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0571 OLD POST ROAD
�Jr�l � �4..ST ��� y'�� J/ .. � e _ ` / ' . r i (I� - . . '.� � ! �� r �� .�,. 4 0 i 4 P A r. Application Number....... ............................................... RARNMBLE, MASS. Permit Fee.... . ......................Other Fee........................ I Total Fee Paid TOWN OF BARNSTABLE Permit Approval by....... ...............On....-'.Ze.1.Z.5- BUILDING PERMIT APPLICATIONMap.......... . ....1................Parcel................. ............................. Section 1 —Owner's Information and Project Location -1 � Project Address '5 =I> 'PC>� Village IT Owners Name C110i S 6. 1?>LA LA Owners Legal Address G1 tl-lb� �PtF FEB 16 2020 C State --zip U CC-2- Owners Cell # E-mail rA►i,,,;.�J? JNJ b v Section 2 —Use of Structure Use Group_ E] Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet El Single/Two Family Dwelling Section 3 —Type of Permit F] New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El sTS&ID Fff 6TE P T ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool El Insulation JAN 3,12020 Other—Specify. 1014,81 nE BARAISTAKE Section 4 - Work Description Application Number..................................................... Section 5—Detail Cost of Proposed Construction bOO Square Footage of Project Age of Structure Dig Safe Number .2r= # Of Bedrooms Existing ' Total#Of Bedrooms (proposed) Q1 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public 0 Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: ' , I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation �i f Within or adjacent to a wetland,coastal bank? Yes L No ❑ -Section 8—Zoning Information Zoning,District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage ✓V #of Dwelling Units(on site)_ 4 Setbacks Front Yard Required Proposed Rear Yard Required Proposed L Side Yard Required "� Proposed Has this property, had relief from the Zoning Board in the past? ❑ Yes No Last updated: 11/15/2018 Application Number............................................ Section 9-Construction Supervisor Name Telephone Number V ' 0 0 Address. eA � City ` V � �State �� Zip License Number C$ � 2, License Type CC Expiration Date Z.1'7,�j 0ZZ_ Contractors Email "� /h�� 'ice e #� ''u" �.7�� o to(on, I understand my respo ilities under th Fules for Licensed Construction Supervisor in accordance with 780 CMR the Massachus tts State Building e. I unders a construction inspection procedures,specific inspections and documentation re 80,C1v o Barnstable.Attach a copy of your license. Signature Date Af�j 1.740?,0 E: Section 10—Home Improvement Contractor Name Telephone Number Address State y� i, ► Zip' (3ZW Registration Number 01''� Expiration Date O'1� _2_C2 I understand my responsli sties under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachuse State Buildin ode. I , on inspection procedures,specific inspections and documentation re 01 e T wn of B ch a copy of your H.LC... Signature Date ctio 1 —Home Ov4ers License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date E 'P N IGNATURE Signature Date l Print Name Telephone Number ] Z 0((�� E-mail permit to: O M�QCUJ i Cme U-rYl Last undated_ 11/15/201 R Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval. Section 13—Owner's Authorization I,r 6. F:I&VaT as Owner of the subject property hereby authorize ,e ,p,-�Ac44 05ft,t�e to act on my behalf, in all matters relative to work authorized by this building p'e iit application for: MID - ANS (Address of j ob) Sign of Owner _ date Gsm <-- V� Print Name Last updated: 11/15/2018 Cardinal Pool Size: 18' X 36' Pool Shape: MOUNTAIN POND Pool Number: PMP0.126 250 Route 61 South,Schuylkill Haven,PA 17972.570-385-4733•fax:570-385-1318•CustomerService@CardinalSystemsinc.com Bill of Materials PART NO. QUANTITY DESCRIPTI❑N IR0 IXL /Q 7 0 ' 21'-4" 8' _ 6' x 9' ' 6' x9' 6' x9' T 6' x 9' R9 R5' \�� 6' X 9' Of � co 1'-2 3/8' ----T -----� 2 —.1 5/8 0 x 9' I _ -�--- R7' —IV-0 5/8' X 9' LL- i I 1 O 4'-9' x 7' t —{I 5'—a >/e" R7' M LLJ --1 5'-10 5/8"1`\-- 5' X 7,� J 1 I � —9 1/4' M X 3 D � O —{ 6'-8 3/8' �r x 1' 7'j 6' x 4'-6' ,.I I �� I z R4 —6 I L I._7'-10 1/4'--� 6' x 11' in v 1'-1 1/4' I x .4'-6' a s 3/a�----1 -6 i/8"-- v 6' x 7' I '\ -4 a a 03 5'-9 7/8' 3 - -�— R7 I R11' x 11' LIJ 3'-11 7/8' x 7' rn I - R4'-6" SCANNED 1 11' RADIUS/4'-6" RADIUS 3'-4- --� MT. POND STEEL STEP FEB 2 6 2020 W/LINER TRACK L3CR311046XXX1 Date: 12 20/19 Perimeter: 94'-4 1 4" Drawn By: NICHOLASR Area: 544.9 SQ. FT. rr � » ❑�rr Scale: 8 = 1 —0 Notes: ———— CardinalSyslemsinc.com Thls ipformation is the confidential property of Cardinal Systems,Inc.Disclosure or duplication without proper written approval is strictly prohibited.Acceptance and use of this drawing constitutes knowledge and acceptance by the user of the terms and conditions set forth in the notice and warning which accompanied this drawing is Incorporated herein and made part hereof and Is found on Cardinal Systems,Inc's website at www.CardInaLSysternalne.com Carter, Jeff From: Carter,Jeff Sent: Tuesday, February 18, 2020 4:26 PM To: stacia@earthandstonecapecod.com' Subject: Permit/Application:TB-20-322 at 571 OLD POST ROAD (CT Good afternoon, Please be advised that we are currently reviewing your permit application for 571 Old Post Road. We have.to deny your request at this time until additional information is provided. Provide the following for our continued review: 1) 107.1 Construction Documents/Document submittals-Provide an engineered design with a "wet stamp" for the project being proposed. 2) 107.1 Construction Documents/Document submittals—Provide.specs for barrier including height, opening spacing, latch heights and gate swing and closing hinges. And, if aggrieved by this notice and order;to show cause as to why you should*not be required abate the violation in this notice,you may file a Notice of Appeal specifying the grounds thereof with the State Building Code Appeals Board within forty-five (45) days of this notice inaccordance with MGL 143 c. 100 and 780 CMR. Feel free to contact me with any questions regarding the above requests. Respectfully, Jeff Carter Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508 862-4035 1 �I The Commonwealth ofMassachuse,& Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.masr gov/dia Workers' Compensation Insurance Affidavit:Bnflders/ContractorsXlectricians/Plumbers Applicant Information Please Print LgObly Name(Business/Organization/1ndividual): � `�19V Address: /l`� (�� ��►�� --�', - City/State/Zip: Phone#• Are y an employer?Check ppropriate box: 1.Y1 am a employer with- 15 4. I am a general contractor and I Type of project(required): ` employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These subcontractors have 8. El Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑Building addition required.] 5. [] We are a corporation and its 10.❑Electrical repair or additions 3.❑ I am a homeowner doing all work officers have exercised their I L[]Phrmbing repairs or additions myself[No workers'comp, right of exemption per MGL 12. Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showingtheir workers ca on policymbrination. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employed Below is the policy and job site information. Insurance Company Name: b C __ Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 17-M) (Q't_m L7n�Z 9�� N AT WI�tate/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 an or one-year imprisonment ivil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a^against the violator. Beilfiised that a y of this statement may be forwarded to the Office of Investigations ofibe D msunan v I do hereby c u d e ofpm*ry that the information provided above is true and correct: Signature: Date: Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: _ Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYP,E\Cormration RegistrationN Expiration ; M000 = 05/30/2020 NEW ENGLAND CONCREfE_SOLUTIONS,INC. fi STACIA A.TAKACH - 218 A QUEEN ANNE_ROAD,,, v o HARWICH,MA Undersecretar y _.s, Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constructfon'Supervisor CS-112261 Expires: 02/27/2022 r A. STACIA TAKACH 66 PAYSON PATH WEST YARMOUTH MA 02673 4` Commissioner 571 o Po , (d u; SPRIf KATIONS - - CUSTOM fING-STAff F ��WS STORAGE SYSTIM - ALUMINUA/fENCING LI 3000 SIRIIS — — 4000 SE RIBS — Simply slide out each i remain section as needed. The remain N N i o sections stay secure and protec Styles: M M V Stales N Fence Heights: �—o 36' 0 0 0 i 0 46' 42' 0 0 0 -- 48' 0 0 §0 0 0 154- -- 11W 0 0 60' 0 0 0 Each fence section is individually Section Length: 8'CeNers 0 0 ' 0 0 wrapped for protection during shipmf 6' 4 P. Standard Posts: 2'x 2'(.060`} ` 0 0 0 9Heavy Duty o 2'x 2' 2'h"x 2'!z"(.090'} #; ® 0 0 Heavy+ 21I2'x 2'1i(.125') 2'x 2'(.125'} _MR •• 1112'x 2'1z'(.065') 2'x2'(.060'j 0 0 0 0 0 wflrorts=.IVWai wllrserts=.310 WaH 4'x 4'(.1251 2%2 All Fence-Stacker Units are built with - wlhrserts=.210 Wall : Post Caps:® 0 0 0 0 0 0 0 6'z6'(.185'► �' 0 +�' ® 0 frames and corner gussets for stren .�:�; 4'x4-(.1251 �0 0 0 0 0 0 0 0 0 6'x 6°(.t85'} 0 0 0 0 0 0 0 0 0 FW 2'1z,4°,6' 0 0 0 0 0 Post Caw Ba9loprl 2'12',4' 0 0 0 0 0 FMpm&4r 4.6' w xBal P11'(K w x 1'. hPicket Spacing: 3.963'Between Pickets 8 0 5$ 0 0 All Fence-Stacker Units are shrir ,, •' wrapped for protection from the wea �,�� 3.192'Between Pidce4s 0. 0 0 0 0 0 (4' 0 ,,® TriadFinial & d 0 0 Option: Section O • All Regis 3000/4000 Series sections a Trail&Quad 0 a1 0 : 4) 0 Bracketed System 0 ® 0 0 stored in our custom Fence-Stacker S RoutedS System 0 0 ` 0 0 Units with support rails for easy acceE Section+p — • Custom built shipping units designed fc Bracketed System specific Regis models and spacers ar Ring Kt 0 Short PidadOpIlian 0 0 to prevent shifting during shipment. Shod Picket Dom WSPWI I Every Fence-Stacker Unit is a fully en( wJSpear 0 0 0 0 Short Picket Opfim 0 six-sided crate. Short P6et Oplim 0 0 0 0 wlFaaal • Safe Shipping wlFinia S�P�O Short Picket Option r 0 0 Convenient Storage w1Flat Top 0 0 0 0 w; . s • Easy Access §Meets National Pool Code Requirements for Height and Spacing Check Local.Pool Code Requirements CSI 3-Part Specs available at www.diggerspecialties.com S O L D B Y AFA ' 8U/ , DSI Specialties q�/0` t� C(� �FP Inc. FES 9 T www.diggerspecialties.com 1 ?Q20 Circle of Commitment ® ® T��1/N Dynamic• Solutions • Innovation NMB 1,1an�raw e,of 0"BA" ' RNS venfieA Comporeents I Manufacturing&Distribution Plants: TqB(� •Bremen,IN Randleman.NC Sarcoxie,MO Valdosta.GA ---- ----- - It 571 PS} Rd, Cc,4,-1 � '. M7.77�+"7' t 33a � �< �'§� �:`tiy � ' .,.� n NEW r • rt rEW r o Vertical Pull With eekob fctf tecty gates and en -t:itsfe nbt re st es` 3 ' MagnaLatch Top Pull sets the standard fob safety around thehome MagnaLatch Vertical Pull offers the " ;r at around-,swimmmg pools,childcare centers " same innovative design as Ma4nk6tch-f6p Pull,only en or wherever safiety is critical�No wonder fps the¢ m a smaller;more compact model . P. worlds most trusted safety gate latch JTK . 'y'�rr r.�.P',fir ' "mow ai #�� � L'" ="2' ,+ - r''a• "v '� ra Fay. ,. . 3 '" ate .: # . a._ Top Pull model (271m" Vertical Pull model 27/16" 15/16" (62mm) Product Cade: (34mm) 11/16" Product Code: 1 s/16" 11h6" ML3TPKA I� (27-) ML3VPKA (34mm) (27mm)Valli O 113/16" Gap V3Aance 0 46mm Ile-1112" (13mm-36mm) 0 0 E E o O 11/a" 113h6" Gapyariance E (29mm) (46mm) 1/2"-11/2" �„ (13mm-38mm) . 0 O I&E (gym) 11/6" MagnaLatch Series 3 - For metal,wood, and vinyl gates (21 9mm) PREVIOUS SKU'= NEW SKU MODEL FEATURE COLOR ,MLTF528GA'<> ML3TPKA Top Pull-6-Pin Lock-Keyed Alike Black MlVP526GA=.-,' ML3VPKA Vertical Pull-6-Pin Lock-Keyed Alike Black E 1o. PAMTSTDKS2FI MTSTDKS3KA• Top Pull Kit•-6-Pin Lock-Keyed Alike Black .MCSCER `d'v4 MLSPACER 2"Gap Spacer-Works with ML2 S ML3 Black (r�4n lim) Kit includes(1)ML3TPKA+(1)pr TCA1S38T+(1)TCACAPS3 safety cap NOTE:For white models or round post adapter kit,use MagnaLatch Series 2Combine MagnaLatchO n • • for ty • yr1 - # .tn'�P a q �'+ - .- . 4 ¢.a �In a first for MagnaLatch tte rangewill soon° ,aSound ALERT .., ^�Because MagnaLatch s mnovatrve magnefic:tnggermg'offers , '' nicluGe the$new top of Elie hneQMagna'Latch ALERT.` absolutely no resLstarice to closing"whin-1artnered with our " r > _<< rThis electronic model features an audible alarm A. '° "`� bestselling gate hinges;yliu II have the ultimate io ;a and flashing lights so you can hear and seat from ' ,f rehablesafe fi secure performanceY � " � N. 4 ,0 a distance nor even from the house when a gates '. fitted with MagnaLatch Is eft open.or unlatched.• •DfiD patented tension adjustment - . a - § , Adjyst tensiohirom edher end It s like bemgable to keep;an eye on safety even - Black t • -r ! NO'vislble fasteners on latch or hinge .when your backals turned Put slmplY,!f off?rs r Decorative trim covers included with ; �` Chrome; 9 , a7 unparalleled security for#oddlers amend pools^and all Series 3 hinges .. "other cntical`safe areas. - Brushed ; .�,,.�>. Ord�� •� ._ �t . . ���.� •� © at:Available • • • BUILDING DEPT. FEB 21 2020 OF BAfl" -L' F � � 4000 Commercial Series Standard Gate Meets BOCA Requirements � Model 4220 for Height and Spacing for V 2 Rail - Flat Top Codes. c aY n 4t< C g w 1 p Pool Codesa s7 (.f•. t eSL�a <('�I�� W���= a� �,Si din�'� (}� ��r�� I Heights: 48 1/2» & 54»* -�:r�; i; � --- g,,: Length. 8' Sections 'u' yF1 ?Mkt. :;c ,.t „ i'vn %, :::r(i� P�:: ,h�.•, ,c .ry> h¢1k t? o —ts I I L JLI I ff A I A K I I I I I4811 IN STOCK .../' c Model 4230 Pool j �. �. ' S �'�'awl�,, ���•�` 'ij ��, e�kka, �'��I �- 3 Rail - Flat TOP r 14cight: 54"*J Length: 8' Sections „ U-F'ranle Caurlracborr No Bradig reqldmd 54" IN ST"OC Optional Arched. Fate ,y :AS i BAb"i9 Model 4230 ,ems •t w iii+:19 nis 3 Rail-Flat Top Heights: 48", 54", 60" & - 72" Length: 8' Sections ry 4 99 60 99 �,g LIFETI19'.ltE WARRANTY STOCKIN AAMA 2604 Powder Coating u 11IM1,111 Mitt AAMA 2605 Upgrade ' Model 4131 REGIS 4000 Series 3 Rail-with FinialsPosts: 2-1/2" x 2-1/2" x .065" Wall - 8' Centers Gate Post:2-1/2" x 2-1/2" .125" wall � cn U,X^mme Coiu7rriction—No Brarir g required Heights: 48", 60" &72" CD o z Length: 8'Sections Post Caps:2-1/2" Flat - Standard cc Rails: 1.-1/4"w x 1-1/2" h x .070"(top) x C m Alf till # fit1I0"(side) m `L- (,>0 Model 4233 -- w 3 Rail-Flat Tap with Pickets: 3/4" x 3/4" x .053" Wall =� U- Ring Kit Picket Spacing: 3.963" Between Pickets �� o Swivel Brackets Alternate Finials F_ Heights: 48", 54"*, 60" &72" Panels: Screwlcss Fastener System g Wall Mounts s'Post 4'Post I..ength: 8' Sections Vg'Post Model 4132 3 Rail- with Alternate Finials ' Heights: 48", 60" &72" Orlad Diad Length: 8' Sections Standard Optional Post Caps P Posts Standard Sections Rack 20"in 8' Flat (Std) Ball (optional) PROJECT vi�► NAME: ADDRESS: PERMIT# Z O 1 ZC O PERMIT DATE: . M/P: D1'U LARGE ROLLED PLANS ARIE IN: ®X l Z SLOT : Data entered in MAPS on: 1 Z program 4 BY: qts pfiles/forms/archive PROJECT NAME: ADDRESS: PERMIT# Zip 13�� PERMIT DATE: LARGE ROLLED PLANS ARE, INo SOX I ? SLOT Data entered in MAPS program on: 2-1 BY: q/wpfiles/forms/archive 031 21/2013 00:14 503778573 . CAPE CUD IN:3U!AT IOH PAGE 01 INSULATION r s e[a *" - �,. . 1-800-696-661, :lab Locafio a ,S 7_ _.d,& Builder Infra _V f. CC HEA1Co Name Pht�re her -D�e> $PR11Y POLYOFITMANF FOAM I= loft OUN aae AppkAor Ramazo t,' pi ramr Slgnaty V e L*Gatkm of l"Swa n Yhscknew Total 11-1 iafue p*r ESR 3210 Approximate Sq.Ft. walts Attic Cathedral Ceiling i ie� io eaot dla Used . T�iacrkness/C9smsge Rate A-Value=7.4 @ 1" Tensi a Strength=45.4 psi' ®' Densky=2.1,k/flta Ompmssh a Strength=20.6 psi ilec 1# ,.��j�2-Q-4 E1 4/2013 Et6: 44 5087i�57j . CAPE �,_:t7D 1HS�ILA1*11- R E COWD INSULATION ' 1�Oti14 qAa{Iq 9/YV WA4 Btl V2MI0 ww" a 0 MiVtA6011 uTftIMO9 1a800-696-661'fi .fob Location � !����-� �u�,fi ��� • ry Builder Inf) %pAgnoalum co ftlar�e l/OiI P.Ndn`Jfr `J'Ye Si..)Cijv Foam irsdi!tit}f i Applicator NwAr y,, r ATfcamr S. navure lip Location of Insulation Thickness Total R-Value per E5R 2600 Approximate Sy. Ft, Walls �saw- -� `.��...�.. C�-����5^ Cad c.�.. 3 `` ( ��' S Cathedral Ceiling Intu►nescent Coating Used Location Thickness/Coverage Rate R-Value=4.45 Tensii Strength=3.87 psi Density=0,6-0.81b/ft-' Ccrnpressiv:Strength 1.86 psi LLemilec Batch# 04/07/2013 12: 25 508778573. CAPE COD II*ISULATTOri PAGE 01 A INSULATION worn Herres 1`600-696-6611 • t Job Locatiori,-E _ ' Builder Info C pater Nantr. F'hot+e!Aumorr Date 9P4;�YFDI:fUpf'RIAWFFCAN0 � �HEA1 f APW(wtce Nwne v A A0GUs;2oblSignawre e 17 1II m 0 m loa mcm of iseawLauore 'ifick Tani R-Value per ESR 3210 Approximate Sq.Ft. 00 Attic j Cathedral Ceiling �a .mrmw®on Inta l es W CoAng Use Loc~aton Thicknessf Coverage Rate R-Value=7.4 @ 1° rensdi Strength-45.4 psi' Density=2.1 lb/.Ra Cos pfissM Strength=20,6 psi L melee;Batch# C7 , _j 1 , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r 20 a Map Parcel Applicatio-# Health Division Date Issued Conservation Division _ ", Application Planning Dept._. _ Permit Fees ' c� Date Definitive Plan Approved by Planning Board O a�1�3dAl Historic - OKH —_ Preservation / Hyannis �_ Project Street Address 1 lJ 0poy.L_ Village CnA — --- Ownerh I S f)l au y e,I Address 5 id ?n+ Pd Telephone Permit Request,1� IS��I Oki m��a- t OLY IUMVI — — -d' • � � 1 d - rr �QYI �i�C'1� 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 _ near✓ First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal #_ _ Recorded ❑ Commercial ❑Yes ❑ No If yes,site plan review # — Current-Use - ---- ----Proposed-Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��� — -Telephone Number p —T'� Address llJu License#_I 9 1 7 X CotItAft OQ1935 Home Improvement Contractor# I to a l� Worker's Compensation # (WLA IJ 4 199m -0'(a ALL CONSTRUCTION DEBRIS RESULTING FROM WIS PROJECT WILL BE TAKEN TO ��S Q� _ S9GtVAli'lJF3E all DATE FOR OFFICIAL USE ONLY APPLICATION# "DATE ISSUED. MAP/PARCEL EL NO. - i ADDRESS VILLAGE OWNER DATE OF INSPECTION: _FOUNDATION FRAME INSULATION s p FIREPLACE I € ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL I GAS: ROUGH,-, FINAL r - _FINAL BUILDING .1 Ii n F 4 1' DATE CLOSED OUT ASSOCIATION PLAN NO.` x t 3 Cotuit Solar 508-428-8441 p.1 TOVRII OF "It f -SIABL Fax Cover Sheet 2013 N _5i 2: ,,; _ 1 mate: S Wages (not including cover sheet): From: -11C O-r U I T S G L AR • 508-428-8441• Fax 508-428-8441 • Motes: g . Cotuit Solar 508-428-8441 p.2 571 Old Post Rd Cotuit —Chris Btauveh An installation of 39 of solar panels flush mounted on southern roof weighing 2 '/ lbs/fi'. Existing Toof structure is a new addition with 2x10 rafters 16"on center- 75 James A. Clancy. PE ,� , _ — - 601 Asbury Avenue "` •'' - National Park, NJ 08063 _ -. Massachusetts PE Lic#46775 man ' - --- -- p.-W a."r giIG" S5 fffX Bow 1' Per x�A� lh.' KiY� P'Zx �h ' a Tf*N 9 OFF � ��,• `\ G,ity_ CA G \ ---` TYP.TCht- j \ M o vfl4sn!G I I Cotuit Solar 508-428-8441 p.3 571 Old Post Rd Cotuit—Chris Blauvelt Installation of 39 solar panels flush mounted to southern roof. Each panel weighs 2 Y2 Ibs/ftZ- Existing rafters are 2x1016"on center with a span of 15, maximum span is 17'3". Maximum Span Calculator The Maaitnurrl Hotlzotital Span is: ,J for Wood Joists & Rafters _ 17 ft. 3 ---- sp j Spruce-Pine-Fir v with a minimum b caring length of©.31 in. i Sise! zKio v required at each end of the member. GteJ' No. x --�- -uperh �'Lalue —� Elemhei Type Rafters (Snow Load) Pine-FIT Deflection Lf360 v G28de !ND_2 . Spacing1116 •s i Sae g10 i Wet service conditions? ; odulus ofFJasticity(E) — 1400000 psi ! E3erito�F�as�e� No v i�Be=BrgSt:e4h(Fb) -- �1272.41 psi I Incised lumber? `BeaiingStxextgth(F� ! 5 psi --~-i No v . i ------'-- ! Dead Load(pa Jfj! 15 L' ' � s c' J SA. % cv James A. Clancy, PE ~camQ �@ 601 Asbury Avenue National Park, NJ 08063 Massachusetts PE Lic#46775 Cotuit Solar 508-428-8441 p.4 V I N C I & AS S O C I A T E S Structural Engineers CLIENT: Professional Solar Products,Inc. 1551 S.Rose Ave.,Oxnard,CA 93o33 Tet 8054864700 Buildng Department Note:NOT TO BE SUBSTITUTED WITH STANDARD STRUT OR COUNTERFEIT PRODUCT. Subject Static load test results for the following: Minimum MountingSystem Module Maximum Frame Maximum Frame Frame Load EquivelentWrndSpeed Manufacturer Length*pn.) Width-(m.) Height*(in.) Pbs/Rz (mph)** RoofTrac® Evergreen 65.0 37.5 1.80 55 130 TESTSEfUP(as shown in attached drawing detail):Three Evergreen modules,as specified above,were bolted to 136-x1.5'x1.5'Professional Solar Products(PSP)Roofrra&support rails using an assembly of 5/16"stainless steel bolts, lock washers and proprietary aluminum clamps and inserts.The Roofrra&support rail was attached to the PSP TileTrace structural attachment device with a 3/8"nut and washer at six attachment points.The setup was attached to 2"x6"wooden rafters using 5/16"x 3"Stainless Steel lag bolts.The attachment spans consisted of 48"front to rear with structural attachments spaced 48"on center. TEST PROCEDURE(as shown in attached drawing detail):The test set up was top loaded to 55 Ib/ft2.The setup remained loaded for an approximate period of 30 minutes.The maximum deflection and any signs of permanent deformation were recorded.The test setup was then inverted and loaded to simulate the uplift condition.The test set up was re-loaded to 55 Ib/ft2.The setup remained loaded for an approximate period of 30 minutes.The maximum deflection and any signs of permanent deformation were recorded. TEST RESULTS The maximum top load deflection was recorded at 0.438",with no permanent deformation. The maximum uplift deflection was recorded at 0250",.with no permanent deformation. Building Department Note: This document certifies the RoofTrac®mounting system used with Evergreen modules,as NOT TO BE SUBSTITUTED specified above,withstands a 55 Ib/ft2 static pressure load,equivalent to a wind speed of VYITl••I STANDARD STRUT. approximate) 130 mph**. The mounting system performed as ex COUNTERFEIT PRODUCT. y P g petted. Sincerely, James R.Vinci,S.E. This engineering reportverifies thatvinci&Associates has provided independent observation for load testing as described in this report rasa f this load test reflect actual deflection values and are generally accepted as the industry standard for testing module mounting systems. Vinci c t does not field check installations or verify that the mounting system is installed as described in this engineering report To assist the building inspector in verifying the authenticity of � this proprietary mounting system,a p ane adhesion,silver reflective'RoofTrace,label,as shown,is q placed on at least one of the main su rt ra s Structural attachment Lag bolt attachment should be installed Roo ";�� using the proper pilot hole for optimum strength.A 5/16"lag bolt requires a it16"pilot hole.It _ is the responsibilityof the installerto insure a proper o�a3�ggs attachment is made to the structural member of the roof. Failure to securely attach to the roof structure may result in damage to equipment,personal injury or property damage. This office does not express an opinion as to the load bearing characteristics of the structure the mounting s; system%modules are being installed on. - a ICC accredited laboratory tested structural attachments manufactured by ProfessionalSolar Products(ncluairlg,but not limited to FastJacli®,TileTrec®,and Foamiack®)can tre interchanged with this system. *Modules measuring within stated specifications are included in this engineering **Wind loading values relative to defined load values using wind load exposure and gust factor ffi n RC 'exposure C'as defined in the 2006(ISC)/2007(CBC) �y J , A. C`l � 67 31.324 VIA COLINAS STE 101 WESTLAKE 1 LAGER A 9 James A. Clancy, PE Page 1 of 2 601 Asbury Avenue ' National Park, NJ 0806 : Massachusetts PE Lit#46775 Cotuit Solar 508-428-8441 p:5 4 ` 48" --r 37.5" 136" Building Department Note: NOT TO BE SUBSTITUTED WITH STANDARD STRUT OR COUNTERFEIT PRODUCT. 5/16"Stainless Steel Hex bolt Ll Top Load Deflection: 0.438" 511 6"Stainless Steel Lock Washer m Aluminum ProSolar a Inter-Module Clamp R T Aluminum ProSolar Channel Nut E� Aluminum ProSolar Up lift Deflection: 0.250" 1 l RoofTrac®Support Rail 318"Stainless Steel Hex Bolt and Flat Washer Aluminum ProSolar, y FastJack®Roof Attachment �— 5116"Stainless Steel Lag Bolt skier _ ��tTH DF i S A. �Gr ss►o P oo ten �6 sso s`i Roof Traco hotovoItaic Mau r ng' t � ,�� Evergreen Solar odules James A. Clancy, PE o 601 Asbury.Avenuev. Static load test iElustration National Park, NJ 08063 Page 2 of 2 PSP:RT EG_2 Massachusetts PE Lic#46775 oF1HE Town of Barnstable Regulatory Services BARNST MMASSB1 E Thomas F.Geiler,Director i639. ,0� i0ren�rA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax:`508-790-6230 May 20, 2013 Cotuit Solar Attn: Christopher Peterson PO BOX 89 Cotuit, Ma. 02635 RE: 571.Old Post Rd., Cotuit Map: 054 Parcel: 018 Dear Mr. Peterson: This letter is in response to application number 201302090 submitted to install solar panels at the above referenced address. Unfortunately, the application can not be approved at this time because of missing construction documents verifying compliance with 110 mph exposure `B' wind zone. Please do not hesitate to contact this office with any questions. Respectfully, { L uzon ocal Inspector Jeffrey.lauzon@town.barnstable.ma.us (508) 862-4034 ' I Cotuit Solar / �y508-428-8441 p.2 a� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home-Improvement Contractor Registration Registration: 146276 Type: Supplement Card COTUIT SOLAR Expiration: 41812015 CHRISTOPHER PETERSON 3800 FALMOUTH RD. MARSTONS MILLS, MA 02648 Update Add ress and return card.Mark reason for change. SCA I 20hi-05/tI Address C Renewal ❑ Employment Lost Card Y� ?face of Consumer Affairs&Business Regulation License or registration valid for individul use only PIP before the expiration date. ff found return to: OME IMPROVEMENT CONTRACTOR a� F. Office of Consumer Affairs and Business Regulation Registration: 146276 Type: 10 Park Plaza-Suite 5170 Expiration:P 4/8/2015 Supplement Gard Boston,MA 03126 i COTUIT SOLAR CHRISTOPHER PETERSON / P.C.BOX 89 COTUIT,MA 02635 Undersecretary ( Not valid without signature CS-102975 - - CHRISTOPHER C PETERSON _: .... .. 41 THATCHER HOLWAY ROAD:. N ARSTONS MILS MA 02648 10/07/2014 t OiZ) AIa 6 .0141 1 Z AVW €101 319VISNUG �O NM_0 1. To .�.A C7: .. _rn3ta�7 e � / r t, Regnth tot�r ES T `-ices •'I tit[haaARi,� - "r� Mr "a �.�,� Thntnns F.t eilet,Director Train 1'crry, R'ni(t3ir;y t c�rnrFssian .i 4t-€0 hid n SireeE Nt-rlis, PAIA 116 31 Office: Fax: AS-790-6210 i , .I toperty [l;wl-..Ier Alfust C;r�i�.z(sle�te and SiLro. 1 his 'sec ioll 1 - ' I - C , �sfinpo � Vtl , 's C�vm.c:I" co t P Stub act P17 D to w h c1-: diatiz1. C���T` V�;�+ _ �3__�,1 :to;act on ri btliti, rt' f (ddtc ; of fol)) t - i E TfPgryperty Owns r, is applying Forpirrniq gi�c>>-5r complete tlle I-for'ueowrat..s.; I_:iu f>> I 73:6:.frlpriorx FC,riu on (I1e reverie- Side- f 1 T�U917.!35CBec, - / 7SM29.81 Frhd(4dbr0 bsbdtf It ydt , Junction box o0ma enm TlD " '# T(X296T3 T35t Pgtjn vn!Pqf dxjohNi6nbhf qvu q' 4715!W 47/1!W ta•eoss.o.as i- e s° Pgqn vn!Pqf sbtjoh!DrsEf of l)h q• 6/1:!B 6/118 ' Pqf o!.!CJsdvjLlVVnbhf!)W 56/1 NV 55i9NV , ! Ti psl.!gsdvjLiWsf#otl),td' 6/548 6f3:!B A L J A N byin vn!(px f slWT D!x]7 by' 296X! 291 X Module Efficiency 2%!!& 250& (Back View) Pqf tgoh!lf n of dltwd .51!0.tp!,96t .51O.tp!,96:0 2P- m Nbyjn vn!Tzttf n N)firtbhf - 711 IVIED 711N1ED N byjn vn!if of t lGrtf!S xjoh 26!13 262 GpxfsRprfffiocF 1Q 60( I 1Q 6D( ' TWh ibejbod i2111 D(Ot'Jn pevdM n.gf 9wsf WtC!BW46 Section A-A STP1855-24/Ad+ ' STP7805 24/Ad+ s Maximum Power(W) 1.37 W 133 W Maximum PowerVoltage(V) _ 33.2V 32.9V Note.mm[inch] >r - Maximum Power Current(A) 4.11 A 4.05 A Current-Voltage&Power-Voltage Curve (I85S-24) Open Circuit Voltage(Voc) 41.3V 40.9V Short Circuit Current(Isc) 439 A 1" 4.30 A { b 2W W Efficiency Reduction + I s W (from 1000 W/m2 to 200 W/m2) <4.5% 1 <4.5% / JJJ 2 4 Iw NOC E Irradiance 800 W/m2,ambient temperature 20°C,wind speed 1 m/s ft j 3 - 2 Mechanical Characteristics zo Solar Cell Monocrystalline 125 x 125 mm(5 inches) ! .......................................... .... ...... °0 10 m 30 w W° No.of Cells 72(6 x 12) VottageM - ... .... . ._. _ ... .._. .......... CO°W/m' xIOW/mr Dimensions. I 1580 x 808 x 35mm(62.2 x 31.8 x 1 4 inches)_ =100°W/m' WOW/m' IAOW/m' - .......... -.-..._ LW eig 15 g(341Ibs.)" ... . _ .. ......._. ._...... .. .......... Front Glass 3.2 mm(0.13 inches)temp glass lass .......- ...... Temperature Characteristics Frame Anodized aluminium alloy ....... ........ Nominal Operating Cell Temperature(NOR) 45t2°C ]unction Box IP67 rated ......... ... ... Temperature Coefficient of Pmax -0.48%/°C H+S RADOX•SMART cable 4.0 mm'(0.006 inches'), Temperature Coefficient of Voc -0 34%/°C Output Cables symmetrical lengths(-)1000 min(39.4 inches)and . . 1006 mm(39.4 inches),H4 connectors(MC4 Temperature Coefficient of Isc 0.037%/°C compatible) Dealer information box Packing Configuration ,Contain k - ' a 20 GP a s k 40 GP Pieces per pallet 26 ,.; 26 ........ ... ....... .... Pallets per container 12 x, r, 28' { s. .. Pieces per container I 312 728 Specifications are subject to change without further notification 1 - www.suntech-power.com E-mail: • • • 1 2010 r • ; , , , , , SUNTECH Solar powering a green future" _ r 185 Watt MONOCRYSTALLINE SOLAR MODULE , Suntech Black LabelTM modules are exclusively designed and engineered for homeowners who seek a rooftop solar solution that combines visual aesthetics with excellent efficiency. w Features High module conversion efficiency(up to 14.5%), through superior manufacturing technology A = Guaranteed 0-5W positive power output tolerance . ensures high reliability Proprietary Gallium-F22 doping process dramatically reduces initial light-induced degradation to<1%,thus delivering better power and performance overtime Entire module certified to withstand high wind, „.• loads(2400 Pascal)and snow loads(5400 Pascal) CE -Ous 77 Trust,Suntech to Deliver Reliable Performance Over Time y I _ Patented surface pyramids enhance sunlight absorption • -Worid, leading manufacturer of crystalline silicon photovoltaic modules by redirecting reflected light • to other areas on the cell Unrivaled manufacturing capacity and world-class technology • ` i orous uali control meetin 'the hi hest international standards surface to be reabsorbed 9 4 tY g g , ISO 9001:2008 and ISO 14001:2004 • Certification and,standards:,IEC 61215,IEC 61730,conformity to CE ' Industry-leading warranty'` Vr Suntech cells feature a breakthrough process that • •25 year transferrable power output warranty i ice:' replaces traditional boron 5 year/95%,12 yea090% 18 year/85% 25 pr90 doping with gallium doping. ear/80% ** 5 The effect of initial light-induced 3 a'- y ,, degradation is dramatically a Based on nominal power , l i. reduced,leading to greater xd, Warrants 6.7%more power than the market ' 3 Muir tasn;irR power output over the entire ,- < . standard over 25 ears;: i�adb fir" y, pyyptech 9apiners module lifetime. $ 0 5 year material and workmanship warranty, • Please refer to Suntech Standard Module Installation Manual for details Graph is for illustration only and does not imply any guarantee of module Please refer to Suntech:Product Warranty for details.. i performance:Please check warranty for details. OCopyright 2010 Suntech Power • • r2010 571 Old-Post Rd Cotuit=Chris Blauvelt An installation of 39 :solar panels Rush,mounted'on southern-roof weighing 2 '/21bs/ft2. Existing roof structure-is a new addition with 2x10 rafters 16"on center. 7171 wag us N-I I s77777 _ x. a A. a �. 0, .; j;*M Moptar'� P1Ze� ML T— '�jip S$ ti�X BorE' 0"V� l�b 4 Alt r C.0-4. CAG . TYP�hL, • . . M evN4�+16 . PV ��►� 1 571 Old Post Rd Cotuit—Chris Blauvelt Installation of 39 solar panels flush mounted to southern roof. Each panel weighs 2/2 Ibs/ft . Existing rafters.are 2x1016"on center with a span of 15', maximum span is 17'3". Maximum Span Calculator j -The Maxirnurri$onzontal Spari is for Wood.Joists Rafters ►'/ www.:awc.or 1 / ft. i in. F. Species � SFIlt�1 Spruce-Pine-Fir dnunmum''bearing''length OfU 81 m Size zX10 ,. ':required 'each-end,ofthe member . Grade No. z � '. glopel�ty �, Ualne Member Type Rafters (snow Load) Species. 'Spruce-Pine-Fir Deflection Limit LJ360 �v� Grade No.2 ac ui) 16 4 2x10 Sp �k, `� Size Wet service conditions? Modulus of Elasticity(E) 11400000 psi Exterior Exposure No fed Bending Strength(Fb 111272.91 psi Incised limber? Bearing Strength(F;) 425 psi —� No Snow Load(psfj 30 Shear Strength(Fr,) 155.25 psi Dead Load(psfj 15 / II The Commonwealth of Massachusetts Pnnt;Form J Department of Industrial Accidents .._ ,� Office of Investigadons Ip . ` I Congress Stree4 Suite 100 Boston,MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /� Please Print Legibly Name (Business/Organization/Individual): © � Saar Address: PO Pu?C gq City/State/Zip: I 35 Phone 4: Are,y u an employer?Check the appropriate box: -Type of project(required): 1.[2 1 am a employer with I g 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers' comp. insurance comp.insurance.: required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE]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.Ek&er S©l 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. i �^ Insurance Company Name: r�,y ,l�S Policy#or Self-ins.Lic.#: LP UB-49'3 Z O(0 O' �o� Expiration Date: -,R^cQ(0 Job Site Address:-71 C) 16 (JSf- Pd City/State/Zip:�i7�(,(1 Ma Co D3!6 T- 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 ce the pains andVgnafties o e ' that the information provided above is true and correct Si tore: -_. - -- --- Date-: _�-13 413 --- - Phone#: `7'l 4-FD Z 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#: DIJUNKLK ACORD CERTIFICATE OF LIABILITY INSURANCE o3/2i2D0 PRODUCER (781) 312-7206 THIS CERTIFICATE IS ISSUED AS A";MATTER OF INFORMATION Don Bunker Insurance Agency ONLY AND CONFERS NO RIGHTS-UPON:,THE CERTIFICATE g cy HOLDER. THIS CZgRTIFICATE DOES NOT AMEND, EXTEND OR 51 Mill St Bldg. F ALTER THE COYEjP1. ORDED BY THE POLICIES BELOW. PO Box 221 I 1 i T' ,p)l Hanover MA 02339- INSURERS AFFORD _ COVEpRAGE 14L NAIC# A INSURED INSURER Nauti.l F - Il i&t SW Ping Cotuit Solar LLC 6 Pegasus Renewable INSURER B:Travelers Indemni "O.N Energy Partners, LLC INSURER C:Safety Ins. Co P.O. Box 89 INSURER D:Great:!m rican Ins. Co. Cotuit MA 02635- INSURERS 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 LTR NSRE TYPE OF INSURANCE POLICY NUMBER POLICY MM/DCDTIYYE PDATE(CY MMIDD/YYY))N LIMITS A X GENERAL LIABILITY NN131655 06/01/2012 06/01/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccccurrence $ 50,000 CLAIMS MADE FRI OCCUR / / / / MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEITL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY X JECT LOC C AUTOMOBILELIaBILITY 6218064 04/30/2012 04/30/2013 COMBINED SINGLE LIMIT $ 500,000 ANY AUTO (Ea accident) ALL OWNED AUTOS / / / / BODILY INJURY X SCHEDULED AUTOS (Per person) $ HIREDAUTOS / / / BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ _ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ A X EXCESS/UMBRELLA LIABILITY AN007547 06/01/2012 06/01/2013 EACH OCCURRENCE $ 2,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 2,000,000 $ DEDUCTIBLE / / / / $ X RETENTION $10,000 $ B WORKERS COMPENSATION AND 6KUB-4988PB6-8-12 03/26/2012 03/26/2013 X I ToRY TI"MrUr DER - EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? / / / / EL.DISEASE-EA EMPLOYEE$ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 D OTHER property Ins.' MAC 3-76-02-93-00 05/18/2012 05/18/2013 $2,875,000 all Risk Solar Panel Farm DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Solar Heating Contractor Installation of solar panels CERTIFICATE HOLDER CANCELLATION ( ) - (508) 790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Town Of Barnstable INSURER,ITSAGMTS0 .REPRESENTATIVES. 200"Main Street AUTHORIZEDkkIEPRESENTATI Hyannis MA 02601 ACORD 25(2001108) ©ACORD CORPORATION 1988 INS025(oi0s).05 ELECTRONIC LASER FORMS,INC.-(800)327-0545 Page 1'of2 r 1 0,:!/14J2013 06:44 508773573 . CAPE f::OD INSULATION PAGE 01 CAPE COM INSULATION . nwxasa Boman soaa+aar� ems.�s - . . lRTR aiNR90} Ia3VtAa001 Z0.a1'd9 - •, - 1®800-696-6611 ,fob Location ,�r(c����$���- �c�• Builder infa A.gribolon' �` CO Name. ➢foeeNumber irate Spray Fear irsuli it on 61Yf1 . 1ipAllea�srNamc �5�. it AAL+IEcatGYS natVre '� Ell Location of Insulaem ThicknessTOW R-lulu,;:per ESR 2600 Approximate 5q.Ft. Weds .�, S/ '' t2�- C` 4 Othedrai Ceiling Intumescent Casting lfsetl n Thickness/Coverage Rate ft-Vahae 4.43 @ i" Tensil Strength-3.87 psi Density=0.6-0,8 Ihfft- Ctmpressiv,;Strength=1.86 psi L.!emil&Rath# zn . f Barnstable �� S ( I Town o *Permit # Expires 6 months from issue date -PRESS PERMIT Regulatory Services Fee o?5 Thomas F. Geiler, Director OCT 2 3 2009 Building Division Tom Perry, CBO, Building Comrrdssioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTYAL ONLY Not Valid without Red X-Press Imprint Map/paYcel Number Property AddressI ' v / � ? 1 ❑ Residential Value of Work y ' Minimum fee of$25.00 for work under,$6000.00 Owner's Name&Address l V t Y14' Contractor's Name Telephone Number )— �--, Home Improvement Contractor License#(if applicable)_ Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Na-meU i�) 16 Lr , Workman's Comp.Policy# �,✓� (� �/l ��� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All cons truci on debns will be taken to Re-roof(not stripping. Going over existing"layers of roof) .[Y/Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) `Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must si roperty Owner Letter of Permission: A copy of the Ho rovement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 Y ` p1. Massachusetts- Del;arinient of Public Safeth. Board of Building Regulations and Standards ,Construction,Su.pervispr License License: CS 50234 Restricted to. 00 MICHAEL ,DELUGAf ,, 568 SANTU;IT RD COTUIT, MA 02635 y, ' •' a Expiration: 7/9/2010 C:'ununjssiuncr' Tr#: 30003 fie.U�a7n�novz�uea� a���aaaac�ivaeCCra4. - Board of Building Regulatjpns and StandaNs. HOM#`IMPROVEMENT CONTRACTOR - Registrations 105548 Expf...... 7f1,7/2010 Tr# 271970: .Type MA, _ VILLAGE CRAFT�AUILbINO �,04ODELINr, Mael D^luai� xrY1:1 � tSANTUITRD. CQ' UIT,MA 02635 Administrator r - . r License or registration valid for indiv idul.use only ` Ucfo'fe the e3piration date: I'f found return to „ I f Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ala.02108 A 4.- Not valid without signatut c The Cornmomti ealth of Massachusetts Department of Industrial Accidents Office of Investigations f' 600 Washington Street Boston, MA 02111 rvww.niass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Address: City/State/Zip: 1:5-i Ll . Phone #: Ar�yan employer? Check the appropriate box: - Type of project(required): a employer with 4. ❑ I am a general contractor and I employees (full and/or par-time). * have hired the stab-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' - comp. insurance.t 9. ❑_Building addition [No workers comp, insurance p required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors,must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensattiioon in itrance for any employees. Below is thepolicy and job site information �l Insurance Company Name: /9�c$M�1 kW 16 YY- Policy#or Self-ins. Lie.#: 07 Expiration Date: 1 2 Job Site Address: U� l� City/State/Zip: 1� Attach a copy of the workers'"compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p " s a pWoerlhat the information provided above is true an correct. Sig nature: `. Date: `a Phone#: 6�D d`C5 ✓ _ Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a.reference number. In addition,an applicant that must submit multiple permitilicense applications in any given year, need only.submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each .year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 V Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia �oF�HE, y 'Town of Barnstable. y Regulatory Services Thomas F. Geller,Director wilding Division Tom Perry, Building Commissioner. 200 Main Street, Hyannis,MA 02601 wwwaown.barnstable.ma.us Office: 508-862-4038 Fast: 508-790-623�0 _Property Owner Must ' Complete and Sign-TEs Section If Using ABuilder I, 6� �''��• �v ►�Qs'� as'Owner of the'subject property herebyauthorizey/ t � to act on my behalf, in all matters relative to work authorized'bythis0 building permit application for: , 71, (Address of Job) Signature of Owner ,. _ Date Print Name Q:FORM S:OVJNERPERMIS S ION FE_3-24-2009 (TU'E) 16: 11 MALCOIM & PARSONS INSURANCE (FAX) 17813441425 • •< P. 002'003 -- -------- —------------—------- —- — ---------- -- 9 r AC=. CERTIFICATE OF LIABILITY INSURANCE oii i os) PRODUCER (781)344'-3200 FAX (7 B1)344-1425 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm It Parsons Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P,O. Box 527 Stoughton, MA 02072 INSURERS AFFORDING COVERAGE I NAIL wsURM Michael De uga INSURERA Associated Employers Insurance DBA: Village Craft Building & Remodeling INSURER 8: 568 Santuit Road INSURERC; -- -- -- - COtuit, MA 02635 INRURFRD ----- ., INSURED.E: •'. - I - COVERAGES " THE POLICIES OF INSURANCE LISTED BELOW HA%:-BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF AN'v CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORD-D BY TH:POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICiES.AGGREGATE LI'WTS SHOW N MAY HAVE 'IEEN REDUCED BY PAID CLAIMS. III R MAP TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION - - LIMITS GENERAL LIABILITY - EACH OCCURRENCE ,�.� 5 _ COMMERCIAL 3ENF.RAL LIABILITY . OAN'A3E TO RENTED $ -- FFn,�cFc; � CLAIMS MADE OC:UP, MED EXP(Any ore peraoni S I t PERSONAL&AD'V:NJUFY c GENERAL A.3GREGATE S - I GENLA•GGRECYATE LIIAI-AFPLI=S I)ER: r P?GDJCTS-3OMPIOP AGG S POLICY n AUTOMOBILE LIABILITY - -- COtaSiNE03UJOlcLIM!T S AN'/.AUTO • y (F.a acaidwd) - ALL OWNCC AUTOS DODILY IPUUP.Y SC HEOULED AI_T05 (Pe(pdrwn) T L4... HAE'.AUTCf, . ;I BOpLYIRIURY � S I NON-CNVNEC AUTOS (Peracoderu) ar , PROPERTY DAMAGE S firer acc derd) GARAGE LIABILITY AUTO ONLY-EAAGCIDENT S i Afd/AUTO OTHER i HAP; EA ACC AUTOOVLY: AGG S, EXCEMUMBRELLA LIABILITY ' - EACH OCCURRENCE S OCCUR ❑CLAIMS IAnC'E AGGREGATE 5 DEO'v:T SLE S RETENTON S - ------ — - 5 WORXERS COMPENSATION AND k:C500611401-2D08 12/23/2008 12/23/2009 WC bTATli• OTH• EM*LOYERS'LIABILITY /A I AN"PROPRIEfORIPARTFE;VEXECUTfVE - E L EACI-AQC()ENT S 100,000 I OFFICEW'NcMBEP.EXGLUDEC? E.L.DISEASE EA EMPLDVr S 1QQ,00 if yea.cescrit:e under _ SPECIAL PROVISIONS hebw EL DISEASE-POLICY UNIT .5 --500 00 OTHER. I 1 DESCRIPTION QF PPERATIONS I LOCATIONS I VEHICLES I EX(IUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - Residential cor..Iracter- CERTIFICATE HOLDER _ CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER'MLL.EIJDEA'JOR TO MAIL DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTOTHE LEF? BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY Insureds Copy OFAN�KINDUPONTHE INSURER.ITS AGENTS ORREPRESENTATIVES, Evidence of Insurance AUTHCRIZ'_DREPRESENTATIVE --IIrving Parsons i� ACORD 26(2001108) OACORD CORPORATION 1088 �.hYs� w.,ry-..y.,,.,.�i•-' : �.',.. - _ r ;-s•�. �rti;�t+.�Yi �ti.�^tws7`�Yi�cv�'i�Klih�'Yir�":'!a " . ,--r." .. -'�' '�!"f` w' - y. .e'r/L•►7�. `oFtNE� �o� Town of Barnstable BARYSTARLE. Regulatory Services MASS.- fo 39.0.1 Building Division 200 Main Street,Hyannis,NIA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection p, Location 5-7/ DAD /0y—/9 Permit Number `*• Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: f �°7 N -- t4�' Sc—vz;:m r7o7'f c -(5- 2 L L Pc y (-t/�07����f�197✓�/�� S & 6L -,�5--erg ram, E SGIJ P -6,1+-(AJ S 7 etcc�-L-rC ()V AM5c uL�j s �y Please call: 508-862-4 for re-inspection. Inspected by Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION n •P 1✓ Mai �` Parcel 0/ Permit# �taf��(� 7� Health Division Date Issued c� Conservation Division PPP Fee Tax Collector a PA, J� Treasurer Planning Dept. (� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 4 Project Street Address Z/A61al i Village Q _ Owner �i �1 eta_Id 1 Address4t Telephone vL Permit Request J7 V !� . Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type r.. Lot Size Grandfathered: ❑Yes ❑ No,If yes, attach supporting documentation. Dwelling Type: Single Family r Y Two Family ❑ Multi-Family(#units) i Age of Existing Structure Y v Historic House: ❑Yes flo On Old King's Highway: ❑Yes o Basement Type: M Full ❑Crawl ❑Walkout, ❑Other ,fi .s Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) � 1 OroNumber of Baths: Full: existing new Half: existing �' =� new Number of Bedrooms: existing new Total Room Count (not including baths): existing new First Floor Room C unt r `� Heat Type and Fuel: M Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Q No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 10)AIe lap Telephone Number Address License# r/ a Home Improvement Contractor# Worker's Compensation# tdr ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE DATE /V--,2 t - FOR OFFICIAL USE ONLY s. PERMIT NO. 1 DAYE ISSUED T" MAP/PARCEL NO. ADDRESS - VILLAGE r� ; OWNER- DATE OF INSPECTION: r FOUNDATION r FRAME 45fth SG i L le&WT (OK �+2/S• �r HI P x INSULATION �� o �9�� ��I�1V� - ' LQ_ FIREPLACE ELECTRICAL: _.ROUGH � -FINAL r` PLUMBING: ROUGH FINAL -, GAS: ROUGH FINAL/ .t e FINAL BUILDING c Z 4160 aiwm&lJ ► "r t ._ DATE CLOSED OUT ASSOCIATION PLAN NO. 3 µ _ � ! a 7 Table J5:2-Ib(wed) eseriprire park""for Gas and Two4kn y RasidmWl SadWlnp Reefed with Fosail Fneb Pr MAXIMUM M 1lM (Ila>umg Glazing Cdline wau Floor "Men a: slab Heamiog/t;ooling A '(y.) U-valuer R valuer R Ya ll wvelua$ Wit[ Pla>aa:sa Equipment Effma= Y' P=ka¢_e &Vakas' &value' $701 to 659 Hach;Degree Days' Q 127. 0.40 31 13 19 10 6 Normal R 12% 0.52 30 19 19 t0 6 Normal s 12% 030 31 13 19 t0' 6 85 AFUE T 15% 036 31 13 23 WA NIA Normal U 15% 0.46 31 19 19 10 6 Normal V 15% 0.44 31 13 25 WA WA 85 AFUE LZ 15% O.52 30 19 19 t0 6 ss AFUE 19% 032 31 13 25 WA WA Normal 19% 0.42 31 19 23 WA NM Normal 19% 0.42 31 13 19 10 6 90AFUE Ir/. OSO 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: S71 1 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): ®031?-' t 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table A2.1b: i t is and ' Glazing area is the ratio of the area of the glazing assemblies (including sliding glass doors, sky'gh . basement windows if located in walls that enclose conditioned space,but excluding he opaque doors)to t gro ss rvall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area- 'After January 1, 1999, glazing U-values must be tested and documented.by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the stun of cavity insulation plus insulating sheathing(if used). For ventilated ceilings,insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements aPPly to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-flame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must In the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned b�.sements must be included with the other glazing. Basement doors must meet the door U-value requirement d"cribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4,or 5. If you plan to install more than one piece of heating•equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet of exceed the efficiegoy required by the selected package. requirements of closest or town see Table J5.Zla ' De Da �Y For Hearn y reQ g Z� ' NOTES: a)Glazing areas and U-values am maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the mantfacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 h SHE r, The Town of Barnstable ' r • + BARNSfABLE • �0g Regula 59. tory Services 'OrEo 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. r. ���jj Type of Work: 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 []Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL a 142A. SI D UNDER PENALTIES OF PERJURY I her by apply f r ape it as agent of the wrier: 0 ate -.0011 Contractor Name Registration No. OR 1 Date Owner's Name - q:forms:A ffidav:rev-070601 The Commonwealth of Massachusetts —s=- -_ Department of Industrial Accidents �= •- = Offlceof/mrestlgarioos 600 Washington Street J - - - - Boston,Mass. O2111 Workers' Compensation Insurance Affidavit r riiiirirr rr riirri rill ��� ri name: , location - hone# city ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one worldn is any capacity / //i /%/%�l'�D// ''/i//%////� '�//�/////////// ���� //// din workers' co ensation for my employees working,on this job. ❑ I am an employer pTgdi:.g.:.::.::: .::.>:.::;<::::mP ......:»:; comaanv name ... .......... X. Y -I am a sole proprietor eral contractor,or homeowner(circle one)and have hired the contractors listed below who have ' compensation Polices:llo workers mp p .... .::::._::::::::.::..::._::::. the following ...................::.:.:..::::::.:::.:.. :.:::..:::: ..:.. ..:.::.:::::..::.::.::..::::.:.::::.::::..:::...::::::::::::::::::::::::::::::::......::::::::.::...:: ::::........ an _. M:;:i-i:�:! . - .... ...................:.....:.::::.:'-..................::::•:'::v:::::.�::::v:.:::::::::.t:v{.:.:i:.}:v'v":r::n:yy+•.:*`^'ti•}:-0:ti':::::.}v::::::::::::::}}.vi...... It ................................................................................... :................ ................:•:::•:::v::•v::n�::v.......:::::.�::::::v.�.�:::•n.........................w.,,.... .,..4:•:::•.�::•v::G;}:}}}":.. ...... ............................................ti,>;:`:i:v}<>::;:v:5;ri'>.'i;:..... ............. ....,.... ........... ........... ...................:•::::::::::::v:::::::i';.Y.}}};?;^}}•}}:}:::,�.vnx;;{i•}:{•}::::::•:::{i4i7:i:•i:i•:::::•.; ..j(:::::.::::•:::i::i:<•:isi::.i:•:^:::n::•:;.;.'v'::............: . :::i_r.•:•ii::.:::.:::'::.::!::<8::•:�:ii:i:{:i}i}}il}:v}i:<:j:>riiii:tiisi si:.;::.ii}:.is�:i::: :is:!J•i::•:i:J:ti?{iv:i:i.:}:v:-;:n::v::::.�:::.�::::................... oY"��/" ::•: address :. :.: d ...::::.....::::::.......:;:::::..:...:................. .:::::::::...............:::...... .:::................. Zudtsnce e as mmder Section 25A of MGL 152 can lead to the imposition oterindnal pendtin of a 6ae np to 51,500.00 and/or Failm'e to seems coverat regoired one yam,}mpriiomnmt as weII as dvtl penaltia in the form of a STOP WORK ORDER and a Bne o[5100.00 a day ageitut ma I mtderstsnd that a copy of this statement may be forwarded to the OfIIce of Investigations of the DIA for coverage verffication. 1 do hereby certify under Eh pouts penalties that the information provided above is truce mid c et3 Date Signature Print name phone# ofacizi use only do not write in this area to be completed by city or town olildal permit/license# ❑Building Department city or town• ❑Licensing Board ❑Selectmen's Office che&i[immediate response is required ❑Health Department phone 0; contact person: - ❑Other (m wd9/9S PJA) Information and Instructions y; Massachusetts Gene ral Laws chapter"law", an employee is defined as every 152 section 25 requires all employers to provide workers' compensation for weir employees. As quoted from the person in the service of another under ntract of hire, express or implied oral or written. ' as an individual, partnership, association, corporation or other legal entity, or any two or more of An employer is defined the foregoing engaged in a joint enterprise, and including the legal representatives of to deceased However the owner receiver or trustee of an individual, Partnership, association or other legal entity, employ employees. f the dwelling house of dwelling house having not more than three apartments and who resides therein, or the occupant o another who employs persons to do maintenance, construction or repair work A h dwelling 1 house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be P Y MGL chapter 152 section 25 also states that every state.or local licensing agency shall withhold the issuancecnt r. why of a license or permit to operate a business or to construct buildings in covera a remonwealth for any uir d. Additionally,neither the not produced acceptable evidence of compliance with the insurancecontract the performance of public work until commonwealth nor any of its political subdivisions shall eater into any requirements of this chapter have been presented to the contracting acceptable evidence of compliance with the insurance Mlir..rity. // / //� H/ /%IY/ r/✓J M1 r' I/��r Applicants workers' compensation,affidavit completely,by checking the box that applies to your situation and Please fill in the numbers along with a certificate of insurance as all affidavits may be company names,address and phone supp °� Y Accidents for confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Indusmal 'on for the ermit or license is date the affidavit The affidavit should be returned to the�Y or town that the application. P Accidents. Should you have any questions regarding the"law"or if you being requested, not the Deparmu=of Industrial below. are required to obtain a workers' compensation policy,please call the Department at the number listed City or Towns legibly. The Department has provided a space at the bottom of the that the affidavit is complete and printedapplicant Please Please be sure ons has to contact you regarding the app affidavit for you to fill out in the eveirt the Office of Investigati be retumR to be sure to fill in the permit/license number which will be used as a reference number. The affidavits may the Department by mail or FAX unless other have been made. The office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Deparuneat's address,telephone and fax number. The Commonwealth Of Massach usetts Department of Industrial Accidents { Office of Investigations 600 Washington Street Boston, Ma. 02111 M< o/ fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 � zHE of ti Town of Barnstable, Regulatory Services SS Thomas F. Geller,Director 4'Ar�o ; Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using ABuilder - I, ✓'i 'c( d-ev ) I 2. , as Owner of the subject property herebyauthorize to act on my behalf, in all matters relative to.work authorized bythis building permit application for: . (Address of Job) Signature of Owner Date c f /koi Print Name , a Q:FORMS:OWNERPERMISS ION 1 L- flGC6: �, HgivrE tFM�kk3p yT; aN M TP Fr Exp{rat{on "7(J, l20p8 Tyre 1 AGE CRAFT 6(11LDING&� Ni DELING {, ., 0263 5 lie't%oa�n�noouUea�t•o�✓�aaodr�u�.lta BOARDPPSUILDING REGULATIONS icense: CONSPRUCTION.SUPERVISOR ,,Number: 050234 Birth 62 f r�s 07( 9/2 Q' Tr.no: 29204 "Restric MICHAEL DELUG 568 SANTUIT RDcz COTUIT, MA 02635 . Commissioner FE3-26-2007(1190N) 17: 58 MALCOIM & PARSONS .INSUR.ANCE (FAX) 17813441425 P. 001i002 -- --. ..- ..--..---- -- ------------ ---- _ _:...- --- --------- •- �-�� CERTIFICATE OF �IABILITY INSURANCE DATE(MLVDOIYYYY) PRtJ7CEH (7:81)344-3200 FAX (7d1)344-1425 0 I ISSUEDAS A MATTER OF INFORMATION 7 L Malcolm & Par(sons Ins. Agcy. Inc, ONLYANDCONFERS NO RIGHTS UPON HE CERTIFICATE ICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 527 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton, AA 02072 INSURERS AFFORDING COVERAGE NAB# INSURED MTc ae I Del uga IN.SLIRERA* Ass ociate'di Enlpl-oyers Insurance " DBA: Village Craft Building & Remodeling INSURERS 569 Santuit Road INSl1REF:C -- Cotuit, MA 02635 INSURERo- -- �- INSURER.E: I COVERAGES THE FOLIC7ES OF INSURANCE LISTED BELOW HA%?BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD T INDICATE .NOTWITHSTANDING REQUIREMENT.TERM OR CONDITION OF AN) CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFIC D r MAY FERTAIN,THE INSURANCE gFFORJ ATE.MAY BE ISSUED A 'D BY TH:POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T SUCH POLICIES.AGGREGATE L IVITS SHOWN NAY HAVE 3EEN REDUCED BY PAID CLAIMS. ERMS.EXCLUSIONS AND CONDITIONS UlBR'.OD' I i TYPE OF INSURANCE POLICY NUMBER POLICV EFFECTIVE POLICY EXPIRATION - -i GENERAL LIABILITY LIMITS - - EA.QF;OI:CURRENCE 5 ! 001AVERCIAL GENERAL LABIL:T' - DA.NA3E TO RENTED CLAIMS MADE ❑OCCUR, —� MED EXP,An,ono Person) S —' - PERSONAL S AD'✓INJURY g --'�----- 3ENERAL AGG REGAT"c 5 GEN L'AGGREGATE U1\9I-APPLI°S PER POLICY �. _ PRw.)CLS_CO`AP/OP AOG J- AUTOMOSILE LIABIL:TY - - ANY AI.i T.7 COMBINE:)SWOLE LIMIT S (Ea accidam ALL OWNED AUTOS _—....—_.----- SCHEDULED ALTOS - - BODILY IPUURY 5- - Per person) HIR[D AUTC.S rr a r:niED AUTOc GODLY INJURY 'P."3.c derl) 5 PROPZRTY DAMACE S (Persocdert) GARAGE LIABILITY - AUT3 ONLY-EA ACCIDENT S AN'Y 4'JTO -- - OTHER THAN EA 4CZ S ALTO OILY: ACC > - EXCESSIUMBRELLAUABILITY EACH OCCURRENCE 5 I OG.U:• �CLAI�I�:)dAOE AGGREGATE S j RE:'TeFTIDW S _ WORKERS COMPENSATION AND W:C500611401-2006 12/23/2006 12/23/2007 V'c'.ATU` NTH- s EMPLOYERS'L14BIUrY` A ANY PP,C•PRIETORIPARTNER;EXECUTIVE ER E L EACH ACC DENT OQ OFFICER/MEMBE.R EXCLUDED) It Yes uewite Under E L DISEASE EA EMP_2Y S 100 OQ i SPECIAL PROVISIONS heb:v, I OTHER I.E L AISEAS=.POLICY UNIT 5 500,D00 I DESCRIPTION Of OPERATIONS 1 LOCAT;ONS I VemiZt ES I cXL LU&ONS ADDED BY ENDCRSEM ENT I SPECIAL PROVISIONS - esidential contractor - CERTIFICATE HOLDER — CANCEL ATION SHOULDANY OF THE ABC✓E UESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER'NILL ENDEAVOR TO MAIL .DAYS VIR17TF-N NOTICE TO THE CEP,TIFICArE HOLDER NAMED TOTHE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OFANY KNO'UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES.' AUTHORIZED REPRESENTATIVE - ACORD 25(2001l08) FAX; (508)428-77( 9 OSACORD CORPORATION 1988 Qs5 61°S5 a J _ � 57l �f� /os� ,�d C�✓� o� l avve �� � �r w all sI jv66 6,64 40 a 5� u �n 571 Od w;%e_ 8�ifr/ uvek ' �b��..�� ��STi►1a ��o�!�� l��d�'I Barrows, Debi ( /3 a 7 From: Schlegel, Frank Sent: Tuesday, May 08, 2007 1:53 PM To: Barrows, Debi Cc: McKean, Thomas Subject: Address Updates for Map 054 Parcel 018 Hi Debi, The Cotuit Fire Dept. had the builder contact me on this property located at #571 Old Post Road, Cotuit. Apparently, a new building was built and required addressing. The original main house is now # 571 "B" Old Post Road and the new construction is now #571 "A". Please update your hard copy files. THANX Frank 1 �114El Town of Barnstable Building Department - 200 Main Street t S& * Hyannis, MA 02601 9�b 16:9. . (508) 862-4038 Argo�a Certificate of Occupancy Application Number: 20061327 CO Number: 20070090 Parcel ID: 054018 CO Issue Date: 05/14/07 Location: 571 OLD POST ROAD Zoning Classification: RESIDENCE F DISTRICT Village: COTUIT Gen Contractor: VILLAGE CRAFT Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: 3 CAR GARAGE WITH GUEST AREA ( /c Q� Building Department Signature Date Signed �e ...... � TOWN OF BARNSTABLE Building Application Ref: 20061327* BARNSTABLE, * Issue Date: 06/30/06 Permit 9 MASS. $pr16 N39. A Applicant: VILLAGE CRAFT Permit Number: B 20060552 Proposed Use: RESIDENTIAL Expiration Date: 12/28/06 __ E cation .571 OLD POST ROAD Zoning District RF Permit Type: GARAGE DETACHED RESIDENTIAL Map Parcel 054018 Permit Fee$ 820.00 Contractor VILLAGE CRAFT Village COTUIT App Fee$ 50.00 License Num. 050234 Est Construction Cost$ 200,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND I FOR 3 CAR GARAGE WITH GUEST AREA THIS CARD MUST BE KEPT POSTED UNTIL FINAL AND SMOKES INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BLAUVELT,,G CHRISTOPHER& BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 19 INDIAN PIPE LN INSPECTION HAS BEEN MADE. AMHERST, MA 01002 Application Entered by: NL Building Permit Issued By: THIS PERMIT CONVEYS NORIGHTTO OCCUPY;ANY"STREET;ALLY:OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,"NOT SPECIFICALLY PERMITTED,UNDER:THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY'GRADES AS,WELL AS DEPTH,AND LOCATION,OF PUBLIC SEWER S,MAY,BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS,'` THE ISSUANCE OF THIS,P,ERMIT DOES,NOT RELEASE THE APPLICANT FROM THE CONDITIONS',OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ," MINM4U141 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_, .,-t-' 6.FINAL INSPECTION BEFORE.00CUPANCY. isr a, -iWHERE 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. ti 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). t <. IWAU 13 mot.. vm ,, ,;,�_, I BUILDING INSPECTION,APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 13,e"h 4,- - 1a' oG iecy— /` ©� t 2134A,S- V/ 2 ;4R,A� 3 }`"'" 1 Heating Inspection Approvals Engineering Dept De t.'' 2 �'] (-�5 . `- Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ;Map Parcel �� O Permit# L)i/ Health Division Date Issued 12 Conservation Division0 3#00/- L�� l q`�� Fee Tax Collector 4 Application Fee Treasurer �O ��s� „(� CDo V" Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board nmvp ER Historic-OKH Preservation/Hyannis LIMITED TO OF BEDROOMS_ A Project Street Address Village Owner � �1✓ /VQ A0y2% Address Telephone Permit Request �� ?a K4 Ae - ct Square feet: 15floor: existing proposed ;56 2nd floor: existing proposed Total new J7 Valuation 100 0-6b ZoningDistrict Flood Plain Groundwater Overlay Y Construction Type01 Vr Lot Size 31" Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) , Age of Existing Structure Historic House: ❑ Q 0 Yes O On Old King's Highway: Yes �No . z lasement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new I Half: existing ry ew Number of Bedrooms: existing new 2CD Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: VGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes VNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing {❑new "size _ Attached garage:❑existing thew size �� Shed:❑existing ❑new size Other: d Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes ❑ No If yes, site plan review# == Current Use Proposed Use BUILDER INFORMATION Nameeiephone Numberw. _ _ !7J Address &66_� License# �'✓� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO kUf�C I� JVPr j•' SIGNATURE DATE l FOR OFFICIAL USE ONLY a PERMIT.NO. DATE ISSUED MAP/PARCEL NO. , r r.. ADDRESS VILLAGE ` OWNER c A) o'ZiGY ik70 �= DATE OF INSPECTION: l a FOUNDATIO (`f�l�/ ��1 �� �-°�'' �,NOS� _!a !I;d Y \ P 0 FRAME �� e,y N6t�r r /°ll�j INSULATION eyn FIREPLACE ELECTRICAL: ROUGH Ile FINAL . PLUMBING: ROUGH O� FINAL ' K. GAS: ROUGH . FINAL 4 . ' FINAL BUILDING ILA E: "' 0-7 ' 4 DATE CLOSED OUT ASSOCIATION PLAN NO. I�v p.. 4 k f f Town of Barnstable Regulatory Services NAMc.E. Thomas F.Geiler,Director Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 568-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: oyi/ _ 0/ 8 Project Address 6-71 01-n-Ps.r 4b ' Builder: urq4-� 0#fgJ-7- E-cu.Csq- The following items were noted on reviewing: N® S r-o it /V© AK7-c v )IW c 1 c-l r'x c--5 Reviewed by:—Date: 7 Z(? — 04 Q:Forms:Plnrvw a INNOVARA Business and Management Development (( }A((( y( (per July 17, 2006 HOOF JUL 18 - N 8� 1.4 Mr. Thomas Perry -- -- Building Commissioner I i Old Town of Barnstable 200 Main Street Hyannis,MA 02601 Tel: 508-862-4030 Re: Building Permit for New Garage at 571 Old Post Road,Cotuit,Ma.02635 Dear Mr. Perry: Mike Deluga of Village Craft mentiond that you would like to have a letter from the homeowner. about the w n proposed e gazage that we are hoping to build on our property at 571 Old Post Road in Cotuit. We currently have a modest one story relatively small house that my parents built in 1956. This is not our primary resident but rather is our summer home and has been in our family since my parents bought the property and built the house. We also have a small garage where we put some of our boats in the winter. Our plan is to take down this garage and replace,it with a modern garage that can accommodate a small sail and speed boat which we now have to store on the driveway for the winter. Our plan is to put two bedrooms above the garage to house any overflow from the main house. Currently,we have four small bedrooms in the main house.We have four children of whom two are grown. We would like to be able to accommodate them or other guests when they'come for vacation. We would in no way make this a separate resident. It would only be used for guests such as our. children and only in the summer. We do not rent our house and we actually close our house for the winter after Thanksgiving and open in at Easter in the Spring:'" We appreciate your understanding in approving the building permits. Please feel free to give me a call if you would like.to discuss over the phone (508-428-2426). If you would prefer, I could visit you in person as I am on vacation here-this week. Sincer - G. Christopher Blauvelt Innovara,Ina,105 Middle Street,Hadley,Massachusetts 01035 Telephone:1(413)387-6188 Fax:1(413)387-6772 E-mail:innovara@innovaracom Website:www.lanovara.com r I r of �� Town of Barnstable ; Regulatory Services Thomas F.Geiler,Director Eo rr►s,+� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us , Office: 508-862-403 8 Fax: 508-790-6230 K 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: L491.z — '-6h JAY✓r,A 'n Estimated Cost Address of Work: r, ZZ Owner's Name: �r1�5 4�6aJ 1/C.IT Date of Application: 30 I hereby certify that Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0. FEE VALUE WORKSHEET NEW LIVING SPACE I 1 l square feet x$96/sq.foot= / �°���� x.0041= IS /z plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) . GARAGES(attached&detached) 0 0 square feet x$32/sq.fL= x.0041= ��-�- ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 ' >1500 sf-Same as new building permit: square feet x$96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (n er) 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 Projeog RP„•nF�nna 03/24/06 FRI 10:47 FAX 4135490666 INNOVARA Q 002 Torn of Barnstable t Replatory Serviees Theo F.Gdhr,Dfrretor Halldiag Division Tem Part, DdI fa=Commbdmr 200 Main St v4 HYMMk MA 02601 �'�+►•to�ns.5asastabN.m..0 Office- 409-862.4038 Fax: 308-7904230 Property Owner Must Complete and Sign This Section, If Using A Builder Ck'n s e /, M 141 14,is Owaer of the subjeet property hereby aurhoaize �e ,f a c y 1 21, ������ to uct•on rosy behd& in%U mil&=seLtire to wotk authorized by Wa bUidtag pecaait apPkAdGn for. S2 l L 5 )�4 (Addme 0fJob) of®vj�� Date V�s Print Name Q:FOftMS. . � Lne commonweatin ofjijassacnuseas 1 :y 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 APTAcant Information Please Print LeLyiblv Name (Business/Organization/Individual): !O41, Address vZ City/State/Zip: 6%v Phone #: Are�u an employer? Check the-appropriate box: Type of project(required): 1,I.VJ I am a employer with_� 4• ❑ I am a general contractor and I 6. El New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or pai-oier- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10•0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. C. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees.[No workers' comp.insurance required.] 13•[] Other E *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. tContractons that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy infbrrnatian. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. -�- Insurance Company Name: �`'' 1 kla t�ll� mP �dtU I Policy#or Self-ins.Lic. 4: /x qq Lzz 101r- Expiration Date: ` � (� j Job Site Address: ®/ � 'd City/State/Zi G� VI Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). j t 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 D?iay be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under theppain and pen of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector � ► 6. Other Contact Person: Phone#: i S4WCSME IMf R©'1/ MENT EOM7 RAC OR e:, s ' C '105548• _ ! a� 17/2006 i VILLAGE G LTf - icPWel `beluga 568 SANT. lF 'UIT Rb�,t I. COTUIT.MA02Cv855�`` " Y � .1 r LA ;IS 11 4- (#yp lit Oil �/ISOFt' I L'i�nse °rCNdIGUTO1tar3iUl' '.R' "•� 050234 Numbed GS.Y B4, tOV-0-0-0 1962 • �Tr:'no: 27779 RO tFis MIGHAEL DELUi >' 568 SANTU'IT t: GOT IT, MA 0263 `'N j M "' Commisstoner S Oil 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS -THE MASSACHUSETTS STATE BUII-DING CODE f Manual Trade-Off Worksheet 1 ` Permit N Builder Name Date Checked By Builder Address �^ Site Address S0 ` M T651 F�C W�U� Zotxl2 ❑l3 ❑14 Date I .' Submitted By Phone PROPOSED REQUIRED y. Ceilines:Skvliehts:and Floors Over Outside Air Required insulation x Net Area U-Value bes,ription R-Value U-Value UA (Table J6.2.2b) x Area UA Ceiling Aj z (rabic 1611a) ate= ►a3S t!� Floor Ovcr Outside Air ft' (Tabk 1612al - ... . . . .-Total Area,.`t Walls.Windows:iind Doors -, Insulation x Net Rcgnircd Nscriotion R-Value• U-Value Area r •UA U-Value x Area UA Walls Zt� ---- 136.6 . 13. z za.3 -. (rabic J611bc.d) � q / / WWOWS (NFRCor Table 11.53a) Doors. (NF•'RC or Table 11.53b) Sliding Glass Doors — ,3�t' l3•Cp (NFItC orTable 1133a1 W ft Total Ara Z Floors and Foundations Insulation Insulation R- x Men or Required Description Demh Value IJ-Value Perimeter -LA U-Value x Arca UARoor , Spam vet t,nconditiontod Rabic 76.21e) 301433 11 5-7 3F.n aS /Isz 57.0 l Basemrnt wall !rabic J6.Z.Zt) ftt Un6ated Slab ft able16.22 ) in Hgated Slab 1 (Table J6.2.20 in: fe i F Told Proposed UA sesc be test Tout -� � —•• Tow titan or equal to Turd&rA4w tt4 Ra lathed L6t Proposed UA out Required UA f'� 1107r Sta caktat of Compliance:The pcopos, b it ti design mpresented in �.�Adjuved l Owe docmwews!t comment widr the brd ft PfwM spre{Jr=doxL and other calculations submitted with the ion RtqutKd VA eaildedl3esigraer Company Name Dare 760.22 780 CMR-Sixth Edition. 2R0/98 (Effective 3/l/98) ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS ' 780 CMR Appendix J Applicant Name: Site Address: Applicant Address: City/Town: Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package (A through KK from Table J5.2.1b): Heating Degree Days(HDD65) from Table J5.2.1a: (For items d. through i.,fill in all values that apply from Table J5.2.1 b:) 4 a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b-a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE , Component Performance: "Manual Trade-Off" (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Yorksheet from Appendix�J, and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software + Attach Compliance Report and Inspection Checklist printouts is ❑ Home Energy Rating System Evaluation , Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sg1t. b.Glazing Area' sq.ft. c.Glazing,%(100 x b_a) % , ❑ ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceiling' Wall Floor I Basement Wall Slab Perimeter,Depth 0.39' R-37 R-13 R-19 I R-10 R-10,4 ft I Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. F 3 R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) "SUNROOM" addition(greater than 40%glazing-to-wall and ceiling gross area)- Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s) for Denial: (provide additional details as needed on back side) 4 2 -1 r , r 711 -------------- -41 IL z t -a � 1 ��} �x s„- t✓`xj� w.,rr .k�. 1'fir ice' } - s � or ±' 7-7 w, { 571 Old Post Rd , Cotu it 12/6/06 c - t r r . M x r �e 1 t The Town of Barnstable BARNSTABL _ De artment of Health Safety and Environmental Service P y s 7� &659 �p0°L. Building Division. 2.00 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-190-6230 Inspection Correction Notice Ty pe of Inspection I& Location`>. �7 ) DLbRs-r - Permit Number Z 6 0 G t Owner U Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: 6/A-) AJEtt= 5 u #c i AZr, VV u c- u La- � T':►� V1A�gt�-1a� 1��l.t D. u)CfE a I A) CY Cam! C,U L to C'Erb ee nI o c v 3 Lp OLb-`l`� �b trtti LU(, u.ti�c--t� �.�9(FZ. ��'� � �i°: �,��a L c.► o\o R t,lrOU&) 1�0%11 S rFA/F/V6ew� k. f/0Cs Please call: 508-862-4=for re inspection. S ��z-r✓ cz'�eZ �c M Inspected by Date THE FOLLOWING I IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) ImF�c� D AL tA „ i , i J � i 'I N e x RAJ LER p7'7�1 TZ t- /ESTKGERD�Z'4 C� PL. A l 6L 1 or( ` r Dar C KLK (TYP) - 4 l STUL T 7� �, ;' 3 I z /I N t-I ..a Al nr� X )( ! Ta roQrTgcl OR C09Tv4JQUS v6LL rooT//D�.4, .. SASE.PL. f • - - i— ' 'T`'S AND 'N'AT'F RIAI CPG'rlrYn - c c, Steen ASTM .,A9R.z:” - '=ram Bclts, *ASTM ASIOEGnivJ . P painted w/ rust Inhibitive pnlnt �c '^ncnshlp- to conform wlt �Amerlclan lnst tute oFtSteel Construln enbed�en; IN Go�C - - -cs �c_n�,set.ts, Stnte B-ullding�'Code Latest Edition requirements, ctlon -^,S 'o be E70xx electrodes.. Shop weld cap and base plates to s =rL' ='I dlmenslons with Archltectura( Drawings,'Innd Field verify ►► AA4i` ► �H OF M �Y q0 MICHELE 0-- TUDvr{ N ► m i -) No. :347;.; ► 4 �� q�Q/S DLOi CONNECTIONS MICH 'LE • - '1`~=� �-�A`�!INC Coneultin C � T�DOR , q Structural Enq;neer 123 Cottonw000 lone Centerville, IWsoch�3ctta 02632 Drown By: l,ICT Dote. � �D O(�j figure Chocked By; Scole: none File Nome: �U Pro'ect No.: Gong SK-------------- - I t 12J05/2006 14:16 5087717"-3 h+CUDILD PE PAGE 01 aell— rtorunoRw 4"P:s of 1 3/4" x 11 7/811 1.9E Microll arr>0 LVL ,.w I t 2YBOB t 7 k;.W HI M0ISER IS INSUFFICIENT DUE TO LOAD Prali.ltf 0160ram it.Conceptua.;. LOADS: A--WY%is is fcr a Heaaer(Flush Beam)Member. T ibutary Load wi tn:15'9 Primary Lac Group.-Residorrlgl-Living Areas(p;f):'t0.0 Live at 100%duratiorf,12,0 Oead VerbcaJ Loads. TYPe Class Live Dead Loca Ion Application Comment Pocr10W Snow(1.15) 1981 1195 t,3, Po"(it%.) Fbor(1.00j 1810 1045 V 3" $ PPORTS: Input - Bearing Vortical Re tenons(Ibs) Detail Other -r- Width Length UveiDeadl ipiltvTotaii 1 Stud'Ordil 3.W 4.47' 9271 1402; /0/13292 Al:810CWn9 1 Ply 1 N',x 11 7/6°t.9E M.icfolAm'&LVL C �` Stud wall 3.3C" 2.55'• f33!268t /0/7988 1 A. .SlOcking 1 Ply 1 314' x 11 715°1,9E Microltarnt9 LVL See TJ SPECIF:ER'S t BU:L,DER9 GUIDE for d:tail(s):Al:Blocking () 3ea6rty lengtl t rVQuURrrl<rr t exceeds Input at auPF xt(s)1"Supplemental har*mm is required to satisfy baanN+gtima*nte, ; DESI N CQNTROL5. I t Maximum Deslgn Cc WWI Control Lwirtfon Shear(Its) 13152 12023 18!63 Psserzd(tS6%? Lt.enc Span 1 under Snow bean ! + Mr-frk"(Ft•Lbe) W574 3C>;mi 35 se P g i aid(�0996) MID Span 1 under Floor loading _rve+Aad 1(in; 0 876 0.1 44 -" aged(Lr1 Mit)Span 1 undvr Snow ioadinfl .�aL _ �' �`'•' Total Laac Deft(In*, 1.190 0.!88 t, Failed(U179) )MID Span 1 under Snow Ding Defectw Crirene:STANDARD L'A1480,TL: IZaampressicxl W9ft(top and boo ern)must ba braoetl at 5'5,o/c uless {tacallI et �e. Rra;�c attachment and v'�i !k 1✓ S braarg is raGuired to achiays memoer atabijty. pot:itionind of Iaterai AOOlTIONAL�.�: AIPORTANT! The nna{ygia presenteC is output rom software developed dy Trus Joist(rJ),TJ warrsMs the azirg of its products by this software will oe D wed d sii3 have w9h TJ product deai(n ccitatla and code aomPted cab n yalufg. The specific ProouCt applicrftn,input design toads,and provided by ttre soft fare user. This T •f'rn aY,producb are reac4ly availab�. Chock Willi•' sour ��has�been rAvtacNsd by d ,„Associate. c u r or TJ teohnicei reprlosenta wo for prw1u0<a,aitability -TF115 0.NALY I" FOR TR1)S jgIST PR�1D;.;C i 5 ONLYI PPCOUCT SVB&TiTU':ION VQIQ6 THIS.ANALYSIrS. -A;kw+at4e Stra"Design methodology was used I x Building Code UBC analyzing t-a TJ Dis:nt -Naie:See Ti SPECiFI_R'S/BtJIL.DER'S GUJD :5 IV mutti le Y 9 tRion prorluc!prted avow. ! P ply connectwn. f'�.SFt PROJECT INFgr�hq_ ATION; Pk'� 9.FOR. COOK/CELUGA 2MR& OR INFO�F M_AU0—N,: I�fJCHIBLE % Michele cudiio Q CUD,ILG , Michele Cudillo,P-E, Sri- •347r i 1:3 Cottonwood Lena UCtuR,4i. Cetiterw'lle,NSA 62632 Phone:6156771 7fiQ1 Fax :,5067717163 r �1 }; by a ver�rhauueo; e r i i' ca tr Trus .L.:;t. .r/�JJ� l (i 1. J c Pi l.om\i60ri-L1I4a.aga2 b7,-�na %t 7 v/�, Tk"° The Town of Barnstable BARNSTABLE.q Department of Health Safety and Environmental Services MASS. 0 039. pfEO MPS 0, Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection t1-,�►4 rvi o Location`• ,671 DLb �6S-r ( b _ Permit Number Z D U(o i �J 7 a Owner L X--0 U T Builder "- One notice to remain on job site,one notice on file in Building Department. The following items need correcting: t can VkA(A < u LA -P R}g . - "a' E=rd4� r s�j r Dw wnm-c, t0t,*Aj C' r,�r--� j2p� xZ. s T E�t- �eieU 5 — Pao ka r IN E Ek)C,( rc���z I ey rY C'IJ �-� l- u s G� LkQ a c--c2 �t—�r� �'`cQ l��rnR r�16a.L C. �ROB 5 own 2-,,L (- wwc c r tiz rrJ6- C�N 4:�k-ob yr. bVJ R LLDo� tom. 0`�- '� L-U L' , x L �T c W 6 , a . Please call: 508-862-4M for re-inspection. z _ StP�vz RAE7't:�:7 CN Inspected by 1 Date 0 C� �G t6 6 � I Massachusetts Department of Environmental Protection faro: Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code DA- 12071Y • A. General Information Important: When filling out From: forms on the Barnstable computer,use Conservation Commission only the tab key to move To: Applicant m Property Owner(if different from applicant): your cursor- do not use the Christopher and Bard Blauvelt return key. Name Name 19 Indian Pipe Lane Mailing Address Mailing Address Amherst MA 01002 Cityrrown State Zip Code cityrrown State Zip Code • Haan . . 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Do PP ) currents: Revised Plan(sketch over plot plan), by Peter Pometti 8/16/2012 Title Date Title Date Title - Date 2. Date Request Filed: August 21, 2012 ` B. Determination Pursuant to the authority of M.G.L. c. 131, §40 and §237-1 to§237-14 Town of Barnstable Code, the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable): Addition of second-story master bedroom suite above first floor; second-story deck above existing first-floor deck. Project Location: 571 Old Post Road Cotuit Street Address Village 054 019 Assessors Map Number Assessors Parcel Number wpafomm 2-doc.Request for Departmental Action Fee Transrrittal Form-rev.1016104 - ' PAgt:1 Of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands ` ,. WPA Form 2 — Determination of Applicability 13Af Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ' :air. � and § 237-1 to § 237-14 Town of Barnstable Code DA- 12071 B. Determination (cont.) The following Determination(s)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation(issued following submittal of Simplified Review ANRAD)has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b.The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3.The work described on referenced plan(s)and document(s) is within an area subject to protection under the Act and will remove,fill, dredge, or alter that area.Therefore, said work requires the filing of a Notice of Intent. ❑ 4.The work described on referenced plan(s)and document(s)is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5. The area and/or work described on referenced plan(s)and document(s)is subject to review and approval by: Barnstable Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: §237-1 to§237-14 Town of Barnstable Code Chapter 237 Name Ordinance or Bylaw Citation wpatmv.doc•Request for DePartrWtal Mon Fee Transmittal Form•rev.10 IN Page 2 of 2 LLIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code DA- 12071 '` B. Determination (cont.) ❑ 6.The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request,the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c.for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located,the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department.Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1.The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2.The work described in the*Request is within an area subject to protection under the Act, but will not remove,fill, dredge, or alter that area.Therefore, said work does not require the filing of a Notice of Intent. ® 3.The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act.Therefore,said work does not require the filing of a Notice of Intent, subject to the following conditions(if any). , , a) Sediment controls shall be deployed at the work limit shown on the revised plan; b) Drywells or gravel trenches shall be installed for roof runoff. ❑ 4.The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone).Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpafarmZ.doc•Request for Departrnentel Action Fee Transmittal Form•rev.1 o/M Page 9 of 2 .Massachusetts Department of Environmental Protection of E.. Bureau of Resource Protection -Wetlands o� WPA Form 2 — Determination of ApplicabilityLl : ..saa>:sTa�s Massachusetts Wetlands Protection Act M.G.L. c. 131, §40s and § 237-1 to § 237-14 Town of Barnstable Code DA- 12071 �cr B. Determination (cont.) ❑ 5.The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption,as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by- Barnstable Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. y 237-1 to§237-14 Town of Barnstable Code Chapter 237 Name Ordinance or Bylaw citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on SEP 94 2012 Date Date This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan).This Determination does not relieve the applicant from complying with all other applicable federal,.state,or local statutes, ordinances, bylaws,or regulations. This Determination must be signed by a majority of the Barnstable Conservation Commission.A copy must be sent to the appropriate DEP Regional Office(see http://www.mass.gov/dei)/about/region.findvour.htm)and the property owner(if different from-the applicant). Sig turps: vtk- ---> C Date wpaforrrd.d=-Request for Departmental A6on Fee Transrtutlal Form-rev.10004 Page 4 of 2 r I , Massachusetts Department of Environmental Protection o4F. Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ' ;a and § 237-1 to § 237-14 Town of Barnstable Code DA- 12071 D. Appeals The applicant,owner,any person aggrieved by this Determination, any owner of land abutting the land 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 appropriate Department of Environmental Protection Regional Office(see hftp://www.mass.qov/deD/about/region.findvour.htm)to issue a Superseding Determination of Applicability.The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination.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.The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. s wpafornizdoc-Request for Departmental Action Fee Transrnittal Forth-rev.10/6104 Page 5 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability H1SA9T48L8; _ 9 659 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 i and § 237-1 to § 237-14 Town of Barnstable Code DA- 12013 ° A. General Information Important: When filling out From: forms on the Barnstable computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Christopher and Bard Blauvelt return key. Name Name 19 Indian Pipe Lane Mailing Address Mailing Address Amherst MA 01002 City/Town State Zip Code City/Town 1 State Zip Code ,. 1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents: Revised sketch on plot plan, by Peter Pometti 1/19/2012 Title Date Title Date Title Date 2. Date Request Filed: January 23, 2012 B. Determination Pursuant to the authority of M.G.L. c. 131, §40 and §237-1 to §237-14 Town of Barnstable Code, the Conservation Commission considered your Request for Determination of Applicability, with its supporting documentation, and made the following Determination. Project Description (if applicable): Add 1-story addition (13' x 18') to north side of house; mud room; half bath; entry foyer and porch. Project Location: 571 Old Post Road Cotuit Street Address Village 054 018 Assessors Map Number Assessors Parcel Number wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability seaiST&nm , Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 °�, Q �� ' I and § 237-1 to § 237-14 Town of Barnstable Code DA- 12013 B. Determination (cont.) The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD) has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said .work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Barnstable Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: §237-1 to §237-14 Town of Barnstable Code Chapter 237 Name Ordinance or Bylaw Citation wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 2 of 2 Massachusetts Department of Environmental Protection t�r� Bureau of Resource Protection - Wetlands WPA Form 2 — De termination of Applicability sT�.4 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 q: ' ®®' and § 237-1 to § 237-14 Town of Barnstable Code DA- 12013ea� B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s), which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c.for more information about the scope of alternatives requirements): Alternatives limited to the lot on whic h the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act.Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). Roof runoff from the proposed addition shall be sent to a drywell or to a gravel trench at the dripline. ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 3 of 2 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 $ h and § 237-1 to § 237-14 Town of Barnstable Code DA- 12013 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is,not subject to review and approval by: Barnstable Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. § 237-1 to § 237-14 Town of Barnstable Code Chapter 237 Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on by certified mail, return receipt requested on FEB Z 3 2012 Date Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan).This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances;-` bylaws, or regulations. This Determination must be signed by a majority of the Barnstable Conservation Commission.A copy must be sent to the appropriate DEP Regional Office (see http://www.mass.gov/dep/about/region.findyour.htm)and the property owner(if different from the applicant). Signat P Date wpaform2.doc•Request for Departmental Action Fee Transmittal Form.rev.10/6/04 Page 4 of 2 Massachusetts Department of.Environmental Protection 40i�To� Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of ApplicabilityLI 8,$p19T,gy a Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code DA- 12013 ° ` D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see http://www.mass.gov/dep/about/region.findyour.htm) to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. - wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 5 of 2 I NN- '.6-•-20 i Ei;lai_U i'. S2 tIH� COIL hi u PFIRSONS I N'SIJRRIr'CE (FRX) l 7 81. 3.d41 ic'S• F' ijl l i'i3 i WORKERS COMPEP ATION AND EMPLOYERS LIABILITY INSURANCE POLICY . INFORMATION PAGE Assol:iated Employers Insuranoe Company } 54l hind Avenue,Burlington,Mas"chuvetts 01803 (800)876.276$ ,NCCI NO4U959 POLICY NO. WCC 5005114012011 ENTERED 01,` //T ? 2U((��11 PRIOR NO. �CC.500o11 4 01 201 0 ITEM 1. The insured :Michael Deluge dbi Village Craft Building&Remodeling Mail Address: 563 Suntuit Road Coiuit MA 026"M Street Na. Town or City Count;' slate Zip COCe FEN xxxxx214$ ®Individual MPartnersti.p ❑Ccrl orotiun ❑Joint Vantunt MASSOCiation LjOther Ofner'workpiac'es not shown 2.. The policy period It:from,1�!.LS%sQ1 i .,to 12t23'201?_-_12:01 a,m,standard'ame a,the insured's ma,ling aadwss. _ A. Wvkers Campensatior.Insurance:Par.One of the policy applies to the Workers Compensation Law ut tht stases listed he;;,,;MA a. Employers Liability Inst.rance:Part Two of the polity applies to work in each state listed ir.item 3:A. The limits el our I!abllity,andgr Part Two ara: Bodily Injury by Accident$ ,,,__QQ.4_OCQ$60 600:dent Bodily Injury by Disease $ 50i3:�OQpolicy limit Bodily Injury by Disease 100 0 Q_each employee C. Other SjZtac Insurance Coverage 2epiaced By Endorsement WC 20 03 06A D. This policy includes.these enoomai rents and schedules:SEE SCHEDULE �. The pretnl,In1 for;his GoilCy'wili be deter nlned Jy out Munusis of Rulet.,Classifications. Rat.w and Rrivng plans, All infcrmetion required below is subject;o verification and change by audit. Classifications Premium aasis rates C060 CaiinwleJ Per 11Lt) Ce!im;aC local M.lu � - Ram:unra:ion Rcrrunuraticn Prem'ui� INTRA S=E E CFENSION OF iNFORMATION PAGE I I tdtmmum prerr:ium$ 500.00 Total Estimrkted Annual Premium 5 2,91.4:00, As ind:atad Irnerim ac)ustmantc of prcmlum shall 1,,m9d6' Coposft Premium S .Annually 1 Semi Annually luarterly 13 Monthly MA Assessment Chg. $2,577.35 x 5.90OV), $152.CK -i his pQO i;y,including all 6ndorsernert5,Is hereby,ounter519ned by �, q ;yKrizc 1 tii;jnwu d C�rc GOV GOV KIN CtA D PLACING IP i- NAME- SAFETY Malcolm&Parsons Insurance T ---- I STATE -LAS_S AUDIT OFFICI: OFFIlt_ CHECK GROUP Agency lnc off I �665 `� 17 -- �� - t 6 Freaman Strbet-P 0 Box 527 I_`I ' Stoughton,MA 02072 PVC OQ 00 01 A(7 1 1) I�cl�cat ccoY"rontotl ma:ennl n:ni'tattc+rN COunCU un;omC'r+nar I:h!nturon<:e, . ec.o:n r its „tmuaion. to �'i�•* �1. . . - 'f �,��.° ! . n �c - .. t Massachusetts -Department.of P ublic Safety tyv Board of Building Regulations and Standards n Construction Supcn'isor r; License: CS-050234 `_L.t i MICHAEL DELUgA 568 SANTUIT RI , COTJIT MA 0205 Expiration - Commissioner 0710912014 el.v"'rairtartrueulC� �C%l�ialrrclrry lls l Office of Consumer Affairs&Business Regulation . __ ME IMPROVEMENT CONTRACTOR gistration: 1,'5548 Type: xpiration: 7117/2014 , DBA VILLAGE CRAFT BUILf?INC�&'AAREMODELING • f 3 t., t � 7 Michael Deluga 1 1y 56$SANTUIT RD. COTUIT,MA 02635 Undersecretary. License or registration valid for individul use only i before the expiration date. If found returp to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not.valid witljout signature' x" �HE Town of Barnstable , w 0 Regulatory Services >3AaxxgUZZ, : Thomas F.Geller,Director v MAW p .� Building Division : , t Tom Perry,Building Commissioner `f 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER f name home phone# work phone# CURRENT MAILING ADDRESS: ty i ci /town ,t state j zip code f ' The current exemption for"homeowners"was extended to include owner-occupied dwellings of.six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year.period shall not be considered a homeowner.`-Such "homeowner"shall submit to the Building Official on a.form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner — Approval of Building Official ' Note: Three-family containing �.. dweIIin s +.-_ _ g 35,000 cubic feet or larger will be required to comply with.the ' State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that:."Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1,-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for'hire to do such work,that such Homeowner shall act as supervisor." 1 Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, ` Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it woultlr a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On.the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Town.of Barnstable Regulatory Services 4 A�A111c1`AAi� • .. - . sues Thomas F.Geiler,Director 639 Al Ep► + Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 as Owner of the subject property J hereby authorize to act on my behalf, in all"matters relative to work authorized by building permit -fat• VlJ/ (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. r Signature of Owner Signature of Applicant L.' Print Name Print Name Date Q:FORMS:O WNERPERMISSIONPOOLS o. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map - Parcel Application # 0 Health Division s.� Date Issued �Z 17 x, w Conservation Division f e 'Application Fe Planning Dept. R Permit Feerv- (fit 6 Date Definitive Plan Approved by Planning Board � Historic - OKH _ Preservation/Hyannis Project Street Address Village Owner i r1( ���� Address Telephone '` 1 Permit Request 61( S� r Square feet: 1st floor: existing i0oproposed ✓V-4-2nd floor: existing 001proposed l Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio "16� b Construction Type �w�. 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 Lill< Basement Type mull ❑ Crawl ❑W�a�out ❑ Other l Basement Finished Area(sq.ft.) 60 Basement Unfinished Area (sq.ft) t Number of Baths: Full: existing � new Half: existing new �- t"Number;of Bedrooms: existing new del ' [4� Total Room Count (not including baths): existing new first Floor Room Count Heat Type and Fuel: ''Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes U'No Fireplaces: Existing New Existing wood/0o :©`al stove Ye�❑ No Detached garage: �xisting ❑ new size—Pool: ❑ existing ❑ new size Barn: ❑e- ting ❑`iew gize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ fN) Commercial ❑Yes ❑ No If yes, site plan review# r n Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name l Telephone Number Address �® ` License# J� L_5V Home Improvement Contractor# / ,!� ly Worker's Compensation # ALL CONSTRUCTION DEBRIS R SULT NG FROM T S PROJECT WILL BE TAKEN TO SIGNATURE DATE to l FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: N FOUNDATION a tl z2A 1% FRAME 280 Fi., l4"44` INSULATION 3 1f113 r j FIREPLACE '` •` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING Gli3lt3 ' jJ? DATE CLOSED OUT ASSOCIATION PLAN NO. f F arnstable T6wTr of . - Regulatory E6rvzces " p +• '' � ` 'I'hemas F. Geiler,Director Building Division nomas F.erryr-CB0,•BrnTding coipmi mona 260 Main MA 0-260 I t�. zsfn.barnstablatoa-us Officcc .508=862-4038 Paz: 508-790-6 3D' Q� vK Ma /Parcel: D Wnei- P �rfl ,� �.s J�D, CT B uilder- FG k Project Address 0 _ � , The faIIawing items were noted-on revzeyFzng: W "DO t�J ONI`�� �nr�rnr��ATc i+ / ,�[o SAY T Rrnu N l sce rl0 EZ/�tc 5 Noy' a 2 � � �c ass�� • D. fH2fl5R GcJ�tLs 2�. � S�lou•c.,D AE r f F�,B ,� S'.ndtcE- �• : Cp �L�iz�,. Loclp-z�•nit13 � �<� �t�v�®i Resew-ed by: i , Date: 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 Ple e Print Le "bl 'Name(Business/Or, niza6on/IndMdual): i r JV .Address: � l� � �G • City/ ate/Zip: � Phone#: � . Are y u an employer?Check the appropriate box: F ype of project(required); 1. I am a employer with 4. [] I am a general contractor and I employees(full and/or part-time),* have hired the sub-contractors . 0 New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet.' 7. ❑Remodeling ship and have no employees These sub-contractors have g, Demolition working for me in any capacity. employees and have workers' coin insurance.$ 9..[]Building addition [No workers' comp.insurance P• required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions' 3.❑ I am a homeowner doingall work officers have exercised their 0 g pairs or additions 11. Plumbing re myself. [No workers' comp. right of exemption per MGL 12.[:1 Roof repairs insurance required.]t. c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information• t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information t rs Insurance Company Name: 00(A#Al Policy#or Self-ins.Lic.#: P l -7 Expiration Date: Job Site Address: + r � City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up.to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify and Wan es of perjury that the information provided above is true and correct Signature: Date: Phone#: �;;�'�-i�I_�e-�'�-1;�—..�-r'ts�i�r':-�t�i7<-�F•i�a:2iZ�t`e�2 CTrnpt'rPt�l�'a}-c�ty or lawn offzciaC City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector. 5.PIumbing Inspector 6. Other Contgct Person- Phone#: 7/ 40 ASSESSORS LOT 54-1T i 6' ems, , y. FOUND,gTlO •o. , ASSESSORS LOT 54-18 04 44,010.f S.F. cPs �4 rr , r 1 , ASSESSORS LOT 54-19 �� \ 0• � 4V t. ; 0 ' w $ 0'' STAIRS Y FLOOD ZONE . "C" FO UNDA TION CERTIFICATION RES ZONE "RF" 7iUWN.• COTUIT SCALE 1"=50' PL REF` 123-131 ELEV- N/A SETBACKS: 30'-15'-15' I CERTIFY THAT THE .XXAAd YANKEE LAND SURVEYORS "FOUNDATION" IS SHOWNss�'®� ON THE PLAN AS IT EXISTS & CONSULTANTS QUND. � P.O. BOX 265 ON THE GR _ _ STEPHEN UNIT 4 40 INDUSTRY ROAD DOYU LE ® MARSTONS MILLS, MA 02648 3755 TEL• 508-428-0055 FAX 508-420-5553 o STEPHEN J DOYLE,, F L.S. ® DATE.• 08-16-06 NUMBER 54004FND 5 7/ D&b AS74 ,2a1 C'o XeJ `7L- 4' ASSESSORS LOT 54-17 6' - , 5 UND,4 o. ASSESSORS LOT 54-18 0� 44,0101 S.F. 4 cP� •o. r r I � i ASSESSORS LOT 54-19 F cP o�i. 0�,.4 6; ,Q 0 m� STAIRS O� i FLOOD ZONE "C" FOUNDATION CERTIFICATION RES ZONE.• "RF" TOWN. COTUIT SCALE 1`—50' PL REP 123-131 ELEV.• N/A SETBACKS- 30'-15'-15' AAA I CERTIFY THAT THE ,���°�®,OF MA ® YANKEE LAND SURVEYORS "FOUNDATION" IS SHOWN �� c ®0 & CONSULTANTS ON THE PLAN AS IT EXISTS ® ' � �'�oT AF0 hGF ON THE GROUND. 1EQN`" N P.0. BOX 265 UNIT 1, 40 INDUSTRY ROAD ao;! MARSTONS MILLS, MA 02648 TEL• 508-428-0055 FAX 508-420-5553 JOB STEPHEN J. DO YLE,, P.L S. DA TE.• 08-16—06 NUMBER l 4004FND BENCH MARK = TREES LOCUS MAP C.B. TOP OF CB 39.5 (FND) \ S 40— / A l ASSESSORS y LOT 54-18 r o T 44,010E S.F e� d pp5 TER 42 LOCUS c.a tiZ gFF ASSESSORS o (FND) Oy , . sHED LOT 54-17 I ' TO BE UTILITY `\ � ` REMO VED NEW ATEhi�`�y` , POLEj SH F r � � •. G,0 42 i`c%Y�+ W /��'1y c� 42 COTUIT q' 3lll' \ \�, �6-1 1 HARBOR `� o' goo. 4� •Q _ . , �� COTUIT Q�P -tr `� PLAN REF 123-131 GARAGEED \' � �' �� ASSESSOR'S MAP. 54=�18 6 2 BEDS' 0P ZONING. RF , j 40 ti �W�1 '`� �0 �' SETBACKS- 30 —15 —15 ° p FLOOD ZONE.• "C" �� q PANEL NUMBER.- 250001 0018 D �— 38 co ROP. r. DATED. 07—02-92 ' N 100 0• O VERLA Y DIST "AP" ' POLE �`. �� �.� �`�� 40 % n �, ' 38 LOCUS SITE PLAN OF LAND � TRIs'E BENCH MARK tip, 3s J \�` % TOP OF CB 39' LOCATED A7` n- moo- `.?� ASPHALT; o o 571 OLD POST ROAD . DRIVE > �° �C.FVD) CO TUIT MA. / , ASSESSORS ell `N � ",. I , N, AIAPLE �` }� 40' Jam' ' TREE ; PREPARED FOR. J ; LOT 54-19 CHRISTOPHER & BARRI BLA UVELT NOTES. , %� �,� o FEBRUARY 11, 2006 1) NEW WATERLINE TO MAIN HOUSE 2) NEW WATERLINE TO GARAGE ��. .�f6'� � �'�� SCALE.- 1"-40' 3) NEW .ELECT. LINE TO MAIN HO USE iV c� � W i Oq REV MARCH 9, 2006 4 RAISE PLUMBING EXISTING HOUSE 4 / 36 tip` lb' D ��w REV- APRIL 21, 2006 4 ` w� REV MAY 22, 2006 VARIANCES 4 `t, r q TOWN OF BARNSTABLE �� �w STAIRS YANKEE LAND SURVEYORS SEPTIC TANK LESS THAN 100' �G�4 00 / & CONSULTANTS TO TOP OF COASTAL BANK �ti 4 / A 30' VARIANCE REQUESTED `� % P.O. BOX 265 w�4� O UNIT 1, 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 STATE—SAS GREATER THAN 3' BELOW GRADE / TEL• 508-428-0055 FAX 508-420-5553 SHEET 1 OF 4 JOB ! 54004Z JF h .. O MM SN�O O Jo 6g AS/LOT 54-17. 35U Feet ak 442 qRq,,,,;;;, s , LOCUS MAP` ��. GE;;;;; PLAN REF: 123-131 —F2 w�APT ; DEED REF: 12721-204 s 96 AS MAP: 54-18 i ZONING: RF ASSESSOR'S j SETBACKS: 30'-15'-15' MAP 54 LOT 18 FLOOD ZONES: C, V11 (EL. 9) 2nd STORY PANEL NUMBER: 250001 0018 D DECK 44,018± S.F. t DATED: 07/02/1992 1 .0 ACRES ', OVERLAY DISTRICTS: AP, RPOD, ti MASS ESTUARIES `S�• 150' BUFFER FROM TOP OF COASTAL BANK PLOT PLAN OF LAND AS/L'OT 54-19 ssA _ pP LOCATED AT: o,. -_t�t2t_o_K-�" tzov�t�-2/�_4/,2 � 571 OLD POST ROAD ►s►XAA kA�, _nA-12.011j 5 ► r .uc; of • ���� �<. c ,o C O TU I T, MA O.Oft TOP OF COASTAL BANK J Y.Kv155n rl AN _ 571;,, ,' PREPARED , FOR. 4 6�. ARCHITECTURAL INNOVATIONS �� ( 60.8ft S E P T 21 2011 ►♦.v®a DECK � GRAPHIC SCALE �� �ti 3 5� REV: 40 0 20 40 80 ' WALKOUT �� REV: BULKHEAD +! 2 4 0 REV: / �� 1 inch = 40 ft. 100' BUFFER FROM BVW 3 YANKEE LAND SURVEY CO� �� O , INC. C O T U I T 119 ROUTE 149 2 BAY MARSTONS MILLS, MA TEL:—(508)428-0055 FAX: (508)420-5553 NOTE: WETLAND RESOURCES DELINEATED E,BY WET TECH LAND DESIGN,, INC. yankeesurveyC�?comcost.net www.yankeesurvey.com +r' ,' �' BVW 1 SHEET 1 OF 1 JOB#: 54577 SH BENCH MARK LOCUS MAP C.B. TOP OF CB 39.5 (FND) ' ASSESSORS o n0 ; LOT 54-18 r o 'S OcHTT 42 LOCUS 0LQ p�s� c.B. 4FF ASSESSORS G � ` SHED LOT 54-17 O " TO BE UTILITY / NEW WATER fZ.`�'y. REMOVED POLE i SH FF 9An `. 1�/ y0 42 o G���.\ W 441 42 0• ; a,vN �, COTUIT is \�q1�� HARBOR �` -, W rr �� COTUIT o/ W �TP 1� TP 2 sr `�\� \ 0 PLAN REF 123-131 w� GARAGE/ W ASSESSOR'S MAP- 54-18 / 40 ti�� APT. ,� ; O� ZONING.• "RF" , W SETBACKS.• 30 -15 -15 FLOOD ZONE: "C" W q PANEL NUMBER: 250001 0018 D � 38 �CO DA TED: 07-02-92 UTILI ti L 'z; • O VERLA Y DIST "AP" lop 0 40 9�r n 38 REE SITE PLAN OF LAND BENCH MARK 's� �.z, a �% ! �` TOP OF CB 39' LOCATED AT.- ��� ees,q,, . Q ASPHAL1' " 571 OLD POST ROAD r� a�P�tHOF�,�4ss �� $ �' �� a DRIVE '� `� ��' ti . C.B. �STegFo9�yG��. � � ` `� `\ `, `� -(FND) COTUIT, MA. V o STEPHEN V \`� ��J ` & L �ly� . , i MAPLE °OY� N w ASSESSORS 40 TREE \ PREPARED FOR: LOT 54-19 ' CHRISTOPHER & BARRI BLA UVELT NO TES: FEBRUARY- 11, 2006 1) NEW WATERLINE TO MAIN HOUSE , 2) NEW WATERLINE TO GARAGE ti 6'�; Q SCALE: 1 40' 3) NEW ELECT. LINE TO MAIN HOUSE '—i VOA c��` i� �?;�04 - REV MARCH 9, 2006 4) RAISE PL UMBINC EXISTING HOUSE �w4 / 36 q ti�`� �;�Vw REV APRIL 21, 2006 O OF VARIANCES o�� q�ti�w4 \ g REV TOWN OF BARN STABLE o w S �� o STAIR YANKEE' LAND SURVEYORS �;Uc �� SEPTIC TANK LESS THAN 100 c 4. ��. i = G.,• w' TO TOP OF COASTAL BANK � Qw `�` / c�C' CONSULTANTS 1U. MUr.PHY v, j No. 749 A 30' VARIANCE REQUESTED � ��w� i � P.O. BOX 265 UNIT 1, 40 5'`ti►STE r� 4 O ROAD MARSTONS MILLS,SMAY 02648 �`4y„ i TM 508-428-0055 FAX 508-420-5553 STATE-SAS GREATER THAN 3 BELOW GRADE / SHEET 1 OF 4 JOB #• 54004Z JF f EL. = 43.25 7OP OF FOUNDATION 20' MIN. ' 10' MIN. METAL COVERS 719 GRADE 4" SCHEDULE 40 P. V.C. WENT TOP OF SLAB: / MIN. PnrH 1/8 PER FT `L�ZF METAL COVERS 42 ORADE WASHED S719NE 4" CAST IRON PIPE I (OR EQUAL MINIMUM PITCH 1/4 PER FT RISER W CLEAN FLOW LINE EL=36.45 F SAND INVERT 15 110" 7, _ 40.1 MI^' 14" `2�'' o o O O O O O O O °° EL.—____-- AS INVERT LEVEL o ° /NVERT BAFFLE EL. 39.25 INVERT 6" SUMP INVERT, o °° o 0 0 0 o a o o ° o oO L = 33, 70 EL.=-9.5 EL.= 3-8_75 EL.=38-58 4' 4' INVERT _ 1500 __GALLONS DISTRIBUTION EL.=2-5_7Q Box H2o PROPOSED SEPTIC TANK H2O 719 BE WATER TESTED -25' X 12.8' TRENCH FORMATION Nt O IF MORE THAN ONE OUTLET PLACE ON 6" STONE h 3/4" 7V 1-1/2" SOIL ABSORPTION PROFILE OF DOUBLE WASHED STONE SYSTEM (SAS) H,20 SEWAGE DISPOSAL SYSTEM NO OBSERVED WATER TABLE (11/18/05) ELEV.=_30.21 NOT TO SCALE TOP. OF SEA WALL ELEV.= 6.D' * EXCA VATE 5' BELOW S.A.S. TO VERIFY MEDIUM SAND OBSER VA TION HOLE 2 ELEV.=-40. 71 OBSER VA TION HOLE I ELEV.= 41.26 PERCOLATION RA TE < 2 MIN./ INCH AT 39"__ INCHES GARA GEIA PP T DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR M07T. OTHER � 0'-8" A SAND LOAMY IOYR 3-2 O'-8" A SAND LOAMY IOYR 3-2 t SEPTIC 8"-38" B LOAMY SAND IOYR 5-6 6 38" B LOAMY SAND IOYR 5-6 38"-10' C MED TO FINE 2.5YR 6—4 38"—l0's C MED TO FINE 2.5YR 6—4 PERC SAND SAND GENERAL NOTES NO WATER NO WATER 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. P # = 11176 SOIL TEST TITLE 5 AND THE TOWN OF _BARNSL Bl.E____ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) TWO COVERS ON SEPTIC TANK SHALL BE BROUCHT TO DATE OF SOIL TEST 11118105WITHIN 6" OF FINISHED GRADE SOIL TEST DONE BY STEPHEN J. DOYLE, S.E. 3) ALL COMPONENTS F THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY: DONALD DESMARAIS R.S. DESIGN CALCULA TIONS.- WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE NUMBER OF BEDROOMS . GARAGE/APPT. (DESIGN z) USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. (DESIGN 5) NUMBER OF BEDROOMS . HO.USE .4. 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . . . . . . . . . NO BE MORTERED IN PLACE. TOTAL ESTIMATED FLOW 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH INSTALL SIX (6) ACME t120 ( 110__CAL/BR./DAY x _ 7 _ BR.) 770 GAL/DA Y DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 500 GALLON LEACHING.;CHAMBERS t-0 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. WITH FOUR FEET.OF DOUBLE PROPOSED SEPTIC TANK CAPACITY 1500 CAL r�S) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR WASHED STONE SIDES AND ENDS IS TO CALL "DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 25' X 12.8' SOIL CLASSIFICATION . . . . . . . . 1 . PRIOR TO COMMENCINC WORK ON SITE. DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . • 74 GAL/DA Y/S.F. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY (AREA X RATE) 770 GAL/DA Y 8) PARCEL IS IN FLOOD ZONE—__'C" _. 9) LOT IS SHOWN ON ASSESSORS MAP _54_ AS PARCEL _1B___. RESERVE LEACHING CAPACITY . 770 GAL/DAY NOTIFY YANKEE 24 HOURS (59 X 12.8 X . 74)+(59 + 59 +12.8+12.8 X . 74 X 2) PRIOR TO SEPTIC INSPECTION SHEET 4 OF 4 JOB NUMBER _ 54004 EL. = 40.15 MP OF FOUNDATION 20' MIN. 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. V.C. ' VENT MIN. P17rH 1/8 PER FT. 2"LAYER OF META FRAME METAL FRAME WASHED S71ONE 6,�Ax " ' . . / / CO VER TO CRAD 42 0' & COVER TO GRADE 4" CAST IRON PIPE POtRlL^H 4 MINIMUM CLE RISER � A NEW PLUMBING FLOW LINE EL=36.45 SAND INVERT 1 10" 38. 0 _ MIN. �� INVERT LEVL , °o° INVERT eAFF EL.= 37.50 INVERT 6" SUMP INVERT, o °o c 0 0 0 0 ° ° ; = 33. 70 EL._ 75 EL = 3_6_00 EL.=35_83 4' 4' INVERT 1500 __GALLONS DISTRIBUTION EL.=35_70 -- - BOX H2O PROPOSED SEPTIC TANK H-20 To BE WATER TESTED -59' X 12.8' TRENCH FORMATION d Q IF MORE THAN ONE OUTLET 'lei PLACE ON 6" STONE r SOIL PROFILE OF DOUBLE WASHED/STONE SYSTEMABSORPTION(SAS) H,20 SEWAGE DISPOSAL SYSTEM NO OBSERVED WATER TABLE (11/18/05) ELEV.=_30-- NOT TO SCALE TOP OF SEA WALL ELEV.= 6.0' * EXCA VATE 5' BELOW S.A.S. TO VERIFY MEDIUM SAND HO USE SEPTIC OBSER VA TION HOLE 2 ELEV.=_40_. 71 OBSERVATION HOLE 1 ELEV.=_41_26 PERCOLATION RATE _2_ MIN./ INCH AT 39 INCHES DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0'-8" A SAND LOAMY IOYR 3-2 0'-8" A SAND LOAMY IOYR 3-2 8"-38" B LOAMY SAND IOYR 5-6 8"-38" B LOAMY SAND IOYR 5-6 38"-10' C MED TO FINE 2 5 YR 6-4 3e"-10's C MED TO FINE 2.5 YR 6-4 PERC SAND SAND GENERAL NOTES NO WATER NO WATER 1) ALL WORKMANSHIP AND MA TERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF _BARN�'TAB1.E____ RULES AND P # = 11176 , SOIL TEST REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) TWO COVERS ON SEPTIC TANK SHALL BE BROUGHT TO DATE OF SOIL TEST 11118105 SOIL TEST DONE BY STEPHEN J. DOYLE, S.E. WITHIN 6" OF FINISHED GRADE. WITNESSED BY: DONALD DESMARAIS RS. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF DESIGN CALCULA TIONS: WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE INSTALL SIX.(6) ACME F;20 NUMBER OF BEDROOMS . GARAGE/APPT. (DESIGN 2) r USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. 500 GALLON LEACHING CHAMBERS NUMBER OF BEDROOMS . HOUSE .4. (DESIGN 5) 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL WITH FOUR FEET OF DOUBLE GARBAGE DISPOSAL . . . . . . . . . NO BE MORTERED IN PLACE. WASHED STONE SIDES AND ENDS TOTAL ESTIMATED FLOW 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 59, X 12.8, 770 GALIDA Y DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO ( _1_12__GAL/BR./DAY x _2 _ BR.) OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. PROPOSED SEPTIC TANK CAPACITY 1500 GAL 0,6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS SOIL CLASSIFICATION . . . . . . . . I S. PRIOR TO COMMENCING WORK ON SITE. DESIGN PERCOLATION RATE . . . . . < 2 MIN.IIN. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . • 74 GAL/DAY/S.F SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. NOTIFY YANKEE 24 HOURS LEACHING CAPACITY (AREA X RATE) 770 CALIDAY 8) PARCEL IS IN FLOOD ZONE___C" _. PRIOR TO SEPTIC INSPECTION RESERVE LEACHING CAPACITY . . . 770 GAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP _54_ AS PARCEL _18___. (59 X 12.8 X . 74)+(59 + 59 +12.8f12.8 X . 74 X 2) SHEET 3 OF 4 JOB NUMBER _ 54004Z _____ i TSteel Panel Pool Depths races . . 11.rleaian Aspen Rectan fe 12x24 900 6"R 2'R Sizes Available: Sizes Available: Auburn Lake g ( ► r ) 314" 6' 13 • 10•x 24' •12'x 24' Sizes Available. Rectangle 14x28 (90°, 6"R, 2'R) 314" 8' I .14'x 32' •76'x 33'6" '17'6"x 36'6" •16'x 35'6' •18'x 40'6" •18'6"x 38'6" Rectangle 16x32 (900, 6"R, 2'R) 314" 8' II • 18'x 40' •20'x 43'6" •21'x 42' ADJUSTABLE TURNBUCKLE BRACE . Fill Rectangle 18x36 (900, 6"P,, 2'R) 314" 8' II IIIIi� Z' Rectangle 20x4O (900, 6"R, 2'R) 3'4" 8' II �, l Rectangle 22x44 (900, 6"R, 2'R) 3'4" 8' II STi'L POOL PANEL -k • Artesian 10x24 3'4" 8' 0 Ask TURNBUCKLE . Artesian 14x32 3'4" 8' I I-PIECE • 3'4" 8' IT ANCLEGRACE Artesian 16x35-6 coNCRere Artesian 18x40 374" 8' II t FOOTER Aspen 12x24 3'4" 8' I z 5E. / Aspen 16x33-6 3'4" �DMDMAN '" BASE Baja Figure B Grecian PLATE " Aspen 18x40-6 Sixes Available: sizesAvailabla: sizes Available: "; ^� � ; _. p 34 BF II • 16'x 30'6" •12'x 24'6" •14'x 28' a 20'6"x 40' •w.4s M,n rd, Aspen 20x43-6 3'4" 8' II •T 8'x 36' � •t li'x 30' •16'6"x 32'6" .73'x 44' — 20'x 40' '18'x 33'6" •16'6"x 36'6" Auburn Lake 17x36-6 3'4" 8? II mee Auburn Lake 18-6x38-6 '2n x 3s � s 3�4•� 81 II STAKE Auburn Lake 21x42 3'4" 8' II - �I`�``� Baja 16x30-6 314„ 8' jI Baja 18x38 3'4" 8' II GENERAL NOTES: Baja 20x4O 3'4" 8' II Figure 8 12x24-5 Humpback Kidney '1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN ACCORDANCE WITH LOCAL AND Grecian Lazy-L Grecian True L Sizes Available: STATE REQUIREMENTS. Figure 8 16x3Q 3'4" 13' II Sizes Available: Sizes Available- • 12'x 25' 2} THIS PLAN DOES NOT INCLUDE PpgI LQCATiON ON PROPERTY.GRADING,FENCING,WALLS OR OTHER SITE + n •16•x 32,6" INFORMATION. Figure 8 18x33`6 3 4 81 •16'6"x 33'6" •lfi'6"x 44'x 24' .18'x 37' 3) ALL CONSTRUCTION SHALL Bt 0014E IN ACCoh6 C:E=WITH ALL LOCAL AND STATE REGULATIONS. Figure $ 2-006 3'4" 8' II • 18'6"x 41'6" •18'6"x 44'x 27' .20'x 41' 4) .;CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA, .�•' • 19'6"x 43' •20'6"x 45'x 31' Grecian 14x28 3A" 7' 0 ,{ cQDE COMPLIANCE: Grecian 16-6x32-6 3'4" 8' II WHEN INSTALLED IN ACCORDANCE WITH THE BAYSIDE POOL SUPPLIES INSTALLATION PROCEDURES,THESE POOLS , „ WILL COMPLY WIT1.4 APPLICABLE REQUIREMENTS OF THE FOLLLOWING CODES: Grecian 18-6X36-6 3 4 $ II �rnn, r - ' A. coNiVcTlcu7 Grecian 20-6x40 3'4" 8' II Grecian 23x44 3'4" 8' II —`�- '--�---'� 2018 STATE BUILDnaG CODE+ Grecian Lazy-L 16-6x33-6 314" 6' 0 �nirr, IN GROUND"OOLS WITH DRAINS ARE TO BE EQUIPPED Wi'TH AN Grecian Lazy-L 18-6x41-6 3'4" 8' II ATMOSHERiC VACUUM RELIEF SYSTEM. OreC(c`irl Lazy-L 19-'6X4� 3'y" Ej' jjt.up ®• p Size ftaoi — Lazy-L T�f Sizes Available: Oval T Grecian True-L 16-6x44x24 3'4" 8' II Sizes Available: B. MASSACHUSETTS Sires Available: •10'x 40'(90',S-R,2R) •12 x 36 ,18'x 2e Grecian True-L 18-6x44x27 3'4" 8' II •14'x 36'6"fgD'R.2'R) •16'x 40'(2'R) COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE "' • 16'x 40'6"(9D",6Ti,2'R) •18'x 43'RR) •15'x 30' •18'x 38' (9 E 17.) ,x ,x •1s•x 32' .20'x 40' 7ILo CMTt a2o.o swIMMI1VRJc POOLS Grecian True-L 20-6x45x31 3'4" 8' II '� •16 43 6"L9o'.6 R! •20 a7 s"(z'R> Humpback Kidney 12x26 4 8 I •17'x 3q'6" •22'x 36'6" APPENDIX l20.M 3' ++ r C. NEW YORK Humpback Kidney 16x32-6 3'4" 8' II INTERNATIONAL RESIDENT'IALCO.DE -2015 Humpback Kidney 18x37 3'4" 8' II D. NEW JERSEY Humpback Kidney 20x41 3'4" 8' II INTERNATIONAL RESIDE'NTIALCODE, -2015NJE& Lap POOL 10x40 901, 6"R, 2'R 314" 4'6" I? INTERNATIONAL SWIMMING POOL&:SPA CODE -2015 E. ELECTRICAL,�@PLUMBING - Lazy-L 14x36 90°, 6"R) 314' 8' II Lazy-L 14x36 (2'R) 3'4" " 0 / _ I THE CONST RUC`NON;AND INSTALLATION OF ELECTRIC WIRING,GROUNDiNG Lazy-L 16x40 {2'R) 3'4" 7' 0 AND BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO THE ( — CURRF.NTADOPrEDNA1TONAI.ELECTRIC'C:ODEREQUIREMENTS, Lazy!-L 16x40-6 (90°, 6"R) 3'4" 8' II Rectangle Single noman End Double R9nlen'Entl ALL PLUMBING MUST COMPLY WiTH THE CURRENT ADOPTED STATE CODE , Sizes Available: Lazy-L 18x43 (2'R) 31411 8 II Sizes Available: sizes Available* -12'x 24'(61¢,zn) •18'x 36'(6'R,2'R) • 16'x 32'(5-R,TRI •16'x 32'(FR,TRI INSTALLATION PROCEDURE: Lazy-L 18x43-6 (901, 6"R) 3'4" 8' II � •14'x 28'(6'R.2'R) •20'x 40'(9'R.2'R) . 1B'x 15'6'(2-R) •18'x-36'(6'R:2'R) + 1, INSTALLATION iS TO BC DONE IN ACCORDANCE WITH ALL FEDERAL..STATE AND LOCAL BUILDING CODES A5 Lazy-L 20x47-6 (2 R) 31411 8 II '16'x 32'Is'R.2'R) '22'x A4'I6'R.2'R) • 1B'x 36'6"(s'R) '2U'x 40'(GR:2'R) � � MMING •20'x 40'(sR) 2:, POOL.MAYBE INSTALLED WITHOUT A SOIL INVESTIGATION V:- REGISTERED DESIGN I Lazy-L 20x48 (9Q° 6"R) 3'4" 8' II an •20'x 40'6"12'RI SUBJECT TO THE BUILDING OFFiCIAL ACCEPTANCE,PROVIbED NONE OF TFiE FOLLOWING CONDITIONS ARE Oval 12x36 3'4" 8' I ENCOUNTERED AT THE SITE: a) THE EXISTENCE OF UNCONTROLLED GROUNDWATER WITHIN THE DEPTH OF THE EXCAVATION. Oval 15x30 3'4" 7' 0 1�.i b) THE EXISTENCE OF SOILS CONTAINING PEAT,HUMUS SOIL-bR HIGI iLY EXPANSIVE SOILS OR , , SOILS THAT WOULD NOT HAVE A MINIMUM.BEARING CAPACITY OF 1,500 PSF. Oval 16x32. 3 4 8 II � N � James A. Marx Jr. c DANGER TOADJACENT STRUCTURES POSED BY THE PROPOSED POOL_ � n I �L.DhvG 1).Fn- d) THE EXISTENCE OF ANY SOILTYPES WITIi AN ANGLE OFAEPOSE IHAT WILL NOT SUPPORT Ovai 17x34-6 3 4 8 II Professional engineer Q ru WALLS OF THE EXCAVATION PT DESIRED SLOPES. OVBI 18x28 I 3'4" 7' 0 ® > � U. 'i 0 High Mountain Road EB 2 12020 iF ANY OF THE COPIDiTIONS ABOVE IS.ENCOUNTERED,THE EXCAVATION,MUST CEASE IMMEDIATELY,THE Oval 18x36 3'4" 8' II � Q o • Ringwood, NJ 07456 2U SPECIFIED CONDITIONS ATTHE SITE MUST THEN BE REV.lEWED AND RECOMMENDATIONS MADE BY A i �: IQIn� PROFESSIONAL ENGINEER. OVaI 20x40 I 31411 8 II U CO N3 Professional Engineer License#GE 25179 vVV N " 3. THE POOL EXCAVATION PfIOFILI=SHALL COINCIDE WIT-H'THE CONTOURS OF THE OF THE POOL DIFFERENT � 1 g F 8A 1 Oval 22x36-6 3 4 8 II ,� •p N R1VS Tq RI r EXCAVATION AND DEWATERING-METHODS AND PRECAUTIONS MAYBE DICTATED BY VARIOUS GROUND; . . _ 00 CT Professional Engineer License # 17349 True-L CONDITIONS AND PHIS IS To SE DETERMINED BY AND IS THE RESPONSIBILITY OF THE CONTRACTOR.' Roman Double 16x32 (90°, 6' P 2'R) 3'4" 8' II 3 ,� MA Professional Engineer License # 36365 Sizes Available: 4. THE BACKFILL 170134HE,POOL BOTTOM IS A LAYER Or 3'THICK BEDDiNG::5AND MATCHING THE POOL. V, 4' SCANNED _'11c'x 38'x 24'(6 R;2R1 PROFILE.THE;SANb;LAYER IS COMPACTED USING MANUALTAMPiNG,THE WALLS ARE BACKFILLED WITH Raman Double 18x36 (901. 6' R, 2'R) 314" $` II m E � NY Professional Engineer License # 56467 CLEAN EARTH,FREE OF ROOTS AND DEBRIS,INSTALLED IN LAYERS NOT EXCEEDING 9'.EACH BACKFILL l >1 0 0 •20'x 38'x 26'(6-R:xR) Raman Double 20x40 90°,.6'R, 2'R 3'4" $' II "o •20'x 44'x 30'iB R.2'R1 LAYER SHALL BE CAREFULLY TAMPED TO ELIMINATE VOIDS SiAIIVLTANE0115 WATERFIL.L AND BACKFILL;b0 ( ) � fr) O � FFP 7 h 2070 NOT ALLOW THE WEIGHT OF BACKFILL TO EXCEED THE HEIGHT OF THE WATER BY MORE:THAN6-NOR THE Roman Single 16x32 (9Q°l 6"Z, 2'R) 3`4'" 8' jI rn � WATER TO EXCEED THE BACKFILL BY MORE THAN 6'. D .r a wing Oi-.N 5. POUR A 2 FEET WIDE CONCRETE 2500 PSI FOOTING AROUND THE ENTIRE PERIMETER,MINIMUM B"DEEP. . Roman Single 18x35-6 (2'R) 3'4" 8' II \����N 1SSyc 6. DECKS OR FINISHED GRADE SHALL SLOPE AWAY FROM THE POOL AT A MINIMUM SLOPE OF 118"PER FOOT. ° „ , UNWA& �t y 7. CONCRETE DECKS ARE TO BE CONSTRUCTED OF.2,600MINIMUM. STRENGTH CONCRETE. Roman Single 18x36-6 (900, 6 R) 31411 8 II Gn\P- ADDITIONAL NOTE cpMPONENT Nor�q; Roman Single 20x4O (9U', 6"R) 3'4" 8` II AM[SA.MARX,JR. ' Roman Single 20x4-0-6 (2'R) 3 4 8� 1P PCIOL 1S FURNISHED WITH I DRAINS OR SIJEiMERGI:D SUCTION " II NMI I40.36365 OLI TLETS,THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER 1. GAUGE STEEL IS FORMED FROM N ATERiAL COMFORMING TO ASTM A-529 OR EQUIVALEi4T WITH A __. � p t� POOL AND SAFETY AC 1.9 REQUIRED: GALVANIZED COATING G-235. True-1- 16x38x24 (90°, 6"R, 2'R) 3`4" 8' II '\'Pn 01STF�� DRAIN COVERS ASME A112.19.9 2907 AT 3'-0-MIN APART 2. ALL STEEL ANGLES(PANEL STIFFENERS AT FRAME SPACES)ARE TO 13E GALVANIZED STEEL. ° „ �\ G, 3. ALL BOLTS,THREADED COMPONENTS AND WASHERS ARE FROM MATERIAL CONFORMING TO ASTM A-397 True-L 18x38x26 (900, 6 R, 2 R) 3 4 131 II S10MAU ... AND AND ZINCPL.ATEL. True-L 20x44x30 (90°, 6"R, 2'R) 3'4" 1�9 ENTRAPMENT AVOIDANCE MUST BE INSTALLED MA PROFESSIONAL `NGMEER LIt;. 3631�65 Cotuit, MA Zoning o o \ Map 54 Zoned: RF o Parcel 17 Area: 43,560 SF �c o Frontage: 150' 4 o- a Setbacks: o Ro d o a� / I, Front: 30' a Otd P0_ LOCUS �-- s it Side: 154k, �� �;o�� ��, Rear: 15' c -� 1-001, Q -z oY \ \ c R0 J Or .\, �:o \ L Cotuit Bay Q / slut ou w TV/c.BE \�\ m N/F Molyneaux Lot Area w „/CAw \ �\ 4sio• Deed Book 27001 44,000± Sq. Ft. �\ \\ S�F Page 82 Locus Map / Vol _ W \ \ `y00. AKE \\ \ 0.O' w s96 Notes: � Grovel D/W moo, 1.) Assessor's Map 54 Parcel 18 \\yw \\ 2.) Deed Book 12721 Page 204 Como9 e House ST \` \\ 3.) Plan Book 123 Page 131 F2 4.) This property is located in the \ \ Of .\`� �\ <^��� \\ Resource Protection District. �— L>eck \ \ \ \ \ \ \ 5.) This property is partially located in the \\\ ao AE and VE Flood Zone Firm Map 25001 CO539J Mo 54 ' From Top Parcel 19 Proposed 3-2a" \\ � \\�\ w\\\ �� of Coastal Bank Dated 07/16/2014 ss P is 34' 0 � Proposed 'S� \ I O' \oos C.. ce�nce �,, I E ♦ Po P \ ♦ EXi5Tu C.F 01 50' From Top EL •O �\ I \.,. BU 0 BEfC .,y� oar 28' \ Ip�, of Coastal Bank REIOCATfD \. 10 J / ♦ \\ 38 O ` ♦ \ 8. 12" 14O Proposed Pod Gole f \\ `\w \\ \ o,1 I \ \ I (D21r 2" 010 Pofio i N/F ' o Top of Coastal Bank ,1\-\\ � To>ior and Pile E> t Tree Proposed Deed Book 10091 T�o� Site Plan Page 317 ' ST IV/CABLE House #571 r 20 f O r �_t O Proposed Pool O r , , 6' 20' ( 6 / Prepared For I Q 3 U Deck ) � � // /i .� < Christopher Blauvelt Nate: V- ,';%,���J ,' located at Existing trees and stumps p, ♦ , #4 571 Old Post Road #1 thru #7 to be removed 16 / ,-- �,_ / / , / /, / Proposed 6S' Silt Fence ,ts // ,� �i C O t u I t, IV1 /� Date: October 23, 2019 �� °T /' ,' /i' Scale: 1 " = 30' 100' From �� < (r,� SCANNED Edge of Water 1�A, r �'a` �� Cotuit Bay ,a\T� Prepared by: FEB 2 6 2020 All Cape Septic and Survey 618 Route 28 �,/�° West Yarmouth, MA 02673 N 0 BUILDING DFp? Zo ' ° (508) 771-4200 \� ? f hAss STEPHEN allcopesepticNmoil.com ti� JAN 3 1 ?�^n NOTE: B. LOCATION OF UTILITIES IS APPROXIMATE AND ALL � No.393 8 / GRAPHIC SCALE TOWN c UNDERGROUND AND OVERHEAD UTILITIES MUST BE DETERMINED IN THE FIELD PRIOR TO COMMENCEMENT 30 0 15 30 60 120 OF ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO, �tio�av REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES AND THE LOCAL WATER DEPARTMENT. ( IN FEET ) v /Zf 1 inch = 30 ft. DWG AC-203