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0048 WATERMAN FARM ROAD
fi t I,e , 7 , 0 / t F � n r Y F = r o 6 I atiQnxrly� �Federal Emer enc Mana ement A enc g Y g q g Y Washington, D.C. 20472 lgND SEG February 26 2015 e €sue MR.JOHN O'DEA,P.E. CASE NO.: 15-01-1091A . SULLIVAN ENGINEERING&CONSULTING ; COMMUNITY: TOWN.OF BARNSTAk1E, INC BARNSTABLE COUN PO BOX 659 MASSACHUSETTS OSTERVILLE,MA 02655 COMMUNITY NO.: 250001 W,�T �{v� DEAR MR.O'DEA,P.E.: w This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine * if the'i property described in the enclosed document is located within an identified. Special Flood Hazard Area, the area that would be inundated'by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood); .on the effective National Flood Insurance Program (NFIP) map. Using the information submitted and the effective NFIP map, our determination is shown on the attached Letter of Map Amendment (LOMA) .Determination Document. This determination document provides additional information regarding. the effective NFIP map, the legal description of the . property and our determination. s Additional documents are enclosed which provide information regarding the subject property. and LOMAs. Please see the List of Enclosures below to determine which documents are enclosed. Other attachments specific to this request may be included as referenced An the .Determination/Comment document. If you have any questions about this letter or any of the enclosures, please contact-the FEMA Map Assistance Center toll free at (877) 336-2627(877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC .Clearinghouse, 847 South Pickett Street, Alexandria,VA 22304-4605. Sincerely, Luis Rodriguez,RE:, Chief Engineering Management Branch Federal Insurance and Mitigation Administration LIST OF ENCLOSURES: i LOMA DETERMINATION DOCUMENT(REMOVAL) cc` State/Commonwealth NFIP Coordinator Community Map Repository Region r` Page 1.of 2 Date: February 26,2015 Case No.: 15-01-1091A LOMA 4. Federal Emergency Management Agency F4 r Washington,D.C.20472 LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT REMOVAL COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION TOWN OF BARNSTABLE, Lot 3, Land Court Plan No. 32290D, as described in the Quitclaim BARNSTABLE COUNTY, Deed recorded as Document No. 156588, in Book 192,Page 248, in MASSACHUSETTS the Office of the Registry of Deeds, Barnstable County, COMMUNITY Massachusetts COMMUNITY NO.:250001 AFFECTED NUMBER:25001CO564J MAP PANEL ' DATE:7/16/2014 FLOODING SOURCE:CENTERVILLE RIVER APPROXIMATE LATITUDE&LONGITUDE OF PROPERTY:41.643, -70.340 SOURCE OF LAT&LONG:GOOGLE EARTH PRO DATUM:NAD 83 DETERMINATION OUTCOME 1°/6ANNUAL LOWEST LOWEST: BLOCK/ WHAT IS F CHANCE ADJACENT LOT LOT SUBDIVISION 1 STREET EMOVED FROM FLOOD FLOOD GRADE ELEVATION SECTION ` THE SFHA ZONE ELEVATION ELEVATION. (NAVD 88). (NAVD 88) (NAVD 88) 3 -- Land Court °'48 Waterman Farm Structure X -- 13.3 feet -- Plan No. Road . (Residence) (shaded) Special Flood Hazard Area (SFHA) - The SFHA is am area that would be inundated by the'flood having a 1-percent chance of being equaled or exceeded in any given year(base flood). ADDITIONAL CONSIDERATIONS(Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.) „ PORTIONS REMAIN IN THE SFHA This document provides the Federal Emergency Management. Agency's determination regarding a request, for a Letter of Map Amendment for the property described above. Using the information submitted and, the effective National Flood Insurance Program (NFIP) map, we have determined that the structures) on the property(ies) is/are not located in,the SFHA, an area inundated by`the flood having a 1-percent chance of being equaled or exceeded in any given year (base'flood).. This document amends the effective NFIP map to remove the subject property ,from the SFHA located on the effective: NFIP map; therefore, the Federal•mandatory flood insurance requirement does not apply. However, the lender has the option to continue the flood insurance requirement to `protect its financial risk on the loan. A Preferred. Risk Policy (PRP) is available for buildings located outside the SFHA. Information about the PRP and how one can apply is enclosed. This determination is based on the 'flood data presently available. The enclosed documents provide •additional 'information regarding this- determination. If you have any questions about this document, please .contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by.letter addressed .,to .the Federal Emergency Management Agency, LOMC .Clearinghouse, 847 South Pickett Street, Alexandria,VA 22304-4605. . d Luis Rodriguez,P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration Page gof 2 Date: February 26, 2015 Case No.: 15-01-1091A LOMA XRT Federal, Emergency Management Agency, ,ND S Washington;D.C.20472 LETTER OF MAP AMENDMENT- DETERMINATION DOCUMENT (REMOVAL) ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS) . PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (ThisAdditional Consideration applies to the preceding 1 Property.) r Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains - subject to Federal, State/Commonwealth, and local regulations for floodplain,management. This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the FEMA Map Assistance Center.~toll free at (877) 336-2627077-FEMA MAP) or by letter` addressed to the' Federal Emergency Management Agency,LOMC Clearinghouse,847 South Pickett Street,Alexandria,VA 22304-4605. Luis Rodriguez,P.E.,Chief Engineering Management Branch F Federal Insurance and Mitigation Administration o�t"Eti� Town of Barnstable Building Department - 200 Main Street ASTABLE. * Hyannis, MA 02601 MASS. fo9. A• (508) 862-4038 Certif icate of Occupancy Application Number: 201105646 CO Number: 20130023 Parcel ID: 207091004 CO Issue Date: 03/19113 Location: 48 WATERMAN FARM ROAD Zoning Classification: RESIDENCE C DISTRICT Proposed Use: ACCESSORY LAND WIIMPROVEMNTS Village: Gen Contractor: PIKES, DONALD J. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE Building 3 r tNE 2 0 110 4 6 PomBARNSTABLE, * Issue Date: 11/30/11 it MASS. k[ �ArFG 339. A�� . Applicant: Permit Number: B 20112615 . Proposed Use: DEVELOPABLE LAND Expiration Date: 05/29/12 Location 48 WATERMAN FARM ROAD Zoning District Permit Type: NEW SINGLE FAMILY HOME Map Parcel 207091004 Permit Fee$ 2,743.80 Contractor PIRES,DONALD J. Village App Fee$ 100.00 License Num 044383 Est Construction Cost$ 538,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND NEW FOUR BEDROOM HOME THIS CARD MUST BE KEPT POSTED UNTIL FINAL CHANGE OF CONTRACTOR TO DONALD PIRES 6/18/12 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: RUDMAN,NATHAN T&KATHRYN M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 178 CAPN'SAMADRAS ROAD INSPECTION HAS BE ADE. COTUIT,MA 02635 Application Entered by:I JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT-TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PARTJITEREOF,EITHER TEMPORARILY,OR,PERMANENTLY.*ENCROACHME N JBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVEDBY THE;JURISDICTION STREET.OR ALLEY GRADES AS.WELL AS`DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT�RELEASE THE APPLICANTfROM THE CONDITIONS Ot ANY APPLICABLE SUBDIVISION.;? RESTRICTIONS y MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6. FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATP,THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). rg WIN BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRIICAL INSPECTION APPROVALS 1.2 2 I dl�llz 2 jfjis�/ 2� 3 1 Heating Inspection A p ovals Engineering Dept r ®h s "A Fire Dept 2 B r of e th slew -. /Co ek ���jt3 Nate Rudman 48 Waterman Farm Road Centerville, MA 02632 March 19, 2013 Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 Dear Mr. Perry: This letter is to clarify that the room above the garage at 48 Waterman Farm Road is going to be my office. My attorney Andrew Singer has informed me that this letter will satisfy any questions you have about the use of this space. Mr. Singer has informed me that this letter will allow you to issue a certificate of occupancy. Sincerely, Nate udman H^ _ Town of Barnstable IME Regulatory Services saxivsrns , : Thomas F.Geiler,Director MASS, ,�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE We, the undersigned, Nathan T. and Kathryn M Rudman, being the owner(s) of property situated at. 48 Waterman Farm.Road, in, Centerville MA, holding title under a deed recorded with the Barnstable County District Registry of the Land Court as Document No. 1.56588, being shown.on Assessors' Map 207.as Parcel 091 004,. hereby agree, certify, warrant and represent to the.Town of Barnstable that the accessory building to the residence located on the same parcel as above-described, which contains living quarters, is not intended for and shall not be used as a permanent,separate apartment for year-round or summer occupancy,for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be used for a"Family Apartment" (as defined.in Zoning Ordinances)which would require application and.approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an.apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court forthe purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and bindingfuture owners.. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 201 TOWN OF BARN ABLE OWNER(S) By: Nathan T.Rudman ui ding Commissioner Kathryn M.Rudman THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before me. Notary Public My Commission Expires: Q:word/accessoryagreement . m TOVIN OF BARINSTAIEM Er 7- l2 SEP 8 P- 9. 36 JI - s l s � l 1p n \ T" e IeP t � � CO •. rr.tti-ti •-....mot r_�.-%'-.r:.--•-... �...- _ .. oFINE F, Town of Barnstable • BARNSTABLE. ` Regulatory Services MASS. 039. Building Division prFO MP'�A• 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location rm'a4 `i�-� Permit Number a l J 7 6 J Owner Builder 1 One notice to remain on job site, one notice on file in Building Department. The following items need correcting: o f Y �, Please call: 508-862-4038 for.rem-inspection. Inspected by Date i f 11713 2012 17:08 5087785731 CAPE COD INSULATIOPAGE 01 {K3 J .l CAPE- C ' r,,, ,f JiMILt INSULATION 7012.NOV - 6 P 10 LA 1 S i - 1-800-696-6611 D � -11 0612012 o. Barnstable Bu ilding ldin Department Please accept this insulation statement for 48 Waterman Farm in Centerville. Keith Presswood Vice Pre ident 11/13/2012 17:08 5087785731 CAPE COD. INSULATION S2 a �"- .. uft Dann■ dmhL�e. caalMoo - �� � ri _ 1-600-696-6611 0� Job :Location '`. Builder Info v Agr ba�anc � Ph b0� Daee [o7nP�W Name — Spray Foam insulation . P or Si A re - Appllator Namo � . Insulationinstalled Statement Location of Insulation Thickness Total R-Value per ESR 2600 Approximate Sq.Ft. Walls j 'L so Attic � Z: 3 o o Cathedral Ceiling , -7?� C' .r yzv iE � z Intumescent Coating Used Location Thickness/Covera711a te R-Value=4.45 @ 1" Tensile Strength=3.87 psi Derniiec Batch# 2a t 20 .Density=0.6-0.8•I6/h3 Compressive Strength=.1.86 psi i REScheck Software Version 4.4.1 Compliance Certificate Project Title: GARY BLAZIS Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Glazing Area Percentage: 15% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 40 WATERMAN FARM RD CENTERVILLE,MA Compliance:4.8%Better Than Code Maximum UA:685 Your UA:652 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. • Ceiling 1:Flat Ceiling or Scissor Truss 2860 38.0 0.0 86 Ceiling 2:Cathedral Ceiling(no attic) 200 30.0 0.0. 7 Wall 1:Wood Frame, 16"D.C. 4720 21.0 0.0. 226 Window 1:Wood Frame:Double Pane 533 0.310... 165 Window 2:Wood Frame:Double Pane 148 0.320 47 Door 1:Solid 63 0.260 16 Door 2:Glass 15 0.270 4 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 3060 30.0 0:0 101 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: GARY BLAZIS Report date: 08/12/11 Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.260 Comments: ❑ Door 2:Glass,U-factor:0.270 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a.baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. Project Title: GARY BLAZIS Report date: 08/12/11 Data filename: Untitled.rck Page 2 of 4 (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (1) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Ll Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Li Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: O Building framing cavities are not used as supply ducts. ❑ All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 198.4 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 297.6 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 148.8 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 99.2 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Lj Circulating service hot water pipes are insulated to R-2. ❑ Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. Project Title: GARY BLAZIS Report date: 08/12/11 Data filename: Untitled.rck Page 3 of 4 ❑ Pool heaters operating on natural gas or LPG have an electronic pilot light. Fi Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. - Where pumps operate within solar-and/or waste-heat-recovery systems. ❑ Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: ❑ A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following`. (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement V). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: GARY BLAZIS Report date: 08/12/11 Data filename: Untitled.rck Page 4 of 4 2009 IECC Energy Efficiency Certificate Ceiling I Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.31 0.29 Door 0.26 0.25 D� Heating System: Cooling System: Water Heater: Name: Date: Comments: Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program xz58892 Transmittal No.. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Nathan T. & Kathryn M. Rudman Name of Applicant 48 Waterman Farm Road Centerville River Barnstable Project street address Waterway (Centerville( Description of use or change in use: Ton construct and maintain a boardwalk pier, ramp, and float for recreational boating. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." Gr 2 �. Printed Name of Municipal Official Date c gnature of Municipal OM Title Cityrrown 1 ' 4 1 CH91App.doc•Rev.08/13 Page 6 of 13 Massachusetts Department of Environmental.Protection Bureau of Resource Protection -Waterways Regulation Program X258892 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment Important: A. Application Information (Check one) filling out forms on the computer, use only the tab NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing- key tomove your Package for BRP WW06. cursor-do.not use the return Name(Complete Application Sections) : Check One Fee Application# key. WATER-DEPENDENT;.. IL 0 General:(A-H) ® Residential with <4 units $215.00 BRP WW01a ❑ Other " $330.00 BRP WW01b :For assistance [:]'Extended Term $3,350.00 BRP WW01 c incompleting this ' - = - - - - - - - --- ......................................--- - --- - - - --_- - - - ---- - -•-- - - - - application,please . Amendment(A-H) ❑ Residential with <4 units .$100.00 BRP WW03a : seethe .`Instructions". ❑Other $125.00 BRP WW03b NONWATER-DEPENDENT- Full (A-H) ❑Residential with <4.units $665.00 BRP WW15a . ❑ Other $2,005.00 BRP WW15b Extended Term.. $3,350.00 BRP WW45c,' Partial (A-H) ❑ Residential with <4 units $665.00 BRP M14a ❑ Other $2,005.00L BRP WW14b ❑ Extended Term $3,350.00. BRP WW14c. Municipal Harbor Plan (A-H) ❑Residential with <4 units $665.00 BRP WW16a ❑ Other $2;005.00 BRP.WW16ti ❑ Extended.Term $3,350.00 ` BRP WW16c Joint MEPA/EIR(A-H) ❑ Residential with <4 units $665.00 BRP WW17a Other $2,005.00 BRP VM17b Extended Term ' $3,350.00 BR.P WW17c Amendment(A=H) ❑ Residential with <4 units $530.00 : BRP WW03c ❑"Other: $1;000.00: BRP WN03d ❑Extended Term" $1,335.00 BRP WW03e CH91Ap0.doc-Rev.08/13 Page 1 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection-Waterways Regulation Program X258892 Transmittal No.. Chapter 91 Waterways License Application 3.10 cMR 9..00. Water-Dependent, Nonwater-Dependent,.Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: Nathan T. & Kathryn M. Rudman " Name E-mail Address; 48 Waterman Farm Road; Mailing Address.. , Note:Please refer Centerville MA 02632 to the"Instructions" Cityrrown State Zip Code Telephone Number Fax Number 2. Authorized Agent(if any)_ Sullivan Engineering; Inca john@sullivanengin.com Name E-mail Address P O Box 659 Mailing.Address:_ :- Osterville MA 02655 City/Town State Zip Code 508-428-3344 508-428-9617 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided)20 Owner Name(if different from applicant) 207091004 41.641,987` 70.340972 Tax Assessor's Map and Parcel Numbers Latitude Longitude 48 Waterman Farm Road,.Barnstable (Centerville) MA 02632 Street Address and Citylrown State. Zip Code 2. Registered Land.' ®.Yes ❑ No 3. Name of the water body.where the:project site is located Centerville River 4. Description of the water body in which.the project site is located (check all that apply): �2 Nature Designation: ❑ Nontidal river/stream ®'Natural ❑.Area of Critical Environmental Concern Flowed tideland`s ❑ Enlarged/dammed ❑ Designated Port Area Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary ❑-Great Pond ❑.Uncertain ❑ Uncertain. , CH91App.doc•Rev.08/13 Page 2of 13 Massachusetts Department of Environmental.Protection. Bureau of Resource Protection -.Waterways Regulation Program X258892 Transmittal No. ` 3 C, Chapter 91 Waterways License Application .-310 CMR s:oo Water-Dependent,Nonwater-Dependent,.Amendment C. Proposed Project/Use information (cont.) Select use(s)from _ Project Type Table 5. Proposed Use/Activity description • on pg.2 of the "Instructions" To construct and maintain a boardwalk, pier, ramp, and float. 6. What is the estimated total cost of proposed work(including materials&labor)? $15,000.00 7. List the name&complete mailing address of each abutter(attach additional sheets, if necessary). An abutter is defined as the owner.of land;that shares a common boundary with the project site,as well as the owner of land that lies within 50'across a waterbody'from the project:' No abutters as applicant - owns both abutting parcels' : -Address Name Address Name Address D. Project Plans 1 1 have attached plans for my project.in accordance-with the instructions contained in(check one): ® Appendix A(License`plan) ❑ Appendix B (Permit plan) - 2. Other State and Local Approvals/Certifications ❑401 Water Quality Certificate Date of Issuance ®Wetlands SE3-5143 File Number-, Jurisdictional Determination JC,_ File Number ❑ MEPA: File Number EOEA Secretary Certificate ' Date ❑ 21E Waste,Site Cleanup RTN Number CH91App,doc•Rev.08/13 `' Page 3 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program : X258892 Transmittal No. Chapter 91 Waterways License.Application.-.310 CMR s:oo " Water-Dependent, Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents mustsign this page. All future application correspondence.may be signed by the authorized agent alone." "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of theMassachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "i hereby certify that the information submitted in this application is true an.d accurate to the.best of my knowledge." Applicant's signature Date Property Owner's signature(if different than applicant) Date. Agent's signature(if applicable) Date. F. CH91App.doc•Rev.08/131, Page 4 of 13 Massachusetts Department.of Environmental Protection Bureau of Resource Protection Waterways Regulation Program X258892 _ Transmittal No. Chapter 91 Waterways License.Application 31.0 CMR 9.00 Water-Dependent,Nonwater-Dependent,Amendment F. Waterways Dredging Addendum T. Provide a description of the dredging project 0 Maintenance Dredging_(include last dredge date&permit no,) j] Improvement Dredging: Purpose of Dredging 2 What is the volume(cubic yards)of material to be dredged 3_ What method will be used to dredge? �. _E1 Hydraulic: -11 Mechanical _E1 Other .. . Describe disposal method and provide disposal !acation (include separate disposal site location map) 5. Provide-copy of-grain.size analysis:if.grain size is compatible.for beach nourishment purposes,.the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In.the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall.be secured by applicant and submitted to the Department . CH91App.doc-.Rev.08/13 �� Pages of 13 x � - N To OF BAT CTO (T4 Lkl s /ice ter v� erg ,Q r / ry •44 f , f COe ZONE: PEHc rEsr:9aaT PEHC TEST:Il�00 a Rim(mn`f s(.e..m1 wrn�rv. .m•um.va nva®�a vsumute - s�ie�j�IM TESL HOIE.I •'rma "oTFST HOLE-S TFSTHOLE-) 11 OVERLAY DISTRICT: .:, _L.,_. cm�va•in'e';r',.a ai.„ r x,°e •§g m E LOCATION MAP FLOOD ZONE Koc., 2 - • tat roA a .n.c vam.,w. ASSESSORS REF.: z SITE PASSED DIRECTIONS: I. B,�,a-Tea.°x,°>.. �'w•'.o°me, Y'.r-nu 1 n \ AauncESEoue�T I \`4� Cb I ¢� rs-/nV i � I Y IX. �I I I �m-2e..sa•><°•r�a A .4! 43 a wT-as� ''` \ ,ao I',•$. $ea$•�•\\ `� �tir-nBr °r/ a� I=•I ( �`4 of I,I 1 �` I a 1 a a I \ Lot li •I \ �_-''9%v \` 1 � I ' , ap°6 w.A.e �,v nb/-- J-- �F I/ ✓� /` / 'i'`�` I '�i� CROSS SECTION OF H-20 FLOW DIFFUSOR NOT TO SCALE ��'// •) �/''�:1 1 0 / '/ /,.I/�// �` EL/31tFNp DEVELOPED PROFILE OF SYSTEM R H :aamo u olBe re,l Ha°mro-mo lo,oar:o� z n MEI Site Plan PREPARED BY: PREPARED FOR: NOrES Proposed Improvements Sullivan EEnBgm65rring,Inc. Nathan T.&Kathryn M.Rudman " At O,l me,Na 02655 178 Captain samadrus Road °, 1 o - Lot 31 - Waterman Farm Cotuit,MA 02532 BamstabletamlleiMass ea.; a'sbu DAB`Jonuary 21,2011 SCALE: I-JOB Rene.: P5 29010 F ParcelEdit - Page 1 of 1 I rIII fi� ' 1� a dNlf€55: w Logged In As: Wednesday, October 5 2011 Frank Schlegel Parcel Application Center Road Svstem Reports Road Svstem The record has been updated. Parcel Detail Parcel ID: 207091004 1 Sewer Acct: I j T/R 0Update ; Devel Lot: LOT 31 Owner: JRUDMAN, NATHAN T& KATHRYN M Co Owner: I , Street:, 178 CAPN' SAMADRAS ROAD City: COTUIT . State: MA Zip; 102635 --------------- Location: 48 WATERMAN FARM ROAD �I' Village: Centerville Road Index: 1793 Pri Frontage: 0000 To set road, you can also enter road index and tab out of field.. Secondary Road: �1 " Sec Index: Sec Frontage: Visions Location: 10 WATERMAN FARM ROAD fast Updated: 10/5/2011 10:12:57 Al --------------- No. Bldgs: I" Account No: 1125645 Lot Size(acres): 5.11999541 State Class: 1300 Year Added: 0 Fire Dist: 3 Deed Date: 2/11/2000 Deed Ref: IC156588 Land Value: 266600 Bldgs Value: 0 I Extra Features: Condo Complex: I Building: Unit: Update i http://issgl2/intranet/propdata/ParcelEdit.aspx?ID=30433 10/5/2011 o - y � R r D6 � � 9 U � ffective Date: September 12, 2 011 Western SuretyOmp any 6 / 9 P � F LICENSE AND PERMIT BOND P y 6 e F KNOW ALL PERSONS BY THESE PRESENTS` Bond No. 71153759 ` y F y That we, Nathan T. Rudman y � tl P of the City Of Cotuit ,.State of Massachusetts , as Principal,. 6 and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts , as Obligee,in the penal sum of Eighty and 00/100 DOLLARS ( $80.00 ) lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Site Improvement Performance For Driveway/Curbing Location: 40 Waterman Farm Rd. , Centerville, MA 02632 by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the dutiesand'in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until September 12th 2012 , unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail tine Obligee and to the Principal at the address last known to the Surety, and at the expiration WWIIof thW Y3P° ys from the mailing of said notice, this bond shall ipso facto terminate and the Surety sh. ereu on-1R Iieved from any liability, for any acts or omissions of the Principal subsequent to said d�racs e number.of years this bond shall continue in force, the number of claims made a�as�tthis'bon ! ;he number of premiums which shall be payable or paid, the Surety's total limit of lI%` tty�h`�ll iut be ulative from year to year or period to period, and in no event shall the Surety's total li2an� � oa cams exceed the amount set forth above. Any revision of the bond amount shall not be cu 8 list c Dated this 22nd day of September 2011 F F F F F F F F 6 P F F Principal 6 tl r n r• � Principal F U WEST E ShRET COMPANY By P 9 — Paul T.Bruflat,Se for Vice President Form 532-1-2010 q F 9 F e i ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ss (Corporate Officer) COUNTY OF MINNEHAHA On this 22nd day of September 2011 ,before me,the undersigned officer, personally appeared Paul T. sruflat ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer,being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such officer. ' IN WITNESS WHEREOF,I have hereunto set my hand and official seal. S. ETCH s sa s At NOTARY PUBLIC SE SOUTH DAKOTA s Notary Public—South Dakota tgygyhhhhh�5a5gtiaby4y�.g4 t My Commission Expires February 12, 2015 ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF ss COUNTY OF On this day of before me personally appeared known to me to be the individual— described in and who executed the foregoing instrument and acknowledged to me that—he— executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL STATE OF• (Corporate Officer) COUNTY OF ss On this day of before me personally appeared who acknowledged himself/herself to be the of a corporation, and that he/she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires ' Notary i?ubhcc `'. },''`: ;%• OCZ IYi U ° w .0. a Z A A a a p ZZ � ° o i a W Z 'n v ) ~ `*" v 14 O O a O � "d l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i `� 7 7 Map v Parcel Application # /off S� Health Division Date Issued 1 - 1 Conservation Division Application Fee' Planning Dept. Permit Fee CA Z '30 Date Definitive Plan Approved by Planning Board Historic - OK i Pr / Hyannis H _ Preservation v Project Street Address q'2 WCLa e�MCM &IM Village [1eankC\1J )-e_ Owner kk4c �y aMC.�(/I Address Yq khler'man rrpm Telephone 77V, AM 01q4 Permit Request �L C� Cet'C // •t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2� �v Construction Type 1i D f2rrr� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes LINO On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count .bleat Type and Fuel: 4 Gas ❑ Oil ❑ Electric ❑ Other entral Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove ❑Yq LINO rDetached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: d existing ❑flew maize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: t -v Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # _ Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name, 5S2A2 UV L ` §a,� ST,-c n7 S Telephone Number .Sg'�47-5 9 9 Z Address Q 6V, S� -5'T License # S OZ(vo r Home Improvement Contractor# 4�0 3lQ Worker's Compensation #WCGSod9 DNI D f la 12en ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �.42►!i'ig r�i� SIGNATURE DATE eel _-zCJ'Z FOR OFFICIAL USE ONLY APPLICATION# r � " DATE ISSUED MAP/PARCEL NO. r , FYy, 3 ' " s - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.' COYOWNWeajtf2 afmamachwef ~ DepwUzetzr of-JTJ dW IAe s `=j Office of verffgatiam IIWX - aap�d� Worms CfllilaPME[fim� vderli�oaia� - - Appricantrola Name t r`c 3 mddl•em- 12-0 f. U.t C--t=X- : f}ilk Areyou an employer-2 Cheek the appropriatebox: E 1__,,,I am an employerudth E= I am a aeneral hype of New c eet Cmqrmffon � a eonlraGtor andl New CQDSECIICtiOIt employees(RE andfor have hired the s-ob-c�r; 2: = 1 am asolepr0PdeWI orpaMer Iist0d JMthe atfaehed sheer 7-I1 Remodeling ship and have no employees .1besesub-contrae MS have S_0 Demofiidan viol for me in any capacity- employees and have worlcere jho worl=e comp_insurance camp_insurance:� 9:EI BuildER--addition Feqnkeffl 5L We am a empor4wri and its.. 10.U Electrical repair or adds ions 3__ r aln a homeowner doing all work officers have exercised their ' myself[A:o worlarr.eomp- rift of es etnption perm D,IGL I I-7 PIumbnlg repair or additipns insuuanceseguired] c.152-§1(4)z and we have no 12.0 Roof repairs employees-[no work-er' l comn_ins rrance�ed-I 13_xOther > .0-- rP apnScaatfnatchecI bar;z�mnsialsoa'[IattttIte aahela�shmFiagiSteii campensatiaupalnylaformad= Homeasvnerswltasnb�eLiasatbdav iadieafm�bepareduma3ltwarkandsben him DRUIdeeoauaemrsmnstsnbmifaue�afadavT st{r3y Contaatmsthatchedtth"sbm3nutattachanaddiSanalsheetshasiaw-thenameof&esnb-consaet==dstntesvhetheraraatthaSteafi&ShaMMpiofee,IF t&esub-zaatr2ctmshave Iase�.Yhermast - 2Iieu ssar rum aliec mmabw- Zarrz anz wWbWtba IsspraAff zgwarkers'cflmpensnkon msrrssmzee.fm'zV mp7ajem Below Is&epogcc srfuijoh e InsU d1cP.cOmlMY-f-f,&M..' t �r%i-A i t1 i G f Poly {�r� �7!. T��DO* - �i' c Lei DTRZ&n i! t4 W' -sob Site Addr&ss =`711 �/A'l�/L/JiO�✓fi9'2Ii" -/Gf� Y1 -'/ %A/ VfLG� eha a trf le gr err' mp oa wl d6daratka page(shoes the peRcy nwmber and eVkaffm(daie)- Failure to secure coverage as required under$ecdon-75a of MOL 152 can lead to the imposition of crhmh3al penalties of afore trig to 91300-00 andfor one-yea-imprison>i=Es'well as clvR penalties in the form ofaSTOP WORK ORDER and a ne a P-50-00 2L day agghst-violafor-Be advised 7ffiat a copy of,this staternmt 3naybe forwarded-to-the Of lice oMvestIga&nsof-the D1L4 verificafibn. �tlt>:Ize�by eettlzePtr�s-�13 �P��tFie �zp�ovidedaboveis�a� L G. 7� -Pj-*,t3Vate _s 'iC r� Pie= — EIS— 1 5 i oi-i Teiai lure mgy Do nm-write in tfz&area fry be completed by c&j,or tvwiz offccaai 1 at}or Town:jouing Authority(eirele one). s oard ofI e2Eh 2. I3tuldingDeparimerr, 3_CitylTo;va Clerk _ tecEtic l3ttspeetQr PIS+ * „erector r 6.Other , �^oatactpnn s � — 3°Ftarte �: ar Client#: 18348 DATE(MMIDDIYYYY) RAD. CERTIFICATE OF LIABILITY INSURANCE o510112012 b R CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS j € ;tTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EX N THE ISSUING INSURER(S),AUTHHORIZZ TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES FLOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEED Tthe REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.IMPORTANT:If the certificate holder is anADDITIONALINSURED,the policy(ies)must be endorsed.I SUBROGATION IS WAIVED,subject to terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: - 50$7781218 PHONE 508 775-1620 aC,No Dowling&O'Neil AIC,No Ext E-MAIL Insurance Agency ADDRESS: 973 lyannough Rd., PO Box 1990 - INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:Acadia Insurance INSURER B:Associated Employers Insurance . INSURED - - E2 Solar,Inc. INSURER C -Jason Stoots INSURER D: 120 Chase Street INSURERE: Hyannis,MA 02601 INSURER F- REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: BEEN ISSUED TO E INSURED ABOVE FOR THE POLICY PERIOD ES ITHIS IS TO C IFY THAT THE NDICATED. NOTWITHSTANDING,ANY REQUIREMENT,E OF INSURANCE N URA,IJTTERM LISTED CONDITION ON AOF VE ANY CONTRACT ORHOTHER DOCUMENT D WITH RESPECT TOW CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN POLICY REDUCED EFF B P CXP ID ECL CLAIMS. UNITS VTR ADDL SUBR POLICY NUMBER MMIDD MMIDD TYPE OF INSURANCE INSR WVD A GENERAL LIABILITY CPA033453212 4/22/2012 04/22/201 EACH OCCURRENCE $1 0,000 DAMAGE TO RENTED s250,000 PREMISES Ea occurrence X COMMERCIAL GENERAL LIABILITY - "_ - MED EXP(Any one person) s 5,000 CLAIMS-MADE a OCCUR PERSONAL&ADV IN $1.000,000 GENERAL AGGREGATE s2,000,000 PRODUCTS-COMPIOP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY JECT LOC COMBINED SINGLE LIMIT $1,000,000 q AUTOMOBILE LIABILITY MAA033967112 4/22/2012 04/221201 TOM' BODILY INJURY(Per person) $ ANY AUTO - - BODILY INJURY(Per accident) $ ALL OWNED �( SCHEDULED - AUTOS AUTOS PROPERTY DAMAGE. $ NON-OWNED Per accident X HIRED AUTOS X AUTOS $ A X UMBRELLA LIAR X occuR CUA033453412' 4122/2012 04/221201 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 EXCESS LIAB CLAIMS-MADE - - - - $ DED X RETENTION$O WC STATU- OTH- KERs COMPENSATION WCC5008041012012 3116/2012 03/16/201 B woR X AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $5OO OOO - ANY PROPRIETORIPARTNERIEXECUTIVE YIN N NIA _ - - E.L.DISEASE-EA EMPLOYEE s500,000 r OFFICERIMEMBER EXCLUDED? - - (Mandatory in NH) - E.L.DISEASE-POLICY LIMIT s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required). - - Alison Alessi and Gregory Gorman are excluded from the workers compensation policy. ions and endorsements: Insurance coverage is limited to the terms,conditions,exclusions,other limitat of insurance shall be deemed to have altered,waived,or extended the Nothing contained in the certificate coverage provided by the policy provisions. CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ken KeVOrklan " THE EXPIRATION 'DATE THEREOF, NOTICE WILL BE DELIVERED IN 109 SCh001 Street. ACCORDANCE WITH THE POLICY PROVISIONS. Marstons Mills,:MA 02648 - AUTHORIZED REPRESENTATIVE" ©1988-2010 ACORD GORPORATION.'AII rights:reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD LS1 #S95507IM95504 --- 120 CHASE ST HYANNIS, MA 02601 Update Address and return card.Mark reason for change. (� Address [—] Renewal ❑ Employment Lost Card SCA 1 Co 20M•05/11 r//�• -r,u����r,i��n ��///r,/'nll�.f./��r/u.u/%� License or registration valid for intlividul use only Office of consumer Affairs&Busihcss Regulation SOME IMPROVEMENT CONTRACTOR before the expiration date. (f found return to: �fjtegistrati R 1MENT Type: Office of Consumer Affairs and Business Regulation AI l0 Park Plaza-Suite 5170 xpiration: 7/16/2014 DBA Boston,MA 02116 E2 SOR - JASON STOOTS �r' 120 CHASE ST HYANNIS, MA 02601 Undersecretary �alidout signature A - Massachusetts -Department of Public Safety Board of Building Regulations and Standards JASON $$OOT$ {lnlstrucli+rn Supers isor License:`CS-090293 Inc JASON D STOOTS ` , A .' Photovoltalc lnstallatlons 120 CHASE ST 120 Chase Street HYANNIS MA 02601 x MA CS License 090293 l•lyannls MA 02601 NABCEP It 938085 sell:608.237.3892 •- - Nwili Amecon acuid 6— off ice/lax:508.775.1385 Expiration Jason®e2solarcapecod.com ✓-�^-^ ��` ` �1�1ILQllf www.92solarcapecod.com Commissioner 04/28/2014 C$ �00)PROPOSED W)PROPOSED �'` v SUNPOWER 240 WATT PV MODULES. C. SUNPOWER 240 WATT ///��J TOTAL ARRAY;9.840 kW PV MODULES. l/> TOTAL ARRAY;9.840 kW � j Frs���� 1z..r,SPAS a t 9 Jd- - -' - - - I - - '=�- - - - - -'- - - - -'- -'--- _ El=l IAAJi JJ'JJ I J _ ...................... . v -- -. . ... . . �_.......... ..................._....-......_........._.....:..--. .........................- _...._.t........ .............................................._...........-.................1.......................................--------------------...........................-........-.......>...............-............._..I.-...........J..._....._........I.... -......._. .............. REAR/EAST ELEVATION (J 16 J4?)PROPOSED SUNPOWER 240 WATT PV MODULES. iw±IJ�i * TOTAL ARRAY:9.840 kW LED NG, �: � - - - - - - - - - - - - - - - - - - d - - - - - .;......1....................................................... ............................ I..:.... \' •- LEFT/NORTH GARAGE ELEVATION r • I......................................... LP-FT/NORTH ...� V � �- T/NORTH ELEVATION f — Maximum Span Calculator for Joists&Rafters Page 1 of 1 Maximum Span Calculator Q9" for Wood Joists & Rafters / .awc.or CFA7F/Z vrI-L 6 P119 www Species Spruce-Pine-Fir 'f _ Size "2xio Grade No.z \/tf C, Member Type Rafters(Snow Load) Deflection Limit 'L/360 Spacing (in) 'za Wet service conditions? J No Exterior Exposure T Incised lumber? No _ •. Snow Load (psf) 20 Dead Load (psf) ;i0 Calculate Maximum Horizontal Span Go to Span Options Calculator for Wood Joists&Rafters LIMITS OF USE i a HELP _ ') ; _RESTART Span Calculator for i e , I Wood Joists and Rafters s n available for the Whone. The Maximum Horizontal Span is: 17 ft. 3 in. with a minimum bearing length of 0.81 in. required at each end of the member. Property Ivalue Species Spruce-Pine-Fir Grade jjNo. 2 Size 112x10 Modulus of Elasticity (E) 111400000 psi Bending Strength (Fb) 1272.91 psi Bearing Strength (F�p) 425 psi Shear Strength (FV) 155.25 psi While every effort has been made to insure the accuracy of the information presented, and special Comments? info@awc.org, effort has been made to assure that the information reflects the state-of-the-art, neither the American Wood Council nor its members assume any responsibility for any particular design prepared from this Online Span Calculator. Those using this Online Span Calculator assume all liability.from its use: • r http://www.awc.org/calculators/span/calc/timbercalcstyle.asp?species=Spruce-Pine-Fir&si... 9/19/2012 y a : A ` Photovoltaic Installations E2 SOLAR INC 120 Chase Street Hyannis, MA 02601 (508) 237-3892 CS license#CS090293 Home Improvement Contractor's Lic. # 160360 e2SolarPV@gmail.com Contract for Photovoltaics OWNER'S NAME: Nate Rudman PROJECT ADDRESS: 48 Waterman Farm Rd. Centerville MA, 02632 1. PARTIES: This contract (hereinafter referred to as "Contract") is made and entered into on this 3rd day of July 2012 by and between Nate Rudman (hereinafter referred to as "Owner"); and E2 SOLAR INC (hereinafter referred to as °E2Solarn or"Contractor"). WHEREAS, Owner seeks to have one (1) 9.84kW AC Kilowatt -grid tie solar photovoltaic (PV) system, hereinafter called "the system" professionally designed and installed at the above-named project address. WHEREAS, Contractor agrees to install the systems in accordance with all local code requirements and in accordance with current National Electric Code. WHEREAS, Contractor agrees to install the systems in a professional and courteous manner, leaving the job site secure and clean at all times. THEREFORE, In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: 2. GENERAL SCOPE OF WORK DESCRIPTION 2.1.) System Specifications: The 9,840 AC Watt PV system will consist of forty one (41) SunPower 240 Watt AC Photovoltaic modules mounted to the south facing roof The photovoltaic modules will be mounted to the roof using Unirac mounting system All roof penetrations will either meet or exceed the local building requirements The system's AC production will be connected to the grid at the main electrical panel The AC disconnect will be located on the exterior of the home, with all appropriate signage posted as required by the utility. This system will not include a battery back up system meaning the system will not ' Produce power in the event of a power outage. THE EXPRESS WARRANTIES CONTAINED HEREIN ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTIES OF. MERCHANTABILITY, HABITABILITY, OR FITNESS FOR A PARTICULAR USE OR PURPOSE. THIS LIMITED WARRANTY EXCLUDES CONSEQUENTIAL AND INCIDENTAL DAMAGES AND LIMITS THE DURATION OF IMPLIED WARRANTIES TO THE FULLEST EXTENT PERMISSIBLE UNDER STATE AND FEDERAL LAW. 8.5 PERMITTING Contractor agrees to apply for and secure the necessary local building and electrical permits required to perform this work. All work performed will be done in compliance with the requirements of the local officials. 9. ENTIRE AGREEMENT, SEVERABILITY AND MODIFICATION This Agreement represents and contains the entire agreement between the parties. Prior discussions, verbal representations or written memoranda of any kind by Contractor or Owner that are not contained or referenced in this Contract are not a part of this Contract. In the event that any provision of this Contract is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Contract will remain in full force and effect. An future modification of this Contract mu st ust be made in writing and executed by Owner and Contractor in order to be valid and binding upon the parties. The parties have read and understood, and agree to, all the terms and conditions contained in this Agreement. Yatel 14 o too for EP S©tar Inc, Contractor D to ate dman Photovoltaic Contract Page 8 of 8 " E2 Solar Inc.,Contractor Nate Rudman,Owner f - S U N POWE R E 19/245 ond E • SOLAR PANELS 19% EFFICIENCY SunPower E 19 panels are the leading efficiency panels on the market today, SERIES providing more power in the some amount of space TRANSFORMER'LESS INVERTER COMPATIBILITY Comprehensive inverter'compatibility ensures that customers can pair the highest efficiency panels with the highest-efficiency inverters, maximizing system output POSITIVE POWER-TOLERANCE Positive tolerance ensures customers L receive the rated power or higher.. . for every panel RELIABLE AND ROBUST DESIGN THE WORLD'S STANDARD FOR SOLAR" SunPower's unique Maxeonr" cell Su0owerT' E 19 Solar Panels provide today's leading efficiency and technology and advanced module performance. Powered by SunPower Maxeon' cell technology, the E 19 design ensure industry-leading reliability series provides panel conversion efficiencies of up to 19.7%. The E 19's low voltage temperature coefficient, anti-reflective glass and exceptional low-light performance attributes provide outstanding energy delivery per peak power watt. SUNPOWER'S HIGH EFFICIENCY ADVANTAGE 20% j 15% k e .� THIN FILM CONVENTIONAL E E Ey101� MAXEONTM=CELL. SERIES SERIES SERIES! TECHNOLOGY d Patented all back contact solar cell •, PV CYCLE MCS providing the mdusiry§highest ;a \\ \\ �r--i� NOVegicieiicy and reliability °°°°°`� www.sunpowercorp.co.uk r • SOLAR PANELS MODELS: SPR-245NE-WHT-D, SPR-240NE-WHT-D ELECTRICAL DATA IN CURVE Measu ed at Sla dord T st Co d h 1STC1 I d rrce I OOOW/m',AM 15 d ell temperalu 25 C : ' 7 10001N�at 50"C Ij Nominal Power(+5/-0%) Pnom 245 W 240 W I - T - Cell Efficiency q 22.5% 22.0% 1 6 Panel Efficiency q 19.7% 19.3% I Q gooW/m° j-__ 1 _ Rated Voltage Vmpp 40.5 40.5 V y Rated Current ImPP 6.05 A 5.93 A V 3 500W/m Open-Circuit Voltage Voc 48.8 V 48.6 V Short-Circuit Voltage Ix 6.43 A 6.30 A 200 W/m+ - ------ - -_ 0 TMaximum System Voltage IEC 1000 V ! { 0 10 20 30 40 50 ' Temperature Coefficients Power(P) -0.38%/K # Voltage M { I Current/voltage characteristics with dependence on irradiance and module temperature. Voltage(T/oc) -132.SmV/K I Current(Isc) 3.5mA/K _ [- I NOCT 45°c+/-2°c _ TESTED OPERATING ,CONDITIONS I Series Fuse Rating 20 A Temperature -40°C to+85°C u Limiting Reverse Current(3 strings) I 16.1 A 15.8 A I a 550 kg/m (5400 Pa),front(e.g.snow) --- -- Max load w/specified mounting configurations r Grounding Positive grounding not required -- -- ) 245 kg/mz(2400 Pa)front and back(e.g.wind) 1 ' ELECTRICAL DATA.,. Impact Resistance Hail:25 min at 23 m s -- I Meow red r Nominal Operanng ceu tempera ore M�1 I d Gp /ce 800W/ 2Q C,and 1 m/s i Nominal Power Pnom 182 W 178 W < _ VVARRAN Rated Voltage VmPP 37.3 V 37.3 V j TIES.AND CERTIFICATIONS { Rated Current Im. 4.87 A 4.77 A Warranties 25-year limited power warranty i - -- _.__. _ Open-Circuit Voltage Voc 45.7 V- 45.5 V ; - - -� 10-year limited product warranty } Short-Circuit Voltage - -Isc 5.20 A5.10 A Certifications IEC 61215 Ed.2,IEC 61730(SCII) - i L ;MECHANICAL DATA t - - Cells- -72 SunPower Maxeon"cells _ - Output Cables 1000 mm cables/Multi-Contoct(MC4)connectors 1 Front Gloss High-transmission tempered glass with anti-reflective(AR)coating Frame Anodised aluminium alloy type 6063(black) Junction Box IP-65 rated with 3 bypass diodes 4 32 x 155 x 128 mm Weight 15.0 kg DIMENSIONS .' 4. - ' MM (A)-MOUNTING HOLES (8)-GROUNDING HOLES. 2X 11.0[.43] (IN) 12X 06.6[.261 1OX 04.2[.17) t- 2x577(22.701 - 180U7071 -- 2X30[1.191�i 322[12.691 4X r { { ! r t -t IN i � E ffII X f a r, END S END ry i u I i [ --- ---F 1559161.39 J-:--- ---' .46[1.81] 415136.02] -T . t 1200(47 241 )2(.471 --M23 [60.4s] i Please read safety and installation Instructions before using this product, visit sunpowercorp.com for more-details. O 2011 SunPower Corporation.SUNPOWER,the SunPowei logo,and THE WORLD'S STANDARD FOR SOLAR,and MAXEON are trademarks or registered trademarks s V n p o W e r C o r p•cam of SunPower corporation in the US and other countries as well.All Rights Reserved.5F cifications Included in this datasheet are subject to change without notice. Docum®r$001.65443 Rev'B/A4 EN CS 11 265 - _ - -- _ _ �E���=�---'---_ __ - - -= - '}•,,-' ;y�':�-C-a:lye:^ - - - _ =�_'�-�_.�=�3 -T`- =)cs�---.roi7aax nc r_-t::a:_:=:__ -r_r - :•r.::.::_•.I _ _ _ - -: •'-15=2:,-::C _ _ t =Sty.::'- z:t•c.Y:a!-s.T_=:]o� _ a- t:)S! c=t1 •t_:'S-�-:;:a- =aY_pt �..-i_]:)- I'J;1:� �.^::- • 1 a:!1 aitt/a-: :3��::1i-:•i:t:: -=.. J,• ..: ,. _�, _ - :i-. _�1'1'_! _ -•:1::=Y:f:S•]JJ.I::::l )•: i__til�l J1,•_ :1.^.� =-]::=JS_s=• +:)_= SIl 1•11 lI!w• - PA i - •�'' �� )-ice. Y=_ ii!s:� - f eii S� -:x:•-. _tom' __ - -- - - _ - _ _ -rt=t�rr.. r-i..'•�,.r- T: -___'-�-___._.._.-_-_-_--•-�----_ram-r-:�--� ��:.-�:-_-:�::-�_~t-s___ __-_-- J.._.ti- _ __ _r -- _ti. - -- -Y -- - ... -. L-Foot material:One of the following extruded aluminum alloys_6005- T5,6105-T5,6061-T6 Ultimate tensile:38ksi,Yield:35 ksi Finish:Clear or Dark Anodized L-Foot weight:varies based on height-0.215 Ibs(98g) (C. Allowable and design loads are valid when components are Beams.; 4' assembled with SolarMount series beams according to authorized ---Bolt UNIRAC documents �MI, I L-Foot For the beam to L-Foot connection: / •Assemble with one ASTM F593 3/"-16 hex head screw and one �errafed . 3 n /�1 ASTM F594/a serrated flange nut Flange Nui� e.:_: •Use anti-seize and tighten to 30 ft Ibs of torque 9 Resistance factors and safety factors are determined according to part 1 section$of the 2005 Aluminum.Design Manual and third-party test Y results from an IAS accredited laboratory b X NOTE: Loads are given for the L-Foot to beam connection only;be sure to check load limits for standoff,lag screw,or other i , attachment method 3.01 Applied Load Average Safety Design Resistance i7516i FUR Direction Ultimate Allowable Load Factor, Load Factor, '.St�uDvfnae ` Ibs(N) lbs(N) FS Ibs(N) � t 1 - 2.01 .= Sliding,Z+ 1766(7856) 755(3356) 2.34 1141 (5077) 0.646 Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575 Dimensions specified in inches unless noted Compression,Y- 3258(14492) 1325(5893) 2-46 2004(8913) 0.615 Traverse,X+- 486(2162) 213(949) 228 323.(1436) 1 0-664 i STANDARD RAIL L FOOT 8 3/8-16 X 3/4 - HEX HEAD BOLT 3/8-16-- FLANGE NUT �-1 '-LJO 48r D Q `P 000 Detail 00 - installation ©2008 UNIMC. INC. - - - ------ SolarMou t Rail WRO.&OWAY m}m L Foot Connection AMCIMQUE. NM 97102 M PHONE 5052=2-641I URASSY 000 FLANGE NUT END CLAMP o ' OP MOUNTING FLANGE NU_T CLAMP MID CLAMP T-BOLT e UGC-1 CLIP T-BOLT SOLAR MOUND RAIL T-BOLT UGC-1 . CLIP �-- -RAIL 0OUN RA 000 00 Installation Detail ©2005 UNIRAC, INC. SolarlVlount Rail �O.Anvmy BLVD NE Top Mounting Clamp Ammo auE, NM 87102 USA PHONE 5052426411 Universal Grounding Clips UNIRAC.COM URASSY-0006 c s 1aai1 '.i�rar�= ,'-lj= 't-70t;c— �1^,* .Icon: dui!—Ui L-1 CGp—Top, i/nur.t Clomp_�ac, a/22/2i�0� �_L;==? '" - ��� ., ,.,,,,�.•.•..I..•...,.•,,.•�.,...1. ,':�'...+..,,, ,,.. rat F'y4l"., •,t1µ(yl���t �,1' SS 5;:r,'il>L' .�' t''„ Al'; t, ,AMP ' T. I• i.'�y'(y' ,;,UII�I • • 1" II �. 1 11l',yi I 1 '/r•• 1. �4', to J1 ,,'•f y'•( ,�1 This is to cL�ti/y/y1y� tl��ct` `` ,1. ' ' S scanJa 0 S ,.' , ,•', ,'':� .; 120 Chase Street, H awis, MA 02601 ' 1zcrs succc-'ssfzdll, ; completed t is 8-hour corers "' ' ' 'I;•,., :, r�`{.;'' ' :i Renovator Initial English Pursuant t61.0 CFR Part 745.225 Course Location Shepley Window Showcase 75'Sen Franklin•Way Hyannis, MA 02601 June 7, 201.0 June 07, 2010 COLlrse Dates + �Kamineition'Date r+ R-I� 8.10.06939 ,1,, '1 1839 �64„ 7.��1fY15 �•"" CertIfIcato a N mbor r l kplratlonbate' Tralnlncg Director S 'lei l..li,tlarll�trll/Q VVIli-nij,19toll M/1 0.1 {11)r+''1' ry �� i+ ' I I1r'1I h I.j l `•i, ,L� I J', I l+:1/1 '•��,E 1 d•IIUI"Ill 1 78.1•58,6, J 1 � � �%'i. �/,vJ�,il:•c•i:r�l(rl.;.r.Ur� ;'` I t �i� I' .I•i 1� 1 h� •'1 1' . I I t' ••1 t �1 1 'I Affidavit of Substantial Financial Interest I, of d l t v ell , on oath depose and state as follows: 1. 1 am an applicant for a building permit for the prope located at Map o70 , Parcel 0 9 &off The address of the property is y�> 2. 1 have e2 legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is // , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address CO � 4. Within the last twelve months, from today's date, which is I have had a 1% or greater legal or equitable interest in the following properties which have been. the subject of a building permit application: Map/Parcel Address 22 5. Within this calendar year, l have submitted / building permit applications for property in which I have a 1% or greater,legal or equitable interest. 6. Within the last ten days, I have submitted ' 0. building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month,1 have submitted 0 building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received 0 building permits for.property in which I have _ a 1% legal or equitable interest. , Signed under the pains and penalties of perjury, thisjo day of Mmt/, , 200L( 2001-0050/affin 1 Q/LOTTERY/AFFIDAVIT . r Wi/bvi F WMIam f. Proctor of &I ID'Danno# r rAYEASANT WAY f (40.O0 Wise, 3229 0 swET / OF 2 - ,�fse1�-$1?PDIV1SI0ff PLAT OF LAM IN MJMSTAFLB Schofield Brothers Inc., Surveyors Ile r'/96t27Nh2B�66n► $' � .��s� o .'nv' Deoember 14, 1973' ce 10 W ;,,.: ` � Z �� ' �- lroq� sbir�(• eI o% cs, zoo 06 st 01 vsiv.� CirL 6.l10t . /Mae c WAY " 1 AN is . rrlo!'9?10�; :ca IS CIS 3P6.40 \ 09 E Arnold C. ; .: .. ,`, �• i � ~�ee���c • J i 4 � s I, Robbras etal "f / a F ' ewa m Krovit,Trustso 0 % o '1._Bainad rQ.�i/tpfro/Q I!o% O+ I do"Ite L Gourley40 :Edrord A. Kilroy r _ J flg3.94 r 4j [ M orMM!► I�anlP �ow+ '` T NbC•49'JO.hj C�. pore6570J 4 e; ��i Otto $.nyder 44 F Gsoipi✓. _ Wrfip//o,✓i y y�4 -Subdivision' of Part'of Land Shoim on Plan 32290A Sheet 1 and 2 i;Ttled with Cert. of Title No. 59467 � AeGistry District of rarnstable County Abutters are shown as on original decree plan. �r,:.: emote CeFtiflcstes of title may be issued &land lkCrt:0r4nttihte92.oslota.J vadt.___---- cc#I —19 i`, ., . [AND RE6/STRAT/0N MICE ,//urvE zs /gyg�p---- �, I. �� scab of thh 0200 fat to on irgh DOC s792?248 .02-11-2001 i 1 :20 C7 s15GS3d QUITCLAIM DEED ' BARl-1STABLE LR140 COL►RT REG1'STRY WE,OLGA E.FULLER and THOMAS C.WATERMAN,of 337.South Main Street, Barnstable (Centerville),Barnstable County,Massachusetts 02632 for consideration of TWO HUNDRED FIFTY.THOUSAND AND 00/100($250,000.00) �^ DOLLARS paid,grant to 6A. KATHRYN M. RUDMAN .�' NATHAN T.RUDMAN and Kx1nWW*t60*MX,husband and wife,as tenants by the a entirety,both of 73 Harbor Bluff Road,Barnstable(Hyannis),Barnstable County,Massachusetts 0260) ki U � with QUITCLAIM COVENANTS,that certain parcel of land,together with thef buildings thereon,situated in Barnstable(Centerville),Barnstable County,Massachusetts,more particularly described as follows: w LOT 3,as shown on Land Court Plan No. 32290D. C s r Subject to and together with the benefit of all rights,rights of way, reservations,restrictions and H easements of record insofar as the same are in force and applicable. 4 For title,see Certificate of Title No. 91150. Q WITNESS our hands and seals this day of December, 1999. a s t� V a ell, OLGA& FULLER . THOMAS C. WATERMAN COMMONWEALTH OF MASSACHUSETTS Barnstable,ss: Then personally appeared the above-named Olga E. Fuller and acknowledged the foregoing instrument to be her free act and deed,before me NOTARY"PUBLIC 7- 2ach STATE OF CALIFORNIA County of: December , 1999 Then personally appeared the above-named Thomas C. Waterman and acknowledged the foregoing instrument to be his free act and deed,before me �� R1Ti4clirD NOTARY PUBLIC My commission expires: S-d Q . -------- ------------ '4N `EGOS BAkNSTABLE COUNTY REGISTRY OF DEEDS 02/1I' COUNTY EXCISE TAX QA#V,D 00 1 rpt --- s8S5 ATE 02.11.100 FRI TAX $570.00 TOTAL $570.00 CASH $570.00 CLERK-I N0.002954• TIME 13:23 2222 1 ( CALIFORNIA ALL-PURPOSE-ACKNOWLEDGMENT State of California ss. County of On before me, s� Dale //Name and Tft of Ofter(e.g.,'Jane Doe.Notary Public) personally appeared y2?! -e Nnne(s)of Sig-r(s) ❑personally known to me J proved to me on the basis of satisfactory evidence Juursn+urH to be the person(s) whose name(s) is/ar:e Commission#ti8MI subscribed to the within instrument and Notary Public-Coiltomia acknowledged to me that he/sheithey executed MY�yn nt the same in his/heT/their authorized capacity(ies), and that by ' hislherltheir •signature(siyon the instrument the person e+;or the entity upon behalf of which the persons) acted, executed the Instrument. WITNESS my hand and official seal. ` Place Notary Seal Above Signature of Notary Public ----- i OPTIONAL Though the information below is not required by law,rt may prove valuable to persons retying on the document and could prevent fraudulent removal and reattachment of this form to another document. . Description of Attached Document Title or Type of Document: Document Date: l'a •Aq=.9�. Number of Pages: .Signer(s)Other Than Named Above: JL4 ------- i Capacity(les) Claimed by Signer Signer's Name: i Individual Top of Ihon�il here . i Corporate Officer—Title(s):- ! Partner—L.I Limited [J General !... Attorney in Fact [, Trustee L. Guardian or Conservator L. Other:--- - --__. Signer Is Representing 0 1997 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•CrtetswoM,CA 613 4 3-24 02 Prod No,5907 Reorder:Call TollTree 1-800.876-6827MAKN ; REGISTRY E TABLEQISTRYDM A TRUE COPY,ATTESTBARNS TABLE F.MEADE,REGISTER 1 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map "- 7 Parcel O /, nd Application (D `l �� (V Health Division Date Issued I Conservation Division Application Fee Planning Dept. := Permit Fee Date Definitive Plan.Approved by Planning Board Historic ' OKH _ Preservation/Hyannis Project Street Address 8 W A'f-ER MAP) E&M R P. d-0 T.�31 Village C� &W%G ✓/L L C I?R -'APrlgi/" SA OwneriVA +&N7Y/�P h V 1J M40 Address c n?l Z: Telephone 7 7Y-- U R'7 — © / 9S/ Permit Request $"//d/ a- 0 4-e -f-' a 141'dy '('all- bed 1- oo M &d 0 0,4 Coli 4 horse- . Square feet: 1 st floor: existing proposed 9Z 2nd floor: existing proposed �7v 7Total new C Zoning District h' C' Flood Plain Groundwater Overlay 0�1j' Project Valuation 3 ru'� Construction Type w d 0_P /� Iqki Lot Size S_/ Z C/7F;S. ^ Grandfathered: ❑Yes to If yes, attach supporting documentation. Dwelling Type: Single Family,. Two Family ❑ Multi-Family(# units) ,/ Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes No f Basement Type: Full ❑ Crawl ❑Walkout ❑Other f? Basement Finished Area(sq.ft.) Basement Unfinished Area (sgpft) Z Number of Baths: Full: existing new Half: existing f new Number of Bedrooms: existing new = _6 Total Room Count (not including baths): existing new First Floor Ro m Count Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air: )(Yes ❑ No Fireplaces: Existing New oZ Existing wood/coal stove: ❑Yes�No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing new sizY Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes/I, site plan review # Current Use �( h, Z/�+T�de 12 - Proposed Use S i h /'e-Aj th 1 ��/ �I Q yS� AErLWAV,T INFORMATION (BUILDER R HOMEOWNER) "yName f?L �,n =07 L L Telephone Number Address 77 2' /-&?//y 1 'f l License - .S O'g -6 S Home Improvement Contractor# Worker's Compensation # ®a j�'�o ®.r/l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN T0 /-0 V DATE SIGNATURE 7/ g L FOR OFFICIAL USE ONLY } APPLICATION# t DATE ISSUED _. .MAP/PARCEL_N0. ' ADDRESS VILLAGE 4 OWNER ' DATE OF INSPECTION: FOUNDATION , " '* FRAME INSULATION.:i z7: " FIREPLACE E ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH f FINAL E CAS:. ROUGH { j t FINAL 'FINAL BUILDING V. DATE CLOSED OUT ASSOCIATION PLAN NO. r TOWN OF BARNSTABLE BUIL ING PERMIT APPLICATI _ O Map 0 Parcel 0 7/_ 0 D . IO1S1/1 Application # 05(0 Health Division Date Issued Conservation Division Application Fe Planning Dept. \°•�e A( Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH V _ Preservation / Hyannis N 00 (24A0 s V" Project Street Address Village C FAI 7-,Fg U /L.0 E /78 r-/AfT)9>it/ .SAMp D f VS F . Owner/M7-2-I}/r/ T */TA7111f/�Al ?1 /c�v0 If f Address C � tv1 � a oZ Telephone 7 7 q-- I/ F 7 . 0 Permit Request U/lf� �' D !� 'a / /� W 004 ® 11 01� Square feet: 1 st floor: existing proposed2 �822nd floor: existing proposed/ Total new 3 1Y ,// Zoning District Flood Plain8r •-t110 Groundwater Overlay R P Project Valuation 4a_ ( Construction Type WOOD Lot Size 6. /.2 J9 C-,PFS Grandfathered: ❑Yes N(No If yes, attach supporting documentation. Dwelling Type: Single Family )4 Two Family ❑ Multi-Family (# units) Age of Existing Structure M- Historic House: ❑Yes YNo On Old King's Highway: ❑Yes V No Basement Type: V4 Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area oq n a Number of Baths: Full: existing new -.3 Half: existing ; new Number of Bedrooms: existing _new .. CD Total Room Count (not including baths): existing new _First Floor Room Counto ,5 a Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other ti Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove`. ❑'es VNo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing . ❑ new size_ 00 Attached garage: ❑ existing )d new sizeWhed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use P h d 2 v-el o p-e d Proposed Use .5�/4' 'Ca in 11 6® q5(. APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - _ Na e IJ Al Telephone Number '77q— Addr s �`7 D 7r4/AV) ef M' dS den # - �-Co 01 /f• /0-Z S 3 H me Impr ement Contractor# rker's Com ensation # ALL CONS CTION DEBRI RESUL NG FROM HIS PROJECT WI BE TAKEN TO d— SIGNATU E q �� FOR OFFICIAL USE ONLY ' APPLICATION# DATE ISSUED —� MAP/PARCEL N0. ADDRESS VILLAGE , OWNER f - r.,r DATE`OF INSPECTION: FOUNDATION - FRAME INSULATION f FIREPLACE s t ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' rt DATE CLOSED OUT ASSOCIATION PLAN NO.. f I 1° The Commonw .f earth o Massachusetts ._-•• Departmelst of lndustrialAccidenfs Of• Ice of Investigations s 600 Washington Street Boston,JIM 02111 ; www.mass.gov/dia Workers}Compensation lnsunince Affidavit: $udders/Contractors/Electricians/Plumbers A-Pplicant Wormation -.Please Print Tie ' I Name(Business/Drganizatio&hdividual): Address: 72 /l/��C,�-� Y City/State/Zip: Pro/% - Phone.#:. Are you an employer? Check the appropriate bog: :r . :Type of pi eject(required):. ; 1.❑ I am a employer with 4. I am a general contrabtor and I 6. New construction +employees(full and/or part-time). have hired the siib-contractors listed on the'attached sheet. 7. ❑Remodeling Z:0 I am a'sole proprietor or partner- These sub-contractors have ship andhave no employees 8. ❑Demolition employeeg and have workers' • 'working for me in any capacity, $, 9. ❑Building' addition [No workers' comp,m cur nce comp,insurance, 10 E•Electrical re airs or additions �quire ) 5: [] We are a corporation and its . P '3.[] I am a homeowner doing a'll-work . officers have exercised their I I-El Plumbing repairs or additions ' myself.[No workers' comp. right of exemption per MGL 12.E]Roof repairs insurancb.re c(L t c. 152, §1(4), end we have no to o workers' 13:0,Other . employees. [N Y comp.insurance rcgtiired.j *Any applicant that checks box#1 must also fill out the section below showingers their work 'compensation polic y infem:ation. t Flmneovroers,who-subrnitflvs aTdavit indicating they are doing all work and then hue ouLside•contractors must submit anew affidavit indicating such. , tCantmctors tfust check thlsbox nvttstiached an additional sheet showing the name of the pub-contractors said state whetbci,ornotthose entities have employees, If the sub-conb=tnrs have crrlobyee9,theymiist prMdb their.workers'comp.polidy number. X att an employer the is")roFo ding f6rkers'compensation insurance fdr my employees.-,Belmp isAepolicy-andjob site: ; Insurance CompanyNsbme' Policy,#or Self-ins."Lie,#: e Expiration D at: ' lob Site Address: G�ty/StaterZip: Attach a copy of the workers'compensation policy declarationpage'(showing the policy number and expiration date). Failure,to secure,coverage u required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalfies of a fine tip 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 thq violator,-Be advised that a copy of this-statemerit mayb6 forwarded to the-Office of Investigations of the j7IA for insurailpe covers e-vm:ficatiom I do hereby certify ug the palns•an a es f perjury th t the information provlded above is true axd correct. Si a G' Date: %/-✓�d'-l/ — Phone## Offtcial use C 11 Da not ruche 1n this area,fo be completed by,clay or to'wri official. City or-Town• ' Permit/License#` Issuing Authority(cfrrle one); .1.Board of Health 2,Building Department 3, City/Town Clerk 4,Electrical Inspector S.Plumbing Inspector 6. Other F, Phone Contact Person: #: i Coo��� COrep TOTAL DUE Food establishment inspections are ongoir necessary to make an appointment with ti establishment is not open during normal v call 862-4644 between (8:00 - 9:30 a.M.. inspection. Enclosed is a food permit application formli along with the required payment on or bel Barnstable, addressed to the Public He MA 02601. Upon satisfactory compliant two current ServSafe Certificates, you wi permit(s) for calendar year 2005. Failure to renew permit on or before Janu of $10.00 late charge. If you should have any questions, please office at 862-4644. A� ® CERTIFICATE OF LIABILITY INSURANCE °A11'130 011 O THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to jthe terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAM . y Erica H O'Connor . HART INSURANCE AGENCY,INC. PHONE . (508)759-7326 FAX 243 MAIN STREET Arc No PO BOX 700 ADDRESS: BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAK:p INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED Carl F Riedeil&Son Inc I SURERe: ARBELLA INDEMNITY INSURANCE COMPANY 10017 778 Main St Osterville,MA 02655. INSURER c INSURER 0: _ INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE - AODL SUER POLICY NUMBER MMIDDY EFF IYYYY POLICY II VLF IDS LIMITS .A GENERAL LIABILITY 8500033836 05/01/2011 05/01/2012 EACH OCCURRENCE S 1000000, DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY. PREMISES Ea occurrence $ 300000 CLAIMS-MADE FV OCCUR MED EXP(Any one arson) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE. $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMPIOP AGG $ 2000000 POLICY PRO-jrCTLOC S ` AUTOMOBILE LIABILITY - - COMBINED INGLE LIMIT idea ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS _ BODILY INJURY(Per accident) S AUTOS NON-OWNED PROPERTY DAMAGE S HIREDAUTOS AUTOS - Pe of _ S UMBRELLALIAB OCCUR EACH OCCURRENCE - $ EXCESS LIAB HCLAIMS-MADE - AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 0054000511 05/01/2011 05/Ot/2012 WC STATU- OTH- AND EMPLOYERS*LIABILITY _ ANY PROPRIETORIPARTNERIEXECUTIVE YIN - E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-_POLICY LIMIT $ SOOOOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AddKlonal Remarks Schedule,If more space Is required) I � CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD MASON @ MASON Fax:17814477230 Jul 27 2011 09:03am P001/002 Received: Jul 27 2011 09:02am 07/27/2011 09:39 7814472832 MASON MASON PAGE 01/02 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the Poll AIes)must be endorsed. If SUBROGATION IS WAIVED,Subject to the terms and conditions Of the POIIcy,certain polialas inlay require an andorsamenL.A steltemant on thi certificate holder in Ileu Of Such endomamengs). s Certificate does net confer rights to the PRODUCER Mason & Mason Insurance Agency, Inc. NAME., N Gwen Vosburgh 458 South Ave. EA( No Bat: 781.447.5531 No;781.447,7230 Whitman, MA 02382 DREW:FROPUCER c / Gwen 'Vosburgh _ j INSURED INSURE S)AFFOR�INp COVERAGE + NAIC A Advantage Electric, Inc. INSURERA: Travelers Cas. Ins. Co. of Am 29046 14 Leda Rose Lane iNSURERO: Travelers Cas. Ins. Co. of Am 19046 Hyannis, MA 02601 INsuRERc: Travelers Indemnity Of America 25666 INSURER D INSURER B INSURER F COVERAGES CERTIFICATE NUMBER: 11/12 GV built ` REVISION NUMBER:THIS IS Tp CERTIFY THAT.THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY-PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT`fb WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL r TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL BR LTR TYPE OF INSURANCE INSR IMrI) POLICYNUMBER GENERALLIABILITY MlDDMp LIMITS I6803689X93AAC31 0210112011R012 EACH occukRENCE $ 1 000,000 X COMMEkClA1 GENERI-A��L uABILITY CLAIMS-MADE Ff OCCUR P MISE8 Ee---- $ 300,OO A MED EXP(Any one person) $ 5,OOO PERSONAL&Abv INJURY 3 11000,000 GENERAL AGGREGATE $ 2 000 000 4EN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC PRODUCTS•COMPfOP AGG $ 2,000.00 - $ AUTOMOBILE LIABILITY BA4327XS7111SEL 0210112011 02101/20/2 COMBINED swrnr;UMrr $ ANY AUTO (Ea seddanl) 1 O00,00O ALL OWNED AUTOS $ODILY INJURY(Par person) $ B X SCHEOULED Aurros BODILY INJURY(Per aWdent) $ X HIRED AUTOS PROPERTY DAMAGE $ (Per accident) X NON-OWNEDauTos $ UMBRELLA UA6ECLAIMS-MuE CCUR EXCESS LIAR EACH OCCURRENCE $ AGGREGATE DEDUCTIBLE RETENTION S WORKERS COMPENSATION S AND EMPLOYERS'UANUTY - IHUB42 58X4681 02JO112011 02/0112012 - +^+ STATU- TH- - ANY PROPRIETOR/PARTNER/ExECUnVE Y❑ !?Y C OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ " 1OO OOO (Mendetery In NH) ROGER MFDEIROS I if describe under INCLUDED EL DISEASE-EA EMPLOYEE 9 100 O RIPTION ERATiONs bol El,DISEASE.POLICY LIMIT $ 500 00 DEB RIPTION OF 9PERATIONS I LOCATIONS I VENICLES (Attach ACORD i07,AfWtlo,t Remarks Schedula,lf mere apaca la repaired) lob Location: 40 Waterman Farm Road, Centervi �e, MA Email t0 gbiazisOcomcast.net CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE"EFORE . THE EXPIRATION DATE THEREOF, NOTICE WILL Be 0E4IVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Gary Bl azi s AUTHORIZED REPRnMTATIVE 105 Berry Hollow Drive �f Marlston Mills, MA David H Mason ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD MASON @ MASON Fax:17814477230 Jul 27,2011 09:03am P002/002 Received: Jul 27 2011 09:03am 07/27/2011 09:39 7814472832 MASON MASON ' tr PAGE 02/02 Additional Coverages and Factors ' 02r07/2011 Line of Business Coverages for Business Auto Coverage Limits Ded/Ded,7 - ,r Combined single limit 7 000 000 Type �' Rate Premium Factor PIP-Basic 8,000� t *' . Medical payments 5,000 Uninsured motorist t0 St 20,000/40,000 ;- combined single limit t Underinsured motorist 20,000/40,000, ` combined single limit r Comprehensive Collision 1,000/Flat F 1,000/Flat ` Line of Business Coverages for - c' • ge r General Liability . Coverage• Limits General Aggregate 2,000,000 Oed/Ded Type P Rate Premium Factor Products/Completed Ops 2,000,000 Aggregate Personal & Advertising . 11000;000 Injury'Each Occurrence 11000,+000 r, , Fire Damage 3,000,000 Medical Expense 5,000 P r •ems'=- Y ,, -, `''. •� y- , Line of Business Coverages.for Workers Compensation,M - Coverage Limits Ded/Ded Typer hate Premium Factor WC & Employer's liability loo,000/soo,000/ 100,000 AC�® DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/06/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Erica H O'Connor HART INSURANCE AGENCY, INC. NAME: 243 MAIN STREET PHCNN E t• (508)759-7326 FAX No): (508)759 7366 PO BOX 700 E-MAIL ADDRESS: BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURERA: ARBELLA PROTECTION INS CO 41360 INSURED Carl F Riedell&Son Inc - INSURERB: ARBELLA PROTECTION INS CO 41360 778 Main St OsteNille,MA 02655 INSURER C ARBELLA INDEMNITY INSURANCE COMPANY 10017 Ost INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE'LISTED BELOW,HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY 8500033836 05/01/2011 05/01/2012 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY DAREMMISAGEESS Ea occurrence $( RENTED 300000 P CLAIMS-MADE ©OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY PRO- jECT LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Perid $ AUTOS AUTOS accent) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident B UMBRELLA LIAB OCCUR 4600033836 - 05/01/2011 05/01/2012 EACH OCCURRENCE $ 1000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1000000 DED RETENTION$ 10000 $ C WORKERS COMPENSATION 0054000510 05/01/2011 05/01/2012 WCSTATu- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ SOOOOO OFFICER/MEMBER EXCLUDED? N N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under SOOOOO DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) PROPERTY LOCATION: 50 WATERMAN FARM ROAD CENTERVILLE,MA 02632 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GARY BLAZIS ACCORDANCE WITH THE POLICY PROVISIONS. 105 BERRY HOLLOW DRIVE MARSTONS MILLS,MA 02648 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010I05) The ACORD name and logo are registered marks of ACORD r ® DATE(MMR70lYYYY) A � l�^ CERTIFICATE OF LIABILITY INSURANCE 1,/28/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:�CT Erica H O'Connor HART INSURANCE AGENCY,INC. PHONE (508)759-7326 FAX (508)759 7366 243 MAIN STREET aC No PO BOX 700 AD RIS : BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIL 0 INSURERA: ARBELLA INDEMNITY INSURANCE COMPANY 10017 INSURED Carl F Riedell&Son Inc INSURERB: 778 Main St Osterville,MA 02655 . INSURER c INSURER 0: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES.OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMI IYYYY MMIDD GENERAL LIABILITY EACH OCCURRENCEAGE S COMMERCIAL GENERAL LIABILITY - OAMMI E 0 occrrence $ CLAIMS-MADE F—IOCCUR - MED EXP(Any oneperson) S PERSONAL S ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: _ ' PRODUCTS-COMPIOP AGG S POLICY PRO LOC : AUTOMOBILE LIABILITY 0 IN SING MIT ANY AUTO _ BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS - - NON-OWNED _ PROPERTY DAMAGE" _ HIREDAUTOS AUTOS Per accident) S UMBRELLA LEAS OCCUR EACH OCCURRENCE S EXCESS LIMB HCLAIMS-MADE AGGREGATE S DED I I RETENTION$ - S A WORKERS COMPENSATION 0054000511 05/01/2011 05/0112 112 V1 we srnru- 1 11oTH- AND EMPLOYERS'LIABILITY - ANY PROPRIETORIPARTNERIEXECUTIVE. YIN E.L.EACH ACCIDENT S 500000 OFFICERIMEMBER EXCLUDED? ❑ NIA _ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 3 - 500000 Ir Yes,describe undo, DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ 500000 k DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If mom space Is required) CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 09 DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved: ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD qW0RCr. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/08/2011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cowan Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR j 359 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill MA 01830 INSURERS AFFORDING COVERAGE, NAIC#` INSURED Pires Construction Corp.' `" INSURER A: Associated Employers Uisurance Company "? 379 Braggs'Lane" INSURER B: INSURER C: Barnstable MA 02630 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 ADDT POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION IDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE OCCUR MED EXr^ An one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS T (Per person) HIRED AUTOS, BODILY INJURY NON-OWNED AUTOS w (Per accident)- $ " _ PROPERTY DAMAGE $ -._ _ GARAGE LIABILITY' AUTO ONLY-EA ACCIDENT $ . ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X WC STATU- OTH- A EMPLOYERS'LIABILITY WCC5008896012011 _ 01121/20/1 01121/2012= E.L.EACH ACCIDENT j$500,000 AN'Y PROPRIE'FOR/PARTNER/EXECUI IVE OFFICER/MEMBER EXCLUDED? Yes E.L.DISEASE-EA EMPLOYEE $50O OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 508-428-5433 40 Waterman Farm Rd,Centerville MA Carpentry contractor. Donald Pires is excluded from coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Gary Blazis DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 105 Berry Hollow Drive NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO O 1 N OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Marston Mills,MA 02648 R R E E . A T R ESENTATIVE " ACORD 25(2001108) ©ACORD CORPORATION 1988 f Massachusetts - Department of,Public Safct� Board of Building Rel-ulations and Standards Construction Supervisor License License: CS 7964 CARL.S RIEDELL 178 SCUDDER RD OSTERVILLE,`MA 02655 , Expiration: 10/24/2013 Commissioner Tr#: 7679 �aF,ME r� Town •of Bar`astable Regulatory-Services NUM M$ Thomas F. Geiler,.Director, 1619• Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town:b arnstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 11 &'fr as Owner of the subject property hereby authorize C ,c3/� L /?/r 1��rL L to act on my behalf, in all matters relative to work authorized by this building permit application for (Address of Job) Signa of Owner Date � Print Name If Property Owner is applying for penuitpleasetcom'plea&the Homeowners License Exemption Form on the reverse -side. n•IInoA.f C-n UIIJF GPAR Ad f.CCinN r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 06-7 Parcel Ap-pli cation # I Q Health Division Date Issued 3b Conservation Division Application Fee Planning Dept. Permit Fee'` Date Definitive Plan Approved by Planning Board x: Le Historic - OKH _'Preservation/Hyannis - - Poiect'Street-Address �� dt/f}T�/L/YJ,q/v ��}lt/►'1 Village � �/l.. Owner _ '� �!/L v Address __IB .�AMA01jAS' 2�X Telephone_ __77 y 17T7- n i �{ Permit,Request/I/ zE c_ c Square feet: 1 st floor: existing propo d 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �, n --Name '- -_ 01ACZ 1 ► � -Telephone..Num_b_er �y�3G�-D2�(1_ Address X "/Z License # g&&Tie ecc, (�FT � O-L- g d Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE i t FOR OFFICIAL USE ONLY APPLICATION# , DATE ISSUED I MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: J' ` FOUNDATION FRAME ,4QT1 L 1� I Z ® 10 L INSULATION r®� FIREPLACE ELECTRICAL: ROUGH ` FINAL f _ PLUMBING: ROUGH FINAL GAS: ROUGH // FINAL FINAL BUILDINGS©3�lgNl3R►N `- „ r DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plutubers Applicant Information Please Print Lel!ibly Name (Business/Organization/Individual): Address: e V 8 LAC ff^2— City/State/Zip:gAJU4rf_1VoCC 41JQ Q p Phone#: _!0>e"'62- .3-Zs�-- 7 2n Are ou an employer?Check the appropriate box: Type of project(required): I I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑ New construction , mployees(full and/or part-time)., 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling These sub-contractors have ship and have no employees - '8. ❑Demolition - working forme in any capacity. comp.employees and have workers' [No workers' c omp.insurance p' ❑insurance.$ 9. Building addition 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 I LE]Plumbing repairs or additions myself o work ' right of exemption MGL y , workers' comp. n per 12.❑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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. TrInsurance Company Name: Policy#or Self-ins.Lie.#: W C-G.SO O g$!9('�Q( Zj (Z Expiration Date:Q' 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 Investigation e DIA for insurance coverage verification. I do hereby erti under p i s nd penalties of perjury that the information provided above is true and correct. Signature* Date: Phone#: y 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 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 06/13/2012 15:16 19785214669 COWAN INSURANCE PAGE 01/01 ` DATA(MMIDOM" IFICATE OF LIABILITY CORD CERTY INSURANCE 0F11 N2FpRMATION THIS CERTIFICATE IS ISSUED AS A MATTER 0 PRODUCPJt ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Cowan Insurance Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 359 Main Street Haverhill MA 01830 NAIC# INSURERS AFFORDING COVERAGE INSURED Pins Construction Corp: INSUR R A pssoclated Em 10 rs Insurance Com an 379 Braggs Lane INSURE B: INS RER C: Barnstable MA 02630 INSu •a D: SURER E: COVERAGESOVE THE POLICIES OF INSURANCE LISTED CONDITION OF ANY CONTRACT OR OTHER DOCUME TMWITHgRES EOCT TO Y WHICH THIS IOCERTIDFIICATEDMAYO BEITSSUE910R ANY REQUIREMENT. TERM 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 PAIO CLAIMPOL►CY EFFECTIVE POLICY EXPIRATION LIMITS INSR DD' POLICY NUMBER EACH�O CURR NCE GENERAL UABILITY DAMAGE TO RENTED .BEGAISES.lEa_oGsu�a>u�-- $' COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR MEO E)CP An one arson $ PERSONAL B ADV INJURY 4 GENERALAGGREGATE 3 PRODUCTS-COMP/OP A G 6 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO. LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Es accident) ANY AUTO ;ALL OWNED AUTOS (Per INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY . (Per neddent) NON-OWNED AUTOS PROPERTY DAMAGE $ (Pnr aeclderd) AUTO ONLY.EA ACCIDENT GARAGELIABILITY - - ANY AUTO OTHER THAN ACC $ AUTO ONLY: - AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE 9 OCCUR ❑ CIAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION S - - . X WC STATU- OTH- WORKERS COMPENSATION AND - S A EMPLOYERS'LIABILITY WCCS008896012012 0112112012 0112112013 El,EACH ACCIDENT $500 000 ANY PROPRIETORIPARTNER/F_XECLITIVE 500,0 00 OFFICERIMEMBER EXCLUDED? Yes E.L.DISEASE-EA EMPLOYEE tl a dasU be under E.L.DISEASE-POLICY LIMIT 3 gV)0��� OTHER. DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS. 508 790 6230 Carpantry contractor. Donald Pins Is eXClUded from coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR!_THE EXPIRATION Town of Barnstable DATE THEREOP,THE ISSUING INSURER WILL ENDEAVOR.TO MAIL 10 DAYS WRITTEN 367 Main St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$0 SHALL IMPOSE ND OBLIGIATI040OR LIABILITY/OF nNY KIND UPON THE INSURER:ITS AGENTS OR Hyannis,MA 02601 REP 4E AU R R SENT ACORD 26(2001/08) ®ACORD CORPORATION 1988 THE Town of Barnstable . Regulatory Services . iARNBTABi.E, % i n�nas Thomas F.Geiler,Director 039. 1� Ec " 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. r. I, Al grjl q wd'1�A iHRYA 170 D YV--9W ,as Owner of the subject property hereby authorize P/l'f C S C. D h/f 1' CD IQ P to act on my behalf,. in all matters relative to work authorized by this building pemvt. Y� �✓�tTc2 �"1f9t�/ ��9R%y f�.D :cCwTE,g��c.�` /y�, � II (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is'installed and pools are not to be utilized until all final inspections are perfo -ed and accepted. WfOwnet S' ature of Print Name Print Name 6 /Z' Dat Q:FORM&OWNERPERMISSIONPOOLS r , Town of Barnstable Regulatory Services BARNSfABLE, : Thomas F.Geiler,Director 9 MASS �A i63� ,� Building Division v rear'' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state y zip code d '.+�",•�.;.A h ;M1 ii+} :-b1� t4m " i.R `� '� ti .•,i1Y`, �� ♦.♦ 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 do.es;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,'tliat lie/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. �k r Signature of Homeowner y i Approval of Building Official r- i x Note: Three-family dwellings containin 45,000 cubic feet or larger will be required to comply with the g g q Y P State Building Code Section 127.0 Construction Control. HOMEOWNER'S,EXEMPTION `+ �'-.t,4C:1 t° t �, .�• ;.tip,t,',y„ The Code states that: `_`An' -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 personas it would w tli.wlicensed 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 i I i 1 4 THE COMMONWEALTH OF MASSACHUSETTS Department of.Public Safety One Ashburton Place, Room 1301 Boston, MA 02108-1618 APPLICATION FOR LICENSE RENEWAL DONALD J PIRES P.O. BOX 492 BARNSTABLE MA 02630 Please note changes to mailing address. License Type: Construction Supervisor Restricted to: License No: CS-044383 Expiration: 02/26/2012 Please refer to the Department of Public Safety website,www.mass.gov/dps for continuing education requirements. Licenses not renewed by the expiration date shall become void, and shall after one year be reinstated only by a new application and re-examination of the licensee if required.All future renewal notices will be sent by E-Mail. Please specify the E-Mail address you want your renewal notice to be sent to: Please review information on your license on the DPS website at: www.mass.gov/dps I hereby certify,under the pains and penalties of perjury,that I am unable to access e-mail notifications and therefore request maZnns of renewals. .c.. OC Z 0/2 Signature of Applicant Date Please enclose a check or money order made payable to the Mail the completed renewal form with Commonwealth of Massachusetts for the required non refundable payment to: processing renewal fee of$100.00. Department of Public Safety DO NOT MAIL CASH. CSL Renewal P.O.Box 414376 Write the license number on the front of the check or money order. Boston,MA 022414376 0 I AUTHORIZE DPS.TO USE MY RMV PHOTO INFORMATION, (Please check box on the left). This option authorizes the Department of Public Safety to electronically access my photograph from the Massachusetts Registry of Motor Vehicles.database solely for use on this license/registration.If you do not authorize use of your MA RMV photo or do not have a MA RMV license,please submit Photo Submission Form for License Renewal available at www.mass.gov/dps. Failure to follow DPS license photo procedure will result in your renewal status being changed to "Incomplete"until a proper photo is received. 13 LANGUAGE ACCESS PLAN (Optional) Please check here if English is not your primary language Ail your ability to read,write,speak,or understand English is limited. Please indicate what your primary language is: I hereby certify under the pains and penalties of perjury that to the best of my knowledge and belief the information above is correct and that I have filed all state tax returns and paid all state taxes required by law and complied with all law§of the Commonwealth relative to the withholding and payment of child support. D/, -/3 —26iz Signature of Applicant Date F-Rey:-10G0m3-000---------.--Amt:--$1.00.00 RenID: 62700 LicID: 233385 THE COMMONWEALTH OF MASSACHUSETTS Department of Public Safety One Ashburton Place, Room 1301 Boston, MA 02108-1618 PHOTO SUBMISSION FORM FOR LICENSE RENEWAL Please tape an original passport photo along with the requested information for the processing of your license renewal in the space below(Do not staple or paperclip photo to form). Failure to do so will result in your renewal status being changed to"Incomplete"until a proper photo is received. -------------------- i � t Name: j Pll AL I License Number: 6 4 C4- 3 3 �S L P License Type: 1 W °A . Expiration Date: L---------- --- -j * PLEASE ATTACH TO THE RENEWAL FORM SENT FROM THE DEPARTMENT OF PUBLIC SAFETY (DO NOT ATTACH A FEE AS THIS IS NOT A RENEWAL FORM) I hereby attest under the pains and penalties of perjury that the above information is correct± To the best of my knowledge,all provided information is accurate. Si ture of Applicant Date i 2 2 ' c _r IN Z w i y ' MAnOf SSV1:)-IV[i VSll ' ' � I if i - a � t 5 �' `( 9ir= j 1L MA i P > p CPA(LTMEX7 arro^i MA . _ -- - --- z _ 21896Z e C. D Ji 2�13 - G�OEFTt1E EAli�OFCA�E COS — "' ~C3P1 T�kETx I; DER SIX MONTHS:' a ATUAE II' 21896211' 1: 2 1 137 164 0: 23 6819Q21�' , :r Town of Rarnstable ♦ r Regulatory Services r r sA M LE, MASS. Thomas F. Geiler, Director � : ASS. $A 1639. rFnta Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508--862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR p owner of property located at 1 r� AJ C 9 N 1 WA%/2 an AN �C9 hereby certify.that jl c (? (__- (—C— is no longer Construction Supervisor listed on-the application for the project under construction as authorized by building permit#&Z01 I2-(015- ; issued on 11-30-1 1 201 . I understand that the project under construction must cease until a successor icensed Construction Supervisor, is submitted on the records of the Building Division. 4�16/IZ , PER DATE, ` q/forms/newcontr reference R-5 780 CMR rev:110410 Commonwealth of Massachusetts X.PRESS PERMIT Sheet Metal Permit. OCT 16 2012 Date tj I Permit# 61,)6 6[a J RNSTABLE Estim Job Cost: $ �C) Permit Fee: $��W F� Plans Submitted: YES NOV1 Plans Reviewed:.YES NO Business License# Applicant License# 3�� Business"Information: Property Owner/Job Location Information: Name: MWICkA9091- 1�`1W1IQ6-1AC.gll _,Name: U� Ln� Street: (ak LDAL CDONNStreet: 0 City/Town: kk�iG0� MA 1)2 4q� City/Town: c�LNT y IL Telephone: gps q32 Telephone: �. Photo I.D.required/Copy of Photo I.D. attached: YES� O taff Initial J-1 !M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,00..0 sq. ft./2-stories or less Residential: 1-2 family •� Multi-family Condo/Townhouses Other Commercial: . Office Retail Industrial Educational Institutional. Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stori s: a - Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust Systemg Metal Chimney/Vents Air Balancing '- s'.� Provide detailed description of work to be done: FOR- Cameo • INSURANCE COV I have a current li nsurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes 2 No❑ If you have che'eked Yes, indicate the type of coverage'by checking the appropriate box below: A liability:in urance policy- [� Other type of indemnity ,❑ Bond ❑ OWNER'S►INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the massacht,dsetts General Laws,and that my signature on this permit application waives this requirement. - Check One Only ,r i Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 3 By checking this box[:],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed underthe permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signatur of Licensee Permit# 2q ❑Journeyperson-Restricted License Number: 7l. Fee$ Check at www.mass.gov/dpl Inspector Signature of Permit Approval i a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kvi 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le gib Name(Business/Organization/lndividual): Address: City/State/Zip: 0204Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a with employer O 4. I am a general contractor and I � ❑* have hired the sub-contractors 6. ❑.New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ .❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE] Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12. Roof repairs insurance required.]t employees. [No workers' comp. insurance required:] 13. Other_ *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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ///� • �[ /�,p�!` R / n n r Insurance Company Name: CI.�J�- (& 1 NJUK�f'll Cf_ U; Sw* Ct'II U t v Policy#or Self-ins.Lic.#: W � Expiration Date: Job Site Address: UK�t4+�IpYUM� �(q/�,b{Ilr Nil City/State/Zip: ✓1 I�'e- (rl� 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 andpenalties ofperjuty that the information provided above is true and correct. Si ature: 1ZJA Date: Phone 9: 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 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r— Client#:47452 HARWHEA C6RD,. CERTIFICATE OF LIABILITY INSURANCE DAT10120D/YYYY) A '-� �-'' 9/ 0/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT Margaret Young - Rogers&Gray Ins.-So.Dennis PHONE FAX - 434 Route 134 IC,No,Ext: AIC,No): 877-816-2156 IL ADDRESS: South Dennis,MA 02660-1.601 5O8 398-7980 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Selective Insurance CO.Of S.C. INSURED INSURER B:Selective Ins.Co.of the South - - Harwich Port Heating&Cooling,Inc. INSURER c: 461 Lower County Road INSURERD: Harwich Port,MA 02646 INSURERE: � INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. •- LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER ADDLSUBR MMIDDY� MMIDIDY/YEYYY _ " LIMITS _ A GENERAL LIABILITY S1899060 0910112012 09101/2013 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $1 OO,000 CLAIMS-MADE ❑X OCCUR MED EXP{Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 . GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY JE 0- LOC $ B AUTOMOBILE LIABILITY A9092466 9/01/2012 0910112013 COMBINED SINGLE LIMIT Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A X UMBRELLA LIAB OCCUR S1899080 9/01/2012 09101/2013 EACH OCCURRENCE- $5000000 _ EXCESS LIAB HCLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$O $ B WORKERS COMPENSATION WC7938097 9/01/2012 09/01/201 X WC Ss OTH- AND EMPLOYERS'LIABILITY ' ANY PROPRIETOR/PARTNERIEXECUTIVEFI Y 1 N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDE[ N N/A - (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate Holder is an additional insured with regard to General Liability for written contracts or agreemens. Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE-THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN, 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE - ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S86800/M85687 TLH °w. � . 1 ► 7 ► 1 1 V �� ► : 1 / ii' ► ► 1 ► ► 1 i ► i ► i ► 1 ► �► ' I ' J�: ► 1 1 ► � 1 i 1 h Y' 7-RIM, ASSAAFG;H. U DRFiyl � 5 46813` �-1969 CtgS$ HEST 1H�TSEI( P '(:E Eta. '3 i 1 �I pSETTS ANDREW'Mir;T 36 WHIG STRE b2838=1921' + r r Oct 1212 08:18a Blazis 508-428-5433 p.3 Oct. 11, 2012 1J :UTAR9 .-. _ �,01 Town of Barnstable e RegWatory Services M Thomas F.Geiler,Director �jllla1tM1 B�(�1YIg'��4'ISIUXi . Tom Perry,Building 60=d"loner 200 Main Sbmc Hyennls,MA,02601 • �vrv9.to'pvu.ba�rnsta�le.ma.acs Office: 508-962-4038 508-790-6230 Propetty Ownet M iwt Complete and Sign'xhrs Section If Uusi:nLy.A-Builder . /V�FFE �-u�F'u ra�✓ m Owner of tho sub ro I P •PAY - hetcby authorize_H,�2 wigy Nzi _gledui d- Goo!/erg' i tontuybthaif, in A=atteta xelativc to work aut4ozized by this building pemait. I-t ryd (Ad&ess of job) Pool fences and alarms are the tesponsibility of the applicant.°POOIS are not-to be filled-before feiace is installed and pools are not to be U lilzed until allf=-Aiitspecti.otis are Q�ormed and accepted. -19 c.cti/ S' f Owner Signatx ite of Applicant Print Name Pit Name Dato Q.F0It W:0WMMF3&LSSICM 00Is wCOMMO WEALTH OF MASSAGHU�ETTS DIVISION :.•., , BOARD_-.OF SHEET METAL. 141ORKERS , pS fsWAN b CTEQ .. . ANDREW M LEV-ESQUE H11RlICH :`PORT'-'HTNG 4f 1: 0'1JER. 'COUNTY RD MARWICH PORT MA 02<04,6,1 EXPIRATION DATE SERIAL NO. LICENSE NO. OJ�IfN{piWEALTH OF MASSA.CHllSETTS SktFET METAL WORKERS "AD." RE .M ,`L•EVESQUE cn . m +tARWIGH PORT HT:NG CLNG �+b LDWER CDUNT'Y. RD kt#R�VIGH P MA D2646-I83 ORT ` ;.. Aj1i212, ZONE: ASSESSORS REF. FLOOD ZOVic: RC (RPOD) Map 207, Parcel 91-2 Zone B & A10 (e1.=11) Community Panel No. Area (min.) 87,120 SF #250001 0008 D Frontage (min) 20' July 2, 1992 '. / Width (min) 100' OVERLAY DISTRICT. Setbacks: AP — Aquifer Protection District Front 20' 8 �xr Side 10' �0 25 50 Rear 10' i 1 210.06 S69'25'43"E 1 II FI \ Lot 31 wl 2.20±Ac Upland II I 2.92±AC Wetlond i i \ I II \ 5.12±AC Total i I �p % CD ` I Iw I \ \ I 1 / QL CD 55.2• 50 Z �• Z I I \ #48 FEMA Zone Line From FIRM Panel No. 250001 0008D II II m �>>:f, rev July 2, 1992 r� 6.050 V, New Concrete s` 6'e � °° Foundation IR- 1� TOF E1=16.8' (NGVD) e �' I III d / 5 ti LHE 3A2 0 �^ Q) / ,S �� 00• � o .o 0 lvotl, NAP / �01 / T Ramon � PLOT PLAN � Z I certify that the foundation At48 Waterman Farm Road shown hereon conforms to BAR/VSTABLE the. setback requirements .of p `� the Zoning Bylaws of the (Centerville) �o town of Barnstable. w,�� ^^, NOTES: DATE: 11/APRI12 SCALE: 1"--80' 1.) The foundation shown was located on the ground 0 20 40 60 80 120 160 FEET by conventional survey methods on 04/MAR/11. PREPARED FOR: 2.) The property line information shown hereon was Nathan Rudman compiled from available record information. 178 Cap'n Samadras Rd Cotuit MA 02635 3.) This plan is not for recording and is not to be PREPAREb BY: used for construction layout or deed description CapeSulr V ` , purposes. 7 Porker Rood Osterville MA 02655 DWG #:C571_2gl FIELD BY: WHK/MLL (508) 420-3994 / 420-3995.fox E F '1 �A�a` RAY 7 OUlST,': JOIN E HtD VATERSIDE DR. NO DETERMINATION AS TO COMPLIANCE WITH THE227 CAP PAREEL 7� oORIltttARAR60111E A9` S ZONING ORDINANCE REQUIREMENTS HAS BEEN MADE _ ce'M' pA1 17s ' _ BARNSTABLE PLANNING BOARD OR INTENDED BY THIS ADJACENT ENDORSEMENT. \' . " �I } . m'" APPROVAL UNDER SUBDIVISION THE INTENT OF THIS PLAN IS TO DIVIDE PARCEL "3" 3, LAUREL cDDIrF`Y u AP227191 rVLB165T eCIAARC ✓% 1. N LAW NOT REQUIRED ON L.C. PLAN 32290-D INTO LOTS 30. 31, 32 & 33. vARC0.+n CCU R .� YV PARCEL 171 ,/ I WETLAND DELINEATION BY NORMAN W. HAYES, PWS Ne�spN(a/ / / �. � LAND COURT OF THE BSC GROUP, INC. AND APPROVED BY THE ,wrY �..`• Jte. /a/ I 7. �AdfpRM =Q^ BARNSTABLE CONSERVATION COMMISSION. _ CBnr �16D /�► ,/ *r�C � KCZ2 2009 y I HEREBY CERTIFY THAT THIS ACTUAL SURVEY WAS ---\ /`� -"'�HELD . / SIC_ MADE ON THE GROUND IN ACCORDANCE WITH THE _ / ` cRufF 0 s CENTERVIILE \ Ha A71W FILED / .. a HELD 'A4" RIVER LAND COURT INSTRUCTIONS OF 2006 ON OR /� 1�\ / NEW 2w VIDE V�-�\ I � _&• MAP�'PARCEL 170 BETWEEN MARCH 7 AND APRIL 9, 2008, AND //J DT 32 `/ A�NO UTam \ ia \'. 4& 1� MONUMENTS WERE VISIBLE INSPECTED IN J EASEMENT + gg ry \ FOR REGISTRY USE ONLY MARCH OF 2009 AND NO CHANGE TO THE /'' DETAIL 2 �gr4� i:� \ / ]M apt 1 � \•.V� Al ! J LOCUS HAP 1 CERTIFY K THE BEST OF OMy N MONUMENTS WAS OBSERVED. 1 SAY y \ � Al1 g 1 1000 PROFESSIONAL KNOWLEDGE, INFORMATION VAY'G' .. \ AND BELIEF THAT THIS PLAN CONFORMS �J I\ 2a Vnr Axl�n YsWWA OF Y Var'E• �� \?bye �. $�i� WAY'C n / �aD /^`\��` \ TO THE RULES AND REGULATIONS OF ��\ \ \, R/F THE REGISTRY OF DEEDS. CRATG A. FIELD �38039 DATE / �� 2v L� / �' �.A� 2 1Naus P e u9A R \\\ eplarAao '\_ '\ FRANOS a6)74Y ./ / \. K<LTADD _ yM 2"PARCEL 169 FOR THE BSC GROUP, INC. c' g��'� •'� L/ ll ! \'.\. . Z M/�' 4t `"c�\ C3911-f DATE: .J61139 LOT 32 ARNOLD C LAW 4& NOTES 1 �L._ \ _. ' THE ORIGINALLY DATED PLAN OF APRIL 29, vARaL ow / 411111 ' / 9 2009 HAS BEEN REVISED TO REFLECT CHANGES // •t / ion \\ REQUIRED BY MR. TOM GAVAGNAN OF THE / / / •s l ` / PROFESSIONAL LAND SURVEYOR DATE 'MASSACHUSETTS LAND COURT, SURVEY / / ems? 1 576�(FO-O-W(R) WAY•f .Q 31 S/ / \ UPLANDt ' aF / DIVISION DATED JULY 16,2009. / LOT 30 / / Js ( 72.00r ) /o>;�'� �\\ #; „• 1mAi / ! JS 1 EASEMENT/ / / s7e'le'as'W L DETAIL 1 -' dY/I /'.,\ t -n�` . \. �` PLAN OF c`i MAP 2 y.OltPARCEL t,N�ELD �� /r��+_vAr z•\\\,\ LOT 30 / UPLAND \`j / / LAND /� T a HELD �f�tRIK[n \\ \ :AIAPE AREA 69.ARk SF. �'-'Z. �1 / - � LOT 31 1 ' Dom• _ _ EASEMENT I � C11d1-F �, 1 / 111 DOG.7922171. _\4 \ 21.65 SHAPE FACTOR ��\ '.. :NED>d WATERMAN FARM ROAD IN N/F EXISTING C WW.i CULVERT / Car 30 1'SA / 1 - FRAPM DO&MARY E $ y' _yy I m BE aE11aVEu s'EHLni.T \�\ '� - /. vs CENTEMALLE , MCSHEA LOT 31 1 O NAP 207 PARCEL I29 li Ni., ' ' ` : I m I / i e \\:� AVC`ACID, '/: .�'. MASSACHUSETTS �ALc /i /y EA ssNT EDYDv inx_It It R A`_ 3 NBs?s L \�� s'�� / ' / f (BARNSTABLE COUNTY) ,0., i/ /I BY ' 40 � V � .•' _ BEING A RE-SUBDIVISION _ / AAAYYY `✓ / /\� SHED / VAY'Z' _/- ._' .. '_ _. .. - .--. / / __ \\ JOMTO QAC[R �1 / - `.1 �-_-_.- / • /. OF LAND COURT PLAN vmE ACCESS \1 MAP 207 vARYca,z 4y01 o p /% li I,�. I 11 amA t s I / #32290-D .. //R2007 / r'••L tflrtm EASEtrt'NE 1 \ Zan• R 100g� / I L'12 / j JotA+rs"Aetsca6 St 40 2HLOB L j a Rer" LOCUS INFORMATION MAP 207 PA M 127 �Tt 1 1 LL•6n • �B // 7 S�p�Bpy SD F�/ 1 / 1 ` ` o CURRENT OWNER: NATHANN MaRuoM N ` A/N/R 0.2 I `� 8 \ / C TITLE REFERENCE:/CERT.1565M PI./aN '� 1 N/F } V&ILA D tD.O' 11 .. MEitA..0 ,1 ' p \.../ PLAN REFERENCE L.C.PLAN 32290-D /) mrARD A e / �. • 4 ASSESSORS MAP. 207 - 9"L �. 2ZIOB ' 1 / %y'/ "P /// I AP 207PARCEL 2e / `�' / % /' PARCEL: 91-z ,Q iF WutD / [q 'j / ' "� �OPs4t WrK ACCESS �2yoC- ,��1'y / \� '..{( 4t 1 -*,E j ZONINGSETBAQCS: FROFITRESIDEN7IAL REVISIONS:SOI - a HELD iL " / 1 11. A /,ljt')D� '�'• 1 /eb a UTILITY EASE707 /�� %jjYi 4D HaAE / WAY 2' e SIDE 10' NO. DATE DESC. o SEE p��,D (', ,\ '�• / yryl fRY{9 3�a S.F. v / REAR 10' 1. 10/14/09 L.C. REVISIONS �� "Oa' - �DETHDCI CIT.15650 1 - \ s3.DDD°tRa� W� 1 ,~' C -FRONTAGE OVIRED: 2W / / " . Le w 2.•10 26 09 LOT 33 PLANS LOT 33 // V a HIT ITYA / / ` �,,.Ak� / - FRSK OVERLAY DISTRICT: AP 3. 12/11/09 LOT 33 - NOTE 3 \LOT 32 �(� lE1KOIdRT ACCt55 / MLW D IP-F 'wlAo L O �UN7L SU01 DYE /.' .t/'1"" A.' .NITROGEN SENSITIVE 1 /tt O / ' DE �i N �`'.' . � AS THE PROPOSED 2C ;1�'' 0p,�' / ZONE NOT A ZONE II i •� 7� ACE/ 8. 9I / WOE;EMDNT IS Ol 3 UDUT1' /� 1'„�.. `� FERIA FLOOD - \\ / �� �' ^ � LDT 30 _�Rti "I TMC EASEMENTE NEW /./ .. V ZONE DISTRICT. 'CB,&A-10%DATED 7/2/92. O4 , / /� 4S 1 PREPARED FOR: �v •^^^�111 PANEL#250001 0008 D t f •m .z Dom // 94APE AREA 8%26D!if. yj� �• LOT INFORMATION / MINIMUM LOT SIZE: 87.120t S.F.(R.P.G•D.) NATHAN T. & KATHRYN M. RUDMAN DAMMELD ��_L7� te72 SHAPE FACTOR g EXISTING LOT SIZE: 17.8t ACRES DAP 207 •b • F /: ''WTI _ UPLAND WETLAND MLW-MNW TOTAL AREA #178 CAPTAIN SAMADRUS ROAD B R-F PARCEL 100 4.c �IIE v�qy 1/' t�E ACCESS LDT 31' I I - WAY T'�� g a ITY EASEMENT v'I: ;;. LOT 30 4.79t ACRES 6.43t ACRES 0.57t ACRES 11.79t ACRES COTUfT, MA 02532 ry• 2LY WAY 4 so WAY 77 apE UPLAND §"l� LOT 31 220t ACRES 2.16t ACRES 0.76t ACRES 5.12t ACRES e S I ►AY Y ' +��� LOT 32 O.iDt ACRES Ot ACRES Gt ACRES 0.1Dt ACRES ( BSC G1�ot1P III HELD 20'YVAY \ $ I tRp , CBDII•F a 1ELD I�_ LOT 33 n29±ACRES OS1t ACRES Ot ACRES OBOt ACRES D� \ �Ad RAy xDt A �F TOTAL AREA 1383.ACRES 8.90!ACRES I.I.ACRES 17.81t ACRES 1 NOTES: \ *�q✓ ( 349 Main Street,Rt.28.Unit D cHDIfF 1.)THE OWNER HAS REPRESENTED AND AGREED THAT THE WAY TO W.Yarmouth Massachusetts Ae q a WELD s>: �7'E ,i� V` wTN ADJANI7 �" - ��: pn `g•• f LOTS 30&31 AND A PORTION OVER LOT 32 WILL BE MAINTAINED 02673 J / anA'HUY q�•t 3 TO ITS PRESENT STANDARD AND AT A MIMMUM AS A GRAVEL WAY. S�•_ 5087788919 1v ' at Lit N/F Q .p�% / 5 r 1 2. THE 1`MD BUILDABLE L01S(30&31 WERE PREVIOUSLY �'" >Mt6� 5 \ / �• r 0K MAINAN T• I .. _ 1 , Pam/ ) ) 2o09 1ne BSC dcvP.arc. R- oy , ,6 4Y \ RBOY,IN LDT 33 �` ENDORSED BY THE BARNSTABLE PLANNING BOARD AND SIGNED ON L-4&72 \ / 0'S' ,+ N_ MAP 207 �aQ SW4?h.S6' 'M - NOVEMBER 1,2004. FOR-LAND COURT PURPOSES THE ROAD WILL BE F .' ` LOT 32 NET �� n g �?/ REI AND .! I .� mg P ,t d" KNOWN AS LOT'32 SCALE: i" 60' LA7. - 0 7A t5 JO SBe's04D-IF / �� \ Q nErA7l 2 2� Q•�\ A� _ / -. .._r1 _ ._, 3.)THE PLANNING BOARD'S ENDORSEMENT IS BASED ON A FINDING o 30_ eO. t20 / o THAT THE PROPOSED USE OF LAND IS ONLY FOR TWO(2)LOTS FOR'"- \ / , SA4 V,'� .. 2�Ot RESIDENTIAL USE AND THAT THE WAY,S ADEQUATE FOR THE `�D \� FIELD MGR.: Z FIELD N ` a�A INTENDED USE.LOT 33 IS A NONBUILDABLE LOT BY ITSELF AND WILL rEDAIRI \ \ a ,�� G II H,_F yt. i - ONLY BECOME-BUILDABLE WHEN JOINED WITH ADJOINING LAND. FIELD: 0. GM: K. E N. MERCIER \ \ MEL �� CALL./DESIGN: K. NEALY 4.)NO FINDING WAS MADE THAT THE WAY IS ADEQUATE FOR MORE DRAB K.HEALY t�CF1 00t THAN TWO(2)LOTS.THIS PLAN IS A DIVISION OF REGISTERED LAND \� // __ ..i r II OWNED BY HAINAN T.&KATHRYN M.RUDMAN. CHECK: C.FIELD 5.)SOME INTERIOR DITCH LINES TAKEN FROM OLD PLANS AND FILE: 8069-LC/6059-ANR-OPTI.DWG v I pp DEPICTED HEREON. DWG.N0: 5608-0 SHEET 1 OF 1 \\ ° DBIEHyrs 11 1 JOB.N0: 4-6069.00 r ` E d - � l.i �` •.2 -,V ie '� �`5l.N f i r "1 � b ? (� r Y `F Y, ZONE: F # RC Am(ki.)67,i20 SF(RPOD) `5' e.¢ f t' 4•y ,, ¢ y I . � F t (a) '�) WONogrmin) 5ofb°cks: _ ... Side 10• t� `� Rear I0' I Is : k `li -0 t^i' u ; t,. •"t } i ,� K "2 $ OVERLAY DiSTRICT AP-Aquifer-Proteetkn Duhlat r -/1 3 :+• -RPOO-Rese-0 Preteatbn Orwl y Oktrkl - I E t be woterMea FLOOD LOCATION MAP zone,an(a.10),e,s r, m2000t' Community Pana No. ASSESSORS REF.: ��z 11992 D h 1 Ycp 207•Poroa 091-001 aQ, } ..1 . ,.. DIRECTIONS: 1 f �; Y Frvm'Neannk-Follow AlA Street to the Net End ) �` p* a t 'Y L rod d r } 1 4 S Ro eory,.lake.Scvdda Awnw to he top 9kjr,;and N tak rlghf onto Smlth Sb t.s iehe lama b,N Ga9M/e Beam Read:All Ne bridge tale o rk�t to Noneehae Nan Lan d boor right MIo R'afemml 1" v o "`Sx Farm R G Site, n Na IA./40. _ re� . 4 Cea.756588 r i WF/43 Tw�4yi-®. �ei-fl4s t 210.00' r 'IJ9 Mf�lD•0 \ N6B'25 ; .M1a+.# s l d ,4..�r ri " d AL ' w J° -:F c '"e „ 't 45 d . `' .s ?` P 4: �' N +r f2 _?, R a ,i r •.. xc 7IL wF/14B N sh - .. iY. I -'ems m r :1>t', 150•,:s,.. ° 3 r F 3' "�^(� l -/J Y:' d d+ _ �V4'F-j'191., d:,9kc �.. A Y�,^ R ,'T (;J L/ � t �'�:', � "•'d -:�''` �r,''a � oi•: - $ iF 4 a ^` LO { - �,,"i`'e ��; tt: }� a -1 59 �•TYF-flit� a r 0{ `;.\P 7' r ^-:z 209 + r , �f b S,'x s Vl a •i-'''' r 189, /' S�,. •a. r "'("; w : \r. t. 1 i �4 x- AL P FNOS -2 01 2 09 .n x-1 96 S `?' 7' ,�' ;.' I a ;•- j e x=2 11 r Z'.._. /� r4r,' 7(; f _ s ", q, { Rorn < , •x••'v # r z °1:94 '' ;:I e.. v - r"• - ��_�5� 17 6 10: x,.-2 35 + {{ { 7 Boardwalk: k' rb ♦ ,?a* f 8. f.. _ t f. rs' ! y, 54,3' 1Rx126T WF 130 E h x 74J3 . i 8x16''Floaf � x--248 jx RF—n9 l •,k ,. l I: 'rXmxoc ` Pr°p°sedi x x Proposed I su 01e $J Path r Kayak Rack ; 3 tlJ Va'gef tea p.'; r ',I ) s,T:..- a < /!wF-/197 "*l# aYc ,t•' g ai j' % 2.40 p s X:'-210 '•WeflanM" xF-16- f pY, 3 3 _ - ''-•L '•I. ) .• :P': �_ . .i. ,-- t+.a_^^r-,.. .—..-Y+�;x tw.-P�;L.�:..I""`""�. - r(_0 99 .:,2 7T ;A.r o. ��*.+� ..�-•�.e tt 2 03-- � _ .- ' •I. / ^..fir' r x-211 ` Lot 31 ` "n'.5.12 Acres! ' \ t ,k 2 a. ,:+•x 'P' V � e - i,`r•' x 2..74 s iltL ,L `.BF y27 Z♦x-203 �x-2.41 AL 4 ; ilk-L .4. , AL "wF-i25�.� .,.I:., ,Q. `F \ •d` n x.' '�\: ' r. at '`wF-12 4 sr'I' y tk�' .sro F "'�c 1 Yr >ba.. \ 5 c •+t „Er ,y . + WF-j23i.fsrM AL } f I Y .F i. \ .•� sit j� +(• -.:! s!E^ .,y op'g i• .k'�' 1 '�` .� ,.s' P /te4< '� .l ,;'`.�,,F -3.�:.r. i - I' °•S ,/ 1 ;t 7,%a'r 7 .?� '`I s'" �,o Yg 'ice fl �,9` .c J� =.•r WF7/167 wF-/ig A,T yk t:. rv,?r°F 74 !• ) ° a 'r' 4 `k 30 0 1s 3�1 } so L�lr' (: .I scc f •-';"w Via. ` i i ° -„' %h-� t E '.ry,`. - Y 30.0'= FLOAT':: .! A +, �• t j .\t c ,`, d i RAMP � 8,0' i;.: I � S �Fq :-vzi I .:y, ,.F4 r F: - P� r:..: ,F•e "�d i r' x 4 S ,BO'AR,OWA.KK 54 3 iz•x e•�efee mp vl s•r x r M k 7 f a E 3 E iy „, S g J 4•!eR A. ,I ALL I�CTURAL F X4'POSTS 9) - k SS S S ,,, - :.. S r • BO1N •R ��wple�xTOA ebb 8 . _ _ Pk t= r>e ,par voawAimp e iya w � i - i d L -CCA=IRFA/m PRAVO 31xUCRWAI. - X 4Y f 7 _. Po?MY ' S - (�CaiFARR INAN 777 N.'�1C411BC 1�yABFRAC ?�Sr(T1'P1 r I j .Y �.Sf.,arxn 01lRR �aaA-iRfA1ED pf !!A .fLl.w,eg 7 k r%a507E 113A1ED AIFR.11L4 SNAIL eC ll9m. e0AIt0 t � I v .. ay11.G{RfdR .. :. EXIS77N 'k -K S 4,_ « L°A `FOn PR'R I I I. I•`� r s• +dy GRADE FLOAT STOPS SAL kt 47.0' TMARSH; U P{LAND SEPARADON r ,7!3 .� w r },. g•d J4 - �.:SCL 1 =:$- it I Is FGI P4 L� -'PILE(I1P.)`. 20 , `..4 REWIRED^ EILl Move Proposed Kayak:Rack Path; , r , Revision m Boardwalk,'Pier, Rd r&,Float. it t4-1 p � 17TLE ~) PREPARED'BY '` ,tr 4 .PREPARED FOR.-:, r,.• - :'+ / NO _'._ '�1 "Site Plan , ' 1 t. �, 'ITV vl .-:Pr Pid+' � i� �- w . -'` ... SU��IV (1 En •0 Inc: '''r ..1 rx6`�,�.rt r,kiormdt�enawn was.aa,„ase Tram S O�10S tr a gine59 g, Nathan,T. &Kathryn M..Rui man a 'record na oh ® p ry� p n u°. BoarCiWa(iC, ! e s,R. 1 a•Flbat s . OsI.r.e,aZIA 02655 40 Waterman Farm Rd 2)ma Lopoy aPn mro�bl a,wnPRed r � P s ;� �(!OS)429-JJ4.(sde)•2B 9617 fa. `�F Centerville, MA 02632 " '` a P,o u,kio mat on, _� v 48:Waterrnan„Farm _ _ rt ;M1 :3 3)The:datum used rs NGVD 29-a f ed mean sea sera a t .1 :.: ,...:'� _ ' eN9 o a by FEMA Q ✓al"l?stcZble(con erNllB)Mass • Oro(t:•s_'dOD , F)N§and Mel rc s a,SE3 44 e e _: . :DAM ':�, SCALE-,'. Review., .:PS October 4,.2013 Project:-29024 30 .'. 0 is 30 80 120 o •` +a V r. - ': 'Tk+ ;, :2 r ,,a�` f r�, i h.� � t :'" '• `° r'`f _ a a � i. ,a °r,.. - ..0� t r ,, a-.. .; t.,x..:, � � t, ,t fi.e * xc" ta• .� a i C O l enerwn o,ae ro+ Y� T s m m M Go 9 M D �9 4 m A m z 9 Y ,:101 ^ Z 'n g It a i un ' c rn tee. 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DOOR OPENINGS TO INCLUDE ADDITIONAL IN EXTERIOR WALL5 OR 2X6 BEARINGUNLE55 NOTED. 5EE SCHEDULE IN m •u PROVIDE 1 1/4"OR 3/4"GDX PLYWOOD(VERTJ INSIDE WALLS TO BE(5)2X85 W 1/2"PLYWOOD GENERAL NOTES FOR ACCEPTABLE -UNLESS NOTED BELOW,ALL FASTENERS SHALL CONFORM TO TABLE 54 r -o " 1 1/8"L5L,LVL,OR 055 RIM THE OVERHEAD DOOR WALL. PLYWOOD. 5PACER5 UNLE55 NOTED. ALL HEADERS TIMBER SPECIES AND GRADES. 120.0I ON PAGES 1030 AND 1031 OF THE MASSAGHUSETTS STATE } mEn J015T BY SAME MANUFACTURER TO BE FASTENED TO BOTH SILLS AND IN INTERIOR 2X4 BEARING WALL5 TO BE BUILDING CODE. t AS JOISTS. WALL STUDS W/80 RING SHANK NAILS (2)2X6'5 W/1/2"PLYWOOD SPACERS PROVIDE 2XIO MINIMUM LEDGER ON L) SPACED AT NO MORE THAN 6'APART UMLE55 NOTED. HEADERS SHOWN ON TOP OF SHEATHING FOR SUPPORT O a? FOLLOW ALL MANUFACTURER'S PLAN ARE IN THE WALLS BELOW THE PLYWOOD ROOF PANELS-5/5'GDX PLYWOOD,UNBLOCKED EDGE5,: - FRAMING IN QUESTION. AND CONNECTION G. RAFTERS AT 8D NAILE5 @ 6'AROUND PERIMETER,8D @ 10"PANEL INTERIOR FIELD 2 RECOMMENDED DETAILS FOR � OVERLAY FRAMING. = - N OF JOISTS. ATTACHED PORCHESPRO POSTING AT EACH ENO OF OOR NELS- -PROINSTVIDE BLOCKING USING SAME P05T CONNECTIONS TO FOUNDATION WALLS/ BEAMS pN P ANS ALL LOCATIONS B S L PLATESR RAFTERS ALL BE FAGS NAILED ED TO CEILINGTALL UNBLOCKEDL EDGES,A100 NAILS 4"TXG G PLUb6ED G PANELS, s V r A CONCRETE TUBES MATERIAL AS JOISTS OVER ALL !3J 2X4 OR(5)2X6 STUDS UNLE55 NOTED JOISTS AT SUPPORTS AND SHALL ALSO BE H E BEAMS EXCEPT FLUSH BEAMS WHERE P844 OR PP64(12 GAUGE)STEEL P05T BASE ANCHORED FOR UPLIFT W/51MP50N -PLYWOOD WALL PANELS-1/7 GDX PLYWOOD,BLOCKED EDGES, THERE 15 A WALL ABOVE AND UNDER ANCHORS CAST INTO SURFACE OF WALL H2.5 RAFTER TIE EACH RAFTER. 8D NAILS @ b'AROUND PERIMETER,8D @ 10"PANEL INTERIOR FIELD g , ALL BRACED WALL PANELS A5 NOTED ALL POSTS SHALL BE CONT.DOWN FROM • •y ON DRAWINGS(SEE DRAWING A II FOR THEIR TOP POINT TO FOUND.OR _-F,qc�RAFTERS TO NON-STRUCTURAL RIDGE -GYPSUM SHEAR WALL PANELS-I/2"GYPSUM PANELS,EDGES o S WALLS ABOVE/ CARRYING(LLY CALLED BEAM. T STSTHEIR kV W 16D TOE NAILS OR(5)IbD FACE NAILS BLOCKED(PANELS VERTICAL),@ 6'AROUND PERIMETER,ARE TYPICALLY LY GALLED OUT AT THEIR UNLESS OTHERWISE NOTED,FLOOR TOPMOST POINT. PROVIDE SAME EACH RAFTER. FASTEN RAFTERS TO 5TRIXTURAL IOD @ 10' PANEL INTERIOR FIELD EXTERIOR WALL A55EMBLY P05T SIZE BELOW LLE55 NOTED.PROVIDE ' RIDGE WITH 5LOPED-5EAT RAFTER HANGER 5HEATHIN6 SHALL BE APA RATED - SOLID BLOCKING 6H FLOORS OR 51MP50N A35 FRAMING ANCHOR EACH SIDE. "5TURD-1-FLOOR",EXP.I,COMBINATION (SECOND FLOOR PLATFORM BENEATH ALL P05T5. -GYPSUM CEILING PANELS-1/2"GYPSUM PANELS,EDGES UNBLOCKED, SHEATHING AND UNUDERLAYMENT _ UP TO DOUBLE PLATE) .. SD NAILS @ b'PERIMETER,5D @ 10'PANEL INTERIOR FIELD Cn :- TONGUE-4-GROOVED;5/4'THIGH NOTE:USE 3°MIN.END P05T AT EACH HOLD 50®4'PERIMETER,SD®10"INTERIOR FIELD (, w MINIMUM 24"O.G.SPAN RATING. -HORIZONTAL BLOCKING FOR NAILING DOWN(2 STUDS). ALL CONNECTORS AT HOLD- -.FASTEN RAFTERS AT RIDGE FOR UPLIFT W N GLUE AND NAIL FLOOR SHEATHING TO BE PROVIDED WITHIN 48"OF POWN5 TO BE PER MANUFACTURERS 5PEC5. W v TO JOISTS. USING EITHER CATION A OR OPTION B, •"NOTE-SEE CEILINGARCHITECTURAL SPECS FOR FIRE SEPARATION [-'+ OUTSIDE CORNERS OF MAIN HOUSE _ AS FOLLOWS. ' WALLS AND CEILING ' AND GARAGE. •. �'QI -SEE DRAWING 5-3 FOR DOOR AND PLYWOOD SHEETS SHALL BE NAILED OPTION A: APPLY 51MP5ON L5TA STRAP 1 H cu WINDOW HEADERS ABOVE THI5 TO SILLS,PLATES,STUDS AND RIM JOISTS .- ACRO5 THE TOP OF THE RIDGE FRAMING LEVEL. CEILING FRAMING NOTES THI5 DESIGN ASSUMES THAT THE STRUCTURE 15'ENCLOSED'WHICH U W/BD COMMON NAILS;b'AT PERT- OPTION B: INSTALL 2X6 RIDGE LOCK BLOCK THAT HIGH IMPACT WINDOW GLASS WILL BE INSTALLED OR MM o METERS AND 8'IN THE FIELD. PLYWOOD ACROSS THE RAFTERS IMMEDIATELY HURRICANE SHUTTERS WILL BE INSTALLED.DOORS AND WINDOW5 W Q CD-SILLS TO BE(2)2X6 PRESSURE SHALL SPAN ACROSS THE BOTTOM AND s p BELOW THE RIDGE AND FASTEN ARE NOT INCLUDED IN THI5 DE516N AND SHALL BE ATTACHED - TREATED W/SAY X 12"LONG TOP PLATES TO EFFECTIVELY TIE THE -CEILING JOISTS OR ATTIC FLOOR JOISTS _ THEM TO T} RAFTERS W/A MINIMUM ACCORDING TO THE MANUFACTURES IN5TRUCTION5. V (n — GALVANIZED STEEL HOOKED ANCHOR. PLATES TO THE STUD WALL A55EMBLY. TO BE 2XI015 @ 16'O.G.UNLE55 TH SIX(6) E NAILS ALL.51MP50N STRONG TIE FASTENERS SHALL 13E INSTALL PER BOLTS @ 4'-0"MAX.OL.AND 12' OTHERWISE NOTED. MANUFACTURERS SPECIFICATIONS. h�l Cn v FROM CORNERS OR SPLICES. BOLTS -EXT.SHEATHING TO CONSIST TO ENGAGE BOTH PLATES AND BE OF MIN.112"COX PLYWOOD W/ -UNLE55 OTHERWISE NOTED ROOF SHEATHING FA5TENDED W/5'X3°PLATE WASHERS A MINIMUM 24/0 SPAN RATING. -PROVIDE BLOCKING U51146 SAME SHALL BE APA RATED SHEATHING,EXP. I,5/5. NAILED WITH 8D COMMON NAILS THICK,52/16 OR BETTER SPAN RATING. AT 6"SPACING ON THE EDGES MATERIAL AS JOISTS OVER ALL x BEARING WALLS WHERE THERE 15 A WALL AND 12' SPACING ON THE FIELD - ABOVE AND OVER AND UNDER ALL EXTERIOR WALL A55EMMY BRACED WALL PANELS AS NOTED ON -ALL DOOR OR WINDOW HEADERS -PLYW THE DRAWINGS.OOD SHEETS TO BE APPLIED IN EXTERIOR WALLS OR 2Xb BEARING FRAMING SYMBOLS (SECOND FLOOR PLATFORM _ �, HORIZONTALLY WITH VERTICAL JOINTS WALLS TO BE 3)2X85 WI 1/2"PLYWOOD DOWN TO DOUBLE 51LQ JOINT5 TO BE STAGGERED A MIN.OF r SPACERS U 2X4 WALLS NOTED. ALL BE HEAVERS ❑ WOOD POST DOVAI' il 52"BETWEEN LIFTS(TWO STUD BAYS). -UNLESS OTHERWISE NOTED,FLOOR r EXT.SHEATHING TO CONSIST PLYWOOD SHALL SPAN ACROSS SHEATHING SHALL BE APA RATED HV 1/2"PLYWOOD SPACERS UNLESS NOTED OF MIN.ICI"COX PLYWOOD W/ THE BOTTOM AND TOP PLATES "STURD-I-FLOOR",EXP.I,COMBINATION HEADER`SOWN ON PLAN ARE IN THE ® ' -WOOD P05T UP AND DOWN A MINIMUM 24/0 SPAN RATING. TO EFFECTIVELY TIE THE PLATES SHEATHING AND UNDERLAYMENT WALL5 BELOW THE FRAMING,IN QUESTION. NAILED WITH 80 COMMON NAIL5 TO THE STUD WALL ASSEMBLY. TONGUE-4-6ROOVED,5/4"THICf, x WOOD P057 UP AT b'SPACING ON THE EDGES MINIMUM 24"O.G.SPAN RATING. -PROVIDE POSTING AT EACH END OF ALL AND 10"SPACING ON THE FIELD GLUE AND NAIL FLOOR SHEATHING BEAMS AND AT OTHER LOCATIONS AS ro TO JOISTS. 5t{OWN ON PLANS. ALL POSTS TO BE -BEARING WALL BELOW' o (31 2X4 OR(3)2Xb STUDS UNLE55 NOTED g PLYWOOD SHEETS TO BE APPLIED SECOND FLOOR FRAMING NOTES $ -ALL DOOR OR WINDOW HEADERS BRACED SHEAR WALLS(BEARING 4 HORIZONTALLY WITH VERTICAL JOINTS ALL POSTS SHALL BE CONT.DOM FROM g " IN EXTERIOR WALLS OR 2X6 BEARING NON-BEARING) w m a JOINTS TO BE STAGGERED U MIN.OF WALLS To BE(5)2X65 W/1/2"PLYWOOD THEIR TOP POINT TO FOUND.OR o t - 32'BETWEEN LIFTS(TWO STUD BAYS).. SECOND FLOOR JOISTS TO 8E CARRYING TRANSF BEAM. POSTS g - SPACERS UNLESS NOTED. ALL HE AL A 0 II US"AJ5-20'5 4 AJ5-255®16"O.C.., ARE TYPIG LY Gf D OUT AT THEIR BRACED SHEAR WALL5. PROVIDE ° 'f� PLYWOOD SHALL SPAN ACROSS IN INTERIOR 2X4 BEARING WAAERS, BE(2) TOPMOST POINT. PROVIDE SAME - _ Y �' THE BOTTOM AND TOP PLATES PROVIDE 15 OR I I/8"LSL, 2X65 W/I/2"PLYWOOD SPACERS UNLESS POST SIZE BELOW ULE56 NOTED.PROVIDE SHEATHING ON BOTH SIDES TO EFFECTIVELY TIE THE PLATES LVL,OR 058 RIM JOIST NOTED HEADERS SHOWN ON PLAN ARE IN BLp fflpG TH H FLOORS Q $ TO THE STUD WALL A55EMBLY. BY SAME MANUFACTURER THE WALLS BELOW THE FRAMING IN BENEATH ALL POST AS JOISTS. QUESTION. D© 0 T M v HORIZONTAL BLOCKING FOR NAILING -PROVIDE POSTING AT EACH END OF ALL ]O '' TO BE PROVIDED WITHIN 46'OF -FOLLOW ALL MANUFACTURERS BEAMS AND AT OTHER LOCATIONS AS MAXIMUM RAFTER SPAN STRUCTURAL DE516N CRITERIA U L OUTSIDE CORNERS OF MAIN HOUSE RECOMMENDED DETAILS FOR OWN ON P ANS. ALL PO5T5 TO BE p -TOR.Al ggHH1 (3)2X4 OR�5)2X6 STUDS UNLESS NOTED I LUMBER GRADE AND .. AND bARAGE. INSTALLATION OF JOISTS. SPECIES v RAFTER. -FIRST FLOOR 40 PSF LL PLYWOOD SHEETS SHALL BE NAILED -PROVIDE BLOCKING USING SAME -ALL POSTS SHALL BE CONT.DOWN FROM 5QL 5 P F 5 P-F(5)' 15 P5F DL `�`►G MATERIAL AS JOISTS OVER ALL THEIR TOP POINT TO FOUND.OR afi TO SILLS,PLATES,STUDS AND RIM JOISTS �g NO2 NOD -SECOND FLOOR 150 _ - W W/8D COMMON NAILS;6'AT PERI- BEAMS EXCEPT FLUSH BEAMS WIRE CARRYING Y CALLEDEAM POSTS METERS AND 8'IN THE FIELD. PLYWOOD THERE 15 A WALL ABOVE AND UNDER ARE TYPIGOUT SHALL SPAN ACROSS THE BOTTOM AND ALL BRACED WALL PANELS AS NOTED TOPMOST POINT. PROVIDE SAME -, 'ATTIG/5TO. 20 P5F U W w TOP PLATES TO EFFECTIVELY TIE THE OWALLS ABOVE) SOLID DWb.5-4 FOR P05T 5BLOGEKIN LON UTHRO5 N FTLEDD..PROVIDE 2X8 II'-II° II_4„ - 10 P5F C m PLATES TO THE STUD WALL A55EMBLY, r`BENEATH ALL POSTS. -ROOF' 35 P5F (Yt Z -UNLESS OTHERWISE NOTED,FLOOR q-5 15 P5F W t6 SHEATHING SHALL BE APA RATED o -EXT.WALL5 l5 P5F P_ � € '- STURD-IfL00R",EXP.I,COMBINATION - 2XI0 IS''-2'e I (D u-N wm SHEATHING AND UNDERLAYMENT -INT.WALLS 50 P5F DL c 2XI2 I1-6 16'1i' �Lc ` ' . TONGUE-6-6ROOYED 9/4"THIGH . MINIMUM 24"O.G.5P 4N RATING. -DEGK5/PORGHE5` 60 P5F GLUE AND NAIL FLOOR SHEATHING v 10 PSF N TO JOISTS. 1,O 2XI2' ----- 19,_4. C C �O2 - job no., 11o, �ry " date le ruder aoii - . scale ns worm ' •- - drawn, s_rr . _ a rev. R F S 'l m ISSUED FOR PERMIT set to of db BAOltpll II,36 AM 7 m -n A lP � Pe : r A -n D 3 . Z tT e r y t 6 J nt tl 'L yD' i I y 5q I i � I I ` Sm 2 qq I I iu of R I I I E. 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I t 508,420.5335 @rchi ♦!associOIL 304 o cotuit. ma ozs�s a info@architechassociates.crom second Floor Framing Plan architectural dasi n 9 architechassociates.com ' - • .� c o p s /� CDm V l,' �i o' 70 T a 0A513011 II.%AM lA > rn " 0 . z v O A .. n m _ z O 3' m \. � V 3 r z —b—--------- - -- ---- f - - i r I V; 12 i .. ------------------- IN I I - I -- ' — -- a _. ©` t° ,� RC M p Rudman Residence s .. :. 40 Waterman Farm Road ASAP Englneering8 � A R C H I'-T.E.C H F DeslgnCo„Ina 6school street t508.420,5335 i500.420.5304 o r Centerville, Massachusetts A S S O C I A T E SA cotuit, ma o23s a inFoQarchitechassociates.com iemmmptu�arxa . - - ra1e0"sssasxel.Fa M&.wtm a: Ceilingframing Plan arch i t e c t u r a I .design architechassociates.com c o a -c " m o 0 BAB/.bll II�BD AH 9 p° > O n O 6 3 } z 3° S � os r F D - Z P `a ub nN �m • • IIy _ � I I e s° i IT I -- _ I s•? 0 I ; ® 1 • °4 I � all 01 Rudman Residence i••' ' 40 Waterman Farm Road eopo a �J A R C H I —T E C H s ASAP oBBie-Co.,a ai3��. ASS 0 C I ATE S A I 6 school street t info@architechassociates.com chars ciate4 Centerville, Massachusetts �� catuit. ma otuas a info@architechassociates.com Krd ww'B!BTBfB ■`N/■ t NO-306Cfb%BI-F.SXPIS1611 P Roof Framing Plan architect u r a l design architechassociates.com M 0 ( 10, o � � r enenai n.00 W 15 If if r LP o M-1 rn w °. z- r5i a ' u•«rvum w renm-r.r.�wu O 1'd rblEA 906°2ltltl Mdr W _ Z d rn D F a zq a aD rnr rr rTI " 1 3 o UN� i p Mp , �2rnn O rn Az G � N E E r IV tin r lri w � �e•wi.nrWm ur•rnrerx•,».ru w�. 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Rudman Residence A R C HI -T E C Ii ° 40 Waterman Farm Road ASAP Engineeringa b v g Design Co.,Inc. 6 schoo I street t 509.420.5335 f 508.420.5304 2 Centerville, Massachusetts ASS 0 C I A T E S A I cotuit,•me ems a info@architechassociates.com M I flli lha-�A-qm mr SEM-ea#H . 15N.#M--F.S6 TYQNvs![iatl0.ib'•Fc A60i6161 iA Structural Details architect u r a I design arch itechassociates.com es y 1� � mO ct w C Q m o - -- - - ------- ! { _ I PERC TEST: 9,387 PERC TEST: 13,204 ✓ ZONE. PERFORMED BY:BAXTER&NYE,INC. PERFORMED BY:SULLIVAN ENGINEERING,INC. SOIL EVALUATOR NO.-N/A(1999) JOHN O'DEA,P.E.RC F WITNESSED BY:DONNA MIORANDL R.S.-TOWN OF BARNSTA 3LE SOIL EVALUATOR NO.-2911 Area (min.) 87,120 SF (RPOD) MAY 6,1999 WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE Fron to a (min) 20' PERC RATE=<2 MIN/IN(LTAR=0.74) MARCH 11,2011 Width min) 100' Setbacks: TEST HOLE- I EL.10.3 TEST HOLE-2 TEST HOLE-3 TEST HOLE-4 EL.14.4 EL.15.50 EL.9.85 Front 0, O LAYER 10YR 3/2 O LAYER 10YR 3/2 { Side 10' ORGANICS ORGANICS VERY DARK GRAYISH BROWN VERY DARK GRAYISH BROWN Rear 10' 6" 9.8 3" 14.2 5" ORGANICS W/SANDY LOAM 15.08 5" ORGANICS W/SANDY LOAM 9.43 E LAYER 10 YR 4/3 E LAYER 10 YR 4/3 BW LAYER 10 YR 3/3 BW LAYER 10 YR 3/3 BROWN BROWN DARK BROWN DARK BROWN i OVERLAY DISTRICT. 18" Cos 8.8 6" COS 13.9 11" SANDY LOAM 14.58 13" SANDY LOAM 8.77 ' ... B LAYER 10YR 5/6 B LAYER IOYR 5/6 B LAYER 10YR 4/6 B LAYER 10YR 4/6 rn AP - Aquifer Protection District YELLOWISHBROWN YELLOWISH BROWN DARK YELLOWISH BROWN DARK YELLOWISH BROWN 3 co p RPOD - Resource Protection Overlay District 32" Cos 1.6 3°O O 30" Cos 11.9 15" LOAMY SAND 14.25 28" LOAMY SAND 7.52 6 a C LAYER 10YR 6/5 C LANI 10YR 6/5 C LAYER 2.5Y 6/6 C LAYER 2.5Y 616 M 6 Estuarine Watershed w , BROWNISH YELLOW ° BROWNISH YELLOW OLIVE YELLOW OLIVE YELLOW a s s v COS MED SAND MED SAND O W. _ COS O U O 36" PERC TEST 12.5 .., LOCATION_ MAP, FLOOD ZONE. U F 25 GALLONS IN 5 MIN 702"-HIGH GROUNDWATER-4.00- Zon es A 11 (El. 10), B, & C 73" 4.2 120" 4.4 120" PERC RATE<2 MIN/IN(LTAR=0.74) 5.5 PER FULL MOON TIDE READINGS 1"=2,000t' CommunityPanel NO. GROUNDWATER ENCOUNTERED NOGROUND�YATERENCOUNTERED NO GROUNDWATER ENCOI TERM MARCHI8-22,2011 PER 310 CMR 15.103(3)(b)4 0.84 #250001 0008 D 1os" ASSESSORS REF.: July 2, 1992 Map 207, Parcel 091-002 SITE PASSED DIRECTIONS: From Hyannis - Follow Main Street to the West End Rotary, Take Scudder Avenue to the stop sign, and then take a right onto Smith Street, which turns into �WF-#143 Craigville Beach Road; After the bridge take a right j onto Horseshoe Lane, and then bear right onto Waterman Farm Road, Site is on the left, #40. N/F -a Rudman Cert.156588 WF-#43 WF-#411 S7 WF-#144 210.00' WF-#39 WF-#40�7i \\ N69 2543"W e - -' AIL \I / \WF-#145; L WF-#38 - WF-#37 ( \ ,� i ' l j WF-#146 1 \WF-#147 WF- 3s \ \ \ l \ liIL AL l \ t - WF-#35 #149 o Bordering Vegetated Wetlands b N N✓ , I \�o.00' w 150 1 \ - \ '` WF-#34 ! 1 f f - � \ WF-#13,1 VARIANCE REQUEST ` \ \ Town of Barnstable-Chapter 360-1(Setbacks to Waterbodies) ` F `I W � - � lo Required �: o a \ WF #152 ,Pra�� WF #33 � � 25'Waiver Requested n ested i � In � \ \ \ WF-#153 \ WF-#32 -0000 �WF-#154 \ T PM FND WF-#31 f \ / \ �� `L� EL. 8.43 I \ 15.1 \ \ i \ x14. o Q � � • � � � ��. 1 f I Imo \ VD DESIGN DATA Cb p - f Single Family WF #155 6 Bedroom @ 110 GPD Ali r ! m l i ✓ No Garbage Grinder • iF 10 1(N 4 F fl Total Daily Flow=660 GPD y _ B ' SEPTIC NOTES �. Use a 1500 Gal H-20 Septic Tank fl wF- 30 j I i 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours # LEACHING AREA Prior to Any Excavation For This Project the Contractor Shall Make 50. 0' 4 Q X 14.2 ( I { the Required Notification to Dig Safe(1-888-344-7233). I f V - 1 � 660 GPD/0.74(LTAR)=892 SF Required 2•The Contractor is Required to Secure Appropriate Permits From Town O O °I� i Sidewall=2(12'+64')X0.96'=145 SF p ° W O �- {{ WF-#15 Agencies For Construction Defined by This Plan. Q j G'K 1 I 1 ( Bottom Area=(12'x 64)=768 SF ! WF-#29 I a T I `' ' 913 SF Total Provided 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall _ O i Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to ° a ° r 1 i iAssure O t a m /V ' f �' i ' ~ RESERVE AREA CoordinatioWatertightness. With COMM Water,and shall be m Shall acordancnstnrcted in ( i O t with 248 CMR 1.00-7.00&310 CMR 15.W. ' Bordering $ 0- ' `� 660 GPD/0.74(LTAR)=892 SF Required t 4.A Minimum of 9"of Cover is Required for All Components. j WF- 15 Sidewall=150 X0.96'=144 SF Vegetated I 75,*� { -3 ` 4 f / ' # Bottom Area=756 SF 5.All Structures Buried Three Feet or More or Subject Wetlands WF-#28 1 20 8 0 . i I 900 SF Total Provided to Vehicular Traffic to be H-20 Loading.It is the Engineer's 1 5. Recommendation that H-20 Always be Used. dLL I 0 / j e LEACHING CHAMBER DESIGN 6.Install watertight Risers and Covers to Within 6"of Finished Grade } ! / Over Septic Tank Inlet and Outlet,D-Box,and One Leaching Chamber. i A All Pipes to be Schedule 40. Use 7.Septic System to be Installed is Accordance With 310 CMR 15.00& 2eo.00 - --- - t / \ 7 Concrete H 30 Flow Diffusors in a 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable t 0- p \WF-#158 12'x 64'Washed Stone Field as Shown. Board of Health Regulations. t €€ Z Z / ✓ * f 8.All Piping to be Sch.40 PVC. j ! / ✓ / ° / F f 1 \ l 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum Sump of 6". til WF-#27 N �4` t WF-#159 10.The separation Distance Between the Septic Tank Inlets and '-� 1 C� r* i / j \ Outlets Shall be No Less than the Liquid Depth..Inlet Tees Shall Extend o O O O / / ✓ ` AIL a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" , Below the Flow Line,and Shall be Equiped With a Gas Baffle. Ct.�' O O t 3 x / '�� ' i t OZOW ���� wF-#1so WF-#26 Bordering Lo V v -1 \ ~ \ Vegetated Wetlands ,WF-#161 WF- 25 1 t 100' C) \ \ 'fi• N \ O WF-#24 inm 00 .s�� �\ \ - t )i A�L g ( 3 34, T y^ �� U . i I 00 �O Z r� - 50.60' \ to WF-#23 Z m p� ` o Q_ � Z j \_1 I j Lot 3 1 Z� # i IF 5.12 Acresf f j _ ! tF "S o / ,✓ �, / -#163 ' Sa4.4g 3 WF-#21 P • o li v c y� . , # WF-#164 {, wF-#20 ' `' ce,� s8 l i y 2po�o,�gE / wF-#16q fSta e Defied _ 1 t Cols al j 4nk O� WF-#167s f WF-#19 i 3 ,� ( - I i ra I f=d \ F % Finish Grade I / O OR n� CB�dn bP0SE0 1 l �� l ' / t` `ob' _ nd pD LiN48 I \ �� - f i Filter t t 6 ) / iT O f• l t i f tO� 5f 3 S f J iy u�,n� _ai - � - Fabric SEE 5 \ ` \ \ \\J -� ( / Compacted Fill AND/OR li { ` �\ �0„ " - / "G3 Ga E3 e 0 Pea Stone 0 3/4- - 1 1/2" 8 B 0 4 Double Washed ° r _. l CROSS SECTION OF H-20 FLOW DIFFUSOR ace �o ° \"j O NOT TO SCALE Vkl ,/ m / / I j , CB1DH FND r / j 1 ! 1 j\ s EL. 3.01 1 CB/dh Vent fnd ! / f Access Cover t ) f n l // / y� ✓ ��/ \ / `!l✓ / / / / / ! l ) (See Note 6) / j 77 - / f / / / t J J \ i F.G. EL. 13.50 F.G. EL. 13.0 7 2 1 / / j \ \ ^ CRAWL SLAB EL. 10.75 Flow Re uireds EL. 11.50 f q = \ \ Installer To / ✓ ✓ / �v t \ �. Confirm Prior E s I _ 67- t NI 0 • �S a To An Work 1 e tic Tank 1 5 q 11.50 ' ✓ , ,� O - _ 8 QO w \ O� Y Septic Tank EL. -Box f 96 , I �3, " 4-20 ToF EL. 10.75 FFII Re wired At Time Of Reserve . e "OF 9e of Bit. pr/� 30 as w. �� 51 ]deserve 9.50t I ✓ / prise 20 "'d SS+ ode Wp ��� \ EL. 1 1 Flow Diffusor Bit. �� y f 7 o> - h To Be Installed On // H-20 ;o Ed98 of �4 C G� a `\ Edge cf pAj Ufa eCompacted JUH 9n Beddi Sto i ,"T"s, & Baffels ne -•t D Div as Per Ttle 5 :;al<?i"c&Firi#erCrtaraltYe::fie%f"t``;` =:: CIcn 0 � e �� _ _� -:.-::::..................................................... �- 1. 4. - TH-4 8 8 ♦� / .klf'-tfri iat2 :?�s11�;;1Vt2fi;Di[:�'af- . ' � vtiai:Fiattfia�ar u• Syst�vr�i FF8 8I0NAL E"��' Bk.74orS/9 is ( \\ �\ .a DEVELOPED PROFILE OF SYSTEM NSF Trust Bg /'g. 7g Cors/F NOT TO SCALE IL Horseshg989epg 201 #Sr watermo Farm Rd. F�� Bk. 79p6 P9 34 REVISION: Added D dated Test Hole Information DATE: 03122111ID- T/TLE: PlanPREPARED BY.• PREPARED FOR: NOTES: Site Proposed Improvoements Sullivan Engineering, Inc. 1.) The property line information shown was compiled from = Po Box 659 Nathan T. & Kathryn M. Rudman available record information. hj At osterville, MA 02655 178 Captain Samadrus Road 2.) The topographic information was compiled from ~ (508)428-3344 (508)428-9617 fax Cotuit, MA 02532 available information. Lot 3 Waterman Farm 3.) The datum used is NGVD '29, a fixed mean sea level datum. Bench Marks used: RM36 & RM33 as designated by FEMA. Q Barnstable (cen terville Mass Draft: JOD 30 p 15 30 60 120 4.) Wetland Resources Per SE3-4420. DATE: SCALE: 1 „�30, Review: PS January21, 2011 Project: 29024 I I i �I I - i DETERMINATION AS TO COMPLIANCE WITH THE E °tDAAMSMAP 22227E DORICE "NARBONNE pJ�p`'�• WATERSIDE DR. NO DETE q SPti� _ BARNSTABLE PLANNING BOARD ZONING ORDINANCE REQUIREMENTS HAS BEEN MADE ---�_ PARCEL 174 PARCEL 1173 0 OR INTENDED BY THIS ADJACENT ENDORSEMENT. \ CBDH-F ry �� 0 D H APPROVAL UNDER SUBDIVISION • ' _ ' ' °r MICHAEELL J ,��°��� ,p 'P� z y � rn THE INTENT OF THIS PLAN IS TO DIVIDE PARCEL 3 °r o LAURELAP CBONMI a, NSF , rn ti C3 LAW N 0 T REQUIRED ON L.C. PLAN 32290-D INTO LOTS 30, 31, 32 & 33. CBDH �� 227 ? ERNEST AAu r�rnRs C o OCu N PARCEL 172 `�. MAP 227 PARCEL 171 /' t*► v WETLAND DELINEATION BY NORMAN W. HAYES, PWS OF THE BSC GROUP, INC. AND APPROVED BY THE WAY-r •• 7-w�R� 32�t .0e BARNSTABLE CONSERVATION COMMISSION. • •_ ~� �R� cB ��°n• / ` �' �P F PRM = w •--•.. y w HEREBY CERTIFY THAT THIS ACTUAL SURVEY WAS _ -•••-...._•••& HELD ,•' ��fc MADE ON THE GROUND IN ACCORDANCE WITH THE _ ` /� _` ` . •-•. CBDH-F KK CORP�ORAIiON 9�ti vt CENTERVILLE LAND COURT INSTRUCTIONS OF 2406 ON OR / \, e, HELD l / NEW 20 WIDE ♦ \\,� ` MAP =7 PARCEL 170 ��� RIVER BETWEEN MARCH 7 AND APRIL 9, 2008, AND / LOT 32 ACCESS AND UTILITY •\ MONUMENTS WERE VISIBLE INSPECTED IN /�"-�� EASEMENT I #gv: •••� MARCH OF 2009 AND NO CHANGE TO THE / DETAIL 2 �,� .�� o ,, \. • y FOR REGISTRY USE ONLY MONUMENTS WAS OBSERVED. / . , WAY* o $� $ i ` '• o WAY G �-� ,12 � � ��w LOCUS MAP I CERTIFY TO THE BEST OF MY 20' WAY LIMITS �' WAY 'E' °*�` `� 1 1000 PROFESSIONAL KNOWLEDGE, INFORMATION AND WAY 'M' /01 BDH-FB �'� `' \• . 4 AND BELIEF THAT THIS PLAN CONFORMS HELD WAY , , 2 BDH-FI - TO THE RULES AND REGULATIONS OF CRAIG A. FIELD 38039 DATE / N "� 20' WAY .' � ��•. �'• N/F `�O1 Ne ''�- LOT 32 / �- �� �BaRo�NG \ THOMAS P & USA B THE REGISTRY OF DEEDS. FOR THE BSC GROUP, INC. - \• \ • s759 17"ly / ' MAP 22F7 R gARCEL 169 C gYs� 1� � / f �� \ • -sue- "� \ DATE. a 1 ` \ CBDH-F LD QD.001 W 98 I�--- 3 j \: � & HE �IIL S6 7 •OZ, CBDH-F 2 274 �►♦ // r n� \,• �- ,� •� \.�.� HELD � •�- r - j-- LOT 32 / ...� .Z. /AWETLAND � �� � � .` 57!•f/ � � �" ` NOTE• l 7o �r� ARNOLD c LANE THE ORIGINALLY DATED PLAN OF APRIL 29, ( ���; ' MAP 207 �� \y �� •� 7 PARCEL 093 / � A �• � k 2009 HAS BEEN REVISED TO REFLECT CHANGES / \ , , _ REQUIRED BY MR. TOM GAVAGHAN OF THE MASSACHUSETTS LAND COURT, SURVEY ss WAY •J' .� 1 \ OF `' / / 8 R � / UPLAND •• n-AND �s DIVISION DATED DULY 16, 2009. / �s s78ro3oo"w OS - EASEMENT / / ' 72.�R) / lle4. .. v / uP�A;y6j••• / J PROFESSIONAL LAND SURVEYOR DATE DETAIL 1 // S78'18'23"W (F) �� � ,� \ , ` .- �'�`�/ / __Al / / MARIE G BOBBINS CBDH-F / " •\ VM/ 4�\ ' e MAP 207 PARCEL 130 & HELD fC.BD -il - /. \ LOT 30 t / �� / PLAN OF / m CBDH-F ��--'�-WAY 'Z' \ ` �qCT / UPLAND ry LOT 31 1 & HELD 1 D \ Ap.q�� ' ! / EASEMENT I ro CBDH-F 1 TF 56 \ SHAPE AREA 89,418t S.F. 'cl� •' _ALLAND O 1 8.3 \ \ 21.85 SHAPE FACTOR SHED CI ' •.3 , 1 l _ /' #40 =� �� �" ���• WATERMAN FARM ROAD N/F N ll� �'� •• EXISTING CRIOSSING / CULVERT -N / LOT 30 2ry��• %► 1 FRANgS D do MARY E �o z . ' / TO BE REMOVED & REBUILT �\ / / C ' IN LOT 31 I MCSHEA ` VELETA ' / �c. �� ' MAP 207 PARCEL InN MEILANDS �T •:\ / ' /� / um _ CENTERVILLE suBSICETCH / NDrE� %� '>T 4� ^ . ••� / / I ALL ��.. , FacrO / NOT TO SCALE / t EASTERLY CORNER •. '� H .�! / �s O„ ' / MASSACHUSETTS � / 10.0• `��/ 14 OF SHED R �y� .. \ i �. , (BARNSTABLE COUNTY) /^20� \\ ,TORN T DACE R sHED / - `-, / vAz • -- J -_. .•• WETLAND BEING A RE-SUBDIVISION , .. CARNEY Q- , :. / / Iw:, ,_ ,., ,.,,;�. .. ,..,, BORDERING _ -. __ __ --�. � n ?• � MAP_207_PARCEL 12a 1 �► I. � vECETA IED �/ 0� LAIti D C V U Ci 1 P LAN / I c / ,. _ / '+ WIDE ACCESS 1 . weluws 1 R=20.00 / 7 & UTILITY EASEMENT 28.11 R v-j I, 1• 2gpg !� - , L= / N ` i - #32290 D I / / JWN R BUSCONi '� ^p • . . 28.09 �F'� , / / ` �4(�E4 / R-10.00' �N /. MAP 207 PARCEL 127 "^�4 i �h ke0 G / I L=6.25' �• +► N S82.O8•�o"W SB-FND / •.�` . • • W k -- LOCUS INFORMATION N R / y �" R= �23wI .' ,cJ �.. . . CURRENT OWNER: NATHAN T. RUDMAN & � /a, 1 / �96.36 ` ® .•SM/ / � . . . /KATHRYN M. RUDMAN PLAN N/F wE7u►MID Lg o� 1a.o' >I , TITLE REFERENCE: CERT. 156588 /J Rey/ / •� // °' EDWARD A d< ,/� (�. .. WETLAND I ' / �.• / / MARYANN VJLROY �I(G .. `• �1{� PLAN REFERENCE: L.C. PLAN 32290-D MAP 207 PARCEL 126 ����7 .�ll/G CBDH-F96.3s' 97.58' �� �l►`� UPLAND / �' •• ` �1�� �r ASSESSORS MAP: 207 APRIL 29, 2009 / W' S81'5410 S82'30'20"W CBDDH-F �I(G �' � \\: 1 PARCEL- 91-2 A gti k1 �• &UTILITY EASEMENT / -- /d6 o �, ryg �. REVISIONS:. I 'o / 6/ 0��� f SEE WAY 'Z' •• �1 ZONING DISTRICT: RC - RESIDENTIAL 6� / •• s Posy .__,. EltPuwcED �. ` - - NO. DATE DESC. 1�• •p'� / Q�/t' , - /DETAIL i EXPUNGED 156588 \ MHW OBSERVED 3�25/ v SETBACKS: FRONT 20' / �'�• DDC. 792247--+ --- ' V 33,p0ot 5.F'M4w-� '�,v / SIDE 10' 1. 10/14/09 L.C. REVISIONS LOT 33 v -F a / , '• `�\� • ' .�dA MHW REAR 10 �� 0,28 �IL�Sow RING R=10.00' WIDE ACCESS / 8 PLMS 2. 10/26/09 CLIENT REVISIONS \LOT 32 cr, r-- �. / / & UTILITY EASEMENT �te;,P1- FROM PR A / $ • '� M IP-F g • ' WAIETAIM ` L=6.23 t� TEMPORARY ACCESS //' pAOg! W . ' S�C1� � � _ 1 O �� �� o � �o y N ROAD UNTIL SUCH TIME /•. z MLw � OVERLAY DISTRICT AP I I �` Q� , �. J v I / As THE PROPOSED 20' // - NITROGEN SENSITIVE - WIDE ACCESS do UTILITY 0 o� N d. • lam' cs /• do / ZONE: NOT A ZONE II EASEMENT IS LOT 30 R=10.00' fn CONSTRUC7EDD INSIDE // • . \ FEMA FLOOD / - L=6.18' i THE NEW EASEMENT .__ �4� c • , ZONE DISTRICT: "C,B, ", / / © / & 250 DATED 7 2 92 N/F - PANEL �250001 0008 D MICHAEL & DEBRA �, SHAPE AREA 8%280t S.F. LOT INFORMATION / PREPARED FOR: ��7 / 18.72 SHAPE FACTOR ' /1 MINjMUM LOT SIZE: 87,120f S.F. (R.P.O.D.) SM -' 1. yE.�D NATHAN T. & KATHRYN M. RUDMAN B{ PARCEL 100 44' �' /o�� LOT 311I UPLAND WETLAND MLW-MHW TOTAL AREA EXISTING LOT SIZE: 18.7t ACRES #178 CAPTAIN SAMADRUS ROAD WAY Y' 1 5� WIDE ACCESS < LOT 30 4.79t ACRES 6.43t ACRES 0.57t ACRES 11.79t ACRES NOTES: COTUIT, MA 02532 20' WAY" m m�` WAY 'E' / & UTILITY EASEMENT ! `. / '1O �•h `► J 20' WAY UPLAND M'WAY" .� '/ LOT 31 2.20t ACRES 2.16t ACRES 0.76t ACRES 5.12t ACRES ,��6• �h �ti °�fn WETLAND oil:oi/: - 1: THE OWNER HAS REPRESENTED AND AGREED THAT ��• , , •eb�,io,�E IN & HELD 1/ LOT 32 0.10t ACRES Ot ACRES Ot ACRES 0.10t ACRES THE WAY TO LOTS 30 & 31 AND A PORTION OVER WAY �� '9 g,.00. sti' CBDH-F & HELD �}1• I LOT 33 0.291 ACRES 0.311 ACRES Of ACRES OaOt ACRES LOT 32 WILL BE MAINTAINED TO ITS PRESENT R� Q "' / Art ���• ' i 1 '•r� �' !� �, ' � �b l / • s35°-- gT'�'�'-(�' •?e F '�Y ,/ �' NOT A .�� �� / STANDARD AND AT A MINIMUM AS A GRAVEL WAY CBDH-F g�• Se'� ;- "f '� BUILDABLE LOT �F J •••• •' •Z TOTAL AREA 7.38t ACRES &90t ACRES 1.33t ACRES 17.61t ACRES t 16' 1•rO HELD B-F 574 , - TO BE COMBINED �.`�. .,/ j---� N 349 Main Street, Rt. 28, Unit D .�. �.'�k1• ` s9 , W17H ADJACENT c ; ~�, •db '� : ,: �� LAND N7e o E � ' 2: THE TWO BUILDABLE LOTS (30 & 31) A/N/R W. Yarmouth Massachusetts N. a 20. UPLAND / '"�„•A11Ds ' PLAN WERE PREVIOUSLY APPROVED BY THE 02673 BBBGNED ON -F ;9 ao w IP-F 1 '� rrtwC. NATH"w T\$� '• ••• � �/ � � � NOVEMBER�1 2004.I FOR NG BOARD LAND COURT I PURPOSES 508 778 8919 R 20.00 �� w � 41f \ 4P LOT 33 -••._ 1sy . �+ ' L='Is.7x 01- RUDMAN •�AP 207 ,�'�' THE ROAD WILL BE KNOWN AS LOT 32. &RB-FD .2 LOT 32 N/F PMARCEL 104 /'' Se4.48'�` "D Q 2009 The BSC Group. Inc. • / R-185.35 / '�ap t� Ls97.68 �`•�• P �, DEED 24035MI ?Q�� ��' WETLAND : • 1 3: THE PLANfJING BOARD'S ENDORSEMENT IS BASED SCALE: 1" = so' saw. \` SEE coRscuA. TR CTF. 189532 `I • , c�. �.. ._..._ . . LE -_... / DETAIL 2 PMAP 206 � i� �• • i"/ ON A FINDING THAT THE PROPOSED USE OF LAND R=225. BRB-F mum .19 � -� ' / F �� . '� / IS ONLY FOR TWO (2) LOTS FOR RESIDENTIAL USE o 7.5 1s 30 & HELDcd�` i \ , 2 04' iN • "o. AND THAT THE WAY IS ADEQUATE FOR THE o 30 so 120 Fw CBDH-F Ls118•75 ��� v� � s`� 3°f ,- � � � !R � 2�0�' _ � INTENDED USE. LOT 33 IS A NONBUILDABLE LOT & N ` \ �'�` '`'�a ��"' IS TO BE COMBINED WITH ADJACENT LAND. PROJ. MGR.: C. FIELD WETLAND ` aB D "E G °'t . _._. NO- FINDING WAS MADE THAT THE WAY IS FIELD: D. GAZZOLO / N. MERCIER �` ate" � ADEQUATE FOR MORE THAN TWO 2 . \` PARCEL AP o6ot .. ( } LOTS CALC./DESIGN: K. HEALY DRAWN: K. HEALY 4: THIS PLAN IS A DIVISION OF REGISTERED LAND CHECK: C. FIELD ' ' •• OWNED BY NATHAN T. & KATHRYN M. RUDMAN. \ p •�: .. FILE-. 6069-LC/6069--ANR-OPTI.DWG • �� SIOWOWWwAY 5. SOME INTERIOR DITCH LINES TAKEN FROM OLD DWG. NO: 5609.-0 PLANS AND DEPICTED HEREON. JOB. N0: 4-6069.00 SHEET 1 OF 1 I_