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Home My WebLink About0030 PENELOPE LANE e ec \,kv -*k-T C- � i ti I r7' _ /-,6� owe V, " i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION m. Map O�01 Parcel L� 1, Application#- /b � Health Division Date Issued /a Conservation Division Application Fee a- Tax Collector Permit Fee Treasurer -F Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village ®tea Owner a-e. C`Ck Address c 2Q mG L)e)- Telephone m Vk y k- Permit Request CLCJ Ct '4 x q e A-5 t s 'ej,, a cl Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay > , Project Valuation I '3` 00 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporti g:documenation: t Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) �p I ., ,_,, Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Hi hway: &Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: 'Zoning Board of Appeals Authorization .❑, Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use t t BUILDER INFORMATION Name,J., c-/cJ c �� 7-ty cih-e- Telephone Number ?2`- 83(o- 9Z 3 d ess .. . GY6, 1C/Ck /Uc�/yh License# 7 vG Ac, 6Z C,`4 Home Improvement Contractor# Worker's Compensation# V UJ C-to 0041 f5R701 00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS-PROJECT WILL BE TAKEN TO c��G—NTWRE-M _ DATE 2 �e C r _ FOR OFFICIAL USE ONLY `APPLICATION# _DATE ISSUED ` -MAP/PARCEL NO. r. ADDRESS VILLAGE OWNER ti DATE OF INSPECTION: ' FOUNDATION .t FRAME VX7 68 ►2RtA0E- 2 29 08 INSULATION ,BANS dd2� Ci5-r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING lV SG D� �y DATE CLOSED OUT } ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services H"a'",,� Thomas F.Geller,Director � Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 568-862-4038 F"-: 508-790-6230 PLAN REVIEW 4�qa aoo7v2 pF7 Owner: Map/Parcel: O3? V A/ Project Address PU, - Builder: 4WORCC A` 45;�-5 c7r. The following items were noted on reviewing: Reviewed by: Date: Q:Forms:Plnrvw 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 Ledbly Name(Business/Organization/Individual): t�l��`�, �[�J� a Address: 400 Cyr tclt Ck- City/State/Zip: )A��In �. ol_Cc`°-17 Phone.#: ��`�` � �" �3� Are you an employer? Check t)e appropriate box: Type of project(required):. I am a 1. employer 4• ❑ I am a general contractor and I (� mp Yer with 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. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' y p ty $. 9. �]Building addition *° [No workers' comp.insurance comp.insurance. required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' camp. 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 fin out the section below showing their workers'compensation policy information. t Homeowners who subs it 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 providt their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance foamy employees. Below is the policy and job site information. /n Insurance Company Name: � A . _ Policy#or Self-ins.Lic.#: \ (ilk(,(f Wgb)J01?.C)0(_P Expiration Date: Job Site Address: -9 C) T-e— City/State/Zip: eo/U, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure_to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penaltirs 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 certcfy under the pains-and penalties of perjury that the information provided above is true and correct. Sienature Date: V2_e,_10 Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean 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()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 i granCe 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-confmctor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure.to fill in the permit/license number which will be used as a reference number. In addition, an applicant ) that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-Or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof.that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home.owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum 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 Mawachusetts Departxnent of Indvstriai Accidents Office of Investigations 604 Washingtmi Street Boston,MA 02111 Tel. #617-727-4904 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 • www.mass.gov/dia 08/02/2007 12:40 1111111111111111 NEW ENG CPT PAGE 01 Town-of Ba>mstable RegW#ory Services "u mea F.GeUer,% traemr �•�* BuMing Division Building Commlieionir . 'Tom Yerry,8 diu8 100 b4&streak Jb=aie,MA 02601 Office: 508-862-4038 � Pax; 508-790-6230 bats -j • APMAvrr SOME MitOYEIl mT OONTRACTOR LAW SUPRLgMMNT TO TZAM1'r APPLWATION MQL c.142A r quim tiratlb&"rmeeoettucbaa,altecat Ow,remowdm%"PiL .mio4or2esian4 r=Vbranz; dc=X i= m construction ofm cd&tionto anylaa_ax:jatfng oa=-occupied builder tQ " ' at 3ut*to beat mot more*=four dwelling anise of to of Ob3a•vd" ere 4 a Dash to on: d with atber • a,:ah reaidempe bt�fldmg ba doaa b9 re�etared cor�setose.with aettain oaAept! orag � =equi�ti• � - - Typo ofworic: t s. Betiml Oo�t V pddrses o!fw 'Sc� Qe � � Cam,t.A Oauar'•N� � v• "� Date of Applia t10a: I braabY c erttl�$at: Rene tiom:e pottequired for U following rauem(e): crlc�c'.nded by Lw . ob Undet S 1,g00 not caner-o aonpied' . - I C)wnest pailiag owa pearsit . Notice it hate$IV"&at: OTM" C;i TZAR OWN pZRKa OR DEALING WITH bNPHGYI5'1'ET COIV'1'RACT R8 FORAYPUC�LEHOMS IM7ROVDIM'T WORK Do NOT SAvI� aEA. ER MGM c.1 ACCSBB�O T13�AATiYTRAVON YROG�RAM OR GUARAM FLM Q1�CD SLC3NF�mmim'MALTMS.OF PE=RY the Y LmlY I far epensi'ca the agemtofthe owl: gate Camtact�N�a �tngistt►docNo. Date .12 COwnem No= t •d GtTELS�905 fJ07�fJ7u0� 'H'� EE �Bt GOOZ ZO my 7 08/02/2007 12:40 1111111111111111 NEW ENG CPT PAGE 02 i - Town of Barnstable; Regulatory Services . t gu.l'a �Services , e�as� Tbomas R.G*Uer,Director Building Division Tom Perry, B'Ating COmmiiMOner i 200 Maim Stec; FIyursle,VA 02601 1 vn".towu.bar=1eb1e m&uf Office: SOB-96Z.4038 I Fix; 508.79D 4230 property OwnerMust Complete and Sign This Section If Using A Builder hn�ho A\I_T-r� ��4 3 u Chmer oithe subjectprOPmrt3r bq aysh�u,� (?An n He 2�1�S to#zt on my behlf, I aZl nasters;rz1A to work outhorind byN3 biuU*pert SPI :iestion foz, , P� ht n CU44A�, �` areas o�j 0 , j rlat N�.me QFDFtMS.Oq'I�1tPEN�9[DN a•d GtTELS�80� s�opae��uoON'?1� CE161 L002 20 �nH VG-_3�-2007 02:08P FROM:SCHLEGEL SCHLEGEL IN 15087710663 T0:15087906230 ' P.1 D n. CERTIFICATE OF LIABILITY INSURANCE °" °"""' 103/29/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SCHLEGEL INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 34 MAIN ST HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WEST. YARMOUTH, MA 02673 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A D S LIABILITY RANDY HUGHES INSURER&AIM MUTUAL DBA RH CONTRACTING INSURER C1 400 GREAT NECK RD NORTH INSURER Or MASHPEE, MA 02649 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRO TYPE OF INSURANCE POLICY NUMBER GATE MMIDD DAT POLICY EFFECTIVE POLICE MMlD EXPIRATION LIMITS A. GENERAL LIABILITY CL3245159 06/15/2007 06/15/2008 EACH OCCURRENCE $1,000,000_ X COMMERCIAL GENERAL LIABILITY PREMISES(Es o s 50,000 CLAIMS MADE I OCCUR MED EXP(Any one person) 25,000 PERSONALS-AOV INJURY i 1,000,000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGO $2,000,000 POLICYPEP LOC . AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY i SCHEDULED AUTOS (Per pnam) HIRED AUTOS BODILY INJURY i NON-OWNED AUTOS (Per accldenl) PROPERTYDAMAGE i (Per a=ld—Q GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC i .� AUTO ONLY: AGO S EXCESSNMBRELLA LIABILITY EACH OCCURRENCE i OCCUR ❑CLAIMS MADE AGGREGATE s i DEDUCTIBLE S RETENTION B. WORKERS COMPENSATION AND X 1 TORY LIMITS ER ANY PRERIETORI uTr VWC6004827012006 11/02/2006 11/02.2007 E.L EACH ACCIDENT f� 0,000 ANY 1'ROPRIETOR/PARTNERIEXECIiTIVE OFFICERIMEMRER EXCLUDED? E.L.EACH •EA EMl OYES S�',1,,00.00.0 , If yes,desOlDe under vw SPECIAL PROVISIONS below E.L.DISEASE•POLIC LIMIT I i;°--00.6,60 OTHER Cif rW. j w rv, cAl s> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS } THE WORKERS COMPATION POLICY DOES NOT PROVIDE COVERAGE FOR RANDELL HUGHES , W G C) T'r,, CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE � SHOULD ANY OF THE ABOVE DF8CRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 200 MAIN STREET DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 21 DAYS WRITTEN HYANNIS,MA- 02601 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLI TION R LJABILJ OF ANY KIND UPON THE�URE., ITS AGENTS OR REPRESENTAT S. 1 ATT. SALLY AUTHORIZED RE ESE N TpiV 508-790-6230 VLUA / ACORD 25(2001108) 0 ACORD CORPORATION 1988 T 1Y.11._I I I f11Lf]1Lflfw!" A ILJ1 111T 1 11 1 1 T1•f^1 I flf]1 flT Lfi 1,-3J00 G7G7717G170'U7 IYOWG 111=I 11 bG•ZG G!'J✓JG'O k_l7VJ. y gad i�� Sinble 14`• AJSTm 20 MSR JoietlJol SC CALCID 9.3 Design Report-US 1 span I No cantilevers 0/12 slope� p Thursday,April 19,2007 11:22 Build 057 16"OCS Repetitive(Glued&nailed construction File Name: BC.CALC Project Job Name: Description:J01 Address: �� .Specifier. • City,State,ZIP: , Designer: Customer. Company.: Code reports: ESR-1944 Misc: THIS ASSUMES A FLOOR LOAD ONLY •1 ••.•. ,�.: .1t,;.` ,.rc .,".:•:7`.0 „�tet (kp:y.,,...��,tl ..':.,r.:..6u` •!v''Id 4<s ;� J,, i• "'•r 80,2-1/2° 89,2.1/2 DL I 4 Ibs LL 480 Ibs D 160 lbs DL 180 Ibs Total Horizontal Product L&'tgtl�=24.OD-00 Coaa summary *A �^�—••�.Ir� Live head Sn ow Wind Roof Live Lam_Descriotion Loadlryw Ref. Start End 100% 600/0 115% 1330/a 120% ocs 1 FLOOR LOAD Unf.Area(p4 Left 00-00.00 24-00-00 30 10 1614 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos•Moment 3747 ft Ibs 70.7% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 629 Ibs 56.0% 100% 1 1 -Right be verified by anyone who would rely on Total Load Deft. U454(0.627") 52.9% 1 1 output as evidence ofsultabilityfor Live Load Deft. U605(0.47") 79.3% 1 1 particular application.Output here based Max Defl. 0.627" 62.7% 1 1 on building code-accepted design Span/Depth 20.3 n/a 1 properties and analysis methods. Installation of BOISE engineered good products must be In a=rdance inttll �o Allow %Allow current Installation Guide and applicable Bearin�l$Uggoris Dim.(L x VV► Value Support Member Material building codes.To obtain Installation Guide BO . Wall/Plate 2-1/2"x 2-1/2" 640 Ibs n/a n/a Unspecified or ask questions,please call B1 Wall/Plats 2-1/2"x 2.1/2" 640 ibs n/a n/a Unspecified (800)232.0788 before installation. Notes BC CALCU,BC FRAMERS,AJS-, ALLJOISTO.BC RIM BOARD"" BC10, Design meets Code minimum(U240)Total load deflection criteria. BOISE GLULAM".SIMPLE FRAMING Design meets User specified(U480)Live load deflection criteria. SYSTEMS,VERSA-LAMS,VERSA-RIM Design meets arbitrary(1")Maximum load deflection criteria. PLUSS,VERSA-RIMS, Composite El value based on 23132"thick sheathing glued and nailed to joist, trademarks of eo ood Prood cts are User Notes L.L.C. THIS ASSUMES THERE IS A FLOOR LOAD ONLY ON THE JOISTS OF 30 LL 10 DL Page 1 of 1 ..TO/TO 39Vd d3awn-I A3NOHVW 8LI7689LBOS OZ:TT L00Z/6T/b0 t,1 t of , }a' (� e0 N eO Opel co c �a N S U / RgNo ±6 s14 0�28g� pFR�s�O�ys M40o cp qCC F Rest�10i� r! OR q F SN q r N �h o ^� FF MgkRps T h x r o. Results Page 2 of 3 ' 129335 (CONSTRUCTION INC.II STREET II BRIGHTON I MA 02135 Hughes, Cyril 11 owner 18/16/2007 TIMOTHY J. HOLLERAN, 134679 HOLLERAN 28 HUGHES ST. FALLRIVER MA 02724 TIMOTHY CARPENTER 1/2/2009 135139 GORDON H. HUGHES 46 WALNUT ST. SHARON MA 02067 HUGHES, OWNER 3/5/2008 ❑❑ GORDON HUGHES HUGHES, 138999 CONSTRUCTION 57 ASHLAND ST. HOLLISTON MA 01746 MARK OWNER 6/2/2009 AND PAINTING CO. 140938 WHITE OAKS HUGHES, 21 CEDAR RD. GROTON MA 01450 OWNER 12/9/2007 CONSTRUCTION ❑❑ SEAN DAVID HUGHES 18 B WENLOCK HUGHES, 142034 CONST. RD DORCHES5TER MA 02122 DAVID OWNER 3/5/2008 THOMAS HUGHES SOUTH I[MA] HUGHES, 142414 BUILDING CORP PO BOX 62 CHATHAM 02659 THOMAS PRES 4/2/2008 HUGHES 260 MAIN HUGHES, 142465 CARPENTRY AND STREET ROWLEY MA 01969 BRYAN OWNER 4/5/2008 BUILDING 144058 BULLOCK CONST. 8 HUGHES ST PLYMOUTH MA 02360 BULLOCK, OWNER 9/2/2008 STEPHEN - „ I v-.°400TGREAT �..' HiJGHES 7-1 1447 -03— RII'CONTRACT_ORS— - - �MASH_P.EE� =MAC 02649 _ - OWNER—— 1.0/_2$/2Q0.8: NECKRD.� RANDALL BUTTERFIELD 259 HUGHES, 145164 WASHINGTON CAMBRIDGE MA 02139 PARTNER 12/17/2008 CUSTOM INTERIORS ST JOHN STACK& HUGHES EPIFANIO, 149539 ROOFING & P.O. BOX 98 GROTON MA 01450 ORTIZ FORMAN 1/20/2008 MASONRY, INC. HUGE ENTERPRISES, HUGHES, 150749 INC P.O. BOX 920018 NEEDHAM [�MAj02492 MATT OWNER 4/25/2008 156231 PAUL M. HUGHES 10 ALBA RD. WELLESLEY MA 02481 HPAULS, OWNER 6/15/2009 Total of 24 http://db.state.ma.usibbrs/hic.pl 8/3/2007 r '" iXE Town of Barnstable OF ►0' O 1 BARNSTABLE. • Regulatgq Services lces MASS.._ q ..�. ,639. Building Division 200 Main Street,.:Hyannis,MA 0260E Office: 508=862-4038 Fax: 508-790-6230 . Inspection Correction Notice Type of Inspection Location �..� f?ter--c c;��..- �`,.�-�-%,�� ;' Permit Number Owner Builder 'One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 14 ,L`'; J V 61,9,E 6'[.:r l iU6 Alf.6 is-!!1�C i� c�7 � c�<'.J� t? OP We - / j c. �.5 !/1i�1l ? lT"e��- 1.�;t�.,.`�'�6' �.�L.'�`��°,'-^G.1 -�..� .A E f.i g ._-. .a,,l(ti. ,e'J!„:i--r✓C3✓� �+`� �/�" •J-•�l t(,l�f� c•.•f`>t l!t/ `i' 9 PC ( � �`3 �rj%� i'� U4/ ��•T. rf �J G�:J l� � t5 <.y�7' 0' - Please.call:_ 508-862-40i,38 for re-i. ectio Inspected by . B' C -� Date I `_ 1 D �� ,:Y- '.i..i+.. #' .-'fr"r'r-.vfi y.s•«^...-.:,�, .. ,� ..c•."`,'a.T"s'.� r v i.--Y4r � �' 6,,,, ��'..a cabp+s y'i+'^ �,�,",r --•• -'fi'+ ."r*"S11T42.,..Ft#�.,+a,rrt•..yr...-_- r/r .ME Town of B.am8table + BABNSTAB LE.p Regulatory Services MASS..,._ 0.. ., .- . . .. 039. Building Division ,: •- 200 Main Sireet,:Hyannis,MA 02601., Office: 508-862-4038 Fax: 508-790-6230 . Inspection Correction Notice Type of Inspection /J lck P n� l� Location �U pr-Ur r Z'o'!5 07- Permit Number'e ©�?o',:�T Owner Builder One notice to remain on job site, , n notice o eon file in Building Department. The following items need correcting: , rci cvL� C; AV G W /,yG AO 14,112 C-A (0aJ 5-rn-,-`r OPr IA-)& - C a Ck/i( A16 5 9:-� /A] 6"Gg cwt)s .l AJo �E F/ E�� r � , �l 6/ bu l l) `,4/-iU Ar--t) /,r/IF E-iN 7 s�14�°fz SYf�t,vz s ,U ?� SuPP�zz �- fsz'Ys o� p or ® Sires /a Please.call: ` 508-862-443.-8 for re-inspectio j. Inspected by �'✓� .ems 3 Date I f � ' f 4,f rs .,.rr-�,�>w�,y.�.,r.,+:s.w�;,�:e1ir:.9'rF,.�.,. ..i_ .". .,P'W""'�*".t�,A. '.r"p,pi,�iy��{[,,+�'P''.i �� '�»;'rs.^y^'-"!�.r, i 3..6t. Ai3.4r`��.rf'�• -sq *i t,-'_,.� •"r'�s'Ff � :t \wr"rvvs?�i-'{li-r�f`�"r+i` `oF,ME.,o,�� Town ®f Barnstable BARNSTABLE. Regulatory Services - � ` � 9 MASS. q r - `� °639 Building Division. plFO MP'�s 200 Main Street,Hyannis, MA 02601 Office: 508-8624038 Fax: 508-790-6230 Inspection Correction Notice. Type of Inspection 4 Location3o ` EI z -r-CVO L Cr Permit Number Owner BuilderG�G�i' One notice to remain on job site, one notice on file in Building Department. The fol owing items need correcting: — p tit Q U E l L./A-) !r ® 'Cr0R S -� v� (1-2-" �c.ca G AU :rN S u C_ -7-1 0&J M u 0401 I PA 1 a Please call: 508-862403:9 for re-inspection. Inspected by Date { �pJJ - p THE Ip To Reg ►. SAHNSTABLE, • T�10 Mss. .olFD MAC A r .O } Tom Per 200 Main w� Office: 508-862-403 8 Prope Complete a If Us hereby authorize Gtc�� YET FEES ` e t ; x,0041= x.0041= TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map �� —Parcel �� Application# o ` 6�~v ! Health Division Date Issued Z `f b Conservation Division Application Fe 6 Tax Collector Permit Fee - s Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �2f\4 0Q,0,- +�ri Village C� i Owner wvY% TO rw ,rC4\J I Address i Telephone Permit Request S o LDO-vt, sjc rc,5:e a, &A LV w6lk Square feet: 1 st floor:existing proposed 2nd floor:existing S6 J proposed `�� Total new '419(P Zoning District Flood Plain Groundwater Overlay Project Valuation � :5-0 C> Construction Type a Lot Size 22 J Co w Grandfathered: OYes ❑No If yes, attach supportin docum tion.5�, Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) �2 Age of Existing Structure P �2,4 -A Historic House: ❑Yes ANo On Old King's Hig y: ❑Ylss o Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new ;i5 Half:existing new 5 Number of Bedrooms: existing new -5cil7` Total Room Count(not including baths):existing new P First Floor Room Count Heat Type and Fuel: gGas ❑Oil ❑Electric ❑Other Central Air: 60 Yes ❑No Fireplaces: Existing New�_ Existing wood/coal stove: ❑Yes Po Detached garage:❑existing ❑new size Pool:❑existin ❑new size g g g g s e Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial' 0 Yes 0 No a if yes,site plan review# Current Use Proposed Use l i BUILDER INFORMATION Name �nci'.� M��he..S Telephone Number Address_`06 &eca &eU M04�7 License# Aq)yt f Ar, a 2-( `l Home Improvement Contractor# 7 8'Z -7 Worker's Compensation# VW C&L)b l U 161 ZW(,,::, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i3c,j 4_,, c— yl ( SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE .OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL yF 4 GAS: ROUGH FINAL FINAL BUILDING F(N SG ' /X�'� DATE CLOSED OUT ASSOCIATION PLAN NO. ' _r- >t. ' The Commonwealth of Massachusetts .Department of Industrial Accidents N Office of Investigations 600 Washington Street Boston,MA 0211I' wtvw.mass.gov/ilia ' Workers''Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers _Applicant Information l ' Please Print Lelvibly Name(Business/Organization/individual): /�� 1� (_OOJ��C Address: City/State/Zip: - Phone.#: 9�y`c9 - 3 Are you an employer?Check the appropriate box: :Type of project(required):. 1,[ I am a employer with 4. [] I am a general contractor and I 6. New construction .� employees(full aid/ part ' *• have hired the sub-contractors2.El am a'sole proprietor or partner- listed on the'attached sheet. 7:�Remodeling ship and have no employees These sub-contractors have g. Fj Demolition employees and have workers' working for me in any capacity. 9, []Building addition • comp.insurance.$• ' (No workers comp,insurance 10.ntlectrical repairs or additions required.] 5. We are a corporation and its 3.❑ I am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers'comp. right of exemption per MGL 12.[]Roof repairs insurance.requiired]t c. 152, §1(4),and we have no 13.[]Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t fiomeowomwho 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 mutt attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees, if the sub-contractors have employees,they must providt:their workers'comp.pofldy number. 1'qm 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.#: l�C= (o C��t-E )I)QU o?00(p Expiration Date: - ' lob Site Address: on-Q City/State/Zip: CO,N 1 Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK•ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the.Office of' Iuvesti ations of.the CIA for insurance coves e verification, X'do hereby certify under thepains•aitdpenalties ofperjury that the information provided above is true and correct. Si atwre: Date: /Z t Phone# 92 (- 3-7 Official use only. Do not write in this area, to be completed by,city ar 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 I - . • ' preserlptire psckxgd larflnt�a�I gxrF'�asr'fi�RaldaattxlBaildinga'Hts�i+9i4'Ifafstt•�'�telt 14iA.XfMUM � �� •XcatinglCaaling . t3Inung Glazing Cc9ling Wail Floor Fi�scmrsr! Ana' U-Yalncs I(-v�Ivr' ' X-val�� R-yf luc� • R v3luef &yatva� V91 to 630011=dag Ikgrcr Days Nomsal ° 0.40 98 13 19. 10Normal a 1Zf, 0.52" 30 19 +19 10. ''ZS74FUE 5 N/? 12J, 0•30 3B ' 13 I9 I0 A. Normal- •� INS 0.36 33 13 23 -NIA rlcmial U I514 Q.4i 32 19 19 10 . li'� 0.44 3It 13 21 NIA N/A . R3 AFTJE Y is ai AFM jy 13% 0.32 30 19 19 in N=iil 13'l. 0.32 38 • 13 a3 M(,S NIA Nc Y 13%. (VI 33 19 21 NIA NIA g0 AFUE Z 13Y. . �,4x 3g. 13 19 Id AAlay. a.�n 3 4 19 19 io 6 90 AFLM I ADDRESS OFk'ROPER. y'. 2, gQTJARB FOOTAGE OF ALL.EXT'ERZC)R WALLS; -70C) 3, SQUARE FOOTAGE OF ALL GLAZING: 4 % 6LAZIld(I APYA 4#3 DIVMED BY'02); 5, SELECT PACKAGE(Q AA-sea cbaxt above); �0 OTHER MORE INYOLVEv METHODS OF DEITRMRUNG E ER-(2y mqu E1v=-s ARE.AVAILABLL, ASK.US FOR THIS INFORMATION, EU-IDUiQTN8PECTDR A2PRDVALt YES;. NO: 4 bris-©Q6303z �oF1HET Town of Barnstable °^ Regulatory Services BMA NSTAB g Thomas F.Geiler,Director �ATF�µp�A`0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Own of the ject property /K to act on m ;. hereby authorize Y beha t, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. t Town of Barnstable �Op1HE Tp�� y�P o Regulatory Services * BARNSTABLE, t Thomas F.Geiler,Director 9 MASS. g i639• Building Division rFo�nn't A Tom Perry,Building Commissioner 200,Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code "homeowners" The"current exemption for homeowners was extended to include owner-occupied dwelling s of six units or less and P P � to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s).who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building?permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code nd other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a,supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrn/certification for use in your community. C-10-2007 04:56P FROM:SCHLEGEL SCHLEGEL IN 15087710663 TO:15087906230 P.1 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(`MODINM rm 112/10/2007 PRDDUcr R THIS CERTIFICATE S ISSUED AS MATTER OF INFORMATION SCHLEGEL INSURANCE ONLY AND CONF RS NO RIGHTS .UPON THE CERTIFICATE 34 MAIN ST HOLDER THIS C :TIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVE. GE AFFORDED BY THE POLICIES BELOW_ WEST. YARM UTH, MA 02673 INSURERS AFFORDING ,OVERAGE NAIC# INSURER A: U S LIABIUCTY RANDY HUGHES INSURER Rt AIM MUTU DBA RH CONTRACTING wsuaeac 400 GREAT NECK RD NORTH INSURER D MA.9HPEE, MA_ -02649 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F R 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 TERMS, EXCLUSIONS AND DOND n= OF SUCH POLICES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISS AWLI POLICY EFFECTIVII rmCY RATION LTR HERD TVFd OFINSIIRANGE POLICY NUMBER DATERAWDDIW) DATE( 1) UNITS A. GEHERALUAMUTY CL3245159 06/15/2007 06/15fitOOS EACH OCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY _ PREMISES(Ee ocavanee) S 50,000 CLAIMS MADE OCCUR - - MED EXP(Ary one person) S 5,000 XI PERSONAL A ADV INJURY• $1,000,000 . GENERAL AGGREGATE s2,000,000 GENLAGGREGATE LiMITAPPLIESPER: PRODUCTS-COMP/OP AGO 5 2,000,000 POLICY JECT - LOC .._.. . AUTOMOBILE LIAIBUTY � COMBINED SINGLE LIMIT. f ANY AUTO - (Ea aceldero) ALL OWNED AUTOS - - • BODILY INJURY f SCHEDULEDAA/TOS - _ (Per person) - HIREDAUTOS - BODILY INJURY S . NON-OWNED AUTOS - .(Per acclderd) i PROPERTY DAMAGE - .. (Per acoldenl) - S OARAGELIASILIIY - AUTO ONLY-EAACCIDENT. $ ANY AUTO .. OTHER THAN EA ACC S AUTO ONLY: AGO S FDICESWUNIBRELLAUARLITY EACH OCCURRENCE S OCCUR CLAIMSMADE - - - AGGREGATE - S DEDUCTIBLE - $ RETENTION SATU- f B. =RKERS COMPe CATION AND - - LFA X TORY LIMITS ER WL;EMPLOYIEWLIARLITY VWC6004827012006 11/02/2007 11/02 006 E. CHACOmPNT o 100,000 ANY PROPRIETORIPARTNERIEXECUIIVE a OFFICERIMEMDER EXCWOED7 E.L.DISEASE-EA EMPLOYEE $ 100.000 IT yes,describe wwor YES - SPECIALPROVISIONSbelow - E,L.DISEASE•POLI LIMIT e�§00.000 _ OMEN f rn DEWAFTHIN OF OPERATIONS/LOCATIONS/VEIUCLEA I EXCLUSIONS ADDED SY ENDORIE KENT I SPECIAL FROVISIONB THE WORKERS COMPATION POLICY DOES NOT PROVIDE COVERAGE FOR RANDELL HUG HIS �.. mc CERTIFICATE HOLDER CANCELLATION TOWN OF B4IRNSTABLE ✓llOULD ANY OF 11ma E DEMIaDED POLICIES .ED ELLED BEFORE THE SWRAnam 200 MAIN STREET - e .DATE THEREOF, THE I INSURER WILL .ENDEAVOR TO HAIL 21 DAYS WRITTEN HYANNIS, MA 02601 NOTICE TO THE CERTIR HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OtLIGATION LIABILITY OF ANY KI UPON THE INSURER, ITS AGENTS OR REMRESIONTATIVEI - - AVTIiORRED REPItE3MTA ACORD 26(2001/08) 0 ACORD CORPORATION I M ,2r U� F�rzFFtgc�' o° I'll �2' PI �t P s fic-t rr-�> r^ F(vQ c o�lP jai c� ? on `� 5��,� yl h 6A ---`'J ra LID11 CAnRL n r 9 N:. i east cape engineering, inc. 44 Route 28 P.O. Box 1525 CIVIL ENGINEERING Orleans,Mass.0265.3 LAND SURVEYING. WATER RESOURCES LAND COURT ENVIRONMENTAL 508-255-7120 - - SITE PLANNING 'CERTIFIED PLANS SANITARY - -� - - STRUCTURAL 'Fax 508-255-3176 WATERFRONT February 19,2008 , Mr. Randy Hughes 400 Great Neck Road North Mashpee,MA 02649 RE: Cantilever Support fbr Stair, 30 Penelope Lane,Cotuit Dear Mr. Hughes, East Cape Engineering,Inc completed a review of the plan and section of the as-built floor framing and wall around the stairway for the work being completed at 30 Penelope Lane in Cotuit. The area in question is a double 2x10 beam that supports the floor joists and a,portion of the stairs. The beam is-supported by posts,however at the end there is a 52"cantilever `*=a, section. We completed an analysis for this,beam as shown on your plan and section. Based°on this analysis we,find-that the-beam�needs•additional�support-to meet-moment- - and deflection criteria in the building code. In order to provide additional stiffness and load transfer to the columns,we recommend using '/2"plywood on the stud framed wall around the stairway. Nailing should consist of 1 Od nails spaced 6"on center on the perimeter of the plywood sheets and 12"on center in the field. _ � -,H OF,ygss9c If there are any questions, feel free to give me a call. Mq RIkKEN IE Sincerely,- CIV N No. 068 In (\J M A. McKenzie,P.E. ssr°NpL Treasurer,East Cape'Engineering,Inc. < N � ,. LQ A ffi � - �- o � .� ,� �, a fL c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel FFertr�it `"# �`"` Health Division �`f `` 5 cj� Date 11%ped e S�: F y Conservation Division 5 )V 05 Application Fee Tax Collector _<_.�---per it-Fee.---- Iq lu-D V jJ IVISI Treasurer . zJ J SEPTIC S1rST m MUST Be Planning Dept. i?/b o�� -t.t,, .,,�1 .0, Go G o a- - 1 INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board / la F- '- u F 2e�e VNITH TLE 5 ENVIRONMENTAL COpEANp �s o Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 3 0 36ne Q.c,an Village Owner kha,C)Q t/,- )o®CIKI GAA,'kt�er�A_k 6e),0a o�-Address 22ga;-& . ` A Telephone Permit Request \0 ' Q I all lk I.. Qo �X&Ou-=-a - e,4(ST I )O- rw Square feet: 1st floor: existing proposed 12118 2nd floor: existing proposed 'i� Total newer Zoning District Flood Plain Groundwater Overlay Project Valuation 1 SS,000 Construction Type nrnoJ,-&c r Lot Size 2 E (o53 z.T- Grandfathered: EI'Yes ❑No If yes, attach supporting documentation. ow F tLt_ Dwelling Type: Single Family Fkr' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ��`��On Old Kt g's Highway: ❑Yes ❑No Basement Type: Eull ❑Crawl ❑Walkout ❑Other i\� a Basement Finished Area(sq.ft.) ��Basem k} -R is ed Area(sq.ft) t 2-8,g he. Number of Baths: Full: existing new \2- Oa 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: was ❑Oil ❑ Electric ❑Other Central Air: &<es ❑ No Fireplaces: Existing New f Existing wood/coal stove: ❑Yes Z(No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ - Commercial-❑.Yes___ o_If yes,site plan review# Current Use rPsvlein el Proposed Use r-f;s� BUILDER INFORMATION Name C- L, ?e Telephone Number -2 a. Address `Z2 Aj,c w.S-(- License# 0 -7 tic., c Home Improvement Contractor# I`b 3 O Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3cSvQkuIF SIGNATURE DATE f / 9 ot�- r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP%PARCEL NO. - ADDRESS VILLAGE OWWER DATE OF INSPECTION: FOUNDATION FRAME (� '_4-_ Poe, j , r ( INSULATION FIREPLACE i. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL Cf, '`•,,.'``+. 1, .. GAS: ROUGH rn FINAL '''• co FINAL BUILDING ®< 6 /,07 ITGT--aL s s fn r :mM -- DATE CLOSED OUT t'Y��. ASSOCIATION PLAN NO. -, cn Cos c The Commonwealth of Massachusetts =7; Department of Industrial Accidents _ 600 Washington Street Boston,Mass. 02111 = Workers' Cum ensation Insurance Affidavit-General Businesses - ` '//� ", •�''j.,.�.��•-.y•[�I/�AL.(G1 i/i°�^^E ��s,rl�r✓i'1 ( '�.t"L'�f .... - •. .. _:, . name address ei state: a : 6>ffalhogef work 'te location fall address: - O .C�-kfplk N`o I am a sole proprietor and have no one Business Type: 0 Retail RestaurantlBar/EatingEstablishment working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.) ❑I am an ere to rer with em 1 yees(full& art time). ❑Other ///%/////%%/%////O�//�/////%//%/ //// �I am an employer providing workers compensation for my employees working on this job. COMI)BUY name: C, 'r phone#'' .insursnce.co+'. .:' N, i am-rsole proprietor-and have hired the independent contractors listed below who have the following workers compensation polices: com-'an' name: city r insurance co. - 17 core-eri�nsiiiee �`�`-'''"_'• •�• • a8dress� cily phone#i .3 .7 irisarerice co.: > •`olicv-#�.', ' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of it fine up'to S1,500.00 and/or one years'imprisonment as well as civilpenalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me, I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby.cert' unr. hepains and penalties of perjury that the information provided above is true and correct ' stare Date 5. 17.0 Sign ,, ( .. • Print acme phone# 6 e Co�! official use only do not write in this area to be completed by city or town official Lcontactpenou: permittliaense# ❑Building Department ❑Licensing Board response is required ❑Selectman's Office � []Health Department , phone#; ❑Other rg A Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their ernployees. As quoted from the"law", an employee is defined as every person in the service-of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or artners association or other legal entity, employing employees. However the owner of a trustee of an individual,P �P� 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 binding appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance dr renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. i Applicants vit completely,by checking the box that applies to your situation. Please Please fill in the workers' compensation affida supply romp any 1 an name, address andphone numbers along with a certificate of insurance as all affidavits may be submitted , to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being . Should you have any questions regarding the"law" or if you are requested, not the Department of Industrial Accidents required to obtain a workers compensation policy,please call the Department at the number listedbelow. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill.out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/hcense number which will b'e used as a reference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have been made.- The Office of Investigations would lice to thank you in advance for you 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 ewe 0(wesu88dens 600 Washington Street Boston,Ma. 02111 fag#: (617)727-7749 phone#: (617)7274900 eat 406 RESIDENTIAL 13UILDING PERMT FEES APPLICATION)FEE ; F New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE Wo XSHEET NEW LIVING SPACE a---t�--square feet x$96/sq.foot=, x.0041= - plus from below(if applicable) AI,TERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= 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) Permit Fee Projcost Rev:063004 Affidavit of Substantial Financial Interest 1, of a R .� �L �,Kn�.� ,ua , on oath depose and state 4s follows: applicant for a building permit for the roperty located at Map_.�q Parcel 1. lam an 9 PP —. The address of the property is 36 2. 1 have % legal or equitable interest in the real property which is'the subject of the building permit application which'is identified in paragraph .1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name " . Address - °. h is � �� ut5, I have had II 4. Within the last twelve months, from today s date, whic • n a 1% or greater legal or equitable interest in the following property which have been the subject of a building permit application: Map/Parcel Address 5. .Within this calendar year, I have-submitted 0 building permit applications for property in which I have a'1% or greater legal or equitable interest.-- 6. Within the last ten days, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted (O building permit applications for property-in which I have a 1% legal or equitable interest. 8. Within this-month, I have received building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury, this 1l day of , 20 . 2001-0050/affin- 1 0/LOTTERY/AFFIDAVIT f f Doc=980s116 09-15-2004 3:24 CtfOZ174408 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED we, Charles A. Jacoppo and Mary A. Jacoppo of 208 Edenfield v v Avenue, Watertown MA 02172 in consideration of One Hundred Eighty 74' Thousand and 00/100 ($180,000.00) Dollars hereby grant to Maseth Ready Construction/A Massachusetts Corporation with a principle ry` place of business at 22 Main Street, Hyannis MA 02601 with. S d J QUITCLAIM COVENANTS 0 the land situate. in Barnstable (Cotuit) , in the County of Barnstable and Commonwealth of Massachusetts, described as Oo follows: Lot 60 on plan recorded on subdivision plan 22824-D (Sheet 1) . Subject to and together with all rights, restrictions, easements, '-reservations and encumbrances of record. for title see certificate 79253 in Book 6136, Page 209 a d MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 09-15-2004 B 03:24pe Ct10: 1967 Doc:: 980116 Feel $615.60 Cons: 3ISOPOOD-00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 09-15-2004 a 03:24an Ct1`.: 1967 Doct: 990116 ARDITQ SWEENEY Fee: $410.40 Cons: $1801000.00 STUSSE,ROBERTSON &DUPUY,PC ATTORNEYS AT LAW WEST YARMOUTH,MASS 02673 (508)775-3433 Witness my hand and seal this IS day of C2004. Charles A. oppo Mary A. Jacoppo STATE OF MASSACSQSMS Barnstable , ss 2004 On this IS day of June, 2004, before me, the undersigned notary public, personally appeared Charles A. Jacoppo and Mary A. Jacoppo proved to me through satisfactory evidence of identification, which were driver' s license to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she/th.ey signed it voluntarily for its stated purpose No Publ' My commission expires Ell � YJ.PUGLIESE Notary Public vealth of Massachusetts ommission Expires cember 16 2005 ARDITO,SWEENEY L � p� STUSSE,ROBERTSON !` Q��+,�t�til/ItfC( = S DUPUY,PC ATTORNEYS AT LAW WEST YARMOUTH,MASS t1 \ �o+ 02673r4it [`��,III : 1 W � (508)775-3433 �'•*eM..... ' \V AFFIDAVIT OF ATTORNEY The undersigned,an attorney at law, make the following statements of my own personal knowledge: L 1. I am the attorney for the grantor(s)1gnnrt�s)/n;el�gagee(s) [select one] named in the deed/ [select one]to which this affidavit is attached. I participated in the preparation of said deed/meoMe/participated in the closing of the transaction of which such deed/nu=4pge is a part/advised the grantor(s)/gmRtee(9)fffl0r* a as to the execution and delivery of such deed/mortgage[select appropriate farts]. 2. Subsequent to the preparation of such deed/rpor#gage,the following changes to the deed/nuutg%&were made at the time of delivery of the deed/nmil agerin the process of preparing to record the deed/mortgage[select appropriate facts]: a} �'U!bd7Q�Zm � QGI �fi�K f to b) c) 3. All such changes were made with the consent and approval of the grantors)/8Fm*ee(s)/rnQaWee[select appropriate facts]in order to conform the deed/me� to their intentions. Signed under the pains and penalties of perjury this /6 day of 200 i=1r Prin nam BBO# 70 40 FBARS?A13LECS�UN fY fiEGiS;SY(�F[EELS A TRUE COPY,ATTEST e Nair f • 12112,12001 10 BARNSTABLE REGISTRY OF DEEDS _ hoard' of_Building Regulation and t;�ntl`ards u HCM! IM;IR<CJ1/ IiAENT CO'N1`RA�TCJR -pt.- itti 140380. Expl�'etlr�n 10,2812005 C Cq� e. RrOte Cair oratian y E A RE=ADY & SANS BIND HYANNIS, MA 02601 Ar]rn� -sirator. . •; r. ... OF BUIL'DINC RBCUL�TIORS � ,�l incense GONST,RUCtION--SUPER./IS Number ";t:S Q7400 j Birthdt 04130/C48 E `rres� 04f3012C 07 Tr.ina: 12392 - - -;Resrictcfi` 00 EDWAR7 A READS 22 LLMAI N ST �,, .. ..� / HYANN(S, MA 0260:1 � , commissioner . 4 1 CO -37y `s r TOWN OF BARNSTABLE � 3 BUILDING PERMIT PARCEL, ID 039 049 GEOBASE ID 2328 ADDRESS 30 PENEI,OP LANE PHONE COTUIT -7 - ZIP - LOT 60 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 90283 DESCRIPTION 10'X 16" DECK PERMIT TYPE BADDD TITLE BUILDING PERMIT ADD DECK CONTRACTORS: EDWARD A READY Department of ARCHITECTS: Regulatory Services. TOTAL FEES: $80.00 BOND $.00 p1F CONSTRUCTION COSTS $1_1600,_00 434 RESID ADD/ALT/CONV 1 PRIVATE 1. 0 * sARNSTPABLE, MAss. i i6g¢ A1� 1 FD MA'S BUILDDII G DIVISION BY -1z- r7 _ DATE ISSUED 02/13/2006 EXPIRATION DATE Cj oil j TOWN OF BARNStABLE BUILDING PEWIT PARCEL- UYZ039 OAS CxEOBASE. ID 238' ` ADDRESS 30 PENl� aO�'E LANE PRONE ter'" COTUIT SIP - I' LOT 60-. BLOCK LOT `SIZE _ .. DBA DEVELOPMENT DISTRICT CT PERMIT 90283 DESCRIPTION 10'X 16' DECK i PERMIT TYPE BADDD TITLE BUILDING PERMIT .ADD DECK i CONTRACTORS: EDWARD-A ;READY Department of j ARCHITECTS: Regulatory Services TOTAL FEES: ` $80.00 BOND .d0 pfrvv CONSTRUCTION COSTS $1,600.00 �}A ,I 434 :-,R.ESID ADD/A"LT/CONV I PRIVATE * OBA>IuvsraB>i.>E: •* MASS. 1639• Al . BUI%DINP DIVI� l N BY J D4TE ISSUED 02/13/2006 EXPIRATION DATE I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY.OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- ANICAL(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS . 1 1 1 I ,I 2 2 2 I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH i V OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT HME �tti Town of Barnstable Building Department - 200 Main Street M&MnABLE, * Hyannis, MA 02601 MASS. 9�A 1639. . (508) 862-4038 rFO MA'S A Certificate of Occupancy - Application Number: 79038 CO Number: 20070135 Parcel ID: 039049 CO Issue Date: 07/03107 Location: 30 PENELOPE LANE Zoning Classification: RESIDENCE F DISTRICT Village: COTUIT Gen Contractor: EDWARD A READY Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: r. Building Department Signature Date Signed opt" TOWN OF BARNSTABLE Building Application Ref: 79038 p BARNSTABLE, Issue Date: 09/03/04 Permit 9 MASS. �A i639• �� Applicant: Permit Number:, 79038 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/03/05 Location 30 PENELOPE LANE Zoning District RF Permit Type: NEW SINGLE FAMILY.HOME Map Parcel 039049 Permit Fee$ 1,212.88 Contractor EDWARD A READY Village COTUIT App Fee$ 25.00 License Num 074459 Est Construction Cost$ 234,848 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REVISED MODULAR 1 BDRM SINGLE FAMILY THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MASETH READY CONST CORP BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 22 MAIN ST INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLY OR SIDEWALK OR.ANY PART THEREOF;EITHER TEMPORARILY ORPERMANENTL'Y. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLYPERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THEJURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATIONOFTUBLIC SEWERS MAY BE`OBTAINED FROM,THE DEPARTMENT OF PUBLIC;WORKS: THE ISSUANCE OF THIS DOES NOT,RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS ,x.' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL-MEMBERS(READY TO LATH): 5.INSULATION. 6.FINAL INSPECTION'BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). O sB ® 0 Roll 1111 q Do 0 . 1 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 �3f�.rJ D3 OZ 3 1 Heating Inspection Approvals Engineering Dept Fire Dept ( / 2 Board of Health eb.Pec s A7 sa,v ?�a � TO'hN OF BARNSTABLE BUILDING PERMIT PARCEL ID 039 049 GEOBASE ID 2328 ADDRESS 30 PENELOPE LANE , , PHONE COTUIT ZIP - LOT 60 BLOCK LOT SIZE Dr DEVELOPMENT DISTRICT CT PENT TYPE END $Y�EJIPTION REJINNHUMCONVULAR DWELLING CONTRACTORS: EDWARD A READY � Department of ARCHITECTS: Regulatory Services TOTAL FEES: $75.00 BOND $.00 pG CONSTRUCTION COSTS $5,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE 11 Or N-_-1 * BARNSPABLE, MASS. i639. 1 EDMAr� BUILDING DIVISION BY . DATE ISSUED 10/24/20. 5 EXPIRATION DATE U�V G t `14 r2w OF BARNSTABL ."ems UILDING PERMIT . PARCEL 039,.049 G.EOBAGE -III 2328. ADDRESS 4- 30�itRNELOPE -LANE '. PHO 91 , COTUIT ` ZIP - i LOT $0` :_BLOCK LOT—, SIZE' T DBA DEVELOPMENT DISTRICT CT 1 TYPE.. r. D' *aIP'T'I�JN Eg `B9Nf A'L'F4TEC NVU�,AR DWELLING C PD .C NTTRA T R A REAP � � � Department�of ', CI£ITCTS: - Regulatory Services --T'OTAL FRES: BOND ;� _ ,� � OO CONSTRUCTION CC?gTSI �,�`�' �$6,000.00 ' ,� _ } s 434 r.- .y RE'S ADD/ALT/Ca p{ 1. PRIVATE .., �/ .. BU DING DIV,,I ION BY w�r z :fir. yE SSUED 10/2[4/200�jJ, EX�IRA.TIONt U,aT f�G ✓ � � r ,u`,r'•4. it ;L3}�E.t __ .. ..f � \.a .. -t!',,. �:r^., r`w �.. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,-ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE.A CERTIFICATE OF OCCU- (READY TO LATH). PANCY ELECTRICAL,PLUMBING AND MECH- IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION,HAS BEEN MADE'. ' 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 'V 1 � i1 e 2 2 2 3 1 HEATING INS ION APPROVALS ENGINEERING DE ARTMENT �/ If�r1d` 07fjd 2 ,✓1 OARD OF HEALTH -7/3/1, OTHER: W Pffq?F, SITE PLAN REVIEW APPROVAL mva D C WORK SHALL NOT PROCEE UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT, '', TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 q Parcel 49 Permit# Health Division cap �e'��e �— �ZS °f�j% Date Issued 02-00S c RC IA 5,1 Ot q �QQy;�t3 Conservation Division — Fee 62,5.u4, Tax Collector _ �e c_ vO � �P Treasurer T" B Planning Dept. — ` . Checked in Y Date Definitive Plan Approved by Planning Board — Approved By ` Historic-OKH T- Preservation/Hyannis ; Project Street Address 2a �eQ,opsz Village COT,tr Owner "Jr8�Zt4 C'onn��uv\ Cj Address z2 Kvi iQ ST_ a'A" tt Telephone bb$•4 2• 2c�z� _ f •4 Permit Request d 4S)., n_V6.,&L 4`u,,,m / i ko'e-,(w ��DD�JIJ�U�M Tb -�,�C�ST1f�Ct�eX1Mt-� �� Square feet: 1st floor: existing 6n CSC proposed 2nd floor: existing proposed Ito o Total new .goo Valuation* Soon Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 2—, (as 3 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0-11, Two Family ❑ Multi-Family(#units) Age of Existing Structure Av x-..D Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: 915uII Cl Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new J Half: existing new Number of Bedrooms: existing t new 2- Total Room Count(not including baths): existing new Z- First Floor Room Count Heat Type and Fuel: WGas ❑Oil ❑Electric ❑Other Central Air: 2 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' _ Commercial ❑Yes 3<6 -If-yes-,-site plan;review-r` Current Use Proposed Use BUILDER INFORMATION Name E `�'��J Telephone Number 6b4 a(-z-z1-74 Address License# 3 d'►4 S9 r�A0,tp ►.a,&, Home Improvement Contractor# t4 b a$0 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 9.7- FOR OFFICIAL USE ONLY PERMIT PCO. - - DATE IS$UED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 1 • . 1 FOUNDATION FRAME CLf 2,1l0(l INSULATION �Jf'! b� FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL FINAL BUILDING ®Cc - 71,91 ,7 c� ` . DATE CLOSED OUT ASSOCIATION PLAN NO. f The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of Investigations 600 Washington Street y� Boston,MA 021111 = . ' M www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Auplicant Information Please Print Leeibly Name (Business/organmation/IndividuaD: �c�wa,� ►4 ,�,� ,40 Address: •zz �AA�Q %-r City/State/Zip Pone# .. ISP V. Are you an employer? Check the-appropriate box: .. Type of project(required): 1.❑ I am a employer with--- 4. ❑ I am a general contractor and I 6. ❑New construction employees (full•and/or part-time).* have'hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet t ? ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an ca aci orkers' comp.insurance. 9. any'Cap ty. ❑ Building addition [No workers' comp. insurance 5. [ We are a corporation and its required.] officers have exercised their 10.7 Electrical repairs or.additions 3. I am a homeowner doing all work. ._ ___.. right of exemption per MGL 1.1.0 Plumbing repairs or additions myself.-[No workers' comp. ; c.152,§1(4), and we have no. , 12.❑ Roof repairs insurance required. t employees. [No workers' 13 ❑.Other w►_o*d_L 0Ar 2•"aVioor camp.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 contactors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contactors and their workers'comp:policyinfoxrmtion 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: City/State/Zip- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as•civil penalties in the form of a STOP•VVORK 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 u the pains andpenalties ofperjury that the information provided above is true and correct Signature Dater q ems• �5 Phone#: So£s Ss�Z• z�-c Official use only. Do not write in this area,to be completed by city,or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions. Massachusetts General Laws chapter 152 requires all employers to �deerworkersvvic of another under any' compensation for contract their toof hire Pursuant to this statute, an employee is defined as ...every person in the s express or implied,oral or written." association,porporatiou or other legal entity,or any two or more An employer is defined aa"Au mdm4ual,,partpership;, . . . . 1 . of the foregoing engaged in a joint enterprise, and in ding the legal representatives of a deceased employer,or the receiver or trustee of an individual,Partnership,association or other legal entity, employing employees. HoWev.,er.. owner of a dwelling house having not more than tothr o m�apart�cecons��on od who resides r repair wo kvu such dwelling house dwelling house of another wents CCUP ho employs persons or el the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter152,§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 quire applicant who has not produced acceptable evidence'of complian noz insurance political sucove age bdivisions shall_ Additionally,MGL chapter 152, §25C()states `Neither the commonwealth Y enter into arty contract for the performance of public work until acceptable evidence of compliance with the insurance authority!, this chapter have been presented to the contracting a - ty. r urr ements of P . 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 number(s) along with their certificates)of r Limited Liability Partnerships(LLP)with no employees other than the insurance. Limited Liability Companies(LLC)o members or partners, are not required to carry workers compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage::Also be sure to sign and date the affidavit. The affidavit.should be returned to the city or town that the application for the permit or license,is being requested, not the Deparbnent'of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain.a.worlsers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottm of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicantapplicant ' Please be sure to fill in the permit/license number which will be used as a reference comber. In addition, an that must submit multiple permittlicense 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 %urn)."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 pemut�.or licenses..Anew 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 02.11L. ' Tel. #617-727-4900 ext 406 or 1-.877-MASSAFE Fax#617-7274749 Revised 5-26-05 �r�rw.mass.gov/did .Qv °FVAE?i c Town of Barnstable Regulatory Services s�xxsTnB Thomas F.Geiler,Director Masi. 39. Building Division Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied 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: 1 w1a Zud Estimated Cost �000 Address of Work: co e;�QA►.a_gmli�=9 CL w,�_Q Q1 LL\T Owner's Name: l a`..7 Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000. ❑Burl ' g not owner-occupied weer 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. f SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: > Date Contractor Name Registration No. �. 0 Co�o t� , • �4"� Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 dSt7 Change of Contractor/Builder $25,40 FEE VALUE WORKSHEET NEW LIVING SPACE l 3t� square feet x$96/sq.foot= mto 'alto x.0041= s n . q`( plus from below(if applicable) a f ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq,foot= swLoo x0041= Trel 1 plus from below(if applicable)'. . ,q ,qZ GARAGES.(attached&detached) 2$ ,.IF5 q t> �4 � square feet x$32/sq:R= 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 pemnit; .�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 Rev:063004 _ . SMOKE DETECTORS REVIEWED i+�s•�c� D Zylvs , T LE BUILDING DEPT. DATE � x f, �`vocs l,3�0��G�,S . I S I FIRE DEPARTMENT P.O.90x 9000 H E 131 DATE0%EOflD,ME 04270 BOTH SIGNATURES ARE REQUIRED FOR PERMITTING TEL L Eex (aoo)� s39—u.a 52'-0" 52 28x40 1-6" 13'-6° / 3T-0" NEW HAVEN 10'-0 1/2" 8' 9° �- 13' 4 1/2" 5'9" 4'3 I/1", 2-4 1/2" 6'I"— —)'B" 2'-5 1/2" 3'H 3/4" 9'4 3/4' I. CAPE PAR3666SH PAR3037SH PAR3fi665H r— ___ ________ - P 1V1 SPEC. NUMBER: OR22"x3O"MIN.SIZE ATTIC ACCESS TO BE FRAMED ON SITE BY OTHERS 05-073 BUILDER: ; W BATH'2 W;. E.A. READY co FLOOR TRUSSES mo o & SONS o BEDROOM 2 DROOM 3 _ 0 PLANS PREPARED FOR: \ _ Z � �I � _ o m UNHABITABtE AREA - ; `- SPEC 2ND FLOOR 3 z m NO DEVIATIONS HE P ANTOTHE M ORDER BALCONY _ CONTRACT ARE THE FULL RESPONSIBILITY OF THE r - xs'anaoenx - ---------- ----.---------- 2/6-INT BUILDER. 151FLR DATE: 4w POST POST 3/14/05 ` STUDY OPEN TO BELOW N DRAWN BMM ` —�7'6"CEILING LINE -—————� � --_—_---_- ^--_--_ _ U ----- CHECKED BY: o—NNLL WALL �I I 2001 I . 111 'I, :I I I I h 2001 I I r RF\KInNIC f1ATFC I 5'-"A"DORMER 5' "A"DORMER ON. VIEW ON. VIEW 0 5 ° OPEN TO BELOW 5.° PAR3449SH - 'r PAR34495H - -———I-fi — ———— ——————————— —----- e� —___--___— PAR3 495H'� --- SCALE: 12'-0" 12' 0" 8'-0" 1/4"=1'-O" 40' 0° cuFc r nln PROPOSED 2ND FLOOR 2A f Fab 23 06 02 a 34p frank nar de 110 P. 1 MAScheck CONTUANCt aSPORT } Maesathusetts Energy Code x�ifi i MA.sChect Software Version 2.01 Relaose 3 1 � 1 Ch—e keq y-0ate 1 TITLE: KIM 3096 CITY' FAIMOUth STATE: MaabechusetL5 11DO. 0113 lel Rrel s CONS'TAUClTION TYM 1 yr 2 Oomily. DetanneO nue jpF�►aorts HEhrXNG OYSTM TYPE: Othar Non-E3a.[.F'ic: �o stancoa) amm c,Rvmlu4td�4�, Wit:DATE OF PLAVS. 3-16-05 3�16�20D5 ettiorrAgi �xn uu nremsu PRMCT TS�FaA)4ATIp9s: 28' X 40` 52' NF.i>1 RAVUR. CAPE CONPAMY INFORRMTICM: rr..�swvnv,swwea�aravn E.A. RFAVY AND SONS / SPRC oorts: °EALMDUTH 15 THE, NEAR90T CITY TO COTUIT, MA", USW F(fR W.*8AC9USVT'I<W EVEAGY CALF ULA°TIOVS COMPUANM: Passes Maxim= UR - 420 Aeea or Cavity Cont, Gltezingr/wor Fer:t"v,v R-Value n-value U-Val.u& UA ------------------.— _— ..--..v. — w—e---rWa�rrrrnr..a—tww—vim —s.. c�xt,xwGs s ~257 31.0 0.0 -9 =LXN(GS 10SL , 30-0 U.0 37 MAILS: Wood Frame, 16F O.C. 113(f 19.0 0_0 128 !17,AZINar Windows ax Aoors 313 103 Lwow Over Uneoh4i.tiwed Space 1260 19.0 o,0 59 ------------ COMPLIANCE STAT KW: The proposea buL.1d -nq-design ew-gcrlbed here is Uansi$fgnt With the bitild.inq plan&*, sspceifloationfs, and c�tber aalculatioAs ioDmitted with the permit application. The prupog8tl boil.di.ng has been, dasigned to meet the requirements of tne eiassaebusettz Engxgy Code. The h*atinq load for thLw builditI, and the cooling iovd it apprnpriar.o, has been determined using the applicable gta,ndagd DeS.19n Ct nditiona frattnd in the COOO• The MVAC equtpowt selected to 'divot cr ocol the building eNaL4 be no graeat*r than 125% of t e ion laad specif:led in Sections 700cu 13 0 r►ci Ti' suAlder/flea he 1�I1R�, P.f3P. E.A READY& soNs iNc. . REAL ESTATE& CONSTRUCTION Raasinesses Share 1898 Lend Sales 22 Main street Customs Homcs Hyannis.MA 02601 Architectwre a4$-862-2674 Timber PrRmoSFAX` Fax 508-862-0114 Restorations www_eaready.com MudulaT Engineering Interiors Remodeling To: �.. ty"�,b ri m.--- Rdwa7rd A. Ready Sr. Fax: �(,�9� pr cl�_r Tax: 509.862.0114 Bate: MUM • —! Phone: 508.962.2674 lxt 12 Re: � # Pages: -- - (&Ole) tM kvw Past Memw: baton Society of Architecte,American Society of lutesior Desigrera,National Historic Preservauon n-uat, Atuencan Binders Association,National Home Builders Aesociatioa, National Home Furnishing Association., NaLtiorml Ethan All=Dealer$Associstion,Interior Deana Society 2—k l0� 2X cl� 0 i d t I ans�>z V�lv4�s _ AXb SMOKE DEFECTORS REVIEWED AB _BUILDING DEPT. DATE -- INDUSTRIES INC. FIRE DEPARTMENT DATE P.O.Box 9000 M 121 OXFORD.NE 01270 Bo7F! $IGOAtURES ARE REQUIRED FOR PERAITTING 7E,E: (2O7)S39_BBBJ FAX: (207)--- 1-6" 52'-0" 28x40/52 10'-0 1/2' 8'-9° 31'-0° 13'-4 1/2° 13'-6° NEW HAVEN 6'-9'—�I�4'-31/2' 2'-4 1/2"c 5'-I'—�f�3'-B' 2'-5 1/2° S-11 3/4'- 9'-4 3/4' CAPE PAR3666SH PAR3037SH PAR36665H r- --- --------------------- I SPEC. NUMBER: 22"x30"MIN.SIZE ATTIC ACCESS TO BE FRAMED ON SITE BY OTHERS bd OD o 05-073 � BATH 2 BUILDER: m FLOOR TRUSSES m' E.A. READY & SONS 16 o a O� a BEDROOM 3 0 _ BEDROOM 2 PLANS PREPARED FOR: UNHABITABLE AREA SPEC J N iFxA� 2ND FLOOR o 2/6-INT 2/6-INT - o NOTE: ANY DEVIATIONS FROM BALCONY EE m N _ THE PLAN TO THE ORDER o CONTRACT ARE THE FULL 42'GUARD RAIL I RESPONSIBILITY OF THE 2/6-INT - --------- ----------- BUILDER. 12'-0" 1stFLR DATE: POST POST 3/14/05 STUDY OPEN TO BELOW DRAWN BY: �T6" MM CEILING LINE - - - - N �U _ ————- — ——- — , -- ----- -- CHECKED BY: ,(,-KNEE WALL 2001 I 2001 RF\/ICIMIC f)ATFC 5'-"A"DORMER 5'-"A"DORMER ON. VIEW DN. VIEW 0 5` OPEN TO BELOW 5 °" PAR3449SH PAR3449SH i—————1•-6- — 1 6 ———————————————— --————————————— ------ SCALE: I PAR3pp49SH >k 12'-0" ��8'-0" 1/4"=1'-0° 40'-0" SHEET NO. PROPOSED 2ND FLOOR 2A .:.. .___ Commonweal_th-of Massachus�et#s Board of Building Regulations and Standards Manufactured Buildings Program LABEL.REQUEST FORM This Section for State Use Only Date Received g. S Label Numbers Issued: Fee-Received $ 1©© ,_o 0 Check Number O� Date Issued: OS 'Issuedby: This Section to be Com•leted Manufa er' PLEASE PRINT OR TYP SECTION 1 - MANUFACTURER INFORMATION BBRS\DPS I.D. # �Q Manufacturer Name MC# �37 Street U City/State/Zip V �Z Manufacturer Telephone Number: (20l ) Fax Number: (2�7) ,F3cj yyy� Manufacturer-Plant Inspector Third Party Agency �� 0 U TPIA Number of Labels Total Amount Attached $ Manufacturer's Serial Manufacturer's Model !�110 72 Number 1 Ag I Designation SECTION 2- LOCATION OF BUILDING Street 3 --- City/State/Zip e� SECTION 3 - BUILDER%DEALER/ RTIFIED INSTALLER INFORMATION Builder/Dealer a - Street _ c FCee. /Zip • staller onstruction � License Number: CJ'/J L 1� Yl� sT•, piration Date: � . y3� o This form.shall be completed by the manufacturer when requesting manufactured building label. All information shall be clearly indicated. Incomplete forms will be returned to the manufacturer unprocessed. This request shall be forwarded to the State Board of Building Regulations and Standards- CERC Building,Paul A.Dever School=1380 Bay-Street,Taunton,MA 02780 Bbrs\Forms2\mfgLabe1Request June 15,2001 OWNER OF RECORD I HEREBY CERTIFY THAT THE EXISTING Charles A. Jacoppo et ux. (Mary A.) FOUNDATION SHOWN HEREON IS LOCATED Certificate of Title 70253 AS IT EXISTS ON THE GROUND. L. C. Plan 22824-D (Sheet 1).Lot GO DATE A55e55or5' Map 39, Parcel 49 POOLE ea q Na•32662 9�CFSs10NP4 CO CB FND \k9�3 LOT GO N o Area=25,G53 51' 5 • 'L `c Exi5tm6j Poured Concrete Foundation 5?3 Top of Pnd. G p EL=55.3 c4j CB FND ��, •. (HELD FOR LI N E) A5-BUILT PLOT PLAN a�g9 00 5HOWING EXISTING FOUNDATION CB FND LOT GO, LAND COURT PLAN 22824-D (HELD) ASSESSORS' MAP 39 PARCEL#9 C3_O'PENELOPE"L"ANE?BARN5TABLE (COTUIT), MA •L=62,83' R=40.00' PREPARED FOR E. A. READY * SONS, INC. BENCHMARK. To of Concrete Bound SCALE 1"=40' AUGUST 1 , 2005 ELp52.53 (Assumed Datum.) B004-403G OUTERMOST LAND SURVEY, INC. One Ellis Landing at Main Street Brewster, MA 02631 (508)896-1050 Engineering, Environmental & Surveying Services BENNETT &O REILLY, INC. 1573 Main Street, Brewster, MA 02631 508 896-6630 V, - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 2wa� RD RMO Map Parcel ��' -r � Permit# " Health Division ��`'�..�a gI mloq sue' Date Issued Conservation Division I 810q Applic ion Fe Tax Collector Per t Fee ® Treasurer SE MUSTBE Planning Dept. IMP ��/a,` a, �� INSTA ED I OMPLIANCE de g/ig`v� Date Definitive Plan Approved by Planning Board �� I cf +� ease,► T ITLE 5 RO NTAL CODE AND Historic-OKH Preservation/Hyannis REGULATIONS Project Street Address 30 e}a -e N gJ Village Cxrw�-r Owner a rt- M cr7 a v Addres VIE aenVc 4L- Ave W0QWx0u.-A,MA. Telephone e , C© 4 2- oD Permit Request V,5� orlvlen Square feet: 1 st floor: existing o proposed 12.4 9 2nd floor: existing a proposed YZ otal new 1(z8 8 Zoning District Flood Plain mo Groundwater Overlay u o Project Valuation $ 140.000 Construction Type wood Erbow- Lot Size 2S, t*S 3 Grandfathered: ❑Yes O'No If yes ch suppo ng mentation. Dwelling Type: Single Family B' Two . ily 0 M '-Family(#units) Age of Existing Structure o istoric House: 0 Yes ❑No n Old King' 'Highway: 0 Yes ❑No Basement Type: &'Pull 0 Cr O Walkout ❑Other Basement Finished Area(s Basement nfinished Area(sq.ft) 124 2 Number of Baths: II: existing new alf: ting new Number of Bedroo existing ew Total Room Count( t including baths): exis g o new t Floor Room Count - Heat Type and Fuel: as ❑Oil lectric ❑Other Central Air: des o Firepla : Existing a NewON Existing wood/coal stove: 0 Yes 0 No - Detached garage:0 existing size Pool:0 existing ❑new size Barn:0 existing Drigg size, Attached garage:0 existing ❑new size 124T2_ Shed:O existing O new size Other: < _ cn. co rM Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ o Commercial ❑Yes Y�o If yes, site plan review# Current Use Vzg2,%k lo-r _ _ Proposed Use L, BUILDER INFORMATION Name �'Sm b*L- G-tk� Telephone Number 457o8 - '4�57 Address zVu qz 3�", License# C-3 -a7 �Mq:Z TaAunk-kU . Mck • Home Improvement Contractor# Worker's Compensation# v uo C (aeo N 8 2701,202 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `IwnAc tuNa e�t(� SIGNATURE g:!�-J k4 DATE 8•r 4•b�/ FOR OFFICIAL USE ONLY ,.k PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE * OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ; FIREPLACE ELECTRICAL: ROUGH INAL' . , PLUMBING: R%UGIto FI AL GAS: R0'G' O FINAL FINAL BUILDING ; ® m ` > r _ -DATE CLOSED OUT ASSOCIATION PLAN NO. OM r i ' l f• TOWN OF BARNSTABLE PERMIT EXTENSION GRANTED EXPIRES 9/03/05 PARCEL ID 039 049- - GEOBASE ID 2328 ADDRESS (30 PENELOPE~LANE PHONE COTUIT ZIP - LOT 60 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PENT TYPE BUILD DTITLEIPTION NEW 4BRM N�REMIACABLGAR. SINGLE -FAMILY HOUSE CONTRACTORS: HUGHES, RANDALL Departmentof ARCHITECTS: PERMIT EXTENSION GRANTED Regulatory Services TOTAL FEES: $1, 112.88 BOND $.00 CONSTRUCTION COSTS $234,848.00 , 101 SINGLE FAM HOME DETACHED 1 PRIVATEMAM 0 , � '* snRivsraaLc, FD BU , . ISION DATE ISSUED 09/03/2004 EXPIRATION DATE 0 i1 a. it FE February 18, 2005 Mr. Tom Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, Massachusetts 02601 Dear Mr. Perry: Re Building Permit 79038 We would like to request a six month extension on the above referenced permit due to the severity of the winter. Thank you very much. d, Very truly yours, Edward A. Read Kathleen M eth-Re ,R i Dac:980s11-5 09-15-2004 3324 Ct f*-:174403 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED H We, Charles A. Jacoppo and Mary A. Jacoppo of 208 Edenfield v Avenue, Watertown MA 02172 in consideration of One Hundred Eighty Thousand and 00/100 ($180,000.00) Dollars hereby grant to Maseth Ready Construction A Massachusetts Corporation with a principle q place of business 8Lt`22-Main Street'-- n Hyani"s-- MA""02601"with- d �.1 QUITCLAIM COVENANTS 0 the land situate in Barnstable (Cotuit) , in the County of Barnstable -and Commonwealth of Massachusetts, described as follows: Lot 60 on plan recorded on subdivision-plan 22824-D (Sheet 1) . Subject to and together with all rights, restrictions, easements, 'A' reservations and encumbrances of record.' for title see certificate 792.53 in Book 6136, Page 209 0 d • "ASSACHUSETTS STATE .EXCISE TAX r.. BARNSTABLE'LAND COURT REGISTRY Date: 09-15-2004 B 03:24pe Ct1Q: 1967 Doc:: 980116 Fee: $615.60 Cons: ii8fl►000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 09-15-2004 a 03:24va Ctl': 1967 Doc': 980116 ARDITO,SWEENEY Fee% $410.40 Cons: '1800000.00 STUSSE,ROBERTSON &DUPUY,PC ATTORNEYS AT LAW WEST YARMOUTH,MASS 02673 (508)775-3433 ,� ,. y r , t Permit Number 4-EScheck Compliance Certificate • Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 Data filename:Untitled.rck PROJECT TITLE:penelope cape CITY:Cotuit STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached' . HEATING SYSTEM TYPE:Other(Non-Electric Resistance) . WINDOW/WALL RATIO:0.11 DATE:07/05/04 DATE OF PLANS: 6/23/2004 PROJECT DESCRIPTION: Cape Style Home with 2 car garage DESIGNER/CONTRACTOR: Randy Hughes COMPLIANCE:Passes Maximum UA=370 Your Home UA=360 2.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimete R-Value R-Value U-Factor UA . Ceiling 1:Flat Ceiling or Scissor Truss 820 30.0 0.0 29 Ceiling 2:Cathedral Ceiling(no attic) 500 30.0 0.0 17 Wall 1: Wood Frame, 16"o.c. 2170 13.0 0.0 155 Window 1:Wood Frame:Double Pane with Low-E 66 0.350 23 Window 2:Wood Frame:Double Pane with Low-E 111 0.340 38 Window 3:Wood Frame:Double Pane with Low-E 17 0.340 6 Door 1:Glass 39 0.330 13 Door 2: Solid 42 0.330 14 Floor 1:All-Wood Joist/Tiuss:Over Unconditioned Space -1380 19.0 0.0 65 Boiler 1:Other(Except Gas-Fired Steam),80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to ` meet the Massachusetts Energy Code requirements in RES checkVersion 3.6.Release 1 (formerly MECchec� and to u comply with the mandatory requirements listed in the RES checklnspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and AA Builder/Designer Date REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 DATE:07/05/04 PROJECT TITLE:penelope cape Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: T [ ] 2. Ceiling 2:Cathedral Ceiling(no attic);R-30.0 cavity insulation Comments: Above-Grade Walls: ] 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No ' Comments: [ ] 2. Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 3. Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1:Glass,U-factor:0.330 . Comments: - [ ] 2. Door 2: Solid,U-factor:0.330 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Boiler 1:Other(Except Gas-Fired Steam),80 AFUE or higher 'Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,.walls,and floors. I , Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] ( Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. i Duct Insulation: ] I Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone,or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. i Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the. levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches bye Pipe Sizes Heated Water Non-Circulating Run-outs Circulating Mains and Runouts Temperature(F) l t� 119 to 1.25" 1.5"to 2.0" Over 211 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0- Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pining System Types Ranee(F1 2"Runouts 1"and Less 1.25"to 2" "to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1;0 1.0 r 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) t . I F 47t} } 1 1 'f t -� ` x J �FTH`�°�� The Town of Barnstable BARNSTABM Department of Health Safety and Environmental Services 9 MASS ea Building Division 367 Main Street,Hyannis,MA 02601 e: 508.862-4038 508-790-6230 PLAN REVIEW Owner: Chi''/ Map/Parcel: Project Address: 30 Builder: R- ,. Wvzyll YI/XNV�s The following items were noted on reviewing: S'P•ec 5,�eeT5 . Fon 1�71j, ZV, PeR,. off/ G �d eTf'' �,c. �o�TitQeoay /ys i9�5' ,P, 44-4W . DAD 5,eox-e w,'r# /ppg/3.f W/p t f C° Reviewed by: Date: ✓die-�a�.vrruYruaeEr. 4 - LicenseSTt�C;Tit SAS z _ Number Birihdate iflf03fitt .-�"' �'� Ex�rres. 107'0.3f�00F# �s:r►o. .4919 -.. . Restricted _ RANDALLE HUGk-S T7 HOMESTEAD �� : TEA�'ICKET, N4A U253�- A�frtixr�str$tor u - 'i The Corni�n'aneabth'of Massachusetts Department of Indush'iatAeeidents' . ' 'Of11cell�►��' boa Washington Street _ Boston;Mass. .02111 a 's' a Workers',.C m ensation,Snsurance Affidavit-II- General Businestses FIA VON rs �, �,`��y'.. ::4`Y+"' '•iT�a�rr�f$,,,•�.. a •..• >' �S�eV2.Y�astiaY, Y'r"`+��p :X: ''S .S� it•• _ r ' •2,2.1l�,V:�\� S"r roz zao'-1�P address: } . M� � l . ho e#' 5Mt $• _�. d tl�Y�1S state' ' ii address urant/BailEatYng Fstablis�ment . wor 'te location fu $psjness Type; []Retail❑.Rasta I aro•a sole proprietor and have no one office(�SaTtss(including Real'$sta'te,Antos etc.) ywr]°ng in auY eaP 'ees Gull&' art time (]Other f an can,to er wi %////_/// mvym/sicn for n/y/// dye%s worIig on this job` anp o •, $ wt, r .. 9 • , •, • .. :• ,.• ' '.tit..: t..r.,:' 1 'i• ..b� �' ,tLY�: .r.. 1 S ••'i'�: S r }. , .•�•q•:•;.r. ti.r GY+>p1V�,7 { .y. 1.. te .7•yt. .,i(,�Y •trj,l' ry7... �:•::"::S'. ":�`"Ir.. .'•t • •' t 1,+ •1�'�:i•r'• a�,4`'- :•,+''}• a'•R •.t:tl=t •,y.'�73. 't, 'rr i:,1:.,.Ir t:•. . ft� r(:t"�' •�'•r•t:l,Z�..�.. :i! t.•tS.. ,r,.{�i,t�+•1 •e , '. .. . t:� t, i•��ir•,:p• Stir{•:1.:'l't •ti wS�:T:i,t,l:,: ''Sl•.::f': i a •7r '•' r " " :�w .. :• i'. CO ,l t ... +.i., Y•�r 1• i• •S r. ' •• Y' Y q• •,t .�.,:'R:�a, rir' •:y. 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'o .• ::., ,•... dsq� ce.ccf -~ '!: a fpllowin itvorkers' 'h ve hired the independent contractors listed below•who have% g , I am a sole proprietor anda . .• ' .. compeasation polices: ; ..4 w',;t;, :�I: ..:;Yi:jyA+K►{r:'t.��t: ;44,; F .o. •;� ''; t, 1 'S •ti;f� •L S'•.S•`•e::r t\:tt;�i' F,'r i'r' r:'i`'':. ' ' 'S l...r�r•;..��r .rt .•..{.•.f: t •.. • ... it .r.. :• f ''• •r •'�, 'r MY.wi •r'� T.r• �t�.• tiBII}l'r i•ly .r .. \.' S t T `.';t r•'ri'i NiS.S.iti' t COII] r * ? u ..t� " x .i,, i r• K•'?1 S, t ti r.S •�y •Tit. 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':�..v'v,,. .�•• 3 .ft j,e' .:p'r.tr a�SS•%S.1.ti1 thY .r ,'•t:.^ r+ r•:•er•tro '': i �.t•l•:t'I''.. 9lt Tr'+ {'a:•.r • .i. fYe:{.'r '.t:lr�;:=.�4tS"..t ::s.•.t`• �•f .•Yd•...'t. , .'t� .. .15. t •• ,`� • bold 6Ii• ri&II� ..i::�r'' . •'' tr, t ♦• ' rti 4•,•� t , .•� r•.,''�,•�•��• ,';.ylY<r•'''� ,3. •., e$$: 'r• �•� •'•• .4 •r.• r ,:i •. .r4..r .h_ i;i�,a,'y�.�t t"•:'i. i•'i ii�lZt'l ••�•�''t,,..'•'�•�••"'• ' ''{.. � .. •• r.'"r.:.r' S, r,r .+�,. `. •bOIiE.TS:• .r „ ..... . i lr ::_ a. '� a• t, r,•i,,r.tr•t r •' .. 'r.t F I,•'•t r.. 'rJ•Yt..r f'•=•'af•r 4' .�'�4re:••. ::1':;�1•S;'S�,,,• ..•!.�St t .;,• t yf'.. •' •'i ,' •1.s ;s,,. t�j t �P� at• ', 'y` •r'{ii'''p.•;t:�..y. • t� ri . .t:it.' .a 4. Nt.,•• •tt 'f �., •t t r. .�:. rti•` .f't' ,1f ra.S 't',i;1':' •t 'it CI t'�}e, r.r'l:+:d�•,:�•••VSt�'.;:�t;:'.�''. ..1 .'ly \. .'r• �, - ('ri:•.. ":�.,•:. �.'t,',pr. 1.,. .t�•, t• qS' q+::; S i}S•.�y..t.>.•. UZ1Cr':fta•'. a,•a'�:i. t�, rti •` ,• �� 'u Jr• lF�li;:rk'.`:r�J:•sa •x..'' :ti.?.:Si,';�:..rj.}:. 4•J.. . , � :.:..:L fnsiir�riG='Ui�fir.•r : oox an or ye1a a a1,1012 s required under Section 23A of MGL 152 can lead to the imposition of crimfnallSenaYties of a fine up to�1,5 Failura to secure co g penalties in the form of a STOP WORK ORDER and a fine of$lo6.ot1 a day against me, I understand that} one years'Smprisonh►ant 31a well as civ>Lp r copy e f this priso ant maybe for- arded to the Office of Investigations of the DTAfor coverage verification. i n er the pains and psndties of perjury that the information provided above is frue and correct Ido hereby fY Date -1 27.04 dw ram/ Phone# 3b�roz. � print name v ofiicia]use only do not write in this area to be completed by city or town offew _ permit/l{cense# [Building Department ❑Licensing Board city or town: []Selectmen's OMCC ❑Health J)apartment [�checkif immediate response is required , phone#; Other contact person: (revised Sept 2003) -- - • Infoxmiaiaoiia and Instructf ons- ; r to ers to rovidc workers' c ensutidn for'their•. Ivlassachusett$Gefleral L'aws`chF pier 152 section 25 requires aft emp Y P 02 ..tst d'frornthe `raw'', an employee is.def defined as every person m the service:o£.another,tuadex_any�contract er-doloyew; As quote .: of hire;ecpress or inopli�ed; viral or written, e, An emp i er defined an rndrvidual,parhnerslup; association, corporation or other legal entity, or any fwo or rngre of the foregoing gaged'in jjoint enferprise,and including the'legal representatives of a deceased,employer;'`or the receiver or association or other legal entity, employing" ployees..'HoweYer•the owner of a trustee of,an individual,partnership, dwel1hr$house having'not'fnore than three apartments and'who resides there or the occupanttb the:dwelling House bf ersoris to domaintenance, construction or repair work on such$welling liouae 6r on the grounds or er wh .�P. �' , another �p oy •1• b g gppurtenant thereto s1�a1I not because of such employment be deemed to be an 1 er. ' S `censin a�enc shall withhold the issuance dr renewal MGL chapter`152 section 25 also fhat'every state or Ibca1 ix g b Y of a license or pe1' t to operate a business or to construct buildings in the.conunonwealth for any applicant who has not license* o acceptable evidence•of compliance with the insurance coverage reilu'fz a` Ailditionally;neither•the' coiz�onwea&nor•any.of it's political subdivisions shall enter into any eoutract for the performance of public work iWq acceptable evidence of compliance with t�e insurance requirements of this chapter have beo,a presente8 to the contracting authority: Applicants fire workers,*compensation affidavit completely,by checking the box that applies toyoursituation.•Please Please mraofdress an3 hone numbers along with a certificate of insurance as all affidavits may be submitted supply comp any name, P to the Departmer't'°f 1'ndustnal Accidents for confixcnation of insurance coverage. Also be sure to sign and We 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 pepaztment of`Tndustdal Accidents. Should you have any questions regardi "the',aw"or if are obtain a'workers'.compensationpplicy,please call the Department at the number liste,dbelow. required to . , City or Towns Please be sure that the affidavit rs complete andprinted 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 regardw.g the applicant. please. be srtre to fi11in the pernnt1censa number which wfil be used as a reference number. The.affidavits nosybe•returned tq, maij FFAXunless othei'arrangements have been made, �'` the D' artnnent bY. or eP d,you have an estions • ce of Investigations would like to thank you in advance for you cooperation and s'houl y y qu , e Offi . esitatetogive`•us a�call..•. ..• . please do noth The peparlment's address,telephone and fax number: The Commonwealth Of Massachusetts Department.of Industrial Accidents • • Bike Di 18Stesfells 600 Washington Street Boston,Ma. 02111 1. fax#: (617)727-7749 Affidavit of Substantial Financial Interest 1, � / of 7--L on oath depose and state as follows: 1. I am an applicant for a building permit for the pro erty located at Ma 3�., Parcel . The address of the property is 3c,� - t7� o �-e� 1� M will 2. 1 have 10-0 % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal ore uitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address -'3vsC-v P h v Ze-% C d ev%- i�-t A A-v Q wO-fen-CocA ,Act- O2�ZZ 4. Within the last twelve months, from today s date, which is , have had :a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel ,Address 5, Within this calendar year, I have submitted o building permit applications for property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days, I have submitted o building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted o building permit applications for property in which I have a 1% legal or equitable interest. g. Within this month, I have received o building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury,,t is �?day of " u _, 2004 2001-0050/affin 1 0/LOTTERY/AFFIDAVIT RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ® Ole I 8-S' square feet x$96/sq.foot 3le/O x.0041= 7 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&.detached) g square feet x$32/sq.ft._ S� �lf� x:004.1= 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) 701. Q� Permit Fee P Proicost !t ]E-A- READY. SODS INC. REAL ESTATE & CONSTRUCTION Businesses Since 1898 Transmittal RE: 30 Penelope Lane, Cotuit, MA To: Barnstable Building Department Date: September 1, 2004 Item: Engineered Lumber Specs (Filenames J01, J02, J02, FBO1, FB02) y t i 22 Main Street Hyannis, MA 02601 508.862.2674 RightFAX 9/1/2004 11 :46 PAGE 2/2 RightFAX �Em BC CALC®2003 DESIGN REPORT - US Wednesday,September 01.200411:24 Single 11 7/8" BCI®900S SP File Name: EA READY PENELOPE CAPE:J Job Name: Description: Address: Specifier, City,State,Zip:, Designer Customer: Company: Code reports: NER 594,ICBO 5208 Misc: Standard Load-40 psf 116 psf OC Spacing 16- BO,1S/4" r B1,1-0/4" 809lbs LL 609 Ibs LL 438lbs DL 242lbs DL Total Horizontal Length-22-00-00 General Data Load Summary Verson: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 22-00-00 Live 40 psf 16" ' �'100% Member Type: Joist Dead 15 psf 16" 900/0 Number of Spans: 1 1 DORMER WALIConc.Pt.)F LOLeft 02-00-00 02400-00 Live 245lbs n/a 115% Left Cantilever: No Dead 240lbs n/a 900/0 Right Cantilever: No, Controls Summary Slope: 0112 Control Type Value %Allowable Duration Load Case Span Location OC Spacing: 16" Moment 4680 ft4bs 55.1% 10D% 2 1 -Internal Repetitive: Yes Neg.Moment 0 ft-Ibs n/a 1000k Construction Type:Glued End Reaction 1248lbs 76.1% 1150/6 3 1 -Left Total Load Defl. L/385(0.685") 62.3% 3 1 Live Load: 40 psf Live Load Defl. L/549(0.481"} 87.4%. 3 1 Dead Load: 15 psf Max Defl. 0.685" 68.5% 3 1 Partition Load: 0 psf Span 1 Depth 22.2 n/a 1 Duration: 100 Notes Disclosure Design meets Code minimum(L1240)Total load deflection criteria. The completeness and accuracy of Design meets User specified(L/480)Live load deflection criteria. the input must be verified by anyone Design meets arbitrary(1")Mabmum load deflection criteria. who would rely on the output as Minimum bearing length for BO is 1-314". evidence of suitability for a Minimum bearing length for B1 is 1-314". f particular application. The output Entered/Displayed Horizontal Span Length(s) Clear Span+1/2 min.end bearing+112 intermediate bearing above is based upon building code-aocepted design properties and analysis methods. Installation of BOISE engineeredwood products must be in accordance with the current Installation Guide and the applicable building codes, To obtain an Installation Guide or if you have any questions,please call (800)232-0786 before beginning product installation. . BC CALC®,BC FRAMER®,BCI®, BC RIM BOARD7m BC OSB RIM BOARD'"' BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS% VE RSASTRAND Tm, VERSASTUDO,ALLJOISTO and AJSIm are tradem arks of ' r Boise Cascade Corporation. - S _ Page 1 of 1 , ( RightFAX 9/1/2004 11 :47 PACE 2/2 RightFAX SEm BC CALICO 2003 DESIGN REPORT- US Wednesday,September 01,2004 11:25 Single 117/8" 13CI@ 600s SP File Name: EA READY PENELOPE CAPE: 102 Job Name: Description: Address: Specifier: City,State,Zip:, Designer Customer: Company: Code reports: NER594,ICB05208 Misc Standard Load-40 psi 1.16 psf OC Spacing 1W .............. ......... ........ ........... ......................... ... ........... ..... ... .. ............ F7777.*.'.--.-.---.-'--..-'-.-.,'%.-,.,.-... ....-..-...�-.",, .......... . ................ . ........ ........... ............. ............ ........... ..................... AL 17-00-00 10-00-00 10-00-00 AL BO,1-X417 B1,3-1/2- B2,3-1/2- 133,I-X41" 382 lbs LL 9W lbs LL 647 lbs LL 264 lbs LL 139 lbs DL 342 lbs DL 171 lbs DL 88 lbs DL Total Horizontal Length-37-00-M General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 37-00-00 Live 40 psf 16" 100% Member Type: joist Dead 15 psf 16' 90% Number of Spans: 3 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Ahowable Duration Load Case Span Location Moment 1992 ft4bs 216.1% 1000/0 6 2-Left Slope: 0112 Neg.Moment -1992 ft4bs 36.1% 100% 6 1 -Right OC Spacing: is, End Reaction 521 lbs 42.6% 1000/0 4 1 -Left Repetitive: Yes Int.Reaction 1298 lbs 44.80/6 100% 6 1 -Right Construction Type:Glued Cont.Shear 740 1 bs 40.60/6 1000/0 6 1 -Right Total Load Defl. L/1027(0.199-) 23.4% 4 1 Live Load: 40 psf Live Load Defl. L11 378(0.148") 34.8% 4 1 Dead Load: 15 psf Told Neg.Defl. -0.047' 9.4% 4 2 Partition Load: 0 psf Max Defl. 0.199, 19.90/0 4 Duration: 100 Span/Depth 17.2 n/a Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/240)Total load deflection criteria. the input must be verified by anyone Design meets User specified(L/480)Live load deflection criteria, who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-3/4. particular application. The output Minimum bearing length for BI is 3-1/2". above is based upon building Minimum bearing length for B2 is 3-1/2'. code-accepted design properties Minimum bearing length for B3 is 1-314". and analysis methods. Installation Entered/Displayed Horizontal Span Length(s)=Clear Span+IQ min.end bearing+112 intermediate bearing of BOISE engineeredwood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALCO,BC FRAMER®,SCIO, BC RIM BOARD7m,BC OSI3 RIM BOARD'"',BOISE GLULAM-, VERSA-LAMS,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDTM VERSA-STUDS,ALLJOISTO and AJS I"are trademarks of Boise Cascade Corporation. Page 1 of 1 RightFAX 9/1/2004 11 :49 PAGE 2/2 RightFAX sO;$Em BC CALCS 2003 DESIGN REPORT - US Wednesday,September 01,200411:25 Single 11 7/8" BCIS 600s SP File Name: EA READY PENELOPE CAPE Job Name: Description: Address: Specifier: City,State,Zip:, Designer: Customer: Company: Code reports: NER 594,ICBO 5208 Misc: Standard Load-40 psi 116 psf OC Spacing 19* ..... ..... ........ .....:. BO,I-N4" 17-04� B1,3-1/2" 22-00� B2,1-/4" 411 Ibs LL 13261bs LL 505 Ibs LL 115lbs DL 497 Ibs OL 1741bs DL Total Horizontal Length-39-04-00 General Data Load Summary - Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 39-04-00 Live 40 psf 11Y 100% Member Type: Joist Dead 15 psf 16' goo Number of Spans: 2 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 3695 ft4bs 67.0% 100% 2 2-Left r Sloe: 0112 Neg.Moment -3695ft4bs 67.0% 1000/0 2 1 -Right OC Spacing: 16" End Reaction 679lbs 55.4% 100°k 5 2-Right i Repetitive: Yes Int.Reaction 1823 Ibs 62.9% 1000/0 2 2-Left Construction Type:Glued Cont.Shea 975lbs 53.4% 1000/0 2 2-Left Total Load Defl. L/492(0.536") 48.8% 5 2 Live Load: 40 psf Live Load Defl. L/635(0.416") 75.60/6 5 2 Dead Load: 15 psf Total Neg.Dell. -0.133" 26.5% 5 1 Partition Load: 0 psf Max Deft 0.536" 53.60/6 5 2 Duration: 100 Span/Depth 22.2 n/a 2 Disclosure Notes The completeness and accuracy of Design meets Code minimum(1-1240)Total load deflection criteria the input must be verified by anyone Design meets User specified(L/480)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Mwdmum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-3/4". particular application. The output Minimum bearing length for 61 is 3.1/2'. above is based upon building Minimum bearing length for B2 is 1-3/4". code-accepted design properties Entered/Displayed Horizontal Span Length(s)=Cleo Span+1/2 min.end bearing+1/2 intermediate bearing' and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. , To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALC®,BC FRAMER0,BCIG), + BC RIM BOARDT-,BC OSB RIM BOARDTm,BOISE GLULAMTm, VERSA-LAM®,VERSA-RIM®, ` VERSA-RIM PLUS®, VERSASTRAND TM, VERSASTUDC@,ALLJOIST®and } AJSIm are tradem arks of Boise Cascade Corporation. Page 1 of 1 RightFAX 9/1/2004 11 :47 PAGE 2/2 RightFAX �;$►Em BC CALCO 2003 DESIGN REPORT - US Wednesday,September 01,200411:24 Single 3 1/2" x 9 1/2" VERSA-LAM@ 3080 DF File Name: EA READY PENELOPE CAPE:F601 Job Name: Description: Address: Specifier: City,State,Zip:, Designer: Customer. Company: I Code reports. ICBO 5663,NER 442 Misc: , t 2 $tenderd Load-40 pst 115 psf Tributary 10 00-00 ......... -. .:: e. ...:., .... - ....... . : . ....:.. ...... .:. 09-04-00 10.00-00 09-00-00 09 00 00 05-04-00 BO 131 132 B3 B4 B5 3134 Ibs LL 8W7 Ibs LL 8199 Ibs LL 10396 Ibs LL 6532 Ibs LL 2037 Ibs LL 1296 Ibs DL 3932lbs DIL 3367 Ibs DL 5085 Ibs DL 2821 Ibs DL 604lbs DL • Total Horizontal Length-424XWM General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. t, Dur. S Standard Load Unf.Area Left 00-00-00 42408-00 Live 40 psf 10-00-00 100% Member Type: Floor Beam Dead 15 psf 10-W-00 90% Number of Spans: 5 1 ROOF LOAD Unf.Lin. Left 00-00-00 42-08-00 Live 350 plf n/a 115% Left Cantilever: No Dead 200 plf n/a 909(0 Right Cantilever: No 2 ROOF BEAM PiConc.PtAD Left 284)0-00 2840-00 Live 2800lbs n/a 115% Dead 1807lbs n/a 90% Sloe: 0/12 Tributary. 1040.00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 11532 ftabs 72.3% 115% 6 2-Left Neg.Moment -11532 ft4bs 72.30k 1150/0 6 1 -Right Live Load: 40 psf End Shear 3552 Ibs 48.9% 115% 4 1 -Left Dead Load: 15 psf Cont.Shear 5531 Ibs 76.1% 115% 6 1 -Right Partition Load: 0 psf Uplift 179lbs n/a 5 5-Right Duration: 100 Total Load Defl. L/449(0.249-) 53.4% 4 1 + Live Load Defl. L/584(0.192") 61.6% 4 1 Disclosure Total Neg.Defl. -0.09" 18.1% 4 2 The completeness and accuracy of Max Defl. 0.249" 24.9% 4 1 the input must be verified by anyone who would rely an the output as Cautions evidence of suitability for a Uplift of 179lbs farad at span 5-Right.. particular application. The output above is based upon building Notes code-aocepted design properties Design meets Code minimum(L1240)Total load deflection criteria. and analysis methods. Installation Design meets Code minimum(L1360)Live load deflection criteria. of ducts engineer accordance od Design meets arbitrary(1")Mabmum load deflection criteria. products must be s accordance Minimum bearing length for 80 is 1-112". t N with the current Installation Guide Minimum bearing length for 61 is 4". and the applicable building codes. Minimum bearing length for B2 is 3-518". To obtain an Installation Guide or l Minimum bearing length for B3 is 4-718", you have any questions,b please call Minimum bearing length for B4 is 3. product before beginning Minimum bearing length for B5 is 1-1/2". i product installation. Entered/Di a Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+112 intermediate beating � Y� P - P 9 9 BC CALC®,BC FRAMER®,BC10, BC RIM BOARD'"',BC OSB RIM BOARDW,BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUSO, VERSA-STRAND'"", VERSASTUD®,ALLJOIST®and - AJS"I are trademarks of Boise Cascade Corporation. ° Page 1 of 1 r RightFAX 9/1/2004 11 :48 PAGE 2/2 RightFAX � - BC CALC®2003 DESIGN REPORT- US Wednesday,September01,200411:24 Single 3 1/2" x 9 1/2" VERSA-LAMO 3080 OF File Name: EA READY PENELOPE CAPE Job Name: Description: Address: Specifier: City,State,Zip:, Designer: Customer. Company: Code reports, ICBO 5663,NER 442 Misc. i Stan lord Lead-40 pst 115 pd Tributary 10-00 ........ ... ..... .... . 09-06-00 09-0650 04-00-00 BO 131 B2 B3 1646 Ibs LL 4475 Ibs LL 3558 Ibs LL 953 Ibs LL 586lbs DL 1758lbs DL 1185 Ibs DL 119 Ibs DL Total Horizontal Length-234)0-00 General Data Load Summary 6 Version: US Imperial ID Description Load Type Rd. Start End Type Value 'Trib. , Dur. S Standard Load Unf.Area Left 004DW 234M Live 40 psf 1 a00-00 100% Member Type: Floor Beam Dead 15 psf 104M 901/o Number of Spans: 3 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 5667 ft4bs 40.9% 100ok 6 2-Left Slope: 0112 Neg.Moment S668 ftabs 40.9% 1000/0 6 1 -Right ' Tributary: 10-00-00 End Shear 1790 Ibs 28.3% 1000/0 4 1 -Left Cont.Shear 2807lbs 44.4% 1000/0 6 1 -Right Uplift 534lbs n/a 5 3-Right Total Load Defl. Lf893(0.128") 26.96/6 4 1 Live Load: 40 psf Live Load Defl. Ll1141(0.1") 31.60r5 4 1 Dead Load: 15 psf Total Neg.Defl. -0.03" 5.90/0 -4 2 f Partition Load: 0 psf Max Dell. 0.128" 12.80/6 4 1 Duration: 100 Cautions Disclosure The completeness and accuracy of Uplift of 534 Ibs found at span 3-Right. the input must be verified by anyone Notes who would rely on the output as Design meets Code minimum(L/240)Total load deflection criteria. evidence of suitability for a Design meets Code minimum(L/360)Live load deflection criteria. particular application. The output Design meets arbitrary(1")Modmum load deflection criteria. above is based upon building Minimum bearing length for BO is 1-1l2". and analysis design properties Minimum bearing length for B1 is 3". and ISE es methods. Installation Minimum bearing length for B2 is 3. of ducts engineeredwond Minimum bearing length for B3 is 1-1l2". products must be s accordance Entered/Di la Horizontal Span Length(s)=Clear S an+112 min,end bearing+1/2 intermediate bearing, with the current Installation Guide � � p p 9 and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALC®,BC FRAMERpG),BCla, BC RINA,BOAnr%IM DC VJB OIR " BOARDTM,BOISE GLULAMTm, VERSA--LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSASTRAND TA°, VERSA-STUDS,ALLJOISTO and AJS1m are trademarks of Boise Cascade Corporation. F Page 1 of 1 , ��l•-�,,,�, ', 1Lb�� LZ ©VET 1 1. LT L- 9 60 I d _ � -�-�- ----------------- -� -z�"gig I O'1 G ©va4,- � i L Ci I SC fs r"Cr 2-94 Owl 1 I IL e G� G39A KIM 3068 �o,, S-119 MOD. (12/09ry4) PLAN REVIEW CHECK LIST DWELLING UNITS 4 i _ P CLIENT KEISER INDUSTRIES FILEt 4026 W.O.t DATE 3-16-05 LIMTED REV* MODEL28'X401/52' NEW HAVEN CAPE SYSTEM(S) KEISER STATE(S) MASS CODE MA STATE BDG CODECLIENZ SPEC REVIEWED 13Y PE/RA SEAL REQUIRE allW NG_ PLAN_NING SYS,OK 6TH ED. JEGHANG,A SYS.OK E.A.READY FOSSIL LIGHT,VENT,BATH VENT. FURNACE LOCATION FUELS EXIT DOORS. soNs WATER HEATER/BOILER LOCATION LOCATION COMBUSTION AIR SIZE DUCT WORK-INSULATION BEDROOM EGRESS-WINDOW SCHEDULE IVA GRUE-SIZFlCFM ROOM SIZES DIFFUSERS-SCLE/CFWLOCATIONS HALLEGRESS PATH WIDTH_ GAS INLET SQFAOCATION CEILING HEIGHT. MAX-APPLIANCE INPUT(STUH) ATTIC ACCESS THERMOSTAT(S)LOCATION EXTERIOR ELEVATIONS SHEETS NUMBERED PLUMBING SYS.OK STATEI TRA INSIGNIA LOCATIONS DATA PLATE LOCATION ANTI-SCALD MFGR.&MODEL COVER SHEET SUPPLY PIPING-MATERIAUSONG SAFETY GLASS SUPPLY PIPING-INLET/GATE VALVE SHUT OFF CONSTRUCTION-gTRUCTURAL SYS.OK 1.6 GAU FLUSH W.C. DWV SIZES&FITTING SWEEP BASEMEN POSTS TRAP ARM OFFSET-90.OR 2-4S'MAX- FOUNDATION DESIGN CLEANOUTS PIERIPOST SPACINGS d FOOTINGS EACH RXTURE VENTED PIER ORIENTATION-SIZE NO HORIZONTAL DRY VENTS FOOTING SCHEDULE DRAINAGE(D.F.U.)LOADING CONCRETE PSI MIN.SOIL BEARING PSF ELECTRICAL SYS,OIK r ANCHOR BOLT OR STRAP SPACING ¢; CRAWL SPACE ACCESS PANELBOARD LOCATION CRAWL SPACE VENTILATION PANELBOARD CLEARANCE FOUNDATION DISCLAIMER BREAKERS&WIRE SIZES FLOOR JOIST/SIZ&GRADE.SPECIE MIN.2-20A APPLIANCE CIRCUITS JOIST BEARING-LEDGER/HANGER MIN.TWO(2)KITCHEN COUNTER RECEPTS(GFCI) FLOOR GIRDER-DESIGNISPLICING 20 AMP LAUNDRY CIRCUIT-DRYER CIRCUIT BEARING WALL HEADERS/JAMBS GFCI RECEIPTS BATH AND EXTERIOR RIDGE BEAM EXTERIOR LIGHTS/RECEPTS-WP ROOF TRUSSES-PE SEAL? RECEPT SPACING(7-'-17-S.G.0.) SWITCHED LIGHTING EACH ROOM(FAN W/LITES) FIRE PROTECTION SYS.OK BASEBOARD HEATERS(NO RECEPTS ABOVE) HULL UGHT(S)/UTAJTY ROOM LIGHT FIRE SEPARATION WALL•U.L REF CLOSET LIGHT CLEARANCE• PROTECTION TO ROOF SHEATHING EXTERIOR ENTRANCE LIGHTING-WP FIRE AND DRAFT STOPPING LIGHTS IN ATTICICRAWL SPACE(IF EQUIP.INSTLO.) GLAZING AT RANGE ALL CIRCUITS IDENTIFIED(FIXTURES,LIGHTS d SMOKE DETECTOR LOCATTIONI M'ERCONNECT RECEPTACLES)WIRE RUNS FEEDER LOAD CALCULATIONS SUBPART F-THERMAL SYS,OK INSTALLED INSULATION RMF HEAT LOSS CALCULATIONS s I _ a Afal Thomas G: n P.E. Commissioner Mitt Romney y Shuman Governor 7 Staple / / y p Chairman Kerry Healey / �/// 12,-��cY Gary Moccla Lieutenant Governor r,— ry vice Chairman Edward A Flynn 7 .G•C/_ Secretary - Thomas L.Rogers Administrator May 7, 2004 Keiser Industries, Inc. - - Jessica Richardson 56 Mechanic Falls Road Oxford, ME 04270 RE: RECERTIFICATION FOR 2004 - 2005 Commonwealth of Massachusetts Manufactured Buildings Program MC #: 137 TPIA #: 03 To Whom It May Concern: This letter is to confirm your recertification in the Commonwealth of Massachusetts Manufactured Buildings Program as a producer of Manufactured Buildings for the period of May 1, 2004 through April 30, 2005. This approval is contingent upon compliance with all previously listed conditions of your approval, and compliance with the provisions, of the current Massachusetts State Building Code, Massachusetts State Electrical Code and Massachusetts State Fuel / Gas Code. Yours truly, BOARD OF BUILDING REGULATIONS AND STANDARDS • Robert A. Anderson ` Deputy Administrator, ` cc: Massachusetts Board of Examiners of Plumbers and Gas Fitters u Massachusetts Board of Examiners of Electricians This correspondence has been issued from the Board of Building:Regulotions and Standards 167 Lyman Street. Hadley Buildino.P.O. Box 1063 Westborouoh. MA 01581 _ - 1 FR.0'. sT L,,P_. I DESIGN BASIS aQo�� r�iS p '.y KEISER EXCEPTION: ONE AND TWO FAMILY OWELLIKS ARE .s,.v. � i�; •iL+�-i�i:;, u��. - ExEuvi FROM ME cu+IHOV•KE LOAD atP11RP�ENn -+-o� "••• la B", 10sl I �[ l TRUSSES �� EI.k6i,,.LV a(i515 �� l g j R f �T�> r-I-' I 'INC . �z .,o U �D.o t. vt.cr) 11JJ17•7.ro.oao uK to.o(-.-L••r1 LCmn'.o =r.Lh of Massach�cert; I! \ .0.4 loP orow UK Low a�w.cTl adi,,. E':3!u9ti°n and f V10G( L. R SYSTEMS MANUAL x rg• FaowoatroLow In;pFrri qnc� 1 ,o P4.sorxor o<om ouo Low FILE NAM( . RAFTERS SHEET-1 C ,A. t0 P4.OtOANO 910-LOW .a.uL VTT vl.a. .,�NUSETTS NEW ENGLAND STATES AND LB.C. I 42wY- RT 01d10 lM LOAD 1-.yE.+rl 0 A TE IN,a°na1 CAPE COD. GAMBREL OR SALTBOX a0,y•row o4ow tM LOW(wk w.cl) ; MODELS D E L S 3/26/02 -EIS_ - I j to v4.aorrcm Orono otw Low A T1Y0 OR NOR(MOOUIE UNIT PLACED W A Nll BASEMENT OR CRAM I CEILING JOISTS J SPA((Fp1N0AR AN UNgNISNEO 17/17 fl00f P17CN(CAPE I(M1NM MAY u T Q= �' _ t1 fM1 xIM 7D P LOAD 570RAGE) .� N C,5 ;O.O= "l +'�"OlL LEVEL UNIT CONSIGIINL,?r IM'0 OF upR(MOpUUS.VEAC[D ON INCLUDE A NI'.SN(0 OORMCR,IC.$AL TBOX),OR GAMBREL ROOF SYSTEM. ID P4 OR•clue Hoorn Dt �— °„_.,. TIMER A CRAWL SPACE OR A FUU FOL1JDARON. FLOORS EXPANDAALE COLONIAL w 14 LL(MO•-9.II➢wt Mti.51 T RFOUR A MO TO SIx MODULE UNIT"I'dA PANEU7ED 7N0 FLOOR AND A MODULAR OR )D►4 A W..{1(AADP c AACAS) �] � T A FOUR OR MORE MOODU.SINCL(p.'4L MOM(.PLACED Oil(INNER A CRAM SITE CONSTRUCTED ROOF.PLACED ON EITHER A CRAM SPACE OR FUU FOUNOAT". Io P4 ON•tNAt wpaF.o.L O f' SPACE OR A.FULL BASEMENT FOU"000N.THIS STYLE HAS AH INTERSECTING RIDGE. (WHICH MAT MAW A 7/-MAX.CANTIUVCRED OVER HANG FROM X 780 WINO LOAD ! IDF, STATE USE ONLY BI-LEVELT-LEVEL OR SPUT-ENTRY rLOOR TO TH(FreST ROM.) SIN' f LEVEL UNIT CONSISDNC Or IwO 10 Six MODU((S,PLACEO ON DIRER FINISHED COLONIAL OR CAPE +CRAM SPACE OR FULL BA$EM(NI FOUNOA0ON mM A SPUf(NTRY.FRONT A MULTIPLE MODULE UNIT WITH A FINISHED 7NO FLOOR AND A$/17- W V-J ! I— G u000iuf MAY OvERNANG FOUMOA Rrhr'r MAX - 17/17 ROOF ROOM.PLACED ON A CRAM SPACE OR FULL FOUNOATION. �� J L1 .1 ST.:rC ^F r--55ACFfUSETTS FLOOR PLAN APPROVAL COVER SHEET NOTES g 'REGULATIONS ° M A S S A C H U S E T T S Tc®o�E pt FOR UST OF ALL APPLICABLE CODES AND RECUL A IIONS DRAWN 81 o Ava[A.ap SEE SHEET Y 2 OF SYSTEMS MANUAL M� I i ® in'n wr CHECKED BY ' RESIDENTIAL I & 2 FAMILY DWELLINGS °O USE GROUP CONSTRUCTION TYPE REH9oNS DATE TEAM ME. - R3, R4 58(UNPROTECIEO)OR 5A(PROTECTEO) ' Truro NH. - R3, R4 58(UNPROUTEO)OR SA(PRO IT C TEO) VT - R3, Ra 58(UNPROTECTFD)OR5A(PROTt,_fE0) MA. - R3, R4 58(UNPROTECTED)OR 5A(PROTECT(0) A 1r. .1 Y'6 oa„w�'Oga iM rmIM7Y ti`�. � I '•• °° a^ �•;^�.,rw,r�<.r•� 'p . ,,,,R.,,�� RL/LB.C. - R3.R4 58(UNPROIECIED)OR SA(PROfECTED) o I 4ti CT. - R3, R4 58(UNPROTECTED)OR SA(PROTECTED) PLOT SCALE I Ll��` f DWG SCALE NONE J,—! IoF S y ....®o.....oiw H EET"N 1 � ` . �Wr,.•m, b 0 n i ma Y.avra.c� • I I Keiser Industries Rt 121, PO Box 9000 Oxford, ME 04270 207-539-8883 207-539-4446. 1086 Mar 16, 2005 8 ' X 401 / S21 NEW HAVEN CAPE- E.A.READY & SONS/SPEC otal Btuh 36485 @ 92 Dtd Total Cfm = 1824.3 Total Gpm 3.6 Trunk = 8 by 24 .otal Radiation Feet = 66.3 @ 180 F. Radiation output: 550 Btu per Foot Room Number 1 2 3 4 Room Name BATH1 BATH2 KITCHEN DINING RM Height 8. 8. 8 8 Length 14 . 9.3 16.6 12.1 Width 13 .7 13. 7 13.7 13.7t Exp Glass Area 31. 7.7 9 75 ` Exp Wall Length 27.7 9.3 16.6 37.8 Sun Heat /SgFt Kilowatts People x 1000 INFILTRATION 1281 638 690 3984 CEILING 22 802 22 533' 22 951 38 401 FLOOR 22 802 22 533 22 951 22 693 ' PARTITION WALL 20 877 20 307 20 .570 20 1046 GLASS 3 951 3 236 3 276 3 2300 t SUN LOAD KW BTUH BTUH 4712 2247 3438 8424 CFM 236 112 172 421 # 6in DUCTS 2.6 1.2 1.9 4.7 radiation Ft 8.6 4.1 6.3 15.3 Room Number 5 6 7 8 Room Name LIVING RM BEDRMI , Height 15. 8. Length 23 .7 16.3 Width 13 .7 13.7 Exp Glass Area 84.9 33. Exp Wall Length 37.7 30. Sun Heat /SgFt Kilowatts T.R.ARNOLD&ASSOCIATES,INC. People x 1000 P.O.Box1081 INFILTRATION 4239 1321 Elkhart,IN 46515 CEILING 31 964 .26 790 Commonwealth of Massachusetts FLOOR 22 1358 22 934 Accredited Evaluation and PARTITION 12 748 12 534 Inspection Agency WALL 20 2211 20 This document is certified as being in conformance 952 with Massachusetts State GLASS 3 2604 3 1012 codes and the National SUN LAD _ E�23 KW BTUH Approved By Date M BTUH 12122 5543 Approval of this document does not authorize or approve CFM 606 arty omission or deviation from the requirements of # 6in DUCTS 6.7 3.1 277 applicable State Laws.. ` adiation Ft 22. 10.1 Note: The Model Energy Codes.. refe.r.ence- by the State Building Codes require;. R-1 I't floor insulation or proper foundatio: insulation. This Heat Loss calculatio: has assumed that R-19 lst floor insulatio is used, provided•, and installed' b others. Without the floor insulation o equivalent foundation wall insulation th home does not have enough heat t I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I Checked by,/Date I I I TITLE: KIM 3086 CITY: Falmouth STATE: Massachusetts T.R.ARNOLD&ASSOCIATES,INC. HDD: 5713 P.O.Box 1081 -CONSTRUCTION TYPE: .l or 2 Family, ElWtart,IN 96515 Detached Commonwealth of Massachusetts HEATING SYSTEM TYPE: Other (Non-Electric Resistance) Accredited Evaluation and DATE: 3-16-2 0 0 5 Inspection Agency DATE OF PLANS: 3—16—0 5 This document is certified as being in conformance with Massachusetts state Codes and the National PROJECT INFORMATION: El 'Dal o a 2 8' X 401 / 5 2 ' NEW HAVEN CAPE Approved By_ ' Date MA 2 COMPANY INFORMATION: ApProvai of his d---t does not authorize or approve any omission or deviation from the requirements of E.A. READY AND SONS / SPEC appiiwbie state Laws. NOTES: *FALMOUTH IS THE NEAREST CITY TO COTUIT, MASS. USED FOR MASSACHUSETTES ENERGY CALCULATIONS COMPLIANCE: - Passes Maximum UA = 420 Your Home = 335 Area or - Cavity Cont. - Glazing/Door Perimeter . R-Value R-Value U-Value' UA ---------------------------------- CEILINGS 257 31.0 . 0.0 9 CEILINGS 1051 38.0 0. 0 32 WALLS: Wood Frame, 16" O.C. 2136 19.0 0.0 128 GLAZING: Windows or Doors 313 0.330 103 DOORS 22 0. 160 4 FLOORS: Over Unconditioned Space 1260 19. 0 0. 0 59 -------------------------------- COMPL•IANCE STATEMENT: . The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts' Energy Code. The heating load for this building, and the cooling load if appropriate, has.been determined using the, applicable Standard. Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the ign load specified in Sections 78Lgne 13 04n�d�4 Builder/Des Date Sao,,ss,YzCf ,.�,, T&A J3p�.Aa,r�vi9..'-e.Rmn.da.�oinh/ a @r l A lq f5 -tA.5;1& n a c. a, -Q9 1`au j 9 l 01 o.� aA.Ldt,, tea, QN,a,JA mjlk� OJ ti h a2 0 0, ti,� � � (�s) CT �i.1&-Q.�c� S Vie,.,se. �D t -m, 11:(� i � d1j'J" 41 1 ' �.hA. a,Pre'Vi.-,VrNnn.ical.. oAA oL a� . 1 A.WA,.I,Ar - 'LlA M"CL &Lftl+14111�4 6, 4rT A a ,6kAd,. k�-R,..z.�,9a ..tt e � c1► 4 Cb U4,A, '(�'`f�°� d,P � - ;to.13 ,., w a�obiew, e-1,A;.tn, *AolU , tm-Al r±,iw,.;v,� �,.v�,, ar4tIV-4 •4+", •t�oQa�n,A„w XwL.ovwd., it-•�o�n.�.�n. Q.e Mt%ory ►2.wv„/�,a •wv - ,, CAPE a YINEYAAD Ef.ECTAIC.WlPANY Certified Vote of Directors VOTED: That A. M. Blackburn, Vice President and General Manager, be and he hereby is authorized and empowered to execute and deliver in the name and on behalf of this Company a Release of Easement to Robert F. Hayden of Barnstable. Massachusetts, releasing all right, title and interest in a certain easement acquired by grant of Irving B. Phinney to Buzzards Bay Electric Company, (a predecessor company) dated February 17, 1915, recorded with Barnstable County Registry of Deeds, Book 362. Page 280, as set forth in a stipulation between Robert F. Hayden and Cape d Vineyard Electric Company filed with papers in Case No. 22824 on July 23, 1956, in the form submitted to this meeting and hereby approved. - v 1 =8 IB TO CERTIFY that.the undersigned is Clerk of Cape 6 Vineyard "A Electric Company, a corporation of the Commonwealth of Massachusetts; that the .i rpo above and foregoing is a true and correct copy of a vote adopted by the Board of Directors of said Corporation at a meeting thereof duly convened and held on the 18th day of March, 1969, at which meeting a quorum was present and voting; and that said vote has not been annulled, revoked or amended in any way whatsoever but is in full force and effect. WITNESS my hand and the seal of said Corporation hereunto affixed this 18th day of March, 1969. Clerk ` +r I • I A4m_. .. _ralttl Nt/.85.E-67.. (Tn.rml. a. .a wll or w4 --- - deed and i."t to be remrded-) RIGHT OF WAY EASEMENT W.O.NO.. .Hobert F.HWen et eoc--.____.._.__.. AMOUNT No:..35O.63a..AtaA..12....`..._ .Pizaa Hoed.-CAiotultt.Hies.................. . VOUCLWRNa_.._..._............_.___.__......-''-' . To CHEM NO................... ___-_._.__.__..__ I r CAFE A VINEYARD EIECiRIt COMPANY ) • ��s�abls ReQistrg pi�� ;N3u1965 AT=RIC vm roa•e I.wT O'CLOC . 1 to. apn.wurtarun a-LIPJNnf� . at .... a'd.dc and._......_..__..__..... Boor. rap. ................_. Attar: ! LAND COURT RDSTOtl.The W_Eyae�.►f' j ' herwrlalwded will be SMwn Fmm the Am of our approved Pne to lolba u Henry F.-Smitb. .._.___._r ,tuN 29 05 239-TMAi Street-_.• B_U, ✓"�y�� ilj Ran3er_MRee.- —- Pun (Eamined as to deSerlPben enly)� TlerwnWio4 C.M.Anderson.Etair m (t'rivar.tight er Way) ' Ywn�a in'.T•1•e.T.4..� 11•.1• � �.,, v � I-W Bobert.2..Hydmr...Dsiag..married..ta Slltuheth C...Hgdan........._._.__........... ....................... _.._.._...__�tosR..Rttadr..9arpstat!lt...(CstlkiU... ..........,.......--'--_._.._.._._.._._.____._..._..____.....__......_..._...._...._.. .._ .............._.._.................... .....__........._..............__..............._........_._..........__......_...._Hat9.table......................lbmty Mateaehuntta. beta monied -(Itaveindler plied the Grenbr(e)for nddention Petri, ranl(s) b Cap?.a Vrincyard Electric CoeeparW.a Maawthuaelte.cotporetion,{u eu¢eaen ones outgo(hcrtirnofter called Cranteo),wnlh vutklmm covenmte, the perpetual ad orelwivo Nght end easement b enter epon b aney end b eemtnn,reootutruel,repair.replrttt,maintain. opereb,uupatl,ga- ad rrmow•hm or lines of Wiaa H•Fremd.lowers and eembinntieru<hereef,With Z. and a fined shove and underground,.and all foundaviery anchor,guys ones older umd detute;Cyuipmont and appudeuancea deemed recarery for Nc Irpnemnreion sad lho dimtrlbuaan sup{rly oI eketric ancrry for light,hest W War,blephone,leiOraPln,or my other purpose(which lino or lion may be erected at Uro memo or diQerent lime.)over,nnaes,under and upon a atop of lead i 210 ....._feet in width,add amp being a part of the Promises of the Grantor(a).a!unwed in the Tom. d ..Baraatabla...................-.._. QwnU'o[.._..9e+vetahl........._.. -....Mesmchuxtts. - Beiag percale one and two on Sheets 2 sad 3 an Lad Court Plan Number 22824-Al described is Lod Court Carrtificate of Title Number 26T83 in Rsgistratisa Book Number 206, Page Number 3 in Barnatsbls Registry District,Massachusetts. The location of sasemeat and right or tray hereby p•sated is moss particularly shown on Tend Court Subdivision.Plan Number 22824-Br filed chub ( . Land Court at Bostoty Massachusetts. Said strip of land and right of way to.stood from Lad nas or formerly of Plorsac0 He Hyder on the 8cathnst across said promises of said Grantors to"by Route No. 28,State HiQhry on. mithe Nolrthsut•i baimins V in at ices by Route No,291 state High.gyr�.. ..Baaihaaml. .._..- avesm cold Premises of Yid Granbr(s)to land t formerly odbbsr►.2..Crcgm (ear_filbert..Rahblms)eA1..T�oF4lanst I .. The lodtian of.aid ejXpp b;e d way I.to be selceted by Uw Gmotee.and afull beano astebli hed and deteno(ned by eed upon Un recording of wung the center line or the side line thereof in acionfenro with the Gael aurvey of No Also lM perpetual right and mmaant•at any time and fwn than to that,and W'Unoul funher payment lberefur-to clear end keep tumid strip or an Pad th-of cleared of trees and underhnah by meehanidi chemises or other meson(the ant Clear• art6 nnmy h for lou Uwt the full width end any be aidemd from time a time b who lull width) nee b remme builduae or caws atrutmm therefrom which may iq the judtrmm[op We Grain ran interlem with Ilia al,ration o[.ones Ilan or Iwee,and b odd to or olhe •ee change who him or find and tech ones.wry pen�loasnon Uariof Wi/hin said.lri and b eater upon ad Prim elo said skip b and[man llro edideiM Dremise o pureomc.end Ilea or line.ones to road) .trip b an rtaaonble meaner aver other lend of Which acid strip tea tltl1tFF 1 right to{dldl,maintain ewes replace emhsn ones r�is)vo�roaoa11g1aodandfoesdM�{ w ant rWe of eeiditri �a ncedd i awnngthen or cup ton and hm said or. at ,/IOTtmlgo g P•M had b Present who chmtge a✓gredq luting or eunvat{on the Way RPEmaS6�VN 6,oleo deea•mlNkr(nmbM(eb ar ehe-tit the coitigha lronm settled. glenlnd Wiarla notes.Idp ones unto{of TNm ourrcymes ha mode upon who agpeaw,oaditioa the,utton Brad aooeWanm of who fancsolrO grant evidenced either by Ch.__.of pole.,Cr -- ar bwen and wind on said m u, of lard or right of cosy,or by■wnttep ecoryttacoe thereof,the , further am of si=taon .._..._ dollan(315 OOQ.pp doll be forthwith due and Payable to the Grantor(s). which paymontm ehsll be ecreptod th Granbr(a)m lull Ntisfeelion for the rights hereunder grated;lief udoea poll.H- i Frames of towers and maim.lull be ao erected or f Wmont therefor le made within 45 da"PM( the date of thin intro• i mmnl,Ihim`/rent ehail nose and detenntne and became null and void;oUwrWias it deli mrutituto a complete end effective gnat of maid right and eem meal and risht of way. � + It ion agreed that said line or lion and each and mvry part thereof,whether&ed to the realty or not.shell be and remain - the Preperty of the Grantee.{la moomere and anigoa _ dower,av Thi.butmment is`—Shea In t lean at any and allAay and homemind iatem4 ones aU outer Interests by solute or otherwise of{ha Goutiot(a)be.(. - WITNESS ..COL. ........_....._.)tan and aeerthk ..-..._ _ .day of i i.MY�_....._..._ _._.._._lofts i Signed.-tied and deli in the Vincent o! Rdbet T_ __.. ...... ..... -.__.__......_._...._.._ - ' .Hq'den i _ .. .... _..................... THE COMMONWEALTH OF MASSACHUSETI'S ................samt"If.......... __.a► Than peteonally appeared aro.bow mumill .Hobart 11.Hmindan....__._..._......-._..__..___-.-..___.._...._....._......_.._ .........._......................._........._....__..._._____._._._......_.-.....-__._........_...-_-._.____"._.._...._......_._............._....-..____............ _.._.._._ ' and acknowledged the fore&ng idtremanl to be 11"... ......free act and de14,!aloe me pp , Na�M/ry,Atdl iMy—ealedmn esphia...-:./..ji�htV..,.tel��..L_P...C,j.:...._....__ J � � r 01 0 O J b' Perry, Tom From: Schlegel, Frank Sent: Wednesday,August 18, 2004 3:39 PM To: Perry, Tom Subject: Easement on Penelope Lane, Cotuit UPDATE Importance: High Hi Tom. I reviewed more information on the utility easements in this subdivision,Apparently, in 1915, Irving Phinney granted an easement to the power company through this area. In 1969, the power company released this easement according to land court documents. In 1965, Hayden deeded another easement in another location through this area that , didn't affect this lot. So, apparently the easement shown on Land Court Case 22825 D on lot 60 was the Phinney Easement which got released according to the supplied documents. The other easement by Hayden is not on lot 60 so their statement that the easement was eliminated appears correct. Sorry for the confusion but the plan threw me a curve ball and the documents were not as clear as they could have been. i 0 ARDITO, SWEENEY, STUSSE, ROBERTSON & DUPUY, P.C. ATTORNEYS AT LAW 25 MID TECH DRIVE, SUITE C WEST YARMOUTH, MASSACHUSETTS 02673 (508) 775-3433 Telephone (508) 790-4778 Facsimile Charles J.Ardito, P C. Thomas P.Carpenter Jason Kelly S.J Edward J Sweeney,Jr. Herbert on Jr. Michael B.Stusse Donna M. Robertson Richard P. Morse,Jr. Matthew J. Dupuy Betsy NewellCharles M.Sabatt PLEASE REFER TO FILE NO. Attorneys Affidavit RE: 30 Penelope Lane Cotuit, Massachusetts Being shown as Lot 60 on Land Court Plan 22824-B I, Attorney Richard P. Morse, Jr., hereby certify that the above lot had the required minimum required lot size for zoning purposes when it was deeded to the present owners, Charles A. Jacoppo and and Mary A. Jacoppo on August 17, 1979. There were three (3) lots abutting locus and they have not been held in common ownership with the owner of locus since the above date. Lot 65, Land Court Plan 22824-B was deeded from Bass River Savings Bank to Linda A. Stimpson on April 25, 1979. Stimpson deeds to Cynthia L. McKeon on December 17, 1984. McKeon deeds to Wayne B. Hazzard, Linda D. Hazzard and Laura E. Hazzard on November 15, 1995. Linda B. Hazzard, Surviving Tenant by the Entirety and Laura E. Hazzard deed to Louis C. Rice on June 9, 1986. Rice deeds to Joanne Rice on July 14, 1989. Rice deeds to Barrie Drake Van Nest and Carol L. Van Nest on September 29, 1998. Van Nest deeds to the present owners, Harold G. Jackson and Jeanne A. Jackson, on October 6, 1999. Bass River Savings Bank deeds Lot 61 to Arthur T. Shomphe and Jean M. Shomphe on March 3, 1979. Shomphe deeds to Harry Theoharidis and Helen Theoharidis on January 16, 1981. Theoharidis deeds to Joseph Capone, Jr. and Eva A. Capone on October 28, 1981. Eva A. Capone, surviving tenant by the entirety deeds to George F. Johnson and Marilyn A. Johnson, the present owners, on February 24, 1997. Bass River Savings Bank deeds Lot 59 to Jessie Samko and Elizabeth M. Samko on February 20, 1979. Samko deeds to Michael R. Samko for his life time with remainder to Sarah Ross Samko on August 19, 1992. Michael R. Samko, guardian of Sarah Ross Samko deeds to Edward G. Edward G. Northup and Cynthia V. Northup on July 29, 1999. Michael R. Samko deeds to Edward G. Northup and Cynthia V. Northup on July 29, 1999. The Northrups are the present owners of the lot. - f . August 3, 2004 Page 2 of 2 Please call should you have any questions. Copies of deeds are attached. Witness my hand and seal this ,.A-ay of August, 2004. Richard P. Morse, Jr. COMMONWEALTH OF MASSACHUSETTS On this day of August, 2004, before me, the undersigned notary public, personally appeared Richard P. Morse, Jr., and proved to me through satisfactory evidence of identification, which were drivers license, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purp e. A6 (official signature and seal of notary). My commission expires CHRISTINE M.HOLBROW NOTARY PUBLIC (�W►HWiyO NOTARY OF My Comm.Expbes • x S?iBDIVISION PLAN OF LAND IN BARNSTABLE z y ') Charles N. Savery Inc. , Surveyors 22824 . February 12, 1968 ' SHEET 1 /2 q i NG 1� 31 20 E 3 tv 00 N " O O' u N G1 Sf��f 2 o N co 6/ 00 In 2 w N62. -+8 ZOE Q *5.80 p U ,,\ 105.73 O;F e rC4RE N "Q _ �` 40 - gip-- _ °� 56 IA � (j N v N- zdiO4 \56 � x� — Fo dp► V Z gBAa .OF 3"7 �67- ! \\N 53 4oE \ )polo le , N �p - ►: :� c �/c `��I88.3O O r OMPgNY� V) �ac ' \\'l•3� r1 O " In � O Jc 7 °. ec dad 4 9 �' S0� ° -` off m 59 �s 66She�f3`` ! N59 57451 �S � \ Y U. �o \j .. j3 �Sf 0, i !N Rp' yV \y Pavia! ass 58 6 u �. Hcoz \6 3o E U O0 .ko 37 ! a,� ',� �o• 5�� .��Qs �,-�'�• sal � PP �P,Q-\ E Ito 411 6 f m 1�^ 3 �36 Ss EPam . > 357 s 44 / OZ. F 1,± '4O oo �. 0 3 5 s Atli QD N go, Ln 34NN s� 1 ! Q11 � =� ZryQ N76 J • 13 raj, .0/• � Ni Ile zo F W C9 C9^� OF 10- it X O 1 100. � , 4 n N, V �4 ��. 20.1V ,� 0 3 2 0'��Z N O am.m Vitom 61 it 92 to � �Z g%i a �Z `,o - // tx Ar Subdivision of Lot 2 �0�� Shown on Plan 22824A Sh.• 2&3 Filed with Cert. of Title No. 26783 i Registry District of Barnstable County Separate certifcates of title may be Issued-for land shown hereon anr�,?n_s �e is �3_as�a fs._¢__Y1_h_r_w_9_z By the Court. Copy of part of plan filed in LAND R£61STRAT/ON OFFICE A1l4;US T a 196$ Scale of this plan 150 feet to an inch ---"---"'-'---- - Record C M.Anderson, Engineer for Court K JUN-22-2004 12:55 ANN OUINLIN 50B+420+0469 P.02i02 J LJII�LCLn� 11•�u ..., ......�. . Town of Barnstable Regulatory Services • � awaM� 'Zhu=p•cater,n;racenr Bnflding Division TMpjjnr,Bul1din6COm,doser 200 l4lin 9oMek Hyxon e.)"02601 �M.ta01'dL!lOsLbI6JRAr� Pox: soe 790-6230 ote�: sos.B62�to3a Property Owner Must Complete and Sign This 5=6011 If Using ABuilder as Owner of the rubjcet pmpeny to act On my beb�lf hcmbyAU*ojze A In all asatren ieJative to VCA2V&ui=A bY*fi bl" g Pcm`k*PPLcwon for. r i of job) �a �aD& � s,gaatiae of K c r Lc9 P Nam i TOTAL P.02 TOTAL P.02 Know all men by these presents that I DOROTHY F. MORZE,-married to babriel'G. Mortis� ' of 158 Bickford Hill Road, Gardner, County of Worcester, Commonwealth of Massachusetts, c a 44/250tho interest, Dorothy F. Morse, Trustee for Richard R. Mors, Susan S. Noss and David D. Porte, all of 158 Bickford Hill Road, said Gardner, said County and Commonwealth, under a written Declaration of Trust dated April 5, 1971 and being Ir° �.. Document No. 147,068 Barnstable Registry District, a 81/250th3 interest and Victor A. Starzynski married to Helen I. Starzynski of 39 Jackson Park W. said Gardner, said County and Commonwealth of 125/250ths interest with powers as set forth in said trust, (hereinafter called the grantors) in consideration of the mutual covenant herein contained grants to New England Telephone and Telegraph Company, a New York Corporation duly established by law and having a usual place of business at 185 Franklin Street, Boston, Suffolk County, Massachusetts and New Bedford Gas Edison Light Company, a corporation duly established by law and having a usual place of business at 693 Purchase Street, New Bedford, Bristol County, Massachusetts, and their successors and assigns forever as tenants in common, (hereinafter called the grantees), with quitclaim covenants, the perpetual right and easement to lay, construct, reconstruct, operate, maintain, replace and remove lines for the transmission of intelligence by electricity and. for the transmission of electricity as either or �;�• both of the grantees may from time to time desire upon, across, over and under land and/or private ways as now laid out or an may be laid out in the future in the Town of BARNSTABLE, County of Barnstable, Commonwealth of Massachusetts, said land and/or private ways as now laid out being as shown on: LCP 22824-D, Sheets 2 through 3 inc. abutting lots b through 92 inclusive, being a Subdivision of Lot 2 shown on LCP 2282L-A Sheets 2 & 3 filed with Certificate of Title 26783 in Registration Book 206, Page 3. The ways named on aforesaid plan are known as CHCKEBERRY ROAr, LOGAN BERRY AVhTiUE, CROW-BEFLU ROAD, CHECKERBORY ROAD, HACKBERRY ROAr, DEWBERRY ROAD, BCXBERP.Y ROAD, and an unnamed 10 foot way abutting Y Lots 30& 31. For our title see Certificate 511el in Registration Book 408, Page ol. The above granted right being more particularly described as the ri,;ht within said private ways and strips of land to construct, reconstruct, operate, replace y�r and remove poles with the wires and/or cables thereon, with the necessary guys, anchors, supports, fixtures and appurtenances thereon and lar,p connections, also the right and easement to renew, rerlare and to otherwise change said lines and each and every part thereof and the location thereof, with the right to place anchors and guys to support lines in said private way; on land adjacent thereto and to overhang with wires and cables the property abutting said private ways, also the right to lay, construct, reconstruct, operate, maintain, replace and remove uneerground cables, pipes, conduits, manholes and such surface testing terminals, transformers and foundations for the same, pedestals, wire distributing facilities, markers, repeaters and other appurtenances with wires and/or cables therein as the granttcs or either of them may from time to time desire within said private ways and within strips of land ten feet in width abutting said ways; with the right to cut down and keep trimmed all trees, bushes, underbrush and growth including the foliage t.h,•reon as the grantees or either of them may frcm to time daem.necessary for the s-C•r ,-;-, ;.i.iJn of said lines. ?'ermiasion is herein granted oo ante: ia,u private ways, strips of land and pr-mises for access thereto for all the above purposes. Witness our land and seals this r.innrh tlay v+ :n lvl, Y) ROT. F. IORZ shoe DOROT ,CR::!-F. Inc i tunIS r ��.'_ac'L�7 ��•-��tG�'3t1.xAi'� •� ,� �i,.,,(.� � 'i, i i1�1'� VICTOR A. STM. YNSK1 IA FIR 1Ell ;, MC.0.2 HELEN I. S':AR7.Y THE COl7ONWEAL:'11 OF YJt.itiACY.UStiTTS �+ Worcester as Gardner 1•;Ry 0� 1972 ti Than personally appeared the above named DDNGTHY F. MORZE, Trustee of 81/250ths interest, DOROTHY F. KOKE, individually of Wd250ths interest,,,.. VICTOR A. STARZYNSKI of 125/25oti,s interest and acknowledged the for instrument to be their free act and deed, before me. /-r •.' MY CO?d,"I;f IGN IRES !y commission expires CX4 _ ❑' �n :.,7d �CCliui ' c{rf�t )01 r l:i:)rJ6a Right of Way Easenent Dorothy F. Morze (Individual) Dorothy F. Morze (Trustee) t. Victor A. starzynst:i To New England Tel. & Tel. Co. a-d New Bedford Gas & Edison Light Co. Dated: May 9. 1972 From ttie office of: N Right of Way Dept. �, New England Tel. and Tel. Co. 4h Old Town house Road south Yfimcuth, Mass. 02PO4 BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST 111 Rid 6�`P S»11DIVISTON PLAN OF LAND IN BARNSTABLE D Charles N. Savory Inc., Surveyors, 2 2 82 4 February 12, 1968 SHEET 1 see S�rrt 2 q NG t 31 20 E �Q W v , N n 0 () �.N 3c6r�3'ihEe� 2 6! 1 N.N 52 55 shyvf z •W N 62. °FS P-0 V p - C; N56 30 t6E 1t Nct 31'20E b :- 155�5G`/ 3 *5.8C7 8 oC 49.�3.i ,a p_lm9.73, 9 r�AvEd Fv -_�56 to +� 0r D v'. 6' _ vl --c, � S, 6 0 N N 65 2 O Yt �—9 51, � ►Jf�-4a0 �' � !� vt Svc Siaest! IJl 10 �; y O NN'� tyE OELF 6� 1 �I :t Y N A 8 '� �N 58 3�40E 0 JpgeiApf `Cp A W;8830 'r. t°k227.2QN40 -1 0ac rti✓�cqb Mry^ Z 57 tr 9 ��06-1.50 P�°� _ ti a 59 `9s/a�66stio s o� �_ H69 5745E J ?• V Q, �debr O � p �) q0• 5 ps 6. o �� sP�a;0i `��s �9 58 _N62 16 3oE__• 00c AP �a �j opp` z 9%80 49 °cs \2� ,'!�^ .�'' 37 CVLO 44 N n ZO E SP oo�.3. �3.35 c`l� tIle N N• 34 �� Da �5Ar2it 00 OI � ' nIa? 4)PG. .13 .��; p 2446> O n 4 vis>s N y !n a 3 2 f O �, _ J '(0 a a. m � �^tiyDa n a�• ao .�i - m , �;' Subdivision of Lot 0 Shown on Plan 22824A Sh.` 2&3 Filed with Cert. of Title No. 26783 Y Registry District of Barnstable County Separate certificates of lit/e may be Issued for land shown/1e/rW1.7n1�ora.sh�ef�,2�s_�s�otf 4��rr 9e Copy or rt orpren By the Court. x --' LAND RF6ISTR VON OFFICE Scale of this plan/.Fo fat to an inch + A[l-Y-f 9G8 '' Record" C,M.Anderson,Jrty erl6rCourtrc ---- ze TMN CF S.ARNSTASLE, MASSACK)SETTS , MAPS f - i _- .__ ® � yr M�sI �'t_ � r► .7<_ \\ • ©� �� - Jp •"'ear • f: y'° � / � y / J ir's,�<< •'r 8 �,r / Per IV ji I \ / 2�J• � • / x58LY.iRLD ti3OER TkC C.fiVT;M.W IK 78 � Ku.l I .Od OAMMST,20—f tOI%V OF uFSESF,°..P" AwS A ARMAA IW. ! 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'[/� 41 f%f^ /f 4,�T�aL_ Ay jS A r: 1 °• 10 J �.. t ,,�(,� u ri' G Nro J ;1. i f!r alllQy[ i,1+ i:.a• aci `qs ;�, ¢ n r 4, @ s i 0.� r S r a �, ,;. wr ,ar1 u }+ �r 'Ir �, rp i .',, rf r rJu.r ' "i > 1' e.°ti t >r "5 t, c i r.. >� '. 7. -T R � r° � a '„ I d� d a' r s�iI�( v ��vi'AL ,L.' '-� rJ ; r ♦ fl'r b+ Air`g. �v v R'_ ♦ o°K"�• . if�'1 2r;p 'Yt r ♦ i ® of 1 N, 1 �-` 'r 'Ai ff..�a J1 !L_ x N 1 Y» de a� T n a n n v1' t , , f�. +s h ] Jr iYv F I15.r ) ey -L..l!f �'n`SF �T.'i t,1 '7mv �t t v G 1'41. N.. ° 7. ., P .;�, , >•_,iu5ry 7r .'cE ,px �4 7i Y ! w 1. 'r•c {ll 1" - ., G'' nF G l r ' 4. q{' •^'u i t 't Y.L,.� i P� II { 4 F l I C11A.!?I I I,,12,OP; V 1 Cr. Iri i75 Lr l,.rl I �L .fit � a IIn:rocc! in LI"tLr LorLl ,(:J111f1 (Ic:C:CI rn;.!kc• ( itI.!I t"„,I r,, .. . . " ' It3 f"S't'4 •,, OI.171.14a C i,'( m�:nlio'1ed I.II (h "i')1-Ir - r1:} lr:r it v ;>(rrLer'nrd when c1..:(-: r)r pr j� L -.;l L "1;AR L!)_` J, `(C G 1 i3BOti, I t c on Oc_O1)er F) , 1`'!77 , ()C I"r;l,e,r i , 7 / ! I r C)%/ !.11 l:it f., (':]pCc C.00I ;I LITI('ti , fl news pa pur �)I I- re I iI1s dC1ll.ItiC'CCS , With III CiT'cu1at�.lor. i.n fut!ii.I," , noLicr oC 1'Jhc ih the fb llowing is a t e.•ru copy: s a I, N,oti.c e. of said sale wa_s se f o � r 4': J . j r'Eg1SCC:rC'd t:i3il. , Re turn RFC C_ - 3 �I ecJ , on f?c toh( r Ei , 1 )? and the-ir successors in intern r .:a= cf ' k M.OR 7GAGEE'55 A LE j the date of th E: nOt1cG, narel j wi1112S�dr OF REAL ESTATE By V glue and in Execulloin o of the i - F. Butler, Jr. , c;dgehill -cad , Ll G�Cn1`��s power of Sale Contained in a Cer• f ,ainm0rtga9e given by WILLIAM' I port Mass . 02647 ; 1si 1111 am F. Buhl�rx Vk F. BUTLER J4. and r'HILIP F. 1 t i GOG AN'o BASS RIVER SAVINGS'. Jr 307 "Falmouth Road ; Hyannis., :';ass BANK. dated November 5 1973-' 7 3 " �recorded w,tn the Barnstable 02601 • William F. Butler, Jr. , Box > c Registry D,SIr,CI 85 Oocume It No i s 181.I05 noted on Certlu t and 638 6387o0, i 1150, Hyannis , Mass . 02601; P`^111p Nos 56763. 6.3878. of '.- j ne winch said mortgage In S,yncd u n 7 n e r"J] E, n is me present holder. tor; j Gcgan , Threadneedle Dr_v e Ce * T ] "t, o•aatn nl said:` ^l the conditions f_ on end for the Puroose of I_ Mass. 02032; Philip F - -'Cogan , 307 !oreclos:nq the same will be sold at oubY%aucl:onat2:000'clockD.m„ Falmouth Road , Hyannis', Mass . 02601 , on the 77m a-ay o'October. 1977, .``.. Dart Savings Tire_or. lee ; Phi-i p F. Cogan , BOY. 1150, Hyannis Grtga red premise;and more Parr.- 4 - , G ficularly a1 Lot 18 corner Cf t !lass . 02601 ; k;n.ase Manhattan Bank, ri CnokebCrry Road and FaIMCUth .,! Road(one d'the`origagen:otsl. { 52nd ,St.. Avenue of AmerLcas, .•e'? f Gl ry,t, Massa Cl`Useli; alI and singular the Drem sCs descr d in I } I` York N. Y; 10019 said mortgage,to wi:: ), "The land in Ba•nstable(Coluit). I� Bo•nstnC'e County.Massacl-e!IS des Is cribeds fol)bwS. j Bcmq LOTS it.6.7.8.9.17.13 14 1 IS 16,17,18,19,20,2;,.77..23 74 75 77,78 79.30.31,37,33,34.35-3e 7 38.3a.40.41.12,13.44,45.46 e7 49 49,50 51.52 53.54.55.56,57 5 8 59 6•,.61.67,47,i•4.65.66.6] 68 69.71. 17,73.74,.75.76.77.78 71 85.81.87, II 99 91 a10 92 ad of sa,C bourne ncs arc Wer. � mine(I-Or Ihr COU'1.I0 On located - N. -TEAMS OF SALE TEN shOwn On suDCou t to Plan NO .THOUSAND -ANC 00 100 77824D.filed wile Cenilicef of it-., I !SIC 000.00) DOLLARS n cash. I t Ile No.76793,dated Febru e y 12,, '958,drawn by Cna•'e5•' aycr + ce f.i.n rherk Dr b_ k P .o be ; _ t " Civil Engineer,filed at LA d Cou•I and f and Purchaser at fee fine n Costdn,a roUY 01 white s 1 lee'n t. and DIaCC of Sa'C Balance W be :hry LarnSiab!e County r'e Klry 01': Paid a' the cffice of Ard,to, p• �" ,' 1 Sweency 6 Sfusse, S290 Budding. d. , Dr r05,r.IhC Land Regi Slrati0n Of. - West Ya-mouth, Nka55aChUsells.: lire and Said land is Show thereon �- UDon the del very of the deed within. - as LOTS a,6 thrV 9, inclusive, 17 inn f 10) days of rhe.date of tee'- M-25.hOvs C,27thru69,71Ihr U' } Order 4PDrCving Entry drtl 581Ci. 79, ,nr 1U5iVe.$ ihrU"88;inclusive • r k and 91 a^e 92 "r " - Other terms to be announced ai the The Ice is the ways Shown As I' SaIC. I > Check. Road.'.Crow•berry', BASS RIVER SAVINGS (+x Road. L;ga,, P':ad:ChO4ebC'rY I BANK,/,c•!gagCC 'Berry Road and Berberry Roadi gy. CHAR' L•$ J.:'2AC t who n ways are set torth on then C'IB - .. _ VICE PRESIDENT and "t Dbd',e meal 0netl plan:is,InClVtletl 1 MORTGAGE OFFICER :,I n is mPrlaa9C BASS PIVCP SAVINGS BANK S,injecf to and with the DC n Ci,l of 307 N,sin Street. t1 -Iler5 sot forth-in Certificate I $PUIh Vat mOUin,. `7 o No. 56763. to which CC. MMSachVse!t5 07664 ,i1,(,fC rr•ICrI•nrC is made ter gran• I Dated'.Dalc of Notice-OCiCbel 6, _ Pt44lF PE IS EXCEPTED AND 1977 . C Y.CLUDED FPCM THE ABOVE I, F oln the 0 f e of, 3 DF SCPIBEG PREIAISES LOTS l Charles J.A dlfo-_SnUlrr 41 NO 17. 23,75.Ann 27 which have r 10 6 13.70 7T I S neen phrl;nlly released f om IhC a o •-or•cage ey in, um of, •Cc or oed win I,e Be sl me' THERF 15ys I URTHEP FYCF PTFU AND: I.. F _ 0. F'CLUUED f POM THE ABOVE _b DC SCP BED PPCMISCS 1.t No. M1nsw7t- q%i,,Id lrgn, this ncWide P,mncn 'Ga44 River Snying5 Bn Is. is C I Y Pursuant to sa-1"d nOC1fC 8t the t11T1C anc� piaCE Chet'etn appi 'r, � I pl0)Ii.c. al1C inn by Jars MEN .ME== 1i' mso]-(] ( ti f i tf 1:1ortgaged prnmist�, were ilt n-_,•,arm'. '�'n>°: �'F,.•;�.�.,'. ,laa� ,.w.. �•'.; ...- _ .. ..., .r -z.„T?,.,. ' .''"f.3C1,: THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / � IL DATA { y tin' °rrrl + Y,-y.r{ -F•. �} :r•! + 7-i:-ft rfti 7<+�".�r .+, a,.ts. t i 6-'sa° +a Ir t +;i..•1 ``� • 9;•..�+ r i d•..y ., AS S.•S rr Y�r,!/•rt i� r 7s .�rr:3trY..r F t]i $aI i.,• of ira � ,,,r t 1 s'- A 7� r!. F Y'"! •. i. t d .�+ :79/q% J,,:'�,: �tr+Ft:}^��,rY ,�p.•�a ti P..\1'i.ta' it f �� r+ r. t �' t 1 r"7HSt;; as r nl,�!6• (q, ,"�,p'i ( e� f C5' ;+�.+�,1r y�" 1,��. ,t�ly'��:1ft ��y�•''�r�r+♦�d+, •�� 3.✓�t s. � 1 t is:a t •r♦�]y �Y, r 9 .r '+�: ik f '� r �; •q a � Zf .pt...s♦,�,";. 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