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Home My WebLink About1071 OLD POST ROAD .� �� f 4 1 182 ," " ,J1.as eel MA 026G�r' 508•2,�-25a 1 �cf a ��lria' .srlai;li jerxea�iir tc��aiia.a'> =y 1+Y�la wvv.'.T.,Rhc)use,,,.n4t � riarRk irkpk�'�u+`��C��'+H+td'imar�p�5t869+k —— b. t , r p s s , JN( 'r, Ot�SE Ze e 1ai� lJ9tit 3 t ZYTX'h14TIF`�EkiIII"a16Tb r tf IV KO 691 4. o fll hl St 9 •a� . ��iE,• j� �fiarr"T r I t .• �ctau � t� is it k. lI a"L i �; PP3 �E` tQ¢'e14 ; t;OtUj , A + •"� , '�12":fix Mya{T`l'TC' �t�r'.IC��IIl:' • � ` � - � ' _. � + ..•`'` "aIItt, C M� , jm$ i0)ieciVodth�.;�ta'=uctut),� st��l k1,17e1 takpteatl f��z�lift sys-ulbas 6f tha3 I��e.I�+Yts :7nx 'Ho Yt'ao.l Ei 4 l�rE urns eltTriia. ;rt;'c; 1t151Gri14ioii and (bun{aulf:ih,e strtit�tu e is In C01,T.I)1Al the csa;Gg.itaa< ip[rs�l;a yl.ga draivi.s , s, (s prop idt,el by' Il' GFI:t31�iI?7dotO phis Wild iV. , ai!4 fur. Rbe4se,dig 31,Ut jli6 ljS wifl uj' Iur111e1'qllest7ot1� LARSJENSEN k t t,t'Ul r C.LIJa o STRUCTURAL No.50602 rs �k- a41=*r r { i r rnghouse,pc , P.O:Box 182 m ®��' Mashpee,MA 02649 .r�j� Phone; 508-221-2980 1 structural. design Frail: jensen@inghouse.net ingenuity Web; www.inghbuse.net INGHOUSE project ID: ING19047 October 2&,2020 x Jeff Carter Local Inspector Building Department Town of Barnstable 4 _'. 200 Main Street Hyannis, MA 09,601 RE: New Pool House_—Final Structural Review 1071 OLD POST ROAD;COTUIT,MA . � y Dear Mr. Carter: i INGHOUSE has reviewed the structural steel and wood framing systems of the project's new "Pool House" on multiple occasions during its construction, and found that the structure it in compliance with the original structural design drawings, as provided by INGHOUSE, dated 09/30/2019 for this building, and our specifications. Please do not hositate to contact us with any further questions: ' vjo OF 41�S ' Very truly yours; � � IARS JENSEN G o STRUCTURAL INGHOUSE " No,50602 y Lars Jensen,P.E., S.E. q f �0 '-GIST ? 2020 all inghouse,Pc . P.O.E4x 182 ` 0��' Mashpee,MA 02649 Phone: ' . 508- -2980 1 221 structural design Email: jensen@inghouse.net & ingenuity Web: www•inghouse.net INGHOUSE project ID: ING19047 October 201",2020 ' Jeff Carter Local Inspector Building Department f Town of Barnstable 200 Main Street , Hyannis,MA 02601 RE: New Pool House—Final Structural Review 1071 OLD POST ROAD,COTUIT,MA Dear Mr. Carter: INGHOUSE has reviewed the structural steel and wood'framing systems of the project's new "Pool House" on multiple occasions during its construction, and found that the structure is in compliance with the original structural design drawings, as provided by INGHOUSE, dated 09/30/2019 for this building, and our specifications. r Please do not hesitate to contact us with any further questions. . Very truly yours, �o LIARS JENSEN. � o STRUCTURAL '' INGHOUSE " No.5pg02 Lars Jensen,P.] ., S.E. A GIs 1 2020 Town of Barnstable _ Building ( tsrn�ii.e; Post=This Card So That it is`Uisible:Frorn,the StreetApproved Plans Must be,Retained on Job and;this�,Card Must be.Kept °f �s� `� Posfed:Until Final hspection Has`8een.Made h Permit �" �Where=a Certificate of Occupancy.is Required,such Building shall No#be Occupied until a Final Inspection has been made Permit No. B-20-587 Applicant Name: John Wardwell Approvals Date Issued: 03/17/2020 Current Use: Structure Permit Type: Building- Detached Accessory Structure Expiration Date: 09/17/2020 Foundation: Residential Ma Lot: 074-028 Zoning District: RF Sheathing: Location:' 1071 OLD POST ROAD(CT& MM),COTUIT affix Contractor Name::, JONATHAN B WARDWELL Framing: 1 Owner on Record: CURRIER, DIANE L TR = Contractor License CS-054989 2 Address: C/O JONATHAN GOLDSTEIN Est Project Cost: $75,000.00 Chimney: BOSTON, MA 02116 E Permit"Fee: $482.50 Description: Boat Storage Insulation: Fee Paid: $482.50 Project Review Req: Date- 3/17/2020 Final: Plumbing/Gas - j Rough Plumbing: In This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan . Final Plumbing: All work authorized by this permit shall conform to the approved application and ttie`approved construction documents;for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street:or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. P { The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thi' permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection ' 3.All Fireplaces must be inspected at the throat level before firest flue lining is,installed Rough:, 4.Wiring&Plumbing.Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough.: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building,plans are to be available on site t�. Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: . ��j Town of Barnstable Building �, 4 a Post This Card So That rt is Uisible�Fro"m:the S#reet Approved";Plans Nluctbe„Retained on lob and;this Card Must be;Kep#, •east � • sT" Posted Until-Final lnspect�on Has`Been,Made " .63 �W Permit Where a Certificate of Occupancy is Required,such Buiidmg shall Not be Occupied until Final Inspection has.been made Permit No. B-19-3793 Applicant Name: John Wardwell Approvals Date Issued: 12/26/2019 Current Use: Structure Permit Type: Building-Detached Accessory Structure- Expiration Date: 06/26/2020 Foundation U U Residential Map/Lot: 074-028 Zoning District: RF Sheathing: Location: 1071 OLD POST-ROAD(CT& MM),COTUIT . " Contractor Framing: 1 Owner on Record: CURRIER, DIANE LTR - ContractorLicensek 2 Address: C/O JONATHAN GOLDSTEIN . Est Project Cost: $250,000.00 t Chimney: BOSTON, MA 02116 " Permit Fee: $ 1,375.00 - Description: Construct"tree House" .Treehouse bunker underground storage& Fee Paid: $ 1,375.00 Insulation: retaining walls filed with separate permit.see attached letter Date 12/26/2019 Final Project Review Req: STRUCTURE NOT FOR SLEEPING. t ADDITIONAL PERMIT REQUIRED FOR SEPERATE 80AT � / Plumbing/Gas STORAGE STRUCTURE. ll Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months"after issuance. n n All work authorized by this permit shall conform to the approved applicatiod thel,approved construction'documents.foe which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall'be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. _ - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by`� a Building and Fire Officials are provided on this permit. v, Service: installed' Minimum of Five Call Inspections Required for All Construction Work: fib` 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining`is 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final' 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Department Building plans are to be available on site o Fire De P All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �r� ing house,Pc I P.O.Box'182 0155� Mashpee,MA 62649 �j Phone: 508-221-2980 ~ structural design Email: jensen@inghouse.net s ingenuity Web: www.inghouse.net inghouse project ID: ING19047 December 9t",2019 Jeff Carter Local Inspector Building Department JILD[NG DEPT. t Town of Barnstable 200 Main Street DEC 9 2019 Hyannis,MA 02601 + . RE: Permit/Application:TB-19-3793 at 1071 OLD POST ROAD,COTUIT,MA TOWN OF BARNSTABLE Dear Mr.Carter: We are providing this letter in response to your questions related to the above indicated building permit application. Your question#1: Clarification on the foundation notes section that states: "THE FOUNDATIONS HAVE NOT BEEN j DESIGNED FOR BUOYANCY UPLIFT, FLOODING OR HYDROSTATIC PRESSURES, THE BUILDING HAS NOT BEEN DESIGNED FOR A FLOOD HAZARD ZONE. This note(no.9 of the"Foundation Notes"section on sheet S-100)may be removed. Note no.7c in the "General Notes" section on sheet S-100`states the existing flood hazard zone designation correctly. Your question#2: R322.3.3 Foundations—buildings and structures erected in coastal high-hazard areas shall be supported on pilings or columns. Provide documentation that the boat bunker is an allowed construction method in a V-Zone. Please refer to the below quotes from the general MA State Building Code, with reference to ASCE 7, chapter 5, and FEMA-TB5. Furthermore, the included site plan shows the relation of the V-zone extent and the"bunker"location. INGHOUSE categorizes the "bunker" as an accessory structure, which has functional elements of "retaining walls"&"revetments". The cap slab is above the design flood elevation and provides access to the separate building on piles (the "Treehouse'), which is structurally independent from the accessory bunker structure The cap slab and overburden soils maintain approximately the site's natural grade elevation. It shall be noted that most of the"bunker's"footprint is outside of the V-zone(see enclosed site plan). INGHOUSE has considered the effects that wave action may have on the bunker retaining walls and the potential increase in wave loading on the pile foundations of the independent,adjacent pile building. It is our opinion, that the "bunker" does not pose a significant risk of damage to the adjacent pile building structure, and it is structurally designed to resist impact wave forces. It is estimated that the typical scour' depth would be less than the 4ft frost depth requirement for the retaining wall foundation system at this' location. INGHOUSE 12/09/2019 Page 1 of 3 IBC2019(as amended by MA): 1612.4 Design and Construction.The design and construction of buildings and structures located in flood hazard areas,including coastal high,hazard areas shall be in accordance with Chapter 5 of ASCE 7 and ASCE 24. Quote: FEMA-Technical Bulletin 5,p.2&3: "Construction elements outside the perimeter(footprint)of and not attached to a coastal building(such as bulkheads,swimming pools,and accessory structures)and site development practices(e.g.,the addition of fill) may alter the physical characteristics of,flooding or significantly increase wave or debris impact forces affecting nearby buildings. As part of the certification process for V zone buildings, the desim professional must consider the effects that these elements and practices will have on the building in question and on nearby buildings. Construction elements and practices that will increase flood-related loadings on the building (and that are not specifically prohibited.by the NFIP regulations) may be constructed if the impacted buildings are designed to withstand the additional flood and wave forces. Increased foundation element embedment depth, size, and number might be employed to compensate for increased flood forces. Such compensatory' design calculations must be made by the.registered design professional,who must provide a V-zone certification for the structure prior to construction." Quote: FEMA-Technical Bulletin 5,p.20: "While the NFIP does not prohibit bulkheads, seawalls, retaining walls,or revetments that are outside a buildings footprint and that are not attached to the building, communities and design professionals, must carefully consider the potentially significant effects of these structures." Your question#3: R322.3.4 Walls below designs flood elevation—provide documentation that the breakaway panels meet the resistance requirements and how the breakaway panels will not cause structural damage to the building above. The"breakaway"wall system is an enclosed wood stud wall with plywood sheathing system,which is attached to the steel frame structure above via. a 2x lumber nailer, e.g. via. powder actuated fasteners, or screws. The "breakaway" connection will be achieved via. the connection of typical wall studs at 16" o.c.to the 2x lumber nailer via.toe-nailed connections at top and bottom ends of the wall. Other, potentially load transferring'materials, e.g. sheathing will be installed witli a continuous joint at the break-away.connection. Wind Load Calculation: The highest components and cladding wind load (per ASCE7-10 method) on the break-away wall panels is approx.28.5 psf(corner zone 5).At 10ft wall height,the resulting lateral force per stud connection is: loft* 28.5 psf/2* (16/12)=190 lb. Flood Load Calculation: Note: For breakaway wall design only the dynamic force component , (wave impact) is considered,which results in a reaction force at the end of each stud at 16"o.c.of approx.1,153 lb. A toe-nail connection via. 0.148" dia. nails (10D common'nail) between 2X stud and 2X nailer has the design capacity of. approx. 133 lb/nail. (with a load duration factor Cd=1.6 for wind) and 166 lb/nail(with a load duration factor Cd=2.0 for wave impact). Select a(2)—10d common toe-nail connection per each stud end(top,and bottom);studs at 16"o.c. -� Wind load resistance is adequate: 2* 1331b/nail=266 lb>190 lb O.K . + Break-Away under wave impact: 2*1661b/nail=332 lb<1,153 lb OX INGHOUSE 12/09/2019 Page 2 of 3 i The impact on the steel structure of the pile building is minimal under break-away forces of 332 lb/ 16"o.c.=250 pif(use factor of safety of 1.5)=250*1,5=375'plf. A.) The breakaway walls span approx. 19ft on each side of the building. -> 375 plf * 19ft / 4 piles=1,800 lb per pile is less than the pile lateral design force of 2,350 lb/pile at the top of each pile location, O.K. B.) The W12X87 steel girder beams under 375 plf / ft lateral break-away force loading are effected to approx. 11% of weak axis bending capacity, and a deflection of 0.2", max, L/1,159 O.K. Your question#4: FEMA Bulletin 5 Slabs — slabs should either be frangible (break away), "floating"•slabs that are supported by compacted soil, are not attached to the building foundation, and are designed and constructed with a maximum thickness (traditionally 4 inches), without reinforcement and without turned down edges, or be designed and constructed to be self-supporting structural slabs capable of remaining intact and functional under base flood conditions, including expected erosion. Building foundations must be capable of resisting any added loads due to the presence of these slabs,'and any increase in local scour due to the presence of the slabs.Provide documentation on compliant slab requirements. In lieu of submitting design information for a reinforced concrete slab with downturn edge, as previously specified,we propose to switch the design to: 4" thick, unreinforced "frangible" (break away), "floating" slab that is supported by compacted soil, is not attached to the building foundation, without reinforcement, and without turned down edges Please do not hesitate to contact us with any further questions tt1 OF A,, � ss, e Very truly yours, �s TARS JENSEN o STRUCTURAL INGHOUSE " No.50602 z , Lars Jensen,P.E., S.E. q��F01sT �� Enclosure: Site Plan 12/ /2oil INGHOUSE 12/09/2019 Page 3 of 3 r _ TOWN OF BARNST Rt . i 7919 PIEC 19 PH 1 31 :1. 37 • V ate �e-S 4r-C-2_kwC%f,-- -�t-cy-%-1 yiL t -411 5 1 s 3 TIM Town of Barnstable Building w.fMust be Retai ined on Jo Sheet-W137rove Pl;n's a n d this I s Card PM'Z"s�'i b e Kept Post Thi;"ZarZo�fhat it is Visible From the t 11AMSrABM MAF& Posted Until Final I ection,'Has Been,Made. �,E_ i6.39, _11s b Occupied-4ritil a,FlAal Ihsp9ctionha,* Permit where a Certific of,Occupancy 'L is�,Required, Building e Certificate' Permit No. B-19-3468 Applicant Name: John Wardwell Approvals Date Issued: 11/01/2 019 Current Use: Structure Permit Type: Building-Detached Accessory Structure- Expiration Date: 05/01/2020 Foundation: Residential Map/Lot: 074-028 Zoning District: RIF Sheathing: Location: 1071 OLD POST ROAD(CT& MM),COTUIT -Contractor Name.,\ Framing: I Owner on Record: CURRIER, DIANE L TR Contractor License: 2 Address: C/O JONATHAN GOLDSTEIN E,it.,Project Cost: $ 250,000.00 Chimney: BOSTON, MA 02116 1, Permit Fee: $ 1,375.00 Description: Construct new pool house Fee Paid:'` $ 1,375.00 Insulation: Date.: 11/1/2019 Final: Project Review Req: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised"by this'permit'isc`om,m—e—nced w-- ithin si;xm_onthsafter issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents-for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access streetorroad and shall be maintained open for public,inspectibr for the entire duration of the work until the completion of the same. iFinal Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire,Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction WorO 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before fi rest fluejining,is-in,golled 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). <f— Final: Building plans are to be available on site 0? Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT < Final: Town of Barnstable Building . d h C d b �r f Post This Gard So That it is`Vi'sible`From,the`Street-Approved Plans Must-be Retained on Job(an t is ar Must a Kept SAM Mb ,� Posted Until Final Inspection Has Been Made. = Permit Where a Certificate of Occupancy is Required,such Building shall Not'be`Qccupied until'afmal Inspection has been madey Permit No. B-19-3484 Applicant Name: Steve Reale Approvals Date Issued: 10/31/2019 Current Use: Structure Permit Type: Building-Pool-Inground Expiration Date: 04/30/2020 Foundation: Location: 1071 OLD POST ROAD(CT& MM),COTUIT Map/Lot: 074-028 Zoning District: RF Sheathing: Owner on Record: CURRIER,DIANE L TR ` Contractor Name:> CUSTOM QUALITY POOLS INC. Framing: 1 Address: C/O JONATHAN GOLDSTEIN - `- Contract orLicense: 105084 2 E BOSTON, MA 02116 Est. Project Cost: $ 100,000.00 Chimney: Description: INSTALLATION OF A NEW INGROUND GUNITE POOL WITH�' Permit Fee: $ 175.00 ATTACHED SPA AND AUTOMATIC SAFETY COVER,AND A STAND Insulation: Fee Paid:, $ 175.00 ALONE SEPARATE SPA. POOL AND SPA'S TO BE E.NCLOSED.,WITH A Final: CODE COMPLAINT BARRIER W/SELF CLOSING AND SELF LATCHING Date. 10/31/2019 GATES. Plumbing/Gas Project Review Req: FENCE REQUIRED �l/ Rough Plumbing: -� �- - Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afteeissuance. - 11 All work authorized by this permit shall conform to the approved application and thelapproved construction documents'for.which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. z Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing` Rough: 2.Sheathing Inspection - �- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site /�? Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT p �� s Town of Barnstable Building t SAM Post This Card So-That it:is Visible From the Street-Approved°Plans Must be Retained on Job,and'this Card Must be Kept Posted Until Final Inspection Has Been Made. Permit a � Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Fina1'19-spection has been made. Permit No. B-19-3126 Applicant Name: John Wardwell Approvals Date issued: 10/02/2019 Current Use: Structure Permit Type: Building-Demolition-Accessory Expiration.Date: 04/02/2020 Foundation: Location: 1071 OLD POST ROAD(CT&MM),COTUIT � „Map/Lot 074-028 Zoning District: 'RF Sheathing: Owner on Record: CURRIER, DIANE L TR Contractor Name:`%JONATHAN B WARDWELL Framing: 1 Address: C/O JONATHAN GOLDSTEIN Contractor License: CS-054989 2 BOSTON,,IVIA 02116 "'""ro w Est.-Project Cost: $4, Chimney: • 500.00 Description: Demo exiting pool house Permit Fee: $50.00 Insulation: Fee Paid:' $50.00 Project Review Req: €- _ Final: Date: / 10/2/2019 Plumbing/Gas Rough Plumbing: -«w - §.Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'tsix months aftgWissuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thiss'lpermit. Service: Minimum of Five Call Inspections Required for All Construction Work: ' 1.Foundation or Footing 2.Sheathing Inspection ._ ,,. ,„,,, „_ °^' Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). / Fire Department Building plans are to be available on site ✓�?/� Final: O All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT P� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ;. =Application Health Division - "Date Issued Conservation Division Application Fe Planning,Dept: Permit Fee Z : Date Definitive Plan Approved by Planning Board ;)!(/ Historic OKH - Preservation/ Hyannis Project Street Address Village Owner C 1 Address i Telephone Permit Request �� c ,7 �4 G ' 69XJ6us044 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 1 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor FgQ Count. , o ' Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑OtherLn z �C Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wo�/joal stoVT ❑ s ❑ No Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ isting nevi%size_ Attached garage. ❑ existing ❑ new size _Shed. ❑ existing ❑ new size _ Other: vo W r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ V Commercial ❑Ye ❑ No If yes, site plan review # Current Use !� Proposed Use � lLd V APPLICANT INFORMATION t (BUILDER OR HOMEOWNER) - --- Name Telephone Number 7 1 6eD Address License# 6�5 Home Improvement Contractor# G k 3 4q`7 Worker's Compensation # 2)y1.57- ALL CONSTRUCTION DEBRIS RESU TING FROM THIS PROJECT WILL.PE TAKEN TO WTI SIGNATURE DATE �� I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'FINAL BUILDING " DATE CLOSED OUT ASSOCIATION PLAN NO. r l 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 J �j/� Please Print Legibly. Name (Business/Organization/Individual): C� Jfi I'�/`L7/�y�jfCi Address: ol, City/State/Zip: CD77j -J one#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with //&;7 4. ❑ 1 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. These sub-contractors have ship and have no employees T 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: ❑ We are a corporation required.] 5. oration and its ME] Electrical repairs or.additions 3.❑ 1 am a homeowner doing all work officers.have exercised their I I.❑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 13.0 Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out-the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my.employees. .Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#:!pK(3.V--070 A5—'—--5 Expiration Date: o- Job Site Address: T� rJ[J �'r / 1J!�/DV - 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 nder the p an nalties of perjury that the information provided above is true and correct. Si ature: Date: 2 Phone#: WV .. 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): L.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Persona Phone#: THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , I- m / IL DATA ERTIFICATE OF LIABILITY INSURANCE 9�2s2oo9 508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION S 8y540-2400 FAX: ( ONLY AND. CONFERS NO RIGHTS UPON THE CERTIFICATE ay"&'MacDonald Insurance Services, Inc: HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 550 MacArthur Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING-COVERAGE NAIL# Bourne MA 02532 41360 INsuRERA:Axbel.la Protection Insurance wsuREo Travelers Ind. Co. OF CT 25682 Gillmore Marine INSURER B: Y Company 25658 PO Box 586 INSURER c:Travelers indemnity Coon an - INSURER D: cotuit MA 02635 INSURER E: COVERAGES ISSUED TO IN THE POLICIES OF INSURANCE LISTED BELOW HA TION OF A E BEEN ENTRACT OR OTHEER DOCUDMEN^T WTHED ORE POECT TOPWH CH THIS OCERTTIF CATE MAY IISSUED IOR ANY REQUIREMENT,TERM OR CON MAY PERTAIN,THE INSURANCE AFFORDED BYTHE 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. EFFECTIVE POLICY EXPIRATION LIMITS INSR DD'L - POLICY NUMBER DATE MMIDDIYYW DATE MMIDDIYYYY - LTR SRD TYPE OF INSURANCE EACH OCCURRENCE $ 1 000 000 GENERAL LIABILITY A 0 R ZOO 000 rence $ PREMISES Ea occu X COMMERCIAL GENERAL LIABILITY 10 000 9 15 2009 9/15/2010 MED EXP(Any one person) $ A CLAIMS MADE 1XI OCCUR 500035198 _ . PERSONAL&ADV INJURY $ 1 000,000 GENERAL AGGREGATE $ 2 000 000 PRODUCTS-COMP/OPAGG $ 1 000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY JPERCT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) .� ANY AUTO - 3855A6o5-D9-SEL 9/15/2009 9/15/2010 BODILY INJURY $ 500,000 B ALL OWNED AUTOS (Per person) X SCHEDULED AUTOS BODILY INJURY $ 500,000 X HIRED AUTOS (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY-EA ACCIDENT $ j GARAGELIABILITY EA ACC $ OTHER THAN ANY AUTO AUTO ONLY: _ AGG $ EACH OCCURRENCE $ EXCESS I UMBRELLA LIABILITY AGGREGATE $ OCCUR CLAIMS MADE - _ - $ $ DEDUCTIBLE II RETENTION $ WC STATU- OTH- i1 WORKERS COMPENSATION Y M TS c AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ 1,000 O00 ANY PRO OFFICER/MEMBER EXCLUDED?�TIVE E.L.DISEASE-EA EMPLOYE $ 1,000 000 ❑ KU80702N15'309 7/1/2009 7/1/2010 (Mandatory In NH) E.L.DISEASE-POLICY LIMIT $ 1 000 000 'If yes,describe under - - SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Cotuit Oyster Company Cotuit MA CERTIFICATE HOLDER CANCELLATION (50$)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION I` Town.of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3-0 DAYS WRITTEN Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE"TO DO SO SHALL ILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Johanna Boucher IMPOSE NO bBUGATION OR LIAB 200 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE I S Harrington, CIC/SMHo��"� ©1988-2009 ACORD CORPORATION. All rights reserved ACORD 25(2009/01) INS025(200901) The ACORD name and logo are registered marks of ACORD I , 3 ; . 3567 Massachusetts— Department of Public Safet Board of Building Regulations and Standards Construction Supervisor License License: C3 68433 Restricted t4.;,i4 fEOf6i RO Bdic COTUIT,M-I 7, ' Expiratibn: 6/10/2010 Commissioner Tr#: 27611 Restricted to: 00 00= Unrestricted I-1 2 Family Homes . Failure tq possess a current edition of the Massachusetts State.Building Codg is cause for rewicatlowof this license. 'Refer to: WWW.Moss.Gov/DPS y� Ale{oommoouuer/bE a�. aoeac/ufla -\ Board of Building Regulations.and Standards i HOMIE IMPROVEMENT CONTRACTOR Registle O 123494 50 113r1' 26/2011 7r# 27Q577 Tuate Corporation- i Gillmore Marinetl�o 0 ttrV j George Gillmore 37 Bowdoin Rd Yashpeb,MA 6264§ fi tldrutitistrator License or registration valid for individul use only before the expiration date. If found return to: B,Qard of Building Regulations and Standards e Ashburton Place,Rm 130J i 06§ton,Ma.02108 i ! N vali wit out signature �UF►{ Town of Barnstable Regulatory Services a c • nA inzMAS& LE T1rofHas F.Goiter Director v t6 b 19• � r�nM„<b Building.Division Torn Perry, .13nilding Connnissioner 200 Main Strcet, Hyannis,MA 02601 wvvtix,town.bnrnstablo.inn.us Office: 508-962-403$ Fax: 508•-790-6230 Proper y Owner Must Complete and Sign. This. Section If: Using A. l3uRder >.as.0w ier of the subject liroj�eity hereby authorize to act on my behalf; in all matters relative to work authorized by tivs building permit-application.for: ......... .__.._ (Address of Job) Tf Signnture.of Own.et Date 'Print Name If Property Owr&is applying for.pet•n-rit please complete the 1)omrowners License Exemhtioti Form on t1fe reverse side. I _ Massachusetts Department of Environmental Protection Bureau of Resource Protection -.Waterways Regulation Program x230367 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Diane L. Currier, Tr., 1071 Old Post Road Realty Trust Name of Applicant 1071 Old Post Road North Bay Barnstable (Cotuit) Project street address waterway Cityrrown Description of use or change in use: To construct and maintain a timber pier, ramp, and float to access navigable waters for recreational boating needs. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." Prin a ame of Municipal Official Dat -gnature of Municipal Official Gityrrown r CH91App.doc•Rev.6/06 Page 6 of 13 - ----- ---___ r. -__--___-_• ' � � i. � i .��) 1 ., � - �I� SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E. Mass Registration No. 29733 , peter@sullivanengin.com phone 508-428-3344 fax 508-428-3115 October 26, 2009 Thomas Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Chapter 91 License Application Diane L. Currier, Tr., 1071 Old Post Road Realty Trust 1071 Old Post Road, Cotuit Dear Mr. Perry, Please find enclosed a Municipal Zoning Certificate along with a copy of pages 1-5 of the Department of Environmental Protection Waterways license application and plans for the above referenced project. Would you please review the application, and sign the Municipal Zoning Certificate and return it to me in the enclosed self addressed stamped envelope. Thank you for your assistance in this matter. If you have any questions,please contact the office. Ve truly,yours, Paula Sullivan Sullivan Engineering Inc. Attachments 0 } Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x230367 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent,Nonwater-Dependent,Amendment Important: A. Application Information Check one When filling out pp forms to the NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing computer,use p P � � pp � g only the tab key Package for BRP WW06. to move your cursor-do not Name(Complete Application Sections) Check One Fee Application# use the return key. WATER-DEPENDENT I —U General (A-H) Residential with <4 units $175.00 BRP VWV01a 0 Other $270.00 BRP WW01b °�� ❑ Extended Term $2730.00 BRP WW01c Forassistance -.._..-..-..-..-..--•-••-........_..-.._.._.:......-•---._..-..-..-.:_........-.._..-..-..-..-..-........--.-•--•--..-.._..----••----.._.._.._.._.._..-........ in completing this Amendment(A-H) ❑ Residential with <4 units $85.00 BRP WW03a application,please — see the "Instructions". ❑ Other $105.00 BRP WW03b NONWATER-DEPENDENT Full (A-H) ❑ Residential with <4 units $545.00 BRP WW15a ❑Other $1635.00 BRP WW15b ❑ Extended Term $2730.00 BRP WW15c Partial(A-H). ❑ Residential with <4 units $545.00 BRP WW14a Other $1635.00 BRP WW14b ❑ Extended Term $2730.00 BRP WW14c Municipal Harbor Plan (A-H) ❑ Residential with <4 units $545.00 BRP WW16a ❑ Other $1635.00 BRP WW16b ❑ Extended Term $2730:00 , BRP WW16c Joint MEPA/EIR(A-H) ❑ Residential with <4 units $545.00 BRP WW17a ❑Other $1635.00, BRP WW17b ❑ Extended Term $2730.00 BRP WW17c Amendment(A-H) ❑ Residential with<4 units $435.00 BRP WW03c ❑ Other $815.00 BRP WW03d Ej Extended Term $1090.00 BRP WW03e 0 P CH91App.doc-Rev.6/06 ly Page 1 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x230367 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent,Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: ros7�.�&^`�H4 dg� t . �rcmRA y +.„�rxw-,.s, '•^9 ,,f . J�Ianp,L$�Currlerr107.; OlduPost.Rda Name E-mail Address 3jExeter Street ' Mailing Address Note:Please refer ray r-a to the"Instructions" BQSt0a1; W' 02116 City/Town State Zip Code xfn�ipY,4t,s t•s",�a.red - Telephone Number Fax Number 2. Authorized Agent(if any): n�� ^'a^m r m ,r Yai � TM � _ � +� J�� saw�rca i� ieu,'�:t Ulli,V,at� trig i �i , 1 SOMI,0 .1VMS, l�9tl�a�ad.rr�' Name E-mail Address x; , � : a 14096kerM Rya ��F�7 fox 65:g Mailing Address dsteNllli "' Q265',5 Cityrrown State Zip Code 508-428-3344 '(�> 2,8, I4' Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information(all information must be provided): Owner Name(if different from applicant) Map 074Parcel 028'; 41 38'08" 70 24'45" Tax Assessor's Map and Parcel Numbers Latitude Longitude ti107,1��01�Past,F:oatlCotu t M�,'� 02�8'. Street Address and City/Town .Y State Zip Code 2. Registered Land ®Yes ❑ No., 3. Name of the water body where the project site is located: North Bay 4. Description of the water body in,which the project site is located (check all that apply): Type Nature Designation ❑ Nontidal river/stream ® Natural ❑ Area of Critical Environmental Concern ® Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain s ❑Ocean Sanctuary ❑ Great Pond ❑ Uncertain ❑ Uncertain CH91App.doc-Rev.6/06 Page 2 of 13 Massachusetts Department of Environmental Protection. Bureau of Resource Protection -Waterways Regulation Program x230367 Chapter 91 Waterways License Application -310•CM'R 9.00 Transmittal No. Water-Dependent,Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the "Instructions" To construct and maintain a timber pier, ramp,and float. The pier will be used for recreational boating needs to access navigable waters. The pier will be 4'wide by 100' long with a 30'ell. Also proposed is a 3'x 14'ramp to a 10'x 20'float, 5 tie off piles. and a.kayak platform.'Lateral access stairs are provided for public access. 6. What is the estimated total cost of proposed work(including materials&labor)? $70,000.00 7. List the name&complete mailing address of each abutter(attach additional sheets, if necessary). An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50'across a waterbody from the project. James Y&Nancy C 46 High Ridge Road, South Glastonbury, CT 06073 Whittier, Trs.. Address David Ammen %INSCO 412 Main Street, Groton, MA 01450-0489 Name Address Name Address D. Project Plans 1. 1 have attached plans for my project in accordance with'the instructions contained in (check one): ® Appendix A(License plan) ❑ Appendix B (Permit plan) 2. Other State and Local Approvals/Certifications ❑ 401 Water Quality Certificate Date of Issuance ®Wetlands SE3-4841 File Number ❑ Jurisdictional Determination JD- File Number ❑ MEPA File Number ❑ EOEA Secretary Certificate Date ❑21E Waste Site Cleanup RTN Number CH91App.doc-Rev.6/06 Page 3 of 13 f Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program X230367 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent,Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents must sign this page.All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license.to authorize the activities I have described herein. Upon my signature, 1 agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." Applicant's signature Date Property Owner's signature(if different than applicant) Date lolZ� �o`t Agent's signature(if applicable) Date CH91App.doc-Rev.6/06 Page 4 of 13 • Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x230367 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent,Nonwater-Dependent,Amendment F. Waterways Dredging Addendum 1. Provide a description of the dredging project ❑ Maintenance Dredging (include last dredge date& permit no.) ❑ improvement Dredging Purpose of Dredging 2. What is the volume(cubic yards)of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location (include separate.disposal site location map) 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by applicant and submitted to the Department. CH91App.doc•Rev.6/06 Page 5 of 13 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 000 000 083 GEOBASE ID ADDRESS 1071 OLD POST ROAD PHONE (508)468-1615 COTUIT, MA f ZIP 02635- LOT 8 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 22302 DESCRIPTION J & L DEVELOPMENT (12 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CON-TRACTORS: - ------ ------- - _ -- . - -- _ _. -Department of Health,-Safety- ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE BARNSTABLE. +' MASS. OWNER LAMPE, JOHNEp 39' ADDRESS 2 AUTUMN LANE HAMI LTON, MA BUILDING DIVISION � B(Y � DATE ISSUED 04/10/1997 EXPIRATION DATE �''�� Town ®f arnstable The ® Safe and Environmental Services 41 1 Department ®f Health, Safety Building Division 367 Main Street,Hyannis MA 0260). Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 wilding Commissioner Application for Sign Permit Applicant: `.� � -iM l Assessors No. Doing Business As: �" �' � �'© P6 r-A Telephone No. Sign Location n Street/Road: 1 wa Zoning District: � Old Dings flighP Yes,y Property Owner Name: �fi-L- 1 L Telephone: PC`� a©y, (� ct,1'OW ON illage: Address: �� Sign Contractor Name:�tC Z.� BSI ��i-t.-tom Df3r� �Sl �II�f9.�npggelepho e: e Address: �f �L �4-1- f(� Village• I Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes& (Note:Pfyes, a wmngpermitis requm- ) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of amstable Zo ' Ordinance. A2Signature of Owner/Autho ed Agent: Dates Permit Size: Pit Pee: � . Sign.Permit was approved: Disapproved: Signature of Building Officr Date: r i GD �Q �-&C-0 s , 0 IS 111-ILL,a o � M � 75 i 33,zs LC � i � �� -� � � ' 0 -- TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 000 000 083 GEOBASE ID . ADDRESS 1071 OLD POST ROAD PHONE (508)468-1615 COTUIT, MA ZIP 02635- LOT 8 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 22766 DESCRIPTION 20' X 42' PERMIT TYPE BPOOL TITLE BUILDING PERMIT POOL - CONTRACTORS: PENACHO, ALFRED L. Department of Health, Safety ARCHITECTS: and Environmental Services TOTABOND FEES: � $71.30.00 �•> � �1NE CONSTRUCTION COSTS $23,000.00 Qi► 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE * BARN3r'ABLF, • MASS. OWNER LAMPE, JOHN ,039' ADDRESS 2 AUTUMN LANE f, ./ ED N11r►� HA iILTON, MA BUILDING DIVISION .. DATE, ISSUED 04/30/1997 EXPIRATION DATE TOWN 0 BARIVSTABLE� -.. BUILDING PERMIT PARCEL ID AQ0 000 063. ; GEOBASE ID. .� ADDRESS*, -.107111OLD POST ROAD � PHONE (508)468 _1615 COTUT MA ZIP- 02635 - LOT 8 _'; BLOCK {r LOT SIZE DFA DEVELOPMENT DISTRICT PERMIT - 22766 DESCRIPTION. 20' X 42 PERMIT TYPE BPOOL TITLE BUILDING PERMIT POOL 'CONTRACTORS: PENACHO, ALFRED L e Department of Health, Safety ARCHITECTS: ,L and Environmental Services TOTAL FEES`-. $71.30 BOND , s.00. y, _ INE CONSTRUCTION COSTS > $23,000.04 "A 753 MISC. NOT CODED ELSEWHERE 1 `� PRIVATE P. � ' - � 4 * BARNSTABLE, 1 MASS. OWNER LAMPE,' JOHN ' k r': ADDRESS 2 ,P�CT:�Ut W',LA HLTON BUILDING DIVISI� N sP t, BY DATE ISSUED 04/30,'J 1997 EXP I RAT I ON -DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND:LOCATION OF.PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS-OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED . FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERER ING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD . FROM STREET I I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I I 2 2 2 V 3 1' HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERM IT TOWN OF BARNSTABLE CERTIFICA"TE OF OCCUPANCY PARCEL ID 000 000 083 GEOBASR ID ADDRESS 1071 OLD POST ROAD PHONE (508)488-1615 COTUIT, MA ZIP, 02635-- LOT 8 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT P I T TYPE B8082 , YY E§IPTION I�F�A L FDA � N�C4BLD PMT #20798) CONTRACTORS: Department of Health, Safety ARCHITECTS: � and Environmental Services TOTAL FEES: BOND $.00 O CONSTRUCTION COSTS $.00 4y�' 753 MISC. NOT CODED 'ELSEWHERE + • ' •AMSPABLE, MASS. i639. Ep NCI l BUILD e'k j BY DATE ISSUED 12/30/1997 EXPIRATION DATE r TOWN Off°'•--BARNI�TAk LT, _ BUILDING P' BMIT I -'ARC EL TD 075 001 X02 GEOBASE ID 3871 A ADDRESS 1071 OLD POST ROAD PHONE` (508)468-161°51 cc)tuitk . ..ZIP 02635 TOOT BLOCK LOT SIZE ' -�--- r� DBA DEVELOPMENT DISTRICT Cr 1.' 1 PERMIT f 20798 D90CRIPTION NEW 5BR&ATH,1W-DETACH D GA�?ACE &,POOL HOUSF P.ERMjT TYPE '&JILD TITLE NEW RES. DENTIAL BLDC P `t' . . J I CONTRACTQ,R JOHN D. LAMPE . Department-of Realth, Safety j ARCHITECT:',: _. and Environmental Services TOTAL FF u:i:. i�SF3 78 Cc>N:STRUC`L'CON CQS�TS $3�0,575.00 t c 1O.t BINGLE FAM HOME DETACHED PRIVATE P 4`1' s * BARNSTABM • MASS. OWNER JOHN LAMPE,. ADORES.., , 2 AUTUMN LATE BUILDING DIVISION LOAM I LTON . ,MA. BY DATE ISSUED ' 61 /32o/'19937' EXPIRATION DATE - M 'ERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- '-iMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR 3RADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. iUM OF FOUR CALL INSPECTIONS REQUIRED ,LLCONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE .1NDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION - IOR TO COVERING STRUCTURAL MEMBERS PERMITS ARE REQUIRED FOR HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- .-AD. TO LATH). ELECTRICAL,PLUMBING AND MECH- v PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ULATION. y OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANiCAL INSTALLATIONS. aALINSPECTION BEFORE OCCUPANCY. ® , ® o ® s 9UILDING INSPECTION APPR OVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APP OVALS d�C_�p� -. 1 �-.vow �J►�d��i�� - �' `� �--,�' �� .: �_� s��/��no �•fir 1 2...�-, °` �]- 2 airs- -� -22 1 EATING INSPECTION APPROVALS GINEE G DEP RTM 2 lye c1 BOARD OF HEALTH -rTHER: SITE PLAN REVIEW APPROVAL WZ RK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON`THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY 'ARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- 10N. NOTED ABOVE. TION. I ,c, Fnje*ering Dept. Ord floor) Map _ _ rcel Permit# 2—6 7- C� ' House# /j9 J G1 S� Date Issued 2 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 7 � Imo' l" Fe � ! Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 06� o y/W Y- •) Plannin 3,Dept. (1st floor/School Admin.Bldg.) 0""E Tp;_ Definitive proved by Planning Board 9 SEPTIC SYST E INSTALLED IN 9.W CE TOWN OF BARNSTA WITH T ONMENTAL E ANC Y v Building Permit Application TOWN REGULATIONS Pr ' eet Address �i�o� S (� 1-JnS i Village'.'-? L4)-{-t);4_ Owner -3©V\r\ Lakv, Address 2 +j,1 ,, �✓1 �-vti.c'�Oe� Telephone 5-V 9-- 46, _° PC Permit Request n e i CO n�Ky G- � �� S t�C��2 -Rzy-), `3 ( ,C6 v First Floor �w �cond *2 d Q- square feet Construction Type WLQ _ Estimated Project Cost $ O d,S 7 Zoning District Flood Plain Water Protection Lot Size 7 Xz{ 61 Grandfathered ❑Yes )dNo Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 11 i- rLL-.. Historic House ❑Yes JZNo On Old King's Highway ❑Yes )'No Basement Type: 'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ►'1 D rLQ_ Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New Z No. of Bedrooms: Existing New 6 Total Room Count(not including baths): Existing New 13 First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other , L Central Air Yes ❑No Fireplaces: Existing New `T Existing wood/coal stove ❑Yes *0 Garage: ❑Detached(size) Other Detached Structures:XPool(size) L�Q -),<n ❑Attached(size) ` L4 p Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# t— Recorded❑ Commercial ❑Yes ;No If yes, site plan review# Current Use Proposed Use 1 Builder Information r r Name 1r)�y \ Telephone Number Address +U r,\ r` 1—h License# 0-41016-a 1„X Vh i1+-D n (�\?I" 6 lei�& Home Improvement Contractor# Worker's Compensation �� di�Sul9 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i BUILDING DENIED E FOLLOWING REASON(S)PER FOR OFFICIAL USE ONLY bI ' PERMIT NO. ol' 4v DATE ISSUED MAP/PARCEL NO. 4 ADDRESS VILLAGE , OWNER i DATE OF INSPECTION: FOUNDATION ' ' f FRAME INSULATION FIREPLACE ✓ r 1 �` ELECTRICAL: ROUGH,:._ FINAL r • PLUMBING: " tOIJGH FINAL ' GAS: �R" I7 ' ' FINAL f ,tray —3_ FINAL BUILDING` DATE CLOSED OUT.-: ASSOCIATION PLAN NO. r .-_ s , _ ,'j � - .. y /��16�Qk/FrV/v V/ tfL' ��c� I � �� s� -- � � ,.-.._. �._..�,_._.� ._,... a._ ._. ..,_ F Engineering Dept:(3rd floor) Map Parcel 3 Permit# 96020 House# Date Issued 60 -3—9 7 Board of Health(3rd floor)(8:15 L.9:30/-1:00-4:30) Fee ^! Conservation Office(4th floor)(8:30-9:30/ 1:00'--2:00) ` 1L ` SEPTIC M MUM amm ffg ) _. INSTAL MPLIANCE 19 5. ENVIRO CODE AND TOWN O.F.BARNSTABLE ' TOW TIONS Building-Permit Application Po�� t Project Street Address � � � ( �� lor Village � i t I Owner `13��,' 1__C�V�� Address © `2-O t Yg11 fty% .Telephone -moo ' ( t'n(� (►9l �v ! 23 9 Permit Request CLe-ce S Co f- WA 5 First Floor 02-1 j}G. if f �;b I SF square feet Second Floor square feet Construction TypeVV�Qs Estimated Project Cost $ i 00 Zoning District Flood Plain Water Protection Lot Size J a 6L C Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure f l�.tiJ Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout Kother Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New --p Half: Existing -- ® - New No.of Bedrooms: Existing f l®tl Total Room Count(not including baths): Existing First Floor Room Count Heat Type and Fuel: J'Gas ]Oil ❑Electric ❑Other Central Air ❑Yes *0 Fireplaces: Existing New Existing wood/coal stove ❑Yes *0 Garage: ❑Detached(size) -110 PC_ Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) _ ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes *0 If yes, site plan review# .�h�►�S Current Use Proposed Use priy&k C Ak_ gkV cU O Builder Information Name 3 0�1/�� >`—� Telephone Number �S Address "� TiU� y` � �� License# l a C0 [k�� 01 ®lCl�,� Home Improvement Contractor# Worker's Compensation# 1 ,C I — o l C: s� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A E — DATE SIGNATURE DA BINII✓D F�tHI OL ING REASON(S) 1 FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS * � � _• R --� VILLAGE ,' �* � �;. _ M •' ..;• _ 1 � � , OWNER DATE OF INSPECTION: A-A FOUNDATION FRAME, - 2--7) INSULATION F 1 FIREPLACE ` ELECTRICAL: ROUGH FINAL--- PLUMBING: ROUGH ' FINAL - GAS: P�1 4R; U � . FINAL � + � . •-} .Rf 7 1 f�r, ,FINAL BUILDING -1 C' •-� '';� - r., w �.'� .., t � `.�'R'lj �.� � - 4 � ' ' � ice, •+'q , 'w•- j t r - `DATE CLOSED OiJ T? != ASSOCIATION PLAN 1400 �TME r"�• - The Town of Barnstable 9 � � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 . Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission For office use only Permit no. Date AFFIDAVIT - HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work• n ems! DSO 6-11 Est.Cost ��, a �' a 71 old R!5�&fi Co 4V Address of Work: / Owner's Nameo�� Date of Permit Application: GILo qT 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 MVROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL G 142A SIGNED UNDER PENALTIES OF PERJURY I hereby 1 or a pe it as the agent of the owner. Date Contractor Name Registration No.- OR • TOWN OF BARNSTABLE ' • • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION _________________ -------------------- Please print. . ., DATE JOB LOCATION Number Street address Section of town "HOMEOWNER" �h Lay,\ I Name Home phone Work phone - - PRESENT MAILING ADDRESS L n . ,�, City town State Zip code The current exemption for "homeowners" was extended to include owner-occsmiE dwellings of six units or less and to allow such homeowners to engage an in- dividual 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 re side, 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 Offt* on a form acceptable to the Building Official, that he/she shall be resnonsi for all such work Performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the S Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement:and that he/she will comply wi said procedures and requirements. HOMEOWNER'S SIGNATURE 'S PROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 01 Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owne shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction' Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the +nlicensed person as it would with licensed Supervisor. The Rome "Owner act_. as supervisor is ultimately responsible. , To ensure that the Home Owner is fully aware of his/her responsibilities, ma- communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. The Connnonweallh of Massachusetts -.-.1_ Dc parl»tc nt of Industrial Accidents office ol/nvestfgat/ors Q' 600 11'aAhig tun Street ,,�'l',��a••',:°• Buslutt,A1ass. (1?lll Workers' Compensation Insurance Affidavit lnnlic.int information': - _ Plcise PR►NT liil ~"`"�� ""�'•��' '"`"'�"�- _ name: loci-ion- 'Fost 'a, cit%- l_ c,-61 Jr A* nhnnc#"X_�O ' TL.�' l ! I am a homeowner performing all work myself. CD 1 am a sole proprietor and have no one working in any capacity •.. .. �.!«.7:7ti.aw'r'f'�RrS7+��';1.7�•++�`�'YT'nT ��n�+.w+r.Y.�^'� _ww�..,..�wy.._«.._�_...... I am an employer providing workers' compensation for my emplovees working on this job. nnmanv name: �� "DQV g-1 C) ✓y'MO-4 `WC 16 address: city: nhnnc#• "g_.1CO1 WC'l-off �SS`�S" insurance co. `thC, - Q Ire,•# I am a sole propriet r, V* pe�nsanonpol homeowner(circle one)and have hired the contractors listed below who have the followin_woorjke^rs'- ices: f t comnanv nhrnc: TA `ay, (oay-,A n ( "SCQ �O•`n Ql �fl.S-�'oC'll�c% address: te) Y, citv: 111tU1nC.�Y�QV�\ �Q 1.��' c J2�� nhnnc#• insurnncc co. QL nlicv# W cnm anv nnrne:. C�C (. r\$ C G addresc• 2�j5 �os�- city: t7• r\ phone#•, insurnncc cot-/� " nolics # Attach additional sheet if neceisaty =• F't ^- + -mil•:•• _ __ _""T ^�:"''"*"" •"� ~* r-" "'� Failure m secure covernec as required under Section_er 25A of 111GL 152 can lead to the imposition of criminal penalties ol'a line up-t 0 S1.500.0 nd ur one years' imprisonment as swell as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement may he forwarded to the Ofnce of Investigations of the DIA for coverage verification. 1 to l�erehr •Mi utdrr �r rrs a►td penalties ojperjun•that the information provided above is true Q and correct. Si�naturc Vatc / ��/ Q Print name �LPhone 1r wrcrr I use only do not write in this area to be completed by city or town official city or town: permit/liccnsc# nl3uiidin^Department C3Licensing Board U check if immediate response is required Selectmen's Ofiice h Department contact person: phone#: rJOther (reused 3 NA) 1 00(— 101i L) 40 T1/ 1 I toll St 54 77 IF Ll L-- 7-1,71 11-7 77 - �i IJ--i i _ _ I i f - f - � 2 X 0w GOLLK. v M i .. 1 �I� GANG. FLoo�. I ail GcUG, -� FROST \VALE. ` I f IZ� I (MIS-406AW _ pEGIC l �9 17 WOOO l � .64ZOWNI MOLD WOOD SP N47LE x MoLn�, I -------- i i _ j u 1,711i , � 4 o . Ix 2) 1" Cv r I -.2 NL ►-- _ -- - oTToM OF FALSE op �P x o POST >�rt Pt cc- 16 P / t . _ .` .,... ,... .. .,. ..- .. P '.,i.;S.. CO.;t .f ....•.ir..,.w......_...ti Ru'..a-t+�.,Y,C!'l.).`. FD DEPARTMENT OF PUBLIC SAFETY ONE ASHBURTON PLACE, RM 1301 DEC - 2 1994 BOSTON.,¢-MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE ' , s r Number: Expires: Restricted To: 00o - - `x -, ,-� r JOHN D LAMPE R - Detach bottom, fold sign on 2 AUTUMN LN - back, and laminate license card. ( k .. HAMILTON, MA 01936 keep top for receipt and change of address notification. The Connttonl+'calth of Alassac•husctts t;; _ -•-. �:_ Dcpartnrutt of Industrial Accidutts ` J OfficeOfINNS 9,2110nS 600 N'achin,tott Street Boston;jW'u. 02111 Workers' Compensation Insurance Affidavit Ahpltcant information: Please PRINT le�j�y name: location: ()'G 90st tDc cite l OrTU 1 1►"T phone#�L g' `fu- I 1 am.a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity .. . arr 'f' ,w r-s+��r•7.+..-a++sn•-"ys8ns.-�..,,:r-9�r .rn..�...y.n.•p••atiuv.. •_+.wee+pfA.s�+.=•......n..+.�.^•....2 �q+T.'n*.^"o•+^. -+_•.,�•,�...�.... .. . 1 am an employer providing workers' compensation for my employees working on this job. IL address: -� " ✓� O city• Wr phone# insurance co. olicv# _; _ ....-,« ... � ...... ....�. .. 1 am a sole propriet r. homeowner(circle ate) and have hired the contractors listed below who have the following workers compensation-polices: Company n -Aame: 1�--er yx (oQxe� address: to X "L �D city: phone#• insurance co. QL Policy# �! ��' �✓ '... ... - -. �.:. Y' .�^^•� .�f.--••- 970 _—..___- .... .__ __.w...�._...._ .nI_t...u.�y':.I.-_.�.�.i1... ..�awr (..w+i�l:.�i..a.✓wr :1e —....r�..i::..iYrYa� .a.�_..� company name: wl --1/1��`e `7 a• E r15 r s: �� ''�S addres city: O I'*nD' }�-ri rN phone#: insuranccco. �-7� '�_ls -�Q�(C� 1�5• LK ✓ 1" noliev# VjLk)C7,�>11��Q � Attach additional sheet if necessa ._�'.�:";;:..- - ---� ..,�.•..;:r,�.L a.�_._.=�:.>:#u-�.i�;�*:a.•� •-*+s '-- r...a�a.:•syar:...t .�,era:,.-...+a. Failure to secure covcr:tee as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a line up to 51,500.00 andior One years' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. I understand that a COP) of this statement ma% be forwarded to the Office of Investigations of the D1A for coverage verification. /,, �ignature "hereht• erti • ruder rr ns and penalties of perjury that the information provided above is true and correct. f Date 7�"I /Print name Phone# official use only do not write in this area to be completed by city or to%+'n official city or town: permit/license# nl3uilding Department oLiccnsing Board ' p check if immediate response is required ❑Selectmen's Office Cjllcalth Department contact person: phone#: MOther Ire,esed i:re>PJAI r information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law". an en►ploree is defined as every person in the service of ;mother under any contract of hire, express or implied, oral or written. i An e►nplorer is defined as an individual, partnership, association, corporation of other legal entity, or any two or more of_ the foregoing,: enumued in a joint enterprise, and including: the legal representatives of a dcceascd employer, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. Flowever the ovrier of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwellim, house of another who employs persons to do maintenance , construction or repair work on such dwellin- house or on the _,rounds or building appurtenant thereto shall not because of such employment be deemed.to,be an employer. MGL chanter- 152 section 25 also states tliat even, state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business onto construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance-with the insurance coverage required. Additionally. neither-the commonwealth nor any of its political subdivisions shall enter into,any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. " _.._.:._...__.._.._._..._ _ ��.._ ..�-- 77 .fin.—A...—,�,.,y.e,., ---- Applicants Please fill in the workers compensation affidavit completely, by checking the box that applies to,your situation and Supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coyera_e. Also be sure to;sign and date the affidavit. The affidavit should be returned to the city or town that the application for tine 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 police, please call the Department at the number listed below. City „r'r,oWns - - Please be sure that the affidavit,is complete and printed legibly.r The Department has provided a space at the bottom of the affidavit for you to fill out' in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements liave 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 Live us a call. r->_y..•.---......: . ....-.,.�..,,i:-...•.. .--.rw..a...-r-..::.v........s,+-,;......_..s�.......'.r..r�!.�...�!w_:_>.....'.=^.sr�....rse+...+..—,—.._�,...w._.a...,..w...*w..r-n.:mos�!•r.'•-'rv-�+•awa...._..-.-...rw The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im Al F DATA <Sa awr4 vg¢.ry& s.., a ,'3a^P"�°a0ry+�e�°fl��,81°�°gyp_•, p£b °°a, t�' M1,p� 1 , �,° � a ; d" °�s 4 4�.Ir f"L:S e W— IN. g,°Qe" •3�e.y^e g a �°, "� -r,& �p a ¢,"s aab 'a "9 q mi6�. 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(3;d floor) Map '7S' Parcel 661, X 2 Permit#T��C>° 0 %'► House# /C)7 Date Issued 3 /76 7, .Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ��l _�, F Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) �� MUST BE Definitive Plan Approved by Planning Board 19 � T� „tANCE TOWN OF BARNSTABLE TIOW14 `ATION AND S Building Permit Applications�e. Project Street Address bOV Ln ©/af PO SL R�. �H-- /d 7 Village / n Owner 1 6 A, ZAh112Q ',Address ' r1`7�Jl�,l1 , A(mi, t6✓1 -444 Telephone 44 Permit Request `J@yi e.6 rs-1rt)cY5'j,,) &F 626a/ 1j4 a First Floor. Ek-]�{� square feet Second Floor -'-- square feet Construction Type l) , - Estimated Project Cost ) Zoning District Flood Plain Water Protection Lot Size -7,S-`f C.,C Grandfathered ❑Yes /'c4No Dwelling Type: .Single Family ❑ Two Family ❑ Multi-Family(#units) !!CCC<,T-b r- Age of Existing Structure -�— Historic House ❑Yes ❑No On Old King's Highwa `,Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other //I6 A(f Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing .-- New Total Room Count(not including baths): Existing ' New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other Central Air ❑Yes XNo Fireplaces: Existing r-- New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) -�1 Other Detached Structures: ❑Pool(size) ❑Attached(size) �— ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes o If yes, site plan review# - Current Use Proposed Use Builder Information Name LO h Telephone Number Address 2tv �yj License# !n► j �j�d n (�� Home Improvement Contractor# Workers Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING R DENIE FIIR IT E FOLLOWING REASON(S) 4n i� /� /' 7F10 f $ N FOR OFFICIAL USE ONLY e PERMIT NO. .DATE ISSUED MAP/PARCEL NO. r - ADDRESS VILLAGE OWNER 4L+ • f / DATE OF INSPECTION: r FOUNDATION FRAME• r _ INSULATION FIREPLACE r _ ELECTRICAL: ROUGH FINAL PLUMBING., ROUGI FINAL GAS: G a" FINAL FINAL BUILDIN Pill A DATE CLOSED O4a ASSOCIATION P O. ; 4 Ri iec e::K 21 s i I Slop- _p N SINS. tn Ln y I O O 'ZAP I i 24Jim- �•o�� 1 0 ,,.. y 3 - 21128 3 w 3 N p,r G a'•d �' ;:,r�ol f L1 .ral e1 ".-:`-Qi bf r :�b'.ol �,:r / -_ 1 i ,� •1":1 4 - I :�1 ..J;, =e'91 � r— - r f x -��• a yam- a. DREAKFASr j f 1' 1 6_ � I r it � I • , � � `� -r< � t irl � 1 ,: • I - � � I - � sl .� `�a - i i, JI - � -.� • I v'' � Sca is .'Y. t 1.:i p I OI _ — I � _ 4 51 ,��\ / u t 0// '' o •mil .ram { � _ T- Fo•: � �.r�zaii-: ' '� � (TAME 6l• :/ 3 ! i � 81•tFL c , v +4 .Roots 64 1 _.. B.R. 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I f�'�-_--a �, < -.•-g -< _ }�R•_ �t I 1 ` �_ f-, L -� ' OAK E`LLV/�"C10N h i . aP s` s 3 y f .. -- . Fi 3 > -� t x - r: \vim o a ' 5.'y-' �. 1 k - -,:� y y _ s. s..'- ` } t �o! < - jj �-; ` a 3- is "- 1 - -- s�f l�r. t— t - , , -1 —+ $; i F > � I II .. { sII I. �. { -I\\ - 3+ \ Y GOP 3" - S F y . C—'7 _ - U I R 1. _.-,._�__ - _ ..`.3 v :t 3,,i.�' x t `.`r v,rec woe \ C _`6. ' i Ka-/uvJ' \� - . . i I — .. _- :-- t "< `-TL GW3�it'sJ`. e-*4 N'MiE - \ _- 1 If. 'I ,1� IIY - _ r. f _ r f1,1. ! il- ,;,.j ! 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SLE:ePeR-, IRtPPED�a I&�G.G. • .� `I CAI.IYILEVE1t - r' I1 F. I , LVL 3�"1:1`�2xio sZi�t'Ct7 - r 8% - 2Y12�5 � 2xt2t5@t�iac. y► {� f D vj t _ ;l0 s t 10� I61-ol 7 I ? 4j 4 ------------------- 1 E jo - pK. i. -- i (Tyr Or 15) 4 R.., e. a 0 1 — ! �. d ( I - I `- of• I`I' l9),to'u ia. WALL- 10 F'6.(TYP.) _ I I �;10 il( 191a1 I'I 131 �I. il . 16''o I!' 8oI (bt.pd i zi 15t2I I� �S'_IO!! ! �► �_ n•��.n21L; 60I J --- ' oq j IA" y- d i tl .40 rAV WALL "� I 10+ M N 15•0 o 0 6 DEP,ZESS. .:r Igo .U a. - • - r• a f. r , o LAMP r. poc L H X Ll ME e q SQL 2 5 1 WALKER ROAD -o. d � Lft * 10g ' 40OV 4 8 OH S 9*13'20'E 1 VJ 31.08' q@2 1 10 12 Set Stake r/Tack (July 20. 1996) LOT , 42 30 � I Set N Bempde (July 20. 1996) 2 w 1 C. 29 04Lit 3 N 8493.20'w 1 1 13 150.00' — s O x FT r' 2x,o I2 i } 0 I xc to�lG, IL k i --mile r 102• v �o V .wVA OF oa PAUL ti _S i ME o < < NAt tAaO . PLAN OF LAND IN .BARNSTABLE, MASSACHUSETTS AS PREPARED FOR . JOHN LAMPE /d 1 61,1 po,-4 RIC( .� PLAN REFERENCE- TO: JOHN LAMPE L:C.P. i1��o3 ON THE BASIS OF MY KNOWLEDGE & PLAN SCALE- 1" = 60' INFORMATION. I FIND. THAT AS A DATE DRAWN- JAN 30,1997 RESULT OF A SURVEY MADE ON THE TOP OF FOUNDATION GROUND TO THE NORMAL STANDARD ELEVATION= 23.84' OF CARE OF PROFESSIONAL LAND ELEVATIONS„ SHOWN ARE SURVEYORS PRACTICING IN THE IN FEET ABOVE MSL COMMONWEALTH OF CHUSETTS, 1929 DATUM THE LOCATII F ATION IS AS SHO H PAUI yes FILE: 1401-00 F.B.: 011 l�So 9�DATE RO N SURVEYOR NOTES- �o�At IANOs THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) '- :.0 'ait::f•J .,.��D.a_a•...r..t_h..L'.'_�+ 1.�-'.a�Y.L.;t...�...,5' f.i�".>`—!:...,_`:�:::!f ..._.:.rs.ti a.^�,, ...d:1.;5.:..r}.r. ,rw}�i::G,.lr��..e-.:,,„ .....-'ct L,w rv...:.i y .. '�..A.-...:.at...:.:;��-.....e.:. c.:�_•t�_ 1 FFIG /N.r sa rl!� ♦ 1 r 11,li 1 - _ 11 Department of Health, Safety and Environmental Services # BARN # 039. E®M1`►� BUILDING DIVISION` r - By 'ERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY EN- AMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR 3RADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 1UM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND ,LLCONSTRUCTIONWORK: WHERE APPLICABLE, SEPARATE JNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR iOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- ADY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. ULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. :AL INSPECTION BEFORE OCCUPANCY. UT® ® r o 13UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPLIOVALS 'tw �vaVo Oor 6 69i 0_0 t 1 ;EATING INSPECTION APPROVALS GINEE G DEP RT. I. 2 C7 BOARD OF HEALTH .OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY ARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- :ON, NOTED ABOVE. TION. �ft�� _ � : ssa �r'i( - I Z3 9 � i j 4C0T*T,6*rjE S HARBOR HOUSE Li Pr, r ' �, t26.c�- tole( pet, 4e th d � e �t) 4y, P.0. Box MA (-)-Iml-A 22S-1500 0 rAX (,SOS) 228-76-39 0cd LIQ 3S8MS38 NVWAH 9� : �l Jan tit To- Company: Fax Number: q6 Company: P over slice():of t c t > ff this facsilnilc is illegible and/or incoi»lflc;tc, plcasc Contact till: Wilk Elephant front desk at extension 34102 ot• 3415. 'flank You. 'Wi.imrCorvyu.-y lYl�>1tISS)�t 1ltD11tiB; { RO•Lox 1139 ' 50 Easion SIrecA ' Nontucket, MA O25M " (JOK28.2.500 " I"ux(508P2b-I IJ5 706 !10 3S-anOS38 NNWAH 06t I5u 805i z� V zs , � '�nr 660 _6(o e_j r--JJ (.1��op ?s-, 001. X 0r2) fiJJ Engineering ept. 3rd flo'oMap C Parcel Permit# House# I D -7 / Date Issued ��"" ,j B aid of Health(3rd floor)'(8:15 -9:30/1:00-4:30) i Q Fee �•.. .3 d Conservation Office.(4th floor)(8:30- 9:30/1:00-2:00) $ tic del `�Y$p° Planning Dept. (1st floor/School Admin. Bldg.) ��V� W� DeEtreet e- ved by Planning Board 19 � � AND TOWN OF BARNSTABLEBuildin Permit A lication g PP Adddress C k C- Dta2 Lo Village Owner J PA b, L ath 0-g _ Address -2� Telephone Permit Request 00d C,2 A&_ C fbf First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 0�,3 #'zrd Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family, ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 2 K *2— ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name alne?/CGa �tl�r�"''`vL P-orros Telephone Number _.Z�"a- 7i�G, w Address /Z_)( 24f License# 0 / /0 Q Y MA P 7 7/ Home Improvement Contracto # F Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 13 o/ 2 Z BUILDING PE T DENIED R THE FOLLOWING REASON(S) - ` x FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED - �L MAP/PARCEL NO. ` ,-'ADDRESS VILLAGE OWNER . DATE OF INSPECTION: FOUNDATION - FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - } n� PLUMBING UGH ; FINAL GAS: TROUGH FINAL f; z �. - ie° i FINAUBUILDI ` DATE CLOSED'OUT ASSOCIATION PiJk�PTO. ^„ n I The Town of Barnstable • sRrear.E • � M �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 r Building Commission- For office use only Permit-no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions, ng with other requirements. Type of Work: -Est. Cost o? J Address of Work: ZZY wner's Name Qw.� ate of PermitVpplication:_ 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 age f the owner. Date C nt ctor N e f Registration No. '3 OR FROM, : Panasonic FqX SYSTEM PHONE NO. ; Dec. 02 11395 219:06PIM P1 .-pr.30 '97 14:54 1ii^e.RIC:=P 'r''il ®RDrw CERTIFICATE F UASILI Y 1�5�1R CE CSR T�toaNrl ONLY AND CON 6iRE NO D A9 A MATTER I RN14_A ffN_ PRttiflUCER lRichardaon-auddyLna A AC Ina GHTS UPON THE CERTIFICATE HOLbSIR.THIS d1hTIIFICA.T'E bM NOT AMEND,EXTENO ON 8 Mark street - P.O. box 388 ALTER TttE C0YB1iAaE'AFFORDED VY THE POLlIpg$9EI-Ow. {Attleboro RL 02703-0388 _ CGMPA9Yl"c6 t1FF7fiG}ING COVEftA�iE T N8S3L �. CLldd}J I CURAPANr Pi.eI7 !40, A Scottsdals IAaursuzo comany INBUROD i :OMPAMY .... j— B Trevelera Znsur ug Cc, COMPAVV AMOViCan SWiming PoQ1°J Ccrp C 340 Areads Ave. COMPAW Seeknrak !AA 0�77Z a - � �GOVE!!k'At'S • II THAT TNj POLIC.t$w OF iN�URRNCC US-[r0 BEIC'W HAVE DEEN ISSUEfl9 TO THE .....:.. ... ...^...:,......, INBITATSD.NaYwITUSTANDING ANY nEcufRLNtEN,.Tl:!<ke OR CONDITION OF ANY CONY+TAC4 01R ,........ ... THIS IS TO rERTifY .•.... . ' iN5LRE0 DOCUMENT wrrh IES THE I°OlWtI PH THIS OTNEF 49ftINN13 S DJO +7a:10&LT TO Teem THIS CER.IFICATE MAY SE ISSiIEQ OR MAY PERTASN,THE;N34FR4NOS AFFORDED 8Y',HE rOLiC1E5 CESCRIDS6 ME;REIt!Iv 9UBJBC-TQ tlLl THE TE!aa71j, ExC11LI81ONS ANO CONDITION$OF SUCti I"OLIVES.LIMir9 SHOWN MAY NAVt BEEN RLDUCeQ BY PAIQ CLAIMS, ...._... —_....r. .... ��GGNLNL TYPO OF oekuRANCE WLICY mums"" �POLICY EFftC:r(Vj POLICv 0POIATION r 1 00e mRW O/YYI DAYS wwoo1YY; LIMITS LL4fiiLI+Y /0 j , fC azovooa0 0 1 96 07jD1 57 IPA,._...._.._.+,k[rtAL A6GIR{eR' COMAAERCIALGEkEP.a asiLlTv C�L374302 I ry X OCCUR PRCDL-CIyec�IF- PROS °l000aao ve+6 A GONTAAIIC OR s PaOT 4 CDUCTS&r MI I A _ CLAIMS MADE �uav a 1000a00 —^{ EACHOCCUft-WE' eLRO�QOO I S i } I .-.-._... . DAMACE(Any one mto m"ED E78P i4dy vee 0400111 /eljbl7ldst$ AVTOMORR.E LIARILITY I J"y AwTO j COMDIN[D 6WGLF UAtir e J i � AU.OWNED AUTOS _--- "12010$LEA AVTOS I i BoelLv wJunv j P aIREP AlritlR � f _............... .. � • BODILY INJUPIY NON-OWNED AUTOA , 'Pnr ncatl6�yd 0 f � I i d40FIRYY DArAAO& • i OAApOF w�eu,TT i 3 i �gUTD ONLY-PnA"IctN1 8 ANY AUTO ,.� i DTkta-,+AN+1UrODHLr, i'. .__.. aGGR&GATE P SYCM LIABILITY ,EPGHOCCLrRR&,ICC £ VM$fELLA POR41 ; .�.___............... � � j Rc61�6ATE �a DTH:!1 TVIMN VIeaRCLLA FORM WOMENS COPARIMPATIQN 4WD {t EAlPLQYFEB'61ABAITY j I EL EACH ACCIDENT 03,00000 R jTMK PRDPRIc-au F INCL ELUISEASE POucV LIMIT a 500000 1f i'ARTNC.?ISrexzoUT(V9 , OFFIC[RSAA61 ChCIS 91,016EAIM.EAIMPLCYCE e100000 OTHr=R J BEBONH'T1040 OF OPEWLTVONOA.COATipN6N6HiCtiaJ&1KeiDI:i7�g8 "- ----- 1fao1 being lnist+xixed at 1a71 r„d PONt R64d, Cotu3t, KA 02635 tT>P9CR: 3, Qf�l� Iwzii+al T tTLtai$V>aL aHDU0,00 OF THE ABOVE DESCABED P061GIE9 sa"TOC&LUZ alPORE.m! EX►IRAT?CN DATE THkAEOP,THE,SSVINO COMPAMV WLLL laDEAVOR TO MAIL • 1{I awV6 WaiTTiN NQTICE.Ttl 7HE CBRT IfICATe HDLOfik NAN4D TO THE LET, d & Y, Development in*. BUT FAILURE TO PAUL$UAW N17TICE SHA D 01YLMAmm OR umuTY P.O. Box 208 OW ANY KIND UPON TIDE COMPANY, R! ATlys$. @[amtilCol'J Mal 0193+; AUTHPRIZEPREPOM14TAnVE I ddy ax A,�a��:.a��ats. •• �:, •':� • . :. :.• ::; .. •.. .... •�•. I a--rr A0 7e pe, . y The Connrtott 11Tculth of Afassuch usetty' %t:Il -'=j•:.- DeparinK?rJ Of Indi rr1Ql Accidents 011ice0119FOStl9211017S •,\�';" _r;�' 600 J1 ushhq.ron Street �'f:• � =` �`' Bustutr,A1u�s. t'13111 Workers' Compensation Insurance Affidavit. al�nlic•tPt inforntation• --�� Plc•tse 1'R11VT'iebtijl � _� name, locntinn• city nhttnT• I am a homeowner performing all wort: myself. [j I am a sole proprietor and have no one working in any capacity �j I am an emplover providing workers' compensation for m% employees working on this job. coinyan • nnme• 'tdrlrcct• city- —ohnne�!• incur•tncc co Policy# - [1 1 am a sole propriet , bt;nera contract . or homeowner(circle one) and have hired the contractors listed below who n: the following workers' compensation poll s: com :in%- name- r w ^ adtiresa: f/ city. "" h nc�• �in ,,rinrr rn _ conirii v n•ttnc• atltlrc�c� cin Phone i#• incur•tnce ce Policy N Attach additia_nal Sheet ifneces_sa_ry ••."� •:•r'^ _Ji";a...y ..• .• '•a,.•.u:�_`'.^ �.•.=_r�'�.'.• ��•w: ,:::�... ....•—• .• - Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties ol'a line up to S1S00.UU andiu unc%cars' imprisonment:ts-ell as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a dad'against me. I understand that copy of this statement may be funrarded to the Olrce of Investigations of the DIA for coverage verification. /do herehr eery t•it Ider the pt ' m pertnities ajperjuty that the information prvrided above is true and comer. Si=nature ' Datc Print name Phone>* official use unly do not write in this area to be completed by city or town official cis or town: permitilicense it rRtludding Department 4 ❑Licensing Huard C Selectmen's Office ►_ � check if imtncdiatc response is required ❑ -. ❑Health Department ' E contact person: phone d: r•10ther. imormarion an Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their employees.- As quoted from the "la��". an emplotree is defined as every person in the service of another under an\, contract of hire: express or implied. oral or written. An empk!►•er,is defined as an individual. partnership. association. corporation or other legal entity. or any two or more the fore�_oinu cnuaged in a-joi►it.cnterprisc.�and including the legal representatives of 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 haying not more than three apartments and who resides therein. or the occupant of the d\\rliin�_ house of another who employs persons to do maintenance , construction or repair work: on such dwelling hour or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. viGL chapter 152 section 25 also states that eren- state or local licensing agency sl►all witl►huld the issuance or -enewal 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. %dditionaii,,. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the ,erformanee of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha peen presented to the contracting authority. =Pl)iicants Jew ;ease fill in the workers' compensation affidavit.completely, by checking the box that applies to your situation and Jpplying company names. address and phone numbers as all affidavits may be submitted to the Department of idustrial Accidents for confirmation of insurance coyera`e. Also be sure to si-n and date the aMdaviL The fidovit should be returned to the cif,• or town that the application for the permit or license is being requested. it the Deparrment of Industrial Accidents. Should you have any questions regarding the "law' or if you are required obtain a workers' conpensation policy. please call the Department at the number listed below. itv or Towns =ase be sure that the affidavit is complete and printed legibly. The Department has provided a space at tine bottom of affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas sure to fill in the permit/license'number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. e Office of Inyesti=atioils would like to thank you in advance for you cooperation and should you have any questions. .ase do not hesitate to rive us a call. - e Departinent's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washinbton Street Boston,Ma. 02111 fax #: (617) 727-7749 ' phone n: (6I7) 7274900 ext. =f06, 409 or 37� Apr;30 '9 l 15:15 AMER I CAN P00LS TEL 5ae-336-8792 P. i NNE,XNFROVEMENT. CON M N�rgB;o>CTOiO '-100 4' lips ' EKPdraidsta 06/�6/ ANERICAN ONIMl1I Wrcad® aAwUN��tRa�q �ae�o�ik '027P� s CN i �I !;� DF4'RP�HEN� OP P1�8bIC SAFEfY �'; C"AS9'RU�PI011 SGP£RVI6'�R bICERSE ��Ex�ices� �EStTICt,44��'t! AQ ' AMU Mlkcio 19 9ACR ST SPFVNK. 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L"f: Y :._ ,!:....._._.- .. '• .t,..,— ° .t it's.". '4� t 1 ,; «F� .�s�%'r ,.` • J < ,+f I L F - NF - _ - 0 ORMATION SYSTEMS DEPARTMENT 11' u vv -W7 36.,E .7' 27: ;- }\33.4 ` �} t165.1. /' �' ;, '�� -.ti \ }\ 1 X 23.5<26.2 \\ \ \ }/2 ; ( ' , 13.0:' /\24. `, -- X 23.2 4 � } -\ tit '•� ?( � i !� � \` \ \ l �f Z.� _i \ \ \. ` 1 j ( _ ;�=• r \ � t / 2. 4 30.2 17. \ }C 22 6 x i 1 a 8'81 ( 1 (� 12.5 { \ / ( x -! _1 \tit' `. \\ `-\mil /�__--.� j -\ ``\ /• - ; ; ; 1. BA" IABLE A 21.8 J G. 114.2 }/ 7 } 2 , TOWN OF +11 �� O I 'S3 UPL.ANO 31 W E T O P• / 1 .84 AC TOTAL_ v, 28 r ® 27, X02 2.94 UPLAND �.42 u>='AND J T . 1 1 W E T 3 .� �- � -7,54 AC TOTAL. 5" AC ToTgL � I A -� 3. 19 A c. G O_ 71 72 9. 3 3 �- 4 O AG , 3 - - ........................... .j........................................................................... --------------------------------- --------- ------ ---------------------------- - - ---- --- ---------------------------------------------- ---------- -------------------- ......... FOR PROPERTY LINE INFORMATION:-SEE LCC 180326. BAXTERS NEC�( ELEVATIONS ARE IN M.L.W., DATUM., N.G.V.D. 29 0.4' Q M.L.W. Qj cj� LOCUS 0 4 1,? A�' //\Isc.gMM NORTH BAY 4//vs 0 r LOCUS PLAN . 4so -25,00 SCALE:1. 0 COTUIT QUAD. 7Z- C-)-�o -A 0 -A -A l -A -A-A Y) FEMAV11 (EL-,' ER PROPOSED. TIMBER PIER, RAMP, & FLOAT T NORTH BAY OVERALL PLAN VIEW SCALE 1 200' 0 100 200 400FT. SHEET 1 OF 3 PLAN ACCOMPANYING PETITION OF 1071 OLD 'POST ROAD REALTY TRUST 10,71 OLD ' POST ROAD COTU/t' ' MASS. TO CONSTRUCT & MAINTAIN A TIMBER PIER,. RAMP, & FLOAT IN-NORTH BAY OCTOBER 19, 2009 - SULLIVAN ENGINEERING, INC. OSTERVlLLL MASS. i�� ZSCALLOCUS OC N NOi LOCUS C PLAN '000 cc E.L1.25 ....................................................................................................................................................... ........................... ................................................... ............. `�gg3 t oll X 3.97 i �. X3.85 p X3.63 u� H.T°L13.2) 3.Y�03.17 X 3.05 X 3.17 X 2.74 :M.H.W X 2.23 X 4.36 3.77 X1.57 X1.69 X1. 8 X1.6 - X1.68 COASTAL BEACH M.L.W. (0.0) I X -0. 7 . -0.43 X -0.46 X -0.63 X -0:75 N�r X -1.27, m 1.77 o X - X '- .9 X-1.81 v X -1.83 • � o r - .89 co rri X-2.86 . o l� X -2.8 28 10'X20' `' 1 -3.36 - .83 i FLOAT 35 C o 16. -4.09 X -5.29 4 -4.00 - -5.41 X -4.13 X -6.50 X -4.58 . X - .26 X -6.07 =5.97 X,-6.27 X -628 7 6.01 5.1 -4.92 X -7. =6 59 X - .40 68' X -6:32 X -6.68 95'f TO PL EXTENSION TO PL EXTENSION 195'1- 53 X -5,.61 85f TO PIER X -5.33 x -6. Oj0 DPW LIC N�1958 5 30' OEP CSC?/E - X -6.93 X -6.938j>a X ='5.88 77 X -7.48 X24.03 X -7.74 X -6. 5 �- X - G X -7.42. X -7.52 X•-7.67 1 pp��C� X 8.30 . X -8.01 X -6.9�7p 2 X -7.42 SHEET 2 OF 3 o p NORTH BA y VIEW OLD POST ROAD REAL TY TRUST.. PLAN VIEW COTUI T, MA OCTOBER 19, 2009 ° . • FLOOD SCALE: 1 '' = 20' SULLIVAN ENGINEERING, INC EBB. OST RVILL�, MA 0 100 200 40OFT • COPY ........... ................................................... ................. ............... ............................. ......................................................... ........... ......... ............................................................................... ............................... ......................................... .............. .................. ............ ................................... ............... co 139.5' (PILE SPACING 15.5 0.C.) Lo Lo cn Z 39.5' 8c) z loo, 4" T-WIDE FIXED TIMBER PIER di b WIDE TIMBER BOARDWALK I �lb rri ---i 59.5, 80' COASTAL BEACH LAND UNDER OCEAN ri Fri :,o rT, rrl -4 ZE gr C) EL. 6.0 r----------------- I : . I- M-H-W 2R . . . . . . . . . . .T.104w. Q.1). Co ACCESS STAIRS EXISTING EL. 6.0± BOTH SIDES PIER PROFILE SCALE: 1 " 20' 3 ol 4' WIDE FIXED io'- 20' TIMBER PIER -(PILE SPACING = 14.5) 10 X20 -FL -T_. 10' 12 '0 -PILE (TYP EL 60 4 REQUIRED _-M.H.W. M.H.W. 2.8 L,W. 0 . . . . . . . . . . . . . . . . . .44.L.W. 0. F�NG UNAUL 2" X 6" MIN. DECKING GHAUL -3Z4" MIN. SPACING PROVDE FLOAT �TOPS FOR NON CCA MATERIAL 24 CLEARANCE PROPOSED CONDUIT LIGHT-INC U.E- - 4" X 10" (TYP.) - JOIST FLOATPROF EL.. 6.0 GRADE MIN. G - LONG SCALE: 1 " 20' -SCALE: 1 20' EAF SOUTHERN PINE 10-12 COMMERICAL NO. 1 TIMBER PILE 4" X 10" (TYP.) 2.8 STRIN-GER__. X 10" (TYP.) 10 20 40FT. 0. M.L.W BOSS BRACING No, PIER SECTION SCALE: 1 8' 0 4 8 16FT: 3'X 14' FLOAT A, 4 ................. ............ ................. ........ ....... ....................... .-.... ........ ...... ...... ................ ......... ..................... ........ ......... ...... .......... N/F / ZONE: David L Ammen Tr. RF CB fnd. Area (min.) 87,1.20 SF (RPOD) IAl ` rt-t9r Frontage (min) 150' D 4 l x Ms1s1.09N Width (min) n/a Setbacks: p -I? ' 15.4' 15.9' 19.2 / Front 30' y` Side 15' (/S', I Ian New ASSESSORS REF : Rear 15' © � o.r �6 . � Concrete " 52.0 Map 074, Parcel 028 O Foundation / P New P2 "7 _ Concrete 1 y © , + Isatiell Spa OVERLAY DISTRICT: 0y RPOD Resource Protection �+ �OC^p1 Overlay District LOCATION MAP. AP — Aquifer Protection,District e`� a Scale: 1" = 2000'f N t / l Estu arine Watershed 0� Pia\ ;cicc�' , FLOOD ZONE: . 1071 }/ Zones VE Elev.. 14' & Exist: X (Min. Flood Hazard) v� Dwell. North . �� #50001 y Panel No. IJuly016 1 2014543 J Lot 8 7.6f Acres ` I FLOOD Per Town Assesso EBB 88.0' / 0 L CB fn . M.9i5CN B. �h9 .06'9r N . 3.61.9r.99S LCB Md. N/F / CB fnd. h James V. Whittier Tr. CB fnd, ecggl P�J( kOF �qs M.6Z�yLN sq J C 'S T. �y� Abutters ►WLAN Dwelling Lot 8 CIVI J 0. 699 ' #1065 cc 7.6t Acres certify that the new .., Per Town Assessor Concrete Foundation structure shown hereon FSSIONALEN�'\� a conform to the setback requirements of the Zoning Plan View \ 0 Bylaws of the Town of Scale 1'= 40 Barnstable. New Concrete Foundation Revision: Add As Built Loc. of Pool & S a 6 10 202 .�0 TITLE: Site Plan PREPARED BY.. PREPARED FOR: -- NOTES: - 1.) The property line information shown was As Built Foundation Plan Engineering& Diane L. Currier, Tr. compiled from available record information m 3 Exeter Street 2.) The dwelling was located from an on At Sulfivancomflmgj., Boston, MA 02116 the ground survey performed in _. Overall Plan View :1071 Old Post Road MM4=-M44•ra 559.71LMelnsheet,0steMile,MA02655 September 2009. seclesullNerwWn.can•wwwAuIIl ermngln.ean Scale 1' 200' Barnstable potuity Mass. 200 0 20 200 3.) The new Concrete Foundation was located New Concrete roll CTR Fleld.• CTR 40 0 20 40 on December 11, 2019 DATE: SCALE: Review: Z Cnlc.: N/A _.L Pool & Spa North -Ba December 11, 2019 As Noted Pro'ct:Coldstein Pro'ct 2009012 y Diane. L. 'Currier trustee .. ZONE: y � ... Silver Oaks Realty Trust - I RF • ' CB fn d. Area (min.) 87,126 SF (RPOD) o rr*9r c®n . 9e (min) _ Mst•sLosN h.(min) n/a ,. Width © )) f x Setbacks: fj ` � o v Side Front150 Side Islan Existing Reor.15' or 4 Pool Cabana l cc) .1 ASSESSORS REF. ��a �.: ,a -: _.S Existing 'I Concrete • ta ..b.. e11 a Spo K OVERLAY DISTRICT T , �a ®y 1 RPOD : Resource Protection. �+ oc � G overlay District. : . LOCATION MAP: AP _ •lp9 �• �.- AquiferDistrict Protection -Distri Scale: 1" = 2000'f Estuarine' Watershed . FLOOD ZONE: ss #1071'. � .VE Elev..e . 14' Exist: LandscapeXo(M n FloodvHozord) Dwell a. Community Panel No. vim.. #250001 t 0543 J Walls ' , July 16..2014, N07 .ttha Lot 8. 7.6t :Acres 111M- ;I FLOOD Per Town Assesso EBB New "Tree Hous New Underground I -- r': _-----Steel.Pile Supported Bunker e Structur Er New Deck Landscape- Wallr 1 . .. �. . - �35.5' L CB fn . _ gvzovN 5L . .. _ LCB fnd. NSF. era9s _. .. - t - James. V. Whit#ier.Tr. , d. r : CB fnd, CB fn M i II S' Ab u t#ers • _Dwelling. , Lot. 8 #1065 _ 1 certify. that the steel su " gSSq orted H0 bl ..: Per Town Assessor. "Tree House" structure shown `hereon _ � �' M conform to the setback requirements- of the Zoning Bylaws of the -Town of - \ OW ND Barnstable. Plan View C .IL Scale 1'.= 40• \ \ .. .. U 99 - This certification is to certify the - 10 "Tree House" only. The.Landscape FFSS10NAlE��'i� walls and underground'bunker are_ i shown for reference only. O� ➢ILE: Site Plan PREPARED BY., PREPARED.FOR: .. - ...: 107ES , As Built Foundation Plan EIIgin1) The property line information shown was Overall Plan View eering Diane L. Currier, Tr. 4 compiled:from ovoiloble record information m /4t 3 .EXeter. Street 2) The steel;supported tree house was y Scale'1' sullmn eonsulang,ma located from an on the ground survey Boston, MA 02116 performed on November ll, 2020. 1071 Old Post Road ( , ►• aeoxcs9•ratYwnse�to:�wl�MA aasss - New Steel Pile Barnstable (eotuit) Mass. eaei�eulllvana�aeaan.wwwewllhananglgeom o Supported Structure ice\ �a/t: CTR Held: CTR 2� .U. � 20 � S�/J DATE: SCALE. R 'eview: JOD Cal— N/A - - : � � ' �► - _" - North Bay November 23, 2020- As Noted. Pro ct:Goldstein 'Project 2009012 - - - - I I -1 . - I - . I I I— - - I I - � I __ I -11 � - ___�_ �� __:,- - I _� - - � - ____ - �- � __ I - - __ - __ - - - __ � - __ - -- - I -- I - - - __ - _ ---. I I I - -I - - I __-_, - I'-, - - I- - - - - - - -_--- - I .I �-I- 1 � I-, '' - I �. 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I � ', - --- I-, 1__� I j fel I E& i I , " i ___ ----' .4 1 . i � � I I / " &),%, / I I . / ___ ___ � - �_ ___ li I '1� MANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. � . _-�_ i , I 1. ALL WOR I . ! I % / ,Y� cq, 0 � I . - --- - �. I I I , - I I , . � 5 NND THE TOWN OF 2_�Et��1124F - RULES AND . � \ I 11� -,-/, I)t � . I I I . - __I�____ __ � . \11, �\\ \1 ""', (�,(,:;--� � ,�'I, TITLE : I I 11 - � \1 . I I I � 41 . REGULA IONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. I I I _ . � I N I � .1 - \ I � _,_� I , � 15r - I - � . I I I . � . � - �1' \ \\V � 11 `� � - I I I 41, I 1. . I � . 2. ALL COV ,RS,TO SANITARY UNITS SHALL -BE BROUGHT TO I - I . I i � - . � - 1� I ff. - I � " \ I � I /I.?- . I � I I 11 I _: - . . 1. I I � 1, � � , �11_ __� . � I I I - . . � % I . �_ 1.1- 1 � � I �1, __ ____ _ "I", �\ -- ---`,� - " 11 I I � I �_ � -.1; - WITHIN- 12 ' OF FINISHED GRADE. � I I I _: I � I - � IN - - . � I � i I � I 1.� . �, ,��. . I I \ \ 1� . . I I I - . - . �- - . - : I - . . I I . I - - . , - , . � __ I- 1. � - ._ . . � I 11 11 .� - � . I- �,______� - - '��11 " , �� .� I .� - � . � : - I �.� I . � �' " " - - 1 - I I - I - � . . � . � ... ,____� . i __�___. I I I ._, -1 I 1 - � � 11 - � 1 - i - � - " . - I I z, - - .I- .�I - I _ _ I I � - . /9 �\ "\--..- - - V_ . - - '�_, � ; �, �11 . I . - �- - ,... -1 -�, - , -1 ,- . - I . - . - SAME:--�7-- I �_ -1 - I I - I �_ .71__ - .�. . . - _ 11 - . � I . - . I I - 1 3. 'EXISTING -)'k*' D�-�F- t GRADES SHALL REMAIN -ESSENTIALLY �THE - � - - ? . . � I 1 I � I � ", � \ \, I � . , , . I . I � I � - - . . . - � . � 1. __ .1 � _\ � � � , 11 � . - - - \ - �- � I - � I � I - I \ - � �, . I__ I I I-- � .- 11 I - . .. \I'- �_ � . \ �_ \1. - I -1 11.1 . I I 1-1 - � I I I � .� . 4. ALL COM _.ONENTS . OF THE SANITARY SYSTEM--SHALL�, BE, CAPABLE OF: 11 � I . - I '. - � I . I I r - . _. - I . � I � - - - I - \ , I - 11 : I . I I _:� I � I I . - - - � - - , - - "I \ \� --, "', . � I ,�, . I -IDING� -H-10 LOADING UNLESS THEY ARE -UNDER 00, -WITHIN � - - - - - - � - 1. - - . - _J - _ . � 1� I - - 1-11 l-, � " - - � I I . . - � . _. . I I I—, ,. I I- �- � I -1 . - .1 \ --� � � � \ '�_,__ \ \ - � .. I WITHSTA I$ . . � I 11 I � . 1� 11 - � . . - . �- . I �� . - � I - I . - 11 . - ; .� � � - �. - 1. ,� � . . . . I _. I � - - � _. . I � 11 - I -- I � 11 __ - I 11 . I I _ __ - � I - - I I - . �, . � I . - _ . I - I I 11 � I .1 � . I ; I . . __ I 1. I � - - I - tr-- I . S. 1z L�, - - � - - r�, n - - ,, � -.,\1_1' . -5\ 11 - 10 r , DRIVES OR PARKING AREA H-20 LOADING SHALI �:BE - . . � I I . - . I-n_. I ,.� I 7 I 11��,, Z," I 11 ,�� _1 I . , . I ��, 1�, 11 -, I � I � " , , - - - - � I... I 1. . - - - __ - " I �111 1-1-- \ I : ( I I � I . . . � � � I 1� . , - I - . -�. I -11 .1 I . . . . � I I .1 � I __ - . I I I - . . .1 __ __1 I - � "' " I i _( - 'i , � / .,�.___' � '_ � _\ I � __ I USED Ul', ER--OR WITHIN 10 FT. OF- DRIVES OR PARKING A R LEA S. � - 11 '. - i . . i ,,� � - .� � - I . - ----,-------"-,-------------�-----,- , - � \ __<�_ i 11 I : I .. ,�. � '.� . I . . : ___ � 1�_/ __1 . '_� \ I- 11 - 5. ANY MA ONARY UNITS USED TO BRING COVERS TO GRADE SHALL I I - . I I - . _ I I - I I , I \ � _.. 0, / ,/ - __ --,,,-- -1 _,� , -11 I I . - - I . I� I I - ��, -''---,. / 0 " I.. ,_ - ----BE MORT�ARED IN PLACE. �, �z - --,,..,' .--- , - I-% , A '. �� , 1 .-� / ___ ____ // . 1 . . __1 . - ,� _ I� __,_,�� I I- I � � 11 , . 6. NO _DET�RMINATION HAS BEEN MADE AS TO COMPLIANCE WITH I � __ . .1 / I _� , I I � DESIGN CALCULATIONS . 4� . - 122.45 - . I - , 11 . I .. "I" __ __ 1�_ '/ / I ,_ ___ I I--- �-1 __ '2SnC) " 1*4 /p � -, � � ZONING i ND OR DEEDED RESTRICTIONS. _____ I I I NUMBER OF BEDROOMS 2a' A 18 =- GC�4 p . // �,___I - . EX IST/ING, I Z" ,/ I I . I I t4 /A, " 148,78 . " / -bWtLL I N,G / I/ ,�/" L' I � /I 7. EXCAVA E AND REPLACE UNSUITABLE MATERIAL FOR 5' AROUND . - DISPOSAL UNIT \11� Z� I � i I � I � I I 1: /" / I � I I I / I Z . �11 I I I I � TOTAL ES11MATED FLOW ;/, / ?z / , "I �11 '. I I LEACHIN( S�YSTEM AND BACKFILL WITH CLEAN SAND. . I - / , 7 1 -7�� _��_`�_'L'OGAL./DAY I I ./ / - / I I/ I .. I I I . I . -1 - � .11, I - I � I : I � � _. i,___ __GAL./BR./DAY X ---- BR.) 504/loc,o i� x - � I., i * I .. I I . I _. � - . � I - I - ; i I � I �� I . - 1�2. . P;z I I Ill/ � / ,� I ./0). I , - � � ,� � I �. _� I I �- I . I I I I I . I - � . _� I .1 �. I REQUIRED �SEPTIC TANK, CAP�ACITY . , Lt5i�_ GAL. I - � 11 I . � I / , I I I % , '' � .1, I . � - . � . - t� 6 I I I - 1, I *_ - � i � I . . 1600 . I I 11 � � . - - �- I I L I . I . . � -ACTUAL SIZE OF �SEPTIC TANK - - - GAL. - . . !�, I � . I , � - , . I ! I --- � I L . I . . I i � I � - I 11 � I I LEACHING AREA REQUIREMENTS . . � � �, � : 11 ��,� �, �I , Iq - � 1 . . I I � 11 , - - I � I I , I - �0AL./S.F. t_ � I � �, f 1�1 I I i I .1 i I . I/ -4,�� - I I I . I . � : ' .10 I ��' PROPOSED SITE PLAN OF LAND IN � � I 11 I BOTTOM ARE,6.' ____' GAL./S.F. ,� -�. I `ft. I - - � . / � t 4 111.11 I !;S � �. i: , ' ' ' I \ - im � � I I I I � I I I .1 I i LEACHING CAPACITY (BOTTOM + SIDEWALL) , zo �I Z6 GAL/DAY � \ I �,, , "I 4� I- � I I I � . . __1) 1. (j;XZ,��)4(-Z,�,,,,-,,_')1- -1 '� ')Z , ,0.14 1. I . 1 11� - I BAF�NSTABLE, MAS I i �_ �, _�,z y . ft 0 Of \1D - � I I . � I - . . -0i si * - � LEGEND: � i;6 �,_ � i I ok-j�, r, .. ,; I I --*-- - . I I z --- GAL/DAY OF .. PAX 11 11 - -_ . � I I � . 1 I APA.CITY 1 .4 � ) \ I 11 I I � EXISTING SPOT ELEVATION oxoo � I I I I . I . � I . �, 'k � 'k-'% - , DATE I . - I �, EL , I---- . � AS PREPARED FO SCALE SEPT. 29.1997 � I � I I I * . . . I I . - 11 � 1, I . i .1 I I -%. I EXISTING CONTOUR �I----------00 -------, - __ __ __ __________ __ _____ 41 . . __ &% . . I., I I . � . I - . . - I . * . , __ - - - � I . 1. 101 I - ; I�. - I � � I � I � � I I I Is. I . I . I .JOHN .LAMPE 1.4-% lap = 60' - REV. � I � I . I I A..A-A-1 . I . . . I . a. I . I .11, I . I . . I . I . 1. I � I 10 � I . . .. 1 . I I . . . . � . * � I FINAL SPOT- ELEVATION ' - Ili w I I 'F HEALTH , - � . � 011 I I -, � . I 1 . . . ; I I ,% I . I I � . . 1 i FINAL CONTOUR " � I I W�w� I 11 � . , APPROVED: BOARD ".0 . . � >, I - t I � I . � 11 . 1 . I . , ' I . � I ' ' I 'll , . . . � 11 � 1 , . �, � : 1610 . 1 * I I..., . . .1 .1 . I . . I ,,.p I . 7 . - Iii - - , � :11111 I . :*�: I - 4 , , , I : _ I I ,� � .- - . 1". . . . � 11- 11 I -— I � I � . � �., , _ I lou _. � . " ". . __ _,_ __ .- _7 . ,- , - . _ -,: : ____--1 _ - ,� � � , PAUL' .E. SWEETSERPROFESSIONAL LAND SURVEYOR I . __-I- I -,�I-- -I� . , �, .., ,, - ��,�. ., � . . . . � , . � , _.. , , � :_ -':�r,� -I I._iw, �I;�__,,�1 11,I I I � .1 �4 1 11, � I .. � .1 I I . I ��,�,., � � , .1 - . I� -I-. I 1 � I � - - _ I-�,_,_,.*m4_T_�,V!._,�_-7 _�, ;_ . SOIL,!-TEST-E-90-*-TION ! - I . . 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" .�, �,,�� 1�, ," , , - � - I - I� - - I -11 I __ - - - I-I- - ------- - -- - -I- , - � - -- I - I �_. � I -- - � I I __ - - �- .---�!,.�!,t,._ - I I �. ----.-- I -__- - I I-- I -__ -____--_ - I __ � - - - - -1 - ZONE: C RF F ti6 Area (min.) 87,120 SF (RPOD) c\ 6 7g, Frontage (min) 150' �.- Q 0- , - r LOT SIZE Width (min) na � �� ( ` A2 7.54 ACRES Setbacks: 6 �6Q Fron t 30' . 7�, O Side 15' Rear 15 A t ° OVERLAY DISTRICT: N� RPOD - Resource Protection o o x Overlay District O 00 AP - Aquifer Protection r Die ict o t '- ,o Is a 1� 0 FLOOD ZONE: u a�a. � e�ig t II �. Zones O Community(ePone/ NoC �M d .✓/ � �2,. ��o #250001 0018 D °%..` '=/ • ; ~. QF PROPOSED July 2, 1992 % • �N ' PIER LOCATION MAP: Scale: 1" = 2000'f ' • Overall Plan View North Bay ASSESSORS REF.: Scale: 1 " = 200 ' _ Mop 74, Parcel 28 DIRECTIONS: • G �) x -0,69 From Hyannis - Follow Route 28 towards Marstons Mills; 2.08 SI<` Take a left onto Old Post Road after from Route 149; 1 x 1.59 • • �2�9 Site is on the left, #1071. 199op Z0NE APO J . x -0.58 Work Protocol • o A minimum of 2' separation Shall be provided 70215' � � 23 at all times between the construction barge S S ^� k✓ 9� �P ec (SEE NOTE) J/4• CA SPACING 1 and the substrate.tra e. PROPOSED LIGHTING 2-X 6-MIN.DECKING(TVP.). NON CCA MATERIAL S 4.4, 0 0GQ-Px 3,63 x -0,75 Adequate containment and clean up materials 4CONOlO-T TYP. -"ST �1 shall suitable for fuel spills shall be provided "�" ` ATH �0W6LEAF SOHNnff.RN PINE COMMERICAL NO. 1 3.92 �`L' x 1.67 x -1,83 onsite if equitment is to be refueled. 4 x10-(TrP.) STRINGER o See all permits for additional conditions. CROSS BRACING T 10-12-•nvom PILE '�'9 s' 1 �/ �'• x -0,6 3 A x 1.58 x x -4.17 NOTE: PROPOSED LIGH17MG SHALL BE FROM 25 WATT INCANDESCENT BULBS DIRECTED OONNWARD. SET X -L27 X-LW-2 6 4,27A MINIMUM OF—3 0 8 x —4 x -5.38 3 M 4�c RG. . . . . . . . . . . . . . . . UnUZE MERS.HAND SHOULD BEATN STCHED AT THE Sn �� x —1 7 7 Of 2•ABOVE THE DECKING. THE LIGHTS CAN NOT `Y BEGINNING AND END OF THE DOCK. q� 1 f o -5.41 x -6.01 o f`� N �� 9 ��' 1,69 n O p3-. -53r x -5,70 55 Pier Section Ln LO 1 4 x -6.93 -0,43 50: occ? x -1 x -�f3 x= �6,2� X�6.60 x -7,14 0� 1.57 -2, x 6, 8 1x -7,03x -7.67 -3, 3.85 ? -� -.7 7,24.2 • x —0.2 X _4... 'e x —8.3 0 (_ 4(PILE SPACING'WOE FIXn TIAIBER.5PIER ') Ns x 7 x 0.04 9 �� Box -3.28 5, �� ~�,93 - 52 x -8,34 3 X14 10 X20 <- . sue. .7 4 S' F goo, X - . 8 x 6"3 2, -7,4 x -8.59 RAMP FLDAT 4 REQUIRED ,D- /2•0 PILE(TYP.) � '�� o x -4t09 � x -5,61, x -8.01 2.88 a — ; x - x -9,06 EL. 6.0 v F x - � � �AiFS' -3,36 x 4,13``�� f 5,88 -7,42 x _9.71 M.H.W. 2.8 M.H.W.2.8 )< 0.41 -4.00 -4,9 owtiW,aa N C/ o o.o. . . . . . . . . . . . . . . . g u.�w. �. X - -5.1 x -5 33 x -7.42 t X -8. 3 ��\\\ /��\\ EXIADE FLOAT STOPS(TYP.) X _g,5-59,19 • x -5 4( -5 53 x -7,99 0�O EXISTING GRADE /./,. i x -5,75 x -9.47 ��. x -8,56 x -9,34 X 8,28 x - �/ 10,02 Float Profile . x x 6 �8 Ell Profile o . „ _ , Scale: 1 = 10 Scale. 1 — 10 x -9,37 x -6.97 'Lp9�p�c X -8,13 • 9], ,39.5• (PILE SPACING- 15.5) • � 38.5' 100' • O X — 7 8 4'NODE FIXED nMBER BOARDWALK 4'M/DE FIXED HIRER PER 59.5' MIN ad 80'• +30'ELL+ 10'RAMP+20-FLOAT- 140'- 40'WAIVER REOWSTED COASTAL WfCH LAND UNDO?OCEAN 31.5' RAMP = ACCESS STAIRS J -- � Borth SIDES yl EL 6.0 ---------------- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .O,T J 9G� KxUDF o- �"I K . 81 O e• Pier Profile '� N4L ENG HTORMR S BIRD" Scale: 1 " = 10 ' Increased Pile Spacing, Added Float Stops, Provide Additional Work Protocol, Correct Profile Dimensions • REVISION: And Modify Waiver Request Per Con. Com. DATE: 10102109 PER MASS ASRESTUARES FX NOTES: PREPARED FOR: PREPARED BY.- TITLE: T Site Plan p�F7r' 1.) The property line information shown was Diane L. Currier, Tr. M.H.W. '��/QT\0 compiled from available record information. 10 71 Old Post Real t Trust s t Sullivan Engineering, Inc. Proposed Pier, Ramp, & Float 0 y 2.) The topographic informoton was obtained PO Box 659 At N from aerial photography. .3 Exeter Street Osterville, MA 02655 (508)428-3344 (508)428-3115 fax N N.G.V.0. Boston, MA 02116 1071 Old Post Road 3.) The sounding information was obtained � from on on the water survey performed in SECTION-t 0 2 4 8 16 M.L.W July & August 2009. PROFIL 0 10 20 40 80 Mass. Bamstable, �COtuit�4.) The datum used is MLW per Mass EstuariesOVERALL-200 0 100 200 400 800DRAFT.- JOD Project - April 2006. REVIEW: PS DATE: SCALE: PROJECT # 29012 August 24. 2nn� AS N�tP(�l Tt TOP OF F Ol. NDnTION s -"j � r ELEV. = __._.___ _ IAi __ BA - f �' S�,� �E:Dv� 40 PVC P;i'E EA,v .,KF-ILL �� " \ n fv'�1. DITCH 1/8� PEr? F--r �,,, �:.� L :L 4 'AST IRON PIPE (C)F< EQUAL_) MINIMUM, � ____....... __� `1 f��= �"=� _._...._.__...._„_._,__ i .,..... �. ___ ,T ELF» �;�! u� _�tf� ► ;�� f-,�, �J _ . . .... . . .. 'PITCH 114" PER FAT. l� �� /` � �� „a��E,-,. ��,_ �,-- �/4 -s E 3 I-�/��. CLt�.:A�l� �u,A�S��r STONE � o �1�7"�� f f=LE- _ 64 FLOW LINE - --__ __. 0.92 to" _ ._ ,° � ,-..,_ - -.. _ , yl�, r�- r _o�� - �1! � ,4 1 MIN. �_ zz,4o r j L,�.. �, ; ION �{AP 19 El L E J. _ _ _. ELEV.' �- _- -a V - , vo�a��aQ� E E /.- •� � -� 1---� ,, �----, r----� C � �- � r`�;-J _ Es "y" 'a. 1Q GAS EIA.a=FLE- I k°ASHED _T_ �--i -�-°__��. �. '... __►.�• �._� 4 _ ____ - + ST01`4EAil, Did ' �<, P�'...,f TICI`�, � {,j` \f C� i F T; a �� vavzsv.a 3 O .¢ t � '� X 4' f !"G ��'.` "u65 , 4 - - _ �i ,.f E �= SOIL T / _ _ s ?ONE _� . L TEST / _.,_. v v �, v - a v v a c. v c .v v TC BE 1�`ATER TESTED _____�_ �_ __ ----�*--• .IDEX_ S - - -__ 1•✓'I~?C%0L.A,TION PATE. 1 00 G/ldi-- _ON OE42> SE <V,�.�"ICN f--OL_ 1 _ST P 'y i ( , T �A8L _L EV _. ..��C�� 1/I�JT t } N�' Z3 Zo DEPT4 i HORIZ TEXT i TANK BOTTOM OF TEST t-fOLF O USvS PROEA©L;- N, � EP _ /3T�D--• - ___ _.. , 4 NOT ` 0 SCALE _ � \ 3t' `� ' ' 'p ' � � 9" -2�0" j om/ --- , 1 Leo"-/�'O" C ME1i. d�t/�? 14 1AC , �9 W A TER A T_/ © E.L.- OR. SE_PVA,TI N �—i LE E��LF-' /. C�E 'Tr-i IORIZ T�_XT �R ,--- COOL i 'MOT TONG ol �2„ (� , r � , �' � / e � � ,� -- ` ,� � •�"i�'��/fir S _ , �tllJ ; Jo 4 �., 5147 .r 7 lool ' / \ I _r ,y _ 17 7-71-7 t - yl is • . ' - / , �• . ----- \ ? �• 1. ALL rK vIAI�dSHIP AND MATERIAL., S!- Al. CON�-O#�(vl ; 0 D. T T� E AND THE O1h+N OF _.S AND REG iLATIONS FOR THE SJBSURFAC E DISPOSAL OF SE',, Af • TO L t�RS SA-I'�T q UNITS SHALL 3 O v, �-- ,.3j \ � y � �r < . 1 `�ilTi-f{�J 1:2" OF F II�SHED GR ADI~. l j�c- b• \ �, � `� ` _` ` : oQ u� �, �1 E JSTif,. FINAL GRADES S#�` L�_ _ : - __... :..,,,... ,.. � AND F L ` p`I► ALL C�� ONEN T S OF THE SANITARY SYSTEM SHALL BE CAF'A?LF+ WITf-S'ANC>ING I--'-?0 LOADING UNI._ESS -�"' Y ARE UNDER IR . 10 FT. OF DRIVE OR PARKING AREAS. H-20 LO "DING ', :. ALL. BE f, ; y<,.., ` "�► \� �,, 1 d 92 u- ` /L ,3 .- -- N , USED �.;NJDER OR W(TH N 1G F T, OF DRIVES OR PiA RKING APE A.S. a Y ) . _ _ ANY 'v h,��;NARY UNITS USED TO BRtt COVERS rC_. GRADE BHA LI ,.� . ,---.._ �...,�,/ , ► - i -/�` �'�...-e' `• BE MORTARED U, PLACE. �� SI1.�1 L L_ CUl__f� T1ON �� . / ,� �. ✓r��` e. ► O DE . � �?MINATION HAS BEEN MADE AS TO COnF�IAr\ICE 'WIT'. _ �� Q _ NUMBER �F BEDROOMS _. _._ L r / -- 7` �� ; ?©i�,1N'.'7 �rJDiC�R DEEDED RE S iRCTI'`NSz . �� r GARE3AGE DISPOSAL IJIT ____--- a s ' t / EXC�V �t�tD REPLACE lJNSUITA,BLE ',` }` TOTAL. F�TIMATED FLC)''�i `~- f fy�l� !EP �::I-" ' SYSTEM r'�NE> BACKS=fI L WITH Ci_FAN 1 /�- �� (� PAC-� � tR" _ ~- '- ��'/ / � �' / i `'" ,`? GrL./(31?./DAY' X _�?_ 3R , _' © GAL./DAY / r s REQUIREC SEPTIC TANK CP,PACITY ! .-- GAL ;_' SJAN s,srcR�s�, , ACTUAL `3I7_E OF= SEPTIC TANNI'°C /��?Q. _ GAL. as �,Wo LEACHING' AREA REQUIREMENTS StDEWAI_L AREA 2 - GAL.iS.r=. BO , TOM AREA �? _ GAL. 1 t ,� � ��'�� OSEt� SITE � AEU �F LAND !� �yl / _ _ _ r p P° -I LFACH�J/,, CAPACITY (BOTTOM �- SIDEWAL_L, _ GAL,%DAY ``' + / 1 f 1 TAR r %'`x u %': "� 7• " CD `/ ( / Q f'� r _ r 1� �. -r L=GE_ND. w / r �► s , �. � , M ,.�SA,C, �s � I s EXISTING SPOT EL..EVATION I RE�-SERVF LEACHING CAPAOTY ��'_ GAL./DAY n J s�►1 _ EXISTING CONTOUR �._____- � --_`�x00 j � � ..___.____ _.______ __.________ _________ _____ �__._.______ -_..r__,____. �.0 --•--_ . q7 . .fir I� A S, oRE P ARED FOR S'w ALE. DA-I _� FINAL_ SPOT Ei_EVA.-r-,C�1`.! [Ox00 �� !'�� . � � . K),. t�� ;--AMPE � � _ 6 0, R��U g-��T - A\PQF?0V D- BOAPD OF HEALTH J _ F-41IAI_ C ONTOUR ____ _.._______________ _.____-____ SOIL TEST � � _ X-1/e Ix _OCATto. '�l__E Sc l PROF*�SStONn _ ?AND � '(,� UTILITY POLE -{�-- MSB - - - - TOWN WATER ----- W •. 6a ' ..,�,IA Z.RG 4�/F HARWICH,MA 02b4t <, ; CP,TCH `3A.SiN 1 i - �.- AGENT