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0235 CONNERS ROAD
ACTIVE t � re P z5�_ p�9-00 ,, i i �1 ,>►� Town of Barnstable *Permit#o�� col Expires months from issue date PERMIRegulatory Services Y Fee eaar►sTaxt� y .rd Richard V.Scali,Director 02015 f. TOW F BARNSTA Building Division BLE -Tom Perry,CBO,Building Commissioner' }. 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 :Fax: 508-790-6230 EXPRESS PERMIT APPLICATION_ - RESIDENTIAL ONLY f� Not Valid without Red X-Press Imprint Map/parcel Number y� Property Address a 3 s +er Vi (I e, esidential - Value of Work$ $; S Oo -0-0 Minimum fee of$35.00 for work-under$6000.00 Owner's Name&Address J\C1/1 C-X,- \\C /V—NYN F 1 PC\ °'Ce-n+-TVI lie, `�o2;co3Z, r Contractor's Name d. \4\VC-'h CCU C�F . Telephone Number Sa -7 7 5-7 7 - (o�, r Home Improvement Contractor License#(if applicable) Email:—Fe ��fiCOY CCQ S�•itl Construction Supervisor's License#(if applicable) D 9 9 F Rfwll�rkman's Compensation Insurance Check one: ❑ I am a sole proprietor , ❑ I am the Homeowner " Eyl have Worker's Compensation Insurance Insurance Company Name M Workman's Comp.Policy j C_/0 C 6 Yy Copy of Insurance Compliance.Certificate must accompany each permit. " Permit Reque -check box) w . Re-roof(hurricane nailed)(stripping old shingles) All constru ction debris will be taken to Sri EYCy. ❑Re-roof(hurricane nailed)(nofstripping. Going over existing layers of'roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value:, '` ` (maximum.'32)#of windows ' ` #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor'plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etd. ; ***Note: Property Owner must sign Property Owner Letter of Permission... , A copy of t e Home Improvement Contractors License&Construction Supervisors License is SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet_Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 r "- errAl ,ems ' Town 'of Barnstable f Regulatory,Services - Richard V.Scali,Director: Building Division a '.Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner'Must [ ` Complete and Sign This Se_ction If Using ABuilder I, as Ownertof the subject property, hereby authorize �ed \�,'\�rc �o'c. •`to-act on my behalf, in all matters relative to work authorized by this building permit application for: r �3S Co �nerS \ZAl (Address of Job) Signature of Owner r Date __', 1a-m ef2 �4 GL4'h.avt Print Name r' s If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\ 4icrosoft\Windows\Temporary Intemet Files\Con_tent.Outtook\2PIOlDHR\EXPRESS.doC Revised 040215 the Cornmonnwalth of Massachuse o . Deparbneart of Industrial Accideuts Offrce of lnvnfikafions , 60013'ashington Street Boston,M4 02111 rutimt mass g4ldid Workers'Compensation Insurance Affidavit:Builders/Contractars/Electricians/Phimbers Applicant Information Please Print Letdbly None OkdoeworganizatimAndividnal):'-717i +_}► f c i c o L K Address: 5`5 L c-5 c L ►y a ty/state/Z p:(Ak..s t 84M s fibLe Phone:k , `off'--7 7 S- 7 7 c®3 Are.you an employer?Check the:appropriate boa: • T project 4. I am a l enera contractor d I racor an ��of3 p ffe4��' 1.1J t am a employe with 7 g 5. E)New construction,' onstruction5' employees(full and/or part-fime).* have hired_the sub-contractors .2.❑ I am a sole proprietor or partner- listed on the attwhed sheet 7: ❑Remodeling. F ship and have no employees These sub-eonhactors have, 8. E]Demolition w for mein an capacity.. employees and have workers' ' working y I 9. ❑Building,addition (No workers'comp.insurance comp.insurance. required] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised 3.❑ I am a homeowsier doing all..wt�k 11.E]Plumbing repairs or additions righto workers'co right of exemption per MGL my mp. 12.0 Roofrepairs insurance required_]I` c. 132,§1t4k and we haven employees.[No workers'" 13.❑Other comp.insurance required.),_ {rainy appht nut M2t dLeck.s burs#1 in=also 5ll oui ahe:sectiou belows"g thek hex`eompemsa&n,policy infbrrr mdm, r; t Homeawnswbe submit ibis c+ffidsvitindicatmg they we doing allvat and ffien hire outside contractors must submit a new iffdavit in&cstmg such. Contracmrs that check this box must anached.an additional sheet shawlug the n=e off the sub-commctors and state wheibn or those entities bm, emplayees. If the sub-conuactots bare eMplayees,they must piumde their wotkeW comp.palic;number. I arcs art employer that is pm dirrg tirorkers'compensation insurance for azy empkyeeL Below as thepolicy and f ob site information. Insurance.Company Name: ,,,/ �. 5 Policy 9 or Self=ins.Lic.A. O/U ExpitationDate: 3 `2 t o ' 7-5J, Job Site Address;0 3 5 Cor' d- KA M City/State/Zip: e(M&/'yi#6- 0 (v 3 Attach a copy of the workers'compensation policy declaration page(shoeing the policy number andexpiration4date). Failure to secure coverage as required under Section 25A of MGL c,152 can lead to the imposition of criminal penalties of a. fine tip to S 1.,50UAD and/or one-year imprisomuent,as well ai civil penalties in the farm 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 verificatioa: I'do 1'ter eby ce er'the pains andpenabfies ofpedury that Me information provided abova is trine and correct._ S. tore; r» Date: 71 30 Phone#: I VT Official use only. Da uot.terzfe.in this area,to be;compteted by city or foam;oftcial. City or Town:. Perrmt/Licenss It Issuing Authority(cir'cle one): 1.Board of Health I.Budding Department. 3.CityfToun Clerk 4.Electrical Inspector S.Phrmbing.bispector 6.Other , Contact Person: Phone#. Client#:291172 TLHITCHCOC1 ACOR& CERTIFICATE OF ,LIABILITY INSURANCE DATE(MM/DDIYYYY) 7/23/2015 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 en m dorse ent s . PRODUCER NAMEACT Anne San20 HUB International New England HONK Ext:508-945-7863 qC No.a508-945-9136 265 Orleans Road I E-MAIL ADDRESS: North Chatham,MA 02650 508 945-0446 INSURER(S)AFFORDING COVERAGE NaC# INSURER A:Essex Insurance Company INSURED INSURER B:Mount Vernon Fire Ins Co T L Hitchcock Construction Travelers INSURER C Theodore L Hitchcock 933 Falmouth Road NSURERD: _ Hyannis,MA 02601 - INSURERE: ' 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. . UBR LTRR TYPE OF INSURANCE NSRLSWVD POLICY NUMBER MM/DDY� MM/DDY EXP L LIMITS A GENERAL LIABILITY 3DU2424 0510512015 0510512016 EACH OCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY PREMISES ERENTED o�E ence $100,000 CLAIMS-MADE I X1 OCCUR MED EXP(Any one person) $5,000 - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- a - JECT LOC r :. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO ° BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ , NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident B UMBRELLA LIAB X OCCUR XSLO15A20A1, 0611512015 0611.512016 EACH OCCURRENCE $1 000 000 X EXCESS LIAB CLAIMS-MADE _ AGGREGATE $1 000 000 �__ DED I I RETENTION$ _ $ C WORKERS COMPENSATION t WC STATU- OTH- AND EMPLOYERS LIABILITY I YIN LIlyLT�_ ` Ef?_ ANY PROPRIETOR/PARTNER/EXECUTIVE n E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) 2E101644 93/26/2015 0312612016 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER' CANCELLATION For Evidence Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL` BE DELIVERED IN ACCORDANCE WITH THE .POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(20101051 11 r%f 1 The ACORD name and loco are registered marks of ACORD a 3 ,4aGS2�'�JJ? S a _.u�'•r�f•iC:: hoard of S`icliny .'eau'.3._iorls _:cerise: CSSL-099828, ' F TEID L MTCHC®GK ' 55 LISA LANE West.Bacnstable MA 02668 06/01/2016 Restricted To: LL s Failure to possess a current edition of the Massachusetts a . State Building Code is cause for revocation of this license.For DPS Licensing information visit: www.Mass.Gov/DPS` t �� ! '. : ♦ ` _-. , •}ELF - r, _ ' V _ f ' r e . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only v�a before the� ROME IMPROVEMENT CONTRACTOR expiration date. If found return to: ' registration: 165907 Type: Office of Consumer Affairs and Business Regulation rp 10 Park Plaza-Suite 5170 ,Expiration 4/6/2016 : Private Co oratiei . Boston,MA 0211 TL HITCHCOCK CONSTRUCTION:SERVICE INC. THEODORE HITCHCOCK ' 55 LISA LANE / ^ WEST BARSTABLE,MA 02668 Undersecretary Not valid wi i e K� , -t . ~ _ �� � Liberty Mutual Insurance New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,MA 01923 f Tel:(800)56670323 July 1,2015 Town of Barnstable Attn: Building Inspector 367 Main Street/1st Fl. Hyannis,MA 02601 Re: Property Address:235 Conners Rd, Centerville,Ma 02632 Policy Number:H3221237101003 z Underwriting Company: Liberty Mutual Fire Insurance Company 1 Claim Number: 031939313-0001 k-n Date of Loss:3/8/2015 - .�z . Attn: Town/City Official _. r Pursuant to M.G.L. c. 139, � 3B, please.be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, � 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect alien ' pursuant to Mass. General Laws, Ch. 139,'§ 3A &B, or Mass. General Laws, Ch. 143, 9, or Mass. General Laws,Ch. 111,5 127B. a. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 I , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel . �1 Application #�/111.A Ox Health Division ' Date Issued Conservation'Division .w Application Fee + • Q-5 Planning Dept. '" Permit Fee '''t 3• co Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address C®n1A 6'r4 ,(20 Village Ci 2C`�Z 11 I L i,(F 4 Owner Z_A-*N.*1S _T. Address 2-S5 60 N/U6Y2,,P /2o-4b Telephone 5o 1?-Z7�-�y'o Permit Request 667V 1(! ai.lS7-110- 5ZoA46,F AM CrVO2 64&469' TU 6- IS8� LSD' 47-rfi b � GT S K c�4 Square feet: 1 st floor: existing 43o proposed 2nd floor: existing OFf I proposed 143 `/ Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �',��Z Construction Type Lot Size t l 4_6g..67S • Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family A Two Family ❑ Multi-Family(# units) Age of Existing Structure 7 YdLS Historic House: ❑Yes 99 No On Old King's Highway: ❑Yes No Basement Type: A Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) © Basement Unfinished Area(sq.ft) 1'80 Number of Baths: Full: existing 2- new Half: existing I I new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new 9 First Floor Room Count- Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other } Central Air: �Yes ❑ No Fireplaces: Existing / New Existing wood/ oal stove: ❑t Yes A No ,, Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ xisting new size_ cry m Attached garage: 9 existing ❑ new size _Shed: 00 existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes g No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named J . Telephone Number Address 2-3 5 ez-6WS RaM(_� License # C&Jro"LU E (N-, D ?_6 3 Z Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE hv, R .y FOR OFFICIAL USE ONLY - ,� APPLICATION# - DATE ISSUED MAP/PARCEL NO.. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION " FRAME INSULATION r I "Al FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , FINALBUILDING t DATE CLOSED OUT t i ASSOCIATION PLAN NO. j�E�JarLl!'Erlf OJ OffGe Of�T(l�eSCLbQfL071,S' - 600 F/ashrr 91on Street 13rJstarz, ;r1%LA G�-L1.� Workers, Compp-mado-a zra.ncel-Ufday.t: Buildez-s/Contractois/,E -ctr cians/�'.Xum�exs A Lica.x�t_�foz>�.at�on , Pleasc PriatLeUlbly ,f���e (13usmcss/Qrgas�izal�bn/lndividua.[): � � l•'��"�'8'� `i1yf A-rayou an eroployer7 Check Ohc appropr-iatr-box: Type of project (required). 1.❑ I am.a cmployer}'rlth �� - `.T-arsi:aa�gener 1tr ctox antes. ,' 6. ❑ Ncty constmction 1ta.vc I-tucd thc'slib-contracOi�rs r_mployccs (full and/orpart.tirnc).* 7• (�F cmodc] g ' lrstcaora t rsc dt=G chccl sb ct�----,s 2.Ell am a'sol.c proprietor or pa-cL r- ^- '"'""_"` T11cs�spb Conti t torsThaYc g. �] Dcmolit?oa ship and have-Ro cmploycc. rm�lo cc.^ :ndhivc:wokcrs arorHag for. rrc ra airy capacity. l Y ,. ,, 9,. Lluldng addition �eornp_rnsur`arice 1.�._,..� [No-workers' comp. Lasmran.cc --�" 10_0 Llcctrical repairs or additiozu rb �� 5. F-I -VJc;Lm a corporation.and its _ ofaaccrs have cxcrctscd their 11.0 Pl.wnbing rcpaids or aclrlihons r�3 ❑wS arn_a._horztcotirrnLx cloiuf;all�tYor1:, rnysc•1f con�p.,lTlo�lvorkers� r-ighit of excr_u.pLion per h�IGL 12.[]Roof repairs �..,,;�,.T c. 152, t�,c}zay.r,no t.ncrinnee rc..cjiLizcCl_� �y , -13.❑ Oahe} �-� --- employees. [No workc-rs' corrxp.insu:rancc rcquircd_j *lwy arrpli�nt khal t.hcc)s boY.tf l�r us[also s ll oUt.thc ccctio❑blow show x Chc r�vor):�' cOmp -'s c)tl policy iafom-iirn- . t HDJ-DrDW 1CIT pfio rubmit thin 2fF�cLrvif Indic tug tbc:y arc Joint;O work and Ihrn hire ouLridc confrnetrx-5 must Fubrmt JL mw aLffldavi t inrlieaEm g lzuch. TCrmlzactnrs Prat cbcckthis box must atfacbcd an ulditirnial sheet chowalg ffiC rr�m of Ilic sulrcUutraclUrs and aL�tc rnc�thct arnol those ml:i.tirs liavc anployccs. if the sub-conindorc Ya-i r csrrployzcs,Cl ry'nn A pru-vidb dicir worY,zrT,ccim.policy nurnbcr.— -'— ----- _ Tarn art ernployer the i_r providLngr workers' comptuisation fnsurance:for my e apl-oyCes. $elo)s' is 61.e policy andjob rile ' irrfnrrrcalinrt_ ' Tnsuzanco Company Name_ --- — — — Policy It or Scif i_os. Lic, t/: Iob Sitc Adlrc-s,: _ Ciiy/State/Lzp: AtLaeh a copy of the workers' conzpcnsa-don'poUcy deelaraUou pap- (sbQW-jn ' the policy number and -xprration date). Failure to scctrrc coverage as required und.cr Section 25A of N1.OZ,c. 152 can lead to Plat zmpDSEOn.of aij=al pcnald0s. of a. 6nn up to 1,500,00 anri/or on -year impnsoniucut, as wcU. a civil pmallits in the :Form of-,, STOP WORK ORDER and a find of up to $250.00.a day again-qt the.)601,lnr. Dc advised that a copy-of this sta.tcnicrit may Uc for wacdcd to the OfI5. of Iuyestigatuns of the bIA for UIMI-r.ncc covcra I do Izerefry ce under OF c Crd,s'[crt pencrld;es of perjury>h.trl Che i rfnrrn-nb"nr�pravidea'rrboUe [s LrKce and cnrrrcl Si(rnatuxc.ar Phone .50 ? �SO5�. O/frcirrl trse only. Dn no! Wri-(.e In L1ris area, to be conzple(cd by city or t011'TI offci-2L City or Torn: Permit/T icensc#_ _ )_sst.u.ng Authority (circle one); ' 1. Board of E{ealth 2. Bcdlding Department 3, CiLy/ToWxt Clerk 4, Electric�J Inspector S. Plu.tiobing Lnspeefor 6, Othcr Contact Person: — Phone #: Massachuscus Gc-ir I Lativs cliaptcr l�/rcquuGs a_u cmpioycis wa�IUr,u1 YY�J1J� pursuant to this stat.Lte, a:n errt(�IAyee is cic5ncd ens "...every person in the scrvicc of auoChcr under rwy eon(ract of hire cxpress or impbcd, oral or writtzri" Aa employer is ds-dnrd as "an il?dxvidua.l, partucrship, association, corporation or other Jcgal entity, or any two or Marc Of the foregoing engaged in a joint enterprise, a-nd including the legal representatives of a dcecascd craxploycr, or the cecciver or trustee of an individual par[ncrs}up association or other Icgal entity, employing erzzployces, ]3owevcr the o•tivner of a dwelling house having not wore than three apartments and who resides therein, or the occupant of the repair work on such dwelling house jwclling bousc Of.anotlzcr who employs persons to doroaintcamc-C, eons[ruction or or on the grounds or building appartrvant thereto shall not because of such cnoploywcnt be dcczocd to be an employer." yfGL chapter 152, §25C 6� also staffs that "every slab: or Iocal licensing ugrncy s1zaII withhold the 1SSuanc'c or -emewal of a license or perznif to operate a bnsiocss or to construct bui[dizrgs in the coromoawcaltla for any tpplieant who bzs notproduced acceptable evidence of cornpliancr ngffi thr insurance coverage required." additionally,IvfGL ohapCcr 152 §2SC(7) slates `Ncitbcr the commonwcalth nor tray of its political subdivisions shag nter into any contract for,the perforramcc of public woa until acccptablc cvi.dcacc of uOD:Tliz:ucc vrith the ia-``u a-'tee cquacmcats of this chaptLr have bccnprescatcd to t:he contracting authori(y." ,_ppti.ca.nts lcasc fi11 out the workers' compensation af.[-idavik completely, by checking the boxes at apply to your situation arid, it cccssary, supply iat b-contractors)namc(s), address(cs) and pbon.c nary brr(s) along wi that thcir c .yct-tiFicatc(s)of rsvrance: Limited.Liability Compaamc (LLC) or Li_ai.trd Liability Partocrships (LLP)WWI no employees other than the Trobcrs or partnci-., arc riot rcgU red to carry workcIT, co,upcosatiou.insuran.cc. Lf an l I C or ZJ_1' does bavr nployccs, a policy is rcquiscd. F3c adyi, d that thii; affidavit may be submitted to the Dcpa�tmcnt of LndnsLrial reident� for confI=Hon ofinsuran> e coverage. Also be sure to sign and date the f2fladavit The rzffditvit should rcturar'd to the city or t:ovsn that the application for the pcarnt or license is being rcqucs[Lc, not the Dcpartm.ent of uiushial.Accidcnts. Should you havC any grmstions regarding the l.aw or if you arc rr-gaircd to obtain a.workr:cs' rLupcnsation policy, lc=, call the Dcparbncnt a.i:the number liskcd below. ScJf ins>ncd coz�oanics should enter (lacix a liecnsc numl ct on the appropri&tc line. l{-most]-rant — --- ityorTOW-P Offlaials due be sure that tho afEdavitis cornpl.ctc and printed Jcgibly, `l'hc Dcpaulnacnthas provided a.space at the bottom 'the affidavit fore, ou to fill out in the cvcnt thr,Office of`](lntvcstigations has tD contact yDu rcg,zrding the applicant GasC be gare to ELL ill the permit/EacasC nl]A1bCr which ill Uc uSCd as a reference uivabcr.. Lu'adrli.tion, an applicant lieatiow in any given year, nccd. only submit onr <<f-Ffidavit indicating euzrent rt musk subztut nzultiplc permzt/licensc app ]icy i�afoxmation (ifnecessaty) and under "Job Sitr Address" Lhe apl7l.lCaLLL should vrrite "a_Ll lDCadOns L. (city or vn)."A cbpy of the of idavat that has been.ofEcially starUpcd or marked by (hc city or town mayay be provided to the plicant as proof that a valid affidavit is on file for fuhuc perzaits or licenses. A pew affidavit.must be 611cd out cacti az. Wbcro a home owner or citizen is obtaining a licco-sc or permit not rrlated fo my business or conJrncrcui venture a dog liccnsc or pczznit to burn lcavcs Ctc.) said persoza is NOT required_to corIq)lctz this afidnvit G Offc.0 of Lnvcstigations would LIc ko tLiz-I_nk you in advan.cc for your cooperation and should you have my questions, asc do not h.csitatc to gzvc us a call. Department's address, tcicphonc"nd fax numbcrr ---- Tho COz:CMDUWQ"1,tII ofMassaGhUSWS DgNxt-m.cat of ludugtria1 Accidents 600 Washy a tbn S met Boston, MA 02111 Tel. # 617-727-490.0 cxt 406 ar 1-M-MAS.SAFE Fax # 617-727--774} I l-22-06 vvww.m ass.gov/c.a 12/02/2008 11:16 FAX 508 775 3821 OLDE CAPE COD INS AGENCY Z 001 12-02-08 11:38am Frnm-AIG +073 $31 3599 T-218 P.001/002 F-503 ,+bf.,. „�•a � �1 .fir - .1 �:�_i.,,•IS kr;,1, :,{' ,,,y1'�. ..+.._:;:'.r�;: ,Z,.� ,:..=II,. ''`1-,;�:�;r �,,':4'.I'..:.,a..'II.'r..�'•'A,E dP,l1"Lp.=.•aJo.1.7,,�}i1�LL'}.4�1.:1 t7 tJr4�'�ii'0',�i�1.11,�'+�'1/r,'.:�-..'I :�4.,.1"•..]l-r.r.Td��•'a�+.'�A�:,r°N..r..�J r1'f�'7,iM:'..._���1...,1.61 w'.—�.+II`.}',�..��I�,�I,I,�b�rI.J•,�°/f,�-1,,•;+�aL y�..I.,kd,—:''r��:..Il.�F/''L�';y__::;ti1k•�•1}��:J�v,: ;e , I";�j U"6R 5 !(, FI cU N rt ., `•�..� S�:r„��:,�I�,',4"�:�'{'f7".,��dji, .i 7'.3'i.�5my r�'.li PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olde Cape Cod Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 296 Winter St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Hyannis, MA 02601 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED John Lopes 27 Center Llane Centerville, MA 02632 ESihy'S.jiif:•.I` '�p�}N �i'rr�:r '-i' ;�Ii�: .i1, ,PJ��,r., iyl��r�'•,'1.. ��C..1 ��{y,;��f-'-iY'•.;7i�. .Ir:,- _yr,....-.�rl;^'�..rr li I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REOUIRE:MENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR WIREOPINSURAKE _.L0_LIEjNUMI90t POLICY EFFECTIVE DOTE POI-.ICY EXPIRATION GATE q ORKFRS COMPENSATION 0 EMPLOYERS'LIAPILITY HE PROPRIATOM LIMITS ARTNERSOSCUTNS 1" ' :'' •`' '��;�'i"•r 'it:'` OFFIDERBANI: INCL A EXCL C] 4137957$ 11/18/2008 11119/2009 TATUTOR7 LIMITJ3 i' Syf,P i'i';, ?;,�•,:1'1I' - 1r OTHER Covora0o Apppee to NIA Operagane Only. HACCMENT $ 1QQ,00 DISGASE POLICY LIMIT $ 500,000 'IQQ QQ DESCRIPTION 0 P RIOAT SIVEHICLESISPECIAL ITEMS DIBEAfiE-EACH EMPLOYEE RE:THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR JOHN LOPES, CERTIFICATE HOLDER CANCELLATION JIM CALLAHAN SHOULD ANYeFTHEA00VE DGSCRIBf;D POLICIES BE CANCELLED"EFORPTKE 235 CONNERS RD EXPIRATION DATE THEREOF,TMF 180UING COMPANY WILL ENDEAVOR TO MAIL jQ CENTERVILLE.MA 02632 DAYS wRrMN NOTICE TO YhIS CSRTIFICATE HOLDER Nip TO THE LEFT,BUT FAILUFF TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIQATION OR LIAGILnY Of ANY KIND UPON THe COMPANY,ITS AGENTS OR II;EPREBENTATNLB, AUTHORIZED REPRESENTATIVE 6 Town of Banastable of IHE T Regulatory Services Thornas F. Geiler, Director BAFtNSTABLE, .' T" MASS. Building Division �U 1619, g Ar�O In Tom Perry,Building Commissioner . 200 Main Street, Hyannis, N A 02601 si7nv,to,,)'n,b2rnst2ble.ma.us Office: 508-862-4038 Fa-x: 5.08-790-6230 ;:1onit,ownIER LICENSE EXEMPTrON Plcase Print DATE: / 3 ere JOD'LOCATION: 2-3 5- (.�5/V L-V t U, number s6-cet —� vill;,gc! "xolvlEoWrrER":����, e-1�-�5��`Y1- _ name home phone h work phone# CURRENT MAILING ADDRESS: �_" city/tov r siatc zip code The current exemption for"hOl r,0W-Q C was extended to include owner-Occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, art ovidcd that the owner acts as su.perVisor. DE INMON OF HOlvtLOwNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be a one or hro family dwelling, attached or detached structures accessory to such use and/or flz7aa structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "horneowner shall submit to the Building Ot�cial on a form acceptable to the Building Official, that lie/she shall be responsible for all such work perform[d under tli.c building uecnlit, (Section 109,1.1) The undersigned"homeowner"assumrs responsibility for compliance with the State.Building Code and other applicable; codes, bylaws, z-ules and zegula.tions. The undersigned "homeowner"certifies that.he/she understands the Tmvn of Barnstable Building Dcpartrnent rnin-iznum inspection procedures and rcclui.ren-ients and that he/she will cornply with said procedures and reCR emencs. gna rc of H co cr Approval of Building Official Note: Threc-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. ISOMEOWNER'S EXFMPTSON The Codc states that: "Any homeowncr performing work for which a building permit is rcquircd shall be exempt from the provisions of this section(Section 1o9.1.,1 -Licensing of constructiorrSuperviscrs);prov-icled that if the homcowncr engages a pc-son(s)for hire to do such work, that such Homeowner shall act as supervisor:" unawa'c that they arc assuming the responsibiliU'es of a supery sor(sec Appendix Q, Many homeowners who use this exemption aic Rules&Acgulations for Licensing ConsWetion Supervisors,Scction 2,15) This lack of awarcness.often results in serious problems,particularly when the homeowner hirrs unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as i[would H�[h a licensed Supervisor. The homcownc`s acting as Superyisor is ultimately responsfblc. To ensure that the homeowner is fully aware of his/her responsibilitics, many commuriitics require,as pail of Ore perinil application, ` that the homcowsurc that that mrohrls understands the responsibi litics of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a fonn)ccrtification for use in your community. �CFTHE fps Town Y n o Barnstable Regulatory cervices va,-x��sx.Z,� Thomas P. Gcilcr, Director to y.b~ Bt ilding Division Tom Pei-ry, l3c_cilding Commissioner 200 Main Street, Hyannis, MA 02601 tiv�v�v.town.b a rnsta b le.m a•us Office: 50 8-862-4.038 Pax: 508-790-623 0 Pfopefty Owner 11/ ust Complete a:tid Sign This Section If Using :A Builder Z — as Owner of the subject property hereby au.tilorize — _ _ to act on My behalf, in all.matters relative to work authozi ,cd.by this buiM-ng pen-nit application for: -- (Adcb-ess of Job) Sign use of w r Date Flint Name If Property Owner is applying £orpez-znit please complete the Hom co:wnc.rs License Exemption Form on th•e xe December 3, 2008 Project Scope for a Building Permit for: James J. Callahan III 235 Conners Road Centerville,Ma,02632 Project Scope: Convert an existing storage area above our garage to make a larger third bedroom for the house and at the same time make an existing smaller bedroom a computer room. When the house was originally built the storage room was completely framed,has electric wiring, as well as a hard wired blank for a smoke detector, and had the floor above the garage insulated.The plan for the changes to the existing storage area and the entrance way to the existing bedroom(which will become a computer room)is to do the following: Heating and Cooling: E. F. Winslow Plumbing and Heating Company will install ductwork which will connect the storage room sending and return ductwork to our existing furnace/air conditioning equipment. Estimated cost: $2,102 Electrical: Chaves Electric Company will wire the storage area to conform to current code by installing additional wall outlets, additional overhead lighting and a new wall switch. They will also install and activate a smoke detector to the existing hard wired smoke detector blank. Estimated cost including computer room work: $1,000 Insulation and Drywall: Cape Pro Remodeling(John Lopes)will do limited framing including corner nailers, strapping,blocking and rough framing for an access panel in one wall of the storage area. They will also install ceiling ventingibaffles for cool air flow and then insulate the room to code. After inspection they will put up drywall, do finish carpentry and paint the walls. Estimated cost: $5,450 Computer Room: As a secondary part of the project,.Chaves Electric will move an existing wall switch and electric outlet so that Cape Pro Remodeling will be able to remove a door and expand the entrance of the existing small bedroom to a five foot encased entrance way for our new computer room. Rough Sketches of Project are attached. Total cost estimates: $8,552 Submitted by: Jim Callahan ENERGY CONSERVATION APPLICATION FORIVI,FOR ENERGY LfiIaICICIENCY FOR ONE- AND TWO-FAMILY DE'T'ACT-TED JUSIDENTIAL CONSTRUCTION (780 CAfR 61.00) Applicant Name: ` �t�, Site Address; 223NlU(, 2�' To,yn: C�6/"UTK lOt /'Y) /� 6.z63Z Applicant Phone: Sbff-7`) -SOS -_ Applicant Signature: _ Date of Application: rN11 CONSTRUCTION: choose ONE. of the followir Lt),yo options) 780 CN.1R TABLE 6107,1 PRESCRIPTIVE ENVLLOPE' CONIPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS -------Max1MUM ----_ _.—_ —_- M.INIiV[I.7M Ceiling or --- 0 Lion 1_ Basement -�� _ Fenestration exposed Wall floor Wall 14tcuo, 1FUT' 1ISPF SFI R U-factor noors R-Value R-Value r`_Value R-Value --"-- — -- — — ational Appliance Energy 3j R.- l8 R-19 R-19 j�-10 nservation Act(NAECA)of 87nsamended,minimums or AlCf iIS Ilp lip C1l)Ie Note; This forrn is not required il'you choose either of the two versions of REScheck is.listed below. Option 2 �. RESchec%Version 4,1.2, or later variant: software analysis must be completed _— (780 CMR 6107,33 -- -- -- I -\l REScheck—'Afeb which can be accessed a1: litter//wtnr�v:ener ycocles ov/:tescl.�.erly Dpzl'IONS>OX� rlI�TEIZATI0NST0 F IST':Tl\rG.BUIL.D.) GS::n.VE.R.'SYEARS OLD* Buildings under 5 years old must use option #i .or 112 in New Construction section above, ;omplete the following formula to determine the % of glazitlg (a.) Gross Wall & Ceiling Area equals Fornnula: (100 x b a) SF _ o -- 100 x /o _ — -- of glazing (b) Glazing area equals. glazing is'<40%o usc.tlie chart below, I larocdcd to "SUNROOM" section 780 CNIR TABLE 6101.,3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXIST11NU LOW RISE RESIDENTIAL BUILDINGS _ MAX:IA4:UM _ MINIMUNI Ceiling and Slab Perimeter 11 Fenestration Wall Floor Basement Wall 1 Exposed floors R Value. U-factor R Value R value R Value and Depth. R-Value _ . 39 R-3 7 a _ R-13 R-19 R-10 R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R=value over the entire ceiling area(i.e. not compressed over exterior walls, and including an access openings) SUNROOM-An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition, Note: . Owner to fill 0ut Consar..17ter In or�i�ntron I{orn-i (found in Appendix 12.0,P) >sr Pei t D&7» ScCyzoi r i U U fl 1 , r �. i ! z U( TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �a "'Parcel Gar fIf ifS� ~. _ � �{ � Permit# Health Division � Date Issued :�7— Z_ Conservation Division D - Fee �2y Tax Collector :�l.�'► + ` % ��wd Treasurer '� l� SEPTIC SYSTEM MUST BE `� r INSTALLED IN COMPLIANCE Planning Dept.�n1`a r� e a Viff TITLE6 Date Definitive Plan A roved b nnin Board — 9 ��b CND jaffrAL CO®E AND % pp a. � ag e.z v GZ P a �/ �'o��iN R.G11JLAT10 S • �. f 5 u �d 4 .J Historic-OKH Preservation/Hyannis Project Street Address o� Village ." .. ��: ,A • Owner ✓3-CG�� - A dress •Telephone 17 ,Permit Request Square feet: 1 st floor: existing proposed N5!� 2nd floor: existing ' proposed Total new Estimated Project Cost W,J7 5 Zoning District D — l Flood Plain Groundwater Overlay - �P Construction Type �w� f✓L(,�ic � - Lot Size y5�. d w D Grandfathered: ❑Yes U� If yes,attach supporting documentation. . Dwelling Type: Single Family, 2(. Two Family, ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes M"No On Old King's Highway:17 ❑,Yes W or Basement Type: @"Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing t 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: ItGas ❑Oil ❑Electric ❑Other Central Air: 04es ❑No Fireplaces: Existing New / Existing wood/coal stove: ❑Yes ®46- Detached garage:❑existing ❑new size Pool:U existing ❑new size f Barn:❑existing ❑new size Attached garage:❑existing 2new size.,2 � 3 Shed:❑existing ❑new size Other: A Zoning Board of Appeals Authorization ElAppeal# Recorded❑ Commercial ❑Yes ®"No . If yes,site plan review# - Current Use_G`� Proposed Use" BUILDER INFORMATION Name Telephone Number ' 77/ Address License# 11 S(o s Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE,�--- DATE _ •7 FOR OFFICIAL USE ONLY PERMIT NO.- DATE ISSUED."x _ v -- ,r. a ..'', ti _ ' [ r f r .f• � - MAP/PARCEL NO. ',t t „rem. • ..- -. K. ` _ 'r i y R + •• .t_.� .. } '„•d f �J � •, ADDRESS , s .' VILLAGE A OWNER' DATE OF INSPECTION: FOUNDATION Celt q FRAME INSULATION 2 ®Q FIREPLACE Fy6 1 [ ELECTRICAL: ROUGH FINAL;cl PLUMBING: ROUGHH 'FINAL , r GAS: ROUGA: 'CFINAL FIN_ AL BUILDING •i= P+} * T - _ ; - n 1` Opp+ � �°"' p-�^ i i .s,' t •� • ,. •. r,4 ' DATE CLOSED OUT ASSOCIATION PLAN NO: t { x EST/MATED PROJECT COST WORKSHEET Value - ti - • LIVING SPACE construction square feet X$115/sq. foot (high end ) (above average construction) square feet X$96/sq. foot (average construction) square feet X$57/sq. foot= 55 square feet X$25/sq. foot= 13, Roo GARAGE (UNFINISHED) PORCH square.feet X$20/sq. foot square feet X$15/sq. foot DECK OTHER square feet X$??/sq. foot= ti Total Estimated Project Cost For Office Use Only Inc/usionarY Afforda�b/e Housing Fee Residential [J Commercial** 5l �C Property Owner's Name Projec t Location �3tQnl J 10 eS Permit Number Value alue , .. .. �•- �" .-.''"...�it r v �'... .� r'' G Q 9.... BAYSIDE BUILDING, INC." "- PERMIT ACCOUNT i r II� �yi ",,' �� dr> .✓: r y P O•BOX 95 s - .a - ,► ., &-A,40 t QENTER1gL1E MA�026 53 574/,113 32 . :v. ,,'^"•- PAY ' •..•�'"�✓' �. r- �'� �;.✓' `�....�"",.r'�•^.>✓""'`.,..� �,i ^., .•- . PTO THE a`r� !ram +.�^'' �!• "�! a l : ! /l �.,TO THE OF ..s„"�''�>,i'.'^►..''"��.>,i' �' • lam,) � ,•n�,.;/"'�..:��'�. �„- ,..` s� am CAPE A ,. . ... p nwsT C01PAK 141Z ....�. �. .�► .•a... r. ram . .. a►,. ��.o Ob.O ti1,9u�, i.p-1.130 5 749�.r.L01. _ 23S- Foundation Certification in Centerville, Ma. Prepared for: Bayside Builders Assessors Map : Map 251 Parcel 59 Lot: 3 Baxter, Nye & Holmgren, Inc. Community Panel Number 250001 0005 C Registered Professional F.I.R.M. Map Zone: Zone C Engineers and Land Surveyors Plan Reference : Book: 552. Page:092 812 Main Street, Osterville, MA 02655 Owner : Bayside Builders Phone — (508) 428-9131 — Fax — (508) 428-3750 99-125-3 Scale 1" = 60' Date: September 27, 2000 x LOT 2 N37*30'25'E 279.78' , LOT 3 N O O "v 45,060 S.;`F. t n\ 1.03 Acres t 2 shope foctor = 16.87 � J ! L(n �o E o o N LOT 4 TO 6: 3•�' � Locil7:ot-i Qr°-T�. . O (O.. OI.C�Jt 17 118.9' —i LOT 7 q,L=28.40' 9D wv R=160.00' S.3 '25"W =6.54' 223.26' 20 — FOOT (NOT CONSTRUCTED) LOT 6 I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT LOCATED WITHIN A SPECIAL. FLOOD HAZARD AREA ` :� r 9 'REG ov L i EPROFESSIONAL LAN SU V 0 ATE— _'e 9✓� a H: 9125 99125-1ot3fc.dwg WO (tn BOARD OF BUILDING REGULATIO14S ` License: CONSTRUCTION SUPERVISOR to Number: CS 005645 Expires: 04/19/2002 1r.no: 16679 F Restricted To: 00 BRIAN T DACEY 62 FERNBROOI<LN CENTERVILLE, MA 02.632 Adminishator 60-35,000 cf enclosed space (MGL C.112_S.60L) 1A-Masonry only 1G-1 &2 Family Itomes Failufe to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIG SAFE CALL CE141 ER: (888)344-7233 1 f F COMNiOIV%VL ALTII OF NMSSACIIUSETTS �^ DEI'AJrYN[E 'T OF INDUSTRIAL.ACCIDENl-S yC 600 WASHINGTON STREET ames Cam:ce1: BOSTON, Ivi.ASSACI-IUSMS 02111 �-or-:-s:ssicne• WORKEM' CO NfM7NSATION INSURANCE AFFIDAVIT T. -IMV t, Y (licen ice/pertni tic c) with a principal place of busincsslresidcncc at: (Ciry/st1tc/7-iP) do hereby certify, undcr the pains and penalcics of perjury, that: 19 1 am an cmploycr providing tlic following workers' compensation coverage for my crnployccs worlcing on this job. �c1o�7fl�iZ�-i 1,us ct �t/Y. T r g l y_�/ lnsurancc Company Policy Number [ ] I un a sole proprietor and havc no onc working for mc. [ ] 1 am a sole proprieror, general contractor or horneowner (circle one) and have'hired the cone:ciors listed bc�Cw who havc ti c following workccrs' compcnsarion insurance poh(ccf: 0 4 Y J i b %�, [J 1� /,�G /�c.��. 5 FF 4 7T4e K�'b 5//F F r5 Narnc of Contnctor 1nsUr:nCG Company/Policy Nurnbcr Larne of Contractor Insurance Cotnpany/Policy Nurnbcr Namc of Con[,acTor Insunncc Company/Policy Nurnbcr [] 1 am a homcowncr perforrning all the work myself. DOTE: Please IX aware tbat while homeowners who employpersoes to do maintenznce, construction or tcpfir work on : dwc:ling of not more thin three units in which the homeowner also resides or on the grounds appurtenant thereto are not geoer:_tlY considered to he emplovers under the Worlten' Compensation Ae, (GL C 152, sect_ 1(S)), application by a homcowoer for a lice_sc or permit msv evidence the lcgzl status of an employer under the Workers' Compensation Act_ 1 unde stad that a COPY of this statement will be forwarded to the Depzr::.,rn:of lndustrizl Accidents' O(psce of lnsu:ance for cover:g- vcc:icr:ion and thr, failure to secure eovcngc as required undo Section 25A of!v1GL 152 can lead to the imposition of citnind Per.:' ics co:sisung of: fine of up to S1500.00 and/or imprisonment of up to one year:,1d.Civil Penalties in the form of z Stop Work Order i,� : fine of S100.00 a d:v against Mc. Signcd this day of 19 L1ccnscc!Per rnitict Lic:asorlPcnnicror SUBCONTRACTOR' S INSURANCE BAYSIDE BUILDINNG: (L) ZURICH - SCPM31195788 (W) NORTHERN INS N.Y. - TC1 91911041 ENGINEEER: BAXTER & NYE ENG: (L) KEMPER - 7CQ27676000 (W) EVANSTON INS - AE802232 WELLER & ASSOC: (L) NAT' L GRANGE MUT. - MSP45246 LAND CLEARING: PETER GOVONI : (L) CNA INS CO - C179997230 (W) CNA INS CO - WC179997244 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 NORTHERN SEALCOAT (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL 312446298044 FOUNDATION: GARDNER CONCRETE FORMS : (L) ST. PAUL - BFS00000169269 (W) ST. PAUL - 7717171998 WELLS : DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS : MASON WORKS : (L) TRAVELERS - 1680204Y4465TCT FRAMERS : ROBERT DORRER: (L) TRAVELERS - 680526K991A (W) ST. PAUL FIRE & MARINE INS CO . - 6S16UB-510X322-3-99 MIKE DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 DAVID HILL: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE : (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED FERNANDES WAYNE : (L) HINGHAM MUTUAL - ART9800896 DANNY TORTORA: (L) ZURICH SCP 31874051 (W) WAUSAU INS - TO BE ASSIGNED r 3 GAS PIPING: BAYSTATE PIPIMG: (L) CRUM & FORSTER 5031766863 (W) CRUM & FORSTER - 4086081999 ELECTRICIAN: CHAVES ELECTRIC: (L) MISC. INS . - ZDN5245913 (W) MISCELLANEOUS INS CO. - WCP0006299 AMES ELECTRIC: (L) NORTHERN INS . - NBF418165 (W) AMERICAN EMPLOYERS- QBH2O8297 BAYSIDE ELECTRIC : (L) ST PAUL INS . - BFS00000400422 (W) EASTERN CASUALTY - WC98695063 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) HANOVER INS - PAC105393 (W) WORKERS RISK - WCS-80414040 INTERCITY ALARM: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID' S REMODELING: (L) CGU - NBFB40738 M & R CARPENTRY (L) MARYLAND INS . GRP- SCP30235965 (W) CIGNA PROP & CAS . - C80049997 K FITZPARRICK: (L) MARYLAND INS . GRP- SCP30235965 (W) CIGNA PROP & CAS . - C80049997 OAK INSTALLER: ROBERT BURDEN: (L) COMMERCIAL UNION - NBF824090 (W) LEGION INS . - WC30024039 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) ASSOC INDUSTRIES OF MA. MUTUAL - AWC 7000126-01-99 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BFS000000348188 (W) TRAVELERS INS CO 1810336H8138T1A99 . V4 STORMS & GUTTERS : ALUMINUM PRODUCTS : (L) CNA INSURANCE - 1074079839 (W) CNA INSURANCE - WCC174080411 OAK FINISHER: AMERICAN FLOORS : (W) EASTERN CASUALTY - WCV3001745 CARPET, VINYL & TILE: CARPET BARN: (L) TRAVELERS - 1680625Y1691TILOOS (W) MA. RETAIL MERCHANTS - 8100-06 TILE INSTALLER: TONY AVERINOS : (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS : (L) ARBELLA - NBF8410782 (W) TRAVELERS - 7PJUB-521X529-4-99 APPLIANCES : KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS : L & M GLASS : (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY' S BROOK: (L) TRAVELERS - 6880937DO453 (W) RENNAISSANCE INS - TBD DRIVEWAYS : NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 SUSPENDED CEILINGS : ATC CEILINGS : (L) TRUST INS CO - TMP1005666 (W) SAVERS PROPERTY WC0000873 RUBBER ROOFS : CAZEAULT CO. (L) AMERICAN EQUITY - ACC 060106R-1 SIDEWALLER: STEPHEN CRESSWELL: (L) MARYLAND INS - SCP29031342 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-12-2000 DATE OF PLANS: 7/6/00 TITLE: LOT 3 CONNERS ROAD PROJECT INFORMATION: WEQUAQUET HEIGHTS COMPANY INFORMATION: BAYSIDE BUILDING, INC. COMPLIANCE: PASSES Required UA = 604 Your Home = 524 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2052 30.0 0.0 72 WALLS: Wood Frame, 24" O.C. 3108 19.0 0.0 182 GLAZING: Windows or Doors 489 0.350 171 GLAZING: Skylights 54 0.450 24 DOORS 21 0.350 7 FLOORS: Over Unconditioned Space 2052 30.0 0.0 67 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 LOT 3 CONNERS ROAD DATE: 7-12-2000 Bldg. Dept. 1 Use CEILINGS: [ ] I 1. R-30 Comments/Location WALLS: [ J 1. Wood Frame, 24" O.C., R-19 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ l No Comments/Location SKYLIGHTS: [ ] 1. U-value: 0.45 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0.35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-30 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20W of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in.) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE a a T� square feet X $ fsq. foot _ �3a3S s feet X $25/s 13 • �� GARAGE (UNFINISHED) S5� square q• foot = PORCH Af square feet X $20/sq. foot = DECK square feet X $15/sq. foot = 5'.0 OTHER square feet X $??/sq. foot = Total Estimated Project Cost For Office Use Only lnclusionarVAfforda,ble Housing Fee Residential [] Commercial" Property Owner's Name Project Location Project Value Permit Number "Existing Sq. Ft. "Proposed New Sq. Ft. Fee $ 1AHFORM 1/3/00 NL Town of Barnstable Regulatory Services M � " '"' ASS.TABM Kss. Thomas F.Geiler,Director Ma 1639. Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 //ll 00 PERMIT# 7-73V FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number `fit- Size of Shed Map/Parcel# ignat a Date Hyannis Main Street Waterfront Historic District? Nv Old King's Highway Historic District Commission jurisdiction? 't'° 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 REV:083001 Foundation Certification in Centerville, Ma. Prepared for: Bayside Builders Assessor's Map : Map 251 Parcel 59 Lot: 3 Boxier,; Nye & Holmgren, Inc. Community Panel Number 250007 0005 C Registered Professional F.I.R.M. Map Zone: Zone C Engineers and Lar'jd ,Surveyors Plan Reference : Book: 552 Page:092 812 Main Street, Osterville; MA 02655 Owner : Boyside Builders Phone — (508) 428-9131 — Fax — (508) 428-3750 99-125-3 Scale 1" = 60' Date: September 27, 2000 LOT 2 N37'30'25'E 10 279.78' 0 LOT 3 a 45.060 S. F. t n - 1.03 Acres t Z� S ape factor =� 16.87 U . `",0'0 3 3, r _ L-= ,A o N LOT 4 O tD rn LOT 7 w L=28.40' 0D > R=160.00' to S3730'25 W -6.54' IT 223.26' f. 20 - FOOT (NOT CONSTRUCTED) LOT 6 C1 I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATION SHOWN HEREON IS ''': IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS; IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS CATED WITHIN A SPECIAL FLOOD HAZARD AREA \_ 9 2� -ea RK- ISJEV PROFES ! SURVEYOR DATE oa H:\ 9125 99125-lot I TOWN OF BA 'TABLE CERTIFICA'T 'OF OCCUPANCY PARCEL' ID 000 000 167 GEOBASE ID ADDRESS . 235 CONNERS ROAD PHONE CENTERVILLE ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 52479 DESCRIPTION CERTIFICATE OF OCCUPANCY SFH UNDER 0 47607 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 px THE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P;114), +► BARNSTABLE, + MASS. 639. ED M�� BUI IVISIO BY DATE ISSUED 04/02/2001 EXPIRATION DATE `�' BUILDING '`O$RM..T 'ARCEL "ID- 000 000 167 GEOBASE ID '.ADDRESS 2.35 CONNERS ROAD PHONE - ` CENTERVILLE ZIP - OT 3 BLOCK C,0`I' SIZE IBA DEVELOPMENT DISTRICT. ERMIT 47607 DESCRIPTION 3BR/2BA/1.5 ST_ CAPE/ATT, 2 CAR/DECK ERMIT TYPE BUILD TITLE NEW RESIDENTIAL, BLDG PMT ONTRACTORS: BAYS I DE BUILDING, INC Department of Health, Safety RCHITECTs: and Environmental Services AL ,FEES: $874.43 , ND $.O0 OxTNE )NSTRUCTION COSTS $282,075.00 _ 101 SINGLE FAM HOME DETACHED 1 PRIVATE PI _ E * * RAMSPABLEX *' 2z� BUS WI I ,. B DATE' ISSUED_ 07/24/2000 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. f MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH. (READY TO LATH). PANCY IS.REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 'r 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ' 4.FINAL INSPECTION BEFORE OCCUPANCY. ® low ® , ` BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS '* ` 1 �jE-d�j r 2 2 y f s/ .6 r.��: 2 - 3 1 HEATING INSPECTION APPROVALS ENGINES 'NG DEPARTRF 2 BOARD OF H TH - SITE PLAN REVIEW APPROVAL ' OTHER: 04 WORK SHALL NOT PROCEED DNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY 1 14 VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. '� y� NOTED ABOVE. TION. zf ld3Q JNl(3"u e_ 3'18b1SNNve qu 3100 S `/ as 77 — _ — 0000 W - - ZiL - - i , �,--------------------------- b� a o -- - -- -- ---- -- --- -- d - - -- --- ---- ---- - -- -------- ----- -------------------------------- LU � r Qi � 3 O 4 scaa.t, va• - 1•-0• . SHEET me: 077 DRAWN Err KW DATE• 7/12 DD z _ > f _ — r 'Y 711 7 - I I I III I I I I I I I I I I N i I I III I I I I I I I I I I gas Z I II I I I I I I I I I sz � I I I I I I 1 -- ---- ------------------------ ----------- I-----� ---I tu �= w w 3 n w V p REAR EL EVA710N SCALE- 1/4- - 1*-0' SHEET JOB: =7 DRAM B7: KW GATE: 7 4 OO '.t I, I I I t - II I i it I i 1 I 1 1 �------------------------ I I II I I II I I I ! I I -- I I 11 6 I I I I I I- I I Itu I I I 1 t I I I 1 I I I RIGHT ELEVATION LEFT ELEVATION SCALE,9/IS° I'-0' !� SCAL&9AV P0 OIL '2 12F 2xt2 RIDGE OG. Rio @ 2xIO'S®16'O.G. L' o STORAGE 4r.oc iil ' :.R30 F B!'R2X6 CEILGLASS ING.KO1ST5 z R30 F.C. 1NSUL— Ix3 STRAPPING bA.B O 1/2' GYP.BOARD �, Z O.C. 2/2'GYP.BOARD STEEL BEAM _ - tu tu U 5/8' FIRE-RATED GYP. BOARD FAM I LY GARAGE ROOM �- ] z .I FINISH FLOOR . LA55 INSUL.PLY SUBFLQOR _ Q 6"�rzERC l1J 4' CONC. SLAq -- atO'5 0 16'O.C. J tu COMPACTILL - iillr�ll�11 BASEMENT Fill ' I I ' 3 V7'CONC.SIAB SHEET • (i----------------------------- �. SECTION IJAII k AB SCALP..1f4•. t'-O• 0037 DRAWN @Y: tCLY DATE: 7 2 00 • d2'-O' I6'—a B'-& 74 L T 6' R'_O• t5'-d• B'-O• A Q a � DECK 0 zs 3/a'x59 3/d• - � o PCG'-S6q-2 OPEN TO Q60 3/A 3/ U � ffaa,,nno ea M FAMILY ❑ _ . DFs 7282 ox ROOM 0 72"xe2' I CARPET \��•� Id'-d' "7'-8• I IIINNN n . .. I 25 3/d•x69 3/4' MASTER LIVING SUITE ROOM DINING w " a CARPET OAK OAKS . 8�6x6 POST (? I m Q 0e - PCC 2569 n 125 4 x59 3/4 2568 G.O. , o >>>>w n r_Qr 26"PKT L FOYER lL OPEN TO U ' aw m I+ GARAGEE ° w 2s 3r a 3/d o JINYL m T-2, I — r v "° _ rs'-d1 gr IQ n o' a ' PIT Co DLA SLAB .. WALK-N I III o S1W FIRE RATED o . - e CL. I ® �F9(�I $gCgYpLIVG�H'f) —_—— 19LANp 4TP. BOARD ?pw Z TILE w I - I W FOYER IRE RATED B Z . BATH OAK, I I C--OPEN TO a 2EbB DciOR a9 �- OPEN TO I-FLD ABOVE o ABOVE B � CL. —- BREAKFAST ------ e W d Z Q NT 9iv VIL ! 6x6 POET � � � A OVERHEAD DOOR 9'x 7'OVERHEAD DOOR gt Z f 3 O CONCRETE APRON -� M (L . 2'_3• d�_3r d'-O' 7'-d' 2'-d• I6'_o• 0 13'_�r rV cv ti Q,_O, 6�_ar 2d'-O' PE _ SHEET FIRST 12LACM MAN SCALE- 1/4' v 1"-0' A 940 JOB: 0037 DRAM BY' KW DATE: 7 2 00 i 47-0• T-6• f3'-e• - IV-V 5'_q• �j all m K m TO 2 :a is @ BEDROOM 42 LOFT BEDROOM U5 v CARPET CARPET 2 q• CARPET = _- PCC2553 Co 25 3/4.53 3/4 3'-6" ;0 10'-6° 4'-0• n MALL DN RAIL 2A 2666 o UNFINISFIED WALK-IN OPEN To OPEN TO Bn�N STORAGEIt CLOSET I BATH 6 26" n PLYWOOD PCG i3 0 b I BELOW L (BI-PLD ------ ------------ 25 3/dx93 3/4AK INEN WALK-M /CA CLOSET _ --_ _— j3K LIGIOT , -- PLANT SHELF C m _ TO tu ISKYLIGRT ELCW - m FEE I Z Ou- ® wtu d ) No Q Z to I O uY-O' 2B'-O• 24'-O° 3 IL J I, 61'-0' Q � � O SECOND FLOOR PLAN SHEET scALr. 1/4- - 1--0- A5 Jab 0037 DRANK BY. KIN DATE- 7 00 Y r Y r 42'-0• Ib'_o' a._o• 4'-b 8'T-7' - B'-0' 6'_0' r--, , I ---- — i—I--------------, O I [tilpco I I I I a o c 1; Icm�[ I I I I L_ m I- I Ia' T.I I I I I I Ilb I I I u I I -------------- ----------- I -- 6 i _ ___ I o I I n b r----J L---- ---- --------- � ---u--- ----------� _ r------------------------ m BASEMENT I I 6-mIo aROFx I I I' I I -OxiO WRT I I I; I $ I rlll r r r I I: I 21oG DFRI � —_—L__j _ _+Y L. e AM PouceT I li I _ r IF IP 3 1/2'LALLY CoLUMNS I FF— _— L_ —L 24'44'x12'CONC.PADS TYP. I I GARAGE i BEAM ET V- _ y _ 11 C�f 14L� I I b I I. J -- I O I I • I � I I f l 29Ar+rcueTa--------------- -A I I IL-DROP FC/VNDDAOTORD� I I a b ----- -- ° ----- -� -- --------------------- — 2-i' 9-6' 0 24'_0' SCALES 3/1G' - 1'-0' RIDGE VENT 12 -- 2x12 RIDGE BOARD 12 _--_ASP14ALT 9141NGLES --S/8' COX WEAT141NG 12 / s7 / t — 2x10'S 1 16'O.G. / 12 Ill FIBERGLASS INSUL.— / 12 FRAME SKYLIGHT ' / OPENING TIGHT TO tt 2x8S 1 ib OC. CEILING JOISTS 1'3 STRAPPING--- - 1/2'GYP. BOARD I� / LOFT MAINTAIN AIR SPACE Ip i / CO FINISH FLOM COW.VENTING�21P EDGE [ 6/8'PLY SUSFLOOR�, ICI I'I Ix8 FASCIA III I III 1.4 SECOND MEP':BER ALUMINUM GUTTERS AND DOWN SPOLITS FRIEZE BOARD AND MOLDINGS 2r10'S 1 16'O.C� - I I _ 2x6 EXT. STUDS 1 24'O.C. INISH STAIRS 13R 6' F.G. INSUL. 3-2X12 CARRIERS 1/2' PLYWOOD SNEATl I I Ili { II l TYVEC WRAP I�II;�I m LIVING FOYER CEDAR CLAPBOARDSIN FRONT Si SIDEIM L__LJI�—!J F 10-0' 1 V-10' W.C. S i REAR FINISH FLCOR 11 �I�IIII�I 5/8" PLY SUBFLOOR FIBERGLASS INSUL. P.T. 2X6 SILL t SILL SEAL P.T.2a10 S 1 16"O.C. ILJUCLUOU2.10%P 16"O.C. 2YIO'6 1 16•3.7 ! ANCHOR AT 8' MAX 3-2X12 GIRT P.T.2<1178 GIRT 494 P.T."T I 1' T���y STAIRS IBR 12' DIA. 'SONG TUBE' I 1 uL 3-2r12 CARRIERS y BASEMENT e'x77'-a'Ca1G.WALLS DAMP PROOF BELOW GRADE ~ - — 3 1/2' LALLY COLUMNS — 1 14'-0. 3 1/2'CONC. SLAB . 2-0' �%ALE'1/4' = 1'-0' ,p2 LOCAi1@h )> CALLAHAN RESIDENCE �6�j, I BUILDING/ INC. LOT WEQUAQUET PINES i f'l.aN SECTIONPli Wb-"-100 PAX& WO-M-0166 ell 66 O' l SMOKE DETECTORS RVIEWED JA6kv VCI -.. .. Am, R f BDING EPT. DATE -x x TO LM El FIRE DEPARTMENT DATE eELOW o BOTH SIGNATURES ARE REQUIRED FOR PERMITTING = / ;J�w -- -- t``�� _ R�ev�• a BEDROOM st2 LOFT I y CARPET CARPET I �._,�, CARPET - CARBON MONOXIDE ALARMS 1 MUST BE INSTALLED PER , — MASSACHUSETTS BUILDING CODE S CO . PCG2553 - 3.-,. Ql�-- 3._6. " °! s la-6' 4'- :a "wv 3-3/A%53-3/A �.' �' s_ W _ t 2(6" r- WALL (`j New � RAIL m - - sAbb sbeb UNFINISHED .I WALK-�N OPEN TO OPEN TO TILE Y '�' - -STORAGE � .• . CLOSET BATH - FOYER ?66F. X �^,rI�!�3}Iy(��.�•y}���{,1y���yp�psy� ypy�(yyyyv,�`{yyy,�p�p �yI1y�rr - — ' <+ PLYW00D PCC'S53 1 IMPORTANT " �Y !9Y`18"1SB�iv.ROF7�'✓ti���\YD _ BELCH 6ELCW -� O `�� g...d� - I f-' l AK ELINEN' �� _ - ___ _—___—�_—_ 'S 3%A x53 3/A m 1 CLOSET STATE BUILDING CODE REQUIRES THE UPGRADING OF IF9 3051 r—� _ _- PLANT S<,ELF \ SMOKE DETECTORS FOR THE ENTIRE DWELLM WHEA! i I — - ———————ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A .7C1'AI"V91G I-CRIYII1 IS REQUIRED FOR HE INSTALLATION OF SMOKE DETECTORS THE ELECTRICAL. PERMIT DOES NOT SATISFY THIS REQUIREMENT. -_ ul Zui O O - • t . SECOND F L-0OR FLAN :BEET SCALE, L/d' - 1•-0' A DRAWN BY: WN DATE: 7 1 CA 15'-4 / m tA }+ DECK Pcc limed 0 Pf.0 2539-2 � pFLTI TO . _ 60 3/r.Sq 3/.T aaovc \�q Z. s{ 01 � FAMILY - ❑ �; ;u f OF5 7252 OX - ROOM Sw I (T =7 ,'x59 MASTER SUITc LIVINGRCCM DININGCARPET OAK - OAx `6xb P �p 1 a m - � PCC 2559 . n 25 _6bf �(/ S•-O"G.U. u,1 i 51iir 2666 W.T - `, — „ /-•�• I 'tl- 1 1��1 O I.i41 a q OPEN TO y C' s PCC 2559 A20yE I oAa10 KITCHEN , 3 GARAGE 25 3/d '9 . r 5/4- "IN" 9'- TW _ ?r'— .iv ._er LlO t4'_ip• - _ d1 1 d'CONC. SLAB i ;^ n WALIG-IN BAT o_ 5/0' FIRE RATED c PITLN 2'TO CCL'sR - c I CL. I FS 308 IFS 3091 I I 15L4Np .GYP. ECARD lV �CYLIGNTI \J L--EJ Ibbb E a y7 y nLE 2 FOY I i / �aQQ IRE RATED z i /�--OPEN TO a 26 a DOOR { �OOE , I-FLO I ABOVE�a _ La I—I `� A HI ------°I _ pt BREAKFAST � rty �. V4: - VINYL 1 5xb POST - _ OVERHEAD DOOR 9'%7'OVETiNEAD DOOR - m w I A. 3 to i I I U I CONCRETE APRON' AJ -0,_s - .. Ib-O Q '•-13'-0' I tv : 9'-d I,tp• '� 2A._pr o SKET FIRST ij!LQQR PLAN . - SCALE. 1/4- - 1 X8. C037 DRAWN Br' KW . _ .- .. - DATE• 7 7 CO. 1 , 7 1 Des Schedule ' ELEVATION ZONES Leaching Area Requirements Design FLOW ON THIS LOT TOP of FOUNDATON 70.0 ZONING DISTRICT RD-1 3 BEDROOMS AT 110 GPD/BEDROOM = 330 GPD )3 AC = 331 GPD ZONING DISTRICT GP FINISHED BASEMENT FLOOR 62.3' FINISHED GARAGE FLOOR N.A. ADDITIONAL 50% FOR GARBAGE DISPOSAL N.A. MINIMUMS SEWER INVERT AT FOUNDATION 67.0 _ AREA = 43,560 S.F. PERC RATE = 2 /1 MIN. / INCH (CLASS 1 ) FRONTAGE' = 20' SEWER INVERT INTO SEPTIC TANK 66.8 WIDTH 125' SEWER INVERT OUT OF SEPTIC TANK 66.5' LTAR = 0.74 GPD/S.F. FRONT SETBACK 30' SEWER INVERT INTO DISTRIBUTION BOX; 66.3'' SIDE SETBACKS = '.1p' SEWER INVERT OUT OF DISTRIBUTION E.OX 66.V MIN. LEACHING AREA,OF 'S.A.S. REAR SETBACK = 10' SEWER INVERT INTO LEACHING SYSTEM' 65.9' BOTTOM & LEACHING SYSTEM I' 63.9' 330 GPD/ 0.74 GPD/S.F. = 446 S.F. MIN. N.A. WATER TABLE PROPOSED SYSTEM SIDEWALL (12+26)(2)(2) = 152 S.F. BOTTOM 12' X 26' = 312 5.F. { TOTAL 464 S.F. GENERAL NOTES ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH I TITLE V OF THE STATE SANITARY CODE DATED 1 ` MARCH 31, 1995 & ANY LOCAL `RULES APPLICABLE. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING 1.00 1-1.5" WASHED STONE BY THE DESIGNING ENGINEER. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKnLLING, NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT - 26' FOR INSPECTION. PLAN OF LEACH CHAMBERS FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. NO SCALE THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN APPROVAL BY THE DESIGNING ENGINEER. -f' ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC. 12' FINISHED GRADE EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING 36"MAX.— 12"MIN. / COMPACTED FILL SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5', 2»- .................................J.....,......... .......... .. ....4...... PEASTONE PER 310 CMR 15.255. 1 2 a . 4 3�4„ TO 1 1/ „ 30.5 O a •, ' a • DOUBLE PRIMARY BENCHMARK : N.G.V.D. PROJECT BENCHMARK : SEE PLAN WASHED STONE LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND _ SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE` SECTION UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. N0 SCALE 1. BOUNDARY INFORMATION FROM PLAN TITLED "PLAN OF LAND AT COONORS ROAD -PHINNEY'S LANE C ENTERVILLE, MASS. FOR MRS JAMES HALLET" '! df'&AXitK 6t IVf[., il`v6. uHitu .,crrti06Lf, i.-, LEACH SYSTEM WITH DUM- TRATOR DESIGN 2. TOPOGRAPHIC INFORMATION BASED ON G.I.S. ALL PIPES TO BE SCHEDULE 40 PVC FROM THE TOWN OF BARNSTABLE USE 1 - 4" DISTRIBUTION LINE IN 3 RECHARGER UNITS IN A 12'X 26' WASHED STONE TRENCH AS SHOWN y�F� CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE PROPOSED FOUNDATION SHOWN IS Septic Design IN COMPLIANCE WITH LOCAL ZONING BY—LAWS (WITH RESPECT TO SETBACK 'REQUIREMENTS r� ONLY) AND DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD AREA. LOT 3, CONNORS ROAD r THIS PLAN IS NOT TO BE RECORDED OR USED TO ESTABLISH PROPERTY LINES. CENTERVILLEj MASSACHUSETTS } PREPARED FOR R GISTERE PROFESSIONAL LAND SURVEYOR DATE BAYSIDE BUILDERS TITLE SANITARY DISPOSAL SYSTEM J.K. HOLMGREN & ASSOCIATES INC. SOIL LOGS P- 15 9(o DATE:11/6/99 9:JUAM ENGINEER: BOARD OF HEALTH AGENT Stephen A. Willson,P.E. Edward Bany, Bams. Health Dept. BAXTER, NYE & HOLMGREN INC. TEST PIT 1` TEST PIT 2 TEST PIT 3 Registered Professional G.S.E. 68.2 G.S.E. = 6 7.8 G.S.E. = Engineers and Land Surveyors 0 0 812 Main Street,Osterville, Ma: 02655 A SANDY LOAM A SANDY LOAM 6„ 10YR 4/3 ), 1 oYR 3/2 Phone - (508)428-9131 Fax - (508)428-3750 B SANDY LOAM B SANDY LOAM' 26„ 10YR 5/6 28„ 10YR 6/6 M C 1 SAND, GRAVEL C 1 MEDIUM SAND, o. 29s7a & ,COBBLES " & GRAVEL GIs1�44° 80 10YR 4/3 44 10YR 7/1 �`�� ��cta� f�aF r�� ,. L DATE: 0111012000E C2 c�1-icy-2odro C2 MEDIUM SAND, SAND, GRAVEL& GRAVEL & COBBLES REV. DATE: REMARKS t. 132 1OYR 7/4 132 10YR 6 8 NO WATER ENCOUNTERED h,c: PERC ® 60 RATE= >2 MIN/IN DRAWING NUMBER H:\ 1999 99125_1ots 99125-1ot3.dwg 99125-1ot3.dw EXISTING LEGEND GN PROPOSED Edge of Pavement o Sewer Pipe _...._.. _-: _. Water Pipe w — (, Leach Pit O LOCUS v WEdUAQUET O Catch Basins Q LAKE J o }} Septis Tank O p Distribution Box o Water Gate N Light Pole ;t- Utility Pole -40- 0 UT E 2 8 _._., Contours 200 — 200x0o Spot Grade r 200.0 Sr Test Pit q/N LONG POND SI�p FFT I LOCATION MAP HYANNIS QUADRANGLE SCALE: 1:25,000 ASSESSORS MAP 251 PARCELS 11 - HYD. #638 N HYDRANT FINDLE / EL 6 .03 LOT -, N = S 37'3 25" W - N 279.78 7 ) 44 Ift C5>7 LOT 3 69.5 45,060 S. F. 24.0' 1 .03 Acres shape factor = 16.87 Ul 624 N Nrn�o W 00 r 10. 36.0' M f r 20.Ott MI 1 fa LOT RESERVE EA E� l L=28.40' TP#1 TP#2 rM ' R=160.00' 69.5 223. 6 S 37'30'25" r L=6.53' 3 37'30'25 W . e \ I 207.55 SCALE: 1 20' 0 2 0' 40' 6 0' TYPICAL SYSTEM PROFILE Proposed CONSTRUCT ACCESS NOT TO SCALE Top of MANHOLE OVER INLET TO TANK TO AT LEAST Foundation 70.0' WITHIN 6" FINISH GRADE FINISHED GRADE OVER TANK = 68't - SHED GLIDE OVER D. BOX 68f' rO FINISHED FINISHED GRADE OVER LEACHING TRENCH = ' ... , 68 f i 4 SCH. 40 PVC TYPICAL mn. -- 4" SCH. 40 PVC ' FIRST 2' (TO BE LEVEL) ;, (min) Cover �L" ( ) 12 . PVC or s min 36" (max) Cover Proposed to" Cl tees GAS BAFFLE 6"sump 4" SCH .40 PVC Finished Basement 2"La{er 1/8"to 1/2" Floor = 62.3' , Peas one LEACHING:CHAMBER ,. ) Reinforced Concrete 6' CRUSHED Slope 0.005 (min STONE BASE 4" PVC FOOTING , BOTTOM ELEV. _ 63.9' 1500 GALLON SEPTIC TANK DISTRIBUTION BOX 7.1' TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE SEPTIC TANK TO BE INSPECTED & CLEANED ANNUALLY Sz No Groundwater LEACHING SYSTEM