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0160 VINEYARD ROAD
\\\ �� - 1� 't .�� M� .I J I i a i t 3_ _ n a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 015 Parcel 003 Application.# T-I Health Division eU/L�� Date Issued /V G CEP . Conservation Division T Application lication Fee Q�C Planning Dept. T0�/ 052818 Permit Fee ': U Date Definitive Plan Approved by Planning Board NO)gq Historic - OKH _ Preservation/ Hyannis Project Street Address I l0 0 rJ A ad Village Owner ` ° h enp-2 ��-t% Address Telephone 651— As- MR Permit Request C Jns et- hraaer andrel o-- + hdli b Square feet: 1 st floor: existing<9_Mproposed;2d!4q 2nd floor: existing;U& Tproposedo? Total now Zoning District r Flood Plain Groundwater Overlay Project Valuation`s�7 Construction Type ' Lot Size • QJr / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure ie 4.0 Historic House: ❑Yes C�lo On Old King's Highway: ❑Yes &No Basement Type: LK Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) o73QO 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 GOther 0 QnP. Central Air: U Yes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ZNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: existing ❑ new size _Shed: dexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes Cf No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) . Name S Telephone Numberd Address d License # 616+eZJI I 1p— Ma OaZto � Home Improvement Contractor# W Email q (�'rd Q/ .� kL tl J$�/-4e#?'�Compensation # 65126 U q 92 9 A7542-'b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY F APPLICATION DATE ISSUED ` MAP/ PARCEL NO. s ADDRESS VILLAGE OWNER _ r DATE OF INSPECTION: FOUNDATION FRAME W WC .3 -93-17 r o� . INSULATION ca p� 3-17 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO: � ,- � I 1 � /��J . r t i o ��-� c�� .. _. __---_ �� _. „,SI Town.of Barnstable ” Regulatory Services R1clwd V.&ali,1werim Direch►r. Building.Division Thomas PerrYXHO; .Building Com.missi{finer ?00'A15in Strut; Flynn+ris iv1A0?GOi 1Y1YK;IY174'Riharn5ta61c,maus • omcc- .5094624038. Fuxr SUR 7')4)-E 3U Property Owner Must Complete and Sign This Section If UsingA Builder, as'.()�vnes c�t::�kic:sukijcct rrahertx hefebvauthotize; .Rogers hd .Marne:y9uilders tc, ecr<}nn1G°hEhatt, in A,matt s faix?gd:�dfhorized by this.:bUil ling pemitt z}-piicauion frr. ,(Address of job.) All r V SJLOaalre a Owner Date Print\am If:Yropertt:C7wpci:is appliln for ptmitt,IrEeaec.co►npieteahc.aiamem�ners,License:Exemprian Vorm on the reverse side.. I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 �' >�•' www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorAndividual): Rogers and Marney Builders Inc. Address:445 Osterville/W. Barnstable Rd. City/State/Zip:Osterville, MA 02655 Phone#:508-428-6106 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4• X❑ 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 ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p ty• 9. ❑Building addition [No workers' comp. insurance comp. insurance.* 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 I LF] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Northwood Insurance Agency Policy#or Self-ins. Lic. #:6560UB4977P25216 Expiration Date:01/01/17 Job Site Address: V I neq Qf� /"1 d City/State/Zip: 1A�Q Q� s Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u he ns a d pe Ides of perjury that the information provided above is true and correct Si ature: Date: Phone#: 508-428-6106 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector.5.Plumbing Inspector 6.Other Contact Person: Phone#: t Massachusetts Department of Public Safety } Board of Building Regulations and Standards License: CS-102999 4 Construction Supervisor f GARY J SOUZA it P.O.BOX 310 - OSTERVILLE MA 02666 ' CA Expiration: Commissioner 08/16/2018 ROGER-1 OP ID: KG ATE.dlCORO" CERTIFICATE OF LIABILITY INSURANCE FD032912 12912 V016 6 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 endorsements. PRODUCER CONTACT AAME: Kathy Geddis Northwood Ins.Agency,Inc. PHor� F 540 Main Street,Suite 9 IC No Ext:508-771-1632 AIc No): 508-393-2955 Hyannis,MA 02601 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC ti INSURER A:General Casualty Insurance Co. 24414 INSURED Rogers&Mamey,Inc. INSURERB: Gary Souza P.O. Box 310 INSURER c Osterville, MA 02655 INSURER D: 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. I EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGETO TED CLAIMS-MADEFX]OCCUP, CCI 0395621 03/2012016 03/20/2017 PREM SES�(Ea Ncurrence) $.-___.. 100,00 MED EXP(Any one person) $ 5,00 PERSONAL Z ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY ®PRO- LOC PRODUCTS-COMPIOP AGG $ 2,000,00 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 Ea accident) r r A ANY AUTO CBA0395621 03/20/2016 03/20/2016 BODILY INJURY(Per person) $ ALL OWNED rX SCHEDULED BODILY INJURY(Per a,;cident) $ AUTOS AUTOS X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 A EXCESS LIAB CLAIMS-MADE CCU 0395621 03/20/2016 03/20/2017 AGGREGATE DIED I X I RETENTION$ 10000 $ WORKERS COMPENSATION PER O H- AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANY PROPRIETORIPAR"INERIEXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS balow E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 230 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I ACo CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD""") 01/08/2016 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: Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY, INC. PHI C.ONE 508 398-7980 AIC No: E-MAIL mail ro ers ra com ADDRESS: 9 g y 434 RT. 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: ROGERS & MARNEY INC INSURERC: INSURER D: P 0 BOX 310 INSURER E: OSTERVILLE MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: 22766 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 LTR POLICYNUMBER MMIDDIYYYY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident $ AUTOS AUTOS ) NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? N/A NIA NIA 6S60UB4977P25216 01/01/2016 01/01/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500.000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable Bldg. Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Crogy,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �/— — Office of Consumer Affairs and Business Regulation iy 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contraetor Registration Registration: 164688 s _ Type: Private Corporation Expiration: 10/30/2017 Tr# 272021 ROGERS AND MARNEY, INC. w t GARY SOUZA � P.O. BOX 310 OSTERVILLE, MA 02655 r Update Address and return card.Mark reason for change. SCA 1 20M-OS/t t ❑ Address ❑ Renewal Employment ❑ Lost Card i� V iLP� CC047LYI2P48LI{BCLC�!'L Q�VGlCb9JCLCILlC66Ct3 S y •-.�—�`._• .. �. ` Office of Consumer Affairs&Business Regulation License or registration valid for individul use only (01OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1�vw V Registration: i j64688 Type: Office of Consumer Affairs and Business Regulation 3 "-° 10 Park Plaza-Suite 5170 I Expiration:_-10/30/2017 Private Corporation r _ Boston,MA 02116 ROGERS AND MARNEY;=INC. GARY SOUZA 445 WEST BARNSTABLE.,RD=� OSTERVILLE,MA 02655 Undersecretary Not val' witho signature' TOWN OF,BARNSTABLE BUILDING PERMIT APPL'ICATION Map Parcel �J �� .a�3 Application Health Division Date Issued. Conservation Division Application Fee Planning Dept. , Permit Fee 29W of U_ Date Definitive Plan Approved by Planning Board Historic.- OKH _ Preservation/ Hyannis Project Street Address 1 &0 V1 ne_�j ard 601J Village Owner Ded.j NeCk -P_&14� 1 Tr�lr6'�" Address Telephone 50 S - 4a 8 — Co 10(a Permit Request &qed dr D-e i . - Rio&i rss ;4wl n-ew rd_01 * n4S b d 4 J_o- ne(A.1 waf d -1 P 48, D e ai nq Square feet: 1 st floor: existing f gproposed a O� nd floor: existin�proposed a�Total new Zoning District Flood Plain Groundwater Overlay Project ValuaJ Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cf Two Family ❑ Multi-Family(# units Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: C3 Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) c; 3 Od 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: 2 es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 21 No Detached garage: ❑Zexisting existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ new size _Shed: ❑ existing ❑ new size _ Other: BUILDING DEPT. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# MAR 2 8 2017 Current Use Proposed Use TOWN OF BARNSTABLE APPLICANT INFORMATION y - (BUILDER OR HOMEOWNER) Name rnMt1JQ.-4 W, JW Telephone Number Address 6 0 3 D License # 6 S — I Q aZ q 9 9 664eru l e e—. m iq d a 4:� Home Improvement Contractor# Email r . Ib Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO m SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED - .MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: }>FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH - "FINAL PLUMBING: ROUGH FINAL ' -GAS: ROUGH FINAL FINAL BUILDING tN k' P DATE CLOSED OUT"' r f ASSOCIATION PLAN NO. 3 i � 8ARN61'AB1,6,":� MAS4: Town. f Barnstable ' Regulatory Services Richard V.Seaii,Ititerini Direchw- Building,Division Thomas[`erry4cCHO. .Building Commissioner 200.X-taiii Street: Hyannis,TAA 026..0i t wav�tiaoasnii�arnslablc.ma�us 01licr 508 x62-4O.W. Fax; SU4-7) ;E_3U Property.OW-ner Must Complete and Sign Thi"s Section. If Using A Biaiider + . �. �as`.C)��ne.r c>f::,Yac isuti{cct hrajiccrt�• - hei6v�uihbri e: izoacr.8 and .Marne:y. Builders: . to:att c}n iilE°<bchatt,; to ,11iiatters retau'e f mvo.fk aurhortz d bq this l5em�tt•tp-A, td i fmr (Ad.dzess of Jab) Signacure Ut owner [gate Pnt Nam j It PrOertvrdivnce is appl}ing-far:p&hiit,'trteasc cgniplefe tfie.:Homeowners License:Exemption Form on the reverse side. A�0 CERTIFICATE OF LIABILITY INSURANCE F ATE(MM/DDIYYYY) 03/27/2017 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. Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY INC PHONE (508)398 7980 FAX IC, 0. AI C No EMAIL ADDRESS: mail@rogersgray.com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURERA: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: ROGERS & MARNEY INC INSURERC: INSURER D: P O BOX 310 INSURER E OSTERVILLE MA 02655 INSURER F COVERAGES CERTIFICATE NUMBER: 137750 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 LTR NSO W`10 POLICY NUMBER MM/DDIYYYYI MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ CLAIMS-MADE AMAGES( RENTED OCCUR D PREMISES Ea occurrence $ VIED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ - POLICY❑ JECTPRO LOC PRODUCTS.COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A - AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE �RH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? N/A NIA NIA 6S60UB4977P25217 01/01/2017 01/01/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I I I E.L.DISEASE-POLICY LIMIT $ 500.000 i - .7 — N/A - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE � t Hyannis MA 02601 I Daniel M.Croy,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) 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: 164688 Type: Private Corporation o _ Expiration: 10/30/2017 Tr# 272021 ROGERS AND MARNEY, INC. ro t GARY SOUZA P.O. BOX 310 OSTERVILLE, MA 02655 Update Address and return card.Mark reason for change. SCA 1 20M-OS/11 Address Renewal Employment ❑ Lost Card i� V hPi�QMJ2iI720�2C1J8CGCCIL 6��G�CCJJCGC�CCJ6CZ%! � �-� � f Office of Consumer Affairs&Business Regulation License or registration valid for individul use only a ( OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: -,Registration: 164688 Type: Office of Consumer Affairs and Business Regulation Expiration:. - 10l30%2017 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 ROGERS AND MARNEY-JNC "Cx W' t \ L P, GARY SOUZA r 445 WEST BARNSTABLE RD: OSTERVILLE,MA 02655 Undersecretary Not val' witho signature ti Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-102999 Construction Supervisor GARY J SOUZA P.O.BOX310 OSTERVILLE MA 02655.>Alt /n f� i 141�`• �.� CA-- Expiration: Commissioner 08/16/2018 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.govldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):Rogers& Marney, Inc. Address:445 Osterville West Barnstable Road City/State/Zip:Osterville, MA 02655 Phone#:508-428-6106 Are you an employer?Check the appropriate box: Type of project(required): L[]I am a employer with employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. []Remodeling any capacity.[No workers'comp.insurance required.] 3.�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 4.FJ[am a homeowner and will be hiring contractors to conduct all work on my property. I will 10Building addition ensure that all contractors either have workers'compensation insurance or are sole l l.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� o0f repairs These sub-contractors have employees and have workers'comp.insurance.. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other r 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Hartford Underwriters Insurance Company Policy#or Self-ins.Lic.#:6560UB4977P25217 Expiration Date:01/01/18 Job Site Address: City/State/Zip: 05 Attach a copy of the workers'comp nsation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi d e pains a pe alties of perjury that the information provided abo a is true nd correct Signature: Date: e2:2 ' Phone#:508-428-6106 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ROGERS & MARNEY, INC. Subcontractor Workers Compensation Page 1 Insurance Policy Report System Date: 03-27-17 Vendor Name WC Insurance Co. Policy Period 1700 FRANCISCO TAVARES, INC. ACADIA INSURANCE 12-02-2016 - 12-02-2017 WCA0310189-18 a dF� . . °: The Town of Barnstable • n�axer�, _ Department of Health Safety and Environmental Services s63¢ ♦0 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: Em"i 0 kG VN tj Map/Parcel: O Project Address: — N G Builder: Gbuf-A c SIC The following items were noted on reviewing: A .1 fC3) s vS i T'Y) WFLS W 1v ►�� �v� � � wL Please call 508 8624038 for re-inspection. Date: 'T` Z / r q:buildingJb ms:mview �WE : . The Town of Barnstable Department of Health Safety and Environmental Services p�EDMA�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 F.alph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: Lkl\)IJ kG PN IJ Map/Parcel: J Project Address: 1p — I ffW N& Builder: &Ouf-A , The following items were noted on reviewing: 0 ' 1,,&UKA O� Q�1`�1 Wwo,c ,E W 1V v� ►�v �v �� VAIt Please call 508 8624038 for re-inspection. by: Date: 2 / s #uilding:fonnsseview TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Q/5 Parcel Q Qv Application # 4'1 2-3 5 D6 Health Division t , Date Issued Conservation Division ICJ cO Application Fee Planning Dept. & ® Permit Fee Date Definitive Plan Approved by Planning Boards A_ Historic - OKH _ Preservation/ Hyannis Project Street Address 0 r) 14 4LJ Village Owner Ae&d A F c V ,2i+,4 l rklJ - Address 1 lS Telephone s5 0� ' Permit Request 61 !k hP_}_AP fsl y al j an (o 6 lad w a rk) -a-,a Window d�6 (�ujnd� S Square feet: 1 st floor: existinAwproposed 2nd floor: existing9l d 0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation C//9 Q Q d Q •Construction Type ep 4 J&-hOn Lot Size �. Jr �-Gff Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes LdNo On Old King's Highway: ❑Yes ❑ No Basement Type: or-Kai ❑ Crawl ❑Walkout ❑ Other / Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new 0 Number of Bedrooms: existing -0-new Total Room Count (not including baths): existing 16 new First Floor Room Count 57 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric dbther Pro dane— Central Air: 0"Yes ❑ No Fireplaces: Existing I New U Existing wood/coal stove: ❑Yes O�lo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: 216xisting ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of AppealZo Au orization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address . d. 64to License # 66 - !oa 9 9 9 Q r I I le M ff- a Home Improvement Contractor# Email r D a-2 bLL'11krer's Compensation # (o d [,(b YI ?01eZRII ALL CONSTRUCTION EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO rs &el�e / &M SIGNATURE DATE I•� ' - �� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t' FRAME ®Y 9AM& Tie INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. BARNSTABLE; ""S& Town of Barnsxable 7Q t6j¢: �0 Regulatory Se'r ices Richard V,Seal!,Interim Director. Building Divisidn Thomas Perry'C80' Iluilding Commissioner. 200 Main Slrect; Hvaluiis,MA 02601 1\`IYK,t0\\'R.ha rflSt:lhil'Jn.l"SUS ' 0ffiice; 508-86'-4-038 Fax;508=70_E736 Property O-wner Mpst Complete and Sign This Section If Using A $uitder as Om-ner of dic::subject Pnopcxtv he.rebj alitharize. Roaers and MdS_n2Y 8�i _d�rs to ace on mt<heh in:alf matters relative to«wrk aiirhiirizecl by Oils huilding perm ahplieatioli for. .(Address of Job.) sil nature of Owner (>arc Prier.Name / If Prtipertr owner is appl}°iRF for.permit,_please compteWthe Homeowners License Exemption Dorm on the reverse side. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):Rogers& Marney, Inc. Address:445 Osterville West Barnstable Road City/State/Zip:Osterville, MA 02655 Phone#:508-428-6106 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with employees(full and/or part-time).* 7. [:]New construction 2.f7 1 am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.F_�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LEJ Electrical repairs Or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOf repairs These sub-contractors have employees and have workers'comp.insurance.- 6.❑We are a corporation and its officers have exercised their right of exemption per MGL C. 14.[:]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Hartford Underwriters Insurance Company Policy#or Self-ins.Lic.#:6560UB4977P25217 Expiration Date:01/01/18 Job Site Address: City/State/Zip Qa& Attach a copy of the workers'compen ation policy declaration page(showing the policy number and xplration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 t ains and a h s of perjury that the information provided above is true and correct. Signature: Date: 1 ' �' 1 Phone#:508-428-6106 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other I Contact Person: Phone#: ACO® F`y CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) o3/27/2017 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. Rogers and Gray Processing ROGERS &GRAY INSURANCE AGENCY INC PAIC.HONNo.E 508 398-7980 FAX A/C No: Ab�Rless: mail@rogersgray.com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC p SOUTH DENNIS MA 02660 INSURER A: HARTFORD.UNDERWRITERS INS CO 30104 INSURED INSURER B ROGERS & MARNEY INC INSURERC: INSURER D: P O BOX 310 INSURER E: OSTERVILLE MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: 137750 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. ILTR TYPE OF INSURANCE NR ADDL SUER POLICY NUMBER MMI DPOLICY/YYYY MM DDfYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGES(RENTED PREMISES Ea occu rence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO ❑ JECT LOC - PRODUCTS-COMP/OP AGG $ -OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION X SPER TATUTE ER AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? I NIA N/A NIA 6S60UB4977P25217 01/01/2017 01/01/2018 - (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) . Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 �"'� C Daniel M.Cr�r6y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement- 0010ractor Registration Type: Corporation ROGERS AND MARNEY, INC. " "-_ Registration: 164688 P.O.BOX 310M° ym Expiration: 10/29/2019 OSTERVILLE, MA 02655 fi4 x. Update Address and Return Card. SCA 1 20M-05/17 �Lze i0orninzarcureal�z a�C�/l/lcrauic�zccaeC�i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 1646.88- 10/29/2019 10 Park Plaza-Suite 5170 ROGERS AND MARNEY I G�� � Boston,MA 02116 a1 GARY SOUZA tt a`y iZ GAS 445 WEST BARNSTABLE=RD.f � ^ OSTERVILLE,MA 02655 Not val wi signature Undersecretary § Massachusetts Department of Public Safety 1 Board of Building Regulations and Standards r" License: CS-102999 Construction Supervisor ^• . GARY J SOUZA P.O.BOX 310 3 OSTERVILLE MA 0265 .Expiration: Commissioner 08/16/2018 A• R4:GERS&: EY iwc BUILDERS LIST OF-SUBCONTRACTORS PERFORMING WORK AT 160 VINEYARD ROAD COMPANY WC INSURANCE CO POLICY NUMBER EXPIRATION GRIFFIN PLASTERING NGM INSURANCE COMPANY W1F8522Y 2/7/2018 ELITE WOOD FLOORING HARTFORD INS CO OF THE MIDWEST 08WECE10807 2/1/2018 CARLOS DEANDRE NOM INSURANCE COMPANY_:` WCP3999V 6/5/2018 DAVID HOLCOMB PLUMBING MERCHANTS MUTUAL INSURANCE CO WCA9098376 1/3/2018 R&S LAFLEUR MERCHANTS:MUTUAL INSURANCE:CO WCA9100869 , 7/1/2018: Building'Quality Homes Since 1968 •.rogersandmarneybuildemcom Post Office Box 310, Osterville,NU 02655 • tel 508.428.6106 • fax 508.420.3550 -6 email gjs®rogers@marneybuilders.com i QT Ro E , s -f =EY y a. BUILDERS LIST OF SUBCONTRACTORS-PERFORMING WORK AT 160.VINEYARD;ROAD COMPANY WC INSURANCE CO POLICY NUMBER EXPIRATION GRIFFIN PLASTERING . NGM INSURANCE COMPANY: W1178522Y 2/7/2018 ELITE WOOD FLOORING HARTFORD INS CO.OF THE MIDWEST 08WECE10807 2/1/2018 CARLOS DEANDRE NOM INSURANCE COMPANY. : WCP3999V - 6/5/2018 DAVID HOLCOMB PLUMBING MERCHANTS MUTUAL INSURANCE CO WCA9098376 1/3/2018 R&S LAFLEUR MERCHANTS MUTUAL INSURANCE:CO WCA9100869. 7/1/2019 Building Quality Homes Since'1968 rogersandmarneybuilders:com Post Office Box 310,Osterville,MA 02655 • tel 508.428,6106 • fax 508 420.3550 -6 email gjs@rogers@marneybuilders.com. Assessor's Office 1st floor Ma S � �� ( ) p Lot � Permit# 1$ •; , Conservation Office Oth floor) Vim,.— ��►w�n:�1J�(�1�s / d''� Date Issued Board of Health Ord floor � �� IF , mE Engineering Dept. 3rd floor House# � ��®A �°R 19 �639. A cations rote sed 8: - 30 a.m.& 1:00-2:00 .m. TOWN OF BARNSTABLE Building Permit Application Project Street Address /160 Village /��a- z 74 Fire District Owner �f3ir/6gc�� _ Address Telephone Permit Reg uest: Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type / Existing Information Dwelling Type: Single Family ✓ Two family Multi-family Age of structure 1eZ2 yh�Tivr��X Basement type Historic House Finished Old Kings Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information E Telephone number '%//7 `7-� Address � /AY- / /�,�—�, ry License# 0 7 /�,�i✓�Irais �?� d�3r Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION.OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cos �� �� .fin Fee SIGNA c;(iC/'✓� /'/'G � DATE '3 -3 i' Z13 ti BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T S��oZ FOR OFFICE USE ONLY ' Ir' 4/12 5 4q-fr3 .. c a. 015.003 ADDRESS 160 Vineyard Road VILLAGE Cotuit Ms. Flanagan OWNER DATE OF INSPEC ON: 1 � k FOUNDATION I k .FRAME t INSULATION FIREPLACE ELECTRICAL: "%ROUGH FINAL PLUMBING: ROUGH FINAL GAS: tr' ,ROUGH FINAL t rP6FINAL BUILDING. DATE CLOSED OUT: '';"• � a ASSOCIATE PLAN NO. ---- ------ ----- �. 'a _ 1 '0 — i --I. .r I le a• L .1 �- T - � - - - +. I d�al�=�:!;t l. .�,. . . 3 t...� W +, r�•-ot�.a:.Yc� I-I I I I I I I�.� .I �, ,�. I I ' :1 I I � '�:I. �I I I I�' i - I I I � �� . 6m616 •- I ' al R, ...a.,,,�r.-� 1 i.. I. I ! I i I i I I I �`.`x � w�� ��, ��• �_I I ' y N.� I Q• P.`_"��' i I i I I I i �-r I I •'o' .= b ! i-_1'r''t _I_ 6 — ' d I Lill I "i�[i�^I _.r,. I T''Ilz�,' I '? 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I-,•..,.:.�.�•«.> � I { � �_•� r C9 � yrvI - ;I : O , A!'aY �..._......._L _. ._ a .. ..r rn�•c. L U C In Ifl as r W N� \� 9 .. .... Q �o 10 L i r jL NORTHWEST ELEVATION W ulal z .4 3Eli < & o Tr I tT 0 ®r �UTHWEST ELEVATION A-4 P. LLI — n.,. L__.; �\ _ _•�. Q . , ) ® I N �- _.... Din Fril u H I L l L IL-1 SOUTHEAST ELEVATION LU ;11 - z o ar �n --—— — --- ur.r-.a UJ - .�. � �'� ......` I /��S�i�o.ii'e.~i srn''e— �\ - o,v...• ` y N ,s I� q--p I .° b 'II�. �—_ e:o w'ac.—._....- D 7�' ' ..a"m�w.°M•.'.e,• � � j' a, K-�•.... -:iI V� I ..�. ° °, �'�.•�- .,.. �'. '�h." � T,:�j.. 'a d � - .v�`,.'2n^"'t�. ,�,.� I � � I� + � oVi ai� -_'—___. I III..li' I' \ I ��• � 's __� _o t i 1 !I 4 � I I! �r � I 0 _ Q 3 �I � _ � °� d•..,..:.e.-.� I ..,I `Dv --' r�.'J',�.:,.�a�nwi� �� .. 71 � ;,, i - ..,-'�.......e,w; , o. — — q .4 >••.,...,._ ,..a - m it ,. ,.. ZZ Ire ;�N 0) SECTION n f _ I s.n..w'e.. I • <....i�:x� �'. V�ej � � uel:o r"�"`e`' ...\ a f , dd -_ ,,.a ..»... - LU LU _4 f I,° T -- n�i' F-` °I "! �' - �11 °I •� , of Q IF SECTION=_�1 ACTION /1 ' `—6 yr• . I: .r. F.R�U 5r Pr 07 W - U?1� Q QN Lij U q w 02 a , 00, o O 5 u r Z o I: RR.FRAMING PL AN _ A-7 c . W u, � ww r l n 4 r __. ➢ .�, 11!'±�-- _xdo 2�fe �.`.__ o W J'I+i-- I ... .. 1-�. v al - fF .• tyi .d - .' s 'N c G d I � pI 3 I I I i l l )S - - • a'' i a � r 1 g rc 3 Lp W .�)<•�.- - cat w r � i FI �` t. r. c —Q r, �tt Grover& f)'Ca' 'mr. NICEEht-III`: r' P Ft1S 't,:!"ke,thl: 1#.'.• ter as;ov fil rmation tbal there, is I10 n3n.:.ral �F tie ur�l eve,in�.`c tuit, or tot}ie pr0perIN at i 60 vnie%and a�r. k than YCall EM r k<, ..ytu ."�-...' j ✓ r ,� ,fit 41 Cx. pry• d � r X r u.� f n t l - ri14� { hr�✓ .re � x (_ 'YM c g, t i 3'y'� t�; �.. + dr. U. �tTYt?aCJirN��' �!' CC"lsC'' f53Illrf r3ftt `P 2421 ?`eJephone(508) 291.tJ'�vC1 t f r u i ATE h + 4 .. f �} �f_"plt3+�r�1�)r i A ri, �1.�:,1::` * � a i A r John J. Flaflagy v I: 3k eF ra The electric service meter at 160 Vinoya d Ri' C i. 25, 1998. This was done at the request of Steve fAlly Yours, � x t f�d � ♦ cy ,.,r�� l i � �>��. yr ,_ l3Arbara A. 7 rocchi 3.. `f 3 Gustomer Service Rep. a! I, A � [dF raaw; Y �W'+t Z d q Sh g A"'.y�I s +,{+x y+ ,� }! A dF� /�Wi Y +" 3,G b'� 4 .' •F iM{ ', of cc z CUSTOM BUILDERS P.O. Box 159 • Cotuit, Massachusetts 02635 • 508-420-5363 t J l^o Ce - ( tocCALA ow fUe -�V-o EX4-j aK 4 jv%Ao W% .. re a r v-w t-Lx- r..r (C '-o S: ce,e �4) I. �.' Engineering Dept. (3rd floor) Map S Parcel J Permit# _ House Date Issued ' 2 Board of Health(3rd floor)(8:15 -9:30/1:004ft39) Fee d Conservation Office(4th'floor)(8:30-9:30/1:00='2:00) t sT EE u ` M M Planning Dept. (1st floor/School Admin. Bldg.) INSTALLS W LIANCE Definitive Plan Approved by Planning Board 19 ENVIRQN DE AND Y TOWN OF BARNSTABLE TO�h��a I1 HS Permit Building` Project Street Address I (a 0 y 1 F-4 c Y K V- 7_1> L4LS, g Village C o r K i ' Owner TA-J c 'FL 4 M467!Ji4 Address 'S t'70"67 L e4g 7_10 Cf AVE J %4"6 Z .Telephone 47-6 - 64 So Permit Request ;YL t' P11t ul -0 W i 6) First Floor 1400 square feet Second Floor Se(00 square feet •Construction Type_ tr3®o r A1 E Estimated Project Cost $ _ Leo .o y o Zoning District Flood Plain f4 6 Water Protection 1� Lot Size L Grandfathered f Yes ❑No Dwelling Type: Single Family I Two Family ❑ Multi-Family(#units) Age of Existing Structure 4 s Historic House ❑Yes ANo On Old King's Highway ❑Yes ANo Basement Type: Wull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7-4o O Number of Baths: Full: Existing New Half: Existing •-- New 1 No.of Bedrooms: Existing New S Total Room Count(not including baths): Existing ,r New /® First Floor Room Count 5 Heat Type and Fuel: ❑Gas ❑Oil ❑Electric Other Central Air AYes ❑No Fireplaces: Existing New I Existing wood/coal stove ❑Yes /15LNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) Z X 2y ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use a✓-4 Proposed Use 1 b Z Builder Information Name �'Tc rL.� l.;�•'�L'�/�t?.��� r(M EL- eHc elephone Number SO& --4Zo - S 3`3 Address -?c t b&o CEO TIA c T t7,7_V;.5 License# O 14"?G 9 3 Home Improvement Contractor# t 1 0 4$S Worker's Compensation# m o a t/ --`' 00 -- a^X- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �1 DATE �1125�S BUILDING PERMIT DENIED FOR THE FO LOWI G REASON(S) Chaf 6. - t FOR OFFICIAL USE ONLY T - Ilk // / PERMIT NO. 3 b� , 1 DATE ISSUED. MAP/PARCEL NO. • ADDRESS Y` �F ,, VILLAGE OWNER , ,. ,` t.:�; - _ . - . .a .i --• .� j'r` ., _ ,DATE OF'INSPECTION:t FOUNDATION FRAME p f' r' � - _ � {� 'F - '' _ _ ° •, �; • . t� !'r INSULATION i F �`; �' - °s• i ' FIREPLACE # , '� _ • M f ELECTRICAL:• ROUGH FINAL PLUMBING: _ROUGH `�_ FINAL , GAS: }ir ROUGH+ FINAL 0 FINAL BUILDING DATE CLOSED O -ntj ASSOCIATION PLAN NO 4 r S±1 The Commonwealth of Massachusetts M Department of Industrial Accidents 600 Washington Street Boston,Mass OZlll Workers' Cotn2ensation Insurance Mldavit a location- City ehone 0 ❑ I am a homeowner ped'ori ing all work myselL ❑ -I-am a sole Leto&and have no one worldsgM2nv--C==tv ❑ I am as employer ding workers'compensation f r my employees working on this job. COM12nny name: �1,� address- . .. 40, cf JC-dtv �► r� �. nhane#- - insurance cn IMIICvA------------ ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the comiacto:s listed below who hen ' the following tivorkers' compensation polices: _ •_ eomyanv name, address• •«.•..,a.:;•: dtv murnnce tn. ,:•.�. . • . . ».... . ink! .. .. • . . . :.w.;�...��""�:�. COMMM"am sddress• dtv- nsvrnneeea.'. . y, dt.'M� ^:fie.:..... ,, �,d.: .� :.. Aga FeBare to seense coverage as mup rd under deedon 25A of NIGL 152 em lad to the impddaa of esiom 'padtles ota Ana ep to S1.30L00 sad/os one years'Imprimunew as wdd as dra peaaides in the form of a STOP WORIt ORDER and a Ban of S100.00 a day against sea. I tmdetstend tbst a copy of this atatemMu may be forwarded to the Olney of Lneidgatloas of the DIA tot covelo a Tfttftdao. !do herby sad paralties o aJ++r!'that the iajorndo,3 prvvidsd about is trove and enrreet Dint name sae it �� atn"use o* do not write in thb art to be eompieted by diy ortam offl" City os towtu P M a f Icausin Bed (3 ebeekufmmediate response Osdeernews Omen OHndth Depaawamt eomaet person: 1hone� MOthes- (Rr�o 9/95 PIAI l 780 CMR Appendix J Manual Trade-Off Worksheet Permit# Builder Name C.rrow L44 �— Date �•Z�• �9� Builder Address o� 1 mob G�t.{l� 1'la. ISLta3�i Checked By Site Address Ioo -./,I I4i2:t4•r-12 }mot? . 6drall Zone❑12 ❑13 ❑14 Submitted By T1t- dTjJ:f l- Phone Sbb 1Z,0 -•5�27192 Date PROPOSED • UIRED Ceilings Skylights and Floors Over Outside Air • Required Insulation x Net U-Value Description R-Value U-Value Area = �U1 A (fable 6.2.2h) x Area = UA Ceiling �j p , b�'� 7i1 lam✓Z l 1. . D�(v (fable J6.2.2a) Floor Over Outside Air ft (fable J6.2.2a) ft, Total Area Walls Windows, and Doors Insulation x Net Required Description R-Value U-Value Area = UA U-Value x Area = UA r Walls ft, —• �Ot7.2 .I� �'7i1 (o�a'. '�✓ (fable J6.2.2b,c,d) Windows — •�-„2 (NFRC or Table J1.5.3a) `"/ co vl Doors — sr-:�' t* ft' l8 (NFRC or Table J1.5.3b) Sliding Glass Doors — �I,r„ ft2 _� 1 (NFRC or Table J1.5.3a) ft, ft� Total Area Floors and Foundations Insulation Insulation x Area or Required Description Depth R-Value U-Value Perimeter =UA U-Value x Area =UA Floor Over Unconditioned (fable I � �Z�J Space J6.2.2e) l J l Basement Wall (Table J6.2.2f) Unheated Slab ft (Table J6.2.2 ) in. Heated Slab ft (Table J6.2.2g) in. ft, ft, Total Proposed UA must be less Total Total P q than or equal to Total(or Adjusted)Required UA Pro posed UA ©D o Required UA ` b Statem nt of Compliance:The proposed building design represented in Adjusted these 4cumerP is consistent with the building plans,specifications, Required UA and oth r calctJationj s mitted with the permit application. i -11 -T� �a ell, l,_l�• •2� b Builder/Designer Company Name Date DRAFT (for training purposes) 53 1/28/98 } _✓fie Vi anvrriareurea�t a�✓'�a�uc�irurel�s :' 1.. DEPARTMENT OF PUBLIC SAFETY ` CONSTRUGTdON,SUPERVISOR LICENSE n (.Numbe r Expires: ReStrlCtedJ-6, 16 , � 4r STEVEN R' MCEiHENY PO BOX 282 COTUIT, MA 02635 ` - .t M 1 S�//b TOOAN!!ODlHJBQ�IIi O`� (dBQfd . HOME JMPROYEMENL,CONTRACTOR t , Registration 71'10485 :{ �� Type� ;� INDIVIDUAL E4s- • �^Expi ration 71,.4;40/20/98 .S ,g LYKK } T fiROVER CCELHENY BUILDERS 'STEVEN P.„McELHENY 't '1058/523 MAIN ST ADMINISTRATOR 01UIT MA 02635 _ y�'' x �'fi .y..*, F ✓i�e'TOOSM sax a� °�, s „"^+-tn i.$1# '- .. t .•r�'ype '�0� � i ppgg ^ noMrusT ? '} CMTH EPARTMEM'OPPt�BLi pP� tl ONEASHB�ORTON'PLACE kF i CHUSETTS �BOSTON MA'02106 8 L 'M,�;, arls;-� r Jt� •. k'�aa� 1n yi +*: 5 .�twa ;,"s i9. �` _ sl t�`` y.: _ �3>" /ail`l �¢��OIV'tiT I� �t1 I L CAUTION" EXPIRATION DATE r �� f 5 x FOR PROTECTION AGAINST ' n :` x a 'EF,FE--nv FDA Y' LIC.NO r , $TRIC I IONS }h a , F s s ''x THEFT, PUT RIGHT THUMB PRINT IN APPROPRIATE BOX ON LICENSE Xf BLASTING OPERATORS / #, ;: t� L-h1 MUST NCLIID PHOTO. °7 LYM►.1U�TH roil PHOTO(BLASTWG OPRONLY) FEE io o y e Pt rs�,,it�+ t {, t t o �.: t STAMPED"'OR SKiNATURfOFTHECOMMIONER'k s a a.; *a _ r HEIGHT i .t rr, sy. -" „_{,;,� d2.' c '�ii,<y'�,�''J.{Ia• R i r .r; Y - _ THIS DOCUMENT'MUST 8E / C � ^F «SIGN NAME IN FULL ABOVE CARRIEDON7HEPERSONOF v ; 8'�'iy +',s4it1"t,kY.3,?2q$,`se`"'�SIGNATUIE� SIGNATURE UNE x THE HOLDER WHEN-EN `n"i*t�xv - OTHERS-RIGHT THUMB PRINT GAGEDMTHISOCCUPAT"t The Town ,of Barnstable • 23wRtiSTAB>�, KASS. tee$ Department of Health Safety and Environmental Services Building Division 367 Main.Street,Hyannis MA 02601_. Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW , SUPPLEMENT TO PERMIT APPLICATION A MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,:- improvement, removal, demolition, or construction of an addition to any pre-cadsting owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �� .� ��' Est.Cost -7�'S�' Address of Work: Owner Name: Date of Permit Application: l �� ? I hereby certify that: Registration is not required for the follov►ing reason(s): Work excluded by law Job under S1,000 —building no. Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL C. 142A SIGNED UNDER PENALTIES OF PERJURY I hcreby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR Date Owner's name 11%021941 17:02 V6177277122 DEPT IA'D ACCID Q 002 -y C01)Un.017,Lt1ea1i4 of )Wa,6Jac1zu6ettJ ' a.UaParfinenf o�.�nc�wfria>��ccicalenfe 600 uk-y on�hE l James J.Campbell &ton, //lamackwdb 02 f f 1 - Commissioner Workers' Compensation -Insurance Affidavit (uamsee/p ee) with a principal place of business at: A � (Gty/Statizip) do hereby certify under the pains and penalties of perjury, that: () l am an employer providing workers' compensation coverage for my employees Working on this job. Insurance Company Policy Number (� I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I am a homeowner performing all the work myself. I u^d:rstand that a copy of L'7is sltement will be fo'vszrded to the office of investiptions of the DTA for coverage verification and that failure to secure cope-age zs recir ed under Section 25A of MGL 152 can lead to the imposition of criminal penalties eonsistin¢of a fine of up to S 1,so0.00 and/or cn years' imprise-c;ent:s well as civil penalties in the for of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this ll day of 2/u 19 9 5 Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department �7 6 TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 -.:Ea+.�-_a.�...�as--�_-__-- �a '� y� :� L i .a�✓ i w wk � a -4 AgIt !'WoI j a //jJ C Subdivision of Land shown' on plan 11542A2 // 544? Filed with Cert.of Title No. 1494 Registry District of Barnstabl'e -�County LAND 1N BARNSTABLE Scale 100 feet to an inch OCT. 1928. M A:---C. Peters; Surveyor. , 0,1 -9 P � � • ,Qo G RED a3�'� PINES -<--- --- 643.58 to S.B. Mov o. a i 14 y �z ��1, 8• N o g L v - O i V v 0 S� 11 J , Seaara/b certiAcates of tithe sa a issue Copy of part of plan for __(Qt�A filed in By tie Court LAND REGISTRATION OFFICE MY. 2Q IYZC. - - -•••• •-- -4000;rY6 Scale of this plan /000 feet to an inchl?fG d?-/928 C.D Humphrey, Surveyor for Court. { /1542 Subdivision of Land shown on plan 11W Filed with Cert.of Title No.1494 Registry Distriet of Barnstable County LAND IN BARNSTABIS Soale 40 feet to an:,'iaeh •. MAAR.14,1929.. p/NE ,R/D6E I ,,DAB R. 7.69 V ty 4y o%n //042E- Ceri. /986 J L .0011 F a. r O t O � e I Y"TUCKET SOUM ? Separate certiAcems of tills may be issued Copy of part of plan _ ,____ as hwvm --*--Rled in By the Comt LAND REG/SMAT/ON OFFICE .4PR. // 1929. Recorder. &k of the Plan 40 Feet to an inch C O.Humorey. Sur"yor for Court., 1 i! t( f J }� 1 o . f r 7 mRclmmRSGvrv�—x-.cTt..-rz<.•.vi:IIrr�+q.�. .vY� _ .. - rACSIMtLE 'TRANSNII TTAL SH.:E ET �^du�-+e„ _ Au:e+�cbrA,b«��+plrM+eM. - k�OVVtbNO�oo ��mm�mav �'4 STEVE MCELHFN r x .1(3c lvlad&al x 3 f GRO V.LR 1`•Ll_LL.HEN', r � • � �' 1 '"r �:t' k ..3 J`��- �'_ t <n <> <r _ y s. f�� ti('1tISER i'O AL NC):OR PriGES t tiCl l T}i 7 r DCU4 i ft f a z ; ,4 PHONE NUMBErW e r� g' ;,. �� SENDSR S RC i i'Rf\(E NUMB A #+. #9 , a VrF � s: *x• =" rp ^�'j «Lez�sw;�e ��4.sx ' � i � 9`^�*.� .:' - .fiy. Y v kw' Y YOUR+ ' REFEREN P'tAN1)Am4RIt! �^ t,J1J o.iSrt Et C INEERIN G% ,[ -d h i L'Ce nurn}acr( C l F,GL•N'f' X F sR'Rl;"CE��' �1'PLE!x� t U hf'd Ylf Q PLN,'ASF IZEFLY 15LEtwSE RFCYC'LE ` , S+yamA.EV '. 4dv ^.,- - o — _ I[ERE IS THE V CjCuaN 1NtTA I<7N 7'ou ItL,QU i U<,PLE�ISE r t i�ti�`,l�No�Ir ` ESTInNS. � `"v ,f„ s a ,r .: a Ak„ � ,• f �' 'tti - J fit. b i t., a � �_. s 4 `7 p Tq `� '� { •,k '�' « y� �} fr-r...."' -S &I 4 xS7 h.. - b =, r �rr9 '�•1 y i L vrr"! 'F " �,' * '# Yv / b. 1 y •r I a tirt>a.,` 9 + i ,e }w' �' . ., t li 'z6 :•. ,j ,t P r s lrr: ~ r`°s�' '„ Sr . �, a . +5'1 ' !' '.v'r u yi �1r y Ir e �G. rt:.r {.•s,c ,S' ��'• 'ra, `'� 'J (y'k .` e^kkr:' ,3 3 t + y`• . c-r, 'i YI W is w _ r r hey' !#s.�F 1 .g44v J��� `n4 $ k*r «a r`x> ll •at'"'B 7 'a•�. ' 216 TFiO1tN'CC11V DR{ZzF; HY'A VNd11< MA 0260t {508) 771.7969 FA C {50$) 715 ?.T9y . All T C__T3 T j_II 3 I, I.i H S — 3xu• __...... ............ ....... --.... __ foe ALLIANCE,FOREST PRODUCTS �tat+nl SIZER 2.6.2 00C 13, 1998 12:00:41 . E SHEP1,E'r.' f'irU<, CR;�UUCTS 216 Tn 0:'.Id ON DRIVE; KYASTAIlca MA j ( 60 V1MS";4�R1D -ROAD, CCTUI-, NR E;:cni�.• 508) ;f1-7969 Cip'ovER / mcp'LT•tNy , w - [34',�I:r3.i! � �iL'1. '•yS strT.,' -.1ra1 ^ k m taCdP � , r7 ,C " y . .. C' M1G!J VITA: -Fle-Or tollnl 1r.riath_ 16.00 (`.t.l, � r• �a�.r°E,�� ,.'��+' ^�.�'ati '� �F���,a���.. Y.$ '� �1. *�A ..i�,�,q ra�ro: 6�«' .� sf"` ca' T :P17'T tGkC5: { L Cad^:tiCYq..:' I�iL$t1��C3 Frr3E>Cl1'*plri, Jfy�MkJ � ' i t 23v s rd rkrt _•1:t;1�S_ r '1,tifp3 t,J31,. [3.�.G"". ! --•• r ,t',2.i>aS�S�"t :, Sta rt lAW -----• -- _- _ ry!,. ,..,_ td"r #i�M`` ".'r ,k p Arv..>„ ..Fs...l",.:;«,v,+, r!�rif1r h,`;-a: 'r�^ ;i- 1. Ful I Area jleAd. � 15 0.w �� s �.'C - I 1 i$ x � P .6�1.E}r�'' .e. 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DEC oz > U i i I REF/FR ® III ii O O OPEN TO HALL JEOVEN -COOKTOP , �1� ® = ® ® ® DW e ETI KITCHEN D EXLSTDJG KITCHEN C0 ® SCALE:XIS 1/2"NG= 1'-0" I I I -\YV i rl rV ` f -----L----- r ( l ; r4,E ---__.L—_—_----� .. DP i I I iI I � I i y F O" I ?_i PA:1nx MHrOO f I 1 f i ALL SCALE: 1/2' EXISTING xiTcxEN PLAN ISSUED FOR PRICING 10.02.2017 1 ' EXISTING TRANSOM ON WINDOW BOTH SIDES [ �n CABINET BEYOND---___ - 1 - R O O O OPEN TO KITCHEN A � I p @33 e 8 PANE CABINET BEYON ° 3 � � E �1 � 3 � I I � � 0.7 $Qo • 0 DINING ROOM --- --- - ---- D SCALE 1/z'-r-o' KITCHEN & BREAKFAST AREA LOOKING TOWARD BEACH Q A D BREAKFAST AREA L001(INc TOWARD STREET x I I TRANSOM BOTH SIDES J i ,� J� s RANGE HOOD OUTLET FOR Wt �µ U i I� � , •b JLI OPEN 70 DINING ROOM — V9'- T10• 1' 9• "� p 8'-0"CLEAR I OPEN TO HALL - Q� �I 0 ° "®° o SINK y •7 .. M � PANELS____-.. •. > V if V-O' KITCHEN-DINING OPTION B Af cnsm KITCHEN & BREAKFAST AREA i LOOKING TOWARD STREET /z"=,'-o LOOKING TOWARD DINING ROOM - - IL J 1 LJ �� o �� —I II - - ICL-� IRL ® WELESLEY SINK I o 0 clr�T I �I I r � . \\\\J!!i. CORNERv ',DW :DW RECYCIWG' -________ KITCHEN & BREAKFAST AREA LOOKING TOWARD SIDE PORCH 1� I II I! IL-----------i ` i BOOKSHELF [ ; ; I !I I ---- ---- . ---- I I E I! ICABINET TRAYS ,( I o e SHELF 1� W oRA OUTLETI FIXED \ Fl%ED 7LETT -OUTLET? OUTLE. FIXEr CABINET �I1 -- T'------. CABINET NW DRAWER (DjSLAND ISLAND ISLAND D ISLAND SCALE: i/2'�'1'-1 SCALE: 1/2'-1'-0- C SCALE: 1/2'-1'-0' SCALE: 1/r T'— i I anon J uP 'I i ` —I — — — — I A1.Z PROPOSED KITCHEN PLAN �- ISLAND PLAN I SGALE: v4" _ ISSUED FOR PRICING 10.02.2017 I i I I i 1 { 3 4 4 STAIRS TO GRADE(TBO) EXISTING CONLRETE'WALLgIN- i NEW IPE sEAr ON 4X4 IPE NEWEL POSTS } I . i i--- - --------- -- I' - X 4 IPE DECKING WITH CONCEALED _ _ --,._-______.__..__ FASTENERS SPACED TO DRAIN __- I ROOFING MEMBRANE 2X4 P.T.SLEEPERS 16'O.C. .NEW IPE DECKING NEW CABLE RAIL SYSTEM NEW STAIRS-- - R !' f I F EXISTING CONCRETE EXISTING CONCRETE I C5 ! f�' I ❑ 3 DETAIL SECTION 4 DETAIL SECTION j v -I❑ - SCALE: , " = 1'-0` SCALE: 1 1/2" = t'-0" I I I L ———— ———————————————— I BEACH DECK PLAN zxa PT(FUT) i ^� 3 X 41PE DECKING SCALE: ,/2' 1'-0" 1 2X4 PT -X4-TRIM frnA ~ , n p III p e I I A` % t � I MV/ I W I EXISTRG CONCRETE I WALL, I a ! � t d II 4 i t i i i EXISTING CONCRETEG f a I 00 00 ! • i But_ DEFT• ,/1 DETAIL SECTION V `� SCALE: t t O i Iw NEW WOOD DOORS MAR 2$ 2011 I •- cv c; d u^ (BOAT STORAGE) 2 REACH DECK ELEVATION SCALE: ,/Y ,•-G' - NS�A3LE �—1 TORN OF BAVI PROGRESS 11.09.2016 i A1.4 t I I I { ! i i i { ! ,ems AM ! .. m o O I x { j ! , > v 1 --------------------------------------- 80 lee i I I ! i .., BEACH DECK PLAN Lr co R o A MI FEE ! it { ! { i I � I EACH DECK ELEVATION i SCALE: +/2" = 1'-0" ! { 1 � I I 10 N/F RICHARD W. LLOYD, JR. N� �9 �g /y PO \'�� G� d2 •��,. �O•. 2-. ON tiry 9- �00 PROPOSED O h GARAGE °?� \ O NOT CONSTRUCTED 5 g0 c N LOT 8 C. 1 L Plan , 11542 42 E LOT 9 N L. C. Plan 11542 G AREA TO TOP OF COASTAL BANK: 45,436 Square Feet 1.04 Acres y � G� !Ieo 1i}�F r C G r" YN, _ ASSESSORS MAP 15 PARCEL 3 CERTIFIED. PLOT PLAN I CERTIFY THAT W EXISTING LOCATION: 160 VINEYARD ROAD FOUNDATION SHOWN HEREON COMPLIES COTUIT, MASS. WITH THE SIDELINE AND SETBACK SCALE: 1" 600 . DATE: 10-30-1996 rREQUIREMENTS OF THE TOWN OF BARNSTAB AND IS NOT LOCATED IN,THE FL DPLA PLAN REFERENCE: L C. PI. No. 15694-1 DATE: ''A �e•�� BAXTER & NYE,' INC. THIS PLAN I OT ASED ON`AN REGISTERED LAND SURVEYORS RVE N INSTRUMENT SUD THE OFFSETS & CIVIL ENGINEERS SHOWN HEREON SHOULD NOTE BE 2 MAIN STREET USED TO DETERMINE PROPERTY-LINES. OSTERVILLE, MASS., 02655 APPLICANT: JOHN J. FLANAGAN, JR. 97098 (CPP01.DWG) 1 �V l (\ N / -`* (����. Ike• lljlIll� U( .� , r �j R ` * •.I; II (I, i .• `° I� �w�" AGGREUAIL ULP 41 (ULLOW 11Q WI►,1 UI 1)`IL DIS"IPTIIL'iION I LINES) - SIX INCHES VINJ.'._M, 12 INCHES MAXWUM Rushy Af ° x-f Pond FINISH GRADE 1. ' PEASTONE 2' PER' VC o jo c COVER VARIES: 1 SC 140 ' ('`P ,ebarrr r ~ ' . o '.° IF ENCOUNTERED REMOVE -- - --� ! 1 9' MiN TO 36' MAX UNSUITABLE MATERIAL TO INSURE THE ` - — REMOVE UNSUITABLE 0 J i SIDEWALL AREA OF SYSTEM IS Ih' x Ki hgSHI- STONE MATERIAL FOR 5-FEET CLEAN MEDIUM SAND OR FILL PER IF ENCOUNTERED \'do k• �, �� LOCUS 310 CMR 15.201 - 15.293 6 S' 6 6 3' " i d V- ; Meado � '� I-Id of Y LN1. ` ISS FVr110N " 0' (.Thatch Island NOT 3CA'-C LOCATION MAP COTUIT QUADRANGLE SCALE: 1:25,000 ASSESSORS MAP 15 PARCEL 3 ZONES: USE !'' x 30' LEASHING FIELD AQUIFER PROTECTION OVERLAY DISTRICT (5) 4- mETER DISTRIRL'TION LINES REMOVE _''4SUiTABLE M-ItKIAL FROM BENEATH SYSTEM IF ENCOUNTERED ' DA-'E: JULY 22, 1998 ZONING DISTRICT: RF OVERDIG V INTO MEDIUM SAND LAYER EN';;NEER: BAXTER & NYE, INC. MINIMUMS BACKFILI. WITH CLEAN MEDIUM SAND PER 310 CMR 1 .002 HAi'D AUGERED TEST HOLES AREA - 43,560 S. F. FOUNDATION EL == 19.0' - I TEST HOLE 1 & 2 SAME PROFILE FRONTAGE - 150' — WIDTH - NIA SET COVERS TO W T'HIN } FRONT SETBACK 30' FG o 18.5' 6" OF FINISH GR `.L'E J FG 18' DEPTH ELEVATION SIDE SETBACK 15' REAR SETBACK 15' m«ST TWO 0' -�--T— 16.3' ORGANIC FLOOD ZONES: C V71 do V17 I J 17.0' 'ET _.LVEL � � C� l UAkSE_ Si'ID SY 3/1 FIRM COMMUNITY PANEL � 16�3'� c"SOr'-GA'_ r /1� ��_—_ Ls-c�, 16.0' o _ _ 1`' _.. COARSE SAr 10YR 5/6 REVISED: JULY 2, 199: I ; -- 2 '.2' —�-- 15.1' SEE NOTE RE LOCATION/ORIENTATION ! -�-- cODI�•;G AS_�E PER TITLE 5 TOWN WATER IS NOT � AVAILABLE AT THIS SITE. 15' 2C" I 25" ! 1",' (typical) I ^ COARSE SAND 10YR 6/5 I OF PR ,"r,- D TIC -,YSTEL -- , — 10.0' I 1 6.3' NC WATER ' NOTES: NOT TO 5CA'..E WATER SUPPLY FOR THIS LOT IS PRIVATE WELL LOCATION OF UTILITIES SHOWN ON THIS PLAN ARE APPROXIMATE. AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION FOR THIS PROJECT THE CONTRACTOR SHALL MAKE THE REQUIRED NOTIFICATION TO DIG SAFE (1-800-322-4844) AND APPROPRIATE WATER DISTRICT FOR LOCATION DATA. THE CONTRACTOR IS REQUIRED TO SECURE APPROPRIATE PERMITS FROM TOWN AGENCIES FOR CONSTRUCTION DEFINED BY THIS PLAN. INSTALL RISERS AS REQUIRED TO WITHIN 12" OF FINISH GRADE. 7! ALL STRUCTURES BURIED FOUR FEET OR MORE OR SUBJECT TO VEHICULAR TRAFFIC TO BE H-20 LOADING FOR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR -T SHALL COMPLY WITH ALL GOVERNING CODES AND REGULATIONS; IN PARTICULAR 310 CMR 15.000 THE STATE ENVIRONMENTAL CODE TITLE 5, TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS I f PART VIII: ON-SITE SEWAGE DISPOSAL REGULATIONS AND THE i r BOARD OF HEALTH RECOMMENDATIONS FOR ACCEPTED PRACTICE. J REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM IF REQUIRED. �y NOTE BACKFILL WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED ON No. 50 SIEVE, OF FRACTION PASSING No. 4, FLOOD LINES DIGITIZED SURVEY FROM TOWN OF BARNSTABLE GIS SHEET I¢15 � SURVEY LO.,A`[ION OF EXISTING ! 10% OR LESS TO PASS No. 100 SIEVE AND 5% OR LESS TO PASS .Vo. SINGLE FAMILY STRUCTURE ON LOCUS AWGNED W'TN 200 SIEVE, SOIL TO BE APPROVED BY ENGINEER FOR COMPLIANCE ' L3CA110N OF STRUCPJRE ON GIS SHEET AS BASE FOR ORIENTATION. PRIOR TO PLACING ON SITE. '4 Cti ^ ari Or Oct. � DESIGN DATA: I / PROPOSED 6-BEDROOM SINGLE FAMILY DWELLING 374' NO GARBAGE GRINDER EXisnHG +'�q •� DESIGN FLOW: 6 x 110 GPD - 660 GIRD cH PIT C0C,1n0N 3,0 ,,� / SEPTIC TANK: 660 GIRD x 200% - 1320 GIRD j P`�, USE 1500-GALLON SEPTIC TANK PER TOWN OF BARNSTABLE BOARD OF HEALTH ON-SITE SEWAGE ! / nlconSnl rnnlc�I)( nn�+ f;cNFPl,l_ acY11gRFMF".IT 1 14: BOTTOM A+F_A REQUIRED. 660 3PD/0.74 G/SF/D - 892 SF APPLJuAT10N AREA USE A 30' x 30' LEACH FIELD WITH FIVE 4' DISTRIBUTION LINES N F404ARD W. UMYD. .,JR. / { „/�Ll. PIPE TO LEACH FIELD TO BE SCHEDULE 44 PVC SOIL I /� - ALL PIPE IN LEACH FIELD TO BE SCHEDULE 40 PVC PERFORATED L 0 T V A C A N T / �l / ENDS TO BE CAPPED I i . 0 •y NO ALLOWANCE FOR SIDEWALL AREA 1 / � ,�4�15 h ,t T 4� TOTAL DESIGN: 900 SF J i k- REQUIRED: 892 SF o_ c O ALL COMPONENTS TO BE H-20 �' 14 �' T �j,, ! PERCOLATION RATE: LESS THAN 2 MINUTES PER INCH �_ ` fFG� P IFS U` N/� MARCAREI' H. LLOYD, ET ALS 3R —' Z 0 N E V i 1 LOT OCCUPIhD - HOUSE #185 Q_� � �`�� �' �� G�,9 ��O WELL IN BUILDING CELLAR / �\ / / \\\ �' ? �Oo (EL. 14) LEACH PIT APPROXIMATELY AS SHOWN i .Is( O / I' PER OCCUP.,NTS - 7-22-1998 CB/DH #1 /16 � � � f � / � ys Gym q S,� 14 CONCRETE' HEADWALL Z 0 N E V 1 7 � r TREE TOP OF 10 COASTAL / i t SAW to 1 S 1 0 100, a / EXISTING PROPD-•ED n -SIC- p / \ / G 10 j WELL SITE WELL . ."E Jto Le removed rS�00� �p � � / - � I 1 E OK ISE-T � E (' � '�� i � EL 12.48' � 4, I PROPOSED PLOT PLAN AT c' O - P �� 1 #160 VINEYARD ROAD ,'�,�'�il.oc.414 Al .i�„ or Mrs sq t w TqP OF COTUIT MASS. ��� �•��+ N �'� � � � � 1 � + w • o L—- - 15 �' g 311216 all, G • �. 29374 FOR «•`U `•' %: ; J V OF JOHN J. FLANAGAN, JR. S'oNa� f s8' f.. ~���.��Ab, i 4 w ► \cST � P N 0 �Y SCALE: 1 30 AUGUST 26, 1998 Z 0 N E V 1 7 'tiF BAXTER & NYE, INC. (EL ?6) 812 MAIN STREE" / OSTERVILLE, MASS., C2655 J (508)-428-9131 /ZONE +/ (� 14) GRAPHIC SCALE 30 0 15 30 60 120 / ( IN MT ) 1 inch = 30 ft. Q70`8 (SITE05.DWG)