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Home My WebLink About1243 MAIN STREET (COTUIT) Bk 29177 Pg77 #47990 _ r _ EXHIBIT B Incorporated by reference into and made a part of the Master Deed: of Cotuit Port Condominium, 1243 Main Street,Cotuit,Barnstable County,Massachusetts. DESCRIPTION OF BUILDINGS There are three buildings on the land,which is described on Exhibit A to this Master Deed. Building 1/Unit 1 is a two (2)-story Building with two-car garage. There is an eight-foot round . hurricane basement. The siding is vinyl clapboard. The roof is. asphalt shingle. Unit 1 comprises the entire building,both interior and exterior. The Unit has gas heat with a tankless hot water heater. The first floor contains a front living room with fireplace,formal dining room,kitchen,family room off kitchen,full bath,breezeway and garage The second floor contains four bedrooms and one full bath. Property Address:' 1243 Main Street,Cotuit,Massachusetts`02635 Building 2/Unit 2 is a two (2)-story Building with full basement. The siding is cedar shingles. The roof is asphalt. The first floor has two (2) bedrooms with one (1) full bath. The basement contains the laundry. The Unit is heated with forced hot water oil heat. The second floor is presently unfinished. �1Property Address is 19 Nickerson Road, Cotuit,Massachusetts 02635 Building Whit 3 is a one(1) story, one(1)bedroom"cottage." The siding is cedar shingles. The roof is asphalt The Unit is heated with forced hot water oil heat. There is a living room with fireplace,family room and one full bath. Partial basement. `��Property Address is 21 Nickerson Road,Cotuit,Massachusetts 02635 Bk 29177 Pg77 #47990 EXHIBIT B Incorporated by reference into and " made a part of the Master Deed of Cotuit Port Condominium, 1243 Main Street,Cotuit,Barnstable County,Massachusetts. DESCRIPTION OF BUILDINGS There are three buildings on the land,which is described on Exhibit A to this Master Deed. Building l/Unit 1 is a two (2)-story Buildin*with two-car garage. There,is an eight-foot round hurricane basement. The siding is vinyl clapboard. The roof is. asphalt shingle. Unit 1 comprises, the entire building,both interior and exterior. The Unit has gas heat with a tankless hot water heater. The first floor contains a front living room with fireplace,formal dining room,kitchen,family room off kitchen,full bath,breezeway and garage The second floor contains four bedrooms and one full bath. Property Address: 1243 Main Street,Cotuit,Massachusetts 02635 Building 2/Unit 2 is a two (2)-story Building with full basement. The siding is cedar shingles. The roof is asphalt. The first floor has two (2) bedrooms with one (1) full bath. The basement contains the laundry. The Unit is heated with forced hot water oil heat. The second floor is presently unfinished. Property Address is 19 Nickerson Road, Cotuit,Massachusetts 02635 Building Whit 3 is a one(1) story,one(1)bedroom"cottage." The siding is cedar shingles. The roof is asphalt. The Unit is heated with forced hot water oil heat. There is a living room with fireplace,family room and one full bath. Partial basement. Property Address is 21 Nickerson Road,Cotuit,Massachusetts 02635 Bk 29177 Pg77 #47990 EXHIBIT B Incorporated by reference into and made a part of the Master Deed of Cotuit Port Condominium, 1243 Main Street,Cotuit,Barnstable County,Massachusetts. DESCRIPTION OF BUILDINGS There are three.buildings on the land,which is described on ExhibitAto this Master Deed.. Building l/Unit 1 is a two (2)-story Building.with two-car garage. There is an eight-foot round, hurricane basement. The siding is vinyl clapboard. The roof is . asphalt shingle. Unit I comprises ' the entire building,both interior and exterior. The Unit has gas heat with a tankless hot water heater. The first floor contains a front living room with fireplace,formal dining room,kitchen,family room off kitchen,full bath,breezeway and garage The second floor contains four bedrooms and one full bath. Property Address: 1243 Main Street,Cotuit,Massachusetts 02635 Building 2/Unit 2 is a two (2)-story Building with full basement. The siding is cedar shingles. The roof is asphalt. The first floor has two (2) bedrooms with one (1) full bath. The basement contains the laundry. The Unit is heated with forced hot water oil heat. The second floor is presently unfinished. Property Address is 19 Nickerson Road, Cotuit,Massachusetts 02635 Building 3/Unit 3,is a one(1) story, one(1)bedroom"cottage." The siding is cedar shingles. The roof is asphalt. The Unit is heated with forced hot water oil heat. There is a living room with fireplace,family room and one full bath. Partial basement: Property Address is 21 Nickerson Road,Cotuit,Massachusetts 02635 - . . A-�'. J LA 3 mac. . S �- 2- �. ti c, ( s v apply.Site lighting,security lighting an illumination levels appropriate for the d requirements. c",, (7)''There shalt be an adequate safe and con 4`facilities,ldewalks,roadways,driveways, vehiculat circulation open spaces shall be buildings are not unnecessarily exposed t •'a 4 H."' Impact anal s PP provide applicant shall ad Board to tenable the Board to assess the fiscal, pro posed'development.At its discretion,the PI applicant for the hiring of outside consultants a thereto. I. Phasing and period of validity for special permit propose a phasing plan identifying the specific the,reasons for the request.Said submission sh Planning Board,upon a finding of good cause a section,may approve a phasing plan that allows extended over a period not to exceed 10 years. contained in§240-125C(3),as long as the appli compliance with the approved phasing plan or Planning Board,the period of validity for the sp phasing plan. [Added 6-18-20o9 by Order No.2009-1391 http://ecode3 60.co'm/print/BA2043?guid=79515 20 kb Ll R.m..p iPYAI IT- , ta�s .. r r .. - �j .. k �r `I� y ,� a .ff"` . _ `��. r �.. _ - - >y ., c r. rt- � ,. n ,xc. e C � .. ,° ... ti .., the Planning Board finds t at a WRIV SCCRCOD which better preserves open spac impacts or facilitates the delivery of services t outweigh any detriments or provides sufficie C. Parking. Parking shall be provided as follows: SCCRCOD Uses Minimum N Independent-living dwelling unit 0.75 per dwel Assisted-living dwelling unit 0.5 per dwelli Skilled care facility 0.5 per bed Employee—dwelling unit 0.75 per 5 dwe administration Employee—skilled care facility 0.5 per bed D. Waiver of parking requirements.The Planning B required for the above-listed uses upon a findin analysis that adequately demonstrates alternate combination of uses. E. Parking and loading design standards. (1) Any above-grade parking or loading facility necessary to eliminate unsightliness.Scree topographic features,residential buildings parking facility shall treat exterior walls with it serves.Aboveground,multilevel parking http://ecode360.com/print/BA2043?guid=7951520 roloparcel Lookup Page 1 of 1 P r Logged In As: Tuesday, November 3 2015 Parcel Lookup Road Lookup Condo Lookup -Multiple Address Lookup Reports Search Options Search By Street V Street# 21" Street Name INICKERSON Village. All Villages v Search <Prev Next> Page 1 of 1 Rows/Page: 10 v Parcel Location Owner Village Index Map 018-078700B 21 NICKERSON ROAD NICKERSON ROAD REALTY LLC 7777 01807800E 018-078-OOC 21 NICKERSON ROAD, NICKERSON ROAD REALTY LLC 7777 01807800C c "cep ��_c�_Cuff�.c��u�C � ✓�e.�esSa�. U � http://issgl2/intranet/propdata/lookup.aspx 11/3/2015 EX�IIBIT B Incorporated by reference into and made a part of the Master Deed of Cotuit Port . Condominium, 1243 Main Street,Cotuit,Barnstable County,Massachusetts. DESCRIPTION OF BUILDINGS There are three buildings on the land,which is described on Exhibit A to this Master Deed. Building 1/Unit 1 is a two (2)-story Building..with two-car garage. There is an eight-foot round hurricane basement. The siding is vinyl clapboard. The roof is, asphalt shingle.Unit 1 comprises the entire building,both interior and exterior. The Unit has gas heat with ataiMess hot water heater. The first floor contains a front living room with fireplace,formal dining room,kitchen,family room off kitchen,full bath,breezeway and garage The second floor contains four bedrooms and one full bath. Property Address: 1243 Main Street,Cotuit,Massachusetts 02635 Building 2/Unit 2 is a two (2)-story Building with full basement. The siding is cedar shingles. The roof is asphalt. ; The first floor has two (2) bedrooms with one (1) full bath. The basement contains the laundry. The Unit is heated with forced hot water oil heat. The second floor is presently unfinished. Property Address is 19 Nickerson Road,Cotuit,Massachusetts 02635 Building 3/Unit 3 is a one(1) story, one(1)bedroom"cottage." The siding is cedar shingles. The roof is asphalt The Unit is heated with forced hot water oil heat. There is a living room with fireplace,family room and one full bath. Partial basement. Property Address is 21 Nickerson Road,Cotuit,Massachusetts 02635 1 Bk 29177 Ps I28 047997 a'1 o2 m 440 DISCHARGE MARILYN J. O'BRIEN, the holder of a Mortgage from Nickerson Road Realty, LLC; a Massachusetts Limited Liability Company, to MARILYN J. O'BRIEN dated August 26, 2014 and recorded with the Barnstable County Registry of Deeds(the"Registry")in Book 28346,Page 0 235,hereby acknowledges satisfaction of and hereby discharges same. 0 U Property Address: 19 Nickerson Road, (Unit 2 Cotuit Port Condominium), Cotuit, Barnstable 0 cn County,Massachusetts. 0 U EXECUTED as a sealed instrument this day of September,2015. Mari J. O' rie Z °; U COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. f On this day ,of September, 2015, before me, the undersigned notary public, personally appeared 'Marilyn J. O'Brien, proved to me through satisfactory evidence 'of o identification which was personal knowledge, to be the person whose name is signed on the e; preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. LISA E.MYCQCK f Notary Public Lisa E. Mycock,Notary Public Massachusetts My Commission Expires: 03/10/17 . r „ Commission Expires Mar 10,2017 TENNANT&EWER,P,C- BARNSTABLE REGISTRY OF DEEDS THE CHATHAM CENTER Jahn F. Meader Register +s CRAFTS STREET,SUITE 50 Discharge for Unit 2 I�EWTOK MASSACHUSMS 02406 Boa 29177 Pa 126 4-47996 i 10-01-2015 ai 02 : 44P MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 10-01-2015 8 02:44am C:t1Ts 1296 DocT: 47996 Fee: $940.50 Cons: $275000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 10-01--2015 & 02:44am QUITCLAIMDEED Fee7.$742.50 Cons: $275000.00 NICKERSON ROAD REALTY, LLC, a Massachusetts Limited Liability Company, with a'- principal place of business at 64 Oak Street, Cotuit,Massachusetts 02635, IN CONSIDERATION OF TWO HUNDRED SEVENTY-FIVE THOUSAND AND NO/I00 ($275,000.00)DOLLARS,PAID hereby grants to N O 309 AMBERLEY,LLC,having a principal place of business at 19 Nickerson Road, Cotuit, Massachusetts 02635. with QUITCLAIM COVENANTS That certain Condominium Unit situated in Cotuit, Barnstable County, Commonwealth of Massachusetts, being Unit No. 2 in the Condominium known as Cotuit Port Condominium �j established by Master Deed dated August 26, 2014 and recorded on August 26, 2014 in .� Barnstable County Registry of Deeds inj3ook 28346, Page 173, as the same may be amended of record,together with an undivided 37.E %interest in the common areas and facilities, limited or otherwise, as set forth in the Master Deed as it may be or have been amended under the provisions of Chapter 183A. Subject to and together with all rights, easements, restrictions and reservations insofar as the cz0. same are in force and applicable. The dwelling Unit conveyed herein is intended to be used for residential purposes only as specified in the Master Deed. o The Grantor's conveyance herein does not constitute the sale or transfer of all or.substantially all Ix of Grantor's assets within the Commonwealth of Massachusetts. „ d The premises being conveyed herein is not the primary residence of Grantor and therefor is not subject to any right, title or interest under Massachusetts General Laws Chapter 188, commonly known as the Massachusetts Homestead Act and furthermore Grantor states under the pains and - penalty of perjury that no other person has rights of homestead in the property. For Grantor's title see Deed dated August 26, 2014 and recorded at said Registry on August 26, 2014 in Book 28346,Page 169. For authority, see LLC Certificate recorded herewith. TENNW&EWER,P,C. THE cHATHM CENTER 11 CRAFTS STREET,SUITE 5_ ► wror ► ASSAoiUS s 024% ��- 2 Bk 29177 Pg127 #47996 For Grantor's title see Deed dated August 26,2014 and recorded at said Registry on August 26, 2014 in Book 28346,Page 169. For authority,see LLC Certificate recorded herewith. EXECUTED as a sealed instrument this_L( day of September,2015. NICKERSON ROAD REALTY,LLC By. Rodney J. en ager, As Duly A ri STATE OF COLORADO GARFIELD,ss. On this ILday of September, 2015,before me,the undersigned notary public,personally appeared Rodney J.O'Brien,Manager of Nickerson Road Realty,LLC,as aforesaid,who proved to me through satisfactory evidence of identification, which was a o_ o t~ iz A rap driver's license, to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed.it voluntarily for its stated purpose and swore and affirmed to me that the contents of the document are truthful and accurate to the best of his knowledge and belief. No Public , My Commission Expires: (Affix Seal Required) RENEt MASON NOTARY PUBLIC STATE OF COLORADO NOTARY ID 19934001323 W COMMISSION EXPIRES 0127-2017 BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register , 41-48 20 Bk. 29177 Pa 189- 10-01-2015 a 03 a 26o AFFIDAVIT t - L Faith Willard, Individually and as Trustee of the Faith Willard Realty Trust,of Sandwich(Forestdale),Barnstable County, Commonwealth of Massachusetts,after being duly sworn,do depose and say that: • 1. I am the daughter of W. Wyeth Willard 6,Wa Warren Wyeth Willard., 2. I have personal knowledge of the facts set forth in this affidavit, 3. W. Wyeth Willard and Warren Wyeth Willard are one and the same.person. Property Address: 1243 Main Street, and 19 and 21 Nickerson Street, Cotuit(Barnstable), Massachusetts 02365. MARGINAL REFERENCE: See Book 7475,Page 231 Affidavit for Faith Willard Bk 29177 Pg190 #48020 . ) y EXECUTED as a sealed instrument this... _ day of August, 2014 and signed under the pains and penalties of perjury. FAITH WILLARD REALTY TRUST f ell- FAITH WILLARD,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. t, On this day of August 2014 before me,the undersigned notary public, personally appeared Faith Willard,Trustee as afor said,proved to me through satisfactory evidence of identification,which wer [] personal knowledge,to be the person(s)whose name(s) is/ a signed on the preceding or attached �� ocument,a acknowled d to me she s'gned it voluntarily fo 'ts stated �u�po�sey GCn.�- '° 2�Vn"t�b ma.r �� P�A�Wt11 !'.►,eL wcc',w�t'.� Q Notary ublic: 4Q t� � Rebeccal.Moore R �c.ca G �-{o , kl9mycommlss.lon,ExphsFeWM;8,2019 Notary PubNeMy commission expires: 2,8 �Comm"Wilh of Nb�seachuse#s BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register Bk 29177 P's 73 47990 AMENDMENT TO MASTER DEED OF COTUIT PORT CONDOMINIUM Reference is made to the Cotuit Port Condominium(the"Condominium") created by Master Deed August 26,2014 and recorded with the Barnstable County Registry of Deeds in Book 28346,Page 173 (the"Master Deed"). The Declarant,Nickerson Road Realty Trust,pursuant to Paragraph 10 of the Master Deed,hereby amends the Master Deed as follows: A. The second sentence in Paragraph 2 is stricken in its entirety and replaced with the following: 2. Description of the Land The Declarant hereby expressly reserves to himself.and his successors-in-title and their nominees, for a period ending immediately after the last Unit is sold, the easement, license, right and privilege to pass and re-pass by vehicle and on foot in, upon, over and to the common areas and facilities of the Condominium for all purposes, including but not limited to transportation of construction materials in order to complete work (if any) on the Condominium, provided that in the exercise of the rights reserved by the Declarant in this paragraph,the Declarant will not unreasonably affect the use and enj oyment of the common areas and facilities. B. The second sentence in, Paragraph 4B is stricken in itsentirety and replaced with the following: 4. Description of the Units and Their Boundaries The Units, their respective boundaries and the appurtenances thereof are as hereinafter delineated- B. Boundaries of the Units. Pipes, wires, and/or other conduits for utilities, including exhaust fans and ducts, heating, ventilating and air-conditioning equipment,, fireboxes/fireplaces, chimneys, fireplace flues and associated equipment/components, whether located within or without the boundary of a.Unit and serving only that Unit,are a part of the Unit. For such as are without the Unit boundary, a valid easement shall exist for the same which shall be deemed a, Limited Common Area C. The first paragraph of Paragraph 10 is stricken in its entirety and replaced with the following: 10. Amendment of Master Deed This Master Deed may be amended by an instrument in writing (i) signed and TENNANT&EWER,p,C, THE CHATHAM ENTER - 29 CRAFTS STREET,SUITE 6(* NEWTON!,MASU0j6SSTTg 02400 O Z,1Z- `� Bk 29177 Pg74 #47990 \ acknowledged in proper form for recording by the owners of Units of at least fifty (50%) percent of the beneficial ownership in the common areas, limited common areas and facilities; and (ii) signed and acknowledged in proper form for recording by not less,than fifty (50%) percent of the holders of first mortgages on the Units (based upon one vote for each mortgage owned), but only if such amendment would materially affect the rights of any mortgagee; and(iii)signed and acknowledged in proper form for recording by a majority of the Trustees of the Condominium Trust; and(iv) duly recorded in the Barnstable County Registry of Deeds,provided, however,that: (v) the date on which any such instrument amending this Master Deed is first signed by.a Unit Owner, or mortgagee, or Trustee of the Condominium Trust, shall be indicated thereon.as the date of such instrument, and no such instrument shall be of any force or effect unless and until the same has been recorded in the Barnstable County Registry of Deeds within six (6) months after such date; and (vi) the percentage of the undivided interest of each Unit Owner in the, , common areas and facilities shall not be altered without the consent of all Unit Owners whose percentage of the undivided interest is affected, expressed in an amended Master Deed duly recorded; and (vii)no instrument of amendment that alters the dimensions of any Unit shall be of any force or effect unless the same has been signed and acknowledged in proper form -for recording by the owner or owners and mortgagee or mortgagees of the Units so altered; and (viii) no instrument of amendment that alters the rights of rights of the owners of easements for the exclusive use of driveways, shall be of any force or effect unless the same has been signed and acknowledged in proper form for recording by,respectively, the Owner of the easements for the exclusive use of driveways, respectively; and (ix) no instrument of amendment that alters this Master Deed in any manner contrary to or inconsistent with the provisions of Massachusetts General Laws, Chapter 183A, shall be of any force or effect. D. Section 11 is hereby stricken in its entirety and replaced with the following: 11. Renovations,Remodeling and Expansion of Units Notwithstanding anything to the contrary set forth herein, including but not limited to the provisions of Paragraph 10 of this Master Deed above, the Declarant, its successors and/or its assigns, hereby reserves the right and power, without the consent of any Unit Owner, to renovate, remodel and expand the footprint of any Unit. This reservation of right to renovate,remodel and expand the Units without the consent of the Unit Owners is in full force and effect for so long as the Declarant owns any Unit at the Condominium. A new site plan and floor plan depicting the remodel or expansion of any Unit(s) that alters the percentage of undivided interest to which the Unit(s) so expanded,or remodeled is entitled together with a corresponding amendment to this Master Deed shall be recorded with the Barnstable County Registry of Deeds. Once all Units are sold, any proposed renovation which alters the percentage of undivided interest to which any Unit. is entitled in the common areas and facilities (both Limited and otherwise) shall first be approved by all Unit owners. The Unit Owners shall sign an instrument which shall be recorded as an Amended Master Deed. Notwithstanding anything to the contrary set forth in this paragraph above, the Owner(s) of Unit#2,at their sole cost and expense,and in compliance with the Town of Barnstable Zoning I Bk 29177 Pg75 #47990 r By-Laws, shall be allowed to renovate and remodel the Unit 2 Attic Area, which may include the installation of roof dormer(s) and/or skylights. Said renovations and remodeling will not add any bedrooms to the Unit. Furthermore, said renovations and remodeling shall not alter the percentage of undivided interest requiring new site and unit plans and no corresponding Amendment to this Master Deed shall be required. Notwithstanding anything to the contrary set forth in this paragraph above, the Owner(s) of Unit#3, at their sole cost and expense, and in compliance with the Town of Barnstable Zoning By-Laws, shall be allowed to renovate and remodel Unit, specifically adding a 14' x 24' room, which may include the installation of roof dormer(s) and/or skylights as depicted on the attached proposed unit and site plans. Said renovations and remodeling will not add any bedrooms to the . Unit. Said renovations and remodeling shall alter the percentage of undivided interest in the common areas and facilities requiring a new final site and unit plan to be recorded at the time of completion of the renovations. No corresponding Amendment to this Master Deed shall be required. See also amended Exhibit B (Description of Buildings) ExhibitC(Description of Units) and Exhibit D(Revised Unit Plans for Units 2&3 and Revised Site Plan) attached hereto. Bk 29177 Pg76 #47990 ' EXECUTED as an instrument under seal at this d ay of August,2015. Witness Rodney J. ' n, Declarant STATE OF HAWAII County of llgweii On this a8_�hday of August, 2015, before me, the undersigned notary public, d Rodney J. O'Brien, Declarant as aforesaid, who proved to me through personally appeare satisfactory evidence of identification, which was a driver's license; to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for it,�,.statedpurpose. •`��SSA q� NOTARY". * : PUBLIC Commission No. Nj;.,14-214 .' • • Notary Public A44n'sdo A q ' � ,,,,q •......••'�R`, My Commission Expires: -.� OF MP.•• NOTARY CE TIFICATION / .. Doc.Date:- #Pe •gees.,'. •.•'�\SSA q<' Name: f Wi ,.•" y�'• Doc.Description: '•NQTARY.'��'� flmu�a/ fD /n$Jfev- Aeec/ ' PUBLIC 177-7 S commission No � • 14-214 r Notary signs re 9P`•; "'•• OF NP,.•` Date Bk 29177 Pg77 #47990 EXHIBIT B Incorporated by reference into and made a part of the Master Deed of Cotuit Port Condominium, 1243 Main Street,Cotuit,Barnstable County,Massachusetts. DESCRIPTION OF BUILDINGS There are three buildings on the land,which is described on Exhibit A to this Master Deed. Building 1/Unit 1 is a two (2)-story Building with two-car garage. There is an eight-foot round hurricane basement. The siding is vinyl clapboard. The roof is asphalt shingle. Unit 1 comprises the entire building,both interior and exterior. The Unit has gas heat with a tankless hot water heater. The first floor contains a front living room with fireplace,formal dining room,kitchen,family room off kitchen,full bath,breezeway and garage The second floor contains four bedrooms and one full bath. ` Property Address: 1243 Main Street,Cotuit,Massachusetts 02635 Building 2/Unit 2 is a two (2)-story Building with full basement. The siding is cedar shingles. The roof is asphalt. The first floor has two (2) bedrooms with one (1) full bath. The basement contains'the'laundry.- The Unit is heated with forced hot water oil heat. The second floor-is presently unfinished. Property Address is 19 Nickerson Road, Cotuit,Massachusetts 02635 Building 3/Unit 3.is a one(1) story, one(1)bedroom"cottage." The siding.is cedar shingles..The roof is asphalt. The Unit is heated with forced hot water oil heat. There is a living room with fireplace,family room and one full bath. Partial basement. Property Address is21 Nickerson Road,Cotuit,Massachusetts 02635 Bk. 29177 Pg78 #47990 • Exhibit C Exhibit C is hereby incorporated by reference into and made a part of the Master Deed of Cotuit Port Condominium, 1243 Main Street,Cotuit,Barnstable County,Massachusetts. DESCRIPTION OF UNITS The Unit designation of each Unit and statement of its location, approximate area, number of rooms, and immediate common area to which it has access, and its proportionate interest in the common areas and facilities of the condominium,are as follows: Key: BR=Bedroom;K=Kitchen;DR=Dining Room;LR=Living Room; FR=Family Room;BZ=Breezeway;B=Bathroom; 1/2B=Half Bathroom;.G=Garage; P=Porch;BA—Basement;PB=Partial Basement MR 1 Building 1 3,379 ft' 4BR,K,LR;DR, Driveway,Yard FR,2B,G,BZ,P,' 47,05% PB 2 Building 2 2,662 R2 2BR,19 K,LR,BA Driveway,Yard 37.06% 3 Building 3 1,141 ft2 1BR,LR,K,B, Driveway,Yard FR,BA 15.89% { Bk 29177 Pg79 #47990 -- - - - - - - - -- -- _ � I U� I °it2 yi Location Map —1 1.Q, . CELLAR III ACCESS 34.3' a Attic Floor Eh43.8' 1st Floor E1=35.8' 25.3' Basement E1=27.8' Profile View Approx Mean Sea Level Area Summary UN f or � Attic — 880fSF • l First Floor — . 880f SF Basement Basement - 902±SF Total — 2,662±SF r certify that this plan shows UNIT 2• COTUIT PORT CONDOMINIUMS being conveyed and the immediately adjoining units, and that it fully and Sheet Title: accurately depicts the layout, location, UNIT PLAN - BUILDING 2. dimensions, approximate area, main entrances, and immediate common area 19 Nickerson Road to which it has access, as built. BARNSTABLF (CotuitT MASS. tp 0i YOs,Cy� PREPARED BY s RICHARD R. : CapeS u ry L'HEUREUX 0 23 West Bay Rd, Suite G p No ,343'I2 � 0sterville MA 02655 DBE` q� X - P�A (508)420-3994 (508)420-3995 fax s� A 5J cap®survOmpecod.net Dwg.: Date: 0 2 4 6 8 12 16 FEET C707_1upl 151SEP115 Scale: 1"=8' Bk 29177 Pg80 #47990 1 . a En try 20.9' iokerson - oad Deck �c Living 12.0' Room a w Location Map O O 11=100t' O o Q En try Bath Cl Cl Cl Attic Floor El=43.8' C) CI 1st Floor E1=35.8' Bedroom ' Bedroom easement EI=2ZB 25.3' Profile View Approx Mean Sea Level- Area Summary Attic - 880±SF UNIT 2 First Floor — 880±SF Basement — 902±SF First' Fl oor Total 2,662±SF 1 certify that this plan shows UNIT 2 COTUIT PORT CONDOMINIUMS, being conveyed and the immediately . adjoining units, and that it fully and Sheet Title: accurately depicts the layout, location, UNIT PLAN - BUILDING 2 dimensions, approximate area, main entrances, and immediate common area 19 Nickerson Road to which if has access, as built. BARNSTABLE (Cotuit) MASS. VA Of i44ss*c PREPARED BY RICHARD R. CapeSury u L'HEUREUX 23 West Bay Rd, Suite G p NO 34312 0 Ostervi!!e MA 02655 (508)420-3994.(508)420-3995 fox ti capesurvftopecod.net Dwg.: Date: 0 2 4 6 8 12 16 FEET C707-1up1 151SEP115 Scale: 1"--8' Bk 29177 Pg81 #47990 . Nokerso . n oa U� Location Map - r=root Plywood 34.3' Floor Attic Floor E1=43.8' 1st Floor E1=35.8' 25.3' Basement Ef=2Z8' Profile View Approx Mean Sea Level Area Summary Attic — 880±SF UNIT 2 First Floor — 880±SF Basement — 902±SF Attic - Total — 2,662±SF i certify that this plan shows UNIT 2 CQTUI T PORT CONDOMINIUMS being conveyed and the immediately adjoining units, and that it fully and Sheet Title: accurately depicts the layout, location, UNIT PLAN- BUILDING 2 dimensions, approximate area, main entrances, and immediate common area 19 Nickerson Road to which it has s as builf. BARNSTABLE (Cotuit) MASS. N Of Y,(ss+c PREPARED BY.• RICHARD " CapeSury L'HEUREUX ~ ' c NO. 34312 23 West Say Rd, Sulte G 0sterville MA 02655 Ea JQJ (508)420-3994 (508)420-3995 fax / capesurv8rapecod nst I LLDwg.-: Date: 0 2 4 6 8 12 16 FEET C707--1 up 1 151SEP115 Scale: 1"=8' Bk 29177 Pg82 #47990 Nic,�ersO p7F15.0 Concrete co D Floor p J O CELLAR ACCESS —� II __J �c Location Ma �l P II I1 1 Craw! I1 . space I ( t Atbc Flo or i 1 1st Floor E1=33.9 I � IL Basement E1=2ZJ' i l I Profile View I I 1 Approx Mean Sea Level - - = — — — - - J Area Summary Attic Floor — no access UNIT 3 First Floor — 966±SF Basement — 175ISF BASEMENT Total - 1,141±SF I certify that this plan shows UNIT 3 COTUIT PORT CONDOMINIUMS being conveyed and the immediately adjoining units, and that it fully and Sheet Title: accurately depicts the layout, location, UNIT PLAN - BUILDING 3 dimensions, approximate area, main entrances, and immediate common area 21 Nickerson Road to which it has ss, as built. BARNSTABLE (Cotuit) MASS. of 4SS,cy`�� , PREPARED BY: R,rjAR() R M CapeSUIV I'HEUREUX a• NO. 34312 �� 23 West Bay Rd, Suite G Osterville MA 02655 f QISj��`SJQJ (508)420-3994 (508)420-3995 fax / N L capesurvOopecod.not Dwg.: Date: ^� O 2 4 6 8 12 16 FEET C707 t upl 151SEP115 PONOM Scale: 1"=8' Bk 29177 Pg83 #47990 Living J O CELLAR Room ACCESS po Q Main co Entry 15.0' Location Map . i'=loot' V� 12.3' Both Y a 0 Proposed 0 0 1st. Floor Addition Attic Floor El=41.3' - Cl o 1st Floor E1=33.9' N Bedroom C,r Basem Cb ent E1=27.3' 13,s' Profile View Approx.Mean Sea Level 14.0' Area Summary Attic Floor. — no access UNIT, 31 First Floor - 966±SF Basement — 175±SF .First Floor Total — 1,141fSF I certify that this plan shows UNIT 3 being conveyed and the immediately COTUIT PORT CONDOMINIUMS adjoining units, and that it fully and Sheet Title: accurately depicts the layout, location, UNIT PLAN- BUILDING 3 dimensions, approximate.area, main entrances, and immediate common area 21 Nickerson Road to which it has as built. BARNSTABLE cotuit) MASS. 1N OF Y,�SS,cyG PREPARED BY.- y RICHAR L'HEUREUX M CapeSury tJX , p NO. 3�4312 a p a� 23 West Bay Rd, Suite G' BARNSTAB REGISTRY DF DEEDS osterville MA 02655 << N0 JOR Meade, Register (508)420-3994 (508)420-3995 fax copesurv0capecodnet Dwg.: Date: p 2 4 6 8 12 16 FEE T C707--1 up l 151SEP115 Scale: 1`8' Bk 29177 P9124 0-47995 10--01-2015 a 02Z44o COTUIT PORT CONDOMINIUM TRUST CERTIFICATE OF UNPAID COMMON EXPENSES I,Rodney J. O'Brien, Trustee of Cotuit Port Condominium Trust under Declaration of M Trust dated August 26,2014,recorded in the Barnstable County Registry of Deeds at Book ti 28346,Page 194,as the same may be amended of record,in accordance with Massachusetts W General Laws Chapter 183A, Section 6(d),certify that as of September 30, 2015,there are no s unpaid common expenses,fines or other charges which have been assessed against Unit 2, Cotuit c0 Port Condominium,the address of which is 19 Nickerson Road,Barnstable(Cotuit), Massachusetts 02635. 0 a� Z y TENNANT&EWER,P.C. THE CHATHAM CENTER tV CRAFTS STREET.SUITE 6W WWFOK MASSA{1HllSEM 024% Catania. 19 Nickerson Rd.Unit 2 6(d)-Draft �P Z II Bk 29177 Pg125 #47995 WITNESS my hand and seal this day of September,2015. COTUIT PORT CONDOMINIUM TRUST By: Rodney*JLTrustee STATE OF COLORADO GARFIELD,ss. P On this _�t__ day of September, 2015, before me, the undersigned notary public, personally appeared RODNEY J. O'BRIEN, TRUSTEE, as aforesaid, who proved to me through satisfactory evidence of identification which was a drivers license, to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose and swore or affirmed to me that the contents of the document are truthful and accurate to the best o knowledge and belief. o Pu is (Affix Seal Required) My Commission Expires: ' RIN011 MASON NOTARY PUBLIC STATE OF COI.oRADo NOTARY 1019934001323 MY COMMISSION EXPIRES 01-27-2017 BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register Page 1 of 5 F. lIBARtiS rABI L. - Logged in As: Parcel Detail Thursday,June 26 2014 Parcel Lookup Parcel Info I . Parcel ID 018-078 DeveloperLot Location 1243 MAIN STREET(COTUIT) I Pri Frontage 101 Sec Sec Road NICKERSON ROAD I Frontage 255 Village COTUIT Fire District COTUIT Town sewer exists at this address No Road Index 0951 Asbuilt Septic Scan: 018078_1 018078 2 Interactive Map _ � � 3 ` _• 0180783 018078_4 Owner Info Owner WILLARD, FAITH TR Co-owner FAITH WILLARD REALTY TRUST Streetl PO BOX 1295 I Street2 I.. city FORESTDALE I state MA zip 02644 Country . Land Info Acres 0.46 use Multi Hses MDL-01 I zoning RF I Nghbd 0112 Topography Level I 'Road Paved utilities Public Water,Gas,Septic I Location Construction Info Building 1 of 3 Year Roof Ext 1850 Gable/Hip Vinyl Siding Built Struct Wall Living 1676 Roof Asph/F GIs/Cn AC None Area Cover Type Style Conventional I Int Drywall I Bed 5 Bedrooms ( Q/ Wall Rooms Int Bath Model Residential I Floor Hardwood I Rooms 2 Full P , CJ - Grade Average I Heat Type Hot Water I Rooms Total 8 RoomsHeat d- I �� stories'1 1/2 Stories Fu Gas F ation Stone Ftgs �\ Gross \ Area 3817 Building 2 of 3 hgp:Hissgl2/intranet/propdata/ParcelDetail.aspx?ID=593 �t 6/ 66/2 114 Parcel Detail Page I of 5 ,yam° 47m5 _....'•" - �q %'�"R'k AIASS 6 f e Goa Logged In As: Parcel Detail Thursday,June 26 2014 Parcel Lookup . Parcel Info_ �- "Y Developer Parcel ID Iu18-078 �' Lot Location r1243 MAIN STREET(COTUIT) I Pri Frontage 101 Sec Sec Road INICKERSON ROAD I Frontage 255 Village COTUIT Fire DistricttCOTUIT Town sewer exists at this address JNo I Road Index 10951 I Asbuilt Septic Scan: 018078 1 018078_2 Interactive Map ( + 018078 3 " max:; 018078 4 Owner Info Owner WILLARD, FAITH TR Co-owner IFAITH WILLARD REALTY TRUST Streetl 1PO BOX 1295 I Street2 City,FORRESTDALE I State MA zip 02644 Country j� Land Info Acres 0.46 use :Multi Hses MDL-01 I Zoning RF �� N hbd 0112 � Topography Level I Road Paved I . Utilities Kblic Water,Gas,Septic I Location Construction Info Building 1 of 3 Year11850 Roof Gable/Hipp Ext'VinylSiding Built Struct Wall Living . „` Roof — AC <— Area 1676 J Cover Asph/F GIs/Cmp Type,Nl one a sAT Style Conventional Int D�aII Bed 5 Bedrooms I -2 Wall Rooms r 8 9' t Model Residential � I Flog Hardwood Rooms 2 Full ' ' P _ s Grade Avera5; Total Type Hot Water I Rooms 8 Rooms Stories 1 1/2 Stories Heat 1�"`""'" Found-" -- -- _� Fuel%S _ ation}Stone Ftgs 33, =7 I Gross r�-_...� . � ii-_2i. Area�3817 Building 2 of 3 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=593 6/26/2014 Parcel Detail Page 2 of 5 Year 1976 ' Roof Gable/Hi Ext """"""T Built Struct p �) Wall Wood Shingle Living 1978___- I Roof Asph/F GIs/Cmp I AC None Area' Cover Type Style;Cape Cod wall ;Drywall � Rooms Be 2 Bedrooms Model Bath FResidential ( Floor Hardwood Rooms 1 Int Full Fa _ 25BMrt 2 Grade Average Type HOt Water ( Rooms 4 RoomTotal s _ — Heat r"' Found- "—' Stories 11.4 Fuel loll ation Poured Conc. 3n _ Gross 2550 —I Area Building 3 of 3 Year j1940 'Roofable/Hi .f Ext Wood Shingle Built Struct Wall Living�60�— I Roof Asph/F GIs/Cmp( AC None Area Cover Type Style lCottage I ItDrywal � Bed�Bedro�om ~� a Waall Rooms i 1 • Model lResidential ar dwood Bath Full Int H oor J I Rooms�1 Fl "'" Total — ° Grade,A�verage Heat 'Hot Water 2 Rooms Type Rooms � BA5 9i Stories 11 story � I Heat Fuel roll Found-ation Blk/Pour Ftgs I BAS OIL- Gross Area 721 [7_Permit History Issue Date Purpose Permit# Amount• Insp Date Comments 6/11/2008 New Roof 200803136 $9,185 6/30/2008 12:00:00 REROOF STRIPPING AM OLD 9/1/1988 Addition 632238 $15,000 1/15/1989 12:00:00AM CO CARD 3 5/1/1987 Addition B30759 $16,500 AM5/1988 12:00:00 CO ADD'N. 10/1/1976 Dwelling B18731 $0 /15/197812:00:00 CO11/2S AM Visit History Date Who Purpose 1/27/2014 12:00:00 AM Jeff Rudziak In Office Review 3/25/2013 12:00:00 AM Robin Benjamin Cycl Insp Comp 3/24/2009 12:00:00 AM Karen Perry In Office Review 2/14/2005 12:00:00 AM Paul Talbot Meas/Est 4/11/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 1/15/1989 12:00:00 AM ML Meas/Listed-Interior Access Sales History Line Sale Date Owner 'Book/Page Sale Price 1 1/10/2007 WILLARD, FAITH TR 21687/172 $1 2 3/15/1991 WILLARD, FAITH 7475/231 $1 3 1/15/1984 WILLARD,W WYETH 3984/119 $0 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=593 6/26/2014 Parcel Detail Page 3 of 5 r � . II12/15/1939 IWILLARD,W WYETH &GRACE K 1561/106 I $01 L- Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2014 $274,000 $55,200 $0 $414,200 $743,400 2 2013 $262,400 $59,200 $0 $414,200 $735,800 3 2012 $258,700 $57,200 $0 $414,200 $730,100 4 2011 $328,100 $9,500 $0 $414,200 $751,800 5 2010 $331,000 $9,500 $0 $414,200 $754,700 6 2009 $353,400 $7,600 $0 $730,000 $1,091,000 7 2008 $344,400 $7,600 $0 $715,000 $1,067,000 9 2007 $369,700 $7,600 $0 $715,000 $1,092,300 10 2006 $327,800 $7,600 $0 $671,800 $1,007,200 11 2005 $304,900 $7,500 $0 $571,300 $883,700 12 2004 $253,300 $7,500 $0 $464,200 $725,000 13 2003 $209,400 $7,500 $0 $183,500 $400,400 14 2002 $209,400 $7,500 $0 $183,500 $400,400 15 2001 $209,400 $7,600 $0 $183,500 $400,500 16 2000 $181,900 $6,600 $0 $109,000 $297,500 17 1999 $181,900 $6,600 $0 $109,200 $297,700 18 1998 $181,900 $6,600 $0 $109,200 $267,700 19 1997 $182,900 $0 $0 $101,800 $284,700 20 1996 $182,900 . $0 $0 $101,800 $284,700 21 1995 $182,900 $0 . $0 $101,800 $284,700 22 1994 $187,900 $0 $0 $98,100 $286,000 23 1993 $187,900 $0 $0 $98,100 $286,000 24 1992 $214,100 $0 $0 $109,000 $323,100 25 1991 $229,800 $0 $0 $109,000 $338,800 26 1990 $229,800 $0 $0 $109,000 $338,800 27 1989 $222,100 $0 $0 $109,000 $331,100 28 1988 .$152,100 $0 $0 $50,400 $202,500 29 1987 $152,100 $0 $0 $50,400 $202,500 30 1986 $152,100 $0 $0 $50,400 $202,500 31 1 1985 1 $0 $0 $0 $0 Photos Y+Ke p "T` fi� -._.ter-'.�� &.�• ,': T, �. .. x { http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=593 6/26/2014 •� '' "'�" ".`�'� ' �,.4_fit -a��y as +Xsr ,n_ �t'" 1�.�h�+ y�z" s QO "r ✓•CpY ` x�r:,_. 1 'L,�„4� nQAV dumb "Alabd !' 6 I 9► '�F ,C, pq.y. �4 n 1A 14 1 n/�' n� L. JRu„mliucf _ 4 { _�.w.+`'A. •' O c,f �q+�yq 1' 'JWd'y�({/{`Y11 ,.1> T ice•. � � ..r� 13 .��l�atA,p(� �� 4.rr,s.a.i.i9 t*'�" .` aT' �y.�7�iA4 A'Y'i- .M,'V�fi� r .1v7 .,�y�.✓ 27'�a .i F.. yFTi �'�% '.�'.' l hcR.C'>r K ��gpp► Y{ 7�� i'\ � �""t` 6 .,��s' A t .,.>.�.-� .�.w�Wa14s/ d'>i�r..a¢r��1� _ { ...1• � ��,' N� �• as 4s.. - ��'� „ #�,� nwm. �.. t.., ..�,� ,-, `*r ,•k�r,,a,: �� .'-,tier . ` + IR - . • ' #? Ly.ie6-r A!, �� *ma's-'6Y• `� :�.`` �FL t,.{'�mr'6' e*'.Ch �d� (,!�' s � -s '�'i,.� ,"'.x �;i�^�e y'i i�✓••.�, e NI d M . s� �+�ii�`....%s4'N r�'1C".,�; •^ram- •'�9+�1��"'1�'...}��-lt`tG �� l`.: �ln�i.:'S _.±-�w.r._i i.KY�1'x 1i7N1� �n:'.'��I�'+. '.,a. ..s .1f ��TF 1� ,��b .e4.4S kii, z e.:vec -x ..,a .a.+Iki� '31 P.-c,� •4: ..+i ``_4 ,,...ff ;' Sf: its 'art- .�"", ''>, <' �r• "`;a era .�x i+l s� •'y �, Iall; I a cis° 31J.. r} �wrpiarurr�� 1 // �aweearerur�..j{t j V 'f+a+- h�s*...a'v'3'i � \'�YL�Rl9� <`+' r ,r:� �'��' s+va✓ �„s��""rr`"",,.+�,�Y 4 I of r Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee * snxxsznsc E ass Richard V.Scali,Director iT z6;q. �0 AjFp — —_ Ul -V1 _�1 -- — _ - -- } T T Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us ' TOWN®F Office: 508-862-4038 - t�JJ�lll EXPRESS PERMIT APPLICATION - 'RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Vim ,s Property Address iT�93 VV`� �A...) �® l V c� �l g, d-(3 S' Plesidential Value of Work$ 3 5M 60 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 0 �� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ` Check one: " ❑ I AKT a sole proprietor 94am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re.a (check box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Q q e roof(hurricane nailed)(not stripping. Going over existing layers of roof) -side Rplacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: oke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. )Separate Electrical&Fire Permits required. *Where required:. Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: s Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is uired. SIGNATURE: Q:\WPFILES\FORMS\buildingom� f s\EXPRESS.doc Revised 061313 i Town of Barnstable :Regulatory Services ��ztcE rolcy,F Richard V.Scali,Director Building Division s�xxsTasrE Tom Perry,Building Commissioner . �� 200 Main Street, Hyannis,MA 0260.1 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ��• / ' Please Print ' DATE: d JOB LOCATION: 12- Lr 3 M K4— Clo'1 V number street p c/ village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land oa 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 is 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 lure and requirements and that he/she will comply with said procedures and requirements. Signatur of om caner 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 Iicensed 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 Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a formlcertification for use in vyour community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 _ r Town of Barnstable Regulatory Services BARNSTAy MASS. Richard V.Scali,Director 1639. iOrEo�,,pt& 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 > J P P riY hereby authorize to act on my behalf, in all matters relative to work authorized by this building perrn it application for: (Address of Job) ,"'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOIS The Ct zwn. it yvum f ref M"assachm seffs De�xr�rtm mt ref h dr&ial-ccidents Wf ii?7nasm901Y1dia ' orkex-s' Compensation Insuralace davit:Builders/Cola"ctors(ElectriciansXlumbers Applicant Information Please Priaf bly- Namo(I3t Org�o 6i&vid Q: Cr C6 e��I {%ityttateJZip: Phonec- lire you an,employer: Check ffie appropriate bow: Twe of. o'ect :r 4_ ❑ I am a gent al ctmfractor and'I TPz' .l t�lu��= 1_❑ I am a employer wifiS� 6_ hear t ctioa Ioyecs(fall an --fine * have Eredtbe sub-contEwtoEs. ❑ Listed on the attached sheet^ 7- ❑R,-,, deling 2.El I am a sole p2aprietor orpartner- - ship zrA have no employees These sub-contractors have g- ❑Detnooli6oa pro �me m an c ci r en�pinS�and have wadcers, rlring Y aPa t5 9_ ❑Building addition [moo'wo±leers' ccsmp_in�rranre cOMp-tr7sutanc ed_ 5_ W,e are a co,TGra im=d its I0_.0 Rkchical repairs or additions officers hati-e exercised fheir 1 i�_. Plumbing repairs or additions �- I am a hom�vner doing all vror ❑ g myself o Zu orS-ers, right of e1(,aion ger ave a repaim [No regnirea-1 F� . c- 152s§1{4},and u e rss•c� u 12-0 Hof employees [No worms' 13.0 o&t r comp msm--m retluireFl_j -Any sapEcvg a'x[checkss boa f1 IImst also f11 out the section bclacc shuwnxg ineir wo 3t�s�coa�essatioar poiicg i�r � t�3nmecwn s trait dus r'idxdff i acsi g they ate o�in g IT rrc�c a�3 then hire ou#side coutxacmrs mmst saI a r s Farit m" mx:B- tCt,-n:.Ctors that Cher k this box most attached sa ar3ditionsI sheet showing the nome-of die su s and stxtawhktker Dena,these tE�bzve e Iffycs_ li sr co-nt cfu[s hsee employees,th2!T Uzi p—,-e th-s—leers'comp_polacy numbhET -ram are iry amwca j'ar my anrpboyge., eats is i ie policy and job azlf ixfctmaiiar� - Ins-aance Company Name: Pot>y cr Self irr£_Tim ExpiraiionDate: Job Sites kd&ess: Cib,),Sta zip: tlttaclx a copy of the WMrkt-rs'cnmpegsatiron Aicy declaration page(show►„the policy nmuber.7 d expiration date. Failure to secure coverage as regviredunder Seetiosa25A o€MGL c 152 can lead to the iropositiou ofcriminal penalfies of a fine up to S 1,5DD-Qa as`weU as civil penallies in ihe-ftxm of a STOP WORK ORDIERand a.fine of up to$250_00 a.day against the violator_ Be advised that a cagy of this statement may be forwarded to the Office-of Tmrestigations of flze DII for inZIrrsmce coverage verification_ I da hereby certi&under tlts pains andpenaLftss of`p tdwy that A&informatzanprmrzdid abmro is bwa and correct Sianatuze: �— Bate: c�'^ 0Ajcrui use on£•}. Da not write in this area,,&bs campLeted by cit1:ur town ofji'ciaL City or Town: _Pti atitlLicense# Issuing Antharity(circle oue): I.Board of$e,7lth Building Department I GiWEown Clerk 4_Electrical Inspector S.Plumbing Tusgector 6.Other Con-tact 7 eman. Pharr #: - 6 Information and Instructions Massachusetts aeneral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an ernplayee 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 partiership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the Iegal representatives of a deceased employer;or the receiver or trustee of an individual,partaership,association or other legal entity,employing employees. Howe-ver the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of ano�ier who employs persons to do maintenance,constriction or repair work on such dwelling house or on the grounds or banding appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also saes that"every state or Iocal 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 an; applicant who has not produced acceptable evidence of compliance-eith the insurance.coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political aibdivisions shall enter into any contract for the pesiormance of public work until acceptable c-vidence of compli pce vaLli the insurance requirements of this chapter have been presented to the contacting authority_" Applicants — Please fill out the workers' compensation atffidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)andphoae n,L=bc.T(s) of insurance. Limited Liability Comramiies(LLC)or Limited Liability Pam-tne ships(".LP)e thno erurloytes oilier than the members or partners,are not requi_ed to carry workers' compensation hlsirr ante_ ff an LLC or LLP does have employees, a policy is requ;l-ed_ De advised-that this affidavit may be st bu fitted to the Depal-tLent of inducetrial Accidents for confirmation of insi once coverage. AIso be sure to sign and date the aufdav t. T1ie affidavit sho ld be returned to the city or town that he 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 requ;_-ed to obL_-M' a workers' compensation policy,please call ilie Depa'mmt at the number listed below. Sell insazl ed companies should enter weir sell-Insurance license number on The appropriate at. City or Town Officials PIease be sure that the affidavit is rsmp'_ete and printed legibly_ The Department has proz2ded a space at the bottom of the affidavit for you to ill out in he event the Office of Investigations has to contact you regaxdimg the applicant, Please be sure to fill in the peim_h/ cease number which will be used as a reference number. In ad.diticn,an applicant that must submit multiple petM.1-it/h ease applications in any given year,need only submit one afi-davit indicating current policy information (if neaessay) and under"Job Site Address"the applicaut should wme"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by tle city or town may be.provided to iiZe applicant as proof that a valid affidavit is on file for future permits or licenses_ Anew affidavit m'.?-t be ri-lled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture a dog license or permit to burn leaves etc.)said person is NTOT requireed to complete this aiTidw it. 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 tail. The Department's address,telephone and hx number: Commons man of Nlassachu,,t s Deparbmmt of Industdal Accidents GfRQe of fLves igatif}7 i 600 Wasbmgtan StQe EQSton_IAA 0211I Tti,4, 617:` 7-49-QO(�-Xt 406 or I-R�?Ni,4S SAFE Kevistd 4-24-07 Fax ff 617-727-T ' 1��vr.�as�.govFda _ .Mass. Corporations, external master page Page 1 of 1 Y ut!r. William Francis GalvinSecretary of the Commonwealth of Massachusetts � a t- .w ate c Corporations Division Business Entity Summary ID Number: 001144749 FRequest certificate New search Summary for: NICKERSON ROAD REALTY, LLC The exact name of the Domestic Limited Liability Company (LLC): NICKERSON ROAD REALTY, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001144749 Date of Organization in Massachusetts: 08-19-2014 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 64 OAK STREET City or town, State, Zip code, BARNSTABLE, MA 02635 USA Country: The name and address of the Resident Agent:- Name: RODNEY J. O'BRIEN . Address: 64 OAK STREET City or town, State, Zip code; BARNSTABLE, MA 02635 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER RODNEY J. O'BRIEN 64 OAK STREET BARNSTABLE, MA 02635 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY RODNEY]. O'BRIEN 64 OAK STREET BARNSTABLE, MA 02635 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address s http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 8/28/2014 rl o~7� . r 37�C 5 .11ilfilililim"ale— e� (� r f. f�I' f,ii' � — �, .. . .. ,. _, ,.�- b.__ . . z. �. � _,,. ,. of tt�rq� Town of Barnstable *Permit ��e °�►36 Expires 6 nroa rsjrom issue d y Regulatory Services Fee +r r 1 BARNSTABLE, Thomas F. Geiler,Director MASS. g `bA 1b39. .�A Building Division rFD N16� Tom Perry, CBO, Building Commissioner o 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address t 3. /vl n S�" Co f J!'4 Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Po v t .`�-` Telephone Number Home Improvement Contractor License#(if applicable) t`( S 7 IT]Workman's Compensation Insurance Check one: P ❑ -PRESS PERMIT I am a sole proprietor &'"� . ❑ I am the Homeowner I have Worker's Compensation Insurance JUN 11 2008 Insurance Company Name (r: �; E S'� �} e TOWN OF BARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box), Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.' ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractor �@fgpl. SIGNATURE: OZ ,9 Vj r r{! a'Mir J. Q:\WPFILES\FORMS\building perm' forms\EXPRESS.doc Revise020108 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I p Please Print Legibly Name(Business/Organization/Individuan: Address: 1 D u 6 7C7 .z p City/StatelZ' -Sc. o f e � c�l 141G, Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with S 4. I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2.ElI am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These snb-contractors have g. Demolition workingfor me in an capacity. employees and have workers' • Y P ts'• t 9. ❑Building addition [No workers' comp.-msrnance comp.insurance. rbqair e&] . 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. ]Other �e(oc� comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'cornpcnsation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tConhactors that check this box must attached an additional sheet showing the name of the subrontractars and state whether or not those entities have m-nployees. If the subcontractors have employees,they must provide their workers'comp.policy number. Iam an employer that isproviding workers'compensation insurance for my employees. Below is thepoUcy and job site information.. Insurance Company Name: �a ��'' $f0. e Policy#or Self-ins.Lie.#: w C i g a g v,4 q Expiration Date: G d131 d Job Site Address: M c`:A St. City/State/Zip: Cb+,j + /K`L d 2b 3 F 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 crimifial penalties of a fine tip to S1,500.00 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 Irryestittations of the DIA for insurance coverage verification. I do hereby certify under thW ains•and penalties of perjury that the information provided above is true and correct Si mature: Date: phone#fi Official use only. Do not write in this area,tb be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees; Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing.engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." - i 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 chocking the boxes that apply to your situation and,i.f necessary,supply sub-contractors)namc(s),address(cs)and phone numbcr(s).along with their certificate(s)of insurance. Limited Liability Companies•(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requostcd,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-innnranr,o license member on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit(license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit on;affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit,must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to born 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,telcphone•and fax number. The Commonwealth of M=achusetts Dgmtment of Industrial Accidents - Office of Investigations 600 Waffiinatm Street Boston,MA 02111 TO. #617-727-4900 ext 406 or 1-M-NIASSAFfi Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia 12/03/2007 MON 13: 46 PAX 506 564 5531 13ouchie Insurance wv ui/ vv� AC :)RD CERTIFICATE OF, LIABILITY INSURANCE 7D TE(MM?��0o7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Robert E. Bouchie Jr. Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1352 Rt 28A HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 400 Cataumet, MA 02534-0400 INSURERS AFFORDING COVERAGE NAIC# INSURED Kettel Inc INSURER A__.ESSEX_INSURANCE CO__,—_..--.__:_-._�.__._____.__.__—_. P.O. Box 670 INSURER B: GRANITE STATE INS CO_. Sagamore Beach,MA 02562 INSURER C: INSURER D: INSURER E: ' COVERAGES THE POI.ICICS 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 01=131GE.D HEREIN I$SUBJECT TO ALL,THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 1AOD'l� """"�""•""'T"""' - _................_...-..._..---------- �POLICY EFFECTIVE POLICY EXPIRATION - ' LTR JNSRC TYPE OF INSURANCE POLICY NUMBER k ., 1tldM�l21, LIMITS A I GENERAL LIABILITY 3C U 9482 07/28/07 07/28/08 EACH OCCURRENCE $_ 1,BO0.000- 1 - , A�tvAuETOfif'NP>�`O I ___ COMMERCIAL GENERAL LIABILITY - {I_PREMISES(E3 occ:uren e) ..._. 50 QQ0_ j CLAIMS MADE t�OCCUR f MEO E_XP(Any one person). 5 1 000 fKftSONA!&AOV INJURY $ ` 1,000,000 GENERAL AGGREGATE S 2,000,000 CFN L AGGREGATE LIM17 APPLIES PER: PRODUCTS,COMP/OP AGO S 2 000 00 riPOLICY�PRO• El LOC ._ _—.. AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT I -- ANY AUTO - (Ea accMena) S. 4 I ALL OWNED AUTOS I BODILY INJURY _X SCHEDULED AUTOS (Pef person) i_ HIRED AUTOS PODILY INJURY •? 5 acoldenl) NON-UVSVEDAUTOS (Per--_.__ __....... -- —----- - !PROPERTY DAMAGE. _ E !(Peract.ident) $ GARAGE LIABILITY 1 AI)TOONLY-EAACCiDENl /cIJY AUTO I OTHER THAN EA,1GC $ I f AUTO ONLY: AGO $ i , EXCjESS/UMBRELLA LIABILITY EACH OCCURRENCE S �.;OCCUR -CLAIMS MADE AGGREGATE ^-, DEDUCTIBLE l RETENTION S B N SAT WORKERS COMPENSATION AND WC1629849 11/3/07 11/3/08 I. _ __.. GR _. OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT _. OO X000 ANY PROPRIETORIPARTNERIF.XECUTIVE •--�--- "--! $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE.EA.E?J,PL_OYEEI S 100,000 If yes,doscribe under 'ram SPECAAI.PROVISIONS below ^ E.L.DISEASE-POLICY LIMIT {.$ 500,000 .OTHER I a ( DESCRIPTION OF OPERATIONS f LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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, Il•S AGENTS OR REPRESENTATI AUTHORIZED .PRE TATiV a ACORD 25(20Q1lOS) U ACOR .CORPORATION 1988 •btu . , 19 .. �i9 KETfELL Td� cQl� _ �� 63i, arc q ROOFING & SIDING WWW.KETTELLINC.COM So$ q77- I-707 / / Pk l So$ S�6 sa lg �l Idr� ireres��yf � , oa6yy co4v,-I lob x iv A u W ; ll be wvoj cep le,-/ in � '� c 't �fi't � ona� 4S 'Ili w0f 1- No + d Lawe6' ��c� pore coo S ; SUL4rjc+ s / /mot-.oa y 30 - Po p� Sir, ;�;� w4��a„`�� 217y , b 0 4Sj OU 60 , tj®o �qP � �re N, �l i P.O. BOX 670 • SAGAMORE BEACH,.MA 02562 • TEL: 508-BBB-3744 LICENSED AND INSURED � I C7 I tD m 03 fIJ d Ln --- � o =l gl;eB Cr6V6W%'u01Vdizn1ge �eX1aCt/4"&n _,tjaanC/a1rsjei* N � I !I t u One Ashburton Place - Room 1301 `n �' ED` iI , - Boston, Massachusetts 02108 ° ® Home Improvement Contractor Registration Z L1 Q ` J F- Registration: 140657 czi n Ij c W Type: DBA w tin Expiration: 11/10/2009 Tr# 262253 m w it U I., KETTELL ROOFING -, — o JUSTIN KETTELL L P.O. BOX 670 SAGEMORE BEACH, MA 02562 ul Update Addr s and return card.Mark reason for change. d Address F-I'Renewal Employment Lost Card DPS-CA1 -0 5OM-07/07-PC8490 - - x � II a Assessor's offioe-.(1st floor): Assessor's map and lot number ...(.! �.If....� 2.....g. - Q..oF THE TOE♦ Board'of'Health (3rd floor): �7�� Sewage--Permit number ............:..... ..... ............ . f Z BARNSTABLE. . Engineering Department (3rd floor): �o 1639 �+ House number ..R ° i639 APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only Y- TOWN, OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....................x.-H........da.cara.r"f .... .�.a �.1..�3 f, ! )Aze TYPE OF CONSTRUCTION ...................Z...... r............w,pt' 1 !k°)..:.,..I�.� ►°!r!'............... _ f � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....1.2°T3......... .......... .►.'..t.... ....:\. .. ...1. t......!.,1 M.4..................................................................... . ProposedUse ...........`'!A .. �...../•1`4)` ..."� /� ............................................ ................................................ Zoning District ..............�.......,....,.................. ....................Fire District ..........�:.''/. ...� .�. ...�v.1.1..1.�. 40pq f,....Name of Owner ..s... .. ..........Address -�•:......... Name of Builder ...... ..l�+. ...........................................Address m>..�..��.. f�� A�l� ..!�!fJ�( !/�111.!f�7`1G� �..�... �t kJ Nameof Architect ..................................................................Address .......`............................................................................ Number of Rooms ......... ..........Foundation ExteriorX.. C�. ....�!(��? ,.. ..�UT.Roofir.g v,(yy4 5��,nc�-cPas �,� Floors ,tt'� :" t A.�'G{Q: ..r.. -Itw4fnterior .........:.......................................................................... V P,4-5- /* P4VUtkV Heating ............Plumbing ::::....... Fireplace p ...................................................................................Approximate Cost ...... ........................................ Definitive Plan Approved by Planning Board ________________________________19________ . Area "' ,/ ' Diagram of Lot and Building with Dimensions ! Fee \, ..�o SUBJECT TO APPROVAL OF BOARD OF HEALTH \ CA to I't ' UtAI/ MAC- • - �jr!�i�WA� �1 �h 'yb i 1 OCCUPANCY-PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , --- Name'. / t) :1-.. ? , r7 Construction S pervisor's License ...................... ' No Permit for I! ..St/ory............... - .........Si�B[le_�ao�iln..D,MqIl� --�� Location ..... aoe -------------------------' S I. S ��oot {}vvner ---------,--------___-. . . ,. . . ^ . Type of Construction --ZKAM..........:............ ' | --------------------------� / ' ' P|uv .............................. Lot ----------' - . . - ' / . . . ' Permit Gronle] ........Mkay...l9.................1p 87 / ' ' . ` ' Date of Inspection ---_L-------lg ~ 1 Done Completed ------------'lV . \ � ' ' | ' [ / . , , ^ ' ! - ` ' \ .`` ' 71 C-0 �Arn3:y alb Y y8'ux�µ 1E ' X t4 �, T a I , i•. � _ ,. � , t , (� � �Z ' 1 • 't ' �� , mod. � i i a GAZAme do ZAP� 1 �y.3 /AAA COTv rr LO PUNS ASV D w Pao pe;,, v a�u�s Asse'ssor's offioe (1st floor): �7 Assessor's map and lot number ... .. . SYSTEM Wk��.,�°f,TaE Board of Health (3rd floor): F M r ��S`B'ALLED IN D®M ( � ,Q i, ♦� Sewage Permit number .......... ... ............ ..... ._fc ( �� py�T1uu �'�� ■i1 Z B6Hd9TODLE, i Engineering Department (3rd•floor): ENVIRONMENTAL C House number ................................ ......Z/ ?11 3.........` TOWN REGUO.AT6 c war a` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only . TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..............C.(dd....... TYPE OF CONSTRUCTION ................... ......4 r'...........h!.P0( ..n.. ....V. t ............... TO THE INSPECTOR OF BUILDINGS: y.....15---------------- ...19-97- The undersigned hereby applies for a permit according to the following information: �l C�-• 1 � 1 /�Q Location ..... . "L.3............. .1 .........�.?.1.,.�............ r. ...1"hf......M.4.................................................................... ProposedUse ............. ..... :N!��?...JX2,! ?!��....................r�../ ................ ................................................ ZoningDistrict .............. . ...................................................Fire District ... r ........................................ Name of Owner •eV•..t..!tV.ve.+4,.�...\v1.1.la.4..........Address &P-g....'i�l�'..L� ....T..� l.e........... Name of Builder ...... �.l .s...........................................Address ..:J �...�� iC �l�L,f✓'..4! y..�.r�l' Ufft it Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........Z'...................................................Foundation ./14M.d.Ll..h 1 , Exterior �r// •• %i? 06.r.... 5 ..�.. �lT.Roofing ...�1P� L/ A1�2.4.��.......... vl(yyi.5010,-- � � � Floors .. . 1��Fnierior �r Heating �,�-,_..........................................................................Plumbing ........................................... Fireplace Approximate Cost ...... . Definitive Plan Approved by Planning Board -------------------------- �F� �9 / D Areas ......... r�.v....... ............ 136 _ Gv�f Diagram of Lot and Building with Dimensions / Fee :.................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH , l� vo o .� t ` gut OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all. the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ,...............z. �--«�........................ Constr tion pervisor's License .......U.G, -WILLARD, W. WYETH ,"No .. .0759.. Permit for .................................yay 3 Build Breeze & Garage................................... . ..............I................... Location ,...1243 Main Street ............................................................ Cotuit . .....................................................................I......... Owner ........Y.t... 1 lard .................................. Type of Construction ...........Frame.................. ............................................................................... kPlot ....................... Lot ................................ Permit Granted .....M14Y...U.,.............. 87 Date of Inspection ..................19 Date Completed ....................;.19 U r ZT 7", Agiessor's offioe (1st floor): . / �/ ,Assessor's map and lot number . ...... ..4✓....lJ..... 0..Z �o Board of Health (3rd floor): ENSTALLO IN C Sewage Permit number .. .. C.�..f ..�....(/ .Olg � V ATH TITL SAUSTADLE. Engineering- Department (3rd floor): ENV3 IMENTAL. House number ...................................................................:... d•. TOWN REGULAT pry APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00-P.M. only TOWN .OF BARNSTABLE BUILDING INSPECTOR gul('0 APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ..... .r-94 i�.......................................................................................................... .........................�-.---- .....19..�?'.v TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies ,fofr a permit according to the following information: \ Location ...�........../V lcrakli . D J....cU,�l r...M�........(' 3 eD 6&06— V kI L ProposedUse ��GG :....... ....................:................................................................ . ....... .......................................... ZoningDistrict .............. .. ... .................................................Fire District ............. . ........................................ Name of Owner WY 6 �tJJ rid � I�QFA� �5(J� �(� W9S7D4�►W Address ................. ............................................................ Name of Builder ...D`"f10 C' raueee 1 13otI� L� F6��M `�................................................................Address .................................................................................... n , Name of Architect .. .. .. S'a^J� iS................Address .., W....�....V�41A)15........................................ Number of Rooms ....../. .............................................................Foundation �� a .. 7 cr ........................................................................... Exterior .... /� S.{tw.e.u�................................................Roofing ....!� H.Av........................................................... ................ LJ Floors ......................................................................Interior .. �.......................................................................... Heating ... ..............................................................................Plumbing ..� ..�''lOt,� Fireplace .....P ....................................................................Approximate Cost ...... ....................................... ............... Definitive Plan Approved by Planning Board ________________________________19________ . Area ........lyl�e....................... Diagram of Lot and Building with Dimensions Fee 4.40 SUBJECT TO APPROVAL OF BOARD OF HEALTH Jo Ile I ?1yt PA OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the w of Barnstabfe a ardin the above construction. Name .. ........... . ...... ............................................ Construction Supervisor's License ....6.0.(9.368............ ... ... ........... _:.N'!L-L-ARD, WYETH Build Addition '- No ... ermor .... .......................... ......Sin 1.e...F.ami.1v....Dw.e.1.1.ing........... if .. ... .. .. ....... .. Location .............................................................. 46 4= Cotuit ............................................................................... Owner:......... Willard . ......................................... Frame Type�of-:Construction .......................................... .................. ........................................................... ev Plot Lot ................. Permit Granted .....September....8.!-.- 19 88 .. ....... ....... .... Date 6f'lhspection .......19 Date Completed ...............��,W..........19 in z; f t�l Ir M �rssessor's offioe-(lst floor):/ THE Assessor's map and lot number B brd floor):Board of Health Sewage Permit number elm Z MAR331'ABLE, Engineering Department (3rd floor): t639. Housenumber ........................................................................ I,. i. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....S U.117.0....6CO&-*)4....A.rj.10.1.'170w*j........................................................ TYPE OF CONSTRUCTION .......Aj/.......r ".e . (4.................................................................................................................. C>� ............... ......... ..7... ja-9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: %'10—1 co-tvi r A44 r 3 e9 &46- 'ok) 4,6F Location ............ ........I.............. ......../......................1.......................................................................... GG� Proposed Use .....................I......I............ ................................ ............................. Zoning District .......... I ..........................................Fire District .............1!!::� .. . ........................................... I 06-1-H MUA-CO &Ww THod(ToA) OZO FoeF", AC6^4 Nameof Owner ................................................ .....Address .. ............................................................................... D19,io t. 60 eK F- I-A) ft),4603,� AtA Nameof Builder ....................................................................Address .................................................... Name of Architect ....AM C V"t�s...............Address ../MGU ST 'DfAJ A)I ..................................... ............................................../.................................. to Number of Rooms ..................................................................Foundation ........................ ............/4/........................ Exterior .....vi./C.....S.t.1.1vc.0.................................................Roofing P HALr ... .... .. . ...... ..... ........ Floors .....................................:.........interior ... /uj............................................................. . ..... Heating ........................................................................."Plum bing .................................. Fireplace ......kX ........................................... ............... ................Approximate Cost ............................................... Definitive Plan Approved'by Planning Board --------------------------------19-------- - Area ......... ....................... Diagram of Lot and Building with Dimensions Fee .............. 0...... .................... . .. .... SUBJECT TO APPROVAL OF BOARD OF HEALTH ?�v all OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of thetTo/w\n of..B.arnstabil.p rje,ardin fthe above ding construction. Name ............ .. ............ ........ ............ .. .......................... Construction Supervisor's License .................................... LLARD, WYETH A=018-078 No ..3.223.8.. Permit for ..Build...Addition ..... .... .. . .. .Single Family dwelling .. ....... Location ................................................................. Cotuit ............................................................................... Owner ...ypeth..Willard ............................................... Type of Construction '....Fr........ame.......................... .... ............................................................................... Plot ........... Lot ................................ Permit Grarited ......S.ePt.QMb.Qr... 19 88 Date of Inspection ....................................19 Date Completed ......................................19 - fi2L8 � PTIC SYSTE'i1 MUST BE Assessor's map and lot number ................... INSTALLED ' ! CO°APLIANCE (� ITR A�''i. = 1 i STATE 1111 Sewage. Permit number ........4/. �...4..........'... ..:. .SANITARY 3DE AND TOVI N T"Er TOWN OF �BARNSTABLE i B8$$STAMLE, BU-IL D'ING INSPECTOR 1 MAI APPLICATION FOR PERMIT TO .:........ .... .... ............ .... .........................t��..............f�. TYPEOF CONSTRUCTION ................... .................................................................................................................. ...... ...............::.....................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according Jo the following information: Location .... .:..........................................................:............................................. Proposed, Use ............................../�i<JIII.................................... ........... .............................................................I......................... ZoningDistrict ........................................................................Fire District ................................................................................. Name of Owner �• Y61Tt✓ 2u/Czi9-, Address ..P ✓3!� G�CiGcSTl,•�'li�i .....................................................>............................. Name .of Builder' /YIA�CCIGM >', Av>o�. Q U /3d AaR6s M NM9-S' .......Address ............................ ............................(.......................... Nameof Architect .............................:....................................Address ................................................................. Number of Rooms ... ............................. Foundation5 ...r`3y ........... . P.v ....................Roofing 1C.AV4 � Exierior ................... ............................................ ......:......................................................................... Floors6(10a® Oi4: .........................................................:Interior ...................:................................................................ Heating ..:...............................................Plumbing .................................................................................. FireplacZ .......................................................................... Approximate Cost ......2 . ............................................ ..... Definitive Plan Approved by Planning Board ________________________________19________ , Area ....gb.�.......................`.... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OFICII�. 6 ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction: Name .... ................. .......... W. ��e�b Willard, . . ` / . 89331 ' 1 1/2 story � -.�� --.. Permit.for -----------.. -, . singlefamily dwelling .�-..:---. - � .......................... . Location --.......��.��...��--------. . - ' - Cmtuit --------^-------�---------'' -' �� e�b ��l�r� Owner ' --------..--~----------.. . ' frame Type. of'Construction ----. ^ ______.` ~r ---.'�-.------------------.-- Plot � Lot -�--'�' ^---'. ` ----------' October 12 76 Permit Granted � . Data ��'�- ..'~^_�l�c-/ � �� Dote Completed _�� ..... ----.]A . PERMITIEFUSED -.---_------------._-,. lA .----.----..------.--------.- .' . --.--...-~.....---;-~--,.��--...---.. ..-..----.-.--.-----..�...-'-.-... --------------~.---,-.-----. _ ^~ Approved ..................:--.----�--. lV --------------~..--...` .-----. ' . ` . -----------------''|:-~^^^^^^^' ' . . �� t& 1 7g Assessor's map and lot number ............ ... ........ .......... Sewage.:Permit number ,..................... ...............,....,........... TOWN OF BARNSTABLE Z 13AS33TAXE. i - ° oYae BUILDING INSPECTOR: APPLICATION' FOR PERMIT TO ...:..........U....................................................?.............................�....;f,:....... �~ <. TYPE OF CONSTRUCTION ..................................................................................................................................... 4 ....... ..................... ............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....N h t ! SUI`1.... :... �-�..T... .'......................................................................................................... Proposed Use ......R�..��J ...... .......................................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner y�T�/ w�ICA�/J �QT t3r) t=0,PE51044 IM55 Address ...................... .................................................................................... Name of Builder /1111IC0444 klL)oldZ'...QUPe6.Address �r ��`� �d��s � ,..ASS Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................Foundation �� ..A Ul2EQ ................ ............................. ......................................... U/ r^�.049 St/L(.G(fS �R114.e Exterior ................../I,................................................................Roofing .................................................................................... POP./1AK Floors ....................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace .....::?�.........................................................................Approximate Cost ......2 `.............................................. Definitive Plan Approved by Planning Board ________________________________19________. Area ....<� D Diagram of Lot and Building with Dimensions Fee ... ...: .t.- � . ....................... SUBJECT TO APPROVAL OF BOARD OFNH'EAVTH ' 1 rs� • � I . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � / Name ...... /�t�Ul ....1. ................................... : . Willard, W. Wyat6 A=18 No _.l873.l_ Permit.for _..l_l/2....... ��mz��_... . ` Location ........ ........................ --'�—'--`—_—. ' -------.. ........................................... ' Owner ..........�... .]�,11ax.d------.. . Type of Construction � . - ' ^ Plot Lo, re/n"/ GrantedZ uo,e or Inspection, ' - ' vu*, Completed - . ~ ' . ' . PERMIT REFUSED . / ..............................................) ^ ' " . � ............................... . —.— . . « .......... . ' Approved ................................................ lg ' ^ . ^ --------�-------...---.-----.. -----------^-------~—'----^^ � 12-2 T-O" 14 WIRE STUBED THRU 14-2 14-2 WALL FOR RANGE VENT ON-SITE BY OTHERS w/J-BOX DISHWASHER 6 WP 5 DEAD FRONT GFI 6 r - 3 ARC FAULT R < I OF S� 6 L 3 1 1 11 3 I I 1 aAV11D E. ' yGh 4110 CFM/0 CFM CR 6 8[LLIfiVQS.t.EY m . VENT EXT I ? ta.�: CIVIL. v�i 4-3 6 1 - - - - -- - - ----I- R5 I 2 Y ;NO 47-.T;69 �- -- -- ---- -- - ---�R� T 1 I I I I I F NAti'. 12-2 10-3 1 I I 1 I 1 __ I I I I 3 I 12-2 6 4 13 11i 1 I I I r I 12 10/06/2020 o r I # 1 I 1 3 I I I 1 3 6 3. I I 14-2 _ 12-2 T7 - ---------- - - R I I l I 5 i I 1 5 5. I r e 5 6 I I I I I / Ir I I 11 Ir - - II r - - II r ---- - - - - -- -- It3 2 I 17 2 2 IEdmu - -- - -- - -- 12-2 T� s L I I Plea 3 - = Xfj $'`�' 8 I I` 7 71 I I I` I TO BSMNT I 7 I SMOKE/J-BOX cn i I '•�. - � 8 I I I Ads I 8 J - - ------ --.---�. it—.. /�� ---- -- --- - --� - PFS Corporation 7 7 11 PE Northeast Region 7 I I 14-2 i I s s APPROVED I 7 - , 8 i ELECT n PNL I (6' COIL) John Baker - - J i2-2 10/09/2020 7 wP $ - - -- - - - - 8 14-z 7 Approval limited to BELL Factory Built Portion NOTE_ L AFCI PROTECTION 6 TAMPER-RESISTANT RECPTS. PROVIDED PER 2020 NEC 2. ALL CEILING LIGHT BOXES SHALL BE RATED FOR 50* PER 2020 NEC 31427 (R)0 \ 2&RLL �NG IGHTBOOX)ES IN HABITABLE SPACE SHALL BE RATED FOR 70• PER 3. ON-SITE DECK/PORCH/STOOP SHALL EXTEND UNDER°EXT GFCI RECEPT AS WHOLE HOUSE MECHANICAL MOWN SO THE RECEPT MAY BE ACCESSIBLE FROM'TH DECK/P &COH/STOOP = �++•• a �+�� rev: VENTILATION 4. REO'D FRONT 6 REAR EXT GFCI RECEPT SHALL BE FCCESSIBLE FROM GRADE SUPERIOR BUILDERS • OF BEDROOMS - 3 • DEN = 4 ADDITIONAL 'GRADE-ACCESSIBLE' EXT GFCI RECEPTS, SHALL BE PROVIDED �m FLOOR AREA SO FT - 1995 5 AND INSTALLED BY OTHERS (BELOW THE MODULES) AT THE FRONT AND REAR a arm am OF MMCT NOM A= OF THE HOUSE SHOULD THE RECEPTS SHOWN NOT BE ACCESSIBLE FROM GRADE. �87 Pa Rt4 ncy Pa 1T W •(b7I1J5�fB M f !—d d AIR FLOW REQUIRED. - 75 CFM'S www gPsrfaDuUatn� mno �,.� R 5. ATTIC LIGHT REQUIRED ff SPACE IS USED FOR STORAGE OR CONTAINS EQUIPMENT AIR FLOW PROVIDED - 90 CFM'S REQUIRING SERVICING, PER 2020 NEC, SEC 210.70(A)(3) TO BE PROVIDED AND SHAWN E. O'Brien / :HALLETT-MAHABI BERM MINIMUM REQUIRED BATH FAN SIZE - 90 CFM INSTALLED ON-SITE BY OTHERS. (SEE NOTED CONT. RUN BATH FANS) 6. SURGE PROTECTION PER 2020 NEC 230.67 6 DISCONNECT PER 2020 NEC 230.85 ON-SITE �= • BRTH EXHAUST FAM a)oNT-fo USED FOR THE wHcLE �' 1st FLOOR ELECTRICAL PLAN 5049. . HOUSE MECH VMT SYSTEM SHELL PROVME aN PMM h>N 50 CFM DffERMir rEW PM FLOW a RRTM AT Max i sm E. HEAT SYSTEM: ON-SITE BY OTHERS ow M. Imm soraE. iae.�sr rt e HEAT CALC's PROVIDED ON-SITE BY OTHERS TO BE REVIEWED/APPROVED BY THE LOCAL AHJ HAYES 0-02-20 PFS 1/4'=1'-0" i 23919-000 ar)7 i F I , �N OF. � o DAVID E yG --------- I ° 1A0 CFM M CFM/ I 15 LLINGSLEY I TO Exr VENT To oCRcr o CIVIL '' I o 1 ca No 47169 14-3 NAl' I 1 \ \ /r14-3 1 c 10/06/2020 R 18 i `rA or I r24 - Tis T� 15 y - - - - - - I _ \ _ — — 1 14-2 i ATTIC J-BOX: I O - - - - - ,ri 21 ---- ----- 15 I 1519 20 r i j 15 \\ I I I 415 \ ® I I 20 \ I I I - - -- -- - - - - R 20 I ® '•\ 21 21 I I Tip - -- - - - - - - -I-ZO , 21 TO BSMNT {�}- - ----- - ---- -� ® SMOKE/J-BOX PFS Corporation is Northeast Region I 20 21 21 APPROVED za John Baker 10/09/2020 14-z 14-2 14=2 Approval limited to Factory Built Portion rum SUPERIOR BUILDERS �,,,� �,►: - A MIS M OF MMT HMO fC 7 N Pe f/75B 0 W04-2264 a. FAO L ImJ�Jt. SHRWN E. O'Brien / HRLLETT-MRHABI PLM 2nd FLOOR ELECTRICAL PLAN �' 504a oral er: awre sca a .,oe.� HRYES 0-02-20 PFS 1/4"=1'-0" 23919_000 Y N EXISTING SEPTIC TANK cross st :: (Bldg. 3-House#21) CBdh Keeld Rd. ® O TOP OF TANK, EL.=27.93 30. 3026 Pine Ridge Rd o INV.(OUT)=26.60$ __--- _ Nickerson Rd 29,10 80f I Sea St 5 Q o + `b (approx.) f -W z n1 . pp EXISTING HOUSE(#21) . 30,43 0 30.56 Q LOCUS (BUILDING-3) H. -O.H..W. v M �'' O P. a , "I 0 o 0 0 O - U � H O7S �. LOCUS MAP NOT TO SCALE 1 8b4 S.F.f i fen x DRI -EWA Y LEGEND g8 -- EXISTING CONTOUR EXIS77NG LEACH PI T w ,'� 0? x 100.98 EXISTING =SPOT GRADE TO BE PUMPED, FILLED � ._ 30.57 99.6 PROPOSED SPOT GRADE W/SAND .& ABANDONED 11 30.81 \10 W EXISTING WATER SERVICE 29,31 ) X - T--W G - EXISTING GAS SERVICE W ( (aRprox.) O:H.-W OVERHEAD WIRES . / 1\ TEST PIT BENCHMARK I ( � I \ EXISTING INSTALL CLEANOU.T i (# ) AT MID POINT SET i HOUSE 19 TO GRADE I /(BUILDING-2) 00 x`3'I,2 ` J 30195' x 31.28 d� ^�\ EXISTING SEPTIC TANK I ` H (Bldg. 2-H6use#19) TOP OF TANK, EL.=29.47 \` 30.66 31 a if , INV.(OUT)=28.14t . 29,65 O 30.x9 30.87 O x _ \ \ 30, 7 to i �, STONE Z DRI VEWA WAY--....-...: �'r111i GARAGE : ..,. ... (SLAB) EXISTING LEACH PI T 21�'. / UP, TO BE PUMPED, FILLED I I 21i , 5 .30,49 - ' _ W/SAND & ABANDONED I.o .. �. T< --- 307 8 11 ' 30.17 BREEZ 30, 12 0 WAY. O O i x i 30.24 x 30,66 ITQD �-1- I i ° HOUSE(#124J I iX(BUILDING-1) ii l--1 TO 2 U,�,� T.O.F.=30.6f x ,_Ipl L_I�1�i-� . Ia-I �� I knl-I I EXISTING SEPTIC SYSTEM: 29.95 Ppi , NO CELLAR I� o (BUILDING-1) ---ICI 30 30.05 NO CRAWL SP. F-I- I I m Imo: x i II-I 1-I TP-1 3 I,__27, ( i_i i i '. �.. L_l_1 _I-J 30,64 /8. DIAM. NO CRAWL SPACE 30.17 CELLAR , � � 29.92 SAME.GRADE AS•,THE W W OUTSIDE EXIST. GRADE. T ? �• ' `yQ 29,76=��---- x 9J9� `29.97 ` GS x 30.11 29. 3 FLA POLE x 29.90 30.0 y �, ,\ 30,2 Da CBdh 30.33 77 fence 29.78 P �j MA A 2 ,83\\ CB/SE i 30.09 29.53 SIDEWALK PK SE'f } 30.00-------------------- p. 29.52 edge of pavement 29.76 29;94 MAIN: . STREET. Benchmark Set � t�OF , - TOP OF CONCRETE BOUND � PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN ^� EL.=30.21 (Assumed datum) s C� McENTEE fit' CIVIL U 1243 MAIN STREET 81d s. 2&3 COTU.IT, MA P1o.35109 �q Prepared for: Faith Willard, P.O. Box 1295; Forestdale, MA 02644 Wig¢ ` Engineering by: SCALE DRAWN JOB: N0. ?, y. Engineering. Works, Inc. wrw., A � 1"=20' P.T.M. 293-12 ,r 12 West Crossfield Road; Forestdale, MA 02644 DATE CHECKED SHEET No. (508) 477-5313 12/14/12 P.T.M. 1 Of 2 L TYPICAL 8YSTEM PROFILE 4q.08 AREk- ' PLAN FINISH GRADE- NOT TO SCALE FDN TOP FIN-ISH 7.0, SCALE : I FINISH GRADEOVER TANK= 49.co' 11 PM 't"rIv ....... GRADE OVER PIT= 49.pc� , 7 -78 fAlcv-F_ SOW 0 RESIDENCE 0 0 BAFFLES OR C. I. TEES A(o A c 40 4 "00�� t 737, ;a :3 BSMT GAL FLR__ 44D.57' A000 4 REINFORCED DIST. BOX CONCRETE 8 TO BE INSTALLED ON A LE # VEL STABLE BASE SEPTIC TANK TO BE' INSTALLED ON A 0 04A LEVEL STABLE BASE 1/8" 1/2 "WASH LL, 2 ED PEASTONE A BRICK Ek.MORTAR COURSES AS o10, FINES 0 A%0 AROUND FREE OF I 0 AEOUIRED TO BRING COVER TO GRADE AND-DUST IN PLACE LEACHIN G, PIT 24"C.'I. MAiNHOLE COVER a 3/4 "TO 1-1/2' WASH ED CRUSHED SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL FRAME IRONS, FINES AND DUST IN PLACE ' FOR FI N ' GRADE SEE SYSTEM PROF LE SO�L , AND PERCOLATION DATA PE R C.' RATE: M IN./I N. -INV.ELEV SEE 4 FOR C. D. SPOHR ----,�SYSTEM PROFILE, BY LET WITNESSED BY: M;k MURRA OPENINGS W/4-1/8 OUTER DIA. I T 3/411 _DA E 0 -GND,ELt%- INSIDE DIA. + 4e�?51 TEST PIT 0 APEA 0 3 0 Oz. Low G_ 1 0 0 D�,4 c, 0'0 0 0 0vt *04 A 0 0 ct 0 6 4WD' 0 6 6 IA. EFFECTIVE DIA. 00 13 0 E A C H I N G -SECTION PIT N -SCALE 0 DESIGN, DATA : OTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM �N NO. OF BEDROOMS DISPOSAL , LEACHING PIT INOTES: L FLUENT GALS. EST. TOTAL DAILY EF 'SEPT TA I CONC. TO BE 4000P.S.I a 2 8 DAY'S I C N K_!_G A L' LEACHING FT/GAL.= 2.- REIN,F W � x 22 S- SO.FT. 00 AREA SQ 6 G A.' W. W. M. -4 2 AND SECTIONS ARE AVAILABLE FOR GENER :45, 0 AL �' NOTES �GREATER DEPT HREOUIR EMENTS LL SYSTEM COMPONENTS SHALL BE INSTALLED IN 0 , ACCORDANCEWITH'ART,, N OTE:,- XI OF THE STATE SANITARY CODE 4,1:,-00 OR LO TO E LE V. WER AS ULES APPLICABLE. DATED AUG ,15 1966 Si ANY LOCAL� R OUIRED�' REMOVE,ALL LOAM AN LAY CONTAINING D' C 2-.`i,ANY' CHANGE TOTHIS"PLAN MUSTBE,,,, APPRD. BY THE —iMATERIAL, N EATH PI T.-� R tPL BAct 'EXCAVATED MATERIAL SD. OF ,REALTH. ITH CLE AN,CLAY .FREE ' GRAVEL ' MECHAN ICA LLY ....... WHEN, CONSTRUCTIO14 !S� COMPLETED,PRIOR TO BACKFILLING -- ',COMPACTED'IN 'PLACE. -N OTIFYBD.' OF. HEALTH iFOR , INSPECTION 4 FOUNDATION ELEV. MU I ST BE CHECK ED WHEN OMPL&ED C it 'MUST,NOf CHANGED`W1 TH OUT BOARD —THESE 5 'BE ct's PO OF, HEALTH tAPPROVAL : 1 ND , BOAR[ 017�HEALTH INSPECTION REOD. WHEN EXCAVATED. EGE + `50.0 EX I ST_ GROUND 11- EV. ',IIUNDE RLINED";, ,INfSH GROUND"ELEV _E A E V D AT D E S C R IP TION �,J47-50' IPE.�ANVERT. ,, LEV.,' TEST P I T,,� LO C ATI 0 N :,SYSTEM S EWAG'E D I S P 0 SAL F �SERTIC, TANK WYET" GR kMi I ST R I BU T BOX ION ' 0 T PIP E %�*T�-A A 4 C G HT j 01 N TS spom TI harles'rD�BER PIPE C�.D�SPOHR D OR `Wl RE0 U LF I 'ff mu IRED To 8' 24"1 FRA G \E OAD M ROFILE D: A N G N 0 N o�, 74�68 1 G'N PR '0 IT IL D8 0 P E R Y, Ll N E N DR AWN" 5 ALE:ASSHOW .,MIN.�,ICODE D I S TAN C E,,,,,; ;1CHECKED _D 0 I `c