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0035 PINE RIDGE ROAD
�,1 � r �' 4 i 4— TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. Parcel Application # Health Division 4= Date Issued Conservation Division Application Fee Planning Dept. _ -`T 7 Permit Fee Date Definitive Plan Approved by Planning Board E Historic - OKH _ Preservation/ Hyannis Project Street Address 1 Village Owner � � Address Telephone Permit Request ..►-b 1p61 110 t olvitoi all nryM 4-0 7P14 :Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new :Zoning District Flood Plain rr�� Groundwater Overlay Project Valuation b ' Construction TypeM/A Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 2 No On Old King's Highway: ❑Yes ldr<o 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 ,thorization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If 4 es site plan review# Y Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ame Telephone Number Address �kv License # D© , 4 � Home Improvement Contractor# f�� Email Worker's Compensation#W -0 5 7� v I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJE T WILL E TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# f DATE ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE r OWNER DATE OF INSPECTION: � r FOUNDATION 4 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING INCLOSED OUT ASSq-PkTION PLAN'NO. t Massachusetts-Depaftr4nt of P bltc Safety ` oard of Buildift Regulations end Standards Construction Supervisor License: CS-100988 I I,; HENRY E CASSIDji' 8 SHED ROW s WEST YARMOUTH Y 2. Expiration Commissioner 11/11/2015 — Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contragtor Registration Registration: 153567 z Type: Private Corporation Expiration: '12/15/2014 Tr#. 233831 CAPE COD INSULATION, INC HENRY CASSIDY a — (' k t p , 18 REARDON CIRCLE SO. YARMOUTH; ,MA 02664 E ' Update Address and return card.Mark reason for change." 4 E] Address Renewal Employment U Lost Card . SCA 1 Ca 20M-05/71 ' � a - -- �. (J hG ((�!l%'/L7Yl CY�GG(�GCLUi2 olb,��[LJ:1CLckejP.CCi1. - _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: ,-f53567 Type: Office of Consumer Affairs and Business Regulation xpiration 1261'S/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULATION„IN is HENRY CASSIDY 18 REARDON CIRCLE SO,YARMOUTH,MA 02664 q Undersecretary ot.val witho t nat re M Die Gotnnronwealth ofi assachusetrs r— ^� .Departttrent of Itrdustrial Accidents Ofj ice of Investigations 600 Washington Street �`J, Boston, MA 02111 www-ina,Ss.gov/dia - `Vt1Y'OtCIICJ' C IIICXYYI�L'YItSuY�YIy[Y LasurAlit"t' Affid4vlt: U11�dCY�lCl1YYt11111rr(Q�"$I. . 1'�1�Irlll'11171Y11I YflYYIA{]GY'Y rt wt YY1.forl:113661 ut �lh,}n,cstJl)r1;r�itir.utic)/ladividtt:.t1): f �yl . P e #: 2- /.44 etrt1,1;rycY•7 Q'hteCat the ti<ppropriute bar: Type'ofproject (re.tlYtt,lt,ed): -u,4't culpiuyur w irli. '' 7 .4. [] 1 atal a geocral contractor and I plttY�.t.r (roll :11ACVoe p;art-rime).. have hired the sub-contractor- d• N,:Nv conso-trctiou ',r,ic proprletoc or pamler- listed oq'thc attached sheet. 7. [] Remodeling III[,alyd h4vc au rnlployec;s These sub-conazlctors have $. [] Iaetrialition 4url�ut�; fur tltc iu:trny capacity. employees and have workers' worku.1 y' comp: %.nsurance comp, insurance.: 9• ❑ Building addition t:tlutrrd.j S..(� We are a corporarion and its JOE Blecrric rl repairs or additions.. t,omi4.clwncr doLag aJ l work officers have exercised their 1. Plbirr b* repairs car additions y j " ;elf. No wark�rs' camp. .'right of excniptioa ptr MGL urn t �, §1(4), and we have no 12.0 Roaf repairs �:r � c. 152 ,. tn;,u,aatc:c ,'c:t.Zuu ctl,rn a lxotrrcowucr acrilig ri�3 a employees. [No workers' �� r % %t '.E:ncrul l:ollurtctox �rc.ter to ` t) - � �." - ---._ camp.insurance required.) 3t,pite wt U,It Stu kx ktux tf 1 wttsr alxc� fill.our the section below showing their worken'eotapcnsa4od-policy aarmu ion. rlvutcuwuc,x who subrwt ctris uPlitluvit imdicutng rhey arc doing all work LLi then hire outside coatractot3:must subqut a new utlidavit indicu1ilig sIgcl ,,uu,,.JIJ x Uw ch-k-rhix bax must urwcbcd an-"cioual sheet showing the nnma of the sub-,outrun and stuw whether or not thoxc cucitici tuVc .: in v«. Ir the sul�-4u,uructut'x I1uve tnployces, they olwt provide their workcl5'comp.policy number. I um un r,rrp ov loyer that is pridirxtg workers' compensation insurancefor my employees. 9' Iaw is the policy.uridjob,i•itc rfurnrurfori, q:i;ll ii.ti�C t.illll)ttrl �. •-// r Sc.l -M3. Lic. rIt_ ,/� 1,�.�� :� ti f� /• Expiration Uatr~: — - - - tlu ittr:�tiart:ys: - � d Ci /State zi a: or kt(.�u a copy of r4t rvurkcrs' colupeasation pollcy,det:larudou pate 0110),Ying the policy ut>Ilnxber rauydl expixutfttr>i ilatc): ' �tiutG to •stt tuc 4uvcrabC a� rcquirrd under Section 25A of 1`4GL c. 152 can lead to lhe.impositioa of cruarinYrl penalties of a orit -yer3r irrrprisonment, as Nvell as civil pcaalties iA the form of a STOP WORK ORDER and a tine r up io QJO.00 a tray abain3t the violator. Bc advised that a copy of this staiemenr may-be forwarded to the Office of nGcsnsatious ofthc DID,, far- inxuz,tncc covteral e verification, a,v ncrrby rcrtrj . t,rutt r lh f y.11 brtur penaldes of perjury that the irtformadoa provided aba w is M. e and corrects _,_ � �.«/•C fiat- 1 , h ^ Ulfic;,i/u,rc urtly, DO rxo,t write in this area, to be complete:/by rats or town official i (ity,or l'uwrz: -- Per►iYitlLlceaye# IMI-ag Authority (circle one): 1.fivarrl u(Iieulrtt 1, [fiuiYdjttg Depurtuleut 3. CityrNw:a Clerk 4, Elkctrtcal Inspector S. Pltiltlbiltg Irrspectax, b.t)ttrci ( au:tuct.l'rrSutY: -�.�.T 1 Phone#: f CAPECOD-27 CVANGELDER CERTIFICATE OF LIABILITY INSURANCE UATE(MM/°D/YYYY) 4/1/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cape Cod Commercial ROgers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 HONE Ext: A/c No):(877)816-2156 South Dennis,MA 02660 E-MAIL-ADDRE s: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company INSURED INSURERB,COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE DDL INRA IRD WVD POLICY NUMBER MMIDD/YYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR CBP8263063 04/01/2014 04/01/2015 PREMISES Eaoccurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY PRO- JECT F] LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILY INJURY(Per person) $ ALL O X .SCHEDULED AUUTOSS AUTOS BODILY INJURY(Per accident) $ 1,000,000 X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 C EXCESS LIAB CLAIMS-MADE R/O XONJ453512 04/01/2,014 04/01/2015 AGGREGATE $ DED I X I RETENTION$ 10,000 Aggregate $ 1,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCA00525904 06/30/2013 06/30/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 , DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t ©1988-2014 ACORD CORPORATION. All rights reserved.', ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ♦� �EEEE ♦ � �A - " CD � r��t AuT"% vw. oft'. ,Oft#& a CD _. _ a � oar or�asti�� •�Ifarcaaeo+ark-. � , � 1 „ A, � e . ,v,��: mow, t,� w,`�" ., ;!�'" w_LL �s a>ea� l� .r[.►a3�.+'�!tw`�� .�. �' e4 E" "- -- -��t,. ` - psi �lart ors 0 4 fp�rireaiR:a tiro + -lam.my� w` All n a rv, a °°, '. OWNER AUTHORIZATION FORM (Owner's Na owner of the property located at (Property Addressl 3 (Property Address) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act on'my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date � , 4 I Michael Zukowski From: Natalie Spence [natalie46@comcast.net] Sent: Tuesday, April 29, 2014 11:52 AM To: michaelcci@verizon.net - Subject: Fwd:.Photo of B Permit Hi Michael, I had my husband sign this above my signature and he has sent it back as photo. Is this enough? Thanks, Natalie Begin forwarded message: From: Justin Spence <Justin D-publishersolutionsint:com> Date: April 29, 2014 10:24:11 AM EDT To: Nat Spence<natalie46(a)-comcast.net> Subject: Photo of B Permit 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Vt Application J Health Division Date Issued Zt I3 Conservation Division Application F / Planning Dept. Permit Fee. Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 171 Z6D&E✓ lZt7 Village LoTvN Mty bw` � Owner uL.t- TP51s 9 NPTi�i Lr`' Address 1-/4 PiNF- ! !PtcF (�17 �p7/b Telephone Permit Request 4 • Square feet: 1 st floor: existing 1350,proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio �C VC Construction Type Lot Size .Q Grandfathered: ❑Yes allo If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family (# units) Age of Existing Structure tjox Historic House: ❑Yes © No On Old King's Highway: ❑Yes Q No Basement Type: © Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 7;Q 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 20No Fireplaces: Existing New Existing wood/coal stove: ❑Yes allo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new , size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Othery o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CD ' o N CA Commercial ❑Yes UNo If yes, site plan review # z . Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name FTC Telephone Number 50 (D7 • Address 2957 �kP.g 5i License # Home Improvement Contractor# (�ko _ Worker's Compensation # 70 d-72-70Yp( l0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 1 FOR OFFICIAL USE ONLY ; `APPLICATION# DATE ISSUED 'r. MAP/PARCEL NO. z ADDRESS VILLAGE r OWNER r ' DATE OF INSPECTION: FOUNDATION GP 4913 FRAME INSULATION FIREPLACE `x ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING v DATE CLOSED OUTlos - ASSOCIATION PLAN NO. 4 -The Commonwealth of Massachusetts Department of Industrial Accidents ._:Office-of Investigations-- - ---- -- - 600 Washington Street Boston, MA 02111 www.vzass gov/din Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plulmtbers APPReant Information :'' PIease Print Le ibly. -Name(Business/organizafionitndividnal): `per{-1'�+�1;� • Address:- 7 It�AdN �i i G.o u d City/state/Zip: Phnnf- D�- y Are you an employer?Check the appropriate box: Type of project(required); 1.[� I am a employer with . ` 4: 0 I am a general contractor and I employees(full and/or,part-time)•* have hired the sub-contractors 6 ['New construction 2.❑ I am a sole proprietor or partner listed on the attached sheet; 7. ❑Remodeling shipand have no employees These sub-contractors have 8. []Demolition working for in any capacity, employees and have workers' con insurance.$ 9. []Building addition . [No workers'comp.insurance p• required.] . 5..0 We are a corporation and its • .; 10.0 Electrical repairs or additions 3•❑ I am a homeowner doingall work officers have exercised their. 11: Plumbin 0 g repairs or additions myself. [No workers' comp. . right of exemption per MGL 12:0 Roof repairs, insurance required.]t c. 152, §l(4),and we have no ` employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then him outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp•policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: 't2A�kt�1! Policy#or Self-ins.Lic.M '70WI5 Sy,b a.['�(D Expiration e:.�Aq Job Site Address: 3 S ?Is�� .lZ(UCz-L LLB City/State/Zip 07 u i_A�t Attach a copy of the.wt�orkers' 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 •mir,al penalties of a fine up to$1,500.00 and/or one-year imprisonment,,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up,to$250.00 a day against the violator.: Be.advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance'coverage verification I do hereby certify and es of perjury that the information provided above'is.true and correct • Si afore: � _ Date: /6 l Phone#: Official use only. Do not write in this area,to be completed by city or town off ciaL City or Town Permit/License# Issuing Authority(circle one) 1;.g o d ar of He alth alt h2.BtuIding Department 3. City/Town-Clerk 4.Electrical Inspector. 5.Plnmbmg Inspector , 6.Other Cont#ct Person. Phone#. —Uip f AC V CERTIFICATE OF LIABILITY INSURANCE 10/02�2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s. PRODUCER CONTACT NAME: Germani Insurance Agency PHOIAIC.NENo.FI: _ (FAX. 908 Main Street E-MAIL "° ADD ESS: INSURERS AFFORDING COVERAGE NAIC S Osterville, MA 02655 INSURER A: O INSURED INSURER B: O Peter D Field INSURERC: O Po Box 16 INSURER D: Y O Cotuit, MA 02635 INSURER E: :e ._• _ INSU ER F: O COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUBR POLICY EFF POLICY EXP L R TYPE OF INSURANCE JUM Wyn POLICY NUMBER D/YYY D/YYY LIMITS GENERAL LIABILITYOP0011VEACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY 12 13 G T RENTE P MISES a occurrence) $ CLAIMS-MADE DOCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY eracceM AUTOS AUTOS P id ( ) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS er accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSUAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AWG 17MM 17TMU I WC STATU- OTH- AND EMPLOYERS'LIABILITY ' ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 7023784012010 12 13 E.L.EACH ACCIDENT $ 10 o OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DE300,000- SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 120362 Type:- DBA Expiration: 11/30/2013 Tr# 217622 PETER FIELD BUILDING & RESTORATION PETER FIELD P. O. BOX 16 COTUIT, MA 02635 Update Address and return card.Mark reason for change. -- ❑ Address Renewal Employment ❑ Lost Card ` F` "ul License or registration valid for use only Office of Consumer ltffairs Business tiegulation gi y :-HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation. Registration: 120362 Type Expiration: 11/30/2013 DBA 10 Park Plaza-Suite 5170 =_-= Boston,MA 02116 PETER FIELD BUILDING&R EST ORATION PETER FIELD - 857 MAIN ST. COTUIT,MA 02635 Undersecretary Not valid with t signatu F.,fir w nstl_Tuction Supervisor License Ong-and v arnily Dwellings CS 65638 PETER D FIELD ' PO BOX 16 'R COTUIT, MA 02635 M Mom ` 7/15/2013 1300 , Mar. 12.2013 03:47 PM PSI 1 339 200 8644 PAGE. 21 2 Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CHO Building,Commissioner 200 Main Street, Hyannis,MA 0260) www.tow n.barnsta ble.m a.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 tl/oq-� f,.fir' 1. ,as Owner of the subject property hereby authorize 7-1 _ to act on my behalf, C" Q in all rriat[ers relative to work authorized by this buil(ding permit application for: 5" J'j NY7 (, 1L)4E- R..t:> , C0714'i r N!, (Address of Job) Signature of Cwvne Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\Al)pl)ataV,ocal\MiemNofllWindows\Temporary Internet 1,iles\Contout.Outlook\QRE6ZUBNTYJMB3y.doc. Revised 053012 f ar. 12.2013 03: 46 PM PSI 1 339 200 8644 PAGE. 1/ 2 CJ! CD w - U e— ;�S Pin e- re e!(,d, It-24- r g�le1 cam: -7 .5-3 1�'� 6r to t ,� Town of Barnstable Regulatory Services s : Thomas F.Geiler,Director Building Division , Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder CvTuA T PaoPt7ayss-y ,, Q-C I, -tJS'r(&J -, SFE12 eN ,as Owner of the subject property hereby authorize r--re e— h • E,-r t-L,\ to act on my behalf, in all matters relative to work authorized by this building permit application for: .35 07V'T V1 0Z63S (Address of Job) Si , a e of Owne Date V�uST'1 Av j2 . Se F-i(-L Print Name (-0 I-L.,,T Pa-CVr-2.-r1 If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\QRE6ZUBN\E-XPRF-SS.doc Revised 053012 Commonwealth ofMassachusetts Division of. TC g I a ,1, 1 Fisheries & Wildlife MassWVd/ife < I VI S J ayne F. ac allum,Director February 27,2013 Natalie Spence PO Box 304 Cotuit MA 02635 RE: Project Location: 35 Pine Ridge Road,Barnstable Project Description: Deck,Septic System&Barn NHESP File No.: 13-31872 Dear Applicant: Thank you for submitting the MESA Project Review Checklist, site plans (dated January 11, 2013) and other required materials to the Natural Heritage and Endangered Species Program (NHESP) of the MA Division of Fisheries & Wildlife for review pursuant to the Massachusetts Endangered Species Act (MESA)(MGL c.131A)and its implementing regulations(321 CMR 10.00). Based on a review of the information that was provided and the information that is currently contained in our database, the NHESP has determined that this project, as currently proposed, will not result in a prohibited "take" of state-listed rare species. This determination is a final decision of the Division of Fisheries&Wildlife pursuant to 321 CMR 10.18. Any changes to the proposed project or any additional work beyond that shown on the site plans may require an additional filing with the NHESP pursuant to the MESA. This project may be subject to further review if no physical work is commenced within five years from the date of issuance of this determination,or if there is a change to the project. Please note that this determination addresses only the matter of state-listed species and their habitats. If you have any questions regarding this letter please contact Amy Coman-Hoenig, Endangered Species Review Assistant,at(508)389-6364. Sincerely, Thomas W.French,Ph.D. Assistant Director www masswildlife orQ Division of Fisheries and Wildlife Temporary Correspondence: 100 Hartwell Street, Suite 230,West Boylston,MA 01583 Permanent.Field Headquarters,North Drive,Westborough,MA 01581 (508)389-6300 Fax(508)389-7890 An Agency of the Department of Fish and Game TOWIVF COTUIT PROPERTIES REALTY TRUST g 'RrS1' SCHEDULE OF BENEFICIARIE§* # 3 �4 E0. -) The undersigned hereby certify that they are tlsole Beneficiaries of the COTUIT PROPERTIES REALTY TRUST establishec]Dy, sec atmrof Trust dated May 31, 2011, and that the following is its beneficial interest t ereunder: Percentage of Beneficiary Beief cial Interest Cotuit Properties,LLC one hundred(100%)percent The terms of said Trust are hereby approved and the undersigned Beneficiary agrees with the Trustees of said Trust a) to be bound by said Trust, and b) to save the Trustees harmless from any personal liability for any action taken at the direction of the Beneficiary, or for any error of judgment, or for any loss arising out of any act or omission in the execution of the Trust so long as the Trustees act in good faith, and c) that the Trustees may withhold from any distribution, transfer of conveyance such amounts as they from time to time reasonably deem necessary to protect themselves from such liability, and d) that each Trustee shall be responsible only for such Trustees' own willful breach of trust, and e) to reimburse the Trustees for any expenses incurred in the performance of their duties. Executed as a sealed instrument this 3 j st day of &, ) 2011. rtness Natalie B. Spe , Member Cotuit Properties, LLC COT IT PROPERTIE RE TY TRUST By: Witness 3 Ju ti R. Spence I �z 26899 PS 18711-30-2012 DECLARATION OF TRUST ESTABLISHING COTUIT PROPERTIES REALTY TRUST Justin R. Spence, Trustee, hereby DECLARES that he and his successors in Trust (together re- ferred to as the "Trustee") will hold all property and interest-in property, real and personal, that may be acquired hereunder or that may be transferred to him as Trustee under this instrument for the sole benefit of the persons(the "Beneficiaries") who are set forth in a Schedule of Beneficial ` Interests ("Schedule of Beneficiaries") signed by and filed with the Trustee and the Beneficiaries in the proportions set forth in that Schedule,the receipt of which is hereby acknowledged. SECTION ONE Name and Purpose Li T1ns Trust shall be known as the Cotuit Properties Realty Trust(the "Trust") and is intended to be a nominee Trust for federal and state income tax purposes and to hold record legal title to the Trust Estate and is to engage in the business of to invest in, own, develop, real estate and interests therein, including buying, acquiring, owning, operating, selling, financing, refi- nancing, disposing of and otherwise dealing with interests in real estate, directly or indirectly through joint ventures, partnerships or other entities; and to engage in any activities directly or indirectly related or incidental thereto and perform all functions as are necessarily inciden- tal thereto.. .1.2 The Trust shall have a mailing address of. 1694 Route 28 #136, Centerville, Massachusetts U2632. SECTION TWO Trustee 2.1 In the'event that there are two Trustees, any one Trustee may execute any and all instruments and certificates necessary to carry out the provisions of the Trust. In the event there are more than two Trustees, any two (2) Trustee may execute such instruments and certificates neces- sary to carry out the provision of the Trust. The Trustee shall be that person who appears to be Trustee according to the records of the Registry of Deeds where any property held under this Trust is located. 2.2 The Trustee shall hold the principal of this Trust and receive the income from it for the bene- fit of the Beneficiaries, and shall pay over the principal and income pursuant to the directions of the.Beneficiaries, and without such direction shall pay the income to the Beneficiaries in proportion to their respective interests at least yearly. The Trustee shall have no power to deal in or,with the Trust.estate except as directed by all of the Beneficiaries and except for their obligations on Trust termination. A direction by a beneficiary may be made by a durable power of attorney. The Trustee, once authorized by written instrument signed by the Benefici- aries, shall have full power and authority.to borrow money and to sell, exchange or otherwise dispose of all or any part of the Trust property and to mortgage or lease all or any part of it by one or more mortgages or leases for a term or terms which may extend beyond the date of any possible termination of the Trust; to execute and deliver discharges, partial.releases, assign- ments and subordinations of mortgages and to make other agreements or arrangements con- cerning mortgages and mortgage obligations; to grant or acquire rights or easements and enter into agreements or arrangements with respect to the Trust property; and to acquire property Page 1 of 5 Ing QUITCLAIM DEED We, Justin R., Spence and Natalie B. Spence,husband and wife tenants by the entirety, of 1694 Route 28 No. 136, Ce usettsnterville;Massach .02 to) `')o C(w)/ L� grant to Cotuit Properties Realty Trust, 1694 Route 28 No. 136, Centerville, Massachusetts 02632 With Quitclaim Covenants A certain parcel of land,together with the buildings thereon, situated in the Village of Cotuit, Town and County of Barnstable, Massachusetts and being lot 231 on as plan entitled"Plan of and belonging to Rovert T. Fowler, Showing Cotuit I-iighground, dated July 1, 1926, drawn by Bates.& Chellman,Engineers, and recorded in the Barnstable County Registry of Deeds in Plan Book 19,Page 143. Said Lot 231 is shown on said Pan as bounded NORTHEASTERLY by Pine Ridge Road on said Plan,two hundred(200 Feet; EASTERLY by an unnumbered lot on said Plan one hundred and fifty (150) feet; NORTHEASTERLY AGAIN by said unnumbered lot, one hundred (100) feet; EASTERLY AGAIN by Lot 233 on said Plan.: fifty(50)feet; SOUTHEASTERLY by Lot 232 on said Plan, three hundred (300) feet; WESTERLY by Oakwood Road on said Plan,two hundred(200) feet. Containing 45,0000 square feet. Said premises are conveyed subject to the zoning and building by-laws of the Town of Barnstable, and to agreements and restrictions of record, so far as the same are in force and, applicable thereto. And to easement given to N. E. Tel. & Tel. Co. et al, dated February 2, 1967, recorded in the Barnstable County Registry of Deeds at Book 1357. Page 910. PROJECT NAME: lam, ADDRESS: 2)c:—:> ?, ,, -0—, �, e-lc A- 1T PERMIT# c; D PERMIT DATE: M/P: a tC7 LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS on: `-{ o i 3 program BY: r q/wpfiles/forms/archive i I t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map-5 12 Parcel l0 Application � Health Division Date Issued ,. Conservation Division Application Fee ` Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board cszlIb Historic- OKH _ Preservation / Hyannis Project Street Address PIIUF YL U26,f— ik Village 461V�0 Owner � �( , , 7"v f Address yL 171k lZ��� GO�uT�a 3b Telephone Permit Request Blemon �IA L i,= ho w6xArP_1'2 N 6u6�a� P&e ice_ Square feet: 1 st floor: existing-C)RAproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type. Lot Size 1. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 8 Two Family ❑ Multi-Family(# units) Age of Existing Structure H01" Historic House: ❑Yes 4Wo On Old King's Highway: ❑Yes ram.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 _(a new First Floor m Count Heat Type and Fuel: ❑ Gas ❑ Oil aElectric ❑ Other Central Air: ❑Yes 0-No Fireplaces: Existing New Existing wood/coal stow : ❑,'�s ❑No j Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing new -size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes &No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name TLE-1 lr L12 Telephone Number Address f 5 7 _&A4N7 ( License # Z_CG r_ )4 0;kZ6— Home Improvement Contractor# 13LQ_3(oa Worker's Compensation # �?o-l>??Y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO W-w j3 t7 SIGNATUR DATE /f, //3 FOR OFFICIAL USE ONLY APPLICATION# DATE.ISSUED MAP/PARCEL N0. ' ADDRESS VILLAGE ti OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 4 % t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH ' FINAL F, FINAL BUILDING DATE CLOSED OUT, ASSOCIATION PLAN NO. 1 \, T'he Commonwealth of Massachusetts Deparlmerzt of lndusi7zal Accidents Dffcce of-Investigations - - - - - - -- � : 600:Washington Street Boston,,*4 02111. .. - www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information Please Print Legibly Name(Business/organization/rndMdag): �iTjiG� 1#ii�" .Address: .V 7 MAW Ai! City/State/Zip t V l N&p� �o�7tr PhnnP# . 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 * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time).. 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. [ j Remodeling shipand have no employees These sub-contractors have 8. []Demolition . working,for me in any capacity., employees and have workers' con insurance.$ 9. []Building addition [No workers'comp.insurance p required.] 5. E] We are a corporation and its 10.E l Electrical repairs or additions ' 3.❑ I am a homeowner doingall work officers have exercised their 11. Plumbing❑ g repairs or additions myself. [No workers' comp. right of exemptioriper MGL 12.[]Roof repairs insurance required]t. c. 152, §1(4),and we have no employees". [No workers' - 13.❑ Other, comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must.submit a new affidavit indicating such. h--atractors that check this box must attached en additional sheet showing the name of the sub-contractors and.state whether or not those entities have . employees, If the subcontractors have employees,they.must provide their workers'comp•policy number. ' I am an employer that isproviding workers'compensation insurance for my employees.` Below is the policy and job site information :. Insurance Company Name: 'Sb.:F Policy#or Self-ins. Lic.#: '7pa.'�j e)L XD 16 Expiration Date; � - Job Site Address Zj$ PINE Z,c�t. Zt7 City/State/Zip:jDTvf•r /4 0, 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 ofminal penalties-of a fine up to$I,500.00 and/or one-year imprisonment, as well as-civil penalties in.the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator: Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify u e nd penalties of perjury that the uzformation provided above is true and correct: Si a Date: Phone#: Official use only. Do.not.write in' his area to be completed by_city or town offzciaC City or Town PeriniiflUcense# F. Issuing Authority(circleone): L Board of Health 2.Building Department 3. City/Town Clerk 4 Electrical Inspector. 5.'Plumbing Inspector 6. Other Cosrtct Person: Phone#: ' T � • Town of Barnstable Regulatory Services MASS. Thomas F..Geiler,Director pgjpr i639 E n Buda•III Division .vis on Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 ' wwwaown.barnstable.ma.us.'. Office: 508-862-403 8.. Fax: 508-790=6230 Property Owner Must Complete and Sign`This Section If Using A Builder r I; N�A,G lF > I�Gi as Owner of the sub ect property hereby authorized i't�(7 to net on nay behal v in aIl matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are.performed arid.accepted Sb ar„re of-64jiT., S e of Ap l��r�l� .Slav'� . ��F,�. k%f.� • Print Name Print Name � • bat Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 a Town o -Barnstable THE T � P — -- --- Regulatory Services — -- --. -- -, sAxxsxA> E Thomas R.Geller,Director„ MASS.' Banding Division Tom Perry,Building Commissioner - 200 Main Street; Hyannis;MA 02601 ` www.town.barnstable.maxs Office: 508-862-403 8, Fax: 508-790-6230 HOMEOWNER LICENSE EXXEMPTTON. . Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': . name home phone# work phone# CURRENT MAILING ADDRESS: city,/town state zip code The'current exemption for"homeowners"was extended to include:owner-occupied dwellings of six omits or less',and to allow homeowners to engage an individual for hire who does not possess a license;provided that the owner acts as Supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on.which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A. person who constructs more than one home in a two-year period shall not be considered a homeowner..Such "homeowner"shall submit to the Building Official on a form acceptable.to the,Building Official,that he/sbe shall be responsible for all such work performed.under'the`btiilding=pemit;(Sectinn 109a1) ' The undersigned"homeowner assumes responsibility for with the.State Building.Code and other �. applicable codes,bylaws,rules and regulations: The undersigned"homeowner"certifies that he/she understands the Town of Barnstable.Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and: requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000'cubic feet or larger will be.required to comply with the State Building Code Section 127A Construction Control. HOMEOWNER'S.EXEMPTION The Code states that "Any homeowner performing,work_for which i building permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing of construction Supervisors);provided ihit if the homeowner engages a persons)for hire to-do such 1,` 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 lidshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used-by several.towns. You may caret amend and adopt such a form/certification-for use in your community. Q:fonns:bomeexempt Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116' Home Improvement Contractor Registration Registration: 120362 Type: DBA Expiration: 11/30/2013 Tr# 217622 PETER FIELD BUILDING & RESTORATION PETER FIELD ------- --- P. O. BOX 16 -- -------- ---- COTUIT, MA 02635 — ------------ Update Address and return card.Mark reason for change. E Address Renewal El, Employment Lost Card Office at Consumer'Afiairs&Business Regulation" License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 120362 Type: Office of Consumer Affairs and Business Regulation Expiration: ;�11/30/2013 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 PETER FIELD BUq L3)NGEs ORATION PETER FIELD - 857 MAIN ST. _ COTUIT,MA 02635 Undersecretary Not valid with t signatu Co{.atruction Supervisor License One- and Tw---Family u;E;e14ings --S 65638 PETER D FIELD PO BOX 16 �� COTUIT, MA 02635 7/1512013 " 1300 7 ® DATE(MM/DD/YYM �`� CERTIFICATE OF LIABILITY INSURANCE F 10/02/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Gerrmani Insurance Agency NAME: PHONE _ FAX - 908 Main Street E-MAIL 'VC No: ADDRESS: INSURERS AFFORDING COVERAGE NAIC S Osterville, MA 02655 INSURER A: SAFETY INS GO 0 INSURED INSURER B: 0 Peter D Field INSURER C: 0 Po Box 16 0 INSURER D Cotuitr MA 02635 INSURER E r='�`� _'• _ INSURER F: O COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP L R POLICY NUMBER M D= (MMMD LIMITS GENERAL LIABILITY CP00001 803 EACH OCCURRENCE $ i,uuu,uuu r COMMERCIAL GENERAL LIABILITY 12 13 DAMAGE PREMISESS(REaENTED occurrence $ CLAIMS-MADE F—IOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY J CTPRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/" 7023784012010 12 13 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable BuildingDepartment THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD _.__. g - Intl ,111 . - , , , lia , ft, SIR -..> n. „_.lul"I'll I!t I u _ ._ _ < _ - v _ �� - a LL = f: .. �1,1 '-` ?, , -$ - ''3'. ,. ram' „-n r lff� Vim _ _ < m "; CIF � �. F � ,� I a. - _-. ..< n :.F ". ,,, ,<. 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'.: ' _.� fey c. 1-1 ' 11 < _ _ _ .„ t. .. - It" {) = ' - _ -' q _ RY.. RP _ =: -r s. . _ . , 1 � � <,r . ,., 3 ,. . . '`` -- > :g.> ;:,a.. a ,„-. _. >. .-.; ' ..�, 'S it -r_ $- _ $ ;" . : ;tea,, w-,��>'., .>. -_ - ',- ,_ :: "`- : ' tr, ,:. . . - z ': I'll =.t`. ert�n,�t AI€�rts , f, :si'"'s^ , , -a,, .:... > _ ..` .. Y... �'.d.; `e ,,,,& r� 11 Prere uisites tHazrr7,Festr ¢ '�Nams , , ._z. ,' _Bonds:' ( ub.-Addis 2�1fi :<; € ,., 1�:,. 11, ME ' - g$.. 4 xs'':. - r: _ t > <: x. _ .. Pr�ar'His n _ _. °�Ltrr#s.lns sIt- _ t . _< L<Ins ecttcns--., ;L " taletiansc ._'[ Reeves:.:>'(c �`en Itrrts 4 ?er.rn s>. : I d` < , P..z - T- -. , P uF . , P_ Ftr d<Re ate; . y �11 - 17 _ _ ,` e e} r ctf t�rrr�#' marl far'tt a:cx�rer to = Y a -,, _ 1�1 �.rr ,- .,' ,.. - _ >, ._ ,.,: - <, _a `<.-< , - r` .:;< xt �.. € ter ' ), l 'S -' . _ < - 1 • e Y^ a r j- .. A -. TOWN OF BARNSTABLE11BUILDING PERMIT APPLICATION. Parcel :Application n # Health*Division Date Issued 'c:, -77 Conservation Division App�c Ii- atidn Fee Planning.Dept' :.Permit Fee:: Date Definitive.Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address ZC\JC (f,'R036 -Village CC i�lp�Pk�,.A iLj� Rd e MS02161 Owner Address Telephone Permit Request (C—C J2 L)03e-y- A 0,q0,C-A, 6ut ICA i KqL ~ap, "n k 4-n, c3 fV - Y 4�i n oposed proposed OaLA"Total new Sq,uare feet: 1 st floor: existing 2=fioor: existing Zoning District Flood Plain Groundwater Overlay Project Valuation of —iconstruction Type— Lot.Size Grandfathered: Q Yes LJ No If yes, attach supporting documentation. Dwelling Type: Single Family .)f Two Family 0 Multi-Family (# units) Age of Existing Structure Historic House: U Yes �No On Old Kieg' HighWMK: LJ s No Basement Type: )(Full U Crawl $Walkout LJ Other AI 4 Basement Finished Area(sq.ft.) d Basement Unfinished Area Number of Baths: Full: existii)g-. new Half: existing Tv Number of Bedrooms: existing view Total Room Count (not including baths): existing new First Floor Roo Count, Heat Type and Fuel: LJ Gas D Oil Electric Ll Other Central Air: LJ Yes No Fireplaces: Existing 1 New Existing wood/coal stove: Ll Yes No Detached garage: LJ existing Unew size—Pool: Q existing Dnew size Barn: Llexisting Jnew size— OtkAttached garage: LJ existing U,new size —Shed: J existing Unew size Other: A Zoning Board of Appeals Authorization LJ Appeal # Recorded LJ Commercial LJ Yes )d No If yes, site plan review# Current Use �oe_,51 4&ft:)4� — Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 7_ d ILe-,4 c t — Telephone Number 6�Z -9yo -ZZ, Address License # n�D s ! ///9 2 4h4L o as lome improvement Contractor# Worker's Compensation # C?C) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LA cAtA-vv, a SIGNATURE DATE I r FOR OFFICIAL USE ONLY ' APPLICATION# DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE_ OWNER DATE OF INSPECTION: FOUNDATION FRAME gqO INSULATION lN� / FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ?,ZQZZc5 ��- DATE CLOSED OUT ASSOCIATION PLAN.NO. i EN ERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE, AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: '}�-��y ,��� �� ����� Site Address: 3is- PI pri l Town: Applicant Phone: Applicant Signature: Date of Application: l NEW CONSTRUCT N se ONE of the following two'o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRxTERLk FOR- NEW ONE- AND TWO-FAMILY BUILDINGS hckyjmum M]NIMITM Slab Ceiling or Basement Perimeter a Option 1: Fenestration exposed Wall Floor Wall AFUE HSPF S)~ U-factor floors R Value R-Value R-Value R Value _.R-Value - _ - and De th National Appliancc•Encrgy R-10, Conscrvatioh Act(NAECA) .35 R-3 8 R-19 R'-19 R-10 4 ft.. 1967 as amcndcd,minimum cattr n aPpllcablq Note: This form•is not required if you choose either of the two versions of REScheck as listed below. 0 tibn 2: REscheck Version 4.1.2 or Later variant software analysis must be completed p 780 CMR.6107.3.2) REScheck--Web which can be accessed at http'//www.fnErgycc)dt-,s.gov/rtsrht-,ck/ ADDZ1. OIVS:bR.ARA 'XOIVS.TO E [STSI�OBTJL�DXNGS.ORS BARS OS�n* *)3uildings under 5 years old must use option#1 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling.Area equals Formula: (100 x b a) SF 100 x of glazing b a (b) Glazing area equals SF If •lazin is<:40%.u.ge the chartbelQW, If glazing is > 40 % roceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA-ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM M1NIl��CTM Slab Perimete Ceiling and013 . Floor Basement Wall Fenestration gxposed floors R-Value U-factor R-value R-Value and Depth R-Value 39 R-37 a R-19 R-10 R-10, 4 fee a R-30 ceiling insulation may be used in place of R-37 if eves the full R-value over the entire ceiling area(i.e. not com ressed over exterior walls, and including any access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information.Form found in Appendix 120T coo We make disasters disappear. Town of Barnstable Building Department 367 Main Street Hyannis,MA 02601 October 23,2008 To Whom It MayConcern: This letter is to inform you that Randall Florence is an employee of Disaster Specialists. l give him the authority to pull building permits on our behalf of Disaster Specialists using his own construction supervisor's license. He has consent to Nvork- under the Disaster Specialists Home Improvement Contractors registration on Disaster Specialists projects. Finally, he is authorized provide information and signature.to all ruatters in reference to the building permit process including workman's compensation affidavit,building permit application,etc on all Disaster Specialists projects that he brinks forth. I will update this document annually. Please contact me,at 508-888-1113 if you have any questions Sincerely:, hard Lennox,President isaster Specialists cc.. RIF Disaster Specialists •Post Office Boa 480+Sandwich,Massachuserd 02563 508-888-1113 . 800-675-3622 FAX: 508-888-2951 * info@disasterspecialists.con1 i iCORQ�, CERTIFICATE OF (LIABILITY INSURANCE zn7'/20O" uNm (508)775-0500 FAR: (508)790-7955 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION amide Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR anside Insurance Agency Inc ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Main street nni g MA 02601 INSURERS AFFORDING COVERAGE NAIC# HENABBY, INC. DBA INBURERAZArbella Protection aster Speciallst8 INSURERS: �. Box 480 INSURERC: INS D- lmich MA 02563 vNsuRER E: )OLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY IIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTTH RESPECT To WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONOM014S OF SUCH POLICIES. B 9pj PAID POLICY TYPE OF ONSURANCE POLICY NUMBE POLICY EKNRATION t DAIe. DAIS Lmm A 'LLUU31L 'f 1000000 COMMERCIAL GENERAL LIABILITY OAII9AGE TO RF_NTl>] n 100000 CLANS a OCCUR 8500038944 1/1/2009 1/l/2010 •wpcn s000 V INJURYo 1000000 GENSIALAGGR 2000000 GEMLAGGREOATELIMITAPPUEBPut a 7_000000 PO PRO- AUTDMOBILE L►AMUTy COMBINED SINGLE LIMIT • 1000000 ANY AUTO (Eft earl) ALL OWNED AUTO$ 47018400003 1/1/2009 1/l/2010 8001YIMURY ]C SCHEDULEDAUTOS (P-P--) X HUMED AUTOS BODILY INJURY X NON.ONINEOAUTOS (PeremKvd) PROPERTY DAMAGE 9 (Per emmelll) GARAGE LIABILITY AUTO ONLY-EA AtICIDENT 3 ANYAUTO OTHER THAN FAACC 8 AUTO ONLY! EXCeRS OReuA,LIABILITY 1000000 OCCUR OINLAA MSDE GGREGATE P 1000000 ROMUCTIBLE R»L OF 460o038945 1/l/2009 l/l/2010 n X ON $3.0000 RKERS COMPENSATION AND VJ&AIMU nAYMMLIARILFTY OTH- �PROPRMTORIPARTNmvMCUTIVE EL EACHncCID N c 500000 9C�MBERMUDED7 9099140109 1/1/2009 l/l/2010 a.descrmeunder DISEASE-EAt70PLOYEE 500000 OR L DISEA.SS.POu IM 500000 ION OF OPWATIONSILDCATIONBNONCLESPO-MUSION8 ADDED 8YENDORMMWM=PWfAL pROVMIONB CATE HOLDER CANCELLATION !28-7.249 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE E70'IRAIITON DATE THEREOF, THE MSUONG INSURER WILL ENDEAVOR To MAIL 10 DAYS WRITTEN NOTICE To THE CERTIRCATH HOLDER NA.MBD TO THE LEFT,BUT FAILURE TO DO SO SHALL WOSE NO OBLIGATION OR LIA6IUTY Off ANY IGNO UPON ME INSURER,ITS ADQHTS OR REPMffl 7Anvm AUTHOR=Rl"EShMAT1VE 5(2001/08) Ttl)nse 0 ACORD PORATION 1988 Pepe T of2 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/EI Please ns/Pluinbers Print Legibly Applicant Information Name(Business/organization/Individual):' Business/organization/Indtvidual): rN i in Address: 7C) 60/, -4480 Z City/State/Zip: ,'-)i� /�iC+A , MA d� ���' Phone#: FF01I employer?Check the appropriate box: Type of project(required): a employer with aQ 4._❑ I am a general contractor and I [7-6. ❑New construction oyees(full and/or part-time).' have hired the sub-contractors 7. Remodeling listed on the attached sheet.t a sole proprietor or partner- Demolition and have no employees These sub-contractors have g- ❑ ing for me in any capacity- workers'comp.insurance. 9. Building addition orkers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ired.] officers have exercised their right of exemption per MGL 11.❑Plumbing repairs or additions a homeowner doing all workc. 152,§1(4),and we have no 12.❑Roof repairs lf.[No workers comp. employees. o workers' insurance required.]t 13.0 Other comp.insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: O i -C`T/ON Policy#or Self-ins.Lic.#: ���������� Expiration Date: r Job Site Address: 1dL� a�la O City/State/Zip: 3-)4rj l4- // a Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under aims and penalties of perjury that the information provided above is a and correct Date: Si ature: 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): own Clerk 4.Electrical Inspector 5.Plumbing Inspector 1.Board of Health 2.Building Department 3.City/r 6.Other Contact Person: Phone#• ' t'F 1.U11JL1 UL;LIU11 JUpt1 I V IJUI L-I k,tCI It,C License: CS 55731 Restricted to: 00 � RICHARD J LENNOX PO BOX 480 SANDWICH, MA 02563 � Expiration: 11/7/2010 (lnumissioner Tr#: 6048 - -\ Board of Building Regulations and Standards License or registration valid for individul use only '1 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 108642 One Ashburton Place Rm 1301 Expiration: 8/20/2010 Tr# 272667 Boston,Ma.02108 Type: Private Corporation BENABBY INC/DISASTER SPECIALIST RICHARD LENNOX 9 Jan-Sebastian Way 4Sandwich,MA 02563 Ads iinistr^tc: Not valid without signaturk I 1� i I f i r 8o � �nldmyi�tcg�1' iO�iSs nd/Stan�urds t Construction Supervisor Licsnss i s ^ Licenses CS 66385 TO i €zPirOBon:=i 2+19I2409 Rsstri`ion:00 i i 5ANDR A WAY Cu�mnssi FORFSTOALG,MAU2644 Sao We make disasters disappear. AGREEMENT BETWEEN OWNER AND CONTRACTOR AGREEMENT made as of: 8/13/2009 ,�� BETWEEN THE OWNER: Elio Raviola 35 Pine Ridge Road Cotuit,Ma 02635 4 "w 3 The project is:Reconstruction Work—Per Exhibit A attached ' `a t AND THE CONTRACTOR: BENABBY,INC.,d/b/a Disaster,Specialists P.O.Box 480/9 Jan Sebastian Drive Sandwich,MA 02563 Construction Supervisor's Lic.#055731 Home Improvement Contractor Lic.#108642 The Owner and Coritractorwagre`e%as set forth below: < Y ARTICLE 1 ry„ 'The Contract Documents The,Cntract Documents consist of this Agreement,other documents used in this Agreement `hand Modifications,if any; issued after execution of this Agreement;these form the Contract,and areas fully4-part oflthe Contract as if attached to this Agreement or repeated herein. The �-.Contract represents the entire agreement between the parties hereto and supersedes prior ' enegotiations 46presentations or agreements,either written or verbal with the exception to water -dam age;demolition and mold cleaning work billed separately. 4p..� Disaster Specialists • Post Office Box 480 • Sandwich, Massachusetts 02563 508-888-1113 • 800-675-3622 • FAX: 508-888-2951 • info@disasterspecialists.com ARTICLE 2 The Work of This Contract . The Contractor shall execute the entire work described in the Contract Documents,except to the extent specifically indicated in the Contract Documents to be the responsibility of others,or as follows: ARTICLE 3 Date of Commencement and Substantial.Completion 3(1)The date of commencement for this project is 8/31/2009 pending receipt of signed proposal with applicable deposit. 3(2)The Contractor shall achieve substantial completion of the existing scope of work not later. than 11/30/2009(the"Completion Date"),subject to adjustments of this Completion Date as provided in the Contract Documents,Acts of God,interference by the Owner(s),or other events making Completion Date impossibility. ARTICLE 4 Contract Sum 4(1) The Owner shall pay the Contractor in cash,check,or other tender satisfactory to the Contractor,for the Contractor's performance of the Contract,the Contract Sum of Twenty Four Thousand,Three Hundred Fifty Two& 16/100 Dollars($24,352.16), subject to additions or deductions as provided in the Contract Documents. 4(2) The Construction Breakdown/Estimate,to be considered as Exhibit A,and agreed upon by Disaster Specialists,is as follows: See Exhibit A appended hereto and made a part hereof. 4(3) In the event progress payments are not paid per the contract documents.They contractor May at his discretion stop the progress of the project till payments that are past due are brought up to date. ARTICLE 5 Progress Payments . 5(l) The Owner shall make progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere in the Contract Documents: $7,000.00 Payable upon signing of this contract. $1,000.00 Payable upon commencement of painting $7,000.00 Payable upon commencement of flooring $3,352.16 Payable within 60 days after completion. ARTICLE 6 Miscellaneous Provisions 6(1) Payments due and unpaid under the Contract shall bear interest.from the date payment is due at the rate stated below,or in the absence thereof,at the.legal rate prevailing from time-to-time at the place where the project is located. 1 1/2%per month(or 18%per annum) 6(2) In the event of breach by Owner of any terms of this Agreement,the Contractor shall be entitled to seek,as additional damages, Contractor's reasonable attorney's-fees,costs,and any other expenses reasonably attributable to said breach. 6(3) The Owner(s)hereby assign(s)to the Contractor any unpaid proceeds due or to become due,under the Owner's policy with Owner's Insurance Company,and authorizes said Insurance Company to pay proceeds due or to become due directly to the Contractor or to include the Contractor's name on all checks of drafts issued by the Insurance Company 6(4) The Owner(s)have the right to cancel this contract within three(3)business days of signing. 6(5) The Contractor shall obtain all building permits. Should the Owner(s)obtain building permits the Owner(s)will be excluded from any Guaranty Fund relief in the event of breach. 6(6) If more than one owner signs this agreement the signature of only one Owner shall be necessary on any future documents pertaining to this project, including but not limited to change orders and payment authorizations,and all owners agree to be bound. 6(7) Uses of other subcontractors—The owner shall not allow work to be performed by any subcontractors,contractors, laborers, craftsmen, distributors on this project or site except as provided by this general contractor,pursuant to the terms of this agreement until the contractor has completed all of his work and been paid in full, absent contractors written consent. 6(8) Contractor reserves the right to repair or replace any deficiencies in its work,both during the construction process and thereafter.Failure of owner to provide contractor with an opportunity to repair or replace such deficiencies shall excuse the contractor of any, obligation to.pay for repairs or replacements incurred by owner. 6(9) Within 7 days of the completion of the project,owner shall review the work forte purpose of compiling one list of items that need touch up, correction or adjustment.Upon completion of the punch list items on that one list all remaining funds held by Owner shall be paid immediately to contractor.In the event Owner discovers other items that were overlooked that would otherwise have appeared on the punch list,such items shall be treated as warranty items and shall not be the basis to deny final payments. 6(10) Change orders will effect and alter the completion date of the project. Changes in.the Project may be made,but must be made in writing and must be agreed to by both-parties (a"Change Order").The cost of changes in the project shall be borne by-Owner and.shall be agreed upon by both parties. i 6(11)Contractor warrants and covenants as follows: A. To the extent required by law, all work shall be performed by individuals duly licensed and authorized by law to perform said work;and B. Contractor agrees to remove all debris and leave premises in broom clean condition. C. Contractor agrees to keep in force at its own expense during the entire period of construction of the project such liability insurance as will protect it from claims under workman compensation and other employee benefit laws,and claims for bodily injury or death that may arise out of work under this Agreement,whether directly or indirectly by Contractor,or directly or indirectly by a subcontractor to Contractor. Contract or will maintain general liability insurance for its operations during the entire period of the project.Upon request of the Owner,Contractor will provide Owner with insurance certificate as evidence of this requirement. 6(12)Under Chapter 254 of the Massachusetts General Laws, Contractor,and any subcontractor the Contractor has a written agreement with,may obtain a lien,commonly known as a "mechanic's lien", against the property where the work is being performed. Contractor will provide owner with the names of the subcontractors subject to a written agreement. Any person who performs work on your property may also obtain a lien upon your property under Chapter 254 without a written agreement. Contractor will furnish appropriate releases or waiver of lien statement for services rendered for all work performed or materials provided to Owner being obligated to make the final payment under this Agreement. 6(13)Contractor shall correct any work that fails to confirm to the requirements of the Agreement and shall remedy any defect due to faulty materials,equipment or Workmanship,other than a minor or cosmetic defect,which appears within a period of ONE(1)YEAR form the - completion date.The provisions of this paragraph apply to work done by direct employees of the Contractor but specifically excludes work done by the Owner or any other contractor.Defects in any appliance or equipment covered by any manufacturer's warranty and defects which are the result of characteristics common to materials, such as,but not limited to,warping or deflection of wood,minor non-structural cracks in concrete,plaster, brick or masonry are excluded from this Limited Warranty. Damage due to ordinary wear and tear,abusive use,misuse or lack of proper maintenance are excluded from this Limited Warranty 6(14)Contractor hereby passes through and assigns directly to Owner'any and all manufacturer's warranties on all appliances and equipment supplied by Contractor or any subcontractor. Such warranties may include,for example,the following appliances and equipment, although not every project includes all of these items and your project may include appliances or equipment not on this list: refrigerator,range, space heater,washing machine, dishwasher,garbage disposal,ventilating fan and air conditioner. 6(15)This Agreement is to take effect as a sealed instrument and shall be governed by, and construed in accordance with,the laws.of the Commonwealth of Massachusetts without regard for conflicts of laws principles.This agreement is subject to and is intended to comply with the provisions of Chapter 142A of the Massachusetts General Laws and its . corresponding regulations. r 08/19/2009 10:50 FAX 617 734 7557 HMS NEUROBIOLOGY 190002/0002 This Agreement is eateaed unto as of the day and year first written above and is executed in at least two(2)original copies,of whkh one is to be delivered to the Comtractar and one to the Owner. DO NOT SIGN THIS CONTRACT IF TiEiERE ARE ANY BLANK SPACES. Contractor. owner. .� BENABB , —A EYr Sign ENO Vt o�Q R- Mamaget Print Estimator. hL ez Print 35 Pine Ridge Rd.Cotuit,Ma. Asbuilt Floor �= , Floor 2-no current scope Bath Right Left Bedroom Bedroom Hall Floor 2-no current scope Floor 2-no current scope I UP " 8 LIVING AREA 483 sq ft 't Sun Porch-No scope at this time 35 Pine Ridge Rd.Cotuit,Ma. Asbuilt Floor 1 1/8"= 1' Galley Kitchen bath Den Replace flooring, Office lower 4'of drywall replace floorin Replace flooring, and insulation and vanityonly lower 4'of drywall y and exterior wall Replace flooring, wall,on exterior insulation(r1 I)\. lower 4'of drywall wall,and 1 and exterior wall cabinets.Replace insulation(r13) existing window with Anderson to E double Hall-Replace flooring \ casement and small drywall patch window. \ I Living I Replace flooring, drywall,and exterior UP Bedroom wall insulation(M) Replace flooring, ¶ lower 4'of drywall., and exterior wall // insulation(03) t n a•p 35 Pine Ridge Rd.Cotuit, Ma. Asbuilt Basement 1/8"= 1' No proposed scope at this time. F L i UP Assessor's map and lot 'number .. .:.. o fi 10. D� '/� Sewage Permit number 3Q ?G` -a 4'i cr 's �Q�OFTHET��yo TOWN OF BA�RNSTABLE s i BAHB9TADLE, i 9 639 BUILDING INSPECTOR •:� i63q. `00 _. 1 'F0 YP� APPLICATION FOR PERMIT TO .a TYPE OF CONSTRUCTION GS? ....Frf-a. a.... .............................................................................. rZ... ......... .....19.2 TO iTHE INSPECTOR OF BUILDINGS: The- undersigned hereby applies for a permit according to the following information: Location ..Pl.rn .....t?.oQ �.d...��( .� .1�.�................................................................... ................................... ProposedUse .p.cf.val��.-....................................................................................................................................................... Zoning District ......./Z1.P.......................................................Fire District .....00:1.44. ................................................... Name of Owner 1.0110.li! . .N:.. 't.l ....................Address � ..fJgnrx ( '..� PQ 0Gi6 Name of Builderx'V,f. .. ��.(-5��� :t'.....................Address .............................................. .....19 ............. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ....../..........................................................Foundation ...jok) .. . .. ........................................................... Exterior ..&t.0,......................................................................Roofing )..:t................................................... Floors IJOCJ ......Interior n.d Heating ./7.0-0.e..................................................................Plumbing ...1.")C3O.I.C............................................................. a w� Fireplace ....hf�........................................ ......Approximate Cost ...............7................ Definitive Plan Approved by Planning Board ---------------____-----------19________. Area �'$� ' X daP,t Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .�. .... .Ue..... ��r...... Willi m Sayre No A.724.3.... Permit for ... Build........................ 1. ............................................................................... Locatior;35..?iAq Rid ge..Rd. ............................. 1W Cotuit .............................H.................................................. William H. Sayre Owner ..............n.................................................. 101* Wo(Id Type of Construction .......................................... j~ l ................................................................................ Plot M...A.IQ4...... Lot ................................ r July 30 74 Permit Granted ........................................19 Date ofInspection ....................................19 rr 21.. ..........9- Date' Completed j.). ......... . 4e PERMIT REFUSED .............. ...........................:................... 19 ................;.............................................................. .......................................... ....................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... .................... .......................................................... .. ..+ wv.. `r '+1k:..�'...e n:.w+t. feh .... r .xx x.• .... � ... .. Assessor's -map and lot number J.y.........10J....tl .�}...... _ k�v - f��✓���� o fit' ,��cc;�r�C /��voc r,-ecF' V .. Sewage Permit number / ✓. / �FTMETo TOWN OF BA.RNSTABLE 3 i BARNSTABLE, 039. D:UrILDING INSPECTOR G V o� MPY a d P� -�� ��a.r� h APPLICATION FOR PERMIT TO ....�?���.�..1............k'1.....��.�.w...... ...... ...... ......................................................... TYPE OF CONSTRUCTION Ct:M L............................................................................................ ........ ..................191R. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..P.d.n '... 1. .( ......0..oad..... .............................................................................................................. ProposedUse .p(.s.vale....................................................................................................................................................... F.......................................................Fire District .....tC��.��f.�.+ Zoning District ..........�..... ..................................................... Name of Owner .....................Address'7C� ..6<l�lJ- P0. 19vCi6 Name of Builder i17;V .Cq....�P.W.C.ex.-- .0.....................Address .................................... Nameof Architect .................*................................................Address .................................................................................... Numberof Rooms ........................................................... .. �� .................................................................. ......................... Exlerior ..fit.,!.C.........................................................................Roofing ....�.,�.�.t"...�.d..)......................................................... Floors0W.C.1.......................................................................Interior ... a................................................................ •Heating ..............................: :. Plumbing• , 1" ...f.!� >°.... `.............. .... ...... ... . , ' .. Fireplace ....r?r).......................................................................Approximate Cost a.�.gQq........................ ............................ Definitive Plan Approved by Planning Board ________________________________19________. Area ............. X pficc -lCLnIL Diagram of Lot and Building with Dimensions Fee . r� ....................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH J Ri p6," Y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...,h.. "CfiI.�CX....c�.vU�.P.....-��.� � ... No ...1.724.3... Permit for ...Build..enol.osed.Porch i Location .....gine•.Ridge-Rd.............................. 1W Cotu i t ............................................................................... Owner „William H. Sayre .................................................. Type of Construction .Wofld ......................................... ..............:................................................................. Plot ... &..1A.4.04...... Lot ................................ Permit Granted ...July,.,,,,,,,3Q......... .....19 74 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... 1 0�, 01 � " 0 4 O h 1 �I izo f W • , IXS MAN( DEOKIW F1 h - ri .d ' P.T.2.XID LEDGER O ATTACH POSTipS V F STAND-0FFS TO RIM WARDS W/ I o T.SXS POST5 W P.T.2XIO5 0 Ib•OO. ATTACH LEDGER TO CARRIAGE BOLTS - 6ALV,5 iAw#F5 EXISTIW HPJSE C z ASREWIRED. ALNnI OFF,R PVO -` 1 6ALVA"'zBP J015T—� STANp T5 AND (v� HAn6ER5 AT ALL LPG BOtS A$REWIRED COIAEOTIONS TO ~ 5.OONO 5_TI/5E LEDGERS TRIM - y • ON 81GFOO1•OONO, 80ARD5k TYPICAL/ - fr1 FOOTIW Sr5TEM A (SPADE SO ITLOES - A T 5'-S•OLJ - .. ----/ N---+ - N t 0 { 0 SECT G T 1 O N / D E T^A I L U 1 m " 5 G A L E I/2" 1 -O' a, v U xx 41, c"I `s Lr) it " i LF BEDROOM LIVING - „ r• +�,y.. .� BEDROOM LYING' ' f d ~ ___ _ ____ __ _ ___ ____ v s_'" ______ ..._ - l DN ______ __ ___ _ - aEUo uy uofr �- - HALL. HALL - ALIGN HALLS Lm 5' - v_ • � BEDROOM ulEn � �= b v�`o z v,� 6-o t� C- - KITCHEN /z' KITCHEN rs a s k +s Gz z-1 In• `d s'-lo• o�';�•�y y � it /lf y TU Y.'en n.t. tRO .. BEDROOM BEDROOM BATH p R=Mpr EXI I A E 3> a 6`s 3 kk r AS INDOJI. _ BATH REMOVE EXISTIW —Al.1OOR ELN55 NOAE o �DRROM AND OATH A\D WALK. r ALL ELEOTRIOAL A.w __ __________ = Q + PLIMBIW ! • _ ® REP. W L z NW Z z (� O I ..: 4rT_W._V- ...._ _ --- --- ------- ci REMOVE E%15TIW Q_._ ._ --- -- -- A(L X TIW w FAUX , E% lI v rvl NDOW W a lw1 REPLACE IPTN/� 1 I W I sTfLL AND DIMEWIOW. LU W V I GrP.BOARD -`,1 'S,1 O AS REPUIREP A T. ..._ .._._ _.... _ _.... — All O I RAEPADE OF NFri IRPOv6. - W l— z--- --- -------- ' -- --- ----- 1-J SUNROOM t t I I i i I SUNROOM cEN�uE�F Q Z W Q Ex E%ISTIW WIDOINri Z IS)(MATCH W OENTERLINE Z ,� REMWE Jsr NG WI"DOWS - K Exi`!r PO NRO p - EUXI5TINS)NDOWS KE I AND L A E RO YH OPET W Z EORUSTA LA OH OP£ ' G! I ? _ ___ = __= __.. WINDOWS A.w DOORS. . . .... .: t0 BE REMOVED F 1 11 �', REMOVE�XIS31W WALL P nAI{F.L QOARDS r E(ISTIW WALLS ` WITM ' YP iob n09 TO REMAIN XS da: JAN.5.2015 P.T. .... I ON FRAAH�AnE DEOKIW W/ icele A5 NOTED OONTIN.OUS 12'STFP - drawn OPERATOR I REMOVE E%ISTIW ev. - - WINDOWS AND REPLACE Aw OIMMEN5 5TYYLE 10"5. KEY eV' REPAIR A5 REWIRED - - AT EDGE OF.�WINDOYlS. ev. w EXISTIW WALLS 1 FIRST FLOOR DEMOLITION PLAN PROPOSED FIRST FLOOR PLAN T°RE"A'" A~ 1 0 SCALE. I/B I -0' SCALE: I/S" = ''-0' n { TOVWN OF - Ztil3 lt' I 22 Phi 3-.5 l f r t { fi.'. ZONE: t 2 < E7 35,16 H8.e m = } F.G. EL. -3.0's F.G.E 370't See IN,6(tvP) EC.EL. ±i.00'i I V:r. A (mm)67.i2C SF (PPOpI •• �U. c � _ Both rear,Novse r crH ay DESIGN DATA 5 ibh i:ern) 125 �; v Ecrr Flow Equil.ers , Erec�out SingleFevuly Fra cn( 3O )\•. / ` �`lo �'-d Fe plumt ;o f /.s Fequ red .5Bcdrrom@110GPD Side 75' EL. 29:E3 EL_ 2b_£3/ 15G0 Gcuon N°Garbege Gr;naer - Regr 15' � Insr ciller To de - Corfum Pror Septic 'onF EL. 28.5E off, Tl Dallow� Ft- GPD Te Any Wrrk H-20 PeGu red -ZaQIL/ H-20 1500 Gel Septic (Se I 7 D 6 27.E4 Tmh .�pl .. ? t rhi "`:i o LEACHING AREA Ch be 1 I 550 GPp/0.7a(LTARI`74324 SF Requirtd { d To 6e Insr II d D f 1 H z0 R d �>� d f &d,,,,,Il 202B3'443JSJ2' 220.32 Si •r < t OVERLAY DISTRICT• AV .o "`;QD Bottum Area-(12.83'x4325�-354.9 SF -I-- Beddmq s, - TomlPma�dcd=J75225F AP - P.euiler Protection Gie'ric; :" 1nsPec lion Port, 1 E,,t W"te6d PE[.i?pve& e/f P - ) - _o[e P.OD Ferource Protection Ove.lo-Dis;l rcr ' tr fielfelsLEACHING CHAMBER DES]GT - as Per TNI,5 p ry All Pipn w be Schcdcic 40 U. 5—SW Gal.L bmg CLemhca iR It Location Map: 12.93•a 4325'washed Smee FiNd es Shouv. No Groa-ic i"=2.000t' Per-e..Hclzcl DEVELOPED PROFILE OF SYSTEM EL Crov NOT TO SCALE P`r'°.;fe5"°`°rd ASSESSORS REF,: Mcp 18. Parcel 104 - FLOOD ZONE: - H zone"C I1'.L�I:UN I :.i\I ..I C:\k�5'I\nl.l` Commui ity Ponel NO Ridge"�.,.�� t4p' P'ivate way) Road r,. #250001 0027 D J ' SITE PASSED July 2, 1992 Pine a _ — � d +Pcve TEST HOLE I TEST HOLE 2 .M mzW<onGo<tec c .. Fnd:FM) Sr,40 -17 '2••E��`. .. - I e _ 200.0{� ��.�f! •_z )Fil IIfR l:1 tll fx „ - Pee Stme LEACHING oQae n CH.AMBEE > cz I I,.\Nu 11In_ L 11'-Id'� 35 1 712 51,• CROSS SECTION OF CHAMBER TM 42 ' D T NO TO SCALE e. TEST HOLE - IF...u;. TEST HOLE 4 w 9 Mefer . —"j— ,' 2°Y I1 n 0 SEPTIC NOTES w z .s ��1C �I I __ \p 1TIlo l 1)yx ;I 1'l l.t '11)FR(1 - 1.1 nor,.n.I Li'litic� 1 I'I '11 n nrPn. At 1-17211nv. /< O =Y� p 1 --I I5< t 1 p I n I I II 1 r.r h.( Shall M A - ' i IN, 1A I D I l un -S- -M I Ip-pi 121" I ; 11 LI D _ Ie -R yI APpn�pnare Perm - ' ' G C471oDrn / o� � '<t,\I.I t,ss I1 _ _wh, I 'M ( N uppl Ums&ahimea Slull 7�.'" - wme w'.in1n eh rw� 1 t'1 I\\a rr I:mes SbI11 K'Comtrui51 lu1'm Cif n• JS,d "'I ` 0-di-i-With C. h U argil Shall M m A.en<daricz \ ivf W hI,24SCMR.I U0 I IRIA:I0CMR I`I. / Proposed 3 \ n Rc Ih.r AII(•.m 4 E rcnn 6crn s AII -13 I Ilv I M S h3 o 2N t 11/2Sty Vh 1 I Il f`1111 itl hib \[\ O B 2l Al h.U-1 S \ U I tall �I Rin f 0 W I b I F n IG i `E>Ist no SepticPit t to Be l+bo ndoi d ?ac S P I k l I i(1 I D 13 I(hrL M1 E(T mMr. - // 13E.5 or PEn Oved ' 24x(MR I U �W 1 II it,R.A ai Ih.\111-1 B--hkP,tc ' A.,y r D "qe 9 - _. 13na 1 111 11 R E I CE•DH S.All 1'p F 1,-11 4111\C �1 571'4020"E rn, v.D-U Shell llaz.h M mimtm In ik Dim.nei(zi 112'_arrcla Mmimun,. Lot 231 _ W.IM Sep.-w,Di--13,-nthe]p T k11uand f >uI-Shall he Nn I.-then tl,c Liyu D-p-d h 1 I hel T-Sl F.-M M 45;D003SF i00 a iri I IU 13 1-lh.III-l.in ) I Tom.S1uIl F_ateM 13' / i - F3r1.. rh.III I.�nk.aikl Shall h Fynipc<f\1-Ih a Gas Baplc / cPOPoc[D a<Hv//' //// - . SL<E q<GR4DC z SOIL ABSORBTION SYSTEM NOT TO SCALE /DH ce/DH - 571.4o'20'E d N/F 30000 '� at.Fe�� Cdp¢ Evw LEGEND: Josh H & Nicole J Ford `ts(dcesod e H 11 P _ 230981157 \ �O ee./12/2du - i El CB/DH '� -Q Guy -0' Utility Pole PLAN VIEW .F OHW— Overhecd Wires � Pere. Test Holee IIILF. Site Plan PREPARED BY. ( PREPA.q D FOR: - NOTES: ' 1 Proposed Improvements Sullivan Engineering,Inc. Ca eSury 1, The property line infle record shown do 2 p Justin & Natalie Spence compiled from ovailcble record information. � At PO \ 659 7 Porker Rood 35 Pine Ridge Road j Osterville, MA 02655 Osterville MA 02655� 2.) The topoorgphic inrormction was obtained '1 35 Pine Ridge Road coutit, MA 02635 (508)428-3344(508)428-9617 toy. (508)420-3994(508)420-3995 fnj from on on the ground survey performed on covesurv6Yovecga.ne; or between 29/5EPT/7 i, 06/0CT/71 & 30/NOV/12 � 3. The datum used is on ossued NGVD '88 Barnstable,(COtUit) Mass. Draft C7R Field WK/CTR d 30 0 6 30 60 20 ) m DATE: SCALE: Review: PS Comp.: CTR �. January 11,2013 1 =30< Project: 320029_Sperlce Project: C578 I 'F.F Main House ZONE: El. 35.26 & t r fk, r V '� � •r t'r See Note 6 .(typ.) Area (min.) 87,120 SF (RPOD) F.G. EL. 31.0'f F.G. EL 31.00'f Frontage min 20' F.G. EL. 33.0'f ) 'omplies Width (min) 125' With DESIGN DATA Setbacks: x. x , Both Main House Single Family Front 30' t� It ) ,fix g©a i I Breakout �i� 4 s F y5 Flow Equilizers & Barn 5 Bedroom @ I io GPD Side 15'Re As Required EL.. 29.83 to � Total DailyGarbage Grinder SSO GPD �� �� �°°4-. � ■ ���.� `s)rr € � p EL. 8. 3 1500 GallonNo Rear 15' � Y Installer To Con firm Prior Septic Tank EL. 28.58 1500 Gal Septic Tank '� s ■N`' ( k To An Work H-20 Required .00 H-20 y EL. 27.84 (See Note 5) D-Box I LEACHING AREA ' Leaching.27.00 550 GPD/0.74(LTAR)=743.24 SF Required Ch Chamber fi v �F> L fx Sidewall=2 12.83'+43.25 2'=220.32 SF To Be Installed On /� H-20 Required (ottom Area_( � ) OVERLAY DISTRICT: _F e Compacted Base _ Total Provided 177522SF25' =554.9SF AP - Aquifer Protection District F 1N ° ... .. .. ...... .. ..... ..... a i i, Bedding,"T"s OD- Resource Protection Overlay District RP Inspection Port, If Er)CaU 7tes8d REn1[a e & i2eplaeB LEACHING CHAMBER DESIGN & Baffels All L1nsUltd>�1e SollS Wlthln`5 4t r All Pipes to be Schedule40. Use as Per Title 5 ThQ:Quter l'�rlmete{ Syfit9rn o 5-500Gal.LeachingChamber�iaa ....,.. Location Map: "' " ' N - 12.83'x 43.25'Washed Stone Field as Shown. 1 1"=2,000f' DEVELOPED PROFILE OF SYSTEM - ' dard ASSESSORS REF.: NOT TO SCALE Map 18, Parcel 104 TEST: 13,782 ROWLAND Err-SULLIVAN ENGINEERING FLOOD ZONE. PERF, VALUATOR NO.13586 )ESMARAIS,RS.-TOWN OFBARNSTA13LE Zone C -_ WM )VEMBER26,201z Community Panel No. Road #250001 0021 D TE PASSED e ��- m.-�- 40' PrivateF___ Way) Finish Grade July 2, 1992 EL.23.0 TEST HOLE-2 EL.20.i Rigpine Ed e of Pave h TEST - Ip+ : Max. :Ill„ II TETRA-[I__ Ill -11?;!I[ I '...AE I,A' ,GRAY ..................'.' 9"Min .CompactedFill Filter .'..'.'... °-°-°- ? Fabric8" '.'..."'.'':''' CB/DH .. 22.2 . .. ... ..20.0 Fnd /And/or CB/DH 14.9' 1/ 2" S71.4D "L� --76 �\ :'.::..:.:..... Pea Stone 1 "..':YELLOI d1.7 22" M:SAND / /200.0 \ ^ / l�\ o ° 4.7• .... ::.M ........ .. ... ...... 18.9 314" - 1 1/2" CV 16'"' YELLOW LEACHING . Double washed / 1 ', / 1 t� ° M.SAND CHAMBER stone ! TH 4 TH43 ! l 6 K Low 4 24" FEKC 18.7 / I used t I o 25 GALLONS GONE IN 8 MIN 20 SEC. I Bench Mark °� PERCRATE<2MIKAN TAR=0.74 r DrJvle `��\ W\ First Floor Ch Ia 120" (L ) 10.7 12'-10" J Else=35.26• 35 CROSS SECTION OF CHAMBER / I \ ° Basement Slob-' � 1 1/2 sty , \ / / r� / ---------- w/f Dwelling Me er 47. °CD NOT TO SCALE TH o sh , ° o L.20.70 TEST HOLE 6 4 EL.18.. TEST TH h IA ') ( 4 cc Y i_9 ]0 M.6AND 17.67 . ... . SEPTIC NOTES C . o, / O I I 10' / Z :' ELLOWISH BROWN ; :: 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours '�../ / / i /; I o0 0____1 22" ? . 16.7 Prior to Any Excavation For This Project the Contractor Shall Make ia/ AF O ,a r '1 20 . ... ;':.... ::M _ �_ YLLow the Required Notification to Dig Safe(1-888-344-7233) I o 2.The Contractor is Required to Secure Appropriate Pemuts From Town / I - / Lawn S 120 M.SAND �1 `� Agencies For Construction Defined by This Plan. / o o U) M 22 1 .2 12.8 l 25 GALLONS GONE IN 5 MIN 30 SEC. 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall ro�osed ° 0 120" PERC RATE<2 MIN/IN(LTAR=0.74) 18.5 Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to / p 43.3' oryoJ , f ` / t,rel Dri'e I 7 6 Assure Watertightness. In General,Water Lines Shall be Constructed in / // Coordination With Cotuit Water,and Shall be in Accordance fi Slab o I With 248 CMR 1.00-7.00&310 CMR 15.00. of ; µ• i 4.A Minimum of 9"of Cover is Required for AR Components. Proposed 5.All Structures Buried Three Feet or More or Subject O / to Vehicular Traffic to be H-20 Loading.It is the Engineer's D w i• ; / Barn 1 1/2 Sty Recommendation that H-20 Always be Used. 6.Install Watertight Risers and Covers to Within 6"of Finished Grade 4 Over Septic Tank Inlet,and Outlet,D-Box,and One Leaching Chamber. Existing Septl Pit 7.Septic System to be Installed in Accordance With 310 CMR 15.00& to Be Abando d ' M 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable 138.5' or Removed Pitch For Drainage Board Piping to to Sch.Reg 4 PV Away from Building 8.A11PipingtobeSch.40PVC. D-Box Shall Have a Minimum Inside Dimension of 12',and a Minimum 1 Fin� 1 ! CBind 57140'20"E 9.Sump of6". ' CD100.00' 10.The Separation Distance Between the Septic Tank Inlets and 10.1' rn Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend (� �D J�� / I � Lot 231 w a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" '+ 100'' o Below the Flow Line,and Shall be Equiped With a Gas Baffle. PROPOSED BARN 45,000fSF �} SLAB ON GRADE �. rn co Z SOIL ABSORBTION SYSTEM I f r So NOT TO SCALE ce/DH 1 Fn d g4 ys� P�S11 nF..1_1, 61DH S71'40'20"E / o LEGEND: '`< , Fnd 300.00' t\ Edge of BVW �n J01 IN C.. 1. NSF i e3 a o4 stria as Flagged by :� 011D /'° a Josh H & Nicole J Ford , \\Ed9 Nola dai Biz zo i CB/OH y/ / Guy L I 230981157 \ O Utility Pole F F> OHW- Overhead Wires °a v/ PLAN VIEW Perc. Test Holes �.S010NAL w 1"-30' IRED FOR: NOTES: TITLE: '�e �'�n PREPARED BY. S 1.) The property line information shown was _ Proposed 1m roVements Ca eSt Justin & Natalie Spence compiled from available record information. p p Sullivan Engineering, Inc. ►� Po Box 659 7 Parker 35 Pine Ridge Road y At Osterville, MA 02655 Osterville MA 0,' Coutlt, MA 02635 2.) The topographic information was obtained (508)428-3344 (508)428-9617 fax S (508) 420-3994 (508) 420-39 from on on the ground survey performed on or between 29/SEPT/11, 06/OCT/11 & 30/NOV/12 35 pine Ridge Road copesarv@copeco Barnstable LL 3.) The datum used is an assumed NCVD '88 COtUIt) Mass. 0 15 30 60 120 Y i Draft: CTR Field: WK/CTR DATE: January 11 2013 SCALE: 1 rr 30, Review: PS Comp.: CTR Y , Proiect` 320029 .Snanr-a Pr ;a�f• �o