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0071 OCEAN VIEW AVENUE
i _ .... b j 7t �t ,tt E1 A s L l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D ! Parcel . Application # 20 65r7,31 a Health Division Date Issued b_0 Conservation Division Application Fee Planning Dept. d Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis f,g Project Street AddresLo CnE�w VJ ew Village OWnerO; SC J )fo c � VN � �I mdress " (�3© 1iJ� �rb9 �2 eI165 a o Telephone / IC,�D K � � Permit Request O 127 7W6 2 a1,5 G-Y- �!/GZv. r= �G� v77,0 Square feet: 1st floor: existing proposed 0 2nd floor: existing 0 proposed _Total new Zoning District Flood Plaines /fY3 ��z_ Groundwater Overlay E Project Valuation 4 Construction Type �GE� Lot Size 8`.3 4-GX iE5 Grandfathered: ❑Yes )O'No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure (00� Historic House: ❑Yes 10 No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other )Q 0 Basement Finished Area(sq.ft.) D` AI Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new D Half: existing new Number of Bedrooms: existing new Total Room Count (not including baths): existing 2 new First Floor Room Count -� Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other �� 3 Central Air: ❑Yes YNo Fireplaces ng New Exi ting,wood/coal�ove�❑Yes fV0 Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new siz8 Barn,"❑ exis m'g ❑y new size 9 9 9 n.- Attached garage: ❑ existing ❑ new sizXShed: ❑ existing ❑ new size/ thee: N Zoning Board of Appeals Authorization ❑ Appeal # AJ /I-- Recorded ❑ x Commercial ❑Yes ANo If yes, site pan review # Current Usel L Proposed Use )� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) i ,/2� N4 ne l�a K G Telephone Number .�� T A ' ess �` � 54�License# � —X�/,� , ��li¢ 9) Home Improvement Contractor# , ! Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOliW SIGNATUR - DATE P f FOR OFFICIAL USE ONLY F _4PPLICATION# r DATE-ISSUED x-`�'I r r' ` MAP_/PARCEL N0. . ADDRESS: 'f VILLAGE OWNER DATE OF INSPECTION: r. r S : FOUNDATION FRAME 1 INSULATION.. ' FIREPLACE f ELECTRICAL: ROUGH FINAL f' PLUMBING: ROUGH 1 FINAL ;`' i r• r+ GAS. ROUGH FINAL :-INAL BUILDING: c �r4�)K= + . L DATE CLOSED OUT r` �, } ASSOCIATION PLAN NO.� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ,y www.mass.gov/dia Workers' )! Compensation Insurance P Contractors/Electricians/Plumbers Affidavit: Builders/ Applicant Information Please Print Leeibly Name(Business/Organization/Individual): . do XV.l•S sr oS,!;.AJ / .,j G Address: l78 V Z(A Ci /State/Zi :(0g l l LLB26�✓Phone.#: 2 � Are you an employer?Check the`appropriate bog. -Type of project(required):. 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. []New construction ❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. Remodeling These sub-contractors have' ship:andhave no employees v 8. .®Demolition workingfor me in any capacity. employees and have workers' Y P ty $. 9. ❑Building addition [No,workers' comp.insurance comp.insurance. 10. Electrical repairs or additions required] _. 5... ❑ We are a corporation and its ❑ officers have exercised their 11'. Plumbin repairs or additions 3. I am a homeowner.doing.all work ❑ g P, myself..[No workers'comp right of exemption per MGL c. 152 1 4 and we have no . 12.❑Roof repairs insurance required.]J..,:, - §:( )� _ employees. [No worker00 13.R Other comp;insurance required.] ''Any applicant thatch ecks,box#1 must also fill out.the section below showing their workers'compensation policy information. t Homeowners who,submit this affidavit indicating they are doing ail work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that Icheck this boz must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sub=contractors have-employees,they must provide their workers'comp.policy number. I ammlyerthatispravidingJvorkers compensation insurancefor my employees. Below is.the policy andjab site information. Insurance Company.Name: # /�►� Policy#or Self-ins.Lic.#0/�� � 22 2 Expiration Date: �-C1 , Sob Site Address: 7 '®C F�f� "! el `� " City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage-as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up-to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.•,Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. € I do hereby certify under the pains and penalties of perjury th he i ormation provided above i true a d correct Si ature�;, Date: j� Phone Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: ' Client#: 646400 2NORRISEB ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MM 05/10/2011YY,. 011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT - - NAME: Dowling&O'Neil Insurance PHONE 508 775-1620 FAX 5087781218 Agency E A Lo,Ext: A/C,No ADDRESS: 973 lyannough Rd., PO Box 1990 Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Acadia Insurance INSURED E. B. Norris&Son.,Inc. INSURER B: 138 Osterville-West Barnstable Road INSURER c< Osterville, MA 02655 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD , INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER,DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR - INSR WVD POLICY.NUMBER MM/DD/YYYY MM/DDIYYYY A GENERAL LIABILITY I BINDER322326 5/03/2011 05/03/201 EACH OCCURRENCE $1,000,000 - X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT PREMISES Ea occurrenceED s250,000 CLAIMS-MADE a OCCUR ` MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- LOC ' $ JECT A AUTOMOBILE LIABILITY BINDER322325 5/03/2011 05/03/201 COBINED SINGLE LIMIT Ea M accident $ ANY AUTO - - BODILY INJURY(Per person) $1,000,000 ALL OWNED X SCHEDULED AUTOS AUTOS - BODILY INJURY(Per accident) $1,000,000 ROPERTY X HIRED AUTOS X AUTOOWNED Perry cidentDAMAGE $500,000 A X UMBRELLA LIAB OCCUR BINDER322328 5/03/2011 05/03/2012 EACH OCCURRENCE $1 O 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 O OOO 000 . DEC) I X RETENTION$O $ ATU- A WORKERS COMPENSATION BINDER322327 5/03/2011 05/03/201 X To y LlmlT OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? N/A _ - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other t limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200'Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 - r AUTHORIZED REPRESENTATIVE - _70% �-�- ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) f of 1 The ACORD name and logo are registered marks of ACORD #S80658/M 80657 LS 1 • r T6" of h rn;stabXe Regiiliatbry Services W.Geilers Director •-Bixitdfng Dlvlsiott ';` Tom Perryt Building Commissioner •`- 200 Maba Street;$yannis,MA 02601 Wwvi:towd.barnstable.ma,ns •.�:�.; ;. Office: 508-862-403 8 ; . `15 Fax• SOS-790-6230 Propi~xtYwtier must .,. Complete and Sign This Sect#or> ff Us g A Bifide Ile • {�ht,,r �— ,as Owner df tlie,subjectprt hereby authorize L P ©!� . /� G 'to'act,o � bl , in at mat#ers.iela#ive to-W4'aI tboiizecl • ,�. �y tIu�building permit applications.for;;`��:.'•,�., . VL?G1'C V ! 4 �fi LLr•°iv! (Address-ofjob) tlll�of OwnerZ. - - -J_ �' �nk5+� Y _ Pimthlatzie.. •Vt — ---- - - If _ 'dp.Pl z g Mgr pen-nit Zeast co ,t1•Hiixrieavcme s•'L eifts'&'Exezp # o ri • p l�ozxn on:#�he �evers��' ' Q:FOItM$:OFYTfBRPERMLSSlGT2 CCt:i'•• , !R'-,,/ -f i _ .. • 1 ._.f ..'�'-'..� _ r: 711 _:l^ —'.'L��:.__ t , � ! _ Y'! aJ•f.' ... ��• Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 15851 c. CRAIG;N, A HV1/ORTH 1,38 OST`W;BARNSTABLE c « � ;OSTERVILLEF° 'MA 02671. 55 Expiration: 9/28/2013 ('ununissioner" Tr#; 522 Office ko sum°'er A fairs sin,ess egu�^ License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: t Registration Office of Consumer Affairs and Business Re ulation 102014 Type: g ' Expiration 6/3072012 Private Corporation 10 Park Plaza.-Suite 5170 Boston,MA 02116 ENEST B. NORRIS&SON INC.r/j Craig Ashworth s' 138 Osterville W. Barnstable rtl �, �_ Osterville, MA 02655 - { Undersecretary Not valid without signature rt {I II ' x 07/10/2008 02;20 15087757877 MORRIS PAGE 02/0 jut 07 03 03i 34P Daniel E. Braman PE 508-36P-5015 p. 1 '► .,�, A°fax) , ► 1.o fad PA l89 '�eir ; ► � .a S Cmmopg AU MOXMI, CrTo 1 .•. : • • c� �. PC s L,L4 _ . .` - 15 C. ,. c Cc.,77) ,, --a!- .�... 41 1_ . Jo Prt�5 1 I `4° _ I •t I 12 ARM HIM PKI; trc r wo i ----... A I T. .: a ..a.•1�.9 t.I�rltl4w3 � ..JI"�. +m.._+,i i REPAM9 and At TERAT1 ONO to r BEACH HOUSE Cotait,"Ma. I t b tect Robert.Rrannen FAIA Arc i 1 "` Dart Braman, F.E. Civil& Structural G 6 � � Post lei 7 } a 6.1 €:b x r lit r r } l f Z 3 a � t 1 b t a R s irV F 8 �`1" h� g z h o Y, F•1: >i 5* F� Y F . REPAIRS and 'TER,t TIQI IS #o . BEACHQ7SE Cotut,I�t1a . .6b."t Btaimen AIA Architect; .re i � Y i r _ 2 5 Y f e S y G URI a v ➢ � kr3t.-�'�u z { �k i } X N d 4 s � P � s3 ...;551 s � e c a 04 XOg ,K vp 60 4 Z ZA ' i yak 31 9 a cy REPAIRS and AL,-ERATtO S to - , Robert Breen Fl ��i i1 C�li# Ct - , rF;oca.� ext5' !-ova �x�,5 - Gons�ruc�.or� I t; Y 1 -44 PP .0 Er Fin..FL. Lab RE1 AIRS'Ebd ALTERAT S to BEACH HOUSE Cotuit,Ma. Robert Brannen FAIA Architect 5K 5 PROJECT NAME: ADDRESS: `-7l OG2c�,., PERMIT# 2 O 4 g PERMIT DATE: . M/P: CADGE ROLLED PEAKS ARE IN: ® 3 Data entered in MAPS program on: 5 H ( u BY: PROJECT (1 NAME: cc u j. ovY ADDRESS: 71 l ocaele1 U L_e_ a Are C7�0Z, PERMIT# 7-0 '00(0`1 t PERMIT DATE: M/P: D LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered-in -MAPS program on. BY: PROJECT01S O NAME: [r y t7' ADDRESS: CD7 PERMIT# PERMIT DATE: M/P: LARGE ROLLED PLANS ARE : r BOX SLOT Data entered in MAPS program on: BY: ��" TOWN OF B �tae T ARNSTABLE -' �= f <. � a'1.rm BARNSTABLE, Issue Date: 07/12/11 a 9 MASS. E.B. I 1639• �� Applicant: B NORRIS &SON, INC. Permit Number: ' 201`11440 ArFO MA'I A Proposed Use: MULTIPLE HOUSES ONE PARCEL Expiration Date: 01/09/12 Location 71 OCEAN VIEW AVENUE Zoning District RF Permit Type: NEW SINGLE FAMILY HOME -� Map Parcel . 034045 Permit Fee$ Contractor E.B.NORRIS&.S: "N, INC. w Village COTUIT App Fee$ License Num 15851 Est Construction Cost$ Remarks APPROVED PLA R OT N JOB AND' BUILD NEW HOUSE ACCORDING TO ATTACHED PLANS,INCLUDING THIS CARD MUST BE KEPT POSTED UNTIL FINAL GARAGE AND INCLUDES ELEVATOR INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CRAWFORD,KATHLEEN S TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: C/O THE BEACON COMPANIES INSPECTION HAS BEEN MADE. 50 FEDERAL ST.,4TH FL BOSTON,MA 02110 Application Entered by: RM Building Permit Issued By: ✓�tu�J THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF„EITHER TEMPORARILY OR PERMANENTLY. ENCROACHM9NTS ON PUBLIC MOPERTY j'40'1 SPECIFICALLY PERMITTED UNDER THE BUILDINGCODE,`MUST BEAPPROVED BY THE JURISDICTION,,..„STREET OR ALLEY GRADES AS`,WELLAS DEPTH AND`L-OCATION OF PUBLIC SE WERSAIAY-BE OBTAINED FROM THE DEPARTMENT-OF PUBLIC WORKS:.-THE ISSUANCE OF..THIS PERMIT DOES NOT,RELEASE THE APPLICANT FROM THE CONDITIONSOF ANY APPIJCABLESUBDIVISION: RESTRICTIONS. - MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH), 5.INSULATION. 6. FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). p- . M 1,We" BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ��r/`loorS �G B Z00I k�t4�rr R !t- 0 f � aGt� s�{ea76/y2 t aj))It 2 3l'�z �i 2C tl sr i� g.P.e►.. o%l3 rr FL 3 QN/F,�l ;/ 1 Heating Inspection Approvai Engineering Dept Fire p 2 ,E!1� � G+�f ��7 `3 Board of Health ,t 4 Town of Barnstable Building Department - 200 Main Street BARNSTLE " • * Hyannis, MA 02601 MASS 9�A 163q. (508) 862-4038 rFc� Certificate -of Occupancy Application Number: 201004895 CO Number: 20140036 Parcel 10: 034045 CO Issue Date: 05114/14 Location: 71 OCEAN VIEW AVENUE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: MULTIPLE HOUSES ONE PARCEL Village: COTUIT Gen Contractor: E.B. NORRIS & SON, INC. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: �-- s 'y// VU-44epartment Signature Date Signed Cowen Associates MEMBERS OFi AS.C.E. -:Fellow N.S.P.E. CONSULTING STRUCTURAL ENGINEERS B.A$.E (President:7396-7pAC.i: - 29 Vesta Road N;C.S.E.A(MA Delegate) Natick, MA 01760 UCENCESIREGISTRATIQNS IN: Massachusetts{Structure!) Telephone(508)655-3976 New York Facsimile 508 6.55 -4284 Illinois-SE ) District o;Columbia ion@cowenassoc.conl Maryland . . .. .:Missouri www.cowenassoc.com Vermont New Hampshire Rhode Island .FRED V.COWEN P:E.,S.E., S.E.0 B., FASCE, President New Jersey Virginia JON COWEN-P.E. Flo6da Kentucky.(inactive) Pennsylvania Thursday, May 08 2014 Ohio, . Connecticut Structural Framing Affidavit SEC BoardCerfdred FRUGSa1ri4 Mr. Ivan Bereznicki Ivan Bereznicki Architects 9 Wendell Street Cambridge, MA 02138 10.283- Pickwick Guest House.=71 Ocean View.Ave,.Cotuit: Dear van: -.The undersigned has.visited the above captioned property.on the following dates: 2/20/12; 10/17/11, 9/.28/11; 9/1/11, 8122111; 8/11/11, 7/25/11, 4/7/11, 3/23/11, 2/23111, 2/14/11, and 2/7111 for the purpose of viewing the replacement foundation, new columns and new framing: Reference is made to drawings by Ivan:Bereznicki Architects and details by this office. The framing for the above captioned property appears to conform to the aforementioned documents. It is therefore the opinion of this office that, to the best of my knowledge and belief, the framing-and foundation for the guesthouse meets or. exceeds the structural provisions of the Commonwealth:of Massachusetts.State Residential Building'Code., 780-CMR, 7". Edition: if there are any questions re n is matter, do not hesitate to call. Very truly yours; Cowen.Associates � Jon Cowen, P.E. � "alg W<_� 1 • r Amderson781-857-1000 7-1054 Insulation, Inc. Fax .ande sonins www.andersoninsul.com 706 Brockton Ave PO Box 2003 Abington, MA 02351 Insulation certificate WORK AREA ITEM INSTALLED Interior Partitions R-13 3 1/2 X 15 Unfaced Fiberglass Batts Second Floor Ceiling R-19 6 X 15 Unfaced Fiberglass Batts Underside of Roof R-37 Icynene Open Cell Foamed in Place Insulation LD-C-10in Gable End Walls R:14A Icynene Open Cell Foamed in Place Insulation LD-C-4in Underside of Roof DC 315 Spayed on Ignition Barrier for Foam Customer: E.B. Norris&Son Builders Job Number: 176514 3ob Address 710cean_vew Ave Cotuit Guest House Date Completed: f ` Insta er Signature . Anderson 1 781-857-1000 e ..Fax 781-857-1054 Insulation, Inc. s www.andersoninsul.coni 706 Brockton Ave PO Box 2003 Abington, MA 02351 Insulation Certificate WORK AREA ITEM INSTALLED Underside of Roof R-39.6 Icynene Open Cell Foamed in Place Insulation LD-C-11in Garage Ceiling R-39.6 Icynene Open Cell Foamed in Place Insulation LD-C- 11•in Furred Walls 1140.2 Icynene Foam Insulation-2LB Medium Density-2in Ceiling R-35J Icynene Foam Insulation-2LB Medium Density-7in Ceiling R-35.7 Icynene Foam Insulation-2LB Medium Density-An Second Floor Ceiling R-30 91/2 X 24 Unfaced Fiberglass Batts Interior Partitions R-13 3 1/2 X 15 Unfaced Fiberglass Batts Interior Partitions R-19 6 X 15 Unfaced Fiberglass Batts Kneewalls R-19 6 X 15 Kraft Faced Fiberglass Batts EXT.Walls 2x4 R-12.3-3XIS Sound/Fire Batts-Mineral Wool Vapor Barrier ext.Walls U.L. Rated Foil Scrim Kraft FS25 Vapor Barrier EXT.Walls 2x6 R-20.3 Icynene Open Cell Spray Foam Insulation LDC-5.5in Blockers/Rim Joist R-20.3 Icynene Open Cell Spray Foam Insulation LDC-5.5in Garage/House Wall R-19.8 Icynene Open Cell Foamed in Place Insulation LD-C-5.5in Windows and Doors Foamed Great Stuff-Minimal Expansion Foam Basement Ceiling R-30 91/2 X 24 Unfaced Fiberglass Batts Between Floors -11-30 91/2 X 24 Unfaced Fiberglass Batts ` Interior Partitions R-13 3 1/2 X 15 Unfaced Fiberglass Batts Interior Partitions R-19 6 X 15 Unfaced Fiberglass Batts e First Floor Ceiling R-39.6 Icynene Open Cell Foamed in Place Insulation LD-C-11in` 5. Overhang R-39.6 Icynene Open Cell Foamed in Place Insulation LD-C-11in EXT.Walls 2x6 R-20.3 Icynene Open Cell Spray Foam Insulation LDC-5.5in ' Blockers/Rim Joist R-20.3 Icynene Open Cell Spray Foam Insulation LDC-5.5in Garage/House Wall R-19.8 kynene Open Cell Foamed in Place Insulation LD-C-5.5in, Windows and Doors Foamed Great Stuff-Minimal Expansion Foam Misc. Labor Miscellaneous Labor Cost , Basement Ceiling DC 315 Sprayed on Thermal Barrier for Foam S p�G V'i U Inn ' Underside of Roof DC 315 Spayed on Ignition Barrier for Foam �`� Fl oo r i�rt1 C. Underside of Roof DC 315 Spayed on Ignfion Barrier for Foam (o sw w y t 'v ii 4 Customer: E.B. Norris&Son Builders ° lob Number: 175053 r Job Address C 710cean View Ave Cotuit ----------------------------- Date Completed: . Insta er Sign tore , o2-635 Liberty Mutual. The Ohio Casualty Insurance Company SURETY CONTINUATION CERTIFICATE In consideration of the payment of a premium of$ 100.00 The Ohio Casualty Insurance Company hereby continues in force to September 17,2014 its bond No. 5086586 effective September 17,2010 ,on behalf of E.Be Norris&Son,Inc. , Principal, in favor of Town of Barnstable , Obligee, subject to all its terms, conditions and limitations as set forth and expressed in saidto d. This certificate is executed upon the express condition that the company's liabilYt rider said bond and this and all continuation certificates issued in connection therewit shall p - W � a not be cumulative, and shall not in any event exceed the amount set forth in said bond, or said amount as it may have been increased or decreased by any rider(s) or endorsement(s) F properly issued by the company. � -t C.. Dated this 10 day of September 2013 The Ohio Casualty Insurance Company By: Martha A.Kenney Attorney-in-Fact S-168 i Principal: E.Be Norris&Son,Inc. POWER OF ATTORNEY Agency Name: DOWLING&O'NEIL THE OHIO CASUALTY INSURANCE COMPANY INSURANCE AGENCY Obligee: Town of Bamstable Bond Number:5086586 Know All Men by These Presents:That THE OHIO CASUALTY INSURANCE COMPANY,an Ohio Corporation,pursuant to the authority granted by Article IV, Section 12 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company,do hereby nominate,constitute and appoint:Kelly C.Bolton,Martha A.Kenney, Robert W.Miller,Mark McCartin,Nancy Soule,Joanne R.Sullivan,Kathy J.MacRoberts,Monica DaSilva of Hyannis,Massachusetts its true and lawful agent(s)and attorney (ies)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES, excluding,however,any bond(s)or undertaking(s)guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Fairfield,OH,in their own proper persons.The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact. In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 12th day of July,2011. Gregory W.Davenport Assistant Secretary STATE OF WASHINGTON COUNTY OF KING On this 12th day of July,2011 before the subscriber,a Notary Public of the State of Washington,in and for the County of King,duly commissioned and qualified,came Gregory W. Davenport, Assistant Secretary of The Ohio Casualty Insurance Company,to me personally known to be the individual and officer described in, and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Seattle,State of Washington,the day and year first above written. Notary Public in and for County of King,State of Washington My Commission expires December 9,2013 This power of attomey is granted under and by authority of Article IV,Section 12 of the By-Laws of The Ohio Casualty Insurance Company,extracts from which read: ARTICLE IV-Officers:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bond,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Corporation by their signature and.execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February,2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company,wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds,shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE I,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF,I have hereunto set my hand and the seal of the Company this 1_ day of David M.Carey Assistant Secretary 5 1 L3� ` I"Vzutualm - • SURETY - NOTICE OF CANCELLATION AND/OR TERMINATION f CERTIFIED MAIL-RETURN RECEIPT REQUESTED N/A June 13, 2013 TOWN OF BARNSTABLE 200 MAIN STREET HYANNIS, MA 02601 Bond Number: LSF206450 Cross Reference: 5086586 C:) Principal: E.B. NORRIS&SON, INC. Present Penal Sum: 1096 USD Bond Description: All Contractors License-Compliance r Original Effective Date: September 17,2010 - Cancel Date: September 17,-2013 We hereby cancel the above referenced.bond in accordance with the cancellation/termination provisions contained,iri the''bond'If,for any reason,the effective date of this Notice does not fully comply with the cancellation/termination provisions contained;in the bond,then'this. Notice shall be deemed amended to contain the earliest effective date which is in compliance with the provisions of the bond:' REASON: . In Accordance with Company Standards - Cancellation Reason Comments: - Non-renewal per Underwriter instructions `' r REPLY TO: w The Ohio Casualty Insurance Company Boston 20 Riverside Road , Mail Stop 03AN By. Weston, MA 02493-2281 800-647-1113 Fax:866-547-4882 z Attorney-in-Fact Robert Desharnais DrObligee .^�. ur ,,�;t, . }: -, ❑`.Principal ° ' rP; J 'a [3-Producer; c.. -.. {'f t r C cc,ce , r•,.,�k Home Office- ❑ Underwriting Office E.B. NORRIS&SON, INC.. 138 OSTERVILLE WEST BARNSTABLE RD OSTERVILLE,MA 02655 LMIC-3200 r� S o TOT—off] OFa"la.a ra� S APL rR 14 AN 9: 0 2 THE PICKWICK REALTY'y`TAUST MAIN HOUSE 71 Ocean View Avenue Cotuit , Massachusetts FIRE PROTECTION SPRINKLER SYSTEM DESIGN BASIS NARRATIVE DOCUMENT i 4�1µ OF A48' �9�, CAlYtF10A11'P ti Prepared By: FW&FROTECTION 8 A. P. Caputo, P.E. PYROTECH Consultants, Inc. Sandwich, MA 3/24/11 /�,,/ 4 I. DESIGN BASIS NARRATIVE A. Structure Occupancy and Construction This is a 2 '-� story single family residence with a full basement and partial attic. The first floor encompasses approximately 7, 847 sq. ft. of gross floor area. This floor houses the main entrance foyer, master bedroom suite, library, living room, family room, two dining rooms, kitchen and associated dining area, laundry room, 5 bay garage, and screened porch. The second floor encompasses approximately 5, 645 sq. ft. and ten bedrooms each with integrated bathrooms, two sitting rooms, access hallway and two stairways to the first floor. The attic provides for an additional 1, 851 gross sq. ft. of living area consisting of a large open area, small bathroom, two small storage rooms and a mechanical room. The basement encompasses approximately 8, 227 sq. ft. and houses a playroom, gym, storage rooms, electrical room, mechanical room, game room, 5 smaller bedrooms, kitchen, bathrooms and elevator machine room. The total structure gross area is approximately 23, 411 sq. ft. The residence is provided with two interior stairways and an elevator that communicates between the basement, first and second floor levels. A single stair provides access to and from the attic. The occupancy is classified as Residential Use Group R3 per the Massachusetts State Building Code. The structure is essentially wood frame construction as defined in NFPA Standard 220 and Type 5B Unprotected per 780 CMR. Given the building area exceeds 14, 400 sq. ft. the residence will be sprinklered in accordance with Section 5313. 5. 1 of the Massachusetts One and Two Family Dwelling Code (780 CMR, 7tn Edition) and NFPA Standard 13D, 2007 Edition. All areas are expected to be sufficiently heated, excepting the screened porch, to provide for a wet residential type sprinkler system. B. Fire Protection System Features A wet NFPA 13 D residential sprinkler system is to be provided for this structure. The wet system will provide protection for the entire habitable areas of the structure with the exception of .the screened unheated porch as allowed.by NFPA 13. In accordance with NFPA 13D sprinklers will also not be provided for small closets and the small concealed space located along the ,eve lines of the attic. The structure will also be provided with a typical 2 r residential smoke detection/alarm system (not part of this design contract) in accordance with the requirements of the Massachusetts State Building Code (780 CMR) . A fire sprinkler system water flow switch will be provided to tie to the alarm system to facilitate an alarm on a sprinkler system water flow. The sprinkler system will be designed to fulfill the requirements of the 7th Edition of the Massachusetts One and Two Family Dwelling Building Code, 780 CMR. The purpose of these systems, in concert with the fire detection/alarm system, is to enhance safety to life of occupants, limit both horizontal and vertical fire spread within the structure, limit smoke spread within the structure, and enhance manual firefighting capability through automatic fire suppression. 1. Automatic Sprinkler Protection (a) Designation The sprinklers for the majority of the living areas will be residential concealed type residential heads hydraulically designed to meet both NFPA 13D criteria and the manufacturers listing design requirements. Accordingly calculations will provide for a minimum two (2) residential type head flow based on a 16' x 16' area coverage. The attic space requires a unique combination of concealed residential type sprinklers in the sloped finished ceiling area and standard pendent quick response type heads to protect the area under the unique joisted ceiling under the large skylight. Given that living space is located directly below the garage it will be protected beyond minimum NFPA 13D code requirements. The garage bay area will be provided with standard pendent quick response sprinkler heads on a maximum 120 sq. ft. spacing designed to discharge a minimum design density of . 15 gpm/sq. ft. for a minimum 4 head flow. Anticipated sprinkler head location drawings are provided in the permit plans. Sprinklers will be supplied from a single wet residential riser located in the basement. The sprinklers will be feed from a new service from the public water main on Ocean View Avenue and hydraulically sized to meet the maximum demand flow. A hydrant flow test will be conducted to establish the water supply capability and utilized to hydraulically size the sprinkler system piping. 3 Hydraulic calculations will be provided for the attic, most demanding second floor bedroom area utilizing a 2 head flow, and for the garage utilizing a minimum 4 head flow. Hydraulic calculations will be provided with the final sprinkler layout and piping drawings. Tyco Model LFII residential concealed pendent heads are used throughout except for the standard quick response pendent heads to be utilized under the attic skylight and in the garage. Although not required by code a single 2 1/2" fire department connection will be provided. (b) Acceptance Testing The sprinkler system above ground piping will be hydrostatically tested to 200 psi for two hours. Alarm flow test (via an Inspectors Test Connection) will also be required to activate the alarm system. ©) Maintenance Testing A testing and maintenance program which meets the requirements of NFPA Standard 13D needs to be implemented to help maintain system functionality. Monthly. - Owner or designated agent to inspect to see that control valves are open and all system gages are normal. Quarterly - Inspectors Alarm Test Inspect Fire Department Connection Yearly - Test backflow preventer. per state requirements. 4 errn< �� �Gcc � f TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION t. Map D 3 Parcel' Qj4 5- Application # QH5 Health Division Cs1,c . Date Issued 415 A5 Conservation Division 6Di� `' f f ; _ A licati Fe ° Planning Dept. Permit 5 Date Definitive Plan Approved by Planning Board Historic- OKH N Preservation/ Hyannisp Project Street Address 7/ 0 C 6AN Village CoT, v I - i Owner'7AE 5ckW Ic,K 1PEAL '7-RU57 Address .F ERAL_p7. j y�7�ycl,A440Z�/!7 ,r Telephone Yo �$ 01�1?lS '�ic� �J G 5os,q Permit Request t46W L S /A&0P1Aj Square feet: 1 st floor: existing X-proposed�g 2nd floor: existing-/" proposed � �Total new Z43T Dis "� Flo d)Plain C, $j �"!3,I/-l7Groundwater Overlay 1oD P a) �- am ct Valuatio n J7 �e Co struction Type�/e�.G/�; Lot Size 8 $A•G96S. Grandfathered:' ❑Yes., No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑,'4, Multi-Family(# units) Age of Existing Structure / Historic House: ❑Yes ANo On Old King's Highway: ❑Yes)i(No Basement Type: .ICI Full ❑ Crawl ❑Walkout ..0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 2�� Number of Baths: Full: existing new / Half: existing , _new _ Number of Bedrooms: X existing —new / Total Room Count (not including baths): existing _new z First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: XYes ❑ No Fireplaces: Existing_X_New Existing wood/coal) sstve: ❑Ye XNo Detached garage: ❑existing ❑ new Sze Pool: ❑ existing--O new sizb Barn: ❑ existJOL ❑ new size_ 9 Attached garage: ❑ existing A new size-Shed: ❑existing ❑ new sizeAZ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use NA � Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) i Name Lam. 8 /v8 92PA.) /iU C Telephone Number ✓ 8 �'�0 Address/�9 D lLL P pi• t3AF-AJ:P 63L&— 'a License # /5<9 Home Improvement Contractor# Worker's Compensation # ;61Njpm 3o70/,0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AIA27 SIGNATURE DA E F 9� 0 q FOR OFFICIAL USE ONLY do APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS ° f VILLAGE -OWNER x s ' DATE OF INSPECTION: FOUNDATION Orvb l Q>3 It c 7 a& Pi�r9L 6,1►Rr RNu✓^dd s � �� rev� .� FRAME S -/-'74 - ok sS r R�tSE°f +' OK a?t3/(/1G1t ¢ �`�( a •�F,,,a� o�s�� - f AAW � a - INSULATIONd� ���. �P ,, r� � 4�1.��13 FIREPLACE ELECTRICAL: ROUGH { FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Cotuit Fire/Rescue Department FIRE DEPARTMENTS OF THE TOWN OF BARNSTABLE Fire Prevention Office - Hinckley Building 200 Main Street, Hyannis, MA 02601 - (508) 862-4097 BUILDING CODE COMPLIANCE FORM .y. Plans dated 3 ' zH 'f for the property located at t O kj U i`F vj A�,� also known as w Ir-k 2r d 1'��(`��k ve been reviewed by C i6C- 6��A fit.M-611) of the ❑ Barnstable ❑ COMM ❑ Cotuit ❑ Hyannis ❑ West Barnstable Fire Department. THE CHART BELOV] INDICATES THE STATUS OF THE REVIEW: j TYPE OF CONSTRUCTION DOCUMENT N/A . RECEIVED REVIEWED COMPLIES 1. Narrative Report 2. Firefighting & Rescue Access i . 3. Hydrant Location &Water Supply _. Sprinkler Systems _ 5. Sprinkier Control Equipment 6. Standpipe Systems 1 7. Standpipe Valve Locations ✓- �. 8. Fire Department Connection ✓ ✓ '� I 9. Fire Protective Signaling System 10. F.P.S.S. & Annunciator Location 11. Srrioke Control/Exhaust 12. Smoke Control Equipment Location ' 13. Life Safety System Features _ j � r. Fire Extinguishing Systems 115. F.E.S. Control Equipment Location Y ✓ `� ?0. Fire Protection Rooms ✓ `J i 7. Fire Protection Equipment Signage ✓ -� -� 18. Alarm Transmission Method _ ' 19. Sequence of Operation Report •� L 20. Acceptance Testing Criteria We believe this document to be complete and compliant for the issuance of a building permit. We have completed the acceptance testi for th occupanc p rmit and believe that within the scope of the building permit, the above issues re in co pliance. 5 6 31 1( << f Massachusetts Department of Emironmental Protection Provided by MassDEP. , Bureau of Resource Protection-Wetlands ` MassDEP File#:003-4899 WPA Form 5 -Order of Conditions eDEP Transaction#:333143 Massachusetts Wetlands Protection AcrM.G.L.c. 131,§40 Ll City/IownBARNSTABLE A. General Information 1. Conservation Commission BARNSTABLE 2.Issuance a r OOC t b.f Amended OOC ` 3.Applicant Details a.First Name ANDREW b.Last Name NEWMAN,`TR c.Organization PICKWICK REALTY TRUST d.Mailing Address C/O THE BEACON CO.,50 FEDERAL ST.,4TH FL. e.City/Town BOST'ON f.State MA g.Zip Code 02110 • 4.Property Owner a.First Name ANDREW b.Last Name NEWMAN,TR c.Organization PICKWICK REALTY TRUST d.Mailing Address C/O THE BEACON CO.,50 FEDERAL ST.,4TH FL. e.City/Towtt BOSTON f State MA g.Zip Code 02110 5.Project Location a.Street Address 71 OCEAN VIEW AVE. b.City/rown BARNSTA13LE c.Zip Code 02635 d.Assessors Map/PIat#034 e.Parcel/L.ot# 045 f.Latitude 41.61066N g.Longitude 70.43467W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page BARNSTABLE C.184833 LOT 5 P.39770-C 7.Dates a.Date NOI Filed: 8/6/2010 b.Date Public Hearing Closed: 9/24/2010 c.Date Of Issuance: 9/10/2010 $.Final Approved Plans and Other Documents a.Plan Title: b.Plan Prepared by: c.Plan Signed/Stamped by: d.Revised Final Date: e.Scale: SULLIVAN SITE PLAN PETER SULLIVAN,P.E. August 1.,2010 1"=30' ENGINEERING;INC., B. Findings I.Findings pursuant to the Massachusetts Wetlands Protection Act Page I of 9*ELECTRONIC COPY r . • Massachusetts Department of Environmental Protection Provided byMassDEP: - Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 1 WPA Form 5-Order of Conditions eD>P Tr-n:BA i°nRNSTAB TABLE l43 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Towm:BA Following the review of the the above-referenced Notice of Intent and based on the information provided in this application and' presented at the public hearing,this Commission-finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. I— Public Water Supply b. r Land Containing Shellfish c.F7,.Prevention of Pollution d. r Private Water Supply e. Fisheries f. Protection of Wildlife Habitat g. f Ground Water Supply h F Storm Damage Prevention i. F Flood Control 2.Commission hereby finds the project,as proposed,is: Approved subject to: , a. F The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall control. Denied because: b.I—The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and witil a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order.. c.r-The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands Protection Act.Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued.A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). 3 F Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource 50 area specified in 310CMR10.02(1)(a). a.linear feet Inland Resource Area Impacts:(For Approvals Only): -Resource Area. Proposed Pennitted Proposed Permitted Alteration Alteration Replacement Replacement 4. f Bank a.linear feet b.linear feet c:linear feet d,linear feet 5.f Bordering Vegetated Wetland a.square feet 'b.square feet c.square feet d.square feet 6. f=Land under Waterbodies and Waterways a.square feet b.square feet c.square feet d.square feet e.c/y dredged f.c/y dredged 7.r Bordering Land Subject to Flooding a.square feet b.square feet - c.square feet d.square feet Y Page 2 of 9*ELECTRONIC COPY ,Y Massachusetts Department U Environmental Protection Provided by MassDEP; Ll Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333143 CityiTownMARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.'cubic feet 8.C Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage C.cubic feet .d.cubic feet e.cubic feet f,cubic feet 9.F-Riverfront Area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet " Sq ft between 100-200 ft g.square feet h.square feet i.square feet j.square feet Coastal Resource Area Impacts: Resource Area Proposed Pernvtted Proposed Permitted Alteration Alteration Replacement Replacement 10.r Designated Port Areas Indicate size under Land Under the Ocean,below 11.F Land Under the Ocean a.square feet b.square feet c.c/y dredged d.c/y dredged 12.C-Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.r Coastal Beaches a.square feet b.square feet c.c/y nourishment d.c/y nourishment 14.r-Coastal Dunes r a.square fret b.square feet c.c/y nourishment d.c/y nourishment 15.r Coastal Banks a.linear feet b.linear feet 16.I—Rocky Intertidal Shores a,square feet b.square feet 17.1—Salt Marshes f a.square feet b.square feet c.square feet d.square feet 18.r Land Under Salt Ponds a.square feet b.square feet C.c/y dredged d.c/y dredged 19.f-Land Containing Shellfish a.square feet b,square feet .c square feet d.square feet Page 3 of 9 *ELECTRONIC COPY Massachusetts Department of Environmental Protection provided by MassDEP: , Bureau of Resource Protection Wetlands MassDEP File#:003-4899 WPA Form 5 -.Order of Conditions, eDEP Transaction#:333143 CiVrown:BARNSTABLE !' Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Indicate size under Coastal Banks,inland Bank,Land Under the 20.r-Fish Runs Ocean,and/or inland Land Under Waterbodies and Waterways, above c.c/y dredged d.ety dredged 21.1-Land Subject to Coastal Storm Flowage" a.square feet b,square feet _22. 1` Restoration/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a.square feet of BV W b.square feet of Salt Marsh 23. r Streams Crossing(s) If the project involves Stream Crossings,'please enter the number of new stream crossings/number of replacement stream crossings. a.number of new stream crossings ' b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only appHeable to Approved projects 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order. 2. The Order does not giant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the pcmuttee or any other person of the necessity of complying with all other applicable federal, state,or local statutes,ordinances,bylaws,or regulations.' 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apple a.the work is a maintenance dredging project as provided for in the Act;or b.the time for completion has been extended to a specified date more than three years,but less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. fi 6. If this Order constitutes an:Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. 7. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash,refuse,rubbish,ordebris,including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of any of the foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an appeal has been taken, until all proceedings before the Department have been completed. 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, Page 4 of 9*ELECTRONIC COPY • � 4 u Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 Transaction#:333143 WPA Form 5-Order of Conditions eDE eDEP Pown:BARNSTABLE r` Massachusetts Wetlands Protection Act M.G.L.c.-131,§40 the Final Order shal I also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work.. 10. A sign shall be displayed at the site not less then two square feet or more than three square feel in size bearing the words, "Massachusetts Department of Environmental Protection" [or'MassDEP"] File Number:"003-4899" , It. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before Mass DEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and _ to any contractor or other person performing work conditioned by this Order. 17. Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conser,;ation Commission. , 18. Ail sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion control on a daily basis and shall remove accumulated sediments as needed.The applicant' shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work 1vie has been approved by this Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) F is not(2)r subject to the Massachusetts Storm vater Standards. If the work is subject to Stormwater Standards,then the project is subject to the following conditions; a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,'the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Permit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized. b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that:i,all construction period BMPs have been removed or will be removed by a date certain specified in the C',ertification.For any constriction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the BMP has been properly cleaned or prepared for post construction operation, including removal-of all construction period sediment trapped in inlet and outlet control structures;ii.,as-built final constriction BMP plaits are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized;iii. any i Ilicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater Page 5 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: �.-^ Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 \� WPA Form 5-Order of Conditions eDEP Transaction#:333143 City/TownBARNSTABLE ;1, Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 L Standard 10;iv.all post-construction stormwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-construction BMPs is suitably established to withstand erosion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible patty(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement")for the Stormwater BMPs identifying the patty responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-tam pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit. e) Unless and until another party`accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party steal I be treated as a perrnittee for purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through I9(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater ENT&A plan and easement deed that grants the responsible party access to perfornr the required operationand maintenance must be submitted along with the legally binding agreement f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans,the O&M Plan, and the requirements of the Massachusetts Stormwater Handbook. g) The responsible party shall: ` 1.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stormwater management system or any part thereof,and disposal(for disposal the log shall indicate the type of material and the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and'inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contaminants removed From stormwater BMPs shall be disposed of in accordance with all applicable federal,-state,and local laws and regulations. Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited j) The stonmwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. + . k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter.l,Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. 1} Access for maintenance,repair,and/or replacement of BMPs shall not be withheld.Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife.passage. Special Conditions: Page 6 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided byMassDEP: �. Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 1; WPA Form 5 -Order of Conditions eDEP,Transacaon#c333143 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City(Town BARNSi ABL>✓ D. Findings Under Municipal Wetlands Bylaw-or Ordinance L Is a municipal wetlands bylaw or ordinance applicable?I✓ Yes F No 2. The Conservation Commission hereby(check_one that applies): a. •F- DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal be or bylaw specifically: 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw. b. I✓. APPROVES the proposed work,subject to the following additional conditions. -' TOWN OF 1.Municipal Ordinance or Bylaw BARNSTABLE 2.Citation S. 137.1 - 137.14 3. The Conunission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to mutucipal ordinance or bylaw are as follows: SEE SPECIAL CONDITIONS,PGS.7.1,7.2,7.3 Page 7 of 9*ELECTRONIC COPY SE3-4899 Name: Pickwick Trust Approved Plan = August 1,2010 Site Plan by Peter Sullivan,P.E. Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order of Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order;fines; requirement to remove un-permitted structures;requirement to re-landscape to original condition;inability to obtain a Certificate of Compliance, and more. The General Conditions of this Order begin on Page 5 and continue through Page 8. The Special Conditions contained herein and all Conditions require your compliance. 11. Prior to the start of work, the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The.applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commissionpnor to the start of work. 3. General Condition Number 10(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. S. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. - 6. Staked strawbales backed by trenched-in siltation fencing shall be set along the approved work-limit line. Effective sediment controls shall remain until the site is stabilized with vegetation,then they shall be removed. 7. A sequence of color photographs showing the undisturbed buffer zone shall be submitted to the Conservation Commission.. Note: the strawbales and siltation fence must show in the foreground 7.1 (or bottom of the photographs. I.H. The following additional Conditions shall govern the project once work begins. Notei especially, Special Condition Number 14, requiring verification of the locations of the foundation and strawbale line. 8. General Conditions,Numbers 14 and 15(changes in plan)shall be complied with. 9. General Condition Number 18(maintaining sediment controls)shall be complied«rith. ' 10. The work limit shown on the approved plan shall be'strictly observed. 11. There shall be no construction disturbance of the site,below(on the coastal bank or wetlands side o�the work,limit. 12. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. 13. Unless extended,this-permit is valid for three years from the date of issuance. Upon completion of the foundation,the project surveyor or engineer shall verify in writing or by plan to v the Commission the correct location of the foundation and work-limit line,and note any discrepancies from the approved plan. If verification is in the form of an"as-built'plan,the plan'provided shall be drawn at the same scale as the approved plan. 15. Any fill used for this project shall be clean fill. Fill shall contain no trash,refuse,rubbish, or debris. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof-runoff.. .17. Pool and spa shall be disinfected by ozoneinjention nr alternate ert�thnd, as approved by.the Conservation Commission. Drawdown water shall be sent to an appropriately sized leaching basin. Upon installation,a letter shall be submitted by the.installer verifying that disinfection and leaching basin requirements have been met.The location and capacity of the basin shall be verified and the means by which drawdown will" be directed to the basin shall be described — 1 ` The existing rough vehicle-access way to the bath house shall be stabilized. Advance consultation with the Conservation Agent required. 19. During construction,no area shall be left un-mulched or un-vegetated for more than thirty.(30)days. All areas disturbed during construction shall be re-vegetated immediately following completion of work at the site. Mulching shall not serve as a substitute for the requirement to re-vegetate disturbed areas at the conclusion of work. 20. All replaced lawn areas shall be underlain with a minimum of six(6)inches of loam. 7.2 n2i. The proposed mitigation planting shall be implemented. 2 The durie-side area,disturbed for the new bath house septic system,shall be restored in dune-compatible material. Advance consultation with the Conservation Agent required. , IV. After all work is completed,the following condition must be promptly met: 23. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Corrimissiori Form C shall be completed and returned,along with the request fora Certificate of Compliance and appropriate fee. Where a project has been completed in accordance with plans stamped by a registered professional . engineer,architect,landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans, setting forth what deviation(s),if any,exists with the record plans approved in the Order. This statement shall accompany the request for a Certificate of Compliance and fee,along,with an updated sequence of color pbotog_raohs of the undisturbed buffer zone. , 7.3 . r' • s Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands SE3-4899 MassDEP File# WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act.M.G.L. c. 131, §40 eDEP Transaction# Barnstable Citylrown E. Signatures Important: This Order is valid for three years,unless otherwise specified as a special SEP "�Z01O When filling out condition pursuant to General Conditions#4,from the date of issuance. 1.Date of Issuance forms on the computer,use Please indicate the number of members who will sign this form. only the tab key This Order must be signed by a majority of the Conservation Commission. 2.Numb r of Signers to move your cursor-do not The Order must be,mailed by certified mail (return receipt requested)or hand delivered to use the return the applicant. A copy must be mailed, hand delivered or filed electronically at the same . key' time with-the ropriate MassDEP Regional Office. It — " natures: - by hand delivery on ❑ by certified mail, retum receipt requested,on Iloilo (K---' Date h Date F. Appeals The applicant,the owner, any.person aggrieved by this Order,'any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions. The request must be made by"certified mail or hand delivery to the Department, with the appropriate filing fee.and a completed Request'of Departmental Action FeeTransmittal Form, as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Order. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order, or providing written information to the Department prior to issuance of a Superseding Order. The request-shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L. c. 131, §40), and is inconsistent with the wetlands regulations(310 CMR 10.00)..To'the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. wpa5sigs.doc- rev.02/25P2010 r Page Y-f� Massachusetts Department of Environmental Protection Provided by MassDEP: 1:.. Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333143 E! Massaclmusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town BARNSTABLE E. Signatures This Order is valid for three years from the date of issuance,unless otherwise specified 9/10/2010 pursuant to General Condition#4_If this is an Amended Order of Conditions,the Amended I.Date of Original Order Order expires on the same date as the original Order of Conditions. Please indicate the number of members who will sign this form.This Order must be signed by 5 a majority of the Conservation Commission. 2.Number of Signers The Order must be trailed by certified mail(return receipt requested)or hand delivered to the applicant.A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office,if not filing electronically,and the property owner,if different from applicant. Signatures: PETER SAMPOU DENNIS R.HOULE LOUISE R.FOSTER LAURENCE MORIN JOHN ABODEELY f by hand delivery on f`by certified mail,return receipt requested,on • Date r., _ . .. Date. T. Appeals The,applicant,the owner;any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant,if he/she is not the appellant. Any appellants seeking to appeal the Departments Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of tltis project Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing,requesting a Superseding Order,or providing written information . to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L.c. 131,§40),and is inconsistent with the wetlands regulations(310 C-MR 10.00).To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. Page 8 of 9*ELECTRONIC COPY f Massachusetts Department of Environmental Protection Provided by MassDEP: --- Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 A, WPA Form 5-Order of Conditions eDEP Transaction#:333143 s Cityfrown:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131,,§40 G. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located,• within the chain of title of the affected property.In the case of recorded land;the Final Order shall also be noted ni the Registrys. Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTA13LE Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Consenation Commission- ............................................ ............. ........................... .... .. ....................... To: BARNSTA13LE Conservation Commission Please be advised that the Order of Conditions for the Project at: , 71 OCEAN VIEW AVE. 003-4899 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: . County Book Page for. Property Owner ANDREW:NEWMAN,TR. and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date F If recorded land,the uBtmment number identifying this transaction is: Instrument Number If registered land,the document number identifying this transaction is: Document Number Signature of Applicant Re,.4/1/2010 Page 9 of 9*ELECTRONIC COPY REScheck Software Version 4.3.1 Compliance Certificate Project Title: The Pickwick Realty Trust, Main House Energy Code: 2009 IECC Location: Barnstable, Massachusetts Construction Type: Single Family Glazing Area Percentage: 29% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 71 Ocean View Ivan Bereznicki Associates Cotuit,MA 9 Wendell Street Cambridge,MA 02138 valentin@bereznicki.com Compliance:3.6%Better Than Code Maximum UA:8602 Your UA:8292 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Gross • • UA Assembly Area or or D•• 'Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic) 8277 38.0 0.0 206 Skylight 2:Metal Frame with Thermal Break:Double Pane with 643 0.480 309 Low-E Wall 1:Wood Frame,16"o.c. 7515 20.0 0.0 207 Window 1:Wood Frame:Double Pane with Low-E 4011 0.290 1163 Wall 2:Wood Frame,16"o.c• 6337 10.5 0.0 558 Floor 1:Slab-On-Grade:Unheated 7851 5.0 5849 Insulation depth:4.3' Compliance Statement: The proposed building design described h re is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed tiding has be n desig d to meet the 2009 IECC requirements in REScheck Version 4.3.1 and to comply with the mandatory requir ents ' eEFi e heck Inspection Checklist. Name-Title Signature Date Project Title:The Pickwick Realty Trust, Main House Report date: 08/30/10 Data filename:W:\Projects\Sidman Summer House\ResCheck Certificate\Cotuit,71 Ocean View Final 8.19.10.rck' Page 1 of 4 Pot 9^ REScheck Software Version 4.3.1 Inspection- Checklist Ceilings: 3 Ceiling 1:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: l cy1UENE L.D 'S'D SPRAY F�IPW01-4 —/Above-Grade Walls: 21 Wall 1:Wood Frame, 16"o.c.,R-20.0 cavity insulation Comments: 10Y/11,-NE-1,0-Eb SPPZAY Fo/2WOL-A MWall 2:Wood Frame,16"o.c.,R-10.5 cavity insulation Comments: b y°PZr�`P�o2Myt —/Windows: CR Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: / #Panes a Frame Type �CVQ Thermal Break? V Yes No Comments: l 'X�oN F/LLED i//1-` ; TEWP67� �LA515 •, Pcs�L. W/Nvo w crc�z �cl�`S��'�N��-c. Nd� Skylights: C/Skylight 2:Metal Frame with Thermal Break:Double Pane with Low-E,sJ-factor:0.480 Wanes Frame Type ML 11L Thermal Break? �/Yes No Comments: C�1kZ/Nl, SEA �rE7t1t7 'L /Uo S .d7T."ED /Floors: C11 Floor 1:Slab-On-Orade:Unheated,4.3'insulation depth,R-5.0 continuous insulation Comments: P164b E)027-00ED 1001-Y6.7'YRE7y�/CPS//IJ601,S-7 ION 96AP-O-SEF4YE-NER&L,Ab Slab insulation extends down from the top of the slab to at least 4.3 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 4.3 ft. Air Leakage: Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: Building envelope airtightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. Project Title:The Pickwick Realty Trust, Main House Report date: 08/30/10 Data filename:W:\Projects\Sidman Summer House\ResCheck Certificate\Cotuit,71 Ocean View Final 8.19.10.rck Page 2 of 4 (f) Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: A/ZA Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: -ICYNENE WH1 TF PAPER'. ON V,4PDX (?'r=:72-2D�K. Materials Identification and Installation: r dMaterials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided:W/ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. DErM-7V 3 Duct Insulation: S Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).- All ducts and air handlers are located within conditioned space. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial ,W1771 N//4- Building Mechanical and/or Service Water Heating(Sections 503 and 504). ek3NSr9V 0AJ Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. ` Project Title:The Pickwick Realty Trust, Main House Report date:08/30/10 Data filename:W:\Projects\Sidman Summer House\ResCheck Certificate\Cotuit,71 Ocean View Final 8.19.10.rck Page 3 of 4 Exceptions: Y Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. fighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following' (a)Compact fluorescent )4/N50%oF ! �$` @ BFpMS, U771-/7-Y A-0MS'�8�'EM�I/T (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: AIIA Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: �A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title:The Pickwick Realty Trust, Main House Report date: 08/30/10 Data filename:WAProjects\Sidman Summer House\ResCheck Certificate\Cotuit,71 Ocean View Final 8.19.10.rck Page 4 of 4 I 2009IECC Energy Efficiency Certificate atio . Ceiling/Roof 38.00 Wall 10.50 Floor/Foundation 5.00 Ductwork(unconditioned spaces): r Window 0.29 Skylight 0.48 Door Heating System: Cooling System: Water Heater: Name: Date: Comments: ResCheck COMPLIANCE CERTIFACATE THE PICKWICK REALTY TRUST, MAIN HOUSE 71 Ocean View Avenue Cotuit,MA GENERAL NOTES September,8 2010 Architect: Ivan Bereznicki Associates, Inc. 9 Wendell Street Cambridge, Massachusetts 02138 (617) 354-5188 phone (617) 868-5764 fax IBA Project#01010.00 The Pickwick Realty Trust—Main House.71 Ocean View Avenue, Cotuit, Massachusetts Project#01010.00 Calculations for this ResCheck Compliance Certificate (The Pickwick Realty Trust, Main House, 71 Ocean View, Cotuit. MA) are based on the following design factors: a). Exterior walls to be 2x8 wood frame 16" O.C. typically and as shown on the Drawings with cavity spray insulation of R-value = 20 or greater (Icynene or equivalent architect approved product). b). Foundation walls in the basement to be insulated with spray insulation of R- value = 10.5 (Icynene or equivalent architect approved product) between 2x4 wood framing at the foundation wall exterior perimeter. c). Underslab insulation to be rigid extruded polystyrene (XPS) insulation board, 4.' wide and 2" thick at the basement slab perimeter, and 1" thick below the rest of the slab. d). Roof(ceiling) insulation to be spray insulation of R-value = 38 (Icynene or equivalent architect approved product). e). All window and glazed exterior doors to be custom wood frame assemblies with double pane low-E insulated glazing manufactured by: Artistic Doors & Windows, Inc., 10 S. Inman Ave, Avenel, NJ 07001.; Architectural Openings, Inc., 16 Garfield Ave. Somerville, MA 02145; Little Harbor Co, 11 Little Harbor Rd., Berwick, ME 03901; or Dynamic Architectural Windows and Doors, Inc., 30440 Progressive Way, Abbotsford, BC, Canada. U-factor of glazed assemblies to be 0.29 or less. Glazing package typically to consist of%" tempered glass (exterior side): Y2' of argon filled cavity; %" tempered glass (interior side). For Main Stair Tower glazing.- 2 layers of tempered laminated glass (exterior side); '/2" of argon filled cavity: tempered glass (interior side). Wind load resistance calculations to be provided by the window manufacturer and shall comply with the Massachusetts Building Code design criteria requirements (780 CMR 5301.2 (4)). Breakage resistance of the glazed assemblies to enhanced by removable hurricane protection (Kevlar) screens. f). Skylight over attic area to be metal frame with thermal break, double pane, low-E glazing: 2 layers of %" laminated heat strengthened glass (exterior side); '/2' of argon filled cavity; %" tempered glass (interior side), Pinnacle 350-Hurricane series by Wasco Products, Inc. or equivalent architect approved product. Assembly U-value to be not greater than 0.48. ResCheck Compliance Certificate. General Notes. Ivan Bereznicki Associate, Inc. 9/8/2010 1 Office of Consumer Affairs and 2usiness Regulation 10 Park Plaza Suite 5170. Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 Type: Private Corporation Expiration: 6/30/2012 Tr# 200714 ERNEST B. NORRIS & SON INC Craig Ashworth 138 Osterville W. Barnstable rd. Osterville, MA 02655 `r, 1 Update Address and return card.Mark reason for change. Address F-1 Renewal F—] Employment Lost Card DPS-CA1 0 50M-04/04-G1001�216 /r� �p office of CS me'AW a.rs-fiVines�'afion�. License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:„�1.02014 Type: Office of Consumer Affairs and Business Regulation Expiration: .`.6/30/2012 Private Corporation . 10 Park Plaza-Suite 5170 Boston,MA 02116- ERN1 ST B N0RRIS&SON INC Craig Ashworth Cic 1 138 Osterville W. Barnstable rd r - Osterville, MA 02655 Undersecretary Not valid without signature 3 1 Libe�'.}J�, The Ohio Casualty Insurance Company MUtUalo 9450 Seward Road,Fairfield,Ohio 45014 Bond# 5086586 BOND KNOW ALL MEN BY THESE PRESENTS: That we E.B.Norris&Son,Inc. 138 Osterville-West Barnstable Road Osterville MA 02655 Street Address City State ZIP Code (Full Name[top line]and Address[bottom line]of Principal) (hereinafter called the Principal) as Principal, and , The Ohio Casualty Insurance Company with principal offices at Hamilton, Ohio(hereinafter called the Surety)as Surety,are held and firmly bound unto Town of Barnstable 200 Main Street Hyannis MA 02601 Street Address City State ZIP Code (Full Name]top line]and Address{bottom line]of Obligee) (hereinafter called the Obligee),in the penal sum of One Thousand,Ninety Six Dollars&00/100 (Dollars)$ 1,096.00 for the payment of which well and truly to made, we do hereby bind ourselves, our heirs. executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has made or is about to make application to the Obligee for a License to Rennovate a Single Family Home at 71 Oceanview Ave. Cotuit,MA 02635,270'frontage. for a term beginning on September 17,2010 and ending on* September 17,2011 (*strike out if license or permit is for an indefinite term) NOW,THEREFORE,if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to comply with the laws or ordinances under which said license or permit is granted, or any lawful rules or regulations pertaining thereto, then this obligation shall be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below; but if said license or permit was issued for a specific term, and is renewed for one or more specific terms, this bond will be extended to cover such additional term(s) upon the execution by the Surety of a Continuation Certificate, provided such certificate is acceptable to the Obligee. In no event , however, shall the liability of the Surety be cumulative from year to year or from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in Ting ten(10)days in advance of its intention to do so. SIGNED,SEALED AND DATED E.B.Norris&Son,Inc. By: Principal The Ohio Casualty Insurance Company By: Martha A. Kenney ttomey-in-Fact S-3853 License or Permit Bond (Unnumbered) r _ Principal: E.B.Norris&Son,Inc. POWER OF ATTORNEY POA Number: 40-463 THE OHIO CASUALTY INSURANCE COMPANY Obligee: Town of Bamstable WEST AMERICAN INSURANCE COMPANY Bond Number: 5086586 Know All Men by These Presents:THE OHIO CASUALTY INSURANCE COMPANY,an Ohio Corporation,and WEST AMERICAN INSURANCE COMPANY,an Indiana Corporation pursuant to the authority granted by Article III,Section 9 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company and West American Insurance Company do hereby nominate,constitute and appoint: Mark McCartin,Robert W.Miller,Kelly C.Bolton or Martha A.Kenney of Hyannis,Massachusetts its true and lawful agent (s) and attorney (s)-in-fact, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all BONDS, UNDERTAKINGS, and RECOGNIZANCES, not exceeding in any single instance ONE MILLION ($1,000,000.00) DOLLARS, excluding, however, any bond(s) or undertaking(s)guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the Companies at their administrative offices in Fairfield,Ohio,in their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(s)-in-fact. In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company and West American Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of each Company this 7th day of January,2008 �•SY INS( N INSU SEAL SEAL °:aa 3 Sam Lawrence Assistant Secretary STATE OF OHIO, COUNTY OF BUTLER On this 7th day of January,2008 before the subscriber,a Notary Public of the State of Ohio,in and for the County of Butler,duly commissioned and qualified,came Sam Lawrence, Assistant Secretary of The Ohio Casualty Insurance Company and West American Insurance Company,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of the Companies aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and the said Corporate Seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Hamilton,State of Ohio,the day and year firstabove written. ,�prutuuull/` Notary Public in and for County of Butler,State of Ohio My Commission expires August 5,2012 This power of attorney is granted under and by authority of Article III,Section 9 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company and West American Insurance Company,extracts from which read: Article III,Section 9. Appointment of Attorneys-in-Fact. The Chairman of the Board,the President,any Vice-President,the Secretary or any Assistant Secretary of the corporation shall be and is hereby vested with full power and authority to appoint attorneys-in-fact for the purpose of signing the name of the corporation as surety to,and to execute,attach the seal of the corporation to,acknowledge and deliver any and all bonds,recognizances,stipulations,undertakings or other instruments of suretyship and policies of insurance to be given in favor of any individual,firm,corporation,partnership,limited liability company or other entity,or the official representative thereof,or to any county or state,or any official board or boards of any county or state,or the United States of America or any agency thereof,or to any other political subdivision thereof This instrument is signed and sealed as authorized by the following resolution adopted by the Boards of Directors of the Companies on October 21,2004: RESOLVED,That the signature of any officer of the Company authorized under Article III,Section 9 of its Code of Regulations and By-laws and the Company seal may be affixed by facsimile to any power of attomey or copy thereof issued on behalf of the Company to make,execute,seal and deliver for and on its behalf as surety any and all bonds, undertakings or other written obligations in the nature thereof;to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment. Such signatures and seal are hereby adopted by the Company as original signatures and seal and shall,with respect to any bond,undertaking or other written obligations in the nature thereof to which it is attached,be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATE I,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,American Fire and Casualty Company and West American Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Companies and the above resolution of their Boards of Directors are true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF,I have hereunto set my hand and the seals of the Companies this 17th day of September 2010• I'l INS& HINSU r ° SEAL ;3 W SEAL ;s' w; Mark E.Schmidt Assistant Secretary r Department oflndustrial Accidents• Office oflnvestigations t V t � r � 600 Washington Street Boston,MA 02111 "tt;- www.mass.gov/dia Workers' Compensation Insurance Affidavit: B.uilders/Contractors/Electricians/Plumbers Applicant Information Please Print Leedbly Name (Business/organizationadivicival): Address: �3S 4�1-�EZ!llLl� l�. 1Zev� AGE J� City/State/Zip: kre pu an employer? Check the appropriate box: Type of project{required);. am a employer with Qy 4; ❑ I am a general contractor and I employees(full and/or part-time).*• have hired the'sub-contractors 6, ❑New construction ❑ I am a sole proprietor or partner- listed on the attached sheet, t ❑Remodeling ship and have no employees These sub-contractors have $, El Demolition working for me in any capacity, workers' comp;insurance, g ❑Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required] officers have exercised their 10,❑Eleotricalrepairs or additions [] I am a homeowner doing all work right of exemption per MGL. 11,0 Plumbing repairs or additions . myself, [No workers' comp. c, 152, §1(4),and we have no 12,❑koof repairs insurance required.] t employees,.[No workers' comp.insurance required.] 13,❑ Other my applicant that cbecks box#1 must also fill out the section below showing their workers'compensation policy information, iomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. rm an employer that isproviding workers'compensation insurance for my em (ormation. ployees. Below is the policy and job site � . surance Company Name:_ C-4 D! •licy#or Self-ins,Lic, Expiration Date: D 6 Site Address: 7/ OG041J A)e City/State/Zip: a7'D/ tach a copy of the workers' compensation policy declaration page (showing the-policy number and expiration date). ilure to secure coverage as required under Section 25A of MGL e, 152 can lead to the imposition of criminal penalties of a . :e up to$1,500.00 and/or oue-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office-of vestigations of the DIA for insurance coverage verification, !o hereby certify under the pains and penalties of perjury that he information provided above is true and correct. Make., e: one#: Official use only, Do not write in this area,to be completed by city or town official City or Town; Permit/License# L Authority(circle.one);of Health 2.BuiIdingDepartment 3. City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector Person: Phone 9: Client#:646400 2NORRISEB ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE( WDD PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Acadia Insurance E.B.Norris&Son.,Inc. INSURER 8: - 138 Osterville West Barnstable Road INSURER C: Osterville,MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MMIDD LIMITS A GENERAL LIABILITY BINDER307009 05/03/10 05/03/11 EACH OCCURRENCE $1,000,000 N:—001M MERCIAL GENERAL LIABILITY DAMAGE TO RENToccEDrrence, $25O OOO CLAIMS MADE 7OCCUR MED EXP(Any one person) $5 00O PERSONAL&ADV INJURY $1 000 000, GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG s2,000,000 POLICY E a LOC A AUTOMOBILE LIABILITY BINDER307008 05/03/10 05/03/11 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $1,000,000 X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $1,000,000 PROPERTY DAMAGE $SOO,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ 1 FOTHER THAN AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY BINDER307011 05/03/10 05/03/11 EACH OCCURRENCE $10 000 000 X OCCUR CLAIMS MADE AGGREGATE $1 O 000 000 DEDUCTIBLE $ X RETENTION $O $ A WORKERS COMPENSATION AND BINDER307010 05/03/10 05/03/11 X WC STATU- O R EMPLOYERS'LIABILITY - - E.L.EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDEDI NO E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION _ Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S69611/M69610 CR © ACORD CORPORATION 1988 4 ' s Massachusetts - Dcpart►nent;of public Safetj Board of Buildim,Ael-ulatitins and Standards Construction Supervisor License ,License: CS 15851 Restricted to 00 #! ,.CRAIG N ASHWORTH 1 138 OST W BARNSTABLE �4 , OSTERVILLE,WA 02655 -- - �` Expiration:, 9/28/2011 f. OpiltillissiOlIIVI' Tr#: 3091 .1 ` - SUBDIVISION PLAN OF LAND IN BARNS TABLE Baxter & Nye Inc., Surveyors .39 770C June 29, 1993 V �'E a �poa� Oat• 1� ^I , $, Jomes r. Hill o �q8• m r1C.B.� dl et o1 a se.tso1�3�01� �2�• 1\C.B.` `try ,060g '31-��C.B. s z ipo LOT C �`e. t4c& 6 M p15 X !CO. �6��, ` S.SM. r`` q41 z `\V Na69 . C8 c A Bu C.B. ^' tn Ml/61aLMark rr \ �0^ �.� C8. (Y down) . Of Ady 1922,E 0 Subdivision of Lots 1 and 2 Shown on Plan 39776—B° �nooJ � h Filed with Cert. of Title No.-79123 p�Y Registry District of Barnstable County Seporote certificates of title may be issued for load Abutters are shown as By the court. U shown hereon as L s 5 " d 6 on originot decree plan. .,.� .�.. ya a_- MR/1 25, 1996' Record LAND REGISTRATION OFFlCE ocr. 6, 1993 JAV-oaCS ScaleN��frtows Aor for Cwf I r T6-wxt of Barnstable RegiYIat�#�y Services - _ t'� 7'Go'masAf.6-eller,Dfrector i'' '`�_•�, `Biwtidhig'Divisloa f . Tom f'erryt biil&ng Commissioner 20D Main S4rrbt;$yannie,MA 026014 : wwVi.towd.bgrnstable.ma,us Office: 508-962-4038 xFax. S08 790-6230 PropeAy PVAer Must Complete and Sign This Secfiori If YJ'i A BOdex t �-tee cry l7+:. •Gl r ,as Owner of the,subject;••IY}: tt�- heroby authorize /,t C. to act u ,'bf iriailmatters.relative towork .authotizeci by this building permit apglicatiorifo ��: • ,:F. . Address bf job) fuze of Owner Date -�.I�.� mac..�_ � ., -��r,.•-�1.- if y d-• 'art.Ji•:JJ.`• - -- � for em-Aplease'co �vteits Lserise' cem'r<pion Form on the reve��: • ti• :�3w3r .a.§r�•_• . ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Z Parcel Application # Health Division 2010 r'>� `Y � 10 Date Issued Z, Conservation Division �� ,Application Fee d Planning Dept. Per Fee;' Z Date Definitive Plan Approved by Planning Board Historic - OKH +� _ Preservation / Hyannis Project Street Address 7Z 66 E Village �67-v Owner � �� R co� �ir2aa�2l'�ES Address 5� EZAL ST .SosTo� 1/ a Z//a Telephone C!o �- N© /S p ' Permit Request �U/L A ti/�W �eU�clt��4-tt�TJP �FLi�MD V Se- .4 1- et2 0-AJ3 Square feet: 1 st floor: existing proposed3o2nd floor: existing /��18` proposed Lj t9' Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �W* 0®a Construction Type Gy/? rRA of r,-' Lot Size Srjee5 Grandfathered: ❑Yes O(No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure *6 C Historic House: A Yes ❑ No On Old King's Highway: ❑Yes XNo Basement Type: AFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 4 Basement Unfinished Area (sq.ft) /98y Number of Baths: Full: existing 2 new 2- Half: existing / new Number of Bedrooms: 3 existing 3 new Total Room Count (not including baths): existing new First Floor Room Count (o Heat Type and Fuel: 4 Gas ❑Oil ❑ Electric ❑ Other Central Air: XYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo Detached garage: ❑existing Tiew y'ize—Po,ol: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ 4 Attached garage: ❑ existing ne size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ n Commercial ❑Yes )(No If yes',-.-site plan review,# ' Current Use /FS/17G� Proposed Use (APPLIC) �T INFORMATION (BUILDER OR HOMEOWNER) Name lJokEo " Telephone Number �08 72 6cS� Address /3F & � I12/-LC/�• License # P _ Home Improvemenrcontractor# \Worker's Compensation # 5/N�� 307010 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR !/ ATE l// -! D r FOR OFFICIAL USE ONLY APPLICATION# M� z :DATE ISSUED- fS! EC, . 5.'T u . MAP/PARCEL NO.., f -ADDRESS..,. rF VILLAGE•-' OWNER,- vie .� f t: - - •' �t13 � � - d r • DATE OF INSPECTION: FRAME - r I► `'INSULATION 1-2,114 FIREPLACE f ` ELECTRICAL: ROUGH -FINAL- , ' PLUMBING: ROUGH =" FINAL y �. GAS 'ROUGH + `. FINAL-'' ifFINAUBWILD.ING -_�DATE CLOSED OUT ASSOCIATION PLAN NO. _ - • Parcel Detail Page 1 of 3 / lit, M (/ JJl J`��f. Logged In As: A Monday, November 29 2010 .Parcel Detail Parcel Lookup Parcellnfo Parcel ID 034-045 I Developoot LOT 5 Location 71 OCEAN VIEW AVENUE y I Pri Frontage 269 Sec Road Sec Frontage Village COTUIT I Fire District.COTUIT Sewer Acct I Road Index 1136 Asbuilt Septic Scan: f -� 034045_1 InteracMaP e 034045 2 a! ,s,! m •. - Owner Info owner CRAWFORD, KATHLEEN S TRS I , Co owner PICKWICK REALTY TRUST Streets C/O THE BEACON COMPANIES'_ I Street2'`50 FEDERAL ST., 4TH FL city BOSTON I State MA ' zip 02110 Country +� Land Info Acres 4.66 use Multi Hses MDC-01 Y I 2oning RF_ J' Nghbd 0122 Topography Rolling,Level Road Paved utilities Public Water,Gas Location Wate front,Excel View W Construction Info Building 1 of Year Roof Ext Built 1924 struct Gable/Hip� j. Wall Wood Shingle g 'A S� Living 4056 I Roof Asph/F GIslCmp Ac None I a 4a� Area Cover Type �I 55y Int Bed 3a M.q Style Colonial I` Plastered 2 Bedrooms ( Wall Rooms 7 t 55 fib' 3 r rt � BA ;[7. • •a `�'y�v,�+Ef Model Residential I Int L' Bath 3 Full +.2H I � �s Floor Rooms 1 � GAR Heat Total Grade Custom ) Type Hot Water P Rooms 9 Rooms Stories 2 Stories I Heat Oil I Found- Fuel ation Gross 10851 Area - Building 2 of 2 Year 1920 Roof Gable/Hi Ext Wood Shin le Built �Struct p ry I Wall g http://issgl2/intranet/propdata/Parcelt)etall.aspx?ID=100171 1.1/29/2010 [. Parcel Detail Page 2 of 3 Living 1128 ( Roof ASph/F GIs/Cmp I AC`NonewN I t�X Click'for Building Detail Area Cover Type f. {j I - Style Ranch Wall Drywall { Rooms'2 BedroomsInt Bath li Model Residential Floor =� Rooms Full I . Grade Average I Heat Hot Water Total I I Type -- Rooms Heat {{Found- { Stories I Fuel Gas l ation Conc. Slab II Gross 1529 I '' Area 01 Permit History Issue Date Purpose Permit# . Amount Insp Date Comments, ' 6/30/201012:00:00 10/20/2009 Repair Work 200904572 $85,000 ° AM. BEACH/BTH HSE 71 3/10/2004 Other 75237 $0 GAS FURNACE 5/2/2001 New Roof 53123 $7,500 REROOF-STRIP OLD 7/27/2000 Out Building 47677. $20,000 REBLD EXIST GAZEBO 4/2/1997 Addition 22756 $8,250 11X8 BTH TO COTTAGE 5/30/1993 Remodel 6047 $200,000 EXIST STRUCT Visit History Date Who Purpose 7/12/2010 12:00:00 AM Nancy Finch Bldg Permit Completed 6/4/201.0 12:00:00 AM Nancy Finch Bldg Permit Completed 6/3/2010 12:00:00 AM Mike Keating New Construction 5/20/2010 12:00:00 AM Mike Keating New Construction 7/13/2009 12:00:00 AM Denise Radley In Office,Review 6/2/2005 12:00:00 AM Paul Talbot Meas/Est 4/13/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior.Access Sales History. Line Sale Date Owner Book/Page Sale Price 1 12/17/2007 CRAWFORD, KATHLEEN S TRS C184833- ` - $1 2 1-2717/2007 CX Y, J'ROBERT TR #D1079185 $0 3 �-5/20/2002 CRAWFORD, KATHLEEN S, TRS C165300-`- $0 4 10/10/1996 CRAWFORD, KATHLEEN S C142301 $1 5 CRAWFORD, FREDERICK C P0220FE1 . . $0, 6 CRAWFORD, FREDERICK EST OF C79123 $0 • Assessment History http;//issgl2/intraneUpropdata/ParcelDetail.aspx?ID=100171 11/29/2010 f Parcel Detail Page 3 of 3 Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2010 $451,800 $0 $0 $2,862,900 $3,314,700 2 2009 $625,300 $0 $0 $4,477,900 $5,103,200 3 2008 $657,500 $0 $0 $4,663,600 $5,321,100 5 2007 $691,300 $0 $0 $4,663,600 $5,354,900 • r 6 2006 $597,400 . $0 $0 $4;360,100 $4,957,500 7 2005 $511,300 $0 $0 $4,291,800 $4,803,100 8 2004 $422,600 $0 ` $0 $3,831,400 $4,254,000 9 2003 $363,800 $0 $0 $4,598,300 $4,062,100 10 2002 $363,800 $0 $0 '$4,598,400 $4,962,200 11 2001 $363,800 $0 $0 $4,598,400 $4,962,200 12 2000 $230,600 $0 $0 $1,375,600 $1,606,200 13 1999 $230,600 $0 $0 $1,375,600 .$1,606,200 14 11998 1 $227,500 $0 $0 $1,373,800 $1,601,300 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=100171 11/29/2010 o °FINE A Town of Barnstable Barnstable Historical Cormlission sARtvsTns> 200 Main Street,Hyannis,Massachusetts 02601 y MASS. - (508) 862-4786 Fax(508) 862-4725 1639. www.town.bamstable.ina.us ATFD NfA'�a y Linda Hutcheririder,Town Clerk 367 Main Street Thomas Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 Attorney Michael Ford 72 Route 28 R West Harwich,MA 02671 Re: DECISION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7 APPROVING the application for DEMOLITION AND RELOCATION of property as follows:- Location: 71 Ocean view Avenue,Cotuit Assessors map and parcel: 034 045 Applicant/owner: 1. Robert Casey, T- n Pickwick Realty Trust Background An application was filed for demolition by relocation of the main house on the property and demolition of the eight car garage and caretakers cottage, attached to the garage. At the meeting of the Barnstable Historical Commission August 12, 2010,the Commission considered this application. They found that the garage and(attached) caretakers cottage were not architecturally or historically significant, and demolition could proceed on these buildings, but that the main house constructed in the 1920's,was on an initial basis,historically and architecturally significant. Based on this finding,the Commission voted to hold a public hearing on the application. Members of the Historical Commission visited the site August 18, 2010. On September.l.,2010 the Commission held a duly noticed public hearing on demolition by relocation of the main house. It was determined that the house was originally built in the 1920's and then redesigned by Royal Barry Wills, an outstanding,historical architect.of the New England Region. r t. t Attorney Ford stated that the larger two-story house would be moved to another location on the lot,closer to Ocean View Avenue. A small connector portion to the garage would,be moved with the main building and a second story added. Members requested that efforts be made to relocate the caretakers cottage (attached to the garage), and to deconstruct the garage for salvage, especially the doors and windows. Based upon review of the evidence submitted and a visit to the site by several members,the Commission voted unanimously to approve the relocation of the rnam, architecturally and historically important residence at 71 Ocean View Avenue,to a location on the same lot, closer to the Ocean View Avenue. Present and voting unanimously to approve were: Barbara Flinn, Chairman,Marilyn Fifield, George Jessop and Len Gobeil: Absent: Nancy Clark and Jessica Rapp Grassetti: September 2010 Signed,Barbara Flinn, Chairman Date 4 Client#:646400 2NORRISEB ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(20;0) PRooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION . Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Acadia Insurance E.B.Norris&Son.,Inc. INSURER B: 138 Osterville West Barnstable Road INSURER C: Osterville,MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY.REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIESDESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR VDffTE - POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDD LIMITS A GENERAL LIABILITY BINDER307009 05/03/10 05/03/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAG ET ERaENTEDPR $250 OOO CLAIMS MADE FX1 OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000, GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG $2,000,000 t POLICY JECOT El LOC A AUTOMOBILE LIABILITY BINDER307008 05/03/10 05/03/11 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $1 0O0 O0O X SCHEDULED AUTOS (Per person) > , X HIRED AUTOS BODILY INJURY $1 000 000 X NON-OWNED AUTOS (Per accident) > > PROPERTY DAMAGE $500,000 (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT.. $ - ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY BINDER307011 05/03/10 05/03/11 EACH OCCURRENCE $10 000 000 X OCCUR CLAIMS MADE AGGREGATE $1 O 000 000 DEDUCTIBLE $ X RETENTION $0 - $ A WORKERS COMPENSATION AND BINDER307010 05/03/10 05/03/11 X WC OI'ySTATU'IT- OPp TH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE -- OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION -Town of-Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'n DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ,REPRESENTATIVES, AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)-1 of 2 #S69611/M69610 CR © ACORD CORPORATION 1988 I V�e No. U r Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIP.Piication for �.Difspo!5ar 6p9tcm &n5truction Permit Application for a Permit to Construct(Repair O Upgrade( Abandon �-� O <'I Complete System El Individual Components Location Address or Lot No "7�C�►44gln V S\It ' Owner's Narpe,Add re s,and Te�1.No. L'`"� P�cx.�j idT I N9A!1c�t✓ m4�Zr Assessor's Map/Parcel Q S' �!a-Zlie �Cs�a n�urftpan�-o-So Fm1c:x15�. 'tith tyeor B�s1�ti, MA ezlto Installers Name,Address,and Tel.No, kn dd dos ener's arn�d el No +�Sy - - -=-TYpe of Building: _Dwelling -No of Bedrooms _w - - ot Size' z Other Type of Building - Grinder sq. ft Showers Garbage 130) --- No.of Persons ' ( ., Cafeteria( ) Other Fixtures Design Flow(min.required) �3 L _ gpd Design flow provided 3�f 7 gpd Plan Date cr •� [ cl(, Number of sheets Revision Date - Title Size of Sep �.QtU 16Ut3i y, `�1SV4 3 —" . tic Tank Type of_S.A.S._36_xl .c55 2- ie� Description of Soil (3-15" ElLl 4 i;-3� LAB Z 5`I (n�J S�kM7 Nature of Repairs or Alterations(Answer(when applicable) a0�c►collK� 61410 �1© —7/K211 Date last inspected. . Agreement: The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until'.a Certificate of Compliance has been issued by this Board of Health. Signed 'Date Application Approved by a r Date Application Disapproved by: Date for the following reasons PermtrNo. Date Issued -/y .. ——————— - - -- THE'COMMONWEALTH OF MASSACHUSETTS == --- — _ BARNSTABLE, MASSACHUSETTS. - n�erttftcate of �Corrtiiartce THIS IS T O_CERTIF�'that the 9x-site_Sewage-Disposal-System-Coristructed - J- - (�� Repaired ( )._..Upgraded`( ) Abandoned( )by at ']�b16 yt.E`, (4UA has been constructed in accordance with th-e pzo-visions_of_Title 5-and=the-for-Bisposal-System-Construction-Permit No �(D - y /(j " Installer -dated O _5 • - .. Designer #.bedrooms -. Approved design flow C) gpd The issuance of this permit shall not.be construed as a guarantee that the system will function as designed. Date Inspector No. o/L) --------------- — ——— => Massachusetts - Department of PublicSafety # Board of Building Re!-ulations and Standards 4 Construction.Supervisor License ,License: CS 15851 Restricted to 00 t. ,,CRAIG N ASHWORTH w 138 OST;W-BARNSTABLEF ' OSTERVILLE;MA 02655 Expiration: 9/28/2011 C'onunis�ivner Tr#: 3091 • .. I d _62 --' / Office of Consumer Affairs and 2USiness Regulation W- = 10 Park Plaza - Suite 5170 - Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 Type: Private Corporation ,r Expiration: 6/30/2012 Tr# 200714 ERNEST B. NORRIS & SON INC Craig Ashworth I~ 138 Osterville W. Barnstable rd. Osterville, MA 02655 �r Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment ❑ Lost Card DPS-CA1 Ca 50M-04/04-G1001n216 �� Office of"Oo me'Aair� ineeg a� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1`� Registration: ,,102014 Type: Office of Consumer Affairs and Business Regulation Expiration:•,,6/30/,2012 Private Corporation 10 Park Plaza-Suite 5170 Boston MA 02116 E iEST B. NORRIS&SON INC Craig Ashworth 4f - 138 Osterville W. Barnstable rd Osterville, MA MA 02655 = - Undersecretary Not valid without signature r 1— f i The Cominonwerrlth of1jlassachusetts } . � "Department of Industrial flccidents ,t R' Office of fn-pestzgations 600 )Yashirrgton Street t Boston, MA'02I11 r www,mass.gov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeffiblY Name (Business/Organization/Individual): r Address: L3f' E ✓l LL.� AIPAJ City/State/Zip: g e926 SS Phone #: . Z Are you an employer?-Check the appropriate box: Type of project(required): 1. 1 am a employer with 4• `❑ I am a general contractor and I 6 New construction employees(full andlorpait-time).* have'hired [be sub-contractors., 2.El I am a sole proprietor-or partner- listed on the attached sheet. 7. ❑ Remodeling These sub-contractors have g• ❑ Demolition ship and have no employees working for me in any capacity. employees and have workers' . 9.• ❑ Building addition [No workers' comp. insurance comp. insurance. 5. We are a corporation and its 10.❑ Electrical repairs or additions required.] ° 3.0 I am a homeov✓ner.doing alI work officers have exercised their 1 I.0 Plumbing repairs or additions myself. [No work ers, comp- right of exemption per MOL 12•E]Roof repairs wired. t c. 152, §1(4), and we have no insurance required.]] 13.❑ Other employees. [No,workers' comp. insurance required.] ' ny applicant that chcc)s box ft1 must also fill out the section below showing their workcrs'compe A nsation policy nforma-Lion. t Homcbwncrs who submit this aftidavil indicating Lhcy arc doing all work and then hire outside contracLors must submil a new affidavil indicating such. 1Contractors that check this box must atiachcd an additional sheet showing the name of the sub-contractors and stale whether or not those cntitics have employees. If du sub-contractors have employees,they must provide their workcrs'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: /- a 01 A l A�50&.9 AGE Policy# or Self-ins. Lic. #: BI AJ(7Ele 35>7_O�2g Expiration Date: Job.Site:Address: ��'o�l V/ Ve City/State/Zip: d7Ul.T 3 S 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 ofMOL c• ;152 can lead to the'imposition of criminal penalties of a fine up to $1,500.00 and/or one-yeas imprisonment, as well as civil'penaltics 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 Lnvestigations of the DLk for insurance.coverage verification. ' I do hereby certi under the pains d aaies'o perjury that the information provided above is true and correct Si gpattire; a Phone # Official use only. Do not write in this area, to be completed by city or town offrciaL d _ City or Town: Fermit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk. 4. Electrical Inspector 5. Plumbing Inspector . r 6. Other Phone Contact Person: #: REScheck Software Version 4.4.0 Compliance Certificate Project Title: The Pickwick Realty Trust Guest House Energy Code: 2009 IECC Location: Barnstable, Massachusetts Construction Type: Single Family Glazing Area Percentage: 21% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Barnstable(Cotuit) Ivan Bereznicki Associates,Inc., E.B.Norris and Son,Inc. Architects 138 Ostervi Ile-Barn stable Road 9 Wendell Street Osterville,MA 02655 Cambridge,MA 02138 (508)426-1165 (617)354-5188 cashworth@ebnorris.com info@bereznicki.com MANK Compliance:0.0%Better Than Code Maximum UA:234 Your UA:234 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing UA Area or or D•• Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic) 1464 33.3 0.0 45 Wall 1:Wood Frame,16"o.c. 1254 19.8 0.0 58 Window 1:Wood Frame:Double Pane with Low-E 128 0.310 40 Window 2:Wood Frame:Double Pane with Low-E 21 0.310 7 Window 3:Wood Frame:Double Pane with Low-E 111 0.290 32 Window 4:Wood Frame:Double Pane with Low-E 5 0.290 1 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1232 23.0 0.0 51 Compliance Statement: The proposed building design described here i consistent wi the-build' g plans,specifications,and other calculations submitted with the permit application.The proposed buildifig has n signed tom et the 2009 IECC requirements in REScheck Version 4.4.0 and to comply with the mandatory requiremelts li ed in th REScheck nspection Checklist. Name-Title Signature Date Project Title:The Pickwick Realty Trust Guest House Report date: 11/19/10 Data filename:W:\Projects\Sidman Guest House\Sidman Guest House.rck Page 1 of 1 > Town of Barnstable Conservation Commission # 244 Main S#reet Hyannis Massachusetts 02601 Offices SM962 4493 ' FAX 598-778-U12 Form A For SE3-, � ALL.PARTIES INVOLVED WITH THIS PROJECT MUST SIGN THIS STATEI MNT b The undersigned comam that they have read and umderstand the Notice of Intent,Order of Conditions,and approved plain for the project.The undersigned also understand that subsequent plan revisions shall require advance approval by the Conservation Commission, Please gin name on this ' Please n�'nt name ou this line, ii er '(t>>! � Data Return this form to:. Barnstable Comaervation Commission 240 Main Street • uyannis�h�.-�26c�1 — --- 1--- Fax:508 778-2412 5EP-15-2010 17.01 From: To:517 4822925 P.2/2 Sep 15 2010 1:25PM Thc` Beacon Companies G17 482-0925 p.2 TOVM of Raxnstable Cansemdou CotopmWom goo Mein sut6l. HYRIWe Massa tttsetts 02601 MIN 0&404M VAX Mqn4U2 Below please t act the names,sd hmas,and bua'=m tdomp numban of the pxojact fi%W W and Wtamate p mjad We vbor Who aro respo"W for MUdugr on•tdte campliM" with the Order of CondItIm. , ftjcct supanuor Alkwate Project supw4or Nat3te Name Addkreao f w ALL P. mu oo) !!i; Dusb a 1t lepho:3s* Bua3aoas Talophoaa# beta TXQ Nam A t' l dWaMt) Dtde l?rlat Name RMM this fo=to-. Bamstebla Consaradan cm=gsdon • . 20t1 Mntn Strad,H,yemtia,MA t)2fA1 � ' • � .. _ Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4899-- f Ll WPA Form 5-Order of ConditionseDEP Transaction#333143 Massachusetts Wetlands ProtectionAcrM.G.L.e.131,§40 City/f own.BARNSTABLE A.General Information 1.Conservation Commission BARNSTABLE 2.Issuance a. r OOC b.F' Amended OOC 3.'Applicant Details a.First Name ANDREW b.Last Name NEWMAN,TR C.Organization PICKWICK REALTY TRUST ' d.Mailing Address C/O THE BEACON CO.,50 FEDERAL ST.,4TH FL C.City/I'awn BOSTON f.State MA g Zip Code 02110 4.Property Owner a.First Name ANDREW b.Last Narne' NEWMAN,TR. c.Organization PI=1ICK REALTY TRUST d.Mailing Address C/O THE BEACON CO.,50 FEDERAL ST.,4TH FL. e.Citytrown BOSTON f State MA g.Zip Code 02110 5.Project Location a.Street Address 71 OCEAAT VIEW AVE. b.City/Town BARNSTABLE c.Zip Code 02635 d.Assessors Map/Plat#034 e.Parcel/Lot## 045 f.Latitude 41.61066N g Londc 70.43467W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page BARNSTABLE C.184833 LOT.5 P.39770-C 7-Dates a.Date NOI Filed:8/6/2010 b.Date Public Hearing Closed:8/24/2010 e.Date Of Issuance:9/1012010 8Yinal Approved Plans and Other Documents a.Plan Title: b.Plan Prepared by: c.Plan Signed/Stamped by: ' d.Revised Final Date: e.Scale: ' 7 SITE PLAN ENULINEERING,INC. PETER SULLNA]\T,P.E. August 1.,2010 1"=30' B. Findings I Findings pursuant to the Massachusetts Wetlands Protection Act Page I of 9 ELECTRONIC COPY s. Massachusetts Department of Environmental Protection Provided byM—DEP: Bureau of Resource Protection-Wetlands MassDBP File#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333I43 Massachusetts Wetlands Protection Act M.G.L.c. 13I,§40 City/Town:BARl�'STABLE Following the review of the tiuc above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. r— Public Water Supply b. r Land containing shellfish c.r Prevention of Pollution d: r- Private Water Supply e. r- Fisheries f P Protection of Wildlife Habitat g f Ground Water Supply h Fv Storm Damage Prevention i. r Flood Control 2.Commission hereby finds the project,as proposed,is: Approved subject to a.r The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations, This Commission olden;that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or di$er from the plans,specifications,or other proposals submitted with the Notice of Irrierit these conditions shall control. Denied because: b.r The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act;and a final Order of Conditions is issued A description of the performance standards which the proposed work cannot meet is attached to this Order. c.F The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands Protection Act Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued.A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). 3 l✓ Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource 50 area specified in 310CMR10.02(I)(a). a linear feet Inland Resource Area Impacts:(For Approvals Only): Resource Area Proposed Permitted Proposed Permitted ' Alteration Alteration Replacement Replacement 4. l`Bank a_linear feet b.linear feet c.linear feet d.linear feet 5:r Bordering Vegetated Wetland a.square feet b.square feet c.square feet d,square feet 6. f-Land under Waterbodies and Waterways F a.square feet b.square feet c.square feet d.square feet e.cly dredged f.c/y dredged i,f-Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet: Page 2 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#.003-4899 \� WPA Form 5-Order of Conditions eDEP Transaction#:333143 .` Massachusetts Wetlands Protection Act M.G.L.c.131,§40 CitpTawn:BAP.NSTABLE Cubic Feet Flood Storage e.cubic feet. £cubic feet g.cubic feet h cubic feet 8.C Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet 9.r Riverfront Area "a total sq.feet b.total sq.feet Sq r3 within 100 fr c.square feet d square feet e.square feet £square feet Sq ft between 100-200 ft g.square feet E square feet i.square feet j.square feet Coastal Resource Area Impacts: Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 10.1-Designated Port Areas Indicate size under Land Under the Ocean,below 7 l.1-Land Under the Ocean { a square feet b.square feet c.c/y dredged d.cly dredged 12.G Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.F-Coastal Beaches a square feet S.square feet c.c/y nourishment d cly nourishment 14.r Coastal Dunes a.square feet b.square feet cc/ynourishrnentd-c/ynoarishrnent _ 15.F Coastal Banks a linear feet b.linear feet I6.F Rocky Intertidal Shores a,square feet b.square feet 17.1-Salt Marshes a.square-feet b.square feet c.square feet d.square feet 18.1- Land Under Salt Ponds a.square feet`b.square feet a cly dredged d,c/y dredged 19,r Land Containing Shellfish a.square feet b,square feet c.square feet d.square feet Page 3;of 9*ELECTRONIC COPY Massachusetts Department of Environmentai Protection provided by MassDEP: Ll Bureau of Resource Protection-WetlandsMassDEPFi]e#:003 4899WPA Form 5-Order of ConditionseDEP Transaction#:333143 Massachusetts Wetlands Protection ActM.G .c.I31,§40 LCity(TownBARSf4BLE Indicate size under Coastal Banks,inland Bank,Land Under the 20,f Fish Runs. Ocean;and/or inland Land Under Waterbodies and Watenvays, above. c.cly dredged d.e/y dredged 21.r Land Subject to Coastal Storm Flowage a.square feet b,square feet 22. r Restorabon/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.S.c&d or B.17.c&d above,please entered the additional amount here. a.square feet of B V W b.square feet of Salt Marsh 23. r Streams Crossing(s) • a If the project involves Stream Crossings,please enter the number of new stream crossings/number ofreplacement stream crossings, a.number of new stream crossings b.number of replacement stain crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects 1. Failure to comply with all conditions stated herein,and with all relaied statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion ofprivate rights. 3. - This Order does not relieve the pcmrittee or any other person of the necessity of complying with all other applicable federal, state,or local statutes,ordinances,bylaws,or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following applY:- a.the work is a maintenance dredging project as provided for in the Act;or b.the time for completion has been extended to a specified date more than three years,but less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the extension date and the special circumstances warranting the extended time period are set forth'as a. special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. 7. Any fill used in connection with`this project shall be clean fill.Any,fill shall contain no trash,refuse,rubbish,or debris,including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of any of the foregoing.. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if'such an appeal has been taken, until all proceedings before the Department have been completed 9. No work shall be undertaken until the Order has become final and then has been recorded in the Regis*,of Deeds or One Land Court for the district in which the land is located,within the chain of tide ofthe affected property,In the case of recorded land;, Page 4 of 9*ELECTRONIC COPY 3 Massachusetts Department of Environmental Protection 'Provided by MassDEP: Bureau of Resource Protection-Wetlands. MassDEP File#:003-4899 �., eDEP•Trmsaction#.333143 WPA Form 5-Order of Conditions y. t Cit}/Toan:BARNSTABI E Massachusetts Wetlands Protection Act M.G.L.c.I31,§40 the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the Owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the foim at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work. - 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" ` [or'MassDEP"] File Number:"003-4899" 1 I. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to ail agency proceedings and hearings before Mass DEP. ° 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form ` 8A)to the Conservation Commission 13. Ile work shall conform to the plans and special conditions referenced in this order. I4. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require The filing of a new Notice of Intent. 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to •' enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person perfomring work conditioned by this Order. 17. Prior to the start ofwork and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shrill be marked by wooden stakes or flagging.Once in place,the wetland boundary markets shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall immediately cool any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit ofwork Pure has been approved by this Order. r NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) r— is not(2)r subject to the Massachusetts Stormwater Standards. If the work is subject to Storanwater Standards,then the project is subject to the following conditions;" a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and emsion and sedimentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Permit as required by Stormwater Standard 8.Constriction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized. b) No stormwater runoffmay be discharged to the post-construction stoanwmater BMPs unless and until a Registered Professional Engineer provides a Certification that i all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stormwater Handbook 13MP specifications and that the BMP has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment tapped in inlet and outlet control structures E.as-built final construction BMPplans are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized;di. any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater Page 5 of 9*ELECTRONIC COPY b I Massachusetts Department of Environmental protection Provided by M—DEP: B LI ureau of Resource Protection-Wetlands 8 MassDEP File#.003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333143 'A City/fownDARNSTABLE Massachusetts Wetlands Protectionct M.G.L.c.131,§40 Standard 10;iv.all post-construction stormwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are.in proper working condition;v.any vegetation associated with post-construction BMPs is suitably established to withstand emsion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("0&.M Statement")for the Stormwater BMPs identifying the party responsible for + implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following;i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-tern pollution prevention plan section of the approved StonnwaterReport and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner ofthe property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a permittee for Purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case•of stoznnvater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater Blv2s-A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must he submitted ` along with the legally binding agreement fl The responsible party shall operate and maintain all stormwaterBMPs in accordance with the design plans,the O&M Platt, and the requirements of tine Masswbusetts Stormwater Handbook. g) The responsible party shall: I.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repair's, maintenance and/or replacement of the stormwater management system or any part thereof,and disposal(for disposal the log shall indicate the type ofmaterial and the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure , that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contarrruiants removed from stow rwater BMPs shall be disposed of in accordance with 01 applicable federal,state,and local laws and regulations. f) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are pmhbited I) The stortnwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority., k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the ' MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low Impact Development Site Design Credits)shall not be altered, without the prior written approval of the issuing authority. n Access for maintenance,repair,and/or replacement of BMPs shall not be withheld.Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. I Special Conditions: Page 6 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided byMassDEP: �-- Bureau of Resource Protection-Wetlands MassDEP Fuze#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333143 Massachusetts Wetlands Protection Act M.G.L.c.131,§40 Cit)IfownBARNSTABLE A Findings Under Municipal Wetlands Bylaw or Ordinance L Is a municipal wetlands bylaw or ordinance applicable?1✓ Yes I— No A 2. The Conservation Commission hereby(check one that applies): a. f DENIES the proposed wodc which carmoi be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a final Order or Conditions is issued.Which are necessary to comply with a municipal ord nance or by1mr: b. I✓ APPROVES the proposed work,subject to the following additional conditions I.Municipal Ordinance or Bylaw TOWN ORBARNSTABLE 2.Citation S.137:1-137.14 .3. The Commission ordeis that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other Proposals submitted with the Notice of Intent,the conditions shall control, The special conditions relating to municipal ordinance or.bylaw are as follows: SEE SPECIAL CONDITIONS,PGS.7.1i 7.2,7.3 r- Page 7 of 9*ELECTRONIC COPY I l SE3-4899 Name: Pickwick Trust Approved Plan= August 1,2010 Site Plan by Peter Sullivan,P.E. Special Conditions of Approval I. Preface { f Caution: Failure to comply with all Conditions of this Order of Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order;fines;requirement to remove un-permitted structures;requirement to re-landscape to original,condition;inability to obtain a Certificate of Compliance, and more. ;The General Conditions of this Order begin on Page 5 and continue through Page 8. The Special Conditions contained herein and all Conditions require'your compliance. 4. 41 l . Prior to the start of work,the following conditions'shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein;General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Consen°atiomCommission Forms A and B shall be completed and returned to the . Commission Prior to the start of work. I General Condition Number 10(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. 5.. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Staked strawbales backed by trenched-in siltation fencing shall be set along the approved work-limit line. ° Effective sediment controls shall remain until the site is stabilized with vegetation,then they shall be . removed. 7. A sequence of color photographs showing the undisturbed buffer zone shall be submitted to the Conservation Commission. Note: the strawbales and'siltation fence must show in the foreground 7.1 R (or bottom of the photographs. III. The following additional Conditions shall govern the project once work begins. Note, especially,Special Condition Number 14,requiring verification of the locations of the foundation and strawbale line. 8. General Conditions Numbers 14 and 15(changes in plan)shallbe complied with 9. General Condition plumber 18(maintaining sediment controls)shall be complied with. 10. The work limit shown on the approved plan shall be strictly observed. ' 11. There shall be no construction disturbance of the site,below(on the coastal bank or wetlands side of)the work limit. 12. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. 13. Unless extended,this permit is valid for three years from the date of issuance, . 14. Upon completion of the foundation,the project surveyor or engineer shall verify in writing or by plan to the Commission the correct location of the foundation and work-limit line,and note any discrepancies from the approved plan. If verification is in the form of an"as-built"plan,the plan provided shall be drawn at the same scale as the approved plan. 15. Any fill used for this project shall be clean fill`. Fill shall contain no trash,refuse,rubbish,or debris.` 16. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof-runoff. 17. Pool and spa shall be disinfected by ozone injection or alternate method,as approved by the Conservation Commission. Drawdown water shall be sent to an appropriately sized leaching basin. Upon installation,a letter shall be submitted by.the installer verifying that disinfection and leaching basin requirements have been met The Iocation and capacity of the basin shall,be verified'and the means by which drawdown will be directed to the basin shall be described. 18. The existing rough vehicle-access way to the bath house shall be stabilized. Advance consultation with the Conservation Agent iequired. 19. During construction,no area shall be left un-mulched or un-vegetated for more than thirty(30)days. All areas disturbed during`construction shall be re-vegetated immediately following completion of work at the site. Mulching shall not serve as a substitute for the requirement to re-vegetate disturbed areas at the conclusion of work. 20. All replaced lawn areas shall be underlain with a minimum of six(6)inches of loam. 7.2 I 21. The proposed mitigation planting shall be implemented. 22.FThe dune-side area,disturbed for the new bath house septic system,shall be restored in dune-compatible material. Advance consultation with.the Conservation Agent required, IV. After all work i.s completed,the following condition must be promptly met: 23. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Coirunissiov Form C shall be completed and returned,alone with the request for a Certificate of Compliance and appropriate fee. Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect,landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans,setting forth what deviation(s),if any,exists with.the record plans approved in the Order. This statement shall accompany the request for a Certificate' , of Compliance and fee,along with an undated sequence of color photographs of the undisturbed buffer zone. 7.3 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection- Wetlands SE3-4899 r WPA Form 5 — Order of Conditions MassDEP FIe# Massachusetts Wetlands Protection Act M.G.L. c. 131,§40 eDEPTransaction# _Barnstable. City/Town E. Signatures Important: This Order is valid for three years,unless otherwise specified as a special SEP "$'20 10 When filling out condition pursuant to General Conditions#4,from the date of issuance. 1.Date of Issuance forms on the computer,use Please indicate the number of members who will sign this form. _ only the tab key This Order must be signed by a majority of the Conservation Commission. 2.Num of Signers to move your cursor-do not The Order must be mailed by certified mail(return receipt requested)or hand delivered to use the return the applicant.A copy must be mailed,hand delivered or filed electronically at the same key time with the ropriate MassDEP Regional Office. ICE ' natures: � . by hand delivery on ❑ by certified mail,return receipt aa ll!!__'',,__ ,„ requested,on Ly'�----- Date `c1�U t�e S�il• n t' Date F. Appeals The applicant,the owner, any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant,if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order,or.providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not co. tribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L. c. 131,§40),and is inconsistent with the wetlands regulations(310 CMR 10.00):To the extent that the Order is based on a municipal ordinance or bylaw,and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. wpa5sigs.dx•rev.02/252010 pageyo4 I o Massachusetts Department of Environmental Protection Provided by MassDEP:' Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 "A Form 5-Order of Conditions eDEPTmmction#:333l43 Cityfrown:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 E. Signatures This Order is valid for three years from the date of issuance,unless otherwise specified 9/10/2010 pursuant to General Condition#4.If this is an Amended Order of Conditions,the Amended I.Date of Original Order Order expires on the same.date as the original Order of Conditions. Please indicate the number of members udto will sign this form.This Order must be signed by 5 " a majority of die Conservation Commission. 2.Number of Signers The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant A copy also must be mailed or hand delivered at the sarne time to the appropriate Department of Environmental Protection Regional Office,if not filing clectionicaily,and the property owner,if different from applicant Signatures: PETER SAMPOU DENNIS R.HOULE LOUISE R.FOSTER LAURENCE MORIN JOBN ABODEELY r by band delivery on I—by certified mail,return receipt requested,on Date Date F. Appeals The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the appropriate MassDEP ' Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate fi]mg fee and a completed Request for Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be .sent by certified mail or hand delivery to the Conservation Commission and to the applicant,if he/she is not the appellant_ Any appellants seeking to appeal the Departments Superseding Order associated with this appeal will be required to demonstrate prior participation in the review ofthis project Previous participation in the permitproceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing,requesting a Superseding Order,or providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the obj ectionsFto the Order which is being appealed and how the Omer does not contribute to the protection of the interests identified in the Massachusetts Viretlands Protection Act(M.G.L.c.131,§40),and is' inconsistent with the wetlands regulations(310 CUR 10.00).To the extent that the Order is based on a municipal ordinance of bylaw,, and not on the Massachusetts Wetlands Protection Actor regulations,the Department has no appellate jurisdiction. e Page 8 of 9*ELECTRONIC COPY . r Massachusetts Department of Environmental Protection Provided by MassDEP: ��— Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 1 WPA Form 5-Order of Conditions eDEP Transaction#-333143 City/Town:BARNSTABLE 'l Massachusetts Wetlands Protection Act M.G.L.c.131,§40 G. Recording Information This Order of Conditions must be recorded in the Registry ofDeeds or the Land Court for the district in which the land is located, ' within the chain of title of the affected property.in the case of recorded land the Final Order shall also be noted iru the Registr}ts' Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title ofthe owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTABLE • G Conservation Commission ' Detach on dotted line,have stamped bythe Registry ofDeeds and submit to time Conservation.Commission ...................................................................................................................................................:...................................................... To: BARNSTABLE Conwnation Commission Please be advised that the Order of Conditions for time Project it. 71 OCEAN VIEW AVE. 003-4899 Project Location MassDEP File Number - Has been recorded at the Registry of Deeds of: County Book Page , Property Owner ANDREW NEWMAN,TR. and has been noted in the chain of title of the affected property in: Book page In accordance with the Order of Conditions issued on: Date If recorded land,the instrument number identifying this transaction is: Instrument Nrmrbei Ifregistered land,the document number identifying this transaction is: j Document Number Signature of Applicant + rfc+•.41(2010 Page 9 of 9*ELECTRONIC COPY Y•JjF:;'i� • Towri of Darnstable s raxe� lffi r, ' Geller,Director -Bididing'Divisia>z • Tom fari BtiildingCamnassioner 20D Main S&I Ifyannis,MA 02601 - ww+aP.totvd.baivatable.malus •':-.` Office: 508-862 403$ Fez:'Sd8 79d-623D • Propl gwtier Must CArxtpe#ie a> �Sign This Secioni If Using A BYx>;ldex i' t,•. as owner of the.sub%ect'' "hereby authonza 0 t3 1v G to- " Y---�— ' its dinatters.iela to work airthetized tb b bui�dingper1mt ap,, icai a. (Address•ofjob) t+uc of Ownex Date ' �.;�t ra�•:r Pim't:Naizie `` _-vl.^ Ste• -Y WS ..,. •-•.•.. .,: - 1 .n •-F��'ra.�.- Han Wvfti's 11 E erxzp# on l c z on h ' r � �A.LYlbllti_n�•.•nnw•.wYrr•^�.r.. r S��%`.�"•}. NQV-30-i'r010 15:37 From: To:15087757877 P.1/12 Lroulstomstorn (—j f c.,L,n 5,'1 i i ij I M 1pj to name phone4 far'# Craig Ashworth 508-428-1165, 508-428-1196 4. from f name hone# fax date J.Robert Casey (61.7)574-4170 (617)574-7570 11/30/2010 Page(s) employee 1D client mutler 0204 oS15fJ 0001 Commtents re; Pickwick Realty Trust Confidentiality Note:'Ihc documents ticcompanying this I&csimile contain infortn4on from the law firin . of Goulsion & Storrs which may be confidential end/or privileged. The infurma ion is intended only for the use of the individual or entity named on this transmission slicer. If you arc not the intended recipient,* You Urc hereby notified that. uny disclosure,copying,distribution or the taking of any ,fiction in reliance on the contents of this facsimile is strictly prohibited,tuid that the documents should be returned to this Firm immediately. . If you have received this flacsirnile in error, ploase notify us by telephone immudiutcly so that we can arrungc for the return ol't.hc original documents tows at no cost to you; .. Goulston$Storrs,A Professlonal Corporation Boston DC•New York 400 Atlantic Avenue,-Bpston,Massachusetts 02110-$333 (617)482-177f rel•(617)574-4112 Fax•www.gouistonstorrs.com GSDOCS\2t128332.l NOV-30-2010 15:37 From: To:15087757e77 P.2/12 . gg��ton&storrs at law J.Robert Casey jrgasoyQgoulstOrISMM.com (617)$74.4170 Tel (617)574.7d70 Pax November 24,2010 Town of Barnstable Village of Cotuit Re: Pickwick Realty Trust To Whom It May Concern; ; Please be advised that the current Trustees of the Pickwick Realty Trust are as follows: 1.Robert Casey,Trustee , Andrew J.Newman,Trustee The address of the Trustees is; 50 Federal Street 41'Floor d. Boston,MA 02110 Very truly yours; Robert Casey J"RC/cab GSDOCW027585,1 Coniston&storr5,A Professional Corporation • Boston DC New York• Bcuing 400 Atlantic Avenue • Boston,Mwachusotts 021%3333 • 617,482,1776 Tel • 617,574.4112 Fax •,wwW.4oulstonstorrs-con NOV-30-2010 15:37 From: To:15087757877. P.3/12 Dam=1.147 r 062 08-24-2010" a a 55 9ARNSTABL E LAND COURT REGISTRY '11ie Pickwick Realty Trust e iFca.te of A oinllnent of d iiiorial Trustee a>ad Acce Lance ' I,J,Robert•Casey,presently the sole Trustee of The Pickwick Realty Trust under a Declaration of Trust dated.00ober 24,2007 and filed on December 17,2007 for registration with the Barnstable County Registry District of the land Court as Document No. 1.079185,do hereby certify that by an instrument in writing signed by 100%of the Beneficiaries of said'Trust, Andrew J.Newman,of Needham,Massachusetts,was appointed an additional Trustee of said Trust. J j Presently the'trustees of said Trust are J, Robert Casey and Andrew J. Newman, Executed as a scaled instrument as of the' I st day of August,2010, The Pickwick Realty Trust .1 B '' �', " r ob sscy,Trustcc COMMONWEALTH of MASSACI-IUSETTS Suffolk,ss. August„ / ,2010 On this l lth day of August,2010,before me the undersigned Notary Public,personally appeared J.Robert Casey,Trustee its aforesaid, who is personally known to me,and acknowledged to me that he signed such document voluntarily for its stated purpose Notary My commission expires: OSDOCSX2005395 I 'qs ••:��t'�`:-�F _ r Mq�sh'iHnSf�tt`` NQV-30-2010 15:37 From: To:15087757877 P.4/12 The undersigned hereby accepts the appointment as Trustee of said Trust as of the ls`day of August,2010. .. Andrew J.Ne an COMMONWEALTH OF MASSAC14USE-TTS Norfolk,ss. August , 2010 On this 1 Z1day of lk r 2010,before me,the undersigned notary public, personally appeared ANDREW V NEWMAN,who is personally known to me or who has produced �L'L6U�1`S �G�G� as satisia ory identification/thlt he is the person whose name is signed on the preceding document,an �knowle ged that, eAigned such document voluntarily foz its stated purpose. Notary P lic ^ My co LUI$VIDA1. . �,: No4uy Publie . Correnonwei�phaf Maas�ahu� . My 0w=Iz*n EVirn sa*fftersa,zaIS z OSDOCSQ005395.1 NOV-30-2010 15:37 From: To:15087757877 P.5/12 Doc. No. 1079187 12/17/07 The Pickwick Realty Trust Certificate of Appointment 'of Additional Trustee a d Acce tance I,Kathleen S. Crawford, a Trustee of The.Pickwick Realty Trust under a Declaration of Trust dated Dom '! ,2007 and filed for registration with the Barnstable County Registry District of the Land Court,do hereby certify that by an instrument in writing signed by 100%of the Beneficiaries of said T � rust,.J.Robert Casey,of Boston, Massachusetts,was appointed as an additional Trustee of said Trust. * - c/o Goulston & Storrs 400 Atlantic Ave . Boston, MA 02110 EXECUTED as a sealed instrument this .14 day of 2007. 9 The Pickwick Realty Trust BY: Kathleen S. Cra�rd, Lustee COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. -`{ 2007 On this day of v �• 2007, before me,the undersigned No Public personally appeared Kathleen S. Crawford, Trustee as aforesaid,and proved to me through satisfactory evidence of identification, which was personal knowledge,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that she signed, it voluntarily for its stated purpose. AA e-Marie L. Litchfield,Notary Public My commission expires: 02/18/201,1 NOV-30-2010 15:37 From: To:15087757877 P.6/12 The undersigned hereby accepts the appointment as Trustee of said Trus o e Casey lJ � ! 2007 COMMONWEALTH Off'-MASSACHUSETTS Barnstable, ss. �`"t"\_� 2007 On this I ` lay of , -v V.Ir 2007,before me,the undersigned Notary Public, personally appeared J. Robert Casey,and proved to me through satisfactory evidence of identification,which was personal knowledge,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, , t My c fires: igviar pus CO1gAOVfiMIH OF 11a4S�C's' Ply CNWIsslon Facp_._. April 30,2010 NQV-30-a010 15:37 From: To:15087757877 P.7/12 .. Doc Na. 1079188 The Pickwick Realty Trust .12/17/07 i,Kathleen S-Crawford,hereby resign es'1'rustee of The Pickwick Realty.Th3st tinder a Declaration of Trust dated_2—u _act 2D07 snd filed for mgistraiion with*0 Barnstable County Registry District of tlxe sand Court herewith: The witbain resignation,. ., shall be effective on 2007, The sole romining Trustee of the Pickwick Realty Trust is J. Robert Casey, C/o Goulston S Storrs, 400 A lantie Ave., toston MA, 02110. EXECLrMD as I walod instrument this L2!day of a 2007. 1`11s Pick%ick Ruby Tind BY: Kathleen S.Crq&ATMStee - COMMONWEALTH OF MASSACHUSErrS Barnstsbl e' ss. 2007 On this day of fer - 2007,before me,the undersigned Notary Public, PmmullY appeared K,athlan S.Crawford,Trustee as afortsaid,and proved to me through sxtishctorY evidence of identification,wbiala was prrsonal knowledge,to be the person whose namo is signed on the preceding or ached doc=cnt and a6aowledged to me drat she sipW it voluntarily for its stated purpose. , Marie L. LitcMV4Notary Publto MY comiiiWion expires: 2/18/2011 - NOV-30-2010 15:38 From: To:15087757877 P.8/12 Doc. No. 1019185 12/17/07 THE PICKWICK REALTY TRUST "this Declaration of Trust is made as of October 24th,2007. The undersigned KAT'HLEEN S.CRAWFORD, of 1'0 Longwood Drive,Westwood, MA 02090,(who,together with her successors,arc hereinafter referred to as the"Trustees"),does hereby declare that she,as the original Trustee,and their successors in trust will hold all property from time to time conveyed to.them(the"Property"),as Trustees hereunder, upon the terms set forth herein, for the sole benefit of the beneficiaries described herein. This Declaration of Trust shall be referred to as the"THE PICKWICK REALTY. TRUST". 1. The beneficiaries of this trust from time to time(the"Beneficiaries")and the respective interests of the Beneficiaries are set forth on the Schedule of Beneficiaries executed as of the date hereof by the Beneficiaries and the Trustees and filed with the records of the ' Trustees: The Schedule of Beneficiaries may be amended from time to time by a written , instrument signed by the then Beneficiaries and by the then Trustees, and,as between all current and future Beneficiaries of this Trust and the Trustees,the Trusiees shall be entitled to rely upon what appears from the records of the Trustees to be the most recent Schedule of Beneficiaries in determining whether any action which they are directed to take is appropriate under Section 4 hereof. A certificate or other writing signed by the then Trustees hereof (i)cert.fying to or asserting the identities of the Beneficiaries,or(ii)stating that any action has been approved or taken by the Beneficiaries(without any requirement that such certificate identify the Beneficiaries),shall be conclusive evidence of the facts stated therein,and any person dealing with the Trustees or with any of the Property,shall be entitled to rely on the same without further- inquiry. Each original Trustee and any successor Trustee may,without any impropriety whatsoever,become a Beneficiary_hereunder and exercise all rights of a Beneficiary with the same force and effect as though he or she were not a Trustee. 2. Should KATIMEEN S.CRAWFORD fail,for any reason to serve as Trustee hereunder,J.ROBERT CASEY,of Boston,Massachusetts shall serve as successor Trustee hereunder effective upon his acceptance of the trusteeship hereunder. Any Trustee hereunder may resign by written instrument,signed and acknowledged by such Trustee,delivered to each Beneficiary and recorded with the Barnstable County, Massachusetts,Registry of Deeds or Land Court Registry District as appropriate(the"Registry of Deeds'}. Im the event of such resignation,or.in the event of the death of a Trustee, the Beneficiaries may appoint a succeeding Trustee by a written instrument signed by a majority in interest of the then Beneficiaries. In addition,at any time the Beneficiaries may remove any Trustee or appoint one or more additional Trustees by a written instrument signed by,a majority in interest of the then Beneficiaries. r NOV-30-2010 15:38 From: To:15087757877 P.9/12 Any such appointment or removal may be evidenced either by.(i)a certificate-of the remaining Trustees(or if there be none,or if-the remaining Trustees are incapacitated,a certificate of the executors,administrators or personal representatives of the last Trustee or of the remaining Trustees,as the case may be)that such appointment or removal has been effected by the Beneficiaries,which certificate shall be recorded with said Registry of Deeds,or(ii) a ' certificate signed by a majority in interest of the then Beneficiaries,which certificate,together t with the most recent Schedule of Beneficiaries, shall be recorded with said Registry of Deeds. i The facts set forth in either such certificate shall be conclusive and may be relied upon by any person dealing with the Trustees or-with any of the Property.' In the case of an appointment,the acceptance in writing by the Trustee appointed shall be "recorded with said Registry of'Deeds. ' Upon the appointment and acceptance of any succeeding or additional Trustee, title to the Property shall ther6upon be vested in said succeeding or additional Trustee,jointly with the. remaining Trustees,if any,without the necessity of any conveyance or other action. Each succeeding or additional Trustee shall have all of the rights,powers, authorities,and privileges as if named as an original Trustee hereunder. No Trustee,original,successor or additional, shall be required to furnish any bond or sureties on any bond. 3. Insofar as third persons dealing with the Trustees are concerned,the-following provisions shall govern; (a) Notwithstanding anything to the contrary contained herein,any action taken pursuant' to this Trust by any Trustee shall be treated as the action of all of the Trustees,,and all references hereinafter in this Section 3 to any right,power or authority of the Trustees shall be treated as referring to an action taken by at least one Trustee. " (b) The Trustees shall have full right,power and authority to deal with the Property with the same force and effect as though the Property were individually owned by them and,without limiting the gencrality.of the foregoing,the Trustees,acting jointly or individually, shall have full right,power and authority to execute any and all instruments, such as deeds,mortgages, Imes,and the like,as'the Trustees shall from time to time determine. '(c) Any and all instruments executed by the Trustees may create obligations extending over any periods of time, including periods extending beyond the date of any possible termination of this Trust, (d)'The Trustees shall have full power and authority to sign checks;drafts,notes,bills of exchange,acceptances,undertaldngs and other,instrum ents or orders for the payment,transfer or. Withdrawal bf Money.for whatever purpose and to whomsoever payable,including those drawn to the individual order of a signer,and all waivers of demand,protest,notice of protest or ' dishonor of anycheck,note,bill,draft ar other.instrument made,drawn or endorsed in the narne of this trust, to borrow money,to execute and deliver notes or other evidence of such borrowing, to lend money, to grant or acquire rights or easements and to enter into agreements or arrangements with respect to the Property. t .. (e) No person dealing with the Trustees shall be under any obligation to inquire as to the propriety of any'aetion or omission by the Trustees,and shall be Conclusively protected in assuming without further inquiry that'any action by the Trustees,including the execution of any NOV-30-2010 15:39 From: _ To:15087757877 P.10/12 a deed,note,mortgage,lease or other instrument,invalid and duly authorized hereunder and that this Declaration of Trust is in full fprce and effect. (f) The Trustees shall have the right to delegate to any person or persons(natural or corporate), including any other Trustee hereunder,authority to execute any,and all instruments or to take any and all other actions which such Trustees are authorized and empowered so to do by the terms of this Declaration of Trust. (g) The Trustees may designate in,writing an agent authorized to execute instruments on behalf of the Trustees in connection-with.(i)changes or modifications in the zoning classification pertaining to trust property,(ii)applications for zoning variances,special permits and/or other approvals required under applicable zoning ordinances for the development of trust property, and(iii)applications for permits and approvals-incident to the development of trust property,including,without limitation,wetlands,subdivision,environmental,utility, curb-'cut and all other permits and approvals which may be required from any and all applicable municipal,county,state or federal authorities, 4. Solely as between the Trustees and the Beneficiaries,it is agreed that the Trustees shall: (a) execute such instruments,including,without limitation,deeds,mortgages and leases of the Property,as the Trustees may from time to time be specifically directed by the Beneficiaries; < (b) take any such action with respect to the Property as may from time to time be specifically directed by the Beneficiaries; (c) do any such other things as the Trustees may be specifically authorized or specifically directed to do by the terms of this Declaration of Trust;` (d) execute only such instruments and"take only such actions as may from time to time be authorized and directed by the Beneficiaries; m provided,however,that no Trustee shall be required to take any action which would, in the` opinion of such Trustee,subject such Trustee to any personal liability unless such Trustee shall have first been indemnified to his or her satisfaction. The provisions of this Section 4 shall be applicable only as between the Trustees and the Benefieiaries,'but the limitations set forth in this Section 4 shall in no way derogate from the absolute apparent.authority conferred upon the Trustees pursuant to the provisions of Section 3 hereof, insofar as third persons are concemed,including the right of any third person to rely on a certificate of the Trustees under Section 1, Section 2,Section 6 or Section T hereof. S. This trust shall terminatetwenty(20)years from the date hereof. Upon such termination,the Trustees shall transfer and convey the Property, subj ecf to any leases,mortgages, agreements or other encumbrances on the Property,to:the Beneficiaries,in proportion to their respective interests. 6. This Declaration of Trust may be amended from time to time by a written instrument. signed by the then Beneficiaries and by the then Trustees,but no such amendment shall•be NQQ-30-2010 15:39 From: To:15087757877 P.11/12 effective unless and until a certificate of such amendment,signed and acknowledged by the Trustees,is recorded with said Registry of Deeds. The recording of such a certificate shall conclusively establish such amendment. " i 7. As used in this Declaration of Trust,wherever the phrase "authorized or directed by ■ the Beneficiaries" or any similar phrase is used,the same shall mean, (i)where a Beneficiary is a natural person, the act,vote,signature or approval of the Beneficiary or of an agent,conservator guardian or other person apparently authorized to act on behalf of such Beneficiary,and(ii) where a Beneficiary is other than a natural person,the act,vote,signature or approval of a Partner, member,officer,trustee or other person apparently authorized to act on behalf of such Beneficiary,and,in each such case,the Trustees and any third person dealing with the Trustees or with any of the Property shall be entitled to rely'on itich apparent authority without any obligation to inquire as to the propriety of any action of such apparently authorized person,and the Trustees and any such third person shall be conclusively protected in assuming,without further inquiry,that any such action of an apparently authorized person is valid and binding. Further,every agreement lease,deed note,mortgage or other instrument executed by the Trustees shall likewise be conclusive evidence in favor of every person relying thereon or claiming thereunder that,at the time of delivery thereof,this Declaration of Trust was in full force and effect and that the execution and delivery thereof was duly directed by the Beneficiaries. Any person dealing with the Trustees or with any of the property may always rely, without further inquiry,on a certificate signed by any person appearing from the records of said Registry of Deeds to be a Trustee hereunder as to the identity of the Trustees and/or the Beneficiaries,as to the authority of the Trustees to act;or as to the existence or non-existence of any facts, including facts which constitute conditions precedent to acts by the Trustees, or which are in any other manner germane to the affairs of this trust. Any reference in this Declaration of Trust io the singular shall be deemed also to include the plural;and vice-versa,unless the context otherwise requires. S. No Trustee hereunder shall be liable for any error of judgment or for any loss arising out of any act or omission in good faith,but each Trustee shall be responsible only for his or her own willful breach of trust, No license'of court shall be requisite to the validity of any transaction entered into by the Trustees. No purchaser or lender shall be under any liability to see to the application of the purchase money or of any money or property loaned or delivered to ry the.Trustees or to see that the terms and conditions of this Declaration of Trust have been complied with. WITNESS my hand and'seal, as of the date hereof. Kathleen S.Crawford,as tee and not individually NQV 30-2010 15:39 From: To:15087757877 P.12/12 COMMONWEALTH OF MASSACIiUSETTS County of Barnstable,ss. 'On this c2q day of October,2007,before me,the undersigned notary public,personally appeared KATHLEEN S.CRAWFORD,who is personally known to me or who has produced Kk as satisfactory,identification that she is the . person whose name is signed on the preceding document,and acknowledged that she signed such document voluntarily for its stated purpose. N Public My Commission Expires: ort fl - p t ' °F-THE rti Town of Barnstable °�► Barnstable Historical Commission 1 snxrrsTas>r.>E, : 200 Main Street,Hyannis,Massachusetts 02601 9� 1639.ss• �$' (508) 862-4786 Fax(508) 862-4725 pr fD �A� www:town.bamstable.ma.us Linda Hutchenrider,Town Clerk 367 Main Street Thomas Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 . Attorney Michael Ford 72 Route 28 _ t West Harwich MA 02671 , x Re: DECISION of the Barnstable Historical Commission,pursuant to the Code of the F Town of Barnstable ss 112-1 through ss.112-7 APPROVING the application for` DEMOLITION AND RELOCATION of property as follows: Location: 71 Ocean view Avenue, Cotuit Assessors map and parcel: = 034 045 Applicant/owner: J.Robert Casey,Tr. Pickwick Realty Trust , . F Background An application was filed for demolition by relocation of the main house on the property and ~ demolition of the eight car garage and caretakers cottage, attached to the garage: At the meeting of the Barnstable Historical Commission August 12,2010,the Commission considered this application. They found that the garage and(attached)caretakers cottage were not architecturally or historically significant, and demolition could proceed on these buildings, but that the main house constructed in the 1920's,was on an initial basis,historically and architecturally significant: Based on this finding, the Commission voted to Bold a public hearing on the application.. ' Members of the Histonci"Sal'Commission visited the site August 18, 2010. ' On September 1, 2010,the Commission held a duly noticed public hearing on demolition by relocation of the main house. `It was determined that the house was originally built in the 1920's g and then redesigned by Royal Barry'Wills, an outstanding,historical architect of the New England Region. H � .. Y. • .. .. l a t' .E'er Attorney Ford stated that the larger two-story house would be moved to another location on the ' lot,closer to Ocean View Avenue. A small connector portion to the garage would be moved with the main building and a second story added. Members requested that efforts be made to relocate the caretakers cottage(attached to the garage), and to deconstruct the garage for salvage, especially the doors and windows. Based upon review of the evidence submitted and a visit-to the site by several members,"the Commission voted unanimously to approve the relocation of the main, architecturally and historically important residence at 71 Ocean View Avenue,to a location on the same lot, closer to the Ocean View Avenue. Present and voting unanimously to approve were: Barbara Flinn, Chairman,Marilyn Fifield, George Jessop and Len Gobeil'. Absent: Nancy Clark and Jessica Rapp Grassetti: s September 2010 Signed,Barbara Flinn, Chairman Date r , y _. I QQ !I TELEPHONE'508.775.1620 .�• Dowling&O Nil AGENCY FAX 508.778.1137 INSURANCE AGENCY TOWN OF R ; `HI T LE COMMERCIAL FAX 508.778.1218 im 9: 03 973 Iyannough Road, P.O. Box 1990 IS 26Hyannis, MA 02601 doins.coni August 23, 2011 � V_ ' Craig Ashworth E. B. Norris & Son., Inc. 138 Osterville-West Barnstable Road Osterville, MA 02655 Dear Mr. Ashworth: Enclosed please find your Liberty Mutual street permit bond renewal for 71 Oceanview Avenue Cotuit, MA effective 9/17/2011 — 2012. You will be billed directly by the insurance carrier. Feel free to call with any question you may have. Thank you for your business. Sincerely, Martha A. Kenney, CIC, CISR Licensed Producer, ext. 244 mkenney@doins.com 1162606 .�• Liberty Mutual- The Ohio Casualty Insurance Company CONTINUATION CERTIFICATE In consideration of the payment of a premium of$ 100.00 The Ohio Casualty Insurance Company hereby continues in force to renew its bond No. 5086586 effective 09/17/2011 -9/17/2012 . ,on behalf of E. B. Norris&Son,Inc. 138 Osterville-West Barnstable Rd Osterville, MA 02655 , Principal, in favor of The Town of Barnstable 200 Main Street Hyannis,MA 02601 , Obligee, subject to all its terms, conditions and limitations as set forth and expressed in said bond. This certificate is executed upon the express condition that the company's liability under said bond and this and all continuation certificates issued in connection therewith shall not be cumulative, and shall not in any event exceed the amount set forth in said bond, or said amount as it may have been increased or decreased by any rider(s) or endorsement(s) properly issued by the company. Dated this 23 day of August 2011 The Ohio Casualty Insurance Company By: a Martha A. Kenney Attorney-in-Fact S-168 Principal: E.B.Norris&Son,Inc. 138 Osterville-West POWER OF ATTORNEY Agency Name: DOWLING&O'NEIL Barnstable Rd Osterville,MA 02655 THE OHIO CASUALTY INSURANCE COMPANY INSURANCE AGENCY Obligee: The Town of Barnstable 200 Main Street Agent Code: 200226 Hyannis,MA 02601 Bond Number: Know All Men by These Presents:THE OHIO CASUALTY INSURANCE COMPANY,an Ohio Corporation pursuant to the authority granted by Article IV, Section 12 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company do hereby nominate,constitute and appoint:Kelly C.Bolton,Martha A.Kenney, Robert W.Miller,Mark McCartin,Nancy Soule of HYANNIS ,Massachusetts its true and lawful agent(s)and attorney(ies)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZ_ANCES,not exceeding in any single instance Thirty Million Dollars And Zero Cents $30,000,000.00 excluding,however,any bond(s)or undertaking(s)guaranteeing the payment of notes and interest thereon.And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Fairfield,OH,in their own proper persons.The authority granted hereunder supersedes any previous authority heretofore granted the above named attorney(ies)-in-fact. In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 12th day of July,2011. JP1,11 INS& U OORPORArF m ° SEAL o 0 onlo ay' tit *�d Gregory W.Davenport Assistant Secretary STATE OF OHIO, COUNTY OF BUTLER On this 12th day of July,2011 before the subscriber,a Notary Public of the State of Washington,in and for the County of King,duly commissioned and qualified,came,Vice President of The Ohio Casualty Insurance Company,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,1 have hereunto set my hand and affixed my Official Seal at the City of Seattle,State of Washington,the day and year first above written. ..0 MM'IFkA NOTARY ,N•,• PUBLIC i2g .9s Notary Public in and for County of King,State of Washington My Commission expires December 9,2013 This power of attorney is granted under and by authority of Article IV,Section 12 of the By-Laws of The Ohio Casualty Insurance Company,extracts from which read: ARTICLE IV-Officers:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bond,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company at a meeting duly called and held on the 15th day of February,2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company,wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds,shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE 1,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF,I have hereunto set my hand and the seal of the Company this 23 day of August 2011 ,I,(INS& CoaroRArF Zm oo / I ,�� s SEAL o 0 OHIO sa' �y1 I. David M.Carey Assistant Secretary TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0-0 Map pp Q Parcel Application #O? .� �"( r Health Division Date Issued ] Conservation Division�gc .Application Fe `- Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ©� Historic Hyannis OKH _ Preservation / ya s Project Street A ress f-vz Vr v Village /a OwndCAS J. 908 ° AiE%ss /:ew Telephone Q D � ag A]G. 1:!�w 2if Permit Request M -7A AJ A-3 o a Square feet: 1 st floor: existing 44,5proposed 2nd floor: existing proposed Total new Zoning District y�, Flood Plain Groundwater Overlay Project Valuation / ooD Construction Type Lot Size 4gr L>�C Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family _ ❑ Two Family ❑ Multi-Family (# units) gkit7455 A Age of Existing Structure Historic House: ❑Yes ,, INo O/n,.Old—King's Highway: ❑YesNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other / N �l / Basement Finished Area(sq.ft.) AJ D AJ Basement Unfinished Area(sq.ft) 01111JC Number of Baths: Full: existing_ new 0 Half: existing new Number of Bedrooms: g existingDnew r Total Room Count (not including baths): existing 3 new © First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 'of , Central Air: ❑Yes No Firep aces: Existing New E fisting wood/coal stov`:° ❑Yej No Detached garage: ❑ existing XXsize ize_Pool: ❑ existing ❑ new z 'Barn: ❑ r existin ewe size_Attached garage: ❑ existing _Shed: ❑ existing ❑ n I e _ Other: y Zoning Board of Appeals Authorization ❑ Appeal # corded ❑ Commercial ❑Yes No If yes, site plan review# �" Current Use 1 i 3^' 60roposecl Use _ APPLICANT INFORMATION / (BUILDER OR HOMEOWNER) y Telephone Number ✓�� Name p Address l3� 40S7M1114 !�/, License# �Ss� Home Improvement Contractor# 0 2 Worker's Compensation # 3/JMZ,Z32, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /f/dk �, o SIGNATURE DATE FOR OFFICIAL USE ONLY .' APPLICATION# DATE_ ISSUED_ MAP./PARCEL NO. i ADDRESS VILLAGE : OWNER .� � .. ,•' .; 'rr .. DATE OF INSPECTION: 6 FOUNDATION =s •• _' =; { 4 `. `- •y f• `.J 'r 1 FRAME oy� �-le; , " INSULATION X FIREPLACE , tt� ELECTRICAL: ROUGH . FINAL PLUMBING: ROUGH FINAL CAS. ' ROUGH ,: w FINAL - - _ F-114AL BUILDING_ DATE CLOSED OUT ASSOCIATION PLAN NO. - y l _ z The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. + d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le 'bl Name(Business/Organizationdndividual): . Address: City/State/Zip; : 40 hone,#: �-e c9--L JlXr e ou an employer?Check the appropriate bog: Type of project(required):. 1. I am a employer with___ 4. ❑ Tam a general contractor and I employees(full and/or part-:time).* have hired the subcontractors listed 6. []New construction . ❑ I am a sole proprietor or partner- listed`'on-the-attached sheet. 7. Remodeling .and have no.employees These sub-contractors have ship g• Demolition workin for me in an 'capacity. employees and have workers' g Y $. 9. ❑Builditg`addition [No,workers'comp.insurance comp.insurance. 10. Electrical repairs or additions required.] „ 5. ❑ We are a corporation and its ❑ p officers have exercised their 3. I am a homeowner doing all work l L E]Plumbing repairs or additions myself.:[No workers'.comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t - c.152, §I(4), and we have no ;= employees. [No_workers'a 13:❑Other comp:insurance required.] *Any applicant that checks,box,#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this aff davit indicat g they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub contractors and state whether or not those entities have employees.`If the tub-contractors-have-employees,they must provide their workeis'comp:policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.ihe poliey and job site ° information. Insurance CompanyName: 4. o,4 Policy#or Self.-ins.Lic.#: N ye 31- 2-5 2 Expiration Date: Job Site Address: 7I ���'/ L��CJy City/State/Zip: 02 VI r WA �2��'s� Attach a copy of the workers'compensation policy declaration page(showing the policy number and extiration date). Failure.to secure coverage as required:under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the Iviolator.,Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains-and penalties of perjury th he information' rovided ov is true and correct. Si afore• - Date: Phone#: Official use only.'Do not write to this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other. Contact Person: Phone#: Client#: 646400 2NORRISEB A'COR®T,, CERTIFICATE OF LIABILITY INSURANCE D05/102011ATE YY,. 05/10/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: Dowling 8r O'Neil Insurance PHONE 508 775-1620 FAX 5087781218 Agency E-MAIL Lo,Ext: AIC,No 973 lyannough Rd., PO BOX 1990 ADDRESS: Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance INSURED INSURER B: E. B. Norris&Son., Inc. 138 Osterville-West Barnstable Road INSURER C: Osterville, MA 02655 INSURER D INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A GENERAL LIABILITY BINDER322326 5/03/2011 05/03/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY _ PREMISESOERENTED nce $250 000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JE PRO- LOC $ CT A AUTOMOBILE LIABILITY BINDER322325 - 5/03/2011 05/03/201 COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $1,000,000 ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $1,000,000, AUTOS AUTOS X HIRED AUTOS X AUUTOSWNED (PRPerOa cRdent AMAGE $500,000 r' $ A X UMBRELLA LIAB OCCUR BINDER322328 5/0/2011 05/03/2012 EACH OCCURRENCE $1 O 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 O 00O 000 - DED I X I RETENTION$0 $ A WORKERS COMPENSATION BINDER3223 7 5/03/2011 05/03/2012 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE[ E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - Insurance coverage is limited to the terms, conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE - ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are'registered marks of ACORD #S806581M80657 LS1 ' ... 1i � `_ice—. � ' JjI� � 1,.,'f}'+ r•!_ � _ -_ S�-1 � ". -��.! �1 ': .. -! ,� J�v � � _ _...._'_-. 1 Massachusetts- Department of Public Satetv Board ofBuilding Regulations and Standards Construction,Supervisor License License: CS 15851 iMs :CRAIG NR'ASHWORTH 7' 1,38 OST W�BARNSTABLE { OSTER'VJLLE AMA��0-2655 c- �'" — �s Expiration: 9/28/2013 Tr#; 522 i - a } Office ko.suWVvAWairs�)3 sin s o License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: , �fmf��Re istration::_102014 Type: Office of Consumer.Affairs and Business Regulation . t 7— g Expiration 6/30/2012 Private Corporation 10 Park Plaza-Suite 5170, ' Boston,MA 02116 EfY EST B. NORRIS&SON INC - Craig Ashworth 138 0sterviIIe W. B6rri9table Osterville, MA 02655 i Undersecretary Not valid without signature r • t • ro Tmwft-of Barnstable Regt atory services r ', �, Tlintnas F;�Ge31er,Director ,;�;::.•''�,`•;_,; Tom Perry Building Commissioner '>' 200 Maid Street;$yannis,MA 02601 ' www.fowri.barnstsble,ma,us '��>>;:;•,.. Office: 608-862-4038 ;F ``Fax° 508-790-623D Property C?wiler Must Complete and Sign This Sectior> if Ug hk,A BAdex as Owner of tlie•sub of he authorize . 1W®! jj { in all matters.r�lative to work,authotliecl by buiidiu ' at - gper nit application.foY;f I — r . Address"of ( Job) f8" tore of Owner r� �'rintNarzie _. If'Ptope � 194pppng'fgrpemitp e ase w Homeourrie�s—ie�7ise`Ere z",f mpt on FDM-1 on the ..reve�s;�,' 1j'� ' Q:FORMS:0�1TtBRPERMGSSION . . -.`t;'•< • - 30 it�O I !_-� 1 LV i is �j r As IH K -T� SCALE:�{,•,r- APPROVED BY: DRAWN BY DATE.I Ste. REVISE. ss ,i i4 �i s�d+r�r. lo'rzc/Ilats � Tsra� rays — DRAWING NUMBER IDsK ! ........ ....._.....,. ._-.-_.____.-..-_.. - ___ _ T-1 - IL • -__� ( � �i �l ;� � \ ' _ �I�� III ,�I ,L�• ; � �; !- I I ,� it � I � � ;,_- -- .. ;� ,• , , � I , f i • L I If_ /p3, i .. .SCALE:l ��' 1 APPROVED BY: DRAWN BECW .............. .......___ ....._._...._ -._. .. _.... ......_._. ..._ ..SATE.:J7• ./ /ROB/ _. _._. ... ...•.._.. .. _ REVISED .. ... I�iu►P £,r? ,oF.�tA -r jaketmac+®rPA DRAWING NUMBER aecYlo G e,uc I pew�a �J G;4 Wi -4.L W OM STCr'rt�_ I 7i OCEAN AVt—• Coro., r SCALE:�{t/" I APPROVED BY: DRAWN BY .. DATE:I�.'1/.i OO / REVISED °• E+�i s t s�se, G'Ooal v i T'/�r�t 5 DRAWING NUMBER • f�R o�D°S fi Io ID�OvLO Perry, Tom From: Craig Ashworth [cashworth.ebnorris.com@gmail.com] Sent: Tuesday, December 13, 2011 9:59 AM To: Perry, Tom Subject: Re: bug stamps on tempered windows Thank you! Sent from my Verizon Wireless B1ackBerry -----Original Message----- From: "Perry, Tom" <Tom.Perry@town.barnstable.ma.us> Date: Tue, 13 Dec 2011 09:46:00 To: Craig Ashworth<cashworth@ebnorris.com> V� Subject: RE: bug stamps on tempered windows rL O That's acceptable r� -----Original message----- From: Craig Ashworth [mailto:cashworth.ebnorris.com@gmail.com] Sent: Tuesday, December 13, 2011 9:43 AM To: Perry, Tom Subject: Re: bug stamps on tempered windows They are proposing that they come to the site and acid etch just the windows that we have . to have logos. They say it is too difficult to 'have the logos factory done and then expect the factory people to ut them in the right spot. . . . . . . The final product would be all glass in the house laminatred, tempered with just the code required ones marked. The etching would be permanent. Done with acid. Bugs are the "industry" name for logos! Sent from my Verizon Wireless B1ackBerry -----Original Message----- From: "Perry, Tom" <Tom.Perry@town.barnstable.ma.us> Date: Tue, 13 Dec 2011 09:21:15 To: Craig Ashworth<cashworth@ebnorris.com> Subject: RE: bug stamps on tempered windows Craig, You are right in not feeling comfortable with this approach.Mass.Gen.Law governs the etching requirements--not JUST a building code requirement.What's a "bug stamp?"How is this being done? -----Original Message----- From: Craig Ashworth [mailto:cashworth@ebnorris.com] Sent: Monday, December 12, 2011 4 :15 PM To: Perry, Tom Subject: FW: bug stamps on tempered windows Hi Tom, I have just received this email from the Dymanic window dealer regarding glass .stamps. It sounds fishy tome, that they supply a letter 'certifying all the glass and then just etch the ones that are code issues. I think this flies in the face of the intent. Could I have,your input on this. I cannot agree unless you are comfortable with this approach. Thanks. Craig -----Original Message----- From: Freddy Maguire [mailto:freddymaguire@comcast.net] Sent: Monday, December 12, 2011 3 :10 PM To: Craig Ashworth Subject: RE: bug stamps 1 I have asked the factory about this and they are reluctant to do this due to cost of the glass and chance of something going wrong. I think the best way to get this done is to have the factory manufacture the windows with NO stamps at all They will provide a certified letter stating the units have temp/lam glass as needed. They will also supply a kit for etching the logo on the glass in the field so the bugs may be applied any way you want. Does this work? Factually have a kit myself and have applied stamps on units on several projects. Let me know. Thanks. 5 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, D 3 Parcel TON OF WfiSTARI E Application #OQO GO Health Division 20 � P-„1 -3 Date Issued Conservation Division L Application Fee Planning Dept. — 6A Permit Fee • 6 CJ Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address VCQcsw� �e`�-� Aoevi.klk-e, Village Cdtp j.(2oloQ C C� z� i E e2 o l l c •d TG� 6 �c�5 1 i { Q d Owner Address 5� Fe��s 210 Telephone G 0 MJ�- 0061 .5 4. �o„` r� e 50'6 K5 Permit Request 14.'e>M JD&L' 1� C&-Ce e 6 5jor- i C Q- Square feet: 1 st floor: existing proposed Q 2nd floor: existing proposed N Total new Q Zoning District F` Flood Plain Groundwater Overlay Project Valuation A 61C!1 C7 Construction Type Lot Size xf•D� �c'r�5 Grandfathered: ❑Yes A No If yes, attach supporting documentation. Dwelling Type: Single Family 0- Two Family ❑ , Multi-Family (# units) Age of Existing Structure 96` f 5 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes A-No Basement Type: %Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes nn-- ❑ No If yes, site plan review# Current Use 1&-5-0� Proposed Use 5 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ©��` 5 << �C> Telephone Number J-6 a 42 S l(�S Name L Z v Address 13� � ��� _ • ��� License # �S 5 l �4 D 2 S Home Improvement Contractor# 16 Zv lq Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / 2- FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE j OWNER DATE OF INSPECTION: FOUNDATION 1. FRAME INSULATION r FIREPLACE k ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 7t GAS: ROUGH FINAL FINAL BUILDING �rS%q I kN { DATE CLOSED OUT k ASSOCIATION PLAN NO. _ The Commonw-ealth ofMassachusetts Department of Industrial Accidents " W ®face of Investig ations 600 Washington Street Boston 2 IVI� 0 111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/C6ntrat toril/Piectricians/P umbers Applicant Information Please Print Leaffil NTarne (Business/Organization/Individual): . .13 o(-(-t 5.1-' Sc-e-U�T n C Address: ( Q<: s..o U�JL oe-5l tcl'_CAJ } 4 ' P_c;��J . City/State/Zip: l�>t-Afl C'j j N 02 ^S Phone.#: Are you ar.employer? Check the appropriate bog: 'Type of project(required):, 1�'T am a employer with 4': ❑ I am a general contractor and I r employees (full and/or.part-time).* have hired the sub-contractors 6. ❑.New construction . 2.❑ I am a sole proprietor or partner- . .listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have F g, ❑Demolition y workingfor me in an capacity. employees and have workers' , 9 ❑Building addition Y P [No workers comp,comp.insurance. P, insurance.+_. , required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their, I L E]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, comp. insurance required.]. *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information.'. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. " I am an employer that is providing,workers'compensation insurance for my employees. Below is.the policy and job site X information. Insurance Company Name: Policy#or Self-ins Lic:#: 03 6. Expiration Date: V,o o 3 Job Site Address: I City/State/Zip:., Attach a copy of the workers' compensation policy declaration page(shoving the policy number and expiration date). Failure.to secure coverage as required:under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that-the information provided above is true and correct a Si2nature� ` �F .r�_�_ � _.�%- Date: 1 . Phone#: Official use-only. Do not write in this area, to be completed by city or town of City or Town: Permit/Ilicense.# Issuing Authority(circle one): " 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing inspector 6. Other „ - Contact'Personi. Phone#: T ----------- -j --------------------------- --------------------- ................. o 4t=.l------ L------------——------- LI -—---------—------------- E2 MI o—I 0 ........... .......... f 0. ----------------- z;---- ---------- 7 - ---—--------------— -o t�.E F� ----r. ------------- --------------- -- ------- ---- -----------—----- -------—----- j I------ -—-—-—-—-—-—-— -------—-—---------- VA ---------- a n. -------------------------------------- _J---------j-27--i ---------------- --- ---- —- jai------- ----------- REFLE( CEILI --------- PW BASER"OT 1 Ism @4gEMENT FLOOR PLAN(PARTIAL) E2. A, f --------------------------------- ---- ---- -- �_ I�--- ------------'-- - --'--------- - ...:.�:.,.,. ®0. .�.......m:,:•.:, p�.w• ..:.::..,K. ® ...�,. 6.:e........,,o- Q m I{ ? �,-:i-- FT vP— L•, .,..,,m ._._. i !' T ?.-. _ _ I-'g.: ,p71, r ------------ " I HW I T¢ 1 I I V L A 1_-_----_ _ ___— � � • I T .. I �..��� Qi. a$ I �. I I �� , I I I� I 'h. I. 1n� i If I mw,r]u i 1 j ! I r� '4 ,� .I L .a, CN _ I 1 I i I I • i I I I 1 I ^ I ------------ a.� -, rT� .-. >E •_.Yf.— -1i.�;�. -~Q^' L:" I -:�fi -flO.- j I- l `W I I I + T ------------------------------ --- — e--I- -I--'-- -- ------ -- -I--J -- —' -�--- ------- -- - —- ------- - _- j I I I I I REFLEC j I I I I I RAN 5 hoc &Ks ;PND FLOOR PLAN(PARTIAL) _ 2., r 41 ---.----------- --------------------- -- -------— ——— ------- I ——------------------------------------------------------ s...... El ---------------`----- ��.,.«, ®.�....-...... ..>.... ----- — i _ D f v #--._. — . . —— -- -E�F--- —E�- ----4 I 7.1 -- -0 r. kU,.. l i - =----- — --------------------- — ^-- i --i.------ ,----------------'--------- --+—-- .-- --_ --.----------- 1. ----- j J ---- --�— L-----`------ I —' --i-------— --3--- — -- -+-' — -O I I I j I I REFLE( CEILII LAN W r1 ATTIC FLOOR PLAN - 2. ✓ ` SLL3Sq ;I. I I I ;I ..... ............. .. ..... ._........ ... .. q.�.. 15 - --- - --- — ----------- --- --- --- - - - - - - - - �I O � co a .. — - - - - - -+-------- --------------------- - - — --�— — -- o- -- ---------- 34 7 7 ---- I 1 .......... ......... ------' .-.----- 1-- it �„�,• ��....... ..8'""...... --— b r - ---------------- --------- ---------------- ----- , 14, — C 7. n Flg$J FL„QOR PLAN(PARTIAL) -- + di i 4 4V ..umm na. REF. w cl R©M"W L gym.,, k s m��.�p b vEar _ i 3 5,- - � ., - - �- � . e . I a^^. .a - - _ _—_____ --y J Mnd�. ____ --____ i ,e 4- � i p i t ;n zx'.E. B. Norris & S6n., Inc. INSURER-B a138 0sterville-West Barnstable Road INSUHEHC: Osterville, MA 02655 INSURER D. INSUHEH E INSURER F ER : - gVACES CERTIFICATE NUMBER;. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED E=LO„ REVISION NUMBER; I•;INDICATED. NO ISSUED ANY — H�,VE 6_EN ISSUED TC THE INSURE NAMED ABOVE:FCRTHE. R—CJ(-14=P4=NT; TERf(4,OR CpNDITION OF ANY CONTRACTOR OTHER DOC MENT WITH rR—Sf'ECT TO POLICY P THIS ("PRTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFEC RUED E" THE POLICIES U=SCRIEEU:H= F v iICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIPAITS SHOWN — HEREIN IS SlJ6JEOT TO ALL TH TERAdS• INSH — JN MAY HAVE BE ;REDUCED 6Y PAID CLAIMS. FLIR TYPE OF INSURANCE AuuL BUBH' POLICY 6FF POLICY EY,P INSR WVO POLICYNUMBER „� (MM/uu/YYYY I A. GENERAL LIASILIIY ) (Mi'vou YYYY) - .LIMITS - p ' xl COM11f.1ERCIAL GENERALLIAB:LITY .: _ tINDER336G65 5/03/2012 05/03/201 FACKUL(;IIKHFf4(;F .. .. - 41 Ali I -hAAI)F n( .;(I1K - _- _ . hl,aoo,000 DAFIAGE Tr RENTED F'KFrn F.:fF.,nrrulr^nrr.l ':2$0;000 m hqF)F/F'(Any nnr prrsnn)'.._ 9 5,000 K'i017 AI R AUV RV.IIIHY o ,oaa ..GENERALAGGREGATE 2,000,000 . (iFN'I A(iliHkliA IF:I I1.911 AF'FI IF(i F'F Kt POLICY �Ki)- FK(iuut I CiJln /<� N(,h :�2,000,000 - - - :,'.� !.. AU I OMOBILE LIABILI I - GOP.9 Y.I1J{-I1:=:111(il F I If u I - ... ANY`AUTI? - (En acudynl) ALL OWNED -T7 SCHEDVLED BODILY INJURY Irm ublsanj r - Y II`1.ItJKV-(Fnrarrxinnt) Si !' > _ HIRED AUTOS Au I(„'i - ) If'nl�wiJ7ull _ Yt UMBRELLA LIAR - p EXCESS LIAR - FA:.H QGCIIHHI-pl('H, h CLAiMS•MADE _ AGGREGATE DED RETENTIr)N-�Y . �. A.. WORKERS COMPENSATION - j, AND EMPLOYEHS'LIABILIIY- BINDER338666-. 5/03/2012 05/03/201 '''`'C I TU , nTH- ANYF'HtiF'HIF IQK/PAKIh1FK/F Y,FCI111VF 1/N X`� I(iKYIII111 FH a OFFICER/MEMBER EXCLUDED? �. '(WnditoryIn.NK) - - E.L.EACHACCIDENT 5aa,000 - .. f vy:,u7scliby undyl F.I.ur,=:: Ace-FA F1,4PI()Yl F 5500.000 . _ �.. IiF;GKIF'I IC Id QF.fiF'6HAlIUrI,-:brlm! 4 E L.L 1SEASE-POLICY uMIT . 000 VA - _ - p' .is'�rl! UESCHIP i ION OF OPERA IONS/LOCA I IONS!VLHICLES(Attach ACORU'10-1,Atltllllgn�.jl Hgmorli%Soina 11P,1{n1Orp F�]i1CA IS�rp ulrptl n?+. Insurance coverage is limited to the terms, Conditions,eXClusions,•other q )' R It m Itatl of is and . .ei idorse) meats. Nothing contained nrthe certlflcate of �.. insurance shall be deemed to have altered,waived, or extended the Coverage provided by the,policy provisions, lei e• CERTIFICATE HOLDER CANCELLATION` Town of Barnstable SHOLILD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t „ s 200 Mein Street ELIVERED IN THE EXPIRATION DATE THEREOF, NOTICE WILL BE D Hyannis, MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS AUIHOHILEU HEPHESEN I A I IVE +,4 ACORD 25 2010/05 n 1988.2010 ACORD CORPORATION.Ail rights reserved,. t ) 1 of 1 The ACORD name and I090 are registered marks of ACORD #S9fj106/M96105 t r 1 Massachusetts- Department of Public Safeh 1 Board of'Building Regulations and Standards Construction Supervisor License License: CS 15851 CRAIG N iASHWORTFi 1,38 OST W}yjBxARNSTABLE OSTERVILLE�MA,02655'� `r•' � - Expiration: 9/28/2013 4 Cuounissiune Tr#; 522 s �N',o...\ .-_mil. i_,, �.� t _:�J �. .w .�"„- �---�-; iti I `�.. 4 �� _ .t. U�L�i � Gll/I�ll 10 ���d/J/l�G//J�i l Office of Consumer Affairs and Business Regulation = 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 Type: Private Corporation Expiration: 6/30/2014 Tr# 223290 ERNEST B. NORRIS & SON INC r' � Craig Ashworth 1 *; 138 Osterville W. Barnstable rd. Osterville, MA 02655 . : ` y r r ✓'Update Address and return card.Mark reason for change. Mj..y. Address Renewal Employment Lost Card SCA 1 E; 20M-05/11 ��ecvrroi�aoracuer-r.���o �P llaooac�%c:1e��- License or registration valid foi:yipdividul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration 102014 Type: /v 10 Park Plaza-Suite 5170 ;Expiration:t 6/30/2014 Private Corpo�atior" Boston,lylA 02116 ERNEST B. N0RRIB::&SON1NC '} 1 Craig Ashworth .- 4y 138 Osterville W. Barnstable fd , r y Osterville, MA 02655 Undersecretary N,Xlid without signature Town-of Banstable 1�egt ia'tor.y Service ` rats h*D'-aas—deller,Director �aX �d�'15dQ - Tom r ii6ilding cotntnissiorer `BEYy 200 Main Siree;;Hyannis,MA 02607 WWTYJowrI.b oflee: 508-862-4038 Fax, 508-790-623D` .4-ropeity QWAermuss Complete and Sign This Seciicrz If Uslik A BgVder .5 . j p t ,as Owner of tlie•subjec i rt3� ors /� / C. to.actor' uZ allinatters.ralat V6 to work,a gutho&ed b° this bddin - . _ . g pzxiuit applicat[on:..fo�'t , Address'of ob 01E�a4t:un of Owner D V: If P ie�o eri u er s ap l iz g for permit please,6b H6n { . .., wrie�,'L•ieeris•&'Exex:� #:yen Fczx�z on'�e • • ".' ,. 1. - ;:SST-'C** f ' q:Foa�ss:a�+x>;�Ex.t�trss�ah - :• . . 9 t " - I t' h - r• THE PICKWICK REALTY TRUST MAIN HOUSE 71 Ocean View Avenue Cotuit , Massachusetts FIRE PROTECTION SPRINKLER SYSTEM DESIGN BASIS NARRATIVE DOCUMENT �10 OF SsA ANTHONY P CAPUTC+ Prepared By: Fft PROTECTION N 8 -- ewe A. P. Caputo, P.E. r tF PYROTECS Consultants, Inc. Sandwich, MA 3/24/11J/e�� ��z i 1 I. DESIGN BASIS NARRATIVE A. Structure Occupancy and Construction This is a 2 �z ,story single family residence with a full basement and partial attic.. The first. floor encompasses approximately 7, 847 sq. ft.. of gross floor area. This floor . houses the main entrance foyer, master bedroom suite,' library, living room, family room, two dining rooms, kitchen and associated dining area, laundry room; 5 bay garage, and screened porch. The second floor encompasses approximately 5, 64 5 sq. ft. and ten bedrooms each with integrated bathrooms, two sitting rooms, access hallway and two stairways to the first floor. The attic provides for an" additional 1, 851 gross sq. ft. of living area consisting of a large open area, small bathroom, two small storage rooms and a mechanical room. The basement encompasses approximately 8, 227 sq. ft. and houses a playroom, gym, storage rooms, electrical room, mechanical room, game room, 5 smaller bedrooms, kitchen, bathrooms and elevator machine room. The total structure gross area is approximately 23, 411 sq. ft. The residence is provided with two interior stairways and an elevator that communicates between the basement', first and second floor levels. A single stair provides access to and .from the attic. The occupancy is classified as Residential Use Group R3 per the Massachusetts State Building Code. The structure is' essentially wood frame construction as defined in NFPA Standard 220 and Type 5B.Unprotected per 780 CMR. Given the building area exceeds 14, 400 sq. ft. the residence will be sprinklered in accordance with Section 5313. 5. 1 of the- Massachusetts One and Two Family Dwelling Code (780 CMR, 71h Edition) and NFPA Standard 13D, 2007 Edition. All areas are expected to be sufficiently heated, excepting the screened 'porch, to provide for a wet residential type sprinkler system. B. Fire Protection System Features A wet NFPA 13 D residential sprinkler system is ._to be .. provided for this structure. The wet system will provide protection for the entire habitable areas of the structure with the ,exception of .the screened unheated porch as allowed by NFPA , 13. In accordance with ,NFPA 13D sprinklers wi1l _also not be provided for small closets and the small concealed space located along the eve lines .of. the attic. The structure will also be provided with a typical 2 i residential smoke detection/alarm system_. (not part. of this . .design contract) in accordance with the requirements of the Massachusetts State Building Code (780 CMR) . A fire sprinkler system water flow switch will be provided to tie to the alarm system to facilitate an alarm on a sprinkler system water flow. The sprinkler system will be designed to fulfill the requirements of the 7th Edition of the Massachusetts One and Two Family Dwelling Building_ Code, 780 CMR. The purpose of these systems, in concert with the fire detection/alarm system, is to enhance safety to life of occupants, limit both horizontal and vertical fire spread within the structure, limit smoke spread within the structure, and enhance manual firefighting capability through automatic fire suppression. . 1 . Automatic Sprinkler Protection (a) Designation The sprinklers for the majority of the living -areas will be residential concealed type residential heads hydraulically, designed to meet both NFPA 13D criteria and the manufacturers listing design requirements . Accordingly calculations will -provide for a minimum two (2) residential type head flow based on a 16' x 16' area coverage. The attic space requires a unique- combination of concealed residential type sprinklers in the sloped finished ceiling area and standard pendent quick response type heads to protect the area under the unique j oisted ceiling under the large skylight. 'Given that living space is located directly below the garage it will be protected beyond minimum NFPA 13D code. requirements. The garage bay area .will be provided with standard pendent quick -response sprinkler heads on a maximum 120 sq. ft. spacing designed to discharge a minimum design density of . 15 gpm/sq. ft. for a minimum 4 head flow. Anticipated sprinkler head location drawings are provided in the permit plans. Sprinklers will be supplied from a single wet residential riser located in the basement. The sprinklers will be feed from" a new service from the public water main on Ocean View Avenue and hydraulically sized to meet the .maximum demand flow. A hydrant .flow -test will be conducted to, establish the.water supply capability and utilized to hydraulically size the sprinkler system piping. Hydraulic calculations will be provided for the attic, most demanding second floor bedroom area utilizing a 2 head flow, and for the garage utilizing a minimum 4 head flow. Hydraulic calculations will be provided with the final sprinkler layout and piping drawings. Tyco Model LFII residential concealed pendent . heads are used throughout except for the standard quick response pendent heads to be utilized under the attic skylight and in the garage. Although not required by code a single 2 1/2" fire department connection will be provided. (b) Acceptance Testing The sprinkler system above ground piping will be hydrostatically tested to 200 psi-for two hours. Alarm flow test (via an Inspectors Test Connection) will also be required to activate the alarm system. ©) Maintenance Testing .A testing and maintenance program which meets the requirements of NFPA Standard 13D needs to be implemented to help maintain system functionality. ' , Monthly Owner or designated agent to inspect`to see that control- valves are open and all _system gages are normal. Quarterly - Inspectors Alarm Test Inspect Fire Department Connection Yearly - Test backflow preventer per state requirements. Message Page 1 of 1 a Anderson, Robin From: Perry, Tom Sent: Thursday, December 27, 2012 8:19 AM To: 'Craig Ashworth' c Cc: Anderson,Robin Subject: RE: 71 Ocean View Ave, Cotuit. Kitchen question. Craig, In THIS situation I don't have an issue with the second kitchen. TP -----Original Message----- From: Craig Ashworth [mailto:cashworth@ebnorris.com] Sent: Wednesday, December 26, 2012 2:52 PM To: Perry,Tom Subject: 71 Ocean View Ave, Cotuit. Kitchen question. Hi Tom,We are moving ahead at a rapid pace and I just wanted to revisit the staff kitchen. In my mind is the number of existing kitchens on the property at the outset of the project and the net total at the end of the day. I believe we will be endingup with a total of 4 and we started out with 3. �., I am sure we addressed this as an allowable accessory use. It is in fact,for the use of live in staff in support of the 5 dedicated staff bedrooms. a Do we need to have an affidavit signed and bound to the title as in a Family apartment situation? I just do not want to get out of line here.Your thoughts on the matter will help greatly. Craig N. Ashworth E. B. Norris a Son Inc. 138 Osterville / West Barnstable Rd. Osterville, MA 02655 Office 508 428 1165 Cell 508 243 5588 z. 12/31/2012 Message Page 1 of 1 Perry, Tom From: Perry, Tom Sent: Thursday, December 27, 2012 8:19 AM To: 'Craig Ashworth' Cc: Anderson, Robin Subject: RE: 71 Ocean View Ave, Cotuit. Kitchen question. Craig, In THIS situation I don't have an issue with the second kitchen. TP -----Original Message----- From: Craig Ashworth [mailto:cashworth@ebnorris.com] Sent: Wednesday, December 26, 2012 2:52 PM To: Perry,Tom Subject: 71 Ocean View Ave, Cotuit. Kitchen question. Hi Tom, We are moving ahead at a rapid pace and I just wanted to revisit the staff kitchen. In my mind is the number of existing kitchens on the property at the outset of the project and the net total at the end of the day..I believe we will be ending up with a total of 4 and we started out with 3. I am sure we addressed this as an allowable accessory use. It is in fact,for the use of live in staff in support of the 5 dedicated staff bedrooms. Do we need to have an affidavit signed and bound to the title as in a Family apartment situation? I just do not want to get out of line here.Your thoughts on the matter will help greatly. Craig N. Ashworth E. B. Norris Ft Son Inc. 138 Osterville / West Barnstable Rd. Osterville, MA 02655 Office 508 428 1165 Cell 508 243 5588 12/27/2012 d IOWN OF IAR ISTA L Cowen Associates ( s23 MEASCEOFFellow N.S.P.E. B.A.S.E.(President 1996-7) CONSULTING STRUCTURAL ENGINEERS A.C.I. 29 Vesta Road N.C.S.E.A.(MA Delegate) Natick, MA 01760 ;y 'LICENCES/REGISTRATIONS IN: Telephone(508)655-3976 � � `#Ni3 Newvohksetts(structuraq Facsimile(508)655-4284 Illinois-SE District of Columbia jon@cowenassoc.com Maryland Missouri www.cowenassoc.com Vermont New Hampshire Rhode Island + FRED V. COWEN P.E., S.E., S.E.C.B., FASCE, President New Jersey Virginia JON COWEN-P.E. Florida Kentucky(inactive) Pennsylvania Monday, February 20, 2012 Oklahoma Connecticut Structural Framing Affidavit SEC Board Certified BSBc�It„�" ' �•RFL1,fl�tL1TY Mr. Ivan Bereznicki Ivan Bereznicki Architects w 9 Wendell Street Cambridge, MA 02138 10.066 —The Pickwick Realty Trust Main House, Cotuit, MA Dear Ivan: The undersigned has visited the above captioned property on the following dates: 2/20/12, 10/17/11, 9/28/11, 9/1/11, 8/22/11, 8/11/11, 7/25/11, 4/7/11, 3/23/11, 2/23/11, 2/14/11, and 2/7/11 for the purpose of inspecting the foundation and framing for the main house. Reference is made to drawings by this office. The framing for the above captioned property appears to conform to the aforementioned documents. It is therefore the opinion of this office that, to the best of my knowledge and belief, the framing for the main house meets or exceeds the structural provisions of the Commonwealth of Massachusetts State Residential Building Code, 780-CMR, 7th Edition. x If there are any questions regarding this matter, do not hesitate to call. Very truly yours, CK , Cowen Associates t/a v. Jon,Cowen P.E. Cowes : . STRUCTURAL 611s.46617 /y b y. ,► . 4 • r ' i y -7/ PJGOkj ` a Cowen Associates _ MEMBERS OF: A.S.C.E. -Fellow N.S.P:E. B.A.S.E.(President 1996-7) CONSULTING STRUCTURAL ENGINEERS A.C.I. 29 Vesta Road N.C.S.E.A.(MA Delegate) Natick, MA 01760 LICENCES/REGISTRATIONS IN: Telephone(508)655 -3976 Massachusetts(Structural)New York Facsimile(508) 655-4284 Illinois—SE District of Columbia jon@cowenassoc.com Maryland Missouri www.cowenassoc.com Vermont New Hampshire Rhode Island FRED V. COWEN P.E., S.E., S.E.C.B., FASCE, President New Jersey Virginia JON COWEN-P.E. Florida Kentucky(inactive) y Pennsylvania Ohio Monday, February 20, 2012 Oklahoma Connecticut Structural Framing Affidavit 3E.0 Board Certified Tsartxf. Ri RFLtA,' BttlJS Mr. Ivan Bereznicki Ivan Bereznicki Architects 9 Wendell Street Cambridge, MA 02138 10.066 —The Pickwick Realty Trust Main House, Cotuit, MA Dear Ivan: The undersigned has visited the above captioned property on the following dates: 2/20/12, 10/17/11, 9/28/11, 9/1/11, 8/22/11, 8/11/11, 7/25/11, 4/7/11, 3/23/11, 2/23/11'. 2/14/11, and 2/7/11 for the purpose of inspecting the foundation and framing for the main house. Reference is made to drawings by this office. , The framing for the above captioned property appears to conform to the aforementioned documents. It is therefore the opinion of this office that, to the best of my knowledge and belief, the framing for the main house meets or exceeds the structural provisions of the Commonwealth of Massachusetts State Residential Building Code, 780-CMR, 7t" Edition. If there are any questions regarding this matter, do not hesitate to call. Very truly yours, ��' Of Cowen Associates FNFAER(CK Eow N Jon Cowen, P.E. sniucru�u,i M�.4f617� p 1 J' A \ 1 \ I SECTION I ELEVATION \ i ALTERNATE CONFIGURATION FOR CURVED TOP \ I \ / LEAD COATED COPPER ——DOME COVER F ' S.S.HANDLE - S.S.HING ES - _____ __ - - - - I J. J WELDED STAINLESS STEEL I L.— ------ ----- ANGLE FRAMEWORK I ..1. . I I I 1 3/4" I I 'MOBERG"CHIMNEY CAPS @LIVING ROOM CHIMNEY I I ' SANDBLASTED S.S.ANGLE HOUSING I "McNICHOLS"S.S.GRATING 6801180732 OR SIMILAR - -I - W/1/8"X1"BARS®13/16"O.C. I 1 I � I PL N ELE q V. /2" _ T-o" , ' BO P OF CHIMNEY . LAG LT TO TO , 1 - - W/WATERPROOF SEAL "_ L.C.C.CHIMNEY TOP .' L 'p1C9SV'J1CK REALTY TRUST-MAIN HOUSE iCD PC-195A CHIMNEY CAP(TWO PLACES) !SCALE:NOTED DATE:2/22/12 n SECTION/ELEV. !IVAN BEREZNICKI ASSOCIATES n SCALE:3" _ "1'-0" •`},i F4 x /A TOWN OF BARNSTABLE BUILDING RMIT APPLICATION Map Parcel' Application # ;I Health Division Date Issued N Conservation.Division - Application Fe 50 �� Planning Dept. " Permit Fee S�• . Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis• hh � Project Street Address vtEh] AVE 1 Village 010 TV IT J•Ro8£RT cA5EY TROTEE OF 7ti RcrwlC mry 7RL/ST Owner ` el lwfr BEACOL2 PROPERTIfs Address 5-0 FE004L SM 4th FLK; RMOM d14 6A11D Telephone_ej�F i wgl r $• IUoRpt y Doti , /k/c Permit Request E1.00 " RTLOO OF-Fk ST106- Fnl t,Lp ( N C*7-1 V ,Hotz'r- bg "w w tJ 0►\ S IV/ PV- Square feet: 1 st floor: existing proposed _2nd floor: existing proposed g i Total new Zoning District RF—j Flood Plain Groundwater Overlay A_ ba jProject Valuation k2poI ooc� Construction TypeWop FRAle Lot Size �• $3 JM,►�5 Grandfathered: ❑Yes )4 No If yes, attach supporting documentation. Dwelling Type: Single Family4 �S Two Family ❑ Multi-Family (# units) Age of Existing Structure` Historic House: �Yes A No On Old King's Highway: ❑Yes A No Basement Type:• ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new 0 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces. Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # N I A Recorded ❑ Commercial ❑Yes A No If yes, site plan review# Current Use d QF rl.A'l) Proposed Use ftt/ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 3 Name e7r .Iy��-1 � $/ ����l f� Telephone Number 11 Address _L�l � License# C5 I695-1 ,M k Home Improvement Contractor# I DI?OLq LU Worker's Compensation # lb 10 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V4,C SIGNATURE DATE /Sl� r ' FOR OFFICIAL"USE ONLY " APPLICATION# `*DATE ISSUED - OMAP/PARCEL NO. ADDRESS VILLAGE' t OWNER e i DATE OF INSPECTION: Aso Jt i FOUNDATION ,!O x FRAME MQ z u l��/�✓ , INSULATION FIREPLACE '. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT y' ASSOCIATION..PLAN NO. Y i -s .. +.r Wvu W.ILrLU GLLU j . Department of-Industrial Accidents 1a Office oflnvestigations „r 600 WT shin ton Street ` . Boston, MA 02111 www.mass-gov/dia Workers' Compensation Insurance Affidavit: B.uiIderslContractors/Electzicians/Plumbers Applicant Information Please Print Legibly N=e(Business/Orgauization/ln&idual): P-[\E't 0 _ N t)Q-WS b(4,o iV Address:_ t VL C- City/State/Zip: 0"'ItW l►AA. HL Phony i,re you an employer? Check the appropriate bog: Type of proj eet(required);. I am a employer with 4: ❑ I am a general contractor and I employees(full and/or part-time).* have hiredthe'sub-contractors -6, ❑New construction ❑ I am a sole proprietor or partner listed on the attached sheet.+ 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity, workers' Comp:insurance, g,, ❑Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required] officers have exercised their' 10,F]Eleotricalrepairs or additions ❑ I am a homeowner doing all work right of exemption per MGL.• 11-❑Plumbing repairs or additions myself, [No workers' comp. c..152, §1(4), and we have no ' 12,[]Roof repairs. insurance required.]t employees,.[No workers' Other„�, LO C j( d R� comp.insurance required.] 13 D LDG my applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, iomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, ontractors that check this box must attached an additional sheet showing the name of The subcontractors and their workers'comp,policy information, im an employer that isproviding workers'compensation insurance for-my employees, Below is the policy and job site formation. surance Company Name: A cA-D j licy#or Self-ins,Lic.#: _ 7W DES— /j 0 O[j Expiration Daie:_Dtj 0011 l b Site Address: 0ft� V 1 GA) City/State/Zip; tach a copy of the workers' compensation policy declaration page (showing the-policy number and expiration date). ilure to secure coverage as required under Section 25A of MGL e,.152 can lead to the imposition of criminal penalties of a . ;e up to$1,500:D0 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of vestigations of the DIA for insurance coverage'verification. !o hereby certify u er the pains and pe es perjury th he information provided above is true and correct mature: z Date: one#: 4-M -711 6 Official use only, Do.not write in this area,•to be completed by-city or town official City or Town; Permit/Ucense# ` Issuing Authority(circle one); 1,Board of Health 2.BuiIding Department 3,City/Town Clerk- 4;Electrical Inspector 5.Plumbing Inspector 6, Other Contact Person: Phone'??, { t Client#:646400 2NORRISEB ACORD.M CERTIFICATE OF LIABILITY INSURANCE 05/26/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance E.B.Norris&Son.,Inc. INSURER B: 138 Osterville West Barnstable Road INSURER C: Osterville,MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR D POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS A GENERAL LIABILITY BINDER307009 05/03/10 05/03/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $250 OOO CLAIMS MADE 51 OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1,000,000, GENERAL AGGREGATE s2,0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY E Q LOG A AUTOMOBILE LIABILITY BINDER307008 05/03/10 05/03/11 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY rif SCHEDULED AUTOS - (Per person) $1,000,000 HIRED AUTOSBODILY INJURY $1,000,000 NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $500,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY BINDER307011 05/03/10 05/03/11 EACH OCCURRENCE $1 O 00O 000 X OCCUR CLAIMS MADE AGGREGATE $1 O 00O 000 DEDUCTIBLE $ X RETENTION $0 - $ A WORKERS COMPENSATION AND BINDER307010 05/03/10 05/03/11 X WC SLIMITSTATUS DER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT s500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s500,000 OTHER - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ n DAYS WRITTEN. 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S69611/M69610 CR © ACORD CORPORATION 1988 i - Massachusetts- Dehat•tineni of Public Safety } Board of Building Regulations and Standards i Construction Supervisor License `License: CS 15851 Restricted to: 00 , CRAIG N AS WORTH ' t' f f 138 OST-W BARNSTABLE „ t O.STERVILLE, MA 02655 t i. Expiration: 9/28/2011 (' nunniube Tr#: 3091 Office of"co m°ryreU'r'Aa�r� inegu� License or registration valid for individul use only. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ` �T Registration 102014 Type: Office of Consumer Affairs and Business,Regulation . h Expiration. ,6/30%2012 Private Corporation 10 Park Plaza-Suite 5170 " Boston,MA 02116 EK6T B. NORRIS&SON INC i Craig Ashworth 138 Osterville W. Barnstable Osterville, MA 02655 - Undersecretary Not valid without signature .- -L r C1,1A:,. _ �OF1 Town of Barnstable ;.;AU 16 Pd :45 Barnstable Historical Commission . 200 Main Street,Hyannis,Massachusetts 02601 y Mnss (508) 862-4786 Fax(508)862-4725 16gq. www.townlarnstable,nmus Linda Hutchenrider,Town Clerk 367 Main Street - Thomas Perry, Building Commissioner 200 Main Street Hyannis,MA 02601 Attorney Michael Ford } 72 Route 28 West Harwich,MA 02671 Craig Norris E.B.Norris and Son,Inc 138 Osterville--West Barnstable Road,Inc. Osterville MA 02665 Re: _INITIAL DETERMINATION of the Barnstable Historical Commission,pursuant to the Code of the - Town of Barnstable ss 112-1 through ss 112-7, application for DEMOLITION J and RELOCATIOWof property.as follows: Location: 71 Ocean View Avenue " Cotuit Assessors map and parcel: 034045 Applicant: Craig Ashworth, EB Norris/Attorney Michael Ford The Barnstable Historical Commission considered the above referenced application for relocation and demolition at 71 Ocean Avenue at their meeting of August 12, 2010,and made the following decision: On an initial basis,.the main.house which is proposed to be relocated on the lot to the west,_closer to Ocean View Avenue is a significant building;the house is more than 75 years old and has been re- designed by Royal Barry Wills,an outstanding historical architect of the New England region. This part of the application was forwarded for a public hearing.: The 1 '/2 story cottage is not architecturally significant but the Commission-requested that it be j relocated,if possible. The i-story garage plus basement is not historically significant,it is less than 75 years old. The Commission requested that the building be de-constructed for relocation or re-use,if possible. Sincerely � •, JeraRapp Grassetti,TAng Chair f Town,of Barnstable 200 Main Street Hyannis, MA-02601 S ' 04-j! Notice of Intent to Demolish or Move a Historic Building/Structure Is Building/Structure located in a Local or Regional Historic District?: YES 0 NO l If YES,Protection of Historic Properties Bylaw does not apply,and it is not necessary to fill out the remainder of this fort. PRINT IN INK Date-of Application: Building/Structure Address: 71 Ocean View Avenue CotuiL_MA _ Number Street Town _-- State Zip Assessor's Map#: Q34 Assessor's Lot#: 045 Is Building/Structure listed on the National Register of Historic Places or on a pending list with the National Register of Historic Places?: YES Cl NO 9 How old is the Building/Structure?: 1924 86 ears How is the Building/Structure Occupied?:Single family home with additional apartment(separate dwelling unit) Number of Stories: _2 Architectural style of Building/Structure,describe if not known: hin led cottage Material of Building/Structure: jVoodframe Is this Building/Structure associated with one or more historic events or persons? Please list event,description,or names: ' NIA Type of Building/Structure and proposed work: Relocate portion of p�isting building to new location as shown on attached site plan. Explanation of the proposed use to be made of the site: Single family residence Zoning District:_ RF-1 Fire District: APPIlcarWs Name:Craig&hworth (E B Norris&Son, Inc.)—FOR OWNER Address: _138 Ostervil! West Barnstable Road."-0 rviilgLMA 02655 Number Street Town State' Zip >s _ Owner's Name: J. Robert Casev.Trustee of the Pickwick Realty Trust M Address: 50 Federal Street a Floor Boston MA 02110 Number Sheet Town State Zip Contractor: Emest B: Norris S Son, Inc. Address. 138 Ostenalle-West Barnstable Road,Ostervilie MA 02655 Number Street Tdwn State Zf Program of Lot:and Building/Structure with dimensions: See attached site I n. Name: x national rod November 19, 2010 Travis Cundiff E. B. Norris & Son Re: 71 Ocean View, Cotuit. Ma This letter is to notify you that the gas service located at 71 Ocean View, Cotuit, Ma was cut off at the main on 11/18/10. If you have any questions, please feel free to contact me @ 781-907-2930 Sincerely, r. Diane L. Stevenin P Customer Driven Construction diane.stevenin@us.ngrid.com. 781-907-2930 781-522-1056 fax 40 Sylvan Road E-2 Waltham, Ma 02451 NOV-11-2010 14:33 FROM: TO:15084281196 P.2 t Air Safe, Inc. 61 Endicott Street,Bldg.32-J ,Norwood,MA 02062 781-762-3390 Experts in Asbestos and Mold Removal November 11,2010 B. B.Norris&t Sons Builders C/O Pick Wick Realty Trust 138 OstervillefWest'Barnstable Rd: Osterville, MA 026S3 , Re: Completion of asbestos removal 71 Oceanview Ave., Cotuit,MA - o To Whom It May Concern,, Please advise any intCrusted party that Air Safe, Inc, is the licensed asbestos contractor _ (MA License#AC000464)that recently completed the contracted abatemertt of.asbestos containing pipe insulation.from the backside garage and adjacent pump room,at the above noted address_ All work was successfully completed in accordance with all.applicable federal, state and locat regulations. We trust you have found our service to.have net your needs. If you have any questions regarding the work performed,please-call us at(781) 762-3390. Thank you for your business. Sincerely, r David F. Walsh Air Safe,inc. , t Vs; L OF COTUIT ai ter etta tment • � � T * FIRE DISTRICT# 0 `1 - v� t926 4300 FALMOUTH' ROAD, P:O. BOX 451 D�oJUO'91 COTUIT, MASS. 02635 " , + PHONE. 508-428-2687�ty ' FAX 508-428-751,7, t 5 - ' 1 c g o f 1 4, October 13, 2010 Ms. Paula Sidman c/o The Beacon Co. 50 Federal Street, 4th FL Boston, MA 02110 RE: 71 Ocean View Ave. Dear.Ms. Sidman, The water has been turned off at the street and the meter has been disconnected at 71 Ocean View Avenue in Cotuit. Sincerely, s Wiseman —� Superintendent ;., _ i i a f j Massachusetts Departmerit of En-sironmental Protection Provided by MassDEP Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333143 Massachusetts Wetlands Protection AcrM.G.L.c.131,§40 Ll City/Town BARNSTABLE i A.General Information 1.Conservation Commission BARNSTABLE 1 2.Issuance a. F OOC -b.l Amended OOC 3.Applicant Details . = a.First Name k ANDREWl b.Last Name NEWMANJT—R.) c.Organization PICKWICK REALTY TRUST d.Mailing Address C/O THE BEACON CO.,50 FEDERAL ST.,4TH FL. _ e.City/Town BOSTON f.State MA g.Zip Code 02110 j 4.Property Owner a.First Name ANDREW b.Last Name NEWMAN,TR. t c.Organization PIC'KWICK REALTY TRUST ' d.Mailing Address C/O THE BEACON CO.,50 FEDERAL ST.,4TH FL. e.City/Town BOSTON f.State MA g.Zip Code - 02110 # 5.Project Location r" a.Street Address 71 OCEAN VIEW AVE. b.City/Town BARNSTABLE c.Zip Code 02635 d.Assessors Map/Plat#034 e.ParceULot# 045 f.Latitude 41.61066N g Longitude 70.43467W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page BARNSTABLE C.184833 LOT 5 P.39770-C 7.Dates a.Date NOI Filed:8/6/2010 b.Date Public Hearing Closed: 8/24/2010' c.Date Of Issuance:9!10/2010 8.Final Approved Plans and Other Documents a.Plan Title: b.Plan Prepared by: c-Plan Signed/Stamped by: d.Revised Final Date: e.Scale: SULLIVAN , SITE PLAN PETER SULLIVAN,P.E: August I,2010 1"=30' z ENGINEERING,INC. t B. Findings I-Findings pursuant to the Massachusetts Wetlands Protection Act •Page I of 9*,ELECTRONIC COPY i b 3 tt . Massachusetts Department of Environmental Protection Provided byMassDEP: — Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 1 WPA Form 5-Order of Conditions eDEP Transaction#333143 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:BARNSTABLE Following the review ofthe the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,`this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. r Public water Supply b. r Land Containing Shellfish c.F Prevention of Pollution d. r Private Water Supply e. r Fisheries £ F Protection of Wildlife Habitat g. r Ground Water Supply h P' Storm Damage Prevention i. F Flood Control 2.Commission hereby finds the project,as proposed,is: Approved subject to: a.F The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations, This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals subnmitted with the Notice of Intent,these conditions shall control. Denied because: b.I—The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act;and a final Order of Conditions is issued A description of the performance standards ` which the proposed work cannot meet is attached to this Order. c.r The information submitted by the applicant is not sufficient to describe the site;the work or the effect of the work on the interests identified in the Wetlands Protection Act Therefore,work on this project may not�o forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued A description of the specifre information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). 3 Buffer Zone Impacts:Shortest distance between limit of project disturtmance and the wetland resource 50 area specified in 310CMR10.02(i)(a). a linear feet Inland Resource Area Impacts:(For Approvals Only): Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. f Bank a.linear feet b.linear feet c.linear feet d.-linear feet 5.r Bordering Vegetated Wetland a.square feet b.-square feet c.square feet d.square feet ." 6. r Land under Waterbodies and Waterways a.square feet " b.square feet c.square feet d.,square feet e.cly dredged f.c/y dredged 7.'F Bordering Land Subject to Flooding. a.square feet b.square feet c.square feet d.square feet Page 2 of 9*ELECTRONIC COPY , A Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#.003-4899 WPA Form 5-Order of Conditions eDEP Transaction##:333143 Massachusetts Wetlands Protection Act M_G.L.c.131,§40 CityfTown BAKI�STABLE Cubic Feet Flood Storage e.cubic.feet f.cubic feet g.cubic feet . h.cubic feet 8.r isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet 9.r Riverfront Area a total sq.feet b.total sq,feet Sq ft within 100 ft c,square feet d.square feet e.square feet f.square feet Sq ft between 160-200 ft g,square feet h,square feet i.square feet j square feet Coastal Resource Area Impacts: Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement ` 10.r Designated Port Areas Indicate size under Land Under the Ocean,below 11.r Land Under the Ocean a square feet b.square feet c.c/y dredged d c/y dredged 12.C-Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.r Coastal Beaches a.square feet b.square feet c.c/y nourishment d cfy nourishment 14.r Coastal Dunes a.square feet b.square feet c.c/y nourishment d cly nourishment 15.r-Coastal Banks a.linear feet b.linear feet I6.r Rocky Intertidal Shores a.square feet b.square feet 17.r Salt Marshes a.square feet b.square feet c.square feet d.square feet 18.r Land Under Salt Ponds a.square feet b.square feet c.c/y dredged d,c/y dredged 19.r Land Containing Shellfish a.square feet b.square feet c.square feet d.square feet Page 3 of 9*ELECTRONIC COPY i 1 y f , i Massachusetts Department of Environmental Protection provided by MassDEP; i ,.�-- Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333143 City/I'own:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c.131,§40 « Indicate size under Coastal Banks,inland Bank,Land Under the 20,f Fish Runs Ocean;and/or inland Land Under Waterbodies and Waterways, above. c.cly dredged d,c/y dredged 21.r Land Subject to Coastal Storm Flowage a.square feet b.square feet i 22. f r Restoration/Enhancement(For Approvals Only) f� If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been ( entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. i a.square feet of BV W b.square feet of Salt Marsh 23. r Streams Crossing(s) _ If the project involves Stream Crossings,please enter the number of new stream crossings/number of replacement stream crossings. a number of new stream crossings b.number of replacement stream crossings # C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects - k 1. Failure to comply with all conditions stated herein;and with all related statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privi leges;it does not authorize any injury to private property or j invasion of private rights. i 3. This Order does not rel ieve the perm ittee or any other person of the necessity of complying with all other applicable federal,' state,or local statutes,ordinances,bylaws,or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following 'i apply. 1 a.the work is a maintenance dredging project as provided for in the Act;or ;1 i b.the time for completion has been extended to a specified date more than three years,but less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the i extension date and the special circumstances wan=-ing the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. 7. Any fill used in connection with this project shall be clean fill.Any,fill shall contain no trash nfuse,rubbish,or debris,including but not limited to lumber,bricks,plaster,wire,lath;paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of III any of the foregoing. 8. This Order is not final until all adnunistrative appeal periods from this Order have elapsed,or if such an appeal has been taken, 1 until all proceedings before the Aeparthrcni have been completed 9. No work shall be undertaken until the Order has become final and then has been recorded in the Reg try of Deeds or the Land j Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, ! Page 4 of 9*ELECTRONIC COPY { 1 - a , . t k i - • Massachusetts Department of Environmental Protection .Provided by MassDEP: - Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 WPA Form 5_Order of Conditions eDEP Transaction*333143 i Massachusetts Wetlands Protection Act M.G.L.c.131,§40 City/1own:BARNSTABI E the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work. I0. A.sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or-MassDEP"] FileNumber''003-4899" i 11. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Cornrnission shall be a party to all agency proceedings and hearings before Mass DEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Fenn 8A)to the Conservation Commission , 13. The work shall conform to the plans and special conditions referenced in this order. I4. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 15. The Agent or member;of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. Prior to the start ofwork,and if the project involves worts adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. ` 18. AU sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other mearis.At no time shall sediments be deposited in wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant, shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work lure has been approved by this Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) F is not(2)r subject to the Massachusetts Stormwater Standards. If the work is subject to Stormwater Standards,then the project is subject to the following conditions; a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Pemrit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that i.all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stonnwater Handbook BMP specifications and that the BMP has been properly cleaned orprepared for post constriction operation, including removal of all construction period sediment trapped in inlet and outlet control structures;A.as-built final construction BMP plans are included,,signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized;ifi• any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater r Page 5 of 9*ELECTRONIC COPY I ti Massachusetts Department of Environmental Protection ProiddedbyMmsDEP: 7-- Bureau of Resource Protection-Wetlands MassDEP File 1r:003-4899 �� 3143 WPA Form 5-Order of Conditions VF eDEP Transaction#:ABLE r CitylI'ownBARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c.131,§40 Standard 10;iv.all post-construction stormwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v,any vegetation associated with post-construction BMPs is suitably established to withstand erosion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement")for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the O&M : Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of them ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-terra pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Pemtit e) 'Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible parry shall be treated as a permittee for purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater BINTs.A plan and easement deed that grants the responsible party access to perfomr the required operation and maintenance must he submitted along with the legally binding agreement f) The responsible party shall operate and maintain all stoimwaterBMPs in accordance with the design plans,the O&M Platy and the requirements of the Massachusetts Stormwater Handbook g) The responsible party shall: I.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stormwater management system or any part thereof,and disposal(for disposal the log shall indicate the type of material and the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure " that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. , h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable federal,state,and local laws and regulations. ) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. j) The stormwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. n Access for maintenance,repair,and/or replacement of BMPs shall not be withheld.Any fencing constructed around stormwater B.MPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions: Page 6 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided byMassDEP: ,._ Bureau of Resource Protection-Wetlands - MassDEP File#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#ABLE3 ' Massachusetts Wetlands Protection Act M.G.L.c.131,§40 C�b�ownBARNSTABI) 1 A Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable?r Yes 1— No- r 2• The Conservation Commission hereby(check one that applies): a. f- DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: 1.Municipal Ordinance orBylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet 6ese standards,and a final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw: . b. APPROVES the proposed work,subject to the following additional conditions. TOWN OF 1.Municipal Ordinance or Bylaw BARNSTABLE 2.Citation S. 137.1 - 137.14 .3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. ` The special conditions relating to municipal ordinance or bylaw are as follows: SEE SPECIAL CONDITIONS,PGS.7.1,7.2,73 Page 7 of 9*ELECTRONIC COPY SE3-4899 Name: Pickwick Trust F Approved Plan= August 1,2010 Site Plan by Peter Sullivan,P.E. . Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order of Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order;fines;requirement to remove un-permitted structures;requirement to re-landscape to original condition;inability to obtain a Certificate of Compliance, and more. The General Conditions of this Order begin on Page 5 and continue through Page 8. The Special Conditions contained herein and all Conditions require your compliance. 11. Prior to the start of work,the following conditions shall be satisfied: 1. Within one,month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the ' Commission prior to the start of work. 3. General Condition Number 10(sign requirement)shall be complied with. 4. The Conservation Comunission shall receive written notice one(1)week in advance of the start of work. 5. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Staked strawbales backed by trenched-in-siltation fencing shall be set along the approved work-limit line. Effective sediment controls shall remain until the site is stabilized with vegetation,then they shall be removed. 7. A sequence of color photographs showing the undisturbed buffer zone shall be submitted to the Conservation Commission. Note: the strawbales and siltation fence must show in the foreground 7.1 r (or bottom of the photographs. 1 III. The following additional Conditions shall govern.the project once work begins. Note, especially,Special Condition Number 14,requiring verification of the locations of the ' foundation and strawbale line. 1 8. General Conditions Numbers 14 and 15(changes iu plan)shall be complied with 9. General Condition Number 18(maintaining sediment controls)shall be complied'vcrith, 10. The work limit shown on the approved plan shall be strictly observed. 11. There shall be no construction disturbance of the site,below(on the coastal bank or wetlands side of)the i .. work.limit. 12. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. 13. Unless extended,this permit is valid for three years from the date of issuance, 1 14. Upon completion of the foundation,the project surveyor or engineer shall verify in writing or by plan to r the Commission the correct location of the foundation and work-limit line,and note any discrepancies from the approved plan. if verification is in the form of an"as-built'plan,the plan provided shall be drawn at " the same scale as the approved plan. 15. Any fill used for this project shall be clean fill. Fill shall contain no trash,refuse,rubbish,or debris. i 16. Drywelis or graveled trenches along the drip lines shall be installed to accommodate roof-runoff. 17. Pool and spa shall be disinfected by ozone injection or alternate method,as approved by the Conservation r , Commission. Drawdown water shall be sent to an appropriately sized leaching basin. Upon installation,a 1 letter shall be submitted by the installer verifying that disinfection and leaching basin requirements have been met.The location and capacity of the basin shall be verified and the means by which drawdown will be directed to the basin shall be described. ° 18. The existing rough vehicle-access way to the bath house shall be stabilized. Advance consultation with the Conservation Agent required. i ! 19. During construction,no area shall be left un-mulched or un-vegetated for more than thirty(30)days. All areas disturbed during construction shall be re-vegetated immediately following completion of work at the site. Mulching shall not serve as a substitute for the requirement to re-vegetate disturbed areas at the 1 conclusion of'work. 20. All replaced lawn areas shall be underlain with a minimum of six_(6)inches of loam. 7.2 s I i 21. The proposed mitigation planting shall be implemented. 22. The dune-side area,disturbed for the new bath house septic system,shall be restored in dune-compatible material. Advance consultation with the Conservation Agent required. 1 - . IV. After all work is completed,the following condition must be promptly met: 23. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted Barnstable Conservation Commission Form C shall be completed'and retumed,alone with the request for a Certificate of Compliance and appropriate fee. Where a project has been completed in accordance with plans stamped by a registered professional - engineer,architect,landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans,setting forth what deviation(s),if any,exists f with the record plans approved in the Order. This statement shall accompany the request for a Certificate of Compliance and fee,along with an updated sequence of colorphotograpbs of the undisturbed buffer zone. F ! F _ 1 i 1 F i F i f j • x 7.3 i . ! ! I f Massachusetts Department of Environmental Protection Provided by MassDEP: . 71 Bureau of Resource Protection - Wetlands MassDE 99 MassDEP Fle# WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40. eDEP Transaction# _ arnsta a Cityrrown E. Signatures Important: This Order is valid for three years,unless otherwise specified as a special SFF "t Z010 When filling out condition pursuant to General Conditions#4,from the date of issuance. 1,Date of Issuance forms on the computer,use Please indicate the number of members who will sign this form. only the tab key This Order must be signed by a majority of the Conservation Commission. 2.Numbtsf of Signers to move your cursor-do not The Order must be mailed by certified mail(return receipt requested)or hand delivered to use the return the applicant.A copy must be mailed, hand delivered or filed electronically at the same key. time with the ropriate MassDEP Regional Office. l natures: \ to,�. I by hand delivery on El by certified mail,return receipt i r; requested,on Date r Date ! F. Appeals i The applicant,the owner, any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate MassDEP Regional j Office to issue a Superseding Order of Conditions.The request must be made by certified s mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7) L within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation f Commission and to the applicant, if he/she is not the appellant.' j Any appellants seeking to appeal the Department's Superseding Oder associated with this- i appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information.to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order,or providing written information to the Department prior to issuance of i a Superseding Order. j The request shall state clearly and concisely the objections to the Order which is being t appealed and how the Order does not contribute to the protection of the iriterests identified in the Massachusetts Wetlands Protection Act(M.G.L.'c. 131,§40),and is inconsistent With the wetlands regulations(310 CMR 10.00).To the extent that the Order is based on a i municipal ordinance or bylaw,and not on the Massachusetts Wetlands Protection Actor f regulations,the Department has no appellate jurisdiction. wpa5sigs.doc•ra%02/252010 Pag.1-f� I i ti r Massachusetts Department of Environmental Protection Provided by MassDEP: ~�•�� Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 WPA Form 5-Order of Conditions eDEP Transaction#:333143 Cit rown:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 E. Signatures This Order is valid for three years from the date of issuance,unless otherwise specified 9/10/2010 pursuant to General Condition#4.If this is an Amended Order of Conditions,the Amended 1 Date of Original Order Order expires on the same date as the original Order of Conditions. Please indicate the number of members who will sign this form.This Order must be signed by 5 a majority of die Conservation Commission. 2.Number of Signers The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant A copy also must be mailed or hand delivered at die same time to the appropriate Department of Environmental Protection Regional Office,if not filing electronically,and the property owner,if di$erent from applicant Signatures: PETER SAMPOL' DENNIS R.HOULE LOUISE R.FOSTER ' LAURENCE MORIN — 1 JOBN ABODEELY , i f by hand delivery on r by certified mail,return receipt requested,on Date Date c F. Appeals The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be .sent by certified mail or hand delivery to the Conservation Commission and to the applicant,if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demons rate prior participation in the review of this project.Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing,requesting a Superseding Order,or providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L.c.131,§40),and is inconsistent with the wetlands regulations(310 CUR 10.00).To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. , Page 8 of 9 r ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: L Bureau of Resource Protection-Wetlands MassDEP File#:003-4899 Order of Conditions ` WPA Form 5- eDEP Transaction#.333143 Massachusetts Wetlands Protection Act M.G.L.c.131,§40 Cityllown BARNSTABLE sa G. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located; 1 within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title of the oumer of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. , BARNSTA13LE Conservation Commission I t Detach on dotted line,have stamped by the Registry ofDeeds and submit to the Conservation Commission ............................................................................... ......................................................................................................................... To: BARNSTABLE Conservation Commission Please be advised that the Order of Conditions for the Project at: f . 71 OCEAN VIEW AVE. 003-4899 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: { County Book Page for Property Owner ANDREW NEWMAN,TR. and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date t Ifrecorded land,the instrument number identifying this transaction is: Instrument Number Ifregistered land,the document number identifying this transaction is: f ' Document Number, i t r . Signature of Applicant ,.anrzo:o { 1 i Page 9 of 9#ELECTRONIC COPY f i 4 I f ' 11/29/2010 12: 14 FAX 5087756977 FULLER ELECTRIC fa001/001 " Town. of Barnstable Regulatory Servzces asrwsr� s 'Thomas h, Geiler,Director Buildirxg Division Tom Perry, building Commissioner 200 Main Street,.Hyann is,MA 02601 Office; 508-962-4038 REQUEST FOR ELECTRICAr, TNSRECTrON Fax: 50$-790-6230 ELECTRICAL,PERMIT NUMBER (Pesxait required in order to process inspection) Today's Date �. 1 � �r� Requested Date of Inspection r z, — — �T -`hereby request ari inspection under Massachusetts General _ t.�7eCtriciaraf . Law chapter 143, section 3L and 237 0MR CO2(8)_ The installationwill be ready for inspection at 6 (Property Location) Type of inspection requested: ❑ Temporary Service ❑ Service Re•inspection ❑ Excavation ❑ Rough Re-inspection ❑ Service Inspection ❑ Final Re inspection ❑ Rough Inspection for 4100,00 Re-inspection Fee) El Final Inspection Ford �WIY� 1 Other 10 4V Owner or tenant Licensee's naza©, add�roes, andpliorle /Yl �ra�77S�o� License number -- Lioansee's Signature phis section to be completed by.Barnstable Inspector of Wires Inspection date_ _. _ -- ❑ApP=oved ❑Not Approved This work was not approved for violation of the following Axticles and Sections of the MA Electrical Cade Q:VJPFiIr�:forms:oteCtrequest . Rev:4/8/08 _ Mi rah T�'wn'0'f Bannstable ,•. :_ .. Re t k6i• Searmes `-"}i• ►a, T6oiizas ."Gene r,Director : ''•_::� '` Tamerryl Boding Camanssianet ' 200 Main Sfre;6,1yannis,MA 02601 _ '�P.to'�vrt.barnatable.ma,ns •'"� _ Office: Sob-862-4038 •s Fax; 408 790-6230 • X'xopexty Mush Cwtier y.- Complete and Sign This Section`. • rf Usffhtg ABddex34 �y fix �bR 'r�-. s asawnero thg.subfect�NOW. 'herebyautlwrize to?ct;ow;u�b� , in allmatters.i tati to m.4.aufl' 0 ed by bjcUngperuut appli 14 (Address-of job) • • • � � �� fir ; - . t of Owner Date rrmt. •Hram�a ie s Leis $ ez p# on Form on the �.. �• ' r�. r Town of Barnstable -Conservation Commission * '200 Main Street ' '*. Hyannis Massachusetts 02601 ; Offim SM962-M `FAX SOS 778-M2 Form A ; For SE3 J ALL PARTIES INVOLVED WITIi THIS PROJECT MUST SIGN THIS STATEMENT The undersigned coufi m that they have read and naderstand the Notice of Intent,Order of Conditions,and approved plans for the project.The undersigned also understand that subsequent plan revisions shall require advance approval by the Conservation Commission. i Please sign name on this Please print nan74 on this line.. _i Y_ U .+ate �• � ' Date Retum this form to. Barnstable Conservation Commission 200 Main Street ' Hysunis�MA-02601 ,-- Fax:508-778 2412 roM2/0z i SEP-15-2010 17:01 From: To:617 482 0925 P.2/2 Sep 15 2010 1 :25PM The Deacon Companies 617 482-0925 p.2 Tovm of Rarnutabl@ - Con$er"dou CompnMon . ' goo Main 8ttoeet HYM98 MaSSOM 80tts 02601 i om�aoasaaros3 Vitae sol.7TR M2 p-or Sjt3,. A&V Below please$t!Q ttu names,Addeeasea,sad budims kdotme,numbsn of the pavject G%xK M wad altemste PMJat tsaparvlaor who are nespondbllo for emudms on•dtie=mpUtwo with the Order of Condidow. Fmject ox Ai6mdo PWJact Supft-Vkor ' Name Nenae After ' ���✓�� Addrose 8 �lephoda Business xalophwe# basetrr� Applhvoaat' gnsmie(#dtiea+snt) Dade Adnt Name RMM Wa fbM to: Beinstabla Canumflon Cvm=Udon 20t1 mat Shoat.Hyatmb,MA 0MI ' F I Barnstable Assessing Search Results Page 1 of 2 cY`s • • f s a r n s t ab Ass ssmentloo _ ;a ppe Home:Departments:Assessors Division:Property Assessment Search Results New Search 1-7_ Newlnteractive Maps» ,�7 �- Owner: 2010 Assessed Values: CRAWFORD,KATHLEEN S TRS PICKWICK REALTY TRUST 71 OCEAN VIEw AVE NUE 2010 Appraised Value 2010 Assessed Value Past Comparisons Map/Parcel/Parcel Extension Building Value: $451,800 $451,800 Year Total Assessed Value 034 /045/ Extra Features: $0 $0 2009-$5,103,200 Outbuildings: $0 $0 2008-$5,321,100 Mailing Address Land Value: $2,862,900 $2,862,900 2007-$5,354,900 CRAWFORD,KATHLEEN S 2006-$4,957,500 TRS PICKWICK REALTY TRUST 2010 Totals $3,314,700 $3,314,700 C/O THE BEACON COMPANIES 50 FEDERAL ST.,4TH FL e BOSTON,MA.02110 2010 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $772.66 Fire District Rates Town Residential Barnstable FD-All Classes $2.43 $7.77 C.O.M.M.:All Classes $1.26 Town Commercial Cotuit FD Tax(Residential) $5,170.93 Cotuit FD-All Classes $1.56 $6.87 Hyannis-Residential $1.82 Town Tax(Residential) $25,755.22 Hyannis-Commercial $2.88 W Barnstable-All Classes $2.28 Community Preservation Act 3%of Town Tax Total: $31,698,81 Construction Details Building Property Sketch LegenE roparty Sket6h'&ASBUILT Cards Building value $451,800 Interior Floors Hardwood Style Colonial Interior Walls Plastered g1 Model Residential Heat Fuel Oil ; �M 16 31 'A 55 Grade Custom Heat Type Hot Water M. (iAR 1 .4 BMT- 2, Stories 2 Stories AC Type None I FUS 7 55 9 BMT .0 ,FHS Exterior Walls Wood Shingle Bedrooms 2 Bedrooms S GAR. • � 1 Roof Structure Gable/Hip Bathrooms 3 Full+2H lh `312-3 Roof Cover Asph/F Gls/Cmp Living Area sgfft 4,056 Replacement Cost $564,774 Year Built 1924 Depreciation 20 Total Rooms 9 Rooms Land Gross Area sqt t 10,851 CODE 1090 Lot Size(Acres) 4:66 hup://www.to".bamstable.ma.us/assessing/2010/displayparcell0map.asp?mappar=0340 . 11/23/2010 ` Barnstable Assessing Search Results Page 2 of 2 Appraised Value $2,862,900 ` As Built Cards: ,2 Assessed Value $2,862,900 . ., View Interactive Maps >> 1 i r s_ - Sales History: Owner -Sale Date Book/Page: Sale Price: CASEY,d ROBERT TR Dec 17 2007 12:OOAM #D1079185 $0 ---CRAWFORD,KATHLEEN S TRS Dec 17 2007 12:OOAM C184833 $1 CRAWFORD,KATHLEEN S,TRS May 20 2002 12:OOAM C165300 $0 CRAWFORD,KATHLEEN S Oct 10 1996 12:OOAM C142301 $1 CRAWFORD,FREDERICK C 130220FE1. $0 CRAWFORD,FREDERICK EST OF C79123 $0 Extra Building Features Code Description Units/80 It Appraised Value Assessed Value Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished), UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA I Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS +Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) bttn-//www.town.barnctahle.ma.rlc/acgecsinu/?.OI g/di.,;nlavnarcel l 0man.agn?mannar--0140... 11 10 Towi: of:Barnstable , o Regulatory Se>rvices S KnNsxwsu, Thomas P..Geiler,Director ui '. AN, ; 27 MASS. 2.659. ��� Building,Division n"uy►, Tom Perry,Building Commissioner 200 Main Street,.Hyannis, MA,02601r�,p �x,,.� �a3 kLk Si Office: 508-862-403 8 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER. C� (hermit required in order to.process in,apeetion) Today's Date,I �3 C V Requested late of Inspection hereby request an inspection under Massachusetts General (Electrician) .. �. . Law chapter 143, section 3L and 237 CMA 4.02(8)_ The iuBtallation will be ready'for in.apection at (Property.Location) Type of inspection requested:_ ❑ Temporary Service_ ❑ Service Re-inspection ❑ Excavation ❑ RoughRe•inspection ❑ Service Inspection ❑ Final Re-inspection El Rough Inspection for., ($100.00 Re-inspection Fee) �b ❑ Final Inspection.for bUa lMlt('�l:� A can b� n�4=� Other n Owner or tenant lxit��- S,4n�an Licensee's name, address, and phoino .,. _Lz�.Utyt5l t 7 � .,. License number IIrr` . . Licensee's.Signature This section to'be completed by,Barnstable Inspector of Wires Inspection date ❑Approved ❑Not Approved This work was not`approved for violation.'of the following Articles and Sections of the MA Electrical Code Q:V"iles:forms:e1xtrequesl l00/100ln - 8Ia183�3. a3l�fl� LLG99LI809' XN3 L9.Lo OIOZ/EZ/ll nationalge-arid- November 19, 2010 Travis Cundiff E. B. Norris & Son Re: 71 Ocean View, Cotuit, Ma This letter is to notify you that the gas service located at 71 Ocean View, Cotuit,'Ma was cut off at the main on 11/18/10. If you have any questions, please feel free to contact me @ 781-901-2930 Sincerely, Diane L. Stevenin Customer Driven Construction diane.stevenin@us.ngrid.com 781-907-2930 781-522-1056 fax 40 Sylvan Road E-2 Waltham, Ma 02451 r TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION r Map ©t Parcel ;Application Health Division Date Issued lot Conservation Division 00, Application-Fee Tax Collector Permit Fee .� Treasurer Planning Dept. f, Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address_ ® CEO J J/ieVj /4 V61— Village 7711 /� ~ Owner �/ _ .� L� �� a Address ✓ � � �a��®�c�' Telephone ��n Oki 49A �I 3.0_AJ 0 f �i C 6�10 S Permit Request I F A ,es At TiERA 770Af.5 Yo Ec[5710� 569 �,6,47W -;;b /,v C 1.0 PE: )e ® s7Z4e,- Ic,� �a�sa<�oti9 7 P o e'!� ,e��zp r4 JIPORr R.4! ! ® T F® Jr,7&-ZR Square feet: 1st floor existing proposed 6 nd floor:existing ® proposed Total new e Zoning District ,/ Flood Plain C 8 �� �Z Groundwater Overlay Project Valuation ��' ®®a Construction Type P R /G 05 Lot Size 64, 3 4CR Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) o Age of Existing Structure 6.0 yX:5 Historic House: ❑Yes /I'No On Old King's�4j hway: 'des ° No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Ai 0Al� Ln N cz� Basement Finished Area(sq.ft.) AJ 0A Basement Unfinished Area(sq.ft) .0 12 Number of Baths: Full:existing I new / Half:existing A c �Number of Bedrooms: existing new 0 rn Total Room Count(not including baths):existing �- new �' First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other AJ o A Central Air: ❑Yes A No Fireplaces: Existing Newer_ Existing wood/coal stove: ❑Yes kNo Detached garage:❑existing ❑new size AJ 4-Pool:❑existing ❑new size Barn:❑existing ❑new size kf k Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: AJ Zoning Board of Appeals Authorization ❑ Appeal# A Recorded❑ Commercial ❑Yes XNo If yes, site plan r view,# Current-Use Proposed Use �`v/r���1T1,� � �4Z1-� BUILDER INFORMATION Name Telephone Number Address � � D�7'�� �����?� C�t d License# t� v Vl �-�- X44 - ®2,(a v SHome Improvement Contractor# / 2 0 Worker's Compensation# LI)C4 8 2 2 V e Y 12, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A SIGNATURE DATE 9 l i FOR OFFICIAL USE ONLY APPLICATION# / . t DATE ISSUED MAP/PARCEL N0. ` ADDRESS y. VILLAGE - ! OWNER DATE OF INSPECTION: ' FOUNDATION FRAME c 3�S�ro IZ/tt- INSULATION A)& 1�rsuLs�tic,r/ FIREPLACE 1 1' :z _ s ELECTRICAL: ROUGH FINAL - ' PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING o . d® DATE CLOSED OUT ASSOCIATION PLAN,NO. } i. ` File No.71 Ocean View i r . APPRAISAL OF REAL PROPERTY LOCATED AT: 71 Ocean View Avenue Cotuit, MA 02635 Certificate 1079185 FOR: E. B. Norris&Son Builders 138 Osterville/West Barnstable Road Osterville, MA 02655 _... co AS OF: r May 19, 2009 L^ BY: David J. Buckley 106 Quimquissett Road Cotuit, MA 02635 Form GA1 LT—"WinTOTAL"appraisal software by a la mode,inc.—1-800-ALAMODE a File No.71 0 can View David J. Buckley 106 Quimquissett Road Cotuit, MA 02635 May 28,2009 E. B. Norris&Son Builders 138 Osterville/West Barnstable Road Osterville, MA 02655 Re: Property: 71 Ocean View Avenue Cotuit, MA 02635 Borrower: N/A File No.: 71 Ocean View. In accordance with your request,we have estimated the reproduction cost of the subject building on the above referenced property. The report of that appraisal is attached.. The purpose of this appraisal is to estimate the reproduction cost of the building described in this appraisal report.This report is based on a physical analysis of the improvements and an investigation of local building cost. The appraisal was developed and the report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice. The value conclusion reported are as of the effective date stated in the body of the report and contingent upon the certification and limiting conditions attached. It has been a pleasure to assist you. Please do not hesitate to contact me or any of my staff if we can be of additional service to you. 06production.Cost_•} (:$247,660..) Sincerely, David J.Buckley MA Cert.Gen.4379 ' 'Exubing• Floor Pfau � � .. � � ��- .. r l9' i0 PttAge it ll H . LU ' -Reviped. Elsva6ion _ � _ - .. � � � •_ _�i'cvl9lw�r. to exia6ng 8aach House f 02/02 07/1.0/2008 02;20 15P187757877 BBNORRIS PAGE Jul 07 03 03234p . Daniel E. Braman PE SOB-382-'BD B p. 1 PA At �50 :47 e) -1.tt RIG IF Ak. Y t 1 S' P A ka . ,. Tr C40, 4:>-7 . s by Ic { v4 x8Z .'biam - t � f budding ii r,g 9 1 1 ,_.....,,... ✓.N t ,...:.,._..... .....,.__.....�_.._.... """' r "&• , , _ _ _----- �5 ..Found C\-.b.on` Pan � i EtEPA12:S and RATIONS to ►` EAC){-i HOUSE Catuit,lVla. i �. .t✓ Y t r�� Architectiabert rer PAgA 07 t { wart Brama�t, P.E. Civil 8t Structural Consultant rF:oca eY-v - cans�ruc�'iot 7. a �' `• 1> Ili U`P �rrpor`LF`vE� 8 SK.2 Tr Lower F60o - rEVE €.�v ?.p - , Fin Ft•. ,IrEPtA�RS'and AL 'ERATIONS to BEACH HOUSE _ C' . 6tuit;,Ma. c- . J:EC ;1tiJl i t 1 o-Ij Robert,Brannen`FAIR Architect I 5K 5 .,.r......„.. >...........:.r wn+u: w.,.....,...e........r�-_o..n+t«..... .:e.--•e:;-.,.zuw.„....v.� > _.. n a Pop < n � yngMPT . 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T. ,>rT 'asf Z'7 1 # s s _ #' ra.^, & .c s ,ra 7" a;-a ' '. 41. ,77U k k '�:t7 1a}x T £` !L z - # f ,4 #` �hCy f3dp'v1 = L �'e 4 �r , p �d � g111.1111, a ¢ nv r k x o F s y z� � v / az a , d '31 l t a ' �d x x ec . '.aw z i � �,'z '. -11 i� r t s � - t x� -u r 7 4 , t .fix,may "i ate` �..xta' ,,� ' . �" a a K� s :y 6 : NR s ."' a a - E ; 1 ' x '! ,x ai 1. a'3 d k t% 4t: s '� "ar,"x§x^. 7B y#F `Y� � •, `f i _p,: F.. ll�is u "^` _ 3 P r ` a ¢' F s � x � a - 7yw�, "^z+,^,a? zr a 3 'll3' fi # t t . .2w /' y z- A.srm w»w� big Z'4 3xv : ,' k -17 V-1.1 T e` I b y .V F ,yi. .: u t c� ' g d x W �a k l g� �st ai b 4 x , a v e . ,f f r� art x a. ,„ � ll a -- 7 ' .... ., A. :$ u < x $j ;,,I �yry: y q 2 .& , p4 Md_ kPA�RS and ALTERA' 'IQNS tc. k BEACH HCI35E Attu..N" : s . Y .i,- . ,: l (, �i 5 :R beat Bramen F :Mahe t iC✓ r �. —.o :. ..P a # :. . ... -..., m. .,;i No. �7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 3Bisposax *pstem Cori�struttion 13ermit Permission is hereby granted to Construct( ) Repair(X) Upgrade( L) Abandon(, } System located at 7 G(�[Lh of f1�l a V7 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit.' ` Date 1-1 ` 1 Approved by t .............. ------------- ---------- THE COMMONWEALTH OF MASSACHUSETTS I BARNSTABLE,MASSACHUSETTS Ili Certifitalte of Coritpuante THIS IS TO CER}T�Y,that the//On-site 9Sewage Disposal system Constructed( ) Repaired( ) Upgraded( } Abandoned( )by �/ l� at 7 f q44 j ),tew fit/e, pfk 1't has been constructed in accordance pp with the provisions of Title 5 and the for Disposal System Construction Permit No. SOD 1?-V dated .° b — 1 g`o Installer Designer #bedrooms Approved design flow �S gpd The issuance of this p •t shall not be construed as a guarantee that the system vri r aA design Date 1 Inspector - D01(ays f t TOWN OF BA RNSTABLE LOCATION �/ G,���' SEWAGE' . VILLAGE_ ASSESSOR'S MAP&PARCEL . • INSTALLER'S NAME&PHONE NO. /`�� ` / — SEPTIC TANK CAPACITY L LEACHING FACILITY:(type) J�t>,3p size) ' NO.-OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: ' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet- Private.Water Supply Well and Leaching Facility(if any wells exist on site or within 200 feet of leaching facility) Edge of Wetland and Leachingfacility).Facility feet. within 300 feet of leachingfacili (if any wetlands exist �') feet FURNISHED BY . v b 7 i I/ Ac_ The Comi ionwealth ofMassachusetts Department of Industrial Accidents ' Office of Investigations ' 600 Washington Streetelf - Boston,M 02111' ss ov/dia . www.mag - Workers' Compensation Insurance Affidavit° Builders/Coiitractors/Electriciai s/ lwnbers Applicant Information Please Print Legibly ! � > �z } Name{Business/Organization/Individual): /6 . �� t � l q' Address: /3-$ City/State/Zip:0.576W/(1er�, AIA' 02 Phone.#: Are you an employer? Check the aEpropriate bog: :Type of project(required):.' � J 4. I am a general contractor and I 1• I am a employer with 0 6, ❑New construction . employees (full and/or part-time).*• have hired the vab-contractors 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet 7• Remodehng < ship and have no employees These sub-contractors have S. Q Demolition working for me in any capacity, employees and have workers' [No workers comp,insurance comp,insurance.$... 9• ❑Building addition required.] 5..[]'We are a corporation and its 10.7•Electrical repairs or additions 3.❑.I am a homeowner doing all-work officers have exercised their l 1. Plumbing repairs or additions myself.[No workers' comp. _ right of exemption per M Roof rep a ep T2, arts insurance,required-]t c• 152, §1(4);and we have no : employees, [No work°] ' 13.Q Other comp,insurance required.] ` *Any applicant that checks box 7#1 must also fill out the section below showing then workers'compensation policy T Homeov.mm.who submit this affidavit indicating they are doing all work and tlim hire outside contractors must subriit anew affidavit indicating such. $contactors that check this box must attached an additional sheet showing the name of the sub-contractors Md state whether ornot those entities have employees. If the sub-contactors have employees,they must providt their workers comp,policy number. 14 I am an employer that is providing workers'compensaf on insurance for my employe as.'Below,is.the policy and job site' information. - I N. . Insurance Company Name; C_- 4 .n f i�` �iV.yOR 4-,J C6 Policy#or Self-ins. Lic, 2. Expiration Date iy ✓� ' x lob Site Address' j B C V� U G ty/State/Zip �71, 1 C� �6� Attach a copy of the workers' compensation.policy declaration page'(showing the policy number and expiration date)': Failure,to secure coverage as required under Section 25A of MGL c: 152 can lead to the imposition of criminal penalties of a fine tip to$1,500,00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORKDRDER and a fm of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to$e-Office of Investi ations of the IOTA for insurance coverage verification. ' I do hereby certify under the pains•and enalties o Jury that the information rovided above is true and correct.: - Si afore: e; hone#r: Official use only. Do not write in this area, to be completed by,city or town offzciaL City or Town: ' Termit/License % Issuing Authority(circle one): 1.Board of Health 2;Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other zfk P . Contact Person: Phone TIT-: IN f Tn' ft' •dBarnstable Regtjatory Services " ° ii9'eorinaskheller,Director ;t:f s:`''4• BWIdift'Divislon Tom ker.M Building Commissioner 200 Main 96ect;Hyannis,MA 02601 www.towd.bstnutable,ma,us ,.f Office: 508-862-4038 : 'r F�uc:•$08-794-6230 P:ropbAy C)wfter Must COmiplete and Sign This Seed 'n If Using A Bui*der • •• te. cad' I7+. •:. ��'�c.��L K �-�-�'y t3 S ,as Owner of the.subject' Ap tly hemby authorize t5 N© So,c J�• jN G to act p` Imf b- in all matte authotized ts.x+elative to work by this building permit application fo a{t•_.,:fl /e.f .I'`• i of Owner We— Z. .. W. Iery{hes' pili>rl "#or permit pleaseo> i •Homeowmirs Eiceinse�Ext:r�iptiion Form on the ine�vex�p� Q PORMS:OWWEAMMISS16H i. ... I i I Board of Building Regulatio sand Standards License or registration valid for individul use only. HOME IMPROVEMENT CONTRACTOR before the expiration date.'.If found return to: !! Registration 102014 Board of Building Regulations and Standards + Ex irabon ✓ One Ashburton Place Rm 1301 g P - 6/30/2010 Tr# 268470 . Boston,Ma.02108 I y Type Private Corporation L. ERNEST B. NORRIS&SON INCt Craig Ashworth f • _ 138 Osterville W.Bamst_able rd.. ¢:, Gi `r I g' t Osterville, MA 02655 Administrator Not valid without signature t 1 T I f . } i ti Client#:646400 2NORRISEB ACORD. CERTIFICATE OF LIABILITY INSURANCE °ATE(MM/°°",""): 5/21/2009 i PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR,-.... ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ 973 lyannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance - E.B.Norris&Son.,Inc. INSURERe: 138 Osterville-West Barnstable Road INSURER C: Osterville,MA 02655 INSURER D: . INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING. ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NS POLICY EFFECTIVE POLICY EXPIRATION - LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE(MMIDDNY1 LIMITS A GENERAL LIABILITY CPA005234520 05/03/09 05/03/10 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(Ea ocurrence) $250 OOO .• CLAIMS MADE FX1 OCCUR MED EXP(Anyone An one Person) $5000 Y CI+ PERSONAL&ADV INJURY $1 000 00.0z_a, ^ GENERAL AGGREGATE . $2 000 000..<.. GEN"L AGGREGATE LIMIT APPLIES PER: PRODUCTS-ICOMP/OPAGG $2000000_..,. POLICY JET LOC -... A AUTOMOBILE LIABILITY MAA005233820 05/03/09 05/03/10 COMBINED SINGLE LIMIT ANY AUTO - (Ea accident) $ ALL OWNED AUTOS - - X SCHEDULED AUTOS BODILY rpI n). $1,000,000 X HIRED AUTOS BODILY INJURY $1 000 000 X NON-OWNED AUTOS (Per accident) , , . PROPERTY DAMAGE(Per accident) $500,000 GARAGE LIABILITY _ AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY • EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ 7 A WORKERS COMPENSATION AND WCA021246412 05/03/09 ::�03/11X WCSTATU- OTH O - EMPLOYERS'LIABILITY E.L .:.. ANY PROPRIETOR/PARTNER/EXECUTIVE .EACH ACCIDENT $500,00U : OFFICER/MEMBER EXCLUDED?. NO E.L.DISEASE-EA EMPLOYEE $500,000 -If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER - .,. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Officers are included under the workers compensation policy: Insurance coverage is limited to the terms,conditions,exclusions,other - limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPJRATIQN, Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I n DAYS W_.TTEN .' 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO So$HALL`: '- Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENS z0)3 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S57998/M57992 f LS1 o ACORD CORPORATION 198 -t->. Massachusetts - Department of Pd blic Safety Board of-lBuilding Re-ulations and Standards Construction Supervisor License License: CS 1 51 Restricted to: 00 " u CRAIG N ASHWORTH t 138'OST'W r BARNSTABLE OSTERVILLE-,.MA 02655 Expiration:9/28/2011 s t - ('onuui�sio�crr Tr#: 3091` ` y iDot_= 1 v 121 ,B60 08-19-2009 3=32 BARNSTABLE LAND COURT REGISTRY Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands. Mass DEP File Number: WPA Form 5 - Order of Conditions SE3- 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code A. General Information Important: Barnstable. When filling t•F. Conservation Commission out forms on the computer, 2.This issuance is for(check one): a. ® Order of Conditions b. ❑ Amended Order of Conditions use only the - tab key to 3.To: Applicant: move your cursor-do not J. Robert Casey,Tr. use the return a.First Name b.Last Name key. Pickwick Realty Trust c.Organization C/o The Beacon Companies, 50 Federal St.,4th Floor d.Mailing Address Boston MA 02110 mod°" e.City/Town f.State g.Zip Code , 4. Property Owner(if different from applicant): a.First Name b.Last Name �16►br C.Organization • u>3rrsnAWa. d.Mailing Address K t63Q.�1� 39.+ e.City/Town f.State . g.Zip Code. 5. Project Location: 71 Ocean View Avenue Cotuit a.Street Address b.Village 034 045 ffi c.Assessors Map Number d.Assessors Parcel Number Latitude and Longitude,'if known. e.Latitude f.Longitude s. Property recorded at the Registry of Deeds for`(attach additional information if more than one parcel): Barnstable 184833 39770-C Lot 5 a.County b.Certificate Number(if registered land)/Plan/Lot# c.Book • d.Page ` July 15, 2009 August 4,2009 AUG 13 2009 7N,} Dates: a.Date Notice of Intent Filed b.Date.Public Hearing Closed c.Date of Issuance 8.. Final Approved Plans and Other Documents (attach additional plan or document references as - needed): Site Plan a.Plan.Title Sullivan Engineering, Inc. Peter Sullivan, P.E. b.Prepared By c.Signed and Stamped by July 8,2009 1 30' d.Final Revision Date e.Scale f.Additional Plan or Document Title g.,Date wpaformUoc• rev.2/27/08 Barnstable revised 4/11/2008_ Page 1 of 10 ILIMassachusetts.Department of Environmental Protection Bureau of Resource Protection - Wetlands MassDEP File Number: WPA Form 5 - Order of Conditions sE3- 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code B. Findings 1. Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. ❑ Public Water Supply b. ❑ Land Containing Shellfish c. Z Prevention of Pollution d. ❑ Private Water Supply e. ❑ Fisheries t. ® Protection of Wildlife Habitat g. ❑ Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control 2. This Commission hereby finds the project,as proposed,is:(check one of the following boxes) Approved subject to: a. Z -the following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations.This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans,specifications, or other proposals submitted with the Notice of.Intent,these conditions shall control. Denied because: b.. ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore,work on this project may not go forward unless and until a new Notice of'Intent is submitted which provides measures which are adequate to protect these interests, and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order. c. ❑ the information submitted by the applicant is not sufficient to describe the site,the work, or the effect of the work on the interests identified in the Wetlands Protection Act.Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued.A description of the specific information which is lacking and why it is necessary is attached,to this Order as per 310 CMR 10.05(6)(c). Inland Resource Area Impacts: Check all that apply below.,(For Approvals Only) 3. ❑- Buffer Zone Impacts: Shortest distance between limit of project disturbance and wetland boundary(if available) a.linear feet Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. ❑ Bank a.linear feet b.linear feet c.linear feet d.linear feet 5. ❑ Bordering Vegetated Wetland a.square feet b.square feet c.square feet d:square feet 6. ❑ Land Under Waterbodies a.square feet b.square feet c.square feet d.square feet and Waterways e.c/y dredged f.c/y dredged wpaform5.doc• rev.2/27/08 Bamstable revised 4/11/2008 Page 2 of 10 , ` Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands MassDEP File Number: WPA Form 5 - Order of Conditions SE3- 4831 11 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code B. Findings (cont.) Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement - Replacement 7. ❑ Bordering Land Subject t0 Flooding a.square feet b.square feet c.square feet d.square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet 8. ❑ Isolated Land Subject to Flooding a.square feet b.square feet b Cubic Feet Flood Storage c.cubic feet d cubic feet e.cubic feet f.cubic feet s. ❑ Riverfront area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100-200 ft' g:square feet h,square feet i.square feet j.square feet Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only) 1o. ❑ Designated Port Areas Indicate size under Land Under the Ocean, below 11. ❑ Land Under the Ocean a.square feet b.square feet c.c/y dredged d.c/y dredged 12. ❑ Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13. ❑ Coastal Beaches a.square feet b.square feet c.c/y nourishmt. d.c/y nourishmt. 14. ® Coastal Dunes 365 temp. a.square feet b.square feet c.c/y nourishmt. 'd.c/y nourishmt. 15. ❑ Coastal.Banks a.linear feet b.linear feet 16. ❑ Rocky Intertidal Shores a.square feet b.square feet 17. ❑ Salt Marshes a.square feet b.square feet c.square feet d.square feet 18. ❑ Land Under Salt Ponds a.square feet b.square feet c.c/y dredged d.c/y dredged 1g. ❑ Land Containing Shellfish a.square feet b.square feet c.square feet d.square feet 20. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above a.c/y dredged b.c/y dredged. 21. ® Land Subject to Coastal 365 temp. Storm Flowage a.square feet `b.square feet , wpaform5.doc- rev.2/27/08 Bamstable revised 4/11/2008 Page 3 of 10 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands MassDEP File Number: WPA Form 5 — Order of Conditions SE3- 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code C. General Conditions Under Massachusetts Wetlands Protection Act (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes,ordinances, bylaws, or regulations. 4. The work authorized hereunder shall.be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act;or~ b. the time for completion has been extended to a specified date,more than three years,but less than five years,from the date of issuance.If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5." This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project+shall be clean fill Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster,wire, lath, paper, cardboard, pipe,tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. _ 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such' an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds.or the Lan&Court for the district in which the land is located,within the chain of title of the affected property. In the case of recorded land,.the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior-to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than.three square feet in. size bearing the words, "Massachusetts Department of Environmental Protection"[or, "MassDEP"] n "File Number SE3-4831 ` wpaform5.doc• rev.2/27/08 Barnstable revised 4/11/2008 Page 4 of 10 ij Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands MassbEP File Number: WPA Form 5 — Order of Conditions SE3- 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code C. General Conditions Under Massachusetts Wetlands Protection Act 10. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before MassDEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental . Protection shall have the right to enter and inspect the area subject to`this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body. During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. 18. The work associated with this Order is (i)❑ is not(2)❑subject to the Massachusetts Stormwater Policy Standards. If the work is subject to the Stormwater Policy, the following conditions apply to this work and are incorporated into this Order: a) No work, including site preparation, land disturbance, construction and redevelopment, shall commence unless and until the construction period pollution prevention and erosion and sedimentation control plan required by Stormwater Standard 8.is approved in writing by the issuing authority. Until the site is fully stabilized, construction period erosion,sedimentation and,pollution control measures and best management practices(BMPs)shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan, and if applicable, the Stormwater Pollution Plan required by the National Discharge Elimination System Construction General Permit. . J wpaform5.doc- rev.2127/08 Barnstable revised 4/11/2008 Page 5 of 10 Massachusetts Department of Environmental Protection Bureau of Resource Protection Wetlands MassDEP File Number: WPA Form 5 - Order of Conditions SE3 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code C. General Conditions Under Massachusetts Wetlands Protection Act (cont.) b) No stormwater runoff may be discharged to the post-construction stormwater BMPs until written approval is received from the issuing authority. To request written approval,the following must be submitted: illicit discharge compliance statement required by Stormwater Standard 10 and as-built plans signed and stamped by a registered professional engineer certifying the site is fully stabilized; all construction period stormwater BMPs and any illicit discharges to the stormwater management system have been removed; and all post-construction stormwater BMPs were installed in accordance with the plans(including all planting plans)approved by the issuing authority, and have been inspected to ensure they are not damaged and will function properly. c) Prior to requesting a Certificate of Compliance, the responsible party(defined in General Condition 18(e))shall submit to the issuing authority an Operation and Maintenance (0 &M) Compliance Statement for the Stormwater BMPs.This Statement shall identify the responsible party for implementing the Operation and Maintenance Plan and also state that: 1. "Future responsible parties shall be notified in writing of their continuing legal responsibility to operate and maintain the stormwater management BMPs and implement the Pollution Prevention.Plan; and 2. The Operation and Maintenance Plan for the stormwater BMPs is complete and will be implemented upon receipt of the Certificate." d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-term pollution prevention plan section of the approved Stormwater Report and, if applicable, the Stormwater Pollution Prevention Plan required by the National Discharge Elimination System Multi-Sector General Permit. . e) Unless and until another party accepts responsibility,the issuing authority shall presume that the responsible party for maintaining each BMP is the landowner of the property on which the BMP is located. To overcome this presumption, the landowner of the property must submit to the issuing authority a legally binding agreement acceptable to the issuing authority evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a permittee for purposes of implementing the requirements of Conditions 18(f)through 18(k)with respect to that BMP. Any failure of the proposed responsible party to implement the requirements of Conditions 18(f)through 18(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance. In the case of stormwater BMPs that are serving more than one lot, the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMPs. A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement. f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans,the Operation and Maintenance Plan section of the approved Stormwater Report, and the Massachusetts Stormwater Handbook. g) The responsible party shall: 1. Maintain an operation and maintenance log for the last three years including inspections, repairs, replacement and disposal(for disposal the log shall indicate the type of material and the disposal'location); 2. Make this log available to MassDEP and the Conservation Commission upon request; and 3. Allow members and agents of the MassDEP and the Conservation Commission to enter and inspect the premises to evaluate and ensure that the responsible party complies with the Operation and Maintenance requirements for each BMP set forth in the Operations_ and Maintenance Plan approved by the issuing authority. h) All sediments or other contaminants removed from stormwater BMPs shall be disposed of in -accordance with all applicable federal, state, and local laws and regulations. i) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. wpaform5.doc- rev.2/27/08 Bamstable revised 4/11/2008 Page 6 of 10 Massachusetts Department of Environmental.Protection Bureau of Resource Protection Wetlands MassDEP File Number: WPA Form 5 Order of Conditions SE3- 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code - C. General Conditions Under Massachusetts Wetlands Protection Act (cont.) j) The stormwater management system approved in the Final Order of Conditions shall not be changed without the prior written approval of the issuing authority. Areas designated as qualifying pervious areas for purpose of the Low Impact Site Design Credit shall not be altered without the prior written approval of the issuing authority. k) Access for maintenance of stormwater BMPs shall not be obstructed or blocked. Any fencing constructed around stormwater BMPs shall include access gates. Fence(s)shall be at least six inches above grade to allow for wildlife passage. Special Conditions (if you need more space for additional conditions, please attach a text document): D. Findings Under Municipal .Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable? ® Yes 0 No 2. The Barnstable hereby finds (check one that applies): Conservation Commission a. [:1 that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: §237-1 to§237-14 Town of Barnstable Code 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,,and a final Order of Conditions is issued. b. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw: §237-1 to§237-14 Town of Barnstable Code 1.Municipal Ordinance or Bylaw 2.Citation 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above. To the extent that the following.conditions modify or differ from the plans, specifications,or other proposals submitted with the Notice of Intent,the conditions shall control The special conditions relating to municipal ordinance or bylaw are as follows (if you need more space for additional conditions, attach a text document): See pp. 7.1 and 7.2 wpaform5.doc- rev.2127/08 Bamsfable revised 4/11/2008 Page 7 of 10 SE3-4831 Name: J.Robert Casey,Tr.,Pickwick Realty Trust Approved Plan= July 8,2009 Site Plan by Peter Sullivan,P.E. Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order of Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order;fines; requirement to remove un-permitted structures; requirement to re-landscape to original condition;inability to obtain a Certificate of Compliance, and more. The General Conditions of this Order begin on Page 4 and continue on Pages 5,6,and 7. The Special Conditions are contained on Pages 7.1,7.2,and 7.3,if necessary. All Conditions require your compliance. H. Prior to the start of work;the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions;and prior to the commencement of any work approved herein,General Condition Number 8(recording requirement)on Page 4,shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work: Barnstable Conservation Commission Forms A and B shall be comnleied and returned to the Commission prior to the start of work. 3. General Condition Number 9,on Page 4(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. 5. A work protocol shall be submitted for review by the Conservation Agent. No work shall ensue without her approval. III. The following additional Conditions shall govern the project once work begins: 6. General Conditions,Numbers 12 and 13 (changes in plan)on Page 5,'shall be complied with. 7. Sediment controls shall be deployed on an as-needed basis. Advance consultation with the Conservation Agent is required. There shall be no disturbance to dune,grass and shrubs. 8. The Conservation Commission,'its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. p.7.1 9. Unless extended,this permit is valid for three years from the date of issuance until AUG 1' 3 M2 10. All work shall follow the approved plan and'its notes. 11. No CCA-treated or creosote-treated materials shall be used. 12. The outdoor shower shall be fitted with a drywell or French drain. , 13. All dune and access way disturbed in recent septic repair and with regard to this project shall be restored to pre-project condition. IV. After all work is completed,the following condition must be promptly met: . 14. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C shall be completed and returned with the request for a Certificate of Compliance Where a project has been completed in accordance with plans stamped by a registered professional`engineer,architect,landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans,setting forth what deviation(s),.if any,exists with the record plans approved in the Order. This statement shall accompany the request for a Certificate of Compliance,along with an updated sequence of color photographs of the undisturbed buffer zone p.7.2 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands MassDEP File Number: WPA Form 5 - Order of Conditions SE3= 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code E. Issuance { This Order is valid for three years, unless otherwise specified as a special AUG 13 2009 condition pursuant to General Conditions#4,from the date of issuance. 1.Date of Issuance Please indicate the number of members who will sign this form: This Order must be signed by majority of the Conservation Commission. 2.Number of signers The Order must be mailed by certified mail (return receipt requested)or hand delivered to the applicant.A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office, if not filing electronically, and the property owner, if different from applicant. Signatures• . Oyu/ _ 2A_04. . Notary Acknowledgement Commonwealth of Massachusetts County of Barnstable On this Da �3 of y� y Month Year. Before me,the undersigned Notary Public, � personally appeared Name of Document Signer proved to me through satisfactory evidence of identification,which was/were Description of evidence of identification to be the person whose name is signed on the preceding or attached.document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of Barnstable City/Town Conservation Commission Signature of Notary Public Pdntec f PUBuc Place notary seal and/or any stamp above My co nw EurNW I9 N 17(Pm 10—2o15 This Order is issued to.the applicant as follows: ❑ by hand delivery on ® by certifie rymail AUb l L r urng eI t re nested,on . P q Date Name Signature Date wpaform5.doc• rev.2/27/08 Bamstable revised 4/11/2008 ` Page 8 of 10 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection-Wetlands MassDEP File Number: WPA Form 5 - Order of Conditions sE3- 4831 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code F. Appeals The applicant,the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission, and to the applicant, if he/she is not the appellant.Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation.in the review of this project.Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order or Determination, or providing written information to the Department prior to issuance of a Superseding Order or Determination. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L. c. 131, §40), and is inconsistent with the wetlands regulations(310 CMR 10.00). To the extent that the Order is based on a municipal.ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. I Section G, Recording Information is available on the following page. i s I wpaformS.doc• rev.2/27/08 Barnstable revised 4/11/2008 Page 9 of 10 1 °FtHE t°w� Town of Barnstable -45 P °�► Barnstable Historical Commission'10 RUG 16 P I * iARNSfABLE, ; 200 Main Street, Hyannis,Massachusetts 02601 MASS. g (508) 862-4786 Fax (508) 862-4725 i639• A10 www.town.barnstab]e.ma.us Ar�D MA'1 Linda Hutchenrider,_Town Clerk 367 Main Street Vhomas Perry, Building Commissioner 200 Main Street Hyannis, MA 02601 Attorney Michael Ford 72 Route 28 West Harwich, MA 02671 - Craig Norris E.B. Norris and Son, Inc 138 Osterville-West Barnstable Road, Inc. Osterville MA 02655 Re: INITIAL DETERMINATION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7,application for DEMOLITION and RELOCATION of property as follows: Location: 71 Ocean View Avenue Cotuit Assessors map and parcel: 034045 Applicant: Craig Ashworth, EB'Norris/Attorney Michael Ford The Barnstable Historical Commission considered the above referenced application for relocation and demolition at 71 Ocean Avenue at their meeting of August;12, 2010, and made the following decision: On an initial basis, the main house which is proposed to be,relocated on the lot to the west,closer to Ocean View Avenue is a significant building; the house is more than 75 years old and has been re- designed by Royal Barry Wills, an outstanding historical architect of the New England region. This part of the application was forwarded for a public hearing r The 1 '/ story cottage is not architecturally significant but the Commission requested that it be relocated, if possible. The 1-story garage plus basement is not historically significant,,it is less than 75 years old. The Commission requested that the building be de-constructed for relocation or re-use, if possible. Sincerely _ JeraRapp Grassetti,A ng Chair `�p r �SME Tq�,� Town of Barnstable Barnstable Historical Commission sAxivsTnB 200 Main Street, Hyannis, Massachusetts 02601 9 MASS. g (508) 862-4786 Fax(508) 862-4725 1639• A�� www.town.barnstable.ma.us Linda Hutchenrider, Town Clerk 3 7 Main Street Thomas Perry, Building Commissioner 11-1) 200 Main Street �= Hyannis, MA 02601 � ' Attorney Michael Ford 72 Route 28 ; x West Harwich,MA 02671 Re: DECISION of the Barnstable Historical Commission,pursuant tothe Code of the Town of Barnstable ss 112-1 through.ss 119-7 APPROVING the application for DEMOLITION AND RELOCATION of property as follows: Location: 71 Ocean view Avenue, Cotuit Assessors map and parcel: 034 045 Applicant/owner: J. Robert Casey,Tr. Pickwick Realty Trust Background An application was filed for demolition by relocation of the main,house on the property and demolition of the eight car garage and caretakers cottage, attached to the garage. At the meeting of the Barnstable Historical Commission August 12, 2010, the Commission considered this application. They found that the garage and(attached) caretakers cottage were not architecturally or historically significant, and demolition could proceed on these buildings, but that the main house constructed in the 1920's, was on an initial basis, historically and architecturally significant. Based on this finding, the Commission voted to hold a public hearing on the application. Members of the Historical Commission visited the site August 18, 2010. On September 1, 2010, the Commission held a duly noticed public hearing on demolition by relocation of the main house. It was determined that the house was-originally built in the 1920's and then redesigned by Royal Barry Wills, an outstanding, historical architect of the New England Region. Attorney Ford stated that the larger two-story house would be moved to another location on the lot, closer to Ocean View Avenue. A small connector portion to the garage would be moved with the main building and a second story added. Members requested that efforts be made to relocate the caretakers cottage(attached to the garage), and to deconstruct the garage for salvage, especially the doors and windows. Based upon review'of the evidence submitted and a visit to the site by several members, the Commission voted unanimously to approve the relocation of the main, architecturally and historically important residence at 71 Ocean View Avenue, to a location on the same.lot,closer to the Ocean View Avenue. Present and voting unanimously to approve were: Barbara Flinn, Chairman,Marilyn Fifield, George Jessop and Len Gobeil. Absent: Nancy Clark and Jessica Rapp Grassetti. September 2010 Signed, Barbara Flinn, Chairman Date i Engineering Dept. (3rd floor) Map /M q Parcel C)4S �it# 2 House# Date Iss , d � T Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) y Fee ; Conservation Office(4th floor)(8:30-9:30/1:00 2:00) Planning Dept.(1st floor/School Admin. Bldg.) (J'V, 4C*� Definitive Pla e by Planning Board 19 �0 TOWN OF BARNSTABLE I Building Permit Application <�� � •Q Pro' eet Address c I Village k Owner -cc'St, CA � re� Cr-g orCl Address 13X 214'32 Cl�u��c��,e) ,dk� 49 i24 Telephone 2 I h -- 291 21/9 -120 -I 02S Permit Request C ov���r„e1- t o` gll ��; o�� �.,r, - a c.vine_ 64+�roo►M % dCl i k�&V) -L1n2 SPC4crn�t, � G y�+�t rnP� First Floor, square feet Second Floor �[�t� square feet Construction Type wood -Cram e_ Estimated Project Costp$ Zoning District p� f Flood Plain /V�j¢ Water Protection N1f} Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family IEr Two Family ❑ Multi-Family(#units) Age of Existing Structure 70 + Historic House ❑Yes W-Mo- On Old King's Highway ❑Yes rya Basement Type: ❑Full p2rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �/� Basement Unfinished Area(sq.ft) H114 Number of Baths: Full: Existing I New / Half: Existing New No.of Bedrooms: Existing 2, New Total Room Count(not including baths): Existing:_New First Floor Room Count Heat Type and Fuel: ❑Gas �l ❑Electric ❑Other Central Air ❑Yes 021C Fireplaces: Existing INew Existing wood/coal stove ❑Yes 8-No- Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) h ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# //��'{ Recorded❑ Commercial ❑Yes ®'Ko- If yes, site plan review# Current Use SeQSVWq Proposed Use Builder Information Name (>6Q-eT-S A M aA lm%/ -_ZLIr Telephone Number ,S-O? - 42 e- 61 og Address 2 t p License# b 41 9* e Me, _ 02 6s�' Home Improvement Contractor# /otq Is:% Worker's Compensation# \A)G 9s-9 2 rOO 3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '—3 o-9T BUILDING PERMIT DENIE FOR THE FOLLOWING REASON(S) I t FOR OFFICIAL USE ONLY PERMIT NO. � DATE ISSUED ► `? MAP/PARCEL NO. ADDRESS VILLAGE i OWNER , ' t , DATE OF INSPECTION: FOUNDATION . FRAME _ INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL g GAS: ` ,¢IDUGH FINAL _ FINAL Bi1ILN ^"><,F- 7 i DATE CLOSED t ASSOCIATION PLAN I�(Pb. ' EX tsT/N 6 4✓WN6 /2117. _ELL-VA7- aON EEE � Lo r„E Sir �XlSTiNG m� ,_/3ED2OONJ PROPOSE/7 jr - YL -I— DRESSER I _. C__I I T.III 111, r t I-1 L cL oll / EXISTLN6 /-!oust C .I-,1�- EXIST-IN6 HOOLE 1- I-- I I:I. g.O T • �X I ST/IJ 6 - FLOoi? PLAN sIN PORc 3 TA11 RooFiNb it/6 FeLT EX�STxN6 FOVNDRTAO� q 2 xb [e�unG I 6v5T ToiST - I�"oc ' CiOVL-.e I�2 c0X � VAacC BhN2lflCj( L"ZX( WINR�u ND� I � Ex rsrlN(, I 16-WC.rN.NGId$ Zxq 16 oL I I hWELL1NG pp'$" G wO I ��.. U L, 1 • I . j'•.Tf6 PLJ i ACC/ESS DQ. 12-3o ZNL.L, I V 2 K 6 P.T S-L /tom\ 2" pear C°xCX; // / 9'0" �\ \ oSF� 13AThl/� A�l�irion / Fc / 18 x 811 r-coned I 7_RS.-__l=RE!JE2lcK: CRRWrORD _ l?o M NC, 3.19•a7 SaALE: ,9.., l� oaW y. The Commonwealth of!Massachusetts f Departnent oflndustrialAccidenls F ' 600 Yfashington Street Boston,Mass. 02111 Workers'Compensation Insurance Affidavit !L'lrtlt� IPcaWin* silk• hn ❑ i am a homeowter performing all work myself. ❑ I am a sole proprietor and have no one working 1n any capacity 1�' .• �. ' ,'�.@��'' ,gam i�' ❑ I am an employer providing workers' compensation for my employees working pn this job. wipany name.% Q4-„•e city: sle .i�11� 42 S P 6 t o 6 net on ina�ra ee ret a.. t olio. 80e . 0 I am as ole propriet enerat contractor r homeowner(clmfe one)and have hired the contractors listed Uelow who have fhe following workers'compensation polices. g 11 rr PQnY�au>Le: � - Cult�Fi Tl t►l1. r+� . . ;isZ�ess:. •• .. . . fp1t1190 cih^ . . liorie• . 1n.ur c . t•'ailure b secure coverage as required under Section ZSAof MG[.f52 can lead to Mc Imposition of criminal ptnaltict of a flee up to$1,.5f10.00 andfor nnc years'imprisonment as xdI qg civil pcnaltiq ip the form of a STOP WORK O)tI1EIi and a fine of�100.00 a day against mc. I understand thnt a copy of Iliis lctatcment mAy be fnrwardect to the f)ffice of IavcstiRatinns Of thel7lA for eovernge verification. •I do hereby certify under the pains mid penal•es of perjury 1111tt 1119 information provided above is tru,edand correct. Signature Date 7-30 Print numc O P C orficitd uac only do not write In this area to be completed by city or town officistl city or town; perinitAiccrmc M 7CU)Hcalth cpgrtmenl insrd Q check if immediate rmpnnse is required s Ofr cc arlmcnt contact person phone p; freviced.tro4 V1A% Information and Instructions Nfassachuseus General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law',an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual ,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business 6r to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any.contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by clieeking the<box that applies to your situation and supplying company names, address p ddress and hone numbers as all affidavits may be submitted to the Department artment of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the ciq'or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. mom City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you rer arding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. Tlie al davits may be retained to the Department by mai I or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office 01 linestigauens 600 Washington Street Boston,Ma. 02111 fax 6: (617)727-7749 phone#: (617) 727-4900 ext.406,409 or 375 b . .. .ACQRo CERTIFICATE: OF" LIABILITY INSURANCkID GA DATE(MM/DD/YY) 0 LCO-1 03/17/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE O'BrieA,l s Centerville Ins Agy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 259 Pine S rt eet, P.O. Box 610 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville MA 02632 COMPANIES AFFORDING COVERAGE O'Brien's Agency Account COMPANY Assurance Company of America Phone No. 508-775-0005 Fax No.508-775-6772 INSURED COMPANY B Legion Insurance Company Holcomb Plumbing & Heating I COMPANY David G. Holcomb d/b/a 30 Perseverance Way COMPANY Hyannis MA 02601 p COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF!CA T E MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE!`:IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000. A X COMMERCIAL GENERAL LIABILITY CFP 25005092 03/21/96 03/21/97 PRODUCTS-COMP/OPAGG $ 1,000,000. CLAIMS MADE FX�OCCUR PERSONAL&ADV INJURY '` $5 0 0,O O O. OWNER'S&CONTRACTOR'S PROT i EACH OCCURRENCE, $ 500,000. FIRE DAMAGE(Any one fire) $300,000. MED EXP(Any one pe(son) $ 10,000. AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ - ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY I $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X TO Y LIMIT OTH- TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000. B THE PROPRIETOR/ INCL WC20022638 12/18/96 12/18/97 EL DISEASE-POLICY LIMIT $ 500,000. PARTNERS/EXECUTIVE OFFICERS ARE: 1�x EXCL EL DISEASE-EA EMPLOYEE $ 100,000. OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Plumbing & Heating Contractor; **Subject to Policy Terms & Conditions** CERTIFICATE HOLDER CANCELLATION ... ' ROGER-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Marney, Inc. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 310 Osterville MA 02 655 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP TA E� e w O'Brien s gency A our ACORD 25-S(1195) ©ACO CORPORATION 1988 DA E( M, Y) ACORD,j CTI1�J ► IC �� ..........::.::: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR W. H. Eshbaugh Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 805 W. Main Street COMPANIES AFFORDING COVERAGE Hyannis, MA 02601 COMPANY A Trust Assurance Co. INSURED -- COMPANY B Eastern Casualty Harmon Painting, Inc. COMPANY 707 Main Street C Ostervi l le, MA 02655 COMPANY - -.___._ D m.m C.O. .:ER' G ..:;.: �: ::..:::.:..:::: m V . A ES.........:.:..:..::..:..:.: ..... . :. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ------------- - --- - --------- ------.. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS LTR I I DATE(MM/DD/YY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $ 2 000 000 A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000.000 CLAIMS MADE X OCCUR i MP 1000336 4-1—y 7 4-1-9 8 PERSONAL a ADV INJURY $ 1 000,000 - OWNER'S 8 CONTRACTOR'S PROT I EACH OCCURRENCE $ 1 1 000 1.000 FIRE DAMAGE(Any one lire) $ 50 000 _.. -_-_ _ --------------------- MED EXP(Any one person) $ 5,000 I AUTOMOBILE LIABILITY -- ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS 1—___ BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS i (Per accident) - PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY ............::.:::::.. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TATU TORY LIMITS ER EMPLOYERS'LIABILITY ..._.___.__-_._._-_._._ UTH ---_ No 1-4-97 1-4-9 �.EL EACH ACCIDENT $ 500.000 — THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ OQ PARTNERS/EXECUTIVE -- WC97798007 - _ _____._..._-- _-- —___------ — OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 500,000 OTHER I I I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS • I ....� [......ATE tiUL ER ..:.:..::::.::::.::::::; ....:. x:: Q:::...:.::.......:.....:..:.:.:....:... ................:.........:............................:.:..:....:::.:....:.::."N.0 LLATI.Q.N. :..:. .... ...........................................:................,.:.:::.:.::.:..:.::..::::....:::.:.:....:..... SHOULD ANY. OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Rogers & Marney, Inc. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P. 0. BOX 310 - 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ostervi l le, MA 02655 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR S NT FE I c A L� ..... :::.::. >:::;:.::::,,:::.:..::.....:::...::...:: :.:;. A ORLS L2FiP.Q A N.;t :; ` i 'J I /� r_�.11 "�'� ++ �m'�"'��•�'t?k"5... (4 0110-4+ — oF. m� my .:. ^r dC � r ter.{ a, iS t s'F lyt:,. '.G va t1� oa scwol s Tltr+y�(`�RtIa1L h1�k i4' LJ� t+' t t! l^aI..Y "vw.tf�F +, srllt x3•'a r l l.,J 7. I:r L) Y)C'E: ►�C)Lb >`+I�it t t.sv, EAy -i F'-i T , {.t,T'(?ra i tt. ( -.�.•',-r.'e?Ff)ry I {i 7 F Fs I"n.> s t t r ,I i s�til j J.Y71)F � F At..rtf 1t_r r�bT`1roCwE € �yt3C�CCe �,Ji}i£r(��7l�Ct 4J' ,)'; h:,_••i,i`'t•'t r:ii.r 1..._t':c,�>:i{TFe .`/J" i ..... �:tr�tyarmt�.a r.t rr�i�;�h'�'C.' �•;�!:t_adhG F.. - - --- I.,;i e.. 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I ! �._. f• i ,; CIO o I � ' - 1 iJNii'r. q:rittOF,' /`iStrfi_L .• _.• I .........._ f.. �F�; yy . ..Olip'LA ANY AP Tilt 49.1fl C ,.f 1,7 INE k h P,.I to tis+C)lW !sP �f:i`;�;:' 14 Sr fit, I"r7Fi1 ! tOnnrsp:a fl,rc ry_ts�Ur, !Fir t,suu4,� cvmraw WILL GFiUr,•.su(t� r a .. � ...__. Id A,t'6 N"&.ITT@i�ItFh'i'(,`g 'J l,I7. :'Pry;,P1C14)C sI,JLD�n 'riAki::C' T:'.TW¢ �j:,('t•, OUT PAILViNt Ti '114ALt IMPOSE ,1GCL1. Al : cs~L„ 6 W . Or AAY FUNS (. G`r Vit r•�ttn,a; . 7 • R LrPH61 = •�OwF{)r ? l"ati4tfr TFe1�4 r, —_-IAi.�Oi Nnfl�k"lY�r NTa !i;'�f�?iJ>w7.:�{'.grCj�? � ,ti.+'t•+;'f�+'t �•{,(rq�w.•r� ,� �� � ; .. ....,.... ......... .... ...:_.......•.__ .,.w, ._.._....-..,,..,.._..� 's'?�4C�t�aiT Iv;•�P�Fi9�'Ilt�/iitl �rk��T� , i r HOME IMPROVEMENT- CONTRACTORS REGISTRATION '•Board of Building Regulations and standards One Ashburton Place - Room 1301 Boston , -Massachusetts 02108 . . HOME IMPROVEMENT CONTRACTOR •-t Registration 100134. Expiration 06/09/_9.8 - . Type — PRIVATE CORPORATIONkE�YA� �V€° R� tf� Registration 100134 ROGERS & MARNEY , INC . —Type - PRIVATE CORPORATION Charles D . Rogers a Expiration - 06/09/98 PO Box 310 Osterville MA 02655 R0GERS & HARNEY, INC.. - Charles D.- Rogers 0-,Box 310.. `4` Usterville MA 02655 ADMINISTRATOR - • COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY a= OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108_ 1 LG �ISE CAUTION EXPIRATION DACE @8 :1C�/ 1997�, LGNSI FOR PROTECTION AGAINST EFFECTIVE DATE` LIC-NO. THEFT;PUT RIGHT—-- RESTRICTIONS PRINT IN APPROPRIATE (j7 o QJZl01/ I99 4. : 4�5 19 3 BOX ON LICENSE: GAR`f I; SOUZA BLASTING OPERATORS _ 183 tT1AFt INER L I,RrLt_ j MUST INCLUDE PHOTO x s { r. C[7TU IT. HA .02b i PHOTO(BLASTING OPR ONLY) FEE NOT VAIJD UNTiL SIGNEb BY IICENSEE AND OFFICV+LLY k G t j STAMPED���,'DR•SIGNATURE OFjHE COMMISSIONER...s ■ HEIGHT { � �dtI11►g011I�� s. xA c THIS DOCUMENT SIGN NAME IN PUIl ABOVE SIG NATURE LINE CARRIEDONTHEPERSON OFF '' ' � ::t `i SIGNATV _ ENSEE� n -- -- THE HOLDER WHEN OTHERS RIGHT THUMB PRINT GAGEDIN THISOCCUPATION. Taf,! - - .4:; _ .a - i oF1 ro,,. Town of Barnstable *Permit#1 11A 3 �•C Expires 6 months from issue date Cc y Regulatory Services Fee v� HAW Thomas F.Geiler,Director.i63q S/a Iv �� A'ED 39 Building.Division Elbert C Ulshoeffer,Jr. Building Commissioner XMPRESS PERMIT 367 Main Street, Hyannis,MA 02601w Office: 508-862-4038 MAY 2 2001 Fax: 508-790-6230 TOWN OF BARNSTAB� EXPRESS PERMIT APPLICATION E Not Valid without Red X-Press Imprint Map/parcel Number G Property Address I QCi;� V 1 (2 0-n) T Residential OR ❑Commercial Value of Work` 7 5700 60 Owner's Name&Address 1.1100i�� i-Itt-E nCCWA$12AA41( 3 nW A i� S( kM OS His L E Contractor 's Name t"i1 CNR0- 3. C"A NKvAi_P Telephone Number �0"�O�Z Home Improvement Contractor License#(if applicable) i 9 2-1 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Gt Insurance Company Name Workman's Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: 1ss ce of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation.etc. Signature expmtrg o�� Gella .' BOARD OF BUILDII�IG REGULATI ac�ucONS License: CONSTRUCTION SUPERVISOR Numbe—CS 056905 I11 r; Ex gyres 06/06/2001 ?r.no: 10352 To: 00 MICHAEL S CANNATA 132 GT HILL RD Y SANDWICH, MA Administrator I PROVE'MENX SON Re istra '`� A IRACTok V, CIA �. . Rz �� ✓04/ _ x��Y. CH t" VA- W..° `SANG .., r�� �T -fib'. •,.i-f °FSFIE T°� The Town of Barnstable lAxMML& MM& 10� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 For office use only Permit no. Date . AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. 1 ' Est.Cost Type of Work: t�w,� te2 n �Cfd t�„'� Address of Work: Qrea.w►ew Aue-. Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS' FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: .� 3 p c{`7 C cr r' f�e� rS 16613:' Date Contractor Na a Registration No. gOg�cS W��IeN X-1 OR J J Date Owner's Name TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t� o = Map � 1 Parcel Col Permit 4ealth•Division3 w� - C G t ; Date Issued 2000 Conservation Division r, f �/Zl�C� Q� �i�� S�3 '3�7°� Fee � e ����® �n Tax Collector , '"'`'fY� W Z Treasurer Planning Dept. , Date Definitive Plan Approved by Planning Board 0 Historic-OKH Preservation/Hyannis ` .Project Street Address A OfCCYRlAkJFt120 E5�1�4�� Village "�— owner WOODS {�� ° 0CAdiD 69AWC Address MA V W- , W0'3 S 1+64 we4 Telephone 201 200 Permit Request ► lMDtre 1p#W Pa cTs A*.to SUA1,O&C *,3JD Square feet: 1 st floor: existing_ proposed 2nd floor: existing proposed Total new Valuation 20f000 Zoning District 12 Flood Plain Groundwater Overlay • 4 Construction Type WOOD FaAAl rt Lot Size Grandfathered:' O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age,,Df Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new 1INNumber of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count • Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:0 existing 0 new size Barn:O existing ❑new size g g 9 9 g Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use —o BUILDER INFORMATION t Name - MV'474 Telephone Number ®g' YZO 3012. Address ) 2 64#r871g4 License# 0 &,oA rA , AW Home Improvement Contractor# ti 2 9 2.7 02,6_0 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � I OU/N OF -60vwi p pds�i SIGNATURE DATE 0 ZP'f 0 I FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED ' MAP/PARCEL NO. . ADDRESS - i - 1 VILLAGE} ' OWNER _ DATE OF INSPECTION: ` FOUNDATION 3 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t - PLUMBING: ROUGH FINAL ` GAS: ROUGH -- FINAL FINAL BUILDING � lea 14>3 t- .•� i DATE CLOSED OUT cd a vv ASSOCIATION PLAN NO. t- RUG-1-2000 09:31R FRDM:hIichael S. Cannata 502-420-3092 TD:79052.30 P:1f1 e ` MICHAEL S. CANNATA BUILDING & REMODELING Estimate 132 GREAT HILL RD. SANDWICH, NA 02583 PH.(508)420.3092 �m DATE M ESTIMATE NO. MA.LIC.0056905 —J I 8/r/z000 80 :NAME I ADDRESS "T 4 �zorvr I,4ttn; Ernie Cfarette y 6,4y air' to / 86'WaterSL.i11 S p 19 WWOO&Yofe,V1a 02543 FJOS LOCATION. PAYMENT TERMS ISSUE CATE CUSTOMER TEL.0 { ICA ITEM DESCRIPTION _ # ory COST AMOUNT MARKUP � TOTAL Mat/La6 WateriofandGabor�ce Total to rep&ce rotten f` 4.50 16 DO 7,200 00 7200(1D j I posts and deckas required i I I 1 CJoalsliadbe to repair'emstirg cmred y=cfo to a.usea6fe and safe st►Iuiu're. i 1 1 I 1 1 I ! a I i i i Iris cstimaie as valid for90 days fmin date of reccip:, ?btaE ! $7,200.00 '11�d —.n�,:��w.e»ei3_ weini�imssii a%vai®ir+.Giisu '' 1 dimsuiiii ��naiiria LrIon.w.i.Go..in �1A��i7ii�eifiiisr��� �says®aoisei.p..esss wa��.>.I�enosm �i� 't�.� !■Ii:�tlD'..1M�C'Yi11oJ1171PRIM PIdt1�WAtN17L71♦L\'.e'—: ,lIIIIo "?:aPlllioo'si61�I� ®����e.O�C�a�s',�®®�1®�®i 11®®eat' : rr•e�sr.�m .oar�aws.�.� c��r�ra.�.n..�� I �arrr:i 4110 i e ea i 1 ��l11fis s . y The Town of Barnstable ,w U ram AS& $ Department of Health Safe and Environmental Services °rFo ',� P Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commission: Permit no. ' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. t Type of Work: fide.,I GA 2 O Estimated Cost zp wy Address of Work: L2 ®c"F ,JVIT-w AV-(- cot&Ci Owner's Name: WOODS Ht� OC&4^.,a 6A4P#,C dCrrs�1 l��'C Date of Application: O I hereby certify that: Registration is not required for the following reason(s): O Work excluded by law OJob Under S1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given.that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EffROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the o er: Date F Contractor Name Registration No. OR - Date" Owner's Name q:fbnns:Affidav I The Commonwealth of Massachusetts strial Accidents rw = = Department of Indu BtIOdS t� 600 A'asl:ington Street ���_.s �• � Boston,Mass- OZIll� ce davit Workers' Com ensation Insnraa carn�iairr tee. NA4,1A - location' 2 � o �3 • hone# city G fining aU�nipself I am a homeownerP in aav � star and have one I am a sole p= DG//�//�/%%///%%/%/�,%//rr./ o�q�s worlang on this job:::.::.;:;.;::;<.:':.::<:: . . worlaers comp P r..,. ...�r.. ...... .. ...... .-.:..:...-..:..........................:...::................... .:v:.:..:... ......:r.•:10711 :; {4YYA:gY•:^�,0•, ...K�$YnS,}i'}:C.,;7vi.�r�}i,• f '} •v:•.r }•:..w. .....-{;{•..,:?.;{.}`..;..-v..;.,:v::•: .:.......:.:.... ........ :.....:.r.:. : ... .•.:.. �t r ri,�•:.......^!{:}:i!:4{{{.:..•f$:!{�Y,i,}ti}lr.•:jCv:}.�•.`::{•;n::.y•:` v+{k :. ....v::::?'•.:{?{-::::::Sh}:3;?i;:{:•:}:{S:{;:$:iry}i:3rj:::�i:+v...:..... .::.::-i:::•:' sore• ........ .. 4:{i:•x.t :{T .::..:....... .......:::.......,v:...•v+•t,.;}y:..::::{v:•:::•.ti{v?:i::+}'L:i'J:3"!'4Y.}Y:'.::.,..,..:-::......... ...... 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"::•-•-'v::v•:.....:}}}:v:j•}:i•::•::-::J:::•:�:•::::i:-::.�.•::......... . ........... ........:.. v nt.._{ r•.vv.44.�n�;:., r, 7} ... ..}:.i:.. ...r�:+:C;.L{L..,..... :i:•:::::::::.�::. t:it4• ...... rv, + ....,.k�-}; rxv,.};.x{{:..; r...rv......:..... ...:v..:._:nii:•-: ....+r. -.....hW1}..Y•. ::•?r_:::}:iiY:.j3,:}jyi::i{:i:Fi::yi::y.:.:ii::: .........::::.::...v w:::n.-:.•r:.., J• ,Jw.......::•• v.+k r�• ...;1-.SY•! ...-......... .wr:.:....... ...-. ......:....S..r:;,,,...; ...v:.v t.k4k4"rx:��-.,:{;•r:,��..•....... .,xJy.;..t..ww{n.....:.3.. vv. ....................... ..:.... ;•1q,..•.Sn4 .......... ..........:.::........::::::::......w foxy:y;;�e.r4,k:}'.... .• ,tQS x•:ir•..',:.-.......................::::::::ri.;:%,;:,, .Sc „"�'a`Sy?,vcb:'4:!r.?�':!ddaw:{:.aos;;:•.:;:�... ..:. :.�....::::..:....:.:: .x n..• {.}}:C^}+A+iy K{�^yk}•.:SJ4S\;S v.:::.::•:{-.. :. /�// {ivtiraitee to>:'':<:':{'::'::: :: the of a�ttinal pmaitiea of a Sae up to S:300.00 mdror order Seetlon2SA of MGL 14 on Ind than a Failure to secure cO`'�a s,a Cftn p is the torn of a STOP w0RK ORD� a fte of Si0Qo0 a dsy against me I we d one yeas impruonmmt be forwarded to the OIDehotlave:dlatt°o ofthe DSA for COMM=e TUM=d m copy of this atatem cut may _ the ants mid p • oI I that the m fomtabron pr�ad above is vw.m c9rred 1 do hereby eerft � / �vv _ Date SiEnat= Phone# (�O 9 q 2°-30 14 Print name M��� AIVAI�- t srdfc is this area � to be completed b7 city or town oMd do no sl oMCw we only ❑Building Depaent pesadt/ltceaae tl - ❑Licensing B01rd city or town: ❑5elecvnen's 0Mce response li required ❑Health Depsranent checkifimmt:diste ter p ❑Other��— • phone#; contact person: Information and Instructions requires all em lovers to provide workers' compensaaou 10, Massachusetts General Laws chapter„1 a section 25is fined every person service of another uneer �� c� .mplovees. As Quoted from the 'law", an employee of hire, express or implied,oral or written. per is defined as an individual Partnership, association, corporation or other legal entit� or and•rwo or more .,n emplot ion er_ or ;he foregoing engaged in a joint enterprise, and including the legal representatives of a deceased emp association or other legal entity, employing employees. However the 0'; P or a nwtee of an individual,partnership, aoll or s and who resides therein, or the occupant of the dweiiin:hones- dwelling house having not more than three ap or air work on such dwelling house or on the grouse.:✓ c another who employs persons to do maintenance , construction mP building appurtenant thereto shall not because of such employment be deemed tab-as employer. 152 section 25 also states that every state or local licensing agency shall withhold the issuance o, rer.e vIGL chapter in the commonwealth for any appiicant wnc of a license or permit to operate a business or to construct buildings produced acceptable evidence of compliance with the insurance coverage required performance o public: ° not pro P of its olitical subdivisions shall enter into any contract far the commons ealth nor any P of this chapter have been presented to the cow W_ acceptable evidence of compliance with the iasttrance requirements authority. Applicants workers' compensation affidavit completely,by checking the box that applies to your in the situation and Please fill numbers along with-a certificate of insurance as all amdav= may be supplying company names,address Pl on of coverage. Also be sure to sign submitted to the Department of Industrial Accide�s confirt .. or townthat the application for the permit or uc�se is date the affidavit The affidavit should be returned to the city regarding the "law" or not the Department of Industrial Accidents• Should y9u,harm-any questions ceing requested, lease=U the Departmeat at the number listed below. required obtain a workers' compeasatiaai policy,p are r to , City or Towns legibly. The Departmeathas provided a space at the bottom c:me Please be sure that the affidavit is comPlete and P� y' has to contact you regarding the app11 please affidavit for you to fill out in the event the Office of member, The affidavits may be r-xmrd io be sure to fill is the pe�iiNlicense member which wfiI be used as a reference . :he Department by mail or FAX unless other arrangements have been made. would Bice to thank you in for you cooperattan and should you have an`.questions. of Investigations The Office do not hesitate to give us a caL 7=Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents amce of investigattoas 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 i ��`" ✓die.Lro�remw�r¢urea� o���aaaacc"ivaelta �i.` i BOARD OF BUILDING REGULATIONS,j License CONSTRUCTION SUPERVISOR I Number CS 056905 ; z` t�Exjnres 06l06/2001' no: 1:0352 ', — R TO: '00 s i MICHAELS CAIVN4TA , INGTHURD -SANDWICH,WA'M563 ' Ad mimst[atoc777777, I { 'Ae'( vneaneoea�l�n o�✓�aeaaa/ua4� S HOME,IMPROVEMENT C bNTRACTOR , Registration A 12927 Type,- INDIVIDUAL �_ - r`EzPiTation 5 004/01 yF MICHAEL 5 -ANNATA !€ -MICHAEL S 'CANNATA It. u�r°o�i GREAT HILL RD . noMiwisanToa._ 'SANDWICH MA-02563 �`` 7d® 010 600.-�-i -� ten 45P' 7�(e 1©o,,1'7 �r ►dc ��r�ss�f� is n eaivbt-0 yr M O B F RGAgo � post -ft Op— , F T R L C E 5 For Ivan Be micki Associates By e� Moberg Rreplaeer, I nc May 1Q 2011 S.MOM of Reeommendationsand%Wficationsfor One Custom Masonry Freplaee For the Private Reedenoe at Cotuit. MA Stunmary The a.Aom masonryfireplaeefor the Living Room at thheCotuit, MA project poses a unique but achie✓ablech211eigebased on itsfirebox program and proposed fluerouting The clients plans for this installation indudean all masonry firebox with stainless steel flue. Thisfireplaeedesignwill requiresome non-stanclad details,which must demonstrate equivalent standards of safety to pass building official Endorsement. Constructed with the UL-listed flue this application may requiretestinglaboratory eommissioningto mitigateeodeeonoansbecaseof unlisted offset ax,Jes(451)and offset floor penetration. 2-hour Enclosure for offs-ding portions of the installation are recommended. Previo.iscommis Toning in a nearby Cape Cod jurisdiction of similar installations rral set agood precedent for this fireplace With the current deign,thhefireplacecan be safely and adequately ventilated by electrical coil draft-eihaneerr eat end insulated flue to maintain positive drafting conditions A central fireplace control paw can assurethat the gas log-lighting device is only working when all building(fireplaoesysteri ere operational: Eoecification of a Maesadiusetts<:etified"&e-Start` operating syste n isalso recommended. Fim Wage CormbixtIon I n order to construct this relatively complex fireplace system so that it will safely and reliably vent the productsof combustion,including mltiplesectionsof offset fluleroute;wereeommend thefollowing minimum construction specificationsand operatingassu ptions 1. Corutruct building oode-worthy firebox There are no more stresses on a firebox than those encountered in awood-burning systeri,so materials aid componetsdesgned for wood-burning would be appropriate OLr preliminary recornre dations axj]Ed constructing a oodeworthy heavy masonry and refractory firebox,including an aerodynamically efficient chimney breast and smoke chamber. This aspect will limit the reguireme itsfo-flue volumes and makeup air by redudng the effective resstahoeto room air drawn into the chimney suer from the opening A steel lined and mineral fiber insulated snokechariber can defiinethetraisitio al spaeeaxh ailowfor good aerodynamic d®gn. In the case of the Living Room,a high-terperature refractory chimney breast can funnel edharststo thesndcecharibe'aid prevent spillage Minimum g thidcnesseswill provide erode-masonryeonstruction. Laboratory review and find commissioning of the installation could bolster the design and parethewayfor building department final approval. 2 Install a pre-fatxicated metal flue listed to thhe huohest staidard availablefor high-terperatu re wood-burning operations, While all fireplacechimney systemsthat aedesigned and tested for wood- burning ere only subjected to madmurn offs tsof 3(r off-vertical,the Living Room installation requiresone45°offset to accomplish thedesired architectural solution"eideior chimney ' terr'nation location,while ciraannavigating lageprin-aystructur'al members Asaresult,thesafety performance of the chimney systen at thheelbows axi through the second floor penetration is critic Manufacturers know that their chi mheyssg3eieneethe greatest terperatur'es at elbows and around floor penetrations and chimney dearatoesaeus,ellydefined byperforrnaimat these locations While the offset systen will no doubt eq)erienee its greatest temperatures at these locatiorA the systen is .designed in prind pie for aoobmmodatingectrenasin similar locations. Therefore aUL-listed b Pt1 d 3 N pcf sh!Ci sf grtxf t-!J.ocV!6!DF rriodCvj rejoai-!Tvj if!411!!2235!OX!Dpvd !T EMIA!CPs the-P SH: 831: !R!614.338.1658!A gYE 14.338.1659 �1 aMTHYdRoDtne CrEatdWGffias Pay2d'3 Prue e%dym Octut,MA May 1Q 2D11 manufactured system tested in similar configurations,has the best starting point for as successful solution. However, it is onlyduringtheadremesof testingthat safetymaginsaredhallengsd ad established. These ectrenes,designed to simulate chimrW fire conditions,aretypidly 10 times hotter than "normal' operations Even the most adreme normal operation of this fi rep"will never approach the higlr-teTperature conditions of a chimney fire,sxjgEdingthat even craitous routes of the flues will not sAect s.rroundingsto adverseconditions In the case of the Living Fbom fireplace we recommend afluethat has been tested and approved to the highest avalablestandard for high temperaturewood-burning operation, UL103-HT. Ideellywe recommend: security chimreysa-5o,which are positive presszeflues,also used and listed in horizontal applicationsfor oomnacal gasapplianeeswith adnaEt temperaturesof 140(P F. This specification waspreAousiyehdorsad byOMNI Test Labsfor Chatham fireplaces,and also meetsthe MA State bu ilding code requ ire ment for chimneys in buildings below 75 feet in height. a Provide constant spply of conditioned makeup air to positively pressured room wherethe fireplace is located. I ndustry tearing sac,Eststhhat volumes of 90 ofm per squarefoot of opehirng are adequ.iateand typical for wood-bumingfireplaces, For the public spaces involved at cotuit,MA,ether ,a a boosting of supply or a constart positive pressure condition will serve to ventilate the fireplace as it demands air through the openings An integrated electrical control panel,oommunicatingwith the t Budding ManagetTett c,iOemscan a3aree)nstant supplies By also installing an electronicsolenoid shut-off,agesfirecanbeirrrnediately terminated for any system fail Lye (IrxJeperxlent fire safety { interlock isalso recommanded). VVersoommehd the Moberg&e-aart operatingsysten,certified in t MA for masonry fireplaces 4. Add additional hick-Lemperature insulation ggLivalent to a2 hour-rating along chiTM routeor oodecompliant 2-hour enclosure,whereit ecceedsmadmuurn listed conditions It standsto reason that if the chimney system isgetting hotter in the non-sta-dard configuration,additional insulation will tend to compensate Vlthileit isdiffia.it to calculatetheecact effect of higher to nperatureswithout testing, weknawthat 2 of ceramic fiber insulation will both double the insulating effect of the chimney, trapping higher to nperaturestowardsthhecenter of theflue;aswdl as survive these temperatures without degradation,since it is also designed for very high-termperature conditions V\Ie reoomniend 2 hour duct wraps listed to UL1978. Alternatively,installation of theflueWthin aoodespedfied 2-hour a closureWll offer asirrilar and additional margin of safety using traditional methods 5. Install inntegated draft-enhaxeTs t with back tup enagancy power to insure eorntirnuousflaw in theme One of the possible consequenoesof an open firebox"steeply offset system is smoke spillage The increased resistance of horizontal travel will result in ahigher static pressrein the system,resulting in Iowa flue velocities and apotential back-up of adhaustsat the opening during start-up and cool-dawn. An electrically heated fluuesysternn,deigned to co npehsatefor the offset resistanceWll assure consistently higher flue pressrea and if adequate make-up err is supplied,result in spillage-freeoperations. High temperaturecoils, permaner►tly rmounted in an aooessblesmoke dnanber enclosure a an pressurize the flue and maintain flows without pladngfan motors or blades in- line of theadha.ets Vkk recommend industrial coils designed to edst in theflue-path for wood-burning masonry heaters for this purpose;placed safely with n the& thick wallsof thesmokedhamber. Due to the possibility of mechanical or power failure;both aback-up,electrical sources d operational- proving device should be incorporated into the deign. As ate tiny waning,a c0 arxV or gas sensor near the firebox could also be integrated into the control systern,as long as it was not vulnerable to other building condition Srmayd Rammed3iasad Wabas Pap3d3 Fh%de%d3m Octut,MA May IQ 2011 t 6. Providecomprenans vecontrol system with electrical shutoff for gasfeeturesyster,coordinated With a motori2ed danpa. Finally,gas log-lighting operations must be artomatically restricted according to sgrrelsfrom the proving system In addition,apostion sensor on their-linedarrW coordinated With an dectrical solenoid in the gas line can insregaswill only flow to the firebox when the darrW isfdly open, rnechanical air systen is activated and fluepressui2ed. Tested" Maesadnusetts-0ertified gas loglighting systems ae most appropriatefor thesecor trolled applications I ntegrated gas control panels located dose to the firebox WII irwe maintainable operations We recommend the Moberg MF-CASPLC Electrical Control Systems,pat of the Moberg We-,Start program. It is our belief that thesesx methodswill provideaibstantial support,morethai equvaler t to the stancadsof safety implied bythel RC prescriptions,including UL103-HT for fluesor gmsystemlisted to AN9 Z.21.60. E y t • fi 7 7 .. i �y ..<1 -1 ty R-1 ��fill��r1� •7 '. it FIREPLACE-ON y , c ti Y r xs A;` rat 'diets =i � S - .. 4 FIREPLACE OFF f seeTouch Replacement Kit Engraving-Schedule (SR-2 Button Controls) Rev June-200 O Fill in Control Layout"Info Choose one: O Single Gang From Multigang Faceplate En,rg aving Schedule: O Multigang Control Station Number This Control's Position: Select Product & Fill Engraving Info • For use with GRAFIK Eye 3000/4000 and GRAFIK 5000/6000 Systems. • Comes with Faceplate, Faceplate Adapter, and Buttons • Choose 1 of the following options: Faceplate Dimensions: O SR-M-(finishYNST O SR-213I-(finish)-NST 2.25°(w)x 4.5625"(h) 70mm(w)x 116mm(h) 10 Characters Max Including Spaces-10 Point Type Use faceplate engraving form for any text on waliplate. �3 Choose Your Finish (Choose only one) • For a metal finish in a multigang configuration, select Black finish on this page and order a metal finish for your faceplate: O White VM) O Grey (GR) O Satin Brass (SB): O Antique Bronze (QZ) O Clear Anod.Alum. (CLA) O Beige (BE) O Brown (BR) O Bright Brass (BB) O Satin Chrome (SC) ; O Black Anod.Alum. (BLA) O Ivory (IV) O Black (BL)' O Bright Chrome (BC) O.Satin Nickel (SN) O Brass Anod.Alum. (BRA) O Antique Brass (QB) O Bright Nickel :` (BN) ® Text Options(NOTE:Default options will be used if options are not selected) A.) Position of Text: B.) Case: O Left Side of Engraving Area(default) 'O First Letters Capitalized(default) O Centered in Engraving Area O as written above O ALL LETTERS CAPITALIZED, LUTRON® Project Name: Page: coopersburg,PA 18036 Room: Quantity: m .� PHONE: (610)2623600 OOOA* ` FAX East (610)282-1146 Control Address#: Lutron Order#: - FAX West (610)2623779 FAX intnt: (610)282-1243 P.O.#: Lutron Job#:, I . - 77 M O" Firetemp" Wrap t Duct Insulation Description Firetemp Wrap Duct Insulationis-a high-temperature insulation � � blanket specifically designed to provided flexible enclosure for • t .+ M+"•-sS,T one and two--hour fire-rated kitchen exhaust ducts and HVAG ducts.It provides a tested,alternative fire protection enclosure:""" jt in lieu of constructing a traditional shaft wall enclosure. Firetemp Wrap incorporates insulfrax*•Thermal Insulation as its core material.Insulfrax is a high-temperature insulation made from a calcium,magnesium,silica chemistry designed to enhance biosolubility.It provides excellent insulation in a noncombustible blanket product-lorm. The core insulation is completely encapsulated in a poly- • ' aluminum foil,fiber glass reinforced scrim covering.This scrim provides additional handling strength as well as protection : ` from moisture absorption and tearing. Technical Services For technical information and assistance rag arding,application 3' , information;code approvals and performance specifications; call 1-800-4581198,If-this piece.is more than one year otd,. please contactJohns Manville forthe currentirtlormation. Order Placement Referto the maps on the back page to find the appropriate_. location for placing orders: Typical Product Properties Firetemp Wrap is,supplied in three Configurations as f011Ows: Product -Property , Features Firetemp SLA5 Thickness 1.5"(38 mm) •Single layer,flexible'blanker Density 6 pcf(96,1 kg'slmj) •:Slim,lightest system available, Form Scrim Encapsulated *1 or2-hour fire ratings' Product Siiesl%ilthx length) 44'`x 26(610mm'x 7.6 m), Zero clearance to combustibles at overlap-orcollar 48'x25'11219mmx7.6'm) •Compacrdesion Firetemp HVAG; Thickness 1.5"(38 mm) Ughtweight,,flexible blanket' Density 8 pcf(128:2 kgs/rn') 1 6r.2-hour fire ratings,' Form Scrim Etroapsulaiid, Zero clearance to combustibles;: P(dductsizd.ljk ridth x length) _ '24'>i 25'(6,10 mm.x 7.6 m) Easy to cut,fabricate and install around ducts,, - 48"x25 li2.19 mm x 7.6 m) No`need to construct alraditional shaft wall enclosure Firitomp.SL-2:0 Thickness; 2«(5)ntml'• ICBO coniptiant Density 8"pcf(128.2 kgs/ri1') Two layer system Form Scrim Encapsulated •1 fir 2-hour fire ratings ProductSizes lWodth x Ui gihl 24,x 2V(610 m i x.6.1 m) •Zero clearance to combustibles' 48`x20'(1219`mm•x6:1`m). •Flexib4'en6losura t�7ct(xr l it rla�<-, Incc• el(nr.:liiti(c(iPn ,,�uitr.a()(1 1=12 \\�f' �tu (t. lrrcl•.Nebrlltn�, .K�JL�Cl��'.(�(►a)227.-647 w w.ttia�zt f Firetemp® Wrap .Duct Insulation System Testing Od,Approvats f Firetemp SL-1.5 Omega Point Laboratories IOPL)Usiod File 16064.2 .°•%w UL 1978 Internal Grosso Duct Test Zero Clearance ro Combustibles at Overtop;or Collar. ASTM E 119 Full Scale Engulfment Tait 2 HourFire:Eaduraoco Rpting ASTM E 814 Through•f'enetration Firestop Testy, .._, .._ _..,.,.2-Hour Fire Endurance Rating ASTM E 84 Surface Burning Characteristics" , Fie-me Spread Rating ._. .......... .«....,,<...,.,..'.<25 Smoke Developed Rating. E.50 ASTME136NoncombustibilityTesi ,_ ._._: ,::':Passes ASTM C518OurabirityTest, .:...... ._..:.... ...,..,..-,Pusses: Complies with NFPA 96,2000International Mechanical Coda(IMCI. Firetemp HM National Evaluation Service Inc.(NES) ..........._....-.........,Research ReportNo,NER-609 Under%vritersLoboratoriesCiessiPied `_.. ,, Grease Duct:E.itclosuro;yYET;File MH19893 Underwriters Laboratories of Canada Usted^-"-. Fire Resistani Duct(HVACI,File CR2804 Grosse Duct.Insulolion,File CR2181 Omega Point Laboratories Listed :.... .f..: .....,:..Applied Fire-Protoction,Groaso/HVAC Oacts;Product IDrti16064.1 UL 1978Internal Grease Duct Test.: ,. ,....,.:2oro Clearance to Combustibles - ASTM E 119 Full Scelo Engullment Tost ..;2•HouF Firo Rating.2-Layer Systam ASTM E jig FuIISceloWallTest.....; _ :_.2-H our Fire Rating.2-LaybvSystem' ISO'6944 Fire Resistance Ventilation Ouct Test:.: .-,:_.:Type A Duct: 2-Hour Fire Endurance Rating 2-LayvrSystem(3.0"176 mmil pgsrkr 1-Hour Fire Endurance Rating I•LeyerSystem(1,5"138mm)) ASTM E M Surface Burning Charactensucs (1O Flame Spread Rating Smoke Developed Rating e50 ASTM E8f4 Frostop Tosi .< F Rating w 2 Hours .IDAA, Contact JM for System Details T Rating w2 Hours. - ASTM E 136 Noncombustibility Test ., .. .. Passes ° p ASTM C 518 Thermal Tronsmission Properties ASTM C 411 Hot Surface Performance Test Firetemp SL-2.0 ICBO Research Ropon ... ER-5664 Omega Point Loboratorios(OPU Listed .Pilo 16064-1 AC 101 Internal Groaso Duct.Tost........... Zero Clearance to Combustiblos ° ASTM E 119 Full Scale EngulfrnontTest .. 2=Hour Fito Rating ASTM E 84 Surface Burning Characteristics'�- Flame Spread Rating Smoke Developed Rating] ASTM E 814 Firestop Test: F=RaGng=2'HoursA TRating-2 Hours, ASTM E 136 Noncombustibility,Test ASTM C 518 0urabilhyTest ,Psssos" Complies with NFPA 96,2001 Edition,1997 Uniform Machonlcof Code IUMC); r 1997 Uniform Building Codo(uBC)i2000.Intomationai Mechanical CodO(1MC), Data areavorago'results,of tests conducted uader standard procedures and•ere subjectto'variatiai. RM16-should'not bo used forspeciricallon porffoses, haler to:M"torial SalotyDeta Shears(MSDSI(orrecommontledwark ptactices;and other produc(safety n4trlaiion. a .t �l;ctjrer 1 iecl>�aces,;).n4:. „ � C.`�1(,r.liuil�iug,�rnit 30f5�• i , 1.124:XNXr.Cnm_(t stxcea. lVh fi G t?r rtln,�d,.Zli 0209 n1(i4a-mo berg(irtpinces=a7fit u ww-nu)rLr'lj'(tre)Y(s@F&;i:unr r THESE DRAWINGS ARE SUBJECT TO 2-HOUR CHASE ADDITONAL SPECIFICATIONS BY I I ENCLOSURE PER A STRUCTURAL ENGINEER AS REO'D. ARCH. 4 STRUCT'L.DUGS. 14'01DAWOOD. FOR CONSTRUCTION SECURITY CI-50 - 1 I UL-103HT INSUL. ST.STL.FLUE ASSEMBLY OR EQUIVALENT 1 i BEDROOM 41 Cl. 450 ELBOW w/4' 217 MIN CLEARANCE CUSTOM RAPIATI I CHASE� �SURE PER 6PIELD ARC . 4 STRUCT'L_pU1C�S: 5 \` ON f2 L LS,TYP. LIVING ROOM \ \ CUST INSUL.STL. 119 /// \\ \\'� SMOKE CHAMBER T/SMOKE cNa�BER A55EM13LY MASONRY BACKUP E ECTRICAL Q 1R IMING COIL `14 s TORY 2' MINERAL «� t/BFEAsr FIBER INSSUL. `A 41/2' FIREBRICK T/omla ( FIREBOX 11/2'FIREBRICK PAVERS o/II12' '. FOAMIGLAS INSUL. N r � y T/NEARTM 5UPPORT EDESTAL PER RC 4. 4 TRUCT'L.DUKsS. FF. ` 10 1/8, 4'-0' 10 1/8, 5'-8 1/4' I SECTION P 3 SCALE: 3/4' = 1'-0 Y _ * i SECTION FIREPLACE Boa: coTulT M UB E,RG . DWG: TJ-IBA-FP1.3 F F S LIVING ROOM DATE: 4125111 REV: 5112111 1124 NW COUCH ST. SUITE 300 PORTLAND OR 97209 (503)227-0547 FAX(503)227-0548 i tea' P PREHEATING COIL SYSTEM INSTALLATION PHOTO 1 OF 7 By Moberg Fireplaces, Inc. (503) 227-0547 www.mobergfireplaces.com f Approved Plumbing Products Online System by;blassachusetts'Board... http://license.reg.state.nia.us/pubLic/pl_prodticts/pb_search.asp?typ... The Official Website of the Office of Consurner Affairs 8 Business Regulation(OCABR) Division of Professional Licensure Mass.cov ! I Mass.Gov Home Stale Agencies State Online Services ttt F Home Division of Professional Licensure Board of Registration of Plumbers and Gas Fitters.) SEARCH t Approved Plumbing Products Online System Office of Consumer Affairs Search r 1 By the Division of Professional Licensure + Table-ONLINE PLUMBING PRODUCTS SYSTEM: SEARCH RESULTS ONLINE SERVICES ,. Search Criteria: There-are 1 record(s)in our database Chick a i,ii:ense , Type:Gas fitting your search criteria. Please note that Locate Licensed . if your product is not displayed in the search Manufacturer:Moberg Fireplaces, I'1-4csiofi:il Inc results,you can refine your search criteria. Online Address Change Product: SafeStart Displaying page 1 of 1 search results Contact the Agency Model:SSW pages Description: Requested products per page: 50 New Search PRODUCT, DESCRIPTION, MANUFACTURER MODEL APPROVED EXPIRES APPROVAL APPROVAL 4 CODE CONDITION SafeStart SSW Integrated controls for safe ignition of Trade Name: - gas log-lighters in Moberg Moberg 12/3/2008 12/2/2012 G3-1209-225 open wood-burning Fireplaces,Inc. SafeStart-Wood Trade Model: masonry fireplaces SSW First,Page 1 Previous Page Next Page I Last Page ©2007 Commonwealth.of Massachusetts- # y Site Policies Contact Us Site Map 1 of 1 5/3/301'1 2:33 PhR . Approved Plwnbing Products Online System by Massachusetts Board.,. bttp://license.reg.state.ma.us/public/pl_products/pb_search.asp?typ... i The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Division of Professional Licensure Mass.Gov • - i Nbss.Gov Home State Agencies Slate Online Services Home>Division of Professional Licensure)Board of Registration of Plumbers and Gas Fitters r SEARCH Approved Plumbing Products Online System otr�ce°'ConsumerAffafrs E Search By the Division of Professional Licensure f Table.ONLINE PLUMBING PRODUCTS SYSTEM: SEARCH RESULTS ONLINE SERVICES Search Criteria: There are 1 record(s)in our database Check a License flitting your search criteria. Please note that Type:Gas Locate a Licensed if your product is not displayed in the search Manufacturer:Moberg Fireplaces, Professional Inc results,you can refine your search criteria. Online Address Change Product:SafeStart Displaying page- 1 of 1 search results Model" SSG pages Contact th At;cnc�' Description: Requested products per page: 50 . New Search M PRODUCT, DESCRIPTION, MANUFACTURER MODEL APPROVED EXPIRES APPROVAL APPROVAL CODE CONDITION SafeStart SSG Integrated controls Trade Name: for safe ignition of approved electronic Moberg Fireplaces,Moberg 12/3/2008 12/2/2012 G3-1209.-225 Inc. SafeStart-Gas - ignition gas log Trade Mode(: sets/features SSG First Page Previous Page I Next Page I Last Page I • r ©2007 Commonwealth of Massachusetts Site Policies Contact Us Site.Map t of 1 5ri201 l 2:33 PM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel%' 6 :'Application # Health,Divisbn " Date Issued Conservation Division Application Fee Planning Dept. Permit Fee. _' � ► ,.�� F Date Definitive Plan Appro ed by Planning Board Historic OKH d_ Preservation/Hyannis Project Street.Address A�1 6 Village t-0; T Owner 6WXr aga& Address 56 [. 5F 7�al ,��-- Telephone A Permit Request zr� Square feet: 1 st floor: existingOffoposed 2nd floor: existing_*proposed Total new Zoning District " Flood Plain 4 61 Groundwater Overlay Project Valuation Construction Type Lot Size L Grandfathered: ❑Yes f No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ - Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No g's Highway: ❑Yes ❑ No Basement Type: ,❑ Full ❑ (crawl ❑W Ikout ❑ Other Basement Finished Area(sq.ft.) /J Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing Ii new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room^Court Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fire laces: Existin New, ,w Existin,g wood/coal stave: ❑ p 9 co31 �40 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ,l� nevi size _ Barn: ❑existir@g' ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size .bier: C ' _ Zoning Board of Appeals Authorization ❑ Appeal # '06/"OL—,ecorded ❑ Commercial ❑Yes o If yes, site plan review# Current Use posed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r �. eiephone.N ber�_ 6 Name m - . . `5 7 C7 AddR !GL f � ( �v License# Home Improvement Contractor# 5 Worker's Compensation # j6/A.30 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE k e r FOR OFFICIAL USE ONLY r , APPLICATION# -" or DATE ISSUED - >:k MAP/PARCEL N0. ADDRESS _VILLAGE a , Ati _OWNER. "I f E DATE OF INSPECTION: " ;,FQUNDATIONAt_25 0 /-:z � FRAME INSULATION':_ FIREPLACE ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL ' • GAS:_ ,r- ROUGH FINAL FINAL BU:I LID ING's:. DATE CLOSED-OUT ~ ASSOCIATION PLAN NO. ~, f lfze Commonwealth of Massachusetts Department of Industrial Accidents /1 Office of Investigations ji 600 Washington Street y Boston, MA 02111 ',ti D dW www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name(Business/Qrganization/indi-,,idual): . , ,(•1 • f ? l't Address: City/State/Zip: ' ( '' ' . 'r- ? Phone,#: Are you an employer? Check the appropriate bog: Type of project(required):. 4. I am a general contractor and I 1. New construction . employees(full.and/or part-time)•* have hired the sub-contractors 2.❑ I am a'sole proprietor or partaer- listed on the attached sheet. 7: ❑Remodeling ship and have no employees These sub-contractors have g, Demolition workin for me mi an capacity. employees and have workers' i g Y P tY #. 9. ❑Building addition [No workers' comp.insurance comp,insurance. required] 5. We are a.corporation and its 10.❑Electrical repairs or additions offic have exercised their ers h �. I am a homeowner doing all work 11:.❑Plumbing repairs or additions myself. [No workers':comp. right of exemption per MGL c. 1 12,❑Roof repairs insurance required.]fi 52, §1 4 and we have no j : O� . employees. [No,workers 15.7 Other comp.insurance required.] 'Any applicant that-checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this.afnda7it indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must afached an additional sheet showing the name of the sub-contractor and state whether ornot those entities have employees:'If the subcontractors have employees,they must provide their worker'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees. Below is.the policy and job site information, r' a Insurance Company Name: a°,1 c—&PI : �C� s Policy##or Se.1f.ins. Lic.#: L,, y t-J , Expiration Date: C' Job Site Address: � `'' City/State/Zip � tj '`_. Attach a copy of the workers' compensation policy declaration pace'shoeing the policy number and eYpiratien date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DLg for insurance coverage verification. I do hereby cert j`y under the pains and penalises of perjury th the i formation provided above is tru and correct. Si?nature _ � / Date: =� Phone#: Official use only. Do not write in this area, to be completed by city or town off cial City or Town: Permit(License# Issuing Authority(circle one); 1.Board of Health 2,Building Department 3. City/I own Clerk 4.Electrical Inspector 5,Plumbing Inspector . 6.Other Contact Person: Phone#: Client#: 646400 2NORRISEB _J f ACO DT,:, CERTIFICATE OF LIABILITY INSURANCE DATE(I,%I1DDfYYYY) j 05/10/2011 f) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS l CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dowling &O'Neil Insurance NAME: PHONE 508 775 I FAX Agency A/C,No,Exr: i620 (A/C,No 5087781218 g y E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis, MA 02601 I INSUREP(S)AFFORDING COVERAGE I NAIC INSURED INSURER A:Acadia Insurance I - E. B. Norris &Son., Inc. INSURER 8: 138 Osterville-West Barnstable Road I INSURERC: Osterville, MA 02655 INSURERD: INSURERE: I. INSURER F: 'I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY.HAVE BEEN REDUCED BY PAID CLAIMS. ADDLSUBR LTR TYPE OF INSURANCE I NSR WVD I POLICY NUMBER POLICY EFF POLICY EXP (MMlDD/YYl'Y Ih1MlDD/YYYY LIMITS A GENERAL LIABILITY BINDER322326 5/03/2011 05/03/2011 EACH OCCURRENCE ;S1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I s250,000 C PP.EMISES(Ea occurrence) i CLAIMS-MADE X OCCUR I MED EXP(Any one person). s5,000 PERSONAL&ADVINJURY j51,000,000 I GENERAL AGGREGATE I52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG !S2,000,000 POLICY F-i PRO- I JECT LOC is AUTOMOBILE LIABILITY ..COMBINED SINGLE LIMIT- A BINDER322325 5/03/2011 05103/201 G(Ea accident) I s .ANYAUTO BODILY INJURY(Per person) 151,000,000 ALLOVJIJED SCHEDULED ( )I s 1,000,000 AUTOS AUTOS BODILY INJURY Per accident X HIRED AUTOS X NON-OWNED _ - PROPERTY DAMAGE - AUTOS (Per accident 1'500.000 S A xUMBRELLA LIAB OCCUR BINDER322328 5/0312111 15/03/2012 EACH OCCURRENCE I S10,000,000 EXCESS LIAB CLAIM-MADE AGGREGATE I S10,000,000 DIED I X I P.E T ENTION SO WORKERS COMPENSATION I s A I BINDER322327 b5/0312011 05/03/2012,X IWaRYTAM s I IOR AND EMPLOYERS'LIABILITY Y/N I ANY PROPRIETOR/PAP.TNER/EXECUTIVE i OFFICEPJMI-IABER EXCLUDED? N N/A E.L.EACH ACCIDENT- I s5OO,000 . (Mandatory in NH) - - If yes,describe under E.L.DISEASE-EA EMPLOYEEI 5500,000 DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT 155DD,000 . I - I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - Insurance coverage is limited to the terms, conditions, exclusions, other limitations and endorsements. Nothing contained in the certificate of = insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ZOO Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ,�.�r,am+ •'—�.-e....t� _ .. I ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S80658/M80657 LS1 ;. 1 -' Massachusetts- Department of Public Safeth Board of Building Regulations and Standards Construction Supervisor License License: CS 15851 c CRAIG NSASHINORTH r1,38 OST WEARNSTABLE s e, OSTERVILLE 'MA$02655 Expiration: 9/28/2013 Conunissioneim Tr#; 522 u I 17 t.tilaCi]11 Ctt1- li1 p;o-m-,cm 04'PUbilk SA'C l { Beard of B1lildil], P.c_Yulatitlns and Stan..l;t1'd (� '-Um v i+:isor License P- License: CS 158.51 Restricted to: 00 CRAIG N ASHWORTH 138 OST W BARNSTABLE '_ OSTERVILLE, MA 02655 Expiration: 9/28/201 i { mull ksiuner Tr 3091 I rrc','� •.'; '':!� Office of Consumer Affairs and Business Regulation c/ 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 Type. Private Corporation Expiration: 6/30/2012 Trr 200714 ERNEST B. NORRIS & SON INC Craig Ashworth 138 Osterville W. Barnstable rd. Osterville, MA 02655 Update Address and return card.Mark reason for change. --D?S-CM 0 �; Address Lj Renewal D Employment 17 Lost Card SOr,4-G�/G4-Gi0i216 Office f`Consumer ZAffa Affairs B�Bus ne�s Regulaho License or registration valid for individul use only —_ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: A_ i —_- Office of Consumer Affairs and Business Regulation ;_.. Registration: >102014 Type: Park Plaza-Suite 5170 Expiration: ;6/30l2012 Private Corporation 10 • Boston,MA 02116 E BEtT 13. NORRJS-;&SO1\1*11__ Craig Ashworth i 138 Osterville W.Barnstable - t Osterville, MA 02655 Undersecretary Not valid without signature • s u of ' ToWn of Barjstable „= ''• s Regratory Services e T$oiix ;4Ycileri Director ivislou Tom Perr Building Commissioner200 j Main Sfrett;Hyannis,MA 02601 ?' • �P.ta•wri.barnstabie•ma,us �,.,,.• Office: 508-862-403 E u*Fax: 500-790 L230 -p': • ors`'. 4� . 'ropey der Mmt COO fete and SignThy Section -n rl r�bk as Owne � _ ey r of t�ie.subject}Y " herebyauthortze 5 Nc�F� - uz. llmatters.ralave to rkautaoiied b yt�bidiug pexmit aFplicatioa:fo�:•=�-, EA lu 7 (Address �lldt of Owmex Dad s +tl p&ta tip. � �, ��:�- �.ti�r:r,.�•i.- Hdnkov exnp on ozxx�on i --- t�a rerese .:a v: THESE DRAWINGS ARE SUBJECT TO ADDITONAL SPECIFICATIONS BY 4 A STRUCTURAL ENGINEER AS REQ'D. FLASHING BY I OTHERS , STL.ACCESS COVER FOR CONSTRUCTION ANIMAL SCRE N DR IF REMOVABLE ASSEMBLY/ T 1 LEAD COATED COPPER FLASHING BY I THERS T/FLUE TERMNAtION 4 MOTORIZED I ' CHASE FRAMI PER i DAMPER ARCH.4 STRU T'L.DWGS. 24 CLR MIN.TO I IN-LINE . DRAINBLES,TI METAL FN15H� YP � ( F I e ARCH.DWGS.I 15`ELBOW I I , 14%D118'0O SECURITY CI- UL-103HT INSUL. i '6 ST.STL.FLUE 4%SSEME LY r 1 OR EQUIVALEI¢JT 15,ELBOW v i � g , - i I a 2-HOUR RATED 12: CHASE ENGL.PER C iZ ARCH.4 STRUCT'L. DWGS,ON(2)LEVELS TYR 4'CLR MIN.TL 7 13'-10 1/2'(WALL) 7, SET S7IBLES a 1 j 15'-31n- (Y u I I TIATION SHIELD \. 1 I T/SMOK � - B/FLUE m 9'-&1/4' NEW FIREBOX FF. OVERALL SECTION MOTORIZED SCALE: 114' 1'-0' DAMPER ELECTRICAL - -- PRIMING Iwo COIL HVAC/MAKE- AIR SYSTEM SWITCH I_- CONTROL PANEL 'SAFE START' MASSECHUSSETTS 13I-1101-366 CERTIFIED OPERATING SYSTEM OVERALL SECTION JOB: COTUIT MO ERG DWG: TJ-IBA-FP1.4 F I R -F.S LIVING ROOM DATE: 4126111 ry REV. 5112111 1124 NW COUCH ST. SUITE 300 PORTLAND OR 97209 (503)227-0547 FAX(503)227-0548. -or- TM S93-9gal-conditioned gas log set controller(4G) (versatile program for all approved gas log set/featureswith electronic ignition operations) U .�..., � i. --- f 3 These components,when installed per instructions,aaa.re a reliable a nd safeway to start your fire in amasonryfireplace Key to the Wegat-ssuccessis the pre-proganrnedcontrol of Make-up Air in the home!building Before lighting your log-lighter or log-set,the Safe gat confirms that mechanically-produced make-up air isavailablein the room containing thefirepla m Thus,dawn-- drafting or reversalsthat can caiseback-spillage of rani gas or combustion products are eliminated. Summary of Specifications 1G — MF-CAS•AS•PLC Fireplace Electric Control Panel 1W — MF-CASBSFreplaoeElectrical Control Panel 2M — MF-MFSC Custom Motorized Fal-afeChimney Danpa 2P — MF-MPSC Custom Manual Pbstion-S+anstiveChimney Dapper M G— MF-FNV\F3(4 Full Port Manuel "nut-Off Valve ._ and MF-HVW48 Electronic Wend Valve a - 4W — MF-S9IV Low-Volume Cast Iron Log-Lighter 4G — MF-S9G Sg al Conditioned Gas Log,%Controller UL listed and tested cornponeantswith 25 years of working history,for the safest"most durable fireplaoesystem availabletodaj. CompetibilitX S*Stwt Fireplace9ystemsforWoodbuming Fireplaces-SSWV • STiert integration of natural gas log lighter convenience and fireplace safety systems in masonry fireplace , • Designed for usewith UL-103HT listed Security Chimney'systam SafeStart Fireplace9ystermfor Natural Ge&Buming Fireplaces-S9G • gnat integration of natural gas log sets/features and 24-VAC . ignition systamwith fireplace safety"emsin masonry fireplaces, •. Designed for usewith UL-103HT listed 9aauity Chimney system Standard Features , • Maintains listing of chimneysystern. -• Dapper and actuator/sensor located safelywithin building or ` chimney chasefor durability. • Compatiblefor sngeswitdh operations - - • Ernsures spi I I-free operations • No intrusive controls in firebox Electric , 129\1 and 240V systems avai l able uaii • ComponentsUL-listed -r • G%valvesAN9listed Endorsed byOMNI Testing Laboratory' X-Iolterg Fireplaces,Inc.-Ccllari3uildling quite 3()n•L124\'W Couch Street-I'orllmul,OR 9Z209 (503)227-0542•wwo:mghcr firepLucE.crnir i SSG-9g al-conditioned gas log set controller(4G) (versatile program for all approved gas log set/feetureswith dectroNc ignition operations) Aft Theseoomponents,when installed per instructions,assurea reliable and safewayto start your fire in a masonry fireplace Key to the Safe Sat$success is the pre-programmed control of Make-up Air in the home/building Before lighting your log-lighter or log-set,the Safe Sat confirms that mechanically-produced make-up air isawailablein the room containingthefireplaoes Thus,down- drafting or reversals that can cause back-spill age of raro gas or combustion products ere d i mmi nated. 3cmrrrary of Specific atiorrs 1G — MF-CASASPLCFreplaoeElectrical Control Pend 1W — MF-CASBSAreplaceElectrical Control Paid 2M — MF-MFS:Custom Motorized Fail-SafeCivmney Damper 2P — MF-MPSC Custom Manual Pbstion,9anstiveChimney Dariper 3WG— MF-FNW3(4 Full Port Manual Shut-Off Valve and MF HVW48 Electronic Solenoid Valve 4W — MF-SSNLo+ Volume Cast Iron Log-Lighter 4G — MF-S9G Sgnal Conditioned Gas Log Sat Controller UL listed and tested componentswith 25 yews of working history,for the safest and most durable fireplacesysten auailabletoday. Compatibility mart Fireplace 9ysterisfor Woodbuuming Fireplaces-SSW • S rc t integration of natural gas log lighter conveniences d fireplace safety systems in masonry fireplaoe Designed for usewith UL-103HT listed Security Chimney systems SafeStart Fireplace Wemsfor Natural Gas-Buming Fireplaces-SSG • Snot integration of natural gas log sail/features and 24-VAC ignition systeriswithfireplacesafety"eminmasonryfireplaces • Designed for usewith UL-103HT listed Saarity Chimney system. Standard Features • Maintains listing of chimney system. • Damper ail actuator/sensor located safelywithin building or chimney dnasefor durability. • Compatiblefor singe sMtch operations Ensures spill-free operations • No intrusivecontrolsin firebox 'Electrical 120V and 24W systerisawaiIable Quality • . Components UL-listed • GasvalvesANS listed • Endorsed by OMNI Testing Laboratory Dlo)mrg wp)acce,Inc.-Cellar Biti(d)ing,Suitc i00.1124 NMI Coach Street•NrdanJ,OR 97209•(503)227-0547,•wx•u:mc7)icr�(ircplgccs.com i BXiJV^U404-Fire Resistance Ratings-ANSI/UL 263 ; http:Hdatabas6.ul.c6m/cgi-bin/Wweb/LISEXT/1FRAME/FireResistan... Fire Resistance Ratings-ANSUUL 263 See General Information for Fire Resistance Ratings-ANSIAA 263 Design No.U404 October 13,2010 Bearing Wall Rating—1 and 2 Hr(See germ 2,3 and 6) - Nonbearing Wall Rating—1.and 2 Hr(See Items 2,3 and 5) Load Restricted for Canadian Applications—See Guide BXUVr 7% t Hr.Configuration n 2 Hr.Configuration A - ,` �+ .s s 1y 2 Hr.Configuration B- �- Ci I LL2' 2 Hr.Configuration C 1.Steel Floor and Ceiling Rurmers—(Nol Shown)—Channel shaped,3.112 in wide by 1.1/4 in,deep,fabricated from min 20 MSG(0.0329 bv,min bare metal thickness)galvanized steel Attached to floor and calling with sleet fasteners spaced 24 In.OC max. 2.Steel Studs—3-112 in.wide,fabricated from min 20 MSG(0.0329 kt.min bare metal thickness)galvanized steel,spaced max 16 in.OC..For bearing walls,studs shag be designed In accordance with the current edition of the Specification for the Design of Cold-Formed Steel Structural Members by the American Iran and Steel Institute.Ali design details enhancing the structural Integrity of the bearing wag assembly, Including the adal design load of the studs,shag be as specified by the steel stud designer and/or producer and shag meet the requirements of all applicable local code agencies.Steel studs attached to floor and ceding runners with 318 tot.long Type S-12 steel screws on both aides-.o1The studs or by welded or bolted connections designed in accordance with the AISI specifications.For nonbeanrg welts.studs to be cut 318 to 3141n.less than assembly height and fridonfated We floor and calling runners. - 2A.Steel Studs—(As an aftemate to Item 2.For use with Items 5A 8 513)C'ham el shaped;fabricated from min 20 MSG corroslon•pmterxed or gaff steel,3-1/2 In,min wkftN min 1-112 In.flanges and 114 in.return ' Spaced a max of 16 in OC.Studs frictlowlit Into floor and ceding runners.For nonbearing wells,studs to be cut 518 to 314 in less than assembly height. 3.Cememglous Backer Units`—1/2 In.or 5/8 in.lWcK applied vertically or hodzontagy with vertical Joints centered over studs.Fastened to studs and runners with corrosion resistant.chamfered,ribbed wafer heed screws with a minimum head ngameterof AOD Inch.For rmnaemng systems,fastened to studs and bottom rumors with the uppermost screws placed 1/2 In.to 2 in below the bottom edge of the leg of the top nnner.Horizontal pints need not be backed by framing.t Hr System-Screws shag be min 1-1/4 In.long and spaced a max of 8 in.OC.Ali vertical joints staggered am stud cavity from gypsum board vertical Jolts an the opposite side of sods.Horizontal edge Joints and horizontal butt joints on opposite sides of studs need not be staggered.2-Hr System-For the base layer kn Configuration B.the screws shag be min 1.114 In. lung and spaced a max of 12 In.OC.for the face layers.screws shag be 1.5/11 In tong and spaced a max of 8 in OC.Ali face layer)obits offset min 12 In.from underlying base layerjobds.Joints in either layer need not be staggered from Jokes on the opposite side of the wag. - - - S -UNITED STATES GYPSUM CO—DLROCK Exterior Cement Board,or DUROCK Brand Cement Board. • - 4.Betts and Blankets'—Min3 in thick mineral wool ins lalion bags,frictlonfiled between sleds. no mwwooL L L C—Type 5AF8 - r THERMAFlBER INC—Type SAFE. 5.Gypsum Boarcr-515 in.thick,with square or tapered edges,applied vertically or horaamal"It vertical Joins centered over studs.HOrvnrtal Jolyds need not be backed by framing.Fastened wfth Type S-12' .'screws.1-Hr System-For vertical application.fastened to studs and rumors with 1 m.lore screws spaced max 8In.OC at vertical edges and spaced max 12 In.OC In the field.For hort a ial application,fastened to studs and nomers with 1 in.lorg screws spaced Max 6 In,OC.Vetkal Jolts staggered one stud cavity from cement board vertical Jolts an apposite side of studs.tbrimn ial edge jants and horizontal buit Joints, on opposite sides of studs need not be staggered.2-Hr System-Base layer with an overlying gypsum board face layer,fastened with i in.long screws spaced max 16 to.OC to studs ant runners.Base layer with en awry g cement board face layer,fastened with 1 in.long screws spaced max 12 in OC to sluds and runners.Few layers fastened with 1.5/5 m.long screws spaced max 18 In OC to studs and runners with screws offset 8 in:from face layer screws.Face layer jo'ires offset grin 12 In.from base layer Joints.Joints In either layer need rat be staggered from Joints on the opposite side of the well.When need In widgs other 1 of 2 a N 5/10/2011 9:04 AM BXUV.U404-Fire Resistance Ratings-ANSUUL 263 h4://daUbase.id.com/cgi-bin/Wweb/LISEXT/1FRAME/FireResistan... than 48 in.,gypsum panels to be Installed horizontally. A CANADIAN GYPSUM COMPANY—Types AR,C,IP-AR,IP-X1,IP-X2,[PC-AR,SCX,SHX,WRC or WRX. UNITED STATES GYPSUM CO—Type AR,C,FRX-G,IP-AFL IP-XI,IP-X2,1PC-AR,BOX,SWf,WRC,WAX,USGX(Jotrt tape and co pound,Mecum 6 and 7,optional for use with Type USGX) USG MEXICO S A DE C V—Types AR,C,IP-AR IP-X1,IP-X2,IPC.AR,SCX;SM,WRC,WRX. , 5A.Gypsum Board-—(As an akemate to Item 5 may be used as the base layer on one or both sides of wag,For direct attachment only)-Nom 5/8 In thick lead backed gypsum paces with bowled,square or tapered edges,applied vertically.Vertical joiraa cameral over studs and staggered min 1 stud cavity on opposite sides of studs.Wallboard seared to studs with 1-114 in.long Type S-i2 steel screws spaced 0 ln. OC at perimeter and 12 In.OC in the field. - RAY-SAR ENGINEERING CORP—Type RB-LBG - 5B.Gypsum Board'—(As an alternate to Item 5 or SA may be used as the base layer on one or both sides of well,For direct attachment only).Nerninal SIB in.thick lead backed gypsum panels with beveled square or tapered edges,applied vertically.Vertical joints centered over studs and staggered min 1 surd cavity on opposite sides of studs.Wallboard secured to studs with 1.1/4 in.long Type S-12(or 06 by 1.1/4 In. long bugle head fine driller)steel screws spaced 8 In.OC at perimeter and 12 in OC In the geld. NEW ENGLAND LEAD BURNING CO INC,DBA NELCO—Nalco . r S.Joints—Covered with glass fiber mesh tape and latex modified Porlland cement mortar or baseeoat,or Type I organic adhesive. 7.Joints—Men tapered edge gypsum board is used,face layer Joints covered with joird compound and paper tape.As an agemate,gypsum veneer plaster may be applied 10 the erxire surface of Classified veneer baseboard whh phds reinforced.When square-edge gypsum board is used.treatment of Joints Is optional- 8.Vapor Retarder,Water Baffler of Waagrer Resistive Barrier—(Optional—Not shown)—As required. - - 9.Lead Batten Strips—(Na Showm.For use With Item 5A)-Lead batten sUW.rtin 1-1/2 In.wide,max 10 f1 long with a max thickness of 0.126 In.Strips placed on the Interior face of studs and attached from the exterior(ace of the stud with two i In..lore Type 8-12 pan head steel screws,one at the lop of file strip and one at the bottom of the strip.Lead batten strips to have a purity of 99.9%meeting the Federal- - specification QQ-L-2011.Grade"C".Lead batten strips required behind vertical joints of lead barked gypsum wallboard(Item 5A)and optional at remaining stud locatlons.Required behind vertical joirds. 10.Lead Discs or Tabs—(idol Shawn,For use With Item 5A)-Used in lieu of or in addition to the lead batten strips(Item 9)or optional at other locations-Max 314 in,diem by max 0.125 In Ina lead discs compression fitted or adhered over steel screw heads or man 1121rL by 1-114 In by max 0.126 In,thick lead tabs placed on gypsum boards(Item SA)underneath screw locations prior to the Installation of the screws.. r Lead discs or tabs to have a purity of 09.9%meeting the Federal specification 00-L-201 f,Grade IC". 11.Lead Batten Strips—(Not Shown,For Use With hem 59)Lead batten strips,2 in wide,max 10 It long with a max thickness of 0-142 in.Strips placed on the face of studs and attached to the stud with two sin.. 1 in.long min.Type SA pan head steel screws,one at the top of the strip and one at the bottom of the strip or with one hhin 1 in.bug min.Type 8-8 pan head steel screw at the top of the strip.Lead batten strips to. hate a purity of 99.9%meetifg the Federal spereOcatbn QQ-L-201L Grade"C".Lead batten strips required behind vertical joins of lead backed gypsum wallboard(Item 5B)and optional al remaining SbA locations. 12.Lead Tabs—(Not Shown,For Use With Item 55)2 in.wide,5 In bug with a max thickness of 0.142 in.Tabs frictfon-fit around from face of stud,the stud folded pack flange,and the back face of the stud.Tabs 11 required at each location where a screw(that secures the gypsum boards,Item 69)will penatude the steel stud.Lead labs to have a purity of 99.9%mealing the Federal specification QQ-L-201f.Grade"C'.Lead tabs may be held in place with standard adhesive tape if necessary. "Beanag the UL Classrtbetbn Mark - - - Last Updated on2010-10.1: - - - t 2 of 2' 5/10/2011 9:04 AM i • L FOR CONSTRUCTION ADDITO AL SPECIFIICCATTIiON3 Gj5 TO A STRUCTURAL ENGMEER AS REQ'D. I ------- - --------------------- 4 ----I-- i A LIVING ROOM i ® %.�)1 LAV 4'MASONRY o FORWARD i 51DEWALL,TYP. 4�z'FIREBRICK 1'-2' FIREBOX e i E -- - -1----C--- ----------------- 0 _ � Lu - or�sertr,RDLhf e a FIREBOX _--_ _Lu Q I 1 v z NON-COMBUSTIBLE FRAMING AS REQ'D. - 8'MIN.MASONRY,TYR 2'MINERAL FIBER INSUL. 4'CLR.MIN.TO i RAISED STONE HEARTH COMBUStIBLEs, 6' t STONE FINISH '1 TYP.®REAR WALL � PER ARCH.D S. I'-8 / I'-12111/4' 13' 0 3/4' 2'-4' l' ff-8'MIN) " O -- ----- -- -- -- ------ - 3 ---�-- J I PLAN FIREPLACE (� SCALE: 3/8' I'-0' " a 1 PLAN @ FIREPLACE JOB: COTUIT M IO B iE,R G DWG: Ti-IBA-FP1 LIVING ROOM DATE: 4125111 REV, 5112111 1124 NW COUCH ST. SUITE 300 PORTLAND OR 97209 (503)227-0547 FAX(503)227-0548 FOR CONSTRUCTION AD>�O°AALi s�IFIICCATTi'�SUBJECT TO A STRUCTURAL EN63INEER AS REO'D. 12` 13' 51/4' Q E 2'MIN.TO 14%Dj1&'0O1).\ /4' COMSUSTI5LES, SECURITY CI-50 ! TTP- m UL-10314T INSUL. > w "ST.STL.FLUE Y OR EQUIVALENT `. w N ® w NHS 2-HOUR CHASE --' -' - a ---f ENCLOSURE PER __________ I / LL .- ARCH i STRUCT'L.D ------------------------ U�ssi.-_-----�, 1� - - 1� Z ' DASHED LINES DENOTE LOCATION _ I OF FIREBOX 13ELOWT— 14 f --- i I--- ---==------' NT ---J. ;I 1 1 e v ♦ n Ia I FLAN g SECOND FLR. CHASE SCALE: 3/8' I'-0' 41 PLAN @ SECOND FLOOR CHASE. . ' JOB • coITUlT 9 M MO B E.RG DWG TJ IBA-FP1:1 F 1 F s LIVING ROOM _ DATE: 4125111 REV. 5112111 1124 NW COUCH ST. SUITE 300 PORTLAND OR 97209 (503)227-0547 FAX(503)227-0548 THESE DRALUMA,ARE OBJECT TO i I 2- UCHASE ADDITONAL SPE IFI IONS BY I I A STRUCTURAL GIN R AS REQ D. I I I EN OSURE O )LEVELS PER FOR CON T CTION A tSTRUCTL.DIWS. I I BEDRO M ; ° GLR MIN-IL COMBUSTIBL 51 ' TYP. \. EQ, EQ. 1'-I 1/2' i - . 13'-5 1/4' I I CLR MIN.TO I C MBUSTIBLES, - i TYP. I 2' 2 I/8'' I 1 I CUSTOM RADIAin TION DRESSING ROOM , SHIELD I i lfdl 14%DAWOO.D. ` iu SECURITY CI-50 i LIVING ROOM I I �n •Q UL-103NT INSUL. ST.STL.FLUE ASSEMBLY o OR EQUIVALENT . •I I I p� ', T/SMOKE CHAMBER ; "'Lu 17 3 NON-COMBUSTIBLE FRAMING AS REQ'D. P_=� CUSTOM INSUL.STL. SMOKE CHAMBER r , ASSEMBLY ,r BOND BEAM AS REQ'D. cA rr I . ELECTRICAL PRIMING COILS n T/BREAST 8' MIN.MASONRY BACKUP REFRACTORY BREAST a� T/OPEN'G. 1 1/4' 2'MINERAL FIBER INSUL. ('MIN' 411/2'FIREBRICK FIREBOX `r lli2'FIREBRICK PAVERS of 11/2'FOAMGLAS INSUL. T/HEARTH a SUPPORT PEDESTAL PER RAISE ARCH. E STRUCT'L.DU65. E ST NE EART PE ARCH. d STF LICT'L.DWG 5. A I SECTION i IY SCALE: 3/4' = V 0' " E SECTION @ FIREPLACE JOB: COTUir. MO RG DWG: TJ-IBA-FP1.2 F r �' C Vs LIVING ROOM DATE. 4/25/11 REV.- 5/12111 1124 NW COUCH ST. SUITE 300 PORTLAND OR 97209 503)227-0547 FAX(503)227-0548 THESE DRAWINGS ARE SUBJECT TO ADDITONAL SPECIFICATIONS BY A STRUCTURAL ENGINEER AS REOV. FOR CONSTRUCT ION STL.ACCESS COVER REMOVABLE INSUL.DRAFT/ DRIP CONE ASSEMBLY FLASHING BY OTHERS ANIMAL SCREEN LEAD COATED COPPER v FLASHING BY OTHERS � TERMINATION 4 CHASE FRAMING PER `^ ARCH. 4 STRUCT'L.DLZS. I'= MOTORIZED DAMPER ACCESS DOOR MOTORIZED DAMPER IN-LINE 1 DRAIN , 14%DJIS'mOD. , SECURITY CI-50 I ( 1 UL-103HT INSUL. ST.STL.FLUE ASSEMBLY OR EQUIVALENT 2' CLR MIN.T 1 ; COMBUSTIBLES,T P METAL FINISH PER ! (ALL AROUND ARCH.D1166. {!_I I - I I 1 I i f I I . I ! I I I 1 I I - 1 I I I I I ( I v I I SECTION o TERMINATION (� SCALE.3/4' 1'-0' SECTION @ TERMINATION Jos: COTU►T M&D, . E,RG DWG: TJ-IBA-FP1.5 F I R L F S LIVING ROOM . DATE: '4/26/11 REV. 5112111 1124 NW COUCH ST. SUITE 300 PORTLAND OR 97209 503)227-0547 FAX(503)227-0548 f _ , MOB E RG . FI TB J ES Saf eSt ar t f or Masons y Fir epl aces N pcf sHgsf gtcf t! r� 1 u For Wood-bur ning f irepl aces with gas i oga fighters (SSW) And Gas-burning f it epl aces with gas I og set s/ features (SSG) Bringing masonry fireplaces and their operations into the21st Century,Moberg Fireplaoes has pioneered safes d efficient systensfor over 25yeers Now weintroduoe WeStat as the most comprehensive aid safest way to use gas systems in masonry fireplaces This product utilizes aoombination of four UL and AN9-listed corrpone7tsdesigned to bebuIt, into the fireplaod flue✓homely"am to assure safe and spill-free.operations It indudesthe y following components ConWe--0ontrolled dectrid panel for wood(1V\0 or gas operations(1G) (P ograrimed for failsafe operations and snitch activated manual or automated off operations) Motorized in-linedwW(2M) (Plower-dose✓spring open for failsafeoperations) -or- Manuel position-sensitivein-linedarper(2P) (Cable activated with electronic position verification) High-pre rein-I i ne shut-off gas valves(MG) (Manual and electronic for re lunda t safety) Wl-ow-volumeced ron gaslog-lighter(4 \� (Flegulator to maintain controlled combustion) .Moherg Fireplace..,Ine.•Cellar Buiidiing,Suite 300-:HL24 NV Couch Street•FOrdan(l,OR 97209-(503)227-0547-,YwWJllghergfirepliccs.conr MOBTRG FIR Vj E S .# - ' Saf eSt art f or Mason r y Fir epl aces Cz+ Npc fsHgsfgifft! zo a� k iY For Wood-burning f it epl aces with gas I oga ighter s (SSW) And Gas-burning f it epl aces with gas I og set s/ features (SSG), &ingng masonry fireplaces and their operation into the21st Century,Moberg Fireplaces has pioneered safes d efficient systamsfo over 25yeas Now we introduoe&eStart asthemost comprehensveaxi safest way to usegassystemsin masonryfireplaces This product utilizesaoomtHnation of four UL and AN9-listed eorrponentsdesigned to be�btilt into thefireplaoe/fluef homesystensto assuresafe and spill-free operations It indudesthe fol I owi ng components 2 Computer-controlled electrical pond for wood(11IV)or ges operations(1G) (Programmed for failsafe operations and aMtch activated manual or automated off operations) ' Motorized in-linedaripe'(21%A) (Powe•-dose(spring open for failsafeoperations) -or- Manual position-sensitivein-linedamper(2P) (Cable activated with dectronic position verification) High-pressure in-line shut-off gas valves(MG) ,. (Manual and electronic for redundant safety) SWLow-volumecaet-iron gaslog-lighter(4 \0 (Regulator to maintain controlled combustion) D'Inherg Breplaces,Inc.-Cellar Buildling,Suite 300•.1124 NW Couch Street I?oriland.OR 97209 (503)227-0547•\\•u•x:malter Cireplacc=.cam M 20 (-S) US / LF230 (-S) US MO RG On-off, Spring Return Fail-Safe, 120/230 VAC - .r F I I fi�lC E S Torque min.35 in-lb,for control of air dampers ^ •' Application For on-off,fail-safe control of dampers in HVAC systems. Actuator sizing should be done in accordance with the damper ' manufacturer's specifications. Control is on-off from an auxil- iary contact,or a manual switch. �ftIMS u�s-a as The actuator is mounted directly to a damper shaft from 3/8" [+ up to 1/2"in diameter by means of its universal clamp, 1/2" - ce ; shaft centered at delivery. For shafts up to 3/4"use K6-1 accessory. A crank arm and several mounting brackets are 4 available for applications where the actuator cannot be direct CIDcoupled to the damper shaft. LISTED Operation 9405 TEMP.INDB UL The LF series actuators provide true spring return operation for REG.EQUIP. reliable fail-safe application and positive close off on air tight dampers.The spring return system provides consistent torque to the damper with,and without,power applied to the actuator. Technical Data LF120(-S) US LF230(-S) US The LF series provides 95°of rotation and is provided with a Power supply 120 VAC t 10% 230 VAC t 10% graduated position indicator showing 0°to 95 50/60 Hz 50/60 Hz The actuator may be stalled anywhere in its normal rotation Power consumption running: 5.5 W 5 W without the need of mechanical end switches. Power con- holding: 3.5 W 3 W sumption is reduced in holding mode. The actuator is double insulated so an electrical ground connection is not necessary. Transformer sizing 7.5 VA 7 VA Electrical connection 3 ft, 18 GA appliance cable The LF120-S US and LF230-S US versions are provided with (-S models have 2 cables)L 1 built-in auxiliary switch.This SPDT switch is provided for' 1/2"conduit connector safety interfacing or signaling,for example,for fan start-up. Overload protection electronic throughout 0 to 95°rotation The switching function is adjustable between 0°and 95 Electrical protection actuators are double insulated v Angle of rotation max 95°,adjust.with mechanical stop Torque 35 in-lb[4 Nm]constant torque Direction of rotation reversible with cw/ccw mounting Position indication visual indicator, 0°to 95° (0° is spring return position) Auxiliary switch 1 x SPDT 6A(1.5A)@ 250 VAC,UL listed (-S models) adjustable 0°to 95° Electrical protection actuators are double insulated a 0 Running time motor: <40 to 75 sec . 9 (nominal) spring:<25 sec @4T to'+122'F[-20T to+so*q m O <60 sec @-22°F[-30°C] Dimensions[All numbers in brackets are in millimeters.] ci ' m Humidity 5 to 95% RH non-condensing 7.9T 11951 L Ambient temperature -22°F to+122°F [-30°C to+50°C] standard: 610" ' 0.9T g -0.39'[101 0.2W 15.51 in) Storage temperature -40°F to+176°F [-40°C to+80°C] 0 31fl-to tO7/1 3!8" 7/16^ a Housing NEMA type 2/IP54 � - -- 3i5.1801 � Optional jael JI-I Housing material zinc coated steel _ 0 1/2"to [491 �' 1 93' Agency listings UL 873,CSA C22.2 No.24 Certified, amass°ry ! _ __ NCE[LF230(-S)US] 7I . .. (181 Noise level. max: running <50 db(A) 4.or„251 3.55.1931--r-7-0.71' spring return 62'dB(A) 0.74•[10.71I Servicing maintenance free I I 3.23•[821 Quality standard ISO 9001 i tsn Weight LF120/230 3.4 Ibs(1.54 kg.). LF120/230-S 3.5 Ibs(1.60 kg.) 1 0.25-t6 1 s 'Mi-dierg Fireplaces,Inc.-Cellar Buijc)l.ing,Suite 300!1124 N\V Couc]i Street•Portland,OR 97209•(503)227-0547•n,tivw.iiio kergEireli[aces.cnm Y } 2 a CI HIGH-RESISTANCE INDUSTRIAL CHIMNEY.- Safety, Durability and Sealing Efficiency For over 30 years,Security Chimneys =mOvIo - ®For sizes greater than 610 mm has been an innovator in the venting (24 inches)a 100 rnm(4-inch) field and a market leader in North 'Selected stainless steel: clearance1s needed. America. Instrumental in the company's growth has been the The Cl chiinneysystem is available in ®Foe wood-bunting fireplaces and introduction of new products and various grades of stainless steel diameters of 305 mm(12 inches)or improvements to existing lines.This selected for their resistance to high more,a'100 mm (44nch)clearance unrelenting quest for excellence has temperatures and corrosion., from combustible materials is now given rise to the CI insulated required. ' chimney,a high-quality product a INNER CASING AVAILABLE IN, t designed to deliver optimal AISI 304,316 and 444 • performance.This new chimney . Calibre:018,024,032 and t540 system ensures outstanding venting Ttie.Cl-25:03 127 mrn to Q)'254 mm' # while minimizing condensation, ®OUTER CASING AVAILABLE IN: (5 to 10 inches)is designed for quick { _ and easy assembly using a twist-lock f VELD OF APPLICATION AISI 304,316,444 and Galvalume -system.Lengths and fittings fit Calibre;016,018;t)24 together and lock into place by- The Ci chimney system is to be-used` twisting one-e ghth'of a turn. with residential,-commercial or _ In Canada and the.U.S.the 444 and' - industrial heating appliances '316 have 'Proven remarkably resistant The.Cl-50:O 305 mill to' 0 610 enm powered by either liquid or gasfuels:_. to general:corrosion and particuiarly (92 to 24 inches)is assembled using a. i ittin centerin cou ter system. .Its sealing efficiency makes it suitable pitting. g pLengths- for negative or positive-pressure _ and fittings slip-fit together,centering appliances as well as for high- 444 stainless steel-specially designed automatically with their extended efficiency and high-condensation to be'stable at high temperatures and -,76 mm"13 inches)inner waO. �.. provide high-corrosion resistance. It.' appliances It also has been testediby is particularly resistant to pitting ?he G1=50 above.610 mm (24'ittcl e$) Warnock Hersey,according to UL-103 corrosion inchlorine environments, is assembled using a cente-ring, HT(A 305 to 670 mm/72 to 24 because of;its molybdene alloy; coupler system. S{ ecial orders must: inches)for use with masonry 'be placed for diameters exceeding fireplaces(solid fuel appliances) 316 stainless steel:commonly used in 616 mm (24 inches):Contact our (U.S.only). chemical plants and the ship-building Engineer itlg Departmentfor,details industry because of its excellent_ on these diameters. llN resistance to corrosion. All Ci 25;and Cl-5o'irisulated Security Chimneys'Ci chimney is a Technical data regarding the above.` chimney lengths and fittings are stainless steel double-wall flue with steels are available from our delivered"Jvith a self locking sealing thermal insulation provided by a Engineering Department, band which must be installed on:all. mineral-fibre liner between its outer joints to ensure gas and and inner walls,The inner wall of the t4SULA' 0f1 condensation tightness and sturdy f Cl can be plasma welded to ensure'. sd k assembly.When'15ositive pressure de- better corrosion resistance. It is also The CI insulated chimney Is lined` condensation conditions are available with mechanical locking with the highest quality insulations. anticipated,a silicone caulking (upto seam. densely packed to ensure tow heat; 300 C J 575°F.)orceramic paste(up io"ss, mazinum draft,minimal " to 760°C/ 7400'F)must be applied �S condensation and a 50 mm(2 incites) q t t31AIS!'#tiC I Ili under the band- This is not re uired close clearance to,combustible for negative and'neutral drafts The external casing of the Cl' materials. chimney carries the structural load. The inner lining is free floati i and - The thickness of',the insulation varies, attached onlyto the male coupler at, With-the diameter; 127 to 254 mm - _ N For industrial application;not to be the top,allow n it to expan6anrd ' (5 to 70 inches)-25 mm II inch)of p 9 enclosed in_a combustible chase, contract as flue-gas temperatures insulation, •.change,•therefore eliminating the`. `:®For residential application,can be 305 to 610 mm`(12 to 24 inches) need for special expansion joints: 50mm"(2 inches)of insulation: enclosed with combustible materials at 50`mm(2 inches)clearance:03 305' , to 457 min 1 12 to 18:inches?only,' t� Kid 403,01Z (17 09. M t°Jpp ERG 1517V�, cvtT 4,.1,1 1 `1 Juc r i flirto,t'ihref7 aui, .ci*m 3 'f TECHNICAL SPECIFICATION.' TECHNICAL SUPPOtI " .�..,.� SP#dFJCAT10N'9X.4M,01k Security Chimneys'Engineering 1.1 .The pre-fabricated chimney,breechingsand components shall be.listed as Department is available to help.you an industrial chimney byULC-in CanadS and by UL in the Unite'd.States.. analyse your needs and make f recommendations on your particular T.2 It shall'ue listed-for 760'C (14006F)under continuous firing and 927`C application.. (170000 in brief forced firing. To serve you better,we have included,with this document, CC1ft S ut 1ION, technical information request form _ that you can fax to us. 2.1 Each section must be;rriacle-of two cylinders separated`by 25.mm (1 inch) 6f insulation for-diameters 127mm to 25.4 mm`(5 to 10 inch/and by-50 mm 'CERTIFICATION (2 inches_)of insulation for diameters 305 mm (12 inch.)and up. Cl The Cl chimney.system(s.l steel as an• 2.2 'Tl e Inner,casing-shall be made of 31G§tainle`ss°steel,'0;6G rrtrn (0.0244n6h) industrial chimney by Underwriters thick'Thr3•outer.casing,must be made of 444 stainless steel,.0.45 mm Laboratories ULC in Canada and UL in (0.018.inch)thick: the United States totwo standards.Also listed as a type A to standard UL-103 2:3. Tlie seam must be butt type, plasma welded:. and ULC-S604(305 mm to 457 mm) 02 to 18 inches)for residential and 2.4 Couplingsliall'be,provided to center the-sections and_to ensure proper building heating appliances.It is also spacing between the outer casing and'fl"ue pipes listed for venting wood-burning _ fireplaces by WH fordiameters of ?.5 The insulating material shalt,possess a:the*mal'conductivity.factor of ` $06 to 610 mm(12 to 24 inchesi. 0.034 W/m?°K or less with ocltput temperature of at least T000'C (7832°Fj, . Tested to: Glass fiber insulation is not acceptable. ,• - ULC-S604 305 to 457 mm 12.6 Each section shall�allow-the"flue pipe to expand`into:t'he,next section {12 to 18 inches) 2.7 For:diameters of.305 min=(1,2 iiich)6hd'mor•e;'fIue pipes shall'overlap,by at ULC/ORD-C959 '127 to 900 mm leIast75 mrh (M inches), (5 to 36 inches) ,- UL-103 305 to 457 mm 2.a ,Use of a special ioint for#hernial expansion is not,required. !72 to 18 inches) UL-'103 127 to goo min "Industrial" (5 to 36 inches) The instailation''shall be in accordance vvith.the;rnanufacturer's installation• r UL:-103 HT 305 to 61O min_ jftstructions, <. !12 to 24 inches) Allowable flue gas:temperature `32 All sections shall beheld together by,lockii g°ba.nds. Residential Inilustriat ` 3 3 GSilicone,caulking should be applied as,therillustration< Maximum continuous 540°C t 10009 760°C t!400'll Detail for application of silicone Brief force caulking j ceramic paste on coupling. firing 760°C 0400°F) W-C(17007) FFEM:ALE,'Tested to: 1150°C(2700T) WAVIRANTY- I Security Chimneys-guarantees its Cl, chimney for a period of 10'years front the date of purchase:This warranty is limited to the replacement of onlyah.e KING SILICONE 3 CAULKING p: chimney lengths'deemev defective; LOCKING —► MAC, ONJO;NT provided it has been properly instill&& COUPLES ,PlSL1L1711I06 and used as intended:The`complete _ on,woal�slTE . system mustrhaveJeen designed and ' siied'by'Securtry Chimneys','engineers. -- who will base,the sizing on the operating parameters provlded,by;the customer.Tie entlre'chimney system; including breeching'as'required mist consist of Cl chimney components: q This warranty cannot,be extended by �i,L r,I,r.pfjcit,lii our representatives.Varranty can be° modified by our Engineering. Department depending OtYthe US_ e Qf` _ ,1 I �K �'i uf ntn I �tnryiiyc .riii,i the Cl chimpey: _ w.,uathix�l� au ' 4 A.NEW LINE OF FLUES FOR A NEW GENERATION OF HEATING APPLIANCES P g energy f l . . In an effort to provide greater ener l Grl,iiik ,tent l .� nf"tret conservation,manufacturers have i(zEi #t t "dw,sy, sought to design heating appliances offering an increasingly high level of Lo o of stoat performance.This has resulted in the ` development of high-efficiency ■ Inner lining for immediate heating - heating appliances. a Smooth surface:very slight heat, . In the process,conventional chimney loss to flue gases. Possible offset`up flues have been rendered obsolete. to 45° Security Chimneys developed the in Outstanding corrosion resistanceCl chimney in response to these ' riJ changing needs.This system is fully s Plasma welded available compatible with high-efficiency heating appliances. It is designed for Inttdlspal±ekf ltsstitioll easy installation in new constructions. hl; flatV. Minimal settling of the.insulation Coupler oymirs;for flag a cooling of flue gases y which stabilize at high temperatures 7 f The Cl features two assembly ■ Absence of condensation and soot r systems lending themselves to fast a Avoids corrosion caused by acid and easy installation requiring no condensation y�� screws or other attachments. -- �- of flue o y� a Smaller flue diameter requirement - a Space savings ■ Stable and powerful draft 13 ■ Easier and more accurate setting of the burner:reduced fuel consumption' r-t a CI-2 5 a Low surface temperature a Minimum 50 mm (2-inch)safety a 0 127 to 254 mm (5 to 10 in.): clearance from combustible:materi2ls 1' one-eighth turn twist-lock-assembly for diameters up to 610 mm � t +self-locking band. (24 inches).* r Overlap:32 mm (1,25 in.). f ?; the,U.M44 couplair- w Free;floatiny inner wall eliminates r ` the need for.expansion joints *_ a Unhindered expansion with rising• - temperatures a 75 mm (3 inches)longer-than outer f casing for sturdy assembly when A used.as a breeching 0 305to 610 mm (12 to.24ihj,, CI-50 ■ Prevents capillarity of conde'nsate.:° a O 305 assembly with mm (12Yo ou rrt.): © With 127 m (5-nch diameter assembly with centering couplerwrtli � an extended inner`wall+'locking band, m i ) meter Ove'riap:75.mm (2.94.in;) - 7.2 kg,(4.8`Ib/f1.)per linear metre` x =n Ease of installation - a'No"support foundation'f6g0Reeds a M.A.egBreplaccq,Ine.. wall-support is generally used- 22 .. . "NNN"`�`tiAT Y' 10Qmm (47inch clearance to i t.u31227_1; v combustible materials for diameter. greater than'610 mm (24 inches):. www.a}sl,er:;1 rgpf�st+s,tni. . 5 INSTALLATION INFORMATION' v� I extend the clearance between the INIST'A ()IJ+,I IG f=16�i11 , chimney and wall"surface by'50 mm Assembly always requires the male to 135 mmJ2to 5.25inches). A chimney flue must be Well suited to coupler to be positioned upwards in installation requirements in terms of,. the direction of the gas flow. b)'Chimney section-above the. its geometric profile and combustion { All lengths in the CI chimney system roof line: parameters. For more technical are effective lengths. No support is required for free, information,contract our Engineering t Department. standing chimneys extending-.Lip to A locking band must.always cover, - �-..�•---....�:... 1.5 m (5 feet) beyond the roof line in the joint where the lengths and > IEf areas with normal weather fittings come together to'ensure the conditions. Adaptors are needed to connect the. tightness and sturdiness of the chimney flue to the appliance. .assembly.. * Roof brace''1 5 to 3 in(S io 9feet)': We` supplythe most commonly used No joint is to be:positioneid in'the. In coastal areas or regions subject to flue adaptors and We' extensions, For space between doors ceilings and. high winds-,the chimney should be more information on':adaptors'see I walls; stabilized using a +=oof brace.Angled page 16 of this catalogue.. 'telescopic legs allow the brace to ilY adapt to any roof pitch. }° I Security Chimneys'insulated CI On sloped roofs,it is used to s'tatiilze " f . R chimney can be installed as close as chimneys between 1.5m and 3m Roof penetration by a Cl chimney 50 mm (2 inches) :from combustible (5 and 9.feet)_beyond,the foof.. requires the.installatjon of a roof _ materials.The installation of firestop flashing for weather protection;. } spacers and radiation shields " Guy-wire band 1;50m to 4m Three types of(lashings are available: �l automatically maintains correct (5 fo 13 feet): ■ .flat roof flashing t' clearances as the chimneys pass Beyond,1.50m.(5 feet)from the.last.. a adjustable roof flashing; t through combustible floors or brace or-su 5°_to 30'pitch i; artitions. pport point,:'the chimney p length can be;stabilized.usin " one a adjustable roof flashing,_ The clearance is 100 mm (4 inches) guy=wire band every 1.50m (S feEt)to 30°to 45`pitch f� I for venting a masonry fireplace in a maximum height of 4m (13,feet) Each flashing comes with a storm diameters of 305 to 610 mm (1'2 to 24 `, ,collar. 'To ensure waterproofing,ihe. inches)or for diameters greater than Wall band beyond 4m (�3.fe.eti)� :joint between the collar and chimney. - 610 mm (24 inches). biiyond'4m'(13 feet),the chimney section must b.e sealed using a� -- should be stabilized.using wall bands silicone.caulking. 4 ' ? �att_ached to a metal structure or mast.; Different types of supports are .., ..., .- available to meet the reduirerner- _6f Wrt ;Several.types of chimney termination various types of installations- To facilitate the installation of caps are avallableand must be used' (see LOADBEARING.CAPACITY table horizontal or diagonal sections,ail; p0he topiof thb,installation: on next page) •insulated adjustable length is, , i available Regardless of the)ength.ofi a anchor plate o floor support the adjustment; insulation must ®wall support remain firmly packed inside the ring; *Only use Cl components I •adjustable wall support, a ea *`Follow I'hsialfi nstructions; ®roof support failure to do so could void the a r certification and warranty. ' ®suspension band Elbows angled at 15°,309 or 45°are ' Access should be provided for available to offset the,C1 chimney inspectiori and cleaning of the used.-either vertically or horizontally: chimney. " I a)Chimney along,a vertical:s_u'rface,, Vertically,a maXi6i=offset of 45".is *.Chimney should be cleaned•at l Wall bands ensure adequate allowed,. least once a year. cie�rance as"well as the "stability of .. 1 ` *:Not to be enclosed:ima ' the chimney: These,are not 1~i� l~m L V co`mbu§tible chase for { The use-of a 90°or,135°insulated,te&. industrial application: t foadbearing�cornponents.` - Y = k., makes it`pos'sifle to laterally connect Contact local building or.fi`re They should be installed every 2 6ym ` an appliance outlet to a vertical officials:about applicable (8'ff,')from any support In exteriors chimney;;lt IS,alsosuited.io"breech- installation regulations;'' installations, and 1m (10 ft.7 fron • differe`ttt appliances, supports in interior insiallaiii5is. Also available is..a wall band. �i�bcr,I iroiilncee,luc e extension which is used im, • i ,lard c�a arz�ul " combination with:a wall band.to+ Q RG C C's, ..lilsHtl�ri71 sfr_.cPni ., - TTX .2H!TB(FTUBSU!GSF(AVBDF!TZTUFN ! 30JWMVWRRRAMMARMGWARIOM 1. RaicbfirqJaBdGMd aatd per, nmd A Q by kftg Fri(54 717-CW irdLdrg a) VAL AQ1ZNNEW12 MESIFEvith butt-in pemulad aid wrsd tarrmd vvnrg bads*sad d uit bides IllurdrEtei Qtrd Pat(N(iF larp (eI pouu d t-df IorEted cn tut cbor cf per. b) BaAN HUMAAHEI 340M to g m tf egadiors d thegs bmna d igibcn ati andrrte vii Wldrg naneg3ret syaer$to irtqgegBartrd vith Widrg sfy 4dE buldrg nde par,firms dct ee l a w let *Iem aid amdrEtevith n dariad ckW,to a$re"CIE fres paf 3i in d dl tins Raidsartdldility fcr Satec-paged dab icigibcn W4 gslag sdscr a piawliaei far um in nasrry firms a Mbag Eros 11 DGWBRgiae Rnkirg Qrbd Pad irtgoei U trap c) IIIBERMI Stospiycpcpidepope's4#estofirmsslemfrarnaretuldrg lff SAjY F • Y c) U-5MlNWFA-0lWaMCMMLAElL3dEr muted in Fad. Note. Insure that Mf W Af-PIC components meet the bur/ding rode requirements of the jurlsdirtion harinq authority,pr1or to installation. i ®a a N p cfsh Kjsfgntdit-!Jo d/! Cella Building, %ite300 1124 N W Couch greet 'Pbrtlaid, OR 97209 (503)227-0547 . i- . d ^r ELECTRIC HEATING. Technical data Installation and maintenance THE INSTALLATION OF THE ELECTRIC HEATER Comiiii R PONENTS IS THE LAST STAGE IN OVEN ASSEMBLY WHICH MAY ONLY BE CARRIED OUT BY AN AUTHORIZED PERSON (i.e. A SPECIALLY TRAINED AUTHORIZED TULHCIVI MA- SON OR AUTHORIZED ELECTRICIAN). FOR INSTALLATION THE EXTERNAL ELECTRICAL F CONNECTION.MAY ONLY BE CARRIED OUT BY AN AU THORIZED ELECTRICIAN, AND THE INTERNAL ELECM— CAL INSTALLATION EITHER BY A T[TLIKM MASON SPE- CIALLY TRAINED FOR THE JOB, OR BY AN AUTHORIZED - ELECTRICIAN.(Pages 2-5). T_ Y THE ABOVE RULES ALSO APPLY TO SERVICING PRO- CEDURES.DURING SOOT CLEANING THE CURRENT MUST BE SWITCHED OFF AT THE BREAKER-. Technical data -power supply 240 V/60 Hz ~ ; -beater element output 500 W -length of tube 82-3/4" (2100 mm) ¢' -non-functional section at ends 4-3/4"(120 mm) -thermal output of surface 6,5 W/In2(1.0 W/cm•) r tube material acid resistant steel (AISI 309) Components sappiied: =2 kW(4;x:500 W) heating-elements,requires 15 A breaker or fuse y -3-kW 6z'500 heatin elements;requires 20 Abreaker-or w 'fuse- ( � � � •the necessary cables and lead sets pre-assembled,connectors in- place (pages 4-5).Connection cable and-internal lead sets have silicone sheaths and 'withstand temperatures of up to356°F' n +180°C) �`.�g�xl hitep�icn, Itdr ' r nno E - ERG ink L r� I� n v*n o 1 lljjyyJJf� f TM GE) 12 *x.bA L+!Fa#dyed!,U vrbyp0 K FAc 19 High-Temperature Board provides j vm� high strength and excellent workability. It is J N" composed of mineral fiber and selected i j hi . J n of�sf !pA ot 4 mineral additives. An organic binder that "1� `,� will dissipate above approximately 4750F is gt t —�I j R —I VV t t f rh used for low-temperature handling. On initial start-up, heat rise should not exceed 150F per minute to allow the binder to dissipate without excessive temperature rise.This will i occur only on the first startup and will not adversely affect the insulation value. An inorganic binder system allows K-FAc 19 High-Temperature Board to be used at service temperatures to a maximum of 1900°F on the hot surface of the enclosed panel only.Not to be subjected to direct flame impingement as a hot face material. The density allows K-FAc 19 High-Temperature Board to meet a variety of installation requirements. — -- Wst hjrih\A.f t Widely used in applications on precipitators, dryers, ducts and breeching, utility boilers, - _ - - furnaces,Idlns,etc.,where high-temperature insulating materials are required. ti b4 e!E3qq#W p0 . Exceptional strength and easy handling allow use of large-size boards to reduce labor costs. Material can be cut quickly by hand with knife or saw for fabrication and application on the job. Attachment is by impaling on pins or studs. Q)odI j\AF K-FAc 19 High Temperature Board will not cause or sustain corrosion of steel or . aluminum finishes as tested per HH-1-558B. L aHJ!2N w Q A jd~sjf t Physical Data Minimum compressive strength— Linear shrinkage, Nom. density—pc,-�" psf at 10%compression max./24 hr.at 1900°F(l) Modulus of rupture—psi min. 18.5 4,800 2.50% 95 (1)Density tolerance:±1 Ib./cu.ft. (2)Not for use at service temperatures over 1,900T.. Thermal Conductivity(') per ASTM C177 The information presented herein represents K-factor—Btu-in./hr.- ft.2- T typical or average values obtained by ASTM or 400°F 500°F 600°F 700T 800'F 900T other standard methods.The values will vary due to normal manufacturing variations. The person 0.46 0.51 0.56 0.64 0.71 0.80 using this product must determine its suitability for (1)Degrees represent mean temperature. a particular application. ` Safety First! Follow good safety and industrial Specification Compliance - hygiene practices during handling and installing of Meets ASTM C612-93,Type V all products and systers.Take necessary precautions and wear the appropriate personal protective eqntas needed. Read material saW data he Sizes and Availability(') d a op bspecification and/or installation. Thickness Sizes Available(2) For further information on these products including 1/2" 24"x 36",36"x 48" non-standard sizes, contact Thermafiber at the 3/4" 6, 12,24"x 36" sales offices listed below. 1114""' 6, 12,24'x 36";24"x 48" NOTICE: We shall riot be liable for incidental and 1 Manufactured in all sizes in Greenville,MS.Available consequential damages,directly or indirectly sustained, ( ) nor for any loss caused by application of these goods in selected standard sizes from Wabash,IN in not ina=rdance with current printed instructions orfor combination shipments with Themrdfiber Insulation other than the intended use.Our liability is expressly Products. limited to replacement of defective goods.Any claim (2) Thickness tolerance:non-laminated±1/64", shall be deemed waived unless made in writing to us laminated+1/32". Width and length tolerance: within thirty(30)days from date it was or reasonably non-laminated+1/32",laminated+1/32" should have been discovered. (dimensions subject to no greater than+1/8" , offset on multiple plies). (3) Thicknesses from 1"to 4"in 1/2"increments. ;. Thicknesses over 1"are laminated.. Surface Burning Characteristics: Flame Spread 25 Smoke Developed 5, (Per ASTM E-84) , am a he re i THE NAME IN MINERAL WOOL' d j 'wvandhgrrefila:aan t � - 3711 VVA Mill Street Vfta h IN469B2 Tel: (888)8342371 (219)563-2111 Fax (800)2947076 2301 WaV* Taarre VW 98421A397 Tel:(800)4T>8127 (253)383-1537 Fax (800)447-OW TF554/rev.5-01 Copyright 2001,Them*ofiber Printed in U.S.A s BRASS BODY BALL VALVES • 'M® ERG FIR��� LS 2 PC FULL PORT 600 WOG Features: . 600 WOG . 150 WSP ' . Full Port . Meets NSF-61 Standards(to 2") -v . Meets MSS SP-110 Standards - . Blow-out Proof Stem m". . Adjustable Packing . Threaded NPT Ends(ANSI B 1.20.1) . Forged Brass Body&End Cap . 100%Electronically Tested in Open and Closed Position at 80 PSI oPrioNs . Optional Lock Lever(to 2") IncluLever des Lock . Optional Stem Extension(to 4") r o Optional Tee Handle(to 1") . Optional Oval Handle(to 2") . . Optional SS Ball&Stem(to 2°) Lock Lever Stem Extension Tee or Oval Handle Stainless Steel Ball&Stem 600 i I ► I FM U` ��® r F? 500 l Up to 2" C us Acc.to NSF 61 a 400 Up to 2 � I I r N 300 w Gas Approvals: . 172"to 2" 15 -ASME B16.33,CSA 0 I ( 1, I . 2-112"to 4"-ASME B16.38,CSA 15 0 � I I I: 100 . 1/2,2,&5 PSI @ 32-F to 1880F(0°C to 87°C) 1 ' . 125 PSI @-40°F to 149OF(401C to 65°C) 0 50 100 150 176 250 300 366 400 • CGA 3.16 Temperature(F) 1/2"to 4 UL,LP=Gas Shutoff,rated to 250LPSIG Cv & Weights Figure Number Matrix Size Cv Wt.(Lbs) F N W 4 2 0 SS LL Size 1/4 6 0.3 �- -T- 3/8 7 0.3 TRIM TYPES LEVER TYPES SIZE CODES 1/2 19 0.5 BLANK BRASS(CHROME BALL) BLANK=STANDARD 114=B 1-1/2=J 3/4. 34 0.7 1 SS=SS BALL&STEM(INCL.LL) LL=LOCK LEVER(STNDRD.W/SS) 3/8=C 2=K 1 50 1.1 112=D 2-1/2=L Kit Codes(Order Separately) 3/4=F 3=M 1-1/4 104 2.0 EXTENSIONS TEE HANDLES OVAL HANDLES 1=G 4=P 1-1/2 268 11 114-1/2=FNW420SEBD 114-1I2=FNWTHK420B 114 1/2=FNW4200HKBCD 1-1/4=H 2 309 4.2 314-1=FNW4208EFG 314-1=FNWTHK420F 314-1=FNW4200HKFG 2-1/2 629 8.0 1-114-1-1/2=FNW420SEHJ 1-114`�1-112=FNW4200HKJ 2 FNW420SEK 2=FNW4200HKK , 3 1018 12.9 2-1/2-3=FNW420SELM ` 4 1622' 22.0 4=FNW420SEP ,Moberg Fireplaces,Inc.-Cellar 13 iddling,Suite 300.1124 NW.Couch SLreeL.•Portland,OR 97209•(503)221-0547•ivww.nlobecp(;ieplaces.ann Figure 420 BRASS BODY BALL VALVES 2 PC FULL PORT 600 WOG SIZES 1/4 TO 2 INCH 9 13 1i g i1A h l l 7 y 7A t0 SIZES 1/4 TO 2 INCH WITH LOCKING LEVER' 2 I f f_;_ f ___--0D 9; 3 13 \ a 4 1 11 14 L• 11A 4 H7. 7A 7 SIZES 2-1/2 TO 4 NCH - 10 E�4 13 ' 11 8 11A t 1 7A 10 OD 3 Dimensions (Inches) Standard Materials Size HD E L H H2 Ref.No. Description Material My 1/4 0.39 3.78 2.02 1.65 1.83 1 Body Brass CW 617N UNI EN 12165 1 3/8 0.39 3.78 2.02 1.65 1.83 2 Ball Brass CW 617N UNI EN 12165 1 1/2 0.59 3.78 2.44 1.81 1.99 (Nickel-Chrome Plated) 3/4 0.78 1 4.76 2.71 2.28 -2.48 - 3 End Cap Brass CW 617N UNI EN 12165 1 1 0.98 4.76 3.07 2.44 2.64 4 Seat PTFE 2 1-1/4 1.25 5.94 3.42 3.00 3.15 6 Stem Brass CW 614N UNI EN 12164 1 1-112 1.57 5.94 .3.89 3.23 3.38 7 Stem Packing PTFE 1 2 1.94 6.30 4:33 3.74 3.74 7A Stem 0-ring NBR 75 Shore A 1 2-1/2 2.56 8.11 5.59 4.84 - 8 Handle Fe P 11 UNI 5867 1 3 3.15 8.11 6.45 5.23 9 Handle Cover Vinyl 1 4 3.94 10.27 7.60 6.49 10 Thrust Washer PTFE 1 11 Gland Nut Zinc Plated Steel 6S 1 jMJ,,,15 I it plac s,Inc' 11A Packing Gland Brass CW 614N UNI EN 12164 1 (su31.227_(1547 13 Handle Nut _ Zinc Plated Steel 6S 1 MIQBE,RG r.;� tx rl, 14 Locking Pad Fe P 11 UNI EN 10111 1 I y t'L f r� n•�•,v:m rur rlmpl.4 .m J 14A Bushing ZAMA G Zn A14 UNI EN1774 1 The contents of this publication are presented for information purposes only,and while effort has been made to ensure their accuracy,they are not to be construed as warranties or guarantees, , expressed or implied,regarding the products or services described herein or their use or applicability. All sales are governed by our terms and conditions,which are available on request. We reserve the right to modify or improve the designs or specifications of our products at any time without notice. Always verify that you have the most recent product specifications or other documentation prior to the installation of these products. V48A,F,J ; V88AJ MO BERG 5 B F Diaphragm Gas. Valves l R L � PRODUCT DATA FEATURES Line voltage,2-wire thermostat or controller used with a V48;V88 used with 24V thermostat. Valves provide slow opening and fast closing. Two second maximum closing time.. V48J,V88J rated for 150°F(660C)ambient temperature. • V48F rated for 5 psi(lb.per sq.in.)(34.5 kPa).V48A and V88A rated for either 1/2 or 1 psi(3.4 or 6.9 kPa), depending on model.V48J and V88J rated for 1 psi (6.9 kPa). • ,One model for natural and LP gases. Wide range of sizes and capacities. - • Firm closing;diaphragm is both weight and spring t loaded. • Valve closes on power failure;recommended for final shutoff service. APPLICATION + Adjustable or fixed bleed orifices available for installation by OEM. - The V48 and V88 are solenoid-operated diaphragm valves • Valve position indicator on 1-1/4 in.V48A2227 and 2 in. ' suitable for LP(Liquefied Petroleum), natural,and V48F1103 Valves. manufactured gases.They are normally used on atmospheric boilers;commercial water heaters,and rooftop heaters. r Contents Application ........ ... ... ..,.......................:......... 1 Features .........:.. Specifications ........ :........................................................... 2 Ordering Information ......................................................., 2 Installation .........................._.....::....................................... 4 Wiring ............................................................................... 6 Operation ?.. .......:. ......... ........: ......... 8 Checkout.and Troubleshooting .... ........ ............... 9 Service Information ...................................:::::.:................. 10 ®U.S.Registered Trademark Copyright©2002 Honeywell• All Rights.Reserved V48A,F,J, V88A,J DIAPHRAGM GAS VALVES f SPECIFICATIONS Models: Thermostat Heat Anticipator Setting: For 60 Hz V88,set at V48A(120 Vac)or V88A(24 Vac)solenoid operated 0.6A. diaphragm valves for 1/2 or 1 psi(3.4 or 6.9 kPa)maximum Dimensions:See Fig. 1. operating pressure. V48F(120 Vac)solenoid operated diaphragm valve for 5 psi Weight: See Table 1. (34.5 kPa)maximum operating pressure. V48J(120 Vac)or V88J(24 Vac)solenoid operated Table 1.Valve Weight. diaphragm valves for 1 psi(6.9 kPa)operating pressure pipe Size(in.) lb kg and 150°F maximum ambient temperature. 3/4 2-1/2 1.13 Type of Gas: Suitable for liquefied petroleum(LP), natural, 1 3 _ 1.36 manufactured,and sulfur-bearing gases. 1-1/4 3-1/2 1.59 Valve Capacity: See table in Fig.2. 1-1/2 4 1.81 Valve Pattern:Straight-through,non-offset. 2 9 4.08 2-1/2 8-1/2 3.86 Valve Body Material: Die-cast aluminum. 3 9-1/2 4.31 Pilot Tapping(see Table 1 for thread type): 3/4 through 1-1/2 inch valves: 1/8-27 NPT or 1/8-28 BSP.PI. Approvals:(60 Hz models only): 2 through 3 inch valves: 1/4-18 NPT. Underwriters Laboratories Inc. Listed: File No. MH1639; Guide No.YIOZ. Bleed Tapping(see Table 2 for thread type): 1/8-27 NPT or CSA 158158-2500005576(Z21.21-CSA,6.5). 1/8-28 BSP.PI. NOTE: All models rated at 50 Hz and all models with BSP.PI Valve Opening Time: threads are not CSA Design Certified. Five seconds maximum at 2 oz/in.2(0.86 kPa)pressure. Adjustable bleed valve assembly or fixed bleed orifices Optional Feature: Valve position indicator is available on available for longer opening time(NPT threads only;see 1-1/4 in.V48A2227 and 2 in.V48F9103. Accessories). Replacement Coil Assemblies:a Valve Closing Time(on power failure;measured at 116930:24V,60 Hz V88A 2 oz/in.2[0.86 kPa]pressure): 2 seconds maximum. 116931: 120V,60 Hz V48A. 116932:220V,50 Hz V48A Maximum Operating Pressure:See Table 2. 116932:240V,60 Hz V48A - 118888:24V,60 Hz V88J Power Consumption(maximum):9 watts or 15 VA. a139937: 120V,60 Hz V48J These V48N88 bonnet assemblies and solenoid operators Ambient Temperature Rating: are not compatible with old style valve bodies. V48A,F and V88A: 32°F to 1250F(0°C to 520C). V48J and V88J: 32°F to 150°F(0°C to 66°C), Maximum Fluid Temperature: V48A,F;V88A: 125°F(52°C). ' V48J;V88J: 150°F(66°C). ORDERING INFORMATION - Y When purchasing replacement and modernization products from your TRADELINE®wholesaler or distributor, refer to the TRADELINE®Catalog or price sheets for complete ordering number. If you have additional questions, need further information,or would like to comment on our products or services, please write or. phone: , 1. Your local Home and Building Control Sales Office(check white pages of your phone directory). . 2. Home and Building Control Customer Relations Honeywell, 1885 Douglas Drive North Minneapolis,Minnesota 55422-4386 In Canada—Honeywell Limited/Honeywell Limitee,35 Dynamic Drive, Scarborough,Ontario M1V4Z9. International Sales and Service Offices in all principal cities of the world. Manufacturing in Australia, Canada, Finland, France, Germany,Japan, Mexico, Netherlands,Spain,Taiwan, United Kingdom, U.S.A. 60-2080-9 2 r V48A,F,J, V88A,J DIAPHRAGM GAS VALVES Table 2.Models Available. Maximum Operating Pressure Thread Model Voltage and Frequency psi kPa Pipe.Size(in.) Type' V48A 100V, 50 Hz 1/2 3.4 1, 1-1/4, 1-1/2 BSP.PI 1 6.9 2 120V,60 Hz 1/2 3.4 3/4, 1, 1-1/4, 1-1/2 NPT 1 6.9 1, 1-1/4, 1-1/2,2,2-1/2,3 220V, 50 Hz 1, 1-1/4, 1-1/2,2, 3 BSP.PI 240V, 50 Hz 2 NPT V48F 120V,60 Hz 5 34.5 2 V48J 120V,60 Hz 1 6.9 3/4, 1, 1-1/4, 1-1/2,2 110V,50 Hz V88A 24V,60 Hz 1/2 3.4 3/4, 1, 1-1/4, 1-1/2 1 6.9 3/4, 1, 1-1/4, 1-1/2,2,2-1/2, 3 V88J 124V,60 Hz 16.9 1, 1-1/4 'A valve position indicator is on 1-1/4 in.V48A2227 and 2 in.V48F1103 Valves.BSP.Pl—British.Standard Parallel Internal Threads; NPT—American Standard Taper Pipe Threads. c 3-11/16 Asa) 1-13/16 (46) VALVE APPROXIMATE DIMENSIONS SIZE A B C D E: F (IN.) IN TMM IN. MM IN. MM IN. MM IN. MMJINMM 3/4 4.11116 119.1 314 19.1 4.5/8 117.5 3-112 88.9 1518 41.3 6.8 A 1 5-06 128.E 1 25.4 5 127.0 3-W16 91.7 2-1116 52.4 9.5 Q1-1/4 5-9/16 141.3 1-1/4 31.8 5-7/8 149.2 5.5/16 134.9 2-3/8 60.3 4.91-1/2 5.9/16 141.3 1-1/4 31.8 5-7/8 149.2 5-5116 134.9 2-3/8 60.3 4.9t .2 6.15116 176.2 2.1/4 57.2 9-1/2 241.3 8.318 212.7 3-9116 90.5 6.5E 2-1/2 6.15/16 176.2 2.1/4 57.2 9-1/2 241.3 8-3/8 212.7 3.9116 .90.5 6.53 6.15116 176.2 2.1/4 57.2 9-1/2 241.3 8.3/8 212.7 3.9116 90.5 36.5 B � D _;I F -► ABLEED TAPPING: 1/8-27 NPT,OR 118.28 BSP.PL.. Q2 PILOT TAPING(2): 118-27 NPT FOR 3/4 THROUGH 1-1/2IN.SIZES,1/4-18 NPT FOR 2 THROUGH 3 IN.SIZES;OR 118-28 BSP. PL FOR 1 THROUGH 1-1/2 IN.SIZES,1/4-19 BSP.PL FOR 2 THROUGH 3 IN SIZES. M8487 Fig. 1.Mounting dimensions of V48A,F,J and V88A,J Diaphragm Gas Valves in in.(mm). Table 3.Extending Valve Opening Time'By Adding a Bleed Orifice. Valve Opening Time(seconds) Orifice No.122160, Orifice No.124674, Valve Size(in.) No Orifice 0.018 in.(0.46 mm) 0.011 in.(0.28 mm) 1 1 2 3 1-1/4 1 5 6 1-1/2 1 5 6 2 4 15 32 2-1/2 4 23 37 ..' 3 5 24 37 'Time to reach 80%gas flow at fully open position. Inlet pressure;4.2 in.we(1.05 kPa)for 1 to 2 in.valves;5 in.we(1.25 kPa) for 2-1/2 and 3 in.valves. Pressure drop across valves at fully open position.0.2 in.We(0.05 kPa)for 1 to 2 in.valves; 1 in.we (0.25 kPa)for 2-1/2 and 3 in.valves. n 3 60-2080-9 Moberg Fireplace:, Inc.'Cellar Builclling,Suihe 300.1124 NW.Couch,Street•Pordand,.OA 97209•(503)222-0547•:www.naohecgl repaaces.crnii TTX .5X !TBGFTUBSU!GJSFCtMDF!TZTUFN WSMDAMM(MIRMORIGIER tf 'LQB ftcbaid irEI ad iron rEW grlagliMEr ta.tothefdla*gW4as 1. Rare der rdrd gr lcgigtEr nmt# NMV by Mbog FrrqJaum(`M 2117-CW irdLdrg a) hMCOffIRDJOHUI(Nfa drelility in vroW b irirg eikftwt. Fares b ilt in attdidd to past dqp b) THEF TfUMNTINBSfcr irEdA nfledilty. GmMitytoas leb3stcgft insaiesir log firms , c) SNEEV UFKE;ecgt par sd�fu em ftm ddnbt tiara Ft111WJ&G"51MRLMG4B@LY Note:Mutt be installed per the local building/plumbing code requirements of the juiirdiction having authority. i 1 Asa sni.ca f I�.. ,�• N'cARtKMASTER 7. , �IA:LR?+ G1,5 Ou6.. lSSA �,F PSG �\ y " E ASH HOOD ( 0/1 ORIFICES �112".FIP N p cfsh Kjsfgrrbdit-Wo d/! Cellar Bdidng,Sjite300 1124 N W Couch greet Pbrtlaid, OR 97209 } (503)227-0547 x MO1�BERG F I R L C E S SSW-4W Saf eSt a t f or Mason r y Fir epl aces C:2 NpcfsHgsf Wtl .BTTFN CNE!BOE!PCFSBL JOH!N BOVBM! MIF-SSW-4W LOW VOLUME CAST4RON LOG-LIGHTER BAR - FOR NATURAL0AS ONLYL INSTALLED WITH MR-CG-LF CLEAN-BUR ENG GRATING FOR MODERN RUMIFORD FIREBOXES - MW L(ML WMNEGNALRPE nn! d t+ �}l��t R a , 1 c n • 1 ridall MF S9N4ACrast-I ron Log-Lighter Bar onto 90degree a dbowof plumbing asea•nblywith bra EW*VolumeOrifioe Specification Note: a�� Hearthmaster Log-Lighter Bar in use with Moberg'SafeStart System delivers 28,500 BTU/HR @ 7"WC 4 )lobcrc Fireplaces,liic.•Ccllar 131tildliur,,5uite OO.1124\W Cbucli SLrect.Portlani),OR 9.7209•(503)227-05'47•eaw.m,hcr.�ireplaces:cnm `+ k- U.41L-- Bolt Here -� r j • I nstall aean-Burning Grating foot onto each half of grating basket using one bolt and nut per. foot. (Ha-dwareprovided) d , ' _• Assemble two halves of gating around pi pe el bow below theloglighter tea. • Place gating and plumbing asearlbly in firebox,` cantered and aganst the rear wall. 4 - r Attach half-inch gas supply to braes orifice i n plumbing assembly. Molierl Fireplacce.Inc.-Cellar Buildlim, Suite 300•11.24IMP Conch Street-Portlincl,OR 97209-(503)227-0547• ewxtmnlier.4ire�l�ceacan ,t i • Use ma ual gas shutoff at fireplace in conjunction with other WeEtart safety components to operate Start with maid gas valve in off position. Open Chimney Damper Verify Cable-Actuated chimney damper is in open position(for motorized chimney damper actuation consult site-specific FreplmeOperations Protocol). • Lay split,dry kindling across g'atin j` over log- ` lighter tear. • Use manual shut-off valveto tun on gaswhile simultaneously igniting gas using agas-match or other sl itableextended ignition source(keep all body-patsf clothing array from area above log- . lighter when lighting). — - Ensure that flame is present along the length of both sides of burner,use igniter to light both side;, or arolle--up pageof nanqxint workswell for this (,Wally drilled burner holes on top of Moberg WeElart Log-Lighter E�unersshourd assst in this dual-burner ignition.) Add dry split wood asdesired and closescreen/glass doors per lod firebox regulations Turn-off gaswhen finished using manual shut-off valve Closedamper when firebox is000l and fire Is,. con-#etdy Out. Noter During power outage werecommen d dosing manual gas shutoff valve and restating systen if nmessxy` leaving dapper open until firebox has cooled down. k� � Moberg Mircplacc;,1ne.-Cellar Buildling Suite 300.11.24 NM Couch Street•Portlpncl,OR 97209'(503)227-0547•n•wx•.iiohcr.<ircplacc=.corn TTX .3N !TBCI=TUBSU!G1SFC,A43DF!TZTUFN. 3 Fa,ideadcks ndcnmd(hrneydgmrgcudfiT nau yfirqJaBdinWandrgtoiiJl gq3mfichos 1. Roicb GdanUamd Fake(Dinni y DW, Mctl WJM bi Kftg Frrgiam(81)?17tW,, irdr.drg a) LIM:)NqAfPC]MGfC Af(ID43FiV` IHINWNEDIM&rdyC mqn sGMadan6 dinvW lam anMjlEd cf'14 g;darlem ded das a4 frr tha ctnW bechsa-d.01&rth stick dam3X darim"ftr all dha patsvkow epcoEitoflcegmp mrgttra.#itha(hrr W L dai b UubwitesLdn-ztaiesasa"14Q3dgafdwhjt dinm*' fir wtir sgadiard 14MdVmF. aid irtmMat gadiar at TM dUm F. and also as "h.ildrg her#irg oa-mdinffe)' (U•L 10p f r mlinns qx d cn d 'IOJJ d gm F ad irtan ttat gaabm at 140D dgm F.Act tba ,, (inn y WnlidEd fcr r eavi!th nary firs*mamdrg to homprA a lidirg ll_1CB-T b) MML M FAL-%E VCLPM 123\ACFcr ne.rtirg dretly to ctnW rctdirn ddt. Vtith W t- in pcitirn sasrg dility ti firqkodetiid wtr'd eydannmritair g ad irtqgai RaicksfaFde 'Fou W.$nr g Coo-a hAicn in thaeat cf pone'lcmad m&re4.ired dcs.reee4.i dMvkm dabidlyarrsteitofirqJaL-gssAanlidaitodacb U-873 c) C fl@A�.11�NG 2t`C pf r neArg cf a kdcr-nda to dinmW s*nvith mo brdrg Note:Insure that Mf-MfffO components meet the building code requirements of the jurisdiction hating authority,prior to installation. a2q _ . -o.sruci a2scny tz� - — -- 4-1 AT A - c,YlI12h7369'1091�•,—,—O.i,•(,81 • I 1�1 � . -�i oprPanl ., , Npcfsh!gsfgnbdit-!JodA Cdla Building, Saite300 1124 N W Couch Sreet Pbrtland, OR 97209 (503)227-0547 • e Honeywell W&NFJ; \188AJ Diaphragm Gas Valves PRC=DATA FEATI ;ES • Line voltage,2-wire thermostat or controller used with p c ' a V48;V88 used with 24V thermostat. • Valves provide slow opening and fast closing. • Two second maximum closing time. • V48J,V88J rated for 150'F(66°C)ambient temperature. • V48F rated for 5 psi (lb.per sq. in.)(34.5 kPa).V48A and V88A rated for either 1/2 or 1 psi (3.4 or 6.9 kPa), depending on model.V48J and V88J rated for 1 psi (6.9 kPa). One model for natural and LP gases. Wide range of sizes and capacities. • Firm closing; diaphragm is both weight and spring loaded. • Valve closes on power failure; recommended for final shutoff service. APRLICATICN • Adjustable or fixed bleed orifices available for installation by OEM. The V48 and V88 are solenoid-operated diaphragm valves • Valve position indicator on 1-1/4 in.V48A2227 and 2 in. suitable for LP(Liquefied Petroleum),natural,and V48F1103 Valves. manufactured gases.They are normally used on atmospheric boilers,commercial water heaters,and rooftop heaters.. Contents Application ....................................:................................... 1 Features ....................... ...................:............................... 1 Specifications ..............:..................................................... 2 Ordering Information ......................................................... 2 Installation ........................................................................ 4 K Wiring................ ............................................... ........ 6 Operation ............................................................... ......;. 8 Checkout and Troubleshooting ......................................... 9 Service Information .......................................................... 10 ®U.S.Registered Trademark - Copyright©2002 Honeywell• All Rights Reserved 71.3191.: F V48A,F,J;V88A,J DIAPHRAGM GAS VALVES ,9PMRC111CNJ Models: Thermostat Heat Anticipator Setting: For 60 Hz V88,set at V48A(120 Vac)or V88A(24 Vac)solenoid operated 0.6A. diaphragm valves for 1/2 or 1 psi(3.4 or 6.9 kPa)maximum Dimensions:See Fig. 1. operating pressure. V48F(120 Vac)solenoid operated diaphragm valve for 5 psi Weight: See Table 1. (34.5 kPa)maximum operating pressure. V48J(120 Vac)or V88J(24 Vac)solenoid operated Table 1.Valve Might. diaphragm valves for 1 psi(6.9 kPa)operating pressure and 150°F maximum ambient temperature. Pipe Size(in.) lb kg 3/4 2-1/2 1.13 Type of Gas: Suitable for liquefied petroleum(LP),natural, 1 3 1.36 manufactured,and suffer-bearing gases. 1-1/4 3-1/2 1.59 Valve Capacity: See table in Fig.2. 1-1/2 4 1.81 Valve Pattern: Straight-through,non-offset. 2 9 4.08 2-1/2 8-1/2 3.86 Valve Body Material: Die-cast aluminum. 3 9-1/2 4.31 Pilot Tapping(see Table 1 for thread type): Approvals- (60 Hz models only): 3/4 through 1-1/2 inch valves: 1/8-27 NPT or 1/8-28 BSP.PI.2 through 3 inch valves: 1/4-18 NPT Underwriters Laboratories Inc.Listed: File No.MH1639; Guide No.YIOZ. Bleed Tapping(see Table 2 for thread type): 1/8-27 NPT or CSA 158158-2500005576(Z21.21-CSA 6.5). 1/8-28 BSP.PI. NOTE: All models rated at 50 Hz and all models with BSP.PI Valve Opening Time: threads are not CSA Design Certified. Five seconds maximum at 2 oz/in.2(0.86 kPa)pressure. Adjustable bleed valve assembly or fixed bleed orifices Optional Feature`. Valve position indicator,is available on available for longer opening time(NPT threads only;see • .1-1/4 in.V48A2227 and 2 in.V48F1103. Accessories). a Replacement Coil Assemblies: Valve Closing Time(on power failure; measured at 116930:24V,60 Hz V88A 2 ozfin.2[0.86 kPa] pressure): 2 seconds maximum. 116931: 120V,60 Hz V48A. , 116932:220V,50 Hz V48A Maximum Operating Pressure: See Table 2. 116932:240V,60 Hz V48A 118888:24V,60 Hz V88J Power Consumption(maximum): 9 watts or 15 VA. w 139937: 120V,60 Hz V48J a These V48/V88 bonnet assemblies and solenoid operators Ambient Temperature Rating: are not compatible with old style valve bodies. - ` V48A,F and V88A:32°F to 125°F(0°C to 52°C). ` V48J and V88J:32°F to 150°F(0°C to 66°C). - Maximum Fluid Temperature: V48A,F;V88A: 125°F(52°C). , V48J;V88J: 150°F(66°C). When purchasing replacement and modernization products from your TRADELINEO wholesaler or distributor,refer to the TRADELINE®Catalog or price sheets for complete ordering number. If you have additional questions,need further information,or would like to comment on our products or services,please write or phone: . - . 1. Your local Home and Building Control Sales Office(check white pages of your phone directory). 2. Horne and Building Control Customer Relations Honeywell, 1885 Douglas Drive North Minneapolis,Minnesota 55422-4386 In Canada-Honeywell Limited/Honeywell Limitee,35 Dynamic Drive,Scarborough;Ontario M1V 4Z9. International Sales and Service Offices in all principal cities of the world.Manufacturing in Australia,Canada, Finland, France, Germany,Japan,Mexico, Netherlands,Spain,Taiwan,United Kingdom, U.S.A. 60-2080--9 « '2 V48A,F,J;V88A,J DIAPHRAGM GAS VALVES Table 2.Models Available. Maximum Operating Pressure Thread Model Voltage and Frequency psi kPa Pipe Size(in.) Type' V48A 100V, 50 Hz 1/2 3.4 1, 1-1/4, 1-1/2 BSP.PI 1 6.9 2 120V,60 Hz 1/2 3.4 3/4, 1, 1-1/4, 1-1/2 NPT 1 6.9 1, 1-1/4, 1-1/2,2,2-1/2,3 220V,50 Hz 1,.1-1/4, 1-1/2,2,3 BSP.PI 240V,50 Hz 2 NPT V48F 120V,60 Hz 5 34.5 2 V48J 120V,60 Hz 1 6.9 3/4, 1, 1-1/4, 1-1/2,2 110V,50 Hz V88A 24V,60 Hz 1/2 3.4 3/4, 1, 1-1/4, 1-1/2 1 6.9 3/4, 1, 1-1/4, 1-1/2,2,2-1/2,3 V88J 124V,60 Hz 6.9 1, 1-1/4 a A valve position indicator is on 1-1/4 in.V48A2227 and 2 in.V48F1103 Valves. BSP.PI—British Standard Parallel Internal Threads;NPT—American Standard Taper Pipe Threads. D 4.22(27 ):5� 2.24(?7 �)57' VALVE APPROXIMATE DIMENSIONS SIZE A B Cr D E F (IN.) IN. MM IN. MM IN. MM MM IN. MM IN. MM 3/4 11/16119.1 314 19.1 4-5/8 117.5 88.9 1-518 41.3 3-13/16 96.8 B 1 5-1/16 128.6 1 25.4 5 127.0 93.7 2-1/16 52.4 4-5/16 109.5 Q1-1/4 5-9/16 141.3 1-1/4 31.8 5.7/8 149.2 134.9 2-3/8 60.3 5.5/16 134.91-1/2 5.9/16 141.3 1-1/4 31.8 5-7/8 149.2 134.9 2-3/8 60.3 5.5/16 134.9 2 6-15116 176.2 2-114 57.2 9.1/2 241.3 212.7 3.9/16 90.5 5-5/16 236.5 F Q3 2-112 6-15116 176.2 2-1/4 1 57.2 9-1/2 241.3 8-3/8 212.7 3-9/16 90.5 9-5/16 236.5 3 6.15/16 176.2 2-1/4 1 57.2 9-112 241.3 8-318 212.7 3.9/16 90.5 9-5/16 236.5 C I� E �I G �2 CWFE!U3CKICH;!!2(9.38!OQU!PS!2(B.39!Cf0'!CM Q8 QMUU3CUJH!)3`;!!20A.38!OQUG�S!4Q!U SPVHI !2.203!JD/!T4 FT-!205.29!!OQU.CPS!3!U SPVHI 14!dYR4 FT4PS!2(B.39!CTQ9 CMGPS!2!U SPVHI !2.203!JY!T4 FT-05.2:!CTQYQMGPS!3!U SPVHI!4!,074 FT/ _ N9598 Fig. 1.Mounting dimensions of V48A,F,J and V88A,J Diaphragm Gas Valves in in.(mm). Table 3. Extending Valve Opening Timea By Adding a Bleed Orifice. Valve Opening Time(seconds) Orifice No. 122160, Orifice No. 124674, Valve Size(in.) No Orifice 0.018 in.(0.46 mm) 0.011 in. (0.28 mm) 1 1 2 3 1-1/4 1 5 6 1-1/2 1 5 6 2 4 15 32 2-1/2 4 23 37 3 5 24 37 ,. a Time to reach 80%gas flow at fully open position.Inlet pressure;4.2 in.we(1.05 kPa)for 1 to 2 in.valves;5 in.wC(1.25 kPa) for 2-1/2 and 3 in.valves.Pressure drop across valves at fully open position.0.2 in.we(0.05 kPa)for 1 to 2 in.valves; 1 in.wc' ° (0.25 kPa)for 2-1/2 and 3 in.valves. ` 3 y 60-2080-9 V48A,FA V88A J DIAPHRAGM GAS VALVES Accessories: 5. The second valve will be the same size as the first Transformer AT72D:(40 VA)for all V88 models. valve. 126590 Adjustable Bleed Valve Assembly:Consists of adjustable bleed valve with sleeve and compression nut forA� , connecting to 1/4 in.tubing;see Fig.8. 11�1�71ALLAT1CN Bleed Orifice:Fixed(see Table 2 for appropriate size): 124674 Orifice:0.011 in.(0.28 mm)diameter. 122160 Orifice:0.018 in.(0.46 mm)diameter. VVw Installing This Piroduct... 1. Read these instructions carefully. Failure to follow them GasWive,9zing could damage the product or cause a hazardous 1. Check the burner nameplate for(a)the type of gas condition. used,and(b)the gas flow capacity.The capacity will be 2. Check the ratings given in the instructions and on the listed in Btu/h(Btu per hour)or in cf/h(cubic feet per • product to make sure the product is suitable for your application. hour). 2. Call the gas utility for information on(a)the specific 3. Installer must be a trained,experienced,flame gravity(sp gr)and(b)Btu per cubic feet(Btu/cu ft)for safeguard control technician. 4. After installation is complete,check out product type of gas used. 3. Find the capacity in ct/h.If the capacity is listed in Btu/h, operation as provided in these instructions. convert to cf/h by the following formula. Capacity in cf/h=Btu/h(from burner nameplate) A WA RN I NG Btu/cu ft(from gas utility) 4. For gases with specific gravities other than 0.64, Explosion or Electrical Shock Hazard. 9 P 9 Can cause severe injury,death or property multiply the bumer cf/h by the conversion factor in Table damage. 4. 1. Turn off gas supply before starting installation. 5. Use the corrected bumer capacity in cf/h when 2. Disconnect power supply before beginning determining the gas valve size in Fig.2. installation to prevent electrical shock and 6. Determine the maximum pressure drop across the equipment damage. valve,and draw a horizontal line at this pressure in Fig. 3. Do not remove seal over valve inlet or outlet until 2. ready to connect piping. y 4. Do not bend tubing at the valve after the Table 4.Conversion Factors. compression nut is tightened because this may Average Specific result in gas leakage at the connection. Type of Gas Gravity Divide cfh by: 5. Install valve in a horizontal pipe line in any upright position with the gas flow in the direction indicated Manufactured 0.60 .968 by the arrow on the casting. Mixed 0.70 1.046 LP-Propane 1.53 1.546 Prepare Piping and Install Valve(Fig. 3) LP-Butane 11.98 11759 1. Use new,properly reamed pipe free from chips. 7. Draw a vertical line in Fig.2 at the capacity(cf/h)previ- 2. Do not thread pipe too far.Valve distortion or ously determined. Use the corrected capacity for a gas malfunction may result from excess pipe in valve. with a specific gravity other than 0.64. 3. Apply good quality pipe dope,putting a moderate 8. Use the valve size at the intersection of the horizontal amount on the male threads only.If pipe dope lodges on _ and vertical lines. If the intersection is between valve the valve seat,it will prevent proper closure. If using sizes,use the next higher valve size to the right. liquefied petroleum(LP)gas,use pipe dope resistant to action of LP gas. 4. Install valve in a horizontal pipe line in an upright TO Sze Identical \/fives Piped In Series position with the gas flow in the direction indicated by 1. Find the cf/h for the type of gas used. the arrow on the casting. 2. Consider both valves as one unit.Determine the total 5. Apply a parallel jaw wrench only to the flat next to the maximum pressure drop across the unit. , I pipe being inserted.A wrench applied to the valve body 3. Find the pressure drop across the first valve by itself or to the end farthest from the pipe being inserted assuming it to be 45 percent of the total pressure drop. may distort the casting,causing a malfunction. r 4. Find the valve size from Fig.2. 6. The gas flow MUST be in the same direction as the arrow on the bottom of the valve body. 60-2080-9 t 4 - V48A,F,J;V88A,J DIAPHRAGM GAS VALVES \3l6121 QSF11VSF!ESPQVW1!DBQBD.12 G�S!1775!TQIHS/!HB7r l9/119 8 BM/BISBUDH!(PS \2/617 11751TQq.HS/1.HBT!BU 2!dY!QSFTTVSF!ESPQ 6 VOWIF!T4 F DBQBDJP 01115 4(5!JY 779!d1P 2!J31 2132!df 2.2BIJY 32111dO 2.2B!JY 3511!dkp \18614 31JY 5289!ck 3.2B!JY 62111" 316 4!D/ 6673!dk \1/0.3 2M a 4 s �j 3.28 \1/3612/1 3 = itz \t/31/9 2.2(B a 118 2.2(5 O o \1/2611l7 2 w 1/6 4B CO w i a \1/211/5 \1/18611/4 1B6 \1/16'11/3 V26 \1/1 3611/2 2 2/6 3 316 4 5 6 7 8 9 21 2/6 3 3/6 4 c-5 6 7 8 9 21 NVM rAEICZ!211 NVM JXE!CZ!2111 N95:2 DBQBDd2!.D!DVCD!(FFUQFS!I PVS.Dd_g' (PS!HBTXdJ ITQFDGD!HSBV\LZ!PG1/75 \2!d¢9!>!1/1394!n^0 d1 Fig.2.Pressure drop vs.capacity chart for sizing gas valves. Conner Pilot and Bleed Gas Tubing (Fig.4) A WARNING 1. Square off and remove burrs from end of the tubing. Explosion or Fire Hazard. Bend tubing to the desired form for routing to the pilot Can cause severe injury,death or property burner. Do not bend tubing at the valve after the damage. , compression nut is tightened because this may result in If the flow is not in the same direction as the arrow on gas leakage at the connection. the bottom of the gas valve,the valve may not shut off, 2. Unscrew brass compression fitting from pilot gas causing an accumulation of gas in the combustion tapping(Fig.4). Slip the fitting over the tubing and slide chamber. out of the way. 5 60-2080—9 V48A,FA V88A J DIAPHRAGM GAS VALVES FYDFTTIEPCF -. 31OWBO NBZICNPDL ^ CxU SFBET- EJTD!PGG � _ - X$P� _ _ NPEFSBIF TFBU t OFNFS!VTFNBM/F BNPVOU BTIBII BOEAF PGEPCF �••,- bPPTF!DI MT - S,H1 U- —x$POHLPP!nPOH- OPSNBMIG W EJrLPSUrwew U SFBE TFBU ., •' p. S.HI U—+ SFBNIQ.IF- XSPOH OPSNBMIG/W CWX IPVU LPPIWOH- - U SFBE DI J7TI)U FZINBZ EJrLPSUTMBMW v ' PoPEHFIPOrTFBLF TFBU ' $,1-11 U CWFE X SPOH V10rF!HSJ.]T HBT X SFODI 11 FSF FOE!OFYU LBQQDH TUSBJDTIVBM*!CPEZ LPIQDF - S.1'11 U _ - CFJOH^ X SFODI g - JJTFSLFE 0 - DPSSFDU& - - BQUAFE OFYULP QCFICFJDHI , QhPUHBT DTFSLFE L13QQDH s �i Y `♦ IC'I ra o N83:: Fig.3. Preparing piping and installing valve. IMPORTANT: V`IIRI I V-% When replacing a valve,cut off old compression fitting and replace with a new compression fitting. Never use the old compression fitting because it may` 1.' Disconnect the power supply before making wiring not provide a tight gas seal connections to prevent electrical shock and equipment damage. . 3. Push tubing into the pilot gas tapping on the outlet end of the valve until it bottoms.While holding tubing all the } , way in,slide fitting into place and engage threads—#um until finger tight.Then use wrench and tighten one turn "� ""� " beyond finger tight. , / WC" 4. Connect other end of tubing to pilot burner according to f "BT!awx pilot burner manufacturers instructions. 5. If required,conned the tubing to bleed gas tapping 3,1111 (Fig.3 and 4)as described in step 3.Connect other end DPNQSFTT.Po!k31 ICI of bleed tubing to main burner or to outside atmosphere. TW FVf!DMODI FT!BSPVOE!LAfQOH! N801 BTIOVUJrIUH1 LFOFE _ c e ` Fig.4.Connecting tubing to pilot for bleed gas tapping. 2. All wiring must comply with applicable electrical codes, ordinances,and regulations.Use NEC Class 1(line voltage)wiring. r ` 60-2080--9 6 V48A,FA V88A,J DIAPHRAGM GAS VALVES 3. For normal installations,use moisture-resistant No. 14 connection.Then alternately energize and de-energize the wire suitable for at least 167°F(75°C)if using a flame valve actuator,and adjust the screw on the bleed valve for the safeguard primary control,or for at least 194°F(90°C)if desired valve opening time. using a flame safeguard programming control. 4. For high temperature installation,use moisture-resistant No. 14 wire selected for a temperature rating above the maximum operating temperature. 5. Check the power supply circuit.The voltage and MN4T- frequency must match those of the valve. 0 35.W!,,U 6. Refer to Fig.5 or 6 for typical field wiring connections. W U FSNPTLBU Follow the burner manufacturers wiring diagram if )I PU• provided. Ws 7. Make wiring connections inside the actuator housing L/SBOTGISNFs w (Fig.7): G�BNF a. Loosen the cover screw In the front of the actuator TB(F VBSE housing,and remove the housing cover. DPOLJSPM b. If a conduit is required,run the conduit through the opening in the actuator housing,and run the external wires through the conduit. c. Using solderless connectors,connect the external �BDU/BL.PS wires to the two 6 in.(152.4 mm)black leadwires )cr,�D�!M 6Ex S (from the coil). OQPX FS!TVQQWPJ!QSPMF!EJrDPOOFDUNFBOT!BOE!PVFSWPBE! d. Locate the connections inside the actuator housing. QSPLFDUPO!BT1SFRVJ3FE/ N9599B e. Replace the housing cover,and tighten the cover screw holding it to the actuator housing. Fig.6.Typical wiring diagram for V88. 8. Recheck the wiring circuits before putting the valve into service. MOF.WMBHF MBNF - U FSNPTLBUPS TB(FHVBSE DPOLSPWWFS DPOLSPM 7!JJ/!1263/5!NN11JXFSOBM MN�iT` O ) 'PN!DP M EX SFT WE Q / 1 TPO F DLP T )I PLF - / DPOFIPST " HSPVOE,DH TDSFX fU8 PV'FS TDSFX FYL.FSOBM . X,SFT VBM/'F!BDWBLPS )CWSOL!WFBE!X,SFT• MUMPS I PVTJOH A2 OPX FS!TVQCWJ!QSPV\EF!EJrDPOOFDUNFBOT!BOE!PVfSWPBE! QSPIFDUPO!BT!SFRVJ3FE/ PQFOJJH!.D. N95:1B BDWBLPS - I PVTJJH DPOEV U Fig.5.Typical wiring diagram for V48. )J3sFRV,SFE• N8413 Installation of an Optlond Adjustable Bleed Fig.7.Making wiring connections. Valve(Rig. 8). Installation of an C#iond Bleed Oifice NOTE: This device is not available for valves with BSP.PI (Fig. 9) threads. Screw the 126590 Adjustable Bleed Valve into the tapping NOTE: The orifice tool cannot be used on valves with marked BLEED. Be sure to screw the end with the 1/8-NPT. BSP.PI threads. threads into the BLEED tapping.Complete the bleed line Press the selected bleed orifice(see Table 2)over the 1/8 in. diameter dowel and press until the orifice cup bottoms in the bleed port.Complete the connection of the bleed tubing. 7_ - 60-2080--9 V48A,FA V88A J DIAPHRAGM GAS VALVES ',CPERA-flCN Operation of the V48 and V88 Valves (Fig. 10) When the controller is not calling for heat,the coil is de-energized.The plunger in the 3-way actuator is in the DOWN position so the bleed port is dosed and the supply port CWFE!U3QQDH is open.Gas flows into the top part of the valve.The gas 2376:1!BEWTLBCW!CWFE!VBMtf pressure on top of the diaphragm,the weight,and the spring DPNQSFTT,PO!OVU hold the valve dosed. W27.35NOT 2)V!,DDI TPoFFVF U✓GDFi - gWOHFS �1 HBT _ l TVCCW �l TQS,DH CBTTBHF BEWTUDH!TDSFX 1: CPSU 8�7!,DDI!I FY E.Bq SBHN 1 (aPSU r � NB,D HBT ~ LP!GVSOFS TVQCAF N83:1 - - VIBMIT!DIVPTFE Fig. 8. Installing optional 126590 adjustable bleed valve.. ' � gWOHFS - HBT TVQQW TQ6.DH f CBTTBHF X FHI CWFE E.BCI SBHN GPSUSU �—► ►._ CMFFE!QPSU NBJJ HBT ~ lP!CVSOFS TVQq!� 2(B.381000 I/I VOMAF!PCFO.D.H CIWCHFS HBT /TVQCAE CWFE!PS.GDF ; TQSJDH 013TTBHF )TFWDLFE- X F•HI CWFE 2®!DDI!E BNFLFS!SPE E Bq SBHN \ CPSU \ NB,D � i r: HBT l.P!CVSOFS M7298A y TVQCW Fig.9. Installing optional bleed orifice. . ; MLW!PCFO N959: - Fig. 1.0.Operation of V48 and V88 diaphragm gas Valves. On a call for heat,the controller contacts dose and the coil is, energized.This pulls the plunger to the UP position,opening `the bleed port and dosing the supply port.The gas in'the top 60-2080-9 8 ' Y V48A,F,J;V88A J DIAPHRAGM GAS VALVES of the valve flows out through the bleed port This reduces the CFE<XCX f AND TF0JBLESF0MW3 pressure on top of the diaphragm,allowing the gas pressure below to lift the diaphragm and open the valve. When all the gas has bled off the top of the diaphragm,the A WA RN I N G valve is fully open,permitting gas flow to the main burner. Explosion Hazard. After the controller is satisfied,the procedure is reversed.The Can cause severe injury,death or property controller contacts open so the coil is de-energized.The damage. " plunger is released,moving to the DOWN position.This h umber.not allow fuel to accumulate the combustion d doses the bleed port and opens the supply port so gas flows fuel is allowed to enter the chamber for again into the top port of the valve.As the gas pressure on top longer thann few seconds without igniting,an of the diaphragm increases,the diaphragm begins to dose. explosive mixture could result. When the pressures on both sides of the diaphragm are • T balanced,the valve will be dosed.The weight and spring help �. CA U I ION to dose the valve. If the gas supply fails and there is no pressure below the diaphragm,the weight and spring will Equipment Damage Hazard. dose the valve. Can cause equipment damage and improper operation. In the event of a power failure during automatic operation,all 1. Do not put the system into service until you have V88 and V48 valves will dose. Normal operation will be satisfactorily completed all applicable tests resumed upon power restoration. described in the Checkout section of the instructions for the flame safeguard control,and any ion Of t VWV@ Pb6ltlOn Indicator : other tests required by the burner manufacturer. 2. Close all manual fuel shutoff valves as soon as " (Fig. 11) trouble occurs. An optional valve position indicator is available in the 1-1/4 in. V48A2227 and 2 in.V48F11.03 Valves.When the valve is CheckOLA, open,a yellow disk shows in the window.When the valve is Start the system and observe its operation through at least dosed,only the black top of the disk is visible. one complete cycle to be sure the valve functions as described in the Operation section. Troubleshooting YELLOW M WINDOW a L o K- DISC os�o AWARNING ~*--r Electrical Shock Hazard. Can cause severe injury or death. l Use utmost care during troubleshooting. Line voltage is present at the actuator for a V48 Valve,and is present in all controller circuits for all V48 and V88 VALVE OPEN ir, Valves. r� f'T Mtn IMPORTANT. Do not assume that the valve must be replaced until all other sources of trouble have been eliminated. WINDOW a ACPc" BLACKTOP CLOSE O OF DISC If the vaiveWll riot o0el'1 W1'ten the thermostat or controller is ceiling for heat: g, 1. Check that there is voltage at the valve actuator(blade " 3 leadwires, Fig.7). Be careful--there should be line voltage at the actuator of a V48. a 2. If there is no voltage at the actuator,first make sure line VALVE voltage power is connected to the master switch,the�. OED �� master switch is dosed,and overload protection(circuit breaker,fuse,or similar device)has not opened the .. �J- power line. 3. ' For a V88 only:If a line voltage power is okay,check the transformer. Replace it if necessary. Fig. 11.Valve position indicator(optional). 9 60-2080--9 t" ! , V48A,F,J;V88A J DIAPHRAGM GAS VALVES , 4. If there is still no voltage at the actuator,make sure all 3. Disconnect the external wires from the two internal the appropriate contacts in the thermostat(or black leadwires(Fig. 12). controller),limit(s),and flame safeguard control are 4. Remove the two torx screws inside the actuator housing dosed. If one or more is open,determine the cause(s) (Fig. 13)and lift off the housing. and correct the con-dition(s)before proceeding. 5. Remove the holding nut from the top of the coil 5. If there is proper voltage at the valve actuator but the assembly(Fig. 13). valve still does not open,first check that the gas % 6. Lift the coil assembly straight up and off the plunger pressure at the valve is normal.Then make sure that tube assembly(Fig. 14). the bleed line is unobstructed. 7. Snap out the wraparound metal cover and remove the 6. If the gas pressure and bleed line are okay but the valve metal base(Fig. 15). Save these parts for the still does not open,replace the coil assembly.(Refer to replacement coil. the Specifications section for the proper part number, 8. Carefully unhook the cardboard insulator(Fig. 15)and and to the Service Information section for the proper remove it.Save the insulator for the replacement coil. procedure.) 9. Make sure the new coil assembly has the same part 7. If you replace the coil assembly and the valve still does number as the old one;then discard the old coil not open,replace the valve. assembly. 10. Wrap the cardboard insulator around the new coil assembly and carefully hook it together around the two If thew ivewill not dosewhen oneor m i eof the black leadwires(Fig. 15). 11. Insert the two black leadwires through the opening in aropriate contac s in thether nostalt(or the metal base,and insert the new coil assembly into oolntroller), linit(s),or flame safeguard control is the metal base(Fig. 15). 12. Snap the wraparound metal cover into place around the . Open: new coil assembly(Fig. 15). - 1. Make sure that the gas flow is in the direction of the 13. Slip the new coil assembly over the plunger tube arrow on the valve body. assembly(Fig. 14). . 2. Make sure the valve actuator is wired in the correct 14. Replace the holding nut on top of the coil assembly(Fig. circuit.Open the master switch to remove power from 13)and tighten it securely. the valve actuator. If the valve doses now,the actuator 15. Replace the actuator housing and tighten the two toot may not be wired properly. screws holding it in place(Fig. 13). 3. Look for a short in the electrical circuit. 16. Reconnect the external wires to the two internal black leadwires(Fig. 12). �A ����pp��Try�� 17. Replace the housing cover,and tighten the cover screw Sv1M I I RJ:;Z Vl`-I C V holding it to the actuator housing(Fig. 12). 18. Close the master switch. r 19. Test the valve to make sure'it opens and doses as A WARNING p A'I A'� described in the Operation section. V A R'V 'V 20. Verify proper operation after servicing. Electrical Shock Hazard. Can cause severe injury or death. ` 1. Only qualified service technicians should attempt to service or repair flame safeguard controls and 71.O1A26&5!NN1!JXFS0BM bumer systems. CWDL!MBEX SFT 2. Open the master switch before replacing the coil )GSPN!DP M assembly or the valve.Line voltage is present in the electrical circuits to the valve. TPWEFSWTT DPOOFDLPST ,y,,,, /�,, HSPVOEJDH Scheduled Ins-i ion and Wrtenance. TDSFX A schedule should be set up and followed for periodic ' TDDSFX inspection and maintenance for the burner and all other controls and the valve(s). Refer to the instructions for the flame safeguard control for more information. FYLFSOBM X.SFT Roacing thecoil assembly (Figs. 12 BDINBIPS 1 PVr,DH through 15) Pk�Fo.!�!!.n 1. Open the master switch to disconnect all power to the eolNelPS valve actuator. !PVr DH DPOEV U 2. Loosen the cover screw in the front of the actuator )J3sFRV.6FE' N8413 housing(Fig. 12)and remove the housing cover. _ Fig. 12.Wiring connections and actuator housing. 60-2080-s 10 p V48A F,J;V88A,J DIAPHRAGM GAS VALVES X SBC9SPVOE, I PKEJDH!OVU R NFU3MDPvFs a • DP,MBTTFNCW. DP•M BTTFNCW- ® DBSECPBSE ,DTVM3l.PS 1 PPLFE!LPHFU FS HSP VOE,DH TDSFX ' < DBSECPBSE .DTVMiLPS J NFL13MCBTF BDUY S PVi,Cki - - - CM3DL!WBEX.BFT N8415 - 3!UPSY!311 TDSFXT!1 Fig. 15.Coil assembly,insulator,and cover. UP WJDH BDWB S11!I PVT•VrJ H O N ,z * CAUTION . Fig. 13. Internal view of actuator housing. . Equipment Damage Hazard. Operation without proper checkout can damage the equipment. 1. Do not put the system into service until you have satisfactorily completed the following Valve Leak Test,all applicable tests described in the Checkout DP MBTTFNCW section of the Instructions for the flame safeguard f control,and any other tests required by the burner manufacturer. 2. All tests must be performed by a trained, / experienced flame safeguard control technician. 3. Close all manual fuel shutoff valves as soon as " trouble occurs. After the installation is complete,cycle the valve several times with the manual fuel shutoff cock dosed.Make sure the valve II and actuator function properly.Also perform the Valve Leak Test that follows before putting the valve into service. \Nve Leak Test(Fig.7) ` This is a test for checking the closure tightness of a gas safety shutoff valve. It should be performed by qualified CIWOHFS!UVCF' personnel during the initial startup of a burner system,or' srrF"CW whenever the valve or valve bonnet is replaced(see Service Information section).It is recommended that this test also be included in the scheduled inspection and maintenance procedures. Fora periodic inspection test, ® follow steps 1,3,4, 5,8,9, 10, 12, 13, 16,and 17. N8414 Fig. 14.Coil assembly fits on plunger tube,assembly. 11 6a2080-9 y V48A,F,J;V88A J DIAPHRAGM GAS VALVES 10. When the rate of bubbles coming through the water , B c D E F EPX OTtSFBN ' stabilizes,count the number of bubbles appearing 5 WBL NBOVBM during a ten-second period. Each bubble appearing �u HBT!DPDL during a ten-second period represents a flow rate of HBT approximately 0.001 cfh. TVODW C\/SOFS To meet U.S.requirements, leakage must not exceed the VarSFBN OSS TTPV1(/� values listed in Table 5. NBOVBM G . HBT!DPDL 2M!"_)7!NN-! cn YMW NBOVBM Q• Table 5.Allowable Leakage for V48/V88 Valves. WO.D H LFTu 2 Bubbles/10 - 2r5!.D/!)7!NN' CFIDPDL _ V48N88 . BM/Nd7VN!PS! Pipe Size - Natural Gas( sec.;Max @ LA//cpc�..!S'c�nFU IeS!PS!HieTT (in.) Air(cc/h) cc/h)a 45 degrees b X.0 xBLFS . 3/4 266 332.5 8 1 302 377.5 9 3)24!NN 1-1/4 442 552.5 13 DVUBu 1-1/2 442 552.5 13 56!EFHSFF 2 BOHW 650 812.5 20 02 DBO!BWP!cF!B!CFSNBOFOUOF"DL! 2-1/2 650 812.5 20 Qaswn!osFTTvsF!SFHVM3Lt0I!!vaeMrR/ 3 650 812.5 120 Q4 TTPV45-!TB(:k2!TI VtPkG WV/ a Natural gas:multiply air by 1.25. A POPEWTF!POF!PM F!EPXCTr SFBN!U3QT!PO!U FrrT1W N:658F b Bubble leakage:Divide natural gas by 573,then multiply by° Fig. 16.Valve leak test. 14. 1. De-energize the control system to assure that there is NOTE: For international leak test requirements,contact no power to the safety shutoff valve(C)shown in Fig.7. the office of the appropriate approval agency. 2. Close the upstream manual gas cods(A). 3. Make sure the manual test petcock(F)is dosed in the - After the test: leak test tap assembly(D). 11. Close the upstream manual gas cock(A). 4. Remove the leak test tap plug and connect the test 12. Close the test petcock(F), remove the test apparatus, apparatus to the Leak Tap(D). and replace the leak test tap plug(D). 5. Close the downstream manual gas cock(E). 13. Open the upstream manual gas cock(A)and energize 6. Open the upstream manual gas cock(A). the safety shutoff valve(C). 7. Run the safety shutoff valve(C)to its fully open position 14. Test with soap bubbles to assure that there is no leak (through the safety system);then immediately at the test tap(D). de-energize the system to dose the valve. 15. De-energize the safety shutoff valve(C)r 8. Immerse a 1/4 in.tube vertically 1/2 in. (12.7 mm)into .16. Open the downstream manual gas cock(E). a jar of water. 17. Restore the system to normal operation. If two safety 9. Slowly open the test petcock(F). shutoff valves are utilized,each V48/V88 valve is to be checked for tightness of closure. Honeywell Autanation and Control Solutions Honeywdl Honeywell Lirrtited-HmWvdl Lirritee 1985 Douglas Drive North 35 Dynarlic Drive Golden Valley,MN 55422 Smtorough,Ontaio M1V 4Z9' Qjod e!jo!Vrr18/!po!sf dzdrhe 60-2080-9 GR. Rev.09-02 ® gbgfs1dpodDjojoh!bdrWU2la www.honeyvvell.com qpt udpot vn f sgbgf 9gcf 9! ZONE: t Now RF-1 (RPOD) I Area (min.) 87.120 Sr /'/ .qf !' w4�r.''•-+ . Fronts o a(min)20' W dth (min) 125' etbac WI Front 30" Side 15' E A\ .2 N T077, l _I-\ \\ 'i/ / / /•` - Rear 15' m VJ / -e Y O, 43` OVERLAY DISTRICTS: BENCH MORN _ Cj?T..G y fit \ Iw TCI7 EL 07.6 _ RPOD- Resource Protection Overlay District r ' v - AP Aquiler Protection District "7 EW- Estuarine Watershed(NIA Due to Zoning Freeze) \ aN \ / I / Laiah` FEMA FLOOD ZONE �rI �' � `t . Jy» ( ) ( ) J�4'S'� '`\ \ LDc J� Zone�C,'B, AI3 EL 12, & V17 EL14 �I � -ARE.L - - - / \ \ \ j .Access E. D4l. JO x J9a• - \ 7 I N _�� / •`� \ \ \ \\ Owr Enstfeg DHve o � - �Panel�250001 0018 D(rev. July 2, 7992) , I `\ See° a-1698,963 LOCATION MAP g rE 9s• •\ \ \ I m _ Laz�.t 6,1 ASSESSORS RE.: -. DIRECTIONS: P 034, D ' From Hyannis- Take Route 28 towards Cotuit; - \ r CONrvEcn°N Take o left onto Pufnom Avenue at o set of lights, .2 S ��('•. - 1 ( ' uLES / \ /� 2"-4' and follow to the end; Take a left onto Main ia`o /•• i \\ \ �9$• / PROPOSED _ - Street; Bear left onto Ocean View Avenue, and -'u a / 6 GAL i TN-Z - _ \ 6•y>IS 4500 GAL - site is an the left;#71. - /, �EPPC TANK _ / PAOP05ED 1+ \ Tw Lot 5 179,19J±SF Upland 4.11tAC - " , I'I f507 sfb � / \••\ �\ 3I.125tSF Wetland 0.71tAC ' '• POSE°: G TANK ' / �, _ �,(q /' - "' ( 210,3183SF to MLW 4.833AC M °Qn RELOCgSED _- i •t,� ;oa_ ad�� \ q <�a'2s 5 \ la+ �^oW ^ ^�`� J'EL° � C - _� 7/M1��' -._ L -. .. l .'O.b - \12.01• �, 770, r IODO GAL .Y SE _ ---ti` TIC.TANK QO •'\ " , O-.P.UMP CHA MBEff - \ TESTA Ct DI ,sew .. I75p - W \: y, /•.- _\ `,�\ ... -5 :'k ".�i Yiti 4 `'N 111 j N>64q 35"W�.` �`_ - r `\ ///�� / _ / �sqb�� •-- '\ •\��ll` 0 4,1EO" f♦ ep)�>^7>r�r //;/ �.'/� /�`° .a^'""t�P- _- 42fiir_ :•�� ``,�, -- 1_ __ - ,�•'� 9 J i��� \ FE P Z �� moo°/ k p)�'/ JJJ N/F /_ blavenHE Hrsch w Ma' area / LOr 3 �` 1. ..\\o.; 4y i - at - Y i- .. TNsfewlgeaR- / r"e /Plan Book 263141' ' -Z \\ '-. \ \ `- y✓ Or,: NIIF Fro„Boas.z my i 7 \`•\ \ � \ �\\ . `4� i' � >L 95 � \ ram° \. ( '\\ \ � - � -✓i /i%:' t'n�.' � /. / � � \ _ - \ 51evm 4.]' or I E.Hirsch I W' Flan Book 263/4I i ^tl'y^^cep \e — ) Landward Edge .. � / of owe . �r. rtiw ra�a1\' \/- 'Ss'W - n.,,,-�- •� o=� fa '" --, �/. 9 JJQ y�Sss' - - -.\ t` \\ ,'o• /. ExlsnNG Slane cro;n 3000 GAL TANK A ✓n°n Plon 5Y (PERMIT 2009-1e4) c9 hofield Da!ed.Nly J I976.L'> Plan soak aDfi/96). / r _ �\ LOT 5 LEGEND P,an Book 26J/41 �4Y�'bocs � \ >'y?B \ RI-6 ' B Sewer Manhole Deciduous Tree �rv�S,�� l, `\\ i o! / -Post Electric Manhole ® Catch Basin s•9SS e+0'. / �� - ® Coniferous Tree. / _ >a d m ,, Catch Basin (round) n, �O\ h•\ vaA++m.u., a Hydrant 4 Sin r / O Iron Pipe. O Light Post Stake& Tack FEMA Zone Linos 0 © Gas.Gate � As Shown On FIRM �' O' CB/DH Concrete Bound w/Drill hole AI7R. Wafer Gate / Ponvl 1250007 0019 D 2B�e. N>57556. a SB/DH Stone Bound w/'Drill hole y Well rev July Z 1992 T z s W' PK nail P Lana ord Ee9a SSM 0 Venf I a LIMIT Of UNDEVELOPED COASTAL BARRIER ql Dune Fnd O Steel Re-bar w/Schofield Cop 4 Utility.Pole (ld-tir,.199D).. Fnd O° Survey Marker Pin —OHw—Overhead wires L• As Shaun on FlRM .9S*• (col�• l 1 Fne. Panal/zso°D1 Dole o . V --35--Elevation Contour - ev July 0I992 NOTES: ___T)TLE:._-.... -PrO►'1OSeUOeptlC OySteIT� f p - f'' . i.) 7m property line information shown io The Pickwick Realty Trust Ca eSury - Site Plan compiled from available record information. Andrew Newman, Trustee Sullivan Engineering,Inc. (� /�� 2.) The topographic information was obtained c% The Beacon Companies PO Box 659 7 Parker Road /t} c-J from an on the round survey erPormed on Osferville, MA 02655 Osterville MA 02655 A ' or between 26/DEC/07 and 19jNOV/08. 50 Federal St., 4th Floor (508)42B_3344(r,ae)428-9617,,, (508)420-3994(508)420-3995 fo. 71 Ocean View Avenue *- 3.) The m used is NGVD '29, a fixed mean Boston MA 02110 aaFe,a.,,aaaFKaana! sea level datum. - Barnstable (� t 30 0 - t5 1 30 - 60 � 120 Drafty JOD Field: MLL/RRL/OINB � Ouit), Mass. . Review: PS Comp.: MLL/RRL DATE: August 1,2010 SCALE: U1 Project: 21007 Project: C323 9 1"=30' DESIGN DATA 29.00 DESIGN FLOWS OMNI RSF DESIGN CALCULATIONS EXISTING BEACH HOUSE - 26.50 1 Bedoom 0-110 GPD'= 110 GPD Sand Filter Media 24" minimum depth <1%'p200 sieve(SUPPLIED BY OMNI) 22.75 26.75 ' " 16 Changing Rooms 0 10 GPD= 160 GPD 26.50 - INLET FROM BEACH :. Total= 270 r,PD - - -_ - - - - - - HOUSE NOT SHOWN. Average Uoily Flow"Flow 3,130 GPD(SEE SYSTEM COMPONENT DESIGN NOTES)- PROPOSED POOL HOUSE - '`-`-' _. - 1 %,-.siy�',:-.�¢:z_ i-#:Y._�:Y '.Y 'TixYl�- .x-r.L,:.,.. Y._ CLARITYFOR Wastewater Strength GODS - 230 mg/L �,;,I,3,.11..:11 '..a:.:`._ .L-x.YY-T'-:•s_r di- ;:-' ,.i,�1;?` 2 Bedrooms 0110 GPD = 220 GPD - Total = 220 GPDRecirculation Ratio 8:1 variable- adjusted�b operator) . ( x OF - PROPOSED MAIN HOUSE Y . .w IF:: '. .... .:..�).:•.- T'"- 5=0.02 MIN'S-.IYt,i "i"'i{.Y.:"_ tl,�_,,.,.. 19 Bedrooms 0110 GPD = 2090 GPD Recirculation Tank Size 150%of Design Flow (per Title V) - -. - '�;x rt.� _ �'•_r-sy - z'I Total = 2090 GPD 1.5 z 3,130 = 4.695(S,ODO GALLON TANK PROVIDED) 5-0.01 MIN. 0. °T T ;� `=SCHD.40 PVC TEE '� '-`T{ SCHD.40 PVC TEE t�PROPOSED RELOCATED DWELLING' Sand Filter Loading Rate Loading Rate(LR) = 1610/BOD5 _ ;„!,'_' '% a I 23.25 ., '" - 1 .. r 5 Bedrooms 0 110 GPD = 550 GPD LR - LoadingRate Total= 550 GPD . fsle, (`� J a = GODS= Septic.effluent _ rs + x +y-a e P m9/L 1 : 14`'EFFLUENT FILTER !:-:r y �"� ' 1610= Conversion factor � 1 -' �' (""'� � -:I°j') � _,� TOTAL= 3130 GPD 1: .� ;. ZA :.:.i -i - .' �LL.. NO GARBAGE GRINDERS PROPOSED 1616/230 mg/L= 7 gpd/ft2 IN ANY OF THE STRUCTURES - -+' l.>_; �, EXISl7NG3,00a GALLON -I ?,1 000 GALLON SEPTIC TANK-11- + - - Sand Filter Surface Area (SA) _ (Flow gpd)/(Loadin Rate d ft2 _._... .:; ) _ :. ._ „ _ rA $EPTIG TANK DESIGN 9 gp./ ) Nx _: SEPTC TANK H-20 .K, ,� H-20 PRODUCT•-ACME IILr;N. T 1,000 GALLON SEPTC TANKI � N A TH 3,130 gpd /7 gpd/sq. it = 447"sq. ft. Required `'�;1;y :51fy-_,•� SEE PERMIT 2009 184 '('_�P• 'I' :=F- PRECAST MODEL OR EWAL 9 =� .'-.^ 1• ; OTE L OUGH A 2 COMPARTMENT TANK OR 2 TANKS IN SERIES '3 OMNI RSF H-20 90X17 Filter Module - �..;.,i.i-sL�-, •") -- - - - - J- H 20 PRODUCT•••ACNE s Required =Td' �, ::.'-: ._ .:... -�._: IS ONLY REQUIRED FOR THE MAIN HOUSE THE DESIGN UTILIZES I s � - c:.•':-� '='��' - ;�- ..:F=..�::==TF ::=;:.._::,_:- _ _ _ PRECAST.MODEL OR EQUAL 2 TANKS IN S RI F R H R A IN RECIRCULATION. .....-_ __ .. :'•- '=-1t .. - J. E ES 0 EACH DWELLING FOR ESE -"` Rec culotlon Pump Size Daily Flow X Recirculated Flow + Back Flow "^^ 1.?' 6 MIN. MECHANICALLY COMPACTED 4:-.Ir•- -�'>- pl•':>-.="T-:::�'.; t:, :_._Ir� ;_;;_=..c:+i-;"::.' TANKS.ARE NOTED IN DESIGN AND SECTION VIEWS AS FIRE AND 18.50 -I t�•- - "`l.C':-�` SECOND TANKS. THE FIRST TANK FOR EACH"DWELLING IS INDIVIDUAL. 25,7 z 8+ 705 1 23.gal gpd CRUSHED.STONE OR IN SITU MATERIAL " - ' .AND THE SECOND TANK IS COMMUNAL. 25,745 /24hrs =�1,073.ga1 per hour (variable cycles- adjusted by operator) � � TYPICAL ALL STRUCTURES. � �. � � 18.00 Pumps Provided by OMNI = (100 gallons/min 0 11 ft. Total Head), BEACH HOUSE FIRST TANK PROFILE _ POOL HOUSE FIRST TANK PROFILE - FIRST SEPTIC TANK DESIGN ,2 Required - NOT TO SCALE NOT?O SCALE EXISTING BEACH HOUSE Discharge Pump Size 270 GPD X 0 Cal=540 Gallons Required 115 .lions n 0 28-ft. Total Head- 3"e Discharge) 40.00 Existing 2000 Gallon Compartment Of � � ( 9 /nl 9e) � � - 3000 Gallon Tank Complies Myers 3" Non Clog 3MW50 RPM - Or Approved Equal 33.00 .. 2 Required - - - PROPOSED POOL HOUSE - 220 GPD X 200%= 440 Gollons Required Sand'.Filter Module Setbacks Same as Title V Septic Tank Proposed 1ODD Gallon Tank ' 31.50 37.00 (Additional Required Capacity Provided in Second Septic Tank) ` - .LEACHING AREA DESIGN _ 32.00' - - 37,20 PROPOSED MAIN HOUSE Effluent Loading Rote- 0.74 GPD/SF .. 2850 2090 GPD X 200%= 4180.Gallons Required 3130 Gallons /0.74 GPD/SF= 4230 SF Required 28.25_ _ " - - - Proposed 4500 Gallon Tank Proposed 30• X 144•Field= 4320 SF Provided PROPOSED RELOCATED DWELLING � - _i= 550 GPD X 200%= 1100 Gallons Required Proposed 1500 Callon Tank �- =+�5-0.02 SECOND SEPTIC TANK DESIGN T i .. - j1. wO1.MtN`� 0. ,.. �01 3130 Gallons Required 29.00 I. I .SCHD.40 PVC TEE L . 28 7S ',y. .SCHD.40 PVC TEE " Proposed 3500 Gal Tank - - �..a, 28.75 .ram--. - a -"I 28.5 RECIRCULATION TANK DESIGN - J. 29"EFFLUENT FILTER. , 14-EFFLUENT FILTER 3130 Gallons X 150%= 4695 Gallons Required 1 I- �^-".. +- Proposed 5000 Gallon Compartment 7 - 4,500 GALLON SEPTIC TANK I 3 -= =3 - 1500 GALLON SEPTIC TANK 1 - �.; - I H-20 PRODUCT-ACNE - - - - r H-20 PRODUCT-AC ME rt:Y 1= z PRECAST MODEL OR EQUAL�- }��' �I _ PRECAST-MODEL OR EQUAL _ rt 23 75 T•' T✓ MAIN HOUSE FIRST TANK PROFILE RELOCATED DWELLING FIRST TANK PROFILE NOT TO SCALE - - - NOT TO SCALE - . . 6"-8".HANDHOLES W/LOCKABLE COVERS - . THRU-OUT SYSTEM NOTES ELECTRICAL HAND HOLE 2-PRESSURIZED - - 38.00 1. Location of Utilities Shown on This Plan Are Approx. At Least 72 Hours PVC LINE Prior to Any Excavation For This Project the Coniractor Shall Make 25.75 30.50 30.08 Smtx MIN. - 1 1/4" SCH 40 PVC LATERALS the Required Notification to Dig Safe(1-888-344 7233). 2. The Contractor is Required to Secure Appropriate Permits From Town 26.00 36.00 Agencies For Construction Defined by This Plan 3. If Sewer Lines Must Cross Water.Supply Lines Both Lines Shall LATERALS TOWARD MANIFOLD I In Coordinssure o Coordination Watertightness. st IWater General, u Shall be ante _- With 248r CMR d1.00- 7.00 Water, 310dCMRe115.00.n Shall be Water Tested to s Shall be S=0i01E MIN. .._. _ r -:_ � ,'r_. - APooents.Co - - I II I .•--i i=W��,-' „lam 1 - - 4. A Minimum of 9" a Cover is Required for All Subject Constructed' ,; • v 5. All Structures Burie��Three Feet or More or$ub'..t SCHD.40 PVC TEE - :.- -'-"'.,I._,_' I PVC Mi.:_ri>.: le- -r e'^ - - a 1 3" PVC MANIFOLD to Vehicular Traffic to be H-20 Loading. It is the Engineers SEE DETAIL SHEET- I III - Recommendation that H-20Always be Used. PERCTEST:12,054 -� .-� `'�- 0Mw RSF '-1 T �, 35.00 - 34.50 6..Install Risers and Covers to Within 6" of Finished Grade Over f flL1ER I .`-n=�!==SIP- .I rsarowm v: ew ar-suurvwwcmmlrr, 19'EFFLUENT FILTER , -d ,-.' MODULES �r k-1.�-ri!k- F PRESSURE DOSING MANIFOLD SYSTEM All Components. " a s�svauMAlonw mu (^.'¢_ nTT� - R' t - 7. Septic System to be Instated in Accordance With 310 CMR 15.00& waysssm ev ooNNsnavol.xs or sxxn,.Me - f':3 - 9 - 248 CMR 1.00- 7.00 Latest Revision and the Town of Barnstable w - - -. 25.92 3'-PRESSURIZED TRANSPORT LINE rd of Health Regulations.Boa f TEST HOLE I TEST HOLE 2 TEST HOLE 3 - - - -� SLOPED TOWARD DOSING CHAMBER B. All Piping to be Sch. 40 PVC. GALLON SEPTC TANK r,1F _ - 9: The Separation Distance Between the Septic Tank Inlets and H-20 PRODUCT.-•ACME' i-y...,Y ye:�C 28.50 DU tlets Shall be No Less than the Liquid Depth. Inlet Tees Shall Extend u wa iU, b ? y " _ ,A1 Y_h, PRECAST MODEL OR EQUAL f-{ �.,�'-ti. 6,000 GALLON x_i+�'r,:-.l.:_I. RETURN UNE TO a Minimum of 10"'Below the Flow Line. Outlet Tees Shall'Extend x vrA L4 .� =9Ln Ts ov¢m:y K.+.T OMNI RSF RECIRCULATION TANK BOTTOM OF TH-4 Below the Flaw Line as Shown on the Tank Sections. and Shall be TYNQIAIVISNRAbwI!` „ Y�°\yWre4pWK _ aJptvlSMgkar'N t"" c-� II .v T '4 - RECIRCULATION TANK '11:, -' _ t v ..wsum x -t_::.;-u;�( Y ,<' ..a.;�, _.._I A_..'- NO GROUNDWATER E ui ed With o cl uvrn lwxAc ° z.:f..•. '>~-.._. �• ...- a'.t _.r..._,=,-:r..l.:^_^_.�,LeL2:�ze_.�iFH'� Thq P Department Approved Effluent Filter. 10. a Design Engineer Will Inspectthe Installation of the System. cow Isll vuaow a wwa�aw kspNEuna. 16.92. in Accordance With 310 CMR 15.021 (2),at a Minimum n w•rA ur �T sr srrACTF r x 20.58 - per the Following Schedule; After Initial Excavation, Prior to. uaxry wsH n ¢'�T�,A' Sockflll'ng, During Backfill'ng, Final Inspection of Components; Ph1C sx 6"MIN.MECHANICALLY COMPACTED wwm.wsn NrnuNrxx. Tx�isr eN 4 �a oven irvw 4 - Final.Inspection of Running System Including Pumps and Alarms. uaKr uvsurnvae euowN uaRrmmwl N.wx s, CRUSHED STONE OR IN SITU MATERIAL SECOND TANK TO LEACHING PROFILE - wr+ou.mw.m cxnu.ov„sex u:mux,ri TYPICAL ALL STRUCTURES NOT TO SCALE TEST HOLE-4 TEST HOLE-5 TEST HOLE uNOTM65mam4Os Fiaa uv .. - .. . _ --a.-W ImvxoS'' -RRERARED-FFJR. -PREPARED-BY__-_ ___.__ -.-___-�_-.-.-__.______nRE-._.__._. P�'OPOSedSeptic SySteIT� The Pickwick Realty Trust �eSl in & Sections ICY)ellw•mm va:.uw e°°wm xTa. - -W. Andrew Newman, Trustee Sullivan Engineering,Inc: g Maxr;w.r�iwsNe awH wK % The Beacon Companies Po eax 659 At 50 Federal St., 4th Floor oster3344 .MA 02655 0 Boston MA 02110 r}o6,426-}..r6a6,.2a-96A M. 71 Ocean View Avenue N Barnstable (cDtoit), Massa }0 0 IS I20 - m SITE PASSED Draft: JOD Review: PS - DA TEESCALE: Project: 21007 August 1,2010 4" PVC GRAVITY MAIN FROM SEPTIC TANK G vowEH _ 24' H2O LOADING sHvvLv LOCATED ,,/r rnrmmT � MANHOLE . '"EIE�'cAL H2O LOADING HEAVY 2"PVC FORCE MAIN TO NAND-NOl£ 2"PVC FORCE MAIN TO TOP COVER TOP EL.=30.08 INLET OF SEPTIC TANK FILTER MODULES OMNI RSF PRESSURE DISTRIBUTION PM 2" FORCED MAIN - \ I FROM RECIRCULATION TANK_ 2-3" PVC FORCE MAIN m � -L -TO FINAL DISCHARGE - - - _ Yr p " INVERT IN EL=26.00 ------------- O - . $. 0uw now SPUTTER w1N ^ -•: Y 'r v - - - FLOAT VALVE `. .•• yv ': _ 4 VC OUTLET 24 HR RESERVE'CAPACITY I" - a a � <:c: ABOVE HIGH WATER ALARM INVERT EL 26 50 N. a _ .. SECTION VIEW z - END-SECTION VIEW - - r t H-20 "OMNI RSF" FILTER MODULE te• s• 9' I NOT TO SCALE- - SECTION VIEW' .. END-SECTION VIEW '0 - NOTESis .. (TANK ONLY) I.) OMNI RSF FILTER MODULE (NO SU85T1TUTE5) - - - 2.) FILTER MODULES SHALL BE STEEL REINFORCED CONCRETE. 0 PIPING NOTES: FLOAT NOTES: RSF PUMP NOTES: CONTROL PANEL NOTES: CONCRETE MINIMUM STRENGTH: 5.000 p.s.i. AT 28 DAYS. " 4" RETURN LINE FROM FILTER MODULES ALL PUMP FLOATS ARE TO BE LOCATED TWO(2)PUMPS PROVIDED BY OMNI USE(1)OMNI TELEMATRY CONTROL PANEL. STEEL REINFORCEMENT: ASTM - A-615 - 68, GRADE 60.AND 4"INLET FROM SEPTIC TANK AWAY FROM INLET FLOW - SET UP AS"LEAD" AND "LAG" WITH PANLE TO CONTROL RECIRCULATION PUMPS 3.) FILTER MODULES AND RISERS TO WITHSTAND H-20 LOADING WERE LOCATED _ ALL ENTER ON SAME SIDE OF TANK ALL FLOATS TO HAVE 4" TETHER AUDIBLE AND VISUAL ALARMS. AND FINAL DISCHARGE PUMPS. ,UNDER PAVEMENT, DRIVES OR TRAVELED WAYS. 4" RETURN LINE FROM FILTER MODULES USE (1) 20 AMP, 24-OV CIRCUIT FOR PUMPS& PANEL TO BE MOUNTED OUTSIDE OF DWELLINGS. _ ENTERS ONE SIDE OF FLOW SPLITTER AND I. PUMP ON/OFF SEPARATE(1) 15 AMP 120V CIRCUIT FOR ALARMS. - _ EXITS ON OPPOSITE SIDE TO LEACHING FIELD 2. TIMER OVERRIDE 4.) ALL PIPE'CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. - 3. HIGH WATER'ALARM DISCHARGE PUMP NOTES: 5.) 24"MANHOLE COVER TO BE BROUGHT TO FINAL GRADE. TWO(2)PUMPS PROVIDED BY OMNI " i 17' SET UP AS "LEAD"AND"LAG"WITH 6.) INLET AND OUTLETS TO BE SCHEDULE 40 PVC.` PLAN VIEW _ AUDIBLE AND VISUAL ALARMS. � � � 'I USE (1) 20 AMP, 240V CIRCUIT FOR PUMPS& SEPARATE(1) 15 AMP LARM CIRCUIT FOR ALARMS. CLEANOUT SWEEP FOR LAST.MODULE IN SERIES _ 30" RISER AND COVER r` - CONNECTOR FOR MODULES IN SERIES THE RSF&DISCHARGE PUMPS CAN BE WIRED ON THE SAME CIRCUITS. 48X48"ACCESS HATCHES .. - 6"-8" HANDHOLE W/LOCKABLE COVERS - THRU-OUT SYSTEM _c FINISH GRADE' - 1 1/4".FEMALE ADAPTER&PLUG _(4)RECESSED 0 144' PEASTONE THRU-OUT. C L'E A N .I 1/4"LATERAL EXTENSION LIFTING EYES _ .. - B A C K F I L L TO FINISH GRADE 1' 72' 72' n ORIFACE SHIELDS 4"0 SCH.40 P.V.C. 2'-0. "BY ZABEL" PERFORATIONS DOWN 36' 6-6' HANDHDLE (TYPJ THRU=OUT VENT AS SHOWN - :._.;. - 5 PLAN VIEW y ,I 1 1/4" 90•ELBOW 1/4 ORIFACE 05' O.C. ALONG LATERAL. 5,D00 GALLON 1,000 GALLON '�1 1/4'0 LATERAL CTYP.) m RECIRCULATION CHAMBER LEACH FINAL y t DISCHARGE 4.0 VENT LINE (TYP.) bt i/4.0 ❑RIFACE (TYR.) = PRCH LATERALS TOWARD MANIFOLD CHAMBER K 4•-3• OVER MANIFOLD 6.000 GAL. "OMNI RSF" RECIRCULATION TANK DETAIL 30.— _` _ vKd 90'SCH.40 ELECTRIC 2,-6, CONDUIT THRU-OUT NOT TO SCALE S'-0' _ _ _ _ - _ _ NOTES 1.) OMNI RSF RECIRCULATION TANK(NO SUBSTITUTES): 2"X1 1/4-TEE - -3•-5• 3'0 MANIFOLDS' OF 3/4"70 1-1/2" . 2.) RECIRCULATION TANK SHALL BE STEEL REINFORCED CONCRETE, 'DOUBLE WASHED.STONE CONCRETE MINIMUM STRENGTH: 5,000 p...1. AT 28 DAYS. �_ PITCH TOWARD PUMP CHAMBER 3"PVC MANIFOLD STEEL REINFORCEMENT: A57M - A-615- 68, GRADE 60. - - INVERT EL.=35.00 3J RECIRCULATION TANK AND RISERS TO WITHSTAND H-20 LOADING WERE LOCATED UNDER - � � � - 1/4" DRAIN HOLE BENEATH EACH LATERAL PAVEMENT, DRIVES OR TRAVELED WAYS. PRESSURE DOSING MANIFOLD SYSTEM 4.) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. - .PRESSURE DISTRIBUTION FIELD HANDHOLE SYSTEM 5) MANHOLE COVER AND HATCHES TO BE BROUGHT TO FINAL GRADE. DETAILED PLAN VIEW NOT TO SCALE . 6) INLET AND OUTLETS TO BE SCHEDULE 40 PVC. SCALE: 1"= 10' 7) WATER TIGHT TESTING TO BE PERFORMED AND APPROVED BY OMNI PRIOR TO BACKFILL. NOTES- RREPPJ1ftED_F_OR' PREPARED BY.' TIRE: — --------------- --''-- " Proposed Septic_System The Pickwick Realty Trust Details Andrew Newman, Trustee Sullivan Engineering,Inc. M C/o The Beacon Companies PO Box 659 A P Osterville, MA 02655 't 50 Federal St., 4th Floor Boston MA 02110 (soe)se-33"/raGe,.za-86,7 ro. 71 Ocean View Avenue �") 30 0 15 30 60 120 DrO,t:. JoD Barnstable (Cotuit), Mass. t Review: PS DATE: AU ust 1, 2010 SCALE: Jill Project: 21007 g t` < ` ZONE: (RPOD) Area (min.) 87.120 SF , / •.\ w 1z'a�l , Fronfa (min)20' �I CAQILt , SeFront s30' f W 067R a Side 15' a \ - �_ —� _.. •..-� �...... ._. .._.... _.'..�- �_;/- •. +'^.,--•-_ _ _.. -.--,,-_-- _ � _._� _. -..._. _ Rear 15 o _ \ • + ��3•\`h�, s !�„e .r��'•t. -��J � .z _N` \ 170Z7j. �=\ \\ /,h.�/. // /'---r-•------". - - ,* _. ...'�.: .�._: '-�---�+.-r-----•.. _-.- -_ ,r aS�I�I,yyltSr � S,� REVISED GROUNDWATER ), PROTECTION OVERLAY Districton VERLAY DISTRICT guiT e " _ \ __ — r I / / / - Dae n°,, .ma's• 4 tr�� ,.,'it"'�"�''�� � �r3�: " FEMA"FLOOD ZONEI hi ? I _� - . . \ ® /' /;„ /____� / \ \ \ \\Lcc ssi° ". .. - Zone C. B, A13(EL12, & V17(EL14) - L., )� f ,r<< �.,' 7..�.✓: .., Q Lot 5 \ \ \ \\ \ \ \ /4 ,/� access Easement Panel(/250001 0018 0 (rev. July 2, rJ 1 \ # ( / /'--' _ \ \ .\ \ \ : j O-r Extsbng Drive - 'N ` \ 179,193_LSF_LPland "4.11tAC\ - I N pJq -./ ,.' \ \ \ "\ \ °T T.ocaan we,.A.mu° _ -LOCATION MAP i ¢ 797_,) \ \ \ \ 1 \ L / See LC Dac N698.963 m - I•^ `-31 125±SF Wetland., 0.71±AC I I $ \ \ \ 1 \ \ j ,/ 2000'2 210,3183SF to MLW `\ 4.83±AC / I\\� 1 1 j 11 .i // / - ASSESSORS REF,: Map 034•"'Parcel 045 DIRECTIONS: • e •% Mp / .;e� ��`" I \ $Z4 "`°"" From H Take Route 28.towards"Cotuit; _ I I �h, I 1, I 1• \ \ \\ _ ( �.- _ - Take aft onto Putnam Avenue at a set of lights, - /" I \ ' l - �•' # - and follow to the end;. Take a left onto Main 6Si Street; Bear left onto Ocean View Avenue, and zao� .� / I._;// /. '�•\ \ `'`31...__ _ 11 °'\ \\C 69J B$ site is on the left,'#71. • ^` .. , NEwaECk /• / `/ ci¢ ,o I\ b \�'• \ !t ?-sTtw,t Stye - 670g' - - \ j 6,,.. \R!`\ - !Ih sDhalOwer ' D:we _ J,_ 1 Q' _ _, " / R¢°r^rEa owELurra //�, ./�'. ,�• - ___ I ' - - .' � ;•� w` - 1Y" i ;k..,� 7� A" aw'6LLRl y V, - 1 s _ - - ET E al 'eE ovm 3 I'e d _ -`�\ off• f&: - w*1ok Too'_ ib�ou - ']*_�/r tN/'f-•'/a?f(' -1 �J _' 'I T �`_ - - _,_ _-_ -�\y I/((�4. •`\�[ \, _ `ed Po4rin9 s\\\�'. / ; = N�\\ i 'v N76g43 �, - 1 --Y' \ \ '; �. J���_ _ ��� \, PZan� , oa" � " . IJ1 row- .,•'��.. tewenNE Hirsan - Ocep,y LOTS \: \ ,\ `�,. ..•1. .,1 '1!q z . e cos Pw Reolt /Plan Book 263/41�1. \2 \_.\ \ >' - °/,,\• Ie - r PI LDr r Y \ \ 1 i. I " t op Stec nNE Hrrsm J f r e - _ l LOT..1 I rev✓sears -\ ai - - _ ;/�/' I d ro Edve j/ .. _ "Plan Bdak-263/4, _ _� s -- - t Pare a /� _5/ - I z�r IJJ _ =' '.On Ph • - f 1 -l \I/ __ \ Sh.Ied Dated July J.19J6.•T a V J i A/�\/il•'i- -�\____ _ \ ' \``L I 1 (\ \\ .. _--__ _ _ / ((See Plan B ok 306/96) -C, LEGEND LOT 5 Plan Book 263/41_711 M \9B k�BPq l \ - - - ® Sewer Manhole. - {Cif Deciduous Tree - \ \ _�'.� °r4e�b� ® Electric Manhole `ll.,(((t�aSs'' '. /t% - \\ 59- \�` " 'r ®" Catch Basin Coniferous Tree �� \S`SS6•, \ �"e r,s ewe_ "�/ - ef'` y� ��.. ® Catch Basin (round) \ s \.Jy 4> Hydrant. .. Sign - - / , P'A� \> ,��\ \ hb•Lo/ '(J, . .O Iron Pipe # Light Post - . . .P/P oror H, \ ' / •y� ,,�\ �/(�] , .Stake& Tack © Gas Gate FEMA zone tines yF s'any As Shown On FIRM - 7 N7 / 0 CB/DH Concrete Bound. /Drill note O Water Gate / Ponwyz509920018 D s%r/ Sp$•$6"µ. / - u SB/DH Stone Bound w/Drill hole'' ® Well �" - r°v landward Edge 'a '33,{.•. "`'3/ �. O PK nail O Vert Pipe LIMIT 0l UNDEVELOPED COASTAL BARRIER Of Duna 'e - w / 0n� - - Fne O Steel Re-bar w/Schofield Cap O Utility Pole r - (Identreed 1990) n 72871 • - - 'sM O Sur vey Marker Pin —OHw—Overhead Wires , - i As Shown 0n FIRM �` / ,9$Y,•. {cv/�• Fnd Y. "Panel A P50001 0018 D -35--Elevation Contour 25 July 2, 1992 NOTES: PREPARED FOR:" PREPARED BY: 1 TITLE: - Proposed Building The Property line information snow Was TtiE Pickwick Realty Trust Ivan Bereznicki Associates,7nc." Re I OCat I On & Demo1 I t I On compiled from available record information. "rAnclrew Newman,' Trustee ARCHITECT CapeSurV V Parker Road 2.) me topographic information wa:obtained c The Beacon Companies 9wendeu A021 At. from n on the round survey erformed on / P Cambridge,mo o2u6 Oster die MA 02655 -. or between 28/DEC/07"and 191NOV/08. _ - J�O i E(jerOl Jt., 4th,Floor (508)420-J994(so9)4zo,995,-a: 71 Ocean View Avenue 3.) The datum used is NGVD '29, a fined mean - Bo -ton'MA 02110lent]sq-st6a letJl 86b-5I64 caPasvrvOcapxod.net , sea Isvel datum. R ►'1 I1 I�-7 ti 30 0 10 30 -.60 1Y0 Draft: RU Field: 4LL/RRL/DW ✓a�►Is` B able (cotuio, Mass. Review: IB Comp.: C323RRL DATE: .August 1, 2010 SCALE. ,�„_.3O r 7 Project. fD1D.DD- Project: �J ZONE: L \ d RF-1 (RPOD) I\ I Fronto a(mfn7,2t°SF I, Setback.: Front l �.L23G17$ I \ Width tmin) 125• I Front 30' f y, .r•_ tZ , 1 ! 57de 15• ,_�--Y M,�r'k,?pr �'r 6'.s.9 bt t•. __._�-_ .� J •_ \ \DZ7j � " \\ /// / .�..,,-4..,.... .�-.e -�- ..,..,Reor 75'' �,'t1 \s{,� •rc -•------+-i REVISED GROUNDWATER t PROTECTION OVERLAY DISTRICT: R,a Nam- - AP-Aquifer Protection Districts �� 4i fi",yra � '1• - W. 1 FEMA FLOOD ZONE �I F . • 11 +, \ / •`\ `'\ CC J9J� Zone C,B, A13(EL72), & V17(EL74) _ 1 i ,. \ ,' / __ / \ \ Access asemeae • _ Panel#`250001 0018 D(rev. July 2, 1992) ® / lA' a ooc of 11 A—e ... _.__.. .. ---------- - '"- See L c(698.963 LOCATIONMAP \ rx.,, 1 v � 5 , \\ \ 1 tl 1 \ � / ��. r•ezDDD'f .. �_ ASSESSORS REF,: / Map 034.Parcel 045 DIRECTIONS: From I4�� loft Tonto P to movte Avenuetof ads Cotult; set of lights,L. \ s and follow to the-end; Take a left onto Main \ ��\\ �\ - �6• % �/r - x - Street; Bear left onto Ocean View Avenue,'and " •� e 1\ \ \ ` 692 S site is on the left. #71. V. btity+t`� {,•. Odw DW -vll - a. Q � .•O� R LED - / i 100 '-- 'S7" .. .of � 9 I m - ... .. 64.3' F��NCD. / J• : �' �- -,, - Y\ - J.� \` u .E �. _.- �°�s�y'�' % �. P� ��� .�. ti\�• - £a•a. W b u a, / ADD/RGV O ( i- -/' 1 I i• - - - _-_ \ �:• 2✓ - \\\� / O � - - - \..t }• (.•1./���„ ����= i _ _ '�2-0_\ \` `'�?��'` boo ,f' __ Oo�oY I7 • ` cri I N7644 —�rl O"` .. , - - , ` nee- r` �N' � ,r, '\+ ,//,��' /• �°��,,�`-�___.__ -'2E' a3hw. �� J\ t �\ _� �� - / c^.P Z° F _ •, .N)57551 l. _ 565. __- ';o\ \. '\a -\ 'i = .. ae. � \ - i i i ' � ' ., r31 it t. r J� slat c P, l e< ' n Pon LOT` w Retr/fy / ' - Plan Book 263/411 _ \_\ \' // T07PS - WORK LIMI 1 _ - / /�"•,.+`.� _ _-- :-1 LOT 47' Plat.Pnok?63 4± - - 1 ��s._^ -,,` _ __ _ _?,� Lantl ortl Edgv sl°n�r°m(e ,) Plvn 1 Q* ' - F •- .. - TTn>• ----_ _'. •\ / 9'chofieltl Date,July • - - y N - I!' >•---aP_ \S\ \jam\ Y // f t '(See Pip.Book 306/96):; • _ - - ' LOT S e4 1' / P±rn Boak 263 41 M1 J LEGEND ' \ ., _ Lt sr Deciduous Tree' s �'P 5\E' �� a•Oa. ems, / :vast / ® Sewer Manhole • ® Electric Manhole. ® Catch Basin - \SS• ` ,y :./ :.ePd`.' •y( . _ ® 'Catch Basin Coniferous Tree \� ! (round) qp\ \ �' �:co�i m y - O ,Iron Pipe 4 `Li.Signt Post •pf \ `� �p \ _ •.iamx=( / ^wyra�°�. �' 9 FEMA Zone un- J'sy"" ..` \`� :A• /: 1y �y, . 0 Stake& Tack ©' Gas Cate as 5h°.n On FIRM BO9F�,� �. .IV;, ; /f,/ �so 9 O CB/DH Concrete Boundw/Drill bole Ov Water Gale Parer/250001 ODIe b 6 G S' - - O SB/DH Stone Bound w/Drill hole ® Well Ter Jul O PK nail ,Z 1992 Q-W: LantlwvOf Edge ndt O Steel Re-bar O Vent Pipe , uMli Of UNDEVELOPED COASTAL BARRIER O(Duna .` / / 12 w/Schofield Cop O Utility ale (menbf a f99o) a' '/. , 8ry• , �± a Survey Marker Pin —OHw—Overhead wines As shown On nRu / . / {COIa �. • _ Fntl )' Panel[P 250001 Dols D f - --35--El Contour mr A,y 2,1992 . Shift Proposed Dwelling Footprint 20't East Eliminale Pool House&Retain Caretaker's Res. REVISION: Sheet 2 of 3 only nl DATE:�.iO/08/10 NOTES - PREPARED FOR: PREPARED BY,. TITLE: - Site.Plan 1,) The property line information shown s The Pickwick Realty Trust Ca eSury Proposed Structures & Grading compiled Tram available record infannatian. Sullivan En ineering,Inc. • Andrew Newman, Trustee Engineering, p P 9 Z) fie topographic information.was obtained PO Box 659 7 Parker Rood %,.The Beacon Companies At 6m an on the ground surve performed on Osterville, MA 02655 Osterville MA 02655 - i p or between 2B/DEC/D7 and >91NOV/08.. "50 federal 5t., 4th Floor (508)428-33 (508)f25-9617 b: (508)420-0994(508)420_3995 m. 7/ Ocean View Avenue ' N Boston MA 02110 �•� •�",1 1).The datum used is NGVD '29, o fixed mean- ., � sea level datum. .30 o fts 30 6o 1P0 Draft: JOD Field: MLL/RRL/OWB Barnstable (cotuit), Mass. W Review: p5 Comp.: MLL/RRL DATE: SCALE t=i>• Project: 21007 Project: C323 August 1, 2010 1"=30' { Y ! .{ 1 . , � r , : f : i 7 • rotN /[D1 i00 .�.,• n` _ _ f', �y is o / ,. / % / "3 ?s ,+ \ °gym�. �• t 3 . } ri 44% - ._ .to \ 1 to ITV clo' \ \\. { • LS � f if f - m : •m i COD CD The Picl►wick Realty Trust _ =ca so A a g ii �� . N furl 71:Ocean Vlew Ave nue;'Barnstable,Cotult,Massachusertsre any Q ;d AJ Q � BL 5 ._ RF-1--(RPOD)••�-_ _ -- _045. - - ZONE: RS REF.: _ _ � r �T Map-034; Parcel ` � `• Area .(min.) 87,120 SF � FEMA FLOOD ZONE � •n` o llce/D" Fron to e' (min) 20' W o d Width min) 125'IcD fjj Zone C, B, A13(EL12), & V17 (EL14) ►� d 7r "` Setbacks: Panel 250001 0018 D 4 ice " ` { Front 30' # (rev. July 2, 1992) g3$), Side 15' ,SBA" j Access Ecsement Rear 15' REVISED GROUNDWATER Eves over Existing Drive PROTECTION OVERLAY_DISTRICT. Fnd - green j To Ocean View Avenue - ,o N >346'' �)$ Tiust 6g i''ewty S AP Auifer Protection District Q. See LC Doc #698,963 q o Lot 5 V" 55.7' Fnd $ / _\s\ 6g� I ' certify mod" 1 �0 2$ 1 that the new se Caretakers 4 1 F°d 1 Sty W/F 7$Residence �.C8 foundation shown hereon 3 on . o W , New Cone),etE c°�a9e y°use Ce H 'F equ° kn g 1a5' 8�og conforms to the setback- New anon .. ;: irements f the Zo s 7.2' _ Foundation ... ... - 6 h� ` o n Bylaws of .the town of p 2 Sty W/F #71 Barnstable. _ e o Guesthouse _ �b� . 65.2' ^ 76.4' O "s nV, I ce1u" Nsg O 2`r� �tM r4S� W end 3> O \ es ko Fnd 6 44 3$»w' k2+ '� i ce Fnd Retoining Wolls �. cs�ti - RICHARD I�. r O ��, fit$. 04 ^ld Landward Edge �/ L�HEUREWC, N 5$1 5•g2 of Of Dune ¢ k 7$77 46, 56 r. C Top Of Bank x'' M0. 34312 a� 13j oce. N/F w /'Fnd on 14eW 4a = i F' , ocre< d EQISTE ReOlt Trust ^/,j 4$ ce/D" 89.6' ` 7.,9$ Fnd - - Fnd A73(EL12) .. 4. w - Ste yen O 3,69 7 � NOTES. HF Him d N 44' } Stone Groin (Burned) Q S sch r $6" _. - As Shown On Plan by Schofield Dated.July 3, 1976. . �'O/�, '(See Plan Book 306/96) i. 1.).- The structures shown were ,located, on the ground %t 7 by conventional survey methods on (or between) �`���1�, ' st ,� "�'4 ;' ;' 28/DEC/07 and 14/APR/11. i P� � �S9 � / eoc ,�� V �A 2.) The property line information shown hereon was rl •3 �' I_EMA Zone Lines j 5�q 1 Fj`/ compiled from available record information. As Shown On FIRM $. r July x Pone! #rev July 2,01992 3.) This plan is not for recording and is not to be Used for construction layout or deed description LIMIT Of UNDEVELOPED-COASTAL BARRIER purposes. t (Identified 1990) i As Shown On FIRM. Panel # 250001.0018 D I rev July 2, 1992 Sheet # Title: Prepared For: Notes/Revisions: Plot Plan of Land CapeSury Scale: 1"=80' See Above., At 71 Ocean View Avenue In Date: The Pickwick of 1 7 Porker Road Osterville MA 02655 25/APR/11 Realty Trust Barnstable (Cotui t) Mass. (508)420-3994 (508)420-3995 fox copesurvOcopecod.net �w9• C323_50 , p. ZONE: RF-1 (RPOD) Area (min.) 87,720 SF FrontagQe (m'n)20' - r a 'r '�CoEmE Width (min) 125" ' ,N•�i !� I I SeFron t s30' Y { a t '0x� g ,-. --,.... �.�..:_..-._.�z. oo,..-.•... �,.. Io � _ ,,.�..\-._..I_.._.....I�.._..\�..-. .___. -_.� .-,...�....., .._. - - _._ . _ _....._.--...- - _ -- _ _ -_.....,-._ ._ "_ _ - _ Side.15-.. Rehr 15' REVISED GROUNDWATER PROTECTION OVERLAY DISTRICT } k E AP - Aquifer Protection District FEMA FLOOD ZONE l i ✓) xZ I£ s, Zone C. B. A13(EL72), & vn(EL14) A Easement Panel j 250001 0018 0(rev. July 2, 1992) _ _..... / 'N p3q! r/ `\ \ \ \ j D OE stVi-A-- LOCATION MAP Sec LC Doc y698 96J - \ ASSESSORS REF.:o5 DIRECTIONS: From Hyannis Take Route 28 towards Cotuit, Take a lelt onto Putnom Avenue at a set of lights, 2 e / and fallow to the end; Take a left onto Main Street' Bear left onto Ocean View Avenue and . site is on the left. 1171. 09. / Uriva • / Q.' ....699,..... FF wFCf/ND _,` \ 'J. \+ ' 0Pg :`��-P��?. �' _ pQO��('R � _ nr, W� I _ - x - r ._ +, � W .. � =•r- .. �� >_. re /r/ ;.S - ..- _. ..-„ .��p�_ � � - r�,o I f•6�4�e� - ..- w�;'1., / /, /�," _I _ ._ R_P DP 7r�.. ,. �O 1 � r �'P9 •>, Iti y0 - .. . �O e PR OS-- / / / �-� �r 1oa_ _- ��\ e`s/--° _ ��.oV�3�5'� �� _ 4� •'moe• \ - \ � - M1`o' ', c 12 - Y ° r. •serer / �r tELN)^ - e� i � r Nj ._..... -...._ , ..._\ ,/G, ...// -' � :_.--'ksq J> .. `� - r. l�` - - �� W e 8g435'w .. / \\ i l// // /; //`3 '�" �'bA26 - Nu\ _ LYr \ i/1 "•F��P 1 _ - . 3 y ~ t .V r OaP rN ew A, -- n.e / /• Ste?E J--ch• = h -�--\` r -i .�.',{rq f' K�`MDT' \1•- �i~ -17 / /r/ r nisi t Plan gook 253/41.. *_ _ 7 WOR �'- Pon 6'40 as SgW .�'• \ '\ ��-' ` a•'4. ��� ! Sae . e \ lf Stev nNE.Hirsch BLOT r � Lanawora Ede x _ ?/ - 9, P _ Flan Boak 263/41 "" i� I N �\� - - _ - - �l� / r 01 O✓ne / \ - - /vcrdNTq r..^m\ \ ... - e_3\ - Z`f v`s$ ._ 7 / 92 'Jp„'rsss • .., -a'� - _ - _-- --- -- /P� :a -.�-c, � �-a/Grom(Burned) c hown'on Plan py l' - 56ho Wd Defed July J, 1976. / a Plan Book JC6/96 LOTS LEGEND "� Plan Bonk263141 _ P E n • Qs Sewer Manhole - Decid...s Tree. - ' F���,\ t `_J \\\ i ary •P°t ,' - ® Electric Manholee,I(22//{Y / •�N,S9 �� a' °� �� . ® Catch Basin i!fl\\' ems/ .'° �� 0'' �t Coniferous Tree9<. \ (co 7 /oc ro r/ ti^a\c '�V ® Catch Basin (round) 1 ' Hydr t — Sign _ \ / x Sr h "^. \ \ s ,'ra O Iron Pipe 0 Light Past 'yA h \\___ FEMA Zon LJ\ ^ ° Stake dr Tack © Gas Gate - As Shown On FIRM �Ps� J^ NjS 25.s6. 3B5// GrP- o:\\.�3 y O CB/DH Concrete Bound w/Drill hole O Water Gate Panel A 25D00,0D18 0. / TY .. , rev July 2. 1992'. .0.• •j • ® SB/DH Stone Bound'w Drill hole eM Well � •/ i1 a Landward Edge ' 9 S V. O° PK nail.'. V Pi e LIMIT,OI'JNOEVELOPEO COASTAL BARRIER Of Dune - _ F5d O Steel Re-bar w/Schofield Cop O Utility.Pole - - - 'Ildenhfed 1990) /; + SM 0 Survey Marker Pin --oew—Overhead Wires Shown'0 Fla ./ 9 y.• of�• Fnd '' Ae e., -JS -Elevation Contour " i Panel/250001`OO18 D 5 a G - rev July 2, 1992 NOTES PREPARED FOR s • PREPARED BY.. TITLE: / Site Plan The property line information shown s The Pickwick Realty Trust CapeSUry Proposed Structures 8c Grading M compiled from available record information. .Andrew Newman, Trustee Sullivan Engineering,Inc.- p g 2.) The topographic information was obtained c/o The Beacon Com ponies • Po.box 659 7 Parker Rood , - from an on the g ound surve performed on / P Ostcrmlle, MA 02655 _Ostervll,MA 02655 • At O . or between 28 DEC 07 and Y9 NDV De 50 Federal St., 4th FlooF 71 Ocean View Avenue N / / / / (508)418-J3,a(SOe)918-96i11ox (SOB)x1a-J994(sae),20 J995 lox _ 3.) The datum used is NGVD '29. o fixed m Boston MA 02110 - cape=arV«aP«ed^°i. - .. _ Shift Relocoted Dwelling Footprint 3J't North sea level datum, eon ���• I- Modify Addition To It Barnstable (Cotuit) M w - Shea(2 of 3 OnlyDATE: 11 19/10 30 0 t5 30 60 ' ipO Oro fl. .JCD Field MLL/RRL/DWB 7 w , Shift Propposed Dwelling Footprint 20't East Review: P$ • Camp.: MLL RRL DATE SCALE. . '11 e ,30e cn Eliminate Pact House do Retain Caretaker's Res. Pro ecC 21007 C323 - ..- AU9U$r �r 2��0 - REVISION: Sheet 2 of 3 Onl DATE: ,0 08 10 - - - i Project:. -, - - r C4o�mY osyBARNSTABL€ PLANNING BOAR® }. F�Nn&:28 a?Tas' Er W ;' APPROVAL CONTROLUNDER LAW NOT REQUIRED. I s ewr. ,a o� a� DATE: 7 3 ,. _: Dolor sAr�' l+. gx�' MAIL N S>8'pg'f 58355 02 E 'C] � v n _ f - ., ,� t ,• ,I t y� We F SET 5.83�, 702.71'r 7J APv2 r?b.W. - •seal. ,s1m_RFB/1R _ �1 - • ie C.B. Sy M Al- v$ N . T. .PIAgTiC - tom^^ *'- v �;` FFW 5y b N h u: b J T` c v , - 9C 4WW TOP � � T I N o =m •J8 0 Z 1 w N r n for J x r; ��Ivz °?w ce Ffjj cC 'arns ? Iry NOTE: NO DETERMINATION AS TO b FND c C� �b oEUIL N ej e; F o vsr 4 aq, COMPLIANCE NTH THE ZONING � _AIAPr'�� ( S WIC 1 NO SGLLE SET ,y>JYoo `�� s'a,o•,a.� u l���tc NOTar�a ��, ORDINANCE REQUIREMENTS HAS 'ri SCALE 1t i 23,000 q ell ?w N 21,ep• 4 a" BEEN MADE OR INTENDED BY THE a ASSESSORSa ' b �I 3 (✓ �.. \ ,, jd! N3sJ1 �� PARM4b q CC SET \ LP e� F11D } 2 as�O �J si. OFF _ No Blau Cs ABOVE ENDORSEMENT. 'MAP l`, < 21 FSJLM. MJ7 \ \, off� A1D e 1 J„E N1D t 6y�� ZONES k , _ °O?�y .\ stay 3g N .7 \ �j A P.. 9 j r sy +� \ r s • > � io Al edYaaE 1a s0'r �pp� ` �"� *'_ . RESIDENT F a r -� ° oa BEY 10 Cl ��N��y Ro` C �l c8 AREA 43,560 S F.": i C z REaslErlm UtLAND s ��27j�A �t►ID• 81K �.9� � d�>x;J1 r FRONTAGE o.1'SO• T 251�nq.ft. - f 't^' rq► �T Ia A• FND. OA .. ,. ..FRONT SETBACK 3d' MAIL 89V844'E - S77 eaw T �1 S Z \n 1 �, _ 5 - 3 o f' ,� vx 1 Sm: SETBACKS SET 97 RE0151ERFD WERJND ' 4�"l j IJTp� C_ K REAR SMACK 13' `i s 1 S' 23769 sp ft 'p�►\ jP _ FWD. 034 acres - "• '.. Y y �, ''� i h� BURDING HEIONT `30• s' \ �I uNREas1�wE,uND ,E ~c� (OR 28 STORIES iF.LE55) 3` h OR3 aces ; ~ �•e9y�,1s Ip $ TOTAL AREA 6-%ACRES A »� GRAPHIC SCALE SET40 i $ 6 i. C1 ��I N ^^ 1y er :, � NNL >j�2.• -. .. • ..:,, ,., w.:: •. :�. :per. N,�. " .F+4, _ '� " �'$ �" SET G esi• °t. END. ,. . .. `\ W I 3&� ; + . a iA , • '� .I: LOT 5 '� �, KT RE61STERED UPLAND , - - /J• .' S \ v .. ti I o 177,801 •q.4t 1� GH V4� O ! t. 4,08 Dace \v CB 'pp s RE6ISTEREO rzTLArw ti� Z 19,463 sq,f-t.. -' ..'a` B87rs. , - �.c\ - - - t, 0,44 aces - / `", - • _ � . ~ y .r ...• �Q 2 UN *�-rtFEn w Ttram _ NNL 5'm sq. fk /73 a ., • :��e� �^ `. _ .b ,*••„ _ 013 aces r " 33 S� N'8934.11'E �•, ' _ - ' •- 18.85'r TOTAL AREA 4,C8.ACRES .. . Q �n:�_ q•Y �I p( A . o L y SET V . C.B FNO $ , 4� 3r Oy s g`b N raj !4 _ Cg3'ul "" Fl : Qp. - , O 1p n A 6 7�7�. / \ 3•DQINI f 7/ I •d" / / r� 1 / FfD-- W a- .:____ FM f 4•� %.E �I�<t1 - `. l. \� `. NAaI 1�c..r,�•J7' S>s ,: � 68• S g1 _ ,�, - F x ,, slu 115.00BJrE ��4 - / •"t' 9V53 is �� � tf END. F m 5; I /y66 i -- - a"ic1 "2%9 1 3 Rp ACC • �RpJw cm , n K ro ! I •xxt��y��� ps?�t7J'Eo4iCA MHM• 7ILC �ti 1vY e.: �. o ees4•r _. f m� h.01 115.S7• •11 SdT33'4J'n' \�y ./• �1 ,i �kk' 1{ e�3 CA .�`•; '' . ,i �' p, PLAN ❑F -LAND . ann�o 0 0. MMFc F•�.�,��� NO SC" eOff a 4Y4• t� Ffo / . 3 IN " NODETAA.SCA L "E/g"lo fft ., _ OFF ,a. •.• _ / ., n-•'�• I t fii�FY THAT THIS ACTUAL SURVEY WAS MADE h ?may ►�•t►. //f� k1 5104- +F S'. 'THE GROUND IN ACCORDANCE WITH THE LAND ,, - i � lrL�Bl... -d` •"@ 1e � _ B A R N STA B LE •, MASS ' ".'.JRT INSTRUCTIONS OF 1989 ON OR BETWEEN +ww C'• b - . ,VARY 19.1993 ANDJuk%C28.1993. f!►��" O0° Ati f BEING A _SUBDIVISION' OF -lLn3 G� .��'� �„ // N0 SALE LOTS 1 & 2 AS SHOWN OI J REGISTERED LAND SURVE R ' �r r ,0ti C r1� Ujf L.C.C. 397708 812 MAIN ST. ! � , OSTERVILLE, MASS. 021555 / 0 (508) 428-9t31 SCALE: 1'-40' DAlE�X1U .tOG3 Dom• f BAXTER 6 NYE INC. Ct0':U 1'.,E: IN 355TY _ ; DOFF REGISTERED LAND SURVEYORS. 0. OF t�6R' 14110.433151'V; 0.0eY CIVIL ENGINEERS OSTERViLLF-.MASS. PROPOSED MASTER PLAN C ^u �n (� ' ' • COTUIT BAY D - JAN 1 9 1999 ' VISTA-PRUNE ' :. c.�; '..';•r} , AECONSTRUCT:., o [3ARNSTABLE CONSERVATION OVERLOOK_Q' PAVILION ' BEACH STAIRS; HOUSE TE STEPS RI{.ACE ,sir C a PAVILION S RVIC r .• r , 4 77 °t s� aP ♦ x�t1,�r �k i y l t ", � LAWN F ;• UU FORMAL GARDEN J 771, • \• ' jw 'Y - LOOP DRIVE = f r .. 1 ~'^.\'` _.• •,. PARKING _t•. 20 CARS d MEADOW 1' Y` IW ' `.�q�C„(C1�f`t4 N I RECREATION �'•. MEADOW _ ' 1•;' ,. i• ..,., w ul��r2 ��•� ,' � � ,I .y t) J it �x. .14^A`` _,tq;.,�/ 'i '�Y.(` . Vr,f �� OCEAN VIEW AVENUE CRAWFOR .D ESTATE LANDSCAPE MASTER PLAN ""•"' r' WOODS HOLE OCEANOGRAPHIC INSTITUTION =-° - 69 Ocean View Avenue Cotuit, Massachusetts Stephen Stimson Associates Landscape Architects One Locust Street, Falmouth Massachusetts 02540 Scale 10 180 1160 1240 1320 ,�� f ZONE: {r( r rl 1 RF 1 (RPOD) Area (min.)87,120 SF q I ° I Frontsrggg(e(min)20'Width JI C3WLt Setbacks.. etbacks 125' "7� LDC " • Front O1 o mrlxr \\• ,I \\ I \ / I Side15� s dt j2,, f2 V 1 I z _ _ C' o�J \7027 I. \ _/_ _ _ _ _- _ - v_ _ �.__ __ �_ ._ _�_ ._�_.-Rear..15•,_ � �_ C. . ..4� �\,RY a°"-ca '' y��4�r\ °'"✓R�s� ' REVISED GROUNDWATER / PROTECTION OVERLAY DISTRICT: W o°W. _ AP - Aquifer Protection District n'sr°D�°Pn"i'° j _ _ �I FEMA FLOOD ZONE 4oc or ro ,j I� Zone C, B, A13 EL 12 & V77 Lot Jr 4 \' \ / / �, \ \ \ \ \ 4' j - Access Easement Panel#250001 0018 D (rev. July - 1 1 A+ N I__ / .� \ \ \ \.. over Exist g O,Ne - l 1791193fSF_LP land 411±AC\ I '�`T4R \ \ \ \ ^^ Tn Deean v Avenue LOCATION MAP 1 - T 797.7 ,\ \ \ 1 \ to Sae LC O 0698.963 m q `3,125tSF Wetland, 0.71±AC J t'=z000'.t 210,318tSF to MLW �\ 4.83±AC i; �f �' �\�/ j`� I t II I t` \ J// _ ASSESSORS REF: Map 034, Parcel 045 DIRECTIONS: From.Hyannis- Take Route 28 towards Cotuik - 1 Take a left onto Putnam Avenue at a set of lights, - i ItI \ l 1 \ \ \ / - d follow to the end; Take a left onto Main �m�- / I 1 \ - I ,• \ \ gS ss r Street; Bear left onto Ocean View Avenue, and site is on the left, #71. xs 2rnartr sra,e o \L 8�09•. / Or;�•e - J;,_ NQo,""a arsHED / ' TO _- \w•m YY\ d pagyg `\` aE�a�~w� Wm 35 ttti V \. I ••(. ;rya/ 5D i� _ / 4 .... ...... ...... --- (h mrtxi - 1T50p, - --\ _ \ \` �./ ° • - _ �\__ '\°-i.o'. -- \ /I \ 10 0 7(EL�4) if W N7 -`"_ _ -� y-- �\ \ '/ / _ /_i_ _�"6 37 ,'_' ` \\: 1�� _,t t /v peg N 35'W r- '' ` s\ l \ \•- ` \ `\ I `', ••( o 5 / •\.W 1. 2 i N75y557 i . /: "565 ?•,, '-\ .b a\ \ y l................. ....... / N m \ \ \ t 5L a v o \ lc�►V\\ / J \O\ _ r _. ,. �eveior 3+rsm \ � h\ \ \ � I ...�..,�M° . .... ......... J •• P/an LOT? Rev/ry y/ -/Plan Book 263/41'-ry ,_ \ \ \ \ \\ I II oNes\ Qom 1, t\ / _ mm �7 / r. °`elm i� '.__ �\SSW •\ \ I 1. I I\ � \ \ � _d `�' - -- \a/!j � �/ ,0 she"` _- 4t" I/ .. Ste— Hi,, - � /N/r \\ �I �!": n - _4`.l _ _ _ �`�"bw � �- , J) /`o' ' _ aT, ��. PLOT I lvh Book 263/41 �^ _o /-�, ._ /. �/ \ O(n0une FdQB /° 5/ • � - Ga".°�� \ r \ a dr A On Plvn by J cS3-P'_D f.d(mk July 3,1976 ((Sea Plan Baak 306/96), LEGEND 'N� LOT S Plan soak 263/41 \ s e ® Sewer Manhole - ft Deciduous Tree I P�\f,,l/ \\\\°O9j °r ,yx / •Post , ® Electric Manhole �. `I \'.\'VSy. \,a\ dy 'pd - -.`" . ® Catch Basin Coniferous 0� y� //�� ® Catch Basin (round) Tree - s°. \ \ ° ra , F/°> •// A. 1l/ Hydrant Sign L°0_ r'a,�� \ •\\\ w esc 6• /. A• O Iron Pipe - - Ot Light Post - _ Zr pw. <ot F, \ n�1�g� © Gas Gale / FEMA Zone Linos Stake& Tack Rom s'�•ny /.' �u ,��/ '�/ As Shown On FlRM O CB/DH Concrete Bound w/Drill.hole O+ Water Cate Pvnel A 250001 001H D 1 - 9 SB/DH Stone Bound w/Drill hole ® Well '� rav July 2.1992 �r O PK nail Landward Edge O Vent Pipe - LIMIT Of UNDEVELOPED COASTAL BARRIER Or Oune � 8 SS O Steel Re-bar w/Schofield Cap O Utility Pole I - paen6red 1990) F J O Survey Marker Pin - —OHw—Overhead Wires , as Shown On FlRM ;;' ,�' 95*• {Wc)• J `/•�, 1 --35--Elevation Contour Panty,F 250001 001e 0 July 2.1992 / , NOTES: PREPARED FOR:) PREPARED BY.- IfTLE: Proposed Building - L) The.property line information shown was The' Pickwick Realty Trust Ivan Bereznicki Associates,Inc. CapeSu ry Relocation & Demolition (1r'�compiled from available record information. Andrew Newman, Trustee. ARCHITECT 2. The topographic information was obtained 7 Parker 655oad } C�O The Beacon Companies 9wendet+str021 Osterville MA 02655 AL - L` from n on the round surve performed on P cambriage,MiA 0n 39 O or between 28/DEC107 and r9,NOV/08. SO�Federol St., 4th Floor 508)410-3994(SOH)a10-J995 rax 71 Ocean View Avenue Boston MA 02110 6171354 618H 69(61718685) ape rv6taperod.net 3.) The datum used is NGVD '29, v Fixed mean _ - sea level datum. , R 30 0 f 15 30 60 :1Yp Draft' Ru Field. MLL/RRL/DWB . Barnstable (Cotuit), Mass. W ��.�- Review IB Com MLL RRL DATE: SCALE: _ �S Protect. 1010.00 Protect: C323 August 1, 2010 1"=30' I r e , nn11 ZONE: ASSESSORS REF.: W 3 Map 034, Parcel 045 RF-1 (RPOD) Area (min.) n) 20' SF FEMA FLOOD ZONE Fronta e (min) 20' o �ce/DH ) Zone C, B, A13 EL12 , & V17 EL14 o d J Width min 125' ( ) ( ) Z �CBIDH Setbacks: e Panel # 250001 0018 D (rev. July 2, 1992) Front 30' Side 15' 's810H 935j _ the j Access Easement Rear 15' REVISED GROUNDWATER 3 CBgH fver9�e/F Over Exist,n9 Drive PROTECTION OVERLAY DISTRICT: j To Ocean View Avenue a Fnd N )-;46 JJ 19>>S T��f sy Reairy j See LC" Ddc #698,963 AP — Aquifer Protection District Q. :V- Lot 5 55.7' Ind 6$BSf�j` t 1 Sty W/F Js 5 J 2s 1 certify that the new seH Caretakers F d �4 y rnd/D. Residence .CMH foundation shown hereon F 18.5' 8�09, conforms to the setback Como rmer �. CB/DH New Cona-ete 9ey°Se Fd F requirements of the Zoning °ff° Bylaws of the town of s7.2 / Foundation 6 y o 2 Sty W/F #7� 11��e��`� Barnstable. Z Guesthouse .. 65.2' 76.4' �S C"H 46nos FBd JJ / �gz�426 \ Q� P 2u, iV�s435, i ' �V i Ind \ \ a o /FEM1�CE RICHARD A. � w Retaining Walls Landward Ede 0.) \ � � i� Of Dune F: %� CHEUREUX?. iV�s7J 4J 565 OC Top Of Bank ., NO. 34312` 04 �37 ocean �eWF s W nd _ ey7 �iS cr tQIt1TE` O �\y Rea/ty Taus N1i/• S6„ Ce H 89.6' /� BSre��e i O Ind C6 Ind �O / 17 -E,WA Zones 1--4"-c Ind A13(EL12) St even Nf F e} . , 'V�4¢ 9 I / % Stone Groin (Burried) NOTES. Hl�sch Z �' Schofield AsDSho JOY Plan by s (See Plan Book JO6/96).. 1.) The structures shown were located on the ground by conventional survey methods on (or between) 0 IV`F�1� of ' � /� � � f �� 28/DEC/07 and 14/APR/11. �� `� tis9s ea�''vs 0e�c� // F s N 2.) The property line information shown hereon was I-)EMA Zone Lines , cti 1 �``% compiled from available record information. As "'As. Shown On FIRM �5255� = c°° . �'A� °a Panel # 250001 0018 D 33 N, 128 JJ N ` rev July 2, 1992 95. cq/c 3.) This plan is not for recording and is not to be used for construction layout or deed description i LIMIT Of UNDEVELOPED COASTAL BARRIER �1 purposes. (Identified 1990) / V As Shown On FIRM Panel # 250001 0018 D rev July 2, 1992 Sheet # Title: Prepared For: Notes/Revisions: Plot Plan of Land CapeS U CV 'Scale: 1"=80' see Above. The Pickwick 1 of 1 At 71 Ocean View Avenue In 7 Porker Road {'Date: Realty Trust Osterville MA 02655 251APRIII Barnstable (Cotult) Mass. - (508)420-3994 (508)420-3995 fox copesurv@cdpecod.net Dw9: C323_5g 1 1. e,e-ly 4rwS } ' f • pie .t�r,!�'�EE��"y�#��gy�ug�, a � t i � I h Y � E L_ -�GARAGE EXHAUST FAN W/ I 1 0x1 0 DUCT DOWN TO 10"ABOVE SLAB. �. N. II II I \ II 4 FLUORESCENT LIGHT \ 11 4 I } 11 I�ABOVE,TYP. 11 II I I II 11 n h / r I � o D PROVIDE AIRTIGHT ENCLOSURE AT \ N o FRAMED CEILING TO PREVENT MIGRATION OF ODORS FROMci\ Z p GARAGE TO FIRST FLOOR. 0 GARAGE/STORAGE \ Y Co U f2 I I \ Ii it / Ii it v NEW(3)14"LVL HEADER II II 11 II I - D - li INSULATED 2x6 FRAMING zA — r- — — — EXTERIOR WALLS,TYP. ROOF OVERHANG .. ————————————— —————————————� VIA T x4 FURRING W/PRAY FOAM INSULATION,TYP. y FL E ORNAMENTAL BRACn�I i i 377 9'-0"GARAGE DOOR ' op LF EXISTING W10x30 / x I (VERIFY IN FIELD) D` o FLUORESCENT I I I LIGHT @ WALL IWORK -------- I -�- D az I BENCH ir_____________� ` HVAC DUCT ABOVE— I I — — — —� 2'-8"x6'-8" I I SINK j GARAGE/STORAGE FILE i I ii CLOSET — — — — — — — — — DUCT HEIGHT: 1 DUCT HEIGHT: UC LIGHT D T 2 1/2 i 7-2 1/2" DESK- I CLOSET IoSINK -FLUORESCENT- LIGHT @ WALL ; II I I LLJJ / FILE i I II ❑� II it I II�;. � I \ � D D Ii � OFFICE UC LIGH BATH ... p I EXISTING ELEVATOR C Z I SHOWER OPTIONAL ELEVATOR _ MECH o g SHELF ABOVE REF. I ® SHAFT in HOSE BIBB T . .gyp D N I I D I - — — — — — — — I I PUMPS I I 7-7 I �J a I I HALL, -21 I C D JI I 1 — D STORAGE — o TOP OF SLAB IF O. D ELEV.29'-9" —— THE PICKWICK REALTY TRUST — GUEST HOUSE CARETAKER WORKSHOP 1 DATE: 12/6/2012 SCALE: 1/4" = F-0" © IVAN BEREZNICKI ASSOCIATES, INC. e I JJO�TFI F�JPTIO.�I JL n _ o Lj C C Ci Cl IC_i � i c ICE ----_- - - = -- C -- --... - - - -Ell -'- ... _ —. Y r.i_.r-.o To vF,ray...:/] �Y/ //n-.•To ' Es15T -�Ll uq7 iny• - « VVEST F—LEOAT/Oh/' - CCC] '.ICCJC - IE C -- -- - - -- - - --- . - ' C�ICI M C� • Socz71-/ EISEUAT/O�/ 4 ZWS77-4 Cow+o.7/o�dS�1C��ACH A'S � .. t. oweera woes. j x ^ _ t. l ,__- '• � .t• � .. - ��} � 1 4—�..-- -L - -C- 1 7�- -11--1L- n- L�1=�� `_—Il- It t Ill Ih'-'!>-u-�L L` fl—� - - . T.- � � - �,�.1�►I�.._I�r_ il�gLC�II=--�Ir`=�r-r_._��� u�-=i�_ � - --_ _ �-�---��-�-- e,ArtN. Li r r _ I « _ —_ --_ - — - a - , j .. _'`/7ASE/tour yisrnv(r- .?Arse RooF To �„✓>cH �� G r• e +.x' r.r:. ,' fq •.. ,. " Y r/IL�) f]/•AC Cirlr frL ' •< J - � ✓ � F - .n r ff e r �u- x . i _ --ac-srJ • OB 103 /. IIO4• r v • .. a .. ! 'r a. Ra ".. � 11—. �I . - -• ,. � � � ° ' A... •. a _-. - ..f.� . - _' .'• `Y 82. i -_ w Jt'y,Corrld� f 3 - r � - y e l , r n 6 , v^ ` r x" 4 I e e w - JL l _ t _ - • : r,q - - - -- — ----- _ FrI 71 to • . . RcPQaas Ar.o Acr�krrtcrts n¢3es+cif`f�nst .. 7/ O of Ceara swAvB eorGl.r- A ZONE: RF-1 (RPOD) Area (min. 87,120 SF o I I \ Fronts�a (min) 20' �, I \ \ Width min) 125' Setbacs: M �` I / Front 30 •= 4,F t x r , 11 •» ., , jII • , mow: ko►-rn �• \ 1 ` I \ Side 15' Z o o U IZ � i 11p2 , ' ( \ / / Rear 15' Q- w CRAN m i \ ...`:yr..^..-c�.s':'�..—n.�.......... Fnd /� / �•` r a a •S ' ?i .tiX REVISED GROUNDWATER PROTECTION OVERLAY DISTRICT: aye z k SBIVH AP Aquifer Protection District Fnd + / - _ 'FJI' I A� <}. 4 v + F x rxt n t> A� sx:• F 1 \ -----^ ( :i 'nLe jy • <y �r �O . 6 r 'r �^tee ��'�Ct+;j�*sDfrfr not9�laie / , FEMA FLOOD ZONE �»`'•'r� •� Y� t �� .�f����f4 � : I '' -- --• / :: \ '- / / / / \ tut / �c� 91p � � Zone C, B, A i 3(EL 12), & V17 (EL 14) - j � ��,��� � �z < •� \ / .++ o � Lot 5 \\.\ # / / ..... -- / � \ \ \ � \ F /� Access Easement Panel # 250001 0018 D (rev. July 2, 1992) J , \ \ \ Over Existing Drive v \ ` J I N 3. \ ` \ \ \ LOCATION MAP -\ To Ocean View Avenue t. �o 179,19,3fS� Upland 4.11fAC - / I / 4 19 J \ \ \ ` \ Lawn / / See LC Doc #698 963 0�, { 31,125-+SF Wetlands 0.71±AC / ( / I �� \ \\ 11 it '` \ '00 =200of 210,318f'SF to MLW \ 4.83-+AC / I j l / I ` 1 \ / ASSESSORS REF.: Map 034, Parcel 045 CID H Lawn nd Lawn DIRECTIONS: b \ I l / / \ \ / tiDo / I / ( I { 1 ► \ \ 52.4), Lawn From Hyannis - ' Take Route 28 towards Cotuit; + Take a left onto Putnam Avenue at a set of lights, IS W �9i / / / / ( I 5 �' 1 \ \ - / 1 and follow to the end; Toke a left onto Main (b N N I / I / \ `` l 0 4' \ \ \ \ d 6S 8S, // Street; Bear left onto Ocean View Avenue, and z d o°' a / I / / i I , ` � ..._. ._ .- \ \ /,- 6g/15' site is on the left, #71. I SB H ,,/ \ / / / / >Find �1O \,.,' .-'I~ � \ � � c o /276.0' Ile \ J h V _ \ \ \ Lawn 9. / / , / ` \ ,� _ �`` \ \ _,^� 'Stone ``\ / C Drive 90 / / '� r R Lc n \ a ��/ \\2�t• -' �. Asiohq/�ye/ \ rid p r e / / / .- ~ / / / / fJ 27.Y' \ ` g ��� `n°�n°°r"�i w " 1 o9yCSe �., -36 - arWgis/ yo �A 22 01' `20 "�� ' '•^�i�'- . " 1��1' h . ` V \��, N l/ I y% '/ ( f •" ` \, ---- \� - .eonswn+t Pa ,/- I `-,. =-•. J 1 o ng Lawn \.LJ ad ...............•. . ... .. .... ... .. .. . ... . _ a/d' / ` - / // / , \ I//I� I// / / \\ \� \ \ �.... .. Lawn ....... ` '\ `-• . r 't3� \ J --- _ rr=si •/� / / F�� \ t ) I/II / / -� _ __ \\\ \� �x .- -- ---•� �. �, Ar ``\ _�'-'�,-. -w�---' _._•.� _. / // /���\ \\ \ 1 / //j/II /. '� //�G� .,. '.•' — IN, \ \ \ \ \ �x \\ `" . „'-• ...._ / - \•� \ Garden 9B/DH 115,0 , -- •• \ _-- ='/''�` \ \\ \ /////// ! ' �! % �.�.�—�� — -� - ,:� `� \ \ \,n \ x`o-�40� da, \` \k\\ \. -•�. ' \ \ \ 4a \ \ ,`6 C Fnd N,6.0 r ` \ ry _- J 1 - �' / �\ / /// // / / / /�j �- "'-moo '! , L. `\ \ ° Az►o \`�k \ �.... \ 2�_ , Lan Iear ctj _ ��" ` _ AK 4¢a3$„w _ r \� I // //�// /// '-/��/ / o� f�,`°_ - Ce \\\ �S 1 \ \��. �` ` \-- `�,� _ -� - fti -►�y i l p 1 \� / / � \ ..-- .,." - "^'•/��/ //��/ / / f "� .,•.• — ...- .._. ._,,,_ ._.. •-.. ••.... '` `•`. � \ \ ` • ••+.. `\\\` \�/ \ `' � � '.."'.."", 4" fix/ ,/' // _ 7• V % / ^ — / / \ � `\ T 9 x \ ,.. . j / \ cs'/�+ �Z•L , - i!�// 0 c° fiN\3 wire,�� r • /��!l / / // / '`r�+�Dr / / 5.... 10, _ 1310 N / even E Hirsch \ \h \ \ \ \ \ r \ \ \ \ FC I / 21 ceon V;ed / / / r / J LOT 3 \ 1 \-7L \ _ �_ -z•F.c, Trust Rea/ty / Plan Book 263/41 1 \ \ \ \ \ 16 orie,� . _ ,.- ... I lawn \ 0^ plan L pi ? ate f / /� \ \ \ \ t i ` ' (" - �--- — Book 2 2s,�j4i o � ( i /I �\ � ,\ �. \ •�,�\ � 1 1 I > >`' ' ///%/�fi�i' '� ocr �' . t roof tong•.:je%,io-�./ ' / v' - /locolAillon Steven E Hirsch / \IN, `` `' \ \ f = _ —` '/POO, - LOT 4.7 - _I 1 1 �e/dsf Landw rd Ede / �O Plan Book 263141 °"°;Edge P g/ Of Dyne / el• =* -�► = .= -.• ` Lowrie• _\ .....• '' , - / / �1 // �: / g Pond I O I \ \ .— �.. T•.y�= `•a'= '•may„ 0 ., —. — ��"•�..•- `� ..i''/ �' ,' \ `. — •� / - r j :' u �ioar e z \ \ 13 �y anti• Upper control \\ \ \.� /• N Cats S \ \ 'SV I�, oGtoa,• r .,,, . \� ` ••\\\,w,. — .,,,i/ej ✓%• '/ '/ /•/• 49. l ' upp.: i (ou�et \ \ --7- -- -- __• _ F°�se0 `�� \ — — `J/ ' --� . - — ~7J• L __.. .L ower Floor�eve�n a)*•t4 7.o' ILI t Not Found) ` Wal Y f/�7�\�\ \\\` .- \\ /'�/ // � \ / l `92 3�R SS' a `\\ /` 7�, a-as' / lst�nelrroiil (Burned) pvx. 1' \ ary - RFPAIR'i d- 'ttOtV3 m -- --- - ap �n _ , / ` r \�\ \\\ \ \ \ \\s ��� A3chofie/d Dated VSbown*On l,!ul bye 1976 '�/ /• J. >w�HOUSE camk Lawn r ► / \ / y /. (See Plan Book06/96)•, ;;l A' eekmRrOUQ ih r"1rs Robot BneoaaFAIA AVCbW w/f / •x cr\ n.semtotFE chdid Senatd shed v N, •\ \� \ ' For Propo lom""n' 5 m Pond `•� \ er t o Se e ►s / ./', LOT 5 9 �• \ \ �\\ \ S� r x LEGEND \ Plan Book 263141 �� 0�el ,, \\ \ \ -1i1i :: �. sF SECTION DETAILEri SCALE: 1" = 4' a Deciduous Tree \`� \\ \ �"' Post *BY OTHERS* QS Sewer Manhole ® Electric Manhole -•f \�ti� ��, fh o \ e°`d r SCOPE OF WORK ® Catch Basin Coniferous Tree �y \ a• AwroxFnats Alvan Low.twt a •% / \,/ )'TEMPORARILY RELOCATE 0 r '� Existing PORTION OF STRUCUTRE. / Catch Basin (round) Septic J 2) REPLACE PILE FOUNDATION, oa �}a Hydron t .i S ` 4, ,(EL=jas'ed onNGWJ SACEc� 1`ie \ \ Basnd an USALiE Data �jCO�G� O 3) REPLACE ROTTEN WOOD r� -�-- Sign o i en .. / .O 7 F F \\ cone \ And 8 dMn yAl2tue':7' AS REQUIRED. j O Iron Pipe # Light Post �� " goo (or yj A,. \� �•� :%• :� '� 4j / \ \ 4) ELEVATE FLOOR 1'-9". : Stake & Tack © Gas Gate FEMA Zone Lines 800* s �0h ��'' :� :% ao� ►�/\/ O As Shown On FIRM y / \ 5) ELEVATE ROOF AN �,� / ?&3 \ tV752 y / re{e i ` \� N NAL 1'-3". O CB/DH Concrete Bound w/ Drill hole O Water :Gate R Panel ;lE 250001 0018 D i�� 4• S$6., G o c Wal ADDITiO �c Sill. Ai'�` ' y ed top be+w O 6) PRUNE VEGETATION OVER C O SB/DH Stone Bound w/ Drill hole ® Well Edo. LIVA rev Jul 2 1992 Landward Ede �� Bottom Of F U►RED. (O PK nail pp 4 % • / d� _1- c� 1 Coastal Sank oordwak Beach SSMO Steel Re-bar w Schofield Co -O- Utilit pPole 4 �§ LIMIT Of UNDEVELOPED COASTAL BARRIER Of Dune .� %•' ' ° Fnd / P y ass: ? (Identiiied 1990) 9 \ \ SM O Survey Marker Pin oHW Overhead Wires , L As Shown On FlRM °-;� :� •gs� . �co1cJ' Fnd - -35- - Elevation Contour o Panel 250ul y 0018 D i J� w '1 5ty:W;IF '• 1 f` J rev July 2. 1992 • ��gacfi:��6afh:H.ousd� \ .' .1. � NOTES: 1.) The intent of this plan is for the permitting of PREPARED FOR: PREPARED BY 7TTLE: _ Site Plan -� Concrete repairs and alterations to the existing beach / The Pickwick Reatt TrUSt Inc. Retaining Wall — "- — — — — both houst. Only wetland resources affecting this y Sullivan Engineering, ICapeSury Proposed Repairs & Alterations work are shown. Additional resources J. Robert Casey, Trustee _ - - -- -- _ which may impact the site may be present. PO Box 659 7 Parker Read For Existing Beach / Bath House - — - - Landward Ede >>8•: 168•': c o The Beacon Companies Of Dune o TU M,H °,M,� / P Osterville, MA 02655 Osterville MA O�S55 O _- - - m3 W. w 2.) The roperty line information shown was �0 Federal St 4th Floor --- • _ --• •- -- Limit Of Undeveloped x p •, 508 428-3344 508 428-3115 fax 508 420-3994 508 420-39V6 fox At 71 Ocean View Avenue m compiled from available record information. ( ) ( ) f f ) Vol Coastal Barrier i Boston MA 02110 Pond c,'a copesurvOcapeco,t ,et (►dehownd n 90) FIR o o 3.) The topographic information was obtained As Shown On FIRM V•.. Bamistable -Panel # 250001 0018 D from an on the ground survey performed on (CotUlt) Mass■rev Juiy 2, tss2 or between 28/DEC/07 and 79/NOV/08. 30 0 15 30 60 12p Draft: JOD Freld: MLL/RRL/DWB \ 4. The datum used is NGVD '29, a fixed mean Review: PS Comp.: MLL/RRL DATE: SCALE: PLAN VIEW DETAIL ) July 8 2 •/ sea level datum. -- _ - -- - - - - o..,.:,.,�. *71nn� ____ - __ -o�,,;o„�• --_C323- Y Dog 1 n = 30' - - - --- 1" - - SCALE: 1" = 20' - - - - Ttag TPry1IL 4,„��11a r I.t . GRADE Z • TOP OF WALL DETAIL VARIES M o #5 BARS 0 12" O.C. VERTICAL (SEE ARCHITECT) It H V � w00 • #5 BARS 0 12" O.C. HORIZONTAL GRAD #5 BARS 0 16 O.C. VERTICAL U KEY: W o00�0 "T" BARS TOP H (HEIGHT): 4'-0" TO 8'-0" 1'-0" BARS VERTICAL T: (2) #5 BARS HORIZONTAL #5 BARS 0 12" O.C. HORIZONTAL WW B: (2) #5 BARS HORIZONTAL T REQUIRED V: NO a �o N w �- j H (HEIGHT): 8'-1" TO 12'-0" z a R " T: (2) #5 BARS HORIZONTAL W N 0 10 MIN. B: (2) #5 BARS HORIZONTAL a, = V: #6 BARS 0 16" O.C. VERTICAL 1 —O H (HEIGHT): OVER 10'-0" Z SEE SEPERATE DETAIL n • #4 DOWELS 0 32" O.C. 01010.00 • 0 2" CLEAR COVER DRAWN BY J.C. I (V • COPYRIGHTED KI ASSOC.,IVAN BEREZNtCKI A INC o PROVIDE 6"0 WEEPS I "B" BARS BOTTOM 0 6'-0" O.C. OR APPROVED EQUAL GRADE #6 BARS 0 12" O.C. VERTICAL EXTENDING FROM FOOTING 2'-0" GARAGE RETAINING WALL GENERAL NOTES: 1. FOOTING EXCAVATIONS SHALL BE FINISHED WITH A SMOOTH EDGED BUCKET TO REDUCE DISTURBANCE AND w PROOF ROLLED. N 2 5ection T i ca I Non-Reta i n i n S I to Wa I I 2. BOTTOM OF FOOTING SHALL BE PLACED ON UNDISTURBED SOIL. SOIL SHALL BE CAPABLE OF SUSTAINING A BEARING PRESSURE OF 2000 POUNDS/SQ. FOOT TO BE VERIFIED ON SITE BY A GEOTECHNICAL ENGINEER. R ,$ SCALE: 1/2" = 1'-0" GRADE #5 BARS O 16" O.C. 3. ADEQUATE DRAINAGE SHOULD BE PROVIDED TO PREVENT HYDROSTATIC PRESSURE BUILD UP BEHIND RETAINING 01 NOTE: TIE ALL WALLS TOGETHER. SEE CONCRETE WALL DETAILS S240 - _ VERTICAL EXTENDING FROM FOOTING WALLS. 4. PROVIDE VERTICAL EXPANSION JOINTS 0 20'-0" O.C. AS PER THE DETAILS BELOW. ' w 5. RETAINING WALL BACKFILL SHALL BE OF APPROVED MATERIAL BY A GEOTECHNICAL ENGINEER. a 0 #5 BARS 0 12" O.C. o W R . . . . R of 3/4" WIDE ELASTOMERIC • -(6) #5 BARS HORIZONTAL #5 BARS ® 12" O.C. --� . SEALANT ~ i•�►.�--�I 3'-6" z 0 F---i 6'-9" .I • (5) #5 BARS HORIZONTAL ' t 2'-0" 2'-10" 5ection @ Typical Retainin WaII 6'-6" SCALE: 3/4" = 1'-0" 1,8 TYPICAL EXPANSION JOINT DETAIL Section Gara e Retainin Wall � o W U SCALE: 3/4" = 1'-0" Q `' 4 � GRADE GRADE U a GRADE i i #6 BARS 0 10" O.C. VERTICAL #6 BARS 0 12" O.C. VERTICAL #5 BARS 0 12" O.C. VERTICAL #5 BARS O 12 O.C. HORIZONTAL c #5 BARS 0 12 O.C. HORIZONTAL #5 BARS 0 12" O.C. HORIZONTAL I 10" 1'-0" OI SCALE: DATE:12/17/2010 r • • REVISIONS: 2" CLEAR COVER 2" CLEAR COVER 2" CLEAR COVER 1Q 2/2/2011 • ® ®6/22/2011 PROVIDE 6"0 WEEPS PROVIDE 6"0 WEEPS PROVIDE 6"0 WEEPS Q O 6'-0" O.C. OR APPROVED EQUAL 0 6'-0" O.C. OR APPROVED EQUAL ® 6'-0" O.C. OR APPROVED EQUAL • i i GRADE #6 BARS 0 10" O.C. GRADE #6 BARS 0 12" O.C. GRADE VERTICAL EXTENDING FROM FOOTING VERTICAL EXTENDING FROM FOOTING VERTICAL EXTENDING FROM FOOTING w v v N CL a N R a z_ 1'-6" _E 1'-8" i � O I o I - t t #6 BARS 0 12" O.C. #6 BARS 0 12" O.C. #5 BARS O 12" O.C. TAININC WALL R • • • • • _ • C • • • • • • 0 • • • • _ 7 o 8 5 BARS HORIZONTAL i (8) #5 BARS HORIZONTAL i (6) #5 BARS HORIZONTAL DETAILS t XjN OF aj'gs'scy 9 2'-6" 6'-6" 2'-6" 60-4" 2'-0" 4'-10" o JONATHAN G g T.COWEN , STRU 10'-6" 10 -6 CTURAL -+ ' 8 -6 No.46654 v' CONSTRUCTION ��dr 9FG/STERti6 ONA SET ASS/ I.LNG i a ra eta i n i n Wa all 5ection Gara e Retainin Wall Section Gara e Retainin Wall 2 5ection G e R 3 SCALE: 3/4" 1'-0" SCALE: 3 4" = 1'-0" / Cowen ASSOO �ItBS 1 / SCALE: 3 4" 1'-0" ConsultingEngineers 29 Vesta Road Natick,Massachusetts 01760 2 *0b Telephone(508)655-3976 Facsimile(508)655-4284 Email:fred@cowenassoc.com www.cowenessoo.com CA JOB #10.066 _ - - .,'-,wI ..'��q;,,�:",N.�._',,I.::.I\I-I',,7,i,:,4'.L."I I;, - 3 - _" - //-.---_/-l' /" :;...,I I,:-,, ,._,.,I,,- ,I,'.,,.t1 1.?-,1.,.11,,.:I.4/ ,I;1.1,1 ..19_:I''....'I1,V2I,:6.'I..,I.I.,,:. 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Ii , 1. i DWATER \ a3 Vl ED GROUN �. . _:.:.� _ . , :_, .. ...... / x -:.. e. ..- �. .. ,;, .: ,-. � ...:,, .. ... , - - -, -� a .�. .. _ �.. _;_ i' v i / /,� -. .e �• ,. ,' +. .. , , i i ,. .,.., ..q, .: _., , a , � � DISTRICT. , • ON OVE I r II 1-_I_--_-_.-k_-k_%§_-I,1c?Z_,a-b0-oj.-nQ(_O_1 6,, 4-%E I8.Qzr0_CR(>0N0 1K kD:)80.�0_)0;.r�����iN��:�c���-I,I_F0C.\�9 4 �1�1.14I._/,/�_.I_I.4j/,aI II 1 I-\,I #I,,,,-,I--,1 ..--.,I/--_,_—_I-N_:_.�_z\1�InN-\.-=,. -,_M,�,_.%1,/f"/j 1�2�7 6.,0._1.'-1.1 1.1...._._1.'.�"..`1.�.1.I.'/ll.k./�b 141-1/1--/ �-` I I-- . I.) & ../ .-. 7 i.: �a ... .1 .- I; : ,. '.. : . : :', c 4 • ! : i .- / r x , .. tlon District • - A uifer:Protec . i sus / 9 � : 3 y. •6 /. ' i , AP q 7 o ro _ And .....� • :; I ni /� .. e , ,s ♦ �• \ ,• F : w , - . , t / / .. c < :, + / eorr o/ „ A , . i e. / � ,, ,- v .. - :,. ,.. .. , ,. , �, Lam. I �E : : ...,... 1 n �,. / . � . u e , , , . . , c \ o 4 .- i,,., .••. / �- o Zone C :8 ) .1 a .a• r 3 �r . ,. . i :. i.� - 1. :. .., :. 9 ! \ .,, ,, : , , , el 250001 OOi 8 D rev. Jul 2. �. / / .i \ aE Access'Easement n ( y\ . , Pa 1 1 Lo 5 / / t ,� 1 . i on s >n o�.� t . : t MAP, \ / X LOCA7/CN J i „ \, 1 N To .Oc:ean V1ew Aver►ue , . .F. + ._ \ ion 4.IIfAC --• - I i �'3 ` a t 179,19 tSE• d ) 1• \, See 1C Doc 98,963 a� , t 1 2000 \ ,r , \ s } } . 0.71iAC I I . / , ' 1,125ISF Wetlond� `� .. . / C 1 , ►; \ REF i / 1 1 . 1 . \ / : ASSESSOR \ I ' 4. 3fAC 210 318 SF to ML / 1 045 1 1 , Parce 7 / •� 1 Map 034, � \ . i / / 1 . 00 1 / / / } V .� / // Ce �. I / DIRECTION / / / , \ , , od . t 1 / ,.\ „ . o , \ / / \ w . $ „ _ i \ ? , . �a.� 1• From H nnls Toke Route 28 towards Cotuit; ' / co / / i i 4 Ya ! ► f ! , = Leff onto Putnam Avenue of o set of lights,/ h I ! \ Take a / f I /. * T ke o left onto Main o ! i T` \' ,.' and follow to the end, a / I l ! ` 1 \ - w I ` I . 4, . , ,� / Street; Bear left onto Ocean View Avenue, and I / �. ;^ \ , m I ! \ . a •8 site is•on the left. 1. N / / j \ \ � s #7 I . ago / / } / 1 ?•�j i, 9 s — \ ., e r / i 1 \ o z M / 1 a �` \ i'' m., '1�_.'I,II-�,.,.,,,I:,-.,.:;,,',:.-,-: ,I"1;,�...',,*",1,\,1;1,,.,.-I,,-;".:,,,_.A,'I-"",...I%.,I','�1,, / / 1 / \ N` 1 \ , / / \' ' �. 3 3 ..3 r3 / l \ / " 1 I O . „ , seytr / \ ! 4 . Fnd / / ,'o / 1 J o \ , , . f - ,., y .�tom / / 3\ \ a 3 24. ' •'`• ram" r 38 / - g . 1 .-q \ - / � \ / ` o j 1 / / "/ � "29 \ 8) z \ 01 I,- / , .01, I .1 I - - I A+ ''. 11 I . I - I 1 $10,110 OVOJ-, , I I / ,� / . . / / \ / ,y0 •••.. 1 // / / / / � / 1 \ \ ...... } /........ •,,, i 4 t r `�,, to / �.,,,•. .. M ,-,_ , �. • } 5 C� V / // /// •. •Ili, i! / ./ 1/ - '�' `"'4 C 4,9e , 0 '.�- 5_e �•��9A°\,cA I/ 3 J► e — _.. 4"!�,��I-a.11 11. 0 0, ,^V / / \ •- / / / -.��.,.• , 2 -.r z: .. V.r f 1 3 i -�. c9� \22.01 fi.°� .. I : 11, / / , kt ►. o, o � / I i I `� ---, .,,� % /23: Po jn / !'/ / % 1 "'A` Is mac,, a 4 � s '� tj :. to - /1, ._1 / .0 le' \ \ 'r -V 'r / .01 ... I I, 7%, � 4 . I .... .................... - ...,_ - - j \ I I . i I I.CQ(c,I4zh4)0z.. /. _I / ---,e \ — f.,r—' y R-Ur/ / / t�/ \ /// / // / / //• — —• �•- -- — ` ` . \ ._.`k_ \ ,� / * 1 --.� \ I- 1Y _ _ _ _ _ / I/ *-i t.I t---%-..--,it : ___1*-V11.*_,-N I-_\I I- ._1±4I)0I-7I.A 1 p,- "l 1 \ [ -. -.- _ �- \ .- `� ,�' \ Garden ss/bii 1rS00, N 1�`"-_ _,._�__w� =�-�� \ \ ///�// /, �,� r _" .. +`�` `�s:` e'a•°'��, \� _\\,r'�\ '-�- .�• \,\ \1 co„n 22- A 1 \ f•• /•y6 a' eg- V11� �/ - Fnd N .. 1 } ,7 " ,/ I / /// � / / .�- . . \ eo.e ZNo ,. ..' ` ` \ .,, / 1 3 ti . 1 b _ i �'' A _ ^ _ _ ' 3 parr �. //r-./i .P // / / q� , / / .,•..,.,5-::.. �` \ \ \ a \ �r�.�i i :- .i/ yr �� / r / / 5 / ..._ - - :� ,\ \ \ �` 1 i \ l 2-; i .. /r i �� �- _ - E. V 15 /1/j5�7,46A �' / / / // / / / �'� / \ \ \\ \ e<rse' i / \ i 1 �� %i�i. -.�'- fj� p N/k W ! / / i ''• even E Hirsch \` ` \ \ \\ \ \` ' \ 00n0 \ \ '` o' I ! \\ �21 �� l /rim.--� /�,.- ",.�•� e�� ' ` 1 SF. 201� • :k --•• n ......• ..........�;...c,wt,.a °`.`s`1."' '/iidew Rev! / Fnd __ ,/Plan Book 263/41"' '\ � \ \ \\ I \ \ i� �'o,�@ „� ... --' ..� /' k7r ,,"�' �r� /� " _.. loarwn9wa• st ty I \ \ 1 } I s! town / / �.•�. _.�• t.. p nor y / / \ \ � `� 1 .. 1 1 20 y,''` _ /, 1/ _ _ .. l \, / f __.-. r-,_a•�.```` /on Qook 263/4f o- I // 1 1 '� \\���''\ \..• } ) I 1 1 i i t\ c /} �. d/�" - /�- ii i�it/i - EARNS T -CONSERVATION �g2021� \ i '= -�' yes "`\ \ I I \ \ •:: :' 7,aI I'll 1r ,,. "I\Vr9 1N-, -�_*,.�.--I'` _ _.e.:%/'% .'I 1 , . ARI N \ . i �'�'' �� \ �: ��\ ' I \` ` - -- _"'�" ••c /���i%ter/ / \c eta+ 16' - H 201 , , .-,.,../: D. Ioeoakior% ofumty .i \ \ )M\ \ 1 \ .-" r1-15-- i A,d// y SEP root ao•tW xsio•.J , N/F \ \ ) `N < \ •,_` ..- -.. — -' / ///%%% : ' I 4.7 a r i Steven E Hirsch \ :W \ , ..,, \ \ _ _ �. .- - .� ..-, / _ / .- : O • E LOT I �,ddWin. \ is -_ ` •�, . - _ / .X /. /,/ �i-". Land w d Edge /. •`��,, �! Y.j ki . Pion Book 263/41 F�. .�-•. _ _„•-.---c•. _ `-` _ `�` - �-- '"�y� // / �,,�,� Of ne / ! : 8e �� _ I I! 0 F _`` ,` 'r`.,��_„'^' 1 •... •r �- '�..-. arm'• �. .... .••.. •._• ;'� +-f'• „// �//-A/, I �.e _ ( . '� •• I� eg .b`! ' \ \ �.�„ -� •� .._` raw „_ .._ s� /, v/A/"mac g / ��/ .,• 9*>crIPond O \ \ \ 1 \-" �' -- — /i/\/ j/ i -, , \ / l \ .. � : I 2 \ \ \ N 3"3•�9 . �-...� .. - •.� wai• - --%-u•- �, .F /// -' ! • N 1 r • coniroi '\ , , \ 4�, `tom" � ; ✓/• -' .. 1 / /.I •/.: /' ,- ,.-:I. rjP. .;�,*II...I...-: S9. tlppa �1oor LtvcL DY coc. \ �- -- :r16"�l y 10 - -- —/; / Found) __ ���' _ _-- -- ,;� '"s' / 1 , / 1 92 .`�q�o. 1:5 1,. .. -II..*.. *-.,�- Q l.oewtr Rbac.eve.oiyora 70 �V.--.+ /�'•'-' \\/ °°"° \ �` " i E�S9'/ J C 111 : .•: _ ♦ • q� r• • / Storrla oirr (Buurried) /• - A. I . ._.I!1__.-z.-_-1_o21_-q.-___A_1_-1_/*,,. -.U--1%, .. ..•,_-• • -------... . _... . . ... _ - / ' .�` � \ \ %.v\ Eri•7.3" . / • . =' r- r r \ t fir• / own On Plan by.* a /' /• •• •• ' _ .. ..._ ... ------- -em - i�9 //. R.► \ `\ \ �� town r 1 \ / =eid Dated JFrly 3, 197�' ./ . oar: 'w r \ fI _ ." """" -.""""`,..r•-� � `S\� '� 1 \ _._ _ _ _ _ •/ : \ l (See Plan Book $06/96) t A- eeian rouc�n C�►�w,r . .h RdAKD �.Fw► �dN..-...s 0.0 L-.d.1-.'-..'r a...1-�P.I..'_.J/..;�___;_,_;*_1_,04%_1_____.;>7 77174'%7.e 71-.1 /. a %-A w& J �• \ /• .� : �. Te'O x�cb o.ea..►r6 .N.i ` \ \ \ or Pt O e airs ./ . .' r' , \ • -- ,---.1__-.--!'a_-. U_—j- —i!4---/17%;___—___ -U.-OV--I—,O_F-1.I 1-_�"I;--'-.-.:..IUZ._.:...e..,..X.S_...iS._/C:iU:.v;.Am.MJ0 I..,_.M.7._.4.:M.,.0mM.._-dd_U.--I-..I%....-,...?:F L.'Cft:wix.2.a.. • ' .~ 6 ' 5K 5 w Pond \` \ / t 6 a r 1 ./. ., . : . 7 M i �•^ LOT 5 l eg \ \/ 5�1, •f . _ LEGEND \ Plan 8oac 263/41 4ti OC �. "- ..71. : ' . : 1, / . :71_./___ _.r/ .....,.- ..**.'**. ,.l ____ - Deciduous Tree �' �P,§. ` `. \\ \` \`"':•:` ...7. \ Post /_' = / . SECTION DETAIL ® Sewer Manhole 4\ . . ' . • ' - ® ,_,1 \ �N \ rh scA1t 1" 4' Electric Manhole �� S- ��� as 7 : ... X , , . // *BY OTHERS ® Catch Basin 6a \ ., �' " \ SS 0 COPE OF WORK A /: / �/ 1- / / S Coniferous Tree ,, /Y O �ippro drnote Mean cow Mbaf 1/ / / / -e 1 -( ti �z.�/`� - J r1) TEMPORARILY RELOCATE ® Catch Basin (round) ' / \ \ . •( acw1 ac •%A400 . •z PORTION OF STRUCUTRt �� s@y N \ w f / - ` °°a 4- Hydran t Sign `-/ , / / / ��/`c ' // i �,. �f k 2) REPLACE PILE FOUNDATION. - " / p ��` \\ wuo \ �r,d Sena nary�iuzesC': • ./; 1\'S�'� ' Light Post \ / 'h 1• / // �/ '� 3) REPLACE R0T7EN WOOD 4 Iron Pipe FEMA Iona Lines /o' oOrsy�'�'oh �•J / •`_�. '<o� ' '`•� of -� / / AS REQUIRED. Stake & Tack M . '�. 4 . �H / O 0 Q Gas Gate As Shown 0n FTRM ? /Vjs -'/ • dl`' P� / / i 4) ELEVATE FLOOR i=9" WOter Gate Pane! 250001 4018 D s`3 <a a `,: G / / / to i % 1 5 t .EVATE ROOF 1'-3" �, O CB/DH Concrete Bound w/ Drill hole �'g � I / / cre op % % •N ) rev July 2, 1992 'o•e�s• . •V S6 y,, •is / J -A T .- / Ing W � 0 6) PRUNE VEGETATION OVER O SB/DH Stone Bound w/ Drill hole ® Well Saba ai• . �� .- ge o AS REQUIRED. 7 . it Landward Edge a ` ;% �/ t t ROOF O PK na p LIMiT Of UNDEVELOPED COASTAL BARRIER t rn Venf° Pie Of Dune '% '"° om Of SSM t,` . . /' ;y2&• slug t / Bott oar w Bedch ' mil_--+�,°c,, 1 Coastal Bonk �\ Fnd Steel Re-bar w/ Schofield Cap -O- Utility ale (�derrtlreat 1s90) y t ti '\ SM o OHW Overhead Wires As Shown On FIRM n es� •' ,� ,./ `gs ,, • •1 {coley• / - 9FGIs I _Wl ,`, _ 6._ _. .- , 9 ; Fad O Survey Marker Pin _ .` Panel j 25000I 0618 D •O '•�• j Fps„ G, -35- -Elevation Con tour rev .hdy 2, 1992 i ., c;, V1,• — •��,aW,..• Qth.n�T . • , • • • / 11\. . %, _. 5A I I7 ,1 -l", i -"'% sd: / •% •• --- --7-- -- -- -- - --- - - - - ,- - ` - - - , - -. .,_ NOTES: PREPARED FOR: PREPARED BY 77RE: p 1. The intent of this plan is for the permitting of Si -e Ian _�� )repairs and alterations to the existing beach / . The Pickwick Realt Trust . _ _ _ Concrete , - _ _- bath houst. Only wetland resources affecting this 1 CapeSury Proposed Repairs & Alterations - - _ N - Retaining Wall - - "- work are shown. Additional resources y SU�1�V8n E11 lneerin , Inc. t" 1" V__ • J. Robert Casey, Trustee g g 7 Parker Road For Existing Beach IBath Housewhich may impact the site may be present. PO Box 659v_ Landward Ed a ro 0 168•: co The Beacon Companies Osterville MA 02655 o ---- _ of Dune / p OsterWIle, MA 02655 -- _ o My lk . . 2.) The roperty line information shown was �. Federal ,St., ,4 Floor '1ft -•--._ - _.M Limit Of Undewdoped .m . th iew A Y p .. ,, 8 ( I.__.--•--•- 4 com iled from available record information. : , ` 2 - - At .71, Ocean :: Y. Ue p ( � ( ) i5 fox 508 420 3994 (508),420-3995 fox ^'. •�" Coastal Sorrier �. p Boston' MA O21 seapesurv�opecod net . . � c / Pond .� � , . ,�`' - ~%. ! (identified 1890) v ; 3.) The topographic Information was `obtained •* c l As Shawn On FIRM �� Bar staff 1N I I..3..V7 I V-I .. __1-1-I....... I I '`. � i Panel 250001 0018.,D 4° from an on the round curve performed on F Draft Field: , ' , pj (COtuit) ♦, SS, 11 #` QQ yI JOD MLL/,RRL OW '%. / 1992 : or between 28AP107 and. T9/NOV/O8. 30 0 15 30 60 120 / t .� l rev Jul 2, B .. _ .• y :'. ., Review: PS Com MLt` RRL DATE: SCALE. 4•) The datum used isNGVO '29, o fixed, mean p•: / September T 6 2��1 is = �a� PLAN VIEW DETAIL sea level datum. p _ -_- 1. I < , Pro ct: 21007_ Pro'ect: C323, J - '