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HomeMy WebLinkAbout0164 OCEAN VIEW AVENUE IC�y Oc�a� Vi�� ��Je• .. ,. �_ _ _,.. �, .. �.,,� . Y � . a �. .� r � .. .. [� �. � - ICI �' � .. � � �, �. • �.� � � .. " u .. � � u�. p .�. ,i .- ,� � ,. _ d n � �� � .. ., " � � �, „ �� ,, � r _ o '� i i �. ,N �� �� ., � �� �. �, _ - a ,: PROJECT - NAME: ADDRESS: PERMIT# ,:::;) Qo- U---? L PERMIT DATE: M/P: (�?S :0 LARGE. ROLLED PLANS ARE IN-. BOA SLOT nh. Data entered in MAPS program on: BY: D TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �2 Parcel - :Application#? V Health Division Date Issued ConssrvationDivision. Application F Tax Collector Permit Fee Treasurer - Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis. Project Street Address n C� ire Q ��� � �' i r �- Village Owner Address Telephone Permit Request —C4 r-J QZ�Z�_n 0 A4n W, Squ re feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal s ove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existi ig ❑n4 sizg ZS Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: c13 r � t Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ C-5 -a Commercial ❑Yes ❑No If yes, site plan review# na Current-Use __ Proposed.Use �..�. - /BUILDER INFORMATION Name AJDgRls i �, lA C Telephone Number Address / 8 DS W XsS A- License# O Z,5-8 S/ !LLE M-4 6&2 SS Home Improvement Contractor# Worker's Compensation# /,UG'/ d 2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,� SIGNATUREAZ�AA_4_ 4eq4DATEe ,.r } FOR OFFICIAL USE ONLY r ' + APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ° OWNER - r DATE OF INSPECTION: FOUNDATION FRAME efX o c 3 46 INSULATION f3 G 3 C v /2- 6�-` - a rN FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . FINAL BUILDING T, DATE CLOSED OUT ,. ASSOCIATION PLAN NO. t Town of Barnstable Regulatory Services yNAB& Thomas F.Geiler,Director Building Division 'Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862AO38 Fax:- 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r G�` �� lie JMt as Owner of the subject property herebyauthorize Fg tiJPF M65 :$oxl /N G to act on my behalf, in all matters relative to work authorized by this building permit application for. Oe E-QJ ✓tew 4V,0 (Address of Job) 12- e5 Signature of Owner Date �c L jevfi l Print Name If,Property Owner is applying for permit please complete the .Homeow hers License Exemption Form on the reverse side. Department of Industrial Accidents Office.of Investigations; ' a 600 Washington Street Boston,MA 02111'. S" www mas&gov/dia - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kpplicant Information Please Print Legibly I;ame (Business/orpnization/Inavidual)-. fS mi 5 s pef.� !6vG Address: l3' DSpT. �uJ 8 4i216 tea-t2 L� t� City/State/Zip:�7946Jt[ g,f A4A- 02455'Phone#: 570s_ A�_Ze �1/..s— .r you an employer? Check the-appropriate box:: Type of project(required): I am a'employer with 2�• 4.. ❑ I am a general contractor and I 6, New construction t employees(full'and/or part-time).* 7 have hired the sub-contractors ❑ I am a sole proprietor or partner- listed on the attached sheet.$ 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 10.❑ Electrical r airs 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.❑ Roof repairs insurance required.] t eftployees. [No workers' camp.insurance required.] 13.❑ Other oy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: omeowners who submitthis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. . :m an employer that is providing workers compensation insurance for my employees'Below is the policy and job site 'ormation. mrance.Company Name: ,4 C 4 92li4 ��J s j)KA I JC,�5- 1 p#or Self-ins.Lie.#: 0)CA �'L ! 2 CG- Expi fi n-Dat�=— — ------ - - Site Address: 1 T ®CEA- 1 V ew' .Act r—' Ce j0 t? City/State/Zip: D'Z'Gi -e 7 tack 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 ofMGL c. 152 can lead to the imposition of criminal penalties of a e up to$1,500..00 and/or one-year imprisonment; as well as civfi penalties in: ie 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 maybe forwarded to the Office of restigations of the DIA for insurance coverage verification. o hereby cert fy u the pains d I i of ped that the information provided above is true and correct afore:. Date: / / . 0- )ne Official use only. Do not write in.this area,to be completed by city.or town official City or Town: Permit/License#� Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical 6. Other Inspector 5.Plumbing Inspector Contact Person: Phone#: Information and. Instructions iassaehusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ursuant to this Statute;an employee is defined as"...every person in the service of another under any contract of hire, xpress or implied,oral or written." ,n employer is defined aS:'.an?ud1vidual,..p ark%hip,:association,corporation or other legal entity,.or any two or more f the foregoing-engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership, association or other legal entity,employing employees. Howev..er:the caner of a dwelling house having not more than three apartments and.who resides therein, or.the occupant elthe lira house of another who employs persons to do maintenance, construction or repair woiY on such dwelling house welling iron the grounds or building appurtenant thereto shall not because of suchyemployma be deemed to b,a an employer., • vfGL chapter 152, §25C(6)also states that"every state'or local licensing agency shall withhold"the issuance or,. enewal of a license or.permit to operate a business or to construct buildings in the commonwealth for any ►pplicant who has not produced acceptable evidence-of compliance with the insurance coverage required." 4dditionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its-political subdivisions shall ;rater into any contract for the performance of public work until acceptable'evidence.of compliance with the insurance -oquirements of this chapter have been presented to the contracting authority. Applicants Please-fil-1 mation--a—'davit coMplejely.by checking the boxes that apply to your situation and,if: ❑ecessary,supply sub-contractors)name(s),addresses) and phone numbers)along with their certif cate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpartners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confumation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below..-;Self-insured companies should enter their• self-insurance license number on the appropriate fine. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Depaznnent has provided a space at the bottom of the affidavit ror yo`—u to fill ou ran flavrstiga Woi:s has .o con*.aet�eu regg�hg-appliCant� Please be sure'to fill'in the permit/license number which will be used as a reference member.,In addition, an applicant that must submit multiple permit/license applications in any given year,need onlysut one affidavit indicating current policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in ' (city or town)."A copy.of the-.affidavit that has been of stamped or marked by flee city or town maybe provided to the applicant as proof that.a valid affidavit is 011.510 for,future permits•or-libenses..A new affidavit muss be filled out.each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Of6ce'of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. ; The Department's address,telephone and.fa'number: The Commonwealth of Massachusetts Department of Industrial.Accidents .. - . ..Office Qf Investigations 600 Washington Street 4 Boston,MA 02111. Tel.#617-727-4900 ext 406 or•1477-MASSAFE Fax#617-7274749 evised 5-26-05 wwwmass.gov/dia _ — Board of Building Regulates and Standards = One Ashburton Place - Room 1301 Boston, Massacliusetts 02108 Construction Supervisor License License CS: 15851 Res triction: 00 s.... Birthdate: 9/28/1953-- Expiration: 9/28/2009 Tr# 2366 CRAIG N ASHWORTH --- -------- --- ._ . . 385 SEA STREET --._----------- -- -- _.__ HYANNIS, MA 02601 Update Address and return card.Mark reason for change _ Address F Renewal I Lost Card DPS-CA1 CP 5OM-04/05-PC8698 I - = 1 I • i. 1 _ . . .•� - v�d4•(LAG J}G J/E0J2LUBCL/CiG P�+�!G�(YJJI'LC,I�LWF� .. � _ .. . kid. I / . Oonrd f Building Regulations nod Standards„ License or registration valid for Individul use only HOME IMPROVEMENT CONTRACTOR before tbe.expiratimi date: If found return to: Registration; 102014 Board of Building Regulations and Standards t f One Ashburton Place Rm 1301 , Expiration: 6/30/2008 Boston,Ma.02108 f 4 Type: Private Corporation E.RNEST B.NORRIS&SON INC Craig Ashworth 885 Sea St ..n valyd without signature Hyannis,MA 02801: Deputy Adinlnistratoi of i E'O`'ti Town-of Barnstable Regulatory Servides * s:yseest.AMAM Thomas F.Geiler,Director �ATE1 39. � Bi111d1Ilg D1vis10I! ,t Tom Perry,Building Commissioner 200 Main Street, Hyam is MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permitno. Date AFF+'IDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, •iruprovement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work�, Z- �I y j'j' Estimated Cost Address ofWork: �6 ck:7c4.1's V'teo'AVAF— Owner's Name: �o�e1 ` 126QK C�95✓ f3 7 ZI7 Date of Application: Z—X//�/a� I hereby certify that: Registration is not required for the following real on(s): FlWork excluded by law OJob Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EYIPROVMWEN'T WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM!OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES.OF ERJCTRY I hereby apply for a permit as the agent of the er: 47 a2D� Date Contractor ame Registration No. l OR Date Owner's Name SINE�° Town of Barnstable ti Regulatory Services MAM $ Thomas F.Geiler,Director Es6;. Building Division - Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-79.0-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, r , Construction Supervisor License # D 1.4 S 5/ ,hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 0 Sgissued to (property address) D ce#- V, e ve— on /zX/ `0 7e , 2007. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) CENSE HOLDER DATE glforms/newcontrb °Ft►+E�a,� Town of Barnstable Regulatory Services " MASS.LE' Thomas F.Geiler, Director A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT CAC 12- �ems_ ©WAJ&9 # 4LA- ,hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit to (property address) /6 DCC4^3 V l CIJ oyZV L7" on , 2007'. I also certify that on 200 1 ,I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. ATE t OZ" ) 2- 1 �l gftms/newcontr reference R-5 780 CMR .. f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION„ Map V Parcel ® � Application#2 00-'O�-(j(� Health Division Date Issued Conservation Division -Application Fee Tax Collector Permit Fee , Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 1` Project Street Address. G Oc-Q of N Uie W a Village Lok Lt //'� t e e.cL �- Owner �+ r1(y��C (_- Oss S�, � $. Address 0 S F;gdPra( S j n Telephone 6r�- ��r 6goT�s Permit Request 1 c7 lw i ky Lo[r 9 M cD 1•L L Cy 3 -TIU) �u` TLrD R-0dr ala_r� LQr Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total newd-0-8 Zoning District F Flood Plain C Groundwater Overlay i Project Valua125! �Construction Type " cr �.� ^ fi Lot Size q P f e.S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes On Old King's Highway: ❑Yes Basement Type: Ceti' ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 0 9 Z- Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new 2- Total Room Count(not including baths):existing new 3 First Floor Room Count 1 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other 1 �: Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:❑existing ❑new size Pool:❑existing :❑new size Barn:❑existing ❑newr size4' Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ? Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use �n UILDER INFORMATION Name I V , i� ��eje Telephone Number 1 - 57 Address B-eac U ii Coo p 4 n!eS License# o Fe-a 4p rcL I S T Home Improvement Contractor# D2_ 1 ! Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROD CT WILL BE TAKEN TO ol SIGNATURE A—) 14 A DATE C� D FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MP,#P/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME R INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ; GAS: ROUGH FINAL FINAL BUILDING I . DATE CLOSED OUT ASSOCIATION PLAN NO. F r a r Town of Barnstable Regulatory Services $"A'' TA i E' Thomas F.Geller,Director t i639 ►�e� Building Division Thomas Perry, CBO;Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town:barnstable.ma.us Office: .508-862-4038 Fa 508-790-6230 PLAN REVIEW z 00 7 40 71-1-0 F Owner: Map/Parcel- n 3 3 oil Project Address /W agar Aew due Builder: ng arc-e-r ®w arc 2r. The following items were noted on reviewing: - 1.. Reviewed by: Date:—.. /%/A//C;.7 Q:Forms:Plnrvw a �oF11AE> � Town of Barnstable 0 ' Regulatory Services H'sT'BM ' Thomas F. Geiler;Director MASS. ArEpta Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Permit no. r' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other, requirements. }. / Type of Work: k/eW Cory_`(L Estimated Cost Address of Work: 'G eQ N Ul W1 Owner's Name: M�� I< J eje vi`fka 1 Date of Application: , b I hereby certify that: Registration is not required for the following reason(s): QWork excluded by law R7ob Under$1,000 OBuilding not owner-occupied qnwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date er's N I f 4 The Commonwealth of Massachusetts. Department of Industrial Accidents' �- Of of Investigations _ d 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation TnsuriLnce Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Le Ably Name(Business/Organization/Individual): 6l. �J e Address: S City/State/Zip: Phone.#: - '� O 06 Are you an employer?Check the appropriate bog: :Type of project(required):.. 1,❑ I am a employer with 4• [] I am a general contractor and I employees(full and/or part time). * have hired the sab-contractors 6, [�New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling 4 ship and have no employees These sub-contractors have g, []Demolition loyee$ and have workers' '�yorking for me in any capacity. emp 9, []Building addition . comp.insurance$• �• • [No workers comp.insurance ` 10.❑•Blecttical r airs or additions -" gaited.] 5. []' We are a corporation and its 3I am a homeowner doing all work . officers have exercised their 11.❑,Plumbing repairs or additions a myself,[No workers'comp. right 6f exemption per MGL 12,❑Roof repairs t c, 152, §1(4),and we have no insurance.required] employees. [No workers' 13.❑Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeownem.who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating'such. tContractor that check this box must attached an additional sheet showing the name of the pub-contractors and state whether or not those entities have employees. If the sub-contractor have employees,they must providb their workers'comp.policy number. compensation insurance for my employees. Below is.the policy and job site' I am an employer that is providing workers' information. Insurance Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address City/State/Zip: Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL e. 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 maybe forwarded to the.Office of Investigations of the IDIA for insurance co-veraLre ve cation• Ido hereby a under t pains. pen •es o e information provided abo a is true.and correct. Signature: Date. 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): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5•Plumbing Inspector 6. Other ,.., .... , .. --- Phnne#• SHE Town of Barnstable Tp . y�P Regulatory Services BARNSPABLE, : Thomas F. Geiler,Director 9 MAss. g 0 9• IN Building Division rfD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: • 11 JOB LOCATION: l 6 y ®�Prn tll V�ew number street village ,.HOMEOWNER": 6,3�(V I) Z— d SS �1r Cal.\( name one phone r cl work phone# v dVlwf'I�. I��ve `L CURRENT MAILING ADDRESS: !22 P-,Ouues IJu Ad r `1 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or,less and to allow homeo Amers•to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to`such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"celtifies that he/she understands the Town of Barnstable Building Department minit}um inspe ion pr cedures d requi ments and that he/she will comply with said procedures and requ( nts. Signature f Ho eo er Approval of Building Official Note: Three-family dwellings containing•35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION � The Code states that: ."Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor-is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fora/certification for use in your community. °FTHE iti Town of Barnstable Regulatory Services BARNSPABLE. " Thomas F.Geiler,Director p MASS. g �p i6sq. �0 TF059iA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder (�.F i�- J�1/L as Owner of the subjectproperty � J hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. I ' - Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Bonnybrook Cross St. Realty Trust Report Date: 11/20/07 Data filename:C:\Program Files\Check\REScheck\Leventhal.rck Energy Code: Massachusetts Energy Code Location: Cotuit,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 18% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: �- 164 Oceanview Avenue Timothy Luff Cotuit,MA 02635 Archi-Tech Associates,Inc. 6 School Street Cotuit,MA 02635 508-420-5335 Ceiling 1:Cathedral Ceiling(no attic): 258 30.0 0.0 8 Skylight 1:Wood Frame:Double Pane with Low-E: 20 0.320 6 Ceiling 2:Flat Ceiling or Scissor Truss: 1131 30.0 0.0 40 Wall 1:Wood Frame, 16"o.c.: 890 19.0 0.0 43 Window 1:Wood Frame:Double Pane with Low-E: 116 0.320 37 Window 2:Vinyl Frame:Double Pane with Low-E: 21 : 0.310 7 x Door 1:Glass: 21 0.320 7 Door 2:Solid: 21 0.280 6 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 1337, 19.0 0.0 63 Furnace 1:Forced Hot Air.84 AFUE Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calcuYtions submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Cod equir ents in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Che ist. heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard De Con i io found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of d sign I a specified in Sections 780CMR 1310 and J4.4. 1-I Builder/D igner Company Name Date Bonnybrook Cross St.Realty Trust Page 1 of 1 3 - -- ,LI Lit i t — . O 8°PLANK yr o SIDE LAP DETAIL O 8°PLANK DETAIL®GARAGE WALL H Q rxe. N•ti Li d - d d adw v�w J� s ••4-.——— �.§ Igo v var rcncuc r� ° e�w S � ^�� •m mod I � ,a.w' nu d C 1 V wr wnrx -. p X f »rmn,as- @I 1 C i�la. ,..mu •I.. Dls I? g � BASEMENT ava .�¢,. ,.b 6•'PLANK 51DE LAP DETAIL O 6°PLANK DET.®STORA5E/ENTRY WALL ��:•s.�•. §mg , SMOKE DETECTORS REVI WED F BARNSTABLE BUILDING DEPT. O .. ----- ..FIREDEPARTMENT DA 7 d K BOTH SIGNATURES ARE REQUIRED FDR P MITI O tD LL ^' mn,. - xri.�.e"-•...�^. CARBONMONOXIDE PER S - - .� �,,,,,m„„,. .. MUST BE a>� �� - - - •�.::.R..®, MASSACHUSETTSBUI DING CODE .. .mow.. �I. F O U N D A T 1 O N F L O O R P L A N - - T=F g - OPLANK DETAIL®5TEEL BEAM 5 �r A. . ISSUED FOR PERMIT I,n: I of I 00 - L ------- ---- ---- , BE 1 i . xKcruLL J S v T TORA6E PDR bARAbE/STORA6E - _ a _ _BAT11.2 9 BEDRM.2 ` ' .................. _ 8 - LLVEa ^ - • , o ENTRY L SITTING g 33 3 R . ----- --------- a : 0 moE a,rttv - uC UM ... . RR m iin dale 'FfRST FLOOR PLAN - 5EG0ND FLOOR PLAN WDFORReRnR b, 2 of 7 e �W �4a s a 3 & . --------------------------------- __.__ _. .-- -------------- ........... .. _. .--- --- .. ------- .._......_ ................ _ .N � FRONT. ELEVATION Yj W Ft._uN > - w ro o .. _ '0 NE . - - -0 ur_ O� w 0. v co ISSDEDFDRPEWIT dd. 5 of , r�.Fy.F V U uacr fge c_��c-fi y8 zaz�=ssa6a`t?3 - - - - -- - ._....... . .. .:.. C ot WE A R E L E V A T 10 N. - - L E F,T ELEVATION ro `o .. C O w - O - v .�A_4 . - ISSUED FOR PERMIT •� �� d,er.m,w Film 3 MN66616M FA EN1RY 1.4 $ x«is Rima°v`"rnx ❑ _ - .n, vim. 9 ry' — - xn n .a.. rv.er wXRi wnn7�"`aoesu BASEMENT r�orartrmnms - �. _ w wu vie e mom 5E GTI ON' - - - - .. 5 EG T 1 O N L - M�i 8�u- fi Ln vil Nb BA 1 O QL O •n� . _ C o« m m U - - � mnw rv�'�11��yac.aeumm romoe wm rcrnw Gle Eaw cwrm,xd ` SECTION —5 SUED FOR PERMIT yn. 5 of T .. _ 3 E ° NOTES < _._._. -ALL POSTS®ENDS OF BEAMS TO BE - '-'-' --- ------- ---------- nr (2)2X450R(2)2X65 UNLE55 NOTED - —"-"" -- -ALL WINDOW 6.EXTERIOR.DOOR HEADERS TO BE(3)2X65 W/.I/2' PLYWOOD UNLE55 NOTED -FIRST FLOOR TO 6'X 46'AND 8'X 45' .- ELEMATIG HOLLOWGORE GONG.PLANKS r _ _ - •"e e -SECOND FLOOR JOISTS TO BE 1 - II l/H'AJ5-205 o 16°O.C.UNLE55 NOTED -.ALL WALLS WITH POCKET DOORS - • ° TO BE FRAMED AS 2X6 WALL - �; _ - F14 • o. -2X P05T DOWN(FROM ABOVE) -POINT LOAD " 3 INTERIOR LOAD BEARING WALL - - 7EEI - - ROOF PLAN w . - - -- _---_-- �-= JCpS ---------- '�C ROOF. FRAMI NG PLAN Al Ln 4 rn - - � - - - - _ - - - - a ortroF E . - - - 1 C LL s�e+xc...cme V co —.—.—. . R =F.1 R 5 T FLOOR F R A M I NG PLAN SECOND FLOOR FRAMING PLAN A-6 C acwi a ii. .e - KWED FOA PERMIT so 6 of l SIABLE 2001 DEC 31 Pi 12: 50 ri vI S tn,A t E. B. Dorris & Son Inc. Building and Remodeling 138 Osterville/west Barnstable Rd ' Osterville,MA 02655 508/428/1165 Phn 508/4281196 Fax Bob McKechnie Town of Barnstable Building Inspector 400 Main St. Hyannis,MA 02601 Dear Bob, Enclosed please find copies of the_160Oceanview Ave. Cotuit,MA foundation waterproofing. Please advise if you would like PDF's sent to your email. ` Regards,Craig Ashworth O O ' J .•ef_-1W' I� .J7• . N - N ow Oo 0N0 C) CD CD O O CD N Nco ,,.r1i co cn 7c � Jr, fl. a v � o' o' :3 :3 O O O O N L L G) O V N 00 3 77 � I C1 N r-. O O O CJ7 L N i N = 00 3 N i U C1 N O O O O Cn L G) . N, CB/DH ���/ �I Doniel Ai""' Fnd Q y- ,��,/ n t /1 13600� - v (((///��Y i'Y pdditiM cm=e N 19'5918 E Fnd 41.3' Former Parcel Area Goroge 16,879±SF Location - _ W 111.5' a New Concrete Foundation Z. W N N M C o z� of ASSESSORS REF.: Map 033, Parcel 011 10.9 7.4' ZONE: M J/164 0 RF . 1-112 Sty w/f Dwelling Area (min.) 87,120 SF (RPOD) Frontage (min) 150' Setbacks: 23.9" Fron t 30' 7 Side 15' Rear 15' OVERLAY DISTRICT: 31.2' CB/0H AP — Aquifer Protection .District Fnd gp.64 CB/DH I, S 20'31'18" W FLOOD ZONE: Fed e n u e A V Zone C \View Community Panel No. Way) #250001 0018 D oceanwide _ PublicJuly 2, 1992 (40' °e <n a) 1 a U - -- - 312 y PLOT PLAN q� At 164 Ocean View Drive--� �/ol BARNSTABLE (cotuit) .NOTES: MASS, DATE:21/DEC107 SCALE: 1"--30' 1.) The structures shown. were located on the ground 0 15 30 45 60 FEET by conventional survey methods on (or between) 141JUN106 & 21/DEC/07. PREPARED FOR: 2.) The property information shown hereon was Bonnybrook Cross Street compiled from available record information and does .not represent an actual on the ground survey. Realty Trust 3.) This plan is not for recording and is not PREPARED BY: to be used for construction. layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG # C369-3gl FIELD BY: RRL/MLL I (508) 420-3994 / 420-3995fax 1 l5k 22811 P9265 41,*18433 04-04-- 21308 a'i 03 n 31v Town of Barnstable Regulatory Services enatvsreer.E. t Thomas F.Geiler,Director s639. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE ](We),the undersigned,BonnyBrook Cross Street Realty Trust,Robero(casey Trustee,being the owner(s) of property situated at 164 Ocean View Avenue, in Cotuit, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 21178,Page 31,or as Document No. ,being shown on Assessors'Map 000 as Parcel 000 296,hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the residence located on the same parcel as above-described, which contains living quarters, is not intended for and shall not be used as a permanent,separate apartment for year-round or summer occupancy,for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be used for a"Family Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. pn WITNESS our hands and seals this day of 200& TOWN OF BARNSTABLE OW R(S) By: ' to ding Commissioner BonnyBrook Cross Street Realty Trust c.nober!XCasey,Trustee TTHE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date `ll i(bT . Then personally appeared the above-named (owner), made oath as to the truth of the foregoing instrument,before me. Nota My Commission EF&1Y NANCY J. McCOA91 �'� Notary Public `.:'T,Nrm1 a!th of Massa h t; ttssej�, ',.,. scion Expires January 12,2012 : 'lw�j,-'F' Q:word/accessoryagreement BARNSTABLE REGISTRY OF DEEDS .. i .s,.... h� :�.rYr�.d. , i it x..m.,._• VIA:w y.v ,.. �...,. ,..rPY"" •n:t«.�.�.Y, r ..Y....y,.9.� ,� .. ,.s.<. reA:..•:t`a ..J rr i :`�•«K" vi'"=--o i ''�' rS 4-w`°} ="Ysh11,.:i •^-y^ �BiT,.t�►�� v yOF IKE Town of Barnstable x..BARNSrABLE _ Regulatory.Services V MASS.: 0 _ D;�Ya�• Building Division - µ- 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 `f r z ' Inspection Correction Notice ' Type of Inspection s%Location Permit Number - r ,Owner JIC- Builder AJ Zvi i s One notice to remain on job site,one notice on file.in Building Department. The following items need correcting: '�7(? (Ae) Q-V 2 —7�tQ, (o Please call: 508-862-4 for re-inspection. Inspected by L Date 313 Tb g r Town o Barnstable BARNSTAB4E, ' Regulatory Services y MASS:- plEo �a Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection / Location 1�/ a U� �r? ? �n r,r Permit Nu r Owner 0-PQ\v 6f�0-0-- Builder A)&-,r?;u-�5 One notice to remain on job site,-one notice on file in.Building.Department. The following items need correcting: ' ✓'�S "t'- flr�) C l her r /r J A '-ar—!5 rtl 7 8O G"A -71 Q , Q ' 2)-f`'�C4 7 J-v C-ram-►P%- 0 . Please call: 508-862-4038 for re-inspection. Inspected by s Date r _ ,.. Vr ..�ie.r ...x-. w- av✓Cf,.+`a-tt. .,�..yx _.. -,�.,s-t•:.'" `y-"r' ;C*, ,:rtil�{t.rya:.-rn:s»r�K....te-ys'.�?+:�°"> _„ +,:.,� *Sri:;i �:;y.a.n,,..i;F. ..,K ,m�..:�-.; ,:�.,=..-,:•;-=cb...ru"'rf`4°b-•`r.a�.� `oFTHE� � Town of Barnstable BAR„SrAB,E: : Regulatory Services f639 Building Division �- DIED MP'�a. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice i Type of Inspection Location �p����U/�u� ^-7- Permit Owner Mtn�,b�tra -— Builder N 6�A-rs 'One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �i.,eE � eyeo��r•� _t- l k'E 7'C�Jz�iV T-Lo��2 5 O TL6��.. w14-c"c dry �3 /62��SGUz6� Sr �l�G(1 l/ ` D d Please call: 5008--862-4038 for re-inspection. Inspected by lf` Date Zia /og> i MICHAEL D. FORD ATTORNEY AT LAW 72 MAIN STREET, P.O. BOX 485 WEST HARWICH, MA 02671 TEL. (508)430-1900 FAX(508)430-9979 EMAIL'mdfesql@verizon.net April 9, 2008 c Mr. Thomas Perry Building Commissioner 200 Main St: Hyannis, MA 02601 i RE: Agreement for.Accessory Use of Residential Buildings Associated with Residence Dear Mr. Perry: . d Enclosed please find the Agreement for Accessory Use of Residential Buildings Associated with Residence recorded at the Barnstable County Registry of Deeds in Book 22811 Page 265 for your files: ." Thank you for your assistance. i f Very truly yours, i Michael D. Ford i j MDF/hao cc: J. Robert Casey Mark Leventhal r f 4 81-s 22811 Pa 265 04--04--2r e08 al i�3 = 31 s} Town of Barnstable �0*THE Tp� Regulatory Services . BARNSTABLE, : Thomas F. Geiler, Director y MASS. g �A 039• ,� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF,RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE. I(We), the undersigned, BonnyBrook Cross Street Realty Trust, Robert_�.Casey Trustee, being the owner(s) of property situated at 164 Ocean View Avenue, in Cotuit,. MA. holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 21178, Page 31, or as Document No. being shown on Assessors' Map 000 as Parcel 000 296, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the residence located on the same parcel as above-described, which contains living quarters, is not intended for and shall not be used as a permanent, separate apartment for year-round or summer occupancy, for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require application and approval of a special permit and compliance with-the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,'regulations, and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 200 . TOWN OF BARNSTABLE OW_ R(S) I �uiding Commissioner BonnyBrook Cross Street Realty Trust �:j RobertXCasey, Trustee THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date �. Then personally appeared the above-named (owner), , r �� �/ ( % J USK /J—an'd made oath as to the truth of the foregoing instrument, before me. Nota My Commission E it NANCY J. MCCOMISKIE �cQary P ublic T„ Se wy i Q:word/accessoryagreement , MARK S. LEVENTHAL c/o,The Beacon Companies 50 Federal Street Poston,MA 02110 617 574-1159 i Thomas Perry Building Division Town of Barnstable 200 Main Street Hyannis MA 02601 Re: Garage 164 Ocean View Avenue, Cotuit 4 Dear Mr. Perry: r { s Enclosed, for your information, is a.report from ASAP Engineering regarding the proposed construction for the new garage at 164 Ocean View Ave.,Cotuit. e t regard , Mark eventhal MSL/cd w F Enclosure .. ya t Q y � «G71 }- ® ® Engineering& ROBERT M. DE5R051ER5, P.E. Design Co., inc. Consulting Engineer 508-946-3561 155 East Grove Street • Post Office Box 649 Fax 506-946-1653 Middleborough, MA 02346 November 18, 2007 Project No.2007-239 Mr. Michael Granger ~ Archi-Tech Associates, Inc. 6 School Street Cotuit,MA 02635 Re: Design Review of Primary Framing Elements for Proposed Garage at 164 Ocean View Avenue,Cotuit,MA Mr. Granger: You asked me to review the design of the primary framing elements for the referenced structure. The proposed building is a 25' by 41' garage with s single-story ell to one side, a full basement below, and finished living space above. The wood-frame structure will be constructed with a mix of ordinary dimensional lumber and engineered wood products. The building is to be constructed upon a reinforced concrete foundation perimeter wall system,which encloses a full-height basement. The first floor structure will consist of a 'pre-engineered hollow concrete plank assembly supported by the perimeter foundation wall and a structural steel beam and column line. You have provided me with plans for the project prepared by your office dated November 8, 2007, sheets A-1 through A-7. I have reviewed the plans, and in general,the proposed framing is appropriate and efficient for the anticipated Code-imposed loads. I have reviewed the rafters, ceiling joists,beams,headers,posts, steel beams, steel columns, concrete planks, and foundation elements. They have been identified on the plans consistent with the prior recommendations of this office and good engineering practice. I recommend that you indicate to the bidders that detailed shop drawings should be submitted on the structural steel,the concrete reinforcing, and the concrete plank assembly for coordination, and approval. If constructed as specified herein, and according to good construction practice,the primary framing elements shown on the plans will meet the structural requirements of the Massachusetts State Building Code, Sixth Edition. i If you have any questions regarding this report, or if you require additional information, please do not hesitate to call. Very Truly Yours, Robert M. Desrosiers,P.E. jN ` O, RO RT DE O -RS m c-) . 6770 UCTURAL i 1 TOWN OF BARNSTABLE BUILDING PERMIT:APPLICATION 03..� f. Map Parcel I r ation# )VD��� Health Division Date Issued.. o�l Conservation Division Application F ee Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved b Planning Board pp Y 9 Historic-OKH Preservation/Hyannis Project Street Address OCeA N U t,!e W A e Village cd it t� l ties �acz7� � ter Owner l�by\AV b�0� c'OC-5 �� � 1, Telephone_ 1`1 5 ) F6 0 y &-:5*e7 A- 62 11,6 Permit Request rl of t t v1 u�' ail z o010 71 s-a. Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District R F-- Flood Plain Groundwater Overlay P Project Valuation �. 066 Construction Type Lot Size ` ®3 it hfeS Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) y Age of Existing Structure U Xpa r Historic House: ❑Yes / o On Old King's ighway:—❑Yes; , I o Cn Basement Type: ❑Full--,,0-Crawl ❑Walkout ❑Other i _ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I Number of Baths: Full:existing new Half:existing knew Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room,Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review#. Current Use Proposed Use BUILDER INFORMATION / Name U�o�' z Leven A,, Telephone Number Address &?a C 0 11 C�'lea ri I License# , ���� S Home Improvement Contractor# It�►l Worker's Compensation#ALL CO STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2 i FOR OFFICIAL USE ONLY LICATION# DATE ISSUED MAP/PARCEL N0. f ADDRESS VILLAGE - OWNER DATE OF INSPECTION: y FOUNDATION FRAME E INSULATION f P FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL e GAS: ROUGH FINAL FINAL BUILDING { z DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I 600 Washington Street , Boston,MA 02111 ' www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information i Please Print Le 'bl Name (Business/Organization/Individual): . M!A(`1 L Le j�1Vtla Address: .e ac-o►,, Ynmllf'f -Clb CaL"I3 W haKf —' City/State/Zip. OZ) 0 Phone.#: Are you an employer? Check the appropriate box: -Type of project(required):, 1.❑ I am a employer with 4. I am a general contractor and I . 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 8. ❑Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp.insurance.# quired.] 5. We are a corporation and its I0.❑Electrical repairs or additions 3. am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions rn sel£ o workers' ca right of exemption per MGL y c. 152, 1(4),and we have no 12.❑Roof repairs in required.]t { § 13.0.Other employees. [No workers' comp.insurance required.] , "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit 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. Iam an employer that is providing workers'compensation insurance for my employees. Below islhepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: ExpirationDate: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance covers e verifi ation. I do hereby erti an the p i s_an pe rjury that the information provided above is tru and correct Sienature Date: b E d _ Phone Official use only. Do not write in this area,to be completed by city or town ociaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: I Information and Instructions 1` Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed.to.be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing.agency shall withhold the issuance or renewal of a license or permit to"operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the inrance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant, Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under`Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number:. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov1dia I N ENERGY FAX N0, 508 394 5019 P. 01/01 OCT-01-2007 MON 11 :27 AM KEYSPA 111U Oy f 1i'IfJ111}/ 121 �Vhl��s� ill�l ' �;��Ith ti'arnluutl>, MA 02664 Octohrr 1, 2007 11OIU11c Brook'Trust PAX: 61 /-457-4379 AT TN: ("a111cri'lc 1t1;. 164 View Ave, Coluit(Pragc only) f'J1is is t1� cort[irm there is no 113turO gas service to the above address. Phis was C'01if irnled by 1 representative of Keyspan I,nergy• f Fyoll 1'1iIvc ('Illy questions, hlclIsc call me at 508-760-7481. Susa11 McMullin 11c](l Coordin-ator Kcy,p:1r1 nclivcry Company �l 09/27/2007 14:48 15084287517 COTUIT WATER DEPT PAGE 01 pl OF t V#�xt txe pstxi>ct i y t • �. Water Beyartment l vrVfT „ FIRE DISTRICT 4 v 19t6 4300 FALMOUTH ROAD, P.O. BOX 451 o o� COTUIT, MASS. 02635 V PHONE 508.428-2687 FAX 506-426.7517 i September 27,2007 Bonnybrook Trust The Beacon Companies 50 Federal Street—4"FL � Boston,MA 02110 RE: Fleiss- 164 Ocean View Avenue,COML Attention: Catherine The Cotuit Water Department does not have a water service connection to the garage located at 164 Ocean View Avenue in Cotuit. Sincerel Sheri Leavenworth Business Manager ROBERT McLAUGHLIN Mass License#18787E 376 Water Street Wakefield MA 01880 781 246-9170 October 1,2007 Bonnybrook Trust c/o the Beacon Companies 50 Federal Street, 4 Floor Boston MA 02110 Re: 164 Ocean View Avenue,Cotuit—Garage I am an electrician, licensed in the state of Massachusetts. I have inspected the garage at 164 Ocean View Ave in Cotuit, and have seen that there is no electrical connection to this garage. Sincerely, IRZ� Robert McLaughlin tad OL16-9f,2-18L u? i42nei0W 4.jagod eas:Go LO co 400 i t �oFTHE, - Town of Barnstable Regulatory Services a,►tttvszeBM Thomas F.Geiler,Director MASS. 019. a.�� Building Division lF0 MA'I Tom Perry,Building Commissioner - 200 Main Street, Hyannis,MA 02601 www.town.ba rnsta ble.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 -- HOMEOWNER LICENSE LICENSE EXEMPTION p R l Please Print DATE: L 6 d `7 JOB LOCATION: 16 Ufa ly V to uo number street r / p.�vililllage l 't "HOMEOWNER": m ck c 14 L�KtV16t l 6 t � C:7 � ?t ' �© 0 v name home phone# p-�� work phone# CURRENT MAILING ADDRESS: 94 aco r l Corn rq v l I�e s � � v �C�C�I�C{ r ,r— MA- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility.for compliance with the State.Building Code and other applicable codes; bylaws,rules and regulations. The undersigned"homeowner"certifies that he/0 understands the Town of Barnstable.Building Department. miwOfHomeowne n pr edur s and r uireme and that he/she will comply with said procedures and re Sigr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomdcertification for use in your community. f 1 BONNYBROOK CROSS STREET REALTY TRUST This Declaration of Trust is made as of June 21,2006. The undersigned J. ROBERT CASEY, of Newton,Massachusetts, (who,together with his successors, are hereinafter referred to as the"Trustees'),does hereby declare that he,,as the original Trustee, and his 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 "BONNYBROOK CROSS STREET 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 Trustees 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)certifying 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. So long as at least one Trustee is serving hereunder,there shall be deemed to be no vacancy in the trusteeship. 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. In 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. 6/21/2006 2:26 PM ' s 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 majority in;.interest of the then Beneficiaries,which certificate,,together with the most recent Schedule of Beneficiaries, shall be recorded with said Registry of Deeds. 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 thereupon 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 ari 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 generality 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, leases,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,undertakings and other,instruments or orders for the payment,transfer or withdrawal of 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 any check,note, bill, draft or other instrument made, drawn or endorsed in the name 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. (e) No person dealing with the Trustees shall be under any obligation to inquire as to the propriety of any action 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 deed, note, mortgage, lease or other instrument, is valid and duly authorized hereunder and that • his Declaration of Trust is in full force and effect. .2_ L6/21/2006 2:26 PM f (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,dedds,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; 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. Beneficiaries,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 concerned, including the right of any third person.to rely on a certificate of the Trustees under Section 1, Section 2, Section 6 or Section 7 hereof. 5. This trust shall terminate twenty-one(21)years from the date hereof. Upon such termination,the Trustees shall transfer and convey the Property,subject 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 effective unless and until a certificate of such amendment,signed and acknowledged by the -3- 6/21/2006 2:26 PM . i Trustees, is recorded with said Registry of Deeds. The recording of such a certificate shall conclusively establish such amendment. 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 such 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 to the singular shall be deemed also to include the plural,and vice-versa,unless the context otherwise requires. 8. 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 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. T b:Easey, as Trustee and not indiv duly al 4- 6/21/2006 2:26 PM COMMONWEALTH OF MASSACHUSETTS County of Suffolk, ss. On this 24 7&y of June, 2006, before me,the undersigned notary public,personally appeared J.ROBERT CASEY,who is personally known to me or who has produced , as satisfactory identification that he/she is the person whose name is signed on the preceding document,and acknowledged that he/she signed such document voluntarily for its stated purpose. Notary Public My Commission Expires: GY E. CO l �N pit ��'' �Q .�Ih►pJl�.�o� '•., �NprEA� Z`'�r'�`. '�ii�SACHUSEt a` _5_ 6/21/2006 2:26 PM' BONNYBROOK CROSS STREET REALTY TRUST SCHEDULE OF BENEFICIARIES I, Reference is made to that certain Declaration of Trust dated as of June 21, 2006, pursuant to which J.ROBERT CASEY is named as Trustee of the BONNYBROOK CROSS E' STREET REALTY TRUST. 6. The undersigned Trustee does hereby acknowledge: II 1. That he will hold record title to the property conveyed to the Trustees of 'i BONNYBROOK CROSS STREET REALTY TRUST,as Nominee for the beneficiary 1of such !,'+;ust. ' 2. That he will take only such action as may be authorized by the'said beneficiary. ,, 3. That the Trustee shall be appointed and removed solely by written instrument ` gned by the beneficiary of the trust. 4. The respective beneficial ownership of BONNYBROOK CROSS STREET REALTY 'TRUST is as follows`-`,`> I THE BONNYBROOK TRUST u/d/t dated January 1, 1992 WITNESS THE EXECUTION HEREOF, under seal,in any number of counterpart' copies, each of which counterpart copies shall be.deemed to be an original for all purposes,this day of June,2006. ' C(TR�obe 6sey,T1<ustee of the Bonnybrook Cross Street Realty Trust / 6/21/2006 2:26 PM THE BONNYBROOR TRUST THIS INDENTURE OF TRUST made and entered into as of this first day of January, 1992, by and between DONNA R. LEVENTHAL of Newton, Middlesex County, Commonwealth of Massachusetts, hereinafter referred to as the "Settlor" , on the one hand, and PAULA L. SIDMAN of Palm Beach, Palm Beach County, State of Florida and A.LAN M. LEVENTHAL of Newton,°- Middlesex County, Commonwealth of Massachusetts, and J. ROBERT CASEY of Newton, Middlesex County, Commonwealth of Massachusetts; on the other hand, hereinafter referred to as the' "Trustees" . W I T N E S S E T H: The tezm "Trustees" wherever herein used shall include the original Trustees hereunder:.as above stated, any additional individual Trustee or Trustees as and when appointed as hereinafter provided, a corporate Trustee if, as and when appointed as hereinafter provided, and their several and respective successors in trust. Simultaneously with the execution hereof the Settlor .has transferred, conveyed, granted,. .assigned and delivered to the Trustees the property identified and described in SCHEDULE A hereto annexed and made a part hereof, the receipt of which property the Trustees do hereby acknowledge. The Settlor may (and hereby reserves the right from time to time hereafter to) deposit with the Trustees money, securities, 381221 - r 4 , or other property in addition to that which has been deposited or. r which may hereafter be deposited with the Trustees hereunder. The Settlor desires and intends hereby to establish, in the manner and upon the- terms and conditions hereinafter set forth, an IRREVOCABLE trust of the property which has been deposited with the Trustees hereunder. NOW, THEREFORE, for consideration paid, it is hereby agreed that the Trustees, for themselves and for their successors in trust, shall -take, receive and hold the property described in SCHEDULE A and any money, securities or other property of any kind that may hereafter be delivered to the Trustees by the Settlor or by any person other than the Settlor as aforesaid, all of which will hereinafter be referred to as the "Trust Estate IN TRUST to hold, .manage, invest and reinvest the same for the following purposes and uses, and upon the following trusts, and subject to the terms, conditions, powers; provisions and agreements hereinafter set forth. ARTICLE I DESIGNATION OF TRUST 1.1 Designation Of Trust This trust, for the purposes of convenience, shall be known and referred to as the ".THE BONNYBROOK TRUST. " It shall continue in existence for the primary use' and benefit of the husband of the Settlor�,,MIARK S. LEVENTHAL-and his lineal ! -- . 38122 1 -2 1 descendants, during the lifetime of the husband of the Settlor, with remainders over as hereinafter provided. ARTICLE II DISPOSITION OF TRUST ESTATE 2 .1 Administration Of Trust Fund The Trustees shall hold the assets of the trust fund IN TRUST during the trust periods (as hereinafter. defined) for the use and benefit of MARK S. LEVENTHAL and his lineal descendants during the initial trust period (as .hereinafter defined) and thereafter for such other secondary beneficiaries as hereinafter designated, with remainders over as hereinafter stated. .2 .2 Definition Of Initial Trust Period The initial trust period shall commence on the date hereof and shall continue so long as MARK S. LEVENTHAL is living unless terminated earlier pursuant to Section 2 .5 . 2 .3 Disposition Of Income And Principal To Beneficiary During Initial Trust Period During the initial trust period there shall be paid over to MARK S. LEVENTHAL and his lineal descendants living from time to time during the lifetime of MARK S. LEVENTHAL or to any one or more of them - - or. until the trust of the fund is 381221 -3- s sooner terminated by the complete distribution of the assets thereof, or otherwise (as hereinafter provided). , -- such part or all of the net income of the herein trust, in such frequency, amounts and in such proportions as the Trustees, in their sole and absolute discretion, may determine to be in the best interest and general welfare of such beneficiaries, or any of them, with the power and authority of the Trustees to refrain from making distributions of income at any time or to exclude any one or more of such beneficiaries from participation in such distribution of income of the herein trust at any time or times during the initial trust period. In "addition to the payment of income of the trust the Trustees are hereby authorized and empowered in their sole discretion to pay out of the principal of the trust fund such additional amounts, if any, as they may deem necessary or desirable for the best interest and general welfare of any one or more of the beneficiaries (with the right and power to exclude any of them from such distribution) even to the extent of exhausting the entire trust fund if that, in the sole discretion of the Trustees, should` be` considered necessary or desirable, it being the express' intention hereof that such trust fund shall be held and managed for the benefit of MARK S. LEVENTHAL and his lineal descendants, and be dealt with and disposed of, as to distributions of principal (to the extent that any may be made) without taking into. account any income, other means of support .or any other financial resources that may be available to MARK S. LEVENTHAL and his lineal descendants and without regard to what 381221 - -4- i might otherwise, normally or by any other standards (legal or otherwise) , be considered to be the several and respective rights of any secondary beneficiaries or remaindermen hereunder. Any payments of income or principal hereunder may, at any time, in the sole discretion of the Trustees, be applied or expended for the use and benefit of MARK S. LEVENTHAL and his lineal descendants, or any of them. Notwithstanding anything to the contrary contained herein MARK S. LEVENTHAL shall have the power and authority from time to time during his lifetime to exciusively direct the payment or distribution of income or principal of the trust among his lineal descendants in such amounts, shares and proportions and upon such terms and conditions and limitations or otherwise as he shall, in writing, direct the Trustees to so do. 2 .4 Power To Invade Principal Independent Of Power To Terminate The power and .authority above stated in the Trustees to encroach upon the principal of and to exhaust the trust fund by the distribution of its assets to the beneficiaries of the trust fund established under Section 2,.3 hereof in 'the discretion of the Trustees, as above provided, may be exercised notwithstanding, and are entirely independent of, the power and authority hereinafter in the following Section 2 .5 hereof vested in the Trustees to terminate the trust of the fund. 381221 -5- 2.5 Termination Of Trust By Trustees' During Initial Trust Period NOTWITHSTANDING ANYTHING TO THE CONTRARY HEREIN CONTAINED, at any time during the initial' trust period the Trustees are hereby authorized and empowered in -their absolute. and sole discretion to terminate .the trust of such fund and to pay the assets then constituting the trust fund to MARK S. LEVENTHAL and to his lineal descendants,. or any of them, in such amounts and proportions as the Trustees in their sole and absolute discretion deem advisable, to the __exclusion of any one or more of such beneficiaries, free and clear of all trusts, if- the Trustees in their sole and absolute discretion deem that.'no useful purposes would be served by continuing the trust, fund and if they in their sole and absolute discretion determine such action to be in the best interest of MARK S. LEVENTHAL and his lineal descendants, or any of them. 2 .6 Special Testamentary. Power. Of Appointment In Husband Of Settlor To Dispose Of Assets Of Trust Fund Upon Termination Of Initial Trust Period . The initial trust period shall in all events terminate upon the death of MARK S. LEVENTHAL and, then, the entire Trust Estate shall, upon the death of MARK S. LEVENTHAL, be distributed,. paid over and disposed of'' in such amounts:, shares' And proportions and for such estates and interests and upon such terms, trusts, conditions and limitations or otherwise as MARK S.. LEVENTHAL should by his last will and testament appoint, or 381221 dispose of the same, to or for the benefit of the spouse of MARK S. 'LEVENTHAL or such of the lineal descendants of MARK S. LEVENTHAL and the spouses of such lineal descendants, or any of them, in 'such shares, amounts, proportions, conditions and upon such terms or upon such further trusts or limitations as MARK S. LEVENTHAL, shall by his last will and testament appoint, with the power in MARK S. LEVENTHAL to exclude from any share in such distribution any one or more of such individuals constituting the class of permissible appointees designated above,. provided, however, and to avoid an unintentional exercise thereof, that such- special power of appointment herein granted to MARK S. LEVENTHAL shall be deemed to have been duly and effectively, exercised by him only if he shall exercise such power by a -will executed by him after the date hereof and only if he shall clearly and unequivocally indicate in such will, by specific reference to the herein power, that ..he then had the particular provisions hereof in mind and intended affirmatively to exercise such power. 2 .7 Disposition Of Assets Of Trust Fund Upon Termination Of Initial Trust Period In Default Of Appointment If the initial trust period shall terminate upon the death of MARK S. LEVENTHAL and the special power of appointment granted to him in Section 2.6 hereof shall not have been duly and effectively exercised, the trust. established hereunder shall, upon. such termination of the initial trust 381221 7 period, cease and be terminated and the entire assets .then constituting such trust fund hereunder shall be divided among such lineal descendants of MARK S`. LEVENTHAL, as are then living, the division among them to be byiright of representation, the share of each such lineal descendant who -is a�child of MARK S. „ LEVENTHAL to be separately disposed of ,as Hereinafter provided in Section 2 .9 hereof and the share of each lineal .de'scendant, of MARK S. LEVENTHAL other than a child. to be separately set aside and to be separately administered and disposed of as hereinafter provided in Section 2.10 hereof. 2 .8 Disposition Of Assets Of Trust Fund Upon Death Of Husband Of Settlor. Leaving No Lineal Descendants Then Surviving In Default Of Appointment By Husband In default of the exercise of the- power 'of appointment granted to MARK S. LEVENTHAL under Section 2 .6 .(or to the extent that there shall not be an effective appointment) leaving no lineal descendants of MARK S. LEVENTHAL then (at the termination of the initial trust period) living, all trusts, hereunder shall cease and be terminated and the entire TRUST FUND shall be distributed and paid over to such of the lineal descendants of Norman B. Leventhal and Muriel. G. Leventhal as' may then be living, the division among them by right of representation, the share of a sibling :of MARK 'S. LEVENTHAL to be - added to the principal of any trust _fund 'then in existence and . established under any irrevocable trust or trusts established by 38122 1 -8- the spouse of a sibling of MARK S. LEVENTHAL for the benefit of such siblings of MARK S. LEVENTHAL. Such share shall thereafter be held, administered and disposed of hereunder as part of the principal of such trust fund for the benefit of any such surviving sibling of MARK S. LEVENTHAL. The share of any other lineal descendant of NORMAN B. LEVENTHAL (other than a sibling of MARK S. LEVENTHAL) shall be disposed of as if such lineal descendant were a lineal descendant of MARK S. LEVENTHAL and shall be disposed of and distributed in accordance with the provisions of Section 2 .10 hereof. If there are no lineal descendants of NORMAN B. LEVENTHAL then (at the termination of the ini-al trust period) living the entire Trust Fund shall be distributed and paid over to the MURIEL G. AND NORMAN B. LEVENTHAL FAMILY FUND, INC. if said organization is then in existence or, otherwise to any successor in name or interest thereto, otherwise, the Trustees shall distribute the Trust Fund to one or more organizations which are organizations described in Section 110 (c) of the Internal. Revenue Code, distributions to which are deductible for federal estate tax purposes and also for federal income tax purposes, as the Trustees in their sole discretion shall select. 2 .9 Disposition Of Share Of Child Of MARK S. LEVENTHAL 381221 The share hereunder of a child of MARK S. LEVENTHAL shall be held for the use and benefit`'of- such child upon the following trusts, terms and conditions: A 2.9 (a) Disposition. Of Income. And Principal To Child Of Settlor The share of each such child of +MARK S. LEVENTHAL shall be set apart and held as a separate and distinct trust fund for the use and, benefit of such child during the lifetime of such child. During- the lifetime of such child the Trustees shall, at such time or times as the Trustees in their sole and absolute discretion may determine, pay to or for the benefit of such child, so much of the net income, up. to an including the whole. thereof, in such proportions and amounts as the Trustees, in their sole and absolute discretion, shall determine to be in and for the best g interest and general welfare of such beneficiary. The Trustees are hereby further authorized and empowered in their sole and absolute discretion to pay out of the principal of the trust fund such additional amounts to or for the benefit of such child as they may deem necessary or desirable for the best interest and general welfare of such beneficiary even to the extent of exhausting the entire trust fund if that, in the sole and absolute discretion of the Trustees, should be considered necessary or desirable, or, if, in the sole judgement of the Trustees, no useful 38122 1 -10- purpose would be served by continuation of the trust fund for the benefit of such child-. It is the°'express intention hereof that the trust fund hereunder shall be held and managed for the benefit of such child ,of the Settlor and be dealt with and disposed of, as to distributions (to the extent that any maybe made)• out of principal (or income) . without regard to any other" sources of income or to which might otherwise, normally or by other standards (legal or otherwise) be considered to be the several and respective rights of any secondary, beneficiaries -or remaindermen hereunder. Upon the death of such child the trust established. hereunder for the benefit of such child shall cease and be terminated and the remaining assets of such fund then (at the death of such child) remaining shall be distributed and disposed of as hereinafter in Section 2 .9 (b) provided. 2 .9 (b) Disposition Of Assets Of Trust Fund Of Child .Upon.Death Of Child -.•To Lineal- Descendants of Child The trust fund established-hereunder for the benefit of a child of MARK S. LEVENTHAL shall, upon- the death of such child, be distributed and disposed of to and among the lineal descendants of such child, then (at the death of such child) living, in equal shares, the division among them to be by right of representation, to be distributed or disposed to or for the benefit of such lineal 38122 1 -11- descendants as hereinafter in Section 2:10 provided. In the event that such child is not survived by lineal descendants, but is survived by a sibling then, in such event, that trust fund established hereunder for such deceased child shall be added to the trust fund then held hereunder for the benefit of a surviving child of MARK S. LEVENTHAL and administered as part of the trust fund held for such child under the terms of this Section 2.9 . 2 .10 Disposition Of Income And Principal Of Trust For Lineal Descendants Other Than A Child Of Settlor The share of any trust fund hereunder of a .lineal descendant (other than a child) of MARK S. LEVENTHAL shall be distributed or held for the use and benefit of such lineal descendant, upon the following trusts, terms and conditions: 2.10 (a) Distribution To Lineal Descendant Who Has Attained Forty Years Of Age The shar.e' hereunder of any such .lineal descendant who shall not then have attained the age of forty (40) years shall be held in a separate and distinct trust as hereinafter provided until such lineal descendant attains the age of forty (40) years. The share hereunder of any such lineal descendant who shall then have attained the age 381221 - -12- of forty (40) years shall be paid over to such lineal descendant, free and clear of all trusts. 2.10 (b) Disposition Of Income And Principal. To Lineal Descendant Who Has Not Attained Forty (40) Years Of Acre The share of each-such lineal descendant who has not attained forty (40) years of age shall be set apart and held as a separate and distinct trust fund. for the use and benefit of such lineal descendant, until such lineal descendant attains forty (40) years of age or dies sooner, to pay over to such lineal descendant at such time or times as the Trustees in their sole discretion may determine, the net income of the trust fund, or part -or so much thereof and in such proportions and amounts as the Trustees in their' sole discretion shall determine to be in and for the best interest and general welfare of such beneficiary, the Trustees being hereby further authorized and empowered in their sole discretion to pay out of the principal of" the trust fund such additional 'amounts ,as they may deem necessary or desirable for the best interest and general welfare of such beneficiary even to the extent of exhausting the entire trust fund if that, in the sole discretion of the Trustees, should be considered necessary or desirable, it being the express intention hereof that such trust fund shall be held and managed for the benefit of, such lineal 38122 1 -13- descendant and be dealt with. and disposed of, as to distributions (to the extent that any may be made) out of principal without regard to other sources of income or to which might otherwise, normally or by other standards (legal or otherwise) , be considered to be the several and respective rights of any secondary beneficiaries or remaindermen hereunder -- paying over .to such lineal descendant, upon attainment of forty (40) years of age, the entire fund constituting such share, free and clear. of all trusts. 2 .10 (c) Disposition Of Assets Of Trust Fund Upon Death Of Lineal Descendant During Secondary Trust Period Upon the death of any such lineal descendant prior to attaining forty (40) years of age, the trust as to its share shall cease and be terminated and the entire fund then (at the. death of such lineal descendant) in existence shall be distributed and disposed of as follows: 2 .10 (c) (1) To Issue Of Lineal Descendant To and among the issue of such lineal descendant then (at the death of such lineal descendant) living, in equal shares, the division among them to be by right of representation. . 2 .10 (c) (2) To Brothers And Sisters Of Lineal Descendant If there are no such issue of such lineal descendant then living, to the siblings of such lineal 381221 -14- I descendant and the lineal descendants of any predeceased sibling then living, in equal shares, the division among them to be by right of representation, provided, however, that each such .sibling and the lineal descendants of any such predeceased sibling shall be a lineal descendant of MARK S. LEVENTHAL. 2.10 (c) (3) To Other Lineal Descendants Of Settlor If there are no such siblings or lineal descendants of any predeceased "'sibling then living, to the other children— and the lineal descendants of any predeceased other such child of MARK S. LEVENTHAL, then living, in equal shares, the division among them to be by right of representation. 2..10 (c) (4) Disposition Of Assets Of Trust Fund Upon.Death Of Child Leaving No Lineal Descendants Survivincr If there are no 'children or other lineal descendants of MARK S. LEVENTHAL then living, the entire fund then in existence shall be distributed and . paid over as hereinabove provided. in Section 2 .8. 2 .10 (d) Share Of Beneficiary Of Existing . Trust To Be Added To Principal Of Its Trust The share under the foregoing Section 2 .10 (c) . hereof, in distribution as aforesaid, of any lineal descendant of MARK S. LEVENTHAL (including a child of MARK S. LEVENTHAL) shall, if at the time of such distribution there is then 'in existence aEtrust fund set aside hereunder for the use and benefit of such lineal descendant, be added ` . ': to the principal of the trust fund of such lineal descendant and shall thereafter-be dealt with as an integral part. thereof and held 'upon the same terms and conditions as are t 381221 - -15- r - herein provided with respect to the trust fund previously set aside for such lineal descendant hereunder. 2.10 (e) Share Of Beneficiary For .Whom No Trust Previously Established To Be Held In Trust The share under the foregoing Section 2.10 (c) hereof, in distribution as aforesaid, of' any such lineal descendant (other than a child of MARK S. LEVENTHAL) for whose benefit no trust fund shall previously have been established, and who, at the time of such distribution, shall not have attained ,the age- of forty (40) years, shall be held in trust for 'the use and benefit of such- lineal descendant to be distributed arid disposed of in accordance with the provisions of the foregoing Section 2 .10 hereof. 2 . 11 Termination Of Trust By Trustees During Secondary Trust Period NOTWITHSTANDING ANYTHING TO THE .CONTRARY HEREIN CONTAINED, at any time during the secondary trust period (the trust period following the termination of the initial trust period and continuing thereafter -for so long as a trust fund established hereunder for the benefit of a child or other lineal descendants of MARK S. LEVENTHAL shall continue to be administered hereunder) in which' a separate trust is held for a lineal descendant of MARK S.. LEVENTHAL (including a child of MARK S. LEVENTHAL) hereunder the Trustees are hereby authorized and 38122 1 _ -16- f _ 7 empowered in their sole and absolute discretion to terminate the trust of such fund and to pay the assets to- such beneficiary free and clear of all trusts,. to the end that the cost of administering the trust fund shall not be disproportionate" to the value of the assets thereof and to the benefit to be derived therefrom or, if in the sole judgement of the Trustees, no useful purpose would be served by continuing the trust fund. The right to terminate any such separate trust fund may be exercised by the Trustees a separate beneficiary-by-beneficiary basis without affecting any other trust fund established .hereunder for any other beneficiary.. 2 .12 - Right of Beneficiary to Disclaim MARK S. LEVENTHAL and each of his lineal descendants shall have full power and authority to disclaim, in whole or in part, his or her interest in and power over any property which shall be the subject matter of any trust fund established under this ARTICLE. In ,the event that any beneficiary hereunder shall exercise his or her right so to disclaim, the property or the portion thereof to which such disclaimer shall relate shall be dealt with and disposed of as if such beneficiary had not survived beyond the effective date of such disclaimer. ARTICLE III ADMINISTRATION OF TRUST FUND 381221 -17- 3 .1 Times Of Payment Of Income And Principal All payments under ARTICLE II hereof, whether of income or out of principal, shall be made at such times as the Trustees in their sole discretion may determine. 3 .2 Payments May Be Made To Or For Benefit Of Beneficiary 'Any payments made under ARTICLE II hereof, whether of income or out of principal, may in the sole .discretion of the Trustees either be made directly 'Eo the beneficiary concerned, ,or be applied or expended for the use and benefit of such beneficiary. 3 .3 Disposition Of Surplus Or Undistributed Income The surplus -or undistributed income, if any there be, of any trust fund under ARTICLE II hereof shall be accumulated and held in a separate account, but all such accumulations ofincome, or any part thereof, may in the sole' ' discretion of the Trustees, at any time and from time to time, be added to the principal of the fund from which it was derived. 3 .4 Vesting Of Income No beneficiary shall be entitled to receive, or to participate in the distribution of, the net income or principal of any trust fund under ARTICLE II hereof unless the Trustee has 3812E_1 -18- - t ' made such distribution and such beneficiary is living at the time of such distribution. Except as otherwise herein provided the right to undistributed income shall under no circumstances accrue or vest with respect to any particular beneficiary under ARTICLE II hereof; and upon the death of a beneficiary under ARTICLE II hereof whatever interest such beneficiary may have had in any part of the income if .any at all, other than that actually credited by the Trustees to the account of such .beneficiary as a distribution of income, shall cease and be terminated forthwith. ARTICLE IV DEFINITIONS 4 .1 Survivorship At Death Of Beneficiary No beneficiary entitled to take hereunder at the death of any individual shall be deemed to have survived him or her or to be living at his or her death unless, then living, such beneficiary shall survive such beneficiary for a- period of sixty (60) full calendar days, not counting the day on which his or her death occurs. 4.2 Lineal Descendants Wherever the phrase "lineal descendants" is herein used, it shall be deemed to include children by adoption and the. 381221 -19- r lineal descendants, by birth or adoption,- of such adopted children. 4.3 Best Interest And General Welfare The phrase "best interest and general welfare" wherever herein used shall be interpreted and. applied in the broadest possible sense, absolute reliance being reposed in this respect in the discretion of the Trustees then acting hereunder : without regard to any ascertainable or reasonably definite standard; and it shall be deemed to include, but without in any . -way limiting- the generality of the foregoing, (a) the comfort, recreation, and the education of any beneficiary hereunder, (b) y the establishment in, or the assistance in, the continuation on development of, a business, profession or activity of any beneficiary hereunder, and (c) the acquisition, remodeling or furnishing of a family residence. ARTICLE V SPENDTHRIFT PROVISION - 5 .1 Spendthrift Provision The interest of any beneficiary, (including. MARK S. LEVENTHAL) in the herein Trust Estate or in any separate trust fund established hereunder, either as to income or principal, during the period of administration of such trusts or (at the termination of such trusts) in the distribution of the assets of 38122 1 -20- the Trust Estate or of any such separate trust fund, shall not be anticipated, alienated or in any other manner assigned by such beneficiary and shall not be subject to any legal process, attachment, liens, bankruptcy proceedings or the interference or control of any spouse, lineal descendants, creditors, governmental entities or authorities _.or others. ARTICLE VI PROVISIONS RELATING TO .TRUSTEES 6.1 Successors To- Originally Named Trustees If for any reason any of the originally named Trustees shall cease to serve as one of the Trustees hereunder, the remaining originally named" Trustees or Trustee, as the case may be, may,. and are (is) hereby so authorized, to appoint a successor individual trustee to fill such vacancy; and any subsequent vacancy in the office of individual -Trustees thereafter occurring shall be filled -by the remaining originally named Trustees or Trustee in the same mariner. In the event that the originally named Trustees or Trustee, as the case may be, shall fail for any. reason to appoint a successor independent Trustee to fill a vacancy in the off ice of Trustee, there shall then be appointed as such successor Trustee such independent person as may then be designated in writing by MARK S. LEVENTHAL if he is then living, or .if he is not then living .or .shall. .for any reason fail to designate a successor Trustee or Trustees, 18122 T 21 then, in such event such independent person as may then be designated in writing by a majority in interest of the beneficiaries then receiving, or entitled to receive or share in the income of any trust fund hereunder, who have attained the age of majority. 6 .2 Appointment Of Successor Individual Trustees By Husband Of Settlor And By Malority Of Beneficiaries Hereunder If all of .the originally named Trustees shall cease to serve as Trustees hereunder, there shall then be appointed as successor independent Trustees or as successor independent Trustees, such person or persons (as hereinafter defined) as MARK S. LEVENTHAL, ,if he is then living, or otherwise if he is not then living or for any reason shall fail to exercise any rights hereunder then, in such event, as the children. of the Settlor, by majority decision by an instrument in writing to that effect attached hereto or filed. herewith may name; and any subsequent vacancy in the office of individual Trustees thereafter occurring. shall be filled in the same manner - - otherwise, in default of such designation,' there shall then be appointed as such successor individual Trustee, or successor individual Trustees, such person or persons, (as hereinafter defined) as may then be designated by a majority in interest of the beneficiaries then .entitled to share in the income of any trust fund who. have attained the age of majority hereunder. Any subsequent vacancy in the office of individual Trustees 381221 -22- thereafter occurring during the trust period for the benefit of such beneficiaries shall be filled in the same manner. 6.3 Complete Failure Of- Trustees If for any reason there should be a complete failure of Trustees hereunder --;whether because of any failure on the part of any person entitled so to do hereunder properly to appoint or to designate successor individual Trustees as herein .provided, or otherwise - - there shall be appointed as the sole successor Trustee such national bank or trust company doing business in the City of Boston, Massachusetts, as. may be designated by a majority in interest of all of the beneficiaries then entitled to receive the trust income hereunder who have attained the age of majority.; otherwise, in default of any such designation, there shall be appointed as sole successor Trustee such national bank or trust company doing business in the City of Boston, Massachusetts, as any Probate Court having jurisdiction in the premises shall, upon the petition of any party in interest, designate. 6.4 Appointment Of Successor Corporate Trustees If a corporate Trustee should be serving hereunder at any time and if for any reason such corporate Trustee does not serve or shall cease to serve as such corporate Trustee, there shall be appointed in its place and stead, ,as successor corporate 38122 1 -23- If- . Trus tee, such national bank or trust company doing business in P Y g the City of Boston, Massachusetts, as may be •designated in writing by a majority in interest of all the beneficiaries then entitled to receive the trust income hereunder who have attained the age of majority and any subsequent vacancy in the office of corporate Trustee shall be filled in the same manner. Otherwise, in default of any such designation, there shall be appointed as corporate Trustee, such national bank or trust company as aforesaid as any Probate Court having jurisdiction in the premises shall, upon the petition of any party in interest, designate, provided; however, if prior to any such designation by the Probate -Court the beneficiaries who have attained the age of majority hereunder shall appoint a successor corporate Trustee, that no designation of a successor corporate Trustee shall thereafter be made by such Probate Court. 6.5 Removal of Trustee Or Trustees Notwithstanding anything to the contrary herein contained, at any time during the lifetime of the Settlor, there is conferred upon MARK S. LEVENTHAL, the right, by .an instrument in writing to that effect duly executed and acknowledged by him, to remove any individual or corporate Trustee or Trustees then serving hereunder without assigning any cause or reason therefor. An executed copy of such instrument of removal shall be delivered in hand, or sent by certified mail (return receipt requested) , to 381221 -24- i such Trustee or Trustees to be removed. . Such removal shall take effect, and the trusteeship of such Trustee or. Trustees _shall be deemed to have been terminated, on midnight of the thirtieth (30th) calendar day next commencing after the. day on which such instrument of removal is so delivered to,, or received in mail . (as evidenced by the return receipt) by, the Trustee or Trustees with the same force and effect as though such Trustee or Trustees had duly resigned his or her trust effective on such day. Any such vacancy in the office of the Trustee or Trustees caused by the removal of such Trustee or Trustees by the Settlor shall be filled by the designation of a successor Trustee or Trustees by MARK S . LEVENTHAL by instrument in writing to that effect attached hereto. 6 . 6 Removal Of Corporate Trustee By Individual Trustees Notwithstanding anything t'o the contrary herein contained, at any time that there -is a corporate Trustee serving hereunder, there is granted to .and conferred upon the individual Trustee or Trustees then serving jointly with such corporate Trustee, acting singly if, there is only one such individual Trustee or acting- jointly if there are two or more such individual Trustees, the right, by an instrument in writing to that effect duly executed and acknowledged by such individual Trustee or Trustees, to remove the corporate Trustee.'without assigning any cause or reason therefor. An executed copy of such 381221 -25- instrument of removal shall be delivered in hand, or sent by certified mail (return receipt requested) , to such corporate Trustee. Such removal shall take effect, and the trusteeship of such corporate Trustee shall be deemed to have been terminated, on midnight of the thirtieth (30th) calendar day next commencing after the day on which such instrument of 'removal is so delivered to, or received in mail (as evidenced by the return receipt) by, the corporate Trustee with the same force and effect as though. it had duly resigned its trust effective- on such day. . Any= such vacancy in the office of corporate Trustee shall be filled as herein (in Section 6.2 hereof) provided. 6 .7 Resignation Of Trustees Any Trustee acting hereunder may resign from the trusts herein created at. any time by an instrument in writing to that effect attached hereto or filed herewith. Any such instrument of resignation shall state therein the effective date thereof, which shall be not less. then thirty (30) calendar days thereafter. Written notice of such resignation shall be given-, by delivery in hand or by . certified mail (return receipt requested) , to the co-Trustee or co-Trustees then serving hereunder, if there be any such, and to the beneficiaries then entitled to share in the income of any trust fund created hereunder. Failure to give any such notice shall . not affect the validity of any such resignation, but no such resignation shall be effective as against any person dealing in good faith with an 381221 -26- f n apparent Trustee hereunder and without knowledge of such resignation. 6. 8 Related Or Subordinate Parties As Trustees . NOTWITHSTANDING ANYTHING TO THE CONTRARY herein contained, in the exercise of the right to appoint or designate a successor Trustee in accordance herewith, any person entitled so to do hereunder may appoint or designate any individual or individuals, provided, however, that no such individual shall be, except as otherwise herein specifically authorized or permitted, a related or subordinate party as such terms are defined in Section 672 of the Internal Revenue Code of 1986, or any person (under then existing law of similar purport or effect) in whose gross estate any part of the herein Trust Estate or any trust fund hereunder might be taxable for Federal estate tax purposes or to whom any part of the income of the TrustEstate or any special trust fund might be taxable. 6 .9 Acceptance Of Appointment By Successor Trustees The appointment of an additional Trustee or of any successor Trustee shall not become effective until such appointment shall have been accepted in writing by such additional or successor Trustee. Any such instrument of acceptance shall be attached hereto or filed herewith. In the case of any appointment of an additional Trustee, written notice .381221 _ -27- a of such appointment and acceptance shall be 'given,. by delivery in hand or by certified mail (return receipt requested) , .to (a) all persons who have been granted the right to appoint or to designate an additional Trustee 'or a successor Trustees hereunder, and (b) the beneficiaries then entitled' to share in the income of any trust fund created-hereunder. Failure to file such written acceptance 'or to give any such notice shall not affect the validity of any such .appointment, and such appointment ..shall be effective as, against any-person dealing in good faith with an apparent Trustee hereunder and without knowledge of the failure on the .part of such Trustee to accept such appointment in writing or the failure to give notice, 6.10 Transfer To Successor Trustees;, Definition Of Trustees Any successor Trustee, or successor Trustees or newly appointed Trustees, shall without further act or conveyance . of any nature have all the same powers, rights, immunities, privileges, discretions and estates herein conferred upon the original Trustees as if originally named herein; and the .word "Trustees" wherever herein used, shall be taken„to mean the Trustee or Trustees for the time being and to. include the singular for the. plural number and the feminine gender for the masculine gender and. vice versa, wherever the context permits or requires. All pronouns and any variations thereof shall be deemed to refer to masculine, feminine, neuter, singular or 381221 -28- SEP-14-04 11:02AM FROM-GOULSTON & STORRS +1-61T T-OT8 P.002/002 F-316 , plural, as the identity of the person or persons may require. . The term "corporate Trustee" wherever used in this ARTICLE shall mean a national banking corporation or trust company doing business in the City of Boston, Massachusetts. 6.11 Decision And Action By Trustees At any time that there are more than two Trustees serving hereunder, the decision or act. of the majority of them shall in all matters (including, but with limiting the generality hereof, the exercise of discretion) be deemed the decision or act of all of the Trustees . Notwithstanding anything to the contrary herein contained, whenever or wherever the exercise of discretion by the Trustees is indicated or required, the Settlor directs that the independent Trustee or Trustees (a Trustee who has no beneficial interest in any Trust Fund hereunder, whether in the income or principal thereof and whether such interest is present or contingent) shall have the exclusive right and power to act in this regard; and in the exercise of such discretion the other Trustees shall be bound by the judgement of the independent Trustee or Trustees. 6.12 Designation of Authority By Trustees The Trustees are specifically authorized and empowered by an instrument in writing to that effect signed by all of the Trustees to .designate one or more of their number who, signing singly as set forth by the instrument of designation, may 38122 t -29- e s act on behalf of all of the Trustees and may enter into all transactions on behalf of the Trust Estate, intending thereby to authorize such -Trustee to execute all documents, including without limitation, agreements, notes, . leases, mortgages and any other instruments affecting the Trust Estate and to thereby bind the Trustees and to draw checks or other orders for the payment of money of the Trust Estate, or of any separate trust fund hereunder, which may on deposit in any bank or financial institution without the -need for any signature or concurrence of another Trustee. Any such .designation may from time to time be amended or revoked by an instrument in writing signed by all of the Trustees. A third party may rely on a copy of such 'instrument designating such power and authority as conclusive evidence of such power and authority. 6.13 Del cTation Of Powers By Trustees Any Trustee may by an instrument in writing delegate all or any of, his powers, duties and discretions as Trustee hereunder to a co-Trustee for a period not to exceed six (6) months and may renew such delegation from time to time. Any such delegation may from time to time be amended or revoked by .an instrument in writing to that effect. 6.14 Trustee's Bonds; Exculpation Of Trustees 34580 1 -30- No Trustee or successor Trustee shall be required r to give any bond, provided, however, in the case of any successor. Trustees appointed by the Probate Court as aforesaid, that.a fiduciary bond with appropriate sureties* on such bond shall be required unless a majority in interest of all beneficiaries hereunder, who have attained the age of majority, acting as above provided, duly waive the requirement of a bond by a� notice in writing in to tha t effect filed ,in the Probate court.,,, No*Trustee, including any successor Trustee, shall under any_ circumstances or in any event be- responsible for, or be deprived of compensation by reason of, any involuntary losses, the act or default of another, more money or other property than such Trustee actually receives, any action taken, suffered or omitted in good faith, honest errors of judgment or mistakes of factor law or for any cause except his, her or its own personal willful act or default. ARTICLE VII TRUSTEES' ACCOUNTS �.1 Rendering Of Accounts The Trustees shall, at least once a year, render an account of their administration of the -herein Trust Estate or any separate trust fund hereunder to ALAN M. LEVENTHAL and the person or persons who, as of the closing date-of any such account, are then the beneficiaries of such Trust Estate or any such separate trust fund. 34580 1. -31- r 7.2 Acceptance And Approval Of Accounts So far ,as, and to the fullest extent. that, may be permitted by law, with respect to each such account rendered by the Trustees, the written assent to or approval of any such account by the person or persons entitled. as beneficiaries hereunder, during the period covered by any 'such account, to receive (or to participate "in the distribution of) the income of the Trust Estate, or of any separate trust fund hereunder, shall, ..as:_t.o all matters and transactions- stated therein or shown thereby, be final, binding and conclusive upon all persons (whether in -being or under disability or not) who are then or who may thereafter become entitled to share either in the principal or income hereunder or in any distribution upon" a later termination thereof, provided, however, that nothing herein contained shall be construed to authorize any person entitled to assent to or approve of. any such account acting in conjunction with the Trustees to alter or amend the herein Trust Indenture. In implementationfof the- foregoing, the income beneficiary or beneficiaries aforementioned, or their respective guardians or other legal representatives, are hereby nominated as the person or persons, even though interested, to represent the interests of persons unborn or unascertained. Except as hereinabove otherwise . provided, the interests of any unborn or unascertained persons from time to time arising during the administration of the herein Trust Estate or of any separate trust fund hereunder need not be 381221 -32- represented, it being the Settlor's intention to -dispense with such representation. . ARTICLE VIII TRUSTEES' POWERS 8.1 General Powers The Trustees, in addition to and not in limitation of all common law and statutory .authority and the powers herein i given, shall have the power and authority, exercisable always in a fiduciary capacity - - which shall continue after the termination of the herein trusts for the purpose of distribution - - with regard to real and personal property, and any part thereof, and generally with regard to the assets of the Trust Estate or any separate trust fund hereunder, without leave or license of any court: 8.1 (a) General Powers To bargain, sell, lease (with-or without an option to purchase and for a time beyond the time herein set for the termination of any trust or trusts hereunder) , mortgage, pledge, convey or otherwise encumber or dispose of any or all of the Trust Estate, whether real, personal or mixed, including the power to sell, in whole or in part, at public or private sale, at such time or times, upon such terms, whether for cash or in exchange for other property or properties, real or personal, -as in their sole judgment and discretion seem to be for the best interest of the .Trust Estate and to transfer, and to convey the same by good and sufficient instrument to the purchaser or purchasers, free from all trusts, ,without liability upon any person dealing with them to see to the application of the purchase money or other consideration delivered to them; to rescind or vary any contract of sale. and to buy in and resell any property without in any event being responsible for any loss; to . transferor convey or to join in transferring or conveying, or to authorize the transfer'`and conveyance of, any property 38122 1 -33 which they hold or` in which they hold any interest to any corporation, or to trustees to hold and manage upon such trusts as may be agreed upon, and to accept in satisfaction of such transfer and conveyance, or authorize the acceptance of, shares of stock in such corporation, or certificates from the trustees to whom such conveyance may be made representing undivided beneficial interests under a , declaration of trust covering such property; and to participate in such manner as they may deem proper in' any reorganization, merger, consolidation or recapitalization affecting any property of the Trust Estate, to deposit any property to the Trust Estate under any such plan of reorganization or with any protective or reorganization committee, to delegate to such committee discretionary power with respect thereto, to pay a proportionate part of the expenses of such committee and such assessments levied under ,such plan and to accept and retain new securities received in pursuance of any such plan; and, in respect to any property of the Trust Estate, to be or to become a member of a general or limited partnership, and to participate in a syndication of any such property, alone or in combination with property of others, upon any terms and conditions that in their sole judgment and discretion seem to be for the best interest .of the Trust Estate. 8 .1 (b) To' Lend, Maintain Deposits To lend money to such persons (including beneficiaries hereunder or entities or ventures in which the Trust Estate has an interest) on such terms and at such interest rates as to them.may seem proper, with or without security; to extend .the time of payment of any obligation held by them; to modify or release any guaranty of any obligation which they hold or in which they may have an interest; to make, keep and ,maintain deposits in commercial banks paying no interest- on deposits, in savings banks the savings departments of national banks and trust companies, cooperative banks, building and loan associations, money market funds,. and other banking institutions paying interest on deposits; and to rent or lease safe deposit boxes. 8 .1 (c) General Investment Powers To invest, and from time to time to reinvest,* - without limitation -- and regardless of their character, quality and principles of diversification and any other principles usually applicable to investments of fiduciaries - - in securities or other property although of a kind, or in an amount, or both, which ordinarily would not be considered 381221 -34- suitable for a trust investment including buying and selling of commodities, futures, options, precious metals and stones, and to deal in stock indexes, straddles and other arbitrage transactions, intending hereby to authorize the Trustees to act in such manner as they shall believe to be for the best interests of the Trust Estate regarding it as a whole, even though particular investments might not otherwise be considered proper; and to invest in any Common Trust Fund of which any corporate trustee is the trustee. 8.1 (d) Pay. And Compromise Claims To pay, compromise, adjust., subordinate .or contest, or to settle by reference or arbitration or otherwise, any claim against or in favor of, or any debt or liability of or to, the Trust Estate or the Trustees. 8. 1 (e) Receive And Collect Amounts Due To receive and collect all amounts due or payable to them and all property to which they shall be entitled and to take such action as they shall deem necessary or proper to enforce payment or obtain receipt thereof. 8 . 1 (f) Payments To Persons Under Disability To make payments of principal or income direct to or to apply the same for the benefit of, and otherwise deal with, minors hereunder as though they were of 'full age, and . . in case of any beneficiary hereunder who shall happen to be . a minor or otherwise legally incapable of giving a discharge for a payment to. him or her either (1) to pay any sum or sums which would otherwise be payable to such beneficiary to the guardian of the person or of the property of such beneficiary or (in the case of a minor beneficiary) to the father or mother of such beneficiary or to the person with whom such minor beneficiary is at the time residing, or (2) in the case of any such beneficiary, minor or adult, to apply such payment to or for the use.,and benefit of such .beneficiary, such payment or application by .the Trdstees- as herein provided to be and constitute a. full and sufficient discharge to them in respect thereof, without any further receipt. 8.1 (g) With Respect To Real Estate 38122 1 -35- To grant, sell and transfer any easement, privilege or other right over or interest in any real estate; to agree to subject any real estate held by them to any restrictions; to release any easement, privilege, right or restrictions existing in their favor over any real estate; to improve, insure, manage, protect and subdivide. any real estate held by them; to settle boundary lines and easements and other rights with respect-to real estate, and to dedicate 'any part of any real estate held by them that they think desirable to the public for highways or similar purposes; to enter into party wall agreements; to purchase rights of way, and rights to maintain sewers or other easements; and generally to enter into contracts or other arrangements with others and with public authorities in respect of any of the foregoing. 8.1 (h) -Purchase Of Real Estate V To purchase or otherwise acquire real estate, or any interest therein, including the investment .in other entities owning .or investing in real estate as a general partner, limited partner, joint venturer, `or otherwise, as a trust investment and (without , limiting the generality of the foregoing) real estate anywhere for the purpose of providing parking facilities for any property owned by the Trust Estate; and there may be joined in. connection with any such purchase or acquisition any one or more of the co-owners of any real estate. owned by the Trust Estate 'or in which it has an interest. 8 .1 (i) With Respect To Mortgages To give partial releases '`of, and to extend, modify or subordinate, any mortgages or pledges held by them, upon such terms as they shall think proper; to assign or discharge any such mortgage or pledge; ' to take possession of any property mortgaged to them, to exercise any power of sale contained in any such mortgage or'pledge; and to do any act which they shall think proper to foreclose the same by entry or otherwise. 8.1 (j ) Partition Of Real Estate " To make partition in such manner as they think proper of any. real estate or interest. therein held by them in common with. any other person or persons, and to pay or receive the proceeds of partition. 381221 . A -36- 8 .•1 (k) Deal With Real Estate To make repairs, alterations, improvements and additions; to demolish or tear down buildings and to erect other buildings in their stead; to pay and defray all encumbrances; to collect and receive rents, interest, dividends or profits; to grant or receive Ioptions for the sale or exchange of any property or interest in property; and to terminate tenancies and leases and to commence and to prosecute legal proceedings to obtain possession of real estate; generally to deal in and with real estate and interests in real estate; to purchase or otherwise acquire real estate, or any interest therein, as an investment and (without limiting the generality of the foregoing) real estate anywhere for the purpose of providing parking facilities for any property owned by the Trust Estate; and there may joined in connection with-any such purchase or acquisition any one or more of the co-owners of any real estate owned by the Trust Estate or in which ithas an interest; to assign,. transfer and convey, or cause to be assigned, transferred or .conveyed, alone or in conjunction with others, any property belonging to or acquired by the Trust Estate to a nominee or nominees for the purpose of., executing, extending or renewing any mortgage or other obligation or lien on or affecting such property, and to cause such property to be assigned; transferred or conveyed back to the Trustees after any such purpose .shall have been accomplished; to make allowances to or arrangements or contracts with tenants and others and to accept surrenders of leases and tenancies, all on such terms so they shall deem proper. , , 8 .1 (1) Apportionment Between ' Income And Principal To allocate between income and principal all receipts (whether of money or other things of value) , and all charges and expenses, as they shall in good faith determine to be consistent with generally accepted accounting principles, including specifically, but without limitation, the power and authority to make such allocation in regard to stock and cash dividends, rights and all other receipts in respect of the ownership of stock, and to determine what part, if any, of the actual income received upon a wasting investment, or upon any security received or purchased, at a premium, shall be retained.and added to principal to prevent a diminution of principal; to determine whether or not, and to what extent, to make or claim deductions for depreciation obsolescence, amortization or waste, and in what amounts, including (in addition to and 381221 -37- i not in limitation of the foregoing) the power to adopt whatever form or method of depreciation that may be permitted under the applicable provisions of the Internal F Revenue Code of the United States as it may then be in force and effect, and to determine whether or not, and to what extent, to apportion and allocate any such deduction between income and principal, and between income beneficiaries and the Trustees, in any such case (whether as to any. such deduction, or any such apportionment or allocation) without regard to what might otherwise be the conflicting interests of income beneficiary and remainderman. 8 .1 (m) Borrow Monev To borrow money from any person or persons whomsoever with or without giving security for the repayment thereof, and in all respects upon such terms and conditions as they shall deem proper, including the authority to act as a maker, endorser, or guarantor in connection with such borrowing. 8 .1 (n) Act As Directors, Officers Or Employees To act as directors, officers or employees of any corporation the securities of'which are held hereunder, as partners or employees of any partnership in' which the herein Trust Estate has a partnership interest and as counsel to any such corporation or partnership. 8 . 1 (o) Vote Stock To waive notice of and to vote in person or by proxy (with or without power of substitution) at all meetings of any corporation or other. enterprise or organization, any of.. the shares of which. are included in the Trust Estate and in connection with any such voting to give such proxies and to such persons as they 'Shalldeem proper. 8 .1 (p) Exercise. Certain Rights To exercise all stock and other options and all conversion, subscription, voting and other rights of whatsoever nature appertaining to the property of the Trust Estate and to pay such sums as they may deem advisable in connection therewith and to organize, reorganize, merge, consolidate, recapitalize, dissolve, ' liquidate or otherwise create or change the form of any corporation, partnership, joint venture or other entity. 38122 1 -38- 8.1 (q) Receive.Additional Property To receive additional property from any source for the account of the Trust Estate or any separate trust fund hereunder by gift or will or otherwise, and to hold; deal . with and administer such additional property as an integral part of the Trust Estate, or any such trust fund. 8.1 (r) Determine Distributees To determine who are the.'distributees hereunder and the proportions in which they shall take. 8 .1 (s) Retain Assets In Form Received To retain any securities or other property, real or personal (including cash) .which they may receive or acquire as Trustees in the same . form of investment as that in which said securities or property were received by .them, notwithsta-nding their character, quality, amount and pr-nciples of diversification and any other principles usually applicable to investments of fiduciaries and without in any way being liable for any shrinkage by reason of such retention. 8 .1 (t) To Deal With Life Insurance Policies To apply for, acquire (by will, purchase, gift, as collateral or otherwise) , own, hold or become the beneficiaries of - - and to assign, surrender, and, generally, deal in or with - - ,a policy (or policies) of insurance, on the life of any person, specifically including. insurance on the life of the Settlor or the husband of the Settlor and to pay the premiums thereon. 8 .1 (u) Consolidated Funds During the secondary trust period to retain the corpus of two or more of the separate trusts created thereunder, if any there be, in one or more consolidated funds in which the separate trusts shall have undivided interests, without. making a physical division of the investments of such trusts, and in that connection to allocate to each trust its proportionate part of the principal and income of the consolidated fund and to charge ' against each trust its proportionate part of the expenses of the consolidated funds. 381221 -39- a , 8.1 (v) Distribution Of Principal In making any division or distribution of the trust property, or upon any distribution of principal, to value in accordance with recognized methods of valuing property, all property to be divided or distributed, and to make division or distribution thereof as far as they- shall think practicable by setting off to each beneficiary or to each separate trust fund approximately proportionate amounts of each kind of security or other property included in the property to be divided or distributed, and by turning .over , in kind at .the valuations so made by them any property not so set off, or by converting all or any• part of the property to be divided or distributed into money and dividing or distributing the same, or -by making division or distribution partly in one way and partly in the other, including the 'power to distribute any asset 'in appropriate fractions and shares to any two or more beneficiaries as tenants-in-common. All determinations by the,-Trustees in respect of the foregoing made in good .faith shall be- binding and conclusive on all parties in interest 8 . 1 (w) All Powers Relating To Trust Estate- Applicable .To Separate Trust Funds To exercise with respect to each separate trust fund hereunder any and all of the powers hereinabove conferred upon the Trustees with respect. to the. Trust Estate. 8 .2 Special Power Relating To Assets Of Trust Fund And, generally, to exercise for the benefit of the Trust Estate and the separate trusts and trust funds which are the subject matter of ARTICLE II, as the case may be, in respect of any property constituting part thereof as aforesaid, all rights, powers and privileges of every name, nature and description which might or could be exercised by anyone owning . .such property absolutely and in his own right. 381221 . -40- l NOTWITHSTANDING ANYTHING TO THE CONTRARY HEREIN CONTAINED or established under common law or statutory authority concerning investments proper or suitable for Trustees, the Trust hereby created and the separate trusts and trust funds hereunder are hereby authorized and empowered to engage in business. and real estate investment and development ventures or activities which are inherently risky or have the potential for greater investment risks than would otherwise be permitted under the so-called "Prudent Man Rule. " Accordingly, the Trustees are hereby specifically authorized and empowered to invest in high risk or speculative ventures and activities, including the investment or otherwise furnishing of so called venture capital and start-up capital or investment funds or participation in. : similar speculative activities and ventures, including investments which are likely to yield little or no current income . or cash flow and which are long term investments with the objective of capital appreciation and in connection therewith to furnish guarantees, endorsements and security arrangements. IN FURTHERANCE OF THE FOREGOING, and in addition to and not in limitation or derogation of, all and whatever power and authority may elsewhere herein be conferred upon them, the Trustees are hereby specially authorized. and empowered,. in their sole discretion, acting in such respect for and on behalf of any separate trust fund under ARTICLE II hereof, as Trustees aforesaid and. not individually, to join such trust fund, as a general or limited partner (either or both, as the case may be) , 38122.1 -41- with others in the formation of, or so to associate such trust fund with an. already existing, general or limited partnership,. or so-called closely held corporations, upon such agreements, terms and conditions as the Trustees in their sole discretion shall deem and determine to be in the best interest of any such trust fund, provided, however, that .in no respect and under no circumstances shall the Trustees by so doing be or become personally liable for or in respect of any liability which they shall undertake or to which they may -be subjected on account thereof, it being expressly understood .that any person who may assert any such liability shall look for redress solely to the interest of the trust fund in such partnership or to any other assets of the trust fund. 8 .3 Employment Of Legal And Investment Counsel The Trustees are authorized-, in their sole discretion, to employ and consult with counsel and agents (including investment counsel, so called) , .and to determine whether or not, and to what extent, to act upon their advice, the determination of the Trustees, in any such respect, made in good faith, to be final, binding and conclusive upon all parties in interest hereunder, and to determine and pay to such counsel and agents reasonable compensation for their services; and the Trustees shall be entitled to reimbursement therefor, and for 381221 -42- such other compensation and charges -as the Trustees -may deem necessary and proper to incur. 8.4 Compensation Of Trustees The Trustees may receive compensation for services rendered hereunder on the basis from time to time usual among : trustees in the Commonwealth of Massachusetts. 8 .5 Third Persons Dealing . With Trustees No firm, association, trust or corporation, any of whose securities are included in the assets of ,the Trust Estate or any separate trust fund hereunder, and no transfer or other agent of any such firm, association, trust or corporation,, .and no purchaser from, or anyone else having any dealings with, the Trustees in good faith shall (a) be . responsible for the f. application of any money or other thing of value paid to, or in accordance with the direction of, the Trustees, or for carrying out any of the provisions of this Indenture (the receipt of the Trustees being a full discharge) , or (b) be under any obligation . to ascertain or inquire into the power or. authority of the Trustees to purchase, sell, exchange, transfer, partition, invest, borrow, lend, mortgage, pledge, or otherwise encumber, lease, let, distribute or otherwise in °any way dispose of or deal with any such securities or any other property included among the. assets of the Trust Estate or any such separate trust fund or to .381221 -43- r receive or make any payment or distribution or to execute and deliver any instrument or to take any other action of any kind taken or contemplated by the Trustees, or be under any obligation to ascertain or inquire into the reasonableness or propriety of any such action taken or contemplated by the Trustees and notwithstanding any language, or inference therefrom, to .the contrary (or in limitation. hereof.) anywhere in this Indenture contained, no determination that any purported exercise of any powers or authority herein ,granted-_to. the..Trustees is beyond the bounds of reasonable discretion or is not within the powers or authority of the Trustees shall give rise to any liabilities or obligations on the part of anyone having any dealings in good faith with the Trustees . ` F ARTICLE IX CERTIF.ICATE 'OF TRUSTEES 9 .1 Certificate Of Trustees Final And Conclusive A certificate signed by any one of the Trustees and acknowledged before a Notary .Publ`ic or. a Justice of the Peace shall be conclusive evidence to all persons and. for ,all purposes .of the facts stated. in said certificate respecting the terms of this Trust Indenture. 9 .2 Conclusiveness Of Facts Certified By Trustees A certificate signed by any one .of the Trustees and so acknowledged setting forth the existence of any facts the 381221 -44- existence of which shall be necessary or proper to authorize the execution of any instrument or the taking of any action by the Trustees hereunder shall, as to all persons acting in good faith in reliance thereon, be conclusive evidence of the truth of. such statements made in such certificate and of the existence of the facts therein stated to exist. ` ARTICLE X NOTICES 10 .1 Notices Any written notice required. hereunder shall be deemed to have been duiy given if delivered personally to, or sent by registered or certified mail (return receipt requested) addressed to the last known residence of, each person entitled to receive such notice hereunder, including the beneficiaries known to the Trustees then to be entitled to participate in the distribution of principal or income hereunder; and, in the case of a beneficiary under a_ disability, such notice shall be deemed to be sufficient if- delivered or'mailed as aforesaid to such beneficiary, or to the guardian of the' person or of the property, or to the father or mother of such beneficiary, or to the person with whom such beneficiary is at the time residing., ARTICLE XI ACCEPTANCE OF TRUST BY TRUSTEE 381221 - -45- 11.1 Acceptance Of Trust By, Trustee PAULA L. SIDMAN, ALAN M. LEVENTHAL, J. ROBERT CASEY for themselves and for their successor Trustees, hereby accept the trusts created hereby and agree to carry out the provisions hereof on the part of the Trustees to be performed. ARTICLE XII MISCELLANEOUS 12.1 . Captions The captions in this Indenture are, included- herein only as a matter of convenience and, for purposes of reference and do not in any way define; limit or describe the scope of this Indenture or the intent of any of its provisions. 12 .2 Governing taw The herein Indenture of Trust is executed and delivered by the parties hereto in the Commonwealth of Massachusetts and with reference to the laws thereof, and all rights and duties in relation thereto and the construction and effect thereof shall be subject to, governed by, and "construed according to, the laws of the Commonwealth of Massachusetts.' ARTICLE -XIII IRREVOCABILITY 381221 -46- f 13 .1 Irrevocability Of. Trust The herein Indenture of ;Trust is irrevocable; and the transfer by the Settlor to the Trustees of the property listed on SCHEDULE A attached hereto is made, and any other or additional property which after the date of the herein Indenture may be transferred to the Trustees shall be made, without reserving to the Settlor any right, power or authority in any respect, to alter, amend, cancel or revoke such Indenture in, whole or in part. IN WITNESS WHEREOF, DONNA R. LEVENTHAL has hereunto set her hand and seal, and PAULA L. SIDMAN, ALAN M. LEVENTHAL and J. ROBERT CASEY, in token of their acceptance of the trusts hereby created, have set their hands and seals; all as of the day and year first above written. 38122 1 -47- r n a EXECUTED IN SEVERAL COUNTERPARTS, each of which shall be deemed to be an original hereof. This instrument is intended to take effect as a sealed instrument. v DONNA R. LEVENTHAL SETTLOR J�l.C�Ylwt 00= ALAN M. LEVENTHAL ROBERT` CASEY TRUSTEES COMMONWEALTH OF MASSACHUSETTS Suffolk County IZ , 199,1 The foregoing instrument was acknowledged before me. this 10 day of 199:`by DONNA R. LEVENTHAL, . as`her free act and deed. Not Public My Commission Expires.: DEM B. LASDEN NOTARY PUBLIC My Commission Ejgft March 14 38122 1 -48- RESIGNATION OF PAULA L. SIDMAN AS TRUSTEE OF THE BONNYBROOK TRUST Reference is made to the Declaration of Trust,created by DONNA R.LEVENTHAL, Settlor,dated as of January 1, 1992,known as THE BONNYBROOK TRUST(the "Trust") in which PAULA L. SIDMAN,ALAN M. LEVENTHAL and J. ROBERT CASEY are named as Trustees. �. The undersigned PAULA L. SIDMAN does hereby resign as Trustee of the Trust,effective as,-of June 30, 1997. WITNESS the execution hereof under seal,on this 30th day of May, 1997. Paula L. Sidman We hereby acknowledge receipt of the within resignation on this 30th day of May, 1997. Alan v asey GS2- 125842-1 APPOINTMENT OF PAULA L. SIDMAN AS TRUSTEE OF THE BONNYBROOK TRUST Reference is made to the.Declaration of Trust created by DONNA R. LEVENTHAL, of Newton,Massachusetts, as Settlor, dated as of January 1, 1992,and known as THE BONNYBROOK TRUST(the "Trust"). I am authorized to appoint an additional Trustee of the Trust,pursuant to the:provisions of Article 6.2 thereof. I do hereby appoint PAULA L. SIDMAN,of Palm Beach,Florida,as an additional Trustee of the Trust, effective as of the date hereof. WITNESS my hand and seal,as of October 9,2106 S. a ent al, trustee COMMONWEALTH OF MASSACHUSETTS' County of Su fto ss. . On this day of October, 2006,before me,the undersigned notary public,personally appeared MARK S.LEVENTHAL who 2 is personally known to me or who has produced Massachusetts Drivers License as satisfactory identification that he is the person whose name is signed on the preceding document, and acknowledged that he signed such document voluntarily for its stated purpose. -GYWHIA STILLWGER Noirafi, ublic NOTARY FtlBlJC Expires: M My Commis on yCWnrWMexpimAug.p GSDOCS\1655357.1 RESIGNATION OF EDWIN N. SIDMAN AS TRUSTEE OF THE BONNYBROOK TRUST Reference is made to the Declaration of Trust,created by DONNA R LEVFNF_NAL, Settlor,dated as of January 1, 1992,lmown as THE BONNYBROOK TRUST(the"Trust" in which PAULA L. SIDNiAN,ALAN M.LEVENTHAL and J.ROBERT CASEY were named as the original Trustees. ; Whereas,PAULA L.SIDMAN resigned as Trustee of the Trust by insmunent in. VMdrig dated May 30, 1997 and EDWIN N.SIDMAN wds appointed as successor Trustee i n her piece by instrument writing dated May 3.0,1997. The undersigned EDWIN N. SIDMAN does hereby resign as Trustee of the Trust, effective as of September 24, 1998. 'i of September, 1999. WITNESS the execution hereof under seal,on this 24 day p , Edwin N. Sidman We hereby acknowledge receipt of the within resignation on this 2e day of September, 1998. A1anM.Leven 7, a asey G30oes4blM-1 0912WOO 2:49 PM APPOINTMENT OF PAULA L. SIDMAN AS TRUSTEE OF THE BONNYBROOK TRUST Reference is made to the Declaration of Trust created by DONNA R. LEVENTHAL,of Newton, Massachusetts, as Settl or, dated as of January 1, 1992, and known as THE BONNYBROOK TRUST(the"Trust"). I am authorized to appoint a successor Trustee of the Trust,to fill the vacancy caused by the resignation of Paula L. Sidman as Trustee of the Trust effective as of June 30, 1997 pursuant to the provisions of Article 6.1 thereof. I do hereby re-appoint PAULA L. SIDMAN, of Palm Beach, Florida, as an additional Trustee of the Trust, effective as of the date hereof. WITNESS my hand and seal, as of October 9, 2006 . I U - Donna R. Leventhal`, Settlor COMMONWEALTH OF MASSACHUSETTS County of Suffolk, ss. On this 9th day of October, 2006, before me, the undersigned notary public,personally appeared DONNA R. LEVENTHAL,personally known to me or who has produced a Massachusetts Drivers License 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. , fry' YNTHIA STILUNGER OTARY PUBLIC �,Icor�r+�ioneesAu9.29,2008 N t Publicmmission Expires: ACCEPTANCE OF PAULA L. SIDMAN AS TRUSTEE OF THE BONNYBROOK TRUST Reference is made to the Declaration of Trust created by DONNA R. LEVENTHAL,;of Newton, Massachusetts,as Settlor, dated as of January 1, 1992, and known as THE BONNYBROOK TRUST(the""Trust"). I,PAULA L. SIDMAN,was appointed Trustee of the Trust as of October 9;2006 by MARK S. LEVENTHAL pursuant to the provisions of Article 6.2 thereof. I do hereby accept the foregoing appointment as Trustee of the Trust,effective as of the date hereof. WITNESS my hand and seal,as of October ;2006. PAULA L. SIDMAN STATE OF FLORIDA County of SZi ' , ss. On this 1v2 day of c% ; 2006,before me,the undersigned notary public, ` personally appeared PAULA L. SIDMAN,personally known to me or who has produced Florida Drivers License as satisfactory identification that sheds the person whose name is signed on the preceding document,and acknowledged that she signed such document voluntarily for its stated purpose. CYNTHIA STILLIRIGER Nota ublic NOTARY PUBLIC My ommissio Expires: ���e �•29- GSDOCS\1655366.1 i �°�- % �s �C� � _ � � �.� � � . . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ®E Parcel [ Application# 0o�� C�` " Health Division r � 0 Conservation Division j \Y Permit# Tax Collector Date Issued Treasurer 5 ° Application Fee D� Planning Dept. Permit Fee b- Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6 D'eeah Ui`•e_w 7 f l Village 0� 9R�00 CO 0 i2S Owner h b(_D a V G a�S S'1" iZe�,l�Address Tl1 Fe — Owner 4 n Z a Permit Request t i �br n r Square feet: 1st floor:existing^- O propose 2nd floor:existing rV l7 proposed Total ne,2� 0 Zoning District Flood Plain Groundwater Overlay e� oara Project Valuation _ Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 0i14A r'-e 5'.�&K tn at Age of Existing Structure � bed r 84 g g � XIS Historic House: ❑Yes Colo On Old King's Higl�Way: ❑l Flo g s man+Type- ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ca Number of Baths: Full:existing new D Half:existing new" M. Number of Bedrooms: existing_ new Total Room Count(not including baths):existing l new t") — First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other IU&LZ Central Air: ❑Yes >QO Fireplaces: Existing d New © Existing wood/coal stove: ❑Yes 'dNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use 6 A(M Proposed Use S� BUILDER INFORMATION Name �'� ��@ V� 41,\ Telephone Number Address B 2caG&v1 C0 M nit Vl 12S License# e-61 7— L- Home Improvement Contractor# Al D.. l ( a Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO —oLa r A h n SIGNATURE DATE t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS' VILLAGE OWNER s _ DATE OF INSPECTION: FOUNDATION FRAME s INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL F F PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ti X f- DATE CLOSED OUT ASSOCIATION PLAN NO. r 1 P�oF,►�rqi� Town of Barnstable Regulatory Services BARN BM = Thomas F.Geiler,Director 9q Building Division ; Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , www.town.barnstable.ma.us Office: 508-862-4038 ` Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION r Please Print DATE: 4 V jj 70B LOCATION: OCe� G � Qw jnuum�ber street villa ge T `HOMEOVvNER": I y\ Lev e AM A fJ r � �7 � O Q O Q y name home phone# work phone# t CURRENT MAILING ADDRESS: Be4cari CDM A )IPs FL gosh 62_ t to city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as . supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one of two-familydwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. TI e undersigned"homeowner"certifie that he/sht understands,the Town of Barnstable Building Department um inspe lion p ocedures and r u' at he/she will comply with said procedures and re ts. Si atu of Aer Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hues unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: Q:fomis:homeexempt , The Commonwealth of Massachusetts 444Ln Department of Industrial Accidents ,11 Office of Investigations EE ` 600 Washington Street Boston, MA 02I11 t }� www.mass.gov/dia Workers' Compensation Insurance Affidavit:B.uilders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): I V ckc OL Address: ('ce LV11 U City/State/Zip: CO I (� Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1, 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 2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑Remodeling ship and have no employees ' These sub-contractors have 8, ❑Demolition working for me in any capacity. workers' comp:insurance. 9, ❑Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its r iced.] officers have exercised their 10.0 Electrical repairs or additions 3 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' comp.insurance required.] 13.❑ Other `Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. !am an employer that is providing workers'compensation insurance foamy employees. Below is the policy and job site 'nformation. assurance Company Name: 'olicy#or Self-ins.Lic.#: Expiration Date: ob Site Address: City/State/Zip: attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . ine 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 if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. do hereby rti and the p 'n an penalt• of p th ion provided�bO ve 9s tr a and correct i afore: r �� Date: 'hone#: b S 00 Official use only. Do not write in this area,.to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: .Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." . MGL chapter 152; §25C(6)also states that"every state oi•local licensing agency shall withhold the issuance or renewal of a license or permit to operate.a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contactor(s)name(s),address(es)and phone number(s)along with their certificates).of insurance. Limited Liability Companies(LLC)or.Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to.the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy.information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vent-are (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Co=onwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Strut Boston,MA 02111 Tel. # 617-' 7-490.0 ext 406 or 1-8.77-MASSAFB Fax##617-727-77-49 Revised 5-26-OS www.ma.ss.gov/dia r ---------------------------- - Foundation Plan 1 I I r-------------------------� I 0 1 2f«e 4 6 8 I I I I I I I I I e t I 1 1 I I I I -oo Iz— I I 1 I 1 I 1 I I I I I I I I I I I L-- 1 I I I I I � I 1 I I I � I 1 1 N I I I I I 1 � 1 I I I I I I I 1 r 1 conc.slab with 6x6410 WWM I I I I I 811 1 I I i I I I I 1 L------------------ -------- 1 , L— -------------------------- ----------' 12AII Foundation Section 411 concrete slab - T —4 0 1 2 fm 4 6 8 crushed stone grade compacted fill 811 conc.block 4 1011x/011 � footing Cottage 164 Ocean View Ave. Cotuit, MA November 10, 2006 s r r 4.e �M 0 7�� Engineering Dept.(3rd floor) Map Q Permit# `3� Parcel 41 House# . o??�a Date Issued -/ 7-`!2 7 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30 4 &F e � v Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) � our , Planning Dept.(1st floor/School Admin. Bldg.) INSTALLED®�( Tee Definitive Plan Approved by Planning Board 19 } un-. � IYCE E. �p Ift 65 TOWN OF BARNSTABLE OWN Rey � BEAN® Building Permit Application 164 Project Street Address Village CpT71-6 G Owner Cat)G ULIlU Address /D 4 "j IS AN C15-- A&iS b-y, /"?q Telephone �j j - ��Permit Request R�1,')0Q&-; 1Sf1e,L- eE: NAy ; Aa>1.b 1�L rC1VLrn), APD .emu Lk N 0 /J First Floor 1 7a square feet Second Floor square feet Construction Type ODz;> `Fp,A(Y)F-_ Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout f/Other k C PQ w L g—�J l Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 7— New Half: Existing New No.of Bedrooms: Existing 7New fAW„e Total Room Count(not including baths): Existing g New O First Floor Room Count 6 Heat Type and Fuel: dGas L]Oil ❑Electric L)Other Central Air 4Yes ❑No Fireplaces: Existing / New / Existing wood/coal stove ❑Yes WNo Cfarage:'pDetached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) • ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes U"No If yes, site plan review# Current Use Proposed Use Builder Information Name cork C-Os� ] N G. Telephone Number P3 (>C' C> c-- Address (hA t�j S-, -' P, 0 , o)(' License# ,SEA L)p U,!i /: C7 n?,� �'rS" Home Improvement Contractor# /L) Ig 1 J Worker's Compensation#-I-C, 8 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS//RESULTING FR9M THIS PROJECT WILL BE TAKEN TO /9?i4SA/P� C Atib � I L SIGNATURE DATE�/l/9-7 BUILDING PERMIT DENIED FOR TH OLLOWING EASON(S) m ,� FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , OWNER DATE OF INSPECTION: - I FOUNDATION " FRAME INSULATION Ar ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING.-, R -tJGH FINAL ' GAS: ;, RdbGH FINAL FINAL BUIL0 _. :s-- u" ' DATE CLOSED._OlQb0 x=` ASSOCIATION'RLAI-i NO `' I PILE # PIIP 6051 i CLIENT: CENSUS TRACT �E 132 Forman Kiirane & Terr DEED BOOK 6956 PAGE 65 OWNER: Susan A. L ons PLAN BOOK 246 PAGE 149 'LOT APPLICANT: Daniel F. & Katherine Flynn ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN of LAND LOCATED AT 164 OCEAN VIEW AVE, I w COTUIT, MASSACHUSETTS i SCALE: 1 = 40' MARCH 27, 1997 K1IF BODE►�l NIF TAYLOR - 1 1 1 grT. DRIVE 16, oc s. I 182.56' 183.25' '-'IF:* BURGESS ico #164 (p,/J i I I 90.64-' -- OCEAN VIEW AVENUE- I CERTIFY TO DUNNING, FORMAN, KIRRANE, &TERRY, AND ITS TITLE INSURANCE COMPAN THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT HIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION, THE LOCATION OF DWELLING AS SHOWN HEREON IS "OFMA\' IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING. BY-LAWS WITH RESPECT TO. HORIZONTAL "�N �r DIMENSIONAL REQUIREMENTS, _ FFF E1R No.207 THE DWELLING SHOWN'HERE DbES NOT` FALL WITH+ IN A SPECIAL FLOOD HAZARD ZONE AS 21A`s� DELINEATED ON A MAP OF COMMUNITY #250001- 0018D DATED 7/2/92 BY THE F. I .A. Kennclh R. I'cllclla. Engineering, Inc. P.O.Box 1903 -- �`"v'""*"°� New Bcdford,.MA 02741-1903 503 992-0020&Fax:508 992-3374 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to-the above named client only as of this date. (1) This plan was qdt`• made for.'recording purposes, for use in preparing deed descriptions or for.con— structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may IC accomplished only by an accurate instrument survey. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / � IL DATA y _ ' '.R;: y..,,�y°._A ,�"rgs,-,..,k...aw, W„+" ' - :@s" : 5c ', ekF t.. •,"F: ' s,S i -c '' S":tee, f.. ... i n.t: .. :_..,.. .- F -4'..•�. '�Y,r ��.�&: �...1 t yv;f+`: •,4. M.:. 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'.7: �X Z• :�.T�}4a^.�:. b ,j� ..f:e�S',t.�--e" f a+� rk I st'sc tt t V 1 LLI J t S sF DETAI� 111r=r-v i DETAILS - I: I - - - -- - - � S o i I i DETAIL • V'r � s I ROOF FRAMING PLAN -- - L -- - --- 9 li I' f r ✓/ce T�o�n�rianui� o�./Cfaaaac�ivanllt Restricted To; 00 lug DEPARTMENT OF PUBLIC SAFETY 8 318 8 CONSTRUCTION SUPERVISOR LICENSE 00 - None Number; Expires; 1G - 1 & 2 Family Homes Restricted To; 00 Failure to possess a current edition of the Massachusetts State Building Code .,eye d SCOTT E CROSBY is cause for revocation of this license, 62 CROSBY CIR ---_ -- --- OSTERYILLE, HA 02655 The Town of Barnstable ,�. sAiuvsrasM t6yg6 � Department of Health Safety and Environmental Services 06 Building Division 367 Main Street,Hyannis MA 02601 k fi Office: 508-790-6227 Ralph Crossen �a Fax: 508-775-3344 Building Commissioner x�x4 For office use only ; Y , 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 r building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other '. requirements. Type of Work: Est. Cost 3 oo >.ov Address of Work: b O+C�'A& h 11;>� f�l V L� : O«•rier Name: DAJ'/ Ga 6 t 1,N Date of Permit Application: I hereb)•certify that: r. _ Registration is not required for the following reason(s): Work excluded by law Job under S1,000 '<. Building not owner-oocupied O%%mcr pulling own permit K� Notice is hereby given that: r; OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS r: 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: /&A-Y-7 Ai 03S0 Date Contractor nam Registration No. OR Date Owner's name r The C(jnunuul4.caltlr r)f.4fassacliusctty Deparmiew of hidustrial Accidents Y �..;iW ONCO0llnyeS119JAMS 600 Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit eiZt�LcaHnfortnatEon Please PRINLVEUjy _esa, '•�'� _... . .. _... __ ....ems_.—.__...�..__.. .. n.r .1..ss.0M_... location- b OC,�:A A-1 y/IQLA/ U phone 0 `-ta z Q 677 7 1 am a homeowner performing all work myself. 4 0 1 am a sole proprietor and have no one working in any capacity 11,77 0 lam an employer providing workers' compensation for my employees working on this job. company name: an noce 5t (eMSbJ i 1)Tx!Y� address• I ) SU -y MA nhnne#- insurance co. ��R�.� c-19.S U.AL-r Co• pniicv# In E 9�6 0 ;g a S �• __ , .,.; •-..... . .,,,. _.�:�........:.�....-.,..-..�.---•r......:..,....,,,..,.,........,�..�-+,�-•�•--...s.....�---ter,-�. ....._..._. 1 am a sole proprietor. general contractor,or homeowner(circle one) and have hired the contractors listed below who h: the following workers' compensation polices: companv name, address, cin: phone#• insurance co. nolicv# �•�..�i.. ', •.•!^:•-' �.. ..r.11!.._ '71�e+.':.^r,�'::�T"C.T.vF�� _ ��..'.ar�+'+wa�Y� Z7`:r).'� ►T�:.7i�+M�• au�4.;.�i�.ya��..r cmmnanv name: address, phone#- In Surince CO. polio'# .Attach additional'shcef if necessAry�:rr" 'a-;+1'_ /KPH ____'9•�•�;• _ __ _ ... .. � ._ __�� .._._. vrr�.� - - r— -- - — --s•--`-' � ..two:.= failure to secure coverage as required under Section"A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to S .500.00 andii one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that copy of this statement may be fonvnrded to the OMce of Investigations of the DIA for coverage verification. . !do herchr ccrtif}•itndkx the pains a td pe„alder ofpedurr that the information provided above is true and correct. s r r 7 J Si=nature: Date f a/�b �' Print name Phone# a ��9 D,' .::official use only do not write in this area to be completed by city or town official ' city or town: permit/license# nlluildinp Department C)Ucensinp guard check irimmediatc response is required Oselectmen's Office t C311ealth Department contact person: phone#; nUther immsed 3.V P1A1 » o N - 13 a10 Fronf {=1e laf ion high F Slc}e Elevate N J qj FRI =a -- - - All HIOIWI-L pro.' O�o�S J.A.L..,. gar EElevabcn Side Eley��im TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f^ to Map QS7 Parcel 01 \ *OhApplokon# �:LqUh6(,O- Health Division Conservation Division Oki,- � Permit# Tax Collector -� " � Date Issued ` _10 L Treasurer Application Fee ` �� Planning Dept. r" " Permit Fee Date Definitive Plan Approv Planning Board ` Historic-OKH t � Preservation/Hyannis Project Street Addr1es Ind`{ omr\ Village Cc)��T Owner nnybt'm\l. Qbss 56A kt"V `TC 4 Address 58 e_A_Q a\ syr4 - Telephone Best n, NII� oz it Permit Request -Demp�o� -eXis\�Cr�sX_ r4nA f 0Dv AA W*'r\ Square feet: 1 st floor:existing Z3Q proposed 5 2nd floor:existing proposed Total new Zoning District k1 Flood Plain Groundwater Overlay ; Project Valuation 06; Construction Type Lot Size •3`I' Agcc-eS Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. CawqSee�ty ' Dwelling Type: Single Family 0— Two Family ❑ Multi-Family(#units) Age of Existing Structure 7(oNr&— Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes �kft Basement Type: ❑Full Q Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new 0 Half:existing new 0 Number of Bedrooms: existing_� new C) Total Room Count(not including baths):existing I new y First Floor Room Count 1 Heat Type and Fuel: ®.Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes A No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size-- Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: e. �r i cri r ; Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# ``' CO Current Use Proposed Use -�- BUILDER INFORMATION Name A%Ar�<, L2.ye,r&21 � Telephone Number (Q 5-7 f — 8(000 Address :Q2,c4coY\ C,onneo, a-eS License# AVX 50 :e&e_rA Sk re-P_� Home Improvement Contractor# Nht- zosyor\, Mier oZ_kXo Worker's Compensation# /VN_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE flA 4, DATE s - T FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS- VILLAGE 1 OWNER ; DATE OF INSPECTION: FOUNDATION G FRAME �o7 - ; ? INSULATION �CIUs� /07 N�-7�-- i - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: - ROUGH FINAL FINAL BUILDING /V DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.gov/din ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print Legibly Name(Business/Organizatiow7ndividual): Mark Address: '•QeAQ-Aa Cm te_'S SQ. V�ajm,� S-�cee City/State/Zip:2gfje,-,, M�,- OZ\ko Phone.#: l—1)(000 Are you an employer? Check the appropriate box: :Type of project(required):. 1,0..1 am a employer with 4. ❑ I am a general contractor and 3 , have hired the sub-contractors 6. [ few construction . employees(full and/or part-time).* • 2.❑ I am whole.proprietor or partner- listed on the'attached sheet. 7. n Remodeling ship.and have no employees These sub-contractors have. g• ❑'Demolition: working for me in any capacity. employees and have workers' co insurance.$' 9. wilding addition [No workers' comp,insurance comp. •, reyuized] 5: ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.0- m a homeowner doing ill-work . officers have exercised their 11.❑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#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box mustattached an additional sheet showing thename of the Sub-contractors and state whether ornotthose entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer.that is providing workers'compensation insurance for my employees. Below is.the policy and job site* information. Insurance Company Name: ` Policy#or Self-ins.Lic,#: Expiration Date: . lob Site Address� City/State/Zip: Attach a;copy of the workers' compensation policy declaration page'(showing the policy number and expiration date), Failure:to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 coves e verification. ' 1 do here ce ;fy un er the ins nd p pry that the information provided ab ve is tr a and correct Simafore Date: ! .Z 1© Phone#: (J d — 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 b.Other Contact Person: Phone#: L ]L 1.10FRU .L1U11 U11U .1:111L1 UULIUILJL3 ' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a-deceased employer, or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced•acceptable evidence of compliance with the insurance coverage required." . ommonwealth nor an of its political subdivisions shall AdditionaIl MGL eta teL.152 25C 7 states `Neither the c y P Y� P � § ( � enter into any contract for.the performance of public-work until acceptable evidemee-of•compl%atrce yyithtlie in requirements of this chapter have been presentedto the contracting authority. Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law-or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the•affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in__:__(city'Or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance.for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commouwe4th of Mass& tts. Dt par exit of ladusWal Accidents Qffiet of Investigalions 60Q Washinpli Stmet Boston,.MA 02111 - . Te,-L# 617-72.7-000 ext 406 or 1- -MASSAFE Fax#617-727-77-49 Revised 11-22-06 www.mamsov/dia I Table JIM!;(cautioned) Prescriptive Packages for Oue and Two-Family ResldentW Buil4LupJleated with-FSratu Fulb MAXNUM MINIMUM Glaring Glazing Ceiling Wall Floor Basement : Slab Heating/Cooling Area'('�) U-value= R-valuer R-value' R-value° Wall Perimeter Equipment Emciency� package R-value° R-value' • 5701 to 6500 Heating Deem DayO Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 16 6 85-ME T 15% 036 38 13 25 N/A N/A Normal U 13% 0.46 38 19 19-7- 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0,52 30 19 19 10 6 AFUE X 19% 032 38 13 25 N/A N/A Normal Y 18% 0.42 38 . 19 23 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: I CR y U 0 24yn Ay 2rw-2-, 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: Ll S 3. SQUARE FOOTAGE OF ALL GLAZING: 4-7 4. %.GLAZING AREA(#3 DIVIDED BY#2): f 0,u 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-®80303a 780 CMR Appendix J Footnotes to Table A2.1b: ' Glazing area is the ratio of-the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as.a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fig of glazing area. 1 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. a The ceiling.R-values do not assume a raised or oversized truss construction: If the insulation-achieuEs-�he full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity.insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-b insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth Iess than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding. glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC.test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation Ievels,the component complies if the area-weighted average R-value is greater than or equal to the R-valve requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 CfTHE Tpk, Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F.Geiler,Director 9 MASS. g 0.19. p Building Division lfD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION q� Please Print G. DATE: 112- O ` / JOB LOCATION: I(o� O Liz Qiel.3 number street village "HOMEOWNER":_ m4C'�k_ i-Xven�hc.� o `-1I-g(20o name home phone# work phone# CURRENT MAILING ADDRESS: t+Caul COYvt�Gf\leS SO 1'eCA2SC.� � � city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. Thu undersigned"horneownei"certifies that heAhe andenstands dir,Town of Biunstable,Bailding,Departmunt ins ection ocedures and equireme is and that he/she will comply with said procedures and r l- ' uEte ents ri Si a re o omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building.Code Section 127.0 Construction Control. , HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1,1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forni/certification for use in your community. Q:forms:homeexempt r 4_ DH DO'el A DIIVec E Ito �d 136Oa� �9'A�mm. N 19'59'18° 94.06' cB/DH _. Fn° Parcel Area t 16,879±SF O y� ?sty w/f L Corage w/Office © C,+ �— .o(P ti tn 1 = ' m N � Z N Cr w New Concrete Block " N° ` Foundation r •`•. _ o C' p ASSESSORS REF.: 4� 10.9• Map 033, Parcel 011 ZONE: g164 ❑❑ RF r 1-1/2 sty w/f Dwelling Area (min.) 87,120 Sr (RPOD) Frontage (min) 150' Setbacks: 23.9 Front 30' Side 15' . Rear 15' . J1.2'. OVERLAY DISTRICT. 1 CB/DH AP — Aquifer Protection District ` nd 90.64 FLOOD ZONE: CBFttd 5 2D31,8- W Zone CAvenue VieWCommunity Panel No. - Way) _ #250601 0018 D ocean (40' Wide public July 2, 1992 ��NOf�S�eb G RICNAFID -4 IHE�E N #34312 A9� a\o�oQ PLOT PLAN At 164 Ocean View Drive - _ RNSTABLE (cotuit) .NOTES: MASS, DATE:21/DEC106 SCALE: 1"-30' 7.) The structures shown were located on the ground 0 15. 30 45 60 FEET by conventional survey methods on (or between) 141JUN106 & 15/DEC/06. PREPARED FOR: 2.) The property information shown hereon was Bonnybrook.Cross Street' compiled from available record information. and Realty Trust does not represent on- actual on the ground survey. 3.) This plan is not - for recording and is not PREPARED BY: to be used for construction layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG #: C369_3gl FIELD BY. WHK/DSS (508) 420-3994 / 420-3995fox " SMOKE DETECTORS REVIEWED z o .z lrn7 " BARNS TABLE BUILDING DEPT. ATE a wmnww wY.wr A I � � � ff. FIRE DEPARTMENT DATE u h. ' BOTH SIGNATURES ARE REQUIRED F PERMITT nvw,ors I I u..w rwom•ro> I uwacmmi+m> CARBON MONOXIDE ALARMSMu ST BE INSTALLED PER MASSACH SETTS BUILDING CODE F L.C O R F R A M I N E P L-A Nrn — Zx — ' FRONT ELEVATION R I6 H T ELEVATION o A 't a J wu«amw awe' wariwr �' �^�irmeer1Owe R O O F P R A M I N 6 P L A N pya _3g f sw,0 y 1SE<' Qa gg .. R E A R ELEVATI O N E M.3A:":i$s.11�i L E F T E L E V A 1 0 N A stole. • - s r. i-o y LIVIN6/BEDFH u� ... b-- fA4 WRw:SUS91tfb....-IR s>. Ix, axwr V. _ s. ID �V o - 'x ioA`a r^,t ' wo.mee roe a°"°S E: $ 4 LIVING - ,EA D T I - F�L O O R 'P� A N VE E A L(TYPJ -L .� 5 E`G T I O N . - I591Eo FOR C016T DON 8 A I wsnxer mm.w � V ME o I° E1f. w FLOOR F R A M I N'& P L A NLn . 'FRONT- ELEVATION RIGHT ELEVATION p•I sin �. -o s� �. .• �U i g im A �CD IMF IFC µ' R O O Fu F R A M I N G PLAN z g9 sps _ -----_ _ REAR EL EV AT I.ON - LEFT E LE VA T IO N. - - • Z ln_1 .+ - acme. • - n . - - _ h raw �� 1 J 9 DniN. exam,-o u� o •xsaw LIVIN6/BED �� . [d{!H A>MaFiDL'e- i{, GENERAL PLAN NOTES WAL:./OEMO - mo r'�i"m'rt � fCI O.+ , . -->♦ 31 mxow omvnx� -_ ru�iuvon — - 'dwu.� O�O O uru. a LIVING RM .vr� �o wnimve DE1M1-.NOTES - IAnarw Y as Jbm - . A-1 " FLOOR P L"A N _ .- - MDF0NC0NAPoICDON o.: I of I ,. tin otvxl A' { A-I 1 ro. iw __ rto wrcw wsma �, °Rew,a o umnw rto wmx Y L r. oaw,eYs,aa - g E FLOOR F RAM I NG PLAN A _ AI FRONT ELEVATION H t - - RI�6HT ELEVATION Fy Li o N _ B - A - mn ne>uae w ao.•t w. _ µ�Pnru Mu - fy °I,e w,an � w p{,ew°,rH RRO O F�F R A M I N G P L A N s13s. a�5a:2'i REAR ELEVATION � � � - LEFT ELEVATION - - - A-I Q v a : w >m ' u - P� � �.. .-. >�• 3 - � �Win. .. " 12 s.v.,>s� uviNs/eEvaH 9 - �.3:�e��•o �,r� N V� � - ..... -81dl a'R>lx]nKA4d -- P GENERAL PLAN NOTES HAL'./OEF10 � u,cw.n,n fO O wEM5 vs�..— . o o a LllN RM. 1 1 "4'•`i°w."'�'7 eo5" - - .s rown> OEF4 NOTES - iSwru. � �I. � aewmw.wn®. — — — ♦'art inn � . w=vo.rv+. A_1 FLO.OR PLAN - - - >cn.e. tMEOFMCON9MON sro: I of I - . r s � r w JEq ~ FRO N T E L E V A T I O N 'R I G'H T E L E V A T I O N T-A 4 E@ FLOOR I'L A N.p - - r 3?n' _ 1Z, ® ® V u V LEFT ELEVATI ON REAR ELEVATION A-1 W FRONT ELEVATION - _ - RIGHT ELEVATION - (,,cn Lo A BAM ig J. �N FLOOR PLAN �>m't vi v.ru J' LEFT ELEVATION - REAR ELEVATION mA-1 - - - - - - - - w: Of - -... 65 D FOA PEVIEW °FTHE r, Town of Barnstable v Barnstable Historical Commission * BARNSfABLE, 200 Main Street, Hyannis,Massachusetts 02601 9 MASS. g (508) 862-4786 Fax(508) 862-4725 �A i639• �� www.town.barnstable.mams TFD MA'S A. February 13, 2007 Linda Hutchenrider, Town Clerk 367 Main Street,Hyannis MA 02601 p �W Thomas Perry, Building Commissioner rn Q 200 Main Street cX) Hyannis,MA 02601 .... Ov c)--j Archi-Tech Associates 6 School Street = M Cotuit, MA 02635 Re: DECISION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable Chapter 112, Historic Properties,Article 1, Protection of Historic Properties ss 112-1 through ss 112-7 APPROVING the application for DEMOLITION of follow property: Location: 164 Ocean View Avenue, Cotuit Building listed as a contributing building in a National Register District Assessors map and parcel: 033/011 Date application submitted: February 2, 2007 The Barnstable Historical Commission reviewed the above referenced application at a special meeting of February 6, 2007. At that meeting,they found that the cottage at the above address was structurally not sound. The commission expressed their appreciation for the efforts made to save the building. The applicants agreed to re-build the cottage according to building elevations submitted November 30, 2006, and revised February 1, 2007. Present and voting to permit demolition were: Nancy Clark, Ch.Jessica Grassetti, George Jessop,AIA,Marilyn Fifield, , Melissa Niedzwiecki,. Absent: Barbara Flinn,Nancy Shoemaker Sincerely Nancy Clark, Chairman r �OFTHE AO/y� Town of Barnstable f C�j,4 `1$ 1%fkNS A,8i_E Barnstable Historical Commission * , 200 Main Street, Hyannis,Massachusetts 02601 BARNSfABLE 9 MASS. $ (508) 862-4786 Fax(508) 862-4725 Q7A i639• �� www.town.barnstable.ma.us February 13, 2007 Linda Hutchenrider,Town Clerk 367 Main Street, Hyannis MA 02601 cD Thomas Perry, Building Commissioner m 200 Main Street cm Hyannis, MA 02601 M ��� Archi-Tech Associates o -:Z3 r- 6 School Street w Cotuit, MA 02635 --j Re: DECISION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable Chapter 112, Historic Properties,Article 1, Protection of Historic Properties ss 112-1 through ss 112-7 APPROVING the application for DEMOLITION of follow property: Location: 164 Ocean View Avenue, Cotuit Building listed as a contributing building in a National Register District Assessors map and parcel: 033/011 Date application submitted: February 2, 2007 The Barnstable Historical Commission reviewed the above referenced application at a special meeting of February 6, 2007. At that meeting,they found that the cottage at the above address was structurally not sound. The commission expressed their appreciation for the efforts made to save the building. The applicants agreed to re-build the cottage according to building elevations submitted November 50, 2006, and revised February 1, 2007. Present and voting to permit demolition were: Nancy Clark, Ch. Jessica Grassetti, George Jessop, AIA,Marilyn Fifield,,Melissa Niedzwiecki,. Absent: Barbara Flinn,Nancy Shoemaker Sincerely Nancy Clark, Chairman TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O Parcel Application# b��D�D � Health Division Conservation Divisio I�r Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. ; Permit Fee Date Definitive Plan Approved b ing Board Historic-OKH' iLIY� P servation/Hyannis Project Street1 Address _��y QCe4 n \A ew hogu e . Village COTv� Owner &rnn,;Vbo� Ns--;- %-4 1&& jr Address S r ` e Telephone S [Wo ""� OzttC;;! Permit Request Z 4 J,&N , a M nS Square feet: 1 st floor:existing Z 3 O proposed L 2nd floor:existing proposed Total new Zoning Districts Flood Plain C Groundwater Overlay NP Project Valuation d®® Construction Type Lot Size O.3`(� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single-Family 0— Two Family ❑ Multi-Family(#units) Age of Existing Structure -M �jcs — Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes 3-Mu- Basement Type: ❑ Full Xbrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ® Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing ep new Number of Bedrooms: existing l new Total Room Count(not including baths):existing new O First Floor Room Count Hfiat Type and Fuel:XGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes /lo Fireplaces: Existing — New Existing wood/coal stove: ❑Yes klo Detached garage:O 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❑ j =; Commercial ❑Yes ❑No If yes, site plan review# "' `' CD Current Use Proposed Use a f" f - BUILDER INFORMATION / N) Name 1 V I a r k /�ye✓1 1�-/-�l� aG Telephone Number o � 7 � lco V 06 Address 4-6p2(f0), 60M 104rl lP_ License# AIA y 1 ���✓�t/ Home Improvement Contractor# vJ -0 M G�} ©� f Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO U SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` MAP/PARCEL NO. - i Y ADDRESS.'. VILLAGE x OWNER k r } 7 DATE OF INSPECTION: FOUNDATION i FRAME INSULATION P r FIREPLACE ELECTRICAL: ROUGH FINAL b r PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL FINAL BUILDING - I - i z � DATE CLOSED OUT t ASSOCIATION PLAN NO. 1 _ N� . ,.Sty•r�Ik." H�1g'59t'h1i8o • CB/D FnH�d eo DMidi" p6E2�> Ng4.06' i (�,CB/DH rnd Parcel•Areo �T t 16,879±SF O Y{ lsty w/f b Corage 9 w/Office o Q W 0 Cb m N � N New Concrete-Block N° Foundation 0 n o ASSESSORS REF.: ,-}. Map 033, Parcel 011 74. "t ZONE: _ ,64 0 0 RF i. 1 112 sty w/f Dwelling Area (min.) 87,120 SF (RPOD) Frontage (min) 150' Setbacks: Fron t 30' Side 15' Rear 15' OVERLAY DISTRICT: 3,.2' CSIDH AP — Aquifer Protection District r"° 90,64 FLOOD ZONE: cB - S 20'3t'te" W Avenu�]Zone C view Community Panel No. _ public Way) #250001 0018 D ocean (40' Wide July 2, 1992 OF�Ss4otio R' N Aga �o�o� PLOT PLAN At 164 Ocean View Drive BARNSTABLE (Cotuit) NOTES: MASS. 1.) The structures shown were IocatPd on the ground. DATE:21/DEC106 SCALE: 1"=30'0 15- 30 . - 45 60 FEET by conventional survey methods on (or between) 141JUN106 & 15/DEC/061, PREPARED FOR: 2.) The property information shown hereon was Bonnybrook Cross Street compiled from available record information and Realty Trust does not represent on actual on the ground survey. 3.) This plan is not for recording and is not PREPARED BY:to be used for construction layout or deed CapeSury description. purposes. 7 Parker Road Osterville MA 02655 DWG #: C369_3gl FIELD BY. WHK/DSS (508) 420-3994 / 420-3995fox 1 Town of Barnstable } o� Building Department - 200 Main Street 9 ALE, * Hyannis, MA 02601 f16:59. ' (508) 862-4038 Certificate of Occupancy Application Number: 200700871 CO Number: 20070204 Parcel ID: 033011 CO Issue Date: 08128107 Location: 164 OCEAN VIEW AVENUE Zoning Classification: RESIDENCE F DISTRICT i Village: COTUIT Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: �vG / 6`' zIP 07 Building Department Signature Date Signed �114E, TOWN OF BARNSTABLE Building O Application Ref: 200700871 m it BARNSTABLE, Issue Date: 02/15/07 Perl 1 , 9 MASS. Qp i639• Applicant: FINNEGAN,PAUL W TR Permit Number: B 20070297 RFD MA'l A Proposed Use: MULTIPLE HOUSES ONE PARCEL Expiration Date: 08/15/07 Location 164 OCEAN VIEW AVENUE Zoning District RF Permit Type: GARAGE DETACHED RESIDENTIAL Map Parcel 033011 Permit Fee$ 82.00 Contractor PROPERTY OWNER Village. COTUIT App Fee$ 190.00 License Num Est Construction Cost$ 20,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REBUILD AFTER TEARDOWN AND ADDING 2 FEET THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A . CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FINNEGAN, PAUL W TR BUILDING SHALL NOT BE OCCUPIED_ UNTIL A FINAL Address: BONNYBROOK CROSS ST REALTY TR INSPECTION HAS BEEN MADE. 51 COMMONWEALTH AVE BOSTON, MA 02101 Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE7APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND,LOCATION OF PUBLIC SEWERS MAY BE,OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOESNOTRELEASE THE APPLICANT.FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS." MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION 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). 1€Y '� v%^'h € - ,M�. �..'^J! Y .�,.� �' i �`:,'�+.y� ,% yxRC- ,C s r�F:, 'lax BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS } 2 ' l �"lC 07�u� 2 ,N>q�_ . `�dv,µ G.wc._ 2 � 211 � (J ivv--ffid 3 8,plr 6 g a[ 07 , 1 Heating Tn ' ction ApprovalnEngineering Dept , 7-07 Fire Dept' - 2 Board of Health /* 0 7 . Y. o TOWN OF BARNSTABLE Building Department - Foundation Permit Date It kct At. Permit # 2006 q67Z Name- Le %o &Wr#AAr 4 Location 64 Oct-&#j VIEW &IS we''. Q /.AL../�'� Insp. of Bldgs. sY NIF Vecchio CB/DH N o - Fnd Donie13600/161 �a1 wm`ee nemum 19-59'18" E �� g4.06' C6/OH Fnd Parcel Area 16,879t SF 'O^ V s - lsty w/1 b Gorage w/Office o w � a 1 �N W J � N N New Concrete Block M " Foundation ram '. ASSESSORS REF.: Map 033, Parcel 011 7.4' A\ 1 \V ZONE: #164 �a RF 1-1/2 sty w/f Dwelling Area (min.) 87,120 SF (RPOD) Frontage (min) 150' Setbacks: 23.9' Fron t 30' Side 15' _Rear 15- OVERLAY DISTRICT: 312 ce/DH AP — Aquifer Protection District Fnd 90.64 FLOODZONE: CSAH Fd 5 20.31 18 W Avenue Zone C View Community Panel No. W°y� #250001 0018 D ocean (40' Wide July 2, 1992 .�\k OF MASS�cyG moo`, AICHARD `�rn.� � R• N' 0 L{EUREUX #334312 PLOT PLAN At 164 Ocean View Drive BARNSTABLE (cotuit) NOTES: MASS, 1.) The structures shown were located on the ground DATE:21/DEC106 SCALE: 1"-30'0 15 30 45 60 FEET by conventional survey methods on (or between) 141JUN106 & 15/DEC/06. PREPARED FOR: 2.) The property information shown hereon was Bonnybrook Cross Street compiled from available record information and Realty Trust does not represent an actual on the ground survey. 3.) This plan is not for recording and is not PREPARED BY: to be used for construction layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG #:. C369_3gl FIELD BY: WHK/DSS (508) 420-3994 / 420-3995fox Town of Barnstable 200 Main Street j Hyannis, MA 02601 Is Building/Structure located in a Local or Regional Historic District: YES ❑ N1 If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill out the remainder of this form. PRINT IN INK Date of Application: Building/Structure Address: Number Street Town State Zip Assessor's Map#: 033 Assessor's Lot Is Building/Structure listed on the National Register of Historic Places or on a pending list with the National Regist r of Historic Places: YES ❑ NO 2*� e�N 15"+rne \�!- wnr ;\ slcs How old is the Building/Structure: -X> Nfcr How is the Building/Structure Occupied: Re!�Adk4XCA Number of Stories: Architectural style of Building/Structure, describe if not known: ccpir- Material of Building/Structure: "Occ -('Caw- �� ' �����ST (r4-A-,A Kag Is thjs Building/Structure associated with one or more historic events or persons. Please list event,description or names: s Type of Building/Structure and proposed work: o a s 1 �>- r i b Explanation of the proposed use to be made of the site: __ k;!;k�' k\ k Zoning District: Fire District: r<e Applicant's Name: C1 Address: (V 5C.I ok `fie A— CC 1 Number Stre t Tgwn State Zip Owner's Name: -VC,1 t Address: 5 kC6-a % edv MA- Oct Number Street Town State Zip Contractor. —c6re-r Address: , Number Street Town State Zip Program of Lot and Building/Structure with dimensions: g115 ►�v;ol��y �.: �� .� Name: M ,� e TRANSMISSION VERIFICATION REPORT TIME 01/30/2007 10:18 DATE DIME 01/30 10:17 FAX NO./'NAME 916179652278 DURATION 00:00:45 PAGE(S) 02 RESULT OK MODE STANDARD ECM f oFSNEro ']Gown of Barnstable Regulatory Services JL4MSTAj= Thomas F. Geiler,Director �p %639• ,�' Building Division �f0 Mpi . Thomas Perry,CBO,Building Commissioner :Y 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Fax: 508-790-6230 Dffice: 508-862-4039 PLEASE FORWARD THE ATTACHED PAGE(S)TO: ATTN-. (Dc'& -(0U tE FAX NO: ? _ cf b . r-� t FROM. DATE: �3 o /° Z ---MqCLUDING COVER SSEET) MARK — p NOD 5-0 8 - -790 (c> 3 ;2. b Cf C'-'^' i Town of Barnstable 200 Main Street Hyannis, MA 02601 Yy`�*.- W-- q � �L2%, o E� tom b Nlau are o�r'c l�d`'� Is Building/Structure located in a Local or Regional Historic District: YES ❑ NO ❑ If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill out the remainder of this form. PRINT IN INK Date of Application: Building/Structure Address: Number Street Town State Zip Assessor's Map#: Assessor's Lot#: Is Building/Structure listed on the National Register of Historic Places or on a pending list with the National Register of Historic Places: YES ❑ NO ❑ How old is the Building/Structure: How is the Building/Structure Occupied: Number of Stories: Architectural style of Building/Structure, describe if not known: Material of Building/Structure: Is this Building/Structure associated with one or more historic events or persons. Please list event, description or names: Type of Building/Structure and proposed work: Explanation of the proposed use to be made of the site: Zoning District: Fire District: Applicant's Name: s Address: Number Street Town State Zip Owner's Name: Address: Number Street Town State Zip Contractor: Address: Number Street Town State Zip Program of Lot and Building/Structure with dimensions: Name: Criteria for Evaluation of National Register Nominations: The National Register is a list of historic places which are "significant" cultural resources. What exactly is "significant"? It is the quality in American history, architecture, archaeology, engineering and culture which is present in districts, sites, buildings, structures and objects that possess integrity of location, design, setting, materials, workmanship, feeling and associations, and:. A. that are associated with events that have made a significant contribution to the broad patterns of our history; or B. that are associated with.the lives of persons significant in our past; or C. that embody the distinctive characteristics of a type, period, or method of construction or that represent the work of a master, or that possess high artistic values, or that represent a significant and distinguishable entity whose components may lack individual distinction; or D. that has yielded, or may be likely to yield, information important in prehistory or history. Town of Barnstable 200 Main Street Hyannis, MA 02601 Is Building/Structure located in a Local or Regional Historic District: YES ❑ ,,,, Nt-O- , ¢[� If YES, Protection of Historic Properties Bylaw does not apply and it Is not necessary to fill out the.remainder df this form. PRINT IN INK Date of Application: Building/Structure Address: KOLI Ore4n view AQ-eynu e CAl k A 02k3S- Number Street Town State Z/p Assessor's Map#: O33 Assessor's Lot#: �► Is Building/Structure listed on the National Register of Historic Places�C o on a pending list with the National Revister of Historic Places: YES 0 NO -WI'4 snw�e �lie �s on co r-c5vf CAas�,whti�h �S �-N ►Vcl (� J t.(1 How old is the Building/Struct ure: How is the Building/Structure Occupied: �esi��n�t�a� - Number of.Stories: Architectural style of Building/Structure, describe if not known: cev - Material of Building/Structure: Woock �:rarme., LJ a ad, Is this Building/Structure associated with one or mote historic events or persons. Please list event, description or names: Type of Building/Structure and proposed work: J©a / \A Ar- -crtr "reef sa s4. Explanation of the proposed use to be made of the site: PX a/ co Zoning District: Fire District: Applicant's Name: n C r� Bch QtSsoc;u�eS Tt�L Address: Ca S0(160� S�r4e:4 AN Qa35 Number Street 1 Towr1 State Zlp Owner's Name: zZI11nv�C®o�c Crass Address: 5o Arai r�e� �l us r� ( Q 7-1 J() Number Street Town State Zip Contractor: C Address: Number Street Town State Zip Program of Lot and Building/Structure with dimensions: Q1o , er� Name: uo r - a f 22,101 JAN 25 P11 !: 35 Mark Leventhal 21 Bonnybrook Road „- �-- +g � �iaban, MA 02468 ON January 25, 2007 Robert McXechnie SENT BY FAX January 25. 2007 Building inspector 200 Main Street Hyannis MA 02601 508-862-4038 Fax 508-790-6230 Subject: 164 Ocean View Avenue, Cotuit Rebuilding of cottage Building Permit # B20070047 Dear Bob. I appreciate your assistance towards resolving how to rebuild the cottage at 164 Ocean View Avenue. As we discussed on the phone, after Your visit on Monday, the curren_ condition of the building is very poor and rebuilding the cottage using the existing materials would not be structurally safe. You also informed ate that you had a discussion with Jacqeline Etsten of The Historic Commission. She indicated to you that her concern was not about hot, the cottage is rebuilt, but rather that the reconstructed building replicate the look of the original cottage. Our conversation concluded with us both agreeing that the only way to rebuild the cottage which results in a replica, is structurally sound, and meets code is to use entirely new material to replace the existing building. I agreed to rebuild the cottage as shown on the permit drawings and appreciate any assistance from the Building Department and Historic Commission to accomplish this project. Thank you for help. Sinc rely, Mark Leventhal Please acknowledge receipt of this fax by signing below and faxing to 617-457-4378. ` I 'd XUJ 13rN3SU I dH WdOSsT L002 SZ Uer 02/01/2007 17:22 5084283115 SULLIVAN ENG ING PACE 01 Town of Barnstable 200 Main Street e t Hyannis, MA o2601 Is Building/Structure located in a Local or Regional Historic District: YES p NO tom" If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill out the remainder of this form. PRINT IN INK Date of Appllcatlon: Z __ Building/Structure Address; ��` r��r�t�,3 k.,cn,e ',,�,� �.rM� � � 'Number street •�•a_..--—_�—.—.- Town State Ztp IA Assessor's Map#; _ --Assessor's Lot#; Is Building/Structure listed on the N tional RLit r of Historic Places or on a pending list with the Natlonal A0g1stQr of Historic Places: YES D NO B' t�ar\ 5nfte- Wk.-, K- How old is the Building/Structure: How is the Building/StructurA Occupied: Aga _ Number of.Stories, Architectural style of Building/Structure, describe If ncet known:` -t_ Material of Build .ing/Structure: _AD& ' Is tq building/Structure associated with one or more historic events or persons. Phase list event, description or names: Type of Building/Structure and proposed work; Explanation of the proposed use to be made of the site: je __ Zoning District: _ Fire District' _ + ° Applicant's Name: Address: Number Str t T wn State zip Owner's Nam®; cmi �0�4' Number Strset Town state � Contractor. 4(71,�1rrc{' _ p -_j _ Address: �� Number Street 5— Tawn Store� ���1p �... ��� Program of Lot and Building/Structure with dlmenslcns: '� Cx ::n all M, Name: 91/05/2007 11:44 5084282115 SULLIVAN EN INC PAGE 01 IDA tf YY 1i Jn Regulatory Services Thomw If.Gefler)Midor 110 Hutiftg Division 'd'om.persy,BtBildfag coamdetlonsr •, 200 Main Stmet, Zymde,MA 02601 r�r.tovvgb artutabla,naa.� Rot: Soa•662 4038 lac; 508-790-623D Permit aa. 77 COQ� AFMAV= ROM MRO d'T CO ACTOR LAW •SUPPLEMICTTI°TO 1?'1t I IIT APP14CATION MOL c.142A:agnttei tat&e"roamm wdor,ahmtiaw,rmvstioa,tapaa,*odwasstiA coweinivA im;m0yawnt removA demcaht►on,or matuadan of%a 4diticato any yn4siatmg mama-vem pied buildtag eotttaintg at least one beat sot Moro than fott dv 5MM M01,01 to atrUdbrU*Ohl'am 240aem to such reside=or buEding be dose by registered avatractme,with aestaia cane0 ms,&Ing with o&a tegWremmb. Type of Fork'^ �� ��4 _-- Estimated Coat Ott Iwo of Applicatim h ln=1®1 - I laaeby.cm*tlmt: RcoMtion is be requdrod fm tie following reseon(e): ClWo*adudedby law IA Vedas 31,000 building not oovam-occupied pouing vas permit 1105ce is ber4y Om that: CONTuC'I'ox$FOX APPIACA19It NOMM=MOVVvMNT WORK DO NOT RAVI ACCZSS To TEM AREM"AA710N PRO GMAM O&GU'A3tA1M•1+M:UNDER MGL e.1424L MGNBA U DRA P1;f1A1LMS OF PERJURY j by apply for a pcnzfd w the.goat of to air; ± Co w Signs o gagiatratioa�8do, I pa 17►to OYvaa�'a Signhave _�J"� Qay441a.lcarn+a►a�a�idev • T •d XUA 13CM3SUI dH WdTb :t7i L002 SO uef The Commonwealth of Massachusetts .fment o Department Industrial Accidents P Office of Investigations ' 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nagle(Business/Organization/Individual): a r k •Address: 9,e(,Lc oY Cowl AQA 0 tpS City/State/Zip: I5os +VM M V1_eZ(10 Phone.#: Are you an employer?Check the appropriate bog: ' r and I :Type of project(required):, , 1,❑ I 4. I am aeneral am a employer with ❑ g contracto 6. ❑New construction . employees(full and/or part-time). have hired the sub-contractors 2.❑ I am a"sole proprietor or partner- listed on the'attached sheet. 7. 0 Remodeling ship.and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp,insurance comp,insurance.$' 9Butiding addition xequired.] 5: ❑ We are a corporation and its 10.❑Blectrical repairs or additions 3�I am a homeowner doing ill�work . officers have exercised their l 1.❑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.[-1 Other comp,insurance required.] *Any applicant that checks box#1 must also fill o.ut the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide theiF workers'comp,policy number. I am an employer.that is providing workers'compensation insurance for my employees. Below is.the policy_ and job site* information. Insurance Company Name:. Policy#or Self-ins.Lic,#: Expiration Date: - Job Site Address: City/State/Zip; Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration 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 de the pa' sand al ' s of formation provided abo a is true nd correct. . Si ature: Date; j Q ® ri' _ Phone#; Official use only. Do not write in this area,to be completed by city or town official City or Town: ' Termit/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#: s LIAlUI�IIbA i,lUll UlIlu Inn al uuuum Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or.other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or;permit to'operate a business or;to construct buildings in the commonwealth,for any applicant who has not ro.duced,acce table evidence of compliance with the insurance coverage required." PP P P Additionally,MGL ehapter..152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall m lance 'thttie insurance- evidenae•o€co enter into any contract for.the performance ofpubhc�work until acceptable p , Wl requirements of this chapter have been presented'to the contracting authority.."• Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors name(s),address(es)and phone number(s)along with their certificate(s) of PP Y ( ) . . . insurance. Limited Liability-Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being 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 P. olicY�P P lease call the Department at the number listed below. Self insured companies should enter their P self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete*and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in - (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Department's address,telephone•and fax number:. e Commonw th of Massavhuwtts Dqputment of JadusWal Accidents Office of in-Vestiplions 600 Washington Stmt* B¢ston;.MA 02111 • . TO. # 617-727 4%0 ext 406 or l-877-•MASSAFE Fax#617-727-7749 Revised 11-22-06 vww.mamsov/(pia o 4?V ill •• ' Town of Barnstable ' Regulatory Services s�atvsra®r.E, ; Thomas F.Geiler,Director 1 & Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /1 DATE: Please Print v v JOB LOCATION: ' (� U (P I O V A ,fN number' � n C( street / village "HOMEOWNER": Y V �G VK-J�A � �( � S name home phone# work phone# CURRENT MAILING ADDRESS: 6,eaCV4 `a 1'40 a ki(- 1 -2-1 f city/town state zip code The current exemption for"homeowners"was extended to include owner-occuuied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building-permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department mi ' tun inspection procedures d' is and that he/she will comply with said procedures and reqrVA nts. SigUttffe of Homeowner Approval of Building Official Note: Three-family dwellings containing.35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such. work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Table JS=b(condoned) Fmcriptrve Packages for One and Two-Family Raideutial Buildings"Heated with foatil Fuels MAXfMUM MINIMUM Glazing Glazing Ceiling Wall I Floor 13eremmg Slab Heating(Cooling �'(%� U-valuer R-vakwl R-value' R-value° Wall Perimeter Eopmcnt Efficiency' P=kge R-value° R-value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 j 19 10 6 Normal S 12% 0.50 38 13 19 10 6 IS'AfUE T 15% 036 38 13 25 WA N/A. Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 23 N/A WA 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 1 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Norma! t 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE L ADDRESS OF PROPERTY: I y (��24+1 U l-c 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: S� 3. SQUARE FOOTAGE OF ALL GLAZING: �7 4. %GLAZING AREA(#3 DIVIDED BY#2): �o To 5. SELECT PACKAGE(Q—AA-see chart above): Q NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. f BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Fable JS.Mb: ' Glazing area is the ratio of.the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized.truss construction: If the insulation-achieves--the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as.unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding. glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see.Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R value requirements are for insulation only and do not,include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC.test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 11/30/08 THU 00:28 FAX 5084282278 LEVENTHAL oo1 ur�04ccajjt) SULLIVAN €NG INC PAGE 01 •�Vrvii v• a�aanwer,�rr+sr e art Themu X Geier,Director ButUing Division • Tom.Perryr�Rtalldln�Ca�ealoaar , 2.00 Mich Mmok RYUM*MA 02601 i�oo= QS-d6$-4R3 Pax, $08-190-6230 Pe�Cmii na._�,v.,,_ • AlrMAVIT 'HOMM Mv2R0 '•14`A=jq IC CONMACTOR LA,W •SUP7fi'I.S1VO M TQ FIR=APPUCATION 14GL c, 142Aroq,*41 that ffio"raco=tr=Ua%si'kere*=,rcwvat mo repuk,2bod=jmtioN convcr iM izq%ovQzWm ras OVA dc=litim or oombmutchm of ez"lion to say pre-existing avmw-occupied builder®antektag at least ate W Mot mar#they foul dwelling eta.ox to atmefimm*hb:b•um a3j1Lccnt to mob r"Aanos ar butdsag bo dome by x%&Utmmd Mt mttoas,'vVith aarta moplJow,alau with other Type of Work ae Lu 01�� &+( J-A Coat 9 Addreee of Walr + A t2 V 1 Pets of 41pliwi— 11 2 I he:reby,crtti$��t . Re�iatxat9a�a s.a mart requtrod fatc tha fbllowi�rGes�m(®): - . BWo*eadudadloy Jaw vb Uadcr 31,000 [3Buflftj riot otvraar occupied QO,wzm,pu1344 Darn pezm[t Notice le hereb7 giveb that: 0"9P1'Pm PmL NG TERM ONM Pm®?t 1)EA9LING'Pf='!rTm1;==)D Ci3NI3 ACTORS FOR AMICA$LM EONM MRCVnv=NT WoXX no Nol x1Vz AccF.SS To TEX AR111RAnON 11ROGRAJvi OR GUARANTY YVND jDER MGL G 142& Slam=Bx PENALTMS OF PtRT y I hereby apply for a pemmit ea the&wart of the o'rw=: Tate CR3atmac Sigraatuxe Regis oaNc, 61 Dots 04vnMOB i tdYa ' �;rrpfifor.t :t�,e�a,e�tiiewv I s Fnd ( j; �� elan t Qlv Of 100 ent / � 2�• � v st e t f o c f►i-3 bV f D C i 3t PB \ X4 2 pp 3 ` / Q r° 0I - ; / .4.. 2Z t ................... .. I::: .: .... ... . .qO.0L45 , Brick / � - lawn Patio CB� v O 3 EXISTING SEPTIC- R AS-BUILT S-BULT R=35.5' P I J� 117' / Q (SEWAGE #2006-421) �' I j / h Jo• Q 1 Lawn 1• )sty w/f Parcel Area #164 7 6,8 79±SF °/ O ,.garage + { Q `.yam 1-1/2 Sty w/f +o / w/OfFice, �'a To a c�N ] V Dwelling Fnd, 3 93 sF- r�Cf \1 ° Lawn / 'ORop i (o CbI St • ) `\ r a g.. Public y' ' S/y»�i w Cottage Cotuitg !�, ZONE: _ ' ; c . -, :. ..,� RF a —,� l / / bbe Area (min.) 87,120 SF (RPOD) `) 56'�J' \� j' fy i sa Frontage (min) 150' ?3�`p� �S �y. `. Lawn ° �ti,/�--- / Blu Setbacks: N W n —/ 38, Front 30' Awn a, ', riila. s oa,ere �• ` F of Side 15' a�i �s Rear 15 �} C - •.�.)� :17 ocus 5rlg "g -- OVERLAY DISTRICT: T ~;_ l • ail - "�� .'l' �► max; AP Aquifer Protection District l 1:: PETERISO" } .6 CBWH FLOOD ZONE: �; �'�- .4 �x2 Fnd h 1 } Zone C CIVIL Community Panel No. / #250001 0018 D July 2, 1992 REMSlat add Cott Addit/o�, As-Boats tic Sheet 10n1 DA7E: 11 Location Map NO YES. Pft-P �: PREPARED BY D7LE° Site Plan i.) The property line information shown was Pa�{„m,.;,,,, p Proposed Improvements 1��=2000'f compiled from available record information. SUllIV311E ,]I1C. Ca 2S11N ^, J. Robert Casey, Trustee 7 Parkw Road `V 2.) The topographic information was obtained Bonn brook Cross Street Realty Trust ostw-Wlq MA 026M OstvrWly MA 02655 At o from an on the ground survey performed on 51 Commonwealth Avenue (some-.a..[mal.Qe e. (SWOro-.1cs.case)uo-.raw 164 Ocean View Avenue ASSESSORS REF.: or between 141,JUN and 19/JUN/06. Boston, Massachusetts ) Mass. Ma 033, Parcel O11 ) , core: Bamstabie (catuit P 3. The datum used is N.G.NGV.D. 29, a fixed goo �'d��/1»n mean sea level datum. 4 comp-:Ps corny.: 1wa/1RRL DA7E: August 18, 2006 SCAB 1" = 20' Ln I RaWew.. 98165 Oro.an9/C369_ 1 lI+` vl _ b� l O. Fnd (/ L 1 3`�a'6 " ,3,3�{ / SfOne4� 3 O � t 7 w � _ • � � is ... - 408 I Edge ar LOca tIC P ltioyJ s 1 '� �,• ` 4 ks' Parcel Area 2 r Lawn /I i Propose ` ceio © ' Born : Brick Patio �- ®s' Lown ^jy ci' f 1 sty w/f i #16 _ \ `. 1-112 Sty w/f ° Q e Dwelling `N q^ CB/OH h Fnd Lawn 9 0C1+ AS I Sty ��»Af Cottage 3 8 �. yO° C9�� / / / / C b / 02 `\`•o . .. 2,3.9: Lawn }Y / 4nn 0� Y CB/DH 1 .. 38x2- Fnd O Title: PREPARED BY. PREPARED FOR: Notes/Revision: Plan showing CapeSury Th 1.) The property line information shown Proposed Site Mod►ficat�ons e Bonnybrook compiled from available record inform,P om at 164 Ocean View Avenue 7 Parker Road Realty Trust 2.) The topographic information was obt Osterville MA 02655 from on on the ground survey perforr Barnstable �CotUlt� Mass. (508) 420-3994 / 420•-3995fox or between 14/JUN and 19/JUN/06. www.coPesurv.com 16 0 8 16 32 48 Date: April 09, 2007 Scale: '„_16' Field: WHK/DSS/RRL Review: RRL Comp/Draft: RRL jDrowing # C369_391 6,t�� L� LIE:� f J4 CO Ali ��a 7 : Stor e / r 1 Ce/b Fnd Ary 1 // • � Fd9e or C �j 'T`'s i RELOCATED ��3*x> 3R 3x4 S.A.S./ a �• TM',4 Parcel Area .- N `�- . 1 16.879SF �� o Alry r RELOCATED / o-eox r o = t Brick OAH Patio F d EXISTING E A ` , O 1 / _ �j \ �s' Bq ` I _ r EXISTING SEPTIC TANK '`f' 10 , PROPOSED P EW \ T `J (SEWAGE 12006N-421 i / \ Lawn 4P y Jsfy r /o.. / M/q; J on _: :t Q�4a �„ Q t�ry CB/OH n j aV arc e l v e\ Fnd va tOaelaa,F ��b't' ' o Lawnqj coSfy+fir .. � atta9e ZONE. RF , y spa k ` Area (min.) 87,120 SF ,(RPOD) u ` ! Frontage (min) 150' Setbacks_ _... , e •qn Front 30' so own �' ��-, \ - .. . - e Side 15' Q y + Rear 15' r G f OVERLAY DISTRICT. o N / r " AP - Aquifer Protection District 5�L�1VA u, h Co } 2 3 FLOOD ZONE. N o 297 3 a �� Fnd }pO s �Rrr+ r`h fs •7 it }u r } t A \\ Zone C - V �� \ \ Abrise own Foo t oet 1 or 2 ON) 7E T f/iS/b7 Community Pane/ No. Sr A��� 0 1n ( r ,, -1. i Add Portion of to Rwnoin t i Or 2 onr >E f0 4 1250001 0018 D Ada a�e a.+omte o-e sA s r 79 July 2. .1992 - VISiOtt Add Cot Addition d As—b2t tk SUeet r Onl DATE: 1f RE Location M$ N01ES PREPARED FM PREPARED Or R�' Site Plan p 1.) The property line information Shown was &am En iltg,Inc CapeSury Proposed improvements N 1"=2000'f compiled from avar7able record information. J. R,obert Casey. Trustee rot ssJ9 7 Porker RomAt Bonn rook Cross'Street Realty Trust aster ift U4 awss aetw '%to o2655 ° 2-) The topographic information was obtained y 164 Ocean View Avenue ,► Avenue /roar on on the ground survey performed on 51 Commonwealth v9iwr7eoa�oorn ^d ASSESSORS REF.. or between 141JJN and 19/JUN/O6. Boston, Massachusetts Bamstable (cat-it) Mass. Ma 033, Parcel 011 s.) The datum used is N.G.VD. 29, o fixed 1 omfe,W Feld:Map P mean sea level datum. ,f c°"V'`Ps I t:arrm.r 1xtK/Rw. oatE August 18, 2005 20' Review_98166 0--ft/E 9_ILI