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HomeMy WebLinkAbout0147 LEWIS POND ROAD �I x .ti a a i i t i g A C 1 4x ( 7Z f TOWN OF BARNSTABLE BUILDING-PERMIT APPLICATION Map Parcel Application Health Division Date Issued a Conservation Division ,*Application fee Tax Collector ,- x= ° '� Permit-Fee Treasurer '- Planning Dept. t Date Definitive Plan Approved by Planning Board r' Historic-OKH Preservation/Hyannis T Project Street Address 7 Le '. 'ate► , sr Village C�l�tJd Owner )ee�r 4 - �►^u�/ C 6aAq Address J Telephone �� -� ✓��° Permit Request 54u ok r D i y Z v N ✓e. Square feet: 1 st floor:existing /020 proposed — 2nd floor:existing proposed Total new f Zoning District Flood Plain Groundwater Overlay s Project Valuation 00 d Construction Type o 4, 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 I6o On Old King's Highway: ❑Yes O'No Basement Type: XFull ❑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 FloorlRoom CZO Heat Type and Fuel: 2 Gas ❑Oil - ❑Electric ❑Other ; ' Central Air: ❑Yes BNo Fireplaces: Existing New Existing d/coal stove: O'`Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn ❑existM ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Othe : "' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes,site an review — Current Use Proposed Use BUILDER INFORMATION Name ✓� G�✓G✓ Telephone NumberO %�0 T Address �'I'T Ygtki-Al License# o &; 0 �3 C_6Zf�/ Home Improvement Contractor# Worker's Compensation# s6o c��/��� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 'SATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION now FRAME -2 INSULATION FIREPLACE r . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH • FINAL GAS: ROUGH FINAL € FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN,NO. y. t• t t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �< Boston,MA 02111' www.mass.gov/dia Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information / d Please Print Le ibl Name(Business/Organization/Individual): . 1 C� Address: City/State/Zip: Phone.#: Are you an employer?Check the appropriate bog: :Type of project(required):. mp y q 4. [] I am a general coxtr•actor and.I 6. 1. I am a e to er with - ❑New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- These sub-contractors have employe es ship and have no employees and have workers'. 8. ❑Demolition ' -working for me in any capacity. 9. []Building addition [No workers' comp.insurance comp. insurance.$ 5. [] 10.❑Electrical repairs or additions required.] We are a corporation and itsofficers have exercised their 11.[]Plumbing repairs or additions ' 3.❑ I am a homeowner doing all-work . myself.[No workers'comp. right df exemption per MGL 12.❑Roof repairs insurance,required.]t c. 152, §1(4),and we have no 13.0 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 anew affidavit indicating such. . tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot 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 NMne: t� iration Date: Policy#or Self-ins.Lic.M Ex p lob Site Address: ., City/State/Zip:. . Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). a as required under Section 2 SA of MGL c. 152 can lead to the imposition of cri Failure.to secure coverage penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations-of the DIA for insurance coverage verification. I do hereby certify under.the i nd pen Iti of perjury that the information provided above is tr a and�c ect. Si tore: Date: ✓ — Phone#: Official use only. Do not write in this area, to be completed by city or town off ciaL 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 Phone#: Contact Person: E roy� Town-of Barnstable Regulatory Services *� $ Thomas F.Geller,Director. `bpl iB' ► Building Division ED N1P b Tom Perry,Building Commissioner 200 Main Street, Hyanriis,MA 02601 Office: 50 9-862-403 8 Fax: 508-790-623 0 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 strictures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. G+� Y- • Type of Work: Estimated Cost Address of Work: O/Z -�' ✓ ,� • Owner's Name: . Date of Application: I hereby certify that Registration is not required for the following reas on(s): E]Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied' ❑Owner pulling own permit Notice is hereby given that. OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVFIY=WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNM UNDER PENALTIES.OF PERJURY I hereby apply for a permit a ent of er: Date Contractor Name Registration No. OR ' Date Owner's Name - 'THE, y Town of Barnstable. Regulatory Services $ hsnss '$ Thomas F.Geiler,Director ]Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,-MA 02601 "w.town.barnstable.ma.us Office: 508-862-403 8 Fax: 5OB-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder A . as Owner of the subject property herebyorize auth to,act on my behalf, in all matters relative to,work authorized bytU building permit apgcation for: . -P,-A 2d- 07-1.7— (Address of Job) 9/7 )07 Signature o er Da e Print Name QTORMS:OWNERPERMIS SION FEB-26-2 007l410N1 17: 58 h1AlCUlN $ PARSONS INSURANCE (FA%) 17813441425 P. 001/002 .CERTIFICATE OF LIABILITY INSURANCE DATE(MMMC)4YYYY, PROOUcEH (7,:81)344-3200 - FAX -(7 61)344-1425 - 02/26/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parrsons Ins. Agcy. Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND; EXTEND OR P.O. Box 527 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NSUREO Michael De uga ., "' N'� NsuRERA A'ssocTate'd'Eruployers Insu DBA: Village Craft Building & Remodeling INSURER6 rance 568 Santuit Road INSURER C - — - Cotuit, MA 02635 INSUREPD ---- — INSURER E. - - COVERAGES " THE POLICIES OF INSURANCE LISTED BELOW HAS-BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF AN1 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 8Y TH:POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,EXCLUSIONS AND CONC47IONS OF SUCH POLICIES.AGGREGATE LINTS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. " ItIBR F.CD' T TYPE OF INSURANCE POLtC'Y NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL UAB'UTY - LIMITS - I COMM.EP•CIAL GENERAL L:A. - EACH ur:CURRENCE 5 BIL:T•' DP.NAGE TO RENTE6 - - LMNIS MADE n OCCUP, MED EXP,An'r ono porwn) S i - _ f PERSONALS AD'✓Ir UURY S. -- ------ GENERAL AGO ZEGAT'c S GEN.I_aCGREGaiE LIA41-APPLI_S PER: � _ — F OUCY PRO PROD JCTS•COMP/OP AGO S JEC7 LOC AUTOMOBILE LIAPJL:TY - - ANYAJT-0 COMBINED SINGLELiMi S ALL OWNED AUTOS - - (Ea ac-idanp -- -- SCHEOULEDALTOS BODILY1WURY ---- 5 .----- .-'-- (Pe:person) - HIRE].AUTCS Ii✓'J:r✓ a[GAUTOS GODLY INJURY - ..--- ' — ;Per acc.tlta) S PROPERT/.CAMAGC (Per OdC deM) S GARAGE LIABILITY- - I ANI AUTO ALIT)ONLY•EA ACCIDENT S _ - OTHER T°-I.M EA ACC S AVTOOVIY: ACC S EXCESSIU k BR ELLA UASIUTY �-T - EACH OCCURRENCE S - I OG:Ui? I I CL::'ht�:MADE AGGREGATE S - DEDUr,TBLE ___-- is q-t ITIOW- —_ S WORKERS COMPENSATIONI AND IABIw-Z500 61 1401-2006 12/23/200fi I2/23/2007 S EJdPLCYERS'L14BIUTY. T'JC i?ATU- 3iH• - YI Imas /! '.v"PKOPRIEI-ORVARTNER:EXECUTINE <"L.EAC AC PENT s 100,W �F!CER�NE&eER EXCLUDED? . M Yea rLesR0 Undar P SPECIAL EA DISEASE-EA EMPLOYE S 1 �OO _PROVISIONS heb:a - OTHER ..E L DISEASE.POLICY LWIT S 500,OOO DESCRIPTION Of OPERATIONS!LOOATIONS I VEHICLES!EXC:USIONS ADDED BY ENDCRSEMENT I SPECIAL PROVISIONS Residential contractor CERTIFICATE HOL ER — CANCELLATION — SHOULDANY OF THE-ABCvE UESCRIBEO POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSLYNG INSURER'NILL ENDEAVOR TO MAIL DAYS VIRITTEN NOTICE TO THE CEP.TIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANC RIND:1PON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) FAX: (508)428-77( 9 (OACORD CORPORATION 1988 DATE(MM/DDYYY) :�. CERTIFICATE OF LIABILITY, INSURANCE 10 19 2005/Y PRODUCER THIS CERTIFICATE IS ISSUED AS'A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 5087420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED . Mike Daluga' D/B/A Village `- - INSURER A: National Gran a Mutual Craft Building &, Remodeling INSURER B: 568 Santuit road INSURERC:. Cotult, Ma 02635 INSURERD: 508-428-2755 - INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWIT ANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BJ ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CON ONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IR D•L - `P LT OLICY EFFECTIVE POLICY EXPIRATION - - LT NSRD TYPE OF INSURANCE - POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCWKENCE• $ 1 ,000 O O O X COMMERCIAL GENERAL LIABILITY PRE S Ea occurence $ 5 00,000 CLAIMSMADE CI OCCUR EXP(Anyoneperson) $ 10 1000 A TBI 10/19/05, 10/19/0 PERSONAL&AOV INJURY $ 1 ,000 ,000 GENERAL AGGREGATE $ 2 O O O 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- . PRODUCTS-COMP/OP AGG $ 2 ,000 000 JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Eaaccident) $ ALL OWNED AUTOS BOOILYINJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS NON-O WNED AUTOS BODILYINJURY $(Peraccidenl) PROPERTY DAMAGE $ (Peraccidenl) GARAGE LIABILITY AUTO ONLY•EAACCIDENT $ ANYAUTO OTHER THAN EA ACC $ AUTOONLY: AGG •$ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-I CLAIMSMADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATIONAND TATU- TH- EMPLOYERS'LIABILITY TORYLIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I(yes,describe under E.L.DISEASE-.EA EMPLOYE $ SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HO -ER CANCELLATION Lagadino Building & Design SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE.TO DO SO SHALL. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE/ I ACORD25(2001/08) ©ACORD CORPORATION 1988 t t Expiratioq; /2098: fill Ty � L .AUE CRAFT ILD NAG&R- DELING SAniTUIT RD. t ,c��` Otrtky/�t)Pilt:ISM 19l ,V E YE tti5�,x',v� • .t H �M / p.\� t(i/I}'i�"f0„�477y�2�Jt�LQ�`flN/L 4l�dOQ,GKIQ�d . OAR�Q UllPI(VG RE¢�ULATIpNS icense CON.�RUCTIONrSIJPERVISOR NumberS 050234 k Birth -te J"=9!_- 62+. Tr.•no: , 29204' Res< _Q MIC.HAEL DELUG 568 SANTU,IT RD COTUIT, MA'02635 Commissloner „ . .5 t I a � w - S 5v pp . Dv� the r i � A t _ j > i 147 Lewis Pond Rd., Cotu it 12/7/07 4 r .y,4 tio�wy I Mrt . 147 Lewis Pond Rd., Cotu it 12/7/07 ! fi r a L 147 Lewis Pond Rd., Cotuit 12/7/07 ar� 147 Lewis Pond Rd., Cotuit 12/7/07 147 Lewis Pond Rd., Cotuit 12/7/07 A. ,' ems�.......... `-. �i 11 � 147 Lewis Pond Rd., Cotuit 12/7/07 i 4 1 t � f 147 Lewis Pond Rd., Cotuit 12/7/07 ktGY DT 147 Lewis Pond Rd., Cotuit 12/7/07 Sp s 147 Lewis Pond Rd., Cotuit 12/7/07 I I 1 ,J� 147 Lewis Pond Rd., Cotuit 12/7/07 r� 147 Lewis Pond Rd., Cotu it 12/7/07 R 147 Lew is Pond Rd., Cotu it 12/7/07 i T 147 Lewis Pond Rd., Cotuit 12/7/07 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ �� Parcel Permit# � 290 9 Health Division `3-�`�d 5 ���9�3 Date Issued 100 3/0 3 v Conservation Division _ 11 a ( �" b , l o [;n� )��p Application Fee Tax Collector b► be permit Fee & (0,2 Treasurer SEPTIC SYSTEM MUST BE Planning Dept. 9 t JNSTALLED IN COMPLIANCE WITH TITLE 8 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANC Historic-OKH Preservation/Hyannis TOETId REGULATIONS Project Street Address /Y7 Zekl)5 6o el fd, Village �1 .. Owner. A �d Address 5a Telephone Permit Request � �Gj.� /�6'y►-► /�j( ),�p� Square feet: 1st floor: existing proposed bb 2nd floor: existing proposed Total new_ Zoning District Flood Plain Groundwater Overlay Project Valuation 6 �j om Construction Type ward Lot Size �� ��G 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 D No r Basement Type: l//Full D Crawl ❑Walkout ❑Other / Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new v` Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count / co Heat Type and Fuel: 51 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes U No Fireplaces: Existing New Existing wood/coal stove: ❑Yes b No Detached garage:D existing ❑new size Pool:❑existing ❑new size Barn:D existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# --Carrent Use Proposed Use' BUILDER INFORMATION Name Telephone Number � �� Address an Yvs— la,. License# O J�a ' Home Improvement Contractor# / ���[� Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE lie DATE �717,503 FOR OFFICIAL USE ONLY _ 4 ' PERMIT NO. DATE ISSUED ' 3' MAP/PARCEL NO. ADDRESS ' .- VILLAGE �- OWN0� % 0t ER - A • a DATE OF INSPECTION: FOUNDATION FRAME a 1a INSULATION Zo!o IV FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH , • FINAL FINAL BUILDING DATE'CLOSED OUT ASSOCIATION PLAN NO. f - r- The Commonwealth of Massachusetts = _ Department of Industrial Accidents _ _- Offlce of/n�estigatiOHS _ _ t 600-Washington Street Boston,Mass. 02111 Workers'•Corn ensation Insurance Affidavit name: 4- v� city i/I phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one war in any ca achy /%%��%/%%/% %%%/%%%%%%/%%%%/G�%���%%/%%/%% /%%//%%///G%1%O%//��%%/%//G%%/%%%%%%/%/�/�%%%%%�/�%%//////%/GO�%/%/ employer ravidin workers' compensation for my aZ-0 yees working on this job.:: :?:} OEM >.:>F:>:::,::;:::am an p oyer p g .::..:::.::: .::::.::::: :.::::.,:.:.:: ....................:::.... ... : .:::.:::..}.: . x•:. •:F:i:: r f: . ......... •:::•:::•::•}:F:}:;. ::;•}::.:.;• .. •:•:•::'•}::}}:•.'•OFF•:: . ............. 1.. ...... .. ..... .... .................... X", n 0. °< ii:; <'<<`::X :.:........... . ........ .......... .v. .::::.:......... :insttrante�:co<>;:}::<::.;}...�:<r� •� ::.�:.:.::..;::,.:.::.:.�:..,,,:..::.,:... .:::.:.. ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have n workers' co ensation olices; :......:................... :..::�.:,,.: ,::::::: th mP ...g.. :::::::::::::.::::::.:.. ................:........ :::;. v..,......: :com sn <:nam ,........... • vxY:iv. ::::.::......:::v:.}}}v.:•;.............y:}::w::::.::••'v,}:•:::FFFF::}::F;}:?:;•:v:::::•}:4i}'::• r::::.�:.......... , .............. .....................::v.v:•.,•::::.v::;:::::':•t}';:+F:}}}:Si��F:•}}:??}}}::::ii?;iF:•}F}}}}:•}}}}iiiF:�F:^FF;{:iFF:•i�:??<:F:;F:t;vF:{::}::'i:;:j;:;:?{Fi:;':i�:tffi;:L'?:F;:�F:F::F:::S:F>5;:•:•::::?y OFF:�:i;�C;F}:v:•,:::C}i:{v:}:;i:;:;:;.`:i;:i;:i ir:{; ........ ...................:............................ ....{....................... ...................:•:::::...::........::..:..... v•::.rnv.... w:::: :iti'{•iFF:OFF:•: ••�-�aa'.s�;:�F:'::<�iF;>:::±:'F Alt;(:i;::}ji:j:j::i'i,F }��: jjt;:}�:j :•,:i:i:}i:::+: n: ::}i:;i s::•,:>}F::YC3::::;:•{.';::;{iF'i:::�:� :.�:?:i:v::ij�i:;::{�:{`v,:1;:;:;:•:;:tti:�:::::;:}:i:•,±.Y�:;:ti::•}::i:•:;:�i:_iiv::yy'j��j:;l $::;::i::•,:+�i:4�F:�:!j{;:! ........... .:...... .. ............ ..}.....:.....w:::.v::::•:.... ........ :....... .....iv::::::..: ::..;...... :.....:.,•et-:•n^:}yi:F:Ci:•i:.:.n.�•:�., ...3J,";A;. , ..... .... ......,. ....................... .................... {.,•...:.:...:;.::.�.,•:..:•::.: •,tom„,•. .....r..:...... ...........1...... .. ............... ...................... .......�.r...:..,.............., .........:::::.,::•..:rn.:t::::.w.:vr:v:::.v}::v:::v:::.:.,, v::t•,{;;.}^::41..';:• ,.., .:•:: ................ ......}.... r ................. ......................., nn.......................:vnv::::.... w::::::::.v;.............x:r••x:.v::.,•.,iw:.,.;,v,, .vb.titw.ltJ.,Ft,•:•'r'r::v::;: :t:.:.n...?•::::::::::w...••w::.•::?::::x.{r.•n....v:w:::x::::.v:.w:::.n...:.....;..;:n...,.... r,.•{{�.}}}}:•x.} n#.,';Y:?: }:;::FF};}{.:;.•:.;:.::•^::;:::. ,..nv. to `ad�r }e 4`oit :.::::::...:..:.:...........:..:.. .................... _h 3. 0 r•11]UY111Y ji. FailuY to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of cruninal penalties of a Sae up to S1,500.Q0 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day agahut me. I understxEA that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under't nalties of perjury that the information provided above is tree Date - Signature 99 �' C� Print name t �/ 11 gi Phone#�o� / official use only do not write in this area to be completed by city or town official city or town: peradtllicense# ❑Building Department ❑Licensing Board Offi ❑checkif immediate response is required ❑Heap De a Department _ ❑Health Department contact person: phone#; ❑Other (mri 9195 PJA) t ` 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 l ensation affidavit completely,by checking the box that applies to your situation and Please fill in the workers' comp supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and fli_ 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 `UW'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 primed 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 Permitllicense number which will be used as a reference number. The affidavits may be returned'tn 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. t The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgauans 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 Town of Barnstable P � Regulatory Services sT^B Thomas F.Geiler,Director 9 MA35. g `bA,Ep Mpy a�� Building DIV1s10II Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 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. Type of Work: Idd �10) h Estimated Cost ✓� ��� Address of Work: Y Z Owner's Name: GI ' `� � Vy Date of Application: 16� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied El Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 9f �_ &. 14a M 70 Date Contrac r Name ` Registration No. . OR Date Owner's Name .. ,. ..__.._rya_.. .. Tao CMR Appendoc b Table JS.ZIb(continued) Prescriptive Packages for One and Two-Family ResidentW Buildings Anted with Fowl Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Stab Hesting/Cooling eat Efficicn ' �'('/o) U-value= R-valud R-value' R-values Wall Perimeter Equipment c}' Package. R-value' R-value' 3701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal P. 120/1 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 l0 6 85 AFUE T 15/. 036 38 13 25 NIA NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 1S% 0.44 38 13 25 NIA NIA 85 AFUE W 15% 0.52 30 19 19 10 6 95 AFUE X 18% 032 38 13 25 NIA _NIA Normal Y 18% 0.42 38 19 25 NIA NIA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA r 18% 0.50 30 19 19 l0• 6 90 AFUE J ADDRESS OF PROPERTY: ` 1. A P 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: D f B 4. %GLAZING AREA(#3 DIVIDED BY#2): a j7 5. SELECT PACKAGE(Q--AA-see chart above): W NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a R � e 780 CMR Appendix J Footnotes to Table A2.1b: I 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 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. Z 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. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned bz iements must be included with the other glazing. Basement doors must meet the door U-value requirement &-scribed in Note b. '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 requiremenfs'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 J1.5.3b. 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 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 ('O0 square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE M square feet x$64/sq. foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) —' square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >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= 3c) o (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 $150.00 (plus above if applicable) Permit Fee projcost F' DAR T AN7NS Lieu T •3 Nu'fn'b x MICfi�EL DYELUC� ra rya -- 568 SPT I�R�Du 56NV?�isttator fie ~1*Soarc!i'vf�raria�Yht.P� CfV v x HOME! - C 05548 - — �. r VI! AGE Cl'�RAr f' '1 1G: ©©. : 3 � _ .. _-. - _ - �dmerisfrFt�lr •. - °- l Town of Barnstable ItIV Regulatory ServicesBAMST" K 9 I E'$' Thomas F.Geiler,Director 039. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �l IG[ ��emu. to act on my behalf, in all matters relative to work authorized by this building permit application for: l Le Lewcs evwd (Address of Job) ZZelP3 Signature of Owner Date Print Name Q:FORM&OWNERPERMISSION , OCT-28-2003 TUE 04;55 PM Simon' s Supply W Yarm, FAX NO, 508 771 E119 P, 01/0t .. ��"7 Lees •1Por.� I�- Specification Data ftnasonic Panasonic Ventilatioxi Fay rfrJ�[Af/ON fAN Description Ventilaung fin shall be Low Nolee ceiling mount type rated for contWu ous run. Fan shall be EnerW Star rated and eeriifted by the (dome +'�f� �� Ventilating Institute (HVl), Evaluated by Underwriters Laboratories and, FV-GV �I Q3 t1®o etm) conform to both UL and CSA safety standardsa. Motor/Blowers • Fotu-pole totaily enclosed condenser motor rated for Continuous rU.n, • Power Rating uhall be 120 volts and 60 ltz • Fan shall be UL listed for tub/shower enclosure when used with a 1z also GFCI branch circuit wiring. tt arts • Motor equipped with thermal-cutoff fuse, )! • Removable with permanently lubricated plug-in motor, ' Housing: g Ir it i • Rust proof paint..galvanized steel body. • 4'di:unetnr duct adapter. YYY/ • Built In bacicdraifi damper. r ►9132 • Expandable extension brackets up to 26'. Grille: • Attractive design using ABS material, `;.a • Aliaches directly to housing with torsion springs /ts - Vi'asi'a-Aty; The fuctoy warranty shall be a rnmimul:i of 3 years limilcd warranty on parts. a s.. Fan Curra FV-20VQ7►sith 6 inch duet Typical Specifications: eb. — oucriEW"i, Ventilating fan shall be of the ceiling mowit,Energy Star rated type,with a a FMno less titan 190 CFM and no more than 1.3 sane as certifled by the 04 a.nR Horne Ventilating Institute (XVI) at 0.1 static pressure in inches water c,,,cw• / ,�n gauge. Power consumption shall be no greater than 43+gratis and Energy 5lar rated with efficiency rating of no less than 4'•5 dim/watt- The awtor 5� or 4n shall be totally enclosed,four pole condenser type engineered to run con- p 01 tinuously. power rating shrill be120v/601`17. Duct diameter shall be no 00 less than 6•', Faa shall be UI.listed for tub/shower enclosure when used o -50 tee Iso 200 with 01,Ci branch circuit wiring, CFM FL04 Specifications: FV 20VQ3 ° Stadc Pressure In Inchas w.g. Air Volume,(CFM) 199 144 NON-0(series) 1.3 Na Power consum tlon watts .42 42 Lnorgy Etticlono t UM's/Watt 4.5--- 3.4 Speed RPM 695 071 EnertjV Star Rated Yes Washington State VIAQ Code Yee ., - s - � , - T:aTcalGCNn NlC,. ✓ . G uL US gyp ' For Complete Installation Instructions Visit www.panasonic.com/building Model Quanta Comments Pro'ect•. -- Location k Arch itect: --- —� Engineer: Contractor: .I i Submitted.byi �~ Panasonic Building Dept, I One Panasonic:Way 4A-6 I Secaucus, NJ 07094 $66.292.7262 www.panasonic.com/bu)fding . ., a �i i i + ti` P4-732- S61�a p`pt THE Tp�� The Town of Barnstable O� BABNSTABLE. ' Department of Health Safety and Environmental Services MASS. a, 1679• ,0m °TEU MP�> .. Building Division - - -367 Main Street,Hyannis,MA 02601 Nfice: 508-862-4038 ax: 508-790-6230 PLAIN REVIEW Owner: w Y Map/Parcel:__ Project Address: yZ L ewi S PO!✓12 Builder: /`'� L° �L�f d�/� P,0 9' - 7 S 9 The following items were noted on reviewing: OA6 V e v7 /1S glaulAl �rpa cilose Tv R e iPy,'A eo R Peet �.. 1/,Vg Pea Reviewed by: Date: dZ !1`Oa . v q:buil d ingJorms:review l S� /dq i J �, �FfHE� � : The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services Y MASS. �P t639. �0 plEO MP+' Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection rV71vh-e Location Permit Number �1 7 02 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �5 i c Please call: 50ff 8��-862-4038Tfor re-inspection. Inspected by tLL 1j Date ( � 5 b1-1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 4 Map V Parcel J Permit# `7 J Health Division Date Issued Conservation Division tf-S' ��`�� �i►�I.�D� r�l'T`/ �'P J Fee t�2 i•<-9 Tax Collector, ice .$ ,. . SEPTIC'SYSTEM MUST BE Treasurer d ) d I INSTALLED 1 A N COMPLIANCE Planning Dept. i' WITH TITLES . Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CO®E ANDTOWN REGU LsATI®NS Historic-OKH Preservation/Hyannis Project Street Address d � � �w c`C, ON Village C 0 To Owner �C�T� �J I�-� Address S�.►M-e, Telephone t-1 Z 2 5 12, ' F Permit Request 13 (Y ) 1 (Q. w o o�Q l7 G 2eAv '4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation YZ Z Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family W Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: 0 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: O Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:0 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# Ciorent Use - Proposed Use AA •. BUILDER INFORMATION Name -5 424�- � � �-�,M v Telephone Number Y%6-:5-3 3 1 Address_Z 2 7 2u u N,it Gk License# O -( y -y 0 ✓ LuzG D� li✓l 14 6 26 ;, f Home Improvement Contractor# 10 '2f 6 Cl j Worker's Compensation# Al 0--e,. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE fo _f y 'O d ti j FOR OFFICIAL USE ONLY • - � - •. y F .ti t ' PERMIT NO. s i R DATE ISSUED y" MAP/PARCEL NO.— ADDRESS' VILLAGE OWNER y `f DATE OF INSPECTION:; - F FOUNDATION CD' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH.* ` : ' <a FINAL PLUMBING: ROUGH,j FINAL y GAS: ROUGH; r =6 FINAL FINAL BUILDING � lr mow• ..♦ 1 . DATE CLOSED OUT :lC t- r ASSOCIATION PLAN NO. t i ' .LIVING SPACE (high end construction) square feet X S115/sq. foot= (above average construction) square feet X S96/sq. foot t (average construction) square feet,X S57/sq. foot= GARAGE (UNFINISHED) square feet X S25/sq. foot= PORCH square feet X S20/sq. foot= DECK O 1_square Z i7 X$15/sq. foot= �i 5 OTHER i square feet X S??/sq. foot= Total Estimated project Cost For Ofce Ilse Only Inclusion arY Affbrdab/e Houslng Fee Residential Q Commercial" Property Owner's Name Project Location Project Value F Number "Existing Sq. Ft. **Proposed N q.Ft Fee S IAHFORNI 1/3/00 awxxsrwat.e. The Town of Barnstable ' 9� , ; `0� Regulatory Services A'Eo►��` Thomas F. Geiler, Director Building Division. Ralph Crossen, 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. Type of Work: 0<�_,CL— Estimated Cost C)t>O Address of Work: - C q- 42A tit-C,-- JDd Owner's Name: Pellp" y✓t1�1 ems{ Date of Application: 10 _ L'S-`P I hereby certify that: ' Registration is not required for the following reason(s): ❑Work excluded by law OJob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav .- - • _ The Commonwealth of Massachusetts - --_— -. -= Department of Industrial Accidents - ,, _== = 0/flce of/osestiosdoas . _ = T 600 Washington Street -•-• , . Boston,Mass. 02111 Workers' Co m ensation Insurance davit i name• Jr � I�VW ki e .V-1��'1 location: � 7, /�.(/ ,*V 4 1,l� i' C�,- 6 1 city A AP L✓ 51q-,0--- y ` A phone# 7f 9 (, - ,3 3 3 ❑ am a homeowner performing all work myself. . I am a sole netor and have no one working in any capacity G//%///%%%%%/%%52"- �/%%/////////�////////////////%%%/O�%%%%//////////�%%////////////%%/%/////////////////%%%/////�//%///O//////�O//%%%/�%%%%%�// ///O/%%%%�/ I am an employer providing workers' compensation for my employees working on this job. :: ::::::......::::: :::::::::::: > 'SZl e '' 3_i2S>'?;± [isi ' i i i i?i ii2`!% 'i i`i'� �'%[_ iii` ? '!:i:.; it i1.s %;_:ji2::;;; :`i;i.i`:<.;?i:>-`i;: :':Y: �:;:;:;:i%Gig;:::;::is i i;i;:;`i; :C i%',::[.i';[;[;i ;,.'r'? i i:i:''-' iY r`i%i oaanv n d-dress.. _ h" ................... .. . :.. .:::::::.:....:•... . : ::.:... pilcv;#: ................ an3urant a co:'> :: ::;i;i:::>::><::: . . I. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have . the following workers' compenxxx-sation polices: co an _name. ���..X vi::;:!:,:::i:i iii...ii:i'.!ti:i ti:ii: j}:.i-i:'v:ii::::�i:-i::i: ::isi�::: is yin:is i:;: s�:':i:;:.::;:,: i:;i:;:;iii}iii:Jii::i:2i is is:..::.i:i i:::}:?.:::is:;S:jis�:j::;: ;:y;:;:-b.-ii::1iii: i}}i?iii:L:i?'iiii?:�:i<i':i:Ji:i:::):!v i} ,v;:�:_: :':':'}::::i::i::::: address... ::....:.....:...::.:.:.:.. «3 ,:;:i: ::r:':i:;:#;;:::;{::::`::3::':::: i:::::::a;:::::......':::: Si:::: :: :::::i::i i i:::::i.:::;:,:.:;::::::i:'r':::::::::<':i .....:.....» :::'::: :% 1:: %i :::i: :::;::;:;: //yy >:;><>::>::::>:::::::>:::»>:>::>::>:::»;:::>:»>::;;:><::::<:::>:<:}:':: ::>:::<:::>::::'> - iii:;.i:,,,*,,:>:>::i:::i::;:::'.:.:.. }}::}:.i:.i:.i:.;'.i:.;:.i::.; :»>>::livne :.<::........:.. 11 . sltx: '-; v:S•}}:d:�:' v:.v:::....................... ;} y :.�v.v:.:C4::.... :i ii:ii:ii iiiiii:i�::::ii::i i::.......i:..... ::v:':'}:?•:ry::4ir.:;:ii:{iiiii;::ii'i':::iiF:...':.i" ......i'rri,:.:,:t»+::::is`:: iii:::...."::i':i`: ?<...^i:{i: iii:ii:G:::i:.... ........................ ....................................... ::v.:�::::.�::::w:::::.�:::::v::::.�:. ................................w::::.� /. ::/I,::: :::' i:::......:::::.:!::::a lit"i:.'::::::': ::i:;:j::.::::':`:`:'ii:v:::i.::.:::::::.:::...•:::i::}i::.... •.;.;.;:::•......... .::.::.}i}:•:::.:�:::::{:•.�::::x.}•:::.�.}'-}}i}}i:?•i':-iii}}:{•?i'.ii:v}::.:�::ryi}:!ti:i}:i4::::i•:4:_::•:^:}i}iii}?}i:}"......:'<:^: -}..}:: V nyttt'artCe:COJ::<::>;:.::::.......:«.>;><;::>.;::::.<>,.>.;;::.:o:::::.;':.;:;<.;<'.;:.>xi::.w:.::::.:..:.:.:.:..:..::;......:.. .. •.:.:........ /// /,. <:•}:}:•:>i}:•}>::::::>i:::•:;:;:•»>:a:;•:::•i;•}:::::::ri::iii::::::;:;"::::::::'::::::.*—::::i:>:>:•::;:iii:o--.i:: :.;;•:::;.;.; .:.......................... SII i�LBIn :::; ;::::;,:,i:.ii ;i::y:. s:i::i:::z:;:::i:i flddrESSi_ M444`: ::':.;;:.::::: :<;::>:::>::>:::;:::::>:::<::: ........:..... :::::«:ii::;':::>': i:<:::i:::: i:::::<::::>ii::>'::»;":; i>;>i'.;:: i::ii;i:: i::>::i::i>i::i:.-...::i::i:.i;.::liene :..... ::':::: :::.... - :<::+<:w<>.. <» :>'>:> '�U:!:ii iji:Yiii iii:iiiiii.,.. :::iiii::::i:+i:i:'iii i'fi:::::::.ii:i;:j:::::;ii:i:iv ?......i nail ii iiii`::::5 iii':`:::vi::::v`:Ji:ii...i.—:::::'i^iiiiiiy}Y?+}iii}i::•}:•iii}iii}ii}:i:::::::-:iiii:iii iii:}:•} ' :'`•ii Y::.is:4:^:::::::::?{::: :: :....iii i::::,.::}iiii'::v:j:::,.—,,,:i:::::iii::%iii s in:-}::i:i:Jiii'Sin::::i ii:i::}i, iri::':'...,:..:•:•:::... i rance.ca:.>: 1. ...:::.:::: :.:.::...}: ::...::.:.};:.. .:..:...::.: Fafimx to secure coverage as required under Section 25A of MGL 1S2 can lead to the imposition of crhninsl penalties of a fine up to S1mmoo and/or one years'hnprisomnent as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day agaiust 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 certify a pains and penalties of perjury that the information provided above is tr►w.and correct Signature D� (O r ? ' O y — - Print name �Im Ih-2,,V� cS i 1'hame# -�6 �? 3 11 official use only do not write in this area to be completed by city or town offidal dty or town: . permit/license# ❑Buditg Department . ❑Licensing Board ❑checkitimmediste response is required' . ❑Selechnen's Office ❑Health Department contact person: I phone#; ❑emu' (feri+ed 9/95 kl/j cat 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 :a Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and an names,address and hone numbers along with a certificate of insurance as all affidavits may be supplying company p - " , submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or lic®se is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the`UW'or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. %%�%%//�%%%///%%///% /%%%////%i ///% City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of ihe- 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 pi number which will be used as a reference mimber. The affidavits may be wturu R it 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 Olflce of lollesdoadoos 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#s (617) 727-4900 eat. 406, 409 or 375 O-Z U 0 5y LEWIS POND, ROAD 31.7 26 91.9 - S\59'36'20"E t l t \.. Ow � RD 29 \ \ —for V 'o 97. .. .. Jr 25.0 / J ND 20.0. fo z.e Ex EL�jNO DN 21.8 3 a- �`��0 7t (P. ti cnr / 21LJ fB B aC, ' _... f? for7 . IOV B' fa. , 7 91,A lO 'Don)E Qaa oaaa aQa � wF.:�� . KM 215 Run Hill Road Brewster;.MA 02631 (508) 896-5333 . Jeff Hennemuth PSG /z �KN POSE 3 4 { a I i D� \: 1 1 l` .y 21, ! 1 t' 1 1 - <�.a,. i ..: .t4�:.. :y, ,.,... r. x,,,:�.�•...: I—a. .,,.� 21, 'w�,.... m ,�. .:, .4,:. .3 .. c .,I... � t. ,.. : ,.. __ ,x. {•.:M 1 .t .I..... ..5 A,.. It�;' — ,t t {., ' IIF f U /!! r 1 b , - 1 , : i I f, r 1 IEJ , r _;.:. _ i t y 227 Run Hill Road . Brewster MA 02631 (508) 896-5333 Jeff H6hnemuth . ' F '� ✓/ce Toai�»ionwea�c a�,/�aaaac/ucaelta °: BOARD OF BUILDING REGULATIONS i License PONSTRUCTION SUPERVISOR c Numher, S O42401 ; 4h' ,J Birthdatd•;11/29/ r; ` Expires /29%2001 Tr.no: 11122 € " Restricted To` I JEFFREY C HENNEMOTH 7 _ t 215 RUN HILL RD BREWSTER MA 02631 ' d.� Administrator .♦t' .l1''�w..' •`Lin •. .. 3.i., xriF.'w^ F ! y m_ L A , f . r .\//`` ✓M T001M7(O1K000aI(�O�✓ �WC�d f 1 HONExIMPROVEMENT CONTRACTOR Reiiistratioe Expiration 1/21/02 Type. Pr• 10 1 DECK MAN, INC. jetfrey Henneouth 22TRd Hill Rd ADMINISTRATOR ?•' - - , �cBrewster MA ' 02631 t r uc Neat k. F a t. �tr y� t * , i 215 Run Hill Road Brewster, MA 02631 (508) 896-5333 Jeff:Hennemuth . � a,•5�� 130.1�5"l ate,'-�� w/ '�- x� (L�NNe-;rS PaOle Qi • yrN �os� XI II I X 3 e. c.uVV { 0 F t../C', a , a f : f : 1 ` i n , I ` ` ' r J , -a' , 'C .. ... . .•...n..f a. .. .la...d.. ,,, .v:f,.. .d ..�.,.,. w.�. .,. ...., f..,1 v....a i��i t ,'C.. f•J:::. L„J ..M. '.a.r,•..f ..... ..a=.. . ..,r.� ..,. .,- • .. ,u, .�.t ....:.�.: I -..I r� u. I t 5* l_ z �x^ :e,- f _ T , , 3 ji- yam/ 2 I I � Zx Y $ Ij f f Y t , I 1 l: , Q �J ------------- - . f SYSTEM PROFILE NOT TO SCALE TOP OFt- FOUNDATION FINISH GRADE FINISH GRADE OVER FINISH GRADE OVER EL. SEPTIC TANK/PUMP CHAMBER ,. .^ , WEEP HOLE DISTRIBUTION BOX EL. 3 0. �' - FINISH GRADE - L-1FOR B cx DtcAIVAGi; � OVERTRENCHESRISERS TO 6" r;0`_` ��C.I. FRAM OF FINISH GRADE I &COVE2" DIAN4 `" r PRECAST CONCRETE P v C SC��ID.�O " 500 GALLON DRYWELLS " •�:_,`o, :,� 3" MIN. f °; RISERS TO 6 H-20 REINFORCED LOADING r.EvrL OF FINISH GRADE OUTLET PIPE(S) LEVEL MIN.SLOPE 1% 3 is nEVEL —� o FOR 2'( MIN.1% SLOPE TRENCH LENGTH = 25'-0 ,fF BEYOND ' .¢yr�v.c Al == '` Q DRYWELL LENGTH = 8'-6" �_��- /9i•O '� -o t 6"SUMP �' e ° ^, ` , ° ~ r. °1 `•.1 , •4 �,0:1 `,�r �.. •v'°,O` 1 0\+<_ PVC OR CAST IRON TEE I' 4fALFUNCTIO ¢ <: Z/, G 7 °,oa 2�So ` �'. 1`: ��.,o° p:! ':', " �' '" ��oTIC� :' ': a =1 "1 GAS B�\EPEE—J _C` r r' — 16 2 /,20 ,''� 'c�.. ;I�^'0 0 ,,b b,o��.-_'9j •;r., ,•i0 .71 fd — — — DISTRIBUTION BOXAo- �---' fj=^ H-20 LOADING 3/4"- 1-112" DOUBLE 3/4"- 1-1/2" DOUBLE 4 r ' WASHED CRUSHED 4' -Isa _o PRECAST CONCRETE �o - _4 MINIMUM INSIDE DIMENSION 12" STONE WASHED CRUSHED OUTLET INVERTS 2" STONE ` =`I � H-10 REINFORCED :�'; MINIMUM CONCRETE WALL THICKNESS 2 INLET T BSMT.FLR. 16_ =A= — INSTALL ON COMPACTED LEVEL BASE ELEV.z3./ 11 iE R '{ TRENCH SECTION /,:1' 1.'•a ° O 11 '•'"•1 °i0.1 �, �'`' '^'o ,� 0 , 1 .,0� , C .,0 .1�• _ °, '. i 'Q.,.. 'n'p , ,^•'tea NOTE: EXCAVATE TO =C= STRATUM IN ORDER TO REMOVE ALL =A= & =6= IMPERV;OUS MATERIAL -- - ---- --_ wy„ ,.Q,,,,,�,c; sPjo /•� G r •-.Y „4 /, WITHIN S OF THE SAS. REPLACE WITH CLEAN, 9" MIN. 3" OF 1/8"- 1/2" CLAY-FREE SAND 4" DIAM. 36" MAX. DOUBLE WASHED L PEASTONE INSTALL ON COMPACTED LEVEL BASE ~' ' °'�' I.PUIv1PTO BE INSTALLED IN I /,' e L STRICT'CONFOR�IANC:F. -° $ ;{ C rt� '�� ' �{. :\. �. ','•' ° I:Q N ° ���`: �.': Ii WITH MANLJi'ACTURER`S SPEC1iF'CA i•ION:. I� SS A; "' ''�� ��_` 2.PUiviP CONTROLS SHALL BE ivtolS�'URE PRO F . 2}h!s ;A"°° ' _3/4° 1-1/2" DOABLE 3.CONTROL SEQUENCE: 0 i �. ��.p 6a�eh 4 " 1 " 0 NCE: "�, 't` ) ,`'l.r,:`� '� .11 5-2 " ( WASHED CRUSHED A.PUMP OFF �. le�l', ( ,:`?M�r. �� 1"_� �:\r':''�' I STONE B.PUIv1P ON I { � I C.ALARtvi ON AT PUMP N1ALFU1-1CT:ON . • ` 'h /n� ' �'�° ,,nEl°� �j ' L� NUMBER OF TRENCHES 1 131-211 D.ALARM ON AT HIGH WATER LEVEL ;.,- /i:!'' %��, ,: �+� S'v iljie� / �l�'7J '( Wt17t1. 4.ALARi1i CIRCUIT SHALL 8E SEPARATE P�;014I THE ° .c a,�� ;:',� �„,�, � NUMBER OF DRYWELLS 2 PUMP POWER CIRCUIT ?� ' / , ( � i t t S.PU�fP CH.A;viBER SHAC.L BE EOL-11'Pt�L)t1'I'f�l{ RISERS AIND A NIANHOLr COVtR 1�k'1TI-IIN G" a , ,mod � ' rw_ „F.-'r�.r E . :/ o a��'�n"C+btuit�f•::1,:�r.�. _ ;F //- i OF GRADE ` o GENERAL NOTES: 1. ELEVATIONS SHOWN ARE BASED ON NGVD 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON _i OR SCHEDULE 40 PVC. 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING o I MUST BE NOTIFIED WHEN CONSTRUCTION IS COMPLETE PRIOR TO BACKFILLING. �� L �� � '� �/ 9 y 2G ` - w 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2- t 3 ' ,I 1 + '� BY CAPE & ISLANDS ENGINEERING AND TH.E BOARD 1 ' ' S 1 OF HEALTH. 1 � „�� �'r , i✓� L�� _� 5. MATERIALS AND INSTALLATION SHALL BE 1N COMPLIANCE WITH THE STATE SANITARY CODE �� [TITLE VI AND LOCAL APPLICABLE RULES AND REGULATIONS. ;'% , \ \ ''z 6. NORTH ARROW IS FROM RECORD PLANS AND IS r \ =e \ `•,o NOT INTENDED FOR SOLAR ENERGY PURPOSES. � 1 ( \ ,off•----y� � � ---- `� 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. 8. FLOOD ZONE All [EL. & C [ l OBSERVATION PIT 9. FLOOD PANEL: 250001 0021 D DATED: JULY 2,1992 < PERCOLATION RATE. 2 MINJIN WITNESSED BY: &DUNNING i' � ••` Z�. -� - �iyf ••,` � � � \ � BARNSTABLE BOARD OF HEALTH DATE MAY 8,1998 ,o V \. `r• Ay =P.= L AM DESIGN DATA n o =B= LOAMY SAND NUMBER OF BEDROOMS 3 1OYR 4/6 GARBAGE DISPOSAL NO a / DAILY FLOW 330 GPD. SEPTIC TANK REQUIRED 1500 GAL. I w \\ ^ '-„ =, \ ` - ,, �� SEPTIC TANK PROVIDED 1500 GAL. LEACHING REQUIRED 330 GPD. - =C= MEC-FINE SAND ° .' \ 10fR 6i6 SOIL ABSORPTION SYSTEM CALCULti IONS: a + l I { / SIDEWALL AREA = 152 SF. 152 SF. X .74 G/SF, = 112 GPD. 120" NO GROUNDWATER i z o " BOTTOM 9SF. X 074 G/SF 9 243 GPD. J \ LEACHING PROVIDED = 355 GPD. O t' 17 LEGEND 52 PROPOSED CONTOUR o ; PROPOSED ADDITION & SEPTIC SYSTEM UPGRADE ---52--- EXISTING CONTOUR - F PROPOSED SEWAGE DISPOSAL SYSTEM ® OBSERVATION PITOF �45r� �C- t•' RICHARD G\•► PREPARED FOR ❑ DISTRIBUTION BOX �I� BERTRAND - 1. 29894 MARCIA DUDLEY HSE.NO. 147 LEWIS POND ROAD o 0 o SEPTIC TANK n� �'. '°°c:n:Fl ��.���/�<` o `}•;:r;, ; COTU ITNASS. SOIL ABSORPTION SYSTEM PLAN NO. �r - - G �_- SCALE: AS NOTED OF I RESERVE RESERVE AREA �:�A Mqs\\ FILE NO. 3 5'8 eA .y yG c DATE: .. .• > 2 G v o 3 ' DAVID c'` . .� �' �. SEPTIC FILE N0. 73 PCS FILE: PLOT PLAN 22.26 PIPE INVERT ELEVATION �$ CHARLES y ` cam, St�NIC;KI C ` '•� 2�'aeF iF CAPE & ISLANDS ENGINEERING SCALE: 1"= 20' z z z ';\c CAPE E 0 0 0 ! 20 54 147 _� e's"'11 LAND 5� f 800 FALMOUTH ROAD, SUITE 301C MAP SEC PCL LOT HSE w `T"' MASHPEE,MA 02649 (508) 477-7272 x - _ Ex! Ap r___.. 1 ism:r •��,,,.�. H4 - i �f`� (� fly'. ..._ -- 4 . .. . 7-•'�._ �_� -�, JI I !;( '. �.. Z �� r I�F:�.i� ����� 1 t N. • t I i ,i�•-,f�ti��? DlS: �� �, i.1 p tom, -. .. . . } �'as� SX1 'r: VJ1 lJr,,�,} i!•t 11 �,. k)t it:ELf>• (7?ufi .'.,��:s:r t�D-r�:ty.' � 47'il.;.E.11V 18� K] C7 A " Cd�"UIUID =.I tj To AAA''.0283i • : - ARGH[ PL��MVERS . .r APPROVED: DRAWN Bic:'. N. PROJECT tViJMBfRNUMBER' • .1. t J Li t L- j .. .. . .. t3RA1A�If�G tW!M BFt7' .. ' . E77 1f .4 b 717M SHPE M .SA C � S:YT r 1 ` "tilr+ AREA 91 xS bAle L� . . - - --.. - :M�.��t� �x r,T.. �rc�:-�HS+���.�1 . . _ • ,.• • . . , . . . . . '. . . . The NMYjo*N:-AGc,�aS.- • 1 + : '• T6?TOP lb'.OP.THE' „ MA'�Lrt XtrXT. fRS.;I '�trC.T -. WATLR LEVEL lEMaM4ANO sa Fl�oftt" - _ L IX __._ ...�.__� . . .' • . f LGQR ORAitt. - : . OR,aw Ma _ �� ��-` ..._.. ._ �� _..._ --- .S�:VIEW : - .. . . : -. , . ' . . • . .. .: . . . . SCALE,Y4*8114* _ .. _ — _-____ _.._.._. [a.eAqAWZS_MR'-' MaKaw to the rbn&ol cowwtlaft at the Fret . •Al ......_______. _ _ __.._ _-_.. _ ___.�.._._..-_..____.__....._ a 3�i 1 Of ft►e•oo0f t+or.tf+s bkkm rr titu�n drain ' and valor------------ msernbl�[l2s 8-M_ _ 9 M W t'Facfne Front of Pool) . " ; M(minxn cleararlGe'tor •.�,1 �.- �•'i / ;` -�• - CS'`��` ��Y L 1 N t's' accea3 to kont parer tZatractatyle 5earl s �nMum clearance for eoE erattons 18 �. #...•—...�retractable covet _... [_:_..� :.:' Rerractabte cover roller nSounted of rear of pact. V. g tn• �� Minl�rzxri clicranre for �_.. retractabb cover nx 51DE 1CIEd a etrackble cover roller mamted at Mont of pool. Noyes The retractabls'raver roller meclmmm be Mtolled at the front.�." rear of U10 -�...,, pool. lnstallatloA at the rear of the pool rs'recorrr outed• -A 24'clee &" crust be provided W l �� ` �,� the t0 bd 1rTrtdlled property. If the x�p�ort tarctckete supplied ky1 ors rot u44 carpentry nE of bi provided to wpport tie rol er. A$palate �+g stern uptrn 0"tl trdcks . will be ftxr"d a also ree�ulted. t+�hen the roller b mounted at tr+a front o1 the pool k M racohrrwrr+ded that sAsnoWns be added to itb Mack to alloy+ the Iso�ing of ow ravel�r�o , HIM. '�Z LA-f CT f tvF_ ttar~k AlkwIMtiO4 U"pu'dwo� lirg% of w6s,r�yth yell AIt��K�Do ptr lw tm ad t4ntrol valve at the ekle pawl. Mon the cover roller'is mow"d dt the recr'of lt�a '. pool tier full 24'�hbuld be utilized to dW re that the leading edge ckN*s #hi Ad or surfo►ci.. �u a� �r S10r= �E'.' YAROSF--f ASSOCIATES INC. f-- w.� JT r�°ll�:k .40 ARCHITECTS Fk ANNE - . SCALE. ,�.T-� . i}A=f: ',•yJ:• ;�'� A�PRQV1 a DRAWN BY. .�.M I PROJECT NUh BSO DPAWNG NUMBER MASHqE;MASSACHt1SETTS /0 177 TEL:477.4731 .FAX 477•6177 . .• . - . __ - - - - .. .: .. .t.... r.T. ...'.. - _.. . - . . . . ,'' . • , . ,._ .. . . -.� . , . : ' . • . . . . . . . C - _r tl$�: . . F 1 HO I T .r Avn I1 . . . . . I. . . . . . . : _ . .. . . . . . . . . . I ' . . . • .. . ' .' . . . . .. . . . .. . . . . . . . -a . .' • . . . l5 � . .9' ., .. _ . . I. . . 2 . . . . �y1w N• + ,+ ' ' . ' . .. / ` 6.. - ' .1 .. ... ...vl"$ ...l."if :­ . -, * 4LMAL. !I I .� :, ,.t . . . ; . .. . . . L •C c2G. -cab', . _ _ ...: _ . 4 . . . `T .. . . �r �. . . . , u � I - . .. . . ., -, i . • I* I . I. .t . I . . . , , , p . .. . �.a .. . , . I . . . .. . . .. .. . . .. : '.. .. .,.. :.--.* , .. . i. 4. .. . . �' �1: �• ' #�1 T` 11 ;}t.:l . . �k 1. L:;;�t7 . . I , . . A ry :dx .. .,. .. H,r .f�... .�•� ._ �; ' _ . - s . ' . . . ' .. .,. _ to I r�1►'i' Gi.-ratErica! GE�:.tHc' ` i..,E .L'DoQ: . r 2 .40 . . :) 4 .� . . - . . . ' ��S r.j 1EE: ! �' .. j �,B.I��..�t..i#��.t"�.t..'Ut10 G Z..r-U]l, , C, . "Irm- ,•-. r--• �' l� pt.I_ U"'�F c1�F'a �V11 z'• "M lS�1D N \\ �c.:�`_.__.-�,y..' � _ _ J ��, •r�.. �F'I,-.!E1 ` . N1 C:::1 ��'i;_.' �cr:�r�,f i (' ���.T�- \ ;... L �_ to : , . +c' It — �! . • .,;`: -- ---�� icEc '��a�� �,� �� . Try sl; `+ y I ' 0 (i I,--i / t I wirsl. oc��. �� 'N-r, . . . . . . . � I . 1 '4 9. -,*.-,;.c- ., * , 10 ; . . . .. . . . '. . . 1 4 . . . . - : i - . . . I .. ;< x . � : 111 : . . . . . . . . .. .. . i ./ X_\__ I . . . : : : . � .- � __ . ./ . . . I . I . .. . . .. . .1 : i . . . . : . . . .. t . . R . . I . . . . .. . . . .. . . . . . ­ , .. . .. , I - - - I ! I ; . . . ... . . . . _ . _ ... ... . .... . . . ._ . .. , .. r M. 1 .2'•c�NmIA. ! % , ++ { .1 i 110 ': + V. k - i j T• , MATCH EXISTING WII OC)W HE-ICIHTS �, , 4- ' �' _ . . ._..__ _ __ LEA .'.. =.. ., .. :'Y .. ._.. .. .. �.�..•: ct . UNLESS ,C7TWEFWISEC). IVOTEC,� _ __ . . _ . . . . - _.. .. -- - - . . . - _...._ . ._-._._.. .. . _..._.._............ , .... ."... ..:.. 6,... ..... ... .._ , • rr: ' 1•I1 1 1?. 2a-i,.. AAl • 2 �� i: . �z MP � I . . II P- , ro�,T �Ny re �: <0 r�� s1dLfi rrlr ,& t�vw,&l� ._�_.. _ _ ___.. ._ .._._..._._...___ —ILK", _ i 7 H `� -4 ._� .L 1 ��T'i 1�'-C r �t � . 1 I i . : . . . ry 0� Q . . i . JG�0 ...-•.. . . .. ..-_. ..... . .. _ .`. .. . . ..... . . .-..._... .. .... . . .. .. .... ... ... .-... .� . I . . . . ... . .... _—— _ . .. .. ..... �- -- 1��1�.. ," . :, __�,,) . I .. I I . �,- - 1. i : _;-I /,*" ".. I I ­ �, . �_�4 . : . 1% ___I% i - r __ E . . E 1. r . L' /� n}+ } r y� I .._ "-- - ,. , / ! �^'r 1. .. t_. i+\I!V I i I�� � Yl rL,°� ;� r I , I F . . : .,. . I C��:! C.1 Lr�'� . R �S 1 O E'1'�J C E . ' . . . . . . . YARCH ASSC�CWTES f�VC. ' . ... ... r T •ZY: s, �.r : i&:''c.L. A�RCHTECTS - F�IVNERS ... (.. . . t_ _ .: - . BCAIE. a- tI.. DATE r'? 74• 0. APP9011 t� TDPAWN S1. t4•}.-I, M f,/f \y '�­,- .---- fit' .1 i - {— Ii._ f,111 \r/�� ,.• t `� " :7. .. f��G��• f �"� '� ! 11F� i t }. 1+.• � .� 1 I ��. 32 f C1L_'�i..�. -!/ _ 1 ter. I , - 46M."Vati '� / t PRQJECT NUMBER DRAIMNG NL'r►'(+iR. MASHl E.MAS5ACHUSETiS 1 . 1. � . ( ..-. . . . . . 1