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Home My WebLink About0243 EISENHOWER DRIVE ��,3 �isEN�ou�•e� �;� ACTIVE �.� ��n � `_--�� i , - � ` N ,7. = TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN Or BARNSTAB LE t Map ,.3 Parcel Application Health Division rile I ' Date Issued Conservation Division Application Fee Planning Dept. '° ° °""�"°°"�`°°"" Permit Fee U Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village ✓ c Owner Address Telephone Permit Request !i►'�� Square feet: 1 st floor: existing proposed 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 0' Two Family ❑ Multi-Family (# units). Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 2"'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing I new Half: existing new Number of Bedrooms: `1 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 5dGas ❑ Oil ❑ Electric ❑ Other Central Air: dYes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name`IL � J�� Telephone Number &9-Z2-t' - ff a I Address �2 �, l t License# Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE�k1,1,9>�a DATE Q m ' u1 FOR OFFICIAL USE ONLY APPLICATION #' . DATE ISSUED 1 fs MAP/PARCEL NO. Lt ADDRESS VILLAGE OWNER DATE OF INSPECTION: B FOUNDATION B &; FRAME INSULATION E - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4 y A ne Commorrivrealth of-Vassachusetts. D'ep wtjrtejlt oflndrestrial Accideras Office ofInwstigadans { .. 600 Washington Street r ti Boston,MA 02I22 wivinniassgovfdia Mrorlmrs' Campensatian Insurance'Affidavit:Builder-,ICantractars/Electricians(Plumbers Applicant Inf kimation Please Print Legibly Address- City/StatctZig v Il/I b Phone Are you an employer?Check thee appropriate box: Type of project(required), � 1.❑ I am a employer with 4. I am a general contractor and I employees(full andlor part-time).* have hired the sub-contractors ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling strip and have no employees. These sub-contractors have g_ ❑Demolition worLing forme in any capacity. employees and have wodcers" 9. ❑Building addition INo workers' comp.insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions I am.a homeoumer doing all work officers have exercised their I L E]Plumbingrepairs or additions myself-[No workers'comp- right of exemption per MGL 12.❑Roofrepai s insurance required.]i c.152,§1(4k andwe have no' employees.(No workers' 13.❑Other comp.insurance required.] •tiny appl cant gat checks hos 4fl mnst also fill out the section below shawing th&wortleis'compensation policy infotmatioo_ #Eameowners who submit this of uhma indicating they um doing all vat and then hire outside contactors nmst submit a new affidavit indicating such fcbutactors that check this boor must attached sa additional sheet showing the name of the sub-coutmuors and state whether or not-chose entitieshave employees. Irthesuh caatr8ctneshave employees,they mustpmuide their worken'romp.policy number. I atn ari eerpi�n}xrr tleat is pro�zd5rg arork¢rs'conrperrsafiarr i�irairce'far m}*enipIaf�ees Betoav is the policy aa,3jal�she . information. " InsuranceCompany Nance: Policy 4 or Self-ins..Lic.#: Expiration Date: Y Job Site Address: Cityl5tate/Tsp: Attach a copy of the workers'compensa.tionpolicy ded-aration 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 imposi*iaa of criminal penalties of a tine up to$1,500,00 andror one-year imprisonment,as well as civil peualties.in the form of a STOP WORK ORDEKand a fine of up to$250-00 a day against the violator. Be advised that a copy,af this statement may be forwarded to the Office of Investigations ofthe DIA fbr iIIsurBnck'coverage Verification. - I do hereby certtfir under the pains and penah"OS of-pnjkry.fliat the irafarrriativrr prm'jded abM'a'f3 and correct t c_ Si�aiure:` ,� 1(,L l�{/YVI.(. Iate'\ Official use only. D47 not errite in this area,to be-campletesd by city.arton n ofi at i C:ity,or Town.: "_ PermitMicense# Issuing Authar€ty(c-de one): 1.Board of HeAth 3.Ruilding Department 3. Yrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions y hficsachnmtts Ge]ieral Laws chapter 152 requires all employers to provide workers'compensation for their employees. paummutto this stag,an mpIcyce is deed as."-.every person in the service of another under aay contract of hire, express or nuplied,oral or writtea.- An e777foye3-is defined as"an individual,partnership,association,corporation or other Iegal entity,or any two or more of the foregoing engaged is a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,associafiou or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house building appurtenant thereto shall not because of such employment be deemed to be an employer." or on the grounds or MGL chapter 152,§25C(6)also sees that"every state or local licensing agency shall withhold the issuance or or to construct buildings is the commonwealth for any irenewal of a license or permit to operate a business gs P P „ o coin liance with the insurance,coverage required acceptable evidencef a licant Who has not reduced pp _ _ PP P ofits political subdivisions shall AdditionaIIy,MCrL chapter I52;§25C(7)states"Z`Ieither the commonwealth nor any p e the ins rrance. tmiit acceptable evidence of compBanc with _ enter into any contract for the perfomuance ofpnblic woi3c p 3 r menu of this chapter have been presented to the contracting aufhozity" Applicants Please fill out the workers'compensation affidavit completely,by checking&e boxes that apply to your situation and,if necessary,supply sub-contractnr(s)nam(--(s), addresses)and phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Part aersbips(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy isrerngaire B m advise-d that this af[ida:yit may be submitt--d to the De-partmertt of Industrial Accidents for confirmation of T^ce,coverage. Also be sure to sign and date itie affidavit The affidavit should be refrsned to the city or town that the application for the permit or license is being requested,not the Department of Lodulstrial Accidents. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed beIow. Self-insured companies should enter their s elf-ir,sura ce license nummber on the appropriate line. City or Town Officials r _ The Dr- artment has provided a ace at the bottom Please be sure that the affidavit is complete and printed legibly. p p sP of the,affidavit for you to fill out in the event the Office of Investigaf ions has to contact you regarding the applicant Please be sure to fill,in the permit/license number which will be used as a reference number. In addition,an applicant Ie erraitdicense applications in as `givenyear',need only submit one affidavit indicating current chat must submit multiple,p aPP y p olicy information(if necessary)and under"Job Site Address"the applicant sho11ld•write"all locations ia or town)_"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the o that a valid affidavit is on file for future ermits or licenses A new affidavit must be filled out each applicant as prof P year.Where,a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (it. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you is advance for your cooperation and should you have any questions, please do not hesitate to givens a call. The Department's address,telephone and fax number: -Tht CoG»aaWe' alth-of Ma s achustjtts Degarb:amt cif Iadusirial Acaidentg Office Qf f ave&gotioa= .640 Wasbi $Q,,Stet Baston MA O�III TeL 4 617'27-49GO Qxt 4-06 or 1--9 MASSAFE Fax 9 617-727-7749 Revised 4-24-07 ww .mass-gavldia l AWC Guide to Wood Consti-ucdon in Hj�-Ir Wrnd Areas_110 mph J-Yrnd Zone Massachusetts CheckUst for CODIpante(78D CRTR Check - Camplian= 1.1 SCOPE. Wind Speed{3 sea gust)__ _.____------•---_ .-------_- _-_.-.._.--- _.___..:__ ______. 110 mph WindFxpm-ure Category__-,_._--� ..._. - -- -__..__._.___ ._._..._-•----__.____.____..__. _B Wind Expmura Category..:.............Engineering Required For Entire Project......................................0 1.2 APPLICABILITY - ' . .Number of Stories(a rDawhich exceeds B in 12 slope shall be considered a story) stories 5 2 stories (Fig 2) - --_ ---- -- _<12:12 Mean Roof Height _---_-••-- ------_....__-_=_(Fig 2) ft s'33' Building Width,W ------ ---(F9 ft s go, Building Length,L __._- _�------ -_-_-- (Fig 3)—______..-_- _-._._____.-- _f{�_- __ Building Aspect Ratio(11YJ} -•--__----._-_----•-------__(Fig 4)____ s 3:1 Nominal Height of Tallest D enin z (Fg 4)_•--_- -_._____ s 61.8" 13 FRAMING CONNECTIONS - -------General compliance vrrl}t framing cannedi0ns__....-:_.: .(Table 2)_____-_--------------- � _-..-.._... 2.1 FOUNDATION - Foundation Walls meeting requirements of 780 CMR 5404.1 Conca ............. ..........._....................................................................... --- • ' Concrete Masonry...._.._----- ---- ----- _---- --- - --- -------- - _._.- 22 ANCHORAbE TO FDUNDATION1' 51B"Anchor Bolts•1mbedded or 5/8`Proprietary Mechanical Anchors as an altamaiive in concrete only BoltSpacbg-general...................................--__(Table4)____-.....----------:---------- in. Bolt Spac>ng from endTjomt of plate�----_-_----_-_--_(Fig r Bolt Embedment-concrete___..- (Fig 5)..._..-__ __._ ___ in. T` Bolt Embedment-mason _ _ ► % - __-_ in_>_15' Plate Washer-__-=.w_ :...-.._----.____-__--(Fig 5)----_____ _ 3`x 3.x'/.` ; 3.1 FLOORS ` Floorfaming member spans checked (per 7B0 CMR Chapter SS) Maximum Floor Opening Dimension�. .._---------(Fg 6)_.._._:�------ -_�-_--:------__ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall[Fig 6)______________________________•-•_-•-•• MtAff i m Floor Joist Setback Suppoiling Laadbearuhg Walls or Sheanvait—.+___(Fig 7).-.--_---•---•----_----_---------_ft s d Maximum Canfilevemd Floor Joists , Supporting tbadbearing Waft or Sheanvall --_.._(Fig 8) ft s d Floor-Bmr-ing at Endwalls-.....-........._:...-----__.-______(Fg S)_-�-- Floor Sheathing Type .-------.___ -__.__--•--_---___ 7B0 CMR Chapth r 55)__._ Floor Sheathing Thickness -(per730 CMR Chapter 55)----------_.-_... in. ._-_._(Table 2)__d nails at in edge 1 in field , 4.f WALLS Wall Height I-Dadbearing galls 10 and Table ft 510' Nan-Laadbeating walls- -- _.------ -•.(Fig 10 and Table 5) _-------:---.-_ft"s ZY _- Wal!Stud Spacing —(Fig 10 and Table in._<247 a.r- ft s d ' 4-2 EXTERl OR WALlS' _ Wood Studs LaadbaaringVafls_ _.__...:_..---.._._....._.-:-------(i'able'7}---...-------_-_--...�_.2;c ` ft Non-Laadbearing walls - Gable End Wall Bracing Full ..:__.(Fg WSP-Af�c FioQr Length ______ :: -.Y__-. {Fig 1 i)-- ---_.__ _.._.. ft;_VU3 Gypsum Ceiling Length[if WSP not used)--_______-__:(Ffg 11) _ft?_0.9W and 2 x4 Confmous Lateral Brace @ 6 ft o_c_-(Fg 11)......................._..... or 1 x 3 calling furring scrips 1 T spacing•min.wry 2 x 4 blocking @ 4 ft,_spacing in end joist or truss bays Double Tap P1 & = 5p5ce Length t `--__. _--__-- --__(Fg 13.and Table 6)..__--_---.__:.�_ _ft _ SpTtce Connection(no:of 16d common nar-Es)_- __(Table ATvc Guide to f!✓ood CQf E&UCdL7f! 1fl_ igh *"7ftd.4re_as_ IIO ffzph �J rnd Zone Massachusetts Checklist for Compliance(rso civzR-,3or.2.r.1)i Laadbearing Wail Conner-gons - Lateral (no.of 16d common nais)_-_.._-----_.-��.-(Tables 7)--_----.__.--- Non-Lzradbearing Wall Connedions Lateral(no.of 16d common nails)- __ Load Bearing Wan Openings(record largest opening but check all openings for cone prance to Table 9) Header Spans _--- ______.__ ..--- ----_--_--_.(Table 9)._-_:_.__.__.____.._ft in.511' in.911 Sin (Table Plate Spans -_ ._______._. -.- —_. FLA Height Studs (no. of studs)__--____- ____-_(Table 9)-•--_..__._------..._._._-----___ Non-Load Bearing Wall Openings(record farpest opening but check all openings for compliance to Table 9) Header'Spans---- (Table S)______-___-------_--- ft_in.512' Sill Plate Spans..__ _�__:____ able 9 i -____-- -_ ._ (T )..��_-__. —ft—to 12' Fug Height Studs(no.of studs)_— _—.---.--(Table 9)._-----___-__._._._-_.- Exterior Wan Sheathing fo Resist Uprdt and Shea[SimuftaneDusfy4 Minimum Bolding Dimension.W - Nominal Height of Tallest OpeningZ .--------.------____�..------- !9 6`B` Sheathing Type-----------_----._._._____.. (note ____--:--- Edge Nail Spacing --------_-.. .__,__-.(fable 10 or note 4 if►ess)_______._-•__-_. in- Field Nail Spacing-_....._...---------------(Table 1D)__-_-__---_-_-.____-.. in. Shear Connection (no.of 16d common nails)(Table 10).__._.______-.___.------------ -------_-__ Percent Full-Height Sheathing.___.--_.-..:_(Table 10)_.___________________..•_________.--•--°� 5%Additional Sheathing for Will with Opening>.S`W(Design Concepts)____.____.-__. Maximum Building Dimension,L Nominal Height of Tallest Openine--__ ---------------------------------------------------- SIB" ` Sheathing Type.____----- - --- --(note 4) -- ---- -- --- - -- -- Edge Nail Sparing __ able 11 or note 4 if less _._-_-.______..__ in. P 9-- ------- ---- (T ) Feld Nail Spacing-------___ __.___ ___-_:_(Table 11)_______-.r_.__________---_--•-- in. Shear Connection(no. of 16d common nails)(fable 11)....... Percent Fun-Height Sheathing______._._..___(Table 11) 5%Additional Sheathing for Wall wfth'Opening>6'8'(Design Concepts)-._._----_ Wail Cladding Rated for Wlnd Speed? .-------------------- --- 5.1 ROOFS Roof framing member.spans checker!?_-__-__ .(For Rafters use AWC Span To_ol,see BBRS Website) Roof Overhang __-__._______.._.____..___-------------------(Figure 19)----:---_-- ft 5 smaller of 2'or 113 Tnms or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift___-_.____.._..-------- (Table 12)_-._-. U= pIf Lateral__._ _-------------._-----------(Table 12)___-__-__•----------•-----_-_L= pff Shear-_---_ S= .Plf. Ridge Strap Connections,if collar ties not used per page 21... (Table T= plf Gable Rake Ouilooker---............:--...........----�-(Figure 20) .___..._-- ft s smaller of 2'or L2 Truss or Rafter Connectons at Non-Loadbearing Walls Proprietary Connectors Uplift- ----_(Table 14) _.-____-___-- ___U= ib. Lateral(no-of 15d common nails)___(Table 14)..........................•__.___• ---L= - lb. Roof Sheathing Type-------_._.. __-._------(per 7B0 CMR Chapters 58 and 59)............. Roof Sheathing Thickness---_._.._--_-_ _-___.-_-------_------- ----_in.2!: WSP Roof Sheathing Fastening-_._._._.-_-_-___._..__.(Table 2) Notes •1. _ This checklist shall be met in its entirety,excluding the specific exception noted in Z to comply with the requirements of TBD CMR-5301.21.1 Item 1. If the checUM is met in its entirety then the fafiowing metal straps and hold downs are not required per the WFCM 110 mph Guide_ a. Steel Straps per Figure 5 ` b. 2b Gage Straps per Mqt a 11 c. Uprrrt Straps per Figure 14 d_ All Straps per Figure 17 e. Comer Stiid Hold Downs per Figure 18a and Figure IBb 2 'Exception:Opening heights ofup to 8 it shag be permitted when 5%is added to the percent full-height sheathing 'r equirernettfs shun in Tables 10 and 11. 3_ The bottom sty plate in e)df iior walls shall be a minimum 2 in-nominal thickness pressure treated t Z-grade. x AFF'C Guide to fYood Carixfrucfion ul Rt h 13,1ndAreas_ IID inpk 1�u7dZone Massachusetts Checklist for Campliance(78D cn-'[lzs--i.or 2:J:i)I 4. a. From Tables ID and 11 and location of wall shiaHng and B Wding Aspect Ratio,determine Percent Fuff-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows t. Panels shall be installed with strength an's parallel tD siuds• I All horizontal joint-Shall occur over and be nailed to framing. ur_ Dn single story construction,panels shall be attached to bottom plates and top member of the double tap plate. iv. Dn two story construction,upper panels shall be attached to thd top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first fioor framing. v. Hor mntal nail spacing at double top plates, band joists,and girders shall-be a double row of Bd staggered at 3 inches on center per figures below:Vertical and Horizontal NaMi g for Panel Attachment 5. Glazing protection:a),new house or horizontal addition—required if ppject'is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.6) b)vertical addFdDn—not required unless there is extensive renovation to the first fitoor c)replacelmentwiridows—needs energy conservation compliance only(chap 93) S.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B maybe obtained from the Amerdccdn Wood Council (AWC)websitte. Y WI r@rTm EDrEn3E5rs ox T dB3GusEsdUkt$S • u II ' • u N . u u f_ ■ ma° i rf H_ ..tl R tl 11 K t I 1 0 1•f R r- y t - 1 a it • !- !t I t to tl ,�1 1 l l t l if Q tL • 1 ) d ti t t _ 1 - l - � ii tCL p .1 tr t f 1 rz�.�•.rs �I �y m u l t •1�F� 11 LF. • fir ii 11 � } � 1 E it 1 i ; •� ;. it 14 l -- — — Qfl[J>3� 'E 1 STi4GGEFE? 3`hdCd NArLsPkt JG . l ; tuw+L�I+Tr9anr PANEL rt ram courEUkIL MCEsPAMM DEW- See Data_fl fln Next Page ' Detail Vertical and HDramrltal bailing Verticel and Horizontal Nailing for Parcel Attachment fDF Panel Aftarhrnsnt of'ME rOy Town of Barnstable RegaYatory Services - E 8=ZZ4332=; f 4 asses. $ Richard P.SmlI I&ednr m R riding Division Tom rerry,Bmldiad Commisdaner 200 Main Street Hyannis,MA 02601 wwwImnlarnstable ma_us Office: 508-862-4038 Fag: 508-790-6230 4 Property Owner Must Complete and Sign This Section If Using A Bt-Older , L ,as Owner of the subject property, I�erel�yaz�honrp ' to act on m7bg24 in all matters mlative to work authorized bythis budding pemiit application for . (A,ddmss of job) ,"Tool fences and alarms are the responsibilkyof the applicant Pools fdl are not to be ed or uti iwd before fence is installed and all final ' inspections•are performed and accepted. Signar= of Owner Signa UM of Applicant Print Name Pri=Name . Date . QFoxnss:owr�Ean�ssm'rr�oois Town of Barnstable , , - Regdatory Services ova r � Richard V.Sc2A Director b+ Bathing bIYMon Tom Perry,BuMing Commissioner MASSpc6 �3M 1a 200 Man Street Hyaenas,MA f12601 prm WWW toWn.b Mn Ma-us Office: 508-862-4038 Fag: 508-790-6230 HOIMWIM LICE=MCOR"TrON 1.>Aze::9 /(�- mB Lo=0n-, -b®ephone VPo$3cCPIiMC " CURRENT MATE TNGADDRFS '� -�Lr � i11 /1/t A 6)-Z G � City/b3N- _ zip C:0& The cuaent exemption for`homeowners'was extended to include owner-0ccIInied dweIImss of s X imis or less and to a1lOW homeowners to engage an individual for hire who does notpossess a license,provided that the owner acts as supervisor_ DXFnMLON ORH011MWNTR person(s)who owns a parcel of land on which helshe resides or intends to reside,an which there is,or is intended to be,a one or two- family dwelling, attached or detached stmcmres accessory to such use and/or farm stnc[n - A person who constmcts more than one Home in a two-year period shall notbe considu ed,ahomcawner Such`jmmeow '.shall sabmitto the Bm7ding Official on a form le for an acceptable to the Bm7�Offlaial,thathe/she shaIl be mRonsrb sorb wozic�erfozmed underthe bmldmg permit (Section 109.1.1) The undersigned`homeowner'ac sames rmponsinffity for ccm Ipliance wifftthe Sfaia Building Code and other applicable codes, bylaws,rules and regulations- - 'Ihe undersigned`homeowner"cedi ies thathe/she uadcrstands the Town ofBams able B'mfldmg Department T=m=inspection promdwes and requirements amthat helsho wHI comply with said procedures and requaemeofs. 5tgaan�a ofH=r+.Y+u+ Approval nfBtn7H"ingOfficial Note: Threc famay dwellings containing 35,000 cubic feet or huger wMbe rvT*edto comply with the S`tal:.Bmldmg Coda Section 127.0 Conistrac.•tion C.ontroh. Hon�oWrz�s pox The Code states that: "Any homeowner performing work for which a ba:TrI i permit is regmired shall be exempt 0 -Lice i of contra ion Supervisors);provided that if the homeowner " ions of this section(Section 1911 Licensing � from the grays (S engages a gersoa(s)for hire to do such work,that such Hameowaer shall net as superviso r." Many homeowners who use this exemption are unawam.that they are assuming the responsffilli ies of a supervisor (see Appends Q,Mules&Regulations for Licensig Cons(racfmn SBpervisors,Sectinn 2.15) This hark of awareness often results in serious problems,partkmlarhy when the homeowner hares mrcensed persons. In this case,our Board cannot proceed agshist the unlicensed person as it would with a Hcensed Supervisor_ The homeowner acting as Supervisor is ulf=tely responmTble To eusm-e that the homeowner is fay aware of his/her responsibilities,many communifies regnae,as part of the permit application,tbat the homeowner cerfify tIiathelshe undersbmds the responsibilities of a Supervisor. On the Iastpage of this issue is a form currently iised by,several towns. You may caret amend and adopt such afbrmleertiffcation.for use in your commuxatp. Q��4PFlI�SS1I�RM5Lf^"�';�Pamrtfrtrmsl�RES�doc Revised 061313 The Holmes . z43 Eisenhower Drive Cotuit,'MA'oz635 - SPA-�� oS -��i� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION oil AL Map �� Parcel Application �Q . l Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board - m^,�L Historic - OKH _ Preservation/Hyannis �r t Project Street Address �(�, 65end hwelz -I) , Village Owner a121 O Address � � Telephone �� Permit Request Apoito c-c rJ M eaf f, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District e� Flood Plain Groundwater Overlay Project Valuation J #4,-D0 ` 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 9poJn Count �? Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other ';, Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wo8ckoal stove) ❑�s ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ;25 never;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) ,�S Name � Telephone Number �..� Address 6� u-Vie- License # C7z,6 3� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /4 i r, FOR OFFICIAL USE ONLY APPLICATION# QATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME --o/--o Ae/9 JI INSULATION �fU FIREPLACE ELECTRICAL: ROUGH FINAL p PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ow)Y,,Zv, <cs �—/c twiu DATE CLOSED OUT ASSOCIATION P,LAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents l ' Office of Investigations 600 Washington Street t� %1 Boston, MA 02111 www.mass.gov/dia ?Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AA licant Information Please Print Ise ibl I Name (Businessiorganization/Individual): Address: �'`'� 3 use,� -fl— U.. - 1 C64—LA T'- C1-(� P one .City/State/Zip: Are you an employer? Check the appropriate box: Type of project(required): 4. 1 am a eral,contractor and I � 1.❑ I am a employer with ❑ gen 6, ❑ New construction employees full and/or part-time).* have hired the sub-contractors ( p listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 'g. ❑ Demolition ^ working for me in:any capacity., employees and have workers' 9 ❑ Building addition o workers' comp. insurance comp.insurance.$. ,- S. ❑ We are a corporation and its 10.❑ Electrical repairs or additi equired,] f officers have exercised their 11.❑ Plumbing repairs or additi 3,.n I am a homeowner doing all w rk myself. [No workers' comp. right of exemption per MG 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 the policy and job site. information. Insurance Company Name: Policy#or Self ins, Lic.#: Expiration Date:, Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration datt Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of IA for insurance coverage verification. I do hereby eerti t der the p 'n nd enalties of perjury that the information provided above is true and correct Date: 'Si nature: Phone# � Official use only. Do not write in this area, to be completed by city or town official City or Town; Permit/License# Issuing Authority.(circle one): 1.Board of Health 2.',Building Department-3. City/Town Clerk 4, ElectHcal.lnspector S. Plumbing Inspector- 6. Other . Contacf Person`. Phone#r Inform atx®n .and nstrncttons Massachusetts General Laws chapter 152 requires all employers to provide workers'.compensalion for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,.association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the therein,or the occupant of the owner of a dwelling house having not more than three apartments and who residesP dwelling house of another who employs persons .to or repair work on such dwelling house to do maintenance, construction p t thereto shall not because of such employment be deemed,to be an employer." or on the grounds or building appurtenant P MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been,presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s) of Partnerships LLP with no employees other than the Liability P P Li Companies LLC or Limited L� p ( ) - insuranee. Limited Lz ability p ( ) h' r ers' compensation insurance. If an LLC or LLP does have members or partners,are not required to car wok p P carry policy is re uired. Be advised that this affidavit may�be submitted to the Departme nt of Industrial employees, a p y q Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. 'Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number: In addition,`an applicant that must submit multiple pennit/license applications in any given year, need only submit one affidavit indicating current . policy information(if necessary) and under"lob Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may.be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit, The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call, The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston, MA 02111 t Tel. # 617.-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 1 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EMCICIENCY FOR ON-P-- AND TWO-FAMMY DETACHED RESXDENTIAL'CONSTRUUCTION (780 CMR 61.00) Applicant Name. l� �C__1U,11^e-`7 Site Address:, AI��/ pr r Town: -� l A Applicant Phone: L`(, � 9 Applicant Signature: c�- Date of Application:V. NEW CONSTRUCTION: choose ONE of the following two•o tions 780 CM R.TABLE 6107.1 BRESCRIFTM ENVELOPE COMPONENT CRITERIA FOR NEW ONE—AND TWO—FAMILY BUILDINGS MA)c MUM MB (JM Ceiling or Slab QOption 1: • Basement. Fenestration exposed Wall Floor Wall Perurteter AFUE HSPF U-factor floors R Valuc R-Value R-Value R Value R:Value and De th National Appliance En R-10, Conscryaiion Act(NA 35 R-3 8 R49 R-19 R-10 . 4 ft.. 1997 as amcndcd,mini caicr as applicabic Note: This form is not required if you choose either of the two versions of REScheck as listed below. El Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR-6107.3.2 REScheck—Web which can be accessed at http-'Hvmw.eni-,rgyCDdl-,S.gov/rcsrhc�c e D X�' OlVS OR ATITikkTZOI,S.TO B*�[ST N';G DS1 S.0:VE -S YEASTS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above, Complete the following formula to determine the %o.of glazing: (a) Gross Wall & Ceiling Area equals Formula: '(100 x b a) ' SF 100 x - _ % of glazing b a (b) Glazing area equals SF If glazing 0 /a.uge.the chart below,, If glazing is> 40 % , rgcee,'d to "SYJI ROOM" section. 780 CA/IRR TABLE 6101.3 PRESCRIPTIVE.ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING: LOW.-RISE RESI;OENTIAL BUILDINGS MAXIMUM �9r Ceiling and Slab Peri Fenestration Exposed floors'. 'Wall Floor Basement Wall R_Val. U-factor posed flc -Value R-Value R-Value and De .39 R-37 a R-13 . R-19 R-10 R-10, 4 a R-30 ceiling.insulation may be used in place of R-37 if the insulation acbieves the full R-value over the entire ceiling urea i,e,not compressed over exterior walls, and including any access o enin s , SLTNR00.M—An addition or alteration to an existing building/dwelling unit.where the to glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of 1 additio4. Note: Owner to fill o.ut Consurner lii ormntion Form found in A endix 120T Towr. of Barnstable Regulatory Services Thomas F. Geiler,Director '` P. Building Division Tom Perry;Building Commissioner. 200 Maid•Strcet,.Hyannis, MA 026.01 ti-ww.town.barastable.ma.us Office: 508-862�038 Fax: 509-790-6230 sWvfFDWNER LICENSE ExEWTION Plcare Print DATE: �N � IOSLO A � ` number r� street • vrllagc HOM$OWNER": Y5� --2-z/- [elf na home phone# work pbonc# CURRENT MAfLING ADbRE.sS: z 3 � Q� city/town states - rip code The current exemption for"homeowners" was extended to include owner-occupied dwellin>rs of six units or less and to allow hQIneowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEk1NTI-TON OF H0MEWvh'ER Pergon(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 bomeovsner, Such "homeowner"shall submit to the Buuldiug Official on a form acccptablc to the Building Official, that be/she shall be o all such work crformed under the buildin remit. (Section 109.1.1) res onsible f or all - The undcrsigncd"homeowner"assumes responsibility for compliance.-with the State Building Codc and other. applicable codes, bylaws,rules and regulations: The undersigned"homeowner"certifies thatlie/shc understands the Town ofBainstable Building Dcpax.trpcnt minimum inspection procedutres.and requirements and that he/she will-comply with said procedures and rcquircmcu ts. S rc of 90 cAncv Approval of Building Official Notc: Three-fay dwellings containing 35,000 cubic fcct or larger will be rcquircd to comply with the mil StAtc Building Code Section 127.0 Construction Control. . HOMEOWNER'S EKEWTION The Codc states that: "Any homeowner paribrming work for which a building permit is required shall be exempt from the provisions truction Supervisbrs);proyidcd that if the homcovfntr engages a poson(s)far hire to do such of this seetion.(Section 109.1.1 -Licensing of cons work that such HOmeoWner shall act as supervisor." Many homeowners who use this exemption errs unaware that they arc assuving the rcrponnbilitics of a supervisor(see Appendix Q. Rulcs&Regulations for Licensing Construction sups visors,Section 2.15) This lack of awareness bftrn results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot procccd against the unlicensed person as it would with a licensed Supervisor. The,homeowner acting as supervisor is u)timuc)y responsrble • To ensure that the homeowner is fully aw=of hisAgr respannbilitics,many conununitics tequithi-s part of the perm(application, that the homcovener ecrhfy that hrlshc understands the resporuib0i.6cs of a Superyisor. On the last page of this issue is a,form currently used by several towns. 'You may care t amend and adopt such a forrp)ccrvfication for use in your community. o Regulatory Services ` aAxhsuat Thomas F Geiler, Director v �o; A Building :DiVision Toni Perry, Building Commissioner 200 Main Strcct, Hyannis, MA 02601 rvww.town.b arnstabl e.ma.us Officc: 508-862-4038 Fay: 508-7 Pao erL-y � p vxie lest Complefie and xg This Sectioa If Us A B u zlder A as Owner of the su6ject.propert.y hereby authorize to act oa my behalf, in ali matte relative to work authorized by this building permit application for. (Address of job) signature of Owner Date Print Name l If P% Qwner is,applying for petnnit plea Homeowners License Exemption Form 0 e. reve.r-c .s.l e. r The Holmes 243 Eisenhower Drive �I �jnt Cotuit,MA o2635 S1® P AOO 1 The Holmes 243 Eisenhower Drive _ Cotuit,-NIA 02635 — r t41tA' P4�1 aau� L s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel 0 � (P Application # Z,0 1 o I C,0" Health'-Division Date Issued zZ f� Conservation Division Application Fee L Planning Dept. " Permit Fee. • Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project SAeet Address �T3 �� OA y,-W Village Owner Address x-C a, "-f�- ( , Telephone g D Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 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: mull ❑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 j First Floor Room Count Heat Type and Fuel: [B'Gas ❑ Oil ❑ Electric ❑ Other Central Air: O'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: a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION vn (BUIEDE*OR HOMEOWNER) N (�ALL am��_ ' ",r't4-� Telephone Number , ddress �'�'s t,,J- ad&7, au Z, License # Improvement Contractor Home Im C p o actor# Worker's Compensation # CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOSIGNATU DATE q v s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE J:t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 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.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly NIlle (B"ift. ,;, rdIndividual),/� t� ■,neis� > A -_,.,_b, ddress: i ity/State/Zip: b �-(n3S Phone#: C , Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. .[] I am a general contractor and I 6 ❑New construction ' ---' - have hired the sub-contractors_ _. ._ _'__._ em to ees full and/orpart-time).* ------ �f p Y listed on the attached sheet. 7. ❑ Remodeling pam a sole proprietor or partner- . ., ship and have no employees. These sub-contractors have. g, ❑Demolition working for me in any capacity. . employees and have workers' 9 0 Building addition - [No workers comp. insurance.$comp. insurance 10.❑ Electrical repairs or additions R; �ired.] 5. ❑ We are a corporation and its 3. I a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs c. insurance required.] 152,§1(4),and w ired. e have no q J t 13.❑ Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this.affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information .t Insurance Company.Name: , Policy#or$elf--ins.Lic. 7 Expiration Date: -Job Site Address: City/State/Zip: + \ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL'c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may.be forwarded to the Office of Investigations of the DIA for insurance coverage verification: 1 do hereby certify under the pains and penalties of perjury that the information provided above is.true and correct Sianatur��hl>a �1` Date l i�R�l Q f. Phone# Od�ZZ —Qt)1(r : 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 . P Contact h Person. one#. Informationand Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant.to this statute, an eniplo),ee is defined as"...every person.'in the service of another under any contract of hire, express or implied, oral or written." An employer is defined.I as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction}or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such empl6yinentbe deemed to be an employer." MGL chapter 152,§25C(6)also slates that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." •Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out.the workers' compensation affidavit completely,by checking the boxes that apply to your sihration and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates) of insurance, Limited Liability Companies (LLC)or Limited-Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a,policy is required: Be advised that this affidavit may be_submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pennit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sire that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure.to fill in the permiUlicense number which will be used as a.reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and Linder"Job Site Address" the applicant should write"all locations in (city or town):"'A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. i The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington,Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or"1-87.1-MASSAFE Fax 4 617-727-7749 Revised 4-24-07 wwW:mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE-'AND TWO-FAMILY D TACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: Site Address: ` print Town: �' .tAit� r 1/► Applicant Phone: -ZZ —�'0 Applicant Signature: ooD��+ln— Date of Application: NEW CONSTRUCTION: choose ONE of the followingtwo o tions 780 CMR TABLE.6107.1 PRESCRIPTIVE ENVELOPE COMPONENT"CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS - MAXIMUM MINIMUM Ceiling or Slab Option 1: Basement Fenestration exposed- : Wall Floor " - Wall Perimeter, AFUE HSPF. SEER U-factor floors R-Value ,R-Value R-Value R-Value and Depth ' R-Value National Appliance Energy R-10, Conservation Act(NAECA)of .35 R-38 R-19: R-19 R-10 4 ft. 1987asamended,minimums or greater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or.later variant software analysis must be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at http'//www energycodes.gov/rescheek/ ADDITIONS OR ALTERATIONS,TQ EXISTING BUILDINGS O�VER.5 YEARS OLD* . :.. *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b- a) SV ti 100 x_ — % of glazing 4 b (b) Glazing area equals SF a If glazing is<40 o use the chart below. If lazing is> 40.0/ Proceed to "SUNROOM" section — 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM ' MINIMUM Ceiling and Slab Perimeter Fenestration Exposed floors Wall :Floor Basement Wall R-Value ' U-factor p R-Value R-value R-Value and.De th . R-Value 3 9 R-3 7 a R-13 R-19 R-10 R=10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and includingany access openings). ' SUNROOM-An addition or alteration to an existing building/dwelling unit'where the total . glazing area of said addition„exceeds 40%o of the cornbined gross wall and ceiling area of the, ' addition. .b Note: ;Owner to fill out Consumer Information Forni (found in Appendix 120.P),` ' t►+E Town of Barnstable oF r Regulatory Services tmxxsrasr E Thomas F.Geiler,Director Mass. Building Division iOTEo °i Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 1 ' number street village `•HOMEOWNER":r11lYlilbll A�1�l�q' b 40/IfS'G(1rLt�, name home phone# work phone# CURRENT MAILING ADDRESS: city/town FVI state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER . Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be.considered a homeowner. Such "homeowner shall submit to the Building Official on a form acceptable to the.Building Official,that he/she.shall be responsible for all such work performed under the building permit. (Section.109.1.1) „ The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations: The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department .: minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements.. . "atuiemeowner Approval of Building Official Note: Three-family,dwellings.containing 35,000 cubic feet or larger will.be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION . The Code states that: Any homeowner performing work for which a building permit is required shall be exempt from the provisions # of this'section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s).for hire to do such work,that such Homeowner.shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix.Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly, when.the'homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC 1 . IHMEr Town of Barnstable Regulatory Services 9'`AM M Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete. and Sign This Section If Using.A Builder I, , as. Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W N ERPERMIS S ION The Holmes 243 Eisenhower Drive Cotuit,MA 02635 ( } qj AV 1:9$ a°01 pf SHE Tpy� The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services - Y MASS. 0 1639. �0 PTFOMp�' Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: G 1 (ber� V-AU Map/Parcel: 03 F'' 4 f 6 Project Address: IN3 E%SC V1�(ftA) Y Builder: CL"er— The following items were noted on reviewing: • 4 t 2.1 I lira /1 Q i ff -Coy- bRJ Yew, %A c4 6-e /1 J � 1; +S�C e_i �.C.r J I G rYC.\ VY11,tS" " _S6J)oar, l R Reviewed by: Date: q:buitding:forms:review �L 1 �-�- � c f �� -� I �� E � � �, �, / vc�� - off . , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 156,21 a Health Division 8`70 Date Issued lolg /®/ Conservation Division qk& O Fee 4 I a Tax Collector Treasurer D Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address U E I SPyA6we r Village CIq nlult /o Owner 1 e � l�. L Address �y 3 /SPn��O jI V� l ltl�d Telephone V —l Permit Request IN �h Square feyt. 1st floor: existing proposed 0 2nd floor: existing i I' pproposed Total new Valuation (� Zonin District -Flood Plain Groundwater Overlay A Construction Type S N I �/✓ Lot Size 3V, 045 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1�f Historic House: ❑Yes XNo On Old King's Highway: ❑Yes . l No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) �tou Number of Baths: Full: existing C� 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: A Gas ❑Oil ❑ Electric ❑Other Central Air: X Yes ❑ No Fireplaces: Existing _Z 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# VSEIP 2 6 2001 �rrent Use _ Proposed Use Ry BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation#ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3ET_ SIGNATURE DATE t S4 FOR OFFICIAL USE ONLY `•M 10 > • I ' PERMIT NO. DATE ISSUED — MAP/PARCEL NO. ADDRESS" VILLAGE ,F OWNER" DATE OF INSPECTION: FOUNDATION - • FRAME INSULATION U -2 ^ 6 3 9,54 FIREPLACE t ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL . GAS: ROUGH FINAL _ FINAL BUILDING ZC ,'w"y DATE CLOSED OUT �P - i ASSOCIATION PLAN NO. e s 4 The Town of Barnstable Regulatory Services 1639• Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 1lou-0s Type of Work: 7 /'�J��'�V �� Estimated Cost , Address of Work: ^SPA a L Owner's Name: Date of Application: 4L I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law Job Under$1,000 uilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT MPROVEMENT WOLING WITH RK DO NOT HAVE EGISTERED CONTRACTORS FOR APPLICABLE HOME ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date ntractor Name Registration No. OR i Date Owner's Name q:forms:Affidav:re v-070601 it ` ' • "' "`_ The Commonwealth of Massachusetts Department of Industrial Accidents Office 811aYe09atfems 600 Washington Street Boston,Mass. 02111 Workers Com ensation Insurance Affidavit name: L The Lt r- • � 1 location: ci hone# I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in env ca acity rp I a ❑ I am an employer providing workers' compensation for my employees working on this job com an name:: ddrass: c�tv X. phone Po ILT. insurance co. ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have following workers' compensation polices: • fo th g _ _. com an name:: aX. ddress' ::.:. .:::'::.::::.:......7. .w2J.. .,k,....... IN :::+' :;i:: iii: :'::is'.':iiiiii:`is ii:' :'.'............::::'':J ...............................................................:::::::::::::.:::::::::................ X. no C an .names :• ...:::.::...::...................:... adt[ress� _.: X. :.: no ne: ct ... '.> :'. ......:.:::: .. ... .... lnsurarice.co. xxx . Funm to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby t e pains and penalties of perjury that the information provided above is tw.and Correct Signature DateNO Print name ' � Phone# O" official use only do not write in this area to be completed by city or town official city or,town permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectrnen's Office ❑Health Department contact person: phone#; - ❑Other (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity; or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a_deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance_coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a,workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please the be sure to fill in p number which will be used,as a reference number. The affidavits may bereto id to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents Oltice of lmlesduadoos i 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409.or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE kisquare feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Feel/ projcost The Town of Barnstable """„�ta g Regulatory Services 1639. Thomas F. Geiler, Director QED MP'1 A Building Division Peter F. DiMatteo, Building.Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ' JOB LOCATION: village street number r-yti V "HOMEOWNER": e home phone work phone# Dame 3i�ev�io i Vf CURRENT MAILING ADDRESS: D city/town smote code Zip ings Of units or The current exemption for"homeowners"was extend ofohinclu ire hQ dces not possess a liclense,�rov dihat less and to allow homeowners to engage an individual the owner acts as supervisor. DEFINITION OF HOMEOWNER or is Person(s)who owns a parcel of land on which he/she or detached structures accessory to such useresides or intends to reside,on which there ,and/or intended to be,a one or two-family dwelling,attar 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 oon a f rm under he acceptable building hermit: Building Official,that he/she shall be responsible for all such work serf (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 t n of Bshe s oarnble Butly wd na h said Dep ment minim inspection procedures and requirements and that pros es r q ments. G signature o omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEIVI MON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Incensing 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 h6meowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see tion 5) This lack of awareness often in Appendix Q.Rules&RRegular Licensing Construction tions homeowner hires unlicensed persons �In this/case our Board cannot proceed aga►nst the us problems,particularly u ervisor is ultimately responsible. servo pacting as S unlicensed person as it would with a licensed Supervisor. The homeowner a g p communities require,as part of the permit To ensure that the homeowner is fully aware of his/her responsibilities.many erstands the responsibilities of a Supervisor. On the last page ofthis form currently used by several towns. You may care t ame issue is a application.that the homeowner certify that he/she und nd and adopt such aform/certification for use in your community.- Q:FORMS:EXEMM N v- �T �... FIVD Z-dT 2 I E I o_ x t- ate•`•\•` c. o , it ��2 CD Cu ,Z IAT 55 o Q z 35,045 sq.ft. 0.80 acres 04 Cr 5Z 44 I. 49 \1 HN S�5-311 1 � g� R. L . . EL Of �+ STI u+� �0 HN \ O� \ o dU �\ o £LLIS 6 O No 2W'14 ' qt-rI Tf.c.Fes" CKRTUM p p�N i CERTIFY THAT THE BUILDINGS It `k�osa COTUIT �24�ErS tit�Io+rt�'. SHOWN HERON COMPLY WITH THE HORIZONTAL r�� DIMENSIONAL REQUIREMENTS OF THE LOCAL ZONING BY-LAW, AND THE DWELLING DOES NOT `.1"=40' DAM 3/24/99 A FALL IN A SPECIAL F.E.M.A. FLOOD HAZARD AREA. Emwmw MAP 38 PARCEL 16 DATE: 514 99 - R.L.S. LOT 55 L.C.C. 36608C OFFSETS TO PROPO D BUIL NGS SHOULD NOT GILBERT PAUL BE USED TO ESTABLIS ERTY LINES. #98126 Shelves _r yoo a � o of 6hmer o got ........................ c 1 set 3 77<54 � , Zp SMOKE DETECTORS OX s y OBARNSTABLE BUILDING DEPT. r 5 3,, ay Ff6A.It r i 7wa�Y�-a c1,P6a4rd5 �ro�t V, i i � Awas i �wa6i �wa5� ��si �a51 �wa5� ' 4�WaS� CeJAr 5hi Right 5il 1 Sh��leS V. c�ac i / a Cd# She �eS _ ac a 6ti*P Ceil,�olm Coot,-'4 owd 6* C o'C, TOP PK �-- 4 658 /a, 1 Ord I Pim �3o zvs�l��ia� R-13 �,5vl��ioN �TyUe� .� n � l T LS �� Cw t, ayq 5hoe Shi�(es 4 :M 104945 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # (3?001 Health Division Date Issued �U Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 243 Eisenhower Village cotuit Owner Ingrid Holmes Address 243 Eisenhower Dr. Telephone (508)221-8019 Permit Request 12 man hours of air sealing, install insulation in attic areas Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1380,40 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: E3 C> Zoning Board of Appeals Authorization ❑ .Appeal # Recorded ❑ � o ® Commercial EllYes ❑ No If yes, site plan review# r" Current Use Proposed Use a M APPLICANT INFORMATION_ - - -- =-(BUILDER(*HOMEOWNER) Name RISE Engineering Telephone Number (401)784-37oo Address 1341 Elmwood Avenue, Cranston, RI 02910-icense# 100459 Home Improvement Contractor# 120979 Worker's Compensation # WC2-zl 1-259874-019 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Rhode Island ou ecov Johnston RI SIGNATURE DATE '"rTH� i a I o 1 I Vq r z a FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION x FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a �r The Commonwealth of Mlassachusetts IIDepartmentt of Industrial Accidenis Office of Investigations 600 Washington Street Boston, M4 02111 www.mass<gov1 dig Workers's' Compensation Insurance Affidavit- Builders/font ractdrs/Elect ricians/Plunmbers j2pflncanl Information Pfleas� P>rinl Le My Name (Business/Organization/Individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/Stare/Zip:_ Cranston, RI 02910 Phone#: 401-784-3700 or 1-800-422-5365 Are you an employer?Check the appropriate box: i t Type of project(required): 1.0 1 am a employer with 4. ❑ I am a general contractor and 1 6 ❑New construction employees(full and/or part-time).* : have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• ❑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 11.0 Plumbing repairs or additions .myself..[No workers' comp. c. 152, §1(4),and we have no 12.R Roof repairs insurance required.] t employees. [No workers' 13.0 Other Insulation comp. insurance required.] --�J "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 any employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-.ins.Lic. #: s�WC2—Z11-259874-019 Expiration Date: 04/01/ 10 Job Site Address: ;J �i� S-6f l ho V -(ter City/State/Zi p Attach a.copy of the workers'compensation policy declaration page(showing the policy nim,/ ber 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 cerfixiin . r the ins an apenalties of perjury that the information provided above is true and correct. Signature: Q,, VP� � Date d- -7— Erik Nerstheimer for RISE Enggineering ' Phone#: 401-784-3700 or 1-800-422-5365 Ext. 133 Official use only. Igo 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/Torun Clerk'4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: RISE ENGE'gEERING Federal ID#05.0405629 �..< I Contractor Registration No 8186 A division of Thielsch Engineering , !VGA Contractor Registration No 120979 - CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R102910 (401)754-3700 9/A4 FAX(401)784-37.10 . y��;Lt � �6r1t�� T CT page�' r 1 THIS CONTRACT IS ENTERED INTO BETWEEN RISE ¢� pn - ENGINEERING AND THE CUSTOMER FOR WORK AS -- El�l�el`�1EERING a _ DESCRIBED BELOW - ... CUSTOMER PHONE, DATE Client 11 Ingrid L Holmes (508)221-801.9 10/29/2009 104945 SERVICE STREET BILLING STREET. 243 Eisenhower Drive 243 Eisenhower Dr SERVICE CITY,STATE,ZIP _— BILLING CITY,STATE,ZIP -- ---------- Cotuit,MA 02635 Cotuit,MA 02635 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas Of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can nclude caulks,foams,weatherstripping and other products.- Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work ivill be performed at the rate of$66 per man per hour,which includes materials and testing. 12 man hours. $792.00 RISE Engineering will provide labor and materials to seal heating and/or cooling ducts within designated unheated attic areas. This work will be performed at the rate of$75 per man per hour,which includes materials..2 man hours. $150.00 RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 32 square feet of kneewali area. $86.40 RISE Engineering will provide labor and materials to install FSK foil faced rigid insulation board across the face of the rafters,behind the" knewall. Seams will be sealed with FSK foil tape. 110 square feet of area. $297.00 RISE Engineering will provide labor and materials to install R-6 faced fiberglass insulation to the exposed heating and/or cooling ducts in certain non-conditioned attic areas. Total to be installed is 22.0 square feet. $55.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Tight Compact offers 75%incentive,not to exceed$2,000 per calander year. -$1,035.30 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF , ***Three Hundred,Forty-Five& 10/100 Dollars $346.10 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY, UNPAID BALANCE AFTE 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. . ---- DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SkCE AUTHOR IG TURE•RISE ENGINEERING' - " 'CUSTOMER A TANCE NOTE:THIS CON CT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 'ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE _ SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK . DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE � �5� yL icensee Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) -• - Mass.Gov Home Public Safety ------------ Department of Public Safety Licensee Complaintsq License Type Construction Supervisor - = License.# 100459 Restriction WS,IC,. Name Erik Nerstheimer City,State,Zip North Scituate, RI,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search ✓die.T�aminw�nusea�Cli a��/laaaac/zccce�a � I ° Board of Building Regulations and Standards , License or registration valid for individid use only HOME IMPROVEMENT CONTRACTOR I. 'before the expiration date. If found return to: - Registration. 120979 Board of Building Regulations and Standards Ex iTat►on �. One Ashburton Place Rm,1301 P. 3/25/2010 p i ,PA)stou,.Ma..,021.08 Type Supplement Card - . _ THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD �RANSTON, RI 02910u�; ;w — --- -- ------ Admin.isti itor Not valid without sign..#r re r S , http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=CSLI00459 AA-C-060 CERTWICA E OF LIAR TY,INSURANCE OP I® .RgFC DATE(MM/DD/YYYY). . THIEL-1 11 05 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED r INSURER A: Hartford Underwriters Ins. Co Thielsch Engineering, Inc INSURERB: Hartford Casualty Insurance Cc Hi Tech Group Inc. INSURER C: Liberty Mutual Insurance Group Hi Tech Realty Inc.. ;• y p ` 195 Frances Avenue Cranston RI 02910 INsuRERo: North American Capacity 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 SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH. POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER P LICY EFFECTIVE OL C EXPIRATION DATE MM/DD/YY DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A COMMERCIAL GENERAL LIABILITY 02UUNTD5678 .04/01/09. ,04/01/10 -PREMISES(Ea occurencej $ 300,000 ' CLAIMS MADE ®OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X PRO- JECT Loc Y Em Ben. 11000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11,000,000 B X ANY AUTO 02UENTD4850 Oi/Oi/09 04/01/10 (Ea accident) r o ALL OWNED AUTOS _ d BODILY INJURY $ SCHEDULED AUTOS (Per person) , HIREDAUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE r $ (Per accident) GARAGE LIABILITY AUTO ONLY=EA ACCIDENT $ ANY AUTO EA ACC $ � OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE _ $ 10,000,000 $ X OCCUR CLAIMS MADE 02XHUUF6573 04/01/09 04/01/10 AGGREGATE $ 10,000,000 RDEDUCTIBLE y $ X RETENTION $10,O O O ` $ WORKERS COMPENSATION AND X TORY LIMITS ER Y ' C EMPLOYERS'LIABILITY WC2-Zll-259874-019 04 01 ANY PROPRIETOR/PARTNER/EXECUTIVE / /.O 9 04/01/10 E.L.EACH ACCIDENT': - $ 500,000 OFFICER/MEMBER EXCLUDED?es,If E.L.DISEASE-EA EMPLOYE $ 5001000, y SPECIdescribe under AL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 [Pr THER s ` Dofessional Liab DVL000025902, 04/13/09 04/01/10 Prof Liab , 2,000,'000 ALeased/Rented E 02UUNTD567-8 n. 04/01/09 04/01/10 Equipment' 100,,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN TOWN of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building D1V1810n IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis MA 02601 "' a REPRESENTATIVES: ' AUTHORIZED EPRES ACORD 25(2001/08) ©ACORD CORPORATION 1 r 790 CMR Appaida 1 Table JS21b(condoned) Prescriptive Packages for Une and Two-Fan*Residential BoiWtnp Heated with Fostii Fact MAXIMUM MINIMUM Glazing Glazing Ceiling Wall I Floor Basement - Slab Hating/Cooling Area'('/o) U-value= R value' R vaiue' R value° wall perimeter EquiPmem Effiacricy' Package R values R value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 WA WA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 23 WA WA 83 AFUE W 15% 0.52 30 19 19 10 6 25 AFUE X 19% 0.32 38 13 25 WA WA Normal Y 19% 0.42 38 19 25 WA WA Normal : Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 W AFUE 1. ADDRESS OF PROPERTY. Co�v o , 35� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE,FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): O O 5. SELECT PACKAGE(Q--AAA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. I BUILDING INSPECTOR APPROVAL:. YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J6.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if-used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must metr the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d:scribed in Note b. 7 The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. - ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. if you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency,required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. . b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J 1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 z TOWN OF BARNSTABLE _� A CERTIFICATE OF OCCUPANCY PARCEL ID 038 016 GEOBASE ID 2234 ` ADDRESS 243, EISENHOWER DRIVE PHONE COTUIT ZIP - LOT 55 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 40612 DESCRIPTION PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES.— THE BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P:"tl'�AisrABi.E, ; MAS& 1639. BUIAL I'ON DATE ISSUED 08/24/1999 EXPIRATION DATE ! APPROVED TOWN OF BARNSTABLE 2-GAS-- E4-WIRING El-_PLUMBiNG 0 G x_ TOWR OF BARN STABLE BPI PARCEL 1D 0'b. 016 GEOBAS . ID 2234 -ADDRESS 243- EISENHOWER .DRIVE COTUIT Z.r.P. DIVA. DEVELOPMENT Dl'S T,�(`F, T r �!,,RMIT 36219 DESdRIPTION '—NGLEI.EA.M:ILY. DWgLLING SEPTIC -0 ' ?b9 FERP3IT'TYPE BUIL') �r TTLE NEW x�zEsibENTIAL BLDS PMT . Y ,..r y , Department of.�eaith, fety t 3 T RAY.iC?1� .; 40t, Jf GILBERT ARCHITECTS: `�:� and Environmental Se r��Ys `I.OTA L FEES: �._�,� $478.42 TME, BOND CONSTRUCTION COSTS $154.y D.00 z 10.E ` Sr GLE -.CAM HOME Dj,TACHFD 1 =PR STATE P:�*a s►xrrSTAB *' i6AM ,fig BUILD N '`DLVISION BY DATE ISSUED 02/04/1.959 EXPIRATION DATE THI'S PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- 'CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY 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 OFTHIS PERMIT DOES NOT-RELEASE'THE'APPLICAN7 FROM'THE CONDITIONS OF—ANY—APPLICABLE.—SUBDIVISION—RESTRICTIONS.—_ =— MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2: PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. i BUILDING INSPECTION APPROVAL PLUMBING INSPECTION APP OVALS ELECTRICAL INSPECTION APPROVALS �v 2 2 �� 2 � � 7 3 1 HEING AAT INSP CTION APPROVALS ENGINEERING DEPARTMENT 2• BOARD OF HEALTH OTHER. MQ SITE PLe REVIEW APPROVAL a WO AK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY. VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. /� BUILDING PERMIT r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .3 - Parcel ". Permit# -13 Health Division `��'� � Jz �I�-� - Date Issued ``?a Conservation Division i21 d C'i �4�C��j`�'�''t�"��^" �kf ` '�f''^'� Fee � Y_a Tax Collector �,DE SEP S&Sf Treasurer �-Q-e� �r o d - _ INSTALLS®IN COMPL E - WITH TITLE 5 Planning Dept. _ NVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning oard 7^ TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Addr ss o?-I S el S CAI W I V Village C04ylt Owner ef I C(SOA) t Address (D J&l Te G)Ur lI /Vfi iUl Telephone L 5_Permit Request �I a k I •/ at)- ( fy�' AOA/ ' r Square feet: 1 st floor:existing proposed 1,56q2nd floor:existing proposed 130c� Total new Estimated Project Cost Zoning District Flood Plain t 106 Groundwater Overlay Construction Type )N.F10 �Aj Lot Size (� Grandfathered: ❑Yes . .❑No If yes, attach supporting documentation. Dwelling Type:..Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: O Yes , No On Old King's Highway: 0 Yes No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) 0 Number of Baths: Full: existing new Half:existing new Number of Bedrooms: , existing new If UN{in►r5 /�/�ST�1O (s/j/�qP ,Total Room Count(not including baths): existing new 9 'First Floor Room Count Heat Type and Fuel: 4 Gas ❑Oil ❑ Electric ❑Other Central Air: )(Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage:O existing ❑new size Pool:O existing ❑new . size Barn:O existing ❑new size Attached garage:O existing 4 new size a Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes )kNo If yes, site plan review# Current Use � Ml �/} Proposed Use S► FA6 RKI"Id IN I 1�T�t —�1 .�-N c� I/C ►O�l /'I v�P� i 'TER INFORMATION E Name I Telephone Number Address P-Q. 86X , Q9,l'I d q QI Zfs License 1161 bu 2�&T[WAISOC kt O Home Improvement Contractor# Worker's Compensation# NVA .15� YI/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AAMCU SIGNATURE DATE - FOR OFFICIAL USE ONLY PERMIT NO. -; ^- �• . r� t tt: DATE ISSUED MAP/PARCEL NO. ADDRESS. t :. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION a — i t' t• FRAME.. w./�_ INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGI�♦•ia;e.; . FINAL r - � - � rAr. ate•• ` .. ._....... r t .r . FINAL BUILDING DATE CLOSED.OUT = r f ' r ASSOCIATION PLAN NO I � /4"ftYW00D�BR, N�/4 ROO4J I - 24 3/4"R ' IWOOD 8„ ��ZXIOa.Ib!'O.G D70 a 161 Ob. 6' 12' 6' wzm%L 6M .YASf WNZR 4',4" i. 4' 4''0" SEC110N II-I 3 - 24X24/24X'r6 24X2/24X36 a50 a5 e d m 12 . WOOD-DECK O - m 117/8"SJZ$17015f - aW.00: t 6 )00 ffm FRg41E JOISTS— 14'-2" 24 a 2024 241L'6 -56X60 A 50 24K24/24M 6'0"V& a DR. A W/24X24 FOLD 5o& a 50 W/24 I�DG I- lz4W-A oa TP.MJ5 mom I ---1 MknR 6EDK00M xm cow, I 12' OM AKFASTN'�A �D 4"COW.Af'8 FKOi TO WM 14' - FPMLY ROOM "am e 20 =4-6 _ 4 3`�iTT 12' 3-2g0 JOI9f i `p v I CIAR s Q To 2-2X10 FEMEK� �0 RA&FM ro OIST J i. MH . 14 2'6"X 6'8" M1h II',6„ 26, PAkll?Y 5'O"�b'8"C.O. fs• �0 a � ^ z . b p 3 v lo' 12' a DNINMOM R5'O" 6'8" - oa - 14, 1 L,MVY I ❑ e a � WAS, 6,6„ 24X24/2406 B.. — 24K24/24X76VE 14' 9'- I/2" .I '" /2'I 24X24/24X96 14' 4. a 24 4 24 L — I a5� PORCH i5. 7'-b" 7' 7�,6„ �, 6' I 12' 2' 24' ------------------ �1�51 �I.00� pI AN O 1 2 AFr FXLI �6AN A550CIA1F.5 a " AP.CNITrCtS AMP pI.ANN�� Q � 10 WON SIW NNU MkWcHM HS 0760 f ft51DENCE Fqt MZ.C1Em PNl.CONf,M/55061i>rfti fhu FIKST FW0P PLAN r t 24XZA Q.S� I 24X24 a,5QE I I C 1 P6Aik70P - I - I - I 'g'e" 24X24 CL 5V� 29X24 Q 5U ZAX24 CL 5U I I ` I I I 16`0/2" 510"M WU. 10'-8y SX'AiYMfS I O 5A9fl70M W L--TEN f�PPMO yJ L--I - -- - I \ , WV 14 ao5v I vain `Fum MA51ERI6BIAAOM z 13CD!ytlM#A 2b,Y66„F �5'011X6'6" \ I ry \ 1 2'6"X 6'6" OPT 6"(ELPYi d 2'6"X6'6" • I cv T 6" Hr m #3 II DOWN 1 i - - - A I I I I I I f0 I ' 4'6"MW KW 1'PU• I M"ow I I I I I I 24X24 a 5a 24X24 a,WE 14X2 A.S� ZAX24 AZE 24XZ Q AZE 4' ROOF OP P I 5MR2 PLOOP PLAN o 1 �6AN A550CIA95 ARCHITcr5 AN12 MAM> 10 WION 51FL`Ef RAM MA551�01760 Sr Sa - �r'�ffii f Ri5MM POR W MmRf PNd. 5PCONt7 FLOOP PLAN � "` 24' 5' r-----------------------------1. I I - I I I I r------------� r� I I I I I I I I 12'-V' I _ - P4' 14'^4" i I I I I — -- —I --------- ----- -----------------------------------i 6x6x66M I I , I I I I i 51V FOUI9PoIONDOKN '�9Efln{fN 1FC�2 PON15 o' Nolf PWM 5'a'DOOR Oft PN9 rWZW CONC BtWM I I FU FOR SLAB AV4 _. 5 1/2'CONW9 5W 1}ta9LL'N7lU I I y 2' I I 16' r— --r 1610 I6'O I I 2 I -- -- -- -- -- -- -- — -- -- -- —W9(225fieM 28. Otk I— WWI'DP I I I I I LP I 6PAh1 PoLur L —— I L————��O"x 4'a'x I CONo,POOt1NG Ow I I I I J I I I I o I I I 10' I I o I I I 14' um I II L----------------------------j I I I _ L—————————— ——————————————— --------1 .. I 40' I 12'•0" - 24' �_ 10"CONC,PLIkD 5OWM5 rO 6'60laNC SOL 13AS�NI�NT FWO0 RM o 1 �6AN A550CIM5 ARCHITC5 Awn PLMWks 10 WION 51inr Kqa MAYPOII`f115 on6o ' PaD.ecr M9PDKE-POE MR.A.HERf PAL.CONf,MASSAOiILEEfl'S ilu 13A5MNT FI.00p pI.AN M76C Mr SACK CHMILY 12 Io I fOF GF FL.2W -- -- -- -- -- -- -- — — -- -- -- — -- -- -- -- -- — -- -- -- -- - 7`6 , Aummamrt-- -- — -- -- -- -- -- -- 0us"— — -- -- -- -- -- -- -- -- -- -- -- — -- — -- -- — -- -- — -- -- — -- -- 01`GL•I9, ft, — -- -- — -- -- � ® ® - . rTr,) FN INFI. TONI MVA110N 12 cGNr.ava v£Nr ,o AS}W.f S 15 ON M#Fa 5/8"FLYWOGD UAW zoovem a 16"OL. 2XB COIJ A IT5 12 M e 4'0"OL• 2R40FM FARMION AS%W,T StRJA.ES �,6 �,bu . 5/R"fo FLSWOOD 9ML. f01'01 PI..INft. TGPGI 22X4 FL, FL.1 BpGK 0i1f Y �R• 2X4Mffl 9' 9' 2K4 WOOD A1475 1 o 6"O.G. I/2'aW 2X4 5Pa 5 4"fa6 FLNM'GV REFI.. --f" a•. .. FIN 15 4 05 a I6".OL• # � + FWINft. � IXSDgDGNG -- — — -- — -- -- -- -- -- — — -- -- -- — — -- — -- -- — — — -- MWWASIMPIPW — NOW, . CONL. AA W/ 51/2" .APH 51/2"51L. r v2"vtJcotvar5 FFuca4. MM A550CIAZ5 I��f SIt7� f✓I EVA110N o 1 4 I Y,C.F�, AMCMfZ5 An"NM lo"X ZO" io wc«sir uau ,,,meo cam.wNc. rm&-y Ens, was 0 I T 5 R' VXWP0RWWWPNL.lONf. rwic L SECTION c � fCONT.RIDGE MENT 12 10 ASPWLf%OW5 . Ma LMMPEY T or ft.2w m. ® ® 7.4" -- -- -- -- -- -- -- -- - -- -- - OLNW"alITER_ R.. 2�.M j -- - -- -- - -- -- -- -- -- -- -- -- -- - - _ I 104i4n ■®® SSEEMS EEM q no u mmoss WOOD WAU fAW - I'-2 5/4" O 1 MAR �I�VA110N cm,avavmr . 10 F mn GHMAEY - -- -- -- -- -- -- -- -- -- - A%ftf 5HNak5 1 —— — OLWANUM aKiRR 105/4u — -- -- -- -- — -- -- -- - — TOP OPft,iSTm, q. avow 5HWU5 -tea 9'O°%9'd'OH.DOOR 10'-0"%q'4"OHDOOR 9'd'XO'd'ON.DOORe? 4 GG CAM AA /�ACGn550C n FN ISTft. I'•25/4" — -- -- -- _ — — -- -- -- -- — -- LIAT 5 s,n� MCHISCf5 AND t'I.ANM5 10 WON Sf f"M NA5W1aM 01760 �`� ' RO.ECr x P I PICK SiM ftM110N 0 1 2 5 Off RzSMUPMMPaVWPaa.COW.ru6SSAMLrrs UVA110N5 � � 2 ; I I 1A23j,g 3 rn N .o 2 Go o N -: .- N LOT 55 Q z c�0 35,045 sq.ft. Q.80 acres o, i v�,o -0 p , J2�� ' co 1 LIP LIS 29874 0 ORTUFM PIDT FLAN .CERTIFY THAT THE BUILDINGS `(aST,F- c� SHOWN HERON COMPLY WITH THE HORIZONTAL IWrj COTUIT. pQ�� DIMENSIONAL REQUIREMENTS OF THE LOCAL 3•?s ,`19 ZONING BY—LAW, AND THE DWELLING DOES N0. 1"=40' ID ' 3/24/99 FALL IN A SPECIAL F_E.M_A. FLOOD HAZARD AR MAP 38 PARCEL 16 nn DATE: �'•`4'9 R.L.S. LOT 55 L.C.C. 36608C OFFSETS .TO PR SED BUI INGS SHOULD NOL BE USED TO ESTABLIS PERTY LINES. #98126 GILBERT PAUL THEFOLLOWING IS/ARE- THE BEST IMAGES FROM POOR , QUALI.TY ,ORIGINAL. S} I m DAT A 4 Nj1 ��r hZ f P N� t rM B E iR { ��r �rs��ry DAIEl , V �` 5�%( 'i' ��r�' i)��'� ■ i �1 �� .r��) )' u l l .,.Sty i +.- t Sr l ji� �t �(( �l(�< PAGE 1 t RECEIV D�RC}M l �' �� Si3� t �{5.; r '�tt,,,� �� )rr� I ` r S1' SiS r �3 ( rrSS r �tr t i StS l .Q ! �( i' t t c (lOtl f l ll 1 t PARCEL ID 1 11 1 77 S �s d h lr ��-yyt'rj {jl F( j- 1� Y `,'f'.' t(�, t1S.t �)rC �. �� r�� 038 016-------- (�% r6k., ,,t t r 'r: i t �� t. ti �'` ti 7.1 l},� Vc„G...+ 1 ,1,1 )U t 5� ✓C �S ACC' NF ' )�� r � - Z2 � ..2. Q .P I rr �n r r -� j QECINN�NG.i- d 7 !• -t 1 rt l,r + �.�; N t1 Ate t +ll-� )t �5� '� ,) `� ''� r BALi1N t� l �715t C n( l Fp)) GE !� STATUS: 4� Am Ou t t✓" C l � �� PAID.;( CHECt`If - 44 BAIANC ' ti. MONE ) ) ) SJ S 1lN d feoruodes�se9 DU } � �i 7�J! �'r( / / ,ORDERS DATE: 02 26 99 .. REGISTERED: 619912 FUND FUND FUND TX FUND FUND INTR PAYMENTS/ INTREST INTEREST INT. INT. CURRENT DAILY YR CODE DESCRIP. DATE INIT. AMOUNT ADJUSTS PAID TO-DATE DUE RATE DAYS BALANCE COMMENTS INTEREST . -- ---- ---------- -------- ------------ ------------ ------------ ----------- ---- ---- -------------- --------------- -------- 93 733.41 0.00 0.00 540.41 1,273.82 0.3215 94 619.59 0.00 0.00 449.78 1,069.37 0.2716 95 618.00 0.00 0.00 330.50 948.50 0.2709 96 646.12 0.00 0.00 237.91 884.03 0.2833 97 697.62 0.00 0.00 92.35 789.97 0.3059 99 34.82 0.00 0.00 0.00 34.82 0.0000 3349.56 0.00 0.00 1650.95 5,000.51 * 1.4532 - ------------ ------------ ------------ ----------- - -------- 3349.56 0.00 0.00 1650.95 5,000.51 1.4532 ��2 -------------------- Interest-Date Orig-Bill A-A raisal J-Other-Names Change effective date. PP . . Year Type Bill # Cust # Name 1998 RE-R 3065 53286 BURLEIGH, PHILIP JR Comm? N Parcel ID Property Loc/Ref 038-016 243 EISENHOWER DRIVE 038016 Int Date Billed Abt/Adj Pmts/Credits Interest Unpaid ba 1 01/28/98 295 .48 • 00 p 1 2 08/29/98 470 .36 • 00 44 . 66 340 . 14 3 . 00 . 00 38 . 24 508 . 60 4 Fees : . 00 5 . 00 Totals : 765 . 84 • 00 • 00 5 . 00 JAN 1 Owner: BURLEIGH, PHILIP JR• 00 • 00 82 . 90 853 . 74 Mail Addr/Tel 98 FORT RD ount 00 EDGECOMB, ME 04556-3007 DueZ02/26/99 853 . 76i Diem .29 Int Paid . 00 1 Of+------ 3 ----------------------------------- ------------------------------------FD CflL�� `0 fl� in:(CS Action: . . . Interest-Date Orig-Bill A-Appraisal J-Other-Names . . Change effective date. Year Type Bill # Cust # Name 1999 .. RE-R 3927 53286 BURLEIGH, PHILIP JR Comm? N Parcel ID Property Loc/Ref Prior year unpaid bills 038-016 243 EISENHOWER DRIVE Press CTRL-F for info. Int Date Billed Abt/Adj Pmts/Credits Interest Unpaid bal 1 12/22/98 382 . 93 . 00 . 00 14 . 54 397 .47 2 05/04/99 . 00 . 00 . 00 . 00 . 00 3 4 Fees : . 00 . 00 . 00 . 00 . 00 Totals : 382 . 93 . 00 . 00 14 . 54 397 .47 JAN 1 Owner: BURLEIGH, PHILIP JR Discount . 00 Mail Addr/Tel 98 FORT RD Due 02/26 99 397 .47� EDGECOMB, ME 04556-3007 er iem Int Paid . 00 2 of 3 +------------------------------------------------------------------ ---=------+ CC?L c7e _ j;= !'y;c r Y i MAScheck_ COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: Falmouth STATE: Massachusetts HDD: 5713 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 1-11-1999 COMPLIANCE: PASSES Required UA = 427 Your Home 404 Area or Cavity Cont. Glazing/Door ---------Perimeter R-Value R-Value U-Value UA -------------------------- ----------------------------------- CEILINGS 1240 30.0 0.0 44 WALLS: Wood Frame, 16" O.C. 2100 13.0 0.0 173 GLAZING: Windows or Doors 286 0.310 89 DOORS 118 0.300 35 FLOORS: Over Unconditioned Space 1344 19.0 0.0 64 ------------------------------------------------------------------------------- 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 requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC e . ment selected to heat or cool the building shall be no greater th 25% of the design load as specified Sections 780CMR 1310 4.4 -B /Designer Da s Fg F' F c I z� y MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 1-11-1999 Bldg. l Dept. l Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0.3 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ l I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. I - r I DUCT INSULATION: [ J I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating .I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ J I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ l I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) ' I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 - 0.5 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- ,. ✓ R 31, i DEPARiNi OF PUB11CxSAfETY IrCONSTRUOT10tF''SUPERVISOR si Type PRIVATE CORPORATION _ - - Resort l Expiration 02/26/00 6IlBERiY �PAUL°' Integrated Constr. Management f -7f &rA ert,J. Paul 4 116 DUIUDE AVE s .. ao�n,N;s7w+Toa 16 DuLude Ave 'I WOONSOCKET, RI 02895 Woonsocket*RI 02895 77 w44025 f Restricted To: 00 ' Be - None License or registration `valid for individual lA - Masonry only use only before expiration date. If found return.to: One Ashburton Place Rm,1301 t'16 - 1 6 2 Family Noses Boston Ma.02108 Failure to possess a current edition of the Massachusetts State Building Code !} I is cause for revocation of this license. ._, -- — e. • Attach to bond N 0 578226 COUNTERSIGNING ENDORSEMENT Inasmuch as the Bond to which this endorsement is attached applies to'operations in the State of Massachusetts , the signature of a duly authorized representative of the WESTERN SURETY,COMPANY in that State is hereby appended`in conformity with the Laws so requiring. Attached to and forming apart of Bond No. 4 68810840 Yon behalf of - ' 7 �1 r+�,�V aFS4;:s s }�� 4�$f r� Y,�+� ,,..•j,�"�*�,'d,r" <�i��.krFS� =k Inter rated Construction Management,. Inc. • .r��_��dtl�.F�, - �'� ' .,...- r .:.� sad �� '��"� i� .�.� . a �, 1.., • .' r+ ��.:-? Countersigned in Boston, Massachusetts t thi`s1sYt o J 1` 99' X.-. _ Reside �'cens Agent" A City of A.A c® NY Form 490-12-8e State of POSION, PA 02105 9 D , Effective Date. January 8, 1999 f C) PSurety J WPV\/tVrn V LICENSE AND PERMIT BOND G J G KNOW ALL MEN BY THESE PRESENTS: BOND No. 68810840 r Thatwe, Intercrrated Construction Management, Inc. r u of the City of Natick , State of Massachusetts , as Principal; and WESTERN SURETY COMPANY, a corporation duly licensed. to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts , Obligee, in the penal sum of. One Thousand and 00/100 DOLLARS ( $1, 000-00 ) lawfulf money of the United States, to b-e-paid-to the said"Obligee;for which'payment well and truly to be made, we bind ourselves and,our legal representatives,jointly and severally by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal has,been licensed Street Permit * by the said Obligee. NOW- THEREFORE, if the said Principal shall faithfully perform the duties and in all things comply with the'; laws and ordinances,' including all amendments thereto, 'pertaining to the license or permit ap lied for, then this obligation to be void, otherwise to remain,, in full force and effect.. until �aTlr �� h - 2 0 0 0 ;;.unless•renewed by?Continuation Certificate. may' e�termmated:at-any time by the Surety upon sending notice in writing, by certified mail,` ' ,tot ele e P t cal-Subd vision:with whoni this bond is'filed and'to the Princi aladdressed`to them'at lit the a cal Sub ,na m med,here , and;at ali re-expiration;of-,,thirty-five1(3.5)ldayslf rom'the`mailirig-of said a 1 no this bond s i l so.facto-terminate and thetSurety shall thereuponT(be relieved,from an'y ha city for any act r,o issi f'tth �Principal_subsequent to said date. ad tiffs 8 day of January 1999 INTERGRATED CONSTRUCTION MANAGEMENT, I N Principal Principal Countersigned WESTERN U E T Y C O My�)N Y BySEE ENDORSEMENT ATTACHED By Resident Agent St hen T.Pate,President ACKNOWLEDGMENT OF SURETY (Corporate Officer) STATE OF SOUTH DAKOTA F County ofMinnehaha ss n F On this 8 t h;' day of Januar.v 1999 before me the undersigned officer, personally appeared ` :Stephen T,Pate " , 3 t-:w knowl'edged-himself t`o"be the aforesaid ho ac officer„of WESTERN SURETY COMP__ANY, a-corporation„_and that-he as':such,.officer beinWauthorized so to do, executed the 'foregoing instrument.'01 +•,for,the purposes:.thereii%,contained; by='sigrimgthe ri fame of the' corpora'f* by,-h' §b1f as,suChroff cer ,„ _. r pc, t i? `, c. C. 7 T 9 R. .. , Y IN WITNESS WHEREOF;-I-havehereunto set my-hand and official "seal I t '' .+�+gggggb4h44y�44gggghggg4y.} - s B THOMAS :� s ^ NOTARY PUBLIC ^ s SOUTH DAKOTAALs fi s SEAL SE Notary Public—South Dakota -s � r, Form 532-9-95 y My Commission Expires 6-2-2003 - 8 _ � r j G ;,,ACKNOWLEDGMENT Off'PRINCIPAL G •(Individual or Partners) STATE OF J F i.I GL..t..f.S1 i'UI:A.`•1 Iu,.k_ 3 County of F + b - .. ..... ii F U F On this _ day of , ,before me personally appeared 7-7 F k ' F G a - G 1 G 7 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 7 _ (Corporate Officer) STATE OF s County of ��0 tt ., On this day of before me �rlA 67e� R�. personally appeared who acknowledged himself to be the 1 C1sfr�� i-► o of l /y TeR&R* re%- CN; :D L-e- % /y-ems a corporation, and that he as such officer being authorized so to do, exe foregoing instrument for the purposes therein contained by signing the name of the corporation himself a such offic . = My commission expires z ' � � a 0 Notary Public F f f C: / F V f r � F-'•i � �] F W.F+I f O W a $4 ° - 0 � - W 4 ® - "'"\_ The Commonwealth of Massachusetts _-W — , z " :-= -= Department of Industrial Accidents ?� -= Olflce811nesdooffe®s . 600 Washington Street -=..cI Boston,Mass. 02111 — Workers'Com1. ,) ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. . ❑ I am a sole rietor and have no one worldan in ca . ty I am an employer providing wo rs'compensation for my empl s working on this job. � :::.:. .:...:.. ... . . .m an names , .. __ address. .1. k a hone#. ** ... ,, ...i:.:..::: .:::j]j:L�:j:;:ji�;.:. J.j:. 1 j insurance co : > � a :,... . i # .._: ;. El I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have `. the following workers'compensation polices: .%...; .:... eomnanv name:: ,.: X. <:< : .:::.::::::.... ... ... ............. .......::.:....:::::. ....;;i::: "::::::::<;::::::,*::.>:::..,.:::.....:::::;:::::::;:::;:::;:::;:;::::fi:i:;<::::::;::::::::::::::::'::::::::::::`.::';::;2>:.;:::::;:.;:::>;::<:;::;,....:.....,::;:::;:;::;::;............: ...:::::.;':::;::.>::::;:.::::;:::::;;:::::;:.::.;:.;:.;:.:::.;::•::;:::::;:::::;::;:::;.�::.;:;.;;:::;;::::.; .. .... ::..: ::. .::..::::::.............. •.. ................. . . :::.:. -.1...;';:.:.. ...,.......:. . ........ t: :.:.:•.::.. ::::::::.«::::: :.::..:::::::::::. ... ' 4 <#«. .. :•:i;:i::jLi;iiii:v i:.: ... .::•Y::: .........:.:.:............................................................................,.... :::::. is i:::'::i:L:S;..:::::.:.:...:::•.:::.;'v..;;......•}::n.........{.�'o-- .....v. nnnt" ca.: . _ okt .Ol :: _. /. :. any name:camp ;>:::<:.>.: ri:: <:: ... :;�i:; .. .......:::....... ..... :::;'::::..::. _ ....... ...:: address. :::*....:>:::::.;:::;:..:::.:•.,::::::.'�:.: ..—.'.L ... ... .:. .............::::::..},: k ..:: citVt . . ... ••i.i .i.ti..:.:.}.:.: v . ' : ..# . .e , :.. ii ::ii' ... :. . . ,..: :...: . . .:....::.:..:::..:::.::::::::::......:.:.:..:....................:.::.::.:.::. :. ..:.:.:::::. '& ...:....:...:...:::...:....................::: :.....:.::............-,,.. .. .. :.w:::::::::.......�.�>#:??t;:•i:•iii. .. , ............ ...... .. Y 1?o j:7;T::1;%%i:::;:. ........... . . .. ....................................................... : '...:.:.:..:.:.:::.:::.::::.::.i:.:.i�ri:>:::::::{;::::i i.....i:.iii:ii}i::v..•i:{O}i}:..v y;:•::?:::nw:: eturance.co.,:.:. olica# . .:::......::.:.. >:Y.:> .:.::::.::.:;..:.. ::: 11 11111111111111 Is Fame to seeare coverage as rsgdred under Section 25A of MGL 152 can lead to the imposition of crmdoal penalties of a an up to 51,500.00 sn&or one years'imprisonment as well as dvfl penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand OwA a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veridcatlom I do hereby c p and penalties of perjury that the informatdon provided above cis tre:an- - -- d o ect Signature Date 7 -� .4 (�a - Print name �q 1$2 Phone# , official use only do not write in this area to he completed by city or town official • city or town: permit icense# ❑Building Department ❑Licensing Board ❑diechif hmnediste response is required ❑Selecirnen's Office ❑Health Department contact person: phone#; _ ❑Other 4en.ed vros PW Information and Instructions - Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any conrMI , of hire,express or implied, oral or written. An employer is defined as an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver c: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. .Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitlliceose number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office Of Imresdeadons . 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 HERBERT F. ROBERTS ATTORNEY AT LAW THE MARKETPLACE 26 GEORGE RYDER ROAD SOUTH P. O. Box 1238 WEST CHATHAM, MASSACHUSETTS 02669 (508) 945-1000 FAX: (508) 945-3799 January 26, 1999 Gilbert Paul :Integrated Construction Management "P. 0. Box 226 Hopington, MA 01748 RE: Philip Burleigh, Jr. Lot 55, L. C. P. 36608 Dear Mr. Paul : Following up on prior conversations and prior correspondence in reference to the above captioned. Your subject lot, Lot 55 on Land Court Plan 36608-C, was originally in the Dacey family, William C. Dacey, Jr. , Trustee of W. E. D. Realty Trust, and was owned by the Daceys in conjunction with abutting lots . The Trust first deeded the property out as' a separate lot on April 15, 1976, title being thereafter vested in Thomas W. P. Webb, III and Deborah A. Webb. The only other owner of the lot during this period of time is the current owner, Philip Burleigh, Jr. , by deed from Webb dated July 26, 1979 . Copies of the deeds in this chain of title, back to and including the original parcel into Dacey, are enclosed. Referring further to the deed from Dacey to Webb (enclosed) please note that the subdivision plan referred to is dated February 1, 1973 . I would refer to Massachusetts General Laws Chapter 40A Section 6 wherein it states that lots shown on the plan would be governed " . . .by the applicable provisions of the zoning ordinance or by-law, if any, in effect at the time of the of the first such submission while such plan or plans are being processed under subdivision control law, and, if such definitive plan or an amendment thereof is finally approved, for eight years from the date of the endorsement of such approval, except in the case where such plan was submitted or submitted and approved before January first, nineteen hundred and seventy-six, for seven years from the date of the endorsement of such approval" . I have not. seen the plan, however, worst case scenario would lead one to concluded that so long as this lot was in single ownership within seven years of endorsement (approximately 1980) , and has continued as such, then the lot would be a valid, buildable lot . Gilbert Paul Integrated Construction Management January 26, 1999 Page 2 . Your lot is abutted by: Lot 21, Land Court Plan 36608-C. This lot was deeded by Dacey to Katherine Hudson on June 8, 1976 . Katherine Hudson died, causing title to vest in Carolyn Hudson. Carolyn Hudson deeded same to Jeffrey A. Draves et ux in October of 1992 and title 'is vested in Draves to thi-s date . Thus Lot 21 has been in separate ownership from your lot since June, 1976 . Lot 54 on Land Court Plan 36608--C. This lot was owned by Atlantic Savings Bank under Certificate of Title No. 72174 on October 21, 1977 . The lot was deeded to Jeffrey E. Twarog, et ux on September 25, 1978 , see deed attached, and has been in Twarogs ' name since that date . Lot 56 on Land Court Plan 36608-C. - 5 This lot also was owned by Atlantic Savings Bank under the above described Certificate of Title . It was deeded to Bruce D. Vienneau by deed dated September 18 , 1978, see deed attached. Thus both Lots 54 and 56 have been in the name of Atlantic Savings Bank, or other individuals, -since October ,21, 1977, well within the seven year "frozen plan" phase of this development . In conclusion, the lot in which you are interested has been in separate ownership since the day it. was deeded out by William E. Dacey, Jr. , Trustee of W. E. D. Realty Trust to Thomas W. P. Webb, III , et ux in April of 1976 . At .that -point in time the conveyance was permitted, notwithstanding change's in zoning, due to the fact that it was within the statutory- time period under Massachusetts General Laws Chapter 40A Section 6 . a If you n d anything further please do not hesitate to contact my offic Very t ly you s, Her oberts ' z HFR/cp En 'Jos s ., ZON' 1_kG 40A § 6 7 I,.( 3 vote adopting amendment. Guidi v. Town of ants of Town of West Springfield (1927) 157 ; Agawam(1970)265 N.E.2d 914,358 Mass. 812. N.E. 700, 260 Mass. 594. Record of town clerk showing that at town Record of vote at town meeting adopting zon- ing by-laws or existence and identification of by- meeting it was voted to amend existing by-laws laws adopted could not be contradicted or var- ' by adding a zoning ordinance which was con- ied by showing that map used at town meeting tained in pamphlet distributed at town meeting at time of vote was not placed with the by-laws in connection with existing by-laws held suffi- in the files of the town. Mayo v. Inhabitants of cient to identifi� the zoning by-laws as the by- Town of West Springfield (1927) 157 N.E. 700, I f laws adopted at the meeting. Mayo v. Inhabit- 260 Mass. 594. § 6. Existing structures, uses, or permits; certain subdivision plans; appli- cation of chapter '� ! 1 Except as hereinafter provided, a zoning ordinance or by-law shall not apply i + to structures or uses lawfully in existence or lawfully begun, or to a building or special permit issued before the first publication of notice of the public hearing P P P P g on such ordinance or by-law required by section five, but shall apply to any change or substantial extension of such use, to a building or special permit issued after the first notice of said public hearing, to any reconstruction, } extension or structural change of such structure and to any alteration of a } structure begun after the first notice of said public hearing to provide for its use for a substantially different purpose or for the same purpose in a substantially different manner or to a substantially greater extent except where alteration, a reconstruction, extension or structural change to a single or two-family residen- tial structure does not increase the nonconforming nature of said structure. �ti. Pre-existing nonconforming structures or uses may be extended or altered, provided, that no such extension or alteration shall be permitted unless there is '�', ,. a finding by the permit granting authority or by the special permit granting authority designated by ordinance or by-law that such change, extension or w. alteration shall not be substantially more detrimental than the existing noncon- sl forming use to the neighborhood. This section shall not apply to billboards, t i signs and other advertising devices subject to the provisions of sections twenty- nine g g J P `r through thirty-three, inclusive, of chapter ninety-three, and to chapter ' +Ili,i ninety-three D. A zoning ordinance or by-law shall provide that construction or operations ' , under a building or special permit shall conform to any subsequent amendmentiX I;i of the ordinance or by-law unless the use or construction is commenced within �a a period of not more than six months after the issuance of the permit and in I: } cases involving construction, unless such construction is continued through to f completion as continuously and expeditiously as is reasonable. I. A zoning ordinance or by-law may define and regulate nonconforming uses and structures abandoned or not used for a period of two years or more. 21 ' Any increase in area, frontage, width, yard, or depth requirements of a a m ' zoning ordinance or by-law shall not apply to a lot for single and two-family residential use which at the time of recording or endorsement, whichever occurs sooner-was not held in common ownership with any adjoining land, ;'1 -` conformed to then existing requirements and had less than the proposed Y requirement but at least five thousand square feet of area and, fifty feet of 83 ;$ �z k !i i • 40A § 6 CITIES, TOWNS AND DISTRICTS ZONING frontage. Any increase in area, frontage, width, yard or depth requirement of a provisions of any zoning ordinance or by-law shall not apply for a period of five years from its date of submissic effective date or for five years after January first, nineteen hundred and In the event th seventy-six, whichever is later, to a lot for single and two family residential use, the subject matte provided the plan for such lot was recorded or endorsed and such lot was held this section shall in common ownership with any adjoining land and conformed to the existing said appeal or thi zoning requirements as of January first, nineteen hundred and seventy-six, and of final dispositic had less area, frontage, width, yard or depth requirements than the newly of said lot. effective zoning requirements but contained at least seven thousand five hun- dred square feet of area and seventy-five feet of frontage, and provided that said The record ov five year period does not commence prior to January first, nineteen hundred instrument duly and seventy-six, and provided further that the provisions of this sentence shall land lies, to waiv not apply to more than three of such adjoining lots held in common ownership. by-law then or tl: The provisions of this paragraph shall not be construed to prohibit a lot being plan or of a fort built upon, if at the time of the building, building upon such lot is not such a waiver, nc prohibited by the zoning ordinances or by-laws in effect in a city or town. of the ordinance 'If a definitive plan, or a prelimi ryna plan followed within seven months by a accompanied by definitive plan,is'sub &d to a planning board for approval under the but only to exten subdivision control law, and written notice of such submission has been given> such waiver. to the city or town clerk before the effective date of ordinance or`bv--law, the - Added by St.1975, land shown on such plan shall be governed by the applicable provisions of the St.i 982, c. 185; S zoning ordinance or by-law, if any, in effect at the time of the first such submission while such plan or plans are being processed under the subdivision control law, and, if such definitive plan or an amendment thereof is finally sved Dec., c. 829, § . p y proved D 20, 1977 approved, for eight years from the date of the endorsement of such approval, substituted "more" fc except in the case where such plan was submitted or submitted and approved St.1979, c. 106, in serted the second ser before January first, nineteen hundred and seventy=six, for seven years.from the p St.1979, c. 106,wa rate of the endorsement of such approval—Whether-such-period-is-eight years Emergency declarati or seven years, it shall be extended by as period equal to the time which a city or :" filed April 20, 1979. town imposes or has imposed upon it by a state, a federal agency or a court, a = St.1982, c. 185,in moratorium on construction, the issuance of permits or utility connections. tuted "eight years" fiSt.1982, c. 185, wa When a plan referred to in section eighty-one P of chapter forty-one has been Emergency declarati submitted to a planning board and written notice of such submission has been filed on the same dal st.1985, c. 494, al given to the city or town clerk, the use of the land shown on such plan shall be ' ' the fifth paragraph, a governed by applicable provisions of the zoning ordinance or by-law in effect at st.1986, c. 557, § the time of the submission of such plan while such plan is being processed �' proved Dec. 8, 198E under the subdivision control law including the time required to pursue or inserted "in" precedi await the determination of an appeal referred to in said section, and for a Prior Laws: period of three years from the date of endorsement by the planning board that St.1920, c. 601, §§ approval under the subdivision control law is not required, or words of similar st.1925, c. 116, § import. .:' Disapproval of a plan shall not serve to terminate any rights which shall have Additions to and ex accrued under the provisions of this section, provided. an appeal from the #_ uses. Richard G. x, decision disapproving said plan is made under applicable provisions of the .k '' 172 (1964). subdivision control law. Such appeal shall stay, pending an order or decree of , _= Administrative disc a court of final jurisdiction, the applicability to land shown on said plan of the 82 Harv.L.Rev. 668. 84 t Y ZONING 40A § 6 provisions of any zoning ordinance or by-law which became effective after the j date of submission of the plan first submitted. In the event that any lot shown on a plan endorsed by the planning board is the subject matter of any appeal or any litigation, the exemptive provisions of t this section shall be extended for a period equal to that from the date of filing of ' said appeal or the commencement of litigation, whichever is earlier, to the date a of final disposition thereof, provided final adjudication is in favor of the owner of said lot. f z The record owner of the land shall have the right, at any time, by an instrument duly recorded in the registry of deeds for the district in which the 1; land lies, to waive the provisions of this section, in which case the ordinance or by-law then or thereafter in effect shall apply. The submission of an amended plan or of a further subdivision of all or part of the land shall not constitutes ` such a waiver, nor shall it have the.effect of further extending the applicability '' of the ordinance or by-law that was extended by the original submission, but, if accompanied by the waiver described above, shall have the effect of extending, , kV but only to extent aforesaid, the ordinance or by-law made then applicable by r s such waiver. e Added by St.1975, c. 808, § 3. Amended by St.1977, c. 829, § 3D; St.1979, c. 106; St.1982, c. 185; St.1985, c. 494; St.1986, c. 557, § 54. t Historical and Statutory Notesl t St.1977, c. 829, § 3D, an emergency act, ap- St.1927, c. 247. proved Dec. 20, 1977, in the second paragraph, G.L.1932 (Ter.Ed.), c. 40, §§ 29, 30A. ,I substituted "more" for "less". G.L. c. 40, §§ 26, 28, as added by St.1933, c. r St.1979, c. 106, in the fourth paragraph, in- 269, § 1. serted the second sentence. St.1941, c. 176. i� F } St.1979, c. 106,was approved April 19, 1979. St.1952, c. 438. a. Emergencv declaration by the Governor was G.L. c. 40A, §§ 5, 11, as added by St.1954, c. a}� filed April 20, 1979. 368, § 2. i ' G.L. c. 40A, § 7A, as added by St.1957, c. St.1982, c. 185,in the fifth paragraph, substi- 297 I� tuted "eight years" for "five years". GL. c. 40A, § 5A, as added b St.1958, c.. " 3' St.1982, c. 185, was approved June 28, 1982. 492. by Emergence declaration by the Governor was St.1959, c. 221. 1� x filed on the same date. St.1960, c. 291. St.1985, c. 494, approved Nov. 13, 1985, in St.1960, c. 789, § 1. j e F, the fifth paragraph, added the second sentence. St.1961, c. 435, §§ 1, 2. �I t St.1986, c. 557, § 54, an emergency act, ap- St.1962, c. 340. it proved Dec. 8, 1986, in the sixth paragraph, St.1963, c. 578. " r A: inserted "in" preceding "section": St.1963, c. 591. St.1964, c. 688. la a {ram Prior Laws: St.1965, c. 65. lli t 4 St.1920, c. 601, §§ 7, 8. St.1965, c. 366, § 1. �r , , . St.1925, c. 116, § 3. St.1969, c. 572. t rx=, 1 Law Review Commentaries k 3 ' e Additions to and extensions of nonconforming Application of Chapter 808 to existing struc- � uses. Richard G. Huber, 11 Ann.Surv.Mass.L. tures, uses, plan variances and permits.. Wil- k e `, 172 (1964). liam C. Hays (1978) 22 Boston B.J. 17. Id )f Administrative discretion in zoning. (1969) Airspace use and existing structures. (1971) e ;; 82 Harv.L.Rev. 668. 5 Suffolk U.L.Rev. 1010. z� 85 x r- s 'WE, CAROI/YHUDSON of 5002 37th Ave. S.W. , Seattle, WA 98126 in consideration of ONE HUNDRED FIFTY THOUSAND and 00[100 ($150, 000. 00) DOLLARS paid Grant to JEFFREY A. DRAVES and PATRICIA A. DRAVES of 7595 Chevy Chase Drive, Apt. 102, Austin, TX 78752 , as Husband and Wife Tenants by the entirety with QUITCLAIM COVENANTS The land together with the buildings thereon situated in Barnstable (Cotuit) , Barnstable County, Commonwealth of Massachusetts, described as follows: LOT 21 Plan 36608-C (Sheet 2) . Excepting and excluding from the above described land the FEE in Eisenhower Drive and Roosevelt Road adjacent thereto. Said land is subject to and has the benefit of the right and reservation set forth in Document No. 209,070. Said land is subject to the rights granted in an easement given to the New England Telephone & Telegraph Company et al, dated November 16, 1973 being Document No.. dal,779. Said land is subject to the rights granted in an easement given to the Cotuit Fire District, dated May 5; , 1975 being. Document No. 195,686. Said land is subject to and has the benefit of Declaration of. Restrictions, dated October 29, 1975 being. :- Document ' No. 201,355, said restrictions to. remain in full force- and. effect. :; until January 1, 1996. For title see Barnstable Certificate of Title No. 124710. EXECUTED as a sealed instrument this da of October, 1992 . Carolyn Hudson STATE OF WASHINGTON j SS October c2)-;� 1992 Then personall �p� � Carolyn Hudson and acknowledged the foregoing iIL_= her free act and deed before me, � `NOTA/�; ''►,t� p 00 Notary public ua UBUG 0 My commission expires: 566026 ' IZSZ0 7 �— (7K Z1-r 7�o ion--�, R ,w1ISTABLE COUNTY • rRY OF DEEDS COPY,ATTEST s.:F.MEADE,REGISTER u < ,vvd '�,'�•j p� , , Kr rp f � i ue � C;1•I.IJ � w r REGISTER THIS }}�� +<c9 E3 a'` ' COMMONWEALTH OF MASSACHUSETTS LAND COURT DEPTMENT OF THE JRIAL COURT CASE No. 36608-S1991lp i - Upon the petition,; of Caro! n Hudson representing that Katherine M. Hudson was'' the registered owner in Certificate of Title No. 67740 issued from the Registry. District of Barnstable County; and representing the death of said Katherine M. Hudson, testate, on January 7, 1990, and the allowance of her will by the Probate Court for the County of Barnstable, and said Commonwealth; and further representing that Robert H. Hudson, son of Katherine M. Hudson, filed a disclaimer under M.G.L. chapter 191A, section 1 in Probate Court, Barnstable on September 27, 1990; and further representing that the owner's duplicate Certificate of Title has been lost, and after due and diligent search cannot be found; and praying for a new Certificate.. of. '-.Title, after due proceedings, it is, ORDERED: that said Certificate of Title No. 67740 be cancelled and a new certificate for the. land described therein be: issued to Carolyn :Hudson, of Seattle, in the _State, of::Washington FURTHER ORDERED:. that said new Certificate of Title- shall be .::. issued without the necessity of presenting the .owner's duplicate Certificate of Title. By the Court. Attest: Charles W. Trombly, Jr. Recorder Dated: October 18, 1991 CH: 5002 37th Avenue, S.W. Seattle, Washington 98126 t tp a ' s W y9 0 �I Q 92 till. 0 \� T.4 �t �� Its, r p r { 0 /ofvm, / SULLIVAN,SORGI AND DiMMOCK A7TORNEY8 AND COUNSELLORSATIAW BOA USE714- 02114 I, WILLIAM E. DACEY, JR. , also known as William E. Dacey, of 112 West Main Street, Barnstable (Hyannis) , Barnstable County, Massachusetts, Trustee of W. E. D. REALTY TRUST under a written Declaration of Trust dated January 2, 1971 duly recorded in the Land Registration Office, Barnstable Registry District, as Document No. 150,988 noted on Certificate of Title No. 52236, in consideration of. FIFTY-THREE THOUSAND NINE HUNDRED THIRTY-FIVE AND 00/100ths ($53,935.00) DOLLARS paid, grant to KATHERINE M. HUDSON of 40 Chesterton Road, Wellesley, Norfolk County, Massachusetts 02181, with QUITCLAIM COVENANTS the land together with the buildings thereon situate in Barnstable (Cotuit) , Barn- stable County, Massachusetts, bounded and described as follows: SOUTHEASTERLY by the Northwesterly sideline of Eisenhower Drive, one hundred forty-five and 00/100 (145.00) feet; SOUTHWESTERLY by Lot 55, one hundred twenty-five and 00/100 (125.00) feet; NORTHWESTERLY by Lot 54, one hundred seventy and 00/100 (170.00) feet; NORTHEASTERLY by the Southwesterly sideline of Roosevelt Road, one hundred and 00/100 (100.00) feet; and EASTERLY on a curved line having a radius of 25.00 feet and forming . the intersection by the sidelines of Roosevelt Road and Eisenhower Drive, thirty-nee and 27/100 (39.27) feet. All of said boundaries are determined by the Court- to be- located as shown on.".. plan 36608-C (Sheet 2) dated February, 1.,. 1973 drawn by Thomas E. Kelley, Sur veyor, as modified and approved by the. Court,,..and_.filed in the Land_ Court. at . .., Boston, a copy of which is filed in the Land Registration Office, Barnstable Registry District, and said land is shown thereon .as LOT 21. . Excepting anal..' excluding from the above the fee in Eisenhower Drive.and Roosevelt Roadadjacent. thereto. There is conveyed as appurtenant to the above described premises a right- of_way. ; over Eisenhower Drive, Truman Lane, Nixon Avenue and Roosevelt Road as shown, on said plan and a right of way over Eisenhower .Dr. as shown on Land Court Plan 36319-C dated February 1, 1973, drawn by Thomas E. Kelley Co. , Surveyors; as modified and approved by the Court, and filed in the Land Court at Boston, a copy of which is filed in the Land Registration Office, Barnstable Registry District, said rights of way to be used in common with others now or hereafter leg ally entitled thereto for all purposes for which ways are commonly used in the Town of Barnstable. There is reserved to the Grantor a right of way over so much of said lot as lies within the limits of Eisenhower Drive and Roosevelt Road to be used by the Grantor and others who are now or who may hereafter become legally entitled to :N AND MCNULTY use the same for all purposes for which ways are commonly used in the Town of fORNEYS AT LAW Barnstable.. MILL WAY RNSTABLE HARBOR TABLE.MASS. 02890 617-362.2541 The above described premises are conveyed subject to an easement to the New r England Telephone and Telegraph Company et ali being Document NO. .181,779. The above described premises are conveyed subject to an easement from this Grantor to William E. Dacey, Jr. , Trustee of W. E. D. Realty Trust, as appur- tenant to land shown on Land Court plan 36319-C, being Document No. 193,820. The above described premises are conveyed subject to a Declaration of Restric- tions dated October 29, 1975 and being Document No. 201,355. The Grantor acknowledges compliance with Restrictions 1 and 2 as to the single family wooden frame dwelling house and garage now situate on the above described s premises. For title, see Certificate of Title No. 54899. For grant of right of way over o Land Court Plan 36319-C, see Document No. 193,819. i WITNESS my hand and seal this day of 1976. Y gF C: 1- Es: Wil iam E. Dacey, r. , T rds tag'of. W. E. D. Realty Trust COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. , .1976 Then personally appeared. the above-named_ W/LIAM . DACEY, -JR. and acknowledged the foregoing instrument to be his free.act and. deed,. as Trustee,0. before me, ;x a •p - •N ry :Pn blic a My commission expires �� 3/ "•�!, �' AND M¢NULTY 3NEYS AT LAW MILL wAP vti ,�c1M ONWEALTH Or M�AS r..a iUSr_ T S 3TABL6 HARBOR E BLE. MASS.02630 DEEDS LY0I IT7-362-2341 - m ��U o F 8 11037 4 t^77/10 7`t s'9c) QUITCLAIM DEED 'u anr�Ns-rnri F cOUN-rY OF DEFi)`.i JOHN F.MEADE REGISTEf? WILLIAM E. DACEY, JR. , TRUSTEE TO KATHERINE M. HUDSON C- t� ^•. c.> .`j GREEN AND. MCNULTY` ATTORNEYS AT LAW MILL WAY t BARNSTABLE HARBOR . BARNSTABLE,MASSACHUSETTS 02G30 617-362-2541 ATLANTIC SAVINGS BANK, a corporation duly established under the laws of the Commonwealth of Massachusetts and having its usual place of business at 385 Broadway, Revere, Suffolk County, Massachusetts, in consideration of NINE THOUSAND, SEVEN HUNDRED SIXTY AND 00/100ths ($9,760.00) ------ DOLLARS paid, grants to JEFFREY. E. TWAROG and KARIN A. TWAROG, husband and wife, as joint tenants, both of 106 Locust Lane, Barnstable, Barnstable County, Massachusetts 02630, with QUITCLAIM COVENANTS a certain parcel of land situate in Barnstable (Cotuit), Barnstable County, Massachusetts, bounded and described as follows : Being LOT 54 as shown on Land Court. Plan 36608-C (Sheet 4 ) .dated February 1, 1973, drawn by Thomas E. Kelley Co. , Thomas E. Kelley, Surveyor, and filed in the Land Registration Office at Boston, a copy of which is filed in I . . Barnstable County Registry of Deeds.. in; Land Registration Book 440, ,Page ..9, with Certificate of Title. N.o... 5.4,8.99.... Excepting and''excluding- from the above the f'ee in-.Roos:ev..elt-,Road adjacent thereto. There is conveyed as appLr,:enant to th-e above described premises a ,right. of way over Eisenhower Drive, Truman Lane, Nixon Avenue and Roosevelt Road as shown onl . said plan and a right of way over Eisenhower Dr. as shown on T.and Courr Plan. 36319-C dated February 1, 1973, drawn by Thomas E. Kelley Co. , Surveyors, as modified and approved by the Court, and filed in the Land Court at Boston, a copy of which is filed in the Land Registration Office, Barnstable Registry District, said rights of way to be used in common with others now or hereafter legally entitled thereto for all purposes for which ways are commonly used in the Town of Barnstable. For title to right of way over Land Court Plan vo MCNULTY. r.c. 36319-C, see Document No. 193,819. NEYs•AT LAW MRLWAY There is reserved to the Grantor a right of way over so much of said lot rr ABLH HARBOR OLE. MASS. 02630 as lies within the limits of Roosevelt Road to be used by the Grantor 7.362-2961 and others who arenow or who may hereafter become legally entitled to use same for all purposes for which ways are commonly used in the Town of Barn- i stable. a A ATLANTIC SAVINGS BANK, a corporation duly established under the laws of the Commonwealth of Massachusetts and having its usual place of business at 385 Broadway, Revere,'- Suffolk County, Massachusetts, in consideration of TEN THOUSAND. THREE HUNDRED AND 00/100ths ($10,300.00) -----------^DOLLARS paid, grants to BRUCE D. VIENNEAU of 33 Dunbar Avenue, Medford, Middlesex County, Massachusetts 02155, with QUITCLAIM COVENANTS a certain parcel. of land situate in Barnstable (Cotuit), Barnstable County, Massachusetts, bounded and described as follows : Being LOT . 56 as shown on Land Court Plan 36608-C (Sheet 2 ) dated February 1, 1973, Idrawn by Thomas E. Kelley Co. , Thomas E. Kelley, Surveyor; and filed in the Land Registration Office at Boston,"'a copy 'of which is filed in �^ E; Barnstable. County Registry of Deeds in .Land Registration Book " F, '440,,:Page,'9,. with_.Certificate- of Title No. 54899. Excepting _a and excluding from the above7. in Eisenhower. Drive adjacent thereto. There is conveyed as appur':enant to the .above described premises a right of gray over. Eisenhower Drive, Truman Lane, Nixon Avenue and Roosevelt Road as shown on j said plan and a right of way over Eisenhower Dr. as shown on Land Court Plan 36319-C dated February 1, 1973, drawn by Thomas E.. Kelley Co. , Surveyors, as modified and approved by. the Court, and filed in the Land Court at Boston, a copy of which is filed in the Land Registration Office, Barnstable Registry District, said rights of way to be used in common with others now or hereafter legally entitled thereto for all purposes for which ways are commonly used in the Town of Barnstable. For title to right of way over Land Court Plan McNULTY. P.C. 36319-C, see Document No. 193,819. ' EYS AT LAW LLWAY There is reserved to the Grantor a right of way over so much of said lot ABLE NARSOR as lies within the limits of Eisenhower Drive to be used by the Grantor _E. MASS. 02630 and others who are now or who may hereafter ,become legally entitled to use .382-2341 same for all purposes for which ways are commonly used in the Town of Barn- stable. The above described premises are conveyed subject to an easement to the New England Telephone and Telegraph Company et ali being Document No. 181,779. The above described premises are conveyed subject to an easement to William E. Dacey, Jr. , Trustee of W. E. D. Realty Trust, as appurtenant to land shown on Land Court plan 36319-C, being Document No. 193,820. The above described premises are conveyed subject to a Lien and .Guarantee of Revenue to New Bedford Gas and Edison Light Company being Document No. 193,722. The above described premises are conveyed subject to a Declaration of Restric- tions dated October 29, 1975 and being Document No. 201,355. See Assignment of Rights of said Declaration of Restrictions being Document No. 238,281. For title, see Certificate of Title No. 72174. For corporate authority, see Document No. 132,620. IN WITNESS WHEREOF, the said ATLANTIC SAVINGS BANK has caused its cor- porate seal to be hereto affixed and these presents to be signed in its name and behalf by Frank J. Gamrecki , its Asst.A.Vice President ,. hereto duly Iauthoriz this, eighteenth day of Se ember . . r M ATLANTIC I °Itc� COMMONWEALT OF:MASSACNUSETDEEDS :TS + '' m —�. • -..\ ^I EXC cc 1,7 { - • iIvy COMMONWEALTH OF MASSACHUSETTS Suffolk, ss. September . 18 197 Then personally appeared the above-named FRANK J. GAMRECKI, Asst. Vice President , as aforesaid, and acknowledged the fore- going instrument to be the free act and deed of ATLANTIC SAVINGq%%' 0�� e'� ••• P • o y - • %RD MCNUL7Y. P.C. me, RNEYS AT LAW MILL WAY, ISTABL[HARBOR � %8LE. MASS.0262o - i!a•, ata akl 1C 47.3/2.2E41VA A_fRRtl • �y'-*•• C My commission expires ,.. ` /. 42457 No�ccl on ?al -7 Q U I T C .L A I M D E E D s , BARNSTAB CL OUNTY { REGISTRY OF DEEDS A TRUE COPY,ATTEST _ _..... _ - '"'- ..._ JQHN F.MBAD Rf1ST€>3 ATLANTIC"'SAVINGS BANK'"` TO BRUCE D. VIENNEAU r.,Z:_ a �. C). rn rT+ '7j GREEN AND MCNULT.Y ATTORNEYS AT LAW -MI.LL WAY•, BARNSTABLE HARBOR BARNSTABLE,MASSACHUSETTS 02630 - 617-3G2-2541' - Rook 584 Page 2 4 FoRM G•3 Doc. No. 227,370 �rangfer. certificate of litre. Ctf. No. 72174 Transfer 54899.. May 31, 1972 F'om Original Certificate No. 56751 Originally Registered November 10, 1972 in Transfer 71463 . August 10, 1977 Transfer 440 9 71464. August 10, 1977 455 71 Registration Book 578 Page 23 for the,Registry District of Barnstable County. 578 .24 Tb g ig to Certifp that Atlantic Savings Bank, a corporation duly established under the laws of the Commonwealth of Massachusetts and having its usual place of business at ..385 Broadway, Revere;.' Suffolk County, Massachusetts 02151, is the owner(s) in fee simple, of that certain parcel of land situate in Barnstable in the County of Barnstable and said Commonwealth of Massachusetts. bounded and described as follows: ` BEING LOTS 14, 15, 16, 17, 19, 22, .23, 24, 25, 26, 27, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, .39, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 54 and 56 and FEE in Eisenhower Drive, Truman Lane, Nixon Avenue and Roosevelt Road located as shown on plan 36608-C dated February 1, 1973, drawn by Thomas E. Kelley Co. , Thomas E. Kelley, Surveyor, .and filed .in the Land Registration Office at Boston, a copy .of which is filed in,:Barnstable County Registry of Deeds in Land Registration Book 440 Page 9 with Certificate .of Title No. 54899. Said, land is subject to, the rights granted in an easement given to the New England Telephone & Telegraph Company et al dated November 16, 1973 being Document No. 181,77.9. BEING LOTS 9, 11 and 12 located as shown on plan 36319-B (Sheet. 2) dated December 21, 1972, drawn by Thomas E. Kelley Co. , Surveyors, and filed in the Land Registration Office at Boston, a copy of which is filed in Barnstable County Registtry of Deeds in Land Registration Book 455 Page 71 with Certificate of Title No. 56751. BEING LOTS 13, 14; 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32 and 34 and FEE in Eisenhower Drive located as shown on plan 36319-C dated February 1, 1973, drawn by Thomas E. Kelley Co. , Surveyors, and filed in the Land Registration Office at Boston, a copy of which is filed in Barnstable County Registry of Deeds in Land Registration Book 455 Page 71 with Certificate of Title No. 56751. Said land is subject to the rights granted in an easement given to the New England Telephone & Telegraph Company et al dated November 16, 1973 being Document No. 181,780. i '�fi :. � o- r"f. �"�:k X '�! ,may ta-d ^y- K ^.s'�`•" W. - s� .4 , 1 ft�� _�j�� } V•,��y t 'h� ,'� �Vr�Yf lY� 11';h"V � i � , �I'U� .�3�". 1 S .l - � �j�^s'`�S��wW"-4�� T."Lr.,y,)�.;etx'fk t +'a.sT..t� `aa,cf C�. 'g��a�`°'��' rS�.�{Y1,w1 f';x�j�TS{• �y�.�S�i {.:a7 ��+wFb t�i�n°. ��',-`�•14�a,,.� .,ice@� i:� A(9h Y� 3' �'t�}d.��*•S" 5t7:a�„ c, ._:. �r�. �Y, { t � i?fi c 1a 8d§�x"x' ... __ �� ..,. .......... ..... . � ... ATLANTIC SAVINGS BANK, a corporation duly established under the laws of the Commonwealth of Massachusetts and having its usual place of business at 385 Broadway, Revere, Suffolk County, Massachusetts, in consideration of TEN THOUSAND THREE HUNDRED AND 00/100ths ($10,300.00) -------------DOLLARS paid, I grants to BRUCE D. VIENNEAU of 33 Dunbar Avenue, Medford, Middlesex County, Massachusetts 02155, y' with QUITCLAIM COVENANTS a certain parcel, of land situate in Barnstable (Cotuit), Barnstable County, Massachusetts, bounded and described as follows : Being LOT . 56 as shown on Land Court Plan 36608-C s` ,(Sheet 2 ) dated February 1, 1973, drawn by Thomas E. E 4 Kelley Co. , Thomas E. Kelley, Surveyor;, and filed in the Land Registration Office at Boston, a copy of which is filed in Barnstable County Registry of Deeds in Land Registration Book 440, Page. 9, with. Certificate of Title No. :54899. Excepting and excluding from the above the fee in :Eisenhower. Drive i adjacent thereto. There is conveyed as appLr':enant to the above described premises a right of way over. Eisenhower Drive, Truman Lane, Nixon Avenue and Roosevelt Road as shown on i said plan and a right of way over Eisenhower Dr. as shown on Land Court Plan 36319-C dated February 1, 1973, drawn by Thomas E. Kelley Co. , Surveyors, as modified and approved by. the Court, and filed in the Land Court at Boston, a copy of which is filed in the Land Registration Office, Barnstable Registry District, said rights of way to be used in common with others now or hereafter legally entitled thereto for all purposes for which ways are commonly used in the Town of Barnstable. For title to right of way over Land Court Plan Lrr. P.C. 36319-C, see Document No. 193,819. , ' Y LAW There is reserved to the Grantor a right of way over so much of said lot ARBOR as lies within the limits of Eisenhower Drive to be used by the Grantor 54f. o:83o and others who are now or who may hereafter become legally entitled to use same for all purposes for which ways are commonly used in the Town of Barn- stable. And it is further certified that said land is under the operation and provisions of Chapter 185 of the General Laws, and that the title of said Atlantic Savings Bank to said land is registered under said Chapter, subject,,,however, to any of the encumbrances mentioned in Section forty-six of said Chapter, which may be subsisting i and to any lien of said Commonwealth for enforcing collection of any legacy and succession taxes due it from the estate of Howard F. Crocker, late of Denver, in the State of Colorado, who died on July 27, 1952, if claimed and enforced within the time allowed by law, as to land in Case.No. 36319. WITNESS,WILLIAM I. RANDALL,Esquire,Judge of the Land Court,at Barnstable, in said County of Barnstable. the twenty—first day of October in the year nineteen hundred and seventy—seven at 3 o'clock and 06 minutes. Attest, with the Seal of said Court, Land Court Case No. 36608-36319 STEPHEN WEEKES, Assistant Recorder. w- - DESIGN DATA PERC TEST DATA : P-9294 iZ• 3.9E TO 51,11c Farni tA Bcdrnor►t o � ®_ 2 W�Garba�c Gr lndcr _ E E s Q 3 Ap Suna�y loan 3 4.5-0,1 loam Doily Flow '4 x ilo 9Pd io rrz V1 I 6 — 2 to Y 6/1 Scene-Tank x 2om% s � � �— 9 -sandy torn 18- 13-Sa,A L.2. use I Soo G ALLeft THNIt�2 C'r P`4YY1 t, �0 y2 6/b 7.5 YR 5/4 Zr L�h[HIUG SYSTEM DE3T6N C-r,��,�n,, I Applecahon Arca Rcvtrt-0 C.•rYl«1,�,�S Psac umo( 440 GPD- 0,74 GPD/SF = fl SF 4-501-2 AMI,caftoa. Area �csiw1 /o YR. y�4 %0 yQ s/6 t, s.�de.wsl� AKa (M-v- nl llowcd ZSO"i?cQ " /Jo ldQJrr o Wa 4rr N Pcreslsf�e+� R•Ic 5 V"ft/1 132"_ Glss 2 S.ils t 4,p"C F—VC 2" Pces4,Ae Sccn o,v A-Lj yFG.-3A 5 ;. . 1,3 Y- 38,i L c�cy r'i�co ?7,2 015T 3�.6 1Soe r \,37,o r x 37,4 ' 36,b ScrTtc Pam--- 13.go of TPo� c DeV�l.aPED PktoFILE' ASS:,' SITE j SEPTYC PLAN LOCATION 'J/?IJ�, CO TU7.r 4LL -N , tt r ,� SCALE: As NatGJ DATE : I2 o Vr PLAN REFER<=NGE.: 1z�✓��i7 /:��;4%�t£� o.-1216 1 b�cwic.,d ter. ASSESSORS MAP: 3 PARGEt.: !b Off. APPLTCANT: .G, BAY-TER NYE; INC. LAno. SuweYo2S.• Clvlt.. EWCoWLERS OSrCRvl- MASZAct♦UeETT5 O!WSc+s -fro m buildwts5 Ske-AJ not be use.f to CS.feto1 51, �roperi! 1Inca. Soh No : oil i�6 SHEET Z of �,. I /M'RYWTXA 9DR. . P!t'DWmD 5/M'R1WOGD =0 v 16"or- 24' 2100 a 16 OL. 6' MA?X225fLDM — '^ 6' J919f w4u 5�010N 1-1 I ' GL."5172.6 CotuK "Firs (3epaftmeni W"ma1z !,�,,,.�P:� IED G� II7/8"c-1z51 iasr 'I L+ci Number/Type ' x — FLIL?IPRMY►715(5 24, a 5a rw a 512E 6L 5MM Ot�R 6'0 x6'8" a DR , ► v M SCOkE CaFC. p'6 a K ie a W/14x24 FDW S43t 0.5�W/2 L_—————J L __ 01*= 5'T' „ Other t2. Total o � - ` x 6'8 FR 4' X 'e 14' ' FMY.r mmm e�xFhsrnMn pioAJ ` I 2 4'-6" 3 y/M' 4"OG#C.SJB Frol R7 p0M Notes: RJI IT ® '®- I + so m ° I I n a --viewed is RU9+"m rO .lolsr +b0 per{ W z - rm�'e cRs MlrRt 5'0"16!8"co. s/41f { o " M p_=10, 12' x p 1 EKE, o I Dt BY Q�M I PR 510" 6 S' a ` V . A — Z4x24/14X76 2 6"X 6' ' I- I 24X24/2406 a. 24UI, Fon r-6" r-6" 6'0 M-4" 6' LT n' 24,El I . . a S 0 1 5 4°i w t: c r 4yci SMOKE DETECTOR O.K.:: FAU h ' � .. SCAN A550CIAt 5 4BAz4oBLLE BUILDING DEPT• Per r ra REA7F1a FOR AK Qgw M.COfUf, hK6K1iL'i115 �� ' I M4 a 50 I 24X24 a 50 IL I 19' Ir9 T41 u LC I NN� I 24X24 a 50 2404 a 511E 2404 a 5a WN F I t \ I II i I i I 16'-o it 51Cl' RJR wN! \ <S& &Ui L. ROOM mwwI I I VKHMM \ \ _ I . L— Nrr i L—J — -- --� w \ \ 'I ObOrMom N4 ryV: PR5'd'X6'6n \ \ co a 2'6"X6'6" cw r6"a4 fm OF I � '6'76'6" II T6"Q.GVIGf _ / I / I - I I I I fa / 4161,H41 m I I I I I 4'6"HOi fJ EE ILL LPEN fo ENtRfI I I oaaW 51,41 I I 3'-+" 24X24 a STZE 24X24 a 512E . 24X2 a 24X24 S� 24X2 a SIZE - 4 x Y41-01 6'9 11's Il ry' 61 Pi7GP OF P 5�CONn SLOOP PLAN 0 1 2 5 4Pr MEIN= EDAM A550CIAS5 AKGHII c mr pi,mwR5 �. 10 WON 5MZT W AVSSi4iLtfT5 a760 _ PRD.Ptf JEW=FOR AE CdIERf Plyl a JF *'Y 5VONn FLOM PLAN � >, 24' g r'-—————————————— L I I I r————— ————-, Tj I I I I I I I I I �'� i IZ'•+F" I � 24 I _-.. ..... ._ ... t N'-4" I --------------- -------------I ——— 6Y6>:6 OM � FAwAroN DAMJ I I I , I o 'EC-(ri£fN iFC�2 PO91r5 � � I ° Ap1E Pwvm 5 a'POM Cma I 1 ASV pffcwcar mL"X i I FU FOR�Le A 4 f0 EE 1.0;wA5 RoC'IPA 9r a*& I I I � 7 I/T'cO11'TM J..V hRW7Ydtf � I I I W 2 I '5&FnCO-(11P)._ - I M' Ibb r---- r--�-7 I i 161O — -- -- — -- — — -- -- — --I-- -- -- -- 6Y670a't7f I MN PLL7ET I t a'x 4'a'x - I -- 07PC,fA7f1Y I s I I i I o I I I I o i I I 1 r------------- —� I IL-------------- 4 _ L---------- ------- ---- } � � 0 Oo 0 saanees 1r7 e Soi. 6AS�M�IJ( �I.00� f'I.AN 0 1 2 t PAL5 r y � ECM A550CIA�5 r' + ARGrQTFGtS AIJf7 N.ANNE�S .4 � �'. 10 USON 51=II M MRYa'�0tM-n L1760 t W got mvicf "m M5VDa FM At aPff PAL,COW M"90LM115 flu I3AS�MENf ��00� PLAN `� •-r��4`'_,.-� .... .r Ir - New r Rpa VENT ma CW & t2 101 oo it lit i T•6 ^ n T _ MWPL. CPRrKriIff ... . — -_.-- -. c_ ---_— -- .-- - -- -- -- -- -- -- -- — — -- -- --- -- URN ■ r�19fR, - PROW ELEVATION caNr.IE��Nr - 1O n�ur.Ts�es ON 15«Mf 5/8"M WOW ;itA1" 2q0 RA°IH5 a I6"Ot, 2%B CQlA TES TOP Q R 2D ATFW f ES T 6" T-6" 9/4"ftG RYMGLV SiDR. H WNM1M Q1t1Eft FI 4 CONE 5 a 2M LONE. -- -- — -- — _ _ R al5"OtU —— — — —— — —— — — ,2W FL. , R, 2 2f(4 R. . R.Dr DRCX4IARCY R 2X4 9' 9 D(4 wow MW5 olb Ot. 2X4 5 a S 4"W RYWXP RM. PiJ IS k -- — — fN15TR 1L. a D6PRPad.1;5 "OL i 2Z>bifdltlED IAM5 for 5U W/ S 1/2' Im S I/T'5fl.,2' PaI5 PM •;r i" ` a t'O ot, ff. EGAN A550CIAT5 c LEE( 5117E EL�VAfION �SCT5 xV K � 0 1 2 � 4fT 1a'K 20" _ 1a'Lary,PDM 3'o"ks'a'>u ® — ' corrc,caNc. b un,�wnx r�swux�aneo rem - :;k��-<< -`_�_,• O 1 2 s 4' awearaw neeerru,mac rrs�asns f. r; r: T1'PICA,%NGN � GLEVA(IONS �� + r•, Ne V=Gikuy T OfM.'2WN. IM ago LL�CK00 i4P) OF&MM, ELMO n 9' non -- -- -- -- -- -- IKFL WOOF WAIM TAM -- -- -- t S� G G t O I� - � b� I.LI.VA�v/Wi V care�a VENT .. 19 10 ma Riwey -TOP or FL. -- -- -- -- -- - -- -- -- -- -- -- -- -- - �1� ATftf L5 9. 9'0'X 7'O"0!t DOCK {ON IXJOK H Dt�R 9'0"XTd'O < FN 19f Ft, ' ;' PA" 9{�y'�r` �� ►Y��c �*�a�� CIA s 1 Ma f 51M �LZVAIVN 0 1 z 3 4Fr �Sr�PaI�at�rr�u,oxuT n 1T5 ,yam •�' qu E1,M11ON5 :. 2� N \ �� ' Z C_r+,t That 7hc ?roposee9 T�Wcll,nc� 51�ow•^ t-lercon Cornp�ys l�,+t� 1h� S dellne Aklc( N 25.0 2 �3 6 Sc�baek 2cC�vlrcvncrltS of fhc 1owv� of BQrnsfabIc Ahc Ls Not L Qca;+r_c0 F C.B. EAGLE \ \ �1ithlh R Special Flood F1zz-ard Zone zFND POND LOCu 24.3 x 32.5 Pro SS 1 on2 I .mac! 5 u r tc WV + 24.5 �a -26.7 i 40.4 LOCUS MAP SCALE 1 25,000 - ` �. 40.8 ASSESSORS \ -Y � X 33. Spi; r a MAP 38 PARCEL 6 25.1 X r ' BENCHMARK ZONES o \ T \ 1.4 TOP OF SPINDLE AP I \Q ##200 = 45.54 / P,F 27.3 y X 39.2 \ � ' 75.6 �- 0 3 MINIMUMS 0' BUE ` ,.� �'� y 42. / o 242.� 42.7 Ui AREA = 43,560 S.F. j i I 100 ,JIpRlSDICTION X 40.9 FRONTAGE = 150 7 X 33. . r FRONT SETBACK: = 30' SIDE SETBACKS = 15' 3 REAR SETBACK = 15' I 28.2 39. 2'9 3 * 39.6 16',,,,;, BUILDING HEIGHT = 30' ly \ 31.5 I p / I 4 ) THIS LOT IS NOT LOCATED WITHIN THE FLOOD PLAIN. 25.8 '� o { 13' x fE = 9Q 39. 40.5 �12 � o LEGEND 31.E AN� 1NURK �iTHtN Id0 - :�' CF TriG cDroE Or I 3 x 0.5 c 3 kn J z WATER SERVICE iHL' A�A►�DoN�D `�OG �EputREs ,�}pPROV/aL_ 30.4 { �.;_ � ,_ � ,V .,, IF Comnlls5ior.� Z° 8 X 3".9 - ~ ` : HYDRANT TRIC S_Rv' CEQ`( li� TOWN ELEC _J0 T � "it 38.7 Q.7/ / 38.8 /' 28.0 X 37. Q , 26.3 � 2571 1\. p X 39.4 X 32.8 I t \X 37.6 ' X 35.7cp- � . • 11 1 { F � 6.9 25.0 22.7 �, 36.8 35.8 X 25.3 i ' << r 32.0 S YTE PLAN OF LAND � y BOG i o 33.3 34.9 X 23.0 49 _ IN �i o n TOP OF BOG = 23.00' I _p S� X 34.5 X (COTUIT) 4 P 28-4 X 33.1 BARNSTABLE MASS. FOP QD ~ - , 33.5 It 25.s `, X X 29 5 GILBERT PAUL � �23.0 X 30.5 N \ \ `fl 25.7 " N �V � � •, _ � �� E: 1 = ='C'-' DATES N0�'. 3G,1�'�'_ 28.0 �.0 33.4 RIFJ LJCC . IA �Icl96 22 5 33.4 �s -r•� BAXTER & NYE INC. REGISTERED LAND SURVEY❑PSS CIVIL ENGINEERS '.. '� � . OSTEPVILLE, MASS. \ � 9 �_ •mom No.:C21E, /V/C 26.9 ' r.. �� 26.7 CERTIFICATE REFERENCE.- LOT 55 L.C. PLAN 366'8C; PHILIP BURLEIGH, JR. CTF. 79152; OWNER. Ems' °f Z #9�12b pktvi..� i �� d� Uf it� ��wh 10 �� ten