Loading...
HomeMy WebLinkAbout0460 OLD POST ROAD <1� o O�d� e�.��P� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Applicati f,, t Health Division Date Issued Conservation Division Application Fee Planning.Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis yYV ��� . _MA{ IL- 0 MW Project Street Address y&U Co i-c,A MA 02,&SS Village C,L,l Owner Harold Address q66 61d PISJ7 Pal Telephon 4 5-® 6- o Permit Request T s 6 i+ v i_ t r of 8-4 z class C(,As 4Zrt26Fr.� :r ` Or•�1 3D) ..sLzll (e M� fyoJtizf�►+q�n�. ovu o�o�rw.•a� r� eta.�ISAzce t.caS Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation U 5, , 2-2--Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .t' 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 rQ. Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)�®/A, Number of Baths: Full: existing new Half: existir>g,- 9101P Number of Bedrooms: existing —new �O,ce <0,6, Total Room Count (not including baths): existing new First Floor RoorrVSount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number =jr-5'&l- G 706 Address 410 (•v-c Sk License #— I u 3 s 61 Pali b A 0?.--7 3-® 1 Home Improvement Contractor# I ta7 N 7 Email A I 1 S 0 V t IlA/ 1'0 s�I��e �Sa�G nt I Worker's Compensation # Xt-Is ,5-1c4 I rC 4 J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _,/Jo4ed P&4.e. SIGNATURE �'`/C. /�___ DATE 1 (� { FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED 'MAP/PARCEL NO. ADDRESS VILLAGE F OWNER DATE OF INSPECTION: FOUNDATION FRAME 0 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL J '-GAS: ROUGH FINAL 'FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �. CERTIFICATE OF LIABILITY INSURANCE DaTE`fuw12 7�/' ACORD 15 / THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions ofthe policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anthony F. Cordeiro Insurance PHONE T FAX 171 Pleasant Street E-MAIL (508) 677-0407 / No: (508) 677-0409 Fall River, MA 02721 ADDRESS: hsouza@cordeiroinsurance.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:LibertV Mutual Insurance INSURED INSURER B: Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURERD: Fall River, MA 02720 1NSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER M/DD/Y MMIDD/YYYY LIMITS A GENERALLIABILITY Y Y BKS 56418741 12/10/15 12/10/16 EACH OCCURRENCE $ 1 000 000 tF X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS-MADE a OCCUR MED EXP(Arryone person) $ 5 000 PERSO NA L&ADV I NJU RY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X I POLICY PRO LOC $ A AUTOMOBILE LIABILITY Y Y BAA 56418741 12/10/15 12/10/16 aMBINED�SIN LELiMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ ALL O WNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY eO ac cident) D X HIRED AUTOS X AUTOS $ rA X UMBRELLALIAB X OCCUR Y Y USO 56418741 12/10/15 12/10/16 EACH OCCURRENCE $ 2 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000 DED RETENTION$ $ WORKERS COMPENSATION XWS 56418741 12/10/15 12/10/16 X WC STATU- O R AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTNE E.L.EACH ACCIDENT $ 500,000 OFRCERMIEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yyes describeunder 1 DESG�RIPTIONOF OPERATIONS below E.L.DISEASE-POLICYLIMTT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Rerradm Schedule,if more space is requred) Proof of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street • Hyannis, MA 02601 - AUTHORIZED REPRESENTATIVE ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: f r Eedecal ID#:OS-04ttfiS29 RtContractor Reglstrattan Na ti18fi : RISE Engineetang MA Cantraet&R No:1209": C7 ContraCtor A division of Thielsch"Engiaeering> Regutration tgo 62C12Q I ` ;Sr li-1, ia.s�sfw.s xc,s�a.�:5bup tnt Avenµe,South Ygrmotteh,�i�1A U?6fr O. TRAPT $D8�iG8rIg2b;X-fe19� F<1.X SQ8-�fi$-i933 :Page, ` ;PROGRAM: nos COMTtiAM$9MM ro S£IYIEEn . CLC=RCS eriof�frgGf m*inwl xisroarea ,worixas _.. ___: ... _ _. .u.,:_, ,, _............ .. „ _...:.. ... .. ::.............. .... ....._. .... ......... CUSTOMER PIiOWE ':DAZE `:CtJftd'TS 1YORK ORDER Harold(C;,A}stttan: (650)533-8070 03/2312.0" 199S. 49 0000� ...._ . m. B1L11NG sTR.EEi - sFsf(isce stls�r 4t%Q Old..Post Road. 460 OId,PostRoad w .... .... 8fRViCE drY:STATE,ZiP of LWG CITY 8TA'r iO . Cotuit,MA-102635 C9tutt;N[A.0�63: JOB DE$C]04q ON Alit SEALING Provide 11. and m at,enal5:ta seal areas of youi Name agatrist waSKeful exccs5 air leakage this wOl wiSl;be p4f'onned'in.conecat with ttn use of speciaf.toois and iiiagrfostic tests to assure that.your home wdl be YeR with a healthful level Uf air;exchangc and indoor..air quality Matc�riats to be.used to seal`-your hrm�Can mciude Caull.§ foams weatherstripping and other produces Primary.areas for sting tnctude?atr leakage to attics,basements,attached garngcs and ottser'unhoat0:area;,-w,. wy ale hot:gcneralty=addressed:),(8)wro lnrigfiours. A redaction iti:cubic feet per ininut.c.(cf )'of air utldtrat qa wtll occur,but the actual. number of cfiia ss not;gusrxitttI: �61bt)0. A ftt tC fl t1T Providt`labor aiidnaterials tisll-a 12w layei of[242 Class 1 Cellulose adiled,w(512)square;feet of open attic:. $7 VENTILATION ?riiyide 3abor t hd4iikcf=iasfatl ventilation chutes:in(30)mafter bays2 mainiain*flows:, ., _ ... ,blocking the itistallatcon of weatherstiori • CItAWC S}'ACC.,Provideiabor and materials to:ii stall(70t1):§ijuan feet;of 6 mi•poiyethylaw Duce open ground in desigiiateti } crewlspace/eartberi basement areas; a3. r,539:U0 IIVCENTtVF:RISE Shgthtering:wtil apply:all applicable,eligible ineeMives to.this Comma You will be billed only the Net amouni., Currently,tar elisibte measures.,°the Cape:[.tght CosnpacE offers 7S%o incentive,.not.to exceed$4;OIi0 perr.caletitiar year,and an tnCcnuve oi:tt)b°fo for the Ace Seatmg measures. Fbr'the,safety and.heaith of your harries indoor au,guality,,we;will be Conductmg:a blower door thagnosnc of tlsa avaflatile,air Itow in` your home toot before'.the wotl:.,is begun;and oiler the cveatherization:work is complete.Wi whll'aiso conduct a:dtagnostc i�scssmenYnf:the'combustion'fitmes:tn�thc:extiattstStue ofyour lieating:_system and wwater:heziteC t his:has a value of 390;and is'at no _. :. cost to you:;. ;, i i ~'A a F7 f JLJ 1 r: r _ E , t : The Contmonwealth of Massachusetts Department of Industriat Accidents l Congress Street, Suite 100 Boston,MA 02114-201.7 <va wivm inass.gov/clia Cj'orkers' Compensation Insurance Affidavit;.Builders/Contractors/Electricians/Plumbers, TO BE FILED.WITH.THE PFRINTITTTNG AUT_IIOT2I'TY. Applicant Information. Please'Print L,e2ib1v ! Na]T.tB (E3nsinessrOrgariizationilrtdivtdual):Insulate2Save Roland Lan 9evin Address:410 Grove Street City/State/Zipi Fall River MA 02720 Phone#$:508-567-6706 Are you an employe[`". Check the appropriate box. Type of project.(required): I. f am a employer.with 20 employees(rull and/or part tithe)." 7. F1New construction, 1 ant a sole proprietor or partnership and have no employees working for me in `� S. �Remodeling any capacity.[No workers'camp:insurance required.] 3T1 Kant a hotneowtier doing all work mvself.lNo workers'comp:.insurance required;]' 0. ❑Demolition. 10 ❑"8miding'addition. 4.01 ant a homeowner and will be hiring contractors to"conduct all work on tiny property. I will ensure that all contractors either have workers compensation in urancc orate sole, 11, Electrical repairs or additions proprietors widt:no employees. 12.a l'lumbit g repairs or additions 5.01;am a general contractor and l have hired the sub-contractors listcd on the attached sheet, 13.�Roof repairs lh e sub-contractors.have entp,loyees and have workers .comp,itsurance 6.r-1 yVe are a torpotat,ion aid its officers have,exercised Their right of excrnption per MCjI:,.c. 14.(DOtherinsulation 152, 1(4').and lve have no employees,[No worker"s'comp.insurance required:] *Any applicant that chc�ks box'"I must.also fill out the section below showin6 their workers'compel#sation'policy infornnation. ` Nonuowners who suNnit this affidavit indicating they are doing all work and then hire outside contractors must subunit a new affidavit indicating such. aContractors that cheek this.box'must attached an.additional sheet showing the.name of the sub-contractors and,state whether or"nouthose entities have employees. If the sub-contractors have cinployees,they must provide their workers'crimp:policy number; I am an erttplgver flhat is providing rit6ekers'cotitpi�tisatiott insurancefvr ttiir enaplavees. Below is the policy and job site information.. Insurance Compariv Name:-Liberty Mutual Insurance Polies+or Self:ins:Lie,.#:XWS 56418741 Expiratiori Date:12/16/10' Job Site Address. y(o� Gw3�'f� _.iGi h p JState/Zi 'i�" fv a _u t.� ._—_ Attach a copy of the workers'compensation police declaration page(sli6wing the policy:number and expiration date). Failure to secure eo,verageas required tinder MG:L c. 152' §25A is a criminal violation punishable by a foie up to'$1,500.00 and/or one-year imprisonment,as well as civil penalties in the forrti of a STOP WORK O:RDLER and a fine of up to$250 00 a day against the violator..A copy of this statement may be fonvarded to the Office of Investigations of the DIA for insurance coverage 4:erificatidn. . i do hereby certify under the.pains find i2enalti s of erjtsry that the information provided above is true-dhil correct. Si.gnature: Date l Ao Phone k 508-567-$706 Official use roily: Do not write in this.area,to be completed by city or town.nJ.ficial_ City or Town: Permit/License,#1 _ Issuing Authority(circle one): ' i.Board of Heaftt 2.Building De0aetnient I City/Town:Clerk 4. Electrical.Inspector 51. Plumbing Inspector 6..Other t Contact Person;: Phone#. _---=• v�� {�f7�'��U��2��1'�'�LLf-PC���12 ��%'l I�.y�f�C/!'UGI��Pi� ZI. Office of Consumer- Affairs and Business Regulation 10 Park Plaza - Suite 51.70 Boston, Massachpsetts 02116 Home Improvement Contractor Registration Registration: 180747 Type: Corporatiod _ ; Expiration: 12129/2018 Tr# 261507 Z - . INSULATE 2 SAVE , INC. d ROLAND LANGEVIN • 410 GROVE ST FALLRIVER, MA 02720 ;f ---- ,, Update Address and return card tilirk reason for change. Address Renewal Employment Lost Card SCA 1 0 20M-05111 C=r".7/e f�•art�»tcaztr,+�rr/f/r,ra�'C%/�'1,srs1«<lc�r,Gl` , " Office of Consumer Affairs& Business Regulation License or registration valid for individul use only 'AOME IMPROVEMENT CONTRACTOR before the expiration date. 1f found return to: ! i �W¢�egistrat,on t 180747 Type: Office of Consumer Affairs and Business Regulation Expiration 122g12016 Corporation l0 Park Plaza-Suite 5170 Boston,MA 02116 INSULATE 2 SAVE aINC ROLAND LANGEVIN 410 GROVE ST FALLRIVER,MA 02720 lindersecretary Not valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-103861 i Construction Supervisor , ROLAND LANGEVIN 56 ti1GHGREST ROAD" FALL RIVER MA 027211 3 Expiration: Commissioner 08/2412017 I i ! Federal ifl#'os oaossxs RISE,Eng><neler,.><ng - RlcontractiarRegtstrationNo81as M/►Contractor RagistratFan No'120974, A:divisibn.afThiclsch. dgineereng. CTCosttrectorRegtstrattonto.829120: S rr.Gss.r"� asrt v,�� SDupUAt Avpuc,SOq -armontkMN026,64: ONTRA ' , St3$-56&1326 X 6;t97, FAX 308- 6$-1Q33. Page 2 PROGRAM. T�is corort+Acr:cs ewr�D;atTo atria; :CLC-RCS' ENfiAtEERiNa'AHD.TtiECilSTOMER-FOR VORK4-" ,DEscwaFo�aW' ......_........__..._..........:..:......... _.... CUSTOMER PHONE' DATE;: Cid£MTlt W6[tKDRDER: Harold K.Alsman (65:0)533=8070 03/23/2016. 1995 9 0000.2: ... -- ._.. -.... SERVICE STREET ... .. 61tJ.iK6,sTREET. . 460:Old Post Road 460 Q1il Post Rgad.- .- �:. ._..._....— -- -............ _.........._.._..__..._ SERVWE C"Y'STATE,LP - SW NO C,rM.STATE Z� - - . :Goturt,MA 02635 Cotult,l►ilA 02635. JOB DESCRIMON Totat $2E}973 ' `Program tncenwe; $1:,79417 CUStOnler'TOtat $303 0 WE AGf2EE NfREW TO.FURNtSH teWiCES::'COAAPL ,iii ACCORDANCE v&h4 Aii6W.sPECiF(CATI k&FQR.TNE Wm OE *:'`Three Hundred Three&0SII'OO Dbilam UJ±ON ANAL DJ$PEC kAND APPROVAL ffY R58E EWG0 fMWO.CUSTQM APREES TO R10W AMOUMY DUE IIM rML.IWTRMT OF i% LL BE CHARLiED'�tONifiLY OPI ANY . UNPAffiBAtANCE AF7E YS: REVERSEf�tVAPORTANT ATiOId OM 6UARAIJTEEB,R(ONT8 aF RE 8C81FDllLINO '.RE6f8TRAT,tON. . .�.,.:. ........ .�W _�.�___. NOTSIGIV 7M CONTRACT IP THERE ';ANY SP ,G v _.......;.. THiS,: k1AY=�NATHORAtYMflYUS;ffNaTEXECU7E0YATl9td- DATE OF ACCEPTANCE: - - ACCEPTANCE OF CONTRACT THE.AaOVE PRM,BPECtfICd1TlOMS AHO'CONDlTIQMSARE DAYS.. _ SATtBFACTORY Ta us:NNaARE'NEREaY ACCEPTED.Yov AdteAUTNORaD,D.Ta oa THEVIORK . A98PECfF. D:PAYbfErPrWILLSE;!!dMAS.O,tiMMEDASOW. .. .. .... b .. u a of Bara-gtable Rego a e ces. . T':om Perry,Iiniid'sng'C:usaesaissiuner n oA+ain S?see£,Ylyxzuis;MA 02601: m .tawn,hart4statile;ma us. t ffi : s0$,-8 ?-4 38'' ;fax. .69 96-62:30 'ropez�y«wn ' u r p "to, w S , 'his Sec is al od C? m a.> r ra i su i r( to act ran"zin b & z;a1l rn t ers r u�G.'to:: r by tips b- �s p rnut Epp.C-410.4-f re U2 3 .;Pa 1 f r c nc s a alarms;airthe re poms't3 lazy o h Izc ' P«M. s re:n�t to beili c c3ruut 13€aOre ctic .�.s, tutall4t.a . r.3sp corns ark cr..i}rr=c aR�air ptc ; Sipature of A.;af Lclrlt rint.Name N tHE Town of Barnstable *Permit# ��Expires 6 t from issue e Regulatory Services Fee anaxsznBM 16 1�' Richard V.Scali,Director - ,, ,erg t� ERMIT Building Division BUG 2 0 2015 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF.BARN STABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - ' RESIDENTIAL ONLY ��y� Not Valid without Red X-Press Imprint Map/parcel Number // Property Address (d� /,o esidential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address !" C587-27Y !i� - ��,Z UlhAIMW Contractor's Name Telephone Number Home Improvement Contractor I�icense#(if applicable) [ �p��~— Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor - ❑ I omeowner ave Worker's Compensation Insurance Insurance Company Name / Workman's Comp.Policy# s�o5-;v& Copy of Insurance Compliance Certificate must accompany each permit. Permit Request.(check box) ❑ Re-roof(hurricanenailed)(stripping old shingles) All construction debris will be taken to � � ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ® - ide eplacement Windows/doors/sliders.U-Value i L� (maximum:32)#of windows - #of doors:_ ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. _ *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is fired. SIGNATURE: Q:\WPFILES\FORMS\building pe t forms\EXPRESS.doc1.' ; Revised 040215 4 r f 2lie Com porrivealth of-Wassachusetts ' Department cr,f Industrial Acciderrtss - -0ji7w.e o,f.£nvestigadens 600 Washirl!gion Street Boston,ALA 02111 n.,Fsnu,Yna=gav/rdin 'Workers' Campensatian Insurance Affidavit Bmlders/Cnntracturs/EIectdcianslPlumbers Applicant Infarmatian Please Print LemblY Name(Busi�aniz�atloaa&ideal): Address: A—_ /®c� CitylStatcl : (' donne Are you an employer?Check the appropriate box: Type of project(required): � 4. I am a general contractor and I 6- ❑ constcttct[og 1.[�]�i am a employes v��ith � ❑ employees(fa and/or part-time)-* have hired the sub-contractors 2..❑ I am a sole proprietor or partner- listed on the attached sheet. y- o&fig These sob-contractors have sleep and have no employees. These ❑Demolition _- wodnng for me in any capacity. employees and have workers' [No wrorlmrs'comp.insurance comp_insurance f 9. ❑Building addition required-] .5. ❑ We are a corporation and its 10-0 Electrical repairs or additi= 3.❑ 1 am a hameoumer doing all work officers have exercised their 11-❑Plumbingrepairs or'additions n13rsel€[No workers'camp_ right of exemption per MGL 12.❑Roof repairs inslrancerequired_]F 4 c.152,§1(4h and we have no employees-[No workers' 13.❑Other comp.insurance required] 'Any WKcant that checks box 91 also MI out the sectioabebowshowing their morkeie compensatinu policy inf ormaticai- #I-Bm wners who snbma ibis affiftri i mdr,z g they ne doing all wa k and then him ant ade contm.ctas— submit anew affidavit k&cs=—.sacb- ZCauaams that check this bax must attached m addifiand sheet showkg the nuue of Use sub-cautssam and state whether ar nat these entities have employees.Uthesub-cant®ctaeshaveempbyees,they nnistpxvuidetheir workes'romp.pGHUnimeber- I am an smp ier that is prmzding�vori€¢rs'caarp¢rtsafiora irasrsrance for airy*¢nrpToy�¢es Below is tlt¢policy and job site informadors Insurance Company Nam: Policy or pelf-ins.Lic. '�(y'' E�cpiration Date: Job Site Address: 4 r Q �� CitylState/Zip: Attach a copy of the workers'coompensation 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 an&'or one-year imprisonment,as well as civil penalties.in the form of a STOP WORK ORDEAand a fine of up to$250-00 a day against the violator. Be adiised that a copy of this statement maybe fiorwarded to the Office of , Isavest gations ofdae DFA,for insurance coverage verification I do hereby G¢t ief tFt¢prrirr arla nah s pee ul}`fJrattJre irifar a#fon p►mRded dbar� tnw d correct Si�ature: .Date: Phone tF O,�fj'acial use only. Do not asr&r In this area,to be compWad by city or town offieiaL city or Town. PernutlLicense# Issuing Antlaarq(tarrIe one): 1.Board of Health ::.Building Department 3.City1rowa Clerk 4.Electrical Inspector S.Plumbing Inspector' 6.Other Contact Person: Phone#: Information and Instructions Massachusetts Geamal Laws chapter 152 requires all employers`to pravide wormers'compensation for'their employees. Pm suantto this stEtute,an.emplayee is defined as."_.every person in.the service of another under any contract of hire, express or implieid,oral or w " An empkyer is defined as"an individual,partnership,association,corporation or other legal euMp,or any two or more of the foregoing engaged in.a joint entaprim,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 occapant of the - dweIIing house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appt Eenarrt 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 commoaerealth for any applicant who has not produced acceptable evidence of compliance with the hsurance.coverage required." AddrftonaHy,MGrL chapter 152, §25C(7)states`Neither the commgnwealth nor a'ay of its political subdivisions shall enter into any contract for the performance ofpublio work unfit acceptable evidence of compliance with the ins rran ce._ requirements of this chapter have Been presented to the contracting authority_" Applicants Please fill out the workers'compensation affidavit completely,by checlang the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificat: s) of insurance, Limited Liability Companies(LLC)or Lfinitrd Liability Part umships(LLP)with no employe-es other thm the members or partaers,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is regnire Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confnmaiioa of insurance coverage. Also be sure to sign aad date tithe affidavit The affidavit should be r-etmmed to the city or town that the application for the permit or license is being requested,not the Department of lnEastrial Accidents. Should you have any questions regarding the law or ifyou are requ:ired to obtain a workers' compensation policy,please call the Department at the number listed below. Self-houred companies should enter their self-fisr,rance license number an the appropriate line. City or Town Officials Please be sate that the affidavit is complete and primed legibly. 'Ibe Department has provided a space of 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 pen it crosLse number which will be used as a reference number. In addition, an applicant that must submit multiple pennit/Hcens0 applications in any given year,need only submit one affidavit indicating current: policy in[bmation Cif necessary)and under"Job Site Address"the applicant should write"all locations ia (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 flied 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 at 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; fan an eatf of Massachus tts ' Degazt sent of lidusfrial Accidents =(:P-of jveestigatio= 600,WaWMzGn Size Boston�MA Q111 T�1. 617 727-4900�xt 4-06 or 1-977- IASSAFF. Fax 9 617 727-7749 Revised 4-24-07 .ma..ss-gavidia. t �IKE Town of Barnstable 'ED Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner ' 200 Main Street, Hyannis,MA 62601 . , www.town.barnstableana.us Office: 508-862-4038 m Fax: 508-790-6230 a , Property Owner Must Complete and Sign This Section . . .If Using A Builder as Owner of the subject property hereby authorizecr_-Y—o0__ to act on my behalf, ,'• f in all matters relative to work auth sized by this building permit application for: 4r, o I PC (Address of Job)' s. n Signa o er ,,. ate . r . Print Name r If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. . Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC ' Revised 040215 Town of Barnstable Regulatory Services of TAy,� Richard V.Scali,Director 1 Building Division * sAaxsz'ABM ' Tom Perry,Building Commissioner MAM 163g6 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable'codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 tlr;i+ —F DA'��(M CERTIFICATE OF LIABILITY INSURANCE 0811M//201Y, B/112015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Applied Risk Insurance Services, Inc. PHONE (877)234-4420 FAX 877)234-4421 10825 Old Mill Rd A/C,No,Ext): (A/C,No): Omaha, NE 68154 E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMERIDri INSURER(S)AFFORDING COVERAGE NAIC# INSURED -INSURER A: Continental Indemnity Co. 28258 Carey Grover INSURER B: dba Grover Building and Remodeling 1 INSURER C: PO Box 1080 Cotuit, MA 02635-1080 INSURERD: CTL 1273'1060310 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. INSR ADDUsua POLICY EFF I POLICY EXP LTR, TYPE OF INSURANCE i INSRIWVD POLICY NUMBER MMIDD/YYYY MWDDIYYYV LIMITS GENERAL LIABILITY I $ EACH OCCURRENCE COMMERCIAL GENERALLIABiLITY DAMAGETORENTED f _CLAIMS MADE OCCUR REM1SES(Easccu¢en0) I$ MED EXP an one rsonI S PERSONAL&ADV INJURY 1$ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: —�PRO- (�� ' I_PRODUCTS-COMP/OP A G $ 17 ( POLICY I iJECT 1 ILOC I ! $ AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT ANY AUTO F- —1 Ea accident I$ ALL OWNED AUTOS �! - BODILYINJURY Per rson I$ SCHEDULEDAUTOS B OILYIN URY P r ccident $ H!!I $ ----11HIREDAUTOS I Pe�accitlenlPER DAMAGE NON-OWNED AUTOS I I I$ (UMBRELLA LIABuOCCUR EACH OCCURRENCE �$ EXCESS LIAB I CLAIMS MADE I AGGREGATE H DEDUCTIBLE F—I $ RETENTION $ ' $ TH- WORKERSCOMPENSATION X OR STATUS 'O R AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A IU 4 6-8 0 5 7 0 0-01-0 7 08/31/2014 08/31/2015 E.L.EACH ACCIDENT S 100,000 FOFFICER/MEMBER EXCLUDED? (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION n of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Tow arn Tow BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 200 Ma Ma,in am S .. IN ACCORDANCE WITH THE POLICY PROVISIONS. HyaAttn: Inspector AUTHORIZED REPRESENTATIVE 1783118 ACORD 25 (2009/09) 01988-2009 A150RD CORPORATION. All rights reserved CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DOYYYY) 08/11/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Applied Risk Insurance Services, Inc. PHONEFAX 10825 Old Mill Rd (A/C,No,Ext): (877)234-4420 (A/C,No): (877)234-4421 Omaha, NE 68154 E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMERID# INSURER(S)AFFORDING COVERAGE _ NAIC# INSURED INSURER A: Continental Indemnity Co. 28258 Carey Grover INSURER B: dba Grover Building and Remodeling PO Box 1080 INSURER C: Cotuit, MA 02635-1080 INSURER D: - INSURER E: CTL 1273 1060311 -- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ILTR TYPE OF INSURANCE NSRADD WVD POLICY NUMBER I MM/DDYYYV MM DD YYYY LIMITS GENERAL LIABILITY f EACH OCCURRENCE $ COMME iRCIAL GENERAL LIABILITY F I F DAMAGE TORENTED $ ccurrencet CLAIMS MADE EI OCCUR � MED EXP(any er P_one son),_ $ - -- PERSONALS ADVINJURY $ _ -- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- P ODU�CS$-COMP/OP AGG I$ _ POLICY JECT LOC Is I AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT n ANY AUTO �(� Ea accident $ ALL OWNED AUTOS L!II�_JJ BODILY INJURY Per erson $ _ 1 I SCHEDULED AUTOS BODILY INJURY_Wer accident) $ i PROPERTY DAMAGE HIRED AUTOS _(Per accident) ccident) $ j NON-OWNEDAUTOS $ I Is UMBRELLA LIAB OCCUR EACH OCCURRENCE '$ EXCESS LIAB HCLAIMSMADE AGGREGATE $ I DEDUCTIBLE �---" $ RETENTION $ $ WORKERS COMPENSATION WC STA IU- I OTH- AND EMPLOYERS'LIABILITY Y/NI ll 1_IM TS �_ F A ANY PROPRIETOR/PARTNER/EXECUTIVE N N I A 4 6-8 0 5 7 0 0-O 1-0 8 08/31/2015 08/31/2016 E_L.EACH ACCIDENT ( $ 100,000 A OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI $ 100,000 if yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 ❑I❑ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Ma BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 200 Main St. 200 MA 02601 IN ACCORDANCE WITH THE POLICY PROVISIONS. HyaAttn: Inspector AUTHORIZED REPRESENTATIVE 1783118 ACQRD 25 (2009/09) ©1988-2009 A ORD CORPORATION. All rights reserved O � G N y) rs x N U.J st , /fenllllranrelnartl�/�c/Cfria.ac�tlie//r F Z 4 1 Ofticc�it+(�nsumer Affairs&Business Regulation License or registration valid for e d vidul use only r = OME IMPROVEMENT CONTRACTOR before the expiration date. if found-return to: � -' G i Office of Consumer Affairs and Business Regulation ;" (� ,�Registration 144322 Type: f o d j7Ex gyration 9/23/2016 DBA 10 Park Plaza-Suite 5170 °' ,• y x Y �� y! p Boston,MA 02116 T Q: GROVE ILDINGi+REMODELING i U. o CAREY GROVER s' " r V � . � � n ni O o E 56 BOWDOIN RD .yr. a� o� o MASHPEE, MA 02649 ` Undersecretary valid without signature s m U O0O YOU WISH TO OPEN A BUSINESS? For Your Information: . Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take.the completed form to the,Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by-law. bJ/ � A, DATE: �0� Fill in please: 'APPLICANT'S -YOUR NAME/S: r BB'USINESSQ YOUR HOME ADDRESS: l TELEPHONE # Home Telephone Number _ 2 NAME OF CORPORATION: NAME OF NEW BUSINESS P_S'l 'TYPE OF BUSINESS 0'yf IS THIS A HOME OCCUPATION? -.YES M ADDRESS OF BUSINESS AP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO SSIO ER'S OF�FE This individ al h s n in�drc an per it requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION A orize i RULES AND REGULATIONS. FAILURE TO n . OMMENT __.. COPAPLY MAY RESULT IN FINES. 2. BOAR O HEA TH U v This individual has been informed of the permit requirements that pertain to this type of business. r Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Regulatory Services o Richard V.Scab,Director Building Division MAC Tom Perry,Building Commissioner 9 163q 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION __. ... Date: Name: Phone#: Address: 01611Villagei �� ! Name of Business: Type of Business: 1 i'l/t Map/LoL (/ INTENT': It is the intent of thrs section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. No traffic will be generated in excess of normal residential volumes. • The use,does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no stoiage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than.one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. m No sign shall be displayed indicating the Customary Home Occupation , • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included_ • No person shall be toyed' the Customary Home Occupation who is not a permanent resident of the dwe g unit I,the undersigned;h ere ove restrictions for my home occupation I am registering. Applicant Date: C'2`® Homeocdoc Rev.103113 c PROJECT NAME: : ADDRESS: PERMIT# : �OZ�'—T IOC EoU . PERMIT DATE -j M/P• 03L7 LARGE ROLLED PLANS ARE IN: BOX 1Z1. SLOT 2 Data entered in MAP- S' program on: BY: V q/wpfiles/formsh&chive a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _ U-7 Map Parcel ® V Application#. 0<- Health Division Date Issued Conservation Division t Application Fee �. Tax Collector - c ' ,, � Permit Fee - Treasurer -z Planning Dept. ' Date Definitive Plan Approved by Planning Board -^ Historic-OKH Preservation/Hyannis ' x Project Street Address- -;' Village = 1 9 Ownerz"A/I& T /r P�G?� ,Address O i Telephone — Permit Request S' Square feet: 1st floor:existing_ tproposed 2nd floor:existing (o proposed Total new . ZoningDistrict Flood Plain /✓/,'• Groundwater Overlay Project Valuation 6V,®fl0- Construction Type �� Lot Size � / ,@ ' - Grandfathered: Or es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 'Vell4vff Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes Leo Basement Type: Wfull Q06rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 60-3 Basement Unfinished Area(sq.ft) c>200 Number of Baths: Full:existing vZ new Half:existing ! new Number of Bedrooms: existing newer Total Room Count(not including baths):existing �77 new First Floor Room Count Heat Type and Fuel: W Gas ❑Oil ❑ Electric ❑Other Central Air: �Ces ❑ o Fireplaces: Existing _New�_ Existing wood/coal stove: ❑Yes Detached garage: ❑n w iz g g e size Pool.❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# -Current Use Proposed Use- - -- -- -- -. -�.-.f BUILDER I?Telephone ORMATION Name � � � Number ,�1����KE5/ Address License# 4- 5 ?�� Home Improvement Contractor#� 7 _ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE DATE �/� r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED , MAP/PARCEL N0. ADDRESS VILLAGE R. OWNER i i DATE OF INSPECTION: FOUNDATION era 1) ®K 7 3 FRAME A VA /O D Sawa!! f AJT'c.rn-rVic Rice 7. ." •,6 04.4709�,v INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL .PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING RAF/.tJr o 7�a Z�O f Res j DATE-CLOSED OUT ASSOCIATION PLAN NO. w, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' wrdw.mass.gov/dia Workers}Compensation Insurance Affiddvit: Builders/Contractors/Bleetricians/Plumbe.rs 'A licant Information Please Print Legibly Name(Business/Organization/Individual): •Address•�, r v ®.�" D 45�0 City/State/Zip' d2 ZJ�Z�' / ��`� Phone.#: ���o Are yIt krt employer?Check the appropriate box: :Type of project(required):, 1, I,ain a employer with 4. [] I am a general contractor and I employees(full and/or part-time).*. have hired the s'ub-contractors 6, []New construction . 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. emodeling ship and have no employees These sub-contractors have g. Demolition employees and have workers' ;working for me in any capacity. 9• []Building addition comp,insurance.$ [No workers comp.insurance 10.❑•Blectrical r ars or additions required.]qu S. � We are a corporation and its � i , 3.❑ I a homeowner doing all work . officers have exercised their 1 L[]Plumbing repairs or additions ' myself.[No workers'comp right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp,insurance required,] *Any ipplicant that checks box#1 must also fill out the section below showing then workers'compensation policy information. t Horneowners.who submit this affidavit indicating they are doing all work and thma hue outside contractors must submit anew affidavit indicating'such. tcontractors that check this box mutt attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have 'employees. if the sub-contractors have employees,they must providb 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.# Q Expiration Date: 7ala Site Address: � W City/State/Zip: Attach a copy of the workers'compensation policy declaration page'(showing the policy number and xpiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK•ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of' Investi ations of the 1)IA.for insurance covera a verification. I do hereby certify u der the pains•and p allies of"perjury that the information ormation provided above is true and correct. Si afore Data: Phone Official use only. Do not wrlte in thls area, to be completed by.city or town afficiaC 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 i Y i 0,1HEr, Town of Barnstable Regulatory Services aaHxsrABM ' Thomas F.Geiler,Director . Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date. AFFIDAVIT y HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: l Estimated Cost Address of Work: 62V Owner's Name: Date of Application: / a I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby appl r a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name of TMF r� Town of Barnstable Regulatory Services STABg Y ` ax�MASS. ..E Thomas F.Geiler,Director Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street,.Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW ��/ Zoo7o?dew Owner: S�L� flsf Map/Parcel: bT Project Address a6d LOU4 PJ C Builder: The following items were noted on reviewing: Alf, h Reviewed by: Date: Q:Fonns:Plnrvw Construction Supervisor Ucense License: CS 77754 Birth6bt , 1112211957 Expiration 11%22/2009 Tr#6877 t, Restriction: 1G CAREY C GROVER ` PO BOX 1080 COTUIT,MA 02635 Commissioner Tk rl 68 rd of( dfnor'E_q�f/n�/f�aafYi g fi��`mariu6S'tlrtd� d HOME IMPROVEMENT CONTRACTOR ��yt �.�a::vAi 1433L`L` Expirations 9/23/2608 TYPE: DBA GROVER BUILCNG.+REMODELING " CAREY .GROVER 56 BOWDOli`f RD MASHPEE,`MA 02645 o---- F1ePVty'Administn 04- ENERGY CONSERVATION APPLICATION FORM'FOR, LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780.CMR Appendix J y Applicant Name: Site Address: 4(00 L TZ i t`Q rx-1 Applicant Address: City/Town: Co-rD t—t . Use Group: Date of Application: Applicant Phone: Applicant.Signature: _ Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days(HDD65) from Table J5.2.1a: (For items d. through i., fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft _ f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing% (100 x b-a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE . Component Performance: "Manual Trade-Off"(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation -. Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources : Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b.Glazing Area' sq.ft. c.Glazing%(100 x,b-a) ❑ ADDITION with Glazing.% (c.) up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' PR eilin ' Wall. Floor Basement Wall Slab Perimeter,Depth 0.39' -37 R-13 R-19 R-10 R-10,4 ft 1 Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) "SUNROOM" addition (greater than 40%glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s) for Denial: (provide additional details.as needed on back side) r M CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE ' Manual Trade-Oft Worksheet Permit 0 4 ! K Builder Name Date Checked By Builder Address r Site Address �p ` Zone2 013 ❑14 Date r.r Submitted By Phon . :,��;;•:;. PROPOSED REQUIRED : Ceilings•Sk_ Hihts:and Floors Over Outside Air Rcquimd Insulation x Nc(c Arta U-Value on R-Value U-Value = UA (Table J6.3?fi) x Arta UA Ceiling n ?p 35 1515 53.0 .aZ� �530 vq.-7. .. (Table J622a) Floor Over Outside Air ftt (Table J6 21a1 . f' ft• .•Total Arta 15 , . Walls.Windows:and Doors Insulation x L Requircd Dcscri�tion R-Value- U-Value Area r UA U-Value xArea UA Walls �7(rable J6b c d) �� �d l / �3 �tJb. • i! Zq-t Z. 313.6 y .2.2 Windows (NFRC or Tablc J 1.5.3a) • J� je Z Doors. _.. ft= _. (NFRC or Table J1.53b) Sliding Glass Doors (NFRC or Table Ji3.3ai fe fe Total Area GTZ Floors and Foundations Insulation Insulation R- x Area or Required Description Depth Value U-Value Perimeter -UA U-Value x Area =GA . Flow Over Unconditioned (rable 6 fe . O� . IRZO 46.61 Space Xnc) Basement Wall (Table 16.2.21) fe vnbtased�) 4F k 10 S 03ft j0,0 r Heated Slab (Table J6.22t) is road Aropoud UA most be tau Total + Torcl 7{'rr than or equal to Tbrad(erA4xmap Jtequdred UA Pre ed UA -�q' !V'Y7 ., P°S �( 1 � qt Rcquirrd UA Statement oCComo an=The proposed Waft design ttprtscnw in �--+Adjusted 1 dme doer ens dt conrdneW with the badftpdma 4n'{Jrca10M. turd otter calculations submitted with the ion Requtnid UA -ter C )C K, cam` 6cC �� Z�lo 7 Bu9dcWDc:1Vw Company Name Dar[ 76022 780 CMR-Sixth Edition 2120198 (Effective 3/1198) �190®��l�•.,. �1 � RA :>. DATE{8f1411YY) 10-01-07 PRODUCER r , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LEONARD INS AGENCY HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7 wIANNO AVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0. Box 494 COMPANIES AFFORDING COVERAGE °CSTERVILLE MA 02655 COMPANY 286XR _ I A HARTFORD- UNDERWR.LTER$._ RANCE INSURED i COMPANY GROVER, CAREY DBA GROVER B___ BUILDING AND REMODELING cau=ANv. P 0 BOX 1080 C COTUIT MA 02635 COMPANY I D ::.... ....:.... ....... ......... .... (. ....... ........... :................ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ! 'CO POUCYEFFECTIVE POUCYEXPIRATIONI TYPE OF INSURANCE I ,POLICY NUB4BER LIMITS LTR .i DATE(MMTIAYV) DATE(PANADERM I GENERAL UABIUTY ' FIi -- -- _ GENAL AGGR=CATc $ COMMERGAL GENERAL LABILITY PRODUCTS-CAM!. AGG. g CLAIMS MADE a OCCUR. PERSONA'&ADV.?NdURY i S OWNER'S 8 CONTRACTOR'S PROT. ' EACH OCCURRENCE $ RRE DAMAGE(Any one fire) MED.EXPENSE(Any one person)i S AUTOMOBILE LIABILITY ! COMBINED SINGLE S ANY AUTO I LIMIT ALL OWNED AUTOS BOD LY INJURY SCHEDULED AUTOS (Per Person) S. HIRED AUTOS BODILY INJURY J NON-OWNED AUTOS (Per Aocidenjf S ------"- PROPERTY DA-.%tAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIOE-r; S AW AUTO OTHER THAN AUTO ONLY: I EACH ACCIDENT £ - AGGREGATE $ EXCESS LABILITY ' j EACH OCCURRENCE $ - UMBRELLA FORM AGGREGATE 6 OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND A ENPtO1ER'SUABiLITtl (UB-3601646-5-07) 08-31-07 08-31-08 ' STATUTORY LIMITS .......X;_ 'E' 'I>:; .EACH ACCIDENT .$ THE PROPRIETOR,/ INCL OISEASE-POLICY LIMG, fp PARTNERS.IEIFCIII)VE IIX __50Q- . I Oc:RCERS AnE: EXCL - DISEASE-EACH EMPLOYEE $ T00 O 0 j OTHER . I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLUSIRESTRICTDONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ::., CRTFFATE Imo(4D> Ci1AiGFTATiOi� :: .. .... ...1. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE TOWN OF BARNSTABLE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL NWOSE NO OBLIOA'nON OR 200 MAIN STREET HYANNIS MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. I AUTHf3p12>tOR�AE$ENTA 12� __ ��� lilfRD3,5 C33Y.°. Ct9ADLX1APS3RA1iQkYf9S3.: Nov 26 07 02:37p SCOTT DESIGN ASSOCIATES 6505581113 p,1 1 -26-chi 7 022:53P FROM:. 5064770767 T0:16505531113 P.2 � r ' own of Barnstable Regulatory Services 9 ram Thomas F.Geder,Director a Building Division 'Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.tawn.barnstable.mA.us Office: 508-862-4038 Fax: 508-790-6230 Property Corner Must Complete and Sign This Section If Us fn..g A Mulder as 0VMer of the subject property hereby authorize ° �l� l tc act on my behaff, in aU matters relarive to work authorized by this building permit application for: (Address of Job) f i o €hurter Date Print Name If PropgM Owner is applying for peM-nit please complete the Homeowners License Exemption Form on the reverse side. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION j0M. t? t iYt�21 1. Map a Parcel V 7 CEP 20 g#�j : %oplication # Zo l 401 Health Division Date Issued Conservation Division __ s_, ,-Y � Application F 4 Planning Dept. ICUPermit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address �/,� Village L, Owner 6&01C1��Z�42 4/1/ a I)WC Address Telephone Permit Request �� !� /0 (O Square feet: 1 st floor: existing La proposed 0 2nd floor: existing proposed Total new Zoning District Flood Plain Zc3P­,c aL Groundwater Overlay Project Valuation Construction Type Cp ccQ Lot Size _7�, Sr!aU Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U--- Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes Basement Type: ❑ Full rawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 13 existing Q new Total Room Count (not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: � ❑ Oil ❑ Electric ❑ Other ._�- Central Air: Er' es ❑ No . Fireplaces: Existing New Existing wood/coal stove: ❑ J Yes No Detached garage: U<x-isting ❑ new size—Pool: Wre"xisting ❑ new size — Barn: ❑ existing 0 new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current-Use _ - - - - _Proposed,Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number J��� ✓��SJ Address es x Z®fS"O License #--(1 T 6 � �- �10�� Home Improvement Contractor# / 242 Worker's Compensation # wo -geovolam ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. r r c ADDRESS VILLAGE OWNER r ' DATE OF INSPECTION: FOUNDATION x FRAME INSULATION lXZ.> '3o c Z FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT z ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 60.0 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl 'Name(Business/Ora ni7Ation/Individua!): ? Address: . P° © r © 1©cq© City/State/Zip: m -one Are you employer?Check the app opriate box: Type of project(required); 1. 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. emodeling shipand have no employees These sub-contractors have 8. []Demolition working for me in any capacity, employees and have workers' coin insurance. 9. ❑Building addition [No workers' comp,insurance P• 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 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 wbether 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.#: `7�� � Z�I—fig Expiration Date: f Job Site Address: �(GI'� Q�Q/�Q /�' City/State/Zip: D _ 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 a 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 er the pains d pens es of perjury that the information provided above is true and correct Signafore: Date: / Phone#: 3 Official use Only. Do not write in this area, to be completed by city or town officiaC City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk. 4..ElectricaI InspectL5PI=bi 6. Other Contgct Person: -Phone#: ACM CERTIFICATE OF LIABILITV INSURANCE o8/2 i01 o 2 THIS CERTIFICATE 19 ISSUED A9 A MATTER OF INFORMATION OULY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYGE AMEND,EXTEND ALTER THE COVERA .AFFORDED BY THE POLICIES.BELOW. AUTHORIZED REPRESENTATIVE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT:If the certificate holder Is en ADDITIONAL INSURED,the•pollcy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to,the terms and conditions of the policy,certain Policies may require an endorsement.A statement an this certificate does not conter rights to the tertitieate holder in neu of such endorsemeen(s). PRODUCER, - CONTACT . NAME ' PHONE ---- .. -• FAX — - AMIied Ril* Mis=ance So.rvi,rsmia, sue- PHONE No,Ex!) (977)234.-4420 I cAIc Nol= (e77)a3s-a 21 10825 Old Mill Rd E-MAIL — -- Citmaha, NE 6-8194 ADDRESS: - _ _-- . .PRODUCER CUSTOMER ID (877)iU-442 0 INSUAER(S)AFFMDINO COVERAGE NAIL @ _ IN9URED -— _ INSURER k Continental I#AaMa3ty" CO. 28258 r Cd>C' I INSURER 8- ftild�= and A ILL; INSURERC.:... —.—. PO BOX ib80 INSURER @ Cot uit, DIN 02635-1000 --- -- • - - -- ..INSURER E- '--'-- CTL.1273 559651 INSURER F. — COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEDAR MAY PERTAIN.TIDE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND GOAIDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ INSA ADOL SUBR "POLICY EFF POLICY EXP T LTR TYPE OF INSURANCE DISR WVD' LICE-NUM8ER AtMlDDNYYY MMMONYYY i UMITB' GENERAL LIABUTY EACH OCCURRENCE- COMMERCIAL GENERAL:LIABILITY DAMAGE TO RENTED F , CLAIMS {�I - PREMISES(Eaorsu po?._;.$ MADE u OCCUR 1 i MED E%P iMy a�Qersod $ - PERSONAL&ADVINJURY S I ` ' 6ENERALAl,GREGATE dENLAGGREGATELIMITAPPUESPER: PRODUCTS-COMPtOPAGG $ -- POLICY JPROJFCTFILOC I AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT ANY AUTO ❑ I a ercmarrtl 5 S, ALLOWNEDAUTOS 90@ILYrNJ11RYiParpeaorS-.$__ _ SCHEDl1LE15 AUT09 I i BODILY JURY Iae,seedau $.- PROPERTYDAMAGE HIRED AUTOS Per acadoru _ $ NON-OWNED AUTOS U6LBRELLA.LIAB OCCUR EACHOCCLIRRENCE $' .- EMCES§LIMB CLAIMS-MADE AGGREGATE $ Lam' @Eou&iBLE - $ RETENTION S s $ WORKER C�APENSOTIOh1 WC STATU 0 ANDEI<LPLOYEATUABILITY YIN. —.._ ANY PPRRAOPPRRiiETOi11>'ARTNERI I� E.LEACHACCIDENT $ xcwnm E 7 SOD, D E%ErWOMOFRCERANEMBER � N/A u $_805700-01—OS' /31/2012t 8/31/2013 (m6rixfatoryInNH) E.L_DISEASS-ZAMPLOYEE $' _ 500.r 000 tt yyeeaa desatbe under -, "3 SPECIAL PROVISIONS below E.L:DISEASE-POLICY Uulr. DESCRIPTION OF'OPERAMONS/LOCAMINS I VEHICLES(Attseh Aeaed let,Additional Remarks Schedule,if nwre spate is required) CERTIFICATE HOLDER " CANCELLATION J SHOULD ANY OF THE ABOVE DESCR16EP POLICIES BE CANCELLED BEFORE THE aCti70VJFr Emil Emildira tusti EXf9RAT10N DATE THEREOF,040TICE WILL SE DELIVERED IN ACCORDANCE WITH PO Bw 1080- ,y THE POLICY PROVISIONS.. �Lt;, INK026JS-1080 AUTHORIZED REPRESE1,ITATIVE Alt i 8XWI Name1w 17'8 3118 ACORD'25($OOB/aa) The ACORD name'enu I090 are registered markb of ACORQ 88-3aa9 ACba4 CORpOAATW N. All eights reserved. (�epoaiunaoazcaeal�l a Uv�a��ac�ccoeC� ' License or registration valid for individul use only �\ Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: ,QME IMPROVEMENT CONTRACTOR ! Office of Consumer Affairs.and Business Regulation oegistration: 14°4322 Type: 10 Park Plaza-Suite 5170 xpiration: ; 9/23/2014 ; 'DBA Boston,MA 02116 GROVER BUILDING+'REMODELING' j CAREY GROVER a ct c 56 BOWDOIN RD MASHPEE, MA 02649 y Undersecretary Not v d without signature •- Mussachtiscfts-.Dcp;utmcnt iif Piiblic Safch Board of Buildinl" Rehulations and Standards Construction Supervisor. License One- and.Two-Family Dwellings License: CS 77754 CAREY C GROVER PO BOX 1080 , COTUIT, MA 02635 �--�— -%� Expiration: 11/Q/2013 (bnunissibner Tr#: 7083 ET°wti Town,of Barnstable Regulatory Services * ]IMMSrasLE, y Mass $ Thomas F. Geiler,Director n;E►+"�0 Build_ ing Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder '--:5(1',CD ,'as Owner of the subject property. hereby authorize (� 'A lac-)/ ��OU 1°� to act on my behalf, in all matters relative to work authorized by this building permit. yW (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner, gnatur f Applicant Print Name Print Narnl Date Q:FORMS:OWNERPERNIISSIONPOOLS 62012 �tHMEr Town of Barnstable Regulatory Services ST" Thomas F.Geiler,Director Building Division TED MA'l a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ` DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF.HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109,1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Tbree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware.that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she.understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- k Map (�5 Parcel 03cl,`'Application#`d b(77 4'018 Health Division ?ft, Date Issued 0.1 Conservation Division Application Fee �t =t Tax Collector Permit Fee. ' Treasurer '7t � Planning Dept. wl' Date Definitive Plan Approved by Planning Board s Historic-OKH Preservation/Hyannis Project Street Address Village6)TuL6&�k t I F� Owner M �• m5kV+1-k Address &o . O sT Telephone. "10is�' ��Z1. Permit Request vA I" ► ry G W Q 1 6) Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District-� Flood Plain Groundwater Overlay ; Project V—aluatio-h U�. Construction Type +y Lot Size "?`3 S�� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. J Dwelling Type: Single Family ❑_ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other —, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing U ew sizeAlASO Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Swo If yes, site plan-review# _ _Current Use rg RCN 6 L ?4,ek II Ptr, Proposed Use IC- Room BUILDER INFORMATION- - - NameG04Tit 5//-0" e;;aw1/2 Telephone Number Address 7 ��Q�SS Ave - License# <lk/ivy -r6y- ) � D/C�a Home Improvement Contractor# !% e- Worker's Compensation#'­T 0_3137` el ALL CONSTRUCTION DEBRIS RE ULTING FRO THI PROJECT WILL BE TAKEN TO 1000, SIGNATURE DATE FOR OFFICIAL USE ONLY " APP!CATION# DSSUED MAP/PARCEL NO. - ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: FOUNDATIONfu� k FRAME INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ,. FINAL BUILDING M 166 leolce- IAl ?Ity, a - I _ /•fydry�,1!rA' `IQ1 r�G•r�/7/.`�JH,��!:/1A� DATE CLOSED OUT ASSOCIATION PLAN NO. , z ' : ; . The Commonwealth of Massachusetts '_ Department of Industrial Accidents Office of Investigations . . 600 Washington Street Boston,MA OZIII' www.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appi icant Information . Please Print Legibly Name(Business/Organization/Individual): . n V)L0 . S Address: City/State/Zi �tG��/'t �G I� Dl � Phone.#: Ase you an employer?Check the appropriate bag: : . :Type of project(required):, 1,ffI am a employer with/Q) 4. I am a general contractor and I 6. []New construction .employees(full and/or part-time).* • have hired the sub-contractors listed on the'attached sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- ` These sub-contractors ship and have no employees have 8. ❑'Demolition employees and have workers' working for me in any capacity. 9. ❑Building addition [No workers' comp.insurance comp.insurance, ' 5. [] We are a corporation and its 10.❑•Blectrical repairs or additions required.] officers have exercised their 11.[]Plumbing repairs or additions ' 3.❑ I am a homeowner doing ill-work . myself.[No workers'comp. right of exemption per MGL 12.❑Roof rVjairs insurance.required.]t c. 152, §1(4),and we have no 13.0 Other employees. [No workers comp,insurance required.] *Any applicant that checks box K must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. . tContractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.polidy number. Ian*an employer that isproviding workers'compensation insurance for my employees. Below is.the policy and job site' information. ff �• �� Insurance Company Name: l / / Policy#or Self-ins.Lie.#: �l o� Expiration Date: r� �d r lob Site Address: S � _City/State/Zip: LE/ 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 violat . e advised that a copy of this statement maybe forwarded to the Office of Investi ations of the 1) or' 1 anefcovArage verification. I do hereby certify nd e p ' s•an enalties of perjury that the information provided above is true and correct. Si ature: Date: — Phon AV 4 fftlol�o 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.ElectricaI Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i T"HEr Town-of Barnstable Regulatory Services * PUNA Thomas F.Geller,Director hiAss. Buffilincr Division Tom Perry,Building Commissioner 200 Main Street, Hyan iis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date . AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or constructfon of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work t�1M WV" k1 e, PYN' Estimated Cost �d Address of Work:! �L Q OLb _Py S� 1(J�(� - Owner's Name: 6 Date of Application: I hereby certify that: Registration is not required for the following reasons) ❑Work excluded by law nJob Under$1,000 Building not owner-occupied' ❑Owner.pulling own permit Notice is hereby given that: OWNERS PWJ ING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICAELE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereb apply for a permit as the agent of the owner: 40�,/z�A 0-- I A�r to Contractor Name Registration No. OR Date Owners Name Town of Barnstable Regulatory Services �g ITO& Thomas F. Geller,Director `BATE �A,� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,barnstable.ma.us Office: 5 G-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I'- 4 m t tit 411>"p , as Owner of the subject property hereby authorize e ,G �� i� to act on my behalf, in all matters relative to work authorized bythis building permit application for , (Address of Job) afore f Owner Date Print Name Q:FORMS:O WNERPERMISSION - � --yam vim..■ .. .vri■ a.. v■ �■w■a.■ ■ ■ ■■�vv■��■�v� 1 08/15/2007 PRODUCE.''(603)432-3666 FAX (603)432-6076 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lakesi6� Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One- Street HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Windham, NH 03087 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. INSURERS AFFORDING COVERAGE NAIL III INSURED South Shore Gunite Pool & Spa, Inc. INSURERA: Acadia Insurance 31325 7 Progress Avenue INSURERS: Technology Ins Co . Chelmsford, MA 01824-3606 INSURERC. INSURER D: - r 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. WSR ADM TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION . LAMM GENERAL LIABILITY CPA014 582 511 04/01/2007 04/01/2008 EACH OCCURRENCE s 1 000,001 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 2 50,00( ISF�S!F CLAIMS MADEFfl OCCUR - (Any one MED EXP(A Patson) S 5.0 A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ - 2,000,00( GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPlOP AGG $ POLICY X PRO- - 2,000,00( JEC7 LOC AUTOMOBILELIABILTTY MAA017724810 04/01/2007 04/01/2008 COMBINED SINGLE LIMB ANY AUTO (Ea accident) $ 11 000,00( ALL OWNED AUTOS X SCHEDULED.AUTOS BODILY INJURY = A (Par Parsob) X HIRED AUTOS BODILY INJURY $ - X NON-OWNED AUTOS (Per accident) . i� PROPERTY DAMAGE _ S . (Per accident GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E ANY AUTO . HOTHER THAN EA" S AUTO ONLY., AGG S EXCESSIUMBRELLA LIABILITY CUA017913810 04/01/2007 04/01/2008 EACH OCCURRENCE $ - 2,000,000 X OCCUR CLAIMS MADE AGGREGATE S 2,OOO,OOO A t DEDUCTIBLE --- S RETENTION E S - WORKERS COMPENSATION AND 'TWC3134266 04/Ol/2007 04/Ol/2008 X wC STATu• OTH- EMPLOYERS'LIABILITY ER------- -- ANY ANY PROPRIETORMARTNERIEXECUTIVE E.L.EACH ACCIDENT S 1,000,00o OFFICERIMEMBER EXCLUDED? H dyees,dasuibe artier - E.L.DISEASE-EA EMPLOYE S_... 1,000,000 SPECAL PROVISIONS below E.L.DISEASE.POLICY LIMIT S 1,000,000 OTHER IDESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS .. ERTIFICATE CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL s _ lO_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE IEF I., BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ------------ Joseph Rossetti;/GARS E t License or registration valid for individul use only! - ✓�ie t°o,,,,,,az,,,e / 9�u ��6�uae� before the expiration date. If found return to: Board of Building Regulations and Standards Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR One Ashburton Place Rm 1301 Boston,Ma.02108 = Registration: i05485 Expiration: 7/17/2008 Type: Supplement Card SOUTH SHORE GUNITE POOL& PfbA D BENOIT Not lid i t si nature 7 Progress Ave. g z.—ti,ram• Chelmsford,MA 01824 Administrator ^ ✓1L� Z/107X/l7LOOtl O� l�ll�4 . Board of Building Regulations and Standards Construction Supervisor License Licen e:kCS 56174 B�rthdate -3/16/1945 Expia on 3%16 2009 Tr# 10990 •:: F RCStEIctlonp RICHARD E BENOIT t W 54 CUSHING HILL RD NORWELL,MA 02061. Commissioner ' Fencing spec for swimming pool installation @; 420 Old Post Road Cotuit, Ma. Property owner: Mr. Kenneth Alsman //( Harold K. Alsman Trust) Pool Builder: South Shore Gunite Pools 7 Progress Ave. Chelmsford, Ma. 021984 508 962 0007 ' Swimming pool fence enclosure will be a 5' high, black chain link, mini ' mesh. Mesh size to be 1 1/4". inch (1143 cm.) w/ all horizontal bracing to be set on the pool side of the fence. Gate shall be set to open outwards, away from pool and have a self, latching mechanism located no less than 54 inches from the bottom of gate and at least 3" from the top and will be located on the pool side of the gate. The opening on the gate shall not exceed 1/2" within 18" of the self latching mechanism. In lieu of"audible door alarms on doors with direct access to the pool area in accordance w/ CMR 421.10.9.1 , the pool will be equipped w/ an approved power safety cover in accordance w/ CMR 421.10.9.2 Information of the approved auto safety cover to be used is attached w/ the building permit application. All fencing to be installed by owner: <+�"l Auto safety cover installed by builder. Both will be in place and inspected " rior" t filling pool. BARNS TABLE Town of Barnstable �99 Barnstable Historical Commission '07 OCT -4 A11 :05 �► 200 Main Street, Hyannis, Massachusetts 02601 - BARNST,B : (508) 862-4786 Fax (508) 862-4725 MASS. www.town°bamstable.ma.us 9� i6.19. , QED NUK A September 26,2007 1 Linda Hutchenrider,Town Clerk 367 Main Street Thomas Perry,Building Commissioner ,i Z_ 200 Main Street Hyannis,MA 02601 rQ :r Steven Cook r- Cotuit Bay Design,LLC 43 Brewster Road,Mashpee,MA 02649 Re: DECISION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7 APPROVING the application for DEMOLITION of a portion of the former barn located as follows: Location: 460 Old Post Road Co 7— Assessors map and parcel: 054030 Owners: Alsman and Scott Applicant: Steven Cook At a duly noticed public meeting of the Barnstable Historical Commission held August 20,2007, the Commission voted unanimously to find that the proposed demolition of approximately 180 0 / I sq.ft.to the rear of the former barn will not be historically or architecturally significant.-No public hearing will be required on the proposed partial demolition. The Board reviewed 1 for plans an addition drawn by Scott Design Associates,dated 11.01.06. It was recommended that five quarter thickness(of casing)and woven corners be used in the design. Sincerely Nancy Clark hairman QWN Town of Barnstable Barnstable Historical Commis&nOOT "4 All :05 �+ 200 Main Street, Hyannis, Massachusetts 02601 BARNBrA,B, : (508) 862-4786 Fax (508) 862-4725 BEAM � www.town.bamstable.ma.us September 25,2007 ' Linda Hutchenrider,Town Clerk ' 367 Main Street j Thomas Perry,Building Commissioner ° 200 Main Street ' Hyannis,MA 02601 : V1 Owner/applicant (.). m Re: DECISION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7 APPROVING the application for DEMOLITION of a portion of the barn located as follows: Location: 1011 Main St,Cotuit,Capt.Austin Burlingame House,Inventory CTB 94 Assessors map and parcel: 034026 Owner: Chris Cummings Applicant: Steven Cook,Cotuit Bay Designs Date application submitted: 8/15107 At a duly noticed public meeting of the Barnstable Historical Commission held August 20,2007, the Commission found that the proposed demolition of the left side of the barn at the above referenced location and the installation of a smaller overhead garage door be permitted according Q nn to the plans submitted,without a public hearing;the building is not historically significant. Sincerely Nancy Cl , Chairman Steven Cook,Cotuit Bay Designs 43 Brewster Road,Mashpee Nutter Patrick M. Butler Direct Line: 508-790-5407 Fax: 508-771-8079 E-mail: pbutler@nutter.com October 3, 2007 108175-1 Tom Perry, Building Commissioner By Hand Town of Barnstable 200 Main Street Hyannis, MA 02601 Charles McLaughlin, Assistant Town Counsel By Hand Town of Barnstable 367 Main Street Hyannis, MA 02601 Thomas McKean, Director By Hand Public Health Division 200 Main Street Hyannis MA 02601 Q (o L Re: 828 Sea View Avenue, Osterville, Massachusetts Gentlemen: I am writing on behalf of my clients, Mr. Paul D. Kaneb and eight other neighborhood residents, with reference to the present and ongoing violation of the Town of Barnstable Zoning Ordinance occurring at 828 Sea View Avenue, Osterville, Massachusetts (the "Property"). These property owners have retained this firm to provide legal counsel relating to activities and violations associated with the above property. On June 27, 2007, the Board of Health ("Board ") issued a Notice to Abate Violations to the.Property's record owner, Robert Spenlinhauer, citing a violation of Section 59-3(B) of the Barnstable Ordinances on the basis of direct observations and complaints concerning the number of ungaraged vehicles parked overnight on the Property. Chapter 59 provides in relevant part: "The maximum number of motor vehicles that are permitted to be parked overnight, other than in a building, at any residential dwelling shall be equal to two motor vehicles for the first bedroom in a residential dwelling and one motor vehicle per bedroom thereafter." Ordinance § 59-3(B) (emphasis supplied). The term residential dwelling is explicitly defined as "[a] single unit providing complete independent living facilities for one or more persons, including provisions for living, sleeping, eating, NUTTER McCLENNEN & FISH LLP • ATTORNEYS AT LAW 1513 Iyannough Road • P.O. Box 1630 • Hyannis, Massachusetts 02601-1630• 508-790-5400• Fax: 508-771-8079 www.nutter.com Tom Perry, Building Commissioner Charles McLaughlin, Assistant Town Attorney Thomas McKean, Director, Board of Health October 3, 2007 Page 2 cooking and sanitation." Ordinance § 59-2. In response to the Notice to Abate Violations, Mr. Spenlinhauer submitted a letter through his attorney, contesting the validity of the Board's efforts to exercise its enforcement authority and arguing that Chapter 59 does not apply to his use of the Property. We respectfully disagree. The Property, shown as parcel 001-002 on the Town of Barnstable Assessor's Map 114, is improved with a two-bedroom residential dwelling and a garage. Under the plain language of Section 59-3(B), of the Town of Barnstable Zoning Ordinance, no more than three (3) ungaraged vehicles may be parked on the Property overnight. According to observations and complaints from abutting property owners, as many as six, and on occasion even greater numbers of vehicles, have been parked outdoors on the Property overnight. The language of the Ordinance § 59-3(B) is clear and unambiguous on its face. As such, it must be enforced according to the plain meaning of its terms, construed in their ordinary and usual sense. Framingham Clinic v. Zoning Bd. of Appeals of Framingham, 382 Mass. 283, 290 (1981) ("Where the language of a statute is plain, there is no room for speculation as to its meaning or its implication."). As a matter of well settled law, absent some ambiguity in the relevant provision of the Ordinance, the legislative history of its enactment has no weight or bearing on its application or interpretation. The persons responsible for drafting and approving Chapter 59-3(B) "must be presumed to have meant what the words plainly say . . .". Id. In summary, Section 59-3(B) clearly applies to the Property and is violated any time more than three vehicles are left parked overnight, ungaraged, thereon. Please feel free to contact me should you have any further questions or concerns regarding this matter. We understand that citations have been issued for the foregoing violation and that a Magistrate's hearing is scheduled in the Barnstable District Court on October 11`h. Please be advised it is our intention to request permission to attend that hearing to insure the neighbors' observations and complaints are fully understood. 1 Tom Perry, Building Commissioner Charles McLaughlin, Assistant Town Attorney Thomas McKean, Director, Board of Health October 3, 2007 Page 3 Please contact me if you have any questions. Sincerely yours, atrick M. utler PMB:ds cc: Albert J. Schulz, Esq. Thomas F. Geiler, Director of Regulatory Services 1661741.1 oI Nutter NUTTER McCLENNEN & FISH LLP •ATTORNEYS AT LAW 1513 Iyannough Road• P.O. Box 1630• Hyannis, Massachusetts 02601-1630 Tom Perry, Building Commissioner Town of Barnstable 200 Main Street , : t 1F -- i10 Hyannis, MA 02601 0 1 TOWN OF BARNSTABLE BUILDING PERMIT AP LICATION Map 194ru Parcel Permit# © Sa Health Division ��? Date Issued ' Conservation Division 1 ` Fee �`7 -®� Tax Collector thA Treasurer � �' lZck SL 1 INSTALLED 0N COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board J " ` to^'' ENVIRONMENTAL CODE AND TOWly-REGULATIONS Historic-OKH Preservation/Hyannis r t Project Street Address a t--O POST- Z� Village t-� • t _ i , Owner u L r Address6t. 1 1 P ®�+ Telephone l Lc c; t ens?ic �©,;JA '9 n� ff ,,/ 3 Permit Request Mcu;7,n2 /t-s TI" c ,r Ok pc3grli ct ct"VQ htLJn L E', o z Square feet: 1 st floor: existin 1 Z t�� proposed ffl 2nd floor:existing 4 proposed �SU Total new l S- q 9 ' p p 1�� .9 --�2 p p Estimated Project Cost +. Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ��� Historic House: ❑Yes to On Old King's Highway: ❑Yes 2'go Basement Type: ❑Full 1Q c;rawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing JC2 he new Z First loor Room Count L4 Heat Type and Fuel: ❑Gas ,edOil ❑ Electric ❑Other • Central Air: 0 Yes 4pe Fireplaces: Existing New "Existing wood/coal stove: ❑Yes /No J Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:0 existing- ❑new size r Attached garage:0 existing ❑new size She ❑existing ❑new sized Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial. ❑Yes CVo If yes, site plan review# Current Use �' Proposed Use s BUILDER INFORMATION I> Name 19mft4:> AA)All Telephone Number Address/ " License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY - MIT NO. - ISSUED . MAP/PARCEL NO. ADDRESS '= s_ —VILLAGE � =' OWNER DATE OF INSPECTION: `y FOUNDATION !DAL() FRAME '* INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL LUMBING: ROUGH FINAL {' .r GAS: ` � ROUGH � C� �y FINAL' �`», r_ , > 4 � _ • FINAL BUILDING. DATE CLOSED OUT rJ 'r } ASSOCIATION PLAN NO. 1lII' — LINDA--CXM y - ------------- ----------------------------------------------- __._._._.—._'_'_--._._._._._._._._._- KEN ALSMAN I I PALO ALTO,CA. 460 OLD POST ROAD I _Me�aaaJ�re COTUIT,MA 06235 h- ors -----'� EkI5IIN0 I NQUSE I I ---------------- 1 . t I I n FOUNDATION PLAN i='® , - - �............... .........._._....._....... 1 I i I ; i I .. I I I ....... _..... _.... .... I I r I S e ENENtQVNsazccy - � j I I J y I w� I Irtiar _ a oaNslmc.iw uulre--! �•�S I ,I�e I � I Eleva roar � '� . j— :y. Il p S C O T T DESIGN "-"-'----' ASSOCIATES j I I NEWMOM I i I u„nrec °1 I awn BATtlP09M I eb.b seaeteuiems v I I I i I e4eoo r vnJsr } Hcwoa,alew�wo+cos _L� .....ve•ro rl PROPOSED FIRST FLOOR PLAN le Jung J09B pu6iic Health aivisi®n A-1 Town of Barnstable C����� ��� ''� °-- -- ---- �- PO Box 534 Hyannis,Massachusetts 02601 79 Fax(508)775-3344 Phone(508)790-6265G lie Commonwealth of Massach tts Department of Industrial Accidef _ _ Office of/nsestigatians -to 600 Washington Street Boston,J• Mass. OZIll Workers' Compensation Insurance Affidavit name: i location: city ZZL hone# ❑ I am a homeowner performing all work myself. �111111111=1111elllYlpll?l��e I am a sorietor and have no one n'orkin in ancaacity%% %/%%/% %% %�//%�/O��%%%%%/%%%%%%%//%%/%%%%%/an r providing workers' compensation for my employees working on this job. compnnv name address: city phone#: insurance co. noiicv# �I am a sole proprietor, general contractor, r omeowne ircle one)and have hired the contractors Iisted below who have the follo«ing workers' compensation polices: company name: address: Wd dtv phone#: insurance ca. oiicv#.. _... :.,::_:...,,..:.. company name: •:.:;....:.....:._ address: .- city: ... phone#: :...: :.... imuran cc co. ;::. .:. ' oliev# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one,years'imprisonment as il as civil penalties in the form of a STOP WORK ORDER and a 6ne of S100.00 a day against me. I understand that a copy of this statement ma a fo ed to the Office of Investigations of the DU for coverage verification. 1 do hereby certify p and penalties of perjury that the information provided above is true and correct Signatur Date Print nam XPhone official use only do not write in this area to be completed by city or town official city or town: permit/license# Mudding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (rrmw 9i95 FIA) *Information and Instruction Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contr-.:-. 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 P P � rP g the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: c: trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renews: 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,neitherthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. IS The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Of(tce of Investigations 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 °FTHE A ` �'l► Whe Town of Bar able • a�:rrsr,�,E; • 9q� NAM ibs¢. Department of Health Safety and Environmental Services �A � ?Ec ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. t Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:_New B QrH}ROO rUl, eE ago DbUr rl Estimated Cost Address of Work: COLA Po i.f' 2op,-p Cc-Tw Owner's Name: +�Rcn.D �1�€w) A.�.SrtiA►J $ t.iNDA Sco-rr Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied .-�wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY 1 hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date I er's Name q:forms:Affidav MCURAppwdi:/ . 1 ?ahiaJSZ.lb(eo�aned) Ptveriptive Package for dne and Two-Fan*Ruidmthd BoiWlap Sated with Foaar2 Fuck MAXIMUM MBVIMUM Ca ag Gteaag can WISH Floor Botemmt Slab mmd*C0Oiiug Arm'(%) U values R-value' R value' R-valmJ WaH paim= Eq°Pmm EMdmq' page &vaw &value' 5101 to 6500 Headng Degree Daw Q 12% 0.40 3E 13 19 10 6 Normal R 127s W2 30 19 19 10 6 Normal S 12•b 0.50 38 13 19 10 6 M AFUE T 15'%i 0.36 38 13 25 WA WA Normal U IS'yG 0.46 3E 19 19 10 1 6 Normal e:13749 mot ►IA is AFI7E W 13% 031 1 30 19 19 10 6 iS AFUE X IV/. 0.32 3E 13 25 WA WA Normal Y 18Y. 0.42 3E 19 2S WA WA Nomral Z 19% 0.42 31 13 19 10 6 90 AFUE AA 190/4 0.50 1 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: q(0o ow 7aT �nA-T� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: Zeno 3. SQUARE FOOTAGE OF ALL GLAZING: Z� d/ 4. %GLAZING AREA(#3 DIVIDED BY#2): `o 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL.- YES: NO: q-forms-i980303a 780 CMR Appendix J . . ►, *� Footnotes to Table J51.I b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors,. skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 W of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between J � on Vf the IvvA. the conditioned Space JUJU uic vcuL11"GU YVl Ll `Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fimrne or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements:are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and.do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). i �1 `k 43 Ta mil= ' Paetra4o for One Baal TwaWasoiilr ujUbq goad with FosW Fuck MAXVAUN MQIIMIIM Glazing 011m1 Caliog Wau Floor Basemmc sLb 8emi"atcoolia8 �'(%) U•value; Rrvalra� &Valuer. &Vabxj Wall F� Elfc� parJcase zVoluot &vatu� $701 to 6500 Heads;Deae+ea Darr+ Q 12Ya 0.40 31 13 1 19 10 6 Normal 1Z 12% 0M 30 19N25 10 6 Normal s 12•b 030 31 13 10 6 iS AFUE T 13% 0.36 32 13 WA WA Normal U iS7L 0.46 31 19 10 6 Normal V 13% 0.44 31 13 WA WA 1S AFUE W 15% 032 30 19 10 6 13 AFUE LAA 19% 0.32 31 13 WA WA Normal 19% 0.42 31 19 WA WA Normal 13% 0.42 31 13 19 10 6 90 AFtJE is% 0.30 30 19 1 19 10 6 90 AnM 1. ADDRESS OF PROPERTY: Ik,4n L�©ST /ZUf�D r _T Atf�- 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. ZA o 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a Footnotes to Table J5.1100 assemblies incl• sliding-glass doors, siyi; tihis,`a� d Glazing area is the ratio of the area of the glazing ( g basement windows if located in walls that enclose conditioned space,but occluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fe of glazing area. 2 After January 1, 1999,glazing U-values must be tested and documented by the manufacturer in accdrdance with the National Fenestration Rating Council (NFRC) tat procedure, or taken from Table JI.5.3a. U-i aiues are for whole units:center-of-glass U-values cannot be used. The ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness.over the exterior wails without compression, R 30 insulation may be substituted for R 3 8 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19'requirement could be met.EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-flame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-flame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned=wispaces,basements, or garages).Floors over outside air must meet the ceiling requiremem `The entire opaque portion of any individual basement wall with an average depth less than 500/6 below grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements•are for unheated slabs.Add an additional R 2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3,4,or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest ien required b the selected e. efficiency must meet or exceed the efficiency requ Y Pig 'For Heating Degree Day requirements of the closest city or town see Table JUL I a ROTES: 11 a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value U-value rating for that door is not available,include the in Table JI.53b. If a door contains glass and an aggregate g glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more area with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 • he Town of Bar table TM� a Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 059. D MA'1 A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION / Please Print DATE: --/y iy y JOB LOCATION: P s, j /2,k 1 --P a C—zj7z,l �— num/ber_ _ / street village �,p' "HOMEOWNER": �f7�(Lf'YIiD jj .f/��emM� r 37 56-- ZD`2 �— a0 yZU name home phone# work phone# /� CURRENT MAILING ADDRESS: 2U 2AUe4.4 J! ST— Rzlft-C7 +e,7Z) V-24d � city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,Provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such . "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildh +Uermit (Section 109.1.i) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned" meownee'certifies that he/she understands the Town of Barnstable Building Department minimum ' ction ocedures and requirements and that he/she will comply with said procedures and require Sign of o caner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS: MA" - a THE t°� • • The Town of Barnstable • BnFwsTnat B, • ' �0�' Department of Health Safety and Environmental Services °'Fo 0. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date U 2 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:AU / /%1 h� _yam - Estimated Cost ®` Address of Work:_/ [o ff) e2Z42 AQ!57- Owner's Name: Date of Application: J(a�F 7W °p9' I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 E]Bujldffig not owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date C r Name Registration No. Date wner's Name q:forms:Affidav � , r7 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ; Map 05 1 Parcel Permit# Health Division ,Wd 3 fer Ar6o-Yi Date Issued •3— 10-03 Conservation Division,/ • ZZj Zyo3 Application Fee Tax Collector 7 ®'1 Permit Fee Treasurer 8 W03 157713 SEPTIC SYSTEM Mus"Ir BE Planning Dept. INSTALLED IN COMPLIANCE VVITK TITLE 5 Date Definitive Plan Approved by Planning Board 31;, EN}/RON1112NTAL CODE X',E; Historic-OKH Preservation is 0 k-,4n T- Ls T01PLIN REGUL'`'r1^ - e� k Project Street Address �7�0 � � '� A'$ Village Owner �ji il✓!®�` &--J1 9�ew- Address wD���� Telephone �— Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing " proposed 200 Total new I I_q.), Zoning District Flood Plain Ala - Groundwater Overlay Project Valuation co- Construction Type •Gam' Lot Size 1LS Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. -Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure q& Wgx&1n - Historic House: ❑Yes 0 On Old King's Highway: ❑Yes ONo Basement Type: ❑Full D Crawl ❑Walkout ❑Other ':51M �,11q r � �5_ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new — Half: existing --- new - Number of Bedrooms: existing - -new Total Room Count(not including baths): existing - new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil D Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New -- Existing wood/coal stove: ❑l�Yes �fQo Detached garage:❑existing ❑new size Pool:O existing D new size Barn:Ule`xisting krnew size 36-1;24-;1- Attached garage:O existing Cl new size Shed:❑existing ❑new size Other: sc Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 8'No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number cc Address r gyp , ' License# Home Improvement Contractor# 5��g2 Worker's Compensation# �5 OUW 5o9-�a2 .3-zQ. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE La,3 FOR OFFICIAL USE ONLY i.y PERMIT NO. DATE ISSUED /' � .ice. � ��� •r" G. 1 �.. ,- MAP/P�RCEL NO r fry � f. `•- ADDRESS l LVILLAGE OWNER I DATE OF INSPECTION: FOUNDATION OK 4-ql FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH i FINAL GAS: ROUGH r ' FINAL t FINAL BUILDINGO III}°1 �. f e 1 t� •' � : r J `� ` � , DATE CLOSED OUT / } ASSOCIATION PLAN NO. A I � � } 1 ' RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 e� Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= , plus from below(if applicable) (attached&detached) 13 J,f Lsquare feet x$32/sq.ft.= 6j 0; (,83 _x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable), 13 Permit Fee l S- 7 The Commonwealth of Massachusetts --- Department of Industrial Accidents _ — Office ofln�esti9ations . - 600 Washington Street Boston,Mass. 02111 Workers' coxillinensation Insurance Affidavit name: ! hone# city ❑ 'I am a homeowner performing all work myself. ❑ I am sale r rietor and have no one workin in ca acl i�ia�i�iiiiiiiiiiiiiiiiiiiiiiiir�iii�ii�iiiiiiiiiririi��i�iiii��iiiiiiiiiii orkers' com ensation for my employees working on this job.:+>:•}::t.;J:: :;.::.}:.}::}:; :: :::;::;;;: ;t;<::::;::::::::;;;:.: ?; em 1 er_ ravldm w P :.>•r::::..::::.::::.:::.:.:::..:{:{.::::: {.:::}:.:•�:«>..::.,.... f...,....::.;.._. am an g ::•:::::::::......:{....,.....,.:n..,.::....r................v...... ::;:.}:.}r:;>:-Y::R?:; ::::.;:.Y}:.::..- ... ..f.... ...n... .....v... ....n... .....n.. .. ........::r:::::::::::::::.::.•n:L:.:t•}YJJ'..v:.: .r :..... ,v:t•::•:•{.v::::.Y}}}''.••t•.:. :.;n.:::..;..:.,... .....r. ..... ....... ......... .............. ... .. ..... .........::::::.v::JSi:J:J::. •• .. .::Mv::r n:vr::•.W::•.:.;;n.{:::':ri}nv:.?•.. {:t;{:.t;.;�v..y:{:.:}•??+tiri:} ..:..........�.:�:....+....•:v:.:,:......... ....v:.:......n.....v:•.::..............,v:... .. ....y:::r ..... ,lv.v;: ...............:::::}::' f: ..f..... •.�{}{••:..n.r::,{'Y.y::j.:;}•}:t}. •::.v:n•..•nv:;,v:}:. r..v.,..• .vn..v:, .:..... :.. .: ::..: ...,v:: :.:: :: {*:S' %:•:}y 'n•r:: - :?•JS:4:LJJ:?::jC:}?:: P(BRIB.......... ..:::.::::......}.:.:::::::::::. :..............;..:.:.:::.:.......:.:.;:::c::i rt:;r::SS;?:'::•:...... v:.....:y....:::.„... .coat sn . .................::;:::::.............::::.::_................ .....:......... .....:::..:,:::.::•. ..................... ................ ...v..... ........... ...n..............v::::::::::n:v:::; ... •::::::::R.:{:::.,y.•v•.tv.v:.v•v:?ti?y},'.>,rjtvh\j:kv:::iiJ:{::ir•:i ...............:.:..:::.v:::•v:.w.......•:r:•:vv::::vv.••v:::•:::::.::::.....:.......... n.....- :}::•....,:........x.•:......•,. ... ....... ......... ........ ...... .. ..............:.. ,:•v:;;,,•.v:..• v•:J:^}:{?QJ:•J:?v.v.......,.n,v. .. ,'•=:.:..J}4,•.�i'ti:{}:iJ :�:<� ... ....... xn .............. .:.v.v.:::::.v:p;{•:{•}J:•.::v{+r::w::.v:..v::.v:nv.:..... ............t^:t;t•}}}. y• ::•::Y:t' {��� .'>;.`:':�:::�:C?'::::i`�i:�i:>,:;:iy;:;`;:i::}iJii:'vii:i?J.?:i�::?:i:i':!•iii:v�:i:i:•}J:?{;-0:^:•J:;•:}:.v:::?:v::::;::w::;::.:v:.:n..... ....:......... ..... :�:;.::::::.:::<;•J;}}}}:}>:{:•Y:::}}:::J:.}ri:•:};S:•Y;i:•:;:t;JiYYr:{:}>:•is�.....::..:.y::.:::...{.J}::•J:::n.:::::,;::.}::<:t•Y.•:;f::.:.:.:•Y}}••; ..:.. ........... ....... .. ...........r.... ....,.., {�f• ...... .:.:".;;•}:}:: .::: :}:}}:•}::.�:v tv:::;.v:::•}:::::... ::.p?v u4::�:�'r:ti�:r:}iti:�i ..:•::::•:......:::.:::.• .... ... •:.:v:•: ::........:...:................:::::::::::::::.v:r.:::.:.:v:•J}:{•}Y:�'•}!:•:�:•}}:<•:{:i}}:�J:ti•JJ}:•}•?.,;;:::•.tY;:L;•:•}:::1::•i}:�v?:•: �i ?>:•:}.:.: ..... .. . ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who _ have 0 rkers com ensation olices: ' }yf:;; {.} ..<:,: :}<�} . w• ?`;<' e followln P ...........p....,•::............ ..,,............r.........n.......................::?,.........:.{•J:•;Y::::::.;;:::.}:•Y};J:.J:;::J:.}::.::•r......::::t;::::.;....:.{:Jn.}.:•Y ........... ,........... .........,...... .. ............ r.........:. ..................::N::;:w•.•• ::•:w::::r:•:••.n•.....•::v:::m:.v:w;;,•••••-••:•;•:::::;.v.v,r:.::....>.Y,..:.,-:;•,.L;.; , :}'}�;: , ........ ... ....r ....,... .............. ......r.......::•:•:::::::::.�::::::tc•:::.�: .:.,•: :.,. ...............1.•Y„}:tt•.t•r:.).:.. ';{:.}};..,!...:i:i}.•• .......:........ ...rr.................. ......:....... ... .. •J: :::<:.;J:a::•::::::.:}}:•:;•J:t•:•:::.�:::•r..::.?}:??•J:<•JY:•:::::::.:.:...•• ,::.�?•Y:•J:•J:•:::: r..::.�{.:::.;.•::tt•:;t�•::.}•;}�;...:.;.t. •J'•i:;•::::::::::::t:v:::::,:•�::;?•+i:::vrr•:::.v:::.v}:}:...............:.......n�•.v.v::::::::r:}t,„, n...v.....,.:.v:::::.............. .....n}}...{yvJ:{•:•Y%fv• .... .... :::::.:...........::•:. .... .r::�:wr?•}}i'v.v:n...,, ................::::..... ......••.... :.{{L{.}J�:{•:t^:i•J'J+'::,i ' ...... ....... .r.....r... .......... .......:.. ........ r........:......:.:.;:.}w:.,v....;:vi:Y.LL:•JJ:..........- ..un�:ryRtv't•J•::hv...... .. .......�..:.... n....... .....:...., ....:t.}:•}:.....v:: ............ .....f:•}'Yh:•:i{•}}:•......v.:....•.. •...... .+ :.,l.}:L?y:,:•¢;•. ......... .................................. .r....:.......••....v.....n....•• ..,............. .....r.....,n...v::::•::::w.::....t. .................... .Rr..................... v:f::d::�v:v.:n;.}.'?„�•J}.0::�•:'L2:::.a.......v. .................... .:.............r........n..:........................rn• .... ...f..._..:v.:v........... r t.;...,..::::.v::::tn;.,v:.v........ ::::::•::.....:.:.:..:•r {.}}new:.;:.••::•:}}ii:•ii:•;ri:{y;;::. ,�........ ::::::..:v.:::.::::::::::..........:.v::......,..................::.::n...,.....n..:.....n:............ ........... ........... ....... .....:.::..:..:::...:....:�?'•:::::::::::••:i:.}.:;...,.:.Yi....:�r...... .....,..... ..};r::?;{•:}JJrJ+::.1: :-.: i•tf'Y t'Sa;r:'} • ... .....................::.............:....v...........,•:•::....f.. .......:•:. ....:,::... .,`:::::::.:{v+}:.n•:�:r.....,::+.L{•:;.�;}•}::. ... .. .......,v:n,i$:}..••:x�QLri...a%.:��k ........... .......n........• ............ .r........... r.v.........•:•::::.vv.n\. .....f..... .n. .....>::Rv::.v:::.:..{f{•.iv{•:Y:R::+;•::�':Y;{;;ii.;::.:, '+:L::,::.: ....... ...... .......:........:,•.;..••:•...............::..:.........,:::: ..........:.... .r. ..........t :...........:•::••:::.;.....•v,::;::ntt^.:•Jn•:.vx::::i;v:f::::.. ................:..................:...... .......:rr.............t................. .r..i... ....::::b}:•::.............. .... .. ..... ...... ....... ,.... ..............:::::::::::::•:::::�:{t•J:.;;;•:.}:•r;•;{•}:��:.}:.JJ:c�SYJ::??eJ:�}:•}}:•:•JJ:.}}::•JJ:::J:i:•i::�::;'�::5:•}.;;+ • .r.r........ ..............:::::::x::.v: v.....•...,..n..n...................... nn.,........•• ., ...............:..:...wntw::::;;,,v,, '. : ....... :....................R•t.i•.}}}}:v.;t,..:.}:nv::;:;•n;.;;.�C,.....•::..:na:q:{r}:L:, ..�{;:. ::.?vn•.:v:::v;Y:v v.v::n:vn:';•:::,vr:r:•:r.<•:}.v:::..w�:::•:r.4:x.::....: R:....,...r...:•.:..........:t•..t.....f...n,...•v::::•..n.,r......:w::.:•:.w.v,:.,.. .;.rh....... ::::?:{ry;�:nv:. .����...:..•::::•....:..... ....... .r.r... ........ ...............v::::::::v::..,. ...... ........ ::::.J';::J:•}Jl;Yi::::w:::.v::..n:•:v.i'}:::::.....:::::v:-..,v x{).,v...:: .••,,jj ........ ........... ....... ........ ...,..v:::::::r.......:.:.......:.. n....n•<w::;... "r:4J}J+:•v.{r m:::?.:,F.:v:.v:.v.:::y:::::{r ....... ....... ........ .....r... ........ ................:r:v...._... ..:. w:.... .,.........:•}::iw:;:::;:•J:^:?'•.;, :•::A':.':�i'nviii}J::.,,;.;{...n,.... .........................n..•;•.......n........,;•• ...........:...n:.............n•, v...v........{...............,.....v:v:v::n.. ....>.....n,. .:{ij:"�:::'::nf:".'�,.......•. ::.iY.•I,L:v:}"•�}r� •..vi.::Lv:. ..<:.........n.• .........:.... ......+, ...,......................n....•:....r..r..Y........ .. ..,. ...... ..r.. •$ :.:::i!•:•.w•r•.,;yf•::wJt:}....;.' �Y,,. ::..., .. nv..............• ............ ..... n,.n.rr.{•::::.:...n...}.:. :.......{:::::}:.:{•}:•Y:•i: {v}�:i'`•:•JXSti :;F' Y •.... .......... ......r.... .........n... .. ....:............. ............. .... •::::::.YY:•Y:•Y}::•::::::,......,•;•}::!•J:•:{.i:•}:??•:;•J:<.:..�::::;.;.;},... :inaizranee::ea>;:::;<:::> :<�rsY:;.:;y}:•:;•J:•;S;.:Y:J.•J:.:::::::::J}}S:?.}:•YJJ:•: .....v............• .:..}:.}}:•}:•J}:•Y:-:.i}}:ii?;:ir^:i::}ii::i::i:::ii{:j•i:;Ji•:i:Jri>i::::?:v:::{r•:. .. .:>::.{i:i:i'i:}::.:. F..r....... ... : ......... f...............r. .. ......... ............ ......... :.......v.n. .........r... ........... ......... ........:.......... v..xn+v.::.:{:.n:: ......,n}:.;;y:R.:..,v:.v:,4....•rv:•r..;ny};.}•::.. ............ ........... .R................ ..............v•;.,....... ,..... r..:4::.v•:::::...:::::x.v:4.:•::•.•nV:]:i•YA}$::•Ti:•iv`:•Fii:•}{wrr:w:•::;... ... .. ...... ... ... ..' .:::.v•>•:i•n{•.:+v:uv:. v:n::t•:t}Y'f,Ri:t�:�}yr tiJ:::i�:t{{;:yt�:?:::1:: .. ........h....::•:........................ ..:.:..... ..R'JJJ:�:{{:;ii}:�i:•..::y„:+:i:.....:.::.....::n:l;:.::>riii::}.v.ti.{..:: ......... ...................r... .....r........ ........... ...::••r•....:..........t•:::.J:•J:.;n�::... :..:..:..�::f::{::.}:•J:•Y:.}.�:::... :.:::..�-•:J:•J-.:.r:{}..:•:.Y:v>{......,..:.:.;,,::o�,};„ 'd€t ................. ;i}ta::::is»::�:s:•t:;:<:#::ice �::'s;:;{;�,:r;;;;::t;::<:::>;<:::•'•h }'y} .. ... .._.. ...:..:.:......:x:::::::v:::::ii:::>n<:{.ia4J:•i::iii::i:...:.i......:...{k•:}Y.'rt4.......:...,•::::::.,.........:...Y ............{:.. .r... ....r.. .n..t...... ....... ....n........:.•n.::.. ........•• ...::.,..1f••.t.. •:{..:::.�;{.... ,.,:...:. • : .:.. ,.....:r.:r::•r>.t.:•::::::::::..•.,:. :}:};;��:<>s::. • ...............:}..e.......... ..........t...}......v:.v:•.v.::..••:::::;:,v:•}n?.....::.vv::�:v:n......n..r3:,....:.:,:.;::::::'-{;.4........v•::.� � :. :::.•:.v:.v:::n......... ...:.:....::..:..: ............ :�n!IA'T8'l2CD:::C'OS3:::;;::i;2•'t`::•r.� 5i:':;1�::;<;: ,::?:;';`;::;::t:<:J;::;::::Y:;::•:;<:��:;<•}r:•::::•::•.�::,.:•:•:,;.:::•::�{.:;;•}:.::�}.::•::::. j�i. ' Fafiure to secure covers;e as required ender Section 25A of MGL 152 canlead to the imposition of erlininal penalties of a fine up to s1,500.00 and/or one years'imprisonment as weII as dn1 penalties in the form of a STOP WORK ORDVR and a fine of$100.00 a day against me. I undersfsmd that a copy or this statemeatmaybe forwarded to the OiSce of Investigations of the DIA for coverage verification ; I da hereby-cerfifyu he pains and- enalties-of-perjury that the-information-pr-ov-icier-abow-b ir"d-6ir — Date Signature r :Phone# Print nAV ame official use only do not write in this area to be completed by city or town official 'permit/li. e# [3BuiidingDepartment city or town: ❑Licensing Board ❑selectmen's Office ❑check if immediate response is required OHealth.Department phone#; ❑Other ' contact person: , fr.uivd9/95P12J � ••+• • Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law', an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. defined as an individual, partnership, association, corporation or other legal entity, or any two or more of An employer is d P receiver or the ie al representatives of a deceased employer, or the r the foregoing engaged in a joint enterprise, and including g ep er the owner.of a ... trustee of an individual,partnership, association or other legal entity, employing employees. Howev 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 onthe grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neitherthe' comoron political subdivisions shall enter into any contract for the performance of public work until wealth•nor any of its acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. - 4 Applicants Please fill in the workers' compensation affidavit completely,by checldng the box that applies to your situation aril supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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 retained ed to the city or town that the application for the permit or license i being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law".of if you ep • . are required,to obtain a workers' compensation policy,please call ttie Depaitmirit at the number listed below.: City or.Towns • .. ..,,.,•'.-�*ram' 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. Ple�se,A be SUM to fill intlie.pemutjlicense number ivhichwilLbe used as a reference number. Tlie:affi avits maylie'r ain the Department bq mail or FAX unless other arraageriaents have been made: .n. _..•+ev ank you in advance for you cooperation and should you have any questions. The Office of Investigations would like to th please do not hesitate to give•us a'ca. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents _ amce of 1nYesiigatlons 600 Washington Street -: Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 - tHE l Town of Barnstable �O(r °lyy Regulatory Services BARNSTABLE, " Thomas F.Geiler,Director 9 MASS. �AIED►M't Aim Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied a one but not more than four dwelling units or to structures which are adjacent to budding containing at least o g J such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost SCL'�7 Address of Work: Owner's Name: /° ,� Date of Application: — I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied El Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 410 /6r� IhAw e Date/ Contractor Name Registration No. OR Date Owner's Name Q;forms:homeaffidav c RESIDENTIAL: SHEDS -POOLS -DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ lea • Q:forms:dkcost eff:082301 L Mar 04 03 01 :37p Scott Design Associates 6505581113 p.3 rJ-J/n4/labj 15.56 5H84%7H7K7 GROVER MCFLNCNY PAGE H1 Tows, of Barnstable Ikegulatory Services &U%avereIM NAM �hotnau ',Getter,Director J Building IIivxsiiC4 Tom ferry, Buiid►:sg Commissioner 200 Main Street, Hyo-vnis,MA 02604 Office:. SH-862:4038 Fax: 508.790-6230 Propczty Owner Must G.,mpllete and Sign This Section If Using k• p�txs1de;� r flamer of the s4,bim propeny / ac on my behalf, in a;l tllattets relative ro Wp c authariaed br+,faia building pemra:t }n for(address of Z Si Owner L1 r lc�al c QIti IrDIC.t �. (S,y- Y Print N'2.nm ---- 1 03/07/2003 ' 10:40, 50856462'3 JOHN J MAURER INC PAGE 01/01 ah.J. Maurer, Inc. Quality Plumbing, 17.1eating and Air Conditioning �bsj:cr Plumber#7824. Maswr Gasfittcr*3639 March 7, 2003 Bamstable Building Depa=ent 200 Main,Street Hyannis,MA 02601 To Whom.It May Concern; Please be advised that clrere is no gas in the shed that is to be demolished at 460 Old Post Road., Cotuit,Massachusetts. Sincerely, John J. Maurer 1 r mra i JW,BOX 180•CATAU.MET, %SSACHUSL?TTs O'534 (508)563.3918• PAY(506)$64.6223 03/06/2003 • 00:10 508477714.-, R GOOK JR ELECTR PAGE 01 RICHARD J ., COOK JR . ELECTRICIANS, IN (. . 135 WEST - W:. Y vlt3SHPEE , MA ti2649 1 - 508 . 477 - 6564 i March 6, 2003 ` town Of Barnstable 'uWg Inspector �yannis, MA RE: Grover and MMcElcieny Builders Dlear Building Inspc-ctor: The purpose of this memo is to state that upon an mi spection of the ptopew at 460 Old Post Road in CDtMjL MA- there is no power going out toy the garage. My Electrical license number is E25302. Sincerely, Richard J. Cook Jr., President Richard j. Cook Jr. El eians Inc. II . BOARD OF BUILDING REGULATIONS. License: CONSTRUCTION SUPERVISOR Number: CS 077754 „? Birthdate: 11/22/1957 Expires: 11/22/2003 Tr.no: T7754 estdc To: 1 G CAREY C GROVER _ PO BOX 1080 ,� : COTUIT, MA 02635 Administrator 't i ,,� lie i�ooivncovz� a�`, llcaksac�ivaella Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 131892 Expiration: 10/4/2004 Type: DBA GROVER&MCELHENY BUILDER �AREY GROVER 56 BOWDOIN RD. � u.� MASHPEE,MA 02649 ♦a,,,;.,;�.er..r From The Workshops of COUNTRY CARPENTERS, INC. ENGLANp ST 1 BEAM B131 rr rim .3 ,ti51 r+-+ -t--.--e�.�-•Tr-+-� '_.��.-�. -(.e,�---.-�-� r--+-•TAP.'^!--c S.-�v,-�-..—�� - �� _s��.�- ti• .-..ham�-A-'`^���"� �1 ','T---•,'•r J - rr,�.,^ �-,era-�L-�f .'�. r^•'�7--i' �=_1 - RIGHT ELEVATION SCALE: 1/4" — 1/0se i . COUNTRY CARPENTERS, INC. FRONT ELEVATION SCALE: 1/4" = 1-0" 1-1/2 STORY BARN 36' FRONT 22' DEEP 10/12 PITCH ROOF PAGE SCHEDULE 1 FRONT&RIGHT ELEVATIONS FOR: MS. LINDA SCOTT 2 FOUNDATION PLAN 460 OLD POST ROAD COTUIT, MA. 02635 PH: 650 558-1113 3 FRONT&RIGHT FRAMING COMPUTER FILE B 12-I - 136-S-HO CT REG Q 523020 DATE 03 Dec.2002 COPYRIGHT NOTICE SNO o._` N c n�wawAax owwEn ACNND911FDGE5 THAT THE PLANS. 4 LEFT& REAR ELEVATIONS Y77'' R ��0. uTnNs,6Fsr11s.wo DRAwwrs a mu1NRr cuaEmrns NCORI'ORATETI ARE A•Or ro ee IUD er ANI PER5016 DINER 11UN 5 LEFT&REAR FRAMING IHE PURCWar•A/01YNER AND TU7 Such DOCUMFHis ARE s % MMH w1D1Ec1m�THE mvmxalr vuEs a THE uMIED macs ml COUNTRY CARPENTERS, INC. DRAWN E TNESE caallors ARE Nm ro a calm oR TRAHSiEfdEo Arm 6 SECTION THRU i s '� ANr NDUTIW a nDs�oPrraort ewtr.eE PRosEanLn ro THE o y,4 av'� PRE-CUT POST& BEAM BUILDINGS srALE, n5 S/i0wN TH�LS PAN a uN m m n¢causDnlcnoN of nc DNE elmnNrc 7 STORAGE LOFT FRAMING &STAIR DETAIL 'Y L: 326 GILEAD STREET, HEBRON. CT. 06248-1347 - DRAWING NUMBER P0PO0. fR01 LO N Rr c "°a°CORPdRA7ED 8 CONNECTION DETAILS SEAL a FOR M (860) 228-2276 www.countrycorpenters.com 1 Of 8 DES"DNLY r SjMPSON ATTENTION FOUNDATION CONTRACTOR: "CONNECTORS" i CALL BEFORE YOU DIM »TOP OF WALL TO FINISH FLOOR HEIGHT CRITICAL TO PROPER FIT OF STAIRS WHEN APPLICABLE - *CHECK A TH OWNER ER TO CONFlPod PROPER 'IPA 18" _ .TYPICAL FOUNDATION DESIGN SPECS- TYPICAL PLACEMENT AT ►CALL LOCH.BUILDING OFFICIAL TO VERIFY - CONCRETE FLOOR MOO P51 ALL MAIN POST LOCATIONS; - - PROPER FOOTING DEPTH, PITCHED 1/e"PER FOOT. -3"IN FROM CORNERS - " -OR CENTERED ON POSITS ` *CALL LOCAL BUILDING OFFICIAL FOR PIER OR - - CONCRETE WALLS JDOD P51 -AS SHOWN. - FOOTING INSPECnON BEFORE ANY CONCRETE IS POURED. 4 REFER TO SECTION PAGE FOR ADDITIONAL POST FOUNDATION DETAILS. 1" SIDING PAI8 2x8 P.T. SILL PURLIN ANCHOR NOTE- TOP OF W _ 10 lµ- 7 2.0 ' 3612.0" I 12'0" 1 _ 6"ABOVE _ O.A. I GRADE °4"CONCRETE BOOR 27'0" I 6'0" 3'0" B"COMPACTED GRAVEL DO ° B"OR 10" _ _ _ _ 7- - T -�TOOK OPENI ar 7 !T, n° CONCRETE WALL _ h lCdT?lY 'i [ _ 20 xl a'CONTINUOUS I LOCATIONS SO � 1 j A xe p CONCRETE FOOTING I C) - 20" pq j CONCRETE CENTER PIER SECTION THRU 8" OR 10" S j 3o°�-x3O"x°t�TUBE II ✓' CONTINUOUS CONCRETE WALL I TO HARD FIRM —2.6 P.T.SILL FOR / UNDISTURBED FART I.1 INTERIOR PARTITION T SHOWS 6x6 POST I MIN.48'BELOW GRADE Tli w Nag OU SO09A01MGII Q LOCATIONS ABOVE. ' /•APACDY OF 2500 P.S F. _.__-___——_�F _-_._.___- _O Ve NN # N _ I•, I I / N - MAS - - _ - I NOTE TOP OF PIERS. I, _ O U O ABOVE FINISH FLOOR. !I I I I', 2.5 P.T.SILL FOR T ! 4"CONCRETE FLOOR WITH - - Ij, STAIR ENCLOSURE SIMPSON STRONG TIE CONNECTOR ' Gx6 WELDED WIRE REINFORCING TYPICAL PLACEMENT LOCATIONS; --- -_ -- i , -2" FROM DOOR DROPS AND IL- i - -AT MAX.OF 6'DISTANCE ALONG PERIMETER WALL I I` k T SHOWS s�POST I I za xla CONTINUOUS 1" SIDING LoaTroNs ABOVE I I CONCRETE FODTINc MAS P.T. SILL ll7rltPPN�IZTCII 71TL�i��ZITISI - _MUDSILLDROP WAIL 12• DROP WALL 1Y ANCHOR TEOP OF WALL2'0" 9'0" 2'6" 9'0" 13'6" "ABOVE 10" GRADE W'CONCRETE FLOOR 12'0" I 12'0" i .12'0" 36'0" O.A. HIVIIACTIET1 ° GRAVE 10" FOUNDATION PLAN. SCALE 1/4"=1'0" T CONCRETE WALL FRONT COPYRIGHT NOTICE3g ssw q VEN=�a�TS N/DND MMEDIES fTMapUNME1R1I PEIRFFS Tp C 5 "p 20" �II NmarnnAPuxoasbe°iEEaior Toiun s nl omvL1oNs DI h�7 NA �____._--_"1 PROTECTED TN THE COPYRxprt IAWS OF THE UNITED STATE . THESE DOaOOOS AAE NOT ro DE COM OR TRNiS ERRED AND SECTION THRU 8" OR 1 O" ..ANY` ILON Of THIS COPVROIT WU.RE PROSECIRFD TO THE � �SEAL IS FOR SIRMIURAL n FONT OF NE LAW DESIGN ONLY j CONTINUOUS CONCRETE WALL PURRCIIASEFROMCO,rsr'"r`.AM x°° D PAGE 2 110 ' - 2x10 RIDGE 12 12 i' '� 3x4 ROOF OVERHANG 12 10� DOUBLE((2) 3.4 ROOF ' 2.10 FffADLliS '� _•xRS OVERHANG 2.13 RAFTERS �O?4•• 0 24'OD qO Bx BFAY6 _ ALL MAIN POSTS & BEAMS 2x4 SHOE IS OUT 1' ` . 3"xtl"Arm PLATES BEYOND OUTSIDE _rl" APPLIED TO OUTSIDE OF GRADED Z N.E.LM.A. EASTERN EDGE OF JOISTINA ILER. owrs�'. APPLIEDFRAM BEFORE SIDE O AFTER EAa FRAME x ORE SIOINGI POST PINE,RAFTERS GRADED�2 S-P-F, �� ' ry�_—� BOWNOP •--- '� & JOISTS GRADED 2 HEMLOCK j WINDOW 0 41"# 4-1/2"x 4-la"SILL UNLESS OTHERWISE NOTED. axe i i' «! ues DOUBLE-_{ZZ_ 3"xt I"STEEL PLATES =1 e0ar v-vr 2.10 APPLIED TO OUTSIDE OF FRAME BffORE SIDING! of nl If BRA BxB Ir CE4 BEAM HI 7x7 STAIR 3"xl i"STEEL PLATES APPLIED TO OUTSIDE OF 70 STAIR —— _— HEADER FRAME BEFORE SI IM NAILER .4x7 STAIR FILLER 4x FLOO JOIST O 24' O.0 6x1O CROSS-TIE MAX.SPAN FIGURED 10.1" : r--'------------- NOTE FOR CONNECTION DETAILS e�R"ADES -1'•8,•'j E•1-2 '� BBRRACE4 T SEE_PAG __E 13. 6x8 POST irl N. _________- O I1'0" h�TAILS a•ME - lrr 6a6 POST. - ,aw w POST O T2" wj 0 1110" 38"CES 3x4 BRACES BRA F a rr su 1 B,21, _ � I 2.10 RIDGE O 367" _ DOUBLE(2)2.8 RAFTERS DOUBL 2 2 D H ERS RIGHT FRAMING SCALE: 1/41, = 1.011 72.8 2x6 VIEW FROM OUTSIDE" 3x ROOF OVERHANG— 24" .C. 2x8 FIANG Co RES 34 ROOF 3x4 RAF ERSd:j24"O.C. TIE O OVERHUNG 4x6 GABLE OVER) G ttAiLER r I I i x 4.6 CAB1E 1111), 11., 2•1" 2'9" 2'9" NAILER PC _yy j 'f �<E ypE 04' RAFTER.B 13 BEAM AY 2x4 SHOE.EMENG 1" Lv";Jon P 7LS 1 ° 'xt 1" P TES BEYOND LOWER FRAME DE OF - - UED O DE OF OF BUILDING E RE GI- DOUR {Z) 10 H ERS E 8 FORE DINCI B B MAX.SPAN Fl RED 9"° RAM F_ 3B^3x4 . BRACES BRACES BRACES TRANSOM R.O. - T R G DECKING B'O"x1'1-1 6x10 4x7 JOISTMAILE:R 7x7 STAIR LER CROSS-RE 6.10 4x7 JOIST/NAILER 6x10 25"3x4 6x10 CR.—NE I 4"FACE CROSS-TTE BRAD CROSS-RE 6.8 POST 6xB POST I 6xB POST 2'B" o f ro" _i 0 1 rD^ m� 0 1 ra' E-t--� 6xa Posy x �i 20 3x4 O O rl 0 11 0 BRACES ,a• mI ,xr 11'9' h,oxrs I _ J ixcE r! _�.B_o" 8--"______ 3B"3x4 1p_I _ —___ EmAG¢ R001a-____. pt— IE 29'3" 6-9I 'Jy1" COPIRICM NOTICE FRONT FRAMING SCALE 1/411 = 1-0" T ecrANnoeTMCw nea6r«IBes VIEW FROM OUTSIDE "A`T c p�ORAELO ME rror tD eE usFn ri~Arc.PEns�vs OTHER T,NN 90 THE 141RCHASEA i oKNm ANo 1HAr sua+OCwuENrs ARE `.�� 6rE ��� tN10TECRD Br 1H[E COPfRILM IAx'S OF 11A:uwDn STATES •Rti AL:3a pa OOMO(I$ARE NOf ro IT COPIED OR TRPI6M TO AM1 full[Xa,0,DM fM W➢1 BE I'fif6EG11iFD m THE SEK L4 FERI ST tnucnf . TRS POW B UURm ro 111E CONSiR11C1UN t)i 111E ONE B11lDU1G DFTm ONLY PUROWSE FRWI COMJIRT pRPE1+TEiG INCORFI111AtED PAG E 3 �• � ` - .. ,` WINDOWS BY - - • - OWNER �.�- _ �.•=^• T'~ �.�.-.. :sue LEFT ELEVATION SCALE: 1/4 1 0 .�-�����r�''=-ram•-=���-�--���=�����--=a=�.-,='ems REAR ELEVATION SCALE: 1/4" = 1'011 �"o NOTE; VERY IMPORTANT, �� TOP K.D. (KILN DRIED) SIDING, TRIM, LOFT DECKING, y COPYRIGHT NOTICE. & ROOF BOARDS MUST BE PROTECTED FROM 3 3" THErnPURCHASER oEsir+lswo"gO10OVEW.Mo'r p mmm ABSORBING MOISTURE ON THE CONSTRUCTION INCORP'ORaFD AFE NOT 10 ff VSFD BY ANY FERu0115 OTHOt TH41 THEwnauFNioxNERAla—,.a1wOOM"S ARE SITE. KEEP BOARDS UP OFF THE GROUND, & COVERED PRO TE DOC a THE�E NOT T BE OM THE uNrnO$TALES TO PROTECT FROM GROUND MOISTURE & RAIN. - 1116E oOCUmom ME NOf TO eE ooRED OR 1RANSiERNED AND - ANrY�pATroNOFTNrscarr GHTWUBEm Earrtn TO THE WINDOWS & DOOR KITS SHOULD BE KEPT INSIDE, SEA IS UivR'� FULL ElfFM OF THE LAW. PDOS URCHASE ASE —�m m ARZ , n¢ONE BwnMO UNTIL READY TO USE. PAG E 4 12 12 2x10 RIDGE 3x4 ROOF 101 i OVERHANG -�•. 12 - ` Ito 4 12 O®Z� & �: C' OGLE 2) .. OOF ALL MAIN POSTS& BEAMS EM o z4�o� ` OVE3X4R ANG GRADED #2 N.E.L.M-k EASTERN PINE,RAF A S GRADED#2 S-P-F; APPLIED STEEL PLATES ■ APPLIED 70 OUTSIDEOF SON &JOISTS GRADED 2 HEMLOCK FRAME BEFORE sumlcl .� Tr, ,..axle �' 2x4 slice Is our r• UNLESS OTHERWISENOTED. 4 4�x 4-1r7'POST �" B _�z•_' ,r r?" - �� BEYOND OUTSIDE EDGE OF JOIST/NAILER. 4-1/2"x 4-1/2-SILL ' axe 200io EHE�o�Rs BEAM axe 39A 1"STEEL PLATES BEAM 3'xlt"STEEL PLATES APPLIED 70 OUTSIDE OF `I a. - APPLIED TO OUTSIDE OF . _ FRAME BEFORE SIDINCI 34 al NI NI.wxs Tv� FRAME BEFORE SIDOLGI 4: f1.00 JO15i O 24' 0.C. NOT , - 6x10 CROSS-TIE MAX.SPAN FIGURED 10'1" I E: � I FOR CONNECTION DETAILS ' L __-_-_ SEE PAGE B _ _J axe POST 3.6" 2'7" O 11'D' E" E'i--"'� @I 6x8 POST a 11.0,. I—— 3B"3x4 _ BRACES `J air• o� .axrs a•4_ Ts,. w•mx J'e' 38"3.4 . ml F• Gx6 POST I OI an BRACES O 7'2' al 38"3.4 B33" RA DEx4 i rf BRACES L.,k­x- LEFT FRAMING SCALE: 1/41' 1'0" 2xIO RIDGE O 36.2" DOUBLE(2)2.5 RAFTERS VIEW FROM OUTSIDE 3.4 ROOF 3x4 ROOF - OVERHANG - OVERHANG • 4.5 GABLE 4x6 GABLE - NAILER , 2 NAILER COLLA 2x8 TIESRAFTI IS , 4B"O 24' C. �p 1" TD PLAAS 7 OF. E eE 5101 RAFTER.618 BEAM& B 8 MAX. AN MRED B " 2.4 SHOE.EXTEND 1" BEYOND LOWER FRAME 3B"3x4 3B"3x4 38"3x4 OF BUILDING • r BRACES BRACES BRACES T&D DECKING . - 6x1D 4x7 JOISVNAILER 4.7 JOIST 07 JdST/NNLER CROSS-71E 8� BxiD B�E4 6xlG BRA 3.4 CRO CROSS- CRO55-PE BRACES CROSS-71E . 5.4'•iu�-. t' 6.B POST O 11'0" "— ± F-o-4 xmmMo; aPOST • OPEN' • e „'�I O11'0" bl � 38'3x4 r FxcE ivl x Y BRACE I 5•p• 38"3x4 38"106 .yL_-HNISN R001t-- .T StLL 19.4" f 9'4" I 7 4' I 4�1N0 COPYRIGHT NOTICE REAR FRAMING SCALE: 1/4" = 1'0" s "�"'RwAVR'°.Np"a QftE cEsl'a'1'�p�5, VIEW FROM OUTSIDE s :t S�dFlGV1018•ADREE9lil.^a A`O ORW ©F COIMIRF Gi1PENIQ6 RIR /dYl'�'!FR N811H i�NCH�00NY�IX2�T' NAL PROIELTED BY 111E COPYRIGHT LAWS OF TIE LINKED 50116 ANY MOU�IXM�OF'S1N�A5 Z10"Oaff M ff P�'ftOSEpREO 7p TI� 5 DE WGN6 0 FM�'NLYLNRu AMY aoxxxt i THE UN PPURCRARA"SE COIDRn'RFTMGRPDIIFRSMWR�PORMEr BU'D G PAGE 5 ALL MAIN POSTS & BEAMS GRADED g2 N.E.LMA. EASTERN WOOD SHINGLES PINE, RAFTERS GRADED#2 S-P-F, RIDGE VENT BY OWNER_ &JOISTS GRADED #2 HEMLOCK BY OWNER INSTALLED PER _ UNLESS OTHERWISE NOTED. MANUFACTURERS, 2x10 RIDGE SPECIFICATIONS_ 12 i ` 12 r----------� �_Q DOUBLE (2 STRUCTURAL DESIGN DATA HEADERS 4' DUAIL SHOWING HOW WIND LOAD BO MPH ' 2x10 HEAD RS.. O•C 6x6 RWE BOARD OVERLAPS ROOF LOAD 35 g PSFI G. _ __ BEAM TRIM A FACIA S70RAG6 LOFT LOAD 40 g PSF• p _ 2x6 C — I 48" O.C. 1 x2 TRIM ®L°i 1 x6 FACIA tx6 ROOF CONTINUOUS SHEATHING SOFFIT VENT I ROUGH SIDE OUT BY OWNER WOOD SHINGLE 4-1/2" x 4-1/2" POST • ,L-{0 I UNDER-COURSE OR ® 4.1'•4-1/2" x 4-1/2" SILL - STORAGE LOFT. DoueLE(2) METAL DRIP EDGE m' DOUBLE HEADERS BY OWNER ^� WOOD SHINGLE UNDER-COURSE OR ix2 TRIM 8x8 I 8x8 tx2 TRIM •METAL DRIP EDGE lx6 FACIA BEAM BEAM 1x6 FACIA BY OWNER r—------------� 4-1/2" x 4-1/2 FOR CONNECTION DETAILS• BRACE NOTE: I -CONTINUOUS CONTINUOUS ' IsEE PAGE 8. 1 - SOFFIT VENT - T.& G DECKING SOFFIT VENT --------------j BY OWNER = 4x FLOO JOIST ® 24' O.C. BY OWNER �• 6x10 CROSS-TIE MAX SPAN 9'1" EASTERN WHITE PINE PREMIUM GRADE SIDING 4-1/2" x 4-1/2" 1x8 & 1x1O SHIPLAP �I MORTICE BRACE o� 6x6 POST CUT ON SITE ;y 6xB POST z 5/8" STEEL PIN 6 8 POST P.T. PAD co TOP OF PIER V. 2x8 P.T. SILL Ij ABOVE FINISH FLOOR. I in TOP OF WALL TO ' GRAD FIMSH FLOOR _Sho $A OO 6" •• . /8"COMP ED GRAVEL MAINTAIN 1" SEPARATION WTERLAL SUITABLE MAINTAIN PIERS & FLOOR - � NOTE•FOUNDATION OE9CN ' 8" OR 10" CONTINUOUS EIrOAo�i PING CONCRETE WALL 10" CONCRETE PIER ON a 30"x30"00" FOOTINGS FLOOR TYPICALLY PITCHED TO HARD FIRM I/B'•PER FOOT. 0" CONTINUOUS 10" - UNDISTURBED EARTH FOOTING CONCRETE FLOOR ATTENTION: CHECK WITH 20 30" 3500 PSI LOCAL BUILDING OFFICIAL " FOR PROPER FOOTING CONCRETE Nuu15 DEPTHI 3000 FW r �ytHO COPYRIGHT NOTICE. SECTION THRU SCALE: 3/81T 11011 E PURCWSM� �N WaTmws' EM WUTNR MEN ERS 1WHE; OOONOD E USED BY N PS OTHER THAN 9��.9-t•STf W4' THAT SUCH OOtl1uEN6 ARE '#'UAL PR IT=BY THE PB ,[Af OTERUN THESE DOCUMENTSE 1DW MD ANY VIOLATION OF THIS COPYRIGHT PALL DE PROSBLGm TO THE - SEAL B FOR SIRUMIRAL R OOENE OF THE 1AW DESIGN ONLY TCS PUN S IO 70 TIE COtS?RLc ooM OF U ONE[N¢DNG PUR44LSE iNOY COUNTY G 9994 RS RICORPORATEO PAC E 6 • 6A MAIN POSTS 6xB MAIN POSTS 2.4 SHOE EkTEHDS 1"BEYOND LOWER T @ pi Bx10 FRAME OF BUILDING E a CROSS-TIE 6x10 CROSS-TIES NI 6x6 POST n, 4OST--1/T• BELOW POSE 7x7 STAIR HEADER (�ON SITE MPENIE:T.LILDf:R TO TFY 6 POST b. 6.6 POSTS BELOW �. DIMENSIONS ARE AS SHOWN,AND 6 'LJ BELOW RESPONSIBLE THAT STAIRS ARE BUILT I J fy j -TO BUILDING CODE SPECffTCATIDNS - I - - --— J o exl I STAIRS TO 6x10 -N I ALL JOISTS 40 �I CRDSSIE UNLESS OTHERWISE NOTED a iv! IFl "SS STORAGE _ LOFT - 6x8 MAIN i+l POST 4x7 JQIST LER.7"FACE 7x7 STAIR NAILf:R . - BxB MNN POSTS 6.8 N 4-1/2•s4-12" POST - 2x6 � RAIL BACKER POST 3x4 TOP RAIL STIFFENER STORAGE LOFT FRAMING SCALE 1/4" = 1'0" zl 2xB RAIL VIEW FROM ABOVE �I 2- RAIL RAIL BACKER FRONT MI 7.7 STAIR 2XB RAIL HEADER 40 STAIR FILLER 7x7 STAIR _ NAILER ti l STAIR - - z HANGER of ~I HAANNDRAIL ALL MAIN POSTS & BEAMS z� GRADED #2 N.E.L.M.A. EASTERN �I PINE. RAFTERS GRADED#2 S-P-F, �D & JOISTS GRADED #2 HEMLOCK UNLESS OTHERWISE NOTED. Ml 1 RISERS 0 7-1 TREADS 711111111 Fl„ ,,f�,9 . STAIR DETAIL SCALE 3/8" = 1'0" VIEW FROM INSIDE �tlo NOTE; VERY IMPORTANT, K.D. (KILN DRIED) SIDING,TRIM, LOFT DECKING, COPYRIGHT NOTICE & ROOF BOARDS MUST BE PROTECTED FROM 3 „� n1E w1NOO5FT �wNLR ACNltovuOCEs TMT TIE �Eeslc�nlNs,�cwr+snmlNAwussoFcauNmr s ABSORBING MOISTURE ON THE CONSTRUCTION ,wE xm m ff usEO TTY•NY PEISONS mxNT TUN " 1�Iiox,Nm,vunu,TsucNoowwwrs,mE SITE. KEEP BOARDS UP OFF THE GROUND, & COVERED FCAaECTmwTMEcmmxmuwsoFTMEuwIL°5'"T6 TO PROTECT FROM GROUND MOISTURE & RAIN. 1Nca°°auLmsnE u`m�`aAmn":Naraa�vn WINDOWS & DOOR KITS SHOULD BE KEPT INSIDE, ANY VEXTENT F T TIS COPrwCiiT 111LL r1E PNOSECUffD ro 7M FiLL F]OBR a TE ul+. sEAL rs FOR STRUCTURAL T1S PUN IS UNrtFD TO THE CONSMWDON OF TIE ONE fiDlOO1G UNTIL READY TO USE. OESON ONLY ROmUSE fA01 COUNRW CNBEHRTb WCONPOW Tw - PAG E 7 RAFTER TO NAM VIEW OF GABLE END ' RAFTER TO RAFTER STRAPS Q- INSTALLED EVERY OTHER RAFTER SUMP I H TIES tv l� EANDACH NAILED WITH 4—,Od WdLS HURRICANE nE5 EACH SIDE. 4B"O.C. BEAM TO�•NAIL . BEM ` " : RAFTERS TO RIDGE AS SHOWN WITH 40� NAIL AS SHOWN �Q POLE BATD•,NARS. �- ` WITH 12tl NAns . s 3"x11"STEEL NAILING PLATE USE 12-12d BEAM OPPOSING NAILS. V RAFTER ' COLLAR—TIE . BRACES NAR. - N�. WITH 6-16d NAILS - COLLAR—TIES TO RAFTER. AS SHOWN HOLD RAFTERS.FLUSH NAIL WITH ES TO R FOF T AILFR wBN BOTTOM OF RIDGE 5 12d NAILS, . NAILER TO POST - -USE MINIMUM OF 6-40d POLE BARN NAILS ` COLLAR—TIES TO 'RAFTERS ' NAJLeR BEAM TO BEAM & , BEAM TO POST BEAM TO POST USE 40d POLE BARN NAILS AS SHOWN 4-15dAAI XANf SAG 569 14 GAUGE - 3'S171"STEEL HAILS 130 1-3/B'xVV PLATE STRAP e. NAILING PLATES - ---'►- NAILED WELL WITH 8-12d USE 12-12d NAILS NAILS. J. cRpSytIE MORTISE TEHNON - __ gAILER PO St BR 'r4-1/2"MORTISE F O - BEAM B SHOE EXTENDSI"BEYOWER • �, FRAMES OF BUILDING 0 PEGS HARDWOOD DRAWING REPRESENTS GENERIC -. VIEW OF A STANDARD 1-1/2 STORY . BARN.SEE COLOR—CODED PLAN FOR - 4. -NAIL WITH 3-16d SPECIFIC FRAMING. _ NAILS EACH END. COMMON . „ BRACE KANf—SAG 12 GAUGE —OR— SIMPSON 16 GAUGE 40d POLE BARN STIFF STOCK PAIR 2"x1B-1/2"ANCHOR MAS ANCHO y HAILED WELL WITH \ NALED wEll / 12-16d NAILS. WffH 6-16d NAILS. T( - — • 16d , 12d ` 5" 3-1/2" 3-1/4" COPYRIGHT NOTICE - - m ,NE RIR64l4R dRNER A��,��,RA„NE PW,x - - VIEW FROM OUTSIDE r m0 m U� SOY AaNr�PF Srnp�ySO� riNM! TE PUROUS11t/OW1ER AND,M M T UNnE NIS ARE _ - Pgp7L��fW TiE C01"MU/f U1Y5 Oi 11E UNRm STATES ANT MfLYEMS ARE NOT TO DE f2 6E OR TRAILSIM"MUTM FML EUDIT TIELA Nu EE PAOSECUfm ro THE - ' DESIGN ONLY SEAL IS FOR STRUCTURAL " WIMCOWU I h��- TACK SILL TOGETHER USING 10d GALVENIZED BOX NAILS. PAGE 8 o—® -ro®N RM0 R CCUR-A-VE STANDARD LEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY rvv r EDGE OF DECIDUOUS TREES �- EDGE OF BRUSH ORCHARD OR NURSERY T-v-v-v EDGE OF CONIFEROUS TREES �1 c MARSH AREA ----— EDGE OF WATER- - DIRT ROAD DRIVEWAY E---PARKING LOT ' E�--PAVED ROAD ----- - DRAINAGE DITCH --�\� _---- PATH/TRAIL \' PARCEL LINE ` AW 110 E- --MAP# 21-*—PARCEL NUMBER #180—HOUSE NUMBER 2 FOOT CONTOUR LINE 10 FOOT CONTOUR LINE Elmflon based on NGVD29 \<a.9 SPOT ELEVATION cxx� STONE WALL -XX- FENCE AP54 s s RETAININGWALL RAIL ROAD TRACK y O © STONEJETTY 3 \ 4 60 Po� SWIMMING POOL 1 PORCH/DECK 0 BUILDING/STRUCTURE DOCK/PIER \\ Q HYDRANT e VALVE O MAHHOIF o POSI OFP FLAG POLE T O W N O F B A R N S T A B L E ® E 0 6 R A P N I C I N F O R M A T I O N S Y S T E M S U N I T a SIGN ® STORM DRAIN N PRINTED OIL-M FEET *NOTE This map s en enbn emNd of a **NOTE The reel lines are oaly graphic representations DATA SOURCES:RanimeW(man mode fie hm)wM i0MI)RIted iron 1995 aerial photographs by The Jaynes 1°=I W smla map oW may meet of NOT m of pmpedy h=&deL They are not true bmtiM and W.SwmIl Company.Top Murphy and vegetation were inrerpreled bom 1989 aerial pho4mpbs by GEOD o UTILITY POLE n TOWER w ° 0 {20= - 40 Nafonal MoD Acnnrery Standards at the do not represent actual relatimdips to physical objects Corporatlon.Planl=DK=phy,and vegetmion vrere mapped to meet Na6anal Map Awinq Standards e 1 W=40 ff0* endarged soils 11 on the map. of o scab al 1,=100'.Paradmad Dnes wem dW&W bom Pf2OD2 Town of Barnstable Assexcofs tax maps. ¢ UGHT POLE o ELECTRIC BOX F:\dgn\conservation.dgn 08/01/0211:49:49 AM CLIENT LINDA SCOTT KEN ALSIVIAN PALO ALTO, CA. PROJECT 460 OLD POST ROAD COTUIT, MA 06235 II S2��V'E 9 II ................................................- .............................. ...................................... ............. ............................... ............ ..... .................... ............ ......................... .................................................. .......... ..............- ....................... ..............-................. ................................. ....................... .............. ........... ............... ................... .............. ............ Lu ............................................. ...........- ................................................................................................ ............ ........................................................................ LOT ........................ ..........- ............... 6.0 1/-ACRES ............................ .......................... .......... ................... ............ 71"1, Al ----------- ...........-............................- ............................ CDNISULTAJM � 0 S 81'45' 5'-W'E 27 z All draW_ettuMl —ftdel==h..i. "Id 9=.IdMM'�n P "YaD:n LOT 1 .=thoUt the n F-1 EXISTING SHED TO REMAIN NEW SCREENED PORCH /;9 LOTI+D 1.5+/.ACRES EXISTING HOUSE. NOW-E Pi NEW BATHROOM I N 8IjM'W Lu �u N 78°.28`35"E SCOTT DESIGN ASSOCIATES e,1� lord 1045S—Stre�Suite2ffi Se�F�,California 94111 tel,-800 325 9209/414 3981126 fax;415 398 7443 56.00' N 8746WE 134.00' 134.01Y I SHHET nlix OLDPOST ROAD r, .......................................................... ............. .............................I...........-............................................................. ......................-....................................................................... .................... ......................................I............ ............ --- --------- -----------------*-**"'*---------- 1W=T-cr SITE PLAN .............- DATE 31 JULY 1999 DRAWN BY ......................... ......................................-............... SCALE:T=50'-0" SHEET NLMOER BENCHMARK LOT 3 I, \ s r \ COTUIT TOP OF BOUND A.M. 54/29-2 PER PLAN ' ELEV.=100(ASSUMED) \ 440138 AIL `lIsm' S8145'00"E . IBID LOCUS 24 OC.I I I �� Po A.M- 54130 WETLANDS LOTS & D 2011 AK PER PLAN e \ 283129 t R8 4 AREA=68,109f S.F. AIL ............... 50 1 '0 �j :::'To 24.4' O �lo1rE1D: �' ::::::::::::::::::::. I ,I,, LOCUS MAP 1,8.. 18. HOUSE'' `� N 83129 40138 .......... I PLA R 2 4 O W W :::;: 460 ;; ::..,., 11 B� LC.,P. 17287 o ,.... ............. .... CTF# 128119 ...,..�................... ...�, ZONING.• ..RF" ............�.....t... I Q `13.2' :;;;:;;;. ::`4�4 GROUNDWATER PROT- DIST.: "AP" q Cti 6 \ 04.4' 15.0J � � . PLOT PLAN OF LAND ��o•� o �� I LOCATED A T- 11460 OLD POST ROAD 58145100"E CO T UIT, MAI _-- UNRECISTER I -_ RED LAND a PREPARED FOR.• i __ A.M. 54/27-1 p i 57828'35' ' ---------------- i , KEN ALS1vIAN LOT 4 o LAND i REGISTERED 187'f --------_ 1/27/03 PER PLAN I o LC PLAN 440 172871q /38 O I w YANKEE SURVEY CONSULTANTS UNIT\\ 1, 40 INDUSTRY ROAD s %, j P. O. BOX 265 ULik i LOT D MARSTONS MILLS, MASS. 02648 Q- o TEL: 428—0055 FAX 420—5553 ti GRAPHIC SCALE 4`` I , f.f;f,1,1,11Pti�� I 30 0 15 30 60 120 I I I S81 45'00"E CB/DH 39. 99' ( IN FEET ) S81 45'00"E IgQ'# - 1 inch = 30 ft. OLD POST ROAD J,# 52837A L , dHbMi I G .,. - --- L- L-- A --- - - ;°1�- : � . N; l�J(tkK?L.L�!)_ =41 zt, B - - ' � z 1 119f_"W�T�S"�i3�11CiI�aC L:5roy7-ri�2ajia : I AL H C3� Gt : : 1 9 GiF r I -- U904 ..� odh .......- s �.�.... UN�f+. _ rrw i+axtFfis - 01- T us s h 1 A- ._rnm�p,00M FI oDIL j CgtltiJNE Sup gp j .._ — — V . , 1 { -'m 1 •j N 0 o ��.. 8b� fl qta �s-a� h — — Z - FIR GTY":G�a�1vJiiZE�:.. ? n. iKvTty=ll��ia;LPf�°� -44 I �fNT�or'����1�noN3 3IT RS:C O.T T DE STGN � ._. ASSOCdATES } 1 ou,is,nm us,s,nsa {1 - N + M. - TT.t. _ l'J I'11.o1`{ . � f t NW i � 1 S H?vPJ : r_11 WRt� - q t _ _ _ _ _:.: g. �.�I-'rOW:�iI�- � -- . W•G� E�lo1'I�l:�d`E @�t'hnW� � � � S'H"E'1.��E(�((OI`� ��}1.� 4 v no 0 CLIENT L LINDA SCOTT 13'-7 tf2" 51,r2 . KEN ALSMAN ---------- ------- ------ ----------------------------- ------------------------ i i PALO ALTO, CA. 1 NEW CONCRETE WALL I I I PROJECT � i I -- ENSTNGFOUNDATION 460 OLD POST ROAD FBIOF L - i. COTUIT' MA 06235 NG SaDW 1 -- �®16FOC ABOVETB 1. ... EXISTING HOLIS 'i--------------� .AVOVGE .. _ 0 94 iI VIF .. .. ........ ......................... .......- .... a L---------_.----T ...................................... .. ....LOCATE O FACE OF STONE VEN EER SHELF _FLUSH I ' TO ALLOWW OUTSIDE FACE Of STONE VENEHN .. •. ............................. .... . . I. 32110 COMPOSITE' I I ALIGNMENT WTH FACE OF EXISTING STONE WALL a' ..... .... - . WOOD BEAM ... FACE OF - I- I 1 FACE OF ............... ................ .... ......... ,........ EXISTING FOUNDATION--� FOOTING BELOW FOUNDATION PLAN . � � i '� I 1 TOP OF FIFID STONE � _ � .. - . VENEER SHELF 0 ELEV. ............................................ - I - FLUSH - 1 i .... .... _ 3"2110 COMPOSITE. 1 L -WOOD BEAM I 1 - . .. .. .... .. __ _ ___ _ ___ 3.7' SJ 318' S-7118' " &8 POST BXB POST > . I Q 4X4 POSTS I .. v ix : 'CONSULTANTS . a � I I _________________________________ -------------------------------------- LAUNDRY KITCHEN rn F PORCH I - ------------------------------- UP All drawn a end wtltten materiel APPBadng he e n conatiwte§ne original and unwaianed"d seott .Design end Ure same mayy nd m duplcetetl,used or i .UP R 691ossd.thoutthe xlittrxl crosard d ScM Design I X6 POSE L I � 2p � .. CONSTRUCTION LIMITS. p.,y 4.O- CONSTRUCTION LIMITS Z NEW INSULATED HARDW0OD FLOOR- i I ELEVATION TO MATCH i E78STING LIVING ROOM DINING X 3 jj IIS < §i SCOTT DESIGN NEW }________________________________________ _________--------------__________________________ ___.______________ I m O -------------- ----- ------ ASSOCIATES i NEW MASTER IONS Sensome Street Suite 20.5 - I - LIVING RM I UP San Frarrisco,Califomia 94111 ry. 2R_ I BEDRDOOMI - gj i tel:8W3259209/4143981126 I I fax:415 398 7443 ENTRY I i o 8 MIL.POLY.BARRIER OVER VAPOR i lA i -� I m - 777T.R .... .............. INSULATED STUDS i OR® :....... ......... .......... .._....... L------ -- ----- r. NEW DOUBLE HUNG WINDOWS ,'Site V.1012' 5-8114' - f TO WIDTH AND ROOM MATCH IX BEDROOM WINN DOWS SILL3'b'AFF DATE 31 JULY 1999 DRAWN ar PROPOSED FIRST FLOOR PLAN .........-_..........__..........................._._._...._....._............_..._.......... ....... n - r � NUNIDBTt q_1 - l LINDA SCOTT KEN ALSIVIAN PALO ALTO, CA. 0 PROJECT 460:OLD POST ROAD N COTUIT, MA 06235 NEW TOP WED%�l lill NT.STEPPED COPPER FLASHING OUSTING SECOND FLOOR ELEV.4`4 314' PLATE CHE �312 I A'I S7,,4TNEW BATHROOM ....................- .......................................................... .......... ...................... .................. .......................................................... EXISTING BEDROOMILIVING ROOM FELEV.�a"r ...................................... ......................................................... 11 NEWMASrER BATHROOM �F ELEV­1'-0` ............ ...................'­­_................... ...................... ..........- ............. ............. ........................... ..........----------- ....................... ............. ......... ............ ...................... FIELD STONE VENEER ON EXISTING STONE .............................................................................................................. NEW FOUNDATION STEPS AND PLANTERS MATCH EXISTING WALL TOREMAIN ....... .......... .......................... -------------- ------------- ................................ ................................................ nVtOF FOUNDATION ------------------------- NEW MASTER BATHROOM ADDITION .......... ............................ ---------------................. .................................. ................. ..................... .............................................. RIGHT-SIDE ELEVATION ........................-......................... ............ ......... ............ ..................................... .................................. c CONSULTANTS NEWRIDGEVEN'r INSULATE EXISTING ROOF AM NEWROOF: ERA ROOF SHINGLES OVER FIBERGLASS GATT INSULATION- All FROM INSIDE APPLY SIB"GWS TO 300 BUILDING FELT ON _d 4 MIL POLY,VAPOR BARRIER OVER M RAFTERS a 16..WITH EIGSITING RAFTERS FIBERGLASS BATT INSULATION TOP OF SHED ROOF ELEV:(-P)ID-7 3W' EasnNG SECONDFL R ELEV..94 3/4' NED -------------------------------------------- ------------------------------ CONT.2"SCREE SOFFIT VENT NEW DOUBLE HUNG VANDOAG 4,PLATE HEIGHT AT NEW BATHROOM TO WIDTH AND HEIGHT TO w ELEV.(+1-)6.7 11C MATCH EX BEDROOM WINDCMr-7 on ------ aLLT4"AFF I ME CONT.ZSCREENED SOFFIT VENT 0 no SCOTT'DESIGN A EXISTING BEDROOMILIVING ROOM NEW U:.MY EX LIVING ROOM FLOOR i14 I ELEV.-94r 0_ - ---------------- tr --- -------------- N ASSOCIATES NEW MASTER BATHROOM -Z F rLEV..1-4- 1045 San—e Street Suite 205 ENSTING ATTACHED GARAGE' S-F—d—,California 94111 TO BE RENOVATED TO I al:800 325 9209�414 398 1126 NEWUBRARY. SEE SHEET A-1 fax:415 398 7443 n GRADE slim ........... .........................- ...................................&-j70E—NOATION ......................................................................................................... 'D_ NEWMASTER BATHROOM ADDITION- ........................................ ..............I........... ........... REPLACING E)USTING PORCH ......................�­........................ ..................... ............... ..........-....................... SCALE lle=1'-(r ............... .......... "'DRAWN ................................ FRONT ELEVATION DATE DRAWN BY 31 JULY 1999 .................................................................................................... SIDEET NUMBER A-2 i I 1 • CLIENT LINDA SCOTT KEN ALSMAN PALO ALTO, CA. i o 0 A - PROJECT I f _ 460 OLD POST ROAD COTUIT, MA 06235 I TOPOF NEW RIDGE ELEV.9*43rB' NEW PORCH/EX LIVING ROOM CEILING Q O ELEV.T-41rI' .. W POSTS WITHIXST Ps. BOTH SIDES ._..... .._....... .... .. ......... .. .... BRONZE SCREEN :.i:i:: - .. NEW PORCH/IX MECH RM FLOOR .. .. .... :.: .. - - - ELEV.-7.1' I - i -E)QSTINGATTACHEDGARAGE .... ............... I TO BE RENOVATED TO � - � � � - - " IN LIBRARY� - I - SEE SHEET A-1 - --- _ .. .... 1------- — ------ ------- _ - BOTTOM OF FOUNDATION 1 - I'.I ` ..... ................................... .... ELEV.A'-1" I. NEWPORCH ADDITION - .. ._ ... .... ... .... �1 LEFT-SIDE ELEVATION { - _CONSULTANTS NEWRIDGEVENf. - arteti WNte the en W P:r0 wa chd scm - - Deeien end the same mayy not be dup od,used or I TOP.'. OF SN®ROOF - - - - disclosed wilheut the written croseld d SwR Design TOP OF NEW RIDGE o- 'ELEV 9-73/4" " - NEWPORCHIIXLIVING ROOM CEILING PLATE HEIGHT AT NEW BATHROOM .. @rB POST(rrP.) . BRONZE SCREEN - "'�' PORCH AND DOOR OV�SNIONER - 214 FRAME WITH ' 1X STOPS(rYP.) TT DESIGN SCO S GN i{ EEL%ST.I-NTYG-0 B"EDROOMAIVINO ROOM _ ASSOCIATES NEW MASTHt BATHROOM ELEV,-0'-7" - ELEV.3'd" ELEV.-7-1" Sart Serreomo Street Suite 411 STONECLADFOUNOATION i i .. 9en0()325 9209 9/41439mrua 94111 GRADE TO MATCH EXISTING WALL i ; 800398 7443 /914 39E 1126 i ELEV.-W.Ur I________________________ - _- I - i ---------_-------------____� BOTTOM OF FOUNDAT/0N 'OBFE6T I NEW PORCH ADORK)N ELEV.B-1" TITLfi BOTTON OF FOUNDATION -- ------ — — --I .._.................. .. .................... i NEW MASTER BATHROOM ADDITION- - ......... _ ....._ REPLACING DaSTING PORCH .............. .......SCALE ' i I REAR ELEVATION oAre...:._........._:.....:..._.............:_......._..._................._.._.................. 31 JUIY 1999 DRAWN BY 1 SfE[ET NuNimA-3 LINDA SCOTT KEN ALSIVIAN PALO ALTO, CA. 1 PROJECT 460 OLD POST ROAD COTUIT, MA 06235 ..................— ................................................. o ......................................... ............. ............................... .............. .....................-------------— ..................... ................. ............... ................. ....................7- .........— ........... ..................... EXISTING SECOND FLOOR PLAN TO REMAIN ............................... ........................... ................. ----------- ............. .................... ................................ ................................ ............. .............................. ............. ..................................------------- .................................... ..............I.................... ......................... ...................—..........- .............— ............ ................................. Ell CONSULTANTS -_______________-_______---------- _____--___________________---________ LAjNr) -m C'TcHF I F—I p I I R@&' WALL TO BE MWUSHED AlidmvWd cmetiWt=10 -d--IlTed ueetl or ffolSCRI DesBn DNIN --------------------------------------- ------------------------------------------ 0----------------- SCOTT DESIGN 0 UmNspm WALL TO BE ASSOCIATES Ell BEDR000M DEMOLISHED1045S—Stceet,Suite 205 Smpe-1cmuornia 94111 ENT fart:415 398 7443 teL8W32,59209/414 398 1126 up 13 R dp 7 TITLE ......................—.................................................. .............. .................................................................. 'AND TRIM TOBEREMOVED .................I................................ .......................................... .................. ............ .......... ------------- EXISTING CONDITION I DEMOLITION PLAN .. ... ........... ......... ... DATE DRAWNiff 31 1 U L y 1999 SHEET NUMBER A-4 NOTES: , NEW RAKE BOARDS TO MATCH EXISTING 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 12 12 &DIMENSIONS IN THE FIELD 12 Q3s asp 12 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, Q EXIST EXIST. DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) VERIFY ALL WINDOW ROUGH OPENING DIMENSIONS 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS ® ® ® ® STATE BUILDING CODE,8TH EDITION AMENDMENTS&IRC2009 5.) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD 6.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION 12 12 OF ALL SIMPSON COMPONENTS EXIST. EXIST. _ 7,) VERIFY ALL PLUMBING&ELECTRICAL DETAILS Wl OWNERS ( DURING FRAMING CONSTRUCTION 1 8.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE ° NEW ROOF CONST.. ® ® ® -2 x 8 ROOF RAFTERS •518"COX PLYWOOD ROOF SHEATHING - -RED CEDAR ROOF SHINGLES CEDAR BREATHER -15LB.FELT PAPER -SPRAY FOAM OR BATT.INSULATION Iy 12 NEW 2 x 6 RAFTERS @ FIAT CEILINGS(R EXIST.p @ 12'o'c' -SIMPSON H 25 HURRICANE CUPS I, NEW 2.2 x 10 HEADER _T WATER ALL RAFTER S SHIELD 12 •PROP-A VENT BETWEEN RAFTERS -WIND WASH BARRIERS - LEFT SIDE ELEVATION SISTER FRAME NE4'J2x6s 17oc TOP OF PLATE RIGHT SIDE ELEVATION _ (NEW SHED DORMER) CONT.SOFFIT VENTS y EXPANDED BEDROOM NEW RED CEDAR NEW FASCIA.SOFFIT& - A KITCHEN ROOF ROOF SHINGLES BELOW _ SEC E OND FLOOR TO MATCH EXIST. FRIEZE IARDS TO Al MATCH EXISTING �� - SUBFLOOR EXISTING JOISTS NEW WALL CONST. 1 1 I - 1.2.4 STUDS @ 16'oz. CHEEK WALL 2.1l2'PLYWOOD SHEATHING 11 - ABOVE I I I - 3.SPRAY FOAM INSULATION(R20) L - - 4.11T GYPSUM BOARD NEW CORNER - ° - -7 -.] L - 5,W.C.SHINGLE SIDING 6 TYVEK VAPOR BARRIER - MATCHEXIST. A BUILDING SECTION i-6lAL POLY VAPOR BARRIER - NEW W.C.SHING7R=FOVER 1? EXPANDED MATH EXIST. BEDROOM f NEW PELLA MULLED - - . 1 V-3' ' WINDOW TO MATCHij - EXIST.R.O. - - - - EXIST. -KITCHEN 12 °ST. EXIST. IECC2009 COMMERCIAL ENERGY EFFICIENCY DETAILS VV HALL CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.1 (MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FLOOR PLAN UEFACTOR TION U FACTOR R VALUE R•OVDO "A ED WALL R`VOALUE R VALUENT MALL R VALUENT SLAB CRRAWLE PACE WALL 0.35 0.60 38 20 30 10113 10(2 FT.DEEP) 10113 NOTES: - LEGEND: f 1.R-VALUES ARE MINIMUMS 8 U•FACTORS ARE MAXIMUMS. 2.10113 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR - REAR ELEVATION � RE ER HOME 2R=13CAVITY INSULATION SU THE INTERIOR OF THEUIR BASEMENT TSWALL � EXISTING WALLS 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS C= CONSTRUCTION TO BE REMOVED IM NEW CONSTRUCTION ' THE OESIWZRSHUBElIOTIFlEDIFAW SCALE : DRAWING NO.: [� NEW ADDITION FOR• ERRORS OR OAtI.THE S ARE FOCONTR COTUIT BAY DESIGN, LLC 43 BREWSTER ROAD CO SEDRAK nOS PR OR TD START OF CON.STRVOIION i ILEFO TN CCNRiACTOR 1/4" — 1'-011 INTIESEDa ,'l.SIBLEFCRTH_COff<I — O MM EE oRA'h I� IFOO FYM-Z SCOTT/ALSMAN RESIDENCE'. T MME CE NOS ARE SOELYiFORT MASHPEE MA. 02649 D`5`"=ROF W E'RCr$OROWSSI:)s DATE THESE DRAWN*ARE SOLELY FOR TM_DS OF T}'�Ox'uER PkOTED ANt OTHER SE 0= PH. (508 274-1166 t THESE ORAW roOS REOD RES THEWRITTEN FAX (50 ) 539-9402 460 OLD POST ROAD COTUIT, MA CO:LENTOFTLDE5RlG.gVA=RTc 9/17/2012 lAl ARCH flT OF THE CCOU'RES GROTECE ACT Or ISM �+ 4 BQR3 EXTBNOL'ID FAZOM- - �OEACArr'-O•y EAL -S'Ir•At y co OR BG L7G L?C/?"' W,444 TG eE` 6iROMMD4WO "MtN A%t �W/OE X�2"' C1E-E.n TAtACT'd�E' Gi!' t31VN!'4C SY FLECT,�'/CLAN' POLY- Vd!© 7:jWATese 4IN4' , rCX09*ArA0.ff1" ✓o/N7' n+A'rrrk/AIe PEeE't/►!E7"ER DpNO BEAM c''os�wG, CDNCRL76 L3Y,"'OOf. �J'•O"'M/N.lGQ[rI.4PtL� w LY EV D'•©" ,rAcruQ 4-o" .etEOM,+rrtvs760� -r---- 3 '�REeSrA/x ctwriNvov.� J caderr 8Y C�o,vr/r�c7t7� SLoPE /�IbE'R �-)'' av owA,�Ar �"ryr� to ,►VAtr'EAT ,� �� i1 ..�r.� /sI�' �r dACX ii✓Ay , FILL SPOUT DETAIL L/N� seour "` `�' � EL�-v v�oAao jA�l EL EV 4'-D". ,�L,os rt<Ar ,,a A10 TS AG.0/T/pN/9L .BARS Tp d'�' �+^r /�,y Cavcrt�rz SwAe c es� Ar S Fe eT Ama GA'EATeoe EL Ev ' o" Al R C. /7 /N C NTH-/Z Ord -yi 4 r.3Coo po'/.srrrwr-N Rr %• 2d OAKS M/A(, �u Sr©A(e oe,- ov ocoo/7"/ONAL '�'3,eARS S- a // /t ole 7',%eu eorroM R,4otus Ah7RS p/2�Sup7//!�6 /N /3 G X 1z M?7E: CXEC/G LOCAL I�t/IiL71N� COGiRS �jt TE�'M/NA7� �,!°A/o* WITN/N "G V 6'-�" A /Q / r7 FpAt AOI7,T,ONAI. ,".ff�Cl+R"/C.e y"ro.K.S' �3 /t'�X'1T Off" 7'L7f� dIr'1J',ERM .STEAL I'�A,e DECK WITH STANDARD COPING ELEv e'-o 2"CL EAR CONC COVER ff«M/N 7-YP i rYP/CAL f'tOU.¢ .f�L°'iMFOA'C/N�,' �,---COP/Ali CONCtt/I T QEY0A10 7-#/S -L 11,W r Me k'EMOVEl.7 j /z" a/c EACX WAY " ' '• "lt - ' /101A1r BY Et ECMlC14M POSt 71/4N = STANDARD WALL SECTION • • � ____ �`--COP/N!r" T/L E I MrA/ n z-o C ONVUf 7' ii 7'C3JG'4910r rY,+c G GRABRAIL INSTALLATIONUS and a ECIFIQXIONS 11 te'j WA7"Ek' Lry4rL r It'I !. -- _ 1. All construction work to conform to State and Local codes. L/GH7"NICHE 2. Pool shall be wired aud grounded in strict SWIA4041//2 *,3395 ,2AlL SEALEG� /�,. t �o accordance with the latest edition of Article 680 .5'TAtNLE.SS ,SrEZ1. 7 i►wrnz CODLEC3 �4 of The National Electric Codes. // A, e'q 94 L7/A x.049 tt�,O,C.L % 7 ,Opp/T/GW.Ct, 413 a*eS Ar/z"o/G 3. Concrete to be, placed by. the Gunite method and yvL't�GE 'Pe E N/CNE LONG/7"vo/NAL 4r SLOF'z' have a 28 day strength in excess of 3500 psi. /-- ANCHOR GOA ' / .5w"AfM alcv 1*40zl TRAN.S/T/c�N ooiN7 Q 4. Reinforcing steel to meet ASTM-6l5 Grady 40 , _ ESGt/TCNEQN NYG?R057'A;r/C RELdE�' ! w.- p k Ot 6"R swrMQv/P * 7Sro 1.RG} . I I "Af._LATIQN..1111 TH:.JUNCTION BOX YALV�t/AlMAI,V r4AOV .. c�ual�ty. sp���e�'"'�tret to'#ae dapped a Minimum at ao Is'N'AJ'E51t I'•NCouN>E'.L'!'O bar'-di 4meters M WA7-ER LEVEL S. Piping to a after ed Sr-hed4le solventpip�, solvent cleaner. ,��e,vare ANL? �.eor£ --I pL.vsrER ,vcL sap/�iocES POOL CROSS SECTION " M 6. This pool is to be a *ebo 1y-enclosed by an e ,approvedX*Ft. ro high feAcee'N3.th self closing, -self M " a" pjeA,es®G"% UUM1 L A11M VAWTIL UID Z AUL C.8Vf:IL ,C'ACN WAY @� /F WATER r a4e ENC0UNrd',9EL7, c •.,.. - -,yYLau2oSTAriC REc tEF ✓AL Me HANDRAIL INSTALLATION ANo coccE"cro� rueE' ,eEpvt, E� . ANFJ O✓E�@' DJG Ot'Ef' ENO 2' i4�/C7 . ZtiR�5t�_-__ PLACE M/!✓IMUM �2'd T7�N f�' 7.�"AP�dGA' a�paiN reauArNF j"'4 REBAles/N BWlvo elr4Af TOP&r BOWD QEAM « MAIN DRAIN cAr,V d t t •` 4 ! i { ~\'► i i FILTER ~ rd~ .S,a,a PoaL • i w ] (rvoB,P 'w.v_svL1mr eeQLow/?-* �l j" South Shore (Uunite Pool & Spa, Inc. CARTR/©CE t /`r«A�EMAW L/Nd Tl7,�c/dC T (AAC,I'W.4-SN41NE API�K/ES Tl� : b QLo:ity Pools And Spas Since !975 L TE�aN�.y,GMACEc?US n1oia,-;WA/N x's rrcw eAc/srw.+s L!n!F � 1 `fir' -�-- L/Na ~Af#V W/r#V 1/Ahe V ANG 41A1rsTRA!/+/ER R6Tll,4'/V NYOV0.5 r#q T!C 0QAWSS&oe,.0 PQtl�" POOL FO/Q 4�A?tiV _ FlYT/NGS �'a'L/ErG' {/N�.t/E (Z MINf RECESSED LADDER STEP DETAIL. TYPICAL PLUMBING SCHEMATIC O rlO#19 . SPA ADJACENT TO POOL SP1itT 1Z5iSLEINC t-A 46U ©UN MST _N C—al L.lT Of A .STANDARD CONSTRUCTION n DRAWING s /YolvE Ica►tr:ry lallT[s /Qr1.1�.`WED PROF" OVAL EIiC1t�M TIMOTHY WALKER CONSULTING . ENGINEER Fa8lpp�LE�'0 , 19 WOODSIDE AVC.v WESTPORT CT - 06880 c txt So or/✓ Sfl09z 6-11lv17-'E M"W tea. WPM" err* ? AR caGA?.ESS ,RVE, IV), # il 06 fo en s-w o - Cyr G H� MSFpl1Q, /�'tA 4/82H er tr s898. NfA # 6 xy��V- TOP OF + r� �7-► FOUNDATION iJ 1 A NDA RD NO TES EL 222 Raise covers to within 6" of 77 X. finish grade install risers as needed Observation port 1) THIS PLAN IS FOR THE M�R' REPAIR OF A SEPTIC SYSTEM. AN ?a/aoPo '- w/screw top to grade 4 8An)V 5 TA a 0 LE S5 - GROUND SURFACE EL-_17.0 2) ALL INSTALLATION PROCEDURES AND MATERIALS-SHALL CONFORM TO 310 CMR 15.OOq THE STATE ENVIRONMENTAL CODE, STYE!_ trnN�LELTo17. TITLE 5, AND THE TOWN OF __-Barnstable _ __ SUBSURFACE DISPOSAL REGULATIONS. MIN 2' LAYER DOUBLE WASHED 3) = DETERMINATION HAS BEEN MADE AS TO COMPLIANCE OF AVAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS 16. 0 2"MIN-3"MAX 1/e'- v2• STONE OR ZONING REGULATIONS. -� Z14.92 Top 4) THIS PROPERTY IS SERVICED BY TOWN WATER INVERT EL Existing „ '� D-Box 5) THERE ARE NO KNOWN WELLS WITHIN 200' OF THE PROPOSED SOIL ABSORPTION SYSTEM. Contractor to verify 10 � » 14/� 16.0 3/4 1 112' DOUBLE 6 INSTALL "' WASHED STONE EFFECTIVE 6) ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE 15..2 INVERT .EL SIDEWALL �' m, GAS s STONE BASE' 7) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY INVERT EL BAFFLE W Le vel w 14.3 UPON OR ABOVE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION 14.67 Proposed ��, c� ti Proposed Leach Field with 0 Pipe In v. PUMPING OR REPAIR. INVERT EL ti Three 4 Perf PVC Pipes �, b PARKING OR TURNING AREA OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION 6" STONE BASE D - Box 8 NO DRIVEWAY, , Total Area = 20 Wide x 24 Long 13.8 ) (T•ypical) s.y a, p , Proposed (H 90) ,, 0. BOTTOM EL SYSTEM, EXCEPT WHEN VENTING HAS BEEN PRO VIDED. 1,500 Gal Septic Tank a hI 9) SEPTIC TANKS, GREASE TRAPS, DOSING CEAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE S = 0.04 (Typical) S = 0.01 S S = 0.01 'j '� TO ENSURE STABILITY AND PREVENT SETTLING. 20'f 10) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH. EL 8. 7 Adj High Grd Water 11) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' 24' EL 5.2 BOTTOM OF TEST HOLE OF DRIVEWAYS OR PARKING OR TURNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED. 12) ALL BUILDING SEWER LINES SHALL HAVE AN INNER DIAMETER OF 4" AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC. S = 0.005 13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS BEEN PROVIDED. Fnd 14) IN THE AREAS OF EXCAVATION, EXISTING GRADES SHALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTOURS. CB/DH 15) IF SOILS ARE ENCOUNTERED DURING THE EXCA VA TION OF THE SOIL ABSORPTION SYSTEM, THA T DIFFER NOTABL Y FROM - _ EL - 2s 50 �Rt Map 54 Pa I C eI 29002 THE DEEP OBSERVATION HOLE LOG, CONTACT A & M LAND SER VICES AND TOWN BOH BEFORE PROCEEDING. Cp / 16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO CONSTRUCTION o S 81"45'90„ �', 17 CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION TO A & M LAND SERVICES AND TOWN BOH I'OR REVIEW AND APPROVAL » 18) CONTRACTOR SHALL NOTIFY TOWN AND DESIGN ENGINEER AT LEAST ° N 24 - 48 HOURS PRIOR TO INSPECTION(S). l (15.2 26.50' 4 ,236' , Fnd \ Q l ! I 46 AIL ^ a M We ter VW 4 N spirket 1. o t ` O Prop z°o.r b s ' (e•k> �� DEEP o a� Pool �� ` 3 OBSERVATION DEEP OBS�'I'VATION N f { DESIGN DATA LE LOG HOLE' LOG Test Hole 1 Q �S 31 # Test hole \ \ Number of Bedrooms: 3 (EL = 17.7 f) (EL = 17.2 t� {22$ \jB Garbage Grinder: NO D h Sol' soil soil D h r i f lev Horizon Texture Color ym lev Soil Soil Soil rye ° Pro nft) l ) 1ft) Horizon Texture Color Q Prop I f Design Flow `�`�� (USDA) (Munaell) (USDA) (Munsell) ( 16.2 A LOAMY SAND / �s Add Q n J I (110 Gal/BR/Day x Number of BR) 16.7 A LOAMY SAND 10YR4/3 0 _ 12,, 10YR4 3 24.2E 4' 0 - 12" �'o Z.Z+Q * q, {` Septic Tank: (H- 1500 / 1z 28" 14.9 B LOAMY SAND 10YR5 6 r (Minimum n Design Flow x 200x) Gal 8 1z" - zs" 15.5 B LOAMY SAND f0YR5 6 ,. o .. ► � �,, 26" - 1 90 MEDIUM �. R�g - 5.'Z C 10 YR6 6 28" - 144,. �' t . a' t Leaching Area: 5' g COARSE SAND � 5•2 C MEDIUM 10YR6/6 bbl 0 p o (i8 COARSE SAND 24.00' 4., • Sidewall:� (20.5) CD (2 3idewalls x -----Ft x ---Ft) + ,O Afatch J y 20' Q "�" '�..ti:... .._ 1) / Ex. JYall ar (9 20 BVW (2 Endwaiis x _--FT x --Ft) eti � - -- © & . 1 ,�1 Bottom: - 1) Wooded Deep Obs Hole Date: 1/09107 Dee Obs Hole Date: I I (23 oI ► a Pu Cr S Area 24 G Ft x '2 ) 480 f SF Soil EvatLator: ED STONE Soil Evaluation EDc STONE O p i �, mp, u h, fill wltli witnessed By: Donald Desmaras witnessed By: Donald Desmaras 2 q Long Term Acceptance Rate LTAR x O 74 Perc Rate: 2 Min/In ® 66" Perc Rate: 2 MIN/IN ® 66" � o / / 0 gBldg \ clean sand as required P ( )� B1 d�- 460 �� by Title V �a i Leaching Area Design Capacity: 355 GPD soil Survey Description: CARVER Soil Survey Description: CARVER " ' 'Ct Geologic Material: GLACIAL oUrwASB MORRAINE Geologic Exist O (Sidewall Area + Bottom Area) x LTAR g g1c Material: GLACIAL OUTs'ASX AroRRAINE W 3 Bd1 o epth to Standing water: 150' EL 5.2 Depth to Standing water: 144"EL - 5.2 On , Barn i pth to weeping water: NA Depth to Weeping Water. NA TOF EL = 22. y 1 355 _ 330 = 25 GPD Depth to Mottiing(Color): NA Depth to Mottling(Color): NA f p) z_. _ _ GPD Provided _-__ GPD Required ____ Reserve Est Seasonal High GW EL = 8.7 Est Seasonal High GW: EL = 8.7 (i2•i) ) USGS Observation Well: MIW29 USGS Observation well: MIW29 I- A' Date of Last Measurement:. Jan 07 Date of Last Measurement: Jan 07 L PI"D nosed Comments: Comments:\ L' AdjUp3.5 AdjUp3.5 Topate Cor s\, e 1�• 1;500 Gal BVW C P c, / 12 2) EL 2140 (IB 9) ro S- Tank W\ � ,� Propose tb OO 1 N 81°¢ 'Q „ Exist \ 20 'zoo! . ( ? rr CB/DH O �->.., We ter (. e 2 t - t� i� d'O. Q Line / t., 1z» A `-� 3►5(oC Ar EL = 25.82 �' z (�7.2) Pump, crush, fill with .tiR oil-f � ' ► • 15t�' OF U D clean sand as required Ex/sl 4 l t,� = ': , 0 ed Title V1� Setbacks }.. s G Front 3*' Fj.` " ��s ��' EDWARD c' (�� / W ''�• :'�D� 1 %i 6 x .a` l pQ (� ►► Side 15' orb WINSLOW �� " STA. ONE `Y• O 15 �• `- ►y , Rear i 5' 4 M. �� � }• -j i • too.28980 Proposed Leaching Faci.1 ►, ,4� , SPOFFQAfi �• -e O 70' 0 20 xf2�4' Leach Field with + Deed Reference Locus Obs J Poris Bk. 13169 P w Three 04 Perf PVC Pipes ( a ,�►- �' t�► C 1ti (e.i) Plan Reference ► �b DT� / l 7 BVW ,�' PI Bk. 244 Pg. 137 O (� �. 4 O Pf r' -•,. . Eagle �l � r #Z (17.2) �' 5•yl yo i ►ir, � ,,� Fema Map. Ref. ��' � �� Stone �� NTs. � O l � 1 .� � •_� � l �_ �'p 250005-1D �1' (O; way 1ZS ( Zone C 7-02-92 AL SITE AND SEWAGE UPGRADE REPAIR / Bldg #450 �' 1. 5f ACreS AAP�- 'G�'•`'. z' w post - AND CONSERVATION SITE PLAN ,� i ; v a BVW PROJECT LOCATION 460 Old Post Road ti '�. ti W ' � ' 05 E . '��/ f G A e4 erg '� Cot uit Bay `� ,,ti. / �j � � ` ` - . b � �' . . � � �m (e• ,�►, <�� 't t..t�� �'�'�G.1 >4 L t`�Tr /� Co t ul t, MA WN t .r �' +► ►t►, a >~T ASSESSORS MAP 54 LOT 30 f ol. w� 'sr-•-P% 14-AL-L Locus Map Map 54 Parcel 27001 / I ; d fi v rya) 460 Old Post Road APPLICANT ��i / fi co J. AL Cotult, MA Harold K Alsman, Tr. 1057 Ramona St. Palo Alto, CA 94301 BVW PI 283 Pg 29 LC Plan 17287A PREPARED BY Ce.S) _ Plan Reference ---------------------------------- I W Bk 18680 P 282 Ctf 128119 A & M Land Services UP �. Ma 54 Parcel 2002 g p Title Reference ___ --__________ 618 Route 28 Unit 3 #125 Old Post Road west Yarmouth, MA 02673 _ N 8,t°¢5 l� Flood Zone C Lot Size 1.5-4 Acres 508-771-5263 Cell 508-737-1777 r� ' J UP 12 e) e 1)IBVW7 ' .� SCALE 1» = 20' DATE. Jul 16, 2007 ., o Top Bolt ~a.faL _ #84 ,23p p i ' y .F.'H. EL 19. 37 _ 1 TBM ELEV.' V _(iOS - ",z� ` _ U� #e tf REV. _ 1 (to.l)O 0 _ DWG. NO. 3275 SHEET 1 OF 1 - | �uUP Li8kr