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0020 OYSTER PLACE ROAD
u I i 0 r S Tolp 3/(o �9---Q--- f l T Z we i 8ARNsTABLE. WN CLERK Town of Barnstable Planning Et Development Department � Barnstable Historical Commission P 1 53 BAHN3TASLE, 200 Main Street, Hyannis, Massachusetts 02601 MASS• $ (508) 862-4787 Fax (508) 862-4784 039. `0 �Fn MAC a erin.logan@town.barnstabLe.ma.us Commission Members Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Elizabeth Mumford Cheryl Powell Frances Parks Jack Kay,Alternate July 28, 2020 Re: . Notice of Intent to Demolish Structure Et Relocate 20 Oyster Place Road, Cotuit, Map 035, Parcel 086 BUILDING DEPT. Peter Pometti PO Box 2056 AUG 0 6 2020 Cotuit, MA 02635 TOWN OF BARNSTABLE Ann Quirk, Town Clerk 367 Main Street, Hyannis, MA 02601 Brian Florence, Building Commissioner 200 Main Street, Hyannis, MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on the partial demolition of the single family structure on August 18, 2020 at 4:00pm, and will be held by remote participation methods as a result of the COVID-19 state of emergency in the Commonwealth of Massachusetts. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property. Please contact Erin Logan at 508.862.4787 or erin.togan@town.barnstable.ma.us for processing information. Sincerely, � �, A Marl �cy Sho�aker, Vice Chair fIan_eteaag&M-vdQgamnt Drpartetw at-Ej t tQ%konkitw,IAvQdQs Fd a Logan,Ad mymisiaatuvo Assistant-200 I_kI<ain siroot;liy=-ds,MA 02601 _ _ I oF1Hle rqw Town of Barnstable ��E�oeMf o fro 1% Planning& Development Department v� F� Barnstable Historical Commission z{�6►� �i 3 * BARNSPABLE, * 200 Main Street, Hyannis, Massachusetts 02601 9 MASS. cb i639. (508)862-4787 Fax(508)862-4784 ArEp Mp'�A erinerin.logan@town.Barnstable.ma.us@town.barnstable.ma.us OFgAR"5�4 _ r Commission Members £' Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Elizabeth Mumford *Cheryl Powell Frances Parks Jack Kay,Alternate '. DO Chapter 112 Historic Properties, Section 112-3 D. Zx DETERMINATION of SIGNIFICANT BUILDING 20 Oyster Place Road, Cotuit, Map 035, Parcel 086 . Pursuant to Intent to Demolish Structure The property located at 20 Oyster Place Road, Cotuit, is associated with the broad architectural and cultural history of this area. In accordance with Chapters 112-2 and 112-3 (D), the Barnstable Historical Commission Chair has determined that this structure is a significant building. This determination applies only to the demolition described'in the notice of intent submitted on July 20, 2020. Any future demolition shall require a new determination from the Barnstable Historical Commission. Planning&Development Department-Elizabeth Jenkins,Director Erin Logan,Administrative Assistant-200 Main Street,Hyannis,MA 02601 s Town of Barnstable V` tc`W-OPM4T Planning& Development Department 9 Barnstable Historical Commission Z� '3 * HARNSTABM ' 200 Main Street,Hyannis,Massachusetts 02601BUM s639. �m (508)862-4787 Fax(508)862-4784 BUILDING ' Fp�d a erin.loean@town.barnstable.ma.us �E °�.BAx SEP —g 2020 Commission Members TOWN OF BARNSTABLE Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Elizabeth Mumford Cheryl Powell Frances Parks Jack Kay,Alternate N G M " DECISION it Summary: Demolition Delay_Not Imposed Pursuant to Chapter 112 Historic P f2perties, Section 112-3 F Applicant/Property Owner: Hurley,Jesse Subject Property: 20 Oyster Place Road,Cotuit Assessor's Map/Parcel: 035/086/000 Hearing Date: August 18,2020 Pursuant to the Barnstable Historical Commission receiving your notice of intent on July 20,2020,a duly advertised and noticed public hearing was held on August 18, 2020 to determine whether the significant structure identified as a single family home on this property is a preferably preserved significant building and whether demolition delay would be imposed for the partial demolition of the structure on the parcel addressed as 20 Oyster Place Road,Cotuit. After review and consideration of public testimony, application and rrecord file, the Commission, by unanimous vote in favor, found that in accordance with Chapter 112F the partial demolition of the single family structure is not a preferably preserved significant building. In accordance with Chapter 112-3 F, the Commission determined, by vote of six in favor (Jessop, Fifield, Parks, Shoemaker, Powell, Kay), and one abstention (Clark), that the partial demolition of the single family structure would not be detrimental to the historical,cultural or architectural heritage or resources of the Town. This decision applies only to the demolition described in the notice of intent submitted on July 20,2020. No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. :21 -2-024) - Nancy Shoemak r,Vice Chair bate cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk Planning&Development Department-Elizabeth Jenkins Director;Paul Wackrow,Senior Pla nner, Erin Logan,Administrative Assistant-200 Main Street,Hyannis,MA 02601 e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 35 Parcel b Application# Health Division . Conservation Division *- . Permit# Tax Collector Date Issued Treasurer Application Fee �� Planning Dept. Permit Fee9/r o Date Definitive Plan l�Approve! tanning Board Historic-OKH `3 reservation/Hyannis ` r Project Street Address 20 oYsTER PACE Village `,0TUrr Owner ELLEN MuoGK Address T1 Rsc U00K AD.� W ag001T� MA Telephone Hon% (SOS) 548. 3060 CELL 074) Z38 • 471o7 Permit Request Re WALLS F%ms AND a00FIVA s1STM Or cxlsriNca I'TayLTOLS To C.0NV61teA To c yyma y 6NWlNG coos Av&b aotAsf2w r t4lw i60" x 0" aeew r wi i AND yirm 1160° x Z2'0" 1.wli& AREA• Square feet: 1st floor:existing 468 proposed 14GL 2nd floor:existing 410 proposed 410 Total new y8y Zoning District Flood Plain Groundwater Overlay Project Valuation $ 101 000 Construction Type CONvIENT04 L Lot Size 0.5s }k MRE Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ill Two Family ❑ Multi-Family(#units) Age of Existing Structure TtV -4EK S Historic House: ■Yes ❑ No On Old King's Highway: ❑Yes is No ��c Basement Type: ■Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) %452. Number of Baths: Full:existing new I Half:existing 2 new 2 Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing 8 new it First Floor Room Count iO Heat Type and Fuel: ❑Gas 6 Oil ❑Electric ❑Other Central Air: ❑Yes N No Fireplaces: Existing 3 New O Existing wood/coal stove: ❑Yes M No Detached garage:❑existing ❑new size NA Pool:❑existing ❑new size 1JA Barn:❑existing Elne9' size NA _ Xw Attached garage:❑existing ❑new size NA Shed:❑existing ❑new size l k Other: �- �a Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ U C> Commercial ❑Yes 0 No If yes,site plan review# - Current Use SINGLE PAMtt4 Proposed Use SA BUILDER INFORMATION Name LEO k. N OOBEN Telephone Number (50e) 540 '1641 Address R C colossor-f i0N CO. License# CS >11808 21 ENNsagw< DQjs Home Improvement Contractori 11125116 EAST FW40uTN, MA 0153(o Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO BouRNg LPwDy:%u- ( TRi D isPoSMt - RVr-OSS 5UGC-0t4tRkCT09. SIGNATUR DATE 013'AN 61 7 s _ FOR OFFICIAL USE ONLY f l PERMIT NO. DATE ISSUED - § MAP/PARCEL NO. ADDRESS VILLAGE _. r OWNER _ DATE OF INSPECTION: FOUNDATION in �� - FRAME tv/ INSULATION ZO -z FIREPLACE ; ELECTRICAL: ROUGH FINAL - 'w PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING b ' DATE CLOSED OUT " ASSOCIATION PLAN NO. � a •- a Town.of Barnstable ' Regulatory Services Thomas F.Geller,Director TEo Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: C.,IC- Map/Parcel: 0, 3 Y' Project Address —10'011i 7iFA OG Builder: C C'0/1 S Ts&rc c 7-7 e.)i✓ C The following items were noted on reviewing: ON /9G.*A) RE:-y/sI o1VS A�,Vu. f&v�) &FoAEE 76�#rxe 11VJ-/06L 7,041,, rrx T u L 1-�/ U6 S u f 9 e D /,A E LL 6i1/7� o[J A O S. 7 0 A) Reviewed by: C/e-� Date: Q:Forms:Plnrvw 01%0312007 14:28 FAX Z002 Tine Contrrconweafth of lllassachusetts Department of 7ndanvial Accidents Office of1hvestigadons ' 600 Washington Street Boston)l r d 02111' www.mass.gov/dia ' Workers'Col apensati.on 14surance AMA-vi#: Build,ers/CoAtractors/Eiectrician.s/P).umbers' Applicant Information 'lease Print Le�ibl� Name(Bu8ii1e5�r'Qegaaiaaan/IndXriduel):�R 1� CCU VJCM LQs T e •Address: 3'd �1�IJStis,> K 67st1V� _ - --_ -- Ci+, /State/Zip: FAST rRa % A. M% 02.53(v Phone*- �►0� "��4t— __ Are you an employer:Check the approprtatebox; • :Type of project(required):, 1,teI am a MP loyez with_ 13 - - 4. I am a general f ontmLtc�and I b C: . New construction . emplgyew(fill and/or pant tune).'", have hired the sub-contractors . 2.❑ Iama'soleprolsrietoxaxparker- listedonthe•attacbedsheet. 7" Renxadeling ship end Y►avtr no employees These sub-contractors have g• E]D=olitioli *orldng for mein an oa aci employea�and hati a workers' , Y � city. Iitu�cliag addition [rTo workers' comp.insWanoe comp.imuraztce.+ -cequired.] 5. ® we ark a porgoration and its 10.[ EledLical repaiis or additions 3. 1 am a homeawaer doing all-wcr'a . o£6aers hoXe e=rlised tlatix 11,®Pltm*g repairs ax additlow myself [No workers'coma. right df exemption per MGT� 12.®Roof repairs iasurance.require&]t .r,"I52,§1(4),and we have m l employees.[No workers' 13.0 Other„ ' cczup,iuStuaitce rogtiired.] - -- - . *Any i2p,icant thatcheclo box#1 mast also fill out tto sect<<m below showing thoir workers'compensar on policy infarre$oe. t Homeowners,wha submit thia affidavit indicairg they are doing a1 work and then,hire outside eonGectars must submit a new affidavit indicating sins• V,:ontracton that cyack this box mup,attached in additi'mal cheat showing the name of the sub-cez�cactars and state whe'tber ernotthose entities have es~ipieyacs. X the sub-contractors bane ersployees,they:oust provide them workers'comp,pe}ic`y number. Ian an employer that is provlril3tg workers"compexsatdon trisuTanee for any employees. Below is xhe policy and job rite' tnforrndri'on. � Insurance Cctq=—y Naznee � � 'Policy#or Self iw Lic.#: � j� _ - - ---_ E�^Fixation Date._ a-i rob Site Address, Z4 '.��"4�K �I,AGiK. C;lty/4tatalZip C.o'(tllrt r i4irt Attach a copy of the workers'compensation policy dedarafion page'(showing the policy number and expiration date). Faihte-to seer coverage as-required under Section 25A,of MI UL c,152 eau lead to the imposition of crhninal peualties of a fuse tip to 51,SG0.00 and/or one-year iu arisonment,as well as civil penalties in tlse form of a STOP WORK,ORT)M and a fiats of up to$250,00 a day agaiw-t the violator. Pe ad-rised that a-copy of this statemeit maybe,forwarded to the Office,of' investigatiers of the MA fox ixSur-Miie cayaxa:e ti•exifscatian __ 1 a'o he y ce a th pafKs d penalties of perjury thet tht information provided abovo is true and correct, `J — ----- Date skt% 701it.dal ttse only. a nee to s area,0 be comple14ed by,city or town of dal,or Toren Issuing Autkority(circle one), 1 1.Ecard of Realth 2.Build ngDep,a'trneat 1.City/Toru Clerk 4-Electrical Inspector 5•,Tlumbing Inspector !i 6.other ConaLctpersoal - Phone#' _ r . j �lce �ominwm.�uea�/a o�,/�a°°actauaP,ll 4 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration`• 112576 Expiration . a/9/2007 fndividuaI R+CCONSTRUCTION CO" LEO HOOBEN 37 ENNSBROOK DR .'{ rz--� E.FALMOUTH.MA 02536 Administrator °T Board of Building Regulatio s and Standards Construction Supervisor License t Licefte: CS 42808 Birth"W'\10/20/1955 14un-0/20/2008 Tr# 5370 LEO A HOOBEN ,-,f 775 EAST FALMO E FALMOUTH,MA 02 Commissioner v 4Wj 4 y'�{.+'J j� � dT S �.iSt ,l'1 • �Ix"{:.fz� id' ;� 1�h�ti ��rr _ {ir• ° "d+"u lea•,� f`: / E � ' LW TV AA V1 L Ki Ajo-7 Regulatory Services yaxsr�se.$ Thomas F,Geiler,Director �.ss. 9�6 ib39• `�. Building]Division '°Tea►� ' Tom-Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstabl e.m a.us Face: 508-862-403 8 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION ;A` MGL c, 142Arequires 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 adj acent to such residence or building be done by registered contractors,with certain exceptions,along w-tt.r other requirements. Type of Work:_ RENOMIMOtA Estimated Cost # 101.000 Address of Work: '1.0 0`ISISK ?1. f. , CMTT , ml1 Owner's Name: EIS �y 'K Date of Application: 02 "SW 01 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 p the agent of the owner' p�. YAN 01 Gs WLS006 Date Contractor Signature Registration No. OR Data Owners Signature Q;wpfiles.forme:homeaffi day Rev 060606 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 , r - Alterations/Renovations Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE qlv� square feet x$64/.sq.foot ob x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq,ft.= x.0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00=' (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Projcost Permit Fee yqy. Rev:063004 Table=11;(continued) Pmcdp&e Packages for One and Two-Family Residential Bulldings-Heated with-Foaril Fuels MAXIMUM MINIMUM Glaring Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'('/o) (1-valuer R-value' R-value' R-value° Wall Perimeter Equipment Efllciency' Pac'�age R-value, R-value' 5701 to 6500 Heating Degree Daye Q 12% 0.40 38 13 19 1 10 6 Normal R 12% 0.52 30 I9 1 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85-AEUE T 15% . 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA NIA 85 AFUE w 15% 0.52 30 19 19 10. 6 .95 AFUE X 19% 0.32 38 13 25 NIA N/A Normal Y 19% 0.42 38 19 25 N/A NIA Normal Z 180/. 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 20 0`IS'C�R QLAGf� GOTVIT ,MA 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 192 4. '/o.GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-®80303 a 780 CMR Appendix J Footnotes to Fable ALM ' Glazing area is the ratio of,the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as,a percentage.Up to IWof the total glazing area may be excluded from the U-value requirement. •For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. 3 The ceiling.R-values do not assume a raised or oversized Truss construction; If the insulation-achieves- he full insulation;thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3g insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-S insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. $The floor requirements apply to floors over unconditioned spaces(such as unconditioned cmwlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement :is above-gmde walls. Windows and sliding. glass doors of conditioned basements must be included with-the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see Table JS.Z.la NOTES: a)Glazing areas and U-values are�maximum acceptable levels.Insulation R values are minimum acceptable levels. R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC•test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 oFZ ,okM Town'.of Barnstable Regulatory Services Thomas F. Geller,Director . Building Division j°rFD iAp`1� TomPerry, Building Commissioner 200 Main Street, Hyannis,NIA 02601 x + r Fax: 509-790-6230 Officer 508-862-403 8 Property Owner Must Complete and Sign This Section. If.Using A Builder MI=Y1 ,as Owner of the subject property hereby authorize LEO �. t10013E1�1 to act on my behalf, in 0=attets relative to work authorized by this building permit application for: 20 oy sT ER PtJr'E C-0T'AT , MA (Address of Job) 02•S Ah101 Signature of Owmex Date I�LL�11 C.0�1� . Print Name Q:FORMS:OWNERPERMISSIaN • ACQRD CERTIFICATE OF LIABILITY INSURANCE OPID G DATE(MWDD/YYYY) PRODUR&CCO-1 07 11 06 Ride ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rider Risk Specialist . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO BOX 115 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cataumet 13A 02534 Phone: 508-564-7200 Fax:508-564-7272 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ' R & C CARPENTRY INSURERB: CAROL HOOBEN & LEO HOOBEN DBA INSURER C: ASSOCIATED INDUSTUEs of Kass 37 ENNISBROOK DR. INSURERD: EAST FALMOUTH MA 02536 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW 14AWBEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUM�iR OATEYdIM/DD E DATEMA9 DDIYY LIMITS GENERAL LIABILITY " EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occure ice $ CLAIMS MADE E�OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 4 AUTO ONLY-EA ACCIDENT $ ANY AUTO !I OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE Is DEDUCTIBLE RETENTION $ $ -----_ EMPLOYERS'LIABILITY ' .. ....` .- X TORY LIMITS ER C ANY PROPRIETOR/PARTNER/EXECUTIVE � AWC 702106501 05/02/06 05/02/07 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? If yes,describe under E.L.DISEASE PLOYE EA EM $ 5 0 0,®0 Q SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 5 0 0,Q 0 0 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO: DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDE NAM`eD TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Barnstable IMPOSE NO OBLIGATION OR LI ITY ANY ND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT VE CHARLES C. R ER11ML---11;� ACORD 25(2001108) v 7 QACORD CORPORA ION 19& l \116 �°i 230 South Street Fp MAC A1, Hyannis,Massachusetts 02601 ;r .�-_ 'rcatr�� �t BARNS TABLE, �r, �3 j�?,^ (fir`QC- 2�06 J�P� —9 Pis 4� 16 ..�_�v Notice of Intent to Demolish or Move an Historic Bui7rd � tru�ctureuop 2 52 Print iri --1±C-0 FIS10 9 1. Date of Application: 'January 9,. 20_06 � �� a 2. Building/Structure Address: 20 Oyster Place., Cotuit, MA 02635 .3. Assessor's Map :and: Lot Number Map 35, Lot 86 :4. Is building/structure located in a. local or regiopal, historic districts X N g If yes Protection of Historic Properties Bylaw does not. apply. anct it- is not necessary. t. ic6iplete.. the rem4'Inder ,of this` form. 5. Is buildiig�structure listed on: the national Register of Historic Places or pending listing on:,the National Register :of Historic Placesr Y N X_ 6. How old is the building/structuret 215 yrs. Architectural style of building/structure, describe if not known one-story Cape Cod Is this build ne6tructure associated,,with. one; or more historic events or persons# name and description No- 7• Type of Building/Structure. and Propo,seo Work: Main house to be razedor relocated and replaced by New England shingle-style residence to be occupied by the applicant and faml1Y. { 8. Zoning District: RF Fi:rc ,u1strict: Cotuit . 90 Applicant's Name: Peter W. Evans, and Doreen W. Evans Tel_ # 617-501-4962 Address: P.O. Box 1510, Cotuit, MA 02635 0. Owner's Name: Frederic.P. Claussen Tel. fJ ; Address: P.O. Bog 132, Cotuit, MA 02635 1• Contractor: None at this point lel. Address: • Platerial of Building/Structure: Wood frame 3e llow is Building/Structure Occupied : vacant No. of Stories: 1 4' Explanation of the proposed use to b.0 made of Llle site: up to six (6) bedrooms 3700 squaie foot New England'shingle sfyle `residence in keeping with the neighborhood - and village setting - architect design by Timothy Luff. Diagrain of Lot and Building/Structure wi.l II Di mcnG i uns: Ilamc 6�.aven� ,�t L,� v, 8ax 9 da 4 AP)3jfr i 014 3 .HANNSTA111yF:. rip t63t: 230 South Street \Fp MA C A�. Hyannis, Massachuselts 02601 TOWN OF 1 ARNS•I'i1BLE,, Notice of Intent to Demolish or Move an Historic Building-S,` '6`Jtr& N1 2: 52 I Print in Ink 1. Date of Application: ' January 9, 2006 2. . Building/Structure Address: 20 Oyster Place, Cotuit, MA 02635 .3.; Assessor's .Map and Lot Number: 'Map 36, Lotr86' , ADO 4.. Is, building structure located in. a, ;local .'or regional," historic' district s Y N x If yest Pjoteoti,on of .Historic Properties B,ylax does not apply and.it- is not,. necessary. to complete the remainder of this form. _ I 5, Is building structure listed on the _National- Register off'' Historic Places, or. pending listing on"::the,National Register of Historic Placest Y N g. 6. How old is the building/structuret 60+ yrs. Architectural style of building/structure, describe if not known: one-story .cottage-style Ie this building structure asaociated, with. one. or more.• historic; events or persons# name and description No. 7• Type of: Building/S.truc.tur.e. and Proposed Work: cottage to be razed or relocated and replaced by cottage-style residence to be occupied by the applicant and family. • ;`•'�; III � I i I ... r I 8. Zoning District: RF Pi.rc District: Cotuit 9' Applicant's Name:, Peter W. Evans and Doreen W. Evans Tel. . # 617-501-4262 Address: P.O. Bog 1510, Cotuit, MA 02635 0• Owner's Name: Frederic P. Claussen 'j'el # ; Address: P.O. Boa 132, Cotuit, MA 02635 1• Contractor: None at this point Tel. # Address: • Material of Building/Structure: Wood frame 3' ILow is Building/Structure Occupied : vacant No. of Stories: 1 4' pro p Explanation of Llte osed use Lu ba made ul` Litc siLe: up to six (6) bedrooms p 1 i 3700 square foot New England shingle-style residence in keeping with neigbborhoUd and village setting - architect design by Timothy Luff. Diagratn of Lot and Building/Structure wi.{ 11 U.imeals i uns ATV% (toy 41i4yPAIN>s t 'rvfl v 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION eei Map d5�Parcel 00 (0 Application#- Health Division Conservation Division / Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee �0, Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �C Village Owner Address 14-ve"4-v Telephone Permit Request rZ A Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 30 bd Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new 3 __ 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 ;O No-' Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use. Proposed Use BUILDER NFORMATION Name Telephone Number ".. Address License# K)//. 6 C�1r Home Improvement Contractor#. Az 070 _ Worker's Compensation# i�z/C 17cZJ 7/0-6ZJ"_--I06 ALL CONSTRUCTION DEBRIS LTING FROM HIS PROJECT WILL BE TAKEN TO � � SIGNATURE DATE Jwe� J 1 P►, ; FOR OFFICIAL USE ONLY 4 ' z� PORMIT NO. . DATE ISSUED y MAP/PARCEL NO. ADDRESS VILLAGE OWNER ft ` I r DATE OF INSPECTION: FOUNDATION FRAME ` INSULATION .; FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL ti FINAL BUILDING 1 DATE CLOSED OUT ASSOCIATION PLAN NO. • �\ 1//G <+Vlninvis rresa�ai• v,� 111MYYMV.�wVV--✓ . \ Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 y www.mass.gov/dia Workers' Compensation'Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/organization/Individual):- Address: f' City/State9 Phone#: ra Are yo n employer? Check the-appropriate box: Type of project(required): 1, am a employer with 4. ❑ I am a general contractor and I 6. 0 New construction employees(full and/or parr part-time).* havehired the sub-contractors 2.❑ I am a sole proprietor orpataer- listed on the attached sheet t 7. ❑ Remodeling ship and have no erployees These sub-contractors have 8: El Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' Comp.insurance 5. ❑ We are a corporation and its required.] • officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homieowner doing all work right of exemption per MGL I L❑ Plumbin repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑ R repairs insurance required.] t , employees. [No workers' }3. Other . comp.insurance required.] *Any applicentthat checks box#1 mast also fill out the section below showing their workers'congeasation policy information: t Homeowners who subaritthis affidavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such tContractumthatcheck thisbox must attached as additional sheet showing the name of the sub-contrabtors and their workers'conv,policy iuformativn. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site information. Insurance CompanyName: �7� `, Policy#or Self-ins.Lie.#: 2 f E223 71&13(� Oo205— Expiration Date: Job Site Address: U City/State/Zip: kl� Attach a copy of the workers' com ensation p.olicy declaratfoa 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t a j o erlury that the information provided above is true and correct Signature: ' Date: UL Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitILIcense# Issuing Authority (circle one): . . 11 .1.Board of F1ealth L Eulidina Department. 3.Cityi.T own Clerk 4.Electricai Inspector.5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their emplgyees., Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation dr other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling hous a having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or.on the grounds or building appurtenant thereto shall not because of such employment-be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of alicense..or permit to operate a business or to construct buildings In the commonwealth for any applicant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally,MGL chapter 152,§25C( )states"Neither the commomvealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the msuzance requirements of this chapter have been presented to the contracting anthority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to you=situation and,if necessary,supply sub-contractors)name(s),address(es)and phone u=ber(s)along with their certificates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Dep artrnmt of industrial firm . Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The-affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies shodd enter-their self-insurance license number on the appropriate line. City or Town Officials. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contactyou regarding the applicant . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant thatmust submit multiple permit4icense applications is any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in " (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit ism file for fi=e permits or licenses. Anew affidavit must be filled out each ' year.Where a home owner or citizen is obtaining a license or permit notrelated to any business or commercial venture (i.e.a dog license orpermit to bum leaves etc.)said person is NOT requited to complete this af`iidavit. The Office of Investigations would h'ke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ent 406•or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 WWw.IIiaSS.aOVIQla Town of Barnstable Regulatory Services t snxxsznat,e, v 'MASS. g, Thomas F.Geiler,Director s6gq. �0 TED,39 A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 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: &Zzt4�', 4-G� Estimated Cost 6,6 C) Address of Work: C Owner's Name: / Date of Application: e t9 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 P IES OF PE I herebylap�ly for a permit as the agent of the o er: 6 Date Contractor Signa Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffi day Rev: 060606 °ME 'Town of Barnstable °* Regulatory Services L � = Thomas F.Geller Director y u,►ss. g , 4''°,Eo ►�'`` , Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.b arnstabl e.ma.us office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, ,as Owner of the subject property PAY tit., hereby authorize_C� V R i � ��%_ to act on my behalf, in all matters relative to work authorized by this building permit application for. a 0 (Address of Jo ?- a� nature o er Date Print Name Q:FORMS:0 W N ERP ERM1S S 10N Board of Buitding Regulado s and Sty l HOME I VEMENT CQNTRA_ CTOR egisttronc 106207 -�Ea! a 2/:loos p �riavateCorporatio HAYDEN BLDG 1111�tEZS -. ' x f I Robert Hayden / PO BOX 496 COTUIT Mills,MA 02635 y Administrator. . CT BOARD OF BUILDING REG,ULATrONNS License: CONSTRUCTION SUPERVISQ#Z Numbe;F CS 016161 Birfh Exprres Q�971912007 T.no: 43594 Restrctsd ROBERTF YdEN= . 60 CHEOH ROAD i if P� COtUIT, MA 02635"w %/ Commissioner ` j POFIKE Tolyti Town of Barnstable Barnstable Historical Commission * 200 Main Street, Hyannis, Massachusetts 02601 * BARNSTABM 9 MASS. �' (508) 862-4786 Fax (508) 862-4725 o Y �A 1639• 1k 1� www.town.barnstablena.us 7p TED MA'SCP,I In a July 17, 2006 N co Ellen Mycock Box 955 Cotuit, MA 02646 Linda Hutchenrider, Town Clerk 367 Main St. Town Hall Hyannis MA 02601 RE: Ordinance Ch. 112, 20 Oyster Place Dear Ellen, Please be informed that the Barnstable Historical Commission found that demolition of the dormer does not constitute a significant change to 20 Oyster and will in fact greatly improve both the appearance and the structural Place, 9 Y P soundnes s of the building. No public hearing will therefore be held upon your �( application dated 6/28/06. Thank you for working with us. All the best in your renovations; please feel free to call us if you have any questions. w<< Sincerely Nancy Clar , Chairman (� Town of Barnstable *Permit# 26a Expires 6 months from issue date t Regulatory Services Fee aS.00 Thomas F.Geller,DirectorX-PRESS PERMIT Building Division JUL 2 .1 2006 Tom Perry,CBO, Building Commissioner ��. 200 Main Street,Hyannis,MA 02601 .y TOWN OF BARNSTABLE www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-623 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �L �' 0�/Q�r,,�-+ /-�C �s �� �� ��� •� esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address evi vv C 0 Oq7.. WuuotL 1 10 2 Contractor's Nameyl G?i/C��L.�!` � E'n Telephone Numbo�� Home Improvement Contractor License#(if applicable) Z412 T ? Construction Supervisor's License#(if applicable) ��Y � f ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I the Homeowner I have Worker's Compensation Insurance Insurance Company NameI'9>7/OLr Workman's Comp.Policy# Ise Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to/ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. one Improvement Contractors License is required. SIGNATURE: Q:Forrm:expmtrg Revise071405 1 ne l.OmmUnlvellLTn UJ lYluJ'J(dCnuJ'riiJ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, NIA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leglbl� Name (Business/Organization/Individual): Address: /?ji� lT City/State/Zip: �i���,�-fir��i Phone #: 2/�,_2_ Are you an employer? Check the appropriate bo Type of project(required): i.❑ I am a employer with 4. EEI am a general contractor and I 6. New construction loyees(full and/or part-time).* have hued the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. (No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. 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. #: Expiration Date: Job Site Address: "2� QV��ylo��`2 City/State/Zip:, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration elate). 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 c der the pains and penalties of perjury that the information provided above is true and corr�e4cm Si ature: Date. Phone#: &�__-2 �- Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 1 6. Other Contact Person: Rhone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased enTloyer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings,in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confnmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. T 617-727-4900 ext 406 or 1-877-MASSAFE Tax # 617-727-7749 Revised 5-26-05 vrw-w.mass.gov/ma r y •w°f, E,oyy Town of Barnstable Regulatory Services = sysu►B , = Thomas F.Geller,Director ' �4'p,Fp►�►�'��� Building Division. Torn Perry, Budding Commissioner 200 Main Street, $yams,MA b2601 www.town.b arnstabl e.ma.us dice: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Scaion. -If Using A Builder I, C�G , ,as.Owner of the subject property hereby authorize V,�24� to act on my behalf, in all matters relative to work authorized by this bunding permit application for. v' (Addres of Job) o� 2 S1gaa of er J Date Print Name Q:FORMS:0WI IERPHRMb9 S1DN 1 O r " ✓x. �o�rinzoozcuea� a�/�naaac�ucarlta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR yM Numb0`2'CS, 069188 s„ Birthda MOM MR. RE ` Ezp a 606/0 t',2006 Tr.no: 26969 Restr ctdd RJ� 00-- �} DAVID J ANDERS, 7 TUPPER RD G- 4 1h SANDWICH, MA 02563 Commissioner r - 7kSN � r� �✓G Board of Building Regulations and Standards ' HOME IMPROVEMENT CONTRACTOR �T istratiow._1.24091 Expiration '5/12/2007 ' tr �Ttype DBA t CAPE ABILITY 1 xtra .t„ David Anderson 13 FORT HILL RD� y � ` E.Sandwich, MA 02563 Administrator 16:30 JUL 10, ?..006 ID: WILLIAM PALUMBO AGY FAX NO: 359-0189 #202?-4 PRL-L: ei4 RANITE STATE' INSURANCE COMPANY 64143-0000 _......_..___ WC.. $74-17-80 3102 013-66-o4o6-oo PENNSYLVANIA APR j 4 AVID ANDERSON Member Companies of 3 FORT HILL RD American Intemational Group i1ST SANDWICH. MA 02537-0000 EXECUTIVE OPRCES: 70 PINE STREET, NEW PORK N.Y. 10210 EE NAME AND ADDRESS SCHEDULE - WC990610 o BRYDEN INSURANCE AGENCY WORKERS COMPENSATION AND EMPLAYERS 125 ROUTE 6A LIABILITY POLICY INFORMATION PAGE SANDWICH, MA 02563-2017 OUREDD IS PiiEV10W Powy Pp1Mf1ER NDIVIDUAL RENEWAL 002311589 r"M" WORKPLACES NOT sllowN ASOvE:SEE NAME AND ADDRESS SCHEDULE - wcqqo610 WM 2 Potrat+PfaM 12M A.a slandlud tie of nm xmeeero vnaftvaddren Few 04/09/06 To 04/09/07 REM! A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation taw of the stag listed hero: MA B. Emplovers Usla ty Insurance:Part Two of the policy applies to the work In each state Bated In Hem 3A. The limits of our 8abliky under Part Two am Sod0v Injury by Accident S 100,000 each accident 0odily injury by Disease $ 500,000 poNav limit Doev InUrI by Chem S 100.000 each fampl" C. Other States hsurancae Part Throe of the 0011cv applies to the states.. H arty. listed hare: SEE ENDORSEMENT - WC200306A IrEMt The premium for this pon@V will be determined by our Manuals of Rules.Classftedons. Rates and Rating Plans. All information roqulred below is sebjW to verWhation and lunge by audH. Estimaad Told rose PM Estimew cla"teations t:sde Number a- rAratbn sm or Re- na.eatm, Ansual❑3 Year munsrotion X Am& ❑9 Year SEE EXTENSION' OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $10 aDOM OORSTA W iEX6M WHEW APPUCABtE BY arAM $284 MA taaMUM PRaauM $500 14A TWAL IMMAM MOR N S500 i WWftsted below.Inferlm adiustments of premium*halt be made: ❑ Semi-Annually ❑ Quarterly ❑ MoatMy OEPOeR PRMnUM EN00Rae OM(FORMMUMaHq SEE ATTACHED FORM SCHEDULE - wc990612 )4/07/06 ASSIGNED RISK 66 lane deft Issuft Gl foe Aumofted RegrawdeWe VC 00 00 01 16:31 JUL.. Q,. l�� ID: WILLIAM PALUMBO AGY FAX NO: 359-0189 #20224 PAGE: 4/4 Page 1 of 1 STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION MNI, ¢ 20O6 WC 874-17-80 MASSACHUSETTS Policy Prefix&No. schedule INTRA/Independent State Risk ID 013-66-0406-00 DAVID ANDERSON classification of Opwationsf i Entries,in this Item,except as specifically provided elsewhere In this polcyy. Code Estimated Total Per$100 of Estimated do not modify any of the other provisions of this policy. No. Annual Remuneration Remuneration Annual Premiums RATING GROUP: 0001-01 CARPENTRY NOG 5403 1 ,006 16.48 165 STATE OF MASSACHUSETTS TOTALS TOTAL CLASSIFICATION PREMIUM t65 TOTAL UNMODIFIED PREMIUM 165 MODIFIED STANDARD PREMIUM t65 LOSS CONSTANT 0032 50 POLICY MINIMUM DIFFERENCE 0990 1 UNDISCOUNTED PREMIUM 216 DISCOUNTED PREMIUM 216 EXPENSE CONSTANT 0900 284 TERRORISM RISK INS ACT 2002 0-03 9740 0 TOTAL ESTIMATED PREMIUM 500 MACHWC (SURCHARGE) 4.401 9690 10 TOTAL DUE 510 WC 77S4 (Ed.4-811 See Name and Address Schedule - WC990610 TE .� ' .Ga/fV OK- 74 - s r Ow y / mot' • � zowoE F. .2 F r Z3•7V90<5,A, -N .Ott 7�'.Sw.aB ; .? _` .. - v -%tt cr I HEREBY CERTIFY THAT THIS PLAN _. : O9<0> _ WAS PREPARED FROM THE LATEST AVAILABLE PLANS AND DEEDS OF RECORD. THE STRUCTURE, ':SHOWN HEREON, WAS LOCATED IN THE FIELD PLAN .;SHOWING .'STRUCTURE ON 5FPT, 74� 19]J AND DOES rdT ON F' CONFORM TO THE ZONING.SET-BACK REQUIREMENTS OF THE TOWN OF MASSACHUSETTS. ayS T�R P.L AG/� fa?DAL7 IN WSTERED LAND SUR OR eoiYSTi�BlF�CDTU/T.), MASS SCALE t''=40� SF :.,19 if DATE —SDB OF M, t C V JAn+rEs cyG� CAPE -.COD 'SURVEY -CONSULTANTS ROUTE 132 c LAPSLEY " ,Q 14o.7M97 C - HYANNIS,'MASS. CISTF- f ND R`I SU • a P C oio wl� lisle oy` it u I. CL P ,t I }r��.. e»- •1�r.t�+ giE[..:.`[ t���.:.. vf' � t.�fi y, a �; ��( _ 'n - I' � ��� �� c u v. (n 1 ' yea "r s✓a*,�3 e�; , 4 I r j + t€� a y O o I � 14 -W. s ti� 9 ' .'7}�tT ''SC�a,:;r s ` �.� �. ♦-v �r I. # n Ste`rAc I I IN gg �I fr L"*5��z I�^a! '� �-�h�`'�ei� '� '�•"°is s �3 d� S,�in• tr'�3c":. F } � 1-��. � Jr I .�. +- _ � g4 rF ...`:r "Pg�+L ,�'...r R _fT a .I- • .. >r a"*R rN 3 V. ,ram• I .. - „fie k FNr°� ��s4 r r •- t " t , ,g F ; �N TOWN OF 13ARNSTABLE r OFFICE OF »sort .e;o. BOARD OF HEALTH see MAIN STREET HYANNIS. MSS.oseot eta _. May 39 9 85! Mi. Frederic P. Clausen S CotnmonCealth of:'>t+{assacbusetts F Tlae`Trial 'Court Probate and Family hurt Department T. O: -Box 3". Barnstable, blA. 02630 Dear Mr. Cleussen: Ve -recently received your_:.letter -,dated ..Kay 24, 1965, ;along with tbe' information.;you:teceived ftorn Rogers ani# 3darney }°I 1<Ye were also able to notate ,the sewage?disposal,permit .dated ':3anuary 2l,` t �. "You to not appear to "have 'a ;problem. 'The on-site sewage disposal system is a 1000 gallon septic tank and a 1000,gallon leaching pit. we will approve .your building permit when it. is submitted to us. The hours . a for iauilding ,permit. :approval are.`�8:30 A.H <:xo 9:30 A.M. .and 1230 pall. : to 2 P.m. _. . : �►ery-tcul ours, ohn ltil. Kelly . irector of Pub health Y V Assessor's map and lot number ......:,tea•.... .-.....; ....... OF TM E r0 Sewage Permit number ......r�........... "� Z BAflBS-TADLE, i Housenumber ........................................................................ T r MU& A Apo,1639. \00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ��....t'-?if/ ..... -r�/ rrJ:?+... .°I':.... '( l /� ....... TYPE OF CONSTRUCTION .............19. : TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /? C7 ;1. .,],.'Z �,a/? �!.' /� .l� ..`.. ................. ................................... Proposed Use O AM C 12..4 OnP— �'.'l.......................... Zoning District �� � �'' ( t, ! �> t r` � .......:............................ .............................Fire District ........:....... .........................................,. Name of Owner !<'.n.f� ./.�:. ��-�"? .,e, r ..Address ?., 1lS�r ��t i .: / ' r .a,� `i/er f ad . /L'. 9�e�/'!� i til fd�?� n Name of Builder ._..........�.;.. .>,... _.. ... :r''..:-. ......__s,4ddress ...:...................,........ ....... .... �...... .,�..... `.... Nameof Architect '..................................................................Address .................................................................................... Number of Rooms ...` ........ Foundation ..... X.fJcR'` ............................................. " _ :. ..................................................Exterior ......Roofng ......r.` .. ...... �. . Floors &?e l,✓.?. .......................................................Interior ......ff 1 r;- ....i 14, :.. .:. . .I. , ................... Heating ! i yki�.......% rr...a..A.................Plumbing ............ ....... Fireplace .. .................Approximate. Cost >�,6--r"2, .......................... Definitive Plan Approved'by Planning Board -----------_-------------------19 . Area .....:. ���' .:................................. Diagram of Lot and Building with Dimensions Fee f SUBJECT TO APPROVAL'OF BOARD OF HEALTH o r ---7 — ` (� 0 `J - t J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ Name, rI ;,, ;• , -'.�/J,:`-„?: c-.t%C/.................... Construction Supervisor's License - - /CLAUSSEN, FREDERIC P. A=35-86 ✓ V No ..28463 Permit for .....ADDITION .................... lio Cottage ............................................................................... ' Location 20 Oyster P.lace. ...Road. ................ . ...... . ...... . Cotuit ............................................................................... Owner ......E]CM. sea............... r Type of Construction ....Frame........................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......$.PRkemher...25.......19 85 Date of Inspection ....................................19 Date Completed ......................................19 _ r 1PISTALLED IN COMPL6�°,� 1 Assessor's offioe Ost floor): / � WITH TITLE 5 �E o`TwEro Assessor's map and lot number ........EN "; '�L CODE "ONRIENT Beard of Health (3rd floor): TO ,�,i�D d Sewage Permit number ............ TOWN REGUL/►T . 1.5.."... ..�.. .:....... ION� t DAUSTADLE Engineering Department (3rd floor): ooMa o. House number ........................................................................ '�OYP1 W. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO,��.1,�....�J��� .-.... ............... TYPEOF CONSTRUCTION ................................................................... ....b%........................................... ....;-�..........19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .......veJ. �1�^1�....... �cF'............ �/............4- '�.y.�1 .......................................... ProposedUse .........e .......... ���/4L�T. .................................................................................................. /// ZoningDistrict ..................y�..�.......................................Fire District ................................................ Name of Owner �k'1..�PC4YC......./0...!~/.1� ?S'>� !{�„Address . (3...... n Name of Builder .r. ..... . r ....Address � . ��(T4�-f F ......,9P............... zoo Name of Architect ............./.... .. .. t•d.,,,;,,.....p,,,�,5-'�Z Number of Rooms ..................................................................Foundation ... tiCl'�< [� �3f ........................ Exterior 6!/ 0 �lr .AlJ�G.��...........Roofing .......A5�.eeoz ./ Floors ...........C-0.Al. .......................................Interior ........ '.0. ........................................................... L rteating .✓ .......y..L..............................................Plumbing ......... ......................................................... Fireplace V dt/ L ..............................Approximate Cost ......... 0,... ''�,,r ..... ............................. ... Definitive Plan Approved by Planning Board ________________________________19________ . Area Diagram of Lot and Building with Dimensions 12 Fee ........ ... . ...,........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. p/� // ` //� l Name l..f...:�.L�%�'G,.. ............................. .... Construction Supervisor's License ...(,.!.f ^JJP... CLAUSSEN, F. P. r v • No Permit for ,.,,Add To Garage .......... , Accessory to Dwe.11ing ............ ....................... Location ....20 Oyster Place ................................ Cotuit ............................................................................... Owner ......F.....P P. Claussen .................................................. Type of Construction F.rame. ... .... .. ......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....Aj?r,i 1. 2 2,.........._19 88 Date of Inspection ..- �." ......19 " Date Completed ........... .... ....19 Z t IwC Clr r51 � ,.Assessor's- offioe (1st floor): / ` r 1 OF THE Assessor's map' and lot number ..................................... o ` Boardt of"Health :(3rd floor): Skwage Permit number ..............f..-rT.�.. 1. .:........ : DAUSTAMLE, Engineering Department (3rd floor): oo M6,9• House number ..........,.................................. '°�•o gar'' APPLICATIONS PROCESSED 8:30-9:30 A.M. and .1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TOE . d �.. l��l� ... �` .... ��....................... TYPEOF CONSTRUCTION .................................................................... ..°.b�...........................................°° TO.. THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ........fie ....... ............ � y. ................................................ ...........! ProposedUse / 1.. ..........` ��fe .�-................................................................................................. Zoning District �...,! .......................................Fire District .....`....O,.T1..../.................................................. ................ p t Name of Owner f �� /0...� I!�. ����C... ,",ddress ..�f� C! � ..�!... ....... Name of Builder e.... Address ..................... .:.... ........9P................... Name of Architect ` . ..:....''..0 31� `"� ���" ^� Address ................................................... . � 2 Number of Rooms `�J ....�hr ...........�...................................................Foundation .........�..........� ... ...........................................;... 0 0 �i�!��1r.�.��...........Roofing .... ............................................. Floors Co.Ale! (1.......................................Interior t' p ' P' Heating O/v C� Plumbing :.... t................................. .............. r 1. Yw /Q replace .. � .......... . -,^.................Approximat ,most .. ... :,...........................r-.............. ' Definitive Plan Approved by Planning Board ______________________________ _ 9________ . Are'` �-?.Z .....�� . ...�?/........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................................ G Construction Supervisor's License ... �. 1.. ,5� ., � � ��- ""CLAUSSEN, F. P.. . A=035-086 ; 31827 Add toNo Gara e t " ..... Permit for ................................ .. ... Accessory._to...Dwelling q. Location ..20... y,pter...P.laCe....................... . Cotuit r Owner ....F. P.......Claussen ' ............ ............................................ _ r Type of Construction ...Frame - i .... _ x ............................................................................... Plot ............................ Lot ................................ u c Permit Granted ...April 22 .................19 88 ' Date of Inspection ....................................19 Date Completed 19 E I� M t 1 i a b F �s � A : , a g r � s W 20 Ovster Place, Cotuit 12/11 /06 20 Oyster Place, Cotuit 12/11 /06 w If �� 20 Oyster Place, Cotuit 12/11 /06 Ar- ,R r r 20 Ovster Place, Cotuit 12/11 /06 T :t 1<s as•.� `� � s k i M yy � L } 20 Oyster Place, Cotuit 12/11 /06 r-r . A - �Wft i 1 ' ' I 20 Oyster Place, Cotuit 12/11 /06 y. t 'I. ll. �i t ^' t. 20 Oyster Place, Cotuit 12/11 /06 f �l 1" r r � Li a 20 Oyster Place, Cotuit 12/11 /06 _.... � � I a� � �- - �� m: y a t w 3 r 11 / �. MNd /ee 1 at �I Ah � • i . {1 a i l�.I'�1 11#� ii 1#:•'. � � 1:.'Si I ^ '4„LY kYl •Yi t i I-. i I 1. I I L� I� III t Fct I. t�•4, .E'n 't+ 4 x .;lay +.N �. 1 777!!! .f��l�l�}I1� �I Ill� Itl lr lac 11'v\H o- �I. yd� � Fi• 4 5{�x, '7 n tt ry Y N' i ho �GR�lJorlt UuTu.. /�+se•cc�� �� i i 3 I I an F _ / J " - - out .� ,;.� M•� a ra`.14 ,' ''•h•, Ul Eh Aw AAk a R a a -r1 _ 1 y y .,! r - , !� t; , 1 lid�-. • �„� � �11. i ZIP 4a 5 •t� �•1 6�� 1 >� F��76 , + +_/ \.� c fyf 1 � � •p i y f .72 IL 47 'Y ��, , ' y�+.15 LLL • �.'• . ' y a !� f� � ' �� r', .a �'s�i�"-iZ �,fc' ,% I�j�:f 'I r` ► l.,� y �', i ! 4Y' roA '` h , �i 6� r r � J a J• y**d'1 ... �1 •t I E �` �• ey �r 'S� ', ,T 1 �`, � 1 7 Hl. "' I e 20 Oyster Place, Cotuit 12/11 /06 KILROY & WARREN, P.C. ATTORNEYS AT LAW THE ISAAC P. FAIRFIELD HGU�SEA 1 f S t�P R` 1 . -E 67 SCHOOL STREET BERNARD T. KILROY P.O. BOX 960 nu FEB -g Fn 2' LAURIE A. WARREN HYANNIS, MASSACHUSETTS 02601-0960 TELEPHONE (508) 771-6900 TELEFAX (508) 775-7526_ -'-w."�,j istrlN E-MAIL: bkilroy@comcast.net February 9, 2006 Thomas Perry, Building Commissioner. Yarmouth Road Hyannis, MA 02601 RE: 20 Oysterl " Cotuit-Assessors map 35, parcel 86 Dear Mr. Perry: After our recent discussion about the above property, I met with the Barnstable Historic Commission pursuant to two notices of intent to demolish the two single family residences on the site. At the hearing the Commission gave us permission to raze the cottage and we agreed to rehabilitate the other residence because of its historic significance to the Town. As I mentioned to you, my client wishes to construct a new single family residence on the site and use the rehabbed residence as a guest house subsidiary to the new main house. My question to you is whether my client will have the right .under section 240-91H to demolish the cottage and rebuild a new larger house which would meet all of the criteria in 240-91H(1) . You had told me in our previous discussion, that the matter would be referred to the Zoning Board of Appeals. My analysis is as follows : 1 . begin rehabbing the historic structure and remove its kitchen thereby leaving one single family residence on the site, viz . the cottage, and meeting the threshold requirement of 240-91H, i .e. a legal nonconforming lot improved-by a single family residence; 2 . demolish the cottage thereby leaving no single family residence on the site giving the applicant the ability to rebuild.,under 240- 91H. My client had intended to build a new england shingle style . dwelling on the site of approximately 3700 square feet'- 'but because of the potential use of the historic structure as a subsidiary guest house he will be reducing the size of the new building to approximately 3000 square feet. Given the past history of the Board of Appeals which likes to revise plans in these matters and the potential for appeals, my client does not wish to go to the significant expense and time necessary to go through the Board of Appeals process Since my client is willing to satisfy the Town' s requirement of saving one of its historic treasures, it seems only equitable that the Town work with the property owner to allow the owner to make reasonable use of the property. The so called main house, according to the assessors records, has slightly more than 900 square feet of living space which is a small building under today' s standards . The cottage has less than 400 square feet of living space. After you have had a chance to review the matter please let me know your thoughts. V truly yours, B harT Kilroy S;. 01 ����� Assessor's map and lot number ....,.: LL C2.....,. SEPTIC S 3 ,d E' : MUST INSTALLER) HE t�q '`Sewage Permit number ..1�7S — I ..................... a row ENVIRpppA ®8�M k n �q�Al "N .• AM E. i <- House number ........................................................................ T®'Yti' kki �L,'L u'IC t639. ems G MAY TOWN OF `BARNSTABLE BUILDING- INSPECTOR APPLICATION FOR PERMIT TO ., ��:�.....Q..2 ... .. 2ll�T ...®. ....G.P...F.��..T ....... TYPE OF CONSTRUCTION ......................lAwn..Q.O.#0.......... ................................................... (!!Z�(........1.............19.2' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following ^pinformation: Location ...v ry�.Q...... .y.,S.�22..... './}.e. ....a./-�..........�J..C�Il .uk.,7:7:7..................................................... ProposedUse .....0A10....a.rA .R.120..,e7l.................................................................................................................. Zoning District ....IFIZE.......... ........................Fire District ... /C.....P/.�P....... Name of Owner fiz.,z.ag., :/.G .....Address 1P..q`c$TIr�Z.�� Name of Builder 40Qj,et;v,,,j�7�y/ Co. ovC. Name of Architect ...Address ' ............................................................... .................................................................................... Number of Rooms 09410..Foundation ....: . ..61.O.1; ............................................. Q Exterior ....�.4/..T«......�r�.��J..� ..�' . .!'J'".Cz s'.....Roofing ....../.. .4S..[..lIA.4.T.................................................. Floors ....C. /2,j0Y,21 .....................................................Interior ...... .././✓/Le....�!4�{/s!!�'!li.L� �.... .................... Heating .......l.T....................... If e..�.C�/..................Plumbing ........... :�.+.+... �!"t��.41/,�................................... Fireplace .......�40.414 ..........:.......................................Approximate. Cost .................... � ?4?O............................. Definitive Plan Approved by Planning Board ________________________________19--------- Area .....1..7. ..1 ................... Diagram of Lot and Building with Dimensions Fee >!l SUBJECT TO APPROVAL OF BOARD OF HEALTH L ' � to . VA y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ..................................... Construction Supervisor's License .® .1 ..lit-o'5'. CLAUSSEN, FREDERIC P. No .-Z 1 8463.... Permit for ..�4qition 4......... ........................... To..Cotta ..................... ...........g...e ......................................... Location ...... Qy��.e.r...Place...R.o.ad.............. Cotuit ............................................................................ Owner Frederic...P..............Clau..s.sen....................... ...... Type of Construction .Frame.............................. ................................................................................ Plot ............................ Lot ................................ .Permit Granted .........§jeptember 2519 85 Date of Inspection ......19 Date Completed ......:�e�.........:,n .19 �7 OF OelkvgTX o Fc�vv S 74 Gl /33'.'6817,r //3 JZ �'Zp/o' L.c�,r3 /L71� ZoiS'E = sQ F \ IJ�y h ti 23 790.�s, F N . � o I HEREBY CERTIFY THAT THIS PLAN ` WAS PREPARED, FROM.THE LATEST: AVAILABLE PLANS AND DEEDS.OF.RECORD. THE STRUCTURE, ` SHOWN HEREON, WAS LOCATED IN THE FIELD PLAN SHOWING STRUCTURE ON SEPT 24 19 AND DOES ,-1 / 7 9 uT ON CONFORM TO THE ZONING SET-BACK REQUIREMENTS OF THE TOWN OF gyeySyyA,� MASSACHUSETTS. 7�� IN STERED LAND S"Rto, R .5??iJ/sT,9lj1.�c�7C117J, MASS. SCALE I'•=4,�J� ,19 79 9 2 `V_Il DA SH.OF Mgss9c C"8 D 8 , JAMES yG� CAPE COD SURVEY CONSULTANTS P. LAPSLEY � ROUTE 132 No.22591 'A q HYANNIS , MASS. TE��pa` AND SUR��� . 04/10/2006 09:08 5084284295 AI ENTERPRIES INC PAGE 01 A{ 1 r �$t CC jt6��f<,'T'ABi f_ Distinctive Design&Construction u` f �Rx,- l} .ARCHITECTURAL Ili NOVATIOP IS A DIVISION OF Al ENTERPRISES,INC. P.O.BC K 1056,COTUIT,MA 02635(508)428-4219 FAX COVER$1 ELT DATE.- TO: FAX#: 7/o - 67,- o FROM: � �1c. ;�O c '77 FAX#: 508-428-4295 Number of pages including cover sheet: Should there be any problem in receiving thi.4 from Ir no fax,please call 50&428-4219 COMMENTS: Ilslf� .yi zs 04/10/2006 09: 08 5084284295 AI ENTERPRIES INC PAGE 02 • � e % Vt o� 04/10/2006 09: 08 5084264235 AI ENTERPRIE9 INC PAGE 03 t April 5, 2006 Project: Peter Evans Oyster Place Road Cotuit,Ma. Zone—RF Setbacks: front 30'/ side 30'/ rear 15' Minimum Lot size: 43,560 s.f. EvAn's lot is 22,328 s.f, Therefore "non.-conform,ing'', and following: s-luidelines below: Lot coverage: 20% or 4,465.6 s.f. Floor area ratio: 30% or 6,698 s.f.. Proposed: Proposed house (first floor)= 2,319 s.f. New garage= 576 s.f. Porch = 108 s.f. Total new sq. ftg. = 3,003 Existing: 1790's house V f1r. =912 s.f. Existing garage(minus one bay) 410 sq.ft Shed= 80 s.f. (to be removed) Guest House to be demo.lisbed) Total existing sq. ftg. = 1,792 Total footprint of buildings on site 4,325 ft. Floor area=6,215 s.f. 04/10f2006 09: 08 5084284235 AI ENTERPRIES IHC PAGE 04 DECK 3dk l4' _ MASTER BR , 1vGk18'2" I I I ININ 3'}t 1 TB U\A NG WOW I • I $SEASON , I HALL i CL. J: KITCHEN -__---- - � ' PWDR. i CL. MBATH 13'xl1'2" W FOYER / T, LI PORCH LND MUD FIRST !I FLOOR FLAN II II II 1N r 10` II I! 2,319 S.F. LIVING SPACE GARAGE 576 S.F. GARAGE 108 S.F. PORCH I, 488 S.F. DECK I I n TOTAL FOOTPRINT= 3,003 S.F. 04/10/2006 09:08 5084284235 AT ENTERPRIES INC PAGE 05 I I DECK I I I I ta'x5�" --------------- - _..�� n31 ; BEDROOM I I I 15'6"x15'B° 1 i I I I f I I I I I I I I I I I BEDROOM I .I 73'xtA'7" I t � 1 d i I I I OPEN TO RR.QW r I I I j CLC�S j I 1 I I I , CL I BATH .. ... LOFT I -------------^ .I LIN BATH Q � I 1 FOYER Ct CD I i I I i ; I s_----------------------- --- SECOND - I •__ 1 I I I 1 II I I I I I I i I I Ii I I 1 I FLOOR PLAN 1 I � I I I � I I I STORAGE 1,034 S.F. I � , I I I ; I I I I I I I 1 I I I I } t 04i10!2005 09: 08 5084284295 A! ENTERPRIES INC PAGE 05 a II OFFICE BEDROOM II is's"xzr FAMILY ROO I 1?.'S"At9'Sf." Qp'M16 II I I I I CRAWL SPACE HALL ___ ..,... I IIIIII I I I i I i'-4�' CIO B r l l l l U%ln' ° BATH � CLOS. I I up i I • I I I I CRAWL SI�ACE ' BASEMENT FLOOR PLAN GARAGE SLAB 1.478+I-S.F. 04/10/2005 09: 08 5084284235 AT EidTERPRIES INC PAGE 07 1 E 2 SQ.FT. I-EDR®OM cLOS LIVING UP iT�x12'4" BATH 6'9"x9'4" J -- bP=N ----- OPEN WAL. FRA-IN ODOR I LL I HALL cL rrTING TUN 12'4° O N WA LS P FIRST FLOOR PLAN 1/8'°=1#-0" 912 SQ.FT. TOTAL = 1,384 SQ.FT_ 25% = 346 SQ.FT. i 0411012006 09: 08 5084284295 AI ENTERPRIES IIAC PAGE 0 a t 3 1 I I I I I I I I I I ! t i I f I r f t ' I i ------------------- Li I I CEOs BBDR )1,)m LOFT 1WT':21 C ON g'xt1'2^ ---------- ^--- T- •CL I I I I I I I I I I r i I I I I I r L--------------------- :� _J SECOND FLOOR PIAN 1 is°=1 1_o,, 472 S.F. n - 6t Ld 0 Q C� '7 F--1 W Y _ WLd I ` f D� TO Cn LD V m CJ 'cY CD o FRONT ELEVATION 0 s m s Ln s s rJ m' � ' II Mckechnie, Robert From: Mckechnie, Robert Sent: Tuesday, May 22, 2018 10:32 AM To: john@ryleyconstruction.com' Subject: Application TB-18-1344 Bath remodel Hi John, I will need a location of the bathroom you plan to remodel.A simple floorplan would work and also identify the structure that you are going to"do this work in. Thanks, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 OF F. Application Numb . ...........:... ... - �. �j.'... ...N.. t .Oflier Fee ..... =ABN6TAS[�, f PeffiitFee......) MASEL MAY 01 201 16 r TOWNC s_ _ Total Fee Paid. ................................ ...... y l�k�(��s��; TOWN OF BARNSTABLE Permit App=o°al by........ .................. OIL... ....................:. T BUILDING PERMI O�J .........Pa=L..... .......:. map..... ........ .......... APPLICATION Section I- Owner's Information and Project Location Village. C°D tb If- Project Address s Name Owner P� Owners Legal Address V State Zip City � � �21�1✓� - (! E-mail C � Owners Cell# 0 / tV 1 Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Stucture under 35,000 cubic feet n Single/Two Family Dwelling 4 Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Finish Basement ElFamily/Amnesty ❑ Fire Alarm . ElDemo/(entire structure) ❑ S rinkler S stem Rebuild ❑ Deck Apartment p y ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify t Section 4-Work Description T act utndafed.2/9/201 8 Application Number................. ................................... - S6Aio'W 5-Detail Cost of Proposed Construction C h Square Footage of Project T Age of Structure Dig Safe Number #Of Bedrooms Existing, Total.#Of Bedrooms (proposed) /I 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage, Smoke Detectors Plumbing ❑ Gas. ❑ Fire Suppression ❑ Heating System El masonry Chimney t. ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal _ On Site Historic District Hyannis Historic District ❑ Old Kings Highway a Debris Disposal Facility: I am using a crane.❑ Yes No J Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard. Required Proposed Rear Yard Required Proposed Side Yard Required. Proposed i Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No - I Last undated_2/9/2018 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ryley Construction LLC Address: 8 West Bay Road City/State/Zip: Osterville, MA 02655 Phone #: 401-484-2315 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 1 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 ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y P tY- 9. Building addition [No workers' comp. insurance comp. insurance.t required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state 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: Selective Insurance Policy#or Self-ins.Lie.#: MAARP300349 Expiration Date: 02/20/2019 Job Site Address: 20 Oyster Pond way City/State/Zip: Cotuit Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date:4/10/2018 Phone#: 401-484-2315 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: °Ft►,E r Town of Barnstable Building Department Services i * snxxsTaa , ' Brian Florence,CBO 9�p 039. A��� Building Commissioner �n newt 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I fT � 2• %�i— �l ,as Owner of the subject property �� � hereby authorize z 't:C��� W�'l/rl � V t�--b--to act on my behalf, in all matters relative to wor authorized by this building permit application for: QD. Ct 5-(L,I.t (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final pecti ns r performed and acc ted. 1-5 1 IA h� V\�' — Sign f Own r Si azure of App ant A�4\�' T4 Print Name Print Name Date Q:FORMS:O WNERPERMISSIONPOOLS Rev:08/16/17 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construct or'S49rvis0r CS-108005 a E' h Xpires: ll/05/ 2 2019 JO c .;u H 35 QUAIL ROAD OSTERVILLE IVIA..02ti55 ` f p ; Commissioner ,,. C/�e" (r'winiu"nriuen�1�r,/'!?•�rct.rrir/r�:;cr/Lt -" Office of Consumer Affairs&Business Regulation IT,, HOME IMPROVEMENT CONTRACTOR TYPE:LLC Registration Expiration .• ` 1_$24:12, 06/18/2019 RYLEY CONSTRUCTION LLC ti JOHN RILEY 35 QUAIL RD. OSTERVILLE,MA 02655' Undersecretary A Application Number.......... . Section 9-.Construction Supervisor k Name U tv Telephone Number � ��f /� Address 3 F Ma, City State Zip Y �j r . . License Number License Type Expiration Date Contractors Email e�. Cell I understand my respo ilides under the rule and tegulations for Licensed Construction Supervisor in accordance with 780 CMR the Mass husetts State Building Code. I understand the construction inspection procedures,specific inspections and documentatio e ' ed by 780 CMA and the Town of Barnstable.Attach a copy of your license. Signature AL Date ction-10—Home Improvement Contractor Name TeleP hone Number Address.A City Statez1fZip Registration Numbed&W1 Expiration Date _ & �dl"Z I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documuentatio quuired by 780 and the Town of Barnstable.Attach a copy of your H.I.C... Signature ` Date e 'on 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature APA Date � Print Name: A Telephone Number E-mail permit to: k' T—4.._.,i..as.i Yi nni {i Section 12 —Department Sign-Offs Health Department ❑ . Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) Fire Department ❑ Conservation ❑ lease take our laps directly to the fire department for approvak For commercial work,p y p Section 13- Owner's Authorization I , as Owner of the-subject property hereby ' to act on my behalf in all authorize - matters relative to work authorized by this building permit application for: (Address of job) date Signature of Owner. { Print Name h Last wdated:2/92018 Town of Barnstable Building �� � , . Post�.T.hisCard So Thatit�isU�sible From.the Street A roved'P..lans•Must.be Retained on�Job and::>.this Card�Must be`Ke t .-f1A�NSfABI.EC '',`�v sG.'f�r �" �.�•_. � x3 PP Posted Until�Final'tlns ectiomHas°�BeenMade°-; � z� �'°�� �,�� ,� � � x� � '� � �„e•, 5p p"�. ��...h3,„a,Fc 3� .�. . 3�e H:a:` r �. � xr,_.. � ta� °�`a ��`a j � : � �` . �Where�a`,Cect�ficateuof.�Occu anc ��sRe 'uired-such�Bu�ldm �sh'a11Not�be�Occu �ed�untila�Fieal�ns�ection hasvbeen�made' r Permit - .. she.r.,t. `�: a�:.s" ...».4a„oi;ra .�•.m:::.��'�p.<_�y� _..__.3�. a:..�.�. ._..u.._N..<.,., a :.��w. u; P., .."'Y`":,.aai." ..xi�.`''"" pia a,.ss.' "As".asa«x.. :: ..;'x`� ..��: g Permit No.. B-18-1172 Applicant Name: RYLEY CONSTRUCTION LLC. Approvals Date Issued: 05/25/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/25/2018 Foundation: Location: 20 OYSTER PLACE ROAD,COTUIT Map/Lot 035 086 Zoning District: RF Sheathing: Owner on Record: TESA,ALEC R&AUBRIELLE _ g: Contractor Name; RYLEY CONSTRUCTION LLC. Framing: 1 Address: 210 ISLAND DRIVE Contractor,L�cene 182412 2 14 MIDDLETOWN, RI 02842 Est Project Cost: $65,000.00 Chimney: Description: 1) Rebuild Single level as drawn PermitFee: $381.50 2) Remove existing windows and doors and reconfigure as drawn s Insulation: Fee Paid: $381.50 3) Remodel Bathroom utlizing all existing locations, Final: Date 5/25/2018 Project Review Req: : k Plumbing/Gas r Rough Plumbing: . . , Building Official Final Plumbing: : : This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sWh onths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application"and the approved construction documents for whh this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zon ngby laws d codes. Final Gas: f This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publ�iic mspectio for the entire duration of the work until the completion of the same. u �� � Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Oft~ic als are prow ded on t i permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 6t Rough: 1.Foundation or Footing ��:; 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 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 a�IKE Applicalioa Number...............�...1J......... .�.��.................. f # . i ` I�P��F��`[....... ........ ...........:...OtherFee.. ............ NABs. 63 N1 ....................... .......... 'Y F its aid ........................ TOWN OF BA.RNSTABLETOWN Ult cpeeIk&ai by.-...... ........._.............One.......................... BUILDING PERMIT MV............X,5..............ParcrL.......Q&................. APPLICATION Section 1 — Owner's Information and Project Location Project Address Village Owners Name �I�'(° it hh Owners Legal Address U ` Zip City State 1 . _L�4_ Owners Cell# ' E-mail Section 2--Use of Structure Use Grroup ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000,cubic feet Single/Two Family Dwelling Section 3-Type of Permit ❑ New Construction ❑ .Move/Relocate ❑ Accessary Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm- Rebuild Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar 156-Renovation ❑ Pool ❑ Insulation Other-Specify �Secfi�on4 -'Work Description Application Number............................. 4 Section 5—Detail Cost of Proposed Construction Square Footage of Project a�V Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method E] MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project.Specifics [] Wiring ❑ Oil Tank Storage ❑ Smoke Detectors GPlumbing as Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom _ a Water Supply Public s Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis historic District ❑ Old Kings Highway Debris Disposal Facility: (r I amusing a crane ❑ Yes ❑ No on 7—Flood Zone S4 j Flood Zone,Designation (� Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last imdated_2/9201 S O�SME Tp Town of Barnstable Building Department Services BARNSPABLE, Brian Florence,CBO MASS. °opl 039. 01 Building Commissioner ED MA'1 1.00 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize_ .�c\ ` _ � 1;% ._ 11 to act on my behalf, t in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final pecti ns performed and accqpted. Sign u f Own r S' ature of f�pp ant -AA Jn�, �e-\ Print Name Print Name Date Q:GORIVIS:O WN ERPERMISS IONPOOLS Rev:08/16/17 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ` r Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ryley Construction LLC Address: 8 West Bay Road City/State/Zip: Osterville, MA 02655 Phone #: 401-484-2315 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 1 4. I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. v' Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state 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: Selective Insurance Policy#or Self-ins.Lic.M MAARP300349 Expiration Date: 02/20/2019 Job Site Address: 20 Oyster Pond way City/State/Zip: Cotuit Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date:4/10/2018 Phone#: 401-484-2315 Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Commonwealth of MassachUselts Division of Professional Licensure. Board of Building Regulations and Sta ndards s Coias•ira,lcfic�n �°�i7�iv ,rar CS-108005 Expires: 11/05/2019 JOHN S RYLEY 35 QUAIL ROAD ; OSTERVILLE MA 02655 Commissioner Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR it TYPE:LLC Registration Expiration 18202 06/18/2019 RYLEY CONSTRUCTION LLC.: JOHN RILEY 35 QUAIL RD. OSTERVILLE,MA 02655 Undersecretary i A. Application Number........................................... Section 9'— Construction Supervisor NameA Telephone Number Address Gt C ity State zip �� License Number License Type Expiration Date Contractors Email t�/1 r - i� Cell# I understand my respo es under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the M9psachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docurnenimmOn r quired by 0 and the Town of Barnstable.Attach a copy of your license. Signature Date a r Lion-10—Home Improvement Contractor Name - t Telephone Number y�i•s � �� Address Sr) City State AA lip .Q,j" Registration Number Expiration Date �jC �14CZ I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docurnentatimntequired k 780 CMR and the Town ofBamstable.Attach a copy of your H.LC... 1 Signattr Date /) 29 Section 11-Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date l Print Name a, Telephone Number E-mail permit to: � Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) Fire Department ❑ Conservation ❑ For commercial world please take your plans directly to the fire department for approval Section 13—Owner's Authorization L as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name 4 Last undated:2/9/2018 'i ��'�J E iLh.�TOW iv1�.�'K 0 18 RPQi 1 Town of Barnstable Planning&Development Department Barnstable Historical Commission www.townbarnstabl-ma.usJhiM-tcal+mmissiots COMMISSION MEMBERS: Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Elizabeth Mumford Cheryl Powell April 25,2018 Re: Notice of Intent to Partially Demolish Structure&Relocate Ln 20 Oyster Place Road,Cotuit,Map 035,Parcel 086 Ryley Construction c/o John Ryley 8 West Bay Roadrn tv Osterville,MA 02655 v r- Ann Quirk,Town Clerk 367 Main Street,Hyannis,MA 02601 Brian Florence,Building Commissioner 200 Main Street,Hyannis,MA 02601 Pursuant to the attached decision,please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on May 15,2018 at 4:00pm,367 Main Street,Hyannis,2nd Floor,Selectmen's Conference Room. This public hearing will be advertised,notices sent to abutters and a notice form will be posted on the building or other visible site on the property. Please contact Erin Logan at 508.862.4787 or erin.log_-04town.bamstable.rna.us for processing information. S' erely, Laurie K.Yo g, Planning&Development Department,Elizabeth Jenkins,Director 200 Main Street,Hyannis,MA 02601,367 Main Street,Hyannis,MA 02601 TOVI a+ [s.4•=s s[ isLL 4r['a-LE •s'+. Town of Barnstable �s•�1 [iPP.2'�all `v" . � Planning & Development Department • a •ARN"IBLE, i Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission COMMISSION MEMBERS: Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Elizabeth Mumford Cheryl Powell Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 20 Oyster Place Road, Cotuit, Map 035, Parcel 086 Pursuant to Intent to Demolish Structure The property located at, 20 Oyster Place Road, Cotuit, Map 035, Parcel 086, is associated with the broad architectural and cultural history of this area. In accordance with Chapters 112-2 and 112-3 (D), Barnstable Historical Commission Chair has determined that this structure is a significant building. Planning&Development Department,Elizabeth Jenkins,Director Erin K.Logan,Administrative Assistant 200 Main Street,Hyannis,MA 02601,508.862.4787 ESA Barnstable Bldg.Dept: 1 as� I wNt P� L 4U7 G 7N 22N6 Approved by. BF �Q1-' d Permit#: 12i J)2 oo/ AIA 'PERMIT SET EXISTING Sl TE, PL AN . F, p I - lV I W OO�l S QW Zz o I W O v 9!Z/ • O W \61 p I . W2 r �r ._ lN SUeSD to Desc ipt io Iurnber '•.O>WIS Permit 5el I ON ry Q i Checked by Dra n by Project Number: AT Revi tuber Slates 'Descripl o cz� O o �w ! 0�00000�00 D O O. � w� I ��0. 000000 J - ------------------- a Q hTESA o\ / -� i - rr00,6e9l N �'� C o ,60 OO 1. ,' , o ' 20 Oyster Place Road , .. tuft MA O L� w .O^ '} • _ _ S fy�`�: � / - Dr awi nq 5cale:. Date Issued:- N Q m� o5w15 o •;.. ExisriN& SITE Z PLAN 10 ;;. N r , NI , r A 'I"]ESA - tiP ,aadrs r \wps`y RT Gi2Rd(I .. r .. PROPOSED Sl TE P�AlV AIA / V V �Y ORK ��O WN SHA D D PERMIT SET 0314.18 r,OO - z I , r " p 0£! S p . O9�L! QI C9W Z - - i Nu mbe'[ Date '`,Descr iption r <..•01415 �. I ., •. -, Viz_ - Q , a , • I _ U. VO n W I . - \U pQ� r> ".� J J W iE Checked � ra n b: by:, .AT Project Number rk I W m W i, Q� -Y x ti I \'• - ,;.. : , . � :-" Revisions 40 Number Date Descr t o 0 Oan i_ a - 3 - - v --- ------ W a: Q TEA WJr-.zs- ..:_ ...r 00 6Z 9! , � 1 o N 60 OOG - ji., P �^ tuit laNfA Oyster e Road J a , 'O 0 p 0�. w s N P O - Drawing Scale Date Issued: 8� } 9l .. A5 NORP o Q� , N.. i PROPOSED TE PLANw, - a Fn Q 10 r MTE a Y - - RC,(iT I'.13.. 0 1LIRF AIA 4-4- PERMIT SET I I I I O r } EXISTING- EAST ELEVATION ATESA ARGrtIrEGTURE uvl ( iiq. a .+ ' - - '_ - _ WOYSTEiR PLAGE ROAD,' GOR11T MA Isshes Number Date \Description . -' - •, o- I .__�,�, 01415 'Fermit Set ®' .._. - O ., Checked - - ked by 'Prawn by Project Number: . _ • .. ,_.3E1.. ......._�. _ - Revisions \ - : - Number Pate Descri 1 0 EXISTING FIRST FLOOR PLAN ATESA ARCHI7FLTUtE # w OYSTER PLACE ROAD, GOMIT MA i/A" = P-d' EXISTING SOUTH ELEVATION ATESA ARGHITELTU2E W OYSTER PLACE ROAD, GOT-IIT MA I/A" a _ - TEA RMIDENCE a , 0 20 Oyster Place Road o 'Cotuit,MA u a. w 5-1.e: Pate Issued: N9f® EXISTING r 1 ` w GONf7 TION z S �. EXISTING WEST ELEVATION ATESA *,-,HITE6ruRF_ W OYSTER PLACE ROAD, GOTUIT MA 1/9'" 1:0 0 � 1, { ... . . - k , ' 4 i lit�..TESA. RCtIIIh C. ..........i - - . - ' 1Lndbo..Fh bucc . . .: .. - - 2 PERMIT SET 031110 � r PROPOSED EAST ELEVATION ATESA ARGHITEGTURE W OYSTER PLACE-ROAR OTUIT MA I/4,` I�—d Issuers . - - •�,\�.� .. Nunbei Pate ,'•,Desc pt�an _. ... _.. ....... .._... ... :..___._ ....:... .......... .. / - t 4 - 1 F # f I a 1 - by- • Checked by ran Project r AieC ,DAi, . ....... IX FRST ftL1R APFHtIiL . `< P t Number: EL. - SY .... WNW] .. _.... . _.-: ....... ....is .. _ - r - - Reviaions \' Number Pate 'Descr pt ion . aFFOFOSEP SOUTH ELEVATION ATE—,A ARcnimcn-RE W OYSTER.PLACE ROAD, GOMIT MA A 0 20 Oyster Place Road Q - Cotuit,MA o a Drawing Scale: Dale Issued: } E - Az N7f® Oi14I8�' O a IIP�II it PROPOSEP z �. ELEVAT IONS o t N PROPOSED WEST ELEVATION ATESA ARutITEGTLRE s :I W OYSTER PLACE ROAD, GOfUIT-MA ."A..200 F A�'I'ES.A vxcrr�tNcrux.r H. i 4"urc�PaizeL ' AIA �T�= u� 0 0 ,. 0 PERMIT SET 00 k7a5T►b NO waac sateEl o P4ae VWM/tV WOW%VUEP . • easrwMp waac scream din wao peat - - NO .. _ Issi]es Number Date .`.,Descr iPtion - WRA pF1K - - I 0..14.15 Fermit Set.-- - - - - + R O INT- T..315T5 STATION 7 _ - - 6hecked by %,Pr n by Project Number: AT �Ar Dasim Low" Revisions ���1 w wow%mum Number Dale Descr ipl r-Ir wac peat MTN pcU • ••. 7%rL P.T.J715TS -PEW WWON MFRS) - Q TE/A - � : FMR1Olyp'' (407043 .. 1L UL-yh/l I l I VJ14dNCL4J',� 20 Oyster Place Road o N d y Scr�r PORaI d y. 7� Cotuit,MA w . Q d (:. ... ...... �— - � AAOMATI6 Pal DONN SRIS r-i _ _ I'-I - .. - _ . N - Drawing Scale: Date Issued: O - N �- 774i PROPOsEG Z FLOOR PLAN EXTERIOR DECK/P0R6f-1 PLAN ArESA ARcrlIrecruzE ' 19(o HICGtiL- W DRIVE-111r 54 I/k" = I'—dtN .A 1 00 is - .. co O Q' Q' 4O . r n t t r� SMOKE DETECTORS REVIEWED K " h�Xx �® BARNSTABLE BUILDING DEPT. DA EXISTING MENT DATE EXISTING QUIRED FOR PERMITTING w N. — -_ -RAKE BRDS. IU/C SHINGLES _ It= RAKE BROS. r ,_,.,�� _ _— — ._ if `p® I i p :NEW2 uU-1 on I I t I f P.IXS/IX6 NEW u - i 11 I ! k — Y /G BHINGLESJ.r ' 4• _ , -CNR.BRDS. ..,I..rl _ u t^ Ty?. IXS/w-- ..ti, CNR_BROS —_ ; .4 •�— +.J_i y FRONT i`LEVATION 10'4" CARBON MONOXIDE ALARMS AR ELEVATION ELEVATION MUST BE INSTALLED PER -- MASSACHUSETTS BUILDING CODE I` d !STING - - - _ --_._ - em- PANTRY. EXISTING " BATH Z EXISTING •I 3 S g�pROOM . EXI€2TINCx ! KITCHEN -- _AS'?HALT ROOFING_— LI r. �- I i - - •� - L �EXIST'ING. k`__- ----- __--- I' j- . � I • '� �rlsnNG ii _ __ _ LM!NG/DININGY {' NEW; 1� G ' a e� - I J e"')tIST. •I - I: 1{ .k- I' .. ail FOYER - I 1 i • � � TYP.IXS/IX6 ' I.I - A•.,. CNP BRDS. 'Y7.` j; - ROOM EXISTING LEFT ELEVATION ' S z eran:e urT Q I NEW _ •rc I � MUDROOM NEW EXISTING FIRST FLOOR ;'LAN I _ NEW — o• 3_lo I 4 e'o^ NEII) NEW t EXISTING SEc�OND FLOOR FI-4 LINEN 94' -- --- ... ;I IS . 1''�•7��I;�+�:.ry'r,:•. "�t.•�',1 ti-'-rr'. _ -- -_ -_ J-U BAT j .xrx �X. o NOW i xI-A TY J.Y� ::FAMILY ROOI'ti 'r-rr• � '-t�- NEW EXTERIOR-7ALL5y.- /Y 1- •J-f [ 1 �.il .1 �l�rj y..IJ.Imp 1�',�Itt tl �r I� I t S :i. _7 7 •�. " ANEW INT=RIOR I IALLS 7. • 7i :�-T- ..'Jlf`.CT -1• '7 �SiL u< 9TORAG• Q EXISTING WAI LS N E 1) RIGHT I ' 24X24�24X24 24X24 I j LEVATION LLB - 7r 14 2" — 22'-0" - e DATE R i S -----•, J ELLEN MYCOCK W� 20 G'STER PLACE ROAD =VISION DRAWN dY PA--E CALEPROPOSED RESTORATION. +---- '�! 1 � s� nS l• o� (GOTUI T) BARNSTABLE MA. o� j Q - O l-2Co-06.t_ 3 •L OF yl //CZI o" I w i nJ - Qt cYLemnr �E+vE�.vneYMe�wtygre.0(e�Llv eo"'r'u L'e enn+�tc nl<xeer MrE 11QJ,afrNEevcE++wl eE.u.L etne7eEre ECbn Ge :,�e.y l�rorNGe Wut axrExo eaau f]K`anrvE vEvrEr ce-'Y � _ -!1 ' �� —V Q� 4 LdulG DlntprA'G G7DEa 6m CaP'�vdnCEJ.J^FlMMG Frd JCf eE NE[O wEYPoNLdLE frtUf BE OEiEwroHED BT r iv..<OM1 GO.VGIY1K1InD alLEPTieLf f .4"1'arwuenever.<3EMENla FLW DEa�Y�C•F i •E5f B�wN•f.+B:E ffA O:s<!— lT •XJ _ Z K•VGrrF CONDI)70Na CwrGW MF u!ELfN{EL.q,y�yd'n���yJI)P.1GrICH Pw<L'aCEa C'E Cdva rwtlCfICN.VEA:Ff Ofa/r.R lf4rJ/LLCM ENG/ED2 ,J4•.YIL0.^JL ENGnvE£O.auC NOip/,l.^c/sICI�J. � 1 1 f_ ------------------- ---------------- rrrr - —... 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SD • 0 -- ......... r l -- - : I :•. 1 r:rr I' - - ASPHALT ROOFING r ,.. ________ ___. _.._a_a -_-•-=-_-----�'='�II�• ., • � - ttVE+C OR,EQUAL - - - I _ - .` _ _______:.. __•.. -s. . ';'x. - In PLY.SHEATHING � "'r. 1SPHALY.SHEATHING T. 15- - w a , , .. - ,.BIN STARTER _ - r r rr r -----. - _ - - - '_---- - II-0 �. .i 94.. � �. _.: .. �. � DRIP EDGE --- F,. LOOK.FRAMING "P'..AN - • 2x6 P.TESILL.' B"GUTTER o'ct __,r.__- .:-_=__._e,• _ s.- r - .. TYP.HURRICANE TIES 1/2"X6"SILL SEALER " " 3-2xlZe_ r a _ 5 td T-2 t " .-�TOP RING 2"CL[;R v •e Q'n -�' 5/S"XI2"ANCHOR BOLTS - - - _ - IXB FACIA c rr D .. r o 'e '•; ,. Q 4 THICK ...c ' '•a �S400 VENT FOUNDATION.OR EXIST.HOME CONC.SLAB - C IX.: SOFFIT , SILL DETAILS " _ -- Y-4 .. l-4 y�.. 1 .:, � : - -. :- _ 1-I/2"BED'MLDG. a EE- i IX FREIZE .rOUNOAYION-FO EEwADDITION '. i w: w iz :TYP.30,*x3o'xl - _,-. o -` EAVE DETAILS - - CONC.-F7 BRIDGE VENT _ G .. .. ... - • r CONC.FILLED CCU. 2X12 RIDGE Q l� 2XIO:RAF7ERS 0..16".O - r. ...-, -_- -- - j In"PET,sIaEAT11INCs. ,C - . __ - _... . ASPHALT PAPER , .. r ... -: ... ..-.-..., :. .U - - - - - IS• . ;�;: _ _ -. �- •- W ,, ,. �:� _ _- I ASPHALT SHINGLES,. RIDGE VENT. - �y p moo. / r. - _ rV p .,,. .ICI l k r. it - t � -� GE 2X8 RAFTERS o�16"`O.C.�� -2 _O - t 1/2"PLY.SHEATHING _ 6X8 FIR BEAM.. . .. - -d •" �R30]NSUL. --------- _:` .- :." .. b r �. IS•ASPHALT PAPER, - F NEW FOUNDATION PLAN q _ JX TRAPPING ® Q ASPHALTSHINGLES ' _ I'/,-WALLBOARD .. ." T > Y,. C .:•' _ Ik I 1/2"WALLBOARD -- ,: 2X 'e 9 16"O.C. - R30 INSUL!_ �Q• ,: 4 " FAMILY •4x .� •;+. Q :" -: ."" - : `C�j ��Y _ lX3 STRAPPING® - M RI INSULATION' _ .rl/ 'WALLBOARD " r •I,rr - 1/2"PLY.SHEATHNG ,. - In WALLBOARD 2 4'e m 16"O.G. 2XIOe _ . o O.G. ,� - / -� � `-TY EK WRAP OR FAUAL � - RI INSULATION W. CONGREfE WALL r - ' - I w.. .. "` .'`- - SI ING. 1/ '.PLY.SHEATHING 3/4•'T/G PLY. - r u /AMP.PROOFING GSA/ - - �I NAILED t GELLED. i ° - .' ,. I"T/G PLY. EK WRAP OR EQUAL- /APPOVED. '.°. - - ` - I I II - _ _- - - SI ING '- _ / s „ • Q-G�=-- _m _ NAILED t GLUED. . _ _ •e, r-2XI2 RIDGE L" GIRDER_� R19 INSUL. •.D ,1 -3 2X e S / �RI9 INSUL-J 3 1/2"CJ\C.FILL��' ! r/ -.j •`r' 4"POURED CONC.SLAB it ..�-I..LOLLY COLUMN. BEMFlT - 2X6 KEY I . - . _ i' II � ( Ir II 'I I / •. s d I I ���- GONG-FTC. 7 �. p° ..! E-2XIOb o 16"O.G. -� I !.! II - BASEMENT v o -4"CONC-SL.46 .r 4"CGNC..SLAB-1 /GOI•iPACTiD GRANULAf'. / / �•. � --�-_ _ DETAii_5 �" CONCRETE WALL - ROOF FRAMING FLAN'- -• ' % - GROSS SECTION-(A, CROSS SECTION (S) I r � 4j .2O OYSTER 1`'.y�:.+F i'ZO1!.n -ATE � REV�S�'+ - •ic SCALE { �LLEN M i COCK ii ! NDRA'--'.N EY f f 1 o T r_ n s w! �'ROPOSED Rc3TORATlOr1 _ i (GJ r UIT) •.ARNI) -•r3I_ _ MA. of ii4:/0• 1' _ rn �; N Fl.'2CN.f9E C eTAl..yi:S LF vE.9 FlRGNL9EC REBMN9 n/F':-4 G.�r'fY.L1NLEWTI ALL Z DIKT e/ZE AHD I•QNfL.¢LQ. !T Ii.AL_LO^C4_RE FL/J ems' L A(L FGY f/NG9 9r4rtl D[..Yp BQ.dn FNG31iA!' VGY.•fY OFPnd I �' _— - _-- . �^ — ... (� Q LOCAL BUl YG COPeS AALJ C,¢Ofh'UK'EA.9 CE9,CN9 r - rdE '£:.J¢E9RL^N9,BLE MtlT OE DET9¢lL:•:a BT LLYrV-£^:L r:C•+DT'_':9 AW r r$ff —P.ABs !fl VE(YK 9'C�n:2V.FL•. „9-GR £9AGM r k'•- 1 I.j P.O.HO:rffi5• —� /SG913 u-C1.0 ' -S Z{ FC.¢STc CCNJ/1CN9 C.¢FCR n.E rqE cK. D,¢Y.a4'i9 _ c - LL£9/6fAN9TA9LE rL•L O_608 '. .:._•v ..�9TF:�TgK PRAC nCE9 LP CON9TFfrGRCK Ve.l.FYD�KN/!u'TMLLCAL EyL,.,.[,t;Q�. uaM LGGAL ENGrA�R d:.J L-1l¢DING O�iIC/.iL9. I .. SYSTEM DESIGN: SYSTEM{PROFILE NOTES LEGEND TOP FNDN. AT EL. 33.6'f PROVIDE INSPECTION PORT WITHIN 6"OF FINISH (FOR MAIN DWELLING ONLY) ACCESS COVERS 10 WITHIN b-OF FIN GRADE (NOT To EGLW GRADE 1. DATUM IS NGVO t 00.0 PROPOSED SPOT ELEVATION SEPTIC DESIGN: (GARBAGE DISPOSER G NOT ALLOWED ) ' . pOCESs-OF N.GRACE To. 2. MUNICIPAL WATER IS EXISTING 31.D INIMUN.25'OF COVER OVER PRECAST WITHIN B"OF FIN.GRApE t 0Ox0 EXISTING SPOT ELEVATION DESIGN FLOW: 3 BEDROOMS (110 GPD) _ 130 GPD 2X SLOPE REQUIRED OVER SYSTEM 27.0 USE A 330 GPD DESIGN FLOW zw4 RUN PIPE LEVEL - 2-DOUBLE WASHED PEASTONE 3. MINIMUM:PIPE PITCH TO BE 1/8" PER FOOT. s'wxc Ro"° " r 100 29.50'• FOR FINS 2' - PROPOSED CONTOUR SEPTIC TANK: 330 GPD 2 = 660 _ - (_) ( PROPOSED 1500 � 3' MAX, 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H=10 T wT) GALLON SEPTIC ^ 100 .EXISTING CONTOUR USE A 1500 GALLON SEPTIC TANK 28 0' 7.75'.� TEE " 25.0' TANK(H- 10) � GAS �- � - 5. PIPE JOINTS TO BE MADE WATERTIGHT. LEACHING: BAFfiE 24.29' - " 2(30 + 9.83)2 (.74) = 117.9 24-46 24.20' O C7 ED C3 E7 =1 C7=O o - 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. •- SIDES: ' _ � - ENVIRONMENTAL : 30 x 9.83 74 = 218.2 (�F SLOPE) 6-CRUSHED STONE OR MECHpNICAI • [�[�O ED C7 O E E7 us VIRONME TAL CODE TITLE V NAY BOTTOM: (' ) MIN COMPACTION.(15.221{2)) ._ v 2' ED ED E7 O ED �ED CD 22.20' La .. DEPTH of FLOW= 4' 8.4 1 z SLOPE o 7. THIS PLAN IS FOR PROPOSED'WORK ONLY AND NOT TO BE orslw Puce ROAD + TOTAL: 454 S.F. 336"1 GPD (_x SLOPE) (— ) USED FOR LOT LINE STAKING. O14m TEE SIZES: - - 3/4 TO 1: 1./2" DOUBLE WASHED STONE _ USE(3) 500 GAL. LEACHING CHAMBERS(ACME OR INLET DEPTH= IQ" ;;. - EQUAL)WITH 2.25 STONE AT ENDS AND 2.5'AT SIDES - OUTLET DEPTH= 14" •' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. „ e. • - 2a 9. COMPONENTS NOT TO T LOCUS M BE OR WITHOU AP • ' ° - - LEACHING - 5.2' INSPECTION BY BOARD OF HEALTH.AND PERMISSION OBTAINED NOT TO SCALE FOUNDATION— 40' SEPTIC TANK.—,. 44' ---D' BOX 11' - - FROM BOARD OF HEALTH. ' - - _ .FACILITY _. ASSESSORS MAP 35 PARCEL.86 - ., 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE - r.. MA ., L} - „. - . M LOCATION OF ALL UNDERGROUND& OVERHEAD UTILITIES PRIOR - APPROVED DATE BOARD OF HEALTH _ +' - •$ :TO COMMENCEMENT OF WORK. _ LOCUS IS WITHIN FEMA.FLOOD ZONE BOTTOM TH 2 EL. 17+.0' - A13 ELEV. 12 AND C - 'THE INSTALLER SHALL VERIFY THE .LOCATIONS OF ALL UTILITIES-AND ALL - .• '.. --' - i - - " >. - s -. _ ' BUILDING SEWER OUTLETS AND ELEVATIONS - . " BCrVCHAIABK. :"h f PRIOR TO INSTALLING ANY PORTION OF :`.. - SEPTIC SYSTEM; _ E(Ev=330' - - - - HOLE. LOGS ' . TEST ENGINEER. - --, " _ D VID WITNESS D+ DESM P. - e FLAHERTY, 4 ARMS, IRS R S l Y' - '. • -DATE: 3/10/06 - „. ,. RATE PERO RA E < 2 MI�MCH .. CLASS SOILS P}J 11238 .. CLA LS ELEV. ELEV. r 4 31.5' 27.0'. I A A Ls- LS r-r-FfyCE s - �" /• '` " IOYR 2/1 1CYR 2/1 12" 10 - - A _A EXIST.150C GAL I. . i -. _. T - .. SEPTIC TAN /� - - .. - B B .. PROP.NEW ' s EXISTING TITLE 5 FOR COTTAGE(IN ^ ( i FNDN UNDER - - r _ _ - O f t / : : -DRIVEWAY)TO REMAIN - i O `-..,' s • ` .. v 1OYRS6/8 1OYR 6/B SLEEVE SEWER DNE FCR / f --- . - .a v - _ 4. i - 10"ETHER SIDE OF - • €. ___. / .__.-. " _ _ - - , - CROSSING WITH n WATERUNE " a " 30' 29.0' 22" <25 17 q - PROP. .. 1 .. .N r • .. Q . G AWN ---, S :: q ,. „ " _. PEAL PE -. - • (FUTA FNDN) EXIST.30's 9:B' TM - '.LEACHING FACILITY 2 .. "5 _ 1 ` . , + MS MS TO BE MOVED HERE,TO BE 20'OFF PROP. - - - - - • .. ..� -ADD N. - 3 I - tOYR 6/4 1OYR 6/4 Y .. WATERLINE TO RE a -'- •' RE-ROUTED WHERE - • -•. � •. . .. � ' • " - - r . WITHIN 10'OF SEPTIC • • D / � -':�.'- �\\ E _ - _ µ a .SYSTEM COMPONErvTS r—r 'QY 25.1.�"- .__-_ ' .: 3 I - M � I - 120" 27.5' 120"� - a , .r A. .r - .f .„ , -'. a •.�,4,fsER� -Y - " - s - „ - - NO GROUNDWATER ENCOUNTERED' r \ PROM-E LINER AT.-. OF 1L LINER AT 5'OFF - s SAS T,GI T.AREA SHOWN TO ..22326, � BREAKOUT,, ANY CHANCE OF ;. * - _. • . " • - , i a e u " ! 1 3�\ e ���� 5' SITE PLAN 1 3, OF 20 R PLACE ROAD • (COTUI A + • T) BAR NSTABLE PREPARED FOR . ELLEN MYCOCK DATE: ..MAY 10, 2006 REV 12/11/06 (ADDN, MOVE SAS) STATE COASTAL BANK - S�O:. 2" ELEVATION - ELEVATION 12.0' —� 77 .r « _ - : � 1 '. `.. � [• `. -, .u' - .. .. _ - av SOB-Jfi2-9B80 down cape engineering, inc- CIVIL ENGINEERS LAND SURVEYORS 939 main St. yarmouthport, ma 02675 DATE ARNE H. OJALA, P.E., P.L.S" 06-121 r