AFFORDING COVERAGE NAIC# INSURED William T.Everitt wsuwR a Arbella Protection Insurance Co P.0.Box 1340 INSURER a: INSURER C: Cotuit MA 02635-1340 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD•L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE iMMIDDIM LIMBS GENERAL LIABILITY EACH OCCURRENCE $1,000,000. A X COMMERCIAL GENERAL LIABILITY 8500042614 0313112009 03/31/2010 DAMAGE TO RENTED e) $100,000. CLAIMS MADE n OCCUR MED EXP Any Oneperson) $5,000. PERSONAL&ADV INJURY $1,000,000. GENERAL AGGREGATE $2,000,000. GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000. x I POLICY n PRa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO 76497400002 0913012009 0913012010 (Ea accident) $ ALL OWNED AUTOS BODILY INJURY X SCHEDIAEDAUTOS (Per person) $250,000. HIRED AUTOS BODILY INJURY - $SOO,000. NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $250,000. (Per accident) a GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND - WC STATU- x OTH- _ A EMPLOYERS'LIABILITY 9111620309- 0313112009 0313112010 E.L.EACH ACCIDENT $500,000. ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? Yes E.L.DISEASE-EA EMPLOYEE $SOO,000. If S yes,describe under SPECIAL.PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000. i OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS fax 508 790 6230 Eric and Patricia Beyer-418 South Main Street CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE u' DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN B61 LDING DEPT. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 MAIN ST IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR HYANNIS,MA 02601 REPRESENTATIVES. • AUTHORIZED REPRESENTATIVE <KMW ia ACORD 25(2001100) IWORD CORPORATION 1908 �c\ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street y =Y Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): W11.X_ktA0_k, Address: o X l3`kO City/State/Zip: cc7u �\ ilk 1221e35 Phone #: Sd''- JW- 7j09 Are you an employer? Check the appropriate box: Type of project(required): 1.® I am a employer with Z 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. T PQ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ 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 1 L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: JL 9111462-0309 Expiration Date: 3 ^3 l ' {D Job Site Address: 418 S-00- I+ MhJ Cl_ City/State/Zip:r 6ZT420(/![ �`t DZ632, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a .fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andyen a ties of perjury that the information provided above is true and correct. Signature: Date: — to ^1 O ,Phone#: Official use only.Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I Board of Health 2. Building Department 3.•City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...eve person in the service of another under an contract of hire "...every P y , 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. dwellinghouse of another who employs ploys persons to do maintenance, c6nstniction 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." t 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. Y P , § O nor any of its political subdivisions shall enter into an contract for the performance y p of public work.until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants ; Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit 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 orll-877-MASSAFE Revised 4-24-07, Fax # 617-727-7749 www.mdss.gov/dia ci F' E#41827 CENSUS TRACT# 127 'CLIENT: DUNNING,KIRRANE,MCNICHOLS&GARNER,LLP DEED BOOK 1387 PAGE 248 OWNER: MARDE L D. GALLO PLAN B K PAGE LOT APPLICANT: PATRICIA A. YOUNG-BEYER&ERIC C.BEYER ASSESSORS PLAN 207 PLOTS MORTGAGE INSPECTION PLAN OF LAND LOCATED AT 418 SQUTH'1VIAIN STREET BARNSTABLE MASSAC SETTS SCALE: I '= 60' August 15, 2007 CCSTTAG P. Pt�RCH Htb 2reo,�s LOT e 31�-fi ,74 AC LOT 7 �iv'—'_ LOT 9 , I sly 1 oRCH i iI I \ . .. - 94.E r -. MAIN STREET CERTIFY TO.DUNNING,K I[tRANE,MCAtICHOLS Bc GARNER,LLP,NEWMARKET FINANO MORTGAG CORP., AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS O EASEMENTS EXCEPT.AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIAT SUPERVISION. THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH RESPECT., TO HORIZONTAL DIMENSIONAL REQUIREMENTS. 9E THE DWELLING SHOWN HERE DOES NOT FALL. WITHIN _ A,SPECIAL_FLOOD HAZARD ZONE AS-DELINEATED ON A ' _ ---�-- MAP OF COMMUNITY#250001-0008D DATED 7/2/92 BY THE F.I.A. NOTE: LOT CONFIGURATION TAKEN FROM ASSESSORS MAPS OF RECORD_AND'IS NOT NECESSARILY Y ACCURATE Kenneth.R. Ferreira NOTE: THE EXACT LOCATION OF THE BUILDINGS SHOWN CANNOT BE DETERMINED WITHOUT AN ACCURATE �~ �� Eag><neering Inc. INSTRUMENT SURVEY ,; P.O.Box 1903 ��� New Bedford,.MA.02741-1903 �sQ si'°y^' 508-992-0020.Fax:.992-3374 ENERAL NOTE§(t)The.declarations made above are on the basis of my ledge,information,and belief as the result of a mortgage plo ,an tape survey inspaoti m. sde to the normal standard ofcare ofregistered land surveyors practicing in Massachusetts..(2)Declarations are mad o the above named cliff 901 of this date. (3)This plan was not made for recording purposes,for use in preparing,deed descriptions or fo onstruotions. 4 Verifi 1�P g O o*Ot�s 9f roperty line dimensions,building offsets,fences,or lot configuration may be accomplished only by an accurst,instnugent survey. Building Sketch Borrower/Client Patricia A.Young-Beyer&Eric Bever C. Property Address 418 S Main St C,fty Centerville CountY Bamstable State MA bp Code 02632-3403 Client Newmarket Financial Mortgage Corporation Mud-Room Not in GLA 36.0' Bath Kitchen Den o; c N N N N Living Room Entry Dining Room cNi 25.01 Open Porch 36.0' Bath Bedroom Bedroom o N N N F Bedroom Bedroom Sea.byApa N- 17.0' Comments: AREA CALCULATIONS SUMMARY LNING AREA BREAKDOWN Code Description Net Size Net Totals Breakdown Subtotals GLA1 First Floor 1062.0, 1062.0 First Floor GLA2 Second Floor 992.0 992.0 2.0 x 9.0 18.0 29.0 x 36.0 1044.0 Second Floor 4.0 x . 6.0 . 24.6 25.0 x 36.0 900.0 4.0 x 17.0 68.0 I FNERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIEN:CY FOR ONE;AM TWO-FAMMY DETACHED RESXDENTTAL•CONSTRUCTION (780 CMR 61.00) Applicant Nain6: W lLl��tti-L -C'. E��i2(►`t Site Address: 11/g souk 1,v1#y�U � print Town: C�.EX�i �JG/I LrL.0 Applicant Phone: 508 -VkZB - 7Q0� Applicant Signature: Date of Application: - 7-/O.• NEW CONSTRTJCTION: choose ONE of the foHo•win two-options) 780 C eM TABLE 6107.1 PRESCRrPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MA��ulvt Ir17T1IMUM ' Ceiling or Slab Option 1: Basement P Fenestration exposed Wall Floor Perimeter AFM U-factor floors R-Value R Value wall R Value HSPF SE RValue R Value and De th National ApplianccEnaa R 10, Conscrvafioit Act(NAECA) .35 R 38 R 19 R 4 ft.-. 19 R-10 1997 as amcnd4 minimums grcater as L'eable Note: This form is not required if you choose either of the two versions of RMcheck as listed below. ❑ Outibn 2: `� REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.32 REScheck—Web which can be accessed athttp-://www.t,-nergycodes.gov/rrscheck/ AD] 01 .OR!- 69S.T0 EXISTING*TT�.DIl�IG`S.O SCR 5 REARS OLD* *13uildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following fbimula.to determine the %o of glazing: (a) Gross Wall &Ceiling Area equals Formula: (100 x b_a) 2_ e7B SF 100 x -i{3 5 •-=Z876 = �5 % of glazing (b) Glazing area equals 43,5 SF v If glazing is<-40%.i1$e the chart below. • . If glazin is>40 %prQceed to"SUI4ROOM"section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDMONS TO EXISTING LOW.-RISE RESIDENTIAL BUILDINGS MAXNfUM hm4D IUM ® Fenestration Ceiling and -Wall Floor Basement Wall Slab Perimob U factor Exposed floors PI-value R-valueR value Value - R Value R Value and Depth .39 R 37 a R 13 • R-19 R 10 R-10, 4 fee a R-30 ceiling insulation may be iced in place of R 37 if the insulation achieves the full R value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access o enin s). ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40%of the combined gross wall and ceiling area of the additiom, Note: Owner to fill out Consumerii ormation Form found in A endix 120.P PRODI�CTr PERFORMANCE f - s ���i- '�k.� �1 r . ENERGY STAR'Qualification Helps Identify the Window ;12 and Door That is Best For Each Climate Zone. Products that bear the ENERGY STAR®logo must meet stringentenergy .�. efficiency guidelines set by the U.S.Environmental Protection Agency and the U.S.Department of Energy.These guidelines are based on the heat gain and loss of each product in various regions of the country. z � F y �b _ .,.� P. a.•�",F.a[aL>Sh&PS¢¢save I 'b, v, � d ^k et'7lyn' £R'ICs^ -.C.2..'f Jaine4RP55a{[:y ems*fi .. i u�.Vs.E.11-ma1 �k - l -ze,era aye U.S Ur.¢aranem `fi e� � -; C"ca et?:neqy Andersen NFRC Certified Total Unit Performance �PFodutit Type y t (W IN''SIze1 Glass Type j U-Factor' SHGCZ ):;: Vr' C SIZe cfor 4�4 dersen•Z00 sense . � Produ e r k, M � l�semerrtt48adow. 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Imf-ESmartSrmwithGrilles 033 Oil �® BTNMs41N°ET6emrsarevaluethele�neatiSmsttlo an mdapemindb�hhmurmplvreecv'nt r e fire vane product 4la0u+wmas represerd non-tvnpe�ghss.11se of mgmmrmds: tampered glass can increase Macias ratings.See andxsmvmdausmm This data 4 accurate asofNavember4rDt 1. - taslacifcPedvm=Rhr:s:DumvahmreVesmt tempered Vass. changes,updated lost reaftorrMmd¢`Ys' - 2 Sohrfteat fain Cadficurd(9N1•:)dew me hactim otmkr this data maydrange am ti�Rzangs ar radiation admitted through the glass both diratytvnsmftd and fmtesting and cenasa(ion.Ratings may var :.�•T; t - absor6e mdmk u*mbasedimmNTMmemthevahce. twnDen'd glass.dtdle�tgraleaPluns gtas- ,::. -#. the lass teat 6 hmaoiRed through the product. pf F xf `�..' 252- . .: ,per ✓lae�o�.�,n��z��ea� �,/c'�Cwrac��aelza Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:.- 101645 Expirati0 W6/2010 Tr# 268023 Type-::Individual WILLIAM T:EVERIT7:: William Everitt 155 RIVER RIDGE DRIVE-:,,...__:: l MARSTONS MILLS,MA 02648u ' Administrator 6J/d- o an sm ar s: h Construction Supervisor L►cense r License_ 'CS .12955 4 Expiration 3/17/20I'0 Tr# 17769 � ' Restriction =Q0 �) r WILLIAM T EVERITTni PO BOX 1340' COTUIT MA,U2635 -. 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INSTALLED BUILDING PRODUCTS P.O BOX 1309 SAGAMORE BEACH, MA.. 02562 ;` (508) 888-3599 (50-8) 888-9609 Fax r Date job completed: Address of foam application: /S. 5Qu , Ml � c ✓7 Inches sprayed. in: Ceiling Walls Slopes Overhang Bsmt Ceil Stwl Blockers & Runners Cath Ceil . Cath Walls Knee Walls ` A/TI Walls, Crawl Cell k .r Installers Signature:' t MLSe,,. Page 1 of 3 Listing Summary s Listing#20704226 418 South Main St, Centerville, MA 02632 Active (04/12/07) DOM/CDOM:96/65 $400,000 (LP) Beds: 4 Baths: 2 (2 0) (FH) Sq Ft: 2054* Lot Sz: 32234sgft* Town: Barn Yr: 1900* Remarks --- PictureM Builders.....come take a look at this - - -- property. It is prime for a renovation or a new home. The value is in the land. This home is in an ideal location with being able to walk to Four Seas Ice Cream, the country store, library, playground r and Craigville Beach I i it 3 Additional Pictures 1 ................. Pictures(� Attached Docs See Maol Agent Susan Wheatley l (ID:U2D5)Primary:508-420-1130 Office Kinlin Grover GMAC Real Estate(ID:KINL)Phone:508-420-1130,FAX:508-428-4839 Property Type Single Family Property Subtype(s) Single Family Status Active(04/12/07) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.5% 2.5% No Facilitator Comm 2.5% Listing Type Excl.Right to Sell Owner Name Emilio Gallo County Barnstable Tax ID 207-8-0-0-BARN Beds 4 Baths (FH) 2(2 0) Approx Square Feet 2054* Sq Ft Source Assessors Records Lot Sq Ft(approx) 32234* Lot Acres(approx) 0.740 Lot Size Source (Assessors Records) Year Built 1900* Publish To Internet Yes Listing Date 04/12/07 Directions To Property Main Street in Centerville to South Main Listing Page Commission-Other 0% Showing Instructions Appointment Req.,Call Listing Office,Yard Sign General Page Zoning RD1 Year Built Desc. Actual f Total Rooms 8 3 http://ccimis.rapmis.com/scripts/mgrqispi.dll 7/16/2007 MLS , Page 2 of 3 Total Levels 2.0 Basement Baths 0.0 i Level 1 Baths 1.0 Level 2 Baths 1.0 i Level 3 Baths 0.0 Basement Yes Basement Description Bulkhead Access,Full,Interior Access Foundation Block Foundation Width 36 Foundation Depth 29 i Fndation Wing Width 0 Fndation Wing Depth 0 i Irregular Yes Lot Depth 0 Lot Width 0 1 Topography/Lot Desc. Level Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage No #of Cars #0 Parking Description Unpaved Driveway j Year Round Yes 1 Separate Living Qtrs Yes Sep Living Qtrs Desc Detached Waterfront No Water View No i Miles to Beach .3-.5 Beach/Lake/Pond Craigville Beach Water Access Nantucket Sound Beach Description Ocean Beach Ownership Public Street Description Public Interior Page Fireplace No Number of Fireplaces #0 Master Bedroom OxO Level:First Floor I Bedroom#2 OxO Level:Second Floor i Bedroom#4 0x0 Level:Second Floor Foyer OxO Level:First Floor 1 Laundry Room OxO Level:Basement S Living Room OxO Level:First Floor Dining Room OxO Level:First Floor Kitchen Ox0 Level:First Floor LFloors Hardwood,Vinyl Exterior Stye -. Capepe i Style Description Antique i ( Pool No Dock No i Exterior Features Porch,Outbuilding i Roof Description Asphalt j Siding Description _ ..............._..._...._Shingle_.........._......____..._......._. ......_...____._._...._........................_.......... .._.._....._.__.._................_..... __....e.._.... .........._......._....._..__.._.................._......._._._...__.._..._......................_............_.....__..._.._.............:..........................__._.............._._.__...__.........:_._.__._ Mechanical i ( Heating/Cooling Oil Water/Sewer/Utility Septic,Town Water Hot Water/Water Heat Oil Legal/Tax Annual Tax $3886 http://ccimis.rapmis.com/scripts/mgrqispi.dll 7/16/2007 MLS Page 3 of 3 �t Tax Year 2006 Land Assessments $398100 Improvement Asmt $253400 ' Other Assessments $2200 Total Assessments $653700 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 1387 Title Reference-Page 248 Land Court Cert# 0 i Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown *Denotes information autofilled from tax records. Information has not been verified, is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2007 Rapattoni Corporation.All rights reserved. http://ccimis.rapmis.com/scripts/mgrgispi.dll 7/16/2007 :.Parcel Detail Page 1 of 3 . 4. r ��t a., Logged In As: Parcel Detail Monday,Iu Parcel Lookup Parcel Info Developer. Parcel ID,207-008 Lot Location 418 SOUTH MAIN STREET Pri Frontage 93 Sec........._—. --------- Sec Road Frontage ........ ......... ......... Village,CENTERVILLE Fire District`:C-O-MM ......... ......... ............................ Sewer Acct Road Index.1507 �T' h4,�``'•C•y `mik E� Interactive , ` F Map � J Owner Info owner!GALL O, MARDELL D Co-Owner' ......... Streets 418 SO MAIN ST Street2 _ ....... _.......... _....._ City`=CENTERVILLE State€MA zip :02632 Country US Land Info ......._ ......... ............. .........__ .... .. ......... .......... Acres 10.74 Use Multi Hses MDL-01 zoning 'RD1 Nghbd 0112 Topography jLevel Road PPaved Utilities 11Public Water,Gas,Septic Location'Rear Location E Construction Info Building I of 2 1900 -Gable/Hip :,Wood Shingle Year Roofs Ext Built= Struct' Wall Effect _.._. _.., _. _....._,_ Roof _ AC .,,__.. Area 2509 Cover Type'GIs/Cmp Type None .... .-..... ........... Bed Style Conventional WaIIPlastered Rooms 5 Bedrooms ModelResldential I Floor Batn 2 Full ! Rooms Heat i,._ .... Total Grade Average Plus Hot Water 8 Rooms Type= Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=14490 7/16/2007 I Flarcel Detail Page 2 of 3 y " y:a ............I... Heat Found- Stories 1 1/2 StorleS , Fuel IOiI ation :Stone Walls y . is 1•:: hs`3}.,3i Building2 of 2 Year 11930.._.... Roof Gable/Hip. Ext Wood Shingle Built Struct- Wall Effect 342 � � Roof(As h/F�GIs/Cm���� AC€None Area ` cover i p p Type ....._.�......._..._ .....___ Int,.... .....�....�...............�_.._...,. Be, Style'Cottage Wall.Plywood Panel Rooms'1 Bedroom Y Floor RoBath oms Model Residential F oo Full + 1/2 ................._ Heat ...._..._ _._. ,...._. ,_. Total Grade:Below Average Type INone Rooms 2 Rooms Heat; ation Found- Stories 1 Story Fuel None Conc. Block Permit History. .......,,_, _ ....._ .._.,.,,.,..,._.,........ ........ Issue Date Purpose Permit# Amount Insp Date Comments �,. Visit History..,. _...., __ µ..v,. .._.._.. Date Who Purpose 12/15/2003 12:00:00 AM Paul Matheson Meas/Est 9/26/2001 12:00:00 AM Paul Talbot Meas/Listed Sales History __..... .... Line Sale Date Owner Book/Page Sale P 1 GALLO, MARDELL D 1387/248 Assessment History �� __....___ �..._........._.r Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $253,400 $0 $2,200 $398,100 2 2006 $213,200 $0 $2,300 $400,500 3 2005 $187,300 $0 $2,400 $360,400 4 2004 $155,100 $2,300 $2,400 $640,700 5 2003 $129,700 $2,300 $2,500 $147,900 http://issql/intranet/Propoata/ParcelDetail.aspx?ID=14490 7/16/2007 �Farcel Detail Page 3 of 3 6 2002 $118,700 $2,300 $1,200 $147 900 7 2001 $118,700 $2,400 $1,200 $147,900 8 2000 $79,900 $2,000 $700 $78,600 9 1999 $79,900 $2,000 $700 $78,700 10 1998 $79,900 $2,000 $700 $78,700 11 1997 $73,000 $0 $0 $78,600 12 1996 $73,000 $0 $0 $78,600 13 1995 $73,000 $0 $0 $78,600 14 1994 $74,400 $0 $0 $78,600 15 1993 $74,400 $0 $0 $78,600 16 1992 $84,800 $0 $0 $87,300 17 1991 $103,900 $0 $0 $104,800 18 1990 $103,900 $0 $0 $104,800 19 1989 $103,900 $0 $0 $104,800 20 1988 $100,500 $0 $0 $51,500 21 1987 $100,500 $0 $0 $51,500 22 1986 $100,500 $0 $0 $51,500 Photos http://issgl/intranet/propdata/ParcelDetail.aspx?ID=14490 7/16/2007 Ro /�o �� 3v 3 coral, qc-) co ly FORM B —BUILDING ��"�, p�c3VAssessor's Number USGS Quad Area(s) ^Form Number MASSACHUSETTS HISTORICAL COMMISSION 207008 0 0 2333 MASSACHUSETTS ARCHIVES BUILDING 220 MORRISSEY BOULEVARD Town: Barnstable BOSTON, MASSACHUSETTS 02125 Place: (neighborhood or village) Centerville Photograph Address: 418 South Main Street Historic Name: Horace Mann Bearse House a _ Uses: Present: Single-Family Residential a� Original: Single-Family Residential Date of Construction: c 1890 Source: Historic Maps, Style, and Deeds Style/Form: Victorian Eclectic Architect/Builder: Unknown � Exterior Material: Foundation: Brick Wall/Trim: Wood Clapboards/Wood Shingles Topographic or Assessor's Map Roof: Asphalt Shingles Outbuildings/Secondary Structures: 'D70 841 22001 A one-story wood frame garage is located west of the 207010 207013 i -207012: A 612. •0010A014'- residence. ...� r Major Alterations (with dates): 20 7011 _ • _ .. 038 N 224 0 400 A 224 Condition: Good 207008, - ®,tQ• r Moved: no I x I. yes I I Date . A 419 oo. Acreage: .74 acre N428 # - Setting: The building faces southeast is setback 0 311 approximately thirty feet from the road on a level lot. 0230 207000; A 23D' 0430 207006 i Q N41A 2071108 f Recorded.by: Geoffrey E Melhuish,til-architects Organization: Town of Barnstable Date(month/year): August 2009 Follow Massachusetts Historical Commission Survey Manual instructions for completing this form. INVENTORY FORM B CONTINUATION SHEET . , BARNSTABLE 418 South Main Street ,. MASSACHUSETTS HISTORICAL COMMISSION Area(s) Form No.2333 220 MORRISSEY BOULEVARD,BOSTON,MASSACHUSETTS,02125 i ° X_Recommended for listing in the National Register of Historic Places. If checked,you must attach a'completed National Register Criteria Statement form ' Use as much space as necessary to complete the following entries, allowing text to flow onto additional continuation sheets. ARCHITECTURAL DESCRIPTION: Describe architectural features. Evaluate the characteristics of this building in terms of other buildings within the community. 418 South Main Street(BRN-2333) is a one-and-one-half story wood-frame Victorian Eclectic residence. The building adopts a rectangular plan on a brick foundation. The five-by-two bay building faces southeast and is set back approximately thirty feet from the road on a level lot. The building terminates in an intersecting gable roof sheathed with asphalt shingles. The front facing gable at the north end of the building features two 2/2 double-hung wood sash windows set within a decorative wood surround. Wood clapboards in the gable are laid in a diagonal pattern. A gable roof is located south of the gable. The dormer features two 2/2 double-hung wood sash windows. An interior brick chimney pierces the west roof plane. The residence is clad with wood clapboards and wood shingles. A two-bay, shed roof entry porch is featured on the east elevation. ,The roof is supported by slender turned wood columns; decorative spindlework highlights the eaves The window and door fenestration of the building is asymmetrical. Entrance to the building is through a centrally located door on the facade. Two 2/2 double-hung wood sash windows are located to each side of the opening. Each window opening is framed by a simple wood surround. A one-story wood frame garage is located west of the residence. 418 South Main Street is a well-preserved example of a one-and- one-half story Victorian Eclectic residence constructed in Barnstable during the late-nineteenth century. HISTORICAL NARRATIVE Discuss the history of the building. Explain its associations with local(or state) history. Include uses of the building, and the role(s) the owners/occupants played within the community. 418 South Main Street(BRN-2333)was constructed c 1890 by Horace Mann Bearse(B 1850)a seaman after purchasing land from his father,Nelson Bearse in 1889. The family of Horace Bearse owned the property until 1938 when the estate sold the property to Bernice Dottridge. In 1957,Miss Dottridge sold the property to Anthony,and Dorothy Silvestri. The property is currently owned by Eric Beyer and Patricia Young Beyer. BIBLIOGRAPHY and/or REFERENCES ' Barnstable County Registry of Deeds. FamilySearch Map of Barnstable.Published by G.H. Walker&Co. 1880. ' Map of Barnstable. Published by Walker Lithograph and Publishing Company; 1905. P Map of Barnstable.Published by Walker Lithograph and Publishing Company, 1910. Town of Barnstable. Assessors Records. U.S. Commerce Dept. Census Bureau, 1840-1930. - Continuation sheet I Do • • ' • • M ►..rk«ab mot# r} ai ' 2D"3D°�, Rosd^:. Ac-r�af, &rtPs aye ( La bets a7rsHrK y� «" k r { ,�� , �."� argW,, IF r^' .�' 4�t1F ." t `ki,°� '� f a �'�� [` f i '� � F!' e `~•+r �� �� t'�,`��'i�� 4�,��x # ��, � r, ��y +�, �+a ,• yam' "�" �,�` '3 � +� ♦,t t r. ems, +� _. a ,,, s.a 1�lt�',. a �* a f' f"lpl— x t `I<I to CSC�V,�((�-' �' F € �`•f,���.a` �P' � ,„t�' �`��i "� p � = � " �;` i ,MASSACHUSETTS HISTORICAL COMMISSION Barnstable 418 South_Main Street MASSACHUSETTS ARCHIVES BUILDING 220 MORRISSEY BOULEVARD BOSTON,MASSACHUSETTS 02125 Area(s) Form No. 2333 National Register of Historic Places Criteria Statement Form Check all that apply: ❑ Individually eligible ® Eligible only in a historic district ` ® Contributing to a potential historic district ❑ Potential historic district Criteria: ® A ❑ B ® C ❑ D Criteria Considerations: ❑ A ❑ B ❑ C . ❑ D ❑ E ❑ F ❑ G E Statement of Significance by_Julie Ann Larry&Geoff Melhuish,Turk Tracey&Larry Architects,LLC The criteria that are checked in the above sections must be justified here. j 418 South Main Street would be a contributing building in an expanded Centerville Historic District. The Centerville Historic District was listed on the National Register of Historic Places in 1987. The district includes 49 Greek Revival and late Victorian buildings and 1 object that are locally significant to the village's architectural development and maritime history. In 2009,properties adjacent to the National Register District were surveyed. These properties are ` similar in character to resources inside the National Register district and share similar associations with the families that developed Centerville and its 19t"century maritime activities. The inclusion of the additional properties in the National Register District would expand the boundaries to include properties on Old Stage Road,Bumps River Road,Park Avenue,and South Main Street. , x r I L[ 1-A fff 12. NEW 4'0"x 6'8" I EX{SLII /�i� y �+ .FRENCH DOOR I "' V/ - EXIST. I VERIFY MFR.B HOUSE oETaLs 12 EXIST. OIL] L1 0 _ - - 12 EXIST. . COVERED PORCH I _ NEW BRICK FIREPLACE - 8 CHIMNEY W/INSET HERRINGBONE PATTERN: .- - _ I I . ' 1 FLOOR PLAN G D f ti FRONT ELEVATION yt EXIST. /j 12 _ - - CMF= � - FTT RIGHT ELEVATION COTUIT BAY DESIGN. I I c NEW ADDITION FOR: THE DESIGNER DMWNG NL BE RTOTIFIED IF WY SCALE . DVIV YING NO.. ERRORS OR OMISSIONSARE FOUND ON C I�I�I�\//\ THESE DRAWINGS PRIOR TO START OF 1� CONSTRUCTION.THE BURRING CONTRACTOR I411 - 43 BREWSTER ROAD INT EERESPON GSI FORTNECONTENT C THESEOIS NTHSIFCONSTRUCTHE MASH PEE MA. 02649 THESE NOTIFYING THE p) �0 BEYER RESIDENCE DESIGNER OFANOTED SOTHER USEO DATE - 3 PH.'(SOUpJ`1 274-1166 THESE GVWER DRAWINGS RE0 My 61R STFOR THE USE .. FAX (50V) 539-94 6 CFTNETOFTHE DESIGNEROTHERTHE OF q . 418 SOUTH' MAIN STREET LENTERVILLE, NIA THESEDRAWiNGS REQUIRES TNEWRRTEN f1/2/2013 '1 CONSENT OFTHE DESIGNER UNDER THE 9 ARCHRECTURILL COPYRIGHT PROTECTION AOT OF 1990. .y - - PRELIMINARY.DRAWING r FOR DESIGN REVIEW NEW 22"z 4'9" a - ' DOUBLEHUNG WINDOW.VERIFY rl . MFR.&DETAILS - - - -EXIST.ST. 12 r,o EXIST. HALL E JST.p /^�\\\\\\Q\ExIST. LIVING Li II 4 CENTERED NEW BRICK FIREPLACE - &HEARTH PER IRC2009 - CH.10 BUILDING CODE - - VERIFY ALL DETAILS 'a Wl OWNER 4 o NEW 22"x 47 - - v DOUBLEHUNG WINDOW,VERIFY - FM - .. MFR.&DETAILS - - - - - EXIST. 12 EX COVERED 9-4T - PORCH - - - - - - - - FM FIRST FLOOR PLAN vi Ll - NEW r8"x 47 p NEW BRICK FIREPLACE - ' DOUBLEHUNG - - EXIST. L EFT ELEVATION . HERRINGBONE PATTERNWINDOW - DOUBLE,VERIFY - _ E -�� &CHIMNEY W1 INSET MFR.&DETAILS v _ - .- HALL - EXIST. BEDROOM. . El El C LO S. I I - NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR EXTERIOR MATERIALS, � v ' ),4 DETAILS,&FINISHES IN THE FIELD WITH OWNER G I 1 3.) .ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 `✓✓�iJJ1l�� LEGEND: 4.) 110 MPH EXPOSURE B WIND ZONE 5.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE EXISTING WALLS 6.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL CONSTRUCTION TO BE REMOVED SIMPSON COMPONENTS SECOND .FLOOR PLAN NEW CONSTRUCTION 7.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE 3000 PSI COTUIT BAY DESIGN. LLc NEW ADDITION FOR. THE DESIGNER DRAWNGSFR ENOSTARTFANY SCALE : DRAWING NO.. ERRORS CONSTRUCTION.WONSADING GCNTR l.'ERRORS DR R OMISPRIOR TE START OF WILL SE RESPONSIBLE FOR THE CONTENT TOR 1/4" - 1'-011 43 BREWSTER ROAD IN THESE ORAWNGS IF°ONSTRUCTION MASHPEE ,MA. 02649 THESERA NGSARENCTIFYINGTHE LJ C p cC ' B.EYER RESIDENCE DESIGNER DFANY ERRORS OR OMISSIONS. DATE A_ P FAX (5087 274-11 VV _ OFT E OMER SAED—YLYFORUSEUSE 1-/'1/� (JO�> J3�7��7402 A CONSENT TOFTHE DESIGNER OTHER USE OF 418 SOUTH MAIN STREET CENTERVILLE, M/ 1 MH ITERANNCCGERJRESTHEWRRTEN f1/2/2014 7 THESE HESENTOFTHE DESIGNER UNDER THE �7 ARCHRECTURAL COPYRIGHT PROTECTION ACT OF 1990. ' i NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, ' A DETAILS &FINISHES IN THE FIELD WITH OWNER 3-) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS r STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 4_) 110 MPH EXPOSURE C WIND ZONE ' S-) ALl LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD 6.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL - SIMPSON COMPONENTS ' 7.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS 00 TO BE 30 PST- - I i, ^ 8_) TIMBER FRAMING TO BE SPRUCEJPINEIFIR NO.2 GRADE § 9-) ALL EXPOSED SIMPSON PRODUCTS TO BE MADE OF ZMAX GALVANIZED STEED ' 10.)ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINTS/NAIL HOLES SEALED. ` q y - ._ - 9 • 4 NEW ROOF TO FIT 111NOER _ EXIST.SOFFIT THE SAME r AS THE EXISTING PORCH , ROOF.THIS WILL DETERMINE i c - EXIST. .. w .0 THE NEW ROOF PITCH '1 b - HOUSE to .n LAG BOLT RAFTER LEDGER TO • - .. WALL WI LEDGERLOK SCREWS _ &USE SIMPSON LSU26 SLOPED 2 a 8 RAFTERS 78'o.c.USE . _ �-FM,p ___— _ • - _ SIMPSON H 10 HURIOCANE - . 12 - CUPS TO FASTEN RAFTERS TO MULTI LVL BEAM co '„�"� _ _ AZEK t a 8 FASCIA -11 2 a ft go liro-c, t E FRIEZE BOARDS • AZEK t a 4 BEAD ALUMINUM GUTTERS °. A - BOARD CERJNG NEW AZEK SPINDLES . _ NEW DECKING TO AT DO _ '- 1 2-1 31t'a 7 7N'LVL I 8 POSTS TO MATCH ` -- FJCISTWGHEIGHT AT DOOR'- r 9 EXISTING fi COVERED PORCH FASTEN POSTS TO BEM I. Wl S0!SON SC40 POST BASE .NE I � a eLOaclNc 1 COVERE I f I 4 K FIR I AZEK t o 10 FASCIA ' I *' PORCH I - P.T.2,1!,.T 18'oc - - - jfl 2-P.T.2 a 8 TOP PLATE r r q r , , I - - 1 P-T.2 a/Fs @ 18'o.c W/t2'P.T.PLYWOOD SPACERS Eli. NEW AZEK RIPPED tU8'VERTICAL EBOARDS W/tXISTING�?I TO MATCH i 9 .. • e TIONS FIR DECKING TO BE -PAINTED' - FASTEN BEAN TO SONOTUBES t NEW POSTS POSTS MATCH - WI SIMPSON ZMAX ABM POST . EXISTING POSTS -, BASE 11'-t t? - 7T-t 7? 11'-t 1? 'h 12-DW CONCRETE SONOTUSES - NEW 12'DUL CONCRETE SONOTUBES .. •.:TO 4'0'BELOW GRADE. - ON 28.OW BIGFOOT FOOTINGS - °48' A BUILDING SECTION @ PORCH' .. _ Al - • FLOOR PLAN ' rr aQ® COTUIT BAY.DESIGN, LLC NEW ADDITION FOR: SCALE : DRAWING NO.f tWSE oP Iri S PR ro 6fARf OF CONSCWX.'TION.TIE ,«, 1�4'_ 1.-0" 43 BREWSTER ROAD '"LLB � t�OONTEW N 71ESE OMI7VIC.4 F O06CI41CIOl BEYER RESIDENCE `�°�' �" MASHPEE ,MA_ 02649 °�°'°`"" "' DATE : X ORIIWPG T sa9YFUR TIE use PH. (508 274-1166 � �� OTt"UM� FAx(50�)539-9402 418,SOUTH MAIN STREET CENTERVILLE, MA R sno/2o13 Al /IGf of,RID. . lz • - .. Ewsr;D E)aSi_D Lwfl• NEW ROOF TO FIT UNDER - BUST.SOFFIT THE SAME AS THE EwSTtNG PORCH - A - ROOF.THIS WILL DETERMINE - t THE NEW ROOF PITCH. . . - NEW ASPHALT ROOF 12 -• - NEW AZEK SPINDLES SHINGLES QS2 • - 8 SUPPORT TO MATCH - ' NEW AZEK 1 a B • EXIST_SIZE • FASCIA ILI 11 NEW POSTS TO MATCH YHE . - y •' 'N EXISTING POSTS-VERIFY ALLBE] 0 . . DIMENSIONS FROM THE EIOSi: - " . POSTS BEFORE FABRICATION .. NEW AZEK 1.10 FASCIA G.CONDITIONS NEW AZEK RIPPED 1 11B'VERTICAL BOARDS VW U7 SPACE TO MATCH FRONT E L E VAT I O N EXISTING. 12 .i . - ,.. - a v .�. ._ a •. ` ,.. EXIST F 12 ' 5t ❑ ❑ fl Ll ' RIGHT ELEVATION 3.0"Nid+9MLL 8E�.U1Yi®m SCALE. DRAWING NO.: �Q0* COTUIT BAY DESIGN, LLc NEW ADDITION FOR: �°"°'°�°"' ow�w - t�sE MA—GS crurnroarNrra . 'm 114"= 1'-0" 43 BREWSTER ROAD .,,FOR.--"SF�s„a�,>v, COYIM" T q TEMASHPEE ,MA. 02649 BEYER RESIDENCE DATEr EE] PH. (508)274-1166 E� "« , „F.�„� IA2 FAx(508)539-9402' 418 SOUTH MAIN STREET CENTERVILLE, MA 9/20/2013 LAG BOLT RAFTER LEDGER TO - - ' WALL Wl LEDGERLOK SCREWS - d USE SIMPSON LSU26 SLOPED i - HANGER . FASTEN HIP TO WALL A • .. WIS&PSON HCPLBi., INVERTED q tj A. • - F. 2-1 3N'x 7 IW LVL - r . NEW POSTS TO MATCH FASTEN HiP TO POSTS • ,. - . 2 x 8 RAFTERS @ 16•o.c.USE .EXISTING POSTS WI Slha'SON HCP1.81 - SIMPSON H10 HURRICANE HIP CORNER PLATE CLIPS TO FASTEN RAFTERS . TO MULTI LVL BEAM . - - 11--t ,? - 44 c ROOF FRAMING .PLAN EXIST. P.T.2x 12 BEAM � _ • _ - HOUSE n - " r • 3 P.T.2 x 1Q5®,8"O.G m a: § l • s - M A —L L Lt 1 11 w « - , .•• 17DW CONCRETE SONOTUBES - - . • TO 4.0'BELCTN GRADE. - •t 3-P_T.2 x,2 BEAM 1 9 _ t , • _ Y m NEW 3-P.T.2x 12 m ® K b _ N m n b N • 3-PS.2 x 12 BEAM - - • ,!I PLYWOOD \ FASTEN JOISTS TO BFJM64\ - . FASTEN BEAM TO SONOTUSES SPACERS BETWEEN W/SIMPSON H8 TIES _ NEyy,2'DLl CONCRETE SONOTL�ES WJ SIMPSON ZMAX ABLIN POST • - • r BASE ON 28'DIA.BIGFOOT FOOTINGS FRAMING/FOOTING. PLAN „ „? _ „? „•_„? „•_„? EMMS SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW ADDITION FOR: °�° MW`�`°°�' T`lmauwxxivv TosTN,Tw s ue 1/4"_'1;-0- 43 BREWSTER ROAD mT$fF-% sx:s scor�m�xar BEYER RESIDENCE `s "— MASHPEE ,MA. 02649 °� '°`A" "°��'°' DATE PH. (508 274-1166 T'E��" "�x��`�`T�` ) or,r�oww..= o.w.one,ISE of Q FAX(508)539-9402 � „T 9/2012 0 1 3 418 SOUTH MAIN STREET CENTERVILLE, MA `�Vcn` °�"'�'� � mlm. a ' MuD - ,Nk ` wtubo %(,K EOI?-- "k * W ae3�o�1 D rT'TCAse - WALLS,ACVJ New � r STAtRs « `1 Lvi NCs Re'OK Room z r Sou—K{A t"I,kt1Q 3 - - w►nrea�l w���+J � � p�N EIS , � � � NEW CHIMNEY POTS VERIFY ALL DETAILS W/OWNER NEW 212"x 47 DOUBLEHUNG WINDOW,VERIFY MFR. DETAILS S EXIST. r-�o" S HALL 12 � EXIST. . —,— 2 EXIST. EXIST. LIVING iI 0 CENTERED _ — II co NEW BRICK FIREPLACE `I 11 P IR 1-0 &HEARTH PER C2Q09 A II CH . 10 BUILDING CODE VERIFY ALL DETAILS II • W/OWNER M N NEW 22 x49 DOUBLEHUNG - WINDOW,VERIFY MFR.$DETAILS LLJJ ih � p EXIST. 1-8 VE CO RED 12 5* 1 Q 2-611 9-4 PORCH o ' 1.00 — = — — — — — — — — — — — — — — wv k�r c1 a I FIRST FLOOR PLAN-- LLI 1 .........11v NEW28 x49 DOUBLEHUNG EXIST. NEW BRICK FIREPLACE WINDOW;VERIFY 4 C &CHIMNEY W/INSET "MFR. DETAILS , �D � HALL L HERRINGBONE PATTERN LEFT ELEVATIONO R EXIST. BEDROOM O ID CLOS. I - NOTES. 1. CONTRACTOR t _T S O VERIFY ALL EXISTING CONDITIONS & DIMENSIONS IN THE FIELD 2. CONTRACTOR T VERIFY C R O ER FY ALL INTERIOR &EXTERIOR MATERIALS, DETAILS & FINISHES IN THE FIELD WITH OWNE R 3. ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS a STATE BUILDING I G CODE, 8TH EDITION AMENDEMENT& IRC2009 4. 110 MPH EXPOSURE B WIND ZONE LEGEND: 5. l T MBER FRAMING TO BE SPRUCE/PINE/FIR N0. 2 GRADE EXISTING WALLS , 6. FO LLOW LL r � OW ALL MANUFACTURERS SPECIFICATIONS FOR INSTALLATION OF ALL CONSTRUCTION TO BE REMOVED� D SkMPSON COMPONENTS SEC ND FLOOR C) PLAN EM NEW W 7. . ALL CONCRETE USED FOR FOUNDATION WALLS FOOTINGS.& SLABS TOBE30 00PSI THE DESIGNER SHALL E NOTIFIED IF ANY B ERRORSOROMISSIONSME FOUND N SCALE : DRAWING NO. :ITDESIGN,BAY ��v NE� THESE DRAWINGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR 11 1 11 / 0 WILL BE RESPONSIBLE FOR THE CONTENT 1 4 1 43 BREWSTER ROAD:. IN THESE DRAWINGS IF CONSTRUCTION COMMENCES WITHOUT NOTIFYING THE M HP _ DESIGNER OF ANY ERRORS OR OMISSIONS. AS E E MA. 02 49 6 E V E R R E I �E N E THESE DRAWINGS ARE SOLELY FOR THE USE S C DATE : PH. 50$ 274 ,1166 OF THE OWNER NOTED.ANY OTHER USE OF THESE DRAWINGS REQ UIRES THE WRITTEN CONSENT OF THE DESIGNER UNDER THE - 1 72 14 Al FAX 4 0/ / 0(50$ 539 9 a2 4 1 T H I N T T ARCHITECTURAL COPYRIGHT PROTECTION 8 SOU MA S REE CNTERVI LLE MA- � ACT OF 1980. ol 8'-0" AV o I �i 12 EXIST. �/ �+ NEW 4'0"x 6'8" EXIST" I DOORS,VERIFY. DOOR STYLE& HOUSE O I ALL DETAILS W/ W I O NER 12 EXIST. 0 D N 12 EXIST. 5t COVERED a PORCH NE W BRICK FIREPLACE &CHIMNEY W!INSET HERRINGBONE PATTERN FLOOR PLAN _ _77777 NEW CHIMNEY POTS 77 VERIFY ALL DETAILS /OWNER �To, 3-4 10 FRONTELEVATION " 2'-10" NEW 12 DEEP CONCRETE FOOTING'T 0 4 0 BELOW - GRADE W/#5 BARS 16"o.c. @ INSTALL ICE/WATER SHIELD I — — EACH WAY 2 LAYERS o � ) &FLASHING WHERE NEW ih 12 CHIMNEY MEETS EXIST.ROOF I EXIST. CONCRETE FOUNDATION " WALL UNDER CHIMNEY co W/#5 VERTICAL BARS 12 o.c. FROM FOOTING UP TO 3"BELOW TOP OF WALL N Ez- _O REMOD. NEW CHIMNEY TO BE �,. C E LIVING CONSTRUCTED PER. IRC2009 CHAP.10. ATTACH TO HOUSE -5* 12 W/ WALL CLIPS CONCRETE FOUNDATION FOUNDATION PLANWALL UNDER CHIMNEY W/#5 VERTICAL BARS 12" o.c.FROM FOOTING UP +I " TO 3 BELOW TOP OF WALL.. . i F Ill s 3'-4" BAR 1 . . o #5 HORIZONTALS 6 o c EACH WAY 2 FROM TOP &BOTTOM 0 NEW 40 x68 DOORS VERIFY DOOR STYLE& 4'-8" ALL DETAILS W/ OWNER ASECTIO N NEW FIREPLACE A2 RIGHT ELEVATION THE DESIGNER SHALL BE NOTIFIED IF ANY I FOUND N Q ERRORS OROMIS30NSARE OU DO SCALE DRAWING NO. . THESE DRAWINGS PRIOR TO START OFT IT ©Y IFOR: N 1COVA DESGN LLCCONSTRUCTION THE BUILDING CO TRACTOR 1 1 1 NEW ACDITION _ IBL FOR CONTENT' = WILL BE RESPONSIBLE FO E CO 1/4 1 O 43 BREWSTER ROAD IN THESE DRAWINGS IF CONSTRUCTION COMMENCES WITHOUT NOTIFYING THE - DESIGNER OF ANY ERRORS OR OMISSIONS. MAGHPEE MA. 0 `�264C� BEYER RESIDENCE `�' 7 THESE DRAWINGS ARE SOLELY FOR THE USE OF THE OWNER NOTED.ANY OTHER USE OF DATE : PH. 508�) 274-1166 r THESE DRAWINGS REQUIRES THE WRITTEN ENT F THE DESIGNER UNDER THE QQ CONS O _ 1 7 2 14 A2 FAX (508 5V�/ 9402 T COPYRIGHT 41 $ SOUTH MAIN STREET CENTERVILLE MA ARCHITECTURAL CO GH � ACT OF,sso. 8'-0" 0 ih 12 EXIST. NEW 4'0"x 6'8" FRENCH DOOR EXIST. I VERIFY MFR.& HOUSE DETAILS L12 I EXIST. 0 0 N I I EXIST. Q5t COVERED PORCH I NEW BRICK FIREPLACE &CHIMNEY W/INSET HERRINGBONE PATTERN -191 1111111111 TTM 1111 11 11111111111111111111111111 LLLL] 111111111 11T� 11111111111111111111111 L I [H 111111111111111111111111111 - --- - - - - - - - - -- HILJ L110, Ll I FLOOR PLAN 0 FRONT ELEVATION_ 12 EXIST. 12 5t NEW 4'0"x 6'8" FRENCH DOOR VERIFY MFR.& ALL DETAILS e `V 14 'c �11 RIGHT ELEVATION THE � ERRORSIGNER OROMIS LL BE OMISSIONS OTIFIED IF EFOUNDONY SCALE : DRAWING NO. : C OT U I T BAY DESIGN, L L C NEW ADDITION FOR: CONSTRUCTION.ON. HIOBUIILD BUILDING CONTRACTOR 11 _ 1 11 THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD IN WILL BE DRAWINGS IBLE ONSTRUCR THE ION 1/4 - 1 -0 BEYER RESIDENCE IN THESE DRAWINGS IF CONSTRUCTIONMASHPEEMA. 02649COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. DATE 1 THESE DRAWINGS ARE SOLELY FOR THE USE P H. (508 274-1166 THESE THE OWNER NOTED.ANY OTHER USE OF FAX (50 ) 539-9402 418 SOUTH MAIN STREET CENTERVILLE , MA ACT ITE WINGS REQUIRES THE WRITTEN 9/2/2013 A2 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION PRELIMINARY DRAWING NEW 2'2"x4'9" FOR DESIGN REVIEW DOUBLEHUNG WINDOW,VERIFY MFR.&DETAILS 2, 10„ EXIST. 12 M EXIST. HALL EXIST. EXIST. clt LIVING II o CENTERED NEW BRICK FIREPLACE &HEARTH PER IRC2009 CH. 10 BUILDING CODE VERIFY ALL DETAILS W/OWNER cM O e N O NEW 27'x 4'9" DOUBLEHUNG WINDOW,VERIFY MFR.&DETAILS 0 EXIST. 12 COVERED a 5t 2'-6" 9'-4" PORCH 10 FIRST FLOOR PLAN 77 NEW 2'8"x 47 WINDOW, VERIFY EXIST. LEFT ELEVATION NEW BRICK FIREPLACE &CHIMNEY W/INSET WINDOW,VERIFY HALL HERRINGBONE PATTERN MFR. DETAILS "v EXIST. BEDROOM El CLOS. NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS & DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, DETAILS, & FINISHES IN THE FIELD WITH OWNER 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE, 8TH EDITION AMENDEMENT & IRC2009 LEGEND: 4•) 110 MPH EXPOSURE B WIND ZONE 5.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO. 2 GRADE EXISTING WALLS 6.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL CONSTRUCTION TO BE REMOVED SIMPSON COMPONENTS SECOND FLOOR PLAN NEW CONSTRUCTION 7.) ALL CONCRETE USED FOR FOUNDATION WALLS, FOOTINGS & SLABS TO BE 3000 PSI THE ERRORSIGNER OROMIS OMISSIONS SAREFBE OUND UNDOED IF ANY SCALE : DRAWING NO. : C OT U I T BAY DESIGN, L L C NEW ADDITION FOR : THECONSTRUCTION.DRASTHI E PRIOR BUILDING CONTRACTOR 11 _ 1 11 THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD IN LL BE THESE DRAWING IF OR CON HECONSTRUCTION CONTENT 1/4 — 1 -0 IN THESE DRAWINGS IF CONSTRUCTION B E Y E R RESIDENCE COMMENCES WITHOUT NOTIFYING THE MAS H P E E MA. 02649 DESIGNER OF ANY ERRORS OR OMISSIONS. DATE THESE DRAWINGS ARE SOLELY FOR THE USE PH. (508 274-1166 OF THE OWNER NOTED.ANY OTHER USE OF 418 SOUTH MAIN STREET C E N T E RV I L L E , M A ACT OF THESE DRAWINGS REQUIRES THE WRITTEN FAX (50 ) 539-9402 CONSENT OF THE DESIGNER UNDER THE 9/2/2014 Al ARCHITECTURAL COPYRIGHT PROTECTION