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HomeMy WebLinkAbout0266 SCHOOL STREET A� (p -_ i �� �'� i .M q � Application number,... ................... ..... . S& T4WiV OF BARN Fee SAMMUM 22 1 ..7 Building Inspectors Initials........ ......................... jj . ; Date Issued ...,f.1.���.............. , Q Map/Parcel .....PQ . ......... .``....TOWN OF BARNSTABLE ` " `" s -r EXPEDITED PERMIT APPLICATION: ROOF/SIDINGA INDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: R4i(p s y., 5,*,e_e_ 6 NUUBER STREET VILLAGE Owner's Name:`�V, K% l��,61 Phone Number Email.Address: kI' g W, o 0 I(n(a clr a,d Lbt�h Cell Phone Number 503 3G Lf 'S Y3 '..... Project cost$ (�900 r c. b Check one Residential�1� Commercial OWNER'S AUTHORIZATION. As owner of the above property-I hereby authorize to make application f 'lding permit in accordance with 780 CMR Owner Signature: y � Date: 0"1 1 TYPE OF WORK ED Siding 0 Windows (no header change)# E Insulation/Weatherization ❑ _Doors(no header change)# Commercial Doors require an inspector's review t..f Roof(not applying more than 1 layer of shingles) Construction Debris will be going to /yeµ L3g4 ( 4A-54 CONTRACTOR'S INFORMATION Contractor's name.�X., �t~C.�v�tilXc� Home Improvement Contractors Registration(if applicable) (attach copy) Construction,Supervisor.'s License# L S- 0'9 513 (attach copy) ti ' Email of Contractor y ✓ (p Phone number '7 3 9 . ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER " *For Tents,Only* ' Date Tent(s)will be erected Removed on Y number of tents total Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan withathe location(s)of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes -No , if yes,a gas permit is required. { If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or.3.30 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number . I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date ;aO All permit plicadons are subject to a building official's approval prior to issuance. I ` f r The Commonwealth of Massachusetts - i Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,ALL 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: w b've,�, -� .. City/State/Zip: 1` V%. - 03�tee Phone#: `7 7LJ 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 ployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. I am a sole proprietor or partner- listedron the attached sheet.e 7. ❑ Remodeling- ship and have no employees These sub-contractors have' g, ❑ Demolition workingfor me in an ca aci employees and have workers' Y P tY� t 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. [],We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing,all.work. officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp: right of ezemptiori per MGL 12.❑Roof repairs.. insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13:Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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: ,�Sr�0Gti t , ►S Ct , Policy#or Self-ins.Lic.#: 6L 5 5701 Expiration Date: a Job Site Address:-_A,(� 4�t-� ( - City/State/Zip: 6— 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 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 unde jjhVainssaand penalties of perjury that the information provided above is true and correct. Si afore: ��aOv(✓ '- l Date: 02' act 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): a 1.Board of Health 2.Building Department 1 City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions f. Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three-apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment-be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply,to your situation and,if necessary,supply sub-contractors)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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts,.,. Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 . Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia �DD Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Machusetts 02118 Home Improveme��tractor Registration I - Type: Individual JAMES J.PICARIELLO _ Registration: 182362 D/B/A PICARIELLO CONSTRUCTION S, Expiration: 06/15/2021 10 EVERGREEN DRIVE , SANDWICH,MA 02563 + SCA 1 Ca 20M-05/17 Update Address and Return Card. V'N77IYL0/In!jG p�✓/�(�CLc7�CGC/ztG1P.�.�- . Office of Consumer Affairs&Business Regulation' HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only T,PE:Individual before the expiration date. If found return to: Reg! ian�._ Expiration Office of Consumer Affairs and Business Regulation i`7-82362= 06/15/202.1 1000 Washington Street -Suite 710 JAMES J.PICAftli, ---( Boston,MA 02118 D/B/A PICARI �!LW kTION gly N a JAMES J.PICARIEL10.� 10 EVERGREEN 61AIYS ; SANDWICH,MA 02563 r undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards:. Constri:t�ri�Sjivisor CS-108553 L`pires: 01/25/2021 JAMES PICARIELLO ,. 10 ROLLING E LANE`r SANDWICH MA.62563 Commissioner coz WORK PERFORMED AT n? <'3'v IF -' �- O�Go OTE YOOR wOAfC ORO:ER NO QUR BfD N0. v c4 { 0 0 0 0• o. o - 4::nL,g, A Ljg 6 14j if j i LIV V "a y All Material-is guaranteed to be as specified,and the above work was performed in accordance with the drawings and specifications provided for the s' above work and was completed in a substantial workmanlike manner for the agreed sum of -6 90,C)•_�X>o a f A- I. Dollars r t This is a ❑Partial ❑Full-invoice due and payable by: Month Day - n;accordance with our.❑Agreement �Proposa No: Dated rye g Month OaY Year ; 'WOIIO T LG Town of Barnstable Building, Post This Card So That it is Visible From the Street-Approved Plans-Must be Retained on Job and this Card Must be Kept , Posted Until Final inspection Has Been'Made."'', • Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. ^^j Permit _. t Permit No. B-18-4025 Applicant Name: CONNOLLY,JOHN J&SHALONA Approvals Date Issued: 12/21/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/21/2019 Foundation: Location: 266 SCHOOL STREET,COTUIT Map/Lot: 020-062 Zoning District: RF Sheathing: Owner on Record: CONNOLLY,JOHN J&SHALONA Contractor Name `�� Framing: 1 )u3 I Address: 28 THE HOLLOW Contractor License: 2 AMHERST, MA 01002 I .Est Project Cost: $5,000.00 a Chimney: Description: Change 2 Window.openings including new headers. Re insulate and '� Permitfee: $55.00 sheet rock wall. Install new Kitchen Cabinets and Countertops. Fee-'Paid:r` $85.00 Insulation: Project Review Req: Date: 12/21/2018 final: $ 1 1 �y t Plumbing/Gas Rough.Plumbing: �. . . Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by.this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and;the approved construction documents for which this permit has been granted. Final Gas: All construction;alterations and changes of use of any building and structures shall be in compliance with the local zoning ly-laws and codes. This permit shall be displayed in a location clearly visible from access street oc road.and shall be maintained open for public inspecti4 for the entire duration of the work until the completion of the same. / Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided o i'this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before.Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 5 —d� O Application Numb ............... ... ........... ` BARDWABLB, ` MASS. Permit Fee....................... . ....Other Fee...... Ep Mtn Total Fee Paid.............. . ........DO......... ...... TOWN OF BARNSTABLE � ����� Permit Approval by. ......... . ...... ......On....... ...... ............ BUILDING PERMIT 6 ....Mai........... Parcel.... ............. APPLICATION Section 1 — Owner's Information and Project Location, Project Address 216 (o Village�p�� Owners Name �U e l( etc)A- cjbhn ) Owners Legal Address Ci State Zip OF- 36ly Owners Cell# -� S 3e?E-mail s�`��o'�� .C arI P ®f� r C o Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑` Commercial Structure.under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit o ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Ciange,of(a e ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ F re Alarm 00 a Rebuild ❑ Deck Apartment ❑ S rinkler&stern ❑ Addition ❑ Retaining wall ❑ Solar c° Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description (t ✓t Gc P,n 447 i;yes—< AL2� 1.�1t�rz5�i'UfCiJ Last-updated. 11/15/2018 Application Number....:..........:.................................... Section 5—Detail 3 14 Cost of Proposed Construction J 100, Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing '' Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ` ❑ Smoke Detectors �Iumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal - Site LI On g p . - p Historic District ❑ Hyannis Historic District a ❑ Old Kings Highway Debris Disposal Facility: -� v►S S p ty: I am using a crane ❑ Yes 2 No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes El No~� ' Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # ofDwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required .Proposed Side Yard Required Proposed .I Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated:1 V15/2018 cam' - s L C-MeA/ -S S ec 0318, 11:49a Theresa Zonfrelli 5084777098 p.1 1 ` \ f C•s , AMN • The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builder's/Contractors/Electricians/Plumbers Applicant Information Please Print Let lbly Ga.kv�D ( µ N3Ine(Business/Organization/Individual): `/1.�.. U�1/I Address: a cCity/State/Zip:--;, Phone#: 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 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 working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: . requ 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions *myself I am a h meowner doing all work officers have exercised their 11.❑Plumbing repairs or additions o workers' coin . right of exemption per MGL � P . 12.❑Roof repairs - insiu•ance 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 fiIl 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. xContractors 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 W employees Below is the policy and job site ` information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and exiration°date). s Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER-and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the.information provided above is true and correct . (Si' atiu e:f cDate: IC�t o?iOn Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License.,# r .; 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,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a'business or to constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance<with the insurance: requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the 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 lime. 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.,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 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 Massa&usetts Department of Industrial Accidents 0Mce of lnvestigatious 600 Washington Street .Bostion,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia } r Application Number........................................... Section 9— Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780, CMR the Massachusetts.State Building Code. I understand the construction inspection procedures,specific inspectionsjand documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. i Si gnature Date Section 10-Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11--.:Home Owners=License Ezemotion Home'Owners Name: Telephone-Number Cell-or-Work Number ,rjj a�Q -b3�b I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Sgnatur - -- Date=/o o. AtPPLICAN-T--SIGNATURE, Signature cDate-. Print Name:% )�( .1 6 11G, Ob h no VI Telephone Number E-mail permit to:z_ 5�a,( b LL . 00 h a t) MC L I C 6w_�' Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval: Section 13— Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last updated. 11/15/2018 , op Town of Barnstable � R cEv�P _ aWWABL 200 Main Street; Hyannis A- 02601 508-862-4 M 038 .69 a, Application for Building Permit Application No: T13-17-3552 Date Recieved: 10/13/2017 Job Location: 266 SCHOOL STREET,COTUIT Permit For: Building-Insulation-Residential Contractor's Name: TODD LEDUC State Lic. No: CSSL-106019 Address: East Greenwich, Rl 02818 Applicant Phone: (401) 965-8578 (Home)Owner's Name: John Connolly Phone: (508)364-5383 (Home)Owner's Address: 28 THE HOLLOW, AMHERST;MA 01002 Work Description: Air sealing and insulation of attic flat,common walls and exterior walls. t= C) Total Value Of Work To Be Performed: $6,000.00 rp Structure Size: 0.00 0.00 0.00 Width Depth .Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is.the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative_of this office. Requests for inspections must be made at least 24 hours in advance. Signed: todd Leduc 10/13/2017 (401)965-8578 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees c Total Project Cost : $6,000.00 Date Paid Amount Paid Check#or CC# i Pay Type Total Permit Fee: $85.00 10/13/2017 $35.00 XXXX-XXXX-XXXX-_ Credit Card ... 8065 __.__ Total Permit Fee Paid: $85.00 10/13/2017 $50.00 XXXX-XXXX-XXXX- Credit Card 8065 � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parc Permit# l®e J Health Division 1,S— )6q.(a i 1 r u.f` ^ `` I w Date Issued- S0 /Ill iZ.10' 0`2ConservationDivisionApplication Fee Tax Collector Permit Fee Al AAL Treasurer LIZZ/0 9 51 v"Is CVMMEM MUST BE STALLED IN COMPLIANCE Planning Dept. WITNTMS Date Definitive Plan Approved by Planning Board ENNROWMALCODEAND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village 4 k4 p,; Owner r Address 0 / <i G r Q-V r Telephone 22 L 3ZZ — l Permit Request o c-" Se 4-.S"u fit) a Y Square feet: 1 st floor: existing v proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 4.ex.0 F-405'^ e Lot Size 3 fGR S Grandfathered: Yes No If yes, attach supporting documentation. Dwelling Type: Single Family a_ Two Family Multi-Family(#units) Age of Existing Structure L50J C5 Historic House: Yes lid On Old King's Highway: Yes ¢w Basement Type: Full wl Walkout Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I 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: aa il Electric hypOther Central Air: Yes Q1qo'_ N Fireplaces: Existing I New Existing wood/coal stove: Yes A4T01 Detached garage:existing new size Pool: existing new size Barn:existing new size Attached garage:existing new size Shed:existing new size Other: Zoning Board of Appeals Authorization , Appeal# Recorded Commercial Yes No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION U Name Telephone Number Address ff 7 r yr License# 005 Y/`/ l e G 6 3 —Home Improvement Contractor'# Worker's Compensation# Lcl G 76 -5 doll ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO O/J// SIGNATURE DATE l l0 FOR OFFICIAL USE ONLY PERMIT NO. DAT1hSSUED MAR/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:ROUGH- m _ FINAL m pa co N GAS: RO QK FINAL r IN FINAL BUILDING Lo DATE- _CLOSED OUT M-2 1 r a::R $m S ASSOCIATION PLAN Nf ap n r i t The Commonwealth of Massachusetts ". 7 Department of Industrial Accidents Mee offtesupffm 600 JVashington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses iris iii riaii riii/f r WOMEN ame: cih 1 te/ d 6' l state 1"e N/t ziu'(/ (9 Phone 7 6 work site location full address: I am a sole proprietor and have no one Business Type: Retail Restaurant/Bar/Eating Establishment working in any capacity. Office El Sales(including Real Estate,Autos etc.) I am an em to er with em l es(full& art time. Other y/% ra/ % //%///rkers' compensation for my employees working on this job,I am an employer providing v,'o com*anyneme: 37*' A. p. f U f , one# " city: 515i/.f I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: com an name: address: d•:: insurance co. al com'eri: netiie •a address hone#' ftistirance co.: :'• Failure to secure coverage e9 required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to Slisoo.00 and/or:one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of Sll)0.00 a day against me I understand that e 'copy of tbls statement may be forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby certi rsder epains a p afties of erj u_ry that the information provided above is true a d corre Date I l Signature l fi` Phone# 12 C C Pint name rye 7 :,.ems--,- -`•a.- . official we only do not write In this area to be completed by city or town official permittlicense# Building Department city or town: Licensing Board Selectmen's Office check if immediate response is required Health Department ' phone#; Other contact person e (revaed3ept2003) v Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an 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 ortrusteeofanindividual, partnership, association or other legal entity,employing employees. However the owner of adwellinghouse of dwelling house having not more occupant of thethanthreeapartmentsandwhoresidestherein,or the p lhng another who employs persons to do maintenance,construction or repair work on such dwelling house or m the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employdr. MGL chapter 152 section 25 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,neither thecommonwealthnoranyofitspoliticalsubdivisionsshallenterintoanycontractfortheperformanceofpublicworkuntil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone 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 perruit 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 Este below. 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 perrrrit/license number which will be 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 like to thank ybu 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 8mc®of IeuMstll ORS 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext:406 FINE f°y, t Town of Barnstable Regulatory Services BARNSTABLE, 'Thomas F.Geiler,Director 9` i'ArE039. A`` 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. C e i Estimated Cost o cU, GU Type of Work: „&. 06 f" Wyk 1102/ 1 Address of Work: Q b SG f'1 a v l Cy? i Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED ER PENALTIES OF PERJURY I hereby apply for a permit as the agen f th owner: Z03/ Date I Contract me Registration No. OR Date Owners Name Q:forms:homeaffidav r RESIDENTIAL BUILDING PERNUT 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 square feet x$96/sq.foot=C O U x.0041= I/y 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) 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) J o; Z/Permit Fee Projcost Rev:063004 f 78t1 CMR Appends J Table JILlb(continued) Prescriptive Pae"ges for One and Two-Family Residential Buildings Heated with Fosstl Fuels MAXIMUM MINIMUM GlazingGlazing Ceiling Wall Floor Basement Slab HeatinglCooling eta Equipment Ellicien Area(%) U.valuet R-value' R-value' R-vaiue' Wall perimeter >Pm Package cyp R-value° R' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Now FUE S 12% 0.50 38 13 19 10 6 85 Normal T 15% 036 38 13 25 NIA N/A Normal U 15% 0.46 38 19 19 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 N/A N/A Normal Y I8% 0.42 38 19 25 N/A N/A Normal Z ISO 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 ARM 1. ADDRESS OF PROPERTY: A L3 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 2 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above):r NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES:NO: q-forms-080303 a i 780 CMR Appendix J Footnotes to Table J8.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ftof decorative glass may be excluded from a building design with 300 ftZ of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned bi,.sements must be included with the other glazing. Basement doors must meet the door U-value requirement scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 9 For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 e oPonvino u ea/ a aaoaclruaek2 601AR©OF{B yU LDIII Cy RrG L=aA*TiIORsI'.. Licem e NST S{UrP2VISfO'R i Niut nbe ft-4,104 Tr.me: 25467 ReS f ,PETER J APPLE N GENT6R'UIiLE MA omrnfss gner e omxnwncvea/, o lucoe Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Regist4p 103218 One Ashburton Place Rm 1301 62006 Boston,Ma.02108 APPLETON CO Peter Appletonj- 37 Baird Way Centerville,MA 02632 Administrator Not valid withou i ture i r 165.1 plT 14 row i roo-f- ud`t EJ 6 4 C tol4C Via, — r-<! may•{' V't ^ t,d dZ 13 T•,s,s l f.a a I Il s, e k 1. 1 a M T r r 3Q J J J 2 - I i a 3: Town of Barnstable M Regulatory Services WAM Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main 3tacst, Hyannis,MA 02601 www.town.barnstsble.ma.us ofnoe: 508.962.4038 Fax: 508-790.6230 Property Owner Must Complete and Sign This Section If Using A Builder Lc. C. / /?R b y as Owner of the subject property hereby authorize e Tf A./ to act on my behalf, in all rmtters relative to work authorized by this building permit application for CP s come- - a TlJ/T ddress of Job) 5ipawre of Owner Date print Name 290- oZ 3 6 NOi3766 i 6313a 089L8Zb809 9b:8t 170@Z19LIZi sx Q t f RaOYtr'} 8 L.I K t t eRoe Y 2tCotLltt-, MA Y f Za 3EJbd N0137ddV 6313d 089L8Zb8A9 9b:8Z t700Zl9ZILZ 12/02/2004 15: 55 506-3652919 At.L CAPE IPlSULAT'0 4 PAGE 02 MMcheCk COMPLIANCE REPORT I IteaaaachuaettaEnerayCodeiMA.Sch4Ck Soft-wart Version 2.01 Relwase 3 I c'eCm t I I I 1 Checks b yTITLE: Appleton Construction Co CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYprL: 1. or 2 Family, Aetached4SATINGSYSTEMTYPE: Other MOM-Electric Resistance)LATE,: 12-2--20D4 PROJECT INFORMTION; 266 School 8t Cotuit, HA COMPANY INFORMATION; All Cape Insulation 6 Supply xnaPOBox645 E Dennis, MR 02671 COMPLIANCE: Passes Maximum CA - 87 Your }tome - 84 Area or Cavity Cont. Glszing/Docr W---^----------^ Perimeter R-Value R-Value U-Value UA CEILINGS WALLS: Wood Fr&MO, lfi" O.C. 310 :30~0 2 q-- GLARI G.330 GLAZING: windows or Doora 465 13.(t 0 0 38 1e 20 FLOOR$; Over Outride Air 290 0.550 10 KVAC EQUIPMENT: Furnace, B2. 0 AFLIE 36,C O.G 7 COt4PLIANCErSTATEI ENTt The pro-Oaed--i J-~ --•____,„___----- ------------ - __ Consistent with the buildin p biildlrg dmsign descried-here is submitted with the 9 plans, Spec ificatiOIW aid a'Cher calcul&tion9 designed to meet theerequirementstOfntheTheMaaeflchusettsozed uEnergy Code has ae9r, The heattnq load for this building, and the Cooling load if ahasbeandet9trinedusingtheapplicablestandax;l Dea<gn Conditions foundintheCode. Tre HVAC equipment selected to :feet or cool the k.shall be no greater than of th deal n .load as Specified in j'lding Sections 780CMR 1310 and 5 8- wilder/Designer f`^-- n.f Date L i 10 3SVd N0137ddll d313d 089L8ZV809 0£:9i VOOVZO/ZZ F THE A The Town of Barnstable safuvsrnsi.E, • M 0 Department of Health Safety and Environmental Services Ep 59. 11 Building Division 367 Main Street,.Hyannis MA 02601_ Office: 508-862-4038 Ralph Crossen" Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) Village o ire V-S 0-f2 oFA z3 Property owner's name Telephone number 0 DO 0 Size of Shed ap/Parce S nature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction?. Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg n 1 i e i f i j f i j STANDARD............_.........._._...__..__..._. i y,t LEGEND NOTE:not all symbols will appear on a map F COURSE k u L FAIRWAY---- EDGE OF DECDUOUSREES........".._._._._._..._."._._._._._.. ......._._.__......._._._._. x..,.Y..._x,.....x... EDGE OF BRUSH ORCHARD OR NURSERY t t EDGE OF CONIFEROUS TREES t MARSH AREAki i y EDGE OF WATERMO20 \ DIRT ROAD M DRIVEWAYMAP20 5, I—PARKING LOT 174 4 4 PAVED ROAD 1 DRAINAGE DITCHr - ._ 1__.- - t - - - -PATH TRAIL25166o t7 PARCEL LINE MAP t to E—--MAP# 1860 E HOUSE NUMBERt PARCEL NUMBER 2 FOOT CONTOUR LINE j MA 20 10 FOOT CONTOUR LINE n -- 4.9 SPOT ELEVATION STONE WALL i c 15 X—X- FENCE i RETAINING WALL i 4.... RAIL ROAD TRACK t STONE JETTY t MAP 2 0 POOL`\SWIMMING1 42 0 PORCH DECKt.H/ l I BUILDING/STRUCTURE K/PIEDO / ETTY150u C R J HYDRANT e VALVE OO MANHOLE 0 POST 0" FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N I T o SIGN ® STORM DRAIN h PRINTED SCALE:IN FEET NOTE:This map is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The Jamesm` 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER F 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards s I INCH=40 FEET* enlarged scale. on the map.of a scale of 1"=100'. Parcel lines were digitized from 1999 Town of Barnstable Assessor's tax maps. LIGHT POLE O ELECTRIC BOX 2e 041 s RTF toc otiA A o 4 WLY 1/2 LOT 32 f PLAN BOOK 15 PAGE 67 N/F McCARTHY C i h F_LY 112 LOT 32 PLAN BOOK 15 PAGE 67 N/F MAHONEY IP FND L 0 T 3 0 PLAN BOOK 15 PAGE 67 0.83 ACRES PER ASSESSORS N C CB/DH FND r Nr LOT 28 PLAN BOOK 15 PAGE 67 4 N/F LOONEYs4• 3 MHO ND N UP/#25A S C y 0 k%, 9S C A61ssqo S R y pNn ry F F es , Hug "yo 69 too.Op N: cif"4,R O 01 CB/DH FND UA H UP/#25 0` O oecp 2 004R° '° Cqy) A' c/`%/DH FND ASSESSORS MAPMAP 20 PARCEL 62 CERTIFIED PLOT PLAN 266 SCHOOL STREET I CERTIFY THAT THE EXISTING LOCATION: COTUIT, MASS. STRUCTURES SHOWN HEREON ARE LOCATED IN RELATION TO THE MONUMENTS SHOWN; SCALE: 1" = 40" DATE: 10-26-2004 THE BUILDINGS SHOWN HEREON ARE LOCATED WITHIN FLOOD ZONE C, A NON-HAZARD AREA, REF: FIRM COMMUNITY PANE No. 25001 0021 D. PLAN REFERENCE: PLAN BOOK 15 PAGE 67 DATE:BAXTER, NYE & HOLMGREN, INC. THIS PLAN I NOT BA ED ON AN REGISTERED LAND SURVEYORS INSTRUMENT SUR A THE OFFSETS CIVIL ENGINEERS SHOWN HEREON SHOULD NOT BE 812 MAIN STREET OSIERVILLE, MASS., 02655 USED TO DETERMINE PROPERTY-LINES. APPLICANT: PAUL C. HARDY