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0225 OCEAN VIEW AVENUE
DEPARTMENT OF ENVIRONMENTAL PROTECTION WATERWAYS REGULATION PROGRAM Notice of License Application pursuant to M. G. L. Ch..apter 91' Waterways License TRANSMITTAL #X281834 for t 225 OCEAN AVENUE REALTY TRUST PILE RELOCATION NOTIFICATION DATE: 11/6/18 Public notice is hereby given of the application by: 225 OCEAN AVENUE REALTY ' TRUST U/D/T to License and maintain existing tie-off piles, relocate and license 1 tie-off pile and install boat lift at 225 Ocean View Avenue, Cotuit, Barnstable, County. The Department will consider all written comments on this Waterways application received by within 30 days subsequent to the "Notification Date". Failure of any aggrieved person or group of ten citizens or more to submit written comments to the Waterways Regulation Program by the Public Comments Deadline will result in the waiver of any right to an adjudicatory hearing in accordance with 310 CMR 9.13(4)(c). The group of citizens must include no less than five citizens who are residents of the { municipality in which the proposed project is located. Additional information regarding this application may be obtained by contacting the Waterways Regulation Program at 617-292-5929. Project plans and documents for this application are.on file with the Waterways Regulation Program for public viewing, by appointment only, at the address below. Written comments must be addressed to: MassDEP's Waterways Regulation Program, Southeast Regional Office, 20 Riverside Drive, Lakeville, MA 02347. ,� o o w r .A s i A. M. WILSON ASSOCIATES, INC. 20'Rascally Rabbit Road. Unit 3 From: USGS EXH A Marstons Mills, MA 02648 Topographic Quadrangle, 508-420-9792 FAX 508-420-9795 Cotuit, IVLl �^¢.,"'�':r•�•4_„n J\ �_ ` - _" _t-'C ,_� ii �saasa*s.•s-mY' v- _.� \ ..�- ^ ,,r• �v -= J`�,O`�J� C. - _ 4- jg Al `fir , tC AAMrn I(r fry r J l D.1 1 `r ;:.. / _.� �/, u`)( 6, I (( .', �^s•L .� 1;T (;'/( � ' ! 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Y ,e Y�k Z7i7' ft _ — t`-"Yi amosons NeCTc'_ r / ,t � �: iyi EOGus Island q �r7 , ^ ,',: '.I \ rr -`V !t r/{ /. n ti y r a �bprs Y rtf�i+��//1}}1'^ xt+ /•�9 a,_t\'`�� 7' 11 IA p�r ( •, ( �f 4 - s �y5ter - 4 L 1'1• 7 1/ 0 � �e �P' i �` "iz PAT"'."clr ` 3 . ' • i i T�{ t ,JYyeffe'fdr :� � � II- � -'( 1C ,�� rf ) ;f,� r `'z +• Syf-ic„_,,:.;-.: .,.�r.i:; ir..l�s�o,..sa.crvrwY g -- ��.n:il:�erw� ..r;,,.,.ib. -•� td:`i'i_a.. -I .�r:i<r.av:.r.... I .,Y f � t l :�, a EXISTING TIMBER PILES ; � r�`•;.�Ell .. - t. ' 2 PROPOSED ELEC, PEDESTAL (ACTUAL LOCATIONS MAY VARY DUE TO ELEC. REQUIREMENTS) '�� �`�•_ LIFT INSTALL PER MANUFACTURER SPECIFICATIONS STRUCTURAL DESIGN BY OTHERS • , Feet 1: SCALE: I" = 20' i'- �Yf Sr -8.4 + 2.1!ice A + !, �G' -7.4 • �} A� .+ ? + ^2.3 !i- + 4. Z 2.2 PROPOSED LI FT--=-:f9.8 + . yzpTl FS9C, FOOTPRINT �} �� ... 9.4 Cr 85'x9r6�� -9.5 Y STEPIaEN �i. 2.3 +� _ S; 4. DOYLE -7 9.1 + �.P 10 37559 7 4 -8.8 a� gig, + ., 901 ryj GO A55E55OR5 ID: DEED REFERENCE: 27553-310 WETLAND PERMIT PLAN MAP 033 PARCEL 41 PREPARED FOR 225 OCEAN AVENUE WETLAND CON5ULTANTr NGOTUIT, MA I ARLENE WIL50N A.M. WIL50N A550CIATE5, INC Stephen J. Doyle A550CIate5 I 20 RA5CALLY RABBIT ROAD P 0 Box G21 ,East Falmouth, MA 0253G` MAR5TON5 MILL5, MA 02G48 Telephoner 508 540-2534 5Jd5urvey@aol.com ! 508 420-9792 DATE: AUGUST I G, 2016 SCALE: I"= 20' I - -,..r.^ ..r .r• - 't -...-rF..�.-......r a rr.._.__ .. -._-" .-."._ -. -..�.". _.. _._ ..-�.�. _.,. .. . ..... ti rr - -. ... -. ... - �k - m-e'S. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t Map Parcel pp A d lication I 1 1 Health Division Date Issued A / Conservation Division :Z-5 Application Fee �" 29 YI . Planning Dept. Permit Fee Ale t r Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address I OV,�� Village ®w ` Owner6C � Tv� /� � Address Telephone (0 Permit Request Square feet: 1 st floor: existing proposed;�L6—D 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation��, 60!n> Construction Type 6(Jt,-W � .Lot Size ® / 6 Grandfathered:2 ❑Yes ❑ No If yes, attach s� porting documentation. r� Dwelling Type: Single Family �ff Two Family ❑ Multi-Family(# units) , Age of Existing Structure Historic House: ❑Yes tH No On Old King s ighway:0 Yes-2&No Basement Type: ❑ Full ❑ Crawl it Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) I Number of Baths: Full: existing new 0 Half: existing / new ' Number of Bedrooms: existing in new Total Room Count (not including baths): existing /f new First Floor Room Count Heat Type and Fuel: 10 Gas ❑ Oil ❑ Electric ❑ Other Central Air: 0 Yes ❑ No Fireplaces: Existing/New Existing wood/coal stove: ❑Yes ® No Detached garage:*i�existing ❑ new size Pool: 8-existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: A-existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use cam✓; 04)" Proposed Use sS;r/j/�� l��l�l�� //0 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name� iZC ��� /� Telephone Number �c�" Address d66>� �� �' License #<S'�__ (0?2 g8 /r •��' �� � i� �o'Z� Home Improvement Contractor# Email G ZOC/�0 5�'��`"/� m<_�CD%orker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ® k. SIGNATURE DATE / _ 6� E FOR OFFICIAL USE ONLY .APPLICATION# DATE ISSUED MAMA/PARCEL NO. ADDRESS VILLAGE OWNER i " DATE OF INSPECTION: FOUNDATION FRAME .�t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING $'Z� } D=ATE:CLOSED OUT s AWQ,(WION PLAN NO: i. V , � 'Town of B arnstable y� Regulatory Services Thomas F., Gel.]er, Dirertor,, Building.Divisi ' Thomas Perry, CB0,13nilding Commissioner. 200 Main Street, Hyannis,MA 02601 " . . . �wW.town.barnstah]e.ma.ua ' Oi�ice: 508-862=4038 Fax: 508490-6230 ' . .PLAN REVUW Owner: Map/Parce1: 0 33 tiHl Project Address �2S OCEAa VZaJ Builder: , AVE The following Reins .,were noted on ray iewibg: Reviewed by: .. Date. E, The Commonwealth of Massachusetts Oft Department of Indushial Accidents Office of Investigations z 600 Washington Street ' . Boston,MA 02111 www massgov/dia , Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: 6 ,g ,20 Q City/State/Zip: 1Y01 y9l5 /I/L,LS Phone Are y/ou,an employer?Check the appropriate bog: Type of project(required): I iE I am a employer with 4. ❑ I am a general contractor,and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am.a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition i 'workingfor in an capacity. employees and have workers' Y aP tY• 9. ❑Building addition [No workers' comp. insurance comp.insurance 1 required—] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repair's or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs , insurance required.]t c. 152, §1(4),and we have no employees.[No workers'. 13.❑ Other comp.insurance required.] *Any.applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#:ZAI e -j 12 O Expiration Date: Job Site Address: G � r�� �v� �U City/State/Zip:C�— Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th $ris n f perjury that the information provided above is true and correct signa )) Date: Phone#: L/C;6 Official use only. Do not write in this area,to be completed by city or town official k 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 ` . 4 r , 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 insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of 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 (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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 Teel,#617-727-4900 ext 406 or 1-877-MASSAFE . Revised 4-24-07 Fax#f 17-727-7749. w .mass.gov/dia A. + /ACVKD � 7,DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/13/2013 .THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION"ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY`AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES y BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ` REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)"must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require,an-endorsement. A statement on this certificate does-not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER DOWLING&O'NEIL INSURANCE AGENCY INC -'CONTACT NAME .. 973 IYANNOUGH RD PO BOX 1990 PHONE z FAX A/C No): :. HYANNIS, MA 02601 E-MAIL ADDRE'sS. - INSURER S AFFORDING COVERAGE NAIC# INSURERAe: LM I ' Corporation 33600 INSURED -* . ...° AI SURER B' _. ROBERT GLOVER - DBA ROBERT GLOVER BUILDING INSURER C PO BOX 703 INSURER D z MARSTON MILLS,MA 02648 INSURIERE: INSURER F: k' COVERAGES CERTIFICATE NUMBER:''17620588 '• :. ' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY..PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER,DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY.THE POLICIES,DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.,-: - POLICY EFF `POLICY EXP ILTR ADD SUB TYPE OF INSURANCE . POLICY NUMBER• '. MMIDDIYYYY MM/DD/YYYY LIMITS a GENERAL LIABILITY s, a EACH OCCURRENCE $ �: DAMAGE ORENTED, COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ y ; PERSONAL R ADV INJURY $ fGENERAL AGGREGATE .,$ GENT AGGREGATE LIMIT APPLIES PER: ' PRODUCTS-COMPIOP AGG $ .., PRO- , POLICY LOC AUTOMOBILE LIABILITY 1,: COMBINED SINGLE LIMIT Ea accident $ ANY AUTO 0. i BODILY INJURY(Per person) $, ALL OWNED _ SCHEDULED', g $ ' BODILY INJURY(Per accident) AUTOS AUTOS ' NON-OWNED "' - PROPERTY DAMAGE $ HIRED AUTOS AUTOS ` (Per accident) r $ # UMBRELLA LIAB OCCUR lt " - EACH-OCCURRENCE �' $ EXCESS LIAS CLAIMS-MADE a AGGREGATE $ DED RETENTION$ y $ $ WORKERS COMPENSATION WC STATU- O - A WC531 S-320856-013 "' 4/19/2013 4/19/2014, roRY TATU ` AND EMPLOYERS'LIABILITY ` - H " - :: - - ANY PROPRIETORIPARTNERIEXECUTIVE YIN - E.L.EACH ACCIDENT, $' 500000 OFFICERIMEMBEREXCLUDED? " " 'FY NIA _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ +' 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required)_. •. ,M THE WORKERS COMPENSATIONPOLICY DOES NOT PROVIDE COVERAGE FOR ROBERTGLOVER Workers compensation insurance coverage applies only to the workers compensation laws of the state MA. 3 CERTIFICATE HOLDER '` CANCELLATION. L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF.BARNSTABLE THE EXPIRATION DATE' THEREOF, NOTICE WILL BE DELIVERED IN 230'SOUTH STREET" . ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS.MA 02601 AUTHORIZED REPRESENTATIVE U�j �/ s e - y{ •.. h •;.a�1 h Icy .P.4• .- c _ Jeff Eldrid e':, ©.1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORDIname and logo are,registered masks of ACORD Ttlls cer'1?IficatCLIENT ca ce°ls anQ41superseQes H1,L/previousZly ss,uea lcertificates.' a ' REScheck Software Version 4.5.0 Compliance Cettificate { Project KENNEDY ADDITION Energy Code: 2022 IECC Location: Barnstable, Massachusetts . Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6237 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 225 OCEANVIEW AVE ROBERT GLOVER JOHN CUNNINGHAM ARCHITECTS COTUIT, MA 02648 R.GLOVER BUILDING CO 655 SUMMER STREET. BOX 703 BOSTON,,MA 02210 MARSTONS MILLS, MA 02648 x` 508-4204578 GLOVROBERT4@AOL.COM Compliance: 0.0%Better Than Code, Maximum UA: 118 Your UA: 118 The%Better or Worse Than Code Index reflects,.how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home( Envelope Assemblies WOW Ceiling 1: Flat Ceiling or Scissor Truss 20.8 138.0 0.0 0.030 • 6 Door 1:Glass 336 0.320 108 Floor 1:All-Wood Joist/Truss:OJer Outside Air 144 38.6 0.0 - 0.026 4 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version.4.5.0 and to comply with the mandatory requirements listed in the Scheck Inspection Checklist. Name-Title Signature Date rr. Project Title: KENNEDY ADDITION Report date: 03/31/14 Data filename: Ulititled.rck Pagel of 1 � � 4dA .:. F. 5 �y � Wi Q Check Compliance i 1.1 SCOPE Wind Sp eed(3=sec:gust)..:.................. a ........ .. ... ... ......... . Wind Exposure Cate pry....- . ...:B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8'in 12 slope thall be considered a story) :N stories::5 2 stones.: ✓ i Roof Pitch . . ,:............................................ :..,:.(Fig 2) ....... h; <12:12 x l� m Mean Roof Height t ....:.: Fr' 2 22 ft`'<_33, g (Fig )• Building Width,W `' .. . .... . ,..:,.. ........:(Fig 3).: :. ... ft.<80' t a ' Building Length, 80, L (Fig 3): , i. Building Aspect Ratio(L/VV) .. (Fig 4);: s 3:T ✓'' Nominal Height of:Tallest Opening ;..:: ... ..(Fig-4). . .....>. . . ....,. .UL <6'8"` n. 3' a aP�'C'lcx.1 'At6�i ��cr4s $. 1.3 FRAMING CONNECTIONS . .r F General complian de with framing:connections.-..::. (Table 2) .,....;- ............ ..., ..:;. ... ` 2.1 FOUNDATION r,- '�, _ � ..; Foundation Walls meeting:requirements of 78G CMR 5404 1 Ne►-k C, t,: 'Pi FntytW4710t4 L Concrete........ Tee- to E cat-9►�Ca t� � i 1C'c-�'� Concrete Masonry.....:` ............. ..... > 2.2, ANCHORAGE TO,F66NDATION''3 " 6/8"Anchor Bolts imbedded or 5i8.,Proprietary Mechanical.Anchors as an alternative in'coIncreteonly Bolt Spacing-general (Table 4) in- as Bolt Spacing from endlomt.of.plate .:.: .....,(Fig 5); in <6 .,Bolt Embedment=concrete...: ::::.(Fig 5}; '.: : .. �. n. ?7" t .L Bolt Embedment-mason ...............masonry: ...-.:.:.(Fig 5). ....::: .. . ..... m.,? 15. Plate Washer:_ .:. X .. 3"x 3 x%< i '3.1 FLOORS. 7 F = Floor framing member spans checked ..,:.: ;:. ..(perg780 CMR Chapter 55)..... ':. </ ` Maximum Floor Opening Dimension ft<12 = ) _ Full Height Wall Studs at.Floor Openings less than 2 from Exterior Wall(Fig 6)...;. ............ Maximum Floor Joist Setbacks n Supporting Loadbearing Walls or ShearwalC.:: (Fig 7)% n� ft s d > ,l Maximum Cantilevered Floor Joists Supporting Loadbearin Walls or ShearwalL._, ...... Fi 8 # ft s d ✓� . P g 9 ( 9 .)" ,Floor Bracing at Endwalls-_' ....: Floor Sheathing Type ....... ...(per 780 CMR'Chapter 55) Floor Sheathing Thickness . . .....:: (per 780yGMR Chapter 55 } Floor Sheathing.Fastening; .....,.: ...:,..(Table 2) 1z d nails at in edge/�in field' 4.1 WALLS r . . 'Wall Height i Loadbearing walls ...:,. (Fig-10 and Table 5) ft <-10` Non-Loadbearing walls (Fig 10 and Table 5) Wall Stud Spacing_ (Fig 10 and Table 5) m s 24''o.c. WaII Sfory Offsets ..... :.;.:..(Figs 7t&8).;: U ft 5 d 4.2 EXTERIOR WALLS' Wood Studs. ; D 4 Loadbearing walls (Table 5) 2x - ft in p Non=Loadbearing walls. ......... .....:.(Table 5) ...... 2x ft in; Gable End Wall Bracing' i FUJI:Height EndwalLStuds :, (Fig 10 ooL . 1 ) ...............ft . WSP;Attic:F Length >Wl3. i 101 Gypsum Ceiling Length(if WSP not used):.::. (Fig 11) - ft>0 9W: ` and r2 x 4;Continuous Lateral Brace @ 6,tt o.c. ..(Fig=11) X or.1"x 3.ceiling furring.strips @.16"spacing min.with 2.x 4 blocking @'4 ft spacing in end joist or truss bays 'y' Double Top.Plate Splice Length :,:. :. .(Fig 13 and Table 6) ft Splice Connection(no.of 16d common nails)' ....,....(Table 15 ..... _ a A 1` C' cit>!e to t ' a+tl ' rtcr l� >Ea rll � ire 'rtz Mssuts + eat "rrlEct�.+eal; z : Loadbearing Wall Connections F Lateral(no.of 16d common,nails)..............:.................:..(Tables 7)..:.... ........ . ..,..... ........ ....... Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)............ ........(Table 8) ... .....................: ....... Load Bearing Wall Openings(record largest opening but check all openings for compliance to:Table 9) Header Spans ((Table 9) 8 ft a :in. s 11' Sill Plate Spans ).... ... ...... .. ..(Table ...._.... .. ....... . ...,.... ft in.s11' Full Height Studs (no. of studs).........;. ......... ......::.(Table 9).:................... ......... .,................... �G) Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance:to Table 9) Header Spans. .(Table 9) ft 0 in. <_12` Sill Plate Spans ...... (Table 9)Full Height Studs(no.of studs) ......... ........ ....:....(Table 9)..................,,:. .................... Exterior Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4' t Minimum Building Dimension,W N Nominal Height of Tallest OpeningZ - k�..CaG 1�?��1 .,s 6'8 t Sheathing fYpe..:...... ...(note 4) Edge Nail Spacing.... (Table 10 or note 4 if less) in. Field Nail Spacing................. ........ ...... ...(Table 10)......... in. Shear Connection(no.of 16d common nails)(Table 10) .. . ,Percent Full-Height Sheathing ......... ....:....(Table 10).....:. ........ '% 5%Additional Sheathing for Wall with Opening>,68"(Design.Concepts) Maximum Building Dimension., L Nominal Height of Tallest Opening2 ........................................................._<_6'8" Sheathing Type........ ( ) ........ ....... ..:.....:. note 4 ........ ........ . ......................... Edge Nail Spacing " ' :(Table 11j r note 4Fifless) ' m. Field Nail Spacing Table 11 in. t Shear Connection (no.of 16d common nails)(Table 11).,:. Percent Full-Height Sheathing........... .......(Table.11),::::: ..................................... 5%Additional.Sheathing for Wall with Opening>68"(Design Concepts).................... :. t ;. Wall Cladding Rated for Wind Speedy ......... ........: .. ...: ..`. '.:.. . • 5:1 ROOFS For Rafters use AWC-Span I Roof framing member spans checked?........................... ( p_ .Tool,see BSRS Website) - Roof Overhang ...... ....... ..,... ... (Figure.19)._.. ft.<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls i Proprietary Connectors Uplift . .,(Table 12) ... .U=,�3lv plf ✓ i Lateral....:,.. ....,...: ..:. .. :.. :,...... (Table 12)...:.. ....... . L=�plf Shear......... ....... . .....,.. ......:..(Table 12)..,_.. ..: S=�pif Ridge Strap.Connections,:if collar ties not used per page 21... (Table 13) ...... ....... T= plf Elk::. : Gable Rake Outlooker ........................... .. .. (Figure 20)... ..... ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary,Connectors Uplift ....:::,:(Table 14) Lateral (no. of 16d common nails)'._.(Table 14} .......:.: .... ..,....L=�Ib: Roof Sheathing Type......................................................(per 780 CMR Chapters 58 and 59)... Roof Sheathing Thickness ... t�in >7/16 WSP Roof Sheathing Fastening:..... ,...... ..,:,. .(Table 2) ...... ...::p ........ .. .... _ Notes; r 1. This checklist shall be met in its entirety,excludi'ng'the specific exception noted in 2,to comply with the.requirements of 780 CMR 5301.2.1.1. Item 1. If.the checklist is met in.its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide; a. Steel Straps per Figure 5 k b. 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. All Straps per Figure 17 e: Comer Stud Hold Downs per Figure 18a and Figure.18b. t 2. ., Exception: Opening heights of up to 8 ft.shall be permitted when 5%;is added to-the percent full.eheight sheathing. requirements shown in Tables,10 and 11. I 3: .The bottom sill plate in,exterior walls shall.be a minimum 2 in.nominal thickness pressure'treated#2-grade: .�6t'r`C.`Gtr�rl�to Wittr���t��trtie��ztt �t �� t ��t�x� ��cr�� ���t� �t}f a t�.Z�>�;;;. t 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio;determine Percent Full-Height Y. Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as:follows; i. Panels shall be installed with strength axis parallel to studs: . ii: All horizontal joints shall occuryover and be nailed to framing. iii.: On single story construction, panels shall be attached to bottom plates and top.member of the,double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double tope ' plate and to_band joist at bottom`of panel.,Upper attachment of lower panel shall be.made to band joist F and lower attachment made to lowest plate at first floor framing. v_ Horizontal nail spacing at double top.plates, band.joists,and girders.shall be a double row of 8d i staggered at 3 inches on center per figures below Vertical and:Horizontal Nailing for Panel.Attachment it w161 rHls 0GE MMM ON - PAAMINGLISEadNAIZ r ATfibt. t ' u Ir , ✓ :1 11 11. �J , 1 I 1 11 1 f 1 U t' l If 11 ! r- " ` Lwur eoce .- --.-_- 1 NAK-WAcwc 1 y See Detail on lNext Page, Vertical and'Horiaontal tVailing for Panel Attachment t 3 a rl r . a. "Ole lily FRAMING ME'M9m .� 11 7T1 ! 1' s y NAIL PATTFAIV � �' PANEL � • ' a PANe EDGE: ,.DOUSE NML EDGE SPA014GMAI Detail' -71 Vertical arid''Honzontai Nailing 'A : } for Panel Attachment i r - i , OFINE Towri of Barnstable Conservation Commission BMWgrABLE. * 200 Main Street 9`bA,039. 16 Hyannis Massachusetts 02601 FD MA'S Office: 508-862-4093 E-mail:conservation @ town.bamstable.ma.us FAX: 508-778-2412 MINUTES CONSERVATION COMMISSION MEETING DATE: February 11,2014 8:30 a.m. LOCATION: TOWN HALL HEARING ROOM Scrivener's note: The following minutes are general in nature. For those wanting specific detail on matters heard on this agenda,additional resources are available to you: video-on-demand(free on the Town website at town.bamstable.ma.us, and DVD recordings. Please contact the Conservation Division at 508.862.4093 for assistance. The meeting was called to order at 8:30 a.m.by Chairman Dennis R.Houle. Also attending were Vice-Chairman Tom Lee and Commissioners Larry Morin and Louise Foster. Commissioners Peter Sampou and Scott Blazis were teaching, and Commissioner John Abodeely was away. Rob Gatewood,Conservation Administrator,assisted, along with Darcy Karle,Conservation Agent. The meeting was held in the Hearing Room,Barnstable Town Hall,367 Main Street,Hyannis,MA. I REVISED PLANS project type revision A. BLT DA-13050 remove invasives herbicide Tx to stumps The applicant,Barnstable Land Trust;was represented by Red Bansfield. A motion was made to approve the revised plan. Seconded and voted unanimously. B. Fallon DA-12018 relocate bulkhead relocate bulkhead f The applicant was represented by Peter Sullivan,P.E. Exhibits: • A—Proposed revised plan A motion was made to approve the revised plan. Seconded and voted unanimously. CKenn`edy/K ddei'PSE3`5"1`53""1 ramp,boardwalk addition The applicant was represented by Arlene Wilson,P.W.S. A'motton,was made to ap`^"p v h.revised.plan Seconded and:voted unanimo_ ousslly. MN021114 1 . s Y A.M.Wilson Associates Inc. APPROVED PLAN �(0 M N�pR�N N FEB 2014 N January 29, 2014 C ` ® 'E �N Barnstable Conservation Commission �611Bt�gZg'L ' 200 Main Street Hyannis, MA 02601 Re: Request for Plan Revision, D E C E I V E 225 Ocean View Avenue, Cotuit D (Our File 2.1775.0) JAN 3 0 20U Dear Commissioners; BARNSTABLE CONSERVATION On behalf of our client, 225 Ocean Avenue Realty Trust u./d/t 'we hereby request a revision to the plan approved under your file SE3-5155: The revision proposes an addition to the first floor bedroom by pushing the exterior wall out to the line of the existing covered porch. The porch area will also be subsumed into the bedroom as will an interior study. The result will be one less room on the first floor while making the bedroom large enough to accommodate special equipment required by the owner. The handicapped access ramp is also being extended further toward the street. The actual increase in hardscape over what was approved under SE3-5155 is ±109 sf. Since all of this is within 50' of the bank top, it will require ±436 sf of additional plantings. We would, therefore, propose to overplant the entire area of bank lying westerly of the stairs now planted to perennials, ±600 sf, with woody shrubs, primarily Rugosa Rose. Approximately 150 sf of this area was to'be overplanted under the original order. It is our understanding that this request will be heard at your 2/11/14 meeting. To facilitate your review, attached please find: • completed Form R; • sketch plan showing addition; • check for processing in the amount of$3500 20 Rascally Rabbit Road Unit 3 508 420-9792 Marstons Mills,MA 02648 FAX 508 420-9795 Please don't hesitate to call if you have questions or require additional information. Yours, A. M. WILSON ASSOCIATES, INC. �l Arlene M. V�ilson, PWS Principal Environmental Planner Attachments cc: DEP Attorney Stephen Kidder Elizabeth and Joseph Kennedy Charles Hunt 2 r� o Town of Barnstable ' Conservation Commission Form. R • �, 200 Main Street Hyannis Massachusetts 02601 Office: 508-862-4093 E-mail: conservationrytown.barn stable.ma.Us FAX: 508-778-2412 Revised Plan Request SE3-5155 OOC expiration date: 1/14/17 Applicant Name: 255 Ocean Avenue Realty Trust u/d/t Project Location 255 Ocean View Avenue, Cotuit Map: 33 Parcel: 41 1. Why is a revised plan being submitted? To accommodate bedroom addition. 2. Is the revision proposed or as-built? Proposed 3. If a revised site plan is being submitted, what is its revision date? 1/29/14 4. Does the revised site plan have an original stamp, signature, and initials in the revision block? To be provided. 5. What parts of project are completed? None 6. What parts of project are not completed? All 7. Are completed parts of project in compliance with the approved plan and Order Of Conditions? N/A ' 8. Have special conditions been met to date? E.g. Forms A &B, photographs of undisturbed buffer, certified foundation plan? N/A 9. Are sediment controls in effective condition? N/A A. M. Wilson Asso 'ates,Inc. 1/29/14 RepresentativWs Signature .— — Date . Arlene M.Wilson " Please submit this form, a cover letter, two plans with original stamp & signature, and a S 35 check made payable to the Town of Barnstable. If this revision includes activities not part of the original application, add the appropriate activity fee. Also, ' prepare an additional seven collated sets for.distribution to the commissioners. Q:\Conservt\DEPFORMS\Farm R.doc rev:20 APR 2011 Massact usctis ' Department of Public.Safety Board of B.uilding'Regulations"and Standards A. Construction Supertisor t_icense: CS-039868 ROBERT J GLOVER , PO BOX 703 MARSTONS MILLS i 02 8 Commissioner E.cp(ration { 05/24/2014 License or registration{vand for mdrvidul.use only, ;before the expiration date. If>found return to- ice of Consumer.Affairs.and Business Regulatio MA 021 n40 ` Park Plaza-Suit ;Boston, 6a 5170 " 1 - , Not valid without Signature 1 Massac! uscits - Department of Public.SafetY I Board of Building Regulations'and,'Standards Construction Supers isor License: CS-039868 ROBERT J GLOVER I _ PO BOXiW MARS CONS MILLS 02648.. jJ �/I _ Expiration; Commissioner 05/24/2014:' f �T r �Oi10CYG 9flJCl�4. Office of Consumer Affairs,&BusiGess Regulalo4 -- OME IMPROVEMENT CONTRACTOR Type egistration 1`11.1.57 y - xpiration 1219/2'614 ', DBA R.GLOV,ER BUILDING CO 9 r. x - I � i•. ! ROBERT GLOVER PO BOX 703/13:ClJRTIS BOG RD ZSTONS MILLS,MA 02648'` Undersecretary s I _ ' r F BARNSTABLE, 1NA86. 3639. Town of Barnstable: 1 �Arfv Mph a - ' Regulatory,•'Servicew trt hard V Sca i tnteriiir Direc.to ` Building.Divisions. M hornast?er•ry,CRO; Building Commissintrer 200.Main Street; Flyannis;;MA 026,01, sffi • `,.. wFvwaowaaii►rnstaUle:ma.us. - • f Office: 508 862-403.8 I ax: 508-790-6230� Property Owner Must Complete and Sign This Section If U ing A_Builder Stephen W.Kidder and Mark B. Elefiinte;(Is` - 1 littslss• r 5 Ot;n Avenue Ri alty Trust 1 l I }. ,_ ;,.as Uwncr of'the srh•ect �i:o xrt c - •• hereh}, authorize ftobert Glover' -.'o:,aU on my hch lf,` in all.nai;tci5 cclau��c:;t;��atirl.:uth i;i :ed by this for: ; 2250ce'an'A C�tit MA 02G35.ve ' v , , `(Address of J'ou} ' .. Silniaturc of0wncr lll-te Stephen W. Kidder and Mark& Elefante,as Trustees._. Print-Nanic' It Property Owner is applying fc r perriflt,pleoe;com�let"the Homeowners'License Exemption Form on the reverse side. • Ti"KI VIN:D7113uildingChtnge.EXPRI?SS.Pl RM[TlEXPRI SSA& R'evisedQ6131.3 ek 27553 PsSIb •:421.42 07 3.9--201.3 ' & 10 M 1.eScx . . DECLARATION OF TRUST 225 OCEAN AVENUE iZEALT'Y TRUST Stephen W. Kidder, of Belmont, Massachusetts, and Mark B. Elefante, of Lexington, Massachusetts, hereby declare that they anti their successors in trust(the "Trustees") will hold all property that may be`transferred ",to therm t as Trustees hereunder- for,,,the sole benefit of the Beneficiaries(as defined in Section 2). Y 1: Name and Euipose. Thus"trust shall be known+as the 225 Ocean Avenue Realty Trust(the'Trust"). The purpose-of the Trust is to hold record legal title to the trust property and to perform functions incidental thereto.. The Trust is intended to be a non-taxable entity for federal and state income tax purposes, hi no event shall the Trustees be empowered to carry on or operate any business on behalf of the Trust. 2, Beneficiaries, r a. The 'term °Beneficiaries" shall mean the .persons.-whose ,Haines.end proportions of ownership are set forth in Ile schedule of Beneficiaries in effect from time to time, counterparts of which"are executed by«.all "of,the-Beneficiaries and Trustees (the "Schedule of Beneficiaries"), Any Trustee,,may becoincs a Beneficiary and exercise all rioits of a Reneficiruy; . ; with the saran effect as though the Beneficiary were not a1rirstee. b. Except as otherwise provided herein or bylaw, any actions to be taken by the Beneficiaries shall require the consent, of the holders of 100% of the beneficial interests >, hereunder. Directions and instructions to,the Trustees by the Beneficiaries"shall be in writing and shall be delivered to the Trustees and to the other Beneficiaries. 3. Trustees'Powers to Deal with•the Trust Pro ei a. The Trustees.shall hold the trust property'and, unless otherwise directed by the Beneficiaries,receive die income for the benefit of the Beneficiaries, The Trustees shall pay the principal and income as all of the Beneficiaries may direct and,absent their direction,shall pay the- income at least annually to the Beneficiaries in proportion to their respective,interests. 926444 R 41 i x !. r 3 • m-r :. k, 2 755.3 Pg317 #1:42142 w 13 . s s w b. Except as,specifically directed`by the,Beneficia"ries:t[ze Trustees shalt have no power to deal in or with the trust property. When so directed;dhe'fl-ustees shall have the pawcr, exercisable without license or insti-zctions from any court,to transferoorrvey°°"assign,exchange,'"or. " otherwise dispose of,for consideration"or as lifts,all or.any,part of the trust prolierty;`ta mortgage k or lease all or any part thereof for''a terra which may extend.beyond the date'of,any possible termination of the trust;to grant or acquire rights or easelnents(including Conservation easements or restrictions); to enter into other agreements or arrangements.with respect to Aite'trust property;to acquire property and any interests in property;and to execute and deliver agreements,leases,deeds, notes,mortgages and other instruments necess any or appropriate to any of the foregoing. d. Assrgwrerrt of Beneficial laerests No,assignment of any, beneficial interest shall be A effective until`satisfactoiy�written evidence of.the assignment or,transfer.has'been delivered to the Trustees and until.a new or.amended Schedule of Beneficiaries has been executed l;y;the assignee,i all other Beneficiaries and the T%stecas °g a+ 5.1, Trustee tl'i visions g C'c.. a. Any Trustee may resign by written instrument signed and acknowledged by "• ' • such Trustee.and•delivered.to,the"remaining Trustees and to,the Benefciaraes. Successor or additional Trustees may be appointed or;any Trustee fenoved l y;ari instrwnent signed by all'ofVie Beneficiaries;aclrnowlulged by one`or,more.o£theni anal deliVr red to'the Trustees; Each Trustee appointed'shall accept his or leer appointment by a written instrument arid-acknowledgedsigned.5 by such°Trustee and delrvexed tofilie other Trustees and to the Beneficiaries. Aray suelr instrument appointing or.removing a Trustee shirr become effective when`such"instniment or a certificate . '.� signed and acknowledged by airy Tzvstce'(imcludirzg ti newly appointed,Trirsteej rranairg the -0 Trustee so appointed or removed, is recorded or fi[ecl rtnih the Registry(ass defined in Section 9)•' A Airy xesignatioza,arrd any acceptance n£appointment by a TrusteeEshail'beconie eff&i ve wwkterrY#ited or recorded with the Registry. ' 1), Upon the appointment of.any.successor or-additrorial Trustee, letal`title to the trust property shall vest in such Trustee jointly;Nith the rernaining.Trustees;if anti without the necesslty of any conveyance,'Any additional or'sueces'sor'Trustee to;shall succ sed all'powers of.the A original Trustee, No Trltstee shall be regaiied to furbish airy bond or suretythereoii. c. Any lone Trustee rimy eicercrse the powers of all Trustees' No Person►shall be required to'verify the application of airy fluids or property lomied,di deliver�edkto the Trustees or .. to verify compliance with the terms of the Txust:- Any.persan Mayrely without further inqu iy`ozr any agreement;lease,note,rnortgage or other;uistiumen t executed by a person shown by,the records i in the'Regstiy,to be.a Trustee as conclusive evidence that (i).an the date,of;such instrumecit the 'I'rtist was inAll force and effect and (ii) the.Trustee wasAuly directed by the Beireficianes to execute and deliver the same. No additional instrument of certificate shall be necessary to,establislr the validity of any action'taketi by the''1'rastees;' w 926444v.1 ... ,. .a Bk .27553 P9318 #42142 d. No Trustee sla fbe p6rs6iially'liable for_ahy.error of judgment,or` for any loss arising out of any aci or omission in the execution of the Trust so long as he.or-she acts in good faith,but shall be.responsible only for his or her own willful breach of trust, 6. ' Liability. Any,person extending credit to,rcontraeting with or having any claim .against the Tnistees shall look only to•the:,trust.property for`payment of any amount that may _ otherwise be payable to them by the Trustees,`:and"neither the Trustees nor fie Beneficiaries shall be personally liable therefor:'The Trustees sb.all'not be required to take any action that in their opinion may involve them in any personal liability. .If for any reason,other than willful breach of trust,a Trustee is held personally liable, he or ,she shall be held harmless and indemnified by the Beneficiaries,jointly and severally,against all loss and costs arising from such liability.` 7: Amendinent. .This Declaration.o Trust maybe a unended by an instiVinent signed by a the Trustees and by all of the Benefici&ies and acknowledged by one or more of tl e,m provided that the amendment shall become effective when it or a certificate,by any Trustee setting forth the terms thereof is xecorded or filed witli the Registry. 8._ Termination The Trust may be teruninated at any time by.atay one or more of,the s Beneficiaries by notice in writing to the Trustees and to the other Beneficiaries;,provided that any notice.of termination shall be effective only when a certificate thereof signed by one.or more of the Trustees is recorded or.filed„in .the Registry. The Trust shall:terminate in any event 90 (ninety) years from the date hereof,if not earlier terminated by action of a Beneficiary. Upon termination, . the Trustees shall transfer the. Must property, subject to any leases, mortgages, or other encumbrances thereon, to the Beneficiaries as tenants in common in accordance with their I espective interests in the Trust,or as otherwise-directed by all of the Beneficiaries. 9. Con`stritction,'This Declaration of Trust shall.be c6nstrucd in accoidnce with the laws of the Commonwealth of Massachusetts: The gender of pronouns and the singular'or plural* form of words shall be disregarded where appropriate. The terra"Registry" shall mean the Registry of Deeds or the Registry District of the Land Court for the district in.the Co=onwealtli"of. Massachusetts in which the twist property is located and with which this Declaration of Trust is recorded or f led, 9264440 Bk 27553 P931.9 ##42142 EXECUTED under seal this 16s'day of July,2013. Stephen Kidder,as Trustee of the 225_ n , Ocean Avenue:Realty Trust,and not individually Mark B Elefante, as T>usiee of the 225 Ocean ."Avenue Realty Trust, ' and not individually. COMMONWEALTH OF MASSACHUSETTS COUNTY OF SUFFOLK Before me, the undersigned notary public, on this 16'" day,of duly, 2013 pers©nally appeared Stephen W. Kidder who is personally'known to me, to be the person whose name is signed to the foregoing instrtunod and acknowledged to me that he signed it as his free act and deed and free act and deed of the 225 Ocean Ave_nue Realty Trust,,as Trustee of the 225 Ocean Avenue Realty Trust;.for its stated'purpose. ELLE=MURPHY NCommonweomm.Do .[iotairy puhlzc� COMMONWEALTH OF MASSACHUSET S i COUNTY OF SUFFOLK ,. Before me, the undersigned notary public,`;on this 16.'"day-of July, 2013 personally appeared Mark B. Elefante wlio is`personally known to me, to be the person whose name is signed to the foregoing instrument and acknowledged to me that,he signed"it as his free act and deed and free act Arid deed of the 225 Ocean'Avenue Realty Trust,a�s Trustee%of the 225 O.ceau Avenue Realty Trust, for its stated purpose. ELLEN M.MURPHY > { Notary Public ` Commonwealth of Masea0weetta [notary public My Comm.Expires May 20,2020 'Z�►4'".` BARNSTABI.F REGISTRY OF DEEDS is .. Kennedy, Residence 225 Ocean View Avenue o Cotuit, Massachusetts j ARCHITECT JOHN CUNNINGHAM ARCHITECTS, INC. 655 SUMMER STREET BOSTON, MA 02210 (617)951-0266 • — WALLLE6END _ EX151`1N6 WALL TO REMAIN NEW OPENIN6 FOR E%15TIN6 TO BE REMOVED • yyRELOC�AT�ED SLI�DERyy _____—�___—� "� REMOVE ML'OORS 1 SIDEtI6HT5 REMOVE COVERED II PORCH 1 STEPS II /7 REMOVE MILLWORK "v ' REMOVE WINDOW � a PLUMBING y� , I II • y T\\' a \ _ - ♦ II I I I SLIDER TO BE - �'- V. .✓ RELOCATED D v I I FINISHED FLOOR . 0 I I TO REMAIN Kennedy Residence . P. ,E 225 Ocean View Ave REMOVE DOOR!RELOCATE. r1OpNDENSER COCll1C, MA Y' PATCH OPENING 11 AND PAD i—� •JGHN CUNNINGHAM ARCHITECT$ INC .. REMOVE ALL BATHROOM'e.r� III Ir—'I I - - FIXTURE5 a FINISHES �I I� II I —IT•eoSrOx ulus[rt -- t w • O _ REMOVE WINDOW _ A 1 II•Demo—Plans s UNry 'F�'• ..m: x.we71:x-.�,1.e 1 - B MASS - L 1 k� ` REMOVE ROOF-/ THIS SIDE ONLY a a REMOVE SLIDING DOOR - BEYOND°RELOCATE. 000 ______________ (___ - NEW OPENING FOR EOEED SLIDE - li - '�`_ II REMDVEII II II I I I I II �rfllllr-,Ir-,Ilrn,l I•r-r-Y=�1 II WIN�10W 11 -II �1 I I.1 ILI.+J 11 II II II II a I II II it II 11 11 ,. I I I I it MO D =_J- a cJ { Jyi�G C----=.t-•-__J iID 511 EL16MI1 II ----11 I I I II I I I'11NDOFN I F - i u u J I • ', II II IJ 1 II - -----iL--- J 1 II F5-7r REMOVE ENTIRE - COVERED PORCH STRUCTURE 1 STEPS ' k O REAR ELEVATION p °a' va•=r-o. Kennedy Residence - 225 Ocean View Ave Cotuit, MA • - •JOHN CUNNINGHAM ARCHITECTS,INC, REMOVE ROOF I II Ir y x REMOVE ENTIRE REMOVEa COVERED PORCH RELoc^TE - -1 srRUCTURE °~Demo-Elevations " CONDENSER II it .. At;�H�. lir• - _JI 1 IN I � �• ti `�' ti�b a s/(N OSIDE ELEVATION 30� Mass. D_2 va•=r-o• HF _ 1J • k - 6X6 POST - (2Y�IMf.�ON (2)2X6 MJLLIONS ..• - 7 ACEMRe L) .. SIMPSON LSTAIB ' ` - EXIST. TOP a BOTTOM fr - HEADER II I e I (S)I 3'%II gIVL II II I I (3)2%10 HEADER (3)2XIO HEADER (3)I 2s I µ (212X6 POSTS I -------------- OGEILING FRAMING PLAN O ROOF FRAMING PLAN' va•=r-o• va•=r-o. l HELICAL PILES ' 0(JOO LBS.WORKING pel. � . LOAD CAPACItt groN 2XI2's O 12'0.C. '• P.T.FLOOR JOISTS Kennedy Residence (3)P.T..2XIO - 225 Ocean View Ave XI0 Cotuit, MA EXI5TING KNEE WALL BELOW . •70HN CUNNINCHAM ARCHITECTS,INC, • - LEDGER BEAM uuu[g sg[[t.posox ANCHOR BOLTED �__�I,X,TINO BASEMENT FOUNDATION ., TO EXI5TINGSTRUCTURE Foundation and FOUNDATION PLAN FIRST FLOOR FRAMING PLAN Framing Plans AN." $���/'C'�=t�' CSC•' 'L�..Y.e w � + { o P'o Ia s ( ASS. �A- 1 Of�A; HA LL L E 6 E ND - EXI51IN6 WALL TO REMAIN NEW CONSTRUCTION P05T TO POST _ WRAP POST a 5'4' _ GARNER IN TRIM 6X6 P05T R.O. B b%b POST _ b%b POST I ® r E T. 0 i. NEW K Co MEW - - COV D H �CCCCCCO _ OM OSITE D GKIN O w O' DECKING r O e RAMP _ LRELCGATED x PATCH FLOOR [ NEW SLIDER TO FIT CL J Q IL r y SLIDER WALLS EXI5TING OPENING O . ^�e_— F2)2X6 P05T B'-O'R.O. MILLWORK MASTER BEDROOM y .. TO REMAIN CONTIWE EXISTING WDODry ` FLOORING THROL5H01If ` . Vl RELLATE�O O o �ItV II M"- I- N Kennedy Residence • oPENIN �G; 4 225 Ocean View Ave- tT Cotuit, MA l�� p BATHROOM FLOOR T.B. . N �V - 'p ILE FLOORO 5HAMP T e WAINSCOTm I�B'}. NICHE t - O S RELOCATE - •JOHN CUNNINGHAM.ARCHITECTS.INC.- sm[R•eonox HALF WALL5 WITH NOTE O _ 6LA 5 ABOVE PROVIDE BLOCKING IN WALL5 NB T.B.D. 4'-b" IN CLOSET. STEAM PROVIDE BLOCKING IN WALL5 GLA55 WALL HER IN BATHROOM FOR TOW.BARS. a A TO CLEAR _ / _ .WINDOW TRIM - Z.E.WINDOW First Floor Plan GF 7'—i.n x e _ P 3C ION _♦ 2 `�.411;OFl � . r- - ------------ -------------- 11 7 • 11 II - 1 li II I� I II - 1 NEW ROOF i r ' I I I 11 I MATCH EXISTINS 11 I II 11 II I II II II r 1' - 11 ,e . �� • ;; � �; gin- w�l� oel Kennedy Residence I' I 225 Ocean View Ave ___________________---------- -I Cotuit, MA j - - •JOHN CUNNINGHAM ARCHITECTS.INC, -. J I____ ____ I I css swum sro[[I.easrox•.ss.cllusms oxxla �L.Roof Plan Apehi. r4' .GU � fCl v,q.nen.m�a. �, dCST N.. A—3 NEW ROOF SHIN ES TO MATCH EXI5TIN6 DERSEN EXISTING EXTEND GFILIHS IPE 0m. AN ANDERSEN ANDERSEN ANDERSEN APHS480 APW5480 APW54ao FWODE S%R - GOLUnN CUSTOM ANDERSEN NEW OPENING MATGN (STING T F XI T' R Q a RAIL TO MATCH PILASTE TO ' EXISTING MATCH ISTIN6 N FIXED FIXED FIXED 5 IER, I NEW EXISTING _OC IVE D LIpE RAILING LIDS F r FI LAN INGMn -—- - - I - IL T TING EYO______ EXIST( AT H NEW RAMP UNDER SEPERATE CONTRACT I ADDITION COVERED PORCH ,• ICI NEW RAMP UNDER - SEPERATE CONTRACT NOTE:NEW FOOTINGS BY STRUGT L ENGINEER - OREAR ELEVATION I/4'a 1'-0' Kennedy Residence 225 Ocean View Ave _ Cotuit. MA, i ® - •JOHN CUNNINGHAM.ARCHITECTS.INC.• LINE OF ROOF ��` STRCR 11— .szxpl Ml 12211 TO BE REMOVED ANDERSEN .FWGD"IOBOL I ce1LINa •. - ®LINEBE RE OF WALL - TO SL ER ' NEW RAMP I � O - - P.T.WOOD I F RAIL HATCH EXISTININ G FIRST PL. - a TOP 01 EXISTING EXISTING FOUND TION WALL �r,,pER GRADE .5.1 Frcx.i� NEW RAMP UNDER I SEPERATE CONTRACT T NEW I - I - III 1 _ I I _ Elevations CONCRETE Iy��11L__J I I III I I v 6RADE6 tiCNIs . sTRL1GIURAL I I i I �fCT; \. UN/V,,yCfr dow:.Q Rn d j _ tt nv F �.0 52 _ Ymbf L EX15TIN5 GONG.FOMDATION y ADDITION r 4` Q T��� OSIDE ELEVATION " M s. . i' A—4 1/4'-1,-0• ` OE tAA NEW a E COLLAR ' TIES EACH RAFTER RAF TOJ + - BE REMOVED 2XI2 p Ib'O.L.RAFTERS ' 11 OVER TOP. SIMPSON H25 E HANG ACH CEILING J C 015T 19 EACH RAFTER W/A 51 MP50N TSIb TWIST STRAP (3)1?'X II d•LVL HEADER EXISTING ATTIC GONnwou56v eR - EXISTING 2XI2 JOISTS NEW 2%12 5 -49 R BATT.1NSUL L �cEiuHs I (4)TIMBERLOCK SCREWS I NTIMIOIJG SOFFIT VENT •EACH CONNECTION I - - NE I I BE D FACE OF NEW - O WALL BEYOND " MASTER BEDROOM l 4 FLOOR i'lA6 BOLTS AT 32'O.G. _ HEATIN6 - ` NEW J0I5T5 ON EXISTING I I UNIT TOP PLATE BOLTED - ' TO NEW J015T5 ar.l.n: EXISTING 2x12 JOISTS EXISTING 2X12 JOISTS 2XI2 JOISTS TO MATCH EXISTING,R-30 SPR 21 2XI2 RIM Kennedy ResidenceAY FOAM INSULATION I P.T.3X6 KNEE WALL. 22S Ocean View. Ave EXTERIOR 5HEATHIN6. SIMPSON H25 (3)2xb 0 ENDS CAULKED<SEALED oAC EACH X15T EXISTING - EXISTING BEAM - (3)P.T.2XI0 COtlllt• MA GRADE EXISTING b' + I - INSULATION 5 SIMPSONCE STRAPS O"AC" .0 END OF KNE E WALL y •JOHN CUNNINGHAM ARCHITECTS,INC, NEW RAMP HELICAL PILE W/ N.I.G. EXISTING BASEMENT geAM SADDLE .00O LBS CAPACITY a - EXISTING • - ' - 1 GRADE 1 Ll 1 II _I I LI - .. l ne PIN. I " EXISTING LONG.FOUNDATION _ ADDITION - o.a Building Section S4c ARCA'iH .re' cu (1 1 � v.oNn xumwn� 4 No. 251 x.m. CC N. o .. Im s. �M A_5 a t 'Commo'nw ealth of Massachuseft&' O SheetMetal Permiv map b3L Parcellb8k ,. �Tf" 1`( C l �? Date: / C Permit.#k r ,z 1 2 3 203 Estimated Job.Cost: $o b o Permit Fee:$ s Reviewed:: YES O Plans Submitted: YES: MOF BARNSTA L --�� �Busiriess:Lzcense ApplicantLicense:# 7� Business Information: Property Owner:/Job:Location Information: Name; Name: �!�1�l4�/D � G—��9'T fl�l� C1 �'�a'1//c 5" /�� street. 2 C' OG�-' � ' Street: o City/Town City/Town:.. p 1��� . Tele hone:.. J `���� Telephone,: - Photo I:D;required C Copy of Photo LD. attached: PESO Staff Initial 1 / , -restricted license J-2/,M�-2-'restricted to dwellings:. ries or less and commercial up to:10,000 sq. ft../.2-stories or;-less Residen#a 1-2 family 1Vlulti-family: Condo I T0*1thouses. . Other Commercial: Office Retail .l Industrial Educational: Fire Dept.;Approval Institution al ` Other` Square Footage: under 10,000 sq.ff'. over 10,000 sq.ff. Number of Stories:, Sheet metal work to be completed: New Work: Renovation: HVAC Metal.Watershed Roofing Kitchen EXhaust:System Metal Chiriney/Vents Air.Balanciiig Provide detailed d6seniptioliof work to be done: INSURANCE COVERAGE: l hwife a current 11ill �y insurance policy or its equivalent which meets the requirements`of M.G:i_.Ch:112 . Yes No 0 If you have checked ,indicate the ,pe'of coverage;by checking the;appropnate box.below: ' A /ability insurance policy Other type: indemnity E] Bond ❑ i OWNER'S::INSQRANCIi WAIVER:l am aware that the licensee does not have the:insurance coverage.required by Chapter 1:1.2 of the Massachusetts;General Laws,and that my signature on this permit applicationwaim this requirement (� Check � Owner Agen# ❑ 1 Signature of Owner or Owner's Agent Sy.checking this:bo ;/.hereby certify that:all of the details and information I have submitted(or enteredi;regarding this application are true and accurate;to thes6estof:my imowI dge and that all sheet metaLwork and installations performed underthe.permit is for this applicatimmiii be In compliance with.a pertinent provision of the,Massachusetts Buiidind Code:and Chapter 11;of the.General I Duct inspection required.priortoinsulatio.n,instailation..YES NO. Progress InRR,e�ti'61M Date Comments t Final Ins e�on Date Comments i i Type of License:. 1 3Y D Master ntie ❑Master-Restricted` :ity/Town 1 QJoumeyperson t' nature of Licensee'ermit �S i QJoumeyperson-Restricted tieepse:Number I Cheek at m .mass.ggv dni nspector.Signatum.of Perm/t:Approval 1 i �s ,$ Town of Barnstable Regulatory, Services. MASS Thomas F.GOO,Director es�es: :. Building Division; Tom Perry;,Buiiding Commissioner 200:Main Street,. yannis,.IviA 0260.1. www.tawn.bairnstable.mams Office: 508-862-403 8 Fax: 508-790,6250 Pro Y a Owner Must P Complete and Siga his`Section If Using A.Builder -o. I` as Owner o£the.sub)ect'property . -hereby:authorize !% t / j` to act oa mY behalf,; in.all'matters,rektive to work,authotizea by this:building peunit: (Address of 10) • I *Poor fences and:alarms are the.tesponebilty of the applicant. Pools: are not:to be"filled before fence is installed and`pools are:not to be utilized until all.final inspections are performed and,accepted., r Ili Sigiatur6 of Owner Signature of Applicant WW'40 , Print Narne: Paint Name Date Q:FORNISDWNERPERWSSIONPOOLS i 77re Comneonwealth of Massachusetts: Deparf►nerit of Industrial AI Gents` office of Investigations, 600 Washington Street Boston,MA 021.11 www;massgovldia° ` Workers' Compensations Insurance Afadavit:Duildeirs/Contractors/Dlectricians/Plumbers A Ticant Information ` Please Print Le Wl I3ame.(Bus esslorganizationrIndiv dual).;. C�� , a-\j •Addressi �0(.d7 city/3tatelZip: 7�S Im Phone:#: Are.you an employer?Check.the appropriate box: �Typpe of project(required):;: •4. I am a general contractor and I 1:0 I am a employer with 6. ❑New construction loyees`(full and/or part=time). have:hned.tlie stub-contractors 2. a'sole proprietor:or partner- lis don the`atiached sheet;; 7. Remodeling ship andhave.no employeesThese sub-contractors have 8. ❑Demolition wo far me im an ac .: employees-and have:workers'' ddng. y cap ty $ .9. Building addition a o wo&zTs'comp.insurance, comp insurance, i required.] 5. M'We are a.corporation and its 0:[•Electrical repairs or additions. 3. 1 am a homeo'wne=doing's!!work officers have.exercised.their 11:I]Pltimtiing repairs: .or.additions ' ex on. `er myself.[No workers'comp. - ri�8f emptt p MCTL. 12.[]Rnofrepairs insuranceed 't ,c.152,§1(44);and we have no. . to ees. o workers' 13.-El Other emp .y -rN . comp,.MS;rI Ge.regt*ed.] 'Any appli=f that chocks box 01 must also fill out the section below showing their wod aro'compensation policy information. t Homcowaers:rho submit this affidavit indicating they are.doing all work and'tlien hire outside contractors must submit a new affldavi indicating such.. 1r_r tore that check this box must atiached uhn additional sheet showing the natne of the sub=cmttmetcrs and state whether or not those entities have emplo}gees..If the sub-contracton lumd employees.they mustprovide di&worjM.#.coTM:po 0 number.. Tam an.emptoyer that tsproviding markers'compensation insurance.for my:employees; Beloro Ls thepoUq 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'(showiug the oli number-_and expiration date), P cY Failure,fo.secure-coverage as required under Section 25A of 3vIGL c: 152 can lead to the imposition of criminal penalties of a fine:.tip to-$1,SUo.00.and/or one-year imprisanmen#,::s well as civil penalties in the.'form of a STOF WORK ORDER and a fine ofup to:3250.00 a__day against the violator. Be:advised:than a copy of this statement maybe forwarded.to the Office of Investiaations`of the l)IA for insurance coverage verification. I do:hereby:c er th pain enaities ,perjury that the infor on provided:above:is:true and.come 4 Signature:. Date: Phone# a Z d cial.use only. Da.nat wrdeIn.this area,.ta be completed y cify or town-official City or Town: Perinit/License#' Issuing Authority(circle one): 7.:Board of Health..2.B1t din Department:3.Cl !Town Clerk 4.Electrical. e,dor 5:Plumbin . actor g p t9 gip. g nsp 6;Other �.. Contact Person: Phone;#: S 19Xs f u'gg, 1 �� / _ r f r YII�ARMSF/S��;HFA-026¢8.1�9 � r l 7 _ i/ �f�n197J 1b 1f'� Fold,Then Detach Along All Perforations C4MMQNWEALTH OF MASSACHU�ETTS _- BOARD " SHEET METAL WORKERS SM - —'AS ATr�iOrTs��CitA -TYPE RLCHARD u fTAVAFI0 { M1 165 SERVICE' W $ARNSfABL: A02668849: 283186 LICENSE • ., EXPIRATION DATE SERI Fold,Then Detach Along All Perforatlons �_- -T-__1-,�______�, . , i, - - .� .. �. .. �.=_ ._ _____ _l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application aD " Health Division Date Issued L Conservation Divisions 0 1PV �� 0 ��� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 6� LG _ Village ef��� Owner �'0� " Address;9,2L' ✓ Telephone��� Permit Request orxlyx 6zle!; Z .Cv�''1c-1✓ 9,01 Square feet: 1 st floor: existing tlyproposed _�2nd floor: existing/proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7D D Construction Type WZO Lot Size_ ,® / Grandfathered: ❑Yes ❑ No If yes, attach supporting docimentation. o Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ca Age of Existing Structure Historic House: ❑Yes X No On Old Kid gIs Highwac!: LA- es 1 No Basement Type: ❑ Full 0 Crawl 41 Walkout ❑ Other Wm Basement Finished Area (sq.ft.) Basement Unfinished Area (sq ft) Number of Baths: Full: existinga new Half: existing �a new Number of Bedrooms: existing bnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 4 Gas ❑ Oil ❑ Electric ❑ Other Central Ai`r, ®Yes ❑ No Fireplaces: Existing/New ZD 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:0 existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use /GL �` ' �I A�,P� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Of 0 C460) Telephone Number Address ee9A License # " 10,3? (96 /4G` Q,97' WHome Improvement Contractor# Email��y�4�� � � � Worker's Compensation #t G ���30208��' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY F APPLICATION# DATEISSUED I :P; MAP/PARCEL NO. P ADDRESS VILLAGE OWNER r r' DATE OF INSPECTION: FOUNDATION - J FRAME ` INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'f FINAL BUILDING y DpffF&CLOSED OUT ASS .0D ION PLAN NO. ' a f The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mars gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: A: d City/State/Zip: ,/ � Phone Are you an employer?Check the appropriate bog: Type of project(required): 1.MI am a employer with / 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. [:]New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• 0 Demolition working for me in any capacity. employees and have workers' inc�ranCe$ 9. [wilding addition [No workers comp.comp. insurance required—.1 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs ,insurance required.]t c. 152, §1(4),and we have n_o 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 hue outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: �S�J� /%t/ `►' Policy#or Self-ins.Lie.#:L✓���` CS` ���`0/ Expiration Date: Job Site Address: City/State/Zip: G�✓U l l y%' ' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152,can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the rs ��esperjury that the information provided above is true and correct Sip—nature— Date: Phone#: Official use only. Do not write in this area,to be completed by city or town of iciaC City or Town: Permit/License# Issuing Authority(circle one): ' 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all'employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance.or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of 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 Commonw' ealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749. www.mass.gov/dia ,46o CERTIFICATE LOF LIABILITY INSURANCE °AT' THISCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HC CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TH BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), p REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVEI the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer certificate holder in lieu of such endorsement(s). PRODUCER DOWLING&O'NEIL INSURANCE AGENCY INC CONTACT NAME: 973 IYANNOUGH RD PHONE arc No): PO BOX 1990 HYANNIS, M_A 02601 E-MAIL ADDRESS: . INSUR S AFFORDING COVERAGE INSURER A:, LM Insurance Cocporation INSURED INSURER 8 ROBERT GLOVER DBA ROBERT GLOVER BUILDING INSURERC: PO BOX 703 INSURER D:' ' MARSTON MILLS MA 02648 INsuRERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 17620588 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PC INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TC CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LR AD ICY EFF cY EXP TR TYPE OF INSURANCE POLICY NUMBER POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP I Any one person) $. r PERSONAL'&ADVINJURY $ r GENERAL AGGREGATE $ .. a _. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY a.IBIN INGLE LIMIT $ ANY AUTO : BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS e AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED p P Y DAMAGE ROPERT AUTOS, Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR- CLAIMS-MADE AGGREGATE $' DED : RETENTION$ $ A WORKERS COMPENSATION WC5 31 S-320856-013 4/19/2013 4I19/2014 we sTLATu- ok AND EMPLOYERS'LIABILITY YIN Y LI TS _ •_ _ ANY PROPRIETORIPARTNERIEXECUTIVE - OFFICERIMEMBER EXCLUDED? N I A� E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under_ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,B more-space is required) THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR ROBERT GLOVER Workers compensation-insurance coverage applies only to the workers compensation laws of the state MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE, TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE D 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA.02601 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All ril �ggACORD 25y(2010105)..R .Q _ �y The A cC gORD name and logo Bare registered marks of ACORD- - ' - TIi aN cert If1cate cancels`anQ41supersec�es$ILL/3/201 islys ssu@a I,of _ TOWN C?` 411N 7��,LE Lx: 1 C _ 2.0I ti AMR - I E t C -... -.5'_2 PT 4X6 CURB 3 w ( k I' ....�,I -PT_.,2X6 � PT 4X4 POST . i' - @.w4 FT, 1 . PT 2X8- (TYP) a PT 4X4 POST © � v (TYP) � a 4 FT. O.C. 3'-3„ _ _�32" TYP. _ t -- - OF�8s9 —PT 4X4 CURB -o _ CEDERHOLM (TYPICAL) o ,STRUCTURAL �. 0 o No 38 . --1'-8" 1'-8" Fs i \---PT 2X 10 FASCIA DBL. PT 2X 1 O--� (TYPICAL) CAP BEAM © 8 FT. .O.C. m o M -. HELICAL PILE 2 KIP S.W.L. (TYPICAL) z 0 o W —EXISTING a 00 SLOPE r U Q LJ Z ¢Q O Of HELICAL ANCHOR FOR LATERAL Uj O a J SUPPORT (ALTERNATE TRANSVERSE =o & LONGITUDINAL ANCHORS) a in a TYPICAL SECTION mN (AT PILE BENT) o m a � v. w � r� �CJ Commonwealth of Mas Department of Fire S BOARD OF FIRE PREVENTION APPLICATION FOR PERMIT All work to be performed in accordance with (PLEASE PRINT IN INK OR TYPE ALL INFORMA City or Town of: By this application the undersigned gives notice of his or h Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Amp acity Location and Nature of Proposed Electrical Work: No. of Recessed Fixtures No.of Ceil.-Susp. No. of Lighting Outlets No. of Hot Tubs No. of Lighting Fixtures Swimming Pool A q , UARNWrAHt E. a MARS - l�t'ttiAtory S4rvices Richard V.Scaii,Interim Director' ,Btflldingbivision: „ I'I1Gn1aS.l',et'1':Y,('140 • a ~I3nildiu�;Conlniis`siotier 200 Main st LLt;�►ly.ftlis.MA 02601 t - �rw���.tGw,t.bt►rnstable.mtl.us.� -, - ' Office: 508-862-4038 Flax: 308-790-6230 Property Owner must Complete and Sigh This Section If Using A Builder t • 4 Stephen W. Kidder and Mark B. E;lefante,as } )\\ncr of the subjecl property ' h(.1-d • ((Ith(.,rize__Robed Glover R __�p.• tv act.on rnv bch,tlf, ......-.._........-......_ .-_ »_-....- _._Y.-_.-_ in all m(llevs cclativc` to \Vork nuthoriic(l h� this boil(tin�g pCri»it-'applicati(,n Cor. i 225 Ocean?1�wu1(,E"uttulr Mn 02635 (AddrLSsYof Job) LL-- � ti14.;lUtUn•i`(tl�O�Nt1ct•_ � r i)al.c • .. r Stephen W.' Kidder and Mark B. Elefante,as Trustees ' Prim Munc If Property(honer is applying for permit,please c(i(i1plete the Homeowners license Exemption Form on the reverse.side. ' Y , I Ill VIN-lFlSnddin(t('h:mevNl"\PRI'SSI'iilt\Ifl`I:XNItI{ti:i.dn RMse(I 061 31.) ° r r DECLARATIQN OI?TRUST 225 OCEAN AVENUE REALTY TRUST ` Stephen W. Kiddex, of Belmont, Massachusetts, and Mark B. Elefante, of Lexington, Massachusetts,hereby declare that they and their succes,sors in trust(the "Trustees") will hold all Property that may be transferred to therm as Trustees hereunder for the sole benefit of.the ' Beneficiaries(as defined in Section 2). y 1. ~ me azci ui ose. This trust shall be known as the 225 Ocean Avenue Realty Trust(the "Trust"). The purpose of the Trust is to hold record legal title to the trust property and to perform functions incidental thereto:.The Trust is intended to be a non-taxable entity for federal and. state income tax purposes. In.no event shall the Trustees be empowered to carry on or operate any ° business on behalf of the Trust. 2. 13cneficia�Yes, x.. y t a. The term "Beneficiaries" shall mean the.persons whose names and Proportions of ownership are set forth in the schedule of Beneficiaries in effect froth time to time, ,. counterparts of which are executed by all of the-Beneficiaries and Trustees (the "Schedule of Beneficiaries"), Any Trustee may become a-Beneficiary and exercise all rights of a Beneficiary with the same effect as though the Beneficiary were not a Trustee. b. Except as.otherwise provided herein or by law, any actions to be taken by . the Beneficiaries shall require the consent of the holders of 100% of the beneficial interests' > hereunder. Directions and instructions to the Trustees by the-Beneficiaries shall be in writing and shall be delivered to the Trustees and to the other Beneficiaries. 3. Trustees'Powers to Deal with the Tryst Pronerry. k a. The Trustees shall hold the trust property and,unless otherwise directed by the Beneficiaries,receive the income fnr the benefit of the Beneficiaries..The.Trustees shall pay the principal and income as,all of the Beneficiaries may Airect and,absent their direction,shall pay the income at least-arurually to the Benefraiaries in proportion to their respective interests. 926444 Bk 2.7553 Pg317 #42142 b. Except as.specifically directed,.by the Beneficiaries,the Trustees shall have no power to deal in or with the trust property..When so directed,the"frustees shall have the power, exercisable without license or instructions fiord any court,to transfer,convey,assign,exc hange,.or. otherwise dispose of,for consideration or as gifts,all or any part of the trust property;to mortgage ' . or lease all or any part thereof for a term which may extend beyond the`date of any possible termination of the trust;to grant or acquire rights or easements(including conservation easements or restrictions); to enter into other agreements or arrangements with iespeot to the trust property;to acquire property and any interests in property;and to execute and deliver agreements,leases,deeds, ' Y notes,mortgages and other instruments necessary or appropriate to any of the foregoing. 4. Assignment of Beneficial Interests, No assignment of any beneficial interest shall be effective until satisfactory written evidence of the assignment or transfer has been delivered to the`' Trustees and until'a new or amended Schedule of Beneficiaries has been executed by the assignee,` all other Beneficiaries and the:Trustees. 5. Trustee Provisions. a. Any Trustee nriayiresign by written instrument signed and acknowledged by such Trustee and delivered to the remah'iing Trustees and to the Beneficiaries." Successor or " additional Trustees may be appointed or any Trustee removed by an instrtnnent signed by all of the . Beneficiaries,acknowledged by one,or more of them, and delivered to the'Trustees. Each Trustee appointed shall accept his of her appointment by a written instrument signed and acknowledged by such Trustee and delivered to the other Trustees and to flue Beneficiaries. Any such instrument r appointing or removing a Trustee shall become effective when such instrument of a certificate signed and acknowledged by any Trustee (including a newly. appointed Trustee), naming the Trustee so appointed or removed, is recorded or filed with the Registry(as defined in Section'9), Avy xesignation and any acceptance of appointment by a Trustee shall become effm-five when filed or recorded with the Registry. b. Upon the appointment of any successor of additional Trustee, legal title to, the'trust property shall vest in such Truieee jointly with the remaining Trustees,if wry,without the necessity of any conveyance, Any additional or successor Trustee shall succeed to all powers of the original Trustee. No Trustee shall be required to furnish any bond or surety thereon. .c. Aay one Trustee may exercise the powers of all Trustees: No person shall be required to verify the application of any fluids or property Ioaned or delivered to the Trustees or _. to verify compliance with the berms of the Trust. Any person may rely without further inquiry on any agreement,lease,note,mortgage or other instrument executed by a person shown by the records in the Registry to be a Trustee as conclusive evidence that(i) on the date of such instrument the Trust was in full force and effect,and (ii) the Trustee was duly directed by the'Beneficiaries to. execute and deliver the same. No additional instrument or certificate shall be necessary to establish the validity of any action taken by the`trustees, 926444V.1 F' y � Bk 27553 Pg318 #42142 3 d, - No Trustee shall be persaxially liable for any error of judgment or•for any loss arising out of any actor omission in the execution of the Trust so long as he or she acts in good faith,but shall be responsible:only for his or her own willful breach of trust, 6. L iabilily. Any person extending credit to,•contracting with or having any claim against the Thatees shall look only to the trust property for payment of any amount that may' otherwise be payable to them by the Trustees,and neithei the Trustees nor the Beneficiaries shall be . personally liable therefor. The Trustees shall not be required'to take any action that in their opinion may involve them in any personal liability. If for any reason, other than willful breach of trust,a a Trustee is held personally, liable, he or she-sliall ,be held harmless and indemnified,by the Beneficiaries,jointly:and severally,against all loss and costs arising from such liability: y 7. Amendment. This Declaration of Trust rsray be atrtended by an instrument signed by the Trustees acid by all of the Beneficiaries and aclurowledged by one or niore of them,pravidcd that the amendment shall become effective when it or a,certificate by any Trustee setting forth the terms thereof is recorded or filed with the Registry. 8. Termination, The Trust may be terminated at any time by anyone or more of the, Beneficiaries by notice in writing to the Trustees,und to the other Beneficiaries;provided that any notice of terinination shall be effective only when a certificate thereof signed'by one or more of ttie Trustees is recorded or filed in the Registry. The Trust shall terminate in any event 90 (ninety) years from the date hereof;if not earlier terminated by action of a Beneficiary. Upon termination, the Trustees shall transfer the trust property;. subject to any leases, mortgages, or, other encumbrances thereon, to the Beneficiaries as tenants.in common in accordance with their respective interests in the Trust,or as otherwise directxd by all of the Beneficiaries. 9. Constructio , This Declaration of Trust shall.be construed in accordance with flue laws of the Commonwealth of Massachusetts. The gender of pronouns and the singular or plural p form ofwords shall be disregarded where appropriate. Tile term"Registry"shall mean the Registry of Deeds or the Registry'District of the Laird Count for the district in the•Commonwealth of,. Massachusetts in which the trust property is,"located and with which this Declaration of Trust is . k recorded or filed. 9264440 V J $k 2.7553 Pg319 #42142 EXECUTED undersea]this 160i day of July,2013.. s 'Stephen Kidder,as Trustee of the 225 Oceaxi Avenue fealty Trust,and not ' individually. r , y Mark 13.*Elefante, as Trbztee'of the 225 Ocean Avenue Realty Trust, and ''riot' individuailly ' COMMONWEALTH OF MASSACHUSETTS ' COUNTY OF SUFFOLK Eefore.me, the undersigned notary"public, on this W day of July, 2013 personally appeared Stephen W. Kidder who is personally known to me, to be the person whose name is signed to the foregoing instrument and acknowledged tome that lie signed it as his free'act and deed and. free act and deed of the 225 Ocean Avenue Realty Trust, as.Trustee of the,225;Ocean Avenue Realty Trust, for its stated'purpose. 9 _ jZ1EtrLEN M.MUFIPMY . Notary public Commonwealth of Massachusetts My Cemm.Expires My 29,2020 (notary public] COMMONWEALTH OF MASSACHUSETTS = ' COUNTY OF SUFFOLK Before me, the`undersigned notary public, on Otis 16'" day of July, 2013 personally appeared Mark E. Elefante Iwho is personally known to me, to be the person whose name is signed to the foregoing instrument and,acknowledged.to me that he sighed fit as his free act and deed and free act and deed of the 225 Ocean Avenue'Realty Trust, as Trustee of the 225'Ocean Avenue Realty Trust, for its stated purpose. ELLEN M.MURPHY 0 4 Notary Public z. Commonwoofth of Wassaohusetua [notary public] h,►y Comm.Uplres May 20,2020 026444a,t BARNSTABLE REGISTRY OF DEEDS ' Mas.sac!3usc_tYs Department at Public,Satetr, Board of Building Regulations`and:Standards Construction Supervisor License: CS-039868 �g � ROBERT J GLOVER PO BOX 703 'ta MARSTONS MILLS 11VIA ITO48 Expi ah6r9;; Commissioner 05/24/2914'= ' - . _ .. �2P r(10497//94097,LUBCi.CCI7.c�, �CI;JJ!!'G 7(GJG'CCQ omee of Consumer Affairs&Busibes Regina.on- OME IMPROVEMENT CONTRACTOR egistration, .111.157 Type,, 1l. xpiration f 1:/k614 DBA R.GLOVER BUILDING Q-Q;, .I ' ROBERT GLOVER PO BOX 703/13;CURTIS M.-RSTONS MILLS,MA 548 Undersecretary Massacllusctts Department of Public Safety � Board of Building Regulations`and.'Standards Construction Super-isur License: CS-039868 'C ROBERT J GLOVA PO BOX 1'03 MARSTONS MILLS � I E.cpiratiorr commissioner 05/24/2014'", Y Lrcense or re gistration val►dr-for,mdividul use only: ... before the expiration date. If found return to: Office of Consumer..Affairs.and Business Regulation 40 Park Plaza-Suite 5170 " Boston,MA 02116 Not valid with signature .. of Town of Barnstable *Permit#O 3-7 O 8 Regulatory Services Expim 6 months from issuedarf Pee MASS 659.��e$ Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstabld.ma.us Office: 508-862-4038 EXPRESS PER UT APPLICATION - RESIDEN'I'L�I,.ONL Fax: 508-790-6230 Not Valid without Red X-Press Imprint Map/parcel Number �� d LL! Property Address A(Rdsidential Value of Work f Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Cq PQ�k !/ Z3,ff4ez ytJ 67- Contractors Name Telephone Number �� 46 P,(2— Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) C Kworkman's Compensation Insurance Check one: i U t ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE [� I have Worker's Compensation Insurance zsurance Company Name iorkman's Comp. Policy# t-(JC4 31S - 3 J9/a opy of Insurance Compliance Certificate must accompany each permit. ,rmit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of r000 e-sidlk �e ,ali-Iz Replacement Windows/doors/sliders. U-Value #of doors (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic Conservation, tion,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re ired. NATURE: j •PFILESIFORMS� ilding permit formslEXPRESS.doc sed 070110 i . The Commonwealth ofMassachuseits Department of Industrial Accidents 11. Office of Investigations 600 Washington Street Boston, M4 02111 r www.massg ovhlia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricians/PIumbers Appficant Information Please Print Legibly Name (Business/Organizationandividual): �✓i�i Address: r City/State/Zip: 6'J //(,AM#W�dK0ne #: c50L. lz—e z s5r. EEE*11 an employer?Check the appropriate box: Type of project(required'): a employer with • _3 4. ❑ I am a general contractor and I 6 New construction loyees(full and/or part-time).* have hired the sub-contractors a sole proprietor or partner- listed on the attached sheet. 1 ?• Remodeling and have no employees These sub-contractors have 8. ❑ Demolition ing for me in any capacity. workers' comp. insurance. 9. ❑Building addition workers' comp. insurance 5. ❑ We are a corporation and its red j officers have exercised their 10.❑ Electrical repair$or additions a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions lf. [No workers'comp. c. 152, §](4), and we have no 12:❑ Roof repairsance required] t :employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box i l must also fill out the section below showing theirworkers'compensation policy information, t Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors,must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isprovi'dntg workers'compensation insurance for my employees. Below is thepolicy and job site informafion. / Insurance Company Name: all/ .Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: r ,g�, / aJ C��l�� /�,� 9�1'1��� City/State/Zip-' , Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for.insurance coverage verification. I do hereby certi fy under the and penalties of perjury that the information provided above is true and correct Si ature: / - Date: Phone 6 cS r6. fficial use only. Do not write in this area;to be completed by city or town officiaL y or Town: - Permit/License# uing Authority(circle one): " I. oard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector ther. 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 einployer 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()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-contractors)name(s),address(es)and phone numbers)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 Tequired. 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 Iaw or if you are required to'obtain a wormers' 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 ip 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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. # 617-727-4900 ext406 or 1-877-MASSAFE Fax# 617-727-7749 DATEiMMIDDIYYYY). �` CERTIFICATE OF LIABILITY INSURANCE 2/16/2 011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,.EXTEND OR ALTER THE'COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACTBETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder.is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may.require an endorsement. Astatement.on this Certificate does,not cdnfer rights to the certificate holder in lieu of such endorsements. PRODUCER DOWLING&O'NEIL INS:AGENCY INC - 9 c LNAMe: 973 IYANNOUGH RD PNoNE iac.No;F�rFii (5g 78) 75-1620. FAX IA1C.No: 50B HYANNIS, MA 02601` E-MAIL ADD INSURER(S)AFF.ORDINOCOVERAGE _ .NAIC4 _ 1NSURERA: L!151rjyMUtUBIGfOUD - INSURED J,j DELANEY INC INSURER,B: 20 RASCALLY`RABBIT ROAD UNIT 2 INSURER MARSTON MILLS MA 02648 - -INSURER'D.: - INSURER E i� INSURER F:. COVERAGES CERTIFICATE NUMBER: 9563714 REV!SION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT'TO.:ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS'SHOWN MAY.HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADUL 9R POLICY NUMBER MM10DIYYYYY FF MWOD)YYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TORENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea ocwrrence $ _L_....—Z I CLAIMS4AADE MOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ _ _--_--- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PEW PRODUCTS-COMP/OP`AGG $ JEC POLICY RRO- LOC _._.— -• $_ AUTOMOBILE LIABILITY Ee arsdenq INGLE LIMIT $. ANY AUTO BODILY INJURY(Pecperson) $ ALL.OWNED SCHEDULED Iy.B�ODII_LYINJURV(Paracgdent)S; -AUTOS AUTOS I P 5kRTY AMAGE NON-OWNED D Per acc dent S HIRED AUTOS 8 AUTOS. � � t I_ S UMBRELLALJAB OCCUR EACH�OCCt1RRENCE - $ c_ EXCESS LJAB .CLp1y1B,M/ypE - AGGREGATE _ S DED RETENTIONS- $ WORKERS COMPENSATION WC SSATU- 0] A WC2-3iS-31810i=010 1.1/2/2010 11/2/2014 To vR GIMITS EL3 t AND EMPLOYERS'UABIt.ITY ANY PROPRIETOR/PARTNER/EXECUTNE�YIN - - E.L.EACH ACCIDENT ' . S l:J S 0000 OFFICERtMEMBER EXCLUDED? t�- N FA (Mandatory.in NH). �.L.OISEASE-EH EMPeOYEE S -'� `500000 If yes,describe under E E:L.OISEASE-POL1CY.tdM S DESCRIPTION OFOPERATIONS below 500000 DESCRIPTION OF OPERATIONS/LOCATIONS./VEHICLEV(Attach ACORD.101,Additional Remarks Sah'edule,ttmore epace Is required) Workers Compensation Insurance:Part One of the pOlicy appiieS 6hIj4o the Workers Compensation law of the;State-of MA: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN,OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED .IN ATTI. BUILDING DEPARTMENT ACCORDANCE NTH THE POLICY PROVISIONS. 200 MAIN STREET. �} HYANNIS MA 02601 AuTNORIzED REPREsewrnrne Jeff Eldridge .01968.261`0 ACORD CORPORATION. All rights reserved: ACORD.25(2010/05) The:ACORO name and logo are registered marks of ACORD CERT NO.; 9563'714 CLIENT CODE:. 1315596 Arno-Chandler 2/16/2D11 B;M D,4 AN Page 1.o£,l i Office of Consnmer A kirs&Business Regutatjon ` HOME IMT?RQ/EMENT CONTRACTOR r: Re istrato��<< � 9 �.1�5529 i` E-ieairat l _912 Tr-9 294: TYpe� 7, JOHNJ DELA�i . JOFN DELANEY 277.PLUM ST W.BARNSTABLE IVj ` Undersecretary J-°Massachusetts°R I Department of Public SafetN Board:of Building Regulations and Standards Construction Supervisor License License: CS 9961 Restricted to: 00 �t 3 JOHN J DELANEY B 271 PLUM ST -- W BARNSTABLE, MA 02668 Expiration: 4/14/2012 ('ununissiuner Tr#: 20469 r of T y Town of Barnstable • Regulatory Services i fl1 A7JRf'1 Rf� 1 Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA.02601 www.town.barnstab le.ma.us Office; 508-862-4038 Fax: 508-790-6230 Property Owtie7r'Must Complete and Sign This Section IfUsing 14 Builder I I Cas Owner of the sub'ect ., ro pertY hem bp authorize to act on my behalf, in all matters relative to'work authorized by this buEing permit applicationfor. r (.Address of Jab) —7 Sim,*p of Owner ate CaoA. `. cL* 'o o\o Ti e Print Name If Proi)ertv Owneris applying forpermitplease complete. the Homeowners License Exemption Donn on ffie reverse side. Town of Barnstable THE Reg latoiy ,Services i Thomas F. Geller,Director gb h .bg Bi lding Division CEO a Tom Pen3',Building Commissioner . g , 200 Matti-Street,_ ly-annis,MA 02601 www-tomb am stable_ma.us 2 03 8 _ - Offi"cc: 508 86 -4 - 0 6230 Fax. 508 79 HOMEOWNER ILIMISE EXEMPTION Flenre Print DATE JOB LOCAT70N: number street village 'HOMEOWNER": name borne phone g work phone# CLJRJ2FNT MAILING ADDRESS: cttyhown state zip code 'Ac current exemption for"homeowners"was extended to include owner-occupied dwcUinu of six mats or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner arts as supervisor. DEFTNMON OF BOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, an which•t$ere is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structnres. A person who constrgcts more than 6ne home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Budding OfEcW on a form acceptable to the Budding Official, that he/she shall be r=orisrble for all such work perfarmcd'under the buUdine permit (Section 109.1.1) Th,e tmdcrsigncd`homeowner"aim es responsibility for compliance with the State Building Code and other• applicable codes, bylaws,rules and regulations. The imdersigacd'homeowner"certi$rs that,hc/she understands the Town ofBarnstable BaUding Department a inspection procedures and rc:q,irnm=b and that he/she will comply with said procedures and rrz,ircmcnts. Signatisrc of Homeowner Approval of Burlding•Ofcial 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. ' HO11�O WNER'S EXEMPTl:ON -The Code states that Any b==Vlncr paf=oing work for which a building permit is rcquircd shall be erupt frmn the provisions of this sac on•(Soetidn I D9.1.1-I i=uiag of construction Supervisors);provided that if the homeoty rr=gages a pasod(s)for hire to do such work,that such Hamcown a shan act as tuprrviscr." 1I=ay horaeawners who use this=zzoption am unaware that they arc assunsng the responstbtlities of a supervisor(sec Appendix Q, Rules&Regulations for ISca sing Construction Superviscm,Section 21 ar S) This lack of awe=bfkm t=sulu in serious problems,particularly when the borncowner hires unlicensed persons. In this case,our Board mnnot proceed against the unlicensed person as it would with}licensed ;uperviscr. The horbcamcr acting at Supervisor is ukh ately trsponsiblc. To ensurer that the bomemmer is firIIy aware of his/hcriesponsibilitics,many communities regime,as part of the permit application, tat the homcowncr certify that belshe understands the responsibilities of a Supervisor. On the last page of this issue is it.form currently used by :veal towns. You may care t amend and adopt such i fonrAlem flCaLinn for use in your corranvnitV. The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 1 of 2 s, The Commonwealth of Massachusetts William Francis Galvin ' Secretary of the Commonwealth, Corporations Division F I One Ashburton Place, 17th floor r wnry ��� Boston, MA 02108-1512 Telephone: (617)727-9640 LETTUCE B, LLC Summary Screen Help with this form Request a Certificate The exact name of the Domestic Limited Liability Company(LLC): LETTUCE B,LLC Entity Type: Domestic Limited Liability Company(LLCM Identification Number: 001043414 Date of Organization in Massachusetts: 01/03/2011 The location of its principal office: No. and Street: 11 BEACON ST., SUITE 1220 City or.Town: BOSTON State: MA Zip: 02108 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: GEORGE F. KILLGOAR,JR. No. and Street: 11 BEACON ST., SUITE 1220 City or Town: BOSTON State: MA Zip: 02108 Country: USA The name and business address of each manager: Title Individual Name Address (no PO sox) First,Middle,Last,Suffix Address,City or Town,State,Zip Code MANAGER FRANK M.LOEHMANN JR. 433 SOUTH MAIN ST.,SUITE 200 WEST HARTFORD,CT 06110 USA MANAGER CAROL LYNNE CARRIUOLO 12 HAMMOND RD. FALMOUTH,ME 04105 USA The name and business address of the person in addition to the manager,who is authorized to execute documents to be filed with the Corporations Division. Title Individual Name Address (no PO sox) First,Middle,Last,Suffix Address,City or Town,State,Zip Code SOC SIGNATORY FRANK M.LOEHMANN JR. 433 SOUTH MAIN ST.,SUITE 200 WEST HARTFORD,CT 06110 USA SOC SIGNATORY CAROL LYNNE CARRIUOLO 12 HAMMOND RD. FALMOUTH,ME 04105 USA The name and business address of the person(s)authorized to execute,acknowledge,deliver and record any recordable instrument purporting to affect an interest in real property http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 7/14/2011 The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 2 of 2 Title Individual Name Address (no Po Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code Consent _ Manufacturer _ Confidential Data _ Does Not Require Annual Report Partnership X Resident Agent For Profit Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS Annual Report " Annual Report-Professional Articles of Entity Conversion .<°4 Certificate of Amendment__.. V ew FiII g7 Comments O 2001-2011 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state,ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 7/14/2011 - Town of Barnstable *Permit#��3�j Fxpires 6 months from issue date Regulatory Selrvice,s- Fee X"PRIESS Thomas F.Geiler,Director _ MA _ �� Building Division R 7 2008 Tom Perry,CB®, Building Commissioner TQ�� (�F BAR 200 Main Street,Hyannis,MA 02601 STigB LE www.town.bamstable,ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEPMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number V �--3 30 Property Address 3 Z A-1 , yl y 1/1„ Residential Value of Work /) /� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name dA)-� Telephone Number-50 Home Improvement Contractor License#(if applicable)_ 1 °a S 3 t p Construction Supervisor's License#(if applicable)_- [;&Workman's Compensation Insurance Checl one: ❑ I am a sole proprietor ❑ I am the Homeowner ES,�I have Worker's Compensation Insurance Insurance Company Name T Workman's Comp.Policy# O 5 j 0-L 135 f Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to a_4A .Q,v ❑Re-roof(not stripping, Going over existing layers of roof) [%Re-side Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 rW i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): FRf}SEL C�_Q/Q�'r rcu_ct 1 (0 /V Address: 'Poa City/State/Zip:__c 6t PA- QZ 3,5Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.0I 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. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,KRoof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 Insurance Company Name: 7n 7 F_ �F—y Policy#or Self-ins. Lic.#: D g S 0 L 3 5S0 Expiration Date: ' 2 ' O g Job Site Address: 0 5 Q City/State/Zip: (4-0 o'0 6 3 S Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi er the ains and lties of perjury that the information provided above is true and correct Si ature: Date: Phone#: 5 C, �oZ 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#: ° VCONSTRUCTION eraser Construction ROOFING SPECIALISTS Roofing & Siding Specialists 508-428-2292 P.O. Box 1845, Cotuit MA. 02635 Email: fraser_construction@verizon.net www.fraserroofing.com FAX 1-508-428-0123 PARTIAL WHITE CEDAR SIDEWALL PROPOSAL Date: August 25, 2007 Tel: 508-428-8879 Name: Francesca Carrivalo Job Location: 225 Ocean View Ave. Cotuit, MA 02635 Mail Address: Same FRASER CONSTRUCTION hereby proposes to perform the following services in neat and professional like manner and in accordance with the manufacturer's specifications and local building codes. *****WHITE CEDAR SIDEWALL**** PARTIAL — Replace Clapboard with white cedar front left main house gable and/or garage gable Supply and Install 16" WHITE CEDAR R&R EXTRAS Supply and Install TYPAR 30 house wrap Supply and Install 1-3/8" HOT DIPPED GALVANIZED NAILS Clean and Remove Debris from work area daily B t ! Partial white cedar front left main house gable PRICE-$1,795 Initial . White Cedar garage gable PRICE- $2,115 Initial Payable upon completion NO MONEY DOWN—NO Payment AT THE START OR PART WAY THRU Payments accepted are: CASH—CHECK—MASTER CARD—VISA—AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 ''/2%for every 30 day the payment is late. - POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards, Plywood Sheathing or Other Carpentry Needing Replacement will be done and charged for As an Extra at the Rate of$50.00 per Hour Plus Materials Plus 20% Overhead Mark-up on The Total Extras. Any alteration or deviation from above specifications will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado, and other necessary insurance upon the above work. FRASER CONSTRUCTION carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. . This proposal may be withdrawn by us if not accepted within thirty days. DATE OF ACCEPTANCE: H EOWNER FRASER C ST TION 13® ®fII One •fie j� Ashb O� Standards On place - ®s t®�a l�I���a��u�e Rooza .13 01 �vr®ire I 0S went*'CO act0.r_Registr ti FP%A5[R Re is �N �®A p®� UCT[®N Co DaA i3 gration: T T2536 C®OUd®X 1845 3i23i200s � T27s2o MA ®26�Js Update Egddr "GardAddress �s and geturn card. Renewal reason for Change. ROMP 9MP ��eLad®ns end��dards . J� ❑ Lost(Card MEfi►T COiYT��r®R Lic ' �e®g '12538 bsf®re t� regs�tfon valid ff®r» jUvidul -Board of IS atEUOdin OM date. gf foaead 8-e twe omm� eR Vie: oas T T27e2o net plea twos and to: �NSTRu da 30, OF-AN FRASER � 4a0.,� o ��02I08 4558 RT 28 COTUIT,MA�2855 Not aid moat iggaatu I .:.-..::.iir.•...y::i:i:::iy iiYi;?}:)ti}i:•il;:::.:. i• +..::i::li;ii:i-is?i<.}.;i:'-i%�::i iiy:i_f r.�{,:;:;+.i::?:ivti:i'i i::i'>.:::• PRODUCER `.%i::�-':%:i`;:;:;�i:;•`.'•;:�::2';;:;?ism':`r:;::.::_:;,-...:�:::_>_•::.�•:::::i`:i.:;::::.:;.::..:�-.: DA WISE & i!.;•.':r: ��fl91DU11/11ja. THIS CERTIFICATE IS ISSUED AS :SA INS AGCV ®NLV AND CONFERS 10-15-07 449 PLEASANT ST NO RIGIiTS UTTER OF INFORMATION HOLDER. THIS CERTIFICATE DOES UPGN THE CERTIFICATE BRocKTON ALYER YHE COVERAGE AFFORDED®V THE I'OLICIE�®ELON INOY AMEND EXPEND OR 24WCB MA 02301 COMPANIES AFFORDING COVERAGE INSURED COMPANY A HARTFORd UNDERWRITERS INSURANCE COMPANY ERASER CONSTRUCTION LLC PO BOX coMpANY A 0 COTUIT MA 2635 • COMPANY C xv.,t COMPANY £:.�i{:ice`•`,..iv.�;ti THIS 13 TO CERTIFY THA rx >..,: :::f >rr;'iAf:?;,"::;f>s3 ::.;?.:x,.• •-r.,;' ,. INDICATED NO T THE POLICIES OF . ?�`#<' r :; v:w; •:,:'. .:.:::.:,::..... . CERTIFIC TWITHSTANDIN4 ANY INSURANCE LISTED BE fc:i•:.>`:a`s:....:#;.':.i%;:.;;•'r: :} ; < :'..s:% ATE MAY BE ISSUED REQUIREMENT TERM OW HAVE BEEN ISSUE ;^z^':;.:>'r':f;{ u :• {; > T,:'= <:`•'<::•: r:: :;:;;•. OR MAY PERTAIN, THE INSURANCE AFFORpED BY THE POLICIES ES DESCR BED di. •�x..r ti,lktr..{ r., ;} NAM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN ED FOR OITIOly OF ANY CONTRACT AR OTHER DOC MENT WITH RESPECT LICY PERIOD LTR TYPE OFINSURaCE MAY HAVE BEEN REDUCED BY PAID CLAIMS, HEREIN IS SUBJECT TO WHICH THIS POLICY NUMBER ALL THE TERMS, POLICY EFFECTi1lE POUCY EXPIRATION GENERAL UgS1UTY- _ DATE(iNMWD1Y1q DATE I (MMIDDj* UNITS COMMERCIAL GENERAL LIASIUTy CLAIMS GENERAL AGGREGATE MADE OCCUR. $ OWNER'S 8 CONTRI PROT. PRODUCTS-CO MP/OP AGO. PERSONAL S ADV.INJURY $ OCCURRENCE $ c AUTOMOBILE UABIUTY EACH $_ FIRE DA MAGE(Any one nre) $ ANY AUTO MED.EXPENSE(Any One Person) $ ALL OWNED AUT08 COMBINED SINGLE SCHEDULED AUTOS LIMIT $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Person) $ BODILY INJURY (Per Accident) $ U3ARAt�UABILIT1f PROPERTY DAMAGE ANYAUTO $ AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EXCESS LIABILITY EACH ACCIDENT UMBRELLA FORM $ AGGREGATE $ OTHER THAN UMBRELLA FORM EACH OCCURRENCE A EMPLOVERIS UABIUWORKER'S COMPEN AGGREGATE $ T V,TION AND $ THE PROPRIETOR/ (6S60UB—OB50L35-5-07) PARTNERS/EXECUTIVE INCL 09-26-07 OFFICERS 09-26-0$ STATUTDRYUMITB O ARE. X EXCL EACH ACCIDENT DISEASE—POU cY uMrr $ DISEASE—EACH EMPLOYEE $ 50 00 i 1ESCRIPTION OF OP ERATiONS/COCA RONS/NERICUSa/RES IRICTIONS/SPECIAL ITEMS I i THIS REPLACES � � ANY PRIOR CERTIFICATE ISSUED .... . .......................... ...g <:•'•;�:r�%';�>;-:«<:::z:%:::::;s•;•:•>:;::._:::....TO THE CE ....:..:.....::::::::::..:..::.�::::::::;::;:;�; :s;,::.:<;::>;;;.:r;s'::;c;::::;:;<:;<;::::::;::;:::fi;::;::?:::;:<:;:::•:;y;•.;<;:::;.;;>:::.:::.,:...RTIFICATE ' ........,..::::;;.:::,..�:>..... •;'.:-•'HOLDER AFFEC ........�:::.:...:..:....:.:........,..:..:.........,::...... ... TING WORKER .............. B@IOULD ANV OF :..• ovE::::.xi.:i.::::•:, r..: s::a <>:tiv r:-:ri:::r: ERASER THE f� :.r ',s :r;::}s�f..... % EXPIRATION ®ESCRISEO POLICIES BE.CANC •�xrf;.'.{�``}...:.` ENTERPRISES LLC DATE THEREOF, THE IsaUtN® COA9P 0 BEFORE 7NE '0 BOX 1845 10 DAYS WRITTEN NOTICE f0'IMQ APoi►WILL ENDEAVOR To MAIL :OTUIT LEFT, BUT FAILURE YO CERTIFICATE I MA o2635 MAIL SUCH NOTICE SHALL IIEpOSE MED TO ARE LABILITY OF ANY MD UPON NO OBUCATION OR THE COfSPANi,LTS AM lg OR REPRESENTATiVEa, AMORIXED REPRRSEyI_� r ,r i .::................................................. v ............... _ j z ♦l Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division L Tom Perry,CBO, Building Commissioner �(Y, 200 Main Street,Hyannis,MA 02601 www.town,bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint Map/parcel Number . 3 3 0 ,�--ll — V nn Property Address �� V CQecS�Y�- �.C..0 � .(�, �� � (0 oC 6 3 S Residential Value of Work 5 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address . Contractor's Name [�/�,0--o.L-t, CUyt:�l ,�tLc-, Telephone Number Home Improvement Contractor License#(if applicable) o`Z 5 3(f Construction Supervisor's License#(if applicable) 0workman's Compensation Insurance - Ched one: ❑ I am a sole proprietor � IT ❑ I am the Homeowner 0,I have Worker's Compensation Insurance A U G 2 9 2008 Insurance Company Name ao TOWN OF ARNSTABLE Workman's Comp.Policy# 0 5 5 O L 3 J 6 o Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) _:e-roof(stripping old shingles) .All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) e-side S v�.dJ1t �b-G 2,- W►.c�� Ca.��� ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e Histo' ion,etc. ***Note: Property Owner must sign Property Owner Letter of Permission _A copy of the Home,Improvement Contractors License is required. SIGNATURE: ' EZIJ 6 11V ff4", Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts g� Department of Industrial Accidents - Office of Investigations } 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leayibly Name (Business/Organization/Individual): SEE �Q � U—C fi IQ Address: 7T10 City/State/Zip: (°d-t(� �'-� J��}- Q 35phone #: Are you an employer?Check the appropriate box: 1.X,I am a employer with — 4• ❑ I am a general contractor and I Type of project(required): 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 g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9• ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no 12•KRoof repairs employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:= ) Po Policy#or Self-ins. Lic.#: D 23 0 L_. S S50 Expiration Date:_ 02� Q Job Site Address: �� . V � /L City/State/Zip: C ��- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby Gerd der the sins and ties of perjury that the information provided above 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): —77 1.Board of health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: gil 40 One Ashburton pl... _ Roa�n St=dards Rome ImPron AUS sachus� 1301 og at D iojm EMBER .SER "RUG-rS® RAP Pon: 912638 ®. SA �°®�1�' p�X '�845 �Pra�n. �23/c00® m 02035 127920 D�`CA7 t48 fi0M-Q6/CH.Ppg490 - .- . Tupdaft 110ard Card.Afark roman for lhekftg o4: 'i 12M �N97��R g fcft or regbbuon Cl Lm car', tl�We: before fka Vaud for fRftldW use oakF •Dv `"t ' p Board92782p � �ing D 49 COIVSTRUCTPpi�go.� j r` and $®: � �® SrER RT COTUP7,� •l 02935 Ada - zeT®t . i i I9 ® i� yyY,::;%:< ry,,Ty,,yy:.,;::{�;r.+ "cti v'i';•.•,Q:t i,<f!=;:' ":r. riTT _•TY:v... :Yn.. ......4F:,TTY.NI--xrJ.-ri•TTTY/+SA••:'..�•' l+'.�Y, Tv, ..•i:2: ,' :••.:�.::o.,. :-"G"• .<: / .'y, --`':d%: .y.�:j}:\'< " ,;,:i`-A. ,..: a•:-".;?: t:,:•N DATE(MI%DDh <: ;' �.;5 T.<. ?::t+:o`:-'S:t .TT -` :.�k•.T%r.•:1.+'�lla?`:u. .,�•:Gt;:fTk�••'ScSf4 f++`�"••a:}Y:T„ i°a�:w` r.>:f• :w+. y�� ;> PRODUCER .-:-•T <„N:,#i•�•.'.-�;fC...., ,2,..•,fi:•3':a;i:'• :t: .�-viei•,C:` 10-15-07 T1115 CERTIFICATE IS ISSUED AS A h1AA1'fEp OF ONFOR�lL4TION WISE & QUINN INS AGCY ONLY AND CONFERS NO RI(>H S UPON. THE CERTIFICATE 449 PLEASANT ST HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED Se/TIIE POLICIES BELOW, BROCKTON COflHPAN1E8 AFFOpD11NG COVERAGEMA 02301 24WCB COMPANY INSURED A HARTFORD UNDERWRITERS INSURANCE COMPANY COMPANY FRASER CONSTRUCTION LLC B PO BOX 1845 COTUIT MA 02635 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED01 NAMED ABOVE FOR THE :F f INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ? CERTIFICATE MAY O ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL POLICY TERMS, IXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE LTR POLICY NUMBER POUCV EFFECTIVE POUCV EXPIRATIO GENERAL UA91UN DATE(A9B WIN) DATE(MM%DD%VV) LIPAITS COMMERCIAL GENERAL UASILRy GENERAL AGGREGATE $ CLAIMS MADE D OCCUR. PRODUCTS-COMP/OP AGG, OWNER'S&CONTRACTOR'S PROT. PERSONAL ADV.INJURY S EACH OCCURRENCE, FIRE DAMAGE(Any one fire) $ AUTOMOBILE LUU3IUN MED.EXPENSE(Any one person) S ANY AUTO COMBINED SINGLE ALL OWNED AUTOS LIMIT S SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) S NON-OWNED AUTOS BODILY INJURY (Per Accident) $ GARAGE LIAUILITy PROPERTY DAMAGE $ ANY AUTO AUTO ONLY-EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT S EXCESS LIABILITY EACH S UMBRELLA FORM EACH OCCURRENCE S OTHER THAN UMBRELLA FORM AGGREGATE S. A WORKER'S COMPENSATION ARID EMPLOVER'SLL401UN (6S60U8-0850L35-5-07 %8%°r•:a: ,.;,:{;.::: ;•,:: I os-2s-o7 os-as-oB STATUTORYUMITTd ;:,"> 'n> I THE PROPRIETOR/ PARMERRAD ECUTTVE INCL EACH ACCIDENT $ OFFICERS ARE: X EXCL DISEASE—POLCY UMIT- j OTHER $ nn DISEASE-EACH EMPLOYEE S 500 000 i i DESCRIPTION OF OPERATIONa/LOCATIONS/VEHI CLESIRESTRICTIOIIS/SPECIAL ITEMS i :.."........ - . . I THIS REPLACES ANY PRIOR CERTIFICATE ISSUE❑ TO THE CERTIFICATE.....-T:•i.fx:;.:Y::;•:::T.;;.`W::�:,;..)�".."..:: ,,;.::c•.T;T%;.Yfi-rr.:�•x{•:-:..�:•,•.<:<•.f;::'.r:.;>.r...:T:-T,<•,:�"- .h•;:-,:.,,:,:;•r".:�::-.x.:f:;•... LEER AFFECTI NG WORKERS CDM .......:....:.�::r.,+r.•'T::;;:•T.Tr,Y.;.,..}x:fihy;c•::cor::y:<".f=:..,;;.�•.•�.vf�? -- P coVERAGE. .r�.....;•.x:.-:rr:.�.::�.:::�-r<h�.,�ti :- ... •ram;;::.;::.,:•.. {.;Nif..:;"rT�:<;:r,"":;T:�:;;:::;.;i:.;.r. .-.::;•:.yTiT:•r:2�:i':;:�s` fr<f•.- '�S`•,v-::. �.>•;�`d:T. :::-• >:::f3'• ''"-5`»::T>` "•r � .:- ..;;;,:5.^.rt.,:i:::•T4-::.:.TY-i.%'.t;-i i�:_::Y},v.,:"':•.,F.•: ':�:;: . .: I SHOULD APoy::OF THE ABOVE DESCWIgED POLICIES ®E.CAPoCELLED BEFORE THE ?•TT9.±:: EXI'LRATIOPo DATE THEREOF, TI1E ISSUIPoG COMPAPoy WILL I FRASER ENTERPRISES LLC ENDEAVOR TO MAIL PO BOX 1845 10 DAYS WRITIEPo IdOT10ETOTp1ECEpTIFICATEHOLDERNAMEDToTHE AFT, RUT FAILURE TO MAIL SUCH NOTICE 'COTU I T LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESEPo ATrdES. OR MA 02635 AUTHORIZED REPRESENTA I t :->if.,�y:Y�:ar::-:;;Y:rr_i:•i;:-:i f.;:c::T-:;:::••;:,r,...:•..Y:.:::- dhVJn'`^''""— I !*k°!1.'d,: :7N5z xr.:Y;:;.r .;%ff.J-:�k.'•.rr: 55 ;!`.%.�.:••farT%:•,-;:fy.•:;••;•:-r;;::.•, i r,..:rrr••r::: �/::, > fi:;/f::%.'•p"•�':::•%r:T;�•!•,_:t•:T:`�`x:<r,,::,y..::x�;:,:ti':;;_:•;-:.••;T•::<:•:;•;;�r?::•'<-';!#;•••;i:;:.;•>Y;-r.•>i•.•..... — .Y.lfrf....�-..�r:✓'t:,:rr:x:::+r%.:r.;.:.::.frf::x:.:.,:�.::';'.'.:f.r,,z..,z J:h..,.".,:•`•T:.... .< .'•TTx r;:r;::-: '=r'-f'�:>T:.'•::r':S:;:S.r•:�;T,:;.;r;::::�::T:>:':��;:T: ::s'`•::+ :::;{:;>:/...5`%�•l'-i'.": :r�:::.,:;::•: ;•::•TY..;.,.:;::;; r I CONSTRUCTION FraserConstruction ROOFING & SIDING SPECIALISTS Roofing& Siding Specialists 508-428-2292 P.O. Box 1845, Cotuit MA. 02635 Email: fraser_constructiori@verizon.net www.fraserroofing.com FAX 1-508-428-0123 PARTIAL WHITE CEDAR SIDEWALL PROPOSAL Date: August 14, 2008 Tel: 508-428-8879 Name: Francesca Carrivalo Job Location: 225 Ocean View Ave. Cotuit, M_A 02635 Mail Address: Same FRASER CONSTRUCTION hereby proposes to perform the following services in neat and professional like manner and in accordance with the manufacturer's specifications and local building codes. *****WHITE CEDAR SIDEWALL**** Supply and Install 16" WHITE CEDAR R&R EXTRAS Supply and Install TYPAR 30 house wrap Supply and Install 1-3/8" HOT DIPPED GALVANIZED NAILS Clean and Remove Debris from work area daily Partial white cedar side wall replacement on main house gable 2nd fl above the one we already Jk- 1 y did) PRICE-$975 Initial ar ' 1 white c r si wall repl m ton pool ' e age e CE- $2,438 Init"-ia�I Alp CG Payable upon completion NO MONEY DOWN—NO Payment AT THE START OR PART WAY THRU Payments accepted are: CASH—CHECK—MASTER CARD—VISA—AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 '/2%for every 30 day the payment is late. f a : POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards, Plywood Sheathing or Other Carpentry Needing Replacement will be done and charged for As an extra at the rate of$55.00 per man hour Plus.15% markup on materials. Any alteration or deviation from above specifications will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado, and other necessary insurance upon the above work. FRASER CONSTRUCTION carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. This proposal may be withdrawn by us if not accepted within thirty days. DATE OF ACCEPTANCE: PIOMEOWNE CO 410N i i -" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION gap � Parcel Permit# � Health Division Date Issued a Conservation Division '1 Application Fee �a�' Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board 1" Historic-OKH Preservation/Hyannis Project Street Address Village A Owner kaf1/ Address Q64 , Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groun water 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) I C i _ Number of Baths: Full: existing new Half: existing <j new- r M Number of Bedrooms: existing new c3 z v� Total Room Count(not including baths): existing new First Floor Room C unt — 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 0 Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION / ,��-^^�n c Name` Del Teleph no a Number cJy �z� 0 S� Address�7"� �t 5' License-#_-:-_7:= G, 00q' (0 14L> 0-2;�rovem"� erit Contractor# Worker's-Compensation#;-- cALL-_CONST-RUC-TT -D BRtS-RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURES ---- D ATE �"��7 1 ., FOR OFFICIAL USE ONLY nj - v PERMIT NO. DATE-ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE f ELECTRICAL: ROUGH %FINAL PLUMBING: ROUGH I FINAL GAS: ROUGH FINAL FINAL BUILDING 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/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):I.„/ Address: —20 'Was G- ! Rd u4/,f City/State/Zip: G1 rs. d'Zs gi / IM -oj- 6y�-Phone.#: . Are you an employer?Check the appropriate box: Type of project(required): L Y1 I am a employer with 4. ❑ I am a general contractor and I employees(fall 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. T. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• # 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 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 f employees. [No workers' 13. Other 0u.f1d�C " k. 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. iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entitieshave employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: J berg V vi l;tl (i���1 Sl�f i�GP✓1C P �'R'7�t Policy qr Self-ins.Lic.M V G 2 316 —3+ 9 J 01-01 'k Expiration Dater Job_Site Address: Q_aS UC fae) 11 e �_Y1 U P, City/State/Zip. CO+i/i" l i'�A��lc'3J 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct. Si atur W'I Date: &. f _ 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#: • ✓fie �8J c A'Board of,B ld�i g Re�a�ohs an� � Construction Supervisor License (. k Lic nsd: CS 9961 Tr# 21680 l i Expiration1412010 1. . r _ j Restn 0, 1 ,r i l - 1 !( JOHI a J JELANEY w 271-PLUM 5T t W BARNSTABLE,MA02668 Comin�ssioner �,1 1 p� A. ell, zaruuecc/!�i o�✓�eaac�wael�'a .I �\ Board of Building Regulations and Standards itwo HOME IMPROVEMENT CONTRACTOR j Registration\125529 Expira-�tionl15/2010 Trir 262720 �. 1 1 ` TYPe In didual JOHN J.DELANE�'��� j 1, JOHN DELANEY 271 PLUM ST lo` ✓� 'a°""" W.BARNSTABLE,MA 02668 Administrator .. ry _ V $e ontY ►nd� a°i n . — valid foc ru to: of reglsbrati�Gate. if fOUna -,anaaras 1 erase. . s a d U� a tbe.,eXPicah Regnlano 01 n . i belof d of Bntld�ug. a Rm 13 goat rton pCa� t r AsbbuMa,Clio% o t s�gnatur F Ot Vaild wltb n r , T,��yn,Of Barnstable '}�:ti+(�®St,`Bi}�miau� L4�dl`CF1d:67 l�'w�taarmci®:I�IeGnaa��a�'} T Ta-pert r' Let grid sigma' llus' 4e� c�r ' if.�t i �3�i� er a�r�Qc rd �c$n� 'M ODD&A.0 $Ol- �,4cldeinss of J;k� ccW la, PI:rw lN L I:% a pplyin for:peffra phase-complete the I Town,of.Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map SizeEl Zoom Out in fl fl a 0 U D 0 DIn A K y ® 7PG Map: 033 Parce Location: 225 OCEAN VIE% 33007 033008 033010 20 0200 q 175. Owner: CARRIUOLO, CAI SEA S T RIT 033026, a 205` Location Information Map&Parcel 033041 Location 225 OCI Acreage 0.92 act 033030 1211 Current Owner - Mailing Address CARRIU, FM CARI 033041 12 HAMI q225„ •FALMOU <z - Appraised Value (FY 2005 033037 lu, _ Extra Features $6,600 N 1272 Out Buildings $431,60 W 033042 Land $5,619," 7 033043 235 g N237 Buildings $422,50 W oaaots Total Appraised $6,480,. c: __: N241, Afi tef Svtwd Mwl 033003001 033019002 Assessed Value (FY 2009 k 246 4 241 1 F6 001 Extra Features $6,600 Out Buildings $431,60 #246 _ Land $5,619,' _ Buildings $422,50 Set Scale 1" = 120 ' I `A aI Photos _ I MAP DISCLAIMER Total Assessed $6.4R0, Copyright 2005-2009 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.3435 [Production] ,ShBk)iAtU`y '�` AL,S. w,'` I � � 1 .1 � � LOLRJ►��4J1� t b 1 Home: Departments:Assessors Division: Property Assessment Search Results New Search =!New Interactive Maps >> Owner: 2009 Assessed Values: CARRIUOLO,CAROL LYNN TRS FM CARRIUOLO IRREV QPRT 225 OCEAN VIEW AVENUE Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $422,500 $422,500 333 /041/ Extra Features: $6,600 $6,600 Outbuildings: $431,600 $431,600 Mailing Address Land Value: $5,619,700 $5,619,700 CARRIUOLO,CAROL LYNN TRS FM CARRIUOLO IRREV QPRT Totals $6,480,400 $6,480,400 12 HAMMOND ROAD FALMOUTH, ME.04105 2009 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $1,341.44 Fire District Rates Town Residential Barnstable FD-All Classes $2.37 $6.90 C.O.M.M.-All Classes $1.08 Town Commercial Cotuit FD Tax(Residential) $9,266.97 Cotuit FD-All Classes $1.43 $6.12 Hyannis-Residential $1.78 Town Tax(Residential) $44,714.76 Hyannis-Commercial $2.77 W Barnstable-All Classes $2.11 Community Preservation. Total" $55,323.17 Construction Details Building Property Sketch & ASBUILT Cards Building value $422,500 Interior Floors Hardwood Property Sketch Legend Style Cape Cod Interior Walls Plastered Model Residential Heat Fuel Electric. Grade Custom Heat Type Elec Baseboard Stories 1 1/2 Stories AC Type Central Exterior Walls Clapboard Bedrooms 4 Bedrooms Roof Structure Gable/Hip Bathrooms 3 Full Roof Cover Wood Shingle living area 3196 Replacement Cost a�483 Year Built 1973 IPTO ]; Depreciation Total Rooms 11 Rooms ill-,, *42 Land - CODE 1010 io., ass_ RMl' Lot Size(Acres) 0.92 T� Appraised Value $5,619,700 10 t, Assessed Value $5,619,700 As Built Cards: l View Interactive Maps >> Sales History: Owner: Sale Date Book/Page: Sale Price: CARRIUOLO, FLORENCE M ET AL TRS Jul 15 199312:OOAM 8696/265 $1 CARRIUOLO,FLORENCE M Apr 15 1989 12:OOAM 6703/235 $1 CARRIUOLO,CHRISTOPHER W Nov 15 1982 12:OOAM 3602/237 $710,000 Extra Building Features Code Description Units/SQ ft ' Appraised Value Assessed Value BRR Bsmt Rec Room 720 $3,200 $3,200 FPL2 Fireplace 1 $2,700 $2,700 FPO Ext FP Opening 1 $700 $700 SPL2 Pool Vinyl 1152 $20,200 $20,200 SHED Shed 160 $1,00.0 $1,000 DKHD Dk-Hvy-Deep 1 $410,000 $410,000 SHED Shed 80 $400 $400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) 'UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) Le: 6/18/2009 Time: 10:44 AM To: @ 9,15087906230 Page: 002 Client#: 7813 2DELANEYJJ ACOR CERTIFICATE OF LIABILITY INSURANCE 0DATE(MMIDDtY 6/18/2009 PRODUCER 11 `" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 lyannough Rd., PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED _ INSURERA: Liberty Mutual - J.J. Delaney,Inc. INSURERS: 20 Rascally Rabbit Road INSURER C: Unit 2 Marstons Mills, MA 02648 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF'ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED • PREMISES Ea occurrence - $ CLAIMS MADE OCCUR MED EXP(Any one person), $ PERSONAL&ADV INJURY _ $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC - - JECT AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident } GARAGE LIABILITY AUTO ONLY-EA ACCI ENT $ ANY AUTO E ACC $ OTHER THAN AUTO ONLY: - AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE: $:ftl= DEDUCTIBLE _Q $ RETENTION $ A . WORKERS COMPENSATION AND WC231 S318101018 11/02/08 11/02/09 X TWO STATU CER LF- !� EMPLOYERS'LIABILITY. - $1000--._ ANY PROPRIETOR/PARTN E.L.EACH ACCIDENT ER/EXECUTIVE - i 0, OFFICERIMEMBER EXCLUDED? NO - E.L.DISEASE-EA -MPLOYEE c$_7100,OOQ It yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-PO ICY LIMIT $500 OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions, exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered;waived, or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ` Town of Barnstable - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 n DAYS WRITTEN Building Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED R PRESENTATIV�E^ ACORD 25(2001/08)1 of 2 #S58864/M58863 LS1 o ACORD CORPORATION 1988 kEl•0.EILYn'(ION . r h-j -HEE "7 L Lj� m J.J:nsiNeYewc. 'hECK GiEVA�{iS:J.J IJC-LnNc•�,�Nc. ° ------------- BRUCE DEVIIN DESIGNS CUATUAM,MA. ' �. ))4•zo�.9)so z2s-oc,c,.N�,ew -. -- n��z I Po5'r DUGUL,C w•.1.4RtiKVaS�, � � �iu n¢ncmeni w5 r� I .. I I i _ P•ANPS tw.ei(2vew rott�.. - �- _ .. SN�wGu0..-_� �" ��1_ rT Juuri SSn�e�.Ic ac av�.t<P0.c •.,.�c,>I. is - 1 I: iu I I @ ._.. � �.ta. mn.,y>u our wtGA Pv-•Kwas(v,•n.,..) - . - DECK REPAIRS:.I.J.DE1.(!VEY•IN c. °sea ems'e. BRUCE DOLIN DE5tGN5. ..... zzs ocl,11VIev.--. . C070IT MA. i\2acz } . a Certificate of Insulation and Air Sealing Work Address of Residence: Name and Address of Contractor: Cof(Jtt t62.61 FRIWAA) Areas Insulated WALLS ATTIC/FLOOR CEILING/SLOPES MATERIAU Added MATERIAU Added MATERIAU ADDED LOC SO FT Bag Count R--V,allu4e LOC SO FT gag Count R-value LOC SQ FT Bag Count R-VALUE '40 ce F4`64 C81 Cellulose,loose fill: R-3.7 per inch Cellulose,Dense Pack: R-3.2 per inch Fiber Glass Batt: R-3.0 p/inch Poly-isocyanurate,Rigid Board: R-7.0 per inch Air Sealing #Attic Access Blower Door 'Completed Treated Results 0 P I Do Stairs PKt - Xae ❑ Hat es P None Full Size Doors No I certify that the residence identified above was insulated as specified, and t i stallation was conducted in accordance with standards and u ions. rill', or Crew Lead 9 Date ` Rev.06/2011 PATIO EXHIBIT �� G fi, o -� r- Name: O T � G � Hearing date: G 0 VA FENCE PROPOSED BEDROOM ADDITION 225 OCEAN 1JIEYV AVE C-OTU.IT 4�� =UTIL. 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LOTS 2 B4 14 3 B LAC t1 i AREA TO M h1 W yr .-. ��-16. l ;, Q - HOUH KAYAK RACK 45 ?3 o± 5 . f. "Or w,\ � ON GRADE 50ARDYVALK ' FLOW THROUGH RAMP SURFACE- EX. D EC fC ✓ + �" = f _ PLANTING BED 20. ;. r �� = _ '( I _�� _ _ � _ p I, r Date: 11l20I13 I-MP2 ALL EXISTING TIMBER WALL5 TO 2 Num, Dale Descriolion BE REBUILT _ ' j ? 1 14/13 Ramp location(start ens or1 EX. PATIO r , EX. S!ICE Plantrr�gs added!o the play'I.a;' . '�' k plant list. wooD - PORCH i AIRG 5E To MEET 1 14M ,•NEW 5T A � r ,,. . „ `'�, ;'. �,`' 1 14 Re�sions as 1''14 hear:n ;; ;` EX. LANDING 7Rc �1.5 Q` , 1 f O! RAMP - — \ ��' Revised boardu'a!%s bon, r'311 r, - �' ' boardwalk rokle !� \ R IO .E TREE' �, , - Additonal cedars and GARDEN - Uday -#-. �. `REMOVE. STAIRS' n� y J D TAILING RAILING AND E TO MATCH ARC1011 HITECTURE— op �. , . LANDING-1 BEGIN RAM � C� . . . . .ot •, . . . � , , HERE .'• ;. $ # . :, •• ,' SUPPLEMENT I.NTo 15TING, DAr'LI Y 5-1G C I•-RR r _ L Co EXI5TING r4RB r TO REMAIN 1$ .J# .. 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Creeping Juniper I gal 3G" o.c. � � ■ RR 30 Rosa rugo5a Rugo5a Rose I gal 30 ox, � H I_ N Q ,.. _ ,.,RvG G 1 Rosa vir mtana Vlr rota Rase I al 30 O.C. Ile cm BLOCK CURBING 4x6 _ V _ - GROUNDQTY BOTANICAL N COMMON NAME CONT COWERS NAME SPACING � C..7 i FR 714 sf Featuca rubra Creepmg Red Fescue seed HELICAL PIER SUPPORTS \ l WOOD OR COMPOSITE I S{_OII _ PLANT NOTES DECKING W/ 3/4 _ SPACING BETWEEN _ I^ PLANTING ALONG DRIP EDGE ' `' °" • U. PLANT INSTALLATION TO BE IN ACCORDANCE -I — ROPE C�U15E PLANKS \ 11 — 4,^OII ! WITH THE AMERIGAN NURSERYMAN STANDARDS. 2). ANY EXISTING P015ON IVY TO BE CONTROLLED 'I I: I—=1I 11I-11[ WITH NO CHEMICAL METHODS. SUPPORT BEAM 1 I I— I ' _ ` o — ,t o � •' 4x4" POST 4x4 P05T -- _. --- - - UNDISTURBED GRADE = I = !f 1L1=III—ice- — l�l —#— If— I 'I1-III #l1= =' '-1 I !- I1:�� II„TT!ni 1<= I ,III IIITLl, ,I—##= —I ;T Drawn By: BL Checked By: DH WOOD OR GOMP05# I E - I I I #1 �I k-11- WOOD OR COMPOSITE I #1 �1 II # I - I -1L I I-lll II ,-L1— '' DECKING W/ 3/4N # I�i l� TT DECKING W/ 3/4" 1'` , � I SPACING BETWEEN 1 SPACING BETY�EEN Ramp i T II II- k EXISTING GRADE ll 1ll�L .� PLANKS EXISTING GRADE PLANKS-- X15TING GRADE III l ( IIII SUPPORT BEAM j LaW� •tT -- —III. SUPPORT BEAM .. UNDISTURBED GRADE UNDISTURBED GR� PPrPaI� Plan TYIICAL RASP SECTI�if TYPCCAL BOARDWALK SECT111'Ol TYPICAL B�A1�WA ALE f Sale: I"=In'-o" sneer. STRUCTURAL ENGINEERING BY OTHERS 5TRUCTURAL ENGINEERING BY OTHERS 5TRUGTURAL ENGINEERING 13 OTHERS All RAMP DETAIL 15 NOT FOR CONSTRUCTION. BOARDWALK DETAIL 15 NOT FOR CONSTRUCTION. BOARDWALK DETAIL 15 NOT FO GONSTRUGTION. , 6 , GARAC -- LAWN p- ,. ,} p ��; � — p Nowd Design, Inc �1Px ; �a ;' L Scape Arcl�l care Land Planning l .� Sa e e MA am r /r�Ef30AREWALK774-413-9489 �- O lnro ha�i[de�ignh�c.cam / e i @ RAMP ENDS HERE ,gyp www.hmMesipinc.com ``tt %/ - -•---- HAWK DESIGN INC.Xi THIS DRAWINGANDALL INFO RPdA.IFOCI CON1, ,tt f .L/� r: / ,f, f, HERcON IS FROFR'CT F M O DESIGN,INC.ANC MAY NC)T R,COFIFD OR 5- e R per,g %. r' • �r+^J HFPROIAICEC,EITHER IN WHOLE OR IN PAR 1..51 ,s'� `•' !- r 8 f'/r' ✓ - ANY MCTI IOD,WITI IOIJT WRiTTCN I'1'FM>SIC''N c'I f!/ Q i �•. I I p.� HAWK DESIGN,INC. U.� -TUfi {i NG DECK / + t. O 3�•1�sP.-FR. T ,9 12. ;� o l�XlSTI NG DWELLING n4 LETS 2 84 V FAC AREA TO M h W ,�~ O l�=Ro. HOUSE G KAYAK RACK r �,� i _ ; �, ON GRADE BOARDWALK j FLOW THROUGH RAMP SURFACE - EX. DECK ✓ ;;� ,�r j` ': 1 13 PLANTING BED 20. 1 1/20/ !` 't .MP2 � :<.. • r�I 1 ;,,.. - v . , . . �, 2-AM2 y ResisiNS: A EXI5TING - r TIMBER WALLS TO ''- ; I . , �•', Nam. Date Cesc�otion v2 --, BE REBUILT EX. PATIO .,,, 1 12l91'i3 Ra►�,p looa6on Isiar��e,�sror�� EX. � •8=ICE t , I Pla+�tings added ka ihe,,la ;r^ •� WOOD i ,4M2 PORCH 'NEW 5TAIkCA5E TO MEET >;, 11 EX. L--ANDI G 7R®�.5 � 1 1f10114 Pe��siclesasp�rl , 4hear��C RAMP J Revised baara!k seclioE?,ar1 34 - !' J /�� 110af(1Waiit rOIP, .. EMOV,E TREE � �C '�, ,• �- Pddifional cedars aii,a f ; I { , , ,, GARDEN �'�' xatl ydayihr x.l `f". �` REMOVE ST1�1R5-' `/('./`''/' 'Y" \Q. � 2�• ; % � / .. mac`t:�' Z � �,' v V , . . RAILING. AND DETAILING, Q RCH TECTURE TO. MATH o <' y •. :LANDING 32 IN RAMP: tiR ,,W BEG ,:_. 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G/D C.�' / 'Sk1RUB,AfA QTl' BOTANICAL NAME COMMON NAME CON_T SPACING I G Ju ru5 honzonta 5Creepingu r I nape II J ntpe gal O.C. 30 Rasa rugosa Rugosa Rase I gal 30, O.C. ~ 1, I� 41w611 fh � / J C` RV2 i Rosa virginlana Virginia Ro5C i gal 3G o.c. �l f.- C.2 -'BLOCK CURBING 4x6,1.. --- f � FR 714 Be05tu a� rubra AM Creeping Red Fescue 5 ed GROUND COV'ER5 QTY E SPACING HELICAL PIER 5UPPORTS ` a-o.I WOOD OR GOMP051TE I PLANT NDTES DECKING W/ 3/4" I fI SPACING BETWEEN I 1= PLANTING ALONG DRIP EDGE ROPE C�UIE'L 1). PLANT INSTALLATION TO SE IN ACCORDANCE 4'-O" WITH THE AMERICAN NURSERYMAN STANDARDS. PLANKS ?III--~ 2). ANY EXISTING P015ON IVY TO BE CONTROLLED TIT '�'''� • WITH NO CHEMICAL METHOD5. nS I L- I SUPPORT BEAM I� I _ E�� ' 4x4 P05T _ .. '4" POST I — T _ _ —' — r r I l i 11=1 I I i—I l I�I H1!— 1.11 I= ==I - � - UND ISTURBED GRADE � _- �1— I �� � I—I I i, 11-1 i I„�— — �_� j'._ _-- -- _ -.L-1 L— ;II=!,,1.I— I — — =1I = _ T _ I _ III_!I!— —! 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