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0479 OLD POST ROAD
��� G��� ��s� �� J TOWS:OF BARNSTABLE BUILDING PERMIT APPLICATION Map / Parcel P� Application # Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee 116 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 9 ? � % lam Village O 7-0 t T Owner �7 `7 y � �✓% L/- Address /O �� / 5T - ���'�` Telephone e � /�J'3, o � � /cJ Permit Request JU�"�U lfti/fE!� L'��3n-' �F�' �lfc?�/ � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 1) Total new Zoning District Flood Plain /� -� Groundwater Overlay A I? Project Valuation Construction Type Lot Size 1.� C� Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family X/ Two Family ❑ Multi-Family (# units) Aj:q" Age of Existing Structure < Historic House: ❑Yes No On Old Ki g's Highway: ❑ Yes ANo Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other /J OAJ 15— Basement Finished Area (sq.ft.) 4�5 Basement Unfinished Area (sq.ft) C Number of Baths: Full: existing �r(0 new Half: existing new Number of Bedrooms: e/ existinlo ew Total Room Count (not including b ths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas it ❑ Electric ❑ Other- ZJXJ Central Air: ❑Yes /+No Fire I es: Existing 0 New 6% Existing wood/coal stove: Ye�o Detached garage: ❑ existing ❑ ize_Pool: existing ❑ new size — Barn: ❑ existi size_ Attached garage existing ❑ new size _Shed: ❑ existing ❑ new size _ OthW o AL Zoning Board of Appeals Authorization ❑ Appeal # /L� Recorded ❑ � l J 7:3 Commercial ❑Yes o If yes, site plan review # _ Current Use - � VZ-Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �P � J2/J Telephone Number s 7Z l �p Address 'l�) License 0.5 % ,l�J�'I 5�� Home Improvement Contractor# Worker's Compensation # J6!A_�Por_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P%/�f ' SIGNATURE / DATE D FOR OFFICIAL USE ONLY •� APPLICATION# 'g bATE ISSUED MA,/PARCEL NO. r ADDRL%S VILLAGE'' r� OWNER 7 DATE OF INSPECTION: y FOUNDATION - 7 FRAME ° d ��rt ee- Q l�� el � ' INSULATION. FIREPLACE ELECTRICAL: ROUGH FINAL ' Y S - r PLUMBING: ROUGH ��_ FINAL GAS . " ROUGH FINAL f.JNAL BUILDING4 - ®`G DATE CLOSED OUT ASSOCIATION PLAN NO. r - Department ofIndustrialAccidents Office of InVestigadons 600 Washingto-n,street kLId I < . f � Boston, M4 02111 ���- www.Mass.gov/dia Workers' Compensation Insurance Affidavit; B.uilders/Contractors/Electnelans/Plumbers AT)-plicant Information Please Print Legibly Name(Business/Orgaaizaiiona- ividual): It's, C E_ Address: 495 , City/State/Zip: 7L%EZ1,lM� -, ` hona e you an employer? Check the appropriate bog:, Type of proj ect(required);. I am a employer with 4: ❑ I am a general contractor and I employees(fug and/or part-time).*' have hired the.sub-contractors 6;XINew construction ❑ I am a soleproprietor or partner listed on the attached sheet,+' 7, ❑Remodeling ship and have no employees These sub-contractors have 8, ❑Demolition working for me in.any•capacity, workers' comp:insurance, g Building addition ' [No workers' comp, insurance 5. ❑ We are a corporation and its required] officers have exercised their 10,[]Eleotricalrepairs or additions ❑ I am a homeowner doing all work right of exemption per MGL. 11.17 Plumbing repairs or additions myself, [No workers' comp. c. 152, §1(4), and we have no 12,[]Roof repairs insurance required.] t employees..[No workers' comp.insurance required.] 13;❑ Other ny applicant that checks box#1 must also fill out the section below showing then workers'compensation policy information. iomeowners wbo submt this affidavit indicating they are doing all work and then hire outside contractors must submit a riew affidavit indicating such, ontraators that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,polioy information.. Tm an employer that is providing workers'compensation insurance for•my employees. Below is the policy and job site formation. - surance Company Name: knkv I licy#or self-ins,Lic.#; Expiration Date: 6 Site Address:, 6 LP P657— j p City/State/Zip: eb7 4) each a copy of the workers'compensation policy declaration page(showing the-policy number and expiration date), ilure to secure coverage as required under Section 25A of MGL e, 152 can lead to the imposition of criminal penalties of a . :e up to S1,500:00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine up-to$250.00 a day against the-violator, Be advised that a copy of this statement may be'forwarded to.the Office of vestigations of the DIA for imurance'coYerage verification. !o hereby certify unde he pains and penalties of nerju7 at the in provided above is true and correct motor ' ' Date. / •• •t, - one#: OfTcial use only, Do.not write in this area,.to be completed by city or town official ' City . 0 r Town; Permit/License# • • ' Issuing Authority(circle one); 1.Board of Health 2.Building Department 3. City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector 6, Other Contact Person; Phone#; s Client#: 646400 2NORRISEB DATE(MMIDD/YYYY). ACORD,. CERTIFICATE OF LIABILITY INSURANCE 05/10/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: , Dowling&O'Neil Insurance PHONE FA AIC No Ext:508 775-1620 AIC,No): 5087781218 Agency • t E-MAIL - 973 lyannough Rd., PO Box 1990 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Hyannis, MA 02601 `".INSURER A:Acadia Insurance _ INSURED ` INSURER B E. B. Norris&Son.,Inc. i 138 Osterville-West Barnstable Road INSURER C: Osterville, MA 02655 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR - POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY BINDER322326 5/03/2011 05/03/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES occurrence $250,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- LOC $ JECT A AUTOMOBILE LIABILITY BINDER322325 , 5/03/2011 05/03/201 COMBINED SINGLE LIMIT ' Ea accident $ ANY AUTO BODILY INJURY(Per person) $1,0009000 ALL OWNED X SCHEDULED y BODILY INJURY(Per accident) $1 OOO,OOO AUTOS AUTOS X HIRED AUTOS X Per acc NON-OWNED PROPERTY DAMAGE O , AUTOS ident $5OOOO, $ A X UMBRELLA LIAB OCCUR BINDER322328 - 5/03/2011 05/03/2012 EACH OCCURRENCE - $1 O 000 000 EXCESS LIAB CLAIMS-MADE - AGGREGATE $10000 OOO DED I X RETENTION$O - - ' $ A WORKERS COMPENSATION BINDER322327 5/03/2011 05/03/201 'X To y LIMIT lEg oTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? nI N/A i , (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 ' If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIV E ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80658/M80657 LS1 t 'A WC(guide to Wood Construction in High Wind Areas: 110 inph Wind Zone Massachusetts'Checklist for Compliance.(780 CMR 5301.2.1.1.)1 Q Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust)......:. ...: .. ..... 110 mph......... ....... .... .... ............. ........................:. Wind Exposure Category B 1.2 APPLICABILITY r Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) / stories'<_2 stories Roof Pitch ......... ........ .. •_ (Fig ) ....-- `- 12:12 Mean Roof Height ............................................ ...(Fig 2) �I o ft 80' 1L- Buildin Width,W .:. .(Fig 3);......................... < . i <8Buildin Length, L 2 0' c/ Building Aspect Ratio'(L/W) .......(Fig 4)...................... .... 2•'•1 <3:1 y Nominal Height of Tallest Opening2 ..(Fig 4 -g" 6 8" V, ........ ( 9 ). .... 1.3 FRAMING CONNECTIONS -General compliance with framing connections....................(Table 2)................................... . ....................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............. ........ ....,.w.............................................................................................. ConcreteMasonry........................ ........:.................... ..:...... ....:.......................................................... 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or5/8"Proprietary Mechanical Anchors as an alternative in concrete onlyR ----Boll pacing a1 .,... ...... Viable-4)............................................... n. . Bolt Spacing from end/joint of plate ....:........:(Fig 5)..................... ........................................ tO in.<_6' 12" Bolt Embedment-concrete ..............(Fig 5)................................................:l 2in..z 7 Bolt Embedment-masonry......:.............:.....................(Fig 5) .................... ......... ........ in.>_ 5 1 " Plate Washer........ .. ..: ... ... ..(Fig.5)!.................... 3"x 3"x Y4" 3.1 FLOORS _" t • Floor framing member spans checked.. ....... ..,.. .....(per 780 CMR Chapter55) ............. Maximum Floor.Opening Dimension...... ........ ...........:..(Fig 6)...................................................® ft s 12'_ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)..................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall ...............(Fig 7)................... ...ill ft <_d a Maximum Cantilevered Floor Joists Supporting,Coadbearing Walls or Shearwall .:(Fig 8 <d r Floor Bracing at Endwalis( .............................................. (Fig 9)................................: . . ....... ......... Floor Sheathing Type .......................................................... (Per 780 CMR Chapter 55). ...................... t)`9 Floor Sheathing Thickness ........................................... (per CMR Chapter 55). ............... in. nl (P P . ` Floor SheathingFastening ...............(Table 2).._d nails at in edge/_infield q g ............. 4.1 WALLS ' Wall Height ,. Loadbearing walls.............. (Fig 10 and Table 5) $ft 5.10' Non walls�! ?!r y .. .......(Fig 10 and Table 5) ................ . ft <_20' Wall Stud.Spacing ..............:..........(Fig 10 and Table 5).... ............. 16 in.s 24" o.c. 7 Wall Story.Offsets . .......................... .......................:....(Figs 7&8) ...................... ft <_d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls (Table 5).... . .....................2x 8'ft_in. Q �l " .... Table 5 - j Non-Loadbearing walls....................................:....... ( )..............................2x 8"ft in. ✓ i Gable End Wall Bracing' ✓ Full Height Endwall Studs ......... (Fig 10)....................................................... ....... WSP Attic Floor Length................................................(Fig 11)..... ft>W/3 M Gypsum Ceiling Length(if WSP not used) .:...........::.(Fig 11)........ . ............................... ft>_0.9W ;19 . and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11) ........................................................ or i3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length ............ .....................:.:.....:..........(Fig 13 and Table 6)................................... ft _ Splice Connection•(no.of 16d common nails)..............(Table 6)............................ iA)WC Guide to Wood Construction in High Wind Areas: 110 inph Wind Zorze Massachusetts Checldist for Compliance (780 C.MR 5301.2.1.1)1 Loadbearing Wall Connections ......(Tables 7 ....................................................... /J Lateral(no.of 18d common nails)................ (T ) Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)...............:...... ......(Table 8)........................:.................. :....:.. tj✓� Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans. ........................................................:.(Table 9).................................. �" _ - _ft in <11' Sill Plate Spans ::...::. 1;**** .....(Table 9)...;.............................. ft. Full Height Studs (no.of studs)....... . .....................:.:.(Table 9)...... ...........6....................... .............. ✓ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Spans ... ..: (T ft in..<_12' Header S �( p able 9)..... Sill Plate Spans..::. ..x................................(Table 9) .... ft -m 12 Al/1 Full Height'Studs(no.of studs)................ ..:..:...........(Table 9)..... ................................................. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W gZ �' �<6'8 '� Nominal Heightof Tallest Openin Sheathing Type.... (note 4) Edge Nail Spacing .........(Table 10 or note 4 if less).:. . L _in: FieldNail Spacing..................:......................:(Table 10)..................................:..............I_in. Shear Connection (no.of 16d common nails)(Table 10)....................................................... 3 Percent Full-Height Sheathing............_ ,.....(Table 10)... ,,..... 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)...... Maximum Building Dimension,L Nominal Height of Tallest Opening2......................................................................... 6'8„ Sheathing Type..:. note 4 Edge Nail S acin ..........................................(Table 11 or note 4 if less).. in. Field Nail Spacing...........................................(Table 11)............... l Z in. J, Shear Connection (no.of 16d common nails)(Table 11 3 v Percent Full-Height Sheathing...... ............ (Table 11).....................................................(_°° 5%Additional Sheathing for Wall with Opening >6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?..... ........:..... .... ....... .. .... ........ . ...........:.........:............................. 5.1 ROOFS Roof framing member spans checked?......:.....: . .....(For Rafters:use AWC Span Tool,see BBRS Website) Roof Overhang ...(Figure 19 V7 ft<_smaller of 2' or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors � t �,� -RT; � �t Uplift .....:(Table 12).............. .................... U l7 a plf L ... ......... ILateral .............................................(Table 12)....................................... ,.:.C=�plf� Shear................................................((Table 1().............. .....................S-�plf - ✓ Ridge Strap Connections,if collar ties not used per page 21... Table 13 ......................T= PIf �- Gable Rake Outlooker ........................ _........ ....:(Figure 20) ...........a ft<_smaller of 2' or U2 r/j -Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................. .....I......................(Table 14).............. ................. U - Lateral (no of 16d common nails) ..(Table 14).. ......... L '�, lb. Roof SheathingT e....... .. (per 780 CMR Chapters 58 and 59) :.. yP. � , Roof Sheathing Thickness.......................... :. ............ ........ �� in >7/16"WSP Roof_Sheathing Fastening.......................................:....(Table 2)............I.... . :............... ... Notes: 1. This checklist'shall be met in its entirety,excluding the specific exception noted in-2;to comply.with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: , a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade: F r Town of Barnstable ' Regulatory Services s�;Rrtsra8 Thomas F.C,4er,Director Building DWOn ED� TomYem, Building Comralssioner ' 240 lviain�treet, Jjya=is,MA 02601 www.town bzrustable.•ma,u3 Fax: 50�790-6230 ,mice: 5os-m-4038 • property Owner Must ,Complete aad Sign TW-s Section If Using ABuilder as owner of the subject pr p rty r ' I� 7 iJ -P-1F�. St CJaN a 'G to act on mybehaif;. 'huebp 0-uthari2e is all matters relative to work authorized b7tiL busnding permit application for, OW FX2-r CO i O l T µ fl (Address ofjob) S4mit=e of Owner Date • . . . gnat game • . :. -� NI�ssuchusctts Departnie of Pubiic S►fete 'Board of Builtlim, Re�-ulatious and Standards , i Construction Supervisor License License: CS 15851 Restricted to 00 ,,CRAIG N'ASHWORTH 138 OST W BARNSTABLE OSTERVILLE, MA 02655 �t ' Expiration: 6/28/2011 ('uuinu;sioner,, Trk: 3091 Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 0211.6 Home Improvement Contractor Registration Registration: 102014 � >. Type: Private Corporation . #� F Expiration: 6/30/2012 Tr# 200714 ERNEST B. NORRIS & SON INCrw '� Craig Ashworth ? �U 138 Osterville W. Barnstable rd. Osterville, MA 02655 � k = 'Update Address and return card.Mark reason for change. - Y Address F-1 Renewal r� Employment' R Lost Card DPS-CA1 Co 50M-04/04-G1001Q216 ` Office ot"Cofu er AffairsfiViness egu� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration .,102014 Type: Office of Consumer Affairs and Business Regulation Expiration 6/30/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 ER NEST B. NORRIS&SO:N INC Craig Ashworth t 7 138 Osterville W. Barnstable Osterville, MA 02655 Undersecretary / == y Not valid without signature I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION77 Map Parcel 170� DOs _ s Application # Health Division Date Issued Conservation Division Y�C 5�3 _y�llt? ` fig' Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH Preservation/Hyannis Project Street Address q 7 UGC f05T K,p . Village C OTV l T , MA 370 oLp Pasr PD. LUc; 02108-good Owner MI DX P096' PT LLC Address to-rREM04T srnEET, Sth FLODRj Ws:ToM, A Telephone Col) E-17.NOM!2 ES o ) OR) 4ti0— 1165 , Permit Request lbV1L© U.ES`r IWSE 4-y3d F0RU AS PER AVFA-Cl+f_�D (,y,,3 Square'feet: 1~st floor: existing proposed 2nd floor: existing proposed*Total new Zoning District. r - Flood Plain L)I A Groundwater Overlay N I P Project Valuation 3' .g Construction Type Q0C7 §&E i I.gC( F. Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family 13L Two Family D Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes A No Basement Type: ❑ Full ❑ Crawl ❑Walkout 4 Other SU15 OQ G kA D E Basement Finished Area(sq.ft.) 01 A (RO 00 �rR Ap� Basement Unfinished Area (sq.ft) Number of Baths: Full: existing PC new 3 Half: existing 014 new _ Number of Bedrooms: 01 A existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 'U Gas ❑Oil ❑ Electric ❑ Other RAPIA QF REAT' - Central Air: ❑Yes ❑ No ' Fireplaces: Existing Mff New N 14 Existing wood/coal stove: ❑Yes )Q No Detached garage: ❑existing ❑ new sizeLPool: ❑existing ❑ new sizet► L Barn: ❑existing ❑ new size Attached garage: ❑ existing ❑ new size}ll-A Shed: ❑ existing ❑ new size $ Other: tl�l Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ,0 No If yes, site plan review# Current Use Proposed Use RV7tPF,0T-1�lr APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name eplol& C."60. fW., Telephone Number 11657 i Address _ 112 b 0019R%I I • ARM- QD- License # CS 15S5( �S'rEi2 V LL1� I ��,('n Jt� Home Improvement Contractor# Worker's Compensation # DI-VE12 �507010 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE a2 FOR OFFICIAL USE ONLY 'APPLICATION# DATE ISSUED ? MAP/PARCEL NO. 7 ADDRESS VILLAGE OWNER r } DATE OF INSPECTION: - - - emFOUNDATION 9�A 0 op S nd o FRAME 5dH4flE y��/i,�, Cad$t'S- Q ft 01 0 - y • INSULATIONL_ �QL FIREPLACE ELECTRICAL: ROUGH FINAL >t PLUMBING: ROUGH FINAL' 4 Y GAS: ROUGH FINAL FINAL BUILDING oti at l tl,�hfZ�t IfOk Gj 3 it - } SQL +: DATE CLOSED'OUT ASSOCIATION PLAN NO: Department oflndustrial Accidents r f , .i Office of-Investigations iFuL a 600 WP shington Street Boston,'MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit; B.udders/Contractoi•s/Electrieians/Plumbers Applicant Information Please Print Legibly Name(Business/Orgauizationa&idual): Goo ..' G. Address:_- 1��. D� R�i IAA -' 1�• ��1��b1�� p City/State/Zip: . `a �I.1A.E I Phono# . s� — 667 `,re you an employer? Check the appropriate bor. Type of project(required);. I am a employer with 4'. ❑ I am a general contractor and I employees(full and/or part-time).*• have hiredthe•sub-contractors 6. ❑New construction ❑ I am a sole proprietor or partner listed on the attached sheet,+ 7. ❑Remodeling ship and have no employees These sub-contractors have •8. []Demolition working for me>i any capacity, workers' comp;insurance, g Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10,[]Eleotrical repairs or additions ❑ I am a homeowner doing all work right of exemption pe'r.MGL. . 11.❑Plumbing repairs or additions myself, [No workers' comp. c. 152, §1(4), andeve have no 12,[�Roof repairs insurance required.] t ° employees..[No workers' comp.insurance required.] 13,❑ Other , ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, iomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, ontractors that check this box must attacbed an additional sheet sbowing the name of'the sub-contractors and their workers'comp,policy information• tm an'employer that is providing workers compensation insurance foamy employees. Below is the pplicy and job site formation. - surance Company Name;---- ACM •icy#or Self-ins,Lie,#; Eowlr�_ Mj Q l o ;expiration Date: 5' 05111 6 Site Address a o v Poor F-19. City/State/Zip; COTO IT f f} tach a copy of the workers' compensation policy declaration page(showing the•policy number and expiration date), ilure to secure coverage as required under Section 25A of MGL e, 152 can lead to the imposition of criminal penalties of a . :e up to S1,500;00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.Q0 a day against the violator. Be advised that a copy of this statement may be forwarded to the office of vestigations of the DIA for insurance coverage verification. !o hereby certify.under the pA�andl ' nalties of perjury that the infon=tion provided above{s true and correct mature; Date; one#: 4 _,I l ^ " Official use only, Do.not write in this area,,to be completed by'city or town official City or Town; Permit/License# Issuing Authority(circle one); 1.Board of Health 2.Building Department 3. City/Town Clerk 4,Electrical inspector 5.Plumbing Inspector 6, Other Contact Person: Phone#; 4 N'lasmOlusetts- Department tit'Public Safety Bom-d of' Buildinl- Re"Illations and Standards , Construction Supervisor License j License. CS 15851 Restricted to 00 R � iCRAIG N ASHWORTH . .138 OST W BARNSTABLE' +.. OSTERVILLE'MA 02655 Expiration: 9/28/2011 ('ununissioicr Tr#:.3091 y y ` t 0 Town of Barnstable Regulatory Services snArtsras 'I'pomas F. er,Director Building DIVIAOII ToMPem, Building CO=nhsi0ner ' 200 Ivlak treet, $yannis,MA 02601 www.town baraAable%=-u$ Fax: 508 790-6230 . )ffice: 508-862-4038 Property Owner Must Complete and Sign T Section If Using ABuilder lG ,as Owner of the subject property to-act on Mybe6lf; 'hereby authorize r ermit a lication for. all fitters relative to work authorized bytes buiilding p pp in 1Z19- Co i J E µfl (Address of ob) 9.41v / o Date sigaature of Owner Print z�a� - 91te Office of Consumer Affairs and usiness Regulation E 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 102014 Type: Private Corporation 4 Expiration: 6/30/2012 Tr# 200714 ERNEST B. NORRIS & SON INC Craig Ashworth 138 Osterville W. Barnstable rd. Osterville MA 02655 Update Address and return card.Mark reason for change. Address Renewal Employment ❑ Lost Card DPS-CAI 0 50M-04/04-G101216 Office okonsume°'r`AW.27—� �/��`B-d'spiness�on� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: -I Registration T]02014 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration 6/30/2012 Private Corporation = Boston,MA 02116 ER 1ST B. NORRI$_&SON_INC ; Craig Ashworth -z r 138 Osterville W. Barnstablerrd Osterville, MA 02655 Undersecretary Not valid without signature -. Client#: 646400 2NORRISEB ACORDTM CERTIFICATE OF LIABILITY INSURANCE 05/26/20�0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR g y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 9731yannough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance E.B.Norris&Son.,Inc. INSURER B: 138 Osterville West Barnstable Road INSURER C: Osterville,MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/Yl( DATE MM/DD LIMITS A GENERAL LIABILITY BINDER307009 05/03/10 05/03/11 EACH OCCURRENCE $1,000,000 PRIX COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED SES(Ea occurrence) $250 000 CLAIMS MADE 5�OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1,000,000. GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY JET F LOC A AUTOMOBILE LIABILITY BINDER307008 05/03/10 05/03/11 COMBINED SINGLE LIMIT 1ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY X SCHEDULEDAUTOS (Per person) $1,000,000 X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $1,000,000 PROPERTY DAMAGE $500 000 ri (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY BINDER307011 05/03/10 05/03/11 EACH OCCURRENCE $10 000 000 X OCCUR ❑CLAIMS MADE AGGREGATE $1 O 000 000 DEDUCTIBLE ` $ X RETENTION $O $ A WORKERS COMPENSATION AND BINDER307010 05/03/10 05/03/11 X t'VC STATU- OTH- 7. EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN 260 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #St9611/M69610 CR © ACORD CORPORATION 1988 REScheck Software Version 4.3.1 a Compliance Certificate Project Title: Slater Guest House Energy Code: 2009 IECC Location: Cotuit,Massachusetts Construction Type: . Single Family Glazing Area Percentage: 21% Heating Degree Days: 6137 Climate Zone: 5 w s - •d. Construction Site: Owner/Agent: Designer/Contractor: 979 Old Post Rd Marian Korfanta ' Cotuit,MA Ernest B.Norris&Son,inc. ` 138 Osterville-W.Barnstable Rd. �. Osterville,MA 02655 508428-1165 mkorfanta@ebnorris.com com. . 6c;'6.1 Passes using UA trade-off Compliance: Maximum UA:426 Your UA:332 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 1286 21.0 32.4 24 Ceiling 2:Cathedral Ceiling(no attic)`. . . 437 : ' 21.0 32.4 8 Wall 1:Wood Frame;16"o.c. 1937 19.8 1%8 - 50 . Window 1:Wood Frame:Double Pane with Low-E 281 0.290 ',. '81 Door 1:Glass 132 0.290 38 Floor 1:Slab-On-Grade:Heated 186 8.0 131 Insulation depth:6.0' F Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.3.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. M.Korfanta, Estimator , Name-Title Signature Date 3 . Project Title: Slater Guest House Report date: 09/27/10 Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.3.1 Inspection , Checklist Ceilings: ElCeiling 1:Flat Ceiling or Scissor Truss,R-21.0 cavity+R-32.4 continuous insulation -t4Ni;1JE Comments: ti- T TRl�Y f J b�S ❑ Ceiling 2:Cathedral Ceiling(no attic),R-21.0 cavity+R-32.4 continuous insulation- I Gy fJr'NE Comments: CATHEDRfM�(a� SlT1`lNG # IN Above-Grade Walls: a ❑ Wall 1:Wood Frame,16"o.c.,R-19.8 cavity+R-19.8 continuous insulation LCyN � Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor.0.290 For windows without labeled U-factors,describe features: s #Panes Frame Type Thermal Break? Yes No Comments: 1A R 111' Cof p Low E Ir vJ hKG6 J Doors: ❑ Door 1:Glass,U-factor:0.290 ' Comments: _ H A M W GI-h l) L w,-E "T 'f! Me 6 0 Floors: ❑ Floor 1:Slab-On-Grade:Heated,6.0'insulation depth,R-8.0 continuous insulation y SLR Comments: SZ" M610 145011,AT1.0Q VIJDER, SLAS El"LER6y EDGE Slab insulation extends down from the top of the slab to at least 6.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 6.0 ft. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. y ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ` ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with•a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or , damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less_than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: • (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. Project Title; Slater Guest House Report date: 09/27/10 Data filename: Untitled.rck Page 2 of 4 M Corners,headers,narrow framing cavities,and rim joists are insulated. (g)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: 0 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,arid floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications.- Duct Insulation: Ll Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray poiyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria:, (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm'per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2 pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfrn per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: LI Additional requirements for equipment sizing are included by an inspection for compliance with the international Residential Code. 0 For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Ll HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. 0 Pool heaters operating on natural gas or LPG have an electronic pilot light. Project Title: Slater Guest House. Report date:09/27/10. Data filename: Untitled.rck Page 3 of 4, •� Timer switches on pool heaters and pumps are present. Exceptions: Y Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12 - Exceptions: Covers are not required when 60%of the heating energy is from site-recovered:energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent - (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: LI Snow-and ice-melting systems with energy supplied from the service to a building,-shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility' of the circuit directory label,service disconnect label or other required labels. . NOTES TO FIELD:(Building Department Use Only) 6 Project Title: Slater Guest House Report date:09/27/10 Data filename: Untitled.rck Page 4 of 4 ,. e 2009 IECC Energy Efficiency Certificate Ceiling/Roof 53.40 Wall 39.60 Floor/Foundation 8.00 Ductwork(unconditioned spaces): Window 0.29 0.33 Door 0.29 0.33 ' Heating System: Cooling System: Water Heater:_ m Name: Date: r Comments: f _ v a y i i' yi 1 +s° �t ) - t _ I SMOKE DETECT O REVIEWED ®. - - _® _ ��. I.I ::I f I r - -- _ - - - - f /.h 6.a.w'nn.i�v.__�{_ ✓�Flt.x f: O J� STABLE UIL DEPT. DATE BARN DING i FIRE DEPARTME DATE BOTH SIGNATURES ARE EQUIRED FOR PERkfrMNG 0. 4 _ ir I'kfa._ II Lhi 6II % (, Iff Y� I — : 1 II ---I ;N I EM -- .° - I CARBON M014OXIDE ALARMS !� 'MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE : I f UR�v LL 8 T --- - - - - _ f- Hf _ ... WeST E<[✓w-r�oM - — —__ --.—..— .A.�� �.r✓wnw � a F-F++L �0'3 •ns AID sue+ � 1a,fn - am Sw ' I'. .x.n_4 '?TALL P7 P.wu a va • , • 1 M"a,i ws i Sims 6<w7..( Pn(uw....r.y ..earipG Y SC-rls�L G!<ES /YOI/SS �•L-1Y'l 0, 1 , 62 L rnn FV • - S n..G a eii .wren�r...c.m.r:..�y -/b Al , G• • vsr:- r f.. .................... 1. 1. e.. if t I'l i l i•r ii.♦ f, e I$ 1 .1. Y•il. �5' �i:� .�z, i� j�yJ2TRtM ..� !' r � �' r fl.l•�' ;F •,.: �: — :1.'sic' t: "I fib ®f 41— i'y ; ,., .— �Jt�Rltif:l/ �1Y)� t f�lt ►T • v y. • , 11.. _ LOL x4p _ - .x y5. _..-............_.-'-'-' 1 - i . �jttsK &CA (aflr , ' i 5 --� — 4Z9 :n�' rosi Ro, Olt. �. ;,tea;• �-1 ® VA 0 o M CHELE 9c�G CUDILO STRUCTURAL i8 ,-D i nuan.d.+r.,..o•n 1 gFcts-�a� ... __ T BP / I I • ..... ._ rr.,ce n, s.r o.araw t r �.e..c•� . i - R { _ II-- Wes:r eer✓..-r,o.r - - � .fir e.r.+..na,. .ro,,: I — -._..------ ___..__...__ ..-- - -- --- - _ ._..... -- .._. -- ------ - -- -- - -- — ti J Pey_ --.{ ld - � �� �ys�:� ►��; (�.� �� Z, 5�►-{P�� L 5 u 4,12 (SH«1 PLY) 3. UFP TEA SpL' G�rltl� �'6v►�4 S'I(o d Fh.wfil 4-. Est : 5%4 x 5'1¢ ("be 1'$V FsL x lb,s'(}► c Gk�ti c Grx's ; S7ee-L-, f{ - 5 fo x 3 x'14 a� tic i � G404N'5 D/ LVL t . It,OFF VS - - fMICHELE CUDILO O No.34774 u STRUCTURAL q/3k !i AIf71�D s M 4 Y /0 its C 1 H OF A,,(S MICHELE � No.34774 STRUCTURAL V u ��----- � °✓>;..A.To Fes- —=s.... to �MIJ, I I a>.,,, - S(}rj�J �, a: �• ..�oj)rl'olp/A-�) t � , Sc rc 4�pe Cr`cq/-L•I sT. St F-tp 5 .{{ 5A cA- -(stm s`f 0t'1-I"A LoCer,o.LS) LIVL - - me•:J.k�n.<gray 1n on�1 �j?.R?'((a. SYhiM s �Os o5s IM5tna �c-_ � _ Ct�� ctt+-.<KusT r06/20/2011 09:27 15087757877 EBNORRIS PAGE 02/02 TOWN Of B Al ti"NEST,BLE IR-120 AIM, 107 24 ERNEST B.NORRIS&SON,INC. ::; - — DIVINO June 20,20l 1 Bamstable Building Dept. A.TTN:Tom Peery 200 Main Street Hyannis.MA 02601 99 Fax:(508)790-6230 (� RE.979 Old Post Road,Cotuit MA ' Dear Mr.Perry, We are requesting a 2"d electric meter to be installed in the guest house as the transformer is within 50' and the main house is 350'from the trans-former and,will require wetlands permitting plus extensive landscape and driveway damage. Re Craig N. Ashworth E.B.Norris&San,inc. Cc:Fuller Electric fax(508)775-6977 138 OSTE,RVTLI..E WEST DARNSTABLTr., ROAD OSTERVILLE, MA 02655 TEL: 508-428•.1165, FAX: 508-428-1196 r=—— �— — —�Q--�L�_ _ � I �°�� o� ����� // , ,. ' dhC� �GL S `F J 4 i . f a f Y �� � � i C81D k O�QI (33' Wide) .} (Public) flo ASSESSORS REF.: N 143332" E PDaSI R=321 .73 Map 74, Parcel 3-5 & 3-6 CB nDH 1,3 145'16 ` CB/DH L=75•68 z�3c, N 10"13'04" E Fnd OVERLAY DISTRICT: plan Book 459/54 0 � v' AP — Aquifer Protection District FLOOD ZONE: Zone C, All (el 11), a cb �� Vl l(ell7), & V17(ell5) oQi oil /�i% Community Panel No. 6�t t#250001 0018 Dti0) July 2, 1992 OAj ZONE: RF (RPOD) Area (miry.) 87,120 SF Edge of Wetland Frontage (min) 150' � As Shown On Width (min) 125' Plan 439154 Setbacks: New Concrete Front 30' Side Foundation Rear 15' Top EI=12.4' o �T n Ln o N (n rn m z Co o y N \ 0)00 �1AR� O O ' rn_ - n I - Lot 4 - 205,170tSF Upland No Build Zone Line 87:860±SF Wetland , 293,030tSF=6.73±AC Total � Z I m V i 11• i pp � `0 C5- rt I certify that the founda#ion shown hereon conforms to G' the setback requirements of du m the Zoning Bylaws of the is town of Barnstable. #979 sty " 2 pWe w/llin9 _ RIGHARD R. r L pool CB�DH / / V cn ,J °l do L'H'EUREUX; - - / O� Top OfG Q, O Coastal Bank �/ '''1 C/ 2 / / PLOT PLAN / At 979 Old Post Road �Meon Low Water Not BA?NSTA E By Pion MA �(Cotul^t)^ NOTES. FEMA Zone Line as Shown MASS. On FIRM 250001 0018 D /// //""7� rev July 2, 1992 DATE:15/FEB/11 SCALE:1"--100' 1.) The structures shown were located on the ground 0 50 100 150 200FEET by conventional survey methods on (or between) 07/APR/08 and 27/SEP/10. PREPARED FOR: 979 Old Post Road LLC 2.) The property line information shown hereon was 10 Tremont Street compiled from available record information. Boston MA 02019 3.) This plan is not for recording and is not to be PREPARED BY: CapeSury used for construction layout or deed description purposes. 7 Parker Road Osterville MA 02655 DWG #.C291_lg2 CPP1 FIELD BY. RRL/WHK/MLL (508) 420-3994 / 420-3995fox 4 \�o.v IU,289 3F t UP 13,600 SF * wcr zol, sF Tor 8 � �i � TF. Ez, --- Z.')' ,tl6lda OF SIL A4EAN No�r�1 ,8i�y C'EAPT%ic/EO OLrOT ,�I-AAl . LOGQT/O.(./ / CE6 2T/.cy T.�, T: Tf✓E FOVOnA7/0 COTS .,T .S�/OWN yE.2E COtti1,47.Z-YS WI;9V SC4 L E- �� /Zp OATS ,3• /S •9G S"/AA.C%NE A//O SETBAC,4e- .2EX-A=.2E X/G'E .�2EQU/.2ENl�.t/7'� O.�' TNT' TzpwNCL� .8<►2ilSTq ,811�- A�C/O /.s LoT' .C,Coaa�G4/W pG B,C 4579 PG. 5¢ OATE= AilA4. i5,199G � ,E3.4 XT,E.2jS.VyE /NC. Tf//S O.G.4.v/.S.t/a7'B-QSEO O ,4�!/ �2EG/.STE.�EO LAB/O SU.eli6y2�:� $A SIDE Pvi� �/�a. �• Ind y t � _ ��o �so �ia� 9'�9 a/�`�ds�- a �'T D '?91�a��oo5- �2m� �� a����/S 4 ,i 9 n 7 " Q� �n Deck Deck 9'_6"x 15'-6" 9-5'x 15'-6" Open To Below Bedroom/Study 19'-5"x 14'-U' Master Bedroom 25'-3"x 13'-19' Bea" Bedroom 28'-0"x 24'S" D - _ • S j' ---��-- � `. Attic Storage ------ lm I BuWn Master Bathroom Bed 3 13'4'x 1 T-0" Dressing Area Upper Hall M fl NSdmt Walk i 11'-2" 25'-9"x 14'-9 Bathroom ;e"°° ;SkAg CQ - 9'-4"x g_5.p r10 T 2 Ba U'4'_ -- - -' Walk-in Clo et 5'-5"x 17' ----------- ON Attic Storage Bedroom LBedroo 17'-3"x 13'-10" °N 15'-8"x 14' s a - - Third Floor Plan Ceiling Height=9-9" )3rs� Balcony Second Floor Plan - f Ceiling Height=8a-" ' � C 979 Old Post Road , + + _ • e 2 Cotuit, MA 02635 Seale if=,•4 Nc� I El �r I \ - - - I - � vc r y s -_-MINI ' � 6F•' 6ree9'.[ \ _ � �p i uua:/ `_/, e�. n•t'N/i . z i, - - • s°7 � ..'�.�� _TYPrt Rc—.Nv Fes:.S-raSt✓ncG 5i!forNr�ry� T 7'S 7z4- SP/+NiL- Ga Y(/l WJ Yl"CDf S4"' Y 1I I /x E •a,c7cr/ro aD 1M Y .. 1� G S N•rR I... � T_IP .. •I - NRitr Ta P—SNa(, - g�0�� Rum+ VS K.T ILL S. 'Fo.7 d'"83 II yy 31f 87.:. ' I� Is'I--o dfb N 0 41 r. S b"Co•+c 23'S Re— . Ace N«Po..°�wt c..�s e✓cd� ri.oL '- PG'4'TE. S.c—i iv.we5-. Uva 9Y-iJoT ara,�le Bq • ,et�°ra,y _ - af12 rzlatrr. • - � • , • i .. R FR TYPi 4G ,JF TRiZ j- 979 oca Aa Mo ro. .. _ - � y_sr-3•� .. ICI _r * TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ���' � Permit# _- Health Division ���� Date Issue Conservation Division ��� Fee Tax Collector :;3(2(7 .F,P' IX G Treasurer IJ'oTH Td LE 5 Planning Dept. EWIRDnnoENTAL CODE AND Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village ©TZ�, ' / Owner �L� 1� t KU'LOU ��'�Address Telephone _ Permit Request , L, f(M1. / ln.) .O Square feet- 1 st floor: existing proposed 2nd floor: existing proposed Total new N �✓ Valuation Zoning District Flood Plain Groundwater Overlay Construction Type 6 ILA)&' J_oi Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) c� Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No V 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 'Q1 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 I�-���� Proposed Use ,BUILDER INFORMATION Name Telephone Number Address �J Ew License# el'!!� Home Improvement Contractor# Worker's Compensation#&ru ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WIL BE TAKEN TO SIGNATURE01�Ahj & DATE -Z_ �Z FOR OFFICIAL USE ONLY PERMIT NO. t DATE ISSUED MAP/PARCEL,NO. - ADDRESS ' VILLAGE ' OWNER, ti DATE OF INSPECTION: ' •r FOUNDATION r FRAME ' t INSULATION -' FIREPLACE L ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH Ii 1' FINAL GAS: ROUGH ._ FINAL FINAL BUILDING DATE CLOSED OUT 7 t ASSOCIATION PLAN NO y , •r I / , t •"� 7 J ' f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE _ New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSAEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY'STRUCTURE>120 sq. >120.sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 sf-1000 sf 75.00 >1006 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) Permit Fee projcost s T� / / V/1 VIA v-I 1.%'/.�%! �'%�:',:%.'. _i '.;• / / �.%::i:::::%/}�"r.% '..'7�i' 1:11 � tom•, = _ �r.E� -.� .!.�- - / u . 11 1. 11�• • 1 a .�1• • •11 1 • •. 11 . 11 Wwsp •/ . 1•mop vjval 1 . 1 • •.4 1 1 / ✓.0. WRI ` 11 1 :111 . • _f • . 1 1 ", /. �1 •. 1111�11 +:U • 1 • 11 1111/ • ••, 1 , 1 11sr, ■ 11 1 • •1 • - • OW461I J rA ffbf 1 1 1 I 1 1 1 1 �• 1 ♦• 1 • • �• • . • ••1 1 1 . e 1 11 , 1 1 11 1 . 1 1 1 1 Minim= , 1F ////////%/////////////%///////////M///%////%///////%/////////////////////////%////////%%f�//// 1 1 11 1 1, 1 1 �1•,• - - - H - 1 i 1 1 • • • 1 :A' i t I I • /1 1 all a e _ by. 11 permbfficeme _�C3BWIdIngDepartzment E3T]cmdvi Board E3Aeck iflomnediste respome is requiredOSekvbnmls Mee OHealthDepartinent contact person: phom#, ■ . 1 1 11 1 1 1 1 1 1 1 1 r . il. / . . •11 _. • 1 w. 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I • - I11�• f N • • r /1 - f • •« ■ •1/ • •• ..• •1 • • 1�1 w�.•: i111• • .1• '• • •1 • - • • •• 11 • �11 • �• 11 • II w11 �1 • .11 • 11 • If • •f •Y. • .�Lltl•.f■ - • •i .� �• �11.1• • •1 ■I w :,1 • • • 11• •1 • f1 a 1 i• •« .1• •11 • • 1�1 •I: :111f1 • wf11• • / • :•IU• • • • �1 1 • • 1 N • / • 1• 1 11 ' 1 • 11 • 11 .1/ 11 • •/.:1r1•. .1/r 1 • Y •� 11 ./ 11 • 11 • 11r II • 1 • • I // • / • • r:1 • 1• •J • ff e • • I • .If• �/• 11 //.1 • 1 I 1 • •_✓.f • / 1 w111r • 11 .1.1 r f_wf1 _• I• / .11 w111f • f r all, •11 (1 I V I ' 1 I I 1 1 1 1 S174 L*11 1 Y- 1 I - 1 1 • 1 1 1 I f • 1 'l I l w. 1 1 Y I 1 *I I(. $I,I Ito lit Idl-f If 1 / 1 1 11 1 1 • 1 1 • 1 1 1 1 of 1 . • 1 1 / • 1 ' 1 1 1 1 11 • 1 Y' I /I 1 / Y' 1 1 1 _• •• 1• •11 I • 1.ill•�1 11 1111•11 • r: 1 f 1• 1 • IA • • If w. r• Y •II YI I w 111�/ 111 • .Ii r•I11• M • 1 1 - •-/ • .10 r • • I 1 '•It. 1.1• • Y. • •�11 V •1 r•1111f 1 r ' 11/ 11 11 11 1 r _• 111 w11 wf1A • 111 1 ./1 1�1 1 •ww1 • w/l _• • t1 •111• ••• • 1 A' ill 11 If • t• r•If fl•wf w.1■ •1• . tt • . 1 r•11•If �/ 1 ' 1_ .•II • 11 • " II .1 .Ir r • 11 tl/1 Wall .1• • r 11 • •11111 •11 1 If .� • •1 ,.�.. .11 • • 1 •II 11 111 r Nw •11 • •/ rH U/ W.11' • 11 01 .11 r I tI • IA t1 • 11 Ir �• • o / • •11 w11 •1 0 •11 •tl. « •w•IA 1.1 ru11.1.11 •1■ •11 rl 11 Ilrat r r• '.1 1 • 1 1 Y UI 1 1 -1 1 / it • ( 1 • 1 1 • wUlll�• I• /1 ••1 •v U • ••1 1/ .1 /1 .11 1 ✓.1• •11 •1 11 •.•/•Itll 11 r..l 1 . L• w, 1_• 1 1 11 , • •f •11 wfl •r 1 •11 f• « . w11•, 11 . • ' 1 1 1 .11 • f 1 .� . •11 w•Y.I • 1• ' /1 . • _• 1 f _1 • • 1 •./11 '•1/.•w ►•I111•w1Aw1• giant • • w< v ✓. I 11 1 w•% fll w11 .1 /1 111111 •�1 Iw• • • 1 1 1 • 11 11 .1 11 if • ' 1 r•11 its) all �•, •1/ 1 • 111/_f �.•. • 1 . . 111 w11 1 • . • �. . r .1 •1 . . . •111 . r • 1 •1 •I • :1I • 11 11 f •%1• •It 1 1• r•Ifl✓. •1 •• 1 w•G •!11 • 11 s • ✓•111 It 1 IIy I •./ I II / f 11 11 H.T. f111 11 • • rlll•�• 1 1'. Its.16 • ' 11 •1 111 • /1 .1 • •11 • w1•w11•. / •__'/ 11✓• 1 tt • 1 • •Y.1■ •II • • • 11 .11 f II • ' .1I Y • • I r•• �1 .1■• •II /• 1 • • • 1 .11 I I..� . •/ •• 1• I�r1Y.1 • 'J w. ( j/�����������jjjjjjj����jjj��j�jj��jj��j��j���j�jj/����jj��j/ • •1/�111 •• �'/. ifw4f • atoll( .11 / r..w 11 It1 1.1 1 1 11 11 1 1 -1 1 •, 1 1 I 1 • , 1 1111 1 ' III I1 II Ot The Town of Barnstable HAM g Regulatory Services 059, �m Thomas F. Geiler, Director" Building Division Peter F. DiMatteo, Building Commissioner 367 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 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 Rork:—ZZ/A l Estimated Cost 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 rlJob 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.14ZA. z SIGNED UNDER PENALTIES OF PERJURY I hereby app for a permit as the agent of the owner. Dat Contractor Name Registration No. OR Dace Owner's Name g1orms:Affidaw rev-070601 r - r✓/tn, �;•,/ir.r::rrtruv.t/C<!c car... lf:r�.:;r�///a�si�'.: / BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 068433 Expires:06/10/2002 Tr.no: 26808 Restricted To: 00 GEORGE R GILLMORE PO BOX 940 (•�«�,�i/ COTUIT, MA 02635. Administrator Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR 1,. Registration: 123494 - "" Expiration: 02126/2003, Type: PRIVATE CORPORATION Gillmore Marine Contracting,Inc. Ger..rge Gillmore 37 Bowdoin Rd Mashpee,MA 02649 Adroinislralor Massachusetts Department of Environmental Protection DEP File Number. Bureau of Resource Protection -Wetlands STAa� _ WPA Form 5 - Order of Conditions SE3-3778 ar 6 p. Provided by DEP For , Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII A. General Information Important: When filling From: out forms on Barnstable the computer, Conservation Commission use only the tab key This issuance if for(check one): move your cursor-do ® Order of Conditions not use the return key. ❑ Amended Order of Conditions To: Applicant: Property Owner(if different from applicant): Steven R. & Kathleen P. Haley Name Name 199 Bolton Road Mailing Address Mailing Address Harvard MA 01451 City/Town State Zip Code City/Town State Zip Code 1. Project Location: 979 Old Post Road Cotuit Street Address City/Town 074 003-005 Assessors Map/Plat Number Parcel/Lot Number 2. Property recorded at the Registry of Deeds for: Barnstable 11492 110 County Book Page Certificate(if registered land) 3. Dates: December 29, 2000 April 24, 2001 May 10, 2001 Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 4. Final Approved Plans and Other Documents (attach additional plan references as needed): Revised Site Plan April 26, 2001 Title Date Title Date Title Date 5. Final Plans and Documents Signed and Stamped by: David Sanicki, LS 6. Total Fee: $260.00 (from Appendix B:Wetland Fee Transmittal Form) Wpaform5.doc•rev.4/30/01 Page 1 of 7 CB/Disk Old�/ RQa ASSESSORS REF: N 14 33'3 (33' Wide), Lost— (Publi321 73'2 E R Map 74, Parcel 3-5 & 3-6 r` cBFDd.� N 1 0°13 04" E' CeFDd L=75.68 o OVERLAY DISTRICT: ass/s" a° AP — Aquifer Protection District pion Book 0y �o � ) FLOOD ZONE: Zone C, All (el 11), o�. �cb ��/ Vl l(e117), & V17(ell5) o� /�� Community Panel No. 6�� #250001 0018 DVJuly 2, 1992 o ti v ZONE: ^� RF (RPOD) Area (min.) 87,120 SF . Edge,of wetland I Frontage (min) 150' As Shown Width (min) 125' Plan 439/54 Setbacks: New Concrete Front 30' ,i Foundation Rea '15' \ Top EI=12.4' o T /16.2' ^ o z . pp N �`y� Cl)� Lot 4 - - a 205,170±SF Upland { IV No Build Zone Line 87:860±SF Wetland I 293,030±SF=6.73tAC Totol {/I ca m z I certify tho't the foundation off' k� N shown hereon conforms to '' N % �- °' the setback ; requirements of the Zoning Bylaws of the town of Barnstable. 6' 9 O�CD_ 2 Sty wf �{ Of 64 Dwelling P` P G '� RIGHARD R. pool o ceF°d L'H;EUREUX, �r / '° N0. 34312 e _ _ l Top Of O `'�Coastal BankOki �j PLOT PLAN 13 OLY At 979 Old Post Road /. Meon Low Water 0 By Plan (Cotult) ^'OTES. FEMA Zone Line as Shown MA SS. . I V I On FIRM 250001 0018 D f� /A rev July 2, 1992 DATE:15/FEB/11 SCALE:1"=100' 1.) The structures shown were located on the ground 0 50 100 150 200FEET by conventional survey methods on (or between) 07/APR108 and 2,7/SEP/10. PREPARED FOR: 979 Old Post Rood LLC 2.) The property line information shown hereon was 10 Tremont Street compiled from ovoilobie record information. Boston MA 02019 3j This plon is not for recording and is not to be. PREPARED BY: CapeSury used for construction layout or deed description purposes. 7 Parker Road. Osterville MA 02655 DWG #:C291_1g2 CPP1 FIELD BY RRL%WHK/MLL (508) 420-3994 / 420-3.995fax A �FTHE ley, Town of Barnstable *Permit# Expires 6 months from issue date * Regulatory Services Fee APT, "34rz, BAIMSTABLE, * - �� MASS.. 10� Richard V.Scali,Director .er fD MA'S A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number 07 L/ Q a 3 Property Address- 97q old PZOO,:::W_ , C 0?-v esidential Value of Work$ `� jr' 07�S� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address a-7 G LGQ �OSi IZOA-�b LC,G Contractor's Name—'PA U L-J. Cal ZC A U L i -i- Sc_-,N-S Telephone Number Home Improvement Contractor License#(if applicable) 103 1 f Email: 8 Tl C e (d C_c,-2-PC-L'.;If. Cr,Y►-� Construction Supervisor's License#(if applicable) S [o f S r_�- rmftgm ❑Workman's Compensation Insurance Check one: DEC 2 3❑ I am a sole proprietor 2015 ❑ I am the Homeowner BARNS 1 rave Worker's Compensation Insurance ®�N o�BARNS rAB Irl LE Insurance Company Name L4-. Workman's Comp.Policy# k/G - j .3 3 o In 6 2— Copy of Insurance Compliance Certificate must accompany each permit. Permit Request heck box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to YAJc ODU ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows V 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 required. SIGNATURE: C:\UsersOccollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOI DHR\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetts =r Department of Industrial Accidents —= 1 Congress.Street,Suite 100 Boston MBA 02114-2017 Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY., Applicant Information Please]Print Legibly Name (Business/OrganizatiorLIndividual): Address: 10 Z/ A /V , J —Z>7— City/State/Zip: OS —�y� Phone#: Are you an employer?Check the aF_propriate box: Type of project(required): a employer with j Q employees(full and/or part-time). 7. ❑New construction 2.O I am a sole proprietor or partner-.hip and have no employees working for me in $, ❑ Remodeling any capacity.[No workers'com).insurance required.] 9. ❑ Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]' 4.FJ[am a homeowner and will be hiring contractors to conduct all work on my property. [will 10 ❑ Building addition ensure that all contractors either Save workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. ' 12.0 Plumbing repairs or additions 5.7 I am a general contractor and I hzve hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. F, er /E' 6.❑We are a corporation and its offic.-rs have exercised their right of exemption per MGL C. 14. - i:-:/2C)OF 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: L Jf'1 I /,15V Policy#or Self-ins.Lic. #: W=5- 3 l - 3_1 6 fad Expiration Date: Job Site Address: 7% ✓�-o� �os-t- eome� City/State/Zip: CO Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as reqused under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of.this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pain,;and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 3-p 0 ' G/2-9— l Official use only. Do not write:.n this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.]Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ; Property Owner Must Complete & Sign This Form i If Using a Roofer / Builder. i 1 (print) Tina Marc 'Fa4yin uatn , as Owne / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons.Roofin_-0.Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job q4 q_ Post Road Coll -M A oao56. i i Signature of Owner _ �u c Mailing Address of Owner 0l6 pail Pr012u' Maoa�cmcnl Group I � 105, eovnmonu cLik Avenue &4c I Vnimb-v n tAA -0,9L!3.5 Telephone # 01-4. 40.q. ,5i 49 _ Date _ _ la Please return this form to Paul J. bazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com --- -- '���/�% �.�%�1d'd''�%�?�r�J"',�c'r'.'•>:°ft'3��?'�i��°�. �f� �'���J��-��.°firT��fi��'./i.�t;;,i. Office of Consumer Affairs and Business Regulation 10 Parr Plaza:-- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 103714 Type: Supplement Card Expiration: 7/9/2016 PAUL J. CAZEAULT & SONS, INC:••i% RUSSELL CAZEAULT 1031 MAIN ST --- OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. SCA 1 4c 20M•05111 ❑ Address ❑ Renewal ❑ Employment Lost Card a :2�/r�c�urrroiziu�a¢/!�o�(ih'..�cauc��rselti � Office of Consumer Affairs&Business Regulation License or registration valid for iudividul use only �^ r before the expiration date. If found return to: 7::_ �. �IOME IMPROVEMENT CONTRACTOR P� Office of Consumer Affairs and Business Regulation �w Registration;;(i1:0371.4 Type: 10 Park Plaza-S°uite 5170 ExP iratioii;; 7l9/20.16.;;• Supplement'ward Boston,MA 02116 PAUL J.CAZEAULT&°SONS;INC: RUSSELL 1031 MAIN ST OSTERVILLE,MA 02658 Undersecretary Not valid witho nature Ift Massachusetts Department of Public Safety Board of Building Regulatioris and'Standards i Construction Supe`rrisor I License: CS-108157 RUSSELL CAZEAULT.._ 2071 MAIN STREET Brewster MA 02631 - Expirat;on Commissioner 11/2312018 s a . I ® DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 8/11/2015 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 pol)cy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER DOWLING &O'NE1L INSURANCE AGENCY INC NAME:CT 973 IYANNOUGH RD PH�N o A N0: PO BOX 1.990 E-MAIL HYANNIS, MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Corporation 33600 INSURED PAUL J CAZEAULT& SONS INC INsl1RERB: 1031 MAIN ST INSURER C OSTERVILLE MA 02655 x INSURERD: INSURER E INSURER F: COVERAGES CER-IFICATE NUMBER: 25918664 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 TYPE OF INSURANCE F DDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occTu ante $ MED EXP Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ❑PRO- D POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT § Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCS-31S-386670-OZS 8/10/2015 8/10/2016 �/ STATUTE OERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1000000 OFFICERIMEMBER EXCLUDED? �N N i A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1000000 rc yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. r This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. r CERTIFICATE HOLDER CANCELLATION PAUL CAZEAULT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1031 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. OSTERVILLE MA 02655 AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) T'-ie ACORD name and logo are registered marks of ACORD 25918664 1 1-386670 1 15-16 WC shaakar.gadale0l:-bertymutual.com 1 8/11/2015 4:45:09 AM (PDT) I Page 1 of 1 Town of Barnstable Geographic information System December 7, 2010 #1034, 074003002 - O 74028 055058 #1045, ' #1071 - f`' 4 t 074003001 f Q yr, #1065 055059 r �� #24 F` 055066 t t Apt ,- 074003003 k 055060 ., #1025 7 #36 3 055065 #45 ! 074003006 #4� � 1 g P0, 64 074003005 y..F' 055062 t "+ #979 { #59P t.«.. �Gh 3 074014 . tb #965 �; 055063 t, #525 #940 ., 074011 055054 r #923 ' #557 4 074020 0 88 L 074015_ �" t 074025 4 ` 1rOlUIT BAY DR } a""F+" �, ti #_° ^ 074016 f, 4 7 30 i 1 056044 ( k 074012 074018 $ S07402214 #548 e3 5 5 45 ti #909 € #54 #82 055046 1�{� 4 k 074017 #40 � 074006 ((�� AA�� }} _ 00 " 074013 �655C;W9` —ree` 073005 ® - r#12 4 073030 _073031 073025�` s 07400 #894 5. 4 'x #59 1' # 7 #91 ; DISCLAIMERS This map is for planning purposes only. It is not adequate for legal -. Map: 074 Parcel 003006 boundary determination or regulatory interpretation. Enlargements beyond scale of S21@cted Parcel V-100'may not meet established map accuracy standards The parcel lines on this map Owner:SLATER,KENNETH Z&ELLEN,TRS Total Assessed Value:$907700 are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner%979 OLD POST ROAD LLC Acreage 1.89 acres Abutters Ndj,. E boundaries and do not represent accurate relationships to physical features on the map - 5 Location:0 OLD POST ROAD(CT&MMIL) r such as building locations. Buffer TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel` Application #QjOtd Health Division Date Issued v1— Al Conservation Division Application Fee 02 Planning Dept: Permit Fee 1 Date Definitive Plan Approv d by Planning Board n Historic - OKH /J A Preservation/Hyannis Project Street Address q g (Ott? po��r Z2 Village 0—6TO , Owner "7 o1,'VF6:5,-r LL_G Address i� �Mo�7"� ✓ O®/z. Telephone Yo �P� d /iO C .��� ® ® ®� 0: ? - Permit Request Square feet: 1 st floor: existing proposed �J 2nd floor: existing proposed Total new Zoning District Flood Plain AJ Groundwater Overlay Project Valuation Construction Type Lot Size � G Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family , Two Family ❑ Multi-Family(# units) �,./ ; 0// Age of Existing Structure ��=1"� Historic House: ❑Yes J[N,o ( n Old King's Highway: ❑YesANo 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 _ ew4 Total Room Count (not including baths): existing new �' Fi st Floor Room Count4 /� 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, � lr Zoning Board of Appeals Authorization ❑ Appeal # AJ 4' Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use �� Ce) uj APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name `�U C Telephone Number- OS ' Z112 /149.S Address IVa License # f�5 rAO>L D-;Z4 Home Improvement Contractor# / l Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATUR DATE 7 � �/ t FOR OFFICIAL USE ONLY 1 PPLICATION# DATE ISSUED MAP/PARCEL NO. . - S ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: ; . _. FOUNDATION, FRAME ` INSULATIONJII FIREPLACE } ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL GAS:-i ' ROUGH-&Y - FINAL ' fit! R #Q �� � `�- (�, 9�3 �� i r Y >� DATE CLOSED OUT ASSOCIATION PLAN NO. f ' The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations . 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print LeLyibly Name(Business/Organization/Individual): � N /ff/S Address: .. . l��s 0:9 767v1 - 4X/j City/State/Zip: fzv�i/IGC ,�i4.YJ210 53` Phone.#: e you an employer?Check the appropriate bog: Type of project(required):. 4. I am a general contractor and I 1. '. I am a employer with ❑• 6. New construction employ ees(full and/or part time).* '. have hired the s'ub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑.Remodeling "These sub-contractors have ship and have no.employees 8• ❑Demolition working for me in an Capacity.' employees and have workers' g Y P tY• 9. ❑Building addition [No,workers'comp.insurance comp.insurance. ❑ are a Corporation required.].-. We oration and its 10.❑Electrical repairs or additions �: •- - "... .. 5. II officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner:doing.4- work ❑ . g P myself. [No workers' comp night of exemption per MGL 12.❑Roof repairs insurance required.]t 6. 152,§1(4), and we have no 1, em to ees. CNo,workersV' 3. Other :. p. Y , comp.insurance required.] *Any applicant that checks box.#i must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they'are doing all work'ind then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees:'If the sub=contractors have employees;they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance far my employees. Below is the policy and jdb site information. Insurance Company Name: �� Policy#or Self.-ins.,Lic.#: RYAJ � Expiration Date: 'Address:Site A2 City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required:under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine' of up to$250.00 a day against the violator.,Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert y under the pains-and penalties of perjury th the i ormation provided above ' true nd corre Simafore Date: / 2 Phone#: Official use only. Do not write in this area,to he completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - Contact Person: Phone#: e Client#: 646400 2NORRISEB DATE(MM/DD/YYYY). ACORDT. CERTIFICATE OF LIABILITY INSURANCE 1 05/10/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: Dowling &O'Neil Insurance PHONE 508 775-1620 FAXAIC No,Ext No; 5087781218 Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# e INSURER A:Acadia Insurance INSURED INSURER B E. B. Norris&Son., Inc. 138 Osterville-West Barnstable Road INSURER C Osterville, MA 02655 INSURER o INSURER E: ' INSURER F - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR - POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A GENERAL LIABILITY BINDER322326 5/03/2011 05/03/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $250 000 CLAIMS-MADE a OCCUR w - MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000. , GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO LOC - $ JECT A AUTOMOBILE LIABILITY BINDER322325 5/03/2011 05/03/201 Ea aocdentSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $1,000,000 ALL OWNED X SCHEDULED BODILY INJURY(Peraccident) $1 000000 AUTOS AUTOS r X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $5OO OOO AUTOS Per accident r r,t $ A X UMBRELLA LIAB OCCUR BINDER322328 5/03/2011 705/0�3UACH OCCURRENCE $10 000 000 EXCESS LIAB CLAIMS-MADE A -REGATE $1 O 000 000 DED I X RETENTION$0 ' $ A WORKERS COMPENSATION BINDER322327, 5/O3/2O 1 05/03/211 X)Togy WCSTATU OTH- LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - A.EACH ACCIDENT $5OO OOO - OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) -• E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $500,000 •- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of r insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE r y ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80658/M80657 LS1 . Town of Barnstable yap rO;'ti , .�- �.� Regulatory Services �rtsrea�, � *somas F.Ge3ier,Director - �� Building DIVIAOn . Building Camr'1ssioner TamPerry, . ' 200 Main Street, $Yamnis,MA 02b01 WWwAown bm%Aable%ma.us Fax: 508 790-6230 ' )MCC: 508-862-4038 r Property owner Must f � section on - Complete and sign Th�S � If Using ABuilder . i as Qgmer of the subject properly ct r 'hereby authorize: ��1���-t �7, IJ•0 ��. &• ��N �•�.to•a on� • •• •, r ennit a lication for. in all niattexss relative to work authorized bytbls bu duzg P PP 0�1' gip' C_-o.^01r µfl (Address of ob} `SigaduTe of Owner l C ate f t Name . ?N ,• . _,.,: '-.ice '-' - _ 7�.+.ti `- ___ _ _ _ — `- -' . •J_ Ala sachuserts - Department of Public SafetN Board of Building Regulations and Standar-tls Construction Supervisor License 1 irer�ca: CS 15851 k 4�42, CRAIG N`ASHWORTH ' _ s 138 OST W BARNSTABLE � '' ` 0STERVIL'LE, MA 02655 ors. Expiration: 9/28/2013 Commissioner Tr=: 522 r y Office of CA.Z -ArfM �iC nes�egu °License or registration valid for individu}use only before the expiration date. If found return to: HOME IMPROVEMENT CON CTOR p - - I�Registration =.102014 Type: Office of Consumer Affairs and Business Regulation NEW Expiration 6/30/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 EIE"ST B. NORRiS&SON INC ._ sty: .' • ' , � d r<e .fit s Craig Ashworth -x 138 Osterville W. BarnstableFrtl gam_ Osterville,MA 02655 Undersecretary Not valid without signature' �.- _ - .. i _ I. CB�DIs �d RQa ASSESSORS REF,: N. 14 3332 E (33' Wide) post (PuR!321 .73 Map 74, Parcel 3-5 & 3-6 CBFDd tv 145.16 `, cejDH L=75.68� v 10°13'04" E' Fnd OVERLAY DISTRICT as9/sa ! AP — Aquifer Protection District .pion Book - 0 O °� ( FLOOD ZONE: Zone C, All (el 11), a cb % Vl l(ei l 7), & V17(ell 5) Si 0) /�i% C/) Community Panel No. l V_ 1"V' %/ #250001 0018 D h� ^Q) July 2, 1992 A,) — _ ZONE: RF (RPOD) r Area (min.) 87,120 SF Edge of Wetland I Frontage (min) 150' 9 i Width (min) 125' As Shown On Pion 439154 ` Setbacks: ` New Concrete Fron t 30' Side 15' Foundation Rear 15' Top EI=12.4' 00 Alb m � N �P /NV w \. / �; o 0 IL �r Lot - 205,170tSF Upland i ✓ No Build Zone Line 87.860±SF Wetland r 293,030tSF=6.73t.AC Total � ( I ' I co All i rt o I certify that the foundation shown hereon conforms to L AL N '' the setback';,requirements of the Zoning Bylaws of the i town of Barnstable. Q0 O_ #979+ /f 0F sty 2 bwell n9 11114S, P1 P r $ RIGHARD ` pool CBF�d �� i L'HEUREUX; Q� -P Ui - ' R' ° / O N0. 34312 0 Q0 X Ln Top Of � O Coastal Bank / e PLOT PLAN -1a2 - -- 13a�/ _ At 979 Old Post Road \ / / Mean Low Woter N0(t��' BARIVSTAA6LE By Plan (Cotuit) NOTES. On FIRM Zone Line as Shown MASS. On 250001 0018 D rev July 2, 1992 DATE:15/FEB%11 SCALE:1"=100' 1.) The structures shown were located on the ground 0 50 100 150 200FEET by conventionol survey methods on (or between) 07/APRI08 and 27/SEP/10. PREPARED FOR: 979 Old Post Road LLC. 2.) The property line information shown hereon was 10 Tremont Street compiled from ovoiloble record information. Boston MA 02019 3.) This plan is not for recording and is not to be PREPARED BY: used for .construction .layout or deed description CapeSury purposes. . 7. Parker. Road Osterville MA 02655 DWG #: C291_1g2 CPP1 FIELD BY. RRL/WHK/MLL (508) 420-3994 /. 420-3995fax _ 0/7 to 'O Ghoin Cink Feno red _�� — --- ..................... S� .......... o \ \59, \ \\ ...... ——— \ P�\Pp�BS o 78 Sp 27" E I / ............. \ /c ANKH TH 1 I Ip' ............ ° dcv / Qcv PRO/`pSE D \ O 9B� o ,SfR ............... l SCISSOR aD I rn /A2 'y Tennis'co 2/ S!e/RuOTU �7}{— _ — A.S^ pry ... . I orm` , er Iv' � ns — xis ' Pave _r ....-� Parking Area / E 100 .......... ...... I IN Lawn ' _ ORK LIMIT iJ_—,..•• eary�\ - ,,'' Zor u \ ILT >.. • — �� - / /...... AREq OSEL ee — G �� / / • � I 6/ 4' � \ + +— �+ + t ' x� + Zone/ Edge of Wetlands / er S — 960 AL Lot Area Sui 205,170±SF L 87,860±SF G 293,030±SF - IL 294.63' N 84 22'16" W cotuit Bo NIF _ y Shores Association, lnc. Of 66509 L A �� �TFST:13,100 „� M,.,, . \ . - : - ,.� i qtlli� i . �,r. I -tQ i r jj I .nle i. i Y - y +a "']” ',+.,�y ,+}� t :, F�i 1. I M 1:- i l : — 1 . �,� ..� : ; . ` q/J 1L�` I f" �IY] n f �lxh 4 ,.'£� . ,fir ' ` t ".� . �' . ! ti. i:. k 1 �*' / , II / 2'✓ = y .. -w '. e + r F u t c 1 / i p r�� S I.�a�ll�d'� �-ter, .. f :.f_, , . i 4r ru/ c3! k �rNf' 2 �' � ' , w a 1 25 r, F Ir N t 7 �. , , r '. !)', 1, �, I� = a - , 9 :� _, 12T. ,. _ � . �'" _ ^1' W � W . " 1.„I: F. V. I�} :, : �� S. ile - > :_ /1 _ f \2 r� . 4 3a ("d i. zv .� i � c3 r .. * ; � . .: Y - ';�j 4,��o�'�_'�-%_:::!��:':..:.... � :. ; '.*!4� : '. , � .'. �� � ; q _'!�'..�?." �:� ..' . I � I ..�I A ., ,.. . ..'. . ,_ ���' . :, . . 11.1. , , . '��":�. ']' I , .',0;4..-io� C�:f.'.._as r„�i.v,._`c...-.,.. ,."n:....,n...., e.+,.rr,.- .L..``d.3..�ma'.,._:s.tx: ,',e>,:teF.et�L Luuos.si,..>_w.,.o..wr...c,.:.x�_,.,.�..,> >,.. A ��- .�.>w:'e',:tw..�,w....... ..r..swCis _.A,y t... .;.'k.¢sw,:«artt"'"� ...c.,.5bma...:cdi+:..,.,..,:. .....-a....:,aura'a.u.T.xe4,' t�. , ^' �c ..:.a..,f�Ws > " f i� C .2 I3 (--r Ta 1-E8 2t42 6OtT � PT I 0•c- S . i IT pFtHE ip� Town of Barnstable Pam ~ BARNSTABLE. " Regulatory Services ¢ t` MASS. a 1679. Building Division piFO MAC a. 1 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 ' Fax: 508-790-6230 Inspection Correction Notice Type of Inspection / -F/ In � lOr�(0C ( ' Location 7 ©I� ��trt 6-:7' Permit Number Owner /U �� 1,(� Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: Ad Ate 7tr,)A) 0, 0.- r 0 f 0 0 6 62 ,e 4 0 y.. © TPU IOU 7— Please call: 508-862-4 for re-inspection. Inspected b / p Y . .. Date lI Cl 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7l Parcel dTC Application # `oZ Health Division .' Date Issue- Conservation 6 .Division Application Fee Planning Dept. Permit Fee �Z Date Definitive Plan Approved by Planning Board Historic OKH Preservation/ Hyannis Project Street Address 0 (,.Arm Zq>6;b Village W Owner TT - Address Telephone Permit Request Lo A/ i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal 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# i" Current Use e en. - Proposed Use OD rr; APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �c �•`f1i k F� � Telephone Number A-7 31V Address , Tee License# ,2,7Z Home Improvement Contractor# 1:2 2 2 Worker's Compensation # ALL CONSTRUCTION IfEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I AA SIGNATURE DATE d FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED i MAP/PARCEL N0. ADDRESS i VILLAGE ; OWNER ; DATE OF INSPECTION: FOUNDATION i FRAME i INSULATION �lti ��Y/�elit� s ? FIREPLACE t , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL h GAS: ROUGH FINAL i f FINAL BUILDING ? DATE CLOSED CUT . s ASSOCIATION PLAN NO. a r --- -- -- / Regulations and Standards { i Board of Building Reg Construction Supervisor License . Liceh'se S. 55572 I Tr# 6626 Exp�iratron 12/61�� � Restriction t�k � KRIKOR BAYTARIA 290 COMMONWEALTH BOSTON,MA 02115 Commissioner a -Tfie Uo.�n�a���aGagaczcfucaetld Board of Building Regulations and Standards License or registration valid for individul use only I HOME IMPP.OVEMENT CONTRACTOR before the expiration date. If found return to: i Registration 122813 Board of Building Regulations and Standards Expiration 10%23/2008 Tr# 125892 One Ashburton Place Rm 1301 Ty 1 �' r t Boston,Ma.02108 pe Private Corporation NORANDA CONSTRUCTION C0;1NC. 'I KRIKOR BAYTARIAN 290 COMMONWEA041A�#5 ` BOSTON,MA 02115 Administrator N t;valid without sign tune d The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affdavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): V=4N_EL"!rA,24 4 1J , Address City/State/Zip: Phone.M. �, c(9 1 1 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. [] I am a general contractor and I 6. ❑New construction nlployees`(full and/or part-time).* listed on the attached sheet. 7. ❑Remodeling .e).* have hired the sub-contractors - _,� 2.0"I am a sole proprietor or partner- shi and have no employees These sub-contractors have 8. Demolition pemployees and have workers' ❑ working for me in any capacity. # 9. ❑Building addition [No workers'comp.insurance comp. insurance. required.] 5. ❑ We are a corporation ar_d its 10.❑ Electrical repairs or additions q ] 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 1.1 *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. ZContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site. information. Insurance Company Name: Policy#or Self-ins.tic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration'page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER7and 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 havestijzations of the DIA for insurance coverage.verification. I do hereby certify u4jer the pains and p nalties of p\jury that the information provided above is true and correct.. Si ature: Dater ® _ Phone#: Official use only. 4Do not write in Mls area,to be completed by city or town official City or`Town: Permit/License# Issuing.Authority(circle one): 1.Board,of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instruction Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state.or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,b checkin the boxes that apply to your situation and, if P Y g necessary,supply sub-contractor(s)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited-Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,'a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leavesetc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations J. 600 Washington Street Boston,MA 02111 TeL #6 17-727-4900 ext 406 or 1-977-MASSAFE . Fax# 617-727-7749 Revised 1 I-22=06 www.mass.gov/dia 03/03/2008 11:26 6175571798 KENNETH': SLATER PAGE 02 MAR-3-2009 19:31 FROM:NCRANBA CONSTRUCTIORI-617 536 3155 To:16175571.79B P.2 'Town of Ba r ustable Regulatory ,Services 1 A IW M Thomas F.CI'dIc i Director 9 °► D �`� uild'ngD anion. 7um Perry,Btril'a16ng Commissioner 200 Main'SLTert gyat us,14 A 02601 www.tawn.ba rn,table•m a Ctrs Office. 508-862-4.038 Fax:.. SG$-7W62''M Propeily OW, r Must Complete and Sig ' This Section if Usx udder' as 0wner df'ehe subject pmpayrty. herebyuthctrize eo act:on,myC�eha1C, h aTmaturs relative to mark.aut.borizet#try thin b ldingpermit app icatioa for. (Address of job Signature of C ourteX Date,-- Nnt Name f 'xop e Owner is, applying for pe it ple as e� c vmpiete the Homeowncrs License Lxempti,on.F arum on,the revere side. gFoRM&O WN[RPEWIS.S]ON HE �1TtiTown of Barnstable Building Department - 200 Main Street Hyannis, MA 02601 1639. , (508) 862-4038 Certificate, of Occupancy Application Number: 201006631 CO Number: 20110151 Parcel ID: 074003005 CO Issue Date: 09130/11 Location: 979 OLD POST ROAD Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: COTUIT Gen Contractor: E.B. NORRIS & SON, INC. _ Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature -Date Signed �IIFIETn,_ TOWN OF BARNSTABLE Bu [ding Application Ref: 201006631* BARNSTABLE, + Issue Date: 01/05/11 P(?rmit 9 MASS. �ArFO 3�a�� Applicant: Permit Number:. B 20110031 Proposed Use: SINGLE FAMILY HOME Expiration Date: 07/05/11. [Location 979 OLD POST ROAD Zoning District RF Permit Type: GARAGE DETACHED RESIDENTIAL Map Parcel 074003005 Permit Fee$ Contractor E.B.NORRIS&SON,INC. Village COTUIT App Fee$ License Num 15851 Est Construction Cost$ Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BUILD NEW GUEST HOUSE W/8'X30'PORCH AS PER ATTACHED THIS CARD MUST BE KEPT POSTED UNTIL FINAL DRAWINGS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: 979 OLD POST ROAD, LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 10 TREMONT STREET- 5TH FLOOR INSPECTION HAS BEEN MADE. BOSTON, MA 02108-2008 Application Entered by:. RM Building Permit Issued By: THIS PERMIT CONVEYS NORIGHT TO:OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILYOR'PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION,OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS'PERMITDOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. e:: M MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). �'W-W BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ko -'- '1'r— XA�50>! Cie� a•-o+C��C �-�� � F'lc�...,, 3 .0,(11V 16D;gF7Cy;2- log DN�j/` I Heating Inspection Approvals Engineering Dept ,ems Fire Dept 2 A s Boarqof e th � '� dg I . Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map .. ParcelZ40—V5 Application # � `� •(P Health Division Date Issued ce 3 I Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 'L Historic - OKH rdt,4 _ Preservation/ Hyannis AJ Project Street Address? 4 Village �- Owner �� ����' L�3 Address LYl."�G/oA[TZ100 Telephone 4 Permit Request Gt2 u o,�9 C- Square feet: 1 st.floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain AJ Groundwater O erlay A Project Valuatioh ACKV Construction Type !TE Lot Size 6c7 A-c Grandfathered: ❑Yes /VNo If yes, attach supppo ing documentation. Dwelling Type: 'Single Family ❑ Two Family ❑ Multi-Family (# units) N ' " Age of Existing Structure A Historic House: ❑Yes No n Old King's Highway: ❑Yes NU\lo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area q. ) Number of Baths. Full: existing new Half: existing -new Number of Bedrooms: �xisting —new Total Room Count (not including baths): existing I_ ew First Floor Room Count Heat Type and Fuel: Gas Oil ❑ Electric Other E t Central Air: ❑Yes ❑ Nq��Fire"places: Existing New Existi wo&& oal stove *ILI No ,•, , Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new sizes rn: ❑:bMsting .4nev?size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new si her: 1 = w Zoning Board of Appeals Authorization ❑ Appeal # 74f_ corded ❑ Commercial ❑Yes No If yes, site plan review# �" Current Use [nt 7mI i - Proposed Use � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ale hone Number Address 0 �, .'&&YY-4065iicense # w Home Improvement Contractor# Worker's Compensation # I&AJ�P�W_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN To AJ .62 SIGNATURE DATE �f r r. f FOR OFFICIAL USE ONLY APPLICATION# DATE'I$SUED MAP/PARCEL NO, f r ADDRESS VILLAGE ' OWNER - c . DATE OF INSPECTION: ' FOUNDATION' �+� 4 FRAME INSULATION :u FIREPLACE ELECTRICAL: ROUGH ^ FINAL PLUMBING: ROUGH FINAL GAS: ROUGH zrr: , Lam, FINAL y II iF.INAL B_UI:LDING':' U. - See r DATE CLOSED OUT ASSOCIATION PLAN NO. Department of industrial Accidents Office of Znyestigatio_ns n y, a 600 WY shin ton ,street ` T 1 Boston, M14 0.2111 �• ` WIMMass.gov/dia Workers' Compensation Insurance Affidavit; B.uilders/Contractors/Electricians/Plumbers A-Pplicant Information Please Print Legibly Nome(Business/Organization!lndividual); Address:_ City/State/Zip:_Q� �/U Uk MA- P�5"5 Phone#:_. �� ��8 �:f &5� e ou an employer? Check the app opriate bob: ' Type of proj cct(required):.. I am a employer with 4: ❑ I am a general contractor and I employees(full and/or part-time).* have hired the'sub-contractors 6;�New construction ❑ I am a sole proprietor or partner- listed on the attached sheet + 7, ❑Remodeling ship and have no employees ; . These sub-omtracto'n have $, E]Demolition working for me in any capacity, workers' comp-insurance, g ❑Building addition [No workers' comp, insurance 5, ❑ We are a corporation and its required] officers have exercised their 10•❑Eleotricalrepairs or additions ❑ I am a homeowner doing all work right of exemption per MGL. ME]Plumbing repairs or additions'• myself, [No workers' comp, c, 152, §1(4), and wehaveno 12,Q Roof repairs insurance required.] t employees,.[No workers' comp.insurance required:] 13,❑ Other ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, lomeowners who submt this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavif indicating such, ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information, im an employer that is providing workers'coinpensadon insurance for-my�emp formation. loytes. Below, is the pplicy and job site. A , surance Company Name: c_,4 v t I 13 . ( licy#or Self-ins,L%c,#: EXpiration Date• S � 112 • „(� 6 Site Address: M iif t3 City/State/Zip; ¢ M4 . tack a copy of the workers' compensation policy declaration page'(showing the•policy number and expiration date).:/ Rure to secure coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a . :e up to$1,500:00 and/or one-year imprisonment, as well as civil penalties in the form.of a STEP WORK QRDER and afire up to$250.00 a day against the violator, Be advised that a copy of this statement*maybe forwaTded to the Office•of vestigations of the DIA fot insurance coverage verification. '.o hereby certify u r e pains and :altt pe that the i foTrnadon provided above it true dnd correct, mature; _ Date: one#: Official use only, Do.not write fn this area,.to be completed byFcity.or town o.f. .ctal City or Town: Permit/License# Issuing Authority(circle one); 1.Board of Health 2.Bu%IdingDepartment 3. City/Town Clerk 4,Electrical Inspec 6, Other tor 5.Plumbing Inspector Contact Person; Phone 741; Client#: 646400 2NORRISEB DATE(MMIDDrCM). ACORD,. CERTIFICATE OF LIABILITY INSURANCE , 05/10/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: Dowling&O'Neil Insurance PHONE 508 775-1620 FAX 5087781218 A/C No (A/C No Ext: Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Acadia Insurance INSURED INSURER B: ° E. B. Norris&Son., Inc. 138 Osterville-West Barnstable Road INSURER C: Osterville, MA 02655 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP LIMITS LTR INSR WVO POLICY NUMBER MM/DD/YYYY MM/DD/YYYY ' A GENERAL LIABILITY BINDER322326 5/03/2011 05/03/2012 EACH OCCURRENCE $1 000,000 X COMMERCIAL GENERAL LIABILITY _ PREMISES RENTED nte s250,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC $ A AUTOMOBILE LIABILITY BINDER322325 5/03/2011 05/03/201 COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY,(Per person) $1,000,000 ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $1,000 000 AUTOS AUTOS X HIRED AUTOS X NONAUTO-SWNED Perr.cidentDAMAGE $500,000 $ A X UMBRELLA LIAB OCCUR BINDER322328 5/03/2011 05/03/2012 EACH OCCURRENCE $10 000 000 EXCESS LIAB CLAIMS-MADE - AGGREGATE $1 O 000 000 r_tDED I X1 RETENTION$O $ A WORKERS COMPENSATION BINDER322327 5/03/2011 05/03/201 X WC TORY LIMIT OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N -1 E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) - _ E.L.DISEASE-EA EMPLOYEE $500,000 - If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) . Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED,REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1' of 1 The ACORD name and logo are registered marks of ACORD #S80658/M80657 LS1 F r Town of Barnstable Regulatory Services Thomas F.Geiiers Director Bonding Division EOM Commissioner TumYerry, Building 200 main street:$yannis,MA 02601 wwwAown.barustable.mR,u- Fax: 508 790-6230 �'ica: 508-862-4038 '` , Property.Owner must Complete aad SYgn TMs Section If Using ABuilde _ �j as Owner of the subject property ��i `-1 'C �1 V' {r 7 r j, r/ behalf; to act on my 'hereby autharize ermit a PP Iication for; - i•a]1 matters relative to work authorized bytl iu bundiug'p _ . - • (Address of ob) . Y tore of Owner Date Signa. ��(7�`j/ � ���;�T- ~tom Z,�-'G .. •" , ke",jq i-\C)4-t, Print R=C � . -;�-� Massachusetts--Depart►tteiwof•Pu-hlic Safety Board of 136ildim, Re-ulation and Standards Construction Supervisor License .,License: CS 15851 ,Restricted;to: 00, "� ar'f i� ' •' • ,CRAIG N ASHWORTH _ t 138 OST W BARNSTABLE OSTERVILLE, MA 02655 Expiration: 9/28/2011 t ('uuunisi.nlci. Tr#' 3091 , . C u Office of Consumer Affairs and usiness Regulation 5S=7 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration ...: ...tea S +p Registration: 102014 ,•-?j Type: Private Corporation F M T 1rgzr Expiration: 6/30/2012- Tr# 200714 ERNEST B. NORRIS & SON INC Craig Ashworth t 138 Osterville W. Barnstable rd. i Osterville, MA 02655 rZ : V. � _Z;/ 'Update Address and return card.Mark reason for change. Address E] Renewal Employment Lost Card DPS-CA1 is 50M-04/04-G10011216vea �p Office ot`0 m°�ei A{air ine�gu License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 102014 Type: Office of Consumer Affairs and Business Regulation 1sw=W Z Expiration 6/30/2012 private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 Ei�fEST B. NORRIS&SON INC r- Craig Ashworth +' 138 Osterville W. Ba nsitabl"e Osterville, MA 02655 - Und°rsecretary Not valid without signature 1_ i r rI SH�:r 79 614 Af � Town of Barnstable 9 u� "ate Conservation Commission 200 Main Street q;, ,� *� . Hyannis Massachusetts 02601 Office: 508-862-4093 FAX. 568-778-2412 Form A Far SE3• � ALL PARTIES INVOLVED WITH THIS PROJECT MUST SIGN THIS STATEMENT The undersigned confirm that they have read and understand the Notice of Intent,Order of Conditions,and approved plans for the project.The undersigned also understand that subsequent plan revisions shlaU require advance approval by the Conservation Commission. Please sign name on this line. Please print name on this line. Z- .S/6J(1r' i6f��i f t o � Return this form to: Barnstable Conservation Commission 200 Main Street Hyannis,MA 02601 Fax:508-778-2412 rev3/12/02 ofI1*Te Town of Barnstable Conservation Commission xxsra$LE, 4 g 200 Main Street " °rsnxA`� Hyannis Massachusetts 02601 Office: 508-862-4093 FAX: 508-778-24I2 Form B For SE3- /O Below please find the navies, addresses,and business telephone numbers of the project supervisor and alternate project supervisor who are responsible for ensuring on-site compliance with the Order or Conditions. Project Supervisor Alternate Project Supervisor Na me `�•� � --- - Name. • T Address Address Business Telephone# p Business Telephone# i E-mail Address - E-mail Address P Property Owner's Signature Date Print.Name s Applicants Signature(if different) Date' Print Name " w Return this form to: Barnstable Conservation Commission A , 200 Main^Street,Hyannis,MA 6j601 rev.112409. j u: ,TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ; r Parcel /,()`5 �OCR�r��1 Map � 0�a y Application # Health Division Date Issued Conservation Division Application Fe 2�( Planning Dept. Permit Fee vv Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation / Hyannis Project Street Address �7' 04z 'tPm+ RD- Village Chu%$' m Owner srnM1 S 1,+fiE tZ Address I7 q nz-D pis. Telephone 073 0 Permit Request Ah 2E L'xAi Ok . CA(31)leIQ l/15{i=2 A4 n 100P-1� t -i� eb-1AA_ee_" i-11 o t cktsl-t `h,"L& 1= _ luizLs Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1;3 L9U•- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal 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: j"I a x Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �3 t. no Commercial ❑Yes ❑ No If yes, site plan review# - Current Use __ . V. - __- _ --Proposed Use rn APPLICANT INFORMATION t (BUILDER OR HOMEOWNER) Name `�•/il t i ho uGh es Y? Telephone Number 781— 61 b ` Q Address 96S'E1e.V0j.,< R�,2k QZ- License# OS e d6Y r• ��,I hnd p� h . C>Z3-7 O Home Improvement Contractor# � 10 7 6 Email r1 t , Lor'' Worker's Compensation # K iW C_5 Z- OS 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / Z3-IS-- � r r, FOR OFFICIAL USE ONLY - APPLICATION # t DATE ISSUED C I MAP/ PARCEL NO. k I I • - I / s ADDRESS VILLAGE OWNER DATE OF INSPECTION: tr , i T K FOUNDATION FRAME ` INSULATION ?.ZY/G FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ifK i DATE CLOSED OUT ASSOCIATION PLAN NO. _S ,per ;J� '(QO'bLI)LO�I].C!/EdGI/L O�ii i�2<7G�CNT.GLLIG�d. -\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Reg istration�AdD726 Type: 10 Park Plaza-Suite 5170 Expiraf[ _ 3X2Q16 Supplement Card Boston,MA 02116 KITCHEN CONG1=i? ROOMSCAPES LU 'tJ1GY CENTER WILLIAM DUCHES�� 40 RESERVOIR P%KRt�_ TObKLAND, MA 0239C1"_ °' Undersecretary Not va�d without re w Office of Consumer Affairs&11 siness Regulation License or registration valid for individul use only HOM=IMPROVEMENT CONTRACTOR. before the expiration date. If found return to: Registration: �1.-10726 Type: Office of Consumer Affairs and Business Regulation Expiration: 44;W2016 Private Corporation 10.Park Plaza-Suite 5170 Boston,MA 02116 KI HEN C0NCI=P:x-ags— ROOMSCAPES LIJ, ENTER CAMERON`SNYDE ,� ! 40 RESERVOIR PA K0i31 �MKLAND, MA 023 ,- Undersecretary Not valid without signature -yam C Tlie Commoniveaith of Massachusetts Departirnent of Industrial Accidents Office of Imestigations 600 Washington Street Boston,4 02111 - invti.nnass:govklia Workers' Compensation Insurance Affidavit Builders/ContractorsAElectiiicians/Plumbers Applicant Information Please Print Legibly Name(BusaiesvUrganizadonadhidual): KI` r— cvi CAy)«�Ofs Address: yb R CS2r,(1-V 0 i`rt; iZ- ' CitylStatelZip: Kock e/ rtl h, a Z3-6 Phone 9-- -7 S( Are you an employer?Check the appropriate boz: Type of project(required), 1. am a employer with &11 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. I- '�Remodeling ship and have no employees These sub-contractors have, 8. ❑Demolition' - wod:ing for me in any capacity. employees and have wozkers' [No Workers,comp.insurance comp.insurancaY 9. Building addition. - required.] 5. ❑ We are a corporation and its io-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself-[No workers'coup- right of exetuption per MGL 12.❑Roofrepairs insurance required]1 C.152,§1(4X and we have no employees.[No workers' 13.0 Other comp-insurance required.]! ;Any appticantthat checks box iW1 mast also fill out the section below shatring their woskere compensation policy information. Homeawners who submit this affidavit indicating they are doing all wot and then hire outside contractors must submit a new affidavit indicating such 'Contractors that chest this bast must attached sa additional sheet showing the none of the sub-contractors and state whether at not those entities have employees.If the subtonmictois have employees,they must provide their workers'comp.policy number. I arit an eltiploper that is proiiding nrorkers'contpensatiort insurmtce form_y outploj ees Below is the policy and job site information Insurance Company Name: (S wo-D 1�hSU� Policy,4 or Self-ins..Lic.#: K 1 W Expiration Date: Job Site Address: q,7 O L City/StaWzip: C--v,+ /-n b-oZb3-5-- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and./or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this.statement may be forwarded to the Office of Investigations ofthe DIA insurance etage v-erificatioa. I do)ierebj+certi, t e s d n 's of perjury that the informadonprinidedabm a is true and correct Sitmature, Date.- Phone#: 7 191 Ofj`acial use only. Do not write in this area,to be completed by city or town official � Cit y or Tawa: zm Per tlLisense Issuing Authority(curle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: _ 6 I_ Information and Instructions, j` Massachusetts Geaaral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pmm=tto this suite,as employee is defined as."_.every person in the service of another under any contract of lure, express or implied,oral or written.." An empooyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintmanm,construction or repair work on such dwelling house or oa the grounds or building appurtenant ih=6 shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(t)also states that"every state or local Rcensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor arty of its political subdivisions shall enter ink any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting auihority." Applicants Please fill out the workers'compensation affidavit completely,by checl the boxes that apply to your sitnation and,if necessary,supply sub-contract ors)name(s), address(es)and phone number(s) along with their certificate(s)of insummce. Limited Liability Companies(LLC)or Limited Liability-Partamships(LLP)with no employees ocher than Ilse members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation.of insurance coverage. Also be sure to sign and datefhe affidavit The affidavit should be retomed to!he city or town that the application for the permit or license is being requested.,not the Department of linjinstrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the peui i license number which will be used as a reference number. In addition,an applicant that must submit multiple permitllicense applications in.any given year,need.only submit one affidavit indicating current policy inkrmation Cif necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)-"A copy of the affidavit that has been officially stamped or marked by tie city or town may be provided to the applicant as proof that a valid affidavit is on file for furore permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike to thank you in.advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax number: The CGrmmm th of Massachusetts Depaitneat of hidu%tdal Accidents OOfitce Qf).vestigatio.� 600 wasbivoa St-Q:f-,t BQs MA 02111 Tf1,4 617-7274M cxt 4-06 ex 1-9 -MA SSAF-, Fax#617-727-7749 Revised¢24-07 PR�iF i_m@a _govldla Massachusetts Departmentfand Standards f Board of Building Regulations License: CSFA-058864 Construction Supervisor 1 &2 Family WILLIAM D DUCHE-NEjR %' 40 RESERVOIR PA - ROCKLAND MA-02 Sri+l`` lk, Expiration: 0911012017 ) Commissioner KITCCON-01 CVANGELDER oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/24/2015 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. ` IM PORTANT: 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: Patricia Tome,CISR, 2GCovERAGE Rogers&Gray Insurance Agency,Inc. PHONE q/C No:(877)816-2156 434 Rte 134 A/c No Exit: Soutfl Dennis,MA 02660 a�liliess:ptome@rogersgray.c INSURER(S)AFFORDIN NAIC 8 INSURER A:Sentinel Insurance CINsuRED INSURERB:ARBELLA PROTECT 41360 Kitchen Concepts,Inc. INSURERC:GUARD Insurance Gr 40 Reservoir Park Dr. INSURER D: Rockland,MA 02370 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE "Sri 15UIIR WVD POLICY NUMBER MM/DD/WYY MMIDD/YYYV� LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE P OCCUR 08SBAF09668 04/01/2014 04/01/2015 PREMISES Ea occurrence $ 1,000,00 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY[�]JE Q LOC - - PRODUCTS-COMP/OP AGG $ 2,000,00 1 R OTHER. JEMPLOYMENT PRAC s 10,000 AUTOMOBILE LIABILITY COMBINED accident BINEDSINGLE LIM E IT $ 1,000,000 B ANY AUTO 1020024121 - - 11/10/2014 11/10/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $' - x HIRED AUTOS X NON-OWNED - PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ rANY RETENTION$ $ COMPENSATION _ YERS'LIABILITY YIN N- X STATUTE ERH IETOR/PARTNER/EXECUTIVE KIWC525057 01/31/2016 01/31/2016E.L.EACHACCIDENT $ 500,000EMBER EXCLUDED? FRI N/Ain andNH) 'E.L.DISEASE-EA EMPLOYE $ 500000be under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may,be attached if more space is required) . Additional insured on a primary and non contributory basis for ongoing and completed operations on all policies other than workers compensation as required by contract or written agreement via encorsement SS0008 04/05.Waiver of subrogation applies to the general liability policy and auto CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hingham THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 210 Central Street ACCORDANCE WITH THE POLICY PROVISIONS. Hingham,MA 02043 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD w a,Fr, Town of Barntable ,. RegnYatory Services mum 1216ard P.ScA Director '�� tim BII�d�ag DYPLS1011 Tom Perry,Bm7dmg Commoner 200 Mam Strep-4 Hyaenas,MA 02601 W WW t W larnstable ma.us Office: 508-8624,038 . Fay 508-790-6230 Prop eity.Orwner.lVlust Complete and Sign This S'.c fi. If Usk A Builder h-S 14, Z ,as Qwner of the subject ro vY I hene aurhouze �t�,l l a.H, ch S n ! to act on b� in all matters z�latc to work authoIIzea b7, bUUdMg peanit appl�cali�n for.' , 13-7 otD os (j Go{v; (Ad&cts ofjob) :'Toolfences and alarms are the res onsi of the a: &*t.Pools. P � PP . am not to be filled or 4d6d befozi!-.fence is installed and all final inspections are performed and ancepted: S of Owner of ltranr APPi h li: Pnut Name 11-23 - Is Date . Q;FORnss:owr� ooLs Parcel Detail Pagel of 3 4Y 'S �`' �' A3z, 6741 Logged In As: Parcel Detail Tuesday, Novemb Parcel Lookup Parcel Info Parcel ID 074-003-005 I Developer i"LOT 4 Lot€ Location 979 OLD POST ROAD Pri Frontage 150 I ec Sec Road Frontage S Village iCOTUIT I Fire District(COTUIT Sewer Acct I Road Index 1 165 pityTANI InteractiveMap . Owner Info Owner'HALEY, STEVEN yR & KATHLEEN P I Co-owner streetl277 LINDEN ST-SUITE 207 I street2 � City WELLESLEY I State A zip02482 Country i US Land_Info Acres k4.84 use jSingle Fam�MDL-01 I zoning �RF Nghbd WF10 m� Topography SRO_._..II" ing I Road Paved.4v�.____._.,____...__.�.___.__._-�...__w.-_. Utilities IPubhc Water,Gas,Septic I Location Excel View,Waterfront Construction Info Building. Y of Year ___ _._ __.._.__... Roof—, ...__.. Ext . . Built 11996 struct(Gable/Hip I wan (Clapboard Effect 5537 Roof`As h/F GIs/Cm Ac Central Area ' I Cover S p P 4I TYpe _. style(Colonial I wanPlastered I nt Bed Rooms 16 Bedrooms I Model Bath Residential` _I Fioo� Carpet I Rooms F3 Full + 1 H I Grade Luxury Plus I, vpe[ Total Hot Air I Rooms�9 Rooms I L http://issgl2/intratiet/propdata/ParcelDetail.aspx?ID=4513 11/27/2007 F Parcel Detail Page 2 of 3 v PTO 560] PTD 4801 5 14� - Heat ppFound- Stories 2 Stories Gas Fuel ation Poured Conc. HA rt. Permit History_ Issue Date Purpose Permit# Amount Insp Date Comrr 2/28/2002 Pier/Dock 59316 $35,000 8/28/2002 12:00:00 AM 5/7/1996 New Dwelling 14990 $14,000 7/3/1997 12:00:00 AM POOL 2/1/1996 New Dwelling 14990A $605,000 7/1/1997 12:00:00 AM - Visit History Date Who Purpose 11/8/2005 12:00:00 AM Paul Talbot Meas/Est 10/1/1999 12:00:00 AM Martin Flynn 3rd Visit-2nd Notice Left 7/9/1999 12:00:00 AM Frederick Stepanis 2nd Visit-1st Notice Left 5/6/1999 12:00:00 AM Frederick Stepanis Meas/Est 7/1/1997 12:00:00 AM Lloyd Kurtz Meas/Est - Sales History Line Sale Date Owner Book/Page Sale P 1 6/10/1998 HALEY, STEVEN R & KATHLEEN P 11492/110 2 2/15/1996 HALEY, STEVEN R & KATHLEEN 10041063 3 8/15/1992 GRILLO, DOROTHY W& 8161/129 4 WHITTIER, JAMES Y&. 2077/128 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcf 1 2007 $1,016,500 $5,900 $296,200 $2,153,500 $3 2 2006 $890,500 $5,900 $305,600 $2,128,400 $3 3 2005 $783,600 $5,900 $306,100 $2,128,400 $3 4, 2004 $652,700 $5,900 $521,300 $2,128,400 $3 5 2003 $631,700 $5,900 $21,800 $2,137,800 $2 6 2002 $631,700 $5,900 $21,800 $2,098,600 $2 7 2001 $620,500 $6,900 $21,800 $2,098,600 $2 8 2000 $391,900 $7,100 $6,100 $808,000 $1 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=4513 11/27/2007 r Parcel Detail Page 3 of 3 9 1999 $391,900 $2,200 $6,100 $808,000 �$1 10 1998 $374,700 $2,200 $6,100 $465,700 11 1997 $0 $0 $0 $520,900 ; 12 1996 $0 $0 $0 $520,900 ; 13 1995 $0 $0 $0 $525,500 14 1 1994 1 $0 $0 $0 $1,274,800 $1 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=4513 11/27/2007 Town of Barnstable Geographic Information System November 27,2007 055057 � �, ^_ 074003002 074028 #1034 #1045 1071 055068 a 0 �! #12� /' rrr"' �s 074003001 055059 1l#24 056066 6 3' 13003025 os5os0 �' "�" #36 OQG IPA 074003004 F 9997 074003006 a w #0 055061 #46 �•y 074003005 a ` 055062 #979 #69-- P74014 0 If 966 �55053 555063 525 #940 r� 074011 j 055054 #92? 4 4#55 074020 #99 .i0744015 074025 f COTUIT BAY DRIVE #20 074012 074018 074024 # 045 a�C #909 #82 548 9564 055046 d 0 0117 $ 074006 # #40 100 n 94 Feet �Q 074013 711 074�5 II�a5043 f 073005 4 9 #1z 073030 ^073031 073025^ r F #894 #69 1 #77 �#91 ^�._.. `�... #120 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:074 Parcel:003005 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:HALEY,STEVEN R&KATHLEEN P Total Assessed Value:$3472100 Selected Parcel W+ 1"=100'may noI meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessors lax parcels. They are not true property Co-Owner: Acreage:4.84 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:979 OLD POST ROAD f' ty� such as building locations. Buffer )iz -Town of Barnstable Zoning Board of Appeals _ Decision and,:Notice. Appeal Number 1996-12 -Bayside Building, Inc, Variance to Section 3-1.4(5) Bulk Regulations Summary Granted With Conditions fi Applicant&Owner. Bayside Building, Inc. Applicant's Address: Lot 4 Old Post Road, Cotuit, - Assessor's Map/Parcel: 74/3-5 Zoning: RF Residential F Zoning District. • Applicant's Request:• Variance to Section 3-1.4(5)Bulk Regulations to allow the construction of a story,,home'in an RF Zoning District which allows 2 1/2 stories: Background: Bayside Building, Inc. has petitioned the Zoning Board of Appeals for a Variance to Section 3-1.4 . (5) Bulk Regulations to allow the construction of a 3-story home in an RIF Zoning District which allows 2 1/2 stories. The property is'addressed as Lot 4 Old:Post Road;'Cotuit, MA. ' The locus of this appeal is between Old Post Road and North Bay in-Cotuit. According to-the f Assessors records, there is a 20'shared driveway easement between the subject lot and abutting lot. The lot is approximately 150' in width along Old Post Road and is long and narrow in shaper The proposed single family dwelling is 690'from,the road and the proposal includes pool. According to the application,the Petitioner states the added height will not be visible from the' street and is,also comparable with surrounding`structures. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on December 22, 1995. A Public Hearing before the'Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on January 24, 1996, at which time the Board found to grant the appeal with conditions., Board members hearing this appeal were-Emmett Glynn,Ron Jansson, Robert Thorne;Torr'DeRiemer;" and Chairman Gail Nightingale. - t . Attorney John Alger.represented the Petitioner., Jim Bowes of Bayside Building, Inc.was also. present. Attorney Alger stated that WA Mrs.Steven Haley are proposed purchasers of the lot. A purchase and sales agreement for$495,000 for the land was submitted, as well as the Order of Conditions from the Conservation Commission, topographic and site-plans.,,4_ The site is a 4.36 acre parcel of land IYis over 900 feet long with 200 feet of frontage'on the' water and 200 feet on Old Post Road. The'site complies with the.Zoning Ordinance in the Town of Barnstable and even though there are•almost 4 acres of land, it cannot be subdivided because` there is only a 14,000 sq.ft.'area where the house can be built: Mr.Alger continued and stated thaf the house is located in an RF Residential F Zoning District which allows a maximum height of up to'30 feet or 2 1/2 stories whichever is the lesser.-The state building code no longer defines what a half story.;is and there is no definition in the Town of Barnstable Zoning Ordinance. The Town of Barnstable is no longer allowing half stories above grade. .,Therefore, by definition, this house is three stories, however;`the third floor is only 19% of ° first floor. Thishalf story is'not•an attic-as it,will have heat, plus a bathroom and a 25x20 room.. There is no access to`the-outside except through the dormer. The site has approvaffrom the Conservation Commission. The structure will be at,flood plain elevation`level 11.5 feet and because of the"topography an 8 foot foundation`must be put,MW = place. The foundation will.be partially filled with dirt. - Zoning Board of.Appeals-Decision and Notice Appeal Number 1996-12-Bayside Building Inc. Jim Bowes explained the maximum dormer height will be 29.8 feet high (the maximum allowed is 30 feet). The third floor will be used as an overflow dormitory. The structure will have 10 feet ceilings on the first floor, 8 foot ceilings on the second floor and 7.6 foot ceilings on the third floor. Because the structure is in the flood plain, it cannot have a basement so the third floor will also be used as storage. This is not the only house on North Bay to have 3 floors,the neighboring house is similar and has 3 floors. Also other houses in the area have three floors. From the street, you cannot see the house as it will be 700 feet from the,road. The rear of the house to the water is a distance of 120 feet of which 70 feet cannot be disturbed and the Petitioner will add to the.existing vegetation. Mr. Bowes clarified some flood plain regulations. In a flood plain, the top of the foundation has to be at 11 feet or better. This house will be at 11.6 feet. The high point of lot is 12 feet. There will be a full foundation and the access to the"basement" is from outside not through the house. This area is actually a crawl space with a 4-5 foot ceiling and according to FEMA cannot be used as living space because it is below the base flood elevation. Building Commissioner Ralph Crossen stated that he has no problem with the plan as submitted. A letter was read into the record from an abutter who is opposed to the appeal. No one else spoke in favor or in opposition. Finding of Facts: Based upon the testimony given during the public hearing on this appeal, the Board unanimously found the following findings of fact with reference to Appeal Number 1996-12, 1. The petition is for Bayside Buildings, Inc. for a lot located at Lot 4 Old Post Road, Cotuit, MA, shown as Assessor's Map 74/Parcel 3-5 and consisting of 4.63 acres with 1.68 acres of. wetland. It is in an RF Residential F Zoning District and an AP Aquifer Protection District. This is a Variance to Section 3-1.4 (5) Bulk Regulations to allow the construction of a 3-story home in an RF Zoning District which allows 2 112 stories. 2. The Petitioner is seeking a partial third floor in the form of a dormer to permit storage that is otherwise unavailable due to the location of the building and its relationship to the flood plain. 3. The shape of the lot is unique as it is set back from the nearest road (Old Post Road) by 700 feet and it is accessible from the road by a 20 foot wide driveway. The lot is bordered on one side by wetland. _ 4. The proposed third floor represents 19% of the first floor area: 5. The overall height of the building at the highest level of the building plate is to'be 29.8 feet 6. The actual location of the land mass on this'lot is irregular which results in the location of the house itself failing within the flood plain. 7. The first floor elevation above the mean high water is 11.6 feet. 8. Revised FEMA regulations require that no living space in a dwelling be allowed to be occupied below the 11 feet level and therefore the cellar area in this house cannot be used as such. 9. The combination of these two:topographical features (i.e., the shape of the lot and the elevation of the lot above mean high water mark) creates the topographical hardship for which relief is being sought. 10. There are several residences in the area that have additional stories or,half stories that were allowed prior to 1994. The Zoning Ordinance and state building codes have since changed and leave our ordinance without a usable definition for a half story. 11. The granting of this relief would not be in derogation of the spirit and intent of the Zoning Ordinance nor would it be detrimental to the neighborhood affected especially in view of the fact that the proposed third floor,is not visible from the surrounding neighbors. Decision: Based upon the positive findings a motion was duly made and seconded to grant a Variance from Section 3-1.4 (5) Bulk Regulations to allow the construction of a 3-story home in an RF Zoning District which allows 2 1/2 stories with the.following conditions: 2 I Zoning Board of Appeals-Decision and Notice Appeal Number 1996-12-Bayside Building Inc. 1. The house is to be built as per plans prepared byArchi-Tech Associates, Inc. Dated November. 16, 1995 consisting of 6 drawings#A1-A6 and together with-2 site plans of land prepared by Baxter&Nye, Inc. dated November 15, 1995 (a site plan of land and a topographic plan). 2. The project must be in compliance with all rules and'regulations of the Conservation Commission and DEP regarding sites and any revisions cannot conflict with the Town of. Barnstable Zoning Ordinance. 3. The Septic System is to be designed and installed as presented at this hearing. 4. The foundation area is to be limited to storage space only and no other useis allowed.,'- The vote was as follows: AYE: Emmett Glynn, Ron Jansson, Robert Thome, Tom DeRiemer, and Chairman Gail Nightingale. - NAY: None. Order: Variance No. 1996-12,has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty(20)days after the date of the filing of this decision in the office of the To Clerk. 1996 G4 Nightingale, airman Date$i ned I Linda Leppanen, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision' and that no appeal of the decision has been file in t e office of the Town Clerk. Signed and sealed this _ day o 1996 under the pains and penalties of perjury. Linda.Leppanen,Town C • 3 PAR: R074 003.005 PAR: R074 003.004 PAR: R074 ,014. KEY: 427176 TAX CODE:200 KEY': . 427167 TAX CODE:200 KEY: 38621 TAX CODE:200 ' GRILLO. DOROTHY W & STEIN, TIMOTHY. D TR MCSHANE, JOHN J & GAILE M GEIER, ANNE W HOWELL NOMINEE TRUST P 0 JOX 753 515 HARLAND ST ATTN LOURIE & CUTLER P C OSTERVILLE MA 02655-0000 MILTON MA 02186-0000 60 STATE ST BOSTON MA 20219-0000 F PAR: R074 011. PAR: R074 012. PAR:. R074 015. KEY: 38596 TAX CODE:200 KEY: 38603 TAX CODE:200 KEY: 38630 TAX CODE:200 COVINO, ROBERT J & JANET M VALENTE. "ISABELLA DEMELLO, GEROGE M & MOLLY M 11 SUNRIDGE RD 24 POINT ISABELLA RD LS POINT ISABELLA RD WiNDHAM NH 03087-0000 [OTUIT MA 02635-0000 COTUIT MA 02635-0000 PAR: R074 016. PAR: R074 020. PAR: R074 017. KEY: 38649 TAX CODE:2'00 KEY: 38676 TAX CODE:200 KEY: 38658 TAX CODE:200 VARA, HENRY D TRS - COTUIT SAY SHORES_ASS,OC INC JIM3:RLY, FLOYD T 350 CHESTNUT ST PO BOX 810 JIMJcRLY, DOROTHY M W NEWTON MA 02165-0000 COTUIT MA 02635-0000 4J POINT ISABELLA ROAD C,OTUiT MA 02635-0000 PAR: R074 013. PAR: R074 025. PAR: R074 024. KEY: 38667 TAX CODE:200 KEY: , 38694 TAX CODE:200 KEY: . 38685 TAX CODE:200 SOSLAND-EDLEMAN, DEBORAH A CRAWFORD. WILLIAM J III TR ZANKMAN, ALVIN iA & TERRY A SOSLAND, NEIL N & BLANCHE E 15 WOODSIDE DRIVE 1316 TITANIA LANE 4d00 MAIN ST, SUITE 100 TOPSFIELD MA `01983-0000 MCLEAN VA 22102-0000 KANSAS CITY MO 64112-0000 PAR: RU55 066. PAR: RO55 065. PAR:. R055 063. KEY: _ 31842 TAX CODE:200 KEY:' '. 31833 TAX CODE:200 KEY: 31815 TAX CODE:200 ZOLAN, RICHARD *J & CAROL E COLLINS, JAMES'W & HELENE I AEidAN, JOSEPH F JR-&M .JOAN 35 FORSYTH COURT 45 FORSYTH COURT 146 OLD POST RD COTUIT MA 02635-0000 COTUIT MA 02635-0000 COTUIT MA 02635-0000 PAR: R055 062. PAR: R055 061. ' KEY: 31806 TAX CODE:200 KEY: 31799 TAX CODE:200 , SIMLER, DAVID A & ROCKETT, JAMES E RENO, STEPHEN A ROCKETT• MARY P 10 IRVING RD .46 FORSYTH COURT WESTON MA 02193-0000 COTUIT MA 02635=0000 Proof of Publication Town.of Barnstable Zoning Board of Appeals Notice of Public Hearing Under The Zoning Ordinance for January 24, 1996 To all persons interested in,or affected by the Board of Appeals under See.11 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts,and all amendments thereto you are hereby notified that: 7:45 P.M. Schaefer Appeal Number 1996-09 Garrard K.Schaefer,Trustee for the Longwood Avenue Realty Trust has petitioned Zoning Board of Appeals fora Variance-to Section 3-1.3(5)Bulk Regulations from front and rearyard setbacks to add an attached 1-car garage to replace pre-existing non conforming freestand- ing garage.,The property is shown on Assessors Map 287,Parcel 031 and is commonly addressed as 106 Longwood Avenue,Hyannis Port,MA in an RF-1 Residential Ft Zoning District. 8:00 P.M. Mary Trust Appeal Number 1996.10 Mary Trust has petitioned the Zoning Board of Appeals for a Use Variance to Section 3-2.1 (1)to permit a commercial parking lot.The propertyis shown on Assessors Map 308,Parcel 89 and is commonly addressed as 39 Pearl Street,Hyannis.MA in an RB-I Residential B- 1 Zoning District. 8:15 P.M. McGoldrick Appeal Number 1996-11 Donald F. 8 Sandra L. McGoldrick have appealed to the Zoning Board of Appeals for a Special Permit with respect to Section 2-3.7(1)and Section 4-4.2 Norr Conforming Lots for an extension of an existing building which does not conform to wetland setback. The property is shown on Assessors Map 187,Parcel 69 and'is commonly addressed as 546 Bay Lane,Centerville.MA in an RD-1 Residential D-1 Zoning District. 8:30 P.M. Bayside Building,Inc. Appeal Number 1996-12 Bayside Building,Inc.have petitioned the Zoning Board of Appeals fora Variance to Section 3-1.4(5)Bulk Regulations to allow the construction of a 3-story home in an RFZoning District which allows 2 1/2 stories. The property is shown on Assessors Map 74,Parcel 3-5 and is commonly addressed as Lot 4 Old Post Road,Cotuit,MA in an RF Residential FZoning District. These Public Hearings will be held in the Hearing Room;Second Floor,New Town Hall,367 Main Street, Hyannis, Massachusetts on Wednesday,January 24, 1996. All plans and applications may be reviewed at the Zoning Board of Appeals Office,Town of Barnstable, Planning Department.230 South Street,Hyannis,MA. Gail Nightingale,Chairman Zoning Board of Appeals The Barnstable Patriot January 4.8 January 11,.1996 1 ' 9 Old 1 /qq�s I A _ t i s Y Parcel rmit# 3 Assessor's.Office(1st floor) Map 6 Conservation Office(4th floor)(8:30-9:30/1:00 2:00) 1 &. Date Issued o� Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee wiz Engineering Dept. (3rd floor) House# `)19 SEPTIC'S UST 13E Planning Dept. (1st floor/School Admin. Bldg.) r '. . @NSTALL 1 LlA6�l�F2 I fC - - Definitive P1 App ved by Planning Board ; �NV, OWN Off' TN �3A'RtNS.41'ABLL Building Permit Application ' Project S ree d ss C) D QS F°,. r�. 4 Village c d-W f T .Owner 6rF,,V -/d I-I dI LET Address• R V")) t 4 3s Telephone Permit Request First Floor square feet Second Floor dt'3 a® square feet Estimated Project Cost $ &0 X 3 /o 16 /$7 j &-e Zoning District f" Flood Plain A Water Protection �P Lot Size q, 6 3 G`ra�ndfathered ? Zoning Board of Appeals Auth:/orizaattion. _ 7'�� Recorded .F -eA / Current Use V �.E.G�L '1, Proposed Use Construction Type (o ftd Commercial Residential (/ Dwelling Type: Single Family If Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths � No.of Bedrooms % Total Room Count(not including baths) � First Floor 5 Heat Type and Fuel 6!/kwn -11 4 Central Air 10-4 Fireplaces Garage: Detached Other Detached Structures: Pool YiQ,O j Attached Barn i None �^ Sheds q Other Builder Information Name K. ��� �(y �/A r Telephone Number Address Try License# L ✓� (` S Home Improvement Contractor# `- Worker's Compensation# GuCI 312 J AO t7 7 0 i3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '* SIGNATURE DATE L �� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR bFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP[PARCEL NO. , OL ADDRESS y 1 w VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' o FRAME; INSULATION FIREPLACE ,.L .. ,!S 9. ELECTRICAL: ROUGH FINAL - 3 PLUMBING: . ROUGH FINAL - GAS: RQUGI FINAL FINAL BUILDING DATE CLOSED OUT-1 ASSOCIATION PLANNO. ' �J Assessor's=Office(1st floor) Map. IV 7 V Parcel Permit# ( gLI Conservation Office(4th floor)(8:30-9:30/1:00-2:00 DWG ate Issued �` 7 Board of Health(3rd floor)(8:15 "9:30/1:00-4:45) 0 . 7 Engineering Dept.(3rd floor) House# _ q 7 5 EP ST BE _. INSTALLED E VW E AND a..�J�7 LaY id,m In'p 3 TOWN OF BARNSTABLE Building.Permit Application x Project treet Address �- C)\ O �`?S T. Cep S-,50 pt Qg Village Owner Address Telephone :Permit Request Q n VV-e - _-CA-3Sn C) SA-7 c Q 06 First Floor square feet Second Floor square feet Estimated Project Cost $ `� VA 000 Zoning District Flood Plain Water Protection Lot Size �D� C�C C�.Q Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type �suC51SL Commercial Residential __-.4 !Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool `�D Attached Barn None Sheds Other Builder Information Name (:)%,J ` ON COQP Telephone Number 68-391j LD\\ l0 Address � 2OOe_�N License# 0U -LO 1 u� N3+J Q>-2_to-,f) Home Improvement Contractor# 9 70 071 Worker's Compensation# W C \ �J���l$OY O NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON E LOT. ALL CONSTRUCTION IS SULTIW3 FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I Ot BUILDING PERMI DENIED FOR 4 FVL[OWING REASON(S) i .., FOR OFFICIAL USE ONLY = PERMIT NO. ► , DATE ISSUEDIJ MAP/PARCEL w ADDRESS '._ VILLAGE_ ' OWNER ' t • DATE OF INSPECTI N: FOUNDATION FRAME INSULATION ., t f FIREPLACE' - t ELECTRICAL: ROUGH FINAL 3 PLUMBING: € ; RROUGH FINAL y GAS: ;ROUGH ' FINAL y r 9 f., FINAL BUILDINGt_17, DATE CLOSED ASSOCIATION%> N t 1 i ' ` Assessor's Office Gst floor Map Lot Cl6 I Permit#. tlgAia� Conservation Office 4th floor Jam 130 Date Issued 6—G Board of Health Ord floor l i -o /�ev En ineering Dept. Ord floor) House# 9�'-7 Planning Dept. (1st floor/School Admin.Bldg.): s _ &MWSTABM MAW Definitive Plan Approved by Planning Board 19 (Applicationarocessed 8:30-9:30 a.m. & 1:00-2:00 TOWN OF BARNSTABLE /�'"� Building Permit Application Pro•ect Stree 4' ress 91 -7 Q I k- 1' D`�" of k Village C D--I art' Fire District (hvncr T U Address /l is Telephone L4 q_ 142 aJ� mlq Permit Request: A yY)l1) 141 (may • ���20 7'U v�i2��i"�d•e.F ��-ii.GT�GLf� '' Zoning District Flood Plain d' Water Protection Lot Size ' s Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Existing Information Dwelling Type: mgle Family c Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat T e and Fuel Central Aix Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name i Telephone number -7'7�5✓-()V- -7 Address _3g5 ( _ License# `5 1 ' I�n,4� /Y)Pr (')W)DI Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Pro'ect Cost o Fee � SIGNATURE DATE o�fo BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 074.003.004) FOR OFFICE USE ONLY Permit �- 4 + ADDRESS 997 Old Post Road VU.LAGE Cotuit, MA 02635 1 OWNER Robert Laurie DATE OF INSPECTION: - -} r FOUNDATION FRAME INSULATION FIREPLACE -- ELECTRICAL. � ROUGH FINAL + PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: r DATE CLOSED OUT: - ASSOCIATE PLAN NO. ` 1 ! e ' + ' e } COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY t b � OF ONE ASHB_ORTON PLACE MASSACHUSETTS L.: SO$7b Sl4tiFC fi +-'- '--- IF : - :eLe�alt�sR,+. LICENSE �. EXPIRATION DATE CONSTR. SUPERVISOR CAUTION 04/19/1996 FOR PROTECTION AGAINST C-NO. I RESTRICTIONS EFFECTIVE DATE LI THEFT, PUT RIGHT THUMB NONE r I'1t�" ' 06/30/1993 005645 PRINT IN APPROPRIATE ` BOX ON LICENSE. BRIAN T DAC£Y ° 62 FERBROOK LANE �� BLASTING OPERATORS c CENTERVILL MA 02632 m MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) F��0.�� - NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY PAID - - HEIGHT: STAMPED-OR-SIGNATURE OF MMISSIONER - • - i 2 2 1993 THIS DOCUMENT MUST S` , p SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDONTHE PERSONOC IGNATURE OF UCEN3cE THE HOLDER WHEN EN OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATIOIt. _R/I +� Y; Op T LL COMMONWEALTH OF MASSACHUSETTS P_ E. V . P DEI'AT+;'';viF�T OF INDUSTRIAL ACCIDENT S ' 600 WASHINGTON STREET BOSTON, MASSACHUSETTS 02111 James J Car-to"'; Cornm:ssione• WORKERS' CONII'FNSATION INSURANCE AFFIDAVIT' I, gicenseelpermitue) with z principal place of businesshr-sidcna at: y,2 6 3 a (Ciry/Smtemp) do hereby certify, under the pains and penalcics of perjury,that•. [] I am an employer providing the,following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number - [ J I am a sole proprietor and have no one working for me.. , [ J I am a sole proprietor, nenl contractor r homeowner (circle one) and have hided the conirac Tors listed below wno have the following workers compensation insurance policies: Name of Contractor Insurance Company/Policy Number _ .. Dame of Contractor Insurance, Company/Policy Number Name of.Conrm=or Insurance Company/Policy Numbs 0 1 am a homeowner performing all the work myself. NO?� Plcax be aware t:.at while bomcowncn wno emoiov per to do raaintenamce. construction or repair work on a 0wriiinc of not more tbaa wrec units to wnico the norneowner aiso restart or on the rmunas appurtenant thereto arc Dot ceoerail�' considered to be er—_viovers under the Woriccn' Compeasauoa Act (C'A— C 152.sett. 1(5)), appiieatioa by a bomcowtser fora license or oermtt may evtccncc the ieo suturof as crnpiover under we Wori crs' Compensation Act )'unoentand.tisat cov%.of tius stat^c nt will be forwarded to the DepLa-ment of Indusaial Accidents' Ofna of lnsuranQfor mac ycn--j=aon inc :ace: faiiurc to secure t�raxc as r•eeturec under Seetlon 25A'of MCC 15: an ieac to the imvtmuon of e=.m.aL pcna]u� ee^stsane of: tine of err to 51500.00 antlior impruorimt nt or up to one N-ca: ant CI per.aiues in the form o'f a Stop Wo-%DrOC" and a finc of 5 100.C-u 2 day a€a:ns:mc: SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - .CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 DAVID BIK: (L) MERCHANTS INS GRP- 8CM0278579150 (W) TRAVELERS 176K337-8=94 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 ; PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179 (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA MP0021014146 , 1 (W) .AETNA -- JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794_. WIRE SHELVING: CAPE COD CLOSETS: .(L),. 0 S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO . 77WZNB1,603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION CBR409003 (W) U S F & G 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 .I SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION & SEPTIC: DRISCOLL, JJ: (L) U S F & G HGL 110093 (W) U S F & G - 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS W680526K991TIA9 (W) AETNA - 006CO023972416C MICHAEL DUFFLEY (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL WC1312492127.024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES - 01CD1486783 (W) TRAVELERS 6NUB448K275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) ,WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: . (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: " BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131- G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL. VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 71711095932 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY Y PARCEL ID 074 003 005 GEOBASE ID 42717 ADDRESS 979 OLD POST ROAD PHONE Cotuit ZIP 02635- LOT 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 19884 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#13050) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS:: and Environmental.Services TOTAL FEES:,. BOLDf $:00 Oxt CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY. + 1AItN3TABLE, * � MAS& ' . OWNER HALEY, STEVEN �0 9' ADDRESS FD NU'� HARVARD, MA BUILDIXG DIVISI BY DATE ISSUED 12/11/1996 EXPIRATION DATE t Department of Health, Safeti and Environmental Services 16 9. INS BUILDING DIVISION BY , THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU_ ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. I R OST THIS CARD SO IT IS VISIBLE. FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 6L_0 21,1.rlj OPWO,,44,,A.,C 2 ,, err—, �14�w k-1 -!A 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARVDO"H LTH jj_�rge F au=4 OTHER: SITE WAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. CO MMO NWE LTH O F 2 's.ACHI7S� =t c F D TT/Lr:NMN11-O F 7?NTD USTRLA&oACCI DENTS 600 V'7l%.SI-Ij-NGT0N ST7'.Li"l amen. Gam��et BOSTON'. MASSACHUSE-=S o2111 ;c•- -s:ssr�ne wO WQRS'COMPF-NSATION INSURANCE AFFIDAVIT Crc+� Ash (xx (l i cc n scc/perm i ttcc) with a principal plscc of busincss/residcnccac 1 <Gty/StzCdzip) do hcrcby ccrzifj; undcr the pains and pcn2lcics of perjur); zhzz: f) I am an cmploycr providing rbc following workcrs'compcnsation covcragc for mycmployccs-orking on thii job_ o-U� C, a d 1 3S C,44 l.nsurancc Company Policy Numbcr 1 _ �) I nm 2.solc proprictor and havc no one working for mc- (J I am 2 Sole proprietor•gcncr�l eonzr aor or bomeowner(eirde one) and havc bired the eontr2aors listed below who havc the following workc.K enmpcnrauon insu=c c politics. •.. I=mc of Contnaor In==cc CompanylPoiicy N=ba -K-2mc of Conzraaor Insumncc Comp2ny/Policy Numbcr Immc of Conmaor Inn=ncc CempanylPolky Numba Q 1 am a homco.,.•ncr pufonning211 the work mysclf- NOTE. Plc:sc be s•�crc tb:tw�t�c l cr<o•mctso ccaploy ptrcoo:to�o ra:iatcatccc,coattrvctioa oc tcpairwork on a Z-01;ns of not Mor<tt=thrcc uoiu is%,X-*46 th<bomcowa<r also rclUct oc oa the Lrmua4s:pputzccaat tbc(cto sa cot EccKrim)' I eenrfder<d to b<ernploycrt Ac%(GL C 152•cccL 1(5)),:ppliatioa by t boroco-mce for a Iieease or permit r..:y<ridcacc 6c I<FJ sure,c!:=<r-,loycr uodcr the Gorlecrt'Corapcatatioa Act- copy of tras szctcncrt-;c a io:,•avdcd to tnc Dcpr:r..cnt of lndustri:J Acodcnu'Orc<.of lasu::na for.co-c-Yc vtrific uon and th_t f_.ilurc to Jccur<covcrz�c::r<Suircd undcr Section 25A of MGL 152 c=kad to ttu irrpor;uon ofstiminal pcnJucs consisons of a fine of up to S1500.00:r.&cr i=pri:onmrnt of up to one ycar and ci.nl pcn:jucs in dK form of:Stop wotk Order and: I fine of S 100.00 a day apinst me- Signed this o2 d2y of _• 19 `D Liccn:cc/PcrmirEcc Licensor/Pcrmiaor 5 °tom The To n o Department of Health Safety and Environmental Services DuiIding Division }i', b4 l= 367 Main Sweet,Hyannis MA 02601 s f' Office: '508 790.6227 Rslplt Ctossea f, a Date - AFFIDAVIT HOME E"ROVEMENT CONTRAMOR IAA SUPPLEMENT TO PERKErAP$)<.iC&IMON. MGI,c. 142A requires that the-mwnstrraWoa,akera>xon!;trnovaticSa, modernb2dw,convermon, improvemettt, reatm'al, 4emolition, or construction of an addition to nay PM-eking owner oaztpied building containing at least one but not mOM than four dwc ting traits or to ct m vvhic It am adjacent to such residence or building be done by ragistcrnd aonttat tcm with ego Vdons,along with other vk; 4h - h T3pe of Work: ke'-M O b-c'�- ES tomt Address of Work: 9 q U - Ow'ner Name__ 0 b r Date of Permit ApplicsttiQn• fj t I herelm dhti&that: Fh." Regisuation is not required for the follovting reason(s): rum Work cvduded by I2w Job UnderSIX0 *' ' DuiIding not owner-occupied Owner p pulling Qan pe:mzt is hcrcbv, .vn LWi. - M%'T,SM PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONIRACTOPS FOR AuPLICAELE PONT NTROVWENT WORK DO NOT HAVE ACCESS TO THE Gi.A /-. .M F•Z�:�'D UNDER AZGL c. 142A r SIGNED TJNDLR PENALTIES OF PERJURY Fay ` V I hcrGhy app)s•fora permit as the agent of the owner. S x'r ` 17ate Contractor namr_ No. <<� OR �f Commonwealth Electric Company n 2421 Cranberry Highway Wareham, Massachusetts Telephone ephone (508) 291 0950 June 5, 1995 E.B.Norris The electric service & meter at 997 Old Post Rd., Cotuit have been removed. Very truly yours, Barbara A. Trocchi . Customer Service Rep. 1 ..r z,r ... y s :'; .~_. r T�,e,✓ �, :t� i y r$" � ,r Rti. y '�-�s S. ° � i a.5 t 1 HOME IMPROVEMENT CONTRACTORS REGISTRATIONz Y oard of Building Regulations ,and Stanrdardsf Onet AshburtonPlae x Room; c 1301 " �, h Boston, Massachusetts 02108 .: f u } HOME IMPROVEMENT;.CONTRACTOR mac. Registrationt102014t ;4 Expir'ation 06/30/96 r- Type'} PRIVATE CORPORATION` ',• .: , i y:,, HOME IMPROVEMENT CONTRACTOR- Registration,,- 102014 Er nest . E3 . ,Norris.°& Son I r c I Type PRIVATE CORPORATION ` Craig N Ashworth i ...385 Seas St Expiration 06/30/96 t i Hyannis MA 02601 I Ernest'-K NOT Son Inc i . Craig.N.: Ashwth j �o �, iSea St d 4 ADMINISTRATOR_ yannls: NA 026O ! 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I I I _ I v i I I � C "THIRD FL-ocR Pl>LI ,' _ e A-4 i COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE Peffare to�sn a a cart®at MASSACHUSETTS BOSTON,FAA 02iv""8 Cedes l tav+ ? Ar rmraca:lan LICENSE CAUtION I EXPIRATION DATE C O N S T R.. S U P E R V I S O R O 9/2 8/1 9 9 S EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST • RESTRICTIONS � THEFT,.PUT RIGHT THUMB NONE 170 710 0 06130/1 9q3 015851 ! PRINT IN APPROPRIATE ° BOX ON LICENSE. i 0 5; CRAIG :N ASHWORTH �+ i o c Z 3�s5 SEA STREET .F.ONL`n FE j�j�' `•+�+ NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY •Y\ HEIGHT: STAMPED•OR-SIGNATURE OF THE COMMISSIONER \; THIS DOCUMENT MUST BE tt ! SIGN NAME IN �e GNAW�E LINE - , �� SIGNATURE OF LICENSEE 4 \` CARRIED ON THE PERSON OF Y` THE HOLDER WHEN EN OTHERS- BpRINT GAGED IN THISOCCUPATIONr\ .. M I SIONER �l _ t r. i • • Town of Barnstable.Zoning Board of Appeals Notice of Public Hearing Under The.Zoning Ordinance for January 24, 1996 To all persons interested in, or affected by the Board of Appeals under Sec. 1 I of Chapter'40A of the General Laws of the Commonwealth of Massachusetts, and all_ainendments thereto you are hereby notified that: 7:45 P.M. Schaefer Appeal Number` 1996-09 Garrard K. Schaefer,Tristee for the Longwood Avenue Realty Trust has petitioned Zoning Board of Appeals for a Variance to Section 3-1.3(5)Bulk Regulations from front and rear yard setbacks to add an attached 1-car garage to replace pre-existing non conforming freestanding garage. The property is shown on Assessor's Map 287,Parcel 031 and is commonly addressed as 106 Longwood Avenue,Hyannis Port,MA in an RF-1 Residential F1 Zoning District. f 8:00 P.M. Mari Trust Appeal Number 1996-10 Mary Trust has petitioned the Zoning Board of Appeals for a Use Variance to Section 3-2.1 (1)to permit a commercial parking lot.: The property is shown on Assessor's Map 308,Parcel 89 and is commonly addressed as 39 Pearl Street,Hyanni.,MA in an RB-I Residential B=1 Zoning District. 8:15 P.M. McGoldrick Appeal Number 1996-11 €w Donald F.&Sandra L.McGoldrick have appealed to the Zoning Board of Appeals for a Special Permit with respect to Section 2-3.71-1)and Section 4-4.2 Non Conforming Lots for an extension of an existing building . which does not conforrr to wetland setback. The property is shown on Assessor's Map 187"Parcel 69 and is commonly addressed as 546 Bay Lane,Centerville,MA in an RD-I Residential D-I Zoning District.',µ ` 8:30 P.M. Bayside Building,Inc. Appeal Number 1996-12 Bayside Building,Inc.have petitioned the Zoning Board of Appeals for a Variance to-Section 3=1.4(5) Bulk Regulations to al_ow the construction of a 3-story home in an RF Zoning District which allows 2 1/2 stories. The property is shown on Assessors Map 74,Parcel 3-5 and is commonly addressed as Lot 4 Old Post Road,Cotuit,MA in an RF Residential F Zoning District. ° These Public Hearings:will be held in the Hearing Room; Second Floor,New Town Hall; 367 Main'Street, Hyannis,Massachusetrs on Wednesday,January 24, 1996. All plans and applications may be reviewed at the Zoning Board of Appeals Office,Town of Barnstable,Planning Department,230 South Street, Hyannis,MA. Gail Nightingale,Chai;~man Barnstable Patriot Zoning Board of Appeals` p 0l/04/96&0l/l l/96;' E . P e Town.of Barnstable - Planning Department Staff Report Appeal No. 1996-12 Variance Bayside Building, Inc. Date: January 17, 1996 To: Zoning Board of Appeals From: Robert.P. Schernig, Director Art Traczyk.Principal Planner Anna Brigham, Associate Planner Applicant: Bayside Building,'Inc. Property,Address: Lot 4 Old Post.Road, Cotuit,MA Assessor's Map/Parcel 74/3-5 Area 4.63 Acres, 1.68 acres wetland Zoning: ; RF Residential F,Zoning District Groundwater Overlay: AP-Aquifer Protection District Appeal No.96-12: Variance to Section 3-1.4(5)Bulk Regulations to allow the construction of a 3-story home in an RF Zoning District which allows 2 1/2 stories. Filed December 21, 1995 with the Town Clerk,December 22,1995 with the ZBA. Public Hearing January 24,1996. Decision Due 90 days Background: Bayside Building, Inc. has petitioned the Zoning Board of Appeals for a Variance to Section 3-1.4(5) Bulk Regulations to allow the construction of a 3-story home in an RF Zoning District which allows 2 1/2 stories. The property is addressed as Lot 4 Old Post Road, Cotuit,.MA. ...._�_._ A. The locus of this appeal is between Old Post Road'and'North Bay in Cotuit. According to the Assessors records, there is.a 20'shared.driveway.easement between the subject lot and abutting lot. The lot is approximately 150' in width along Old Post Road and is long and narrow in,shape. The proposed single family dwelling is 690'from the road and the proposal includes a pool: The Petitioner did not submit elevations. 'According to the application, the Petitioner states the added _ height will not be visible from the street and is•also comparable with surrounding structures. Department Comments: t The Board should,note that according to the plans submitted, the easement and the site of the home fall within the floodplain. All proposed utilities are proposed within the floodplain. The Applicant should be prepared to,show that'all`restrictions under Section 3-5:1 Flood Area Provisions have been complied with. sari.. I-• , 'a .kr .• _ y Variance: In consideration for the variance, the applicant must substantiate those conditions unique to this lot that justify the granting of the relief being sought.-..s Attachments: Applications Assessor Map,,, Plan Reduction copies: Applicant/Petitioner Building Commissioner TOWN of )• _R:NSTABLE ! N: J' _tiL _ ' _.,.._•---- Zoning Board of Appeals DnUcation""t6 'Pe' t• tion for a -e _ yr,rianr Date Rece,,�.:ved _ f12 21995 ,? � a';`:, "f For Office .Use Only: Town c'.erk. .O Appeal # 6- I Z_ r r Hearing Date Decision Due The undersigned 5 hereby appl-iies }to •t,he,_Zon ing' Board of Appeals for a variance from' the Zoning ordinance, in the" manner an for the reajons hereinafter set forth: Petitioner Name : Bayside Building Phone 508-771-1040 Petitioner Address . p,0. Box 95 Cente tw 11 P"MA r 02632 Property Location: Lot # Old Post Road Cotuit MA 02635 Proper _.y owner;: Steven & Kathy Haley "' }5" phone 508-456-3399 Address of owner: 199 Bolton Road Harvard MA 01451 f petitioner differs from owner state nature of interest: t t 4,�."iS..�Xxii:I tit.i. /I ., The petitioner is rhP huildin contractor. yl,0 } ate.,..,, nn, 'Wl r.N'Ji±`. ,�, ,ttd5ldl{� �Jr."'}r'�I t7(!?�v` � :r il']i,,,•�:.r�,� +;.y<,:Gti , Number of Yearsl'O�,rn'cd: a t .f •s �tt�qt i iirghacarl Assesaor• s_Map/Parcel Number: Map 74 Par _el -5 Zoning District: RF Groundwater' ovcrlay District: ce a. variance Requested: Cite Sect;.o s Title of the Zoning Ordinance Du:_cripti.on i�of varl'anc'c MU, e�ted '' '�^+dSeekin approval' of a '3 story home L 1 r ,3 e Description of the Reason and/or Need, for the Variance: _Flood plain 4' basement necessitates need for- storage room;--other homes in area are of 3 story, small 14' dormer at rear' is only projection, absolutely-not•visable from street Discription of construction Activity (if applicable) : Small 14' dormer built into rear section of a 46' sQuare'HIP roof design and 2 skylights on side elevations (lst .floor sq.ft. 2617, 2nd floor 2350 third 648)" Existing Level of Development of the Property - Number of"� Buildings : p Present Use(s) : Residential Gros srFloor Area: . 4960 sq.ft. Proposed Gross Floor Area to be Added: _ -648 Altered: Is this .propertysubject to any other relief (Variance or special Permit) from Yes f 1 NO �). .. Application to-Petition for a variance Is the property within a. Historic Dint Ct? Yes [ ] No ) Is the property a Designated Landmark? Ye:. [ ] No Q�J a For Historic Department Use Only: Not Applicable . . . . . . . . . . . . . . . [ J •, � �µ OKII Plan Review, Nuurber t Date Approved ,Signature, Save you applied for a building permit?`"'' Yet []. No [ ] Has the Building Inspector refused a permit? Yes [ ] No [ ] All applications for a Variance which proposesa change in, use, new construction, reconstruction, talterationis or expansion, except for single ` or two-family-dwellings, will require� an, approved Site Plan (see Section 4- 7 .3 of the Zoning Ordinance) ,`. That. process should-Appeals. rtcompleted prior to 3uhmitting this%; application' to the.,.Zoning Board ofAppeals. For Buildings Department Use Only ., Not Required • [ J Site Plan Review Number ' Date Approved Signature_ The followings linformation must� be submitted with the Petition at the time of iil._-ng, 'without such 'information the Board of Appeals may deny your � a � Throe (::) copies of }the completed„ Application Form, etch, with original• signatures.-, Five (5) copies of a certified property survey (plot plan) showing the dimensions, of `.the land, all wetlands, water bodies, surrounding roadways and 'the location of the existing improvements on the land. All proposed development activities, except single and two-family'. housing development, wil require five -(5)')cotFlpies: of a proposed site i-mprovcments plan approved by the site Plan,Review Committee This '. plan must show the exact location of all proposed improvements and alterations, on the land., .�and to structures. See "Contents of Site Plan: - Section 4-7 .5 of',.'the Zoning Ordinance, for detail requirements The petitioner may submit any additional supporting documents to assist the"'Board in making its determination. Date: signature: g petitioner or Agents�1'�qnatuzs f } Ask 00 AD u,o. C041 yrti e tp3 .� ?r.• r' c.f 1'-`k r e r: .a.{� t f"3 1. 'X w t �, z a. r j� Cl _ rL• pry _ O ' FI io N ° ®' c o � J •;A • , ® la f r +• W ..A t 5. k11'i r C 7 � iw ru 1 4.✓� T F ,.� ,a. ' SINbIL FAMIuf - G q•::Wr-...r: 3- 56-Ili' SO No 9154m•r 1 DCve� G•110'LLO d-T'S WA4HE:>. pA1L• Flrw STbWG ML TAW--660 x 2C0�'1°STD bF9 - Au.Azn4c,_.7_T.-. To ... - U5E 1r,00'GAl1�N 1 A LNAM3EL 1tiFtT�.12•-r't-wnl 4D c,uie�-L cet�awAeu 6, - r e4s ArvL%cA-noJ AmA ZZEQLnmD -DETAIL Cr- La" Fish 6PD/5F-owl SF . ApPL1Cd noW ArgA tic-',Ili OK— I'm 1AIN lEss. A — - 12g,'�ISF u7J � a ��` :ji7�r_uive 'C-omm avr- ............. T LLG� Jac CES i ,. ,1 tom• .�••,'' .,A �vl¢ l.�.vr LuG'.....�� \ �� • , no ilk A. �•.NL Fb=a sy TF 0.11 s r N AAA.W a..a'Tbx.1 • _ ,F 1LF� I 8•s 1 r j 7 {.3. ' -. U, _ � gip✓^ 'IW.i IOC.O� ,IJ.� Ia1 I6l ..t p „ S' ,r<'dE Pw� - v-�.l '-AL .1 - & �`• 1 r r _ n -------+...--•--'--' L rIE._L� 'i r�r'( L'riK /7 \ . = \ �- - SEY�-S`] / _ w`,61r-R r� LONG f�I `II (gyp c _ •-. \� MM72��I PnUEL Ln18G a.S 4.,, .� \ Copes I \ "`'" u,•z ` � ho -� I 17 .4L LIM IT LIJE - \ .P Q lo. '•��n:'n��F � i•s � ' LAwN a' g5.4 lGgo N6 0 Z 41 s 41 nwK 1�.,ar S•S�:e FL• 7es I I Q 78"L3G �I it14,9 PSI. + h a- - :. • '. I �r \\ia,'4i71'. '� '�\ �• x •�PaO—\. T Li, .I`i• � - `C' ALL Thr wor;- IPA Fr i. Tor of "v COASTAL YL a NO 1 � 1 310 CMR 10.99 1 s Form 5 DEOE File No. SE3-296 I IHE T0� (To be provided by DEQE'i �w Barnstable Commonwealth City.Town - of Massachusetts : BARnua13T� Applicant Haley „ y 0 1679. `w ' '.. L Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131, §40 TOWN OF BARNSTABLE ORDINANCES, ARTICLE XXVII I From Barnstable Conservation Commission ) To Stephen & Kathleen Haley Dorothy Grillo & Anne Gr _er (Name of Applicant) (Name of property owner) 199 Bolton Rd. 515 Harland Street Harvard, MA 01451 Milton, MA 02186 Address Address t i Map Number 74 Parcel Number 3-5 This Order is issued and delivered as follows: ❑ by hand delivery to applicant or representative on (date) Q by certified mail. return receipt requested on --_ January 2, 1996 (date) This project is located at 979 old post tza_ , rni-,,;t The property is recorded at the Registry of Deeds in Barnstable Book 8161 Page 129 j„ Certificate (if registered) The Notice of Intent for this project was filed on November 21 1995 j (date.) t 'December � ° The public hearing was closed on 12, 1995 (date) Findings t The Barnstable Conservation eamm:ss;nn has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the Commission at this time. the Commission has determined that ` the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): /. ❑ Public water supply L7 Flood control ❑ Land containing shellfish ❑ Private water supply. L�Storm damage vention C❑ fisheries fi ❑ Ground water supply [ Prevention of po)lu ' n L Protection of wildlife habitat Total Fling Fee'Submitted $305.00 State S are $140.00 i CitylTown Share V/z fee in excess of S25} Total Refund Due S City/Town Portion S State Portion S ) ARTICLE 27 Only: (1/z total) ! ('/z total) 4 ❑ Public`Trust Rights ❑ Agriculture [Erosion Control ❑ Aquaculture ❑ Recreational ❑ Historic [esthetic Effective 11/10/89 I 5-1 Therefore, the Barnstable Conservation Commission hereby finds that the following conditions are necessary,. in accordance with the Performance Standards set forth in the regulations, to protect.these interests checked above. The Commission orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. General Conditions: 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this order. 2. This order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. . 3. This order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a) The work is a maintenance dredging project as provided for in the Act; or b) The time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this order. 5. This order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least-30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean .fill, containing no trash, refuse, rubbish or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts of any of the foregoing. 7. No work shall be undertaken until all administrative appeal periods from this order have elapsed or, if such an appeal has- been filed," until all proceedings before the Department have been. completed. 8. No work shall' be undertaken until the Final order has been recorded in the Registry of Deeds or the Land Court for the Paget district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final order shall also be noted in the Registry's Grantor index under the name of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the Commission on the form at the end of this order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection, File Number SE3-296J « 10. Where the .Department of Environmental Protection is requested to make a determination and to issue a Superseding order, the Conservation Commission shall be a-.party to all agency-proceedings and hearings before the Department. 11. Upon completion of the work described herein, the applicant shall forthwith request in writing that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 12. The work shall conform to the following plans and special conditions. SE3-2960---Haley Approved Plan=December 13, 1995 Revised Site Plan,Peter Sullivan,PE Special Conditions of Approval: 1. General Conditions 1-12 on the preceding page are binding, and demand both your attention and compliance. 2. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition number 8(preceding page)shall be complied with. 3. The applicant shall pay for their legal advertisement as invoiced. 4. Approval shall be contingent upon receipt and approval of a revised plan indicating a 20' reduction in the length of the.retaining wall within the 50' buffer from the wetland. 5. The work limit shown on the approved plan shall be closely observed. 6. Prior to the start of work,staked haybales backed by trenched-in siltation fencing shall be set along the work limit line. Proper placement shall be verified by the project engineer. Effective sediment controls shall remain until the site is stabilized with vegetation. 7. There shall be no disturbance of the site, including cutting of vegetation,beyond the work limit. This restriction shall continue over time. 8. All areas disturbed during construction shall be revegetated immediately following completion of work at the site. No areas shall be left unvegetated or unmulched for more than 30 days. 9. Restorative planting proposed and ordered within the 50' undisturbed buffers shall take place. Advance consultation with the.Conservation Division office(790-6245)shall occur by the applicants initiative. 10. The location of the pool fence shall be per the approved plan of Baxter&Nye, Inc. 11. This approval is contingent upon the approval by the Board of Health of the subsurface sewage disposal system. 12. Drywells or graveled trenches along the drip lines shall be itistalled to accommodate roof runoff. 13. The driveway shall be constructed of pervious material. 14. Construction shall conform to the requirements of the State Building Code, the Town of Barnstable Zoning By-law Flood Area Provisions for construction within the coastal floodplain. Work shall ensue only after consulting with the Building Commissioner. 15. Pool drawdown water shall be trucked off site. 16. Pool disinfection shall be by ozone injection. 17. All.proposed lawn areas shall be underlain with a minimum of 6 inches.of organic loam: 18. Selective vista pruning may be conducted under this Order,with advance consultation with the Conservation Division. r 19. It is the responsibility of the applicant, owner and/or successor(s) to ensure that all conditions of this Order are complied with. The project engineer and contractors are to be provided with a copy of this Order and referenced documents before the commencement of construction. The foregoing condition shall not be construed to exempt project contractors from responsibility for any work ; performed in deviation with provisions of the Order of Conditions or with the detail of the plans of record. 20. The Conservation Commission, its employees,and its agents shall have a right of entry to inspect for compliance with the provisions of this Order of Conditions. 21. At the completion of work, or by the expiration of the present permit,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Where a project has been completed in accordance with plans stamped by a registered professional engineer, architect, landscape architect or land surveyor, a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation, if any, exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. t. } , A Barnstable Issued By Conservation Commission S' 1 This rder must be signed by a majority of the Conservation Commission. On this day of ► 19 before me personally appeared , to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as ' I .r free act and deed. 'Z W % Notary Public My commission expires q o26W The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the laad upon which the proposed work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order, providing the request is made by certified mail or hand delivery to the Department within ten days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant. Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. To Barnstable Conservation Commission(Issuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT ?9 p1d Post Rd. , Cotuit , FILE NUMBER SE3-2960 HAS BEEN RECORDED AT THE REGISTRY OF. Deeds in Barnstable _ ON (DATE( If recorded land, the instrument number which identifies this transaction is If registered land, the document number which identifies this transaction is Signed Applicant n RR� The Commonwealth of Massachusetts Department of Industrial Accidents Officeolltt000171lotts 600 0 ashinrton Street Boston,A1ass. 02111 - `" Workers' Compensation Insurance Affidavit �pplican t�rmatione `! Plesise PR1NT le¢i61v s � "" ``" '" name �^\>�� ♦ — �5�Q i`- U�\���-Qn� l Q�s i cat' C) �J o ton• � Q-D city Phone 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working to any capacity -....z97�.^ve`.o+y�+'"'�pc'";'e"'n' ^r ".�'.x7 +�qc S"'..,a"+!'r !wy4�f4ry^: ,;:n,-r.:.__ � .R+ax.» ^• ».oyuRe I am an employer providing workers' compensation for my employees working on this job. company onme: �pNC`l1Cas� SICw� ,tc 'COOL Coon p address: city: alone#: c��`� �k 1',D insurance co. �o Policy# QJ �. .... - .....; :. - s'¢sr♦wott•�tr,'�,r _ ..a}rn-.vt.+vaw7aws"'•'�'�^R.`-.'„� � .'•ws+^'.`^�t�,..........�....,�.,..... L.�:..r...,+,....u�ac�...:.�:.� „ ..--.:. y;,�... .. .... ._ ..z,..�� ,....<�.r..... ,., ..— ._._,.e _ =a ,.r _....a�<- — — --•el�.,�r-.r:>. >:ra.�—t. 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: phone#• insurance co. policy 4 -• 4 -=Ft'., ': I+rn - - -""r� �K?a445�.--3.:•'7[wr� �•'�. r�^.�4x+:+'�95. ^Mc-"••.....,,:�cS 4=:.,.yra.. �.. r�'.•a.:.::Mwn-`s-.r,r^ ,e.crrr!y"£.�r�'"r`•' r "9"�t:�°Ra,?ttxZ ..:.:�s�__�� -.'aac Tsai: v .,ali'.sa.:7 i6'. ;'.e�!'uiuir� •cry c3sr;aai:.:- company name: address: city phone#• insurance co. policy# ,Attach iddittonal shcet tf aece a ""�`�" �s?� F Y .h;: ,,�; s.r t �=��.•? ,e,s...,. x;i. Failure to secure coverage as c red nder Scction 25 of AIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as cl s civ I penalties i orm f a STOP NvORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may e f war ed to the O Inv/ti tions of the D1A for coverage verification. 1 do lterehr certif under a at s and penalties o perj hat the information provided above is true a, icorrect. Q Signature Date t 1 1 t Print name r. t �-z J Phone# U— I t x A-} �offtcial use only do not write in this area to be completed by city or town official city or town: permidlicense# riBuilding Department []Licensing Board []check if immediate response is required []Selectmen's Office []Health Department '~ contact person: phone#; nOther ki.G tilt ri11fiG hlieiWlilYiYiiW �. (revised 3i7J rtA) . & 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 e►npl(tvee is defined as every person in the service of another undcf any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other liegal entity, or any two or more of the foreaoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even 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. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers 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. Citv 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 to 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 rive us a call. I -,a.,.r�. �•., v ... �.. -. .a... ,-w. , n .�•..� ,,.. -7•a,.p.., ,.�a- ,P. • c . ;.... .•... ..i ;:..' - ..: :`_" _....: 'ten>- •!:„t¢ ni.. .m:.. �-�_r .�� The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 dew The Town of Barnstable M $ Department of Health Safety and Environmental Services t6-3 61 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508 775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: c1r')SCoa, q aoL Est. Cost `\"= Address of Work: Ol Qd S i (Z�zo C-O l Owner.Name: Date of Permit Application: \ \i�\�► I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR Date 'Ownei s name , i lu,ul w t v xOl,W SF Tor 8 ,1 4 G3 k- 41 rA ELF OF -WOO oto i LeiCIL, OA 7�. 3• /S-9G 7-17425 P6. '¢ a.4 ram: Aoo(eZ. �S►�9�, S'U.es Gy2y 4 5 ' o�5E'T.s:s.�oi✓�rs.�bti� �t%a7-".�� , • �''l.4Ss'. TO'd 6SP209L Ol ONI ONiving M ISAUE WOdj Wd20:80 966T-LT-t70 el 19C 12. Cx b-T,) C o.,,s-r�c ci-eD �Y �AYS►a-e °mil �r S� `71-1EEi' � � 'moo o ��+ ,.. • 9 \ � �•O bo --nad 6 IU I sm tz WAi-L U 3-S Q.t \ Y4DP.V- LIM rr 614Eal Oil �f.. 'POOH At .. . . ... .� . �� ��J�1..,�8~•r,�S"`�"-.�\ •�t, •K\ i `.� \�� .Tor �F. ... / .. �• 4 � CC W C ►l Q Z V > p S W O �p _ 4•.y Y T .•.. S d CE x,i'� pC 4 Z .. f� \ate G I W � ° ..................... ............ ...........*.................. ........ ................................................................... ............ ......................................... . ......... ..... . . ........................ ..... ............................. ..... . .............. . .. ....................................... .................................................. ......................... ................................................................ . .............................................................................. .............................. .......... ..... .................. .............. T1 =N1ISSUE DATE M/DD . ..........C ................ .............. .... .. ............. ........... .................... .............. ............. ........................ .... ...................................... ............ .... .............. ...........***.................... ....................... ....... .......... ......... . ...... NX .... .......... ..... ......W.12196.......................... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Fredericks and Gerardl POLICIES BELOW. ................................................................................................................................................................ Insurance Agency Inc. 1313 Belmont Street COMPANIES AFFORDING COVERAGE Brockton MA 02401- .............................................................................................................I......................................................... COMPANY LETTER A CNA INSURANCE COMPANIES .......................................................................................................................................................... ..........I.................................... ........ ..................... ........—..........................i COMPANY B INSURED LETTER ............................ ........................................................................................................................... COMPANY C ANCHOR DESIGN & POOL, INC. LETTER 143 Upper County Road ................................................................................................................. COMPANY D Dennisport MA 026390000 LETTER ................................................................................... ........................................ ................... COMPANY LETTER E ........... ... ...............................I.................... . ............................. ... . ...... ....... .................................................. .... ...........:........................ .................. ............................... ............ .............. ...... ............. ............ .......... .................. ....................*............ ......... ....... ...... ........... ..... %. ............... ................ ........... ......... ...... ...................... 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. .......................................................................:.......................................................................................................:........................................................................I.................................................. Co:: POLICY EFFECTIVE :POLICY EXPIRATION :: TYPE OF INSURANCE POLICY NUMBER LIMn Lin: DATE (MM/DD/YY) DATE(MM/DDIYY) ..................................................................................................I.............................................................................................................................................................................................. GENERAL LIABILITY BI 30715876 A :: : 04/09/96 04109/97 GENERAL AGGREGATE :$ 10000w ........... ............................................ .....................-...... X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. :$ loom ......................................................................................... CLAIMS MADE X :OCCUR. PERSONAL&ADV.INJURY 1000000 .................................... ........ .........I......... OWNERS&CONTRACTOR'S PROT. EACH OCCURRENCE loom .........................................................I.............................. FIRE DAMAGE(Any one fire) :$ 5M ..................................................... . ... ....... ....... MED.EXPENSE(Any one person),$ 5000 ...................................................................................................................................................................................................... .............................................................. ................ A AUTOMOBILE UA13UHV BINDER "09/96 04/09/97 COMBINED SINGLE .......... 1000 ANY AUTO LIMIT .......... ..................................................................................... w ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS X (Per person) .......... ............................................. ................................... X HIRED AUTOS BODILY INJURY :$ Per accident) X NON-OWNED AUTOS ...................................................................................... GARAGE LIABILITY PROPERTY DAMAGE ;$ ........................................................................................................................... a ............................................................................................................................................................ EXCESS LIABILITY :$ :EACH OCCURRENCE ............................................. UMBRELLA FORM AGGREGATE .......... OTHER THAN UMBRELLA FORM ........... ....................................................... ....................... ............................................................................. ................................... .............................. ........................... ......... ........................ ....... ........... ....................... ................ WORKER'S COMPENSATION STATUTORY LIMITS .......... --............. ................... .................................... ........................................... A AND WC 1 30718090 04/09/96 W09/97 EACH ACCIDENT $ lom ............. ......................................... DISEASE-POLICY LIMIT EMPLOYERS'LIABILITY $ $om ....................................... ...............- DISEASE-EACH EMPLOYEE :$ loom OTHER ........................................................ .................. ....................-................................................................ .................-... ................................................... ...... ...................... DESCRIPTION OF OPERATIONSWCATIONSIMICLEStSPECIAL ITEMS ............................................ . ......... ........ .... .......... .......... ............. ........ ............................. ........................... .... ........ .................................... ..................... ........................ .... .... ........................ ........ .................... ..W-W*0W., .....................:..:........ ........... .................... ......... ...... . ...... ...................... .............. ..... .......... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Town of Barnstable MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Building Department x.: X% LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Main Street LIABILI UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Hyannis MA 02601 'iAUTHO ESENTATI VE dg ............. ...... . ....... X. ......... ....................xx . . ....... ... ......... .. .... ...... f DATE��M/DD,YY, CERTIFICATE OF INSURANCE , - R. �. 3/5/96 PRODUCE McShea Insurance Agency FALTER NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mg- g cy OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 320 West Main Street THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 COMPANIES AFFORDING COVERAGE COMPANY A National Grange Mutual INSVREO COMPANY -M- J Coleman and Sons B PO BOx 1445 COMPANY East Dennis, MA 02641 C COMPANY D COVERAGES r THIS IS TO CERTIFY THAT THE'POLICIES OF INSURANCEyLISTED BELOW HAVE 8 EN`SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER OD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY u GENERAL AGGREGATE $ X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR Q A F 8/29/95 8/29/96 PERSONAL&ADV INJURY $ OWNER'S&CONT PACT MPJ12506 EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ 0 n� MED EXP(Any one person) $ r� AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHCDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FOR A1 EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $$ WORKERS COMPENSATION AND- EMPLOYERS'LIABILITY STATUTORY LIMITS_ THE PROPRIETOR/ INCL EACH ACCIDENT $. PARTNERS/EXECUTIVE DISEASE-POLICY LIMIT $ OFFICERS ARE: EXCL 7RER DISEASE-EACH EMPLOYEE $ DES- RIPTFON OF-OPERATfOf757COCATf0AS7V rCCES7SPrCTA1—ITEMS -- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Anchor P061_.i EXPIRATION DATE THEREOF; THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 143 Upper County rd 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Dennisport:, MA 02639 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attention: Thomas Griffin ",OF ANY KIND UPON TIE COMPANY, IT GENTS OR REPRESENTATIVES. AU HEPAE�SENIATIVE ACORD 25-S(3/93) ©A RATION 1993 I . .-. .- : 7 ° _ :.... . .-... - - :'i J- :,W .� .•} ./ l'r -ut _ _;,,4�4°•'' 't• 1. _ 4 t �. /k. l :i: is 4�' Y ,.s w f ti r• rL:'T�: 'A:- „xg i is kk L {��'/.. , 1 _ r•• COD✓fVIOP`IINEALI'F�.-. t•�J bEPAR7McIJT O •-PUBDC •`--�- r' - tir "� • S�FETIf } �.l 7tiC�, «af fi..c,_ "':v. �i,:. _ ! _ _ .yam „5.;,�:' .. ti r:tn ONE ASHBORTON pLACE.y a "" >a :, R 0-.`�._ S f� ^I`.:, >i9 3. :r,•s b]. . _ 1 ssllcNll J-r SE TTS. .. 0V - STON MA 02108 3'=- a � , I ': :1?.. Hd .;Y-%:' % % •' t•'t. - �., 3 1. r S`• i 7' S. :'� �. ;. ).'• r i. .f.%_! / C S C 'J : �.� L I EN E f A b(P r.:�'4`• IRATIO►J DATE 1• �,y 1 !• __ yl, . - may. ,\. 7 >>'� �C�?lYr t �::,�• CONSTR. 'SIJPERV I SOR ;:1 ;�' - -t,:;:: FOR PROTE ,. j.? •t:-r. F GA Nsfi::' ::• ' PECTIN-�AT- LIC-N ^`, ..RESTRICfiIONS_ "s: t, ).. 1 ''�-Y!` % i~�' THEFT •PUT RIGHT THUMB _ e. ,�; ; 't:.. ''f' '/- .a. .. S - �. -L.. - -.4 P I• - ::c: 1 R NT <;�., IIJ AP APPROPRIATE,:. n R A�'• TE- -J. x r 0` 'i, r: :.lr_ _ ;01_/14/ 1 39 06t__�D l ,<: :f -r ;;r:<'• 1t -Ts;t :,=_, �e _ ,:Y• ,. g g; BOX ON LICENSE �,,-'•� t /� '.x r. \.., ( sr :.r.:.•{::a t? {�J.3�-r �;Trp t; .,L-b'�+..Irs,-S� >�. .: , C. �r .. �4i-' - -/. _�.•"].k,- f''f= r,.1: _ >r ia(: l Z ..•{J. '' t_•;•'r+J v5� .•..t. • ,> T)P::•'.' :": .? <s, _sc .,r .1. ./:: :'�.,n :r''• q ,aL', .;•,i�f::-•i5'.-:Ik-.--?,. . . O - .'i�ri =s2T. I.t,e.C. :-. -. :✓.�, - .I - -? t e- .' <J r a'}:.a- 1�`;t" 4 , f(• ,, vHorolsusTwcovaoNt 'FEE: ,, HARW.ICIi MA 0�6�►5 1r' 43- n%i• AP,S:Y]L.3'� .. ) I. �,{l,•v,•t �i:�f:"�; .5, ;xs>• _ r,` ct. .Z�G a .i ,r,? ;•�, •t'r ,t S:,_,r.:!<- •:', .-�. 1, 'y'.� NOT VALID tRtr>t SIGNED er LICENSEE AN6 oFFICiAi7_Y ':.ti• jJ/✓3rJ t •n•-J r'II >-' , +7a {. `- ,;*. ,:_ •�;: jNEIG�fT.'Y; STilwEolon;ys"?vaE.oFTMEc�u+�llssbr;En: ilttlac �II ,:,_ .&a)+•W. 't . ii';�, yt r �.r.,t t - T Ia ' �; >. ,, Artotf slit& .r - lta,•: ..ti �' /7'. , to'j 7, ."/:.•t s>,• x. s..�'.): ,'t 5:, _ 'rb•- .•y-�1 1S-ir,7+�+ •�'. w OrJJtlii��t% .°#. •pr, 7: - (, .-E:.z +'s ��a� :t':,,tc,.✓_ .��lvesa,. ,T. , Baal g,' _�• r,odi/te16b =6.�.. -_ �4 5:> , y,.,�[r _ s3. r - �. :,•. f. _ - `��' 9 r:y: :..C^5i :nc . , `ham.; i• j,',J. ,L.. r. 1 A,. .9- •'i'' .1. - `i• :l'. ;i r ri{3.c a. ---DOCUMENf,Ml15T BE _ f_) - .5: r.:.C�• ] t�. d� :`3" '. _ _. :S _ _ _ ;SIGN NAME M FULL,�BOVESIGNATLRE� at' dxt✓ --,L- :f:.� q: -_ i .C:f:Y.ir - •:r I ;F: _ :r,7 '}> 'CARii1EDO:i Tilt PERSONG ,,.,' .-'SK.tM nEG-UCcNSEc �D•� '--'�-"' �.o' =r. __ _ ,.'--r. .. I.5tsC` -j 1- .t .., J- THE HOLDER WHEN EN. �) a` �:�. 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V T'• S'7V ) ' rf•: �:t •5J. 3' .. c• , - v 1 i N� .:�i 4: ]ytr� •r:,F .Y F -r .. a., v }. �. .i.t .t n-' 'r♦ t , � 's.Pik :h`�`;y �.-.+w�•.r: ?Yc'° 7ol, /0o, ��ae.S CP, �i� n�- Town of Barnstable 9 77 ParrAU Conservation Commission 200 Main Street Hyannis Massachusetts 02601 Office: 508-862-4093 FAX 568-778-2412 Form A For SE3- 0 ` ALL PARTIES MOLWD w1TH TMS PROJECT MUST SIGN THIS STATEMENT The undersigned confirm that they have read and understand the Notice of Intent,Order of Conditions,and approved plans for the project.The undersigned also understand that subsequent plan revisions shall require, advance approval by the Conservation Commission. i Please sign name on this line. Please print name on'this line. F Keno-lh Z, Sia--Ie ' 0 Pro a Owner pG16 Date Return this form to: Barnstable Conservation Commission 200 Main Street Hyannis,MA 02601 Fax:5087778-2412 rev3/12/02 ou, Z-tc oFT Town of Barnstable y y Conservation Commission MAM 200 Main Street F9. Hyannis Massachusetts 02601 x Office: 508-862-4093 FAX: 508-778-2412 For SE3- Form B ' - � �� , Below please find the names,addresses,•arid business telephone numbers 6f the project supervisor and alternate project supervisor who are responsible for ensuring on-site compliance with the Order of Conditions. Project Supervisor Alternate Project Supervisor Name vT� Name ©Si'$r.�rr�GCcx Address Address - i Business Telephone# p Business Telephone# •E-mail Address E-mail Address Property Owner's Signature Date Print.Name Applicant's Signature(if different) Date Print Name j I Return this form to: Barnstable Conservation Commission 200 Main Street,Hyannis,MA 02601 rev.112409 i C — _ p /0 C . - -C - Fa:9 176 W62774 Massachusetts Department of Environmental Protection Provided by massDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA For"m 5-Order of Conditions eDE]?Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c.131,§40 City/Town:DARNSTABLE A. General Information 1.Conservation Commission BARNSTABLE 2.Issuance a. C OOC b.❑ Amended OOC 3 App`hcanrDetatls:: :- _ a.First Name b Last Name c.Organization 979 OLD POST ROAD,LLC 0� d.Mailing Address' 10 TREMONT ST.,5TH FLOOR e City/Town BOSTON £State MA 4 PsoperfyJwuer.. g Zip Code 02108 a.-First Name b.Last Name c.Organization 979 OLD POST ROAD,LLC d.Mailing Address 10 TREMONT ST.,5TH FLOOR a e.City/Town. BOSTON £State MA g Zip Code02108 5 Pro�Ect Location a.Street Address 979 OLD POST ROAD b.City/rown BARNSTABLE -'c Zip Code 02635 d.Assessors Map/Plat#074 e.Pazcel/L ot# 003-005&003-006 £Latitude 41.63373N g.Longitude 70.41325W h Property recorded_at the Registry ofDeed:for a.County b.Certificate. c.Book a: d.Page BARNSTABLE 22535&24907 157&251 7.Dafes •;. . a Date NOI Filed: 10/28/2010 b Date Public Hearing Closed: 11/16/2010 c.Date Of Issuance. 11/17/2010 $Final Apprga�ed Plans and Other Documenfis a.Plan Title: b.Plan Prepared by: c.Plan Signed/Stamped by: d.Revised Final Date: e.Scale:~ SITE PLAN . SULLIVAN ENOINEERING,INC. JOHN ODEA,P.E. OCTOBER 25,2010 1" 30' B. Findings 1 Findings pursuant tothe Nlassach3isetts::Wetlands Protecti of!:Act - Page 1 of 9*ELECTRONIC COPY, i Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#.350115 Massachusetts Wetlands Protection Act M.G.L.a 131,§40 CitY/Town:BARNSTABLE Following the review of the the above- referenced Notice of Intent and based on the information provided in this application and Presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act.' Check all that apply: .a. G'Public Water SuPP1Y Land Containing Shellfish mac.F Prevention0 pollution d. C Private Water SuPP1Y e. r Fisheries g. G Ground Water S i f G Protection of Wildlife Habitat h. f i' Storm D uPP Y amage Prevention L E5 Flood.Control 2 Coinnnssronhereb dsthe P�JProposedms Approved subject to: a.rT The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations.[ This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or Denied because: differ from the Plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall controL b.❑The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are - adequate to Protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order. c.Ci The information submitted by the applicant is not sufficient to describe the site,thework or the effect of the work on the interests identified in the.Wetlands Protection Act Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued.A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). - r 3.f- Buffer Zone Impacts:Shortest distance between limit ofproject disturbance and the wetland resource area specified in 310CMR10.02(1)(a). a.linear feet Inland ResourceAreaImpacts(For.Approvals Only) - f Resource Area Proposed' Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4 T—Bank a'lrnearfeet b lmearfeet u eat feet, ?, d linearfeet 5.C Bordering Vegetated Wetland a square feet b.square feet Y . c square feet d.square feet . t; C Laud.under Waterbodies and Waterways a rsquare feet li:square-feet C7 square feet d square feet e c/y dredged c/y dredged 7.C Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet _ Page 2 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c.131,§40 CiVFown:BARNSTABLE Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h cubic feet 8•l_7solated=Land Sub3ecttoFloodmg a-square feet -: b sguare feet . Cubic EeetFlood Storage - c cubic feet d cutiicfeet - e cutirc feet £cubrcfeet 9.C Riverfront Area a total sq. li.total sq:feet Sq ft within 100 ft c.square feet d square feet e.square feet f square feet Sq ft between 100-200 ft g.square feet. h.square feet i.square feet. j.square feet CoastalRe$ource:At ea Impacts Resource Area Proposed Permitted Proposed Permitted .Alteration Alteration Replacement Replacement. fO G Designated Port Areas Indicate size under Land Under tfie Ocean,below 11.❑Land Under the Ocean a square feet b.square feet c.c/y dredged d c/y dredged 12.1771BamerBeaches Indicate size uniieriCoastal Beaches andLorCoashal Dunes below 13.r Coastal Beaches a square feet b square feet c c/y nourishment d c/y nourishment - 14 rJCoastalDunes _ a squareFeet 1i square feeti c c/y nourishment d clynounshment 15. a.linear feet .b.linear feet 1� G Rocky'Interhdal'Sfiores -.. = a square feet b square:feet 17.f !Salt Marshes a square feet b.square feet c.square feet d.square feet S IJ Land Under Salt Ponds a square.feet b square.feet Ls c/y:dredged d:c/y dredged 19.G Land Containing Shellfish a square feet b.square feet c.square feet d.square feet Page 3 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:0034910 'f WPA Form 5-Order of Conditions eDEP Transaction#:350115 l City/Town:BARNSTABLE ' Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Indicate size ruder Coastal Banks,inland:Bahk Land Under the 20 CFrsh Runs Ocean,and/or mland.Land Under Waterb'dies and`Waterways, above - - c c/y dredged d F.dredged 21.r`Land Subject to Coastal Storm Flowage 1350 a.square feet b.square feet D Restoration/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a square feet of BV W b.square feet of Salt Marsh D Streams Crossing(s) If the project involves Stream Crossings,please enter the number of new stream crossings/number of replacement stream crossings. a.number of new stream crossings b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects 1. .Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion ofprivate rights. 3. This Order does not relieve the pennince or any other person of the necessity of complying with all other applicable federal, state,or local statutes,ordinances,bylaws,or regulations. 4. The work authorized.hereunder shall be completed within three years from the date of this Order unless either of the following apply. . a.the work is a maintenance dredging project as provided for in the Act;or b.the time for completion has been extended to a specified date more than three years,but.less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order maybe extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. If this Order constitutes an Amended order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. .7. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash,refuse,rubbish,or debris,including but not limited to hrmber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of any ofthe foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an appeal has been taken, until all proceedings before the Department have been completed 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, Page 4 of 9" ELECTRONIC COPY i Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File 0:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town.BARNSTABLE the Final Order shall also be noted in the Registry's Grantor Index under the name of owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work.. 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, Massachusetts Department of Environmental Protection" [or'MassDEP"] File Number:"003-4910" . 11. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before Mass DEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent 15. .The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or.Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. .Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in goodrepairuntil all disturbed areas have been fully stabilized with vegetation or Other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this.Order. , NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) r is not(2)G subject to the Massachusetts Stormwater Standards. If the work is subject to Stormwater Standards,then the project is subject to the following conditions; a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Permit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized b) No stormwater runoff may be discharged to the post-construction stomnwater BMPs unless and until a Registered Professional Engineer provides a Certification that:i.all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stonnwater attenuation,recharge,and/or treatment,the convention is allowed by the MassDEP Stormwater Handbook BAP specifications and that the BMP has been properly cleaned or prepared for.post construction operation, including removal of all construction period sediment trapped in inlet and outlet control structures;ii..as-built final construction BMP plans are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized;iif. any illicit discharges to the stomnwater management system have been removed,as per the requirements of Stormwater Page 5 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 !' WPA Form 5-Order of Conditions eDEP Transaction#:350115 . Massachusetts Wetlands Protection Act M.G.L.c. 131 40, City/Town BARNSTABLE Standard 10;iv.all post-construction stormwater BMPs are installed in accordance with the plans('including all planting Plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-construction BMPs is suitably established to withstand erosion: c) .The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement")for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i:)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and n.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the StormwaterPollution Prevention Plan. d) Post-construction pollution prevention.and source control shall be implemented in accordance with the long-teml pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a pemiittee for Purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any f ure of the, proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order.of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMPs.A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement fl The responsible party shall operate and maintain all stonnwater BMPs in accordance with the design plans,the O&M Plan, and the requirements of the Massachusetts Stonnwater Handbook. g) The responsible party shall: 1.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stormwater management system or any part thereof and disposal(for disposal the .log shall indicate the type of material and the disposal location); 2:Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. . h) All sediment or other contaminants removed from stomrwaterBMPs shall be disposed of in accordance with all applicable federal,state,and local laws and regulations:' 1) Illicit discharges to the stoffiwater management system as defined in 310 CMR 10.04 are prohibited j) The stomrwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. 1) Access for maintenance,repair,and/or replacement ofBMPs shall not be withheld Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions: Page 6 of 9*ELECTRONIC COPY a e . Massachusetts Department of Environmental Protection Provided byMassDEP: Bureau of Resource Protection-Wetlands MassDEP File 4:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350i 15 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/TownBARNSTABLE D. Findings Under Municipal.Wetlands Bylaw or Ordinance I- Is a municipal wetlands bylaw or ordinance applicable?r Yes,l 1 No 2` The Conservation Commission hereby(check one that ap�lies� • . a. p DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically. 1.Municipal Ordinance or Bylaw 2..Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a.final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw. b . G APPROVES the proposed work,subject to the following additional conditions. 1.Municipal Ordinance orB law TOWN OF y BARNSTABLE 2•Citation S.237-1-237-14 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows: SEE PAGES 7.1-7.3 1 Page 7 of 9*ELECTRONIC COPY SE3-4910 Name: 979 Old Post Road,LLC Approved Plan= October 25,2010 Site Plan by John O'Dea,P.E. Special Conditions of Approval I. Preface Caution- Failure to comply with all Conditions of this Order .of Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order;fines;requirement to remove un-permitted structures;requirement to re-landscape to original condition;inability to obtain a Certificate of Compliance, and more. The General Conditions of this Order begin on Page 5 and continue through Page 8. The Special Conditions contained herein and all.Conditions require your compliance. II: Prior to the start of work,the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of.the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work 3. General Condition Number 10(sign.requirement)shall be complied with. e 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. 5. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Trenched-in siltation fencing shall be set along the approved work-limit line. Effective sediment controls shall remain until the site is stabilized with vegetation,then they shall be removed. IIEL The following additional Conditions shall govern the project once work begins: 7. General Conditions,Numbers 14 and 15(changes in plan)shall be complied with. 8. General Condition Number 18(maintaining sediment controls)shall be complied with. 7.1 9. The work limit shown on the approved plan shall be strictly observed. 10. There shall be no construction disturbance of the site below(on the wetlands or coastal bank side of)the work limit. This condition shall continue overtime. 11. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. 12. Unless extended,this.permit is valid for three years from the date of issuance. 13. Construction shall conform to the requirements of the State Building Code and the Town of Barnstable Zoning By-Law Flood Area Provisions for construction within the coastal floodplain. Work shall ensue only after consultation with the Building Commissioner. 14. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof-runoff. 15. Pool shall be disinfected by ozone injection or alternate method,as approved by the Conservation Commission. Drawdown water shall be sent to an appropriately sized leaching basin. Upon installation,a letter shall be.submitted by the installer verifying that disinfection and leaching basin requirements have been met.The location and capacity of the basin shall be verified and the means.by which drawdown will be directed to the basin shall be described. 16. During construction,no area shall be left un-mulched or un=vegetated for more than thirty(30)days. All areas disturbed during construction shall be re-vegetated immediately following completion ofwork at the site. Mulching shall not serve as a substitute for the requirement to re-vegetate disturbed areas at the conclusion of work. 17. All restored lawn areas shall be underlain with a minimum of six(6)inches of loam. IV. After all work is completed,the following condition must be promptly met: 18. At the completion of work,or.by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C shall be completed and returned alone with the request for a Certificate of Compliance and appropriate fee. Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect,landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans,setting forth what deviation(s),if any,exists with the record plans approved in-the Order. This statement shall accompany the request for a Certificate 7.2 of Compliance and fee,along with an undated sequence of color nhotogrraphs of the undisturbed buffer zone. 7.3 #ao�loa v96 YV . C /- aTybod�o° 5 ' v 12-01—2010 . & rj3 -- 35P Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 Ll WPA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131 40 City/fown:BARNSTABLE E A. General Information , 1.Conservation Commission BARNSTABLE 2.Issuance a. . C OOC . b.G Amended OOC 3 ApphcantDetails a.Fast Name b.Last Name �j c.Organization 979 OLD POST ROAD,LLC Gd d.Mailing Address 10 TREMONT ST.,5TH FLOOR e City/Town BOSTON f.State MA g.Zip Code 02108 4 Property Owner a First Name b.Last Name c.Organization 979 OLD POST ROAD,LLC d.Mailing Address 10 TREMONT ST.,5TH FLOOR e City/Town. BOSTON f.State MA g.Zip Code 02108 5 Project Location ' a.Street Address 979 OLD POST ROAD b.City/Town - BARNSTABLE 'c.Zip Code 02635 d.Assessors Map/Plat#074 e.Parcel/Lot# 003-005&003-006 £Latitude 41.63373N g Longitude 70 41325W 6 Property recorded atthe Registry ofDeed for a.County b.Certificate c.Book d.Page BARNSTABLE 22535&24907 157&251 0 7 Dates: abate NOI Filed: 10/28/2010 b.Date Public Hearing Closed. 11/16/2010 c.Date Of Issuance. 11/17/2010 8 Final Approved Plans:and Other Documents a.Plan Title: b.Plan Prepared by: ' c.Plan Signed/Stamped by: d Revised Final Da .Scale: SULL SITE PLAN ENOIN E JOHN ODEA,P.E. OCTOBER 25,2010 1" 30' ENGINEERING,INC. B. Findings Xindings pursuant to.the Massachusetts Wetlands Protection Act Page 1 of 9*ELECTRONIC COPY r Massachusetts Department of Environmental Protection Provided byMassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910. Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 City/Town:BARNSTABLE WPA Form 5-Order of Conditions eDEP Transaction#:350115 Following the review of the the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is the Wetlands Protection Act' proposed is significant to the following interests of Check all that apply: : a. r Public Water Supply PP Y b. f Land Containing Shellfish c.r'Prevention ofPolluhon d. C Private Water Supply e. r Fisheries . f. G Protection of Wildlife Habitat fi g ❑_Ground Water Supply `m h F-Storm Damage Prevention r r Flood Control 2 Commission hereby finds the project,as proposed,rs: Approved subject to: a.F The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regul ations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall control. .Denied because: b.l-The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards Which the proposed work cannot meet is attached to this Order. c,r The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands Protection Act Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). 3.r Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource area specified in 310CMRI0.02(1)(a). a.linear feet Inland Resource Area Impacts(ForApprovals Only) _ Resource Area Proposed Permitted, Proposed Permitted Alteration Alteration 'Replacement Replacement 4.:..r Bank' > a linear feef b'Irnear feet c.hnearfeet d hnear feet 5.C Bordering Vegetated Wetland a,square feet b.square feet c.square feet d square feet 6. C Lan(f.under Waterbodies and Waterways'.:; a square feet. b square feet e:square feet d square feet . 4. - e`c7y dredgeded y. 7.C Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d..square feet Page 2 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c.131,§40 City/Town:BARNSTABLE' Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet 8 _7 Isolated Land Subject to_Floodmg a square feet b square:feet K: Cubic-Feet Flood;Storage. c:cubic feet d cubic feet a cubic feet f cubic feet .9.C Riverfront Area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100-200 ft g.square feet h.square feet i.square feet J.square feet CoastalResource Area Impacts Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 10 -ID es,ig`nat;ed Port Areas Indicate;sizeuncer Land Under the Oce Below ' _:. 11.r Land Under the Ocean a.square feet b.square feet C.c/y dredged d.c/y dredged 12 r BamerBeaches Indicate-size under Coastal Beaches;and/or Coastal Dunes below, 13.G Coastal Beaches a.square feet b square feet c c/y nourishment d cly nourishment. `14 ❑Coastal Dunes - _ a square feet b square feet c c/y nourishment d c/y nourishment 15.G Coastal Banks a linear feet .b.linear feet 16 G Rocky Intertidal Shores a square.feet b'sguarefeet 17.1 Salt Marshes a square feet b square feet c square feet d square feet I$ t- LandUnder:SaltPonds >' a square:feet b square feet c c/y.dredged d ly dredged 19.r Land Containing Shellfish a.square feet b.square feet c.square feet d.square feet Page 3 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 L7�I WPA Form 5 -Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 CiVrown:BARNSTABLE In anks inland Bank,Land Under the dreate size under CoastalB 20 C?yrshRuns; O cean,and/or inland laud Under Waterbodies and Waterways, c c/y:ftdged:d c/ydredged 21.R�Land Subject to Coastal Storm Flowage 1350 a.square feet b.square feet L El Restoration/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a.square feet of BV W b.square feet of Salt Marsh N . C Streams Crossing'(s) If the project involves Stream Crossings,please enter the number of new stream crossings/number of replacement stream crossings. ' a.number of new stream crossings b.number of replacement stream crossings , C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects 1. .Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order: 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the pemuttee or any other person of the necessity of complying with all other applicable federal, f state,or local statutes,ordinances,bylaws,or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply:. . , a.the work is a maintenance dredging project,as provided for in the Actor b.the time for completion has been extended to a specified date more than three years,but,less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the extension date and the special circumstances wananting.the extended time period are set forth as a special condition in this Order. 5. This Order maybe extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. , 7. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash,'refuse,rubbish,or debris,including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motoi vehicles,or parts of any of the foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an appeal has been taken, until all proceedings before the Department have been completed 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, Page 4 of 9*ELECTRONIC+COPY L1Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 CityfTownd3ARNSTABLE the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work.. - 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or MassDEP"] File Number:"003-4910" 11. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before Mass DEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to . enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or.Department for that evaluation. ; 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. .Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary marker;shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation.barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) C is not(2)p-1 subject to the Massachusetts Stormwater Standards. If the work is subject to Stormwater Standards,then the project is subject to the following conditions-, a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Permit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that:t.all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the BMP has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment trapped pped in inlet and outlet control structures;ii..as-built final construction BMP plans are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully,stabilized;X. any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater Page 5 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: LL Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions ' eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 ' City/Town:BARNSTABLE �4 Standard 10;iv.all post-construction stormwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-construction BMPs is suitably established to withstand erosion. c) .The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement")for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and n.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the StomswaterPollution Prevention Plan. d) Post-construction pollution preventionand source control shall be implemented in accordance with the long-tern pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a pemuttee for purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMP&A plan and easement deed that grants the responsible party access to perform the required operation and maintenancemust be submitted along with the legally binding agreement f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans,the O&M Plan, and the requirements of the Massachusetts Stormwater Handbook g) The responsible party sball: 1.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stormwater management system or any part thereof and disposal(for disposal the log shall indicate the type ofmaterial and the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request,and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable federal,state,and local laws and regulationsr i) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited j) The stormwater management system approved in the Order of Conditions shall not be changed without the prior written , approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. I). Access for maintenance,repair,and/or replacement of BMPs shall not be withheld Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions: Page 6 of 9.*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350i 15 IV Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:BARNSTABLE D. Findings Under Municipal Wetlands Bylaw or Ordinance 1• Is a municipal wetlands bylaw or ordinance applicable?r, Yes r No 2• The Conservation Commission herebv(check one that an lied a. [ DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifical�' 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a.final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw: b. r APPROVES the proposed work,subject to the following additional conditions. 1.Municipal Ordinance or Bylaw TOWN OF y BARNSTABLE 2.Citation S.237-1-237-14 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows: SEE PAGES 7.1-7.3 Page 7 of 9*ELECTRONIC COPY SE3-4910 Name: 979 Old Post Road,LLC Approved Plan= October 25,2010 Site Plan by John O'Dea,P.E. Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order.of. Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order;fines; requirement to remove un-permitted structures;requirement to re-landscape to original condition;inability to obtain a Certificate of Compliance, and more. The General Conditions of this Order begin on Page 5 and continue through Page 8. The Special Conditions contained herein and all.Conditions require your compliance. 11. Prior to the start of work,the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work 3. General Condition Number 10(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. 5. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Trenched-in siltation fencing shall be set along the approved work'limit line. Effective sediment controls shall remain until the site is stabilized with vegetation,.then they shall be removed. III. The following additional Conditions shall govern the project once work begins: 7. General Conditions,Numbers 14 and 15(changes in plan)shall be complied with. 8. General Condition Number 18(maintaining sediment controls)shall be complied with. 7.1 9. The work limit shown on the approved plan shall be strictly observed. 10. There shall be no construction disturbance of the site below(on the wetlands or coastal bank side of)the work limit. This condition shall'continue overtime. 11. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. 12. Unless extended,this permit is valid for three years from the date of issuance. 13. Construction shall conform to the requirements of the State Building.Code and the Town of Barnstable Zoning By-Law Flood Area Provisions for construction within the coastal floodplain Work shall ensue , only after consultation with the Building Commissioner. 14. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof-runoff. 15.`' ool shall be disinfected by ozone injection or alternate method,as approved by the Conservation Commission. Drawdown water shall be sent to an appropriately sized leaching basin. Upon installation,a letter.shall be-submitted by the installer verifying that disinfection and leaching basin requirements have been met.The location and capacity of the basin shall be verified and the means by'which drawdown will be directed to the basin shall be described. 16. During construction,no area shall be left un-mulched or un-vegetatedl for more than thirty(30)days. All areas disturbed during construction shall be re-vegetated immediately following completion of work at the a site. Mulching shall not serve as a substitute for the requirement to re-vegetate disturbed areas.at the conclusion of work. , 17. All restored lawn areas shall be underlain with a minimum of six(6)inches of loam.` IV. After all work is completed,the following condition must be promptly met: „ 18. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C shall be completed and returned along with the request for a Certificate of Compliance and appropriate fee. Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect, landscape architect or land'surveyor,'a written statement by such 1a professional shall be' submitted,certifying substantial compliance with the plans,setting forth what deviation(s),if any,exists with the record plans approved in the.Order. This statement shall accompany the request for a Certificate ' 7.2 i .of Compliance and fee,along with an undated sequence of colo_photographs of the undisturbed buffer- zone. zone. ° 7.3 i Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands sE3-4910 MassDEP File# WPA Form 5 — Order of Conditions . Massachusetts Wetlands Protection Act M.G.L. c. 131,,§40 _ eDEP Transaction#: Barnstable City/Town . E. Signatures Important: This Order is valid for three years,unless otherwise specified as a special NOV 17 2010 When filling out condition pursuant to General Conditions#4,from the date of issuance. 1,Date of issuance forms on the computer,use Please indicate the number of members who will sign this form. only the tab key This Order must be signed by a majority of the Conservation Commission. 2.Number of Signers to move your curuse the returndo The Order must be mailed by certified mail(return receipt requested)or hand delivered to use the return the applicant.A copy must be mailed, hand delivered or filed electronically at the same key' , time with the app MassDEP Regional Office. Signat s: �°� AAF El by hand delivery on by certified mail,return receipt requested,on NOV 17 2010 Date Date F. Appeals The applicant,the owner, any person aggrieved by this Order, any owner of.land abutting the,land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions. The request.must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)- ' within ten business days from.the date of issuance of this Order.A copy of the request. shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant: Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public,hearing, requesting a Superseding Order, or providing written information to the Department prior to issuance of a Superseding Order. , The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L. c. 131, §40), and is inconsistent with the we tlands reg ulations (310 CMR 10.00).To the extent that the Order is based ona municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or- regulations,the bepartment has no appellate jurisdiction. wpa5sigs.doc• rev.02/25/2010 Page�.of Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassbEP File#:003-4910; WPA Form 5 Order of Conditions" c . eDEP Transaction#:350115 - L11 CityfTown:BARNSTABLE ' Massachusetts Wetlands Protection Act M.G.L.c. 131 §40 , G. Recording Information ? $ _ '_ This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located," within the chain of title of the.affected property.In the case-of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject'to the Order.In the case of registered land,this Order shall also be - noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTABLE '. Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission. ..............................I......................... .....,... ............. ...... ... ... To: BARNSTABLE 8 Conservation Commission. Please be advised that the Order of Conditions for the Project"at: I 979 OLD POST ROAD ' # V:y 003-4910 Project Location r MassDEP File Number` Has been recorded at the Registry of Deeds of. County , Book Page §: a for. # - Property Owner and has been noted in the chain of title of the affected property in: Book Page. In accordance with the Order of Conditions issued on: ` ' ' Date If recorded land,the instrument number identifying this transaction is: F 25050 - F. i� ,, Instrument Number, If registered land,the document number identifying this transaction is: . Document Number , Signature of Apphcauf • - - ^, Rev.4/1/2010 .. r Page 9 of 9*ELECTRONIC COPY,` • r � �aloDf� �3l CT N LA W5T 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS~6;1 -jai pLD F DST F-p o µICHELE MASSACHUSE'ITS STATE BUILDING CODE COTO[�T CUD►LO �UFL�-t c O No;34774 AWC Guide to Wood Construction in High Wind Areas:110 rnph Wind Zone- S1' Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)RL1CTt1RAL i 9 Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust) ............. ..... ...... ... ... ................. 110 mph Wind Exposure Category ...:................... ........... .. ..................1;Y _ 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 2 stories s 2 stories _ Roof Pitch . ......... ........ ...... ... ... (Fig 2) . .......... ..:..... L 12s 12:12 _ Mean Roof Height ... . ..... ... . ..... ...... (Fig 2) ........... ........ ft s 33' Building Width,W .... . . ..... ............ (Fig 3) ........... ........�Sft s 80, Building Length,L ... . ....... ......... ... (Fig 3) ... . ... .. .. ... . .... 54-ft s 80' Building Aspect Ratio(LAW) ... ... ... ... (Fig 4) . .. .. .. .. . . .. ... . .. s 3:1 Nominal Height of Tallest Openine . ... ... ... (Fig 4) ... . . .. .... ..........4 ` s 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections... (Table 2) ... .. .. . . . ... . .... ........... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 tConcrete ......... ..........:.. . ........... ...... ... ........... Concrete Masonry ... .. ..I ....... ... ...... ... . 2.2 ANCHORAGE TO FOUNDATION" Anchor Bolts imbedded or%"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general.................. (Table 4) .... ................. in. _ Bolt Spacing from end/joint of plate .... . .. (Fig 5) ..... . .. .`.. . ... 42-in. s 6"-12" _ Bolt Embedment-concrete.... .......... (Fig 5)...... ... ... .... . ....... .'1 in. i 7" — Bolt Embedment-masonry............ .. (Fig 5) ... .... ......... ... in.a 15" Plate Washer . ....... ................ (Fig 5) x 3"x 3"x 1/:' 3.1 FLOORS Floor framing member spans checked ......... (per 780 CMR 55.00) ...... . Maximum Floor Opening Dimension.......... (Fig 6) ................ ...''fL'ft s 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) ... ..... .. Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall (Fig 7) ........ ..... ............. =ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls orShearwall .(Fig 8) ......... . .. ........ . .. "ft s d Floor Bracing at Endwalls ....... ......... .. (Fig 9) .. ....... .... ....... . . ......... Floor Sheathing Type ..................... (per 780 CMR 55.00)C.. _ -Floor Sheathing Thickness ......... ........ (per 780 CMR 55.00) tn. Floor Sheathing Fastening .. ................ (Table 2)=d nails at in edge/=in field 4.1 WALLS Wall Height Loadbearing walls. . ............ ... (Fig 10 and Table 5) .. ......... ft s 10' _ Non-Loadbearing walls ............... (Fig 10 and Table 5) ......... it s"20' Wall Stud Spacing:.:. ...... ....... ....... (Fig 10 and Table 5) .... 'in. s 24"o.c. Wa1l Story,Offsets ........................ (Figs 7&8) ..... .............. =ft a d 4.2 EXTERIOR WALLS' Wood Studs Loadbe firing walls ..................... (Table 5) ............2x -) ft 0 in. _ Non-Loadbearmg walls ...... ........... (Table 5) .. 2x S ft V in. Gable End Wall Bracing' Full Height Endwall Studs.............. (Fig]0) �� WSP Attic Floor Length..-",.,g .... (Fig"I1) .. ..�� �-`�V`-�-' •�1.� ft aW/3 Gypsum C'eil;7w Length Of W-q9.<0(Fig 1'1) .............. ......ZA�,z ft x 0.9W and 2 x 4 Continuous race @ 6 ft.o.c...(Fig11 ........................ ..... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays .. .. ..... . ............ ... .... .. . .. ... . ...... :.. ........... _ Double Top Plate (q I �V#-/I Splice Length. .. .... . . . .... .. ... .. ... . (Fig 13 and Table 6) .... ......... . ..+—ft _ Splice Connection(no.of 16d common nails)(Table 6). . . ..... .. . .. .. ...... .. .. ... 1054 780 CMR-Seventh Edition 12/28/07 (Effective I/I/08) A 9f � / 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS. N OF MgSucgcyG db APPENDICES"Gp'��(r HA MICHELE Loaearing Wall Connections IN JA. CUDILO Lateral(no.of 16d common nails UNo.34774 Non-Loadbearing Wall Connections ) (Tables 7)-... .. . ... STRUCTURAL Lateral(no.of 16d common s nail' ) .:....... (Table S) ....... Load Bearing Wall Openings(record largest openingbut check Header Spans.. ........... k all openings for compliance to Table 9) Sill Plate Spans • (Table 9) ft O in. s l F — siokn�..�`' .......... (Table 9) _ ft C�in.s I V Full Height Studs(no.of studs) ....,,,.... (Table 9) .. — I,) Non-Load BearingWall Openings � �� all' Pe gs(record largest opening but check all openings for compliance to.Table 9) Header Spans...... ....... (Table 9) ' Sill Plate Spans.... . ..... .......... """ . . .. . . ft o in. s 12' I. (Table 9) ... ..... .:.. .: ft -in.s 12" —Full Height Studs(no.of studs) .. . (Table 9) — Exterior Wall Sheathing to Resist U04 and Shear Simultaneously` .• .. Minimum Building Dimension, &i Nominal Height of Tallest Opening ......... Sheathing Type . ..... (note'4')" Edge Nail Spacing ., .. (Table 10 or note 4 if less) . ;n` — Field Nail Spacing . . . . .. (Table 10 — Shear Connection(no.of 16d common nails ) '�n — Percent Full-Height Sheathing ., ,,;.,,;)(Tablee1fj). ' 590 Additional Sheathingfor Wall with )3 '� ''W� P1 - � tip l Opening>6'8"(Design Concepts).. . . . ... . .. Maximum Building Dimension L� — Nominal Height of Tallest Opening' SheathingT .. .... . ...........�s 6'g., Edge Nail Spacing . . .. ••.• ..••,,,, (Table I I or note 4 if less) ...., . Field Nail Spacing . ........ (Table 11).......... . — -_in. Shear Connection(no.of 16d common nails)(Table 11) { m. Percent Full-Height Sheathing ........., (Tabl 5`Yo Additional Sheathing for Wall with Opening>'8"(De�,.Conte.ts'......'` �II Wall Cladding P ).. . . ..••.•. Rated for Wind Speed? — 5.1 ROOFS — Roof framing member spans checked? (For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang.. ........., ...., (Figure 19) — Truss or Rafter Connections at Loadbearing Walls t s smal ler of 2' or U3 — Proprietary Connectors 2¢I s� Uplift . ............ (Table]3f. r¢...... ... ... . U=4R L� S1Nf�car( Lateral . ..... ....... .... ........... (Table M, Shear. . ... ......... ................ (TablelYf.. . .... )) Ridge Strap Connections,if collar ties not used per a e 21 Table 0 3 S — Gable Rake Outlooker !�bkJ. T _g1t ,. I Z P P ) 8 ( .. (Figure 20) .�f�, 'ft s smaller of 2'or 2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift ... . ... ... ... .. :....... ...... (Table 14).... Lateral(no.of 16d common nails) ... .... (Table 14 U--lb. Roof Sheathing Type )'''' ''• L= 1b. Roof Sheathing Thickness .... . . .' ''• (Per 780 CMR 58.00 and 5_9. ) ...... ...... Roof Sheathing Fastening !/L in. i — ....... 7/16"WSP . (Table 2) ;`��(� Notes: — — 1• This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps �Etp�l(Z�e`D and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 —� 17 6_ f' N S b. 20 Gage Straps per Figure I1 —�d1TT l-C+t18D. is c. Uplift Straps per Figure 14—N�A d. All Straps per Figure 17 —A j-r 4-Ct+k—_D e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. 4• a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,deterntine Percent Full-Height Sheathing and Nail Spacing requirements 12/28/07 (Effective 1/l/08) 780 CMR-Seventh Edition 1055 17q ODO post r�. A WC G►►ide to Wood Constr►►clio►► in High Wind.-I revs: 11 U n►ph Wi►►d Zo►r CnTL)i�' .Mq Massachusetts Checklist for Coin pliance (780Cm1: ;301.2.1.1)' - �7cf=+ 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -WFGN THB EDGE RESTS ON RMIIMNQ U6E Ad MAIs AT 8bt ' -- :--:jr---- T- 11 11 ' 11 11 11 11 Y 41 1/ 11 1 11 11 11 1/ 11 M M 11 1( 11 1 11 11 11 It 11 1 M1.E I'1 t 11 11 A l If I 1/ 11 u 11 11 1, Y 11 ,1 OOL SPACM 6P$ See Detail on Next Page Verticefand Horizontal Nailing for Panel Attachment AbNC G►►(le to Wood C'o►►str►►ctio►► in Hi;h If'i►►►l Areas: l/U ► iph if"htd Zone .CDTUIT44 HA Massachusetts Checklist for Compliance (7$0CMI1 5if►1.2.1.W 4. 0F4 MW "_` -- •- = HQL PA RE0 11A11 TIE7MM PANEL PAWL EDGE DOUBLE MA&EDGE SPACWIC DETAL Detall Vertical and Horizontal Nailing for Panel Attachment , N I X- 3 Anchor Bolt and 3" x a" x 1/4`' date Washer Uplift Lateral Bottom � 4Va!!Stud Plate \ i Ses Tali!q Shear h ! Bpttt)M late Anchor bolt M /r min door Joiat Sill Plate r' Steel Strap lapped Under S"-12" from End 4�\ � �� ' Sill Plate Of Plates Foundation Wall Anchor Bolt and y y 1/gyp Washer ( upli#t �iA x �"T 1f�'P" late YT4iih4r- F Bottom � Lateral 1NaiP Scutt Plate `See:Table 4 Shear �, Bourn talati? Anchor Bolt i �.„ Ptor.Pt .: E Min. QiS•T Silt Plate Steel Strap Upped Under ` SIR Plate V-12° from End of Plates \ 4d �t M1 s, , .: `► Anchor Bolt and 3" x 3"`x 1/4" Plate Was_her plift 9ia�!! f cud tb$tt3m :::. �` � Lateral / plate ~ Shear „� ��Anchor bolt ;;�•� ! 24"rile)!. I `. 8gttorn Plate. Strap LOPPed Lander 4 z1 r 8ottomOlate. . min. i F Mgiz " r r Syi,•�� VAV trgrri y� } ";, 1 3 \ of Plates a4}R r�� - �,. i .,� :.. Rgur 51. nchorB0lts Resisting Uplift-Lateral.and Shear Loads _ Additional anchorage shall be installed on each side of an opening to resist the 1- Dads in Table 9(page 16 and 17). Stud Continuity. Studs shall be continuous 2x4 Continuous Lateral Brace between horizontal supports, including 2-10d Nails but not limited to: headers, girders, Truss or Ceiling Joist 10d Nails goof diaphragm as:kmblies, ceiling at 12"o.c. diaphragm assemblies, and root Gable - - diaphragm assemblies. Studs in End gable endwalls adjacent to cathedral ,' Gypsum.Bo.a Truss ceilings shall be continuous from the uppermost floor to the ceiling diaphragm or to the r 5d Cooler Nails oof diaphragm. at 10"O.C. 5d Cooler Nails Bracing Gable End Walls.When attic floor at.7"o.c. ......- or ceiling assemblies are used brace able; 2M Block Nailed '10-8d Nails to - — to Each Brace in Each End of endwalls, the assemblies shall extend from First Joist Strap the endwall for a distance of at least 17'3"6f the Space with 4-10d Neils building width when using 6v9od structural panels. 20 Gage strap and for a distance of at least 96%of the building width s IP'l�'sO>�. e.S2c7 when using gypsum wallboard ceilings. Sheathing and fasteners figurejoj eilin BracingGable Endwall shall be as specified in Table 2 (See pa;;e 7) and Figure 11. v _- 9_ Top Plates. Double top plates shall be provided at the top of all exterior stud walls. The double plates shall overlap at corners and at intersections with other exterior or interior loadbearing walls (See Figure; 12). Double top plates shall be lap-spliced with end joints offset in accordance with the minimurn requirements given in Table 6 (See Figure 13). Figure 12. Figure 13. Top Plate Splice Length Top Plate Intersection Detail Top Plate Splice Length i l 0 000 0 I � i o , iO Splice Length j j I I �I Table 6. Top Plate Splice l<aiv.SigQ1i,'va.;l, Ja:n�,.$h.iR'SOON �.,,. 9 h r.•'7x'.}-,Y.-"�.,^"Pw Id,+t wuS,,c,'..�l dt}.i{p.n i$:4:YLry l.A!idb cf.d«Y rtl#psiG YR.+5t1tkt'uS'YS,".rpFZ�^3"HtiF3�'j4�f.:.' ;.ik.,t¢>vY6a .tr.t w Yr ' Y J i .�-;7.,wqS.�YF t yy4sr.i ♦,Ri' Frw-C:;r"i',�n�Y+.f>`'ai iyw'y 'o!rf Splice Length 12 16 20 24 .28 32 36 40- 50 60 70 80 2 4 6 8 8 NP NP NP NP NP NP NP NP 4 6 7 8 10 12 14 16 NP NP NP NP 7 . 8 10 12 14 16 20 24 NP NP 8 4 6 7 8 10 12 14 16 20 24 28 32 NP= Not Permitted' Full'Height Studs. Full height studs shall meet _ the same requirements as exterior wall studs Double Top Plate selected in Table 5 (See age 12). The minimum number o 'ull height studs at Plate Uplltt Strap__�I f O/c each e of the header shall not be less Refepo'Table 7 or t than half the number of studs replaced i, (pa is or IS) by the opening, in accordance with Table 9. Full height studs shall be permitted to'• Double Header replace an equivalent number of jack �• Sl r'l P56 r� CS 22 studs. when adequate gravity connections/ Full Jack Stud Height �� { Header Uplift Strap are provided. Stud Window Sill Plate l Refer to Table 9 Window Sill Plates. Maximum spans for, window sill plates used in exterior walls shall not exceed the spans given in Table 9. `l / St l 1�l PS + ound-a Ion Connections around Wall Openings. Header and/or Girder to Stud Connections. Headers and/or girder to` stud connections shall be in accordance i with the requirements given in Table 9. j �� Bottom Plate Window sill plate to:stud connections ~ shall be in accordance with the requirements given in Table 9. �• Top and Bottom Plate to Full Height (. Figure Suds and Headers Around Wall Openings Studs. Each full height stud shall be connected in accordance with the /1 L' S� " �; N1 fj r C.'u � requirements given in Table 9. C- 1 C / F' TI S I Table 9. Wall Openings-Headers in t adbearing Walls ' 7 YM_w � �t�:�A4'Ar1)'i,� rtY''�}j^4.'�M�SJ (aMtF",rY.kt"F+'., beas 'h`ZxA. Header Span (ft.) umber of ull-Height Studs Uplift (lb') Lateral (lb.) saAx �. 2 2 - 2x4 1 277 132 3 2 - 2x4. 2 416 198 _...._ ......................_........ .......... 4 2 - 2x4 2 554 264 5 �\ 2 - 2x4• 3 693 330 2 - 2x6 3 ): 831 396 7 2 - M. 3 970 -462 8 2 - 2x12 3 1,108 528 9 3- 2x 10 3 1,247 594 r 10 3- 2x12 4 1,386 660 11 4- 2x10 4 1,524 726 r GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1. All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength, fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code, latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min. 5/8"diameter, 12" long,w/2-1/2"hook spaced 4' o/c, r in concrete piers w; Simpson ABU-series base; SPACED 2'o/c for slab-on-grade construction(i.e.Garage). V,o. t, FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B, 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively, field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a. All new timber framing: Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b. Pressure treated timber(P.T.): Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c. Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSI.):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per--750 psi, Fc_par=-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: -As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam:.,Simpson LSSU-series;or.Simpson Straps over top of plywood,spaced 48"o/c; Rafter to Ridge Plate: Collar ties min. ix6@ 48"o/c at top or Simpson Straps over top ofplywood spaced 48",o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32" larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers. All nuts-shall be retightened'at completion of job. 7. Blocking: a. Blocking shall be solid blocking,,2x minimum,and full depth of member. b. Stud Walls provide'blocking at 8'-0 o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.NailinQ Schedule: Solid Blocking to Bearing 2=8d toenails ea. side Blocking Between Studs:. 2-10d toenails ea end,or,2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joiserafter bays and spaced 48"o/c in joist and rafter plane at all edges;atta plywood edges to this blocking S>{OF�s,t 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. o� Ki11 HELE tic Multiple Studs 16d @ 12"staggered . CUDILO a.All nails shall be common Iwire nails. ° No.34774 ' b.Sub-bore where;nails tend to,split wood. STRUCTURAL 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and ;BTEF�.��a�i -3i0 4t EN MICHELE CU ILO P:E. Consulting `Structural Enaineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 4� .q O LD Drawn By: MC Date:_ Drawin GOB'U IT, _MA Score 0 AS NOTED Rev. ._�. File Name; , ►J11_.__.__ �_. ... Ir-1 Project .No 2/ L? vvl i n o: l ft�rti,i KAI iU UatU W I I H WN I INUUUS WOOD STRUCTURAL PANEL SHEATHING OLyTSIDE ELEVATION SIDE ELEVATION --- --' Extent of header two braced wall segments) - -- Extent of header (one braced wall segment) -- 11 Pony az is ti� Min. 1,000 Ib N wall I• ; + Braced wall segment 'l �, • �> per IRC Table R602.10.4 1 tensron strop. ieight° �( ; Strap shall be \ kil a a�• I centered at bottom of Ak -61 R,�nmi header. •»; 16d sinker 2 to 18 (finished opening width) on — �•,•� �'�'I •� nails (0.148' •;•,. ( Fasten sheathing to header with 8d comm ,F , c, I•», nails (0.131 'x 2-1/2 ) in 3 grid pattern as shown `,1 , ;�: I x 3 1/4") n ,I k•,; Itt and 3" o.c. in all framing (studs and sills) typ. 2 rows •a •.. tl •4= w. @ 3" O.C. I••, Header shall be fastened to the king stud , ; ,; •;; ;•,; nt i•;.; ;:; with 6-16d sinker nails 0. x 148" 3-1/4" / 's ( ) kin Y1c I�i•i •i• wood struc- I,1,, Minimum 1,000 lb strap shall be -- tiN L,�` j ` r y tural panel 10 �; ;�'• centered at bottom of header and installed 4''� � y'7 ).;°: r., must be max. on backside as shown on side elevation:o � e,'k , I � �� continuous �1•w�p �� • . r �,� •ial v�s4. --- from top Of height 'r;• _ Fora panel splice if needed - -- '`�"'� - wall to bottom ;rr: pan edges shall be blocked and "i,' " ? °'�•'• P 9 of wall, or occur within middle 24" of wall height i from top of Wall to •+ ,' � �Sit t � Ih!�, I �' ; •� Wood structural panel strength axis 1,., s < •,• perm'tted splice area Min. number of studs shown'' x1 �I •,. .,� 14;40 Min. length based on 6:1 aspect ratio. ��+ k y '� „I ��;� ,I, 7/16" min. I•. «•; For example:l6" min. for 8' height. thickness g 1, t�l•1 ... - � �� ---------- - -- -- ) wood structural --�- ----= — ---- -- I— _ (._._, Panel -- Anchor bolt per IRC Table R403.1 .6 typ. sheathing Min. 2"x2"x3/l 6" plate washer No..of jack studs per e: IRC Table.R502.5(182) ee Table 1 Not to scale OVER CONCRETE OR MASONRY BLOCK FOUNDATION Form No. J740 ■ C 2008 APA -The Engineered Wood Association ■ www.c MICHELE CUDILO, F.E. Consulting Structural Engineer .. -.._...-.. _- „_ ...... ..__ _._ 123 Cottonwood Lane, Centerville: Maseochusetta 02632 _q, 0Lb FO-5-T ., rLv,, Drown By: MC Dote..C�� �ZfB� IQm. Drawin G�TvI:T._ B j core. AS NOTED Rev. 0 - .. - File Nams: SK P...- .Project No a Bk 25050 Fs17Er '- 12-0e 1-20 10 . a 03 a 35P Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 W LL PA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:BARNSTABLE E A. General Information 1.Conservation Commission BARNSTABLE 2.Issuance a C OOC b.p Amended OOC 3:,Applica4 tails .. a.First Name b.Last Name c.Organization 979.OLD POST ROAD,LLC d.Mailing Address 10 TREMONT ST.,5TH FLOOR e.City/Town BOSTON f.State MA g.Zip Code 02108 4 Property Owner a.First Name b.Last Name c.Organization 979 OLD POST ROAD,LLC d.Mailing Address 10 TREMONT ST.,5TH FLOOR e.City/Town BOSTON f.State MA g.Zip Code 02108 5 Project Location a.Street Address 979 OLD POST ROAD b.City/Town BARNSTABLE 'c.Zip Code 02635 E d.Assessors Map/Plat#074 - e.ParcelLotff 003-005&003-006 f Latitude 41.63373N g.Longitude 70.41325W 6 Propeity recorded at:the gi try of Deed fo a.County b.Certificate_ c.Book d.Page BARNSTABLE 22535&24907 157&251 a.Date NOI Filed.: 10/28/2010 b.Date Public Hearing Closed. 11/16/2010 c Date Of Issuance: 11/17/2010 8 FuralApproved PI Daher Documents : . a.Plan Title: b.Plan Prepared by: c.Plan Signed/Stamped by: d.Revised Final Date: e.Scale: SITE PLAN SULLIVAN JOHN O'DEA,P.E. OCTOBER 25,2010 1"=30' ENGINEERING,INC. B. Findings 1sFindiiigs pursuant to the Massachusetts:Wetlands Protection Act r Page 1 of 9*ELECTRONIC COPY s Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350115 kk Massachusetts Wetlands Protection,Act M.G.L.c. 131, §40 City/Town:BARNSTABLE L E 1 Following the review of the the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the Wetlands Protection Act the areas in which work is proposed is significant to the following interests of Check all that apply: a. C: Public Water Supply — -� b. ,. PP y b. f_- Land Containing Shellfish �,Y g c.r Prevention of Pollution d. I- Private Water Supply e. U. Fisheries f. �i Protection of Wildlife Habitat g. r Ground Water Supply 'lL R, Storm Damage Prevention i. F. Flood Control 2 Commssion hereby finds the rqj P .J ,asproposjA,is Approved subject to: a.r The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission order;that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall control. .Denied because: b.r The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order. a f_-The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands protection Act.Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued.A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). 3.r Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource area specified in 310CMR10.02(1)(a). a.linear feet Inland Resouree,Area Impacts(ForApprouals Only) Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. 1=Bank a linear feet': b lmearfeet c.bream feet d lmnear feet 5.C. Bordering Vegetated Wetland a square feet b.square feet c.square feet d square feet 6 G Land under Waterbodies and Waterways a`square feet bqfet c4square-feet d square feet e.c1y dredged f ejydiedg 7.r Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d..square feet Page 2 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:BARNSTABLE • r Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h cubic feet 8 1-Isolated Land Sub3ect to Flooduig a square feet b.'square feet L'6ic Eeet Flood:Storage.;'; c.cubic feet d cub�c'feet a cubic`feet f cubic feet 9. _r River&ont Area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq 8 between 100-200 ft g.square feet h.square feet i.square feet j.square feet Coastal Resource Area Impacts Resource Area Proposed Permitted . ,..,.._ . tted Proposed Permittit ed Alteration Alteration Replacement Replacement 10 r Designated'-port Areas lndicate`size unifier Lan ,` dT7nder the Oce below 11.r.Land Under the Ocean a.square feet b.square feet c.c/y dredged d.c/y dredged l2 r Bamer Beaches ;;Indicate size under Coastal;Beaches:and/orCoastal Dunes ok,.;'; 13.G Coastal Beaches a.square feet b square feet c c/y nourishment d c/y nourishment 14 r Coastal Dunes - - _ a square feet b square feet c c/y nourishment d c/y nourishment: 15.G Coastal Banks _. a.linear feet b.linear feet , 16 C Rocky Intertidal Shores a square feet b-square_,1 17.ri Salt Marshes a.square feet b square feet c square feet d.square feet `I8 ril Land Under.Salt Ponds a square feet b square feet- c c/y dredged d?c(y dredged 19.r Land Containing Shellfish a.square feet b.square feet.c.square feet d square feet " Page 3 of 9*ELECTRONIC COPY f Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5 -Order of Conditions eDEP Transaction#:350115 1 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:BARNSTABLE Indicate size under Coastal Banks;inland,Bank,Land Under the 20 CFishRuns 0 abo ean, ays; c and/or inland Land Under Waterbodies and Waterw c dredged:d c/ydredged 21.r,Land Subject to Coastal Storm Flowage 1350 a.square feet b.square feet G Restoration/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a.square feet of BV W b.square feet of Salt Marsh . _.. G Streams Crossing(s) If the project involves Stream Crossings,please enter the number of new stream crossings/number of replacement stream crossings. a number of new stream crossings b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are:only applicable to Approved projects 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures,shall be deemed . cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state,or local statutes,ordinances,bylaws,or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply. a.the work is a maintenance dredging project as provided for in the Act;or . b.the time for completion has been extended to a specified date morethan three years,but.less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the extension date and the special circumstances warranting.the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. .7. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash,refuse,rubbish,or debris,including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of any of the foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an appeal has been taken, until all proceedings before the Department have been completed 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, Page 4 of 9*ELECTRONIC COPY l Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:0034910 �{ 1 WPA Form 5-Order of Conditions eDEP Transaction#:350115 � Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/TownBARNSTABLE i the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work.. 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or MassDEP"] File Number:"003-4910" 11. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before'Mass DER 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 15. The Agent or member;of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) ' is not(2)G subject to the Massachusetts Stormwater Standards. If the work is subject to Stomiwater Standards,then the project is subject to the following conditions; a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Permit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized. b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that:i.all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the BMP has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment trapped in inlet and outlet control structures;ii..as-built final construction BMP plans are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully.stabilized;iii. any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater Page 5 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provi ded by MassDEP: -^ Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 eDEP Transaction#:350115 WPA Form 5-Order of Conditions City/Town:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Standard 10;iv.all post-construction stmiwater 13MPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-constriction BMPs is suitably established to withstand erosion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible resp party(defined in General Condition 19 a shall execute an()) d submit to the issuing authority an Operation and Maintenance Compliance e Statement 08rIv1 Sta P (' tement for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the 0&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Play d) Post-construction pollution prevention.and source control shall be implemented in accordance with the long-term pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a permittee for purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMPs.A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement fl The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans,the O&M Plan,. and the requirements of the Massachusetts Stormwater Handbook g) The responsible party shall: 1.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stormwater management system or any part thereof,and disposal(for disposal the log shall indicate the type of material and the disposal location), 2:Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by . the issuing authority. h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable ± federal,state,and local laws and regulations. r) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. J) The stormwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. n Access for maintenance,repair,and/or replacement of BMPs shall not be withheld.Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions: Page 6 of 9*ELECTRONIC COPY i Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350 i 15 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Cityrfown:BARNSTABLE D. Findings Under Municipal Wetlands.Bylaw or Ordinance I. Is a municipal wetlands bylaw or ordinance applicable?r Yes ri No 2• The Conservation Commission herebyf check one that applies , a. C- DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically. 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw: b. r APPROVES the proposed work,subject to the following additional conditions. 1.Municipal Ordinance or Bylaw TOWN OF p y BARNSTABLE 2.Citation S.237-1-237-14 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows: SEE PAGES 7.1-7.3 Page 7 of 9*ELECTRONIC COPY SE3-4910 Name: 979 Old Post Road,LLC Approved Plan= October 25,2010 Site Plan by John O'Dea,P.E. Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order of Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order;fines;requirement to remove un-permitted structures; requirement to re-landscape to original condition;inability to obtain a Certificate of.Compliance, and more. The General Conditions of this Order begin on Page 5 and continue through Page 8. The Special Conditions contained herein and all.Conditions require your compliance. H. Prior to the start of work,the following conditions shall be satisfied: 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of.the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work 3. General Condition Number 10(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. 5. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Trenched-in siltation fencing shall be set along the approved work-limit line. Effective sediment controls shall remain until the site is stabilized with vegetation,then they shall be removed. M. The following additional Conditions shall govern the project once work begins: 7. General Conditions,Numbers 14 and 15(changes in plan)shall be complied with. 8. General Condition Number 18(maintaining sediment controls)shall be complied with. 7.1 9. The work limit shown on the approved plan shall be strictly observed. 10. There shall be no construction disturbance of the site below(on the wetlands or coastal bank side of)the f work limit. This condition shall continue over time. 11. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for compliance the provisions of this Order of Conditions. 12. Unless extended,this permit is valid for three years from the date of issuance. 13. Construction shall conform to the requirements of the State Building Code and the Town of Barnstable Zoning By-Law Flood Area Provisions for construction within the coastal floodplain. Work shall ensue only after consultation with the Building Commissioner. 14. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof-runoff. 15. Pool shall be disinfected by ozone injection or alternate method,as approved by the Conservation Commission. Drawdown water shall be sent to an appropriately sized leaching basin. Upon installation,a letter.shall be submitted by the installer verifying that disinfection and leaching basin requirements have been met.The location and capacity of the basin shall be verified and the means by which drawdown will be directed to the basin shall be described. 16. During construction,no area shall be left un-mulched or un-vegetated for more than thirty(30)days. All areas disturbed during construction shall be re-vegetated immediately following completion of work at the site. Mulching shall not serve as a substitute for the requirement to re-vegetate disturbed areas.at the conclusion of work. 17. All restored lawn areas shall be underlain with a minimum of six(6)inches of loam. IV. After all work is completed,the following condition must be promptly met: 18. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C shall be completed and returned along with the request for a Certificate of Compliance and appropriate fee. Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect, landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans,setting forth what deviation(s),if any,exists with the record plans approved in*the.Order. This statement shall accompany the request for a Certificate 7.2 .of Compliance and fee,along with an undated sequence of color photographs of the undisturbed buffer zone. 7.3 LIMassachusetts Department of Environmental Protection Provided by MassoEP: Bureau of Resource Protection - Wetlands SE3-4910 WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Barnstable City/Town E. Signatures Important: This Order is valid for three years,unless otherwise specified as a special NOV 17 2010 When filling out forms on the condition pursuant to General Conditions#4,from the date of issuance. 1.Date of Issuance computer,use Please indicate the number of members who will sign this form. only the tab key This Order must be signed by a majority of the Conservation Commission. 2.Number of Signers to move your cursor-do:not The Order must be mailed by certified mail (return receipt requested)or hand delivered to use the return key. the applicant.A copy must be mailed, hand delivered or filed electronically at the same time with the app MassDEP Regional Office. Signat s: f . �o b hand by certified mail, return receipt ❑ d delivery on P y ry requested,on NOV 17 2010 Date Date F. Appeals The applicant,the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate fling fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. Any appellants seeking to appeal the.Department's Superseding Order associated with this appeal will be required.to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public.hearing, requesting a Superseding Order;or providing written information to the Department prior to issuance of a Superseding Order'. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L c. 131, §40), and is inconsistent with the wetlands regulations (310 CMR 10.00).To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. t wpa5sigs.doc• rev.o2/25/2oio' PageEof� Massachusetts Department of Environmental Protection Provided by MassDEP: Ll Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 WPA Form 5-Order of Conditions eDEP Transaction#:350115 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 City/Town:BARNSTABLE G. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTABLE Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission. .......................................................................................................................................................................................................... To: BARNSTABLE Conservation Commission Please be advised that the Order of Conditions for the Project at: 979 OLD POST ROAD 003-4910 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County Book Page for. Property Owner and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land,the instrument number identifying this transaction is: B k 2 0-5 0-5 0 Ps 176 062774 Instrument Number - , If registered land,the document number identifying this transaction is: Document Number Signature of Applicant Rev.4N2010 c Page 9 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands MassDEP i WPA Form 5 — Order of Conditions assDEie# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Barnstable City/Town E. Signatures Important: This Order is valid for three years,unless otherwise specified as a special NOV 17 2010 When filling out condition pursuant to General Conditions 94,from the date of issuance. 1.Date of Issuance forms on the / computer,use. Please indicate the number of members who will sign this form. only the tab key This Order must be signed by a majority of the Conservation Commission. .2.Number of Signers to move your cursor-do not The Order must-be mailed by certified mail*(return receipt requested)orhand'delivered to use the return the applicant.A copy must be mailed, hand delivered or filed electronically at the same key' ,/ �� time with the app MassDEP Regional Office. �ITV Signat s: by hand delivery on by certified mail,return receipt requested,on NOV 17 2010 Date Date F. Appeals The applicant,the owner, any person aggrieved by this Order, any owner of land abutting the.land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the.appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant: Any appellants seeking to appeal the.Department's Superseding Order associated with this appeal will be required.to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order, or providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L. c. 131, §40);and is inconsistent with the wetlands regulations(310 CMR 10.00).To the extent that the Order is based on a municipal ordinance or bylaw,,and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction., wpa5sip.doc• rev.02/25/2010 Page of Massachusetts Department of Environmental Protection Provided by MassDEP:" r i'r Bureau of Resource Protection-Wetlands MassDEP File#:003-4910 50115 WPA Form 5-Order of Conditions eDEP Transaction#: �� City/Town13ARNSTABLE ABLE ` Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 L1 G. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTABLE Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission. .......................................................................................................................................................................................................... To: BARNSTABLE Conservation Commission Please be advised that the Order of Conditions for the Project at: 979 OLD POST ROAD 003-4910 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County Book Page for Property Owner and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date f If recorded land,the instrument number identifying this transaction is: B k - 2 5 0 5 0 Ps 176 "Cr-6 2 7 7 4 1 _tla — i a 03 a 35R Instrument Number ` If registered land,the document number identifying this transaction is: DocumentNumber Signature of Applicant Rev.VU2010 Page 9.of 9*ELECTRONIC COPY b {•r° S yy3 y - DIRECTIONS ASSESSORS REF: J0 I• 7 , From Hyon Take Rnule 2d lowords CoWit: Mop 74.P°fcel 3-5&J-6 S S +�' �•f Toke o left t Old Post Road. •..5.-0 d j �'i' } I l _ - - •_ Property is to Wt.1979 OVERLAY DISTRICT: II 1} • _ _ .- - AP-Apu:fef P,,te tie D,str:ct O FLOOD ZONE: ,' `� •r 1 r 125.01 avie o° LOCATION MAP mryz 199z - qT"=2000f) I ) REFERENCES: ZONE: aced ook B 22SJ51157 - RF(RP00) Plon Book 459/- - 54 - - Fr°nto eln^m n)120' 541 93 SF / .a .lo.,•( ` - ?��, _ �. `o N 513/66 wdfh m:)125' I yy ?-" ' .... - - _," Rear 115' . P ' J \ S \�¢.Raono� o So�O- /502/•',f JIB // \ \ _ _ li -504_T5 . ' J� "\ 1-14121, \ e i -. : '" ♦ ". �\ - �q[L• sED \\uP o I-' a S 830B26 -_ TM olrn ♦" c � ,� / 1 I .-_ ]3F \� '• lm \---- __ 3t99} t MLW 1, _ l 2 ,_` , ._.♦ `, --. ".` �\.\` .,.`. i lam � ,'- � ''. // � t - � - � - 11 y Ir. z� a 1> \ -- -- - - -- - _ w Z.Qne.Line m - I �, --.. roe e.:, zn '. •, \ .., . ,,.,. .•. ... ,- ,,-' - - - - �_ S 86'5902"E \ 150 • 1. ... x ,, .. ., .• -• 1, to.•, i �// - - o\ I •� __ _ � ` - Y r _ " E•:e i .L / s \ - . PROVOSED " 3 ' -•... / ..aRE<OSEO M"� '•�•� n .�� I' \,. I µ- - � I _ r ... 2:+- � / / / ♦/� .--� O4'aILOCa 0•V r r 4 F..�T �.. � } I/ / i /• ` 1 'f �� - `� \ I_ .Dwelling J� r�16 i fE�A j11) /�Ed9 1�Wetivnds - 1 ti A111°_ PrFS 2350— DESIGN DATA hP .. _. ♦ t F1:4 l \ I III LFACHNG AREA - ' .Lot"Area Summary 205.170-SF Uplond. - ° \' •♦ #\ \ Me°n cow w°ter 87.860tSF Wetlnnd '♦\�'\\ ♦♦♦.. \ ' I \Tr sy 1- 293.030tSF- 6.73tAC Total LEACIING CHAMBER DESIGN - / _ ♦ `` e o ♦ `♦ 4 .. \ LLP D1 294.63' ii \ \ ..ml B°nk iI N/F N 8472'16"W d \\ n E_,S re • I rangy 6 E _ . \ all F M 2 Lane 0 n 0 FIRM 25199 0018 D `\ - _ I PERC TEST IJ 100 14 � - - � v July 2, 1992 T � 2 \ s, _.>•_:k -5—com000 a- _ eo1.11._zsa �°"9k, �n.. . :+ p ,2S .. i. TEST HOLE TEST HOLE 2 ST HOLE-3 TFSTIIOLE _.��•�• - \ ' Mft DEVELOPED PROFILE OF SYSTEM w. SEPTIC NOTES NOT:TO SCALE - �,rn, � ,,,m, - - S B5-48'41 W 59 Legend: �� w ,xl �M� u.° 60.19' _ 2 t't MLw \ G cght Post � � v owe=� ,.w - ..�..°..,....�..:..., K...w t .w....: - \ S 79'2035" W \ r\ -Cl: utility Pole NOTES: _ .. PREPARED FOR: F PREPARED BY.. TITLE: — Ai— 0.�,heed Wr l M I een° Site Plan --25-- El-tf-Con.our S. --1 _ Sl" =trnctnre==^°w°we e I°oatod°n l^e 9r°°^d Sullivan Engineering,Inc. CapeSury Proposed Improvements by - tnnnl r ymethnds between 979 Old Post Road L'LC Hon,Trne wu :w w°,.w,,,:row..wn. "1 lUt LEACHNG e� ,I�o / /D8 and 27/SEP/1a. ns } - PO Box 659 7 Parker Rood . 07 APR r,',� $10ne 10 Tremont Street Ostervllle, MA 02655 Osterville MA.02655 At O u.we � M1 CHAMBER 2.)'The property Inc nform°ti°n shown hereon w t - r,Mwmu:o wuk Ouucsm ar lx•.m°Mm:num. -I° m I d from��n�nble renore nf°rm°t on. (508 a18 33aa 508416-961]low (508).10-399a(508)520 3995 Tn. 979 Old Post Road °° Boston MA 02019 4(508r 420-3995 ° 9 Barnstable cotuit) Mass. £{ Decrd... Er- 3)me dnmm esee's NCOD 1929, e:ed m n - s.,v.rwww,w IevN entnm Tne bencnmork nsed.:to bat n CROSS SECTION OF CHAMBER h drnnt A161(ns snnwn pmn by Lery.Eldredge s Jo"-- Draft: JOD Feld RRL MML w D r IS 30 60 120 / Iw'w.n .m sw rm v/ngner fw me wnrtt of Tamly eptee 6/n/sz). - NOT TO SCALE Review: PS, C N October 25,2��� : Project: 30012 Proramp.: RRL DA TE: SCALEecl y C291 17-30'. "I CERTIFY THAT THIS PLAN CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS." DATE: MAY 09, 2001 --------------- CAPE& ISLANDS ENGINEERING 800 FALMOUTH ROAD, SUITE 301C MASHPEE, MA 02649 oa MAP 74, PARCEL 003-004 ►- STEIN,TIMOTHY D.TR VI I+' C/O LOURIE&CUTLER PC ,•+ Q- 60 STATE STREET I BOSTON,MA 02119 L C)C.�J EXISTING HALEY MOORINGS S 83108-26" TO BE ABANDONED 300' , -4: LOCUS MAP 1 !. 1 . -2 ` COTUIT QUADRANGLE OWNER/APPLICANT: + STEVEN R. & KATHLEENP.HALEY 199 BOLTON ROAD 1 \ p HARVARD,MA 01451 6 8 9CJ 100' 5' 3 F. ( UO2 09 u I w SEL I \ T x 30' LONG 4�%44'AL -o F O O I q EXIST. LANDIN ' FLOAT O w ac I Gi 4' WIDE1 .. \ WOODED PIER 1 •�X•, ,\ \ i uil I-e m' I o'IQ \ \ EXISTING Fl 1 cam/ Va \ MOORINGS -----� w I d Oou O 6 1 \ �O pl �AIO O \ -6 SOUTHERLY ABUTTER MAP 74, PARCEL 20 COTUIT BAT SHORES ASSOC.,INC. 1 -4 P.O.BOX 810 I COTUIT, MA 02635-0810 ` .`� 11. ` 0 Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50' 25' 0 50' 100' ELEVATIONS ARE BASED ON MLW SCALE: V = 50' LICENSE PLAN NO. 9 C)63 SHEET 1 OF 3 MAY 09, 2001 A�by : tb 'r ::?f F * ut ) f�fAlt7 PLAN ACCOMPANYING PETITION OF STEVEN R. HALEY C4 TO CONSTRUCT & MAINTAIN A WOODEN PIER & FLOAT, & AN ALUM. PIER SECT'N & AN ALUM. 081 APE&P IN ISLANDS H BAY,ENGINEERING IT, MA ENGINEERING 2 .�.���• NOV .i s p�u _ MASHPEE, MA "I CERTIFY THAT THIS PLAN CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS." DATE: MAY 09, 2001 ---------- CAPE & ISLANDS ENGINEERING 800 FALMOUTH ROAD, SUITE 301C MASHPEE, MA 02649 by n tnvf►gr wu Pam Dua Nov 13 20 ...................... ............................. ....................................................................................................................................................... .. ......................... ................................................ ...................... M ' al O F. fV W M ^ a4 rzj' IS F � o W - o 00 0-4 II 1 - M ou 1 O orj a U w N O- 00 W W � 3: w z ° a Q _ 00 � M zz_ a I � A � w STEVEN R. HALEY CAPE & ISLANDS ENGINEERING SHEE f 2 OF 3 MAY 09, 2001 MASHPEE, MA ELEVATIONS ARE BASED ON MLW i r "I CERTIFY THAT THIS PLAN CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS." DATE: MAY 09, 2001 --- CAPE & ISLANDS ENGINEERING 800 FALMOUTH ROAD, SUITE 301 C MASHPEE, MA 02649 Mi E . .A14 NU. 9 o 83 4MM byr"ftsN 0 tmw al ftwcdm Dl^a N QY .13 2001 71-011 V x 10" SKIRT 5/4 DECKING V SPACING 2"x 6" JOISTS @ 2'-0" 12"x 20" I I STYROFOAM 2"x 4" SKID 1/2" GA V. 5/4 DECKING BOLTS FLOAT SECTION SCALE: 3/8"= V-0" . .12" 0 1' 2' 3' 4' S' 3„x 6„ SCALE IN FEET - 4'-0 HANDRAIL RAIL EL. 11.5' 4'-0" SPIKE GRATING TO STRINGERS 2 3/8"x 2 1/2'.' I I HANDRAIL V SPACING 2 1/8"x 5.. 2 1/4"x 7/8° I 5M DECK I DECK EL. 8.5' DIAGON4- VERTICALS BRAC SAL 2-3"x 10"s `^ 2"x5.5" 4, + 1 -2"x 10" ALUM.PLANKS I� I 31'x 8fl SPLIT CAP V x 6 1/2" I I MAINFRAME I / 3/4"GALV. BOLTS 2"x6" PREFAB. ALUMINUM _ CROSSBRACE i _ WTL E:L•3.0' RAMP SECTION MLW EL.2.5' SCALE: 3/8"= 1'-0" I I MLW EL.0.0 �c.R,�•e,� .1.9, . . . I . . . . . . . . . . .I. . . . . . . . . . . . . . . . . . 10" DIAM. PILES 64 PROPOSr.D BENT SECTION SCALE: 3/8"— V-0" STEVEN R. HALEY CAPE&ISLANDS ENGINEERING SHEET 3 OF 3 MAY 09,2001 MASHPEE, MA ELEVATION ARE BASED ON MLW ,5 y }/�# OF-BARN py{T STAR fir* SLATERRESIDENCE ' 44 ` .. ^ . STIM r EXHIBIT•B° •TO,CONTRACT D 979 ATED: 11 /O5 /•2015 . r rwr OTUITw MA 'INDEX.OF .DRAWINGS C 026 35 : (. . - Kitchen D l: Demolition Plan', =D-2.: Vaster- th•Su to,D' m l.i ie n Plan , Z F 1.-Kitchen Fraining Plan.& Elevahons••: o p a . �F-2` Master. Silite'Framin -,Plan..*. =f z : g w „ F.- 3:••Master Bath Suite Framing Deatals: W F=4: Hal1Wa: Frame:Plan & Build Elevation A " Y o Build Plan B l offered Ceilin Deta1Lnz, Q B-2: Master Bathroom Build.Plan` 1' En' 'in i 'Ki �h ri� ri , Fl r Pl C ee ed tc e Cab et oo an • - �. C 2� Engineered Kitchen Cabinetry Elevations • C-3- Engineered Cabinetry Details \ \ C 4 -Engineered Master Bath•Suite Floor Plan:: y , C5 En gin ' Elevations red Master De>nee Q' a C-7 Ken s.Closet Plari &'Elevation x . O® ®.''0' o® Z. � �,. .. Elevations. w W C 8Hallway Plan & Elevati x d rP�-1•�Kit• Plum m-g.Pl Plan a . : P 2 Master'Bath Suite Plumbing.Plan&.Elevatlons. -a p . . - E 1•'Kitchen Electrical Plan &Vlevafions �E 2: Master Suite.Electrical Plane& Elevations • :T 1- Kitchen"Tile-Plan & Elevations . .. • T 2: Master Bath Suite Tile Plan& Elevations va qa� A 1� Bathroom Accessories Plan.& Ele tions R00 SCAPES LUXURY DESIGN CENTER �o Home of Kitchen Concepts Inc. = • 40 Reservoir Park Drive, Rockland, Massachusetts 02370 Phone:(781)616-6400 Fax:(781)616-6500 www.roomscapesinc.com a 6 SET UP DUST PARTITIONS .AND FLOOR PROTECTORS AS NECESSARY a y SUPPLY DUMPSTER AND REMOVE UPON COMPLETION OF PROJECT w REMOVE EXISTING PLUMBING FIXTURES AND CABINETRY A ROM DOORS&BLOCK IN REMOVE EXISTING APPLIANCES RENaE DooR'e:aui w REMOVE COLUMNS IN KITCHEN AREA REMOVE wu!c am DooR P7 NEW LOCATION, m w REMOVE EXISTING FRENCH DOOR TO DEN w w � A o F 1 W Q �zm� �r ~ FEMM COLIM �- REMOJE.COl1,1U; `�''llll0 Q p <m�wx z zz°° w O Z O� U azo> y rgiu¢� loonw ]uzihc '.A-zw z aQou F-w¢0 . o c�°ao • _ RENOK'OOLUIM---------�j///� _ - RnME;COLUMN z {�zoZ �b ci z Z d w UU F o .E Demolition Plan o 19 0 pp-o R . • N .= — o (DRAWING IS NOT PRINTED TO . o a SCALE IF THIS BAR DOES NOT - - MEASURE 1"EXACTLY) SCALE'BAR o N w SET UP DUST PARTITIONS AND FLOOR PROTECTORS AS NECESSARY Q SUPPLY DUMPSTER AND REMOVE UPON COMPLETION OF PROJECT A w a REMOVE EXISTING PLUMBING FIXTURES, AND CABINETRY REMOVE EXISTING TOILET AND BIDET ROOM w REMOVE EXISTING SHOWER ENCLOSURE o REMOVE PLASTER FROM WALLS AS NECESSARY TO ACHIEVE. PLAN w a� REMOVE EXISTING FLOORING aQ. � o 03 w H " A o . . :REMOVE WPLL Q • a z oc� m zmg tMum WIN u. CUT WALL BACK O DIMD&M!PROVIDED .a _ I Q Wy O - 2 I _ p Z O p F �N , O p z N C _ •z brood p�zo" C7 Z ZO O I^h Q '3'a.zos Nz I j II GuJ-R O .. .. .REMOVE WALLS VC y h zQ U CC w S h .. �p U Q r .Demolition Plan ' 4 E e E 0 a r Ell Lj Lu o a (DRAWING IS NOT PRINTED TO v SCALE IF THIS BAR DOES NOT MEASUREI"EXACTLY) ALE BAR C,. ' - z � FRAME NEW, WALLS WHERE COLUMNS WERE REMOVED FRAME ,NEW HALF WALL .AT DESK AREA A RE-LOCATE EXISTING GARAGE DOOR AS PER PLAN A DUCT NEW HOOD TO THE EXTERIOR Q tY SWEET RM VAY WM FR M Cmac CIDSE N F)(tiRNC�WCR I � flfl 1 ! ciaS["a E%ISING 1 � 000e FRAME I I E74SIRG CCOR a EEw'IDCARCN I A ' �2. j I 1 G a /\\ o Q w I ' I �. s z O r �0 U Looking T � . Towards Back Door Elevation uss• Q�FQF O KA F.ruu FPAULM KESM' o z o o 'To SE.Tel•nm RD"FL" I. � - � � - � ¢�m r< zoom. 8•SHM RCCK 20•SFm RDW DOWN FRaF CMM z w+f i . ]z z W TYPMAL'OPENNG FIEI6HF ON OPPCSIIE fND z o TQzm F- Om Z F H'] Val Cq o � � �u< X .. PTGy: o _€b W z~ In 2 o Looking Into Great Room.Elevation x c n Framing Floor Plan 9 s� • ,�° (DRAWING IS NOT PRINTED TO SCALE IF THIS BAR DOES NOT v MEASURE I-EXACTLY) SCALE BAR QN. o N A FRAME NEW WALLS WHERE COLUMNS WERE REMOVED ' ' A .FRAME NEW HALF ,WALL 'AT. DESK AREA RE-LOCATE EXISTING GARAGE DOOR AS PER PLAN DUCT NEW HOOD TO THE EXTERIOR b " w , a� O . 'SM ALL AM BACK:MAIL' Q . . . . .. . . •FOR.VIWIIY G1BNE75 70 BE HUNG .. _ .. •- - - . . _ =N� y a Wz= z v) z�z¢o m w zu> • _ o ZLLw. ' 7uz06 =--=---- ———————— ————————— z - _ O Z G n W.az h O m F �>-rn h Q a4 O to Aa_yob' - I. uzp E • .. T Q z O ��jj77�� Lj 1� Frame Floor Plan v y y >o • °' 'sue • l; 6� do a r (DRAWING IS NOT PRINTED TO fALE IF THIS Bs,R DOES NOT MEASURE I .iXACTLY) SCALE BAR A . FLOATING BENCH'SEAT FRAYING, - ewnLEVERED KID BACK ROOM J O .. U W � C7 - C.' ...r AWMEVERED IN'ATnc'SPACE U w ' " TILE w ' . E BACKER BOARD• BACK SHOWER WALL - - - " SH OWER'TILE' � INTERIOR SHOWER TILE SHOWER SEAT' TO START H. .. .. .• - - »• FACE .z o o _ r SHOWER TILE TO COVER F° • - ENTIRE WING WALL FACE' Y . • Shower Seat Plan p }° yd c� F a ' 2„—' zz •• On THICKNESS N IMPORTANT, TO FRAME- WALL TO 60 EX 3 • • z acres C/� 0 'AFFECTS THE TILE LAYOUT - v-I - 'azz0, . y 2 uA g W) STONE SEAT(BY OTHERS) .. _ _ - rx•3 a w.m jj 1'e"cKERm Ro n Shower Wing Wall Plan !'PLYWOOD _ PG z o v Wu ti A a ' 4'TALL PLYWOOD SEAT FRNIE E nLE _ • . . • o �o . 181•FROM ROUGH 351'.FROM ROUGH TO END—' E � Shower Seat Cross-Section (DRAWING IS NOT PRINTED TO SCALE IF THIS BAR DOES NOT - MEASURE V EXACTLY) SCALE BAR . . .. . • . . . z , l}> . . , . . . o �, . • ' . ' , , . . ' - H . . . , - . ., . . .N FRAME NEW WALLS. WHERE COLUMNS WERE REMOVED . ' - . . u . . . . . . In FRAME NEW, HALF WALL AT, DESK AREA " . . . . . . . _ , RE ;LOCATE EXISTING'GARAGE DOOR ,AS. PER PLAN A , • w ' DUCT NEW'-HOOD TO.THE.-EXTERIOR . . . . . . Q . . - H . . _ . • - . a w . - A . , . . • , , . , u; w ti . . ., t7 • , . . . , •• w 0 . w a> - 0 ` . . I. 1. . w . H V1 • • A , 1. . ' . z . . z 1 . . ,. , I. �� , . ., ,. .. - , . I. • > - .. o - . - - - . a, a' . . . oA . . •z , 04 , - »... .. w z . . , - i AEM'cRonl iaunrrt •ter rounNc., AENi GtONN IpuIDNG �'_�¢ �,, . t.' L. ,10 wiCH DING. - TO MATCH E7aSBNB 'TO wiCH E7OSWI F,q Q - - }- • : a •.r. W w �C A .. e' - ❑ �y _ .,- , - . ,. I. . r• - .. _ -e� . . Q o� W " q S all , t 1. W W • a . wm , , . • . . �•.■ Q W squAaE •'saw�'coul�s' .COILYN'ABWE � � SgWWE �� �w . W ❑FO o. 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Au randNo a . om�Nc.L"M , , H.Whoz 01IE1tM6E SPECfIED - hsz 7 W I+y •. .. e., , NNW y� NNF WAIL• .AE1r.I1YF ill-M/ . ,a6 IIMAMC TO ig1ApNC 70 wTCll 'DISSBNG ti w ti O F74SING H ..-P7 U ", - . ,Z F' F^ O—F t✓ O z— , _ °z ..' • z 0 ... ❑ ,� In' `p ;6.]m—O O - ', . S. ❑Z. N e Q N, x , 1 1 'i a Q .I.,.I.�.—,-.,,,..I.,�..:...�I-�1..1....�..1..:�;,I.I..��.fl.�"—.�..�I*".�.I.,.:��.�,"�I I�.�.I�.,�.I..,I�.I�.I,,�..I-I.._I,I,.:.�I.I.�.I-:...I.I',.D�.�I I�..-. ,,I�.�I...L 4 I......: , o M Q I , ^!--� ❑ v r W N x F . _ - .. 5; • - ., . . v06 ba . CG�z ❑ . . , G. 9 . c W m h V W . V c. _ Hallway Columns.Elevation&.Side Elevation'" Q - N . E - a u ,Q. . o . 0 . . , . " yoo • , Q Z . . . z -F8 o . . . - - G . a � . Hallway Framing Floor Plan : , 4 � I E - 1/2"-1,_O., - o t e e . • ' o� . .I.I...I.. I. .I�I�I....I�..I1I..-1...,II..�I II�1'�I.—.I..I I.. II.I..,...I...�....I. ..I,....�:. ...�....I I..I�I.I......\I.��...�I I....I....II.�..�I.t.,...I....-I..I 1�II�.I�...,I.I.,...II. ...�III..��I�I.I..I..I.I .II...I.I.��I.....II...I�.I...�..� ...��I.I...IL.�.II--I.......��....I n ' ' - • . (DRAWING IS NOT PRINTED TO ,. - - _ i -.c . SCALE IF THIS BAR DOES NOi - - - . - . - _ - • o q MEASURE I"EXACMY) - . . ,SCALE.BAR . r--I SUPPLY & .INSTALL NEW TRIM AND CASING AS NECESSARY O � � MM RE—PLASTER ALL DISTURBED AREAS W PLASTER EXISTING FRENCH. DOOR TO DEN AND REWORK DEN SIDE TRIM A NEW COFFERED CEILING IN DINING AREA REMOVE ROUND COLUMN IN'FOYER AND MAKE SQUARE, DETAILS T.B:D Q A TILE FLOOR'S IN ;DINING AREA; KITCHEN AND' HALL TO GARAGE dd • o w ' I I.. I F I ' zz I. =O a � �zm .. ;ANDERSON @ MOOUND H I. - CROWN-MOULDING 5710 • _ I � m ''o�au�, U C� i ANDERSON k MOpwo a a cd . . .. .I. FASCIA MOULDING 18192. . .c= Q W E F I,. z a o oz ,o S ,10 P o� - 41 _ '• OPLNt TOCIt '. a ti a o. O ON R - .. r .------- ------�' ---- ------ 0 o o W I - I I I .I I • oa F� -a C.offered Ceiling Detail oWz hot oF z -0 3 Y 0z ij P" • I i I I I' ��m_ .y I <c A 9 r --'-� r=T= -_ --T r- ------ r�zoo . lz� G I I I F I Vey Ig db w zo I I I I i I ,Am I I I I i I o a o W c> I I I I I I I I I I I I o 0 E z x w $ Coffered Ceiling Plan E. . 1 (DRAWING IS NOT PRINTED TO � �• SCALE IF THIS BAR DOES NOT - - MEASUREI"EXACTLY) SCALE BAR BUILD OUT NEW SHOWER ENCLOSURE PER PLAN SUPPLY AND INSTALL TILE BACKER ON FLOOR, VANITY WALL, AND SHOWER AREA 'IN PREPARATION FOR NEW TILE SUPPLY AND' INSTALL NEW TILE ON FLOORS, SHOWER WALLS, AND AT VANITIES, AS PER PLAN', A SUPPLY AND INSTALL GLASS AND PANELS AT SHOWER AND WC AREA AS PER PLAN A REPLACE INSULATION AS NECE SSARY. IN AREAS DISTURBED a SUPPLY AND INSTALL BLUEBOARb WHERE REMOVED ON WALLS W/ SMOOTH GOAT PLASTER A REPLACE RE DISTURBED. TO MATCH EXISTING SUPPLY AND INSTALL .AS PER PLANrn o v w � a� U .. F 12 NFNIIY GRAN - 3 5 W ~ .. - - .. - SHONER ,(2B1 h15 F-7 HAND IEID F-8 BALANCE W&E - O T .ime Aor$s m tmFr .' ' - - - . I 1d'OFFP OPEN I . . NEN•S AiE CLOSET 5451EYR)RElMN I.SHOE STORAGE _ V F-4 RAM - - - - - SH NER BEM - . �3 MAN SHOWER NEW � 8( xoRLDC 8 F-a(2)canxa WvvEs F-a nEsasrAnc Vuve F_�O ' - � F LL j 15fdioE�srDRAc�E j NER's N7E CIOSET Sr51Err ro REALAN eARS z N - .. ¢1, .F-8 ROBE :ao�ot amn - _ �. ri. GB'1 m uuNER gRSEE _ 3.a z F-/l F-2 FOAM 3 F-1 F-2 ��� - - � o 0 1"i w Ei441N6 GARNER 70 RE1W1 SW R FXW j Sw A FiWCEf �t7M'F - _ - lO El BAR �t=-m FLOAiNO SINK BASE. FIL►1MG$NK BASE _ '(�IMnE db0a m[_-A F _� <Z°m'a o7ac�i NEN CARPET BF.OTHERS .. - Z OR w .. .. .. .ROBE!TOOK z G°i?-. O °z c spy II,' ll V mhos II II' II II II I" <o � -z t . �u raona�u � bl ,, it FV1uE FrEE II °c7 gym° -----.—---— -------.------ ——— ———— �/rncmttoaao 2f II S�NpIG1UB II �3Uwz� �. j II. .. N. 'il pg0NG° °,.� � . wm r NKM RA i t w U 77. mtoN tm _ � (� I II zOW G Q p. zt A 3 OIiFBt' W Ov ry oxou' .ten o' .. �, rLMaster Suite Plan e (DRAWING IS NOT PRINTED TO - • 0 0. . SCALE IF THIS BAR DOES NOT MEASURE I"EXACTLY) - - SCALE BAR INSTALL ALL CABINETRY BY RLDC r 'l SUPPLY & INSTALL ALL NEW CABINETS AS PER PLAN r V SUPPLY & INSTALL ALL NEW HARDWARE AS PER PLAN A - 'EERANGE h HOOD" � qSIFAAI OVEN.MICRO DRWR.WARAIING•ORWR w , . . . .II i a i weu __ u CIee'mtr. wT(�w0r tl • TALL Va. . O ' N TALL PNImr �� . v OYFN, CWT w/5 =I w/'b: BROOM CWT a. � �U it 3 oRNw 545E Ge'T � 3 a►g C/IBT• wMAtO�oBwR d . 9 w/ wNSox:oawR W 03 3r us PAW 25 A ., . PANDID o ,; I wg '. zoos mm OPIUM aim xx FFPIEL ai i � . Y NFU.u. y^� O 3- lu IP ~ 14� 11 —24 _ q{$INK CO/^ iQ - - - - _ z ZO�Z Z¢O O tCll 0 U¢�z a Z°> N 0. I 25M wµL I I I I I I �o z I I I I. o 'c F I'.' .. I. F% 'Ou< c�o r a, = - I z O, I d z°yoz�Ui '� z� ` i — o NEW WAMR— ¢ r I U I I i I I I � �z�� � •�° I ! SN I f I W o�p ` W ¢ 'N O U J----------1 J- - --1 J----- -.--� . 0 �o 11 Ell o �v Kitchen Floor Plan • a (DRAWING IS NOT PRINTED TO SCALE IF THIS BAR DOES NOT MEASURE V EXACTLY) SCALE MBAR z U , W 44• 3. 1 34• 34• 45. - . . 15' 48• 55•_ . • '�6• .33• 27* , 27• ...33. - aj 4 1 sl• - DtI,ERRIIt'PARIIIpN NR7MO,R pfRR1 N W PUNCIWDEEP . La / /.rim -- 111 1\, �. ; � . \: r \, ,. ! ,o, \. ACV w \ $ 8 Cn . / oor\ / mot,\ \tomla mml�rr Q� mnay DwE \�® 00 nivli to etol o�oo Gn .® v 42'SL B-2ERo .e, COMO \/I ' \/ Diu our nu our II �,.. �, / r; ;. REFRICEW1Ttlt / A I .'' ' '. ./� '1 I 1 I �I/ r.——MF M _� •. . \- / C / \ / Q .• - - : .. m-4M/u .\ /. i i. `� / :\' _ - /II 1. wwaw 'F' �' / \. 1I 11 . .. /' -\ 'Y' `me.. �s •eons LL, 4 P '=or, `�` . . _ ' - 3 4Y 3V. 1Y 3• 1Y . 9.. -33' 27• 2• 3•M• ' a Kitchen Elevation Kitchen Elevation v,. - /z . o zo ,° W 16• 3r is' jr °m z a 6'FROM • WALL EDGE ZW ww. - . - _ Rz - . . '.z r. _I F'm z u' I 10'o�� zPy� o rzmR -_ .PUNzaoz. FINIM SIDE r w w ii (V zp Zw . 16B PLUG iel� I ,•_,� _ HALF MNL IOGH PANEL . OM ROM OUIIEf - ,MHIE.ROLM p1RET ►y _ _ A _ owm oeR�am• o26 ma R _ BQWO DOORS .. �C 9 F e -d•. - o�0. ° .0 •�'f A PUN ROCK PANEL • FNSRED i3 \� 1 SOE PAIFLI gg �. PWI 9IpC.PA1El .�. ,. ® .•.� `�' PUN. ! ®, '• I E �E'Pg1E1 PANEL PNEL' @ O v 18• 33• 16• 16• 24• 33• _ -16• 30• 13 50• 13J' Kitchen Elevation Kitchen Section Elevation r, Island Elevation Island Elevation Island Elevation Island Elevation 3 4 01 e NEW • _ (DRAWING IS NOT PRINTED TO SCALE IF THIS BAR DOES NOT - MEASUREI°EXACTLY) SCALE BAR o M U 66•'69 A ' FASCIA AT.TALL WALL& DM w • Q ' a , .. .. . 3•PPL FASCIA _ - 04 . • m � v .. r PPL CLEAT STCM7. - • w (u Cn o . Z O C n =z0��' Fascia Detail, Light Valance Detail. F o Q I-+—o - C.,Cry.F=-•r ' - - - • - 03 V o o > ~. F .CABDIEFAFiGVE.FROM - a o > as°°oz WE�z �w • 'o�z� 3'PPL MIMING TO . z a c o a - SEPARATE FRIDGE A o m z❑°i• WALL CABINET - U a o 4 —'S . 6 o o _ r_ _ RE • _ c kn WW � � r. PPL CLEAT STOCK o v'N o PPL�TOE-KICIC ' •�`+ .�•PPL 10E-KICIC - I I T.j - I--i z z z 89—99 89 99 i I fYl 0 i d Recessed Toe-Kick Detail ,1 Baseboard Moulding Detail edge Top Detail a� 371'4" U 3 . c (DRAWING IS NOT PRINTED TO SCALE IF THIS EAR DOES NOT - MEASURE I"EXACTLY) . SCALE BAR . - C INSTALL ALL CABINETRY BY RLDC q SUPPLY.AND .INSTALL CABINETRY AND MOLDINGS AS PER PLAN A SUPPLY AND INSTALL HARDWARE FOR CABINETRY AS PER PLAN ca A x Q 1 -12 NFNIIY DPAN . �,SMOwER F4 lUtO lEID � F-8�8N/VICE VALVE Fn . 1�]•DEEP OPENams WK amu Fm TO Fmm .. I' SHOE'SR1RiOE I--. ---- — --------- r�AT A - . O T toi}� CIO O F-s RAN• rTl t gSINK O �� O tea• � I q. BLOC rntoR ar r-e(s)coRnla veLYEs ' i sa Dw � mxs,RaE aceer s7stnl TO RO1MV o� ---- awl F-9 ROBE . . y o< EEl OIIISDE N itli I FIOM3 i1lf7 AySD FRMO•• � C • •EASINfi CA�1E15 TO RF1NN - - 9K!FAUCEE ! NUE i/IB7 !fADDII 9CIll11ER'FDC w w Z C� _ F-16 TOM BAR _ - 3�w x g '� '�"•I . .• _. o 15, ,t 1- a ova � w 55 o�Zz�o N I zo KW OARPEE BY OIIERB 2�]• . ¢� Q azao H wooU .. .. U Z w Z �zp II Ii . u li o_ wy �paiain�� ' d mo��a�. II II I I II II II �tue 11 yy II OfFS.N p d . '1l 0 3 i t II II 3tio6 n I II Ii ti ¢' - F"v6 u BME W E & ° €b LI— � Z. G q �• r-�IUU CC � �• c E. ,1 Master Bath Suite Floor Plan v Y^s Uz„_1,_0„ z a o� NEW � az (DRAWING IS NOT PRINTED TO a SCALE IF THIS BAR DOES NOT MEASURE]-EXACTLY) - - I' -SCALE BAR z ' o A - MGEa; Wo W U w "C , N O Q! Uw. . 1. W/lot=WK U!*Ulm ma mp _ n A nfJ LLl iRYAN j: - - A i ni •rwoxnr-- ® " .rxoxiw � � - ,.gym •. _, . '. ', .. '„ _ ��' �' , a / 4 .. Vf 7. z z,, 4- . . � . � .. .. °m�N.�z rx0 i Sink Vanity Elevation 2 Sink Vanity Section UT' 1,0„ Sa .0. . Ooo .. .. -. . Z. x F' /� o �0ro m n V 9mumlma eawlu�ma maFWM ' =liti ` F�< iu �. '» a G' Q " UU ftAN � s 9 n I. 21* o . A90 ,o 19' _ .. �" 36• Aigied ....46k 19- 18 _ e E • U S � s Make-up Vanity.Left Side Elevation 4 Make-up Vanity Center Elevation s Make-up Vanity Right Side Elevation $ E. Lill �,_o„ 1iz=1-0" vz„_1,_0„ . a (DRAWING IS NOT PRINTED TO o a SCALE IF THIS BAR DOES NOT c MEASURE EXACTLY) - SCALE BAR 00 A � o 0 j z _ s.TONE TOP,(BY amens). - _ _ .• n (4) 44.46E BRACKETS 11 . 3C,OUNTER Su' • suPPORr - ' ' '• - �N F LL MOULDING W/ ., - • . - - - - • h m o EASED EDGE 13=1.4 ooa,� C QSScyg ® - - • ' 3'.OW CLEAT.STOCK ai I--1 1 yI 3 zo � �—�i a 01 N " . QSS BASEBOAR - - '. aI,°„g o z -MOULDING W/.EASED 7 n"o - yen EDGE �. Zago� F x 21 mao ' F-0 16 : Yz�� o . - :1'OSS SUPPORr.CLEAT 1'= MOULDING - - .o f o 0 o v . . ' .. W/ EASED EDGE .o 1® 18 �3aw� �; .•+ a U A r�N0F €b Fascia Detail Vanity Section Detail Toe-Kick Detail Vista MDF Door Detail• 3 3'=P_U E r; w o� .off (DRAWING IS NOT PRINTED TO F t SCALE IF THIS BAR DOES NOT - MEASURE VEXACTLY) SCALE-BAR • e • o F � s A WHITE MELAMINE SHOE RACKS. IN EXISTING CEDAR CLOSET (KEN'S CLOSET) a� CUT DOWN EXISTING WIRE RACKS EXISTING CEDAR CLOSET (KEN'S CLOSET) NEW 'HOOKS & MIRROR IN KEN'S CLOSET ON' EXISTING CEDAR CLOSET "WALL o¢, a� U cn ) 71 u.�.— F-12 NFPM CItAN - F-13 SFIDEER::i F-7,FWD IE1D =8 BNAHM VALVE 10IC/OdS W 1l1K11 .. S O . 1 'pCp Dpp1 KM ENE CDSEF S W 10 ROWI � - 111r -----------.---:------ _ " o I s�DE STCRADE I sBAr'6ar°,oFO11D�s z 2 go O O MOKS— • _ . . r-3 F-•i RAH mzSR6EER"IEAD 1/MtOR ON•A11 YNN SIICNQt NF/D, � INtROR BY RLW F-6"(2)CDM M VALVES F-0 lIj'CEEP.OPEN 1----------- -- ----' .. _ _ - <�o z. � "v 11EmOSV=VALVE ODE y�� KEN'S 111E CDSEF SSW W FEHAN _-(2�16' ;� <m 706FL BNts alas ami omn a z° —�i " .r1k�''�1 Y OFFP WL QWO" F-B RDBE I I-.. ,�'O o4 a . - CWT TWO L'61AIER - OI115DE - :.� dS,m Z O z - Ft i.2 FLWW"3. Ft!F-2 : • - _ _ _ _ - A.Z WW E76SFW CABNEIS 1D RE11N1 swc a FNKEf 'sNK•FANt1 - - aCE CNi7 SCRWFFR_ F_10 z d o F a - O TDNEL BAR7�z F711M SNK BASE F1LATM SW BASE (Q 1�� "i �i ~ F - I m.m w sFFae .. o 9 N o c $mo C II - .. aF fV Ken's Closet Floor Plan Ken's Closet Mirror Wa11.Elevation F 3 . W o4Q �D � •o ' A v 0 E Ile G (DRAWING IS NOT PRINTED TO SCALE IF THIS BAR DOES NOT v MEASURE 1"EXACTLI) I SCALE BAR I , { ' M O - vim./ _ X A N• O . U � N H 'NEW CROWN MOULDING NEW'CROWN•MOULDIN(' NEW'CROWN MOULDING O TO MATCH DCISTING TO MATCH EXISTING TO.MATCH E)(ISTINC. z oo� 7' x 7' SQUARE COLUMNS. NEW SQUARE 71'-x 7j' SQUARE COLUMN. °z n NEW SQUARE COLUMN"ABOVE o z � COLUMN ABOVE WN BROSCO B662 SHOE MOULDING' y p W- 9 D90 ALL MOULDING& HEIGHTS.. BROSSHOE CMOULDING OF MOULDINGS TO MATCH z z z a o 3 m EXISTING UNLESS —' OTHERWISE SPECIFIED o E a NEW HALF.WALL W/ MOULDING TO MATCH EXISTING o z° - WALL / NEW HALF WALL W V aogo MOULDING TO ETCH. MOULDING TO MATCH.' EXISTING' EXISTING o WAINSCOT MOULDING ON z c y o j WALLS'TO BE.RE=WORKED o o ti AND EQUALLY DIVIDED �°r�3 U U Q ciz� T NEW SQUARE . fi x o COLUMN ABOVE'' W o a Fb n ti New Half Wall&Column Facing Stairs Elevation New, Half•Wall&Column Side Elevation 0 2, 3 3/4"=11_0 3/4"='I1_011 c r o . .no NEW HALF WALL W/ e MOULDING TO MATCH . U c 3 EXISTING y R i G 171 e Entrance Hallway Floor Plan • I 3/4��=1�_��� • o �d aF (DRAWING IS NOT MWED TO - o• SCALE IF THIS BAR DOES NOT MEASURE I"EXACTLY) - SCALE BAR ISLAND. SINK MOVING TO LEFT w DISHWASHER HOOKUP q ICEMAKER HOOKUP w RE ROUTE GAS LINE TO NEW ,LOCATION RANgE k HOOD qSTEAM1 OVEN MICRO',ORWR WARMING DRWR w a� " U d . CW7 P. 7 I yy ; N C :l o x / U '.�I W � ..1 76•CAS ItNCE .J H a I v P PANOD a i . - 77 - - 0 O I xo� N0U aa .. SINK (JDISHWASHER� I - - - - � � -ON O N was � I 020 } _ — I I I m"�'a - _ oorr=� I I I I I I 3}zmff. II II h m— as in oW m: I I I o U ¢ " o e � r ,Plumbing Plan o a4 � 3 >o � e roaaw,No1:N0r Pa•rmroM o B y SCALE BAR a PLEASE NOTE: itre tile detch depicted in this droning are presented for O 4 O aesthetic At layout purposes any. Actual loya d and Lte saes may vary deperW an site conditions d:material she va'rionces. r - s DEMO BIDDAGel MOVE TOILET AND VENT DOWN DEMO: TUB LEAVE PIPING ROUGHED IN FLOOR FOR FUTURE TUB a RE WORK PLUMBING FOR FLOATING DOUBLE BOWL VANITY '. Q w RE DO SHOWER DRAIN TO INFINITY TWO SHOWERVALVES ONE FOR HAND HELD A ONE THERMOSTATIC WITH TWO VOLUME CONTROLS FOR RAIN HEAD AND SHOWER HEAD ' w 21, o � In • x LiAL ------------ RAIN q RAIN 33330 v Valves Wall Elevation. m i N ppCe�2O W'F•Z 41 C' �' w 41 Z� p FO O ZO Z<o .. � , I .. _- •. <�w�ate' � QI ROOK TSF NOf SHIM FM CIAPoIY .. �¢z o> >'~ 0 goaw +0 O j as mo,oz -- 2q tq Q , m I . . SINK � ¢SINK .. m'O^pA�0Z� V � Z L� Z F�a— C I m �z 3az��s O . - ••-i Z •rf_ __ �, VALVES STAT .. _ O 0 0 o O y O..tm Z_C3VvALVE F 3 a up a ? N IIp 11 UZ 7 II it O z ; .,�b =-------- ----.----- — --= T q II II II mxN j II II W z�o. ° 0 ew�� ' rrrs1Drusa �� I $ < , o II II Tq _ - v 0 Handheld Wall Elevation. v Plumbing Floor Plan o 7q R. ® • SCALE BAR a z PLEASE NOTE: The the defogs depicted in this droning ore presented for Actual and tile saes w d - aesthetic&layout purposes only. �t may 7 on Ids conditions&material size variances. . END L • : X � W . U REWDVE'Nn RDMTE EKI M EtECFRKYJL Or WAY OF NOV oESCF1 r Os)3•REcram Llfafi4 w/LED wrs' litxcex U01,7 /. •\ \, q (4)NDEit CAW' Sm UGW. � � I I P � i� P � � Of O 2 / \ U PUCK UCFIf \ •• Q I• I \ / I s (act s)srntaRo no srraf I t- �• 2� \\ // / ,\\ \ 'SVi d. \'<L W I I *saro (2);MW ftECFPfAC1E ON.RAW, 1. F I . . Kitchen Elevation . ' ` (2)�RECEIPPICLE . _ n .• rao oven nnoale was I r aiern =o66 � -= - v� (oM,)NMaeNC DRAINER3• 3• 3•. ----- 6 Fxo -+ REFTtItRRAmR/fRomt !\ \. \ y ✓ �r_ a it -it m Erg Qo y ,MM-PANEL - I I - I It MDDLE'oF COFFERED I 'I I - 3 z ODO"WIRM Pam, SCIMULE ISPEMM WITH NBnD DEMUR,. .,I I. 'F31Fac PNEIs (, I 1 1O ® 1 . I VI a O�0 • y. . 1 1 I II\ Hod / ®: ® . . p' \ / c I I \\•�/ � h'.. 1 \ 1 :• / .r------ �•o�oo� • I 1 1 ' ® 1 1 ^I I I cz,`w P \ F my o� " ZL, E- l I I oosrNc I I I �. K o \ .• I .- I I ..70 of RE-USED. - Kitchen Elevation U o z o Sao A I I f I o�U T Q I I I I I i _ r 1 ----=- - --=-=--- -- ---= - �Q o - z � x 1 Electrical Floor Plan. E —use PLUG use P U 3. e N aw' c. 3 >o E r P111G' aC e I `z;, � (DRAu•INO IS NOt QRINTED IO SCALE 6THI5 - - - - jj BAR DOES NOt h�EA.SURE�•Q%AC�'Ll') � rj... SCALE BAR • a z PLEASE NOTE- 7Ae.Fphting and electrical details depicted in Oft drawing are - proaented for aesthetic/convenience purposes only. Actual locofiom may vary Kitchen Elevation. ` depending on hidden obstructiom and local,state.and federal electrical codes as detarrnined by the Licensed electrician conducting the work - J' o N A A • Q ' A : O W U. MINE BMXSPW IN _- - ONE IN ��77]] fi6G�Yy Ln LEGEND r Sink Vanity.SiElevationo N oimcr PUSH' Vanity '� .• .� �. .PROY�E AND MALL ALL•LABOR AND MAM-l5 FON• BACK oP,rrleDlEr N MML o", .. d ty Elevation e ' • a n+E FOLLOWING EIECIRIGIL.IYORK: [�L/] REMME AND RELOOAIE DMNG'ElECIREYiL'N WAY .' Y I 9�', 37�'" 31�• - "—'^' .pQ', OF NEW DESIGN I • - - ¢' IrS (4),wML scoilcE I I \\ z o o �Y (4)5•RECESSED PORE r/LED l41PS $. ; •' �a �. ( ).r 23 r'ROCESSm W/LED LMVS.1GM5 47' 57' 42' 40' / PENOW Ed 6041' I I ° a~a \ aF 2, 'T Y Y _ \\ . © Fµ CIS "G ' PDda m cv._u_uFDaM BY, 0 _ S .(OIY G).STM&M 110 SwimT II II i \ i zz� Ct OBE E+E'sff 74j' �`��]ju erg. \ •as u°�n o z SCEFDIAE DSPECI O S WITH WRING NWECIOR - T Y II 1 - U Z i'•W ---'-- ---- ——— — -- ------ T II' T li z,ar,P�a W - o a¢Z°', Make Up,Vanity Side Walls Elevations ' it 11 iii. 1,_o„ �o"�- - a_.Y I II c�vro Z o O -A _I I _ _ U N�f-A - - VZw v Z UU . _ W p A w U G m �.'Electrical.Floor Plan vz°=ro^ 0 qs� ' � E -o n Window Wall Elevation H �.� eaw1 a1sN0r.e1Mm,0e ooes r,o'r mensuae i•e—ri • O SCALE BAR o a PIFASE•N01E The Oghting and electrical datdls depicted In this.drawing are .. c presented for aesthetic/convenience purposes only. Actual localism may wry - OeperiQrg on hidden aWlnations and local.state,and federal ekctrkal codes as - determined by the Ea;ensed electrician conducting the work - �r . .. . T-s SM►w I A , • i � N O w NIILI tie i100R ' A O v. I • z o�� - =or CIO h� . O . �h } a�V W T=3 CINM BOON W z� E•-1 Pet Wim BOROflt - . D a a a slr• y' ���ma f} �< ao O I. . T-B 5OH111F77,FDfE N c o lu my u. �v�V z rrTT O ' of Id ro t�l P HovF . .• / \ /" \ % ' •\ / •/ t-5,HOOD r - / 'tnDtge \, u,_j ram - _3 HE(D TILE "uoI t .Tile Floor Plan . " lnEW TU Plww T s e�psPlwsl+' ��� a ONES 1 r 1 r II / / \ 0 U o Im F_ Z d E r�Refrigerator'Backsplash Elevation 3 Range Backsplash Elevation z w a e WR NG®ETTNLs BM DoM NGT ME URE1•El(nCTLY) • G SCALE BAR PLEASE NOTE. The the details depicted in this drawing are presented for a L oesN)etic&byod purposes only. 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T y o II I W o < €b g II' II' Q v II II II II • II II 0 II II o II II A "II II s; .o-- E Ii II b C Jl JN' (DRAv.•INO IS NOT PRIN'Tm TOSOALE 6 TBls B DOES NOT M-RE I•EXACTLY) • b'j`'�' SCALE BAR a s � o PLEASE NOTE The go ddds depicted in this drawl"are prmented for oestiatto R layout purposes only. Actual layout and Be aim may vary d Tile Floor Plan on Bite conditions 8 material size variances. - -- - :`. _ : M ... . . . . . . . . • C �• to D+�taii-'N�I'S � �� �`� ����' � '�'. � .:��� . ':. t es , t D the r 'i•6.. Miln brain NTS . . . Anti: ..: C7':':FMirterE .r. S: Y" ' it Yr L .. , , ., l , i .. i t :. G<aPtNG ,. . &ftpir::;.' %si'. `. H . , + ':`::: . Plaster to.ring J eckb?corPCap�t ': :5"' AnWortex Cpver' ; I z 0^ :1 y� :FT:I�I,*....:. . t"4* 1 e 1 Flltef'RhodiPl ,, - .. ', , q: -*.' . r ,A • . ..,... . of ar. 'o1.P: , . , .. . . . i41i Ifii ilel: .. - •..4'• r. R` C ,• • ,e - ".:: , •- .. 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V1 Min Concrete Cover 6"Min-Thickness Cunite "' .111 . : ::';' . ��r m :��n�' ,.F��oi::�f p _- . : I. .. . : .. .. . ,. . . . . . 15IPi . '. . . ;. '`'. , : Shallow Standard Wili Section SITS , .. . . . .�� l �: A G `: ,. .. ,, . :.. .. . . . � , ::...` , ::. ,y. - s O O•- O • Pool et S e O e , J �/ FA v E T YP.of• �. •.. 4in�Poo1 4. ..1•.-.• N.. ... .. •. d t.t. Vern: date �2 co.ln d . : ._ .,.. ! ;' . ..... . ..:,. � s`� Zip:��.:::11�Ct p g : .d . ., .. , ., w t .,. �e �._ d .. . ...IC•iT'�f116 Continous Bond Beam Tj .. . ..,, . &I Bars <. - r Ai<X w/#3 ,. .. ., ,. . . . 0 Ts�wrr: ;:Z' al ' . . • ~ b".Ceramic Tile • �'`:'' '•. i..•,, .d: : .•• .: •. 7• : ?, 3/8";Niin white .,; :� i. 2'Mae Riu "a' Msrlite plasletr'tiniah `k�1. ' ::' ... .... .p; . n �^� On :',: <`a r �: of wate v lam' 4'. to ri 5 T si on ran r P .. : ,a , . sitiot► r� iv in over •Ue • : Slo Trap .' . .c;: `'; 8 Min Th ess 2 .I C i�?ak.. . ca P `t� :':, ,:.�jr�� 6 Y• t 1 !d i+. .�.. �,, ,: ,, .•i.•. >Bars 12 0%both ways o ,. ,.. '. . "O tit ..d• ri .o �. '"''' • na' , : d i' Gunite' . . , . : . , ..., , y. .. i'n Radius(1 R.Max) . . . . . . : .. ay '',` > , _: . G7` c b Ceramic•Tile s .t7i ,. �:� f 1 � :iL►1'/"+1 ; ' : . . . - �jj ++� pp �yy Rock Pack• � ( /� 12" �7 J'.f3'��7. - Total bowl of pool [ _ - w/1-1/211 Stone 4"min Thickness . _ - -_ - - 0 4 r t} \ I S 1 DIRECTIONS: ASSESSORS REF.: N , II I I 110> 2 N \ From Hyannis - Take Route 28 towards Cotuit; Map 74, Parcel 3-5 & 3-6 I Take a left onto Old Post Road; 1 N \ I ` ) l ! N \ Property is on the left, #979. 4 \ i I I V 1 _ a v OVERLAY DISTRICT: AP - Aquifer Protection District " 5 FLOOD ZONE: �, rtJ �; Zone C, A11 (el 11), V11(e117), & V17(e115) Community Panel No. #250001 0018 D LOCATION MAP July 2, 1992 (1 -2000 ) REFERENCES: ZONE: RF�p ...... /..................... �b i i t r ..r / �C ` 1z Deed Book 22535 157 Area (min.) SF l / / / f j �� f O __ ti1,q Plan Book 459/54 Fnd I t j / �. - _ ql� 2on cp I O 513/66 ) Fronta? I Lawn ' } ! / 14/ l /'...... j I / to o Cho;n `` _ (e/>>J ) _ ` IQ .. 541/93 Setbacks: min 150' \I� /' i / / � / � / Lek F ��~ '� � ` Width min) 125' / / l / J f I ! / \e"oe \� - Iv _ Front 30' .... \\ Side 15' / - -'....... l I \ r f /Ill/!/ i............................. I \ - " Rear 15 _ .................. ce/Disk --- --- --t__�_ N to / l 1... _ - Fnd / :......j.............. �_ f \\ / It't �~5 _.._ \ \\ p Op E /8 2 / f ~ S I ............ 1 I R o _ I i ••{ I i ( t; ( `�, j i 1 '' \ \ I I / f i........... ;1 pop -BOX O - -& N/F ` \ / I \ / 1 Y Lawn \ O \ I I 1841 /261 --_ \ C TAN255 04, �rt129 /........... 1 i �' TH 1 7�0� r __ o°: / + / / \ �' \ �� ( `� •. ........................................ ................ ...1_ it Gcv �. /'Ro�p \ O to I� r, f' ' •�. �S 83 08'26" � \ f ! ,s '- \�, o �s'fR \ �\ « `� - Qcyl Tenn's�•..................................... ?11b � SSOR \ ���• p/�0 ry cp 2. \ Caurf \TH- -I .• • �_ 0i�_ 1 "I \ ............. F LV : ( { ) \ \�\\ oe �` / t\ 13 • • •\• • 4,,,r;100 / \ 1 3a u 1 , 1 \ I 40 '30 O i \ \ \ \\�\ }.. \ \ 14� Kok ti/ ��O \ - I , , ~ ............................................ C81DH 1 \ _ \ \ ♦ � ♦ � .. ' \ I • '....................................... ,. .. ........ Fnd O i ! ! , \ \, ` :\ �\ �� • / \ \ Transformer ' • i \ ' / \ \\\` I i - -` \ _ \ / / Tel _ - t r � � Lawn ~ n / , ........................ ..........Mr.::...s. _.......... . ......�=.... / • / Parking � I ` • / t�i f 1 \ `� , • 1 Area 100'................. _ I • Lawn • ,/ - _� .,; • i... ti • i i IIII I I Lj)9�i��J ~' W c° W 41 Lawn ~ z O �__-- - - i ' No Build �� ,,,:.•.__ DryLe\ ` ZQne in ` ' \ / TBM EI=31.38' NGVD'29 \ \ l �:- to bolt on Hydrant \ \ \ / / 1 ,.'/.. ``_ `� �� _ , _ - S 86 59 0� , _ _�Zo \ ^\ �_ 100' ; 50, ')\I\\ I • / •' ~ _ _ '•, --- -___ 6.38'- - - -- • bb/esfone ?= _> I _ - ___ \� II /-_ - - I iIII Q >- 37 b CB/DH7 \ \ I \ Lawn % , �... / �,• / / I • . ..... �_' �'+\ �p O , ' II i 0... - - , 1 Fnd l f i ' / / / ,'' / ' 42 -� `•T ` - ----_-I- „'- ,� • I d `• - - - J \ O O _ \ n/ .w.- --~` ' .) ` � • r cad\�' • / � l l ... •,� ,,.,`\`\\ a,-�, a !• �� • ........1.......... ,PROPOSED w•., � I I i \ \ ,� e , 25"" /� / _ DITION pet / / OS '� , \ • ) , _.--25- �- f f % / / j / / - - \ °W� ...... ; i / / ;' / // _ `A644EgS & R/77C T/p/y ~ L . ���\�� a' h � � � st+ / i • / 4 0Cq •. 4 • a 1/ / / - _ -•2�'� -' r / / / / � ........ f / r' I i� '� •' I .\ f ems' ElH"'.,, we�� g � I • , � ( ( I � , Apt ........., + I ✓ / / / % ✓ /) 1 ,•,�1 1 �� // 5-- \ i re Fence #`^.+ + 1.......` \,�, \ O\ I , , #97� �` o i 1 22- r r 'P / � / r / / • • j / �\ \'\ + + + + + + + + \ • \ - - --- Lawn - ,,. ..1 ! I ,% / • ! .. ............,.. .........., + + + �+`;�, � ,2 Sty w/f �•., \ ___ \ . _ _ 'Dwelling r / / j s ! / AL � ... ....^-�- .. i' • 1*1-t; Stone W } I Lawn N20 s / / + \ �+ walk n 100, ....1\ •'•.` Off, :!'. • 11 3 1 r / / /� - ✓ / J - \ \ \\ '� own m • ' Walk ff`�3 Patio ; + r� r / f / / / \ i • • , Wood Walk & StaJ \� I ,/ �/ r o rr r 1 G"'A(ej11) /./ *,,,Edge of Wetlands \ \ \ ......•, \ ) 100' .. r SEJ-296T-- 9 Ile ciao Tl �� \ \ an'�,•, 411 \ / -'r r '` ,r "` �\• '• nX7 Cf- +� �111` jLawn p , 1x4 )Ur DESIGN DATA ti� _ - �/ \ ' qU/p � I• I I Single Family s �- ,Ille \ 50' rD 4 III I 1 �I I I I 11 \ III 1111 1 I I No BedGarroom D 'Ilk der \ \ gin...........`................ Total Daily Flow=330 GPD \ OF \ ',�• _ :�awn I ❑i' I\ I ) I I ) 1 Use a 1500 Gal Septic Tank JL \ t LEACHING AREA Lot Area Summary - 1 �-� 330 GPD/0.74(LTAR)=446 SF Required 'AL 205 170f SF Upland \•\ 1�` t \\ S o'$, \; I �, 1 Sidewall=2(12'+251)2'=148 SF - \ • i 1 Mean Low Water Bottom Area=(12'x25')=300SF 87,860±SF Wetland �,1 By Plan Total Provided=448 SF 293,030±SF - 6.73±AC Total LEACHING CHAMBER DESIGN N'„ 11 All Pipes to be Schedule 40. Use \ �. �JO'70 \ \ \ \ 2-500 Gal.Leaching Chambers in a _ '\ \ \ 12'x 25'Washed Stone Field as Shown. \ \\ 1 \ \ } CD 1� ,Ilk • 294.63' '\ Top Of 1 � � \ \ Coastal Bank I N 84 22'16" ll/ � See Note 6 (typ.) Cotuit Boy NIF 1 F.G. EL. 12.33 y Shores Association,F.G. EL. 13.0 Ctf 66509 Inc./nC Jllk Flow Equilizers EL 10.2 f As Required 1 Installer To Confirm Prior E AL ,Ilk 1 1500 Gallon EL. 9.55 FEMA Zone Line as Shown To Any Work � EL 10.00 Septic Tank E EL. 9.18 JAL On FIRM 250001 0018 D D-Box PERC TEST: 13,100 rev July 2, 1992 R E Leaching PERFORMED BY:JOHN O'DEA,PE-SULLIVAN ENGINEERING To Be Installed On Chamber J>!k \ -�TOGIe olmp�a� WITNESSED BY:D ID STANTON,R�OWN OF BARNSTABLE v Bedding,"T"S, OCTOBER 22,2010 37J•�s Inspection Port, iYR? rratiritrresetrriatirl:;&: xfltt ;:; p Ilk & Baffels :i'•:` ::tY I+rifflC+;sC �l" tfj)jY': ''ltf'?: ; TEST HOLE-1 TEST HOLE-2 TEST HOLE-3 TEST HOLE-4 ;;...,,, .. ... EL.12.8 EL.12.0 EL.12.8 EL.122 as Per Title 5 :t t+is:4lirti :F'irr'tlttstsr•:`.srf:;;M+.:$.:..'ie .. S; C,A1+IfCS'::'::1^:'';:CJ:1' rr.<!¢etAt�tR'S•i:•i:•i:•i:•i:•i:•::• ...............: e 5" ...... ............:::::::::::::::::::12.a 4• '.'.i':•:.'::'::":t:{i•:r:•:i•i:•i:•irrri:•::i•:r:•r:•.11.7 4" ..........................................' 12s LL EL. 1.8 t}: :'�:t�i:isi�:�iiii?i�`;t�t:??;�:iiit;::•i:•ii:;•:i:•i:•:;•:;•i:•i:•:;•:;;•i:•i:•:.......: :: No Groundwater aIr•I AYaR tavxan::::::::: AP.LAWiR toYR3r2::::::::: AYd AY&..roYA37l::::::::: ova Av$n'tovx3rt'::::::::: ?rr:iXEKS DARR.C.ICAYf>#fBROWN.':.': iii:iYEICS DAR][:C.R%1Y14iBROWN.':.i' ;DAf!]C C.RAYI�iBROWt1.'!.': .:::'::VBRY DAR].GiKAYlffffBltOWN':':r. Per Test Hole 1 ^ 13":::::::::::::.$A1VAY.tX]MIM:::::::::::::11.7 12":::::::::::::.3A1tAYJ.flA1W::::::::::::: .0 13"::::::::. ::•:SAIQQYJ.AA711::::::. ::::: 1.7 12"::. :::::::::•SA11DY•LIk17i1:::::::'. :::11.2 DEVELOPED PROFILE OF SYSTEM B1AY&Y.1'OZ71,W.',::::::::. .....::::::B.LAYEZ10YR316:::. W ::.�:.�:::YELIA7VtSH'BRoI✓N::::::::: ::::::::::YBLifJWtSH'BttO11VM::::::::: .�.�::.�::Yffi.LOWISH'I•RO1NN'::::. ..........Y19.1;D'w[SIJ'HRA71V1.1.: �1 !] 30"•i:rcr:rr:•::•lt]itMY.§ANfYrcrcccc:10.3 31" ir:c•rrir:•rr:l.•fY[iIv1Y:3AliRYi:^:•:ri}:rir: .4 ..•::•::.::::'lt]yih1Y:SAhlf1'f:^:•::i ....................... .................. 259f' t 30" ............. 103 31"':::::::::::::LtYx1.MY. ::::.�::::::.9.6 W SEPTIC NOTES NOT TO SCALE C LAYER 2.5Y N6 C LAYER 23v 66 C LAYER 2.5Y 616 C LAYER 2-5Y 616 C 8 5•L�8'41" OLIVEYELLOW OLIVE YELLOW OLIVE YELLOW OLIVE YELLOW ' ,7 -_� Le end: 1.Location of Utilities Shawn on This Plan Are Approx.At Least 72 Hours 9 err MED.SAND MED.SAND MED.SAND MED.SAND 6 0.19 " W Prior to Any Excavation For This Project the Contractor Shall Make 2" PERC TEST' 9.3 PERC TEST' 9.5 , r 25 GALLONS GONE IN 9 MIN. 25 GALLONS GONE IN 9 MIN. � � �9.2 0 3 5 the Required Notification to Dig Safe(1-888 3447233). 132" 1.8 12fr• PERC RATE<2 MINAN(LIAR=0.74) 2.0 12V 2.8 120" FERC RATE<2 MIN/IN TAR=0.74) .2 S Light Post 2.The Contractor is Requirod to Secure Appropriate Permits From Town NO GROUNDWATERENCOUNTEitm NO GROUNDWATER ENCOUNTERED NO GROUNDWATERENCOUNTERED NO GROUNDWATER ENCOUNTERID Hydrant Agencies For Construction Defined by This Plan. s \ 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall '- ,"' q Hose Bib Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to ,lye El CB/DH Assure Watertightness. In General,Water Lines Shall be Constructed in r-FJnish Grade Guy Coordination With Cotuit Water,and Shall be in Accordance With 248 CMR 1.00-7.00&310 CMR 15.00. 3,.Max. NOTES: Utility Pole 4.A Minimum of 9"of Cover is Required for All Components. 9 Min Compacted F111 Filter PREPARED FOR: PREPARED BY.- TI TLE. OHW- Overhead Wires 5.All Structures Buried Three Fed or More or Subject Fabric SitePllcoin - -25- - Elevation Contour to Vehicular Traffic to be H-20 Loading.It is the Engineer's And/Or Recommendation that H-20 Always be Used. 1/8" - 172" 1.) The structures shown were located on the ground CapeSurv6.InstallWatertightRisenandCoverstoWithin6"ofFinishedGrade , Pea Stone 979 Old Post Road LLCSullivan Engineering Inc. Proposed Improvements Over Septic Tank Inlet and Outlet,D-Box,and One Leaching Chamber. 3/4" - 1 1/2" by conventional survey methods on Or between 1 Holly Tree 7•Septic System to be Installed in Accordance With 310 CMR 15.00& LEACHING Double washed 07/APR/08 and 27/SEP/10. PO Box 659 7 Parker Road 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable CHAMBER Stone 10 Tremont Street Os tervill e, MA 02655 Os t er vill e MA 026'55 At O Board of Health Regulations. 2.) The property line information shown hereon was - 8.All Piping tobeSch.40PVC. 4' - 10' compiled from available record information. (508)428-3344 (508)428-9617 fax (508) 420-3994 (508) 420-3995 fox 1� Boston MA 02019 co esurv@ca ecod.net 979 Old Post Road 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum I I P P Deciduous Tree Sump of 6'. r 12 3.) The datum used is NGVD 1929, a fixed mean sea //�_ },I 10.Ou Ile Separation beNoance hantheLietween q idDe Tank th.Ilnlets etTee S level datum. The benchmark used is tag bolt no Barnstable Volf.Il� Mass.outldaShallbeNoLessthantheLiquidDepth.InldTeesShellExtead CROSS SECTION OF CHAMBER hydrant #161 (os shown pion by Levy, Eldredge & 30 0 15 30 60 120 Draft: JOD Field: RRL/MML ( ) W a Minimum ofl0"Below the Flow Line.OutidTees Shall Extend l4" Wagner for the Whittier family dated 6/17/92). Coniferous Tree Below the Flow Line,and Shall be Equiped With a Gas Baffle. Review:e w: PS NOT TO SCALE Comp.: RRL DATE: October 25 2010 SCALE: 1 „ 301 v, Project: 30012 Pro jec t # C291 L Ty_ e7 Qo Aw . ......... 6 7,4 7- '!SEE • ks 1\�ZT Al;l -j ............. d!7 LimIT LWE zo LDS MAP -- -------- mw '74 '�;L '3-c:> LA j:7Lrq , \A'Ilk� (Z AA s 4 E- 2 o, WA, LAJ AL4 77 3,S Woee- L i PA rr 14- NN .�s� i VI/ fkk-&V OF ScAc.T-- t rGo QOV $4 r� cllJ6t..E �AMiI. - G �1�¢coM�i 'JA1 L-� FLOW = G 111D ' LCo„ bt"� - 2� �t7rc E K-F 30 15 5 TA�lL-= Lobo X Z0O 132D 4!1-�Pv STbNe ►moo - CA+.LONI AL- A 7- J M�Bf To �� 54 s �t�,^n - �Z x 72 W►'C� 2D c��-reu- {t3a C1.41tMe'a:i�S� — �•,. 4i t�Ht 13E� t�l ���, ,� ►caTta. AoEt �EGh�t?.ED L D2 lsQJ1�A Jr, ^. 66,0 GTD �o;75 C-� --S F �E � tG4 71 4aE/. 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