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UNV12302
MADE IN CHINA r
°Fi"Er°w�: Town, of Barnstable
swxt ST"LE. �^ Building Department_200 Main Street
Hyannis, MA 02601
Tel_ (508) 862-4038
Certificate Of Occupancy
Permit Number: B-19-2780 CO Issue Date: 3/4/2020
Parcel ID: 248-057-004 Zoning Classification: RB
Location: 210 ELLIOTT ROAD, CENTERVILLE Proposed Use:
Name of Tenant: Sprinklers Provided:
Gen Contractor: BRIAN T DACEY
Permit Type: Residential —Land
Type of Construction:
Design Occupant Load: 0
Comments: FOUR BEDROOM
Building Official Date:
A Certificate of Occupancy is Required Prior to Occupying Space
Building Code: 780 CMR 9th Edition
Town of Barnstable
�` don) b d h C dM the
Building
f ,� Post This�Card So Th ilAt is Visible Frorn`the Streets=Approved:Plans Must be Retaine "o an 't is ar" us Kept
RAWNIntn Posted Until,Final Inspection Has Been Made
i639 ♦ t Permit
Where a Certificate of Occupancy is Requiredsuch Building shall Not be Occupied`until a Final Inspection has been made
Permit No. B-19-2780 Applicant Name: BRIAN T DACEY Approvals I
Date Issued: 09/13/2019 Current Use: Structure s np>>/-7Jjq
Permit Type: Building-New Construction-1 or 2 family Expiration Date: 03/13/2020 Foundation 61�S 9
Residential Map/Lot: 248-057-004 Zoning District: RB `Sheathing: p 7
Location: 210 ELLIOTT ROAD,CENTERVILLE
Contractor Name:,,.BBRIAN T DACEY Framing: 1 ct�)c i1 II
Owner on Record: DACEY, MICHAEL J TR ( Contractof License. CS-005645
( 2;
Address: PO BOX 95 ( f Est Protect Cost: $300,000.00 Chimney:
CENTERVILLE, MA 02632 Permit Fete:
$ 1,655:00 �g
Insulation:
Description: to construct a 4 bedroom 2 1/2 bath cape style home with'an
attached (1)car Barge Fee Paid:r $ 1,655.00 �J
` Final:
� Date �„� 9/13/2019
Project Review Req: � �
- � Plumbing/Gas
Rough Plumbing:
..Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within''six months after:issuance.
All work authorized by this permit shall conform to the approved application,and the"approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. X
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thisxp"ermit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing ,
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final'
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r�M/ Final:-
S��
_ Town of Barnstable _1Building
st Thisk'Card So That it is"Visible£From the Street A roved Plans;'NI'ust be Retained on Job°and this,Gard Mustgb6"' t
'•. .Nugy�ABs.E. • Po� st 3 p € Permit
v igsa " 'Posted Unt)Final,Inspection Has Been Made b 7
F" a: ificate ofOcc'u �anc' is'Re uredsuchBudm` shall Not be.Occi ied`until a7Final Ins'`ection"has.been made.
ears+ Whe`re�a�Cert
b
Permit No. B-19-3672 Applicant Name: Eric Whiteley 'A
pprovals
Date Issued: 11/01/2019 Current Use: Structure
Permit Type: Building-Sheet Metal Residential Expiration Date: 05/01/2020 Foundation: .
Location: 210 ELLIOTT ROAD,CENTERVILLE Map/Lot 248-057-004 Zoning District: RB Sheathing:
Owner on Record: DACEY BRIAN T TR ( Contractor�Name :~,FRIG T WHITELEY Framing: 1
c
Address: 118 CYPRUS LANE Contractor Licenses 15920 2
EAST FALLOWFIELD, PA 19320 Est Project Cost: $5,000.00 Chimney:
.'
Description: New construction duct work Permit Fee: $85.00
Insulation:
Project Review Req: S
Fee Paid"! $85.00
Date 11/1/2019 Final:
fV
Plumbing/Gas
Rough Plumbing:
Building Official
� Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by phis permit is commenced within s z months after issuance.
A
All work authorized by this permit shall conform to the approved application andstFie,approved construction document"s for which this permit has been granted. Rough Gas:
y
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws,and codes.
F �z Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. `
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and,FireOfficials are provided on th is,permit.
Minimum of Five Call Inspections Required for All Construction Work: E Service:
1.Foundation or Footing s, '
Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection), Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
T �q,�o �D4cp�.
Home Energy Rating Certificate Rating Date. 2020-02-12 oF �<0151
Registry ID:Final Report Ekotrope ID:8LX nW62 81533083 �g9Ns
T
HERS' Index Score: Annual Savings Home:
0 Elliott ' • . •
averageYour home's HERS score is a relative
performance score.The lower the number, Centerville, MA 02632
the more energy efficient the home.To $ 2,095 Builder:
5 9 learn more, visit www.hersindex.com *Relative to an
. Bayside Builders
Your Home's Estimated Energy Use: This home meets or exceeds the
use[nnBtul annual cost criteria of the following:
U7[MBtul Annual Cost
Heating 36.8 $626 2015 International Energy Conservation Code
Cooling'
0.4 $25
Hot Water 15.8 $262
Lights/Appliances 22.7 $1,106
Service Charges $0
Generation (e.g.Solar) 0.0 $0
Total: 75.7 12,019
IndexHome Feature Summary:
Rating Completed by:
4�1;- Mom Enern I Home Type: Single family detached � Energy Rater.Paul Graney
1eo Model: WA - RESNETID:2649950
Home 140 Community: WA
130 Floor 2,244 ft' Rating Gomparry:Home Energy Raters LLC
Conditionedoor Area:120 I180 State Rd,Suite 2U Sagamore Beach MA 02562
110 [ Number of Bedrooms: 3 508-B33 3100
Reference 100 Primary Heating System: Furnace•Natural Gas•96 AFUE -
Home P rY 9 Y ..tea••,
90 I Primary Cooling System: Air Conditioner•Electric-14 SEER' Rating Provider:Energy Raters of Massachusetts _S� "
80 ( 2 Wood lawn Street Amesbury,MA 01913'
70
Primary Water Heating: Water Heater-Natural Gas•0.64 Energy Factor
978-270-3911
60 House Tightness: 573 CFM50(1.44 ACH50)
( � S 40
This Home ( Ventilation: 25 CFM;55 CFM•23 Watts,28.2 Watts
"•�"
30 Duct Leakage to Outside: 56 CFM @ 25Pa(2.5/100 s.f.) -
20 Above Grade Walls: R-20 Zero Ener Dom,--D/ -O
10 Ceiling: Vaulted Roof R-44 / G1 C.(
gy
Nome 0
Window Type: U-Value:0.3,SHGC:0.31 Paul Graney,Certified Energy Rater -
�.„n„�, `M&-a Foundation Walls: WA Digitally signect2/25/20at9.24AM
I
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IECC 2015 Performance Compliance
Property Organization Inspection Status
210 Elliott Road Home Energy Raters LLC 2020-02-12
Centerville,MA 02632 Paul Graney Rater ID(RTIN):2649950
J RESNET Registered
Elliot Road 210 final Builder (Confirmed)
Elliott Road 210-1LXonW62 Bayside Builders
Annual Energy Cost
Design' IECC 2015 Performance As Designed
Heating $921 $635
Cooling; $64 $54
Water Heating $246 $246 _
Su`bT6t6i-Used to determine compll na ce y' _ Y �—$1,231 _4 ' -$935'
Lights&Appliances $758 $789
Onsite generation _ ___ _ _ _. _ . $0 $0
Total_.._ _. - - __ $1,989 - -" - $1,724
Requirements
0 405.3 Performance-based compliance passes by 24.1%
® R402.4.1.2 Y Air Lea Testirtg Air seating is 1.44 ACH at 50 Pa:It must not exceed 3.00`ACH at 50 Pa.kage - -
® R402.5 Area-weighted average fenestration SHGC
Area-weighted average fenestration U-Factor
r 5404.1 Lighting Equipment Efficiency +
® R403 6 1 Mechanical Ventilation Efficacy
_. -_y
® I'Mandatory Checidist Mandatory oode requiremebe that are not
..checked by Ekotrope must be rneL._
R405.2 Duct Insulation
Design exceeds requirements for IECC 2015 Performance compliance by 24.10/6.
As a 3rd party extension of the code Jurisdiction utllizing these reports,i certify that this energy code compliance document has been created In accordance with the requirements of .
Chapter 4 of the adopted International Energy Conservation Code based on Climate Zane 5.If rating is Projected,I certify that the building design described hereto-is consistent `
• _ with the building plans,specifications,and other calculations submitted with the permit application.If rating Is Confirmed.I certify that the address referenced above has been -
Inspectedk'ested and that the mandatory provisions of the IECC have been Installed to meet or exceed the Intent of the IECC or win be verified as such by another party. --
Name: Paul Graney Signature: Pad
4 rganization: Home Energy Raters LLC Digitally.signed: 2125/20 at 9:24 AM -
r
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Ekotrope RATER-Version 3.2.32371
IECC 2015 Pedwmance mmplance results calculated using Ek&ope RATER's energy and code compliance algorithm.
Ekotrope RATER is a RESNET Accredited HERS Rating Tad.All results are based on data entered by Ekotrope users.
Ekotrope d'edacrs all liability for the Informalbn shown on this report.
IECC 2015 Building UA Compliance
i
Property Organization Inspection Status 4
210 Elliott Road Home Energy Raters LLC 2020-02-12
Centerville,MA 02632 Paul Graney Rater ID(RTIN):2649950
RESNET Registered _
Elliot Road 210 final Builder (Confirmed) '
Elliott Road 210-ILXonW62 Bayside Builders '
Building UA,
Elements IECC Reference As Designed
Ceilings 49.9 50.0
Above-Grade Walls 126.2 120.6 _
Windows,Doors and Skylights 116.7: 114.2
. Slab Floor: 0.0 0.0
Framed Floors 48.3 55.5 "
Foundation Walls 0.0 0.0
Rim Joists 5.5 4.8
Overall UA(Design must be equal or lower): 346.6 345.1
Requirements '
' 402.1.5 Totel UA alternative compliance passes by 0.4%.
402.3.2GPazed -
FenestrationSHGC -
® R402A.1.2 Air Leakage Testing _ T T Air sealing is 1.44 ACH at 50 Pa.It must not exceed 3.00 ACH at 50 Pa. -
•,® R402.5 Area-weighted average fenestration SHGC _ -.. _
R402.5 -- Area-weighted average fenestration U.Factor
®- R404.1 Lighting Equipment Efficiency -
,� R403.6.1 _ T Mechanical Ventilation Efficacy
® Mandatory code requirements 01at are not +.
Mandatory Checklist checked by Ekotrope must be met.,
® R403 3.3 Duct Testing -
L � _ -
403.5.3 Hot water pipe insulation ..
Design exceeds requirements for IECC 2015 Prescriptive compliance by 0.4%.
Name: Paul Graney Signature: pad 0441eil }.
Organization: Home Energy.Raters LLC Digitally signed: 2125/20 at 9:24 AM "
I
II -
Ekotrope RATER-Version 3.2.32371
IECC 2015 Prescdptive compliance results cak:Wated u ing Ekotrope RATER's energy and mde compliance elgorithm. ..
Ekotrope RATER is a RESNET Accredited HERS Rating Tod.All results are based on data entered by Ekot ope users. , -
Ekotrope disdains all liability for the Information dxo m on this report. - ^
Air Leakage Report Y
Property Organization Inspection Status
210 Elliott Road Home Energy Raters LLC 2020-02-12
Cente Ile,MA 02632 Paul Greney Rater ID(RTIN):2649950 .f
RESNET Registered
Elliot Road 210 final Builder (Confirmed)
Elliott Road 210-ILXonW62 Bayside Builders
- General Information - r
Conditioned.Floor Area[sq.ft.] 2,244
Infiltration Volume[cu.ft.] 23,846
- Number of Bedrooms 3 '
Air Leakage
Measured Infiltration 573 CFM50(1.44 ACH50)
ACH50(Calculated) 1.44
ELA[sq.in.](Calculated) 31.52
ELA per 100 s.f.Shell Area(Calculated) 0.529
CFM50(Calculated) 573
CFM50/s.f.Shell Area(Calculated) 0.096 - -
Duct Leakage
System 1
Leakage to Outdoors 56 CFM 25Pa 2.5/100 s.f.
g C�3 ( )
Total Leakage Test Type Rough-In,with Air Handler
Total Leakage[CFM @ 25 Pa] 56.0
Total Leakage[CFM25/100 s.f.] 2.5
Total Leakage[CFM25/CFA] 0.025
Mechanical Ventilation
Rate[CFM] 25 CFM,55 CFM
Hours per day 24.0,21.2
Fan Power 23 Watts,28.2 Watts
Recovery Efficiency% 66.0,0.0 y r
Runs at least once every 3 hrs? true,true
Average Rate[CFM] 25.0 CFM,48.6 CFM
2010 ASHRAE 62.2 Req.Cont.Ventilation 52.4
013 A HRAE 62.2 R .Cont.Ventilation 73.6 2 S ,eq
Ekotrope RATER-Version 3.2.32371
jM results are based on data entered by Ekotrope users.Elmtrope disclalms a0 6ab0@y for the information shown on this report.
Buildling Specification Summary
propert Organization Inspection Status
210 Ellioty t Road Home Energy Raters LLC 2020-02-12
Centerville,MA 02632 Paul Graney Rater ID(RTIN):2649950
RESNET Registered
Elliot Road 210 final Builder Confirmed
Elliott Road 210-ILXonW62 Bayside Builders
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Building Information Rating
Conditioned Area 2,244.00 HERS Index 59
Conditioned Volume fP 23,846.00 ;HERS Index w/o PV r 59
Thermal Boundary Area[ftj 5,959.80
!N m erl Of Bedrooms 3
Housing Single family detached
Building Shell
Ceiling w/Attic R37,LDF,10",10x16,G1,C U-0.02 Windows(largest) U-Value:0.3,SHGC:0.31
Vaulted Ceiling Window/Wali Ratio_ 0.12
R44,LDF 12',10x16,G1,Unfinished U-0.02 r_ infiltration 1573 CFM50(1.44 ACH5_0)
Above Grade Walls l' 0,LDF,6x16,G1 U-0.05 _Duct Lkg tc Outside l 56 CFM @ 25Pa(225/100 s.t)
['_C Found.Walls None '� _ Total Duct Leakage
Framed Floors R3_0 FG 10xl6,G1 R-30 _ 56 CFM @ 25Pa(Rough-In,with Air Handler)
Slabs None _
Mechanical Systems
_ Heating Furnace-Natural Gas 96 AFUE
g Air Conditioner•Electric•14 SEER
Water Heating Water Heater.•Natural Gas•0.64 Energy Factor
Programmable Thermostat Yes
Ventlatil System 25 CFM,55 CFM•23 Watts,28.2 Watts -
Lightt and AppliancesT
PercedinteriorLED 100% Clothes Dryer Fuel Natural Gas
!PercentlExtedor LED 100% :Clothes Dryer CEF'!�' 23
Refrigerator(kWh/yr) 691.0 Clothes Washer LER(kWh/yr) 704.0
Dishwasher Efficiency 269 kWh I `gothes Washer Ca as 29
P tY_
Ceiling Fan None Range/Oven Fuel Natural Gas
R
Ekotr pe RATER,Version 3.2.32371 '
Ar re 1.are baseIon..erdemd by Ekotrope user&Ek*Me dlsolalma a®rabr&y for the information shaven on this mpon.
i
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RESNET HOME ENERGY
._.
RATING Standard Disclosure
For home(s)located at:210 Elliott Road,Centerville,MA -
Check the applicable disclosure(s)in accordance with the
instructions on the reverse of this page: _
Wf1.T1he Rater or the Rater's employer is receiving a fee for providing the rating on this home.
E]2.In addition to the rating,the Rater or the Raters employer has also provided the following consulting
services for this home:
[]A.Mechanical system design
EI B.Moisture control or indoor air quality consulting
C. Performance testing and/or commissioning other than required for the rating itself
D.Training for sales or constriction personnel "
Other(specify)
i
[]3.The Rater or the Rater's employer is:
A.The seller of this home or their agent
_
E]B.The mortgagor for some portion of the financed payments on this home
C.An employee,contractor,or consultant of the electric and/or natural gas utility serving this home
04.The Rater or Raters employer is a supplier or installer of products,which may include:
Products installed in this home by OR is in the business of
HVAC systems El
Rater Employer E]Rater L]Employer
Thermal insulation systems []Rater EjEmployer EIRater []Empoyer
1
Afr sealing of envelope or dud systems Rater MEmpbyer Rater E]Empioyer
Energy efficient appliances. []Rater E]Empbyer Rater []Empoyer '
Construction(builder,developer,construction contractor,etc) []Rater, F]Empbyer Rater DEmpbyer.
Other(specify): []Rater E]Empbyer Rater 'E]Employer
' W15.This home has been verified under the provisions of Chapter 6,Section 603"Technical Requirements for `
Sampling"of the Mortgage Industry National'Home Energy Rating Standard as set forth by the Residential Energy _
Services Network(RESNET). Rater Certification#:2649950: -
To report any complaints regarding this Rater's service,please visit: http://www.energyratersrna.com/Feedback_New.html
Name: Paul Graney Signature: Pad(a �
Organization: Home Energy Raters LLC Digitally signed: 2/25/20 at 9:24 AM
I attest that the above information is true and correct to the best of my knowledge.As a Rater or Rating
Provider I abide by the rating quality control provisions of the Mortgage Industry NationalHome Energy r
Rating Standard as set forth by the Residential Energy Services Network(RESNET).The national rating
quality control provisions of the rating standard are contained inChapter One 4.C.8.of the standard and are
posted at
http://resn et.us/standards/RESN ET_M ortgage_Ind ustry_National_H ERS_Standards.pdf
The Home Energy Rating Standard Disclosure for this home is available from the rating provider.
RESNET Form 03001-2-Amended April 24,2007
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Insulation Certificate
,q
214 Elliot Rd Centerville
Number and Street City r STq
Barnstable {F
County Subdivision • Lot Number Permit Number
Description of Installation
. F .
ROOF
Product_Thermoseal Open cell foam Lot
Number Thickness (inches) 10 Thermal
Resistance(R-Value) , 38
EXTERIOR WALLS
Product_Thermoseal Open cell foam Lot '
Number Thickness (inches) 5.5 Thermal
Resistance (R-Value) 20
•
GARAGE CEILING
Product_Thermoseal Open cell foam Lot
Number Thickness (inches) 8 Thermal'
Resistance (R-Value) - 30
BASEMENT CEILING
Product_Fiberglass Batts Lot Number '
Thickness (inches) Thermal Resistance (R-Value) 30
Exposed foam in the attic is coated with thermal barrier paint DC315
S
Declaration t '
I hereby certify that the above insulation was installed in the building at the above location in conformance with-
the current Building Energy Efficiency Standards.
_Bayside Building Inc_
General Contractor(Builder) License Number
09/03/2019 `
Signature and Title Date
Ca De Cod Spray Foam LLC CS - 111878
Sub-Contractor(Insulation Installer) License Number
_manager:_Ivan Pauliuchen a 09/03/2019
Signature and Title Date
' cc)
t
IKE
ApplicationNumber...................................... .............. .......
ASS.
Permit Fe . ... . . . . . ... ..Other Fee.M6 9. co .NV . i...
................
-;,TotalFeefaid........... ........ ...............
...... .
TOWN OF-BAMOTABLE
Permit Approval by.......:........................On...........................
BUILDING PERMIT
Map.......................... ..............parcel....................
APPLICATION
Section 1-- Owners Information and Project Location
Project Address Village- 6w4ry I 1 IQ
Owners Name
Owners Legal Address
City—� .�tl State zip
Owners Cell S'V6 0 E-mail
Section 2-Structural Use
Single Two Family Dwelling F] Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
k
Section 3 -Type of Permit
D4.New Construction ❑ Move Relocate ❑ Accessory Structure ❑ Change of use
El Demo/(entire structure) n Finish Basement El Family/Amnesty ❑ Fire Alarm.
Rebuild El Deck Apartment - El Sprinkler System
F] Addition ❑ 'Retaining wall E] Solar
El 'Renovation E]' Pool El Insulation
Other-Specify
-A 1
Seciioii4 Detail
Cost of Proposed Constructions Square Footage of Project
Age of Structure Dig Safe Number
#Of Bedrooms Existing Total#Of Bedrooms (proposed)
110 NTH Wind Zone Compliance Method ❑ MA Checklist F] WFCM Checklist Design
Last updated: 11/7/2017
i
Section 5 - Work Description
I
4
I
3
3
{
Section 6—Project Specifics,,
Wiring ❑ Oil;Tank Storage Smoke Detectors
Plumbing Gas ❑ Fire Suppression
Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
Water Supply , , ; � Public ❑ Private
Sewage Disposal ❑ Municipal On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility:lur r4— L"iT I am using a crane ❑ Yes 5(No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland,coastal bank? Yes, No ❑
Section 8—Zoning Information
Zoning District Proposed Use Lot Area Sq.Ft.
Total Frontage _Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard. Required ZD Proposed
Rear Yard Required 1 n Proposed
Side Yard Required ID Proposed _
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last updated: 11/7/2017
Section 9—Construction Supervisor
. Name Telephone Number 50'3-ZZj- lUgl
Address 90 , v 95 City State _Zip bZCa-i 7
License Number 00%a45—. License Type CSL Expiration Date YL(q/Z U
Contractors Email Cell# . 5W—?Z f - J0 t((
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
' CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation re by 780 CMR and the Town of Barnstable.Attach a copy of your license.
Signature Date ��f �.
Section 10—Rome Im ovement ontractor
Name T ephone N er
Address City State Zip
Registration Number fExpirati�ate '
I understand my responsibilities onsibilities under the rules and re
_ gulations for Home Improvement Contractors in accordance wi
CMR the Massachusetts State Building Code.. I understand the construction inspection procedures,specific inspections and
documentation req ' y 780 CMR and the Town of Barnstable.Attach a copy of your H.I:C...
Signature / Date
Section 11 —Home Owners License Exemption
Home Owners Name:.
Telephone Number Cell or WIs
umber
I understand my responsibilities under the rules and re ford Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand onn-ie 'on procedures,specific inspections and
-documentation required by 780 CMR and the Town ble.
Signature Date
APP ICT SIGNATURE
Signature Date ZZ
Print Name Telephone Number 77&4-LfV71 o47,,�'
E-mail permit to:. C c e l t . C
f
Last updated: 11/7/2017
Section 12 —Department Sign-Offs
Health Department El Zoning Board (if required) -E]
Historic District ® Site Plan Review(if required) El
Fire Department ® '
Conservation
For commercial work,please take your plans directli to the fire ire department for or approval±
Section 13 —Owner's Authorization
as Owner of the subject property hereby
authorize U to act on my behalf, in all
matters relative to work authorized by dis building permit application for:
W) L-711tt)� &J
(Address of job)
Signa e Owner date
Print N e
1
Last updated: 11/7/2017
I
EXHIBICr. B
L?k 19231-1 Ps 175 --91489
1 1-24-201 14 1. 1 : 38ct
QUITCLAIM DEED
I BRIAN T. DACEY,TRUSTEE OF ELLIOTT ROAD REALTY TRUST,under Declaration
of Trust dated July 9, 2003,recorded with the Barnstable County Registry of Deeds in Book 17232,
Page 292,of P.O. Box 95, Centerville,MA 02632
T�
For consideration paid in the sum of ONE MILLION ONE HUNDRED THIRTY-THREE
THOUSAND AND NO1100($1,133,000.00)DOLLARS
r Grant to MONIQUE R. CRAWFORD,Individually,of 212 Elliott Road, Centerville,MA 02632
With Quitclaim Covenants the following described parcel of land:
A certain parcel of land with the buildings thereon situated on Elliott Road,Barnstable(Centerville),
q Barnstable County,Massachusetts shown as Lot 6A on a plan of land entitled"Plan of Land#208,
210, 212,214 Elliott Road in Barnstable,Massachusetts(Barnstable County)", dated October 22,
2002,recorded with the Barnstable County Registry of Deeds in Plan Book 583,Page 71.
9
WLot 6A is hereby conveyed subject to and with the benefit of an easement for travel on foot and by
vehicle to and fiom Elliott Road over the 40' Wide Access Easement and Access Easement"B",as
shown on the plan entitled"Access Easement Plan Elliott Road in Barnstable,Massachusetts
(Barnstable County)"dated November 23,2004 recorded in the Barnstable County Registry of
Deeds i ak Nfat w ml ,F�age,.y°fr/��b�r�,and incorporated herein by reference,in common
with`the owners,their successors and assigns of Lots 4A, 5, and 7A as shown on the plan recorded
hi the Barnstable County Registry of Deeds in Plan Book 583,Page 71.Lot 6A is also hereby
conveyed with the benefit of an easement for travel on foot and by vehicle to and from Elliott Road
over Access Area"B"as shown on the plan recorded in the Barnstable County Registry of Deeds iz
Bsek//&h,, y �eNla rr/9 1. Included in these easements is the right to install,maintain,
and connect to underground utilities to be used in common with the owners and their successors and
d
� assigns of Lots 4A, 5 and 7A on Plan Book 583, Page 71. Said rights of way and utility easements
are granted upon the following terms and.provisions:
a. The owners,their successors and assigns of Lots 4A, 5, 6A and 7A shall each
contribute twenty-five(25%)percent of the cost of improving and maintaining said
40' Wide Access Easement,Access Easement"A"and Access Easement"B",
including the bridge, and installing and maintaining utilities,provided that in doing
so the proposed expenditures with specifications and metliods of procedure shall
have been mutually agreed upon by at least three(3)out of the four(4)owners of
Lots 4A, 5, 6A and 7A as shown on the plan recorded in flan Book 583,Page 71. If
an action must be brought to enforce the provisions of this paragraph, the prevailing
party shall be entitled to collect reasonable attorneys' fees and costs;
6-1
Bk 19280 Pg 176 #91485
b. Nothing shall prohibit any owner,or owners,of any of the said Lots 4A, 5,6A and
7A$-om proceeding with improvements,maintenance,and/or utilities independently
and without consultation or agreement with a majority of said owners,it being
understood that in so doing said owners)shall have voluntarily assumed the full
burden of any costs incurred, and that any utility installed shall be designed so that it
will be usable by the other lot owners;
C. Each of the owners of Lots 4A,5, 6A and 7A,their successors and assigns,agrees to
indemnify and hold harmless the other owners,their successors and assigns, from all.
costs and liability due to accident or injury incurred in the use of the 40' Wide
Access Easement,Access Easement"A", and Access Easement`V'and any utilities
installed hereunder;and
d. Grantor herein reserves the might to grant to others, including the owners of Lots 4A,
5, 6A and 7A, and their successors and assigns, an easement for travel by foot and
by veluele to arid.from Elliott Road over the 40' Wide Access Easement,Access
Easement A, and Access Easement"B"as shown on the plan recorded i
I,Brian T.Dacey,Trustee as aforesaid hereby certify as follows:
1. I am the only Trustee of the above-mentioned Trust;
2. That said Trust has not been altered, revoked or fiuther amended and is in full force
- and effect; z: t
3. That the beneficiaries of the Trust are of legal age, they are not disabled and have all
assented to the sale of the trust property; and
4. That I am duly authorized on behalf of all of the beneficiaries of said Trust to
convey the trust property known and numbered as 212 Elliott Road, Centerville,
Barnstable County, Massachusetts, for consideration in the amount of ONE
MILLION ONE HUNDRED THIRTY-THREE THOUSAND AND 00/100
($1,133,000.00) DOLLARS to Monique R, Crawford.
The street address of the premises herein conveyed is: 212 Elliott Road,Centerville,MA
02632.
For title,see Deed recorded with the Barnstable County Registry of Deeds in Book 17232,Page
297.
00,0004£2T"T$ •auaj MASSACHUSETTS STATE: EXCISE TAX
6^W6 :r-nia BARNSTABLE COUNTY REGISTRY OF DEEDS
1►iL1 u�i1:)
-IT :i lute Data_:, 11-24-2004 a 11:38aa
a0330 JO A816193{ AINflO:i 3'18V15N;��'d Ct l x: 1207 Doc:: 91489
Xvi 3S13,N9 A114nO) 3-1-,DiSJ4JVa Fee: S3r874.86 Cons: s1►133r000,00
Bk 19280 Pg 177 #9148!
EXECUTED tuider seal this day of November,2004.
ELLlO' ROAD TY�TRUT
BY:
B ' Dacey, s
CommONWEALTH OF MASSACHUSETTS
Barnstable, ss.
On this o� 4 day of November,2004,before me,the undersigned notary public,personally
appeared Brian T.Dacey,proved to me through satisfactory evidence of identification,
,to be the person whose name is signed on the preceding or attached document,and
acknowledged to me that lie signed it voluntarily fo ' s stated purpose as Trustee of Elliott Road
Realty Trust.
Public:
My couunission expires: - 3020{O
Cmwford 212 Elliott Road DEED/Dacey/Elliott Road Rcalty Tnist
`,��pllNll l l ll lllp�///'
SAN•9
e e s
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. s9}rso•�oi/esoq o� ��.�`
. 11111
!
Bk 19280 Pg 178 #9148!
1
h
— FINE
= 6J,STREET LOCUS INFORMATION
N
jCURRENT Q*KR: ELLIOTTU OTT ROAD RMTY TST
TITLE"RE : BOOK 17232,PACE 297
PLAN RPSIAEAKY: BOON 5 PAW71
LOCUS 2CMNG DISTRICT, RD
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PARCEL 87
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ELLIOTT ROAD
ELLIOTT ROAD REALTY TRUST EXISTING ARM MCLAUGHLIN
YAP 248 WLLINO YAP 247 h
PARCEL 57-4 _ ` z PARCEL 66 BARNSTA6LE
LOY 4A _
MASSACHUSETTS
140 COHC
� N/r (BARNSTA9LE COUNTY)
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KENNEM J.&
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PARCEL 84 PE•:,:A1hi
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'� (+ NATALIE N.0081EN TR. ..
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ELLIOTTFROAD
REALTY TRUST _-
(y YAP 227
PARCEL 22-1 LOT 7A
M �N. � ra4t'{1.1G•�L
BA SIDE OVIL04NO INC
3 BAYBERRY SQUARE
7. CENTERVILLE, IAA
ELUOTT( CA lY TRUST 02632
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t taANCEL b7-S _ I y
1 PARCEL 6I-2 c r,
t LOT s 1 V 3 ' n BS(_ (1 K(��
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9
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���'�`�' `��``•' 136,55, DWO.NO. 5346-11
JOB.ND: 4�8213.02 SHEET 1 OF 1
A
BARNSTABLE REGISTRY OF DEEDS
EXHIBIT C
,a
s)a Bk 24121 P's'—
1.140
ff ,E� DECLARATION OP TtESTRTCTYON
THIS DEQ A 7tON OF RF5'MCPlON (hereinafter the "Declaration")is made this
day of 2008,by Brian T.Dacey„Tiustee of the Mott Road Realty
Trust u/d/t dated 7uly 9,2003 and recorded in the Barnstable County Registry of Deeds in Book
17232, Page 292 (hereinafter the "Declarant"), having a mailing address of P,O, Box 95,
:i Centerville,MA 02632,
N'Ji .
3r'f'vtt�. '
••��s�'�-- _,• _ _.-. _ N1HEI�EAS,Declarant is the owner of that certain parcel._of land known as.lots 4A,5-•,_,.__.._
and 7A located in the Town of Barnstable Barnstable County,Massachusetts(hereinafter Abe
'Troperty), shown on Conservadon Restriction 81X,Plan #208, #210 & #214 Elliott Road,
`'fir '� ,• Centerville,Mass.dated 2008 prepared by The WC Group,and recorded i,3j
the Barnstable County Registry of Deeds at Plan Book�LL as Plan (the"Plan");and
y
• ;ir�`r�:c�; WHEREAS, the Property contains important habitat, breeding sites, and migration
routes for wildlife including the Eastern Box Turtle,Termpene carohna,which at the time of this
eras'- recording is listed as Special Concern pursuant to the Massachusetts Endangered Species Act
3 (MESA)(G,L,o.131Ac3 and 321 CMR 10.23);and
r WHEREAS, Declarant desires for the benefit of the public to protect a significant
.UMN rsr`
-� v�•:;;.• contiguous area of this rare species habitat as an integral part of the development of the
r Property;and
„•i'.r5i j5
' WHEREAS, the Property is subject to the terms and provisions of MA Endangered
itita{ . Species Act[G,L,c,131A);and
.f.-L.. ��:j^
,t;- ' ;s,- WHEMA.5,Declarant desires and agrees that the north and westerly portion of Lot 4A,
rN M �' the north and westerly portion of Lot 5 and the westerl n
YP YPortion of Lot 7A shown on said Plan.
as ,Open Space",which Open Space in tytal contain approximately 3,87+ acres as shown on
said Plan,shall be maintainedin perpetuity as habitat and open space,subject to the Pxolu'bited
Acts and Uses and Reserved Mghts set forth below,
NOW,THEREFORE,Declarant hereby voluntarily declares and imposes in perpetuity
• `;; upon the Open Space the following covenants,conditions and restrictions for the benefit of
:l f_ Declarant,its successors and assigns,the Town of Barnstable[hereinafter•the Town],and the
Commonwealth of Massachusetts Division of Pisheries and Wildlife[hereinafter the"Divislod],
Y� and said Property shall be held,transferred,sold,conveyed,occupied and used subject to the
4; covenants,conditions,and restrictions hereinafter set forth,
. �.•s� fit. _ .
ifr Abl:.
1, Prohibited Acts
•and Uses, Subject to the exceptions set forth in Section 2 below;the
x .folio acts and'uses are rohibited in the en S ace;
� p � P ,
i A. Construction or placing of any building, tennis court, landing ship, mobile
�. ; home,swimming pool,fences,asphalt or concrete pavement,sign,billboard or
"r1 Palu,dnnof0.emledwll•H-0,.doo. -
•t 1 ,.
�..
i 3
fur-..: �'ki��1 ' •: -
j R
Bk 241.21 Pg 268
j[6
:;•:;i; other advertising display, antenna, tower, or other temporary or permanent y,.,,.:•
structure or facility in,on,above or below said Open Space.
tY -
--r;; B. Mining,excavating,dredging or removing soil,loam,peat,gravel,sand,rock or
other mineral resource or natural deposit,
C. Placing,filling,storing or dumphig of soil,refuse,trash,vehicle bodies or parts, ti
rubbish, debris,junk, waste or other substance of material whatsoever or the
is installation of underground storage tanks,
;gt. D, Cutting,removing or otherwise destroying trees asses or other vegetation or `
._.,,;;,. s, d,• disturbance of shrub ground,forest floor or leaf litter.
H. The use of motorized vehicles of any kind,except as required by the police,fire
department or any other governmental agents in carrying out their lawful duties
F. The further subdivision of the Open Space.
G. Activities substanttally detiimental to drainage, flood control,. water
conservation,erosion control or soil conservation, _
H. Any other use of or activity on the Open Space which<�-...,_•:• would materially impair � :•.:;
significant conservation interests thereon unless necessary for the rotection of :,T:: '•
f` the conservation interests that are the subject of this restrictive covenant. 1;y
c,',_•cir�j. 2, Reserved Rights, Notwithstanding any provisions herein to the contrary,Declarant
L)'.1'Y N; reserves to itself and its successors and assigns the right to;
is A. establish, enforce, waive, alter and amend such additional rules regulations,
! covenants,conditions and xesWctions governing use of the Open Space as are
.„,;..
not otherwise prohfbitedby this))edaration of Restriction as agreed to in
writing by the Division and allowed by applicable federal,state or local law or
regulation,and r=
B, conduct or permit the following activities in the Open Space if such acts do =f
not materially impair.significant conservation interests;
1) Selective cutting or pruning of trees and vegetation to maintain access toand over existing footpaths located thereon and for protection of persons
and property from imminent risks of harm or damage to pexsons and
i structures, l
a, 2) use of those portions of the Open Space shown on the plan
for the purpose of access for construction and planting of wetland .
replication areas as shown on the plan and as a
p approved under an Order
of Conditions issued by the Barnstable Conservation Commission, file
No, [Town file number) use, awales, pipes and conduits and r:l
r '
ftir�7,;1 2 _.
�C t
ki�t1 S�
68 #l'6�a.1;ai
'•— `''_ . . Bk 2.4121 Pg 269 #61.034
appurtenances thereto and to drain surface water and runoff over,under
and throug
h same;and use for the construction use,
�``'•:j ' ":: 3) Construct fences necessary gar p, walls or recess bound markers on the Open
Space upon written consent by the Division, such consent not to be
unreasonably withheld,
j t 4) Habitat management activities, including foxes ma be
x;,,? ?: :,:•: g forestry, y permissible
;. :. with prior written approval from the Natural Heritage and Endangered
s Species Program of the Division of Pisherles and Wildlife (the
-- �., _. . - -- --• - --- "Division'),its successors and assigns' ---- - _ ._.. _..- •___—_--•-
e...:.::::: 3, Monuments and Si a
h.••fib'
s t �' ;;• ': gn se The Declarant and the Dedarant's Successors shall ma
inteiz
in good condition any,bounds, monuments,markers and aigrLs, shown on the flan,
demarcating the boundaries of the Open Space,and shall rep and or replace said
x monuments and signage on an as needed basis,
.n 4. Term-Binding Effect In Pe etu' . This Declaration of Restriction an��t�`� • a rP rtv d its provisions- ors
herein set forth shall ruts with the Open Space as shown on said Plan in perpehihy from
the date of recordation In the Barnstable DisWetRegistry of Deeds and shall be binding
la,.•
s �' ;,;:• upon Declarant, Declaranes successors and assigns, and any other party having an
ownership interest in said Open Space or claiming to have an interest With respect to
said Open Space as tenants,invitees, licenses or otherwise,and all of the respective
y�:°''`•= heirs successors grantees,mortgages,assigns,agents,contractors,subcontractors and
?� employees of the foregoing:
tYi This Declaration of Restrictiou Is hereby intended and declared to be in perpetuity and no
,.1 A%j i re-recordation of this Declaration of Restriction under G.L.c, 184 ss.23-30 or any other
law shall ever be necessary in order to maintain the full legal offeot and authority hereof,
Notwithstanding the above,the Town and the Division are hereby authblized,jointly and
severally, to re-record this Deolaratton of Restriction to ensure that it continues in
} }A,
perpetuity.
Rnfor'aea�billty. The Town and the Division;jointly and severally, shall have the
authority and right to enforce this Declaration of Restriction,
'X-
: j ., The Town and the Division,jointly and severally,shall have the right to enter the Open
Space,in a reasonable manner and at reasonable times,for the purposes of(i)inspecting 1
the Open Space to determine compliance with this Declaration of Restriction; (ii) `
anforeing this Declaration of Restricaonj and(iii)taking Any other action Wltich may be
T necessary or approprlate.
15=q '! The Town and the Division, jointly and severally, shall have the right to bring
<` proceedings at law or egzttty against any party or parties violating or attempting to
;� 1'. , •• violate the terms of this Declaration of Restriction to enjoin them frozn'so doing and to
,u t' cause any such violation to be remedied,including but not limited to restoration of the
z'
?} 3
Ji
t'l5.
' t
SPt. n'i` t
B7c 241.21. Pg 270 <1;r`"(''�'t� :}'':'_ •:i
MAIM
;7 -g'it'yy;
...............rr...r.r.rr.r.. •.r.• .-.ri-rr rn.. .r• r..._.._...•r..rr.....rr:.r.r.r....._.rr.r_.rn.r.r_�.— 'Yt '!i �li "t rl� •?J
portion of the Open Space adversely affected, after providing written notice to such
party or parties and all mortgagees of record if the names and addresses of such parties t �,
and mortgagees have been provided in writing to the Town and the Division, ;; .1,,_�.�r✓•, ;:_;:,:�i-;
6. Severability. If any court or other tribunal of competent jurisdiction determines that r'.:it�f j's
any provision of this Declaration of Restriction is invalid or unenforceable such ti •`;•tq,-•.}''r,`_i'
provision shall be deemed to have been modified automatically to conform to the
requirements for validity and enforceability as determined by such court or tribunal, In
the event the provision invalidated is of such a nature that it cannot be so modified,the a <r':yt•;,;r; .::.:-'•:rr,;,
t.r tyfi
provision shall be deemed deleted from this instrument as though it had never been •. i.:r;,,}.,
included herein, In either case cite remaining provisions of this instrument shall remain
in full force and effectr i ti7i
7, Non-Waiver, Any election by the Town and/or the Division as to the manner and
timing of its right to enforce this Declaration of Restriction or otherwise exercise Its
rights hereunder shall not be deemed or construed to be a waiver of such rights. n.
�_ This Declaration of Restriction does not Wxn
8. ccess, grant to the To the Division, the
general public,or to any other person or entity any right to enter upon the Property
except the right of the Town and the Division to enter the Property at reasonable times
and in a reasonable manner for the ptupose of inspecting the same to determine
compliance herewith and enforcing this Declaration of Restriction as set forth In Section
5 above, � ,
ii4;td-
91 lneornorafion Into Deeds,Mortgages,Leases and Instruinenfs of Transfer Declarant
and Declarzmes successors and assigns,Including aE subsequent owners of the Open
Space or portions thereof,shall incorporate this Declaration of Restriction,in full or by :;•
. ;•.;�',;reference,into all deeds,easements, ;al ,leases licenses,occupancy ag reements or any other instrument of transfer by which an interest in and/or a right to use the ;,;�:;4s�; •;;i,;r :
Opan Space or any portion thereof is conveY y ed. An such dead mortgage or other
interest purporting to convey any portion of the Open Space without inaU—a ig—ft tLs
Declaration of Reshdcflon in full or be reference shall be deemed and Taken to include •��_ l�;!;;a-.
said Declaration of Restriction in full even though said Declaration of Restriction is not '
nt.r �•,
expressly described or referenced therein,
10i Recoxdattow'Re stration Declarant shall record and/or register this Declaration of
Restriction with the appxopriate Registry of Deeds and/or Land Registration Office
u on the later of(I)thirty( ) y
p 30 days of its date of execution or(ii)the conveyance of the
first Lot located on the Plan to a bowfiide ptu'chaser. " };: s'
-ig
11, Amendment and,Release
The Declarant shall ltava the right to request amendment or ���v'T�,,,'._j•;'>;�
release of this Declaxation'of Restr ctton upon a del
ermination by the Division that its
ieved, Any studies required by the Division
conservation purposes can no longer be ad
to make such a determination shall be at the sole expense of the Declarant, No
amendment or release of this Declaration of Restriction shall be effective runless it has { ' qq"` '
been approved in wuting by the Division[hereinafter the Division Approval]and said
lip ] •tt;,rt <.`�:c'
4
MA
0 166 ;37c 2.4121 pg 271 #61034 is
�.
I
amendment or release and the requisite Division Approval has been recorded with the
appropriate Registry of Deeds and/or Land Registration Office,
kT.
tr 1
to S.-V L-It
,�SIt-,_•.,1,^�' _�!'!_sue 1.•
�?�,. s ref. •
i'
">F
{ �r
P,�' kt4Y
/A Y(�F S.kilt
r
5.
i\.
V'-''t'`iY:
�YYW,
;> ±n'OV,
Bk 24121 Pg
� f ,d ,r
y IN'WITNESS WHMOF, Briars T, Dacey,Trustee of Elliott Road fealty Trust, has
caused these pats to be signed,acknowledged and delivered in its name and behalf this
rf 'i. Z day of____ �2088. i rF
`I Elliott Road Realty Trust
Y S'
I� •.• Brian T.Dacey,Trustee
i Vk COMMONWRALT14 OrMA,SSA.CIi INTs
Barnstable,ss, Z 7 zoos
ta• ti4
On this day before me,the undersigned notary public,personally appeared Briars T.
ti Dacey,Trustee of Elliott Road Realty Trust,proved to we through satisfactory evidence o df
f
t identification,'ct''hfch was[�hotogxaphic Sdentificatiort t�,f'ith si store issued b a federal or
{ LS • stale governmental agency, oath of affirmation of a credible witness,❑personal knowledge fl5r.
wt i{• of the undersigned, to be the person whose name is signed out the preceding or'attach A g ed -.
document,and acknowledged to me that he signed it voltul for its stated ur e, i
Y A p 1
otary public Y Via..: _
•tta SEAL
• F�yt M 31a�
t�'{ y Commission Expires:_
,
I f 1
6
BARMABLE RE018TRY OF DEEDS
:'*%_• ,
T
' i w
0 Liberty
Mutual.
SURETY
Bond 999011971
LICENSE OR PERMIT BOND
KNOW ALL BY THESE PRESENTS,That we,Bayside Building Company,Inc.
as Principal, of
P.O.BOX 95 ,
(Street and Number)
CENTERVILLE , Massachusetts and the The Ohio Casualty Insurance Company ,
(c ity) (State)
New Hampshire corporation, as Surety, are held and firmly bound unto Town of Barnstable
(State)
as Obligee,at
200 Main Street,Hyannis,MA 02601 ,in the sum of
Three Hundred Twenty Dollars And Zero Cents
(S320.00 )for which sum, well and truly to be paid,we bind ourselves, our heirs, executors,
administrators,successors and assigns,jointly and severally,firmly by these presents.
Sealed with our seals,and dated this 13th day of August , 2019
THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS, the Principal has been or is about to be
granted a license or permit to do business as Street Opening/Right of Way
for the work to be performed at/for: Construct Home at 210 Elliot Road Centerville, 80'frontage by the Obligee.
NOW, THEREFORE, if the Principal well and truly comply with applicable local ordinances, and conduct business in
conformity therewith,then this obligation to be void;otherwise to remain in full force and effect.
PROVIDED,HOWEVER:
1. This bond shall continue in force:
® Until 13th day of August ,2020 ,or until the date of expiration of any Continuation Certificate
executed by the Surety
OR
❑ Until canceled as herein provided.
2. This bond may be canceled by the Surety by the sending of notice in writing to the Obligee, stating when, not less than
thirty days thereafter, liability hereunder shall terminate as to subsequent acts or omissions of the Principal.
Bayside Building Compa ,Inc.
By
I j Principal
yJP4oar RS& The Ohio Casualty Insurance Company
Q 3 Fo t
1919
o 1, `�v o B
SO NAMPSaS' y
Timothy A.Mikolajewski Attorney-in-Fait
J
Liberty Mutual Surety Claims•P.O.Box 34526,Seattle,WA 98124-Phone:206-473-6210•Fax:866-548-6837 -
LMS-20989e 03/19 Email:HOSCL@libertymutual.com-www.LibertyMutualSuretyClaims.com --
This Power of Attorney limits the acts of those named herein,and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty
Mutual® The Ohio Casualty Insurance Company
SURETY POWER OF ATTORNEY
Principal:Bayside Building Company,Inc.
Agency Name:DOWLING&ONEIL INSURANCE AGENCY Bond Number:999011971
Obligee:Town of Barnstable
Bond Amount:($320.00 )Three Hundred Twenty Dollars And Zero Cents
KNOW ALL PERSONS BY THESE PRESENTS:that The Ohio Casualty Insurance Company,a corporation duly organized under the laws of the State of New Hampshire(herein
collectively called the"Company"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint Timothy A.Mikolajewski in the city and state of Seattle,WA,
each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and
deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly
signed by the president and attested by the secretary of the Company in their own proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Company and the corporate seal of the Company has been affixed thereto
this 26th day of September,2016.
XZY INSV,p The Ohio Casualty Insurance Company
yJPGaaro�r qy >
Q 3 Fo r? � r6
0 1919 n �� �
° H HAnrvb` daa� By:
ai la David M.Carey,Assistant Secretary
c
STATE OF PENNSYLVANIA
-O ss
� COUNTY OF MONTGOMERY
0) c
a On this 26th day of September, 2016, before me personally appeared David M. Carey,who acknowledged himself to be the Assistant Secretary of The Ohio Casualty Insurance_F0
O Fa Company and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as duly 0
> authorized officer. W
y m TE
IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written.
_.� Oo
(0 <v
` COMMONWEALTH OF PENNSYLVANIA
0 O Notarial Seal O
p Teresa Pastella,Notary Public O
C Upper Merion Twp.,Montgomery County By: E
My Commission Expires March 28,2021 O M
Teresa Pastella,Notary Public a o
Member,PennsyWania Association of Notaries N O
(6 a_
O E This Power of Attorney is made and executed pursuant to and by authority of the following By-law and Authorizations of The Ohio Casualty Insurance Company,which is now in full force 0 a1i
1 and effect reading as follows:
O `
O > ARTICLE IV—OFFICERS:Section 12,Power of Attorney. j C)U Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the a)v
> a) President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety C9
o � any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in•fact,subject to the limitations set forth in their respective powers of attorney,shall E m
Z O have full power to bind the Corporation by their signature and executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any cq
power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by O o
the officer or officers granting such power or authority. lO
Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature or electronic signatures of any
assistant secretary of the Company or facsimile or mechanically reproduced or electronic seal of the Company,wherever appearing upon a certified copy of any power of attorney or
bond issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed.
I,Renee C.Llewellyn,the undersigned,Assistant Secretary,of The Ohio Casualty Insurance Company do hereby certify that this power of attorney executed by said Company is in full
force and effect and has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Company this 13th day of August 2019
�ZY INSG
Q PaoaPCR9>�ti� /�f
a 1919 By:
i tm r4
4 ° Renee C.Llewellyn,Assistant Secretary
° �HAntvs� dDa�
dy1 * *a
POAOutputOCe
The Common wealth'of'Massachusetts
Department of Industrial Accidents
- Office of Investigations
600 Washington Street
x Roston,lA 02111 ` t
www.mass,gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
ApElieant Information ° Please Print Legibly
Name(Business/Organization/Individual): ( t)
Address:
City/State/Zip: Phone#: -Z?t^/U
Are you an employer?Check the appropriate box: Type of project(required):1.[1I am a employer with 4.` 1 am a general contracior 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 g•' []Demolition
working for me in any capacity. F employees and have workers'
insurance.$ 9. ❑Building addition' .
[No workers comp.comp. insurance
required.] • 5. ❑ .We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
m self, o workers' comp. right of exemption per MGL
Y P - 12.❑ Roof repairs
insurance required.]t c. 152, §1(4),and we have no 13.❑:Other
employees. [No workers'
comp. insurance required.]
*Any applicant that checks box#1 must also fid 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: &Om4O'1 Q� ,
{
Policy#or Self-ins.Lie.#: 607 3 CQ d Co Z& Expiration Date:
Job Site Address: V
f 12
�«
�� Cl/ OY; /�-PJ City/State/Zip: ✓
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP 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 t
Investigations of the DIA for insurance coverage verification.
I do hereby cer ' under th 'ns and penalties of perjury that the information provided above is true and correct '
Si ature: Date: ZZ
Phone#: &q6
Official use only. Do not write in this area,to be completed by city or town official s
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#:
Bayside Building
Subcontractors2019
General.Liability =Workers Coin Comments
Sub Contractor GL Start GL End WC Start WC End
Villani Construction Inc 04/12/19 04/12/20 01/08/19 01/08/20
Christopher Costa,Inc. 04/13/19 04/13/20 01/09/19 01/09/20
Walpole Woodworkers _ 04/14/19 04/14/20 01/10/19 01/10/20
Botello Lumber,Co.,Inc. 04/15/19 04/15/20 01/11/19 01/11/20
Davids Building&Remodel Interior Trim Carpen. 04/16/19 04/16/20 01/12/19 01/12/20
MacDonald Concrete Finishing Cellar/garage floors 04/17/19 04/17/20 01/13/19 01/13/20
O'Fihelly,Brian 04/18/19 04/18/20 01/14/19 01/14/20
American Floors Oak floor finishing 04/19/19 04/19/20 . 01/15/19 01/15/20
Morse's Masonry Mason Contractor 04/20/19 04/20/20 01/16/19 01/16/20
Meagher Construction(Roofer) Framer 04/21/19 04/21/20 01/17/19 01/17/20
Pro Fence Co.,Inc. Fence 04/22/19 04/22/20 01/18/19 01/18/20
Cape Cod Insulation 04/23/19 04/23/20 01/19/19 01/19/20
Spagnuola,Anthony dba Spags 04/24/19 04/24/20 01/20/19 01/20/20
Jeffrey Lauder Bobcat 04/25/19 04/25/20 01/21/19 01/21/20
Reliance Air Systems Inc 04/26/19 04/26/20 01/22/19 01/22/20
Foam Insulation Technology 04/27/19 04/27/20 01/23/19 01/23/20
Falmouth Engineering 04/28/19 04/28/20 01/24/19 01/24/20
Coy's Brook,Inc Landscape 04/29/19 04/29/20 01/25/19 01/25/20
Hill Construction Framer 04/30/19 04/30/20 01/26/19 01/26/20
Carpet Barn Inc 05/01/19 05/01/20 . 01/27/19 _ 01/27/20
L&M Glass Co,Inc Mirrors,shower doors 05/02/19 05/02/20 01/28/19 01/28/20
Kitchen Concepts of Taunton 05/03/19 05/03/20 01/29/19 01/29/20
Creswell Construction(Steve Creswell) 05/05/19 0/05/20 01/30/19 01/30/20
Toby Leary Fine W000dworking Trim Carpentry 05/06/19 05/06/20 01/31/19 01/31/20
Pastore Excavation Inc. Excavation 05/07/19, 05/07/20 02/01/19 02/01/20
VMA Electric Pool Installer 05/08/19 05/08/20 02/02/19 02/02/20
Jackson Welding 05/09/19 05/09/20 02/03/19' 02/03/20
Govoni Land Services Land clearing 05/10/19 05/10/20 02/04/19 02/04/20
A.F.M.Plumbing 05/11/19 05/11/20 02/05/19 02/05/20
Cape Cod Marble&Granite 05/12/19 05/12/20 02/06/19 02/06/20
ML Riley Construction Framer 05/13/19 05/13/20 02/07/19 02/07/20
Cavanaro Consulting Inc 05/14/19 05/14/20 02/08/19 02/08/20
Reed,Mel Sheetrock 05/15/19 05/15/20 02/09/19 02/09/20
Triple Crown Cabinets&Millwork Framer 05/16/19 05/16/20 02/10/19 02/10/20
Arne Excavating&Paving 05/17/19 05/17/20 02/11/19 02/11/20
Fast Glass Service 05/18/19 05/18/20 02/12/19 02/12/20
Chaves,Robert ECectrician 05/19/19 05/19/20 02/13/19 02/13/20
Aluminum Products of Cape Storms,screens,gutters 05/20/19 05/20/20 02/14/19 02/14/20
N:\aaNICK\AA—Subcontractors Insurance Master 2012 1
Commonwealth of Massachusetts
7 Division of Professional Licensure
� ( oa eu
rdorildingg R iltatioris-and'Standards -�-`
i Ires:'04/19/2020 {
CS-005645 P
AY
BRIAN T DACEY Sr i
PO BOX 95 ay a' yy
CENTERVILLE NiA P02632
o
1
ComMissioneP
n s,
Construction Supervisor
Unrestricted-Buildings of any use group which contain 35 less than ,006cubic feet(991 cubic meters)of enclosed
space. '
Failure to possess a current edition of the Massachusetts '
State Building Code is cause for revocation of this license,:
For information about this license
Call(617)727-3200 or visit www.mass.gov(dpl
Home Energy 9 Ratin Certificate Rating Date:
Registry ID: Unregistered
Projected Report Ekotrope ID: ILXonW62
Home:HERSO Index Score: Annual •
Your home's HERS score is a relative 210 Elliot Road
2632
• - . , 1
the more energy efficient the home.To $ 2, 95 Builder:
54learn more, visit www.hersindex.com *Relative to an average U.S.home Bayside
Your Home's Estimated Energy Use: This home meets or exceeds the
criteria of the following:
Use NMI Annual Cost g
Heating 39.3 $680 2015 International Energy Conservation Code
Cooling 0.4 $20
Hot Water 12.1 $200
Lights/Appliances 20.4 $1,100
Service Charges $0
Generation(e.g. Solar) 0.0 $0 .
Total: 72.2 $2,000
HERS'Inde)( Home Feature Summary: Rating Completed by:
More Energy Home Type: Single family detached Energy Rater.Chns Mazzola
150 Model: N/A RESNETID:8873503
Existing 14o Community: N/A
Homes i30 Rating Company:Home Energy Raters LLC
l:e Conditioned Floor Area: 2,244 ft=
uo Number of Bedrooms: 3 180 State Rd,Suite 2U Sagamore Beach MA 02562
Reference 508-833-3100
Home iao Primary Heating System: Furnace•Natural Gas•95 AFUE moo•
90 Primary Cooling System: Air Conditioner•Electric•13 SEER Rating Provider.Energy.Raters of Massachusetts 0
70 Primary Water Heating: Water Heater•Natural Gas-0.92 Energy factor 2 Woodlawn Street Amesbury,MA 01913i�- q
978-270-3911
60 & Houserightness: 2.7 ACH50
50 Ventilation: 40.0,20.7 CFM;27.0,8.0 Watts
40 This Home
io
so Duct Leakage to Outside: 56 CFM25(2.5/100 s.f:)
ao Above Grade Walls: R-21
Zero Ener10 Ceiling: Attic,R-39
gyHome Window Type: U-Value:.0.3,SHGC:0.3 Chris Mazzola,Certified Energy Rater
•ma•t:ran
less Energy Foundation Walls N/A Date:8/8/19 at 9:19 AM
® O ® • •. •
Building Specification Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Raters LLC Results are projected
Centerville, MA 02632 508-833-3100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210- ILXonW62 Builder
Bayside
Building Information Rating
Conditioned Area[ft2] 2,244.00 HERS Index 54
Conditioned Volume[1t3] 19,652.00 HERS-Index w/o PV 54
Thermal Boundary Area[19 5,619.50
:Number Of Bedrooms 3
Housing Type Single family detached
Building Shell
_Ceiling w/Attic I R39 BFG,14",10x16,G1 U-0.03 Windows (largest) I U-Value:0.3,SHGC-0.3
- Vaute 'R41 , , ,Gl,C U-0. ndow/Wall Ratio(0 10
ld CeilingDPBFG10"10xl 6 02
.. __ -
Above Grade Walls R21,FG,6x16,G1 U-0.05 Infiltration 12.7 ACH50
_ Found Walls_)None _ Duct L:kg to Outside 1 56 CFM25(2.5/100sf.)^_ _
Framed Floors(R30,FG,10x16,G1 R-30� r W Total Duct Leakage 140 CFM25.(Post-Construction)
_ — Siabs(None --- _
Mechanical Systems
Heating Furnace• Natural Gas•95 AFUE
TOojin_. Air Conditioner-Electric- 13 SEER
Water Heating Water.Heater•Natural Gas•0.92 Energy Factor
Programmable Thermostat Yes
Ventilation System 40.0,20.7 CFM•27.0,8.0 Watts
Lights and Appliances
Percent Interior LED 100% Clothes Dryer Fuel Electric
P e t Exterior LED 100% s _N
the D er CEF _ w _ W 2.6 .__
_ __.-
Refrigerator(Mhtyr) 691.0 Clothes Washer LER(kWh/yr) 704.0
Dishwasher.Efficiency 0.46 EF ?Clothes.Washer Capacity 2.9 a
Building Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Rater:LI-C Results are protected
Centerville,MA 02632 508-833-3100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210-It.XonW62 Builder
Bayside
General Building Information
Number Of Bedrooms 3
Number Of Floors 2
- _ .� .. _
Conditioned Floor Area[sq.ft.] 2,244—
Unconditioned,attached garage? Yes
Conditioned_Volume[cu.tt.]� 19,652
T7-- Units in t3uiiding f _
Residence Type _ _ Single family detached _
"Floor Number -
Model
Community
Climate Zone 5A
Foundation Wall
None Present
Foundation Wall Library List
None Present
Slab
None Present
Slab Library List
None Present
Building Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Raters LLC Results are projected
Centerville,MA 02632 508-833-3100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210-ILXonW62 Builder
Bayside
Framed Floor Library List
Name Effective R-value
R19,FG,10x16,G3� Wr 15.535'
R30,FG,10x16,G1' 26.66'
i
Rim Joist
Name Library Type Surface Area Location
>ambient R20: 153.5 ft2 Exposed Exterior
>garage R20' 21.5 ft2: Unconditioned,attached garage
Rim Joist Library List
Name Effective insulation R-value
R20,. 20.00
Wall
Name Library Type Surface Color Surface Area Location
>ambient R21,FG,6x16,G 1', Mediums' 1,687.0 ft2 Exposed Exterior
>atticl R21,FG,6x16,G1, Medium' 408.0 ft2' Attic
>garage, R21,FG,6x16,G1, Medium{ 180.1 ft2, Unconditioned,attached garage
base stairs' R15,FG,4x16,G1 i Medium: 113.1 W.Uninsulated Unconditioned Basement
Building Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Raters LLC Results are projected
Centerville,MA 02632 508-833-3100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210-ILXonW62 Builder
Bayside
Wall Library List
Name _ Effective R-value
R15,FG,4x16,G1r w- 13:29'
1
R21,FG,6x16,G 1'. 17.671 i
Glazing
Name Library Type Wall Assignment Foundation Wall Overhang Depth Overhang Ft To Overhang Ft To Orientation Surface Area
Assignment Top Bottom
Front U:0.30,SHGC:0.30 >ambient 0 0 0 South 46.7ft2
Front awning U:0.30,SHGC:0.30' >ambient 0 0, 0 South 29.0112
Lett U:0.30,SHGC:0.30, >ambient 0- 0[ 0 West 5.6 ft2
Left dh U:0.30,SHGC:0.30; >ambient 0 0 0 West 35.0 ft2
Left gable dh U:0.30,SHGC:0.30; gable walls 0 0 0 West 24.2 ft2
Rear U:0.30,SHGC:0.30, >ambient' 0 0 0 North 47.9112
Rear awning,U:0.30,SHGC:0.30 >ambient` ! 0 qf 0 0 North 16.9 ft2
Rear slider U:0.30,SHGC:0.30 >ambient 0 0 0 North 40.0 ft2
Ld
Glazing Library List
Name Shgc U-factor
{
-i.
U:0.30,SHGC:0.30r � 0.3 0.300
l
i
Building Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Raters LLC Results are projected
Centerville,MA 02632 508-8333100
Chris Mazzola
Elliot Road 210 Pro
Elliot Road 210-ILXonW62 sunder
Bayside
Skylight library List
None Present _
Opaque Door
Name Library Type Wall Assignment Foundation Wall Emlttance Solar Surface Color Surface Area Location
Assignment Absorptance
>basemet Wood panel,l 31WI base stairs _Y-t 0.9 0.75 Medium 20.0 W Exposed Exterior
>garage ThermaTru,Opaqui >garage 0.9 0.75 Medium 18.0IF Exposed Exterior
Front ThermaTru,Opaquc >ambient 0.9 0.75 Medium 20.0 ft2 Exposed Exterior
w2 side Mes'
Opaque Door Library List
Name Effective R-value
ThermaTru,Opaque�� 7.143p,
TherrnaTru,Opaque w/2 side cites' 5.435
Wood panel]3V" 1.33'
Roof Insulation
Name Library Type Attic Exterior Area
Clay or Concrete,Roof Surface Color Surface Area Location
Attic Flat R39,BFG,14",10x16,G1 1,542r No Medium 1,234.0R2' Attic
Sloped ceilings R41,DPBFG,10",10x16,G 287 No Medium; 287.0 112 Vaulted Roof
attichatch. T-Dome--Use A=13.1sf 7.5 No Medium 6.0 112 Attic
Building Summary
Property Organization Inspection Status
210 Elllot Road Home Energy Raters LLC Results are projected
Centerville,MA 02632 506-833-3100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210-ILXonW62 Builder
Bayside
Roof Insulation Library List
Name Has Radiant Barrier Effective R-value
R39,BFG,14",10x16,G1 ~ � No. 37.566
R41,DPBFG,10",1 0x1 6,( NO. 34.141
l
T-Dome—Use A=13.1 sf No, 11.45
r"
Whole House Infiltration
Infiltration Measurement Type Shelter Class
2.7 ACH at 50 Pam� T _~ Blower-door tested 4
i
Mechanical Ventilation
Ventilation Type Ventilation Rate[t] Operational hours per day Fan Watts Runs once every„u ee Energy Recovery Percent
MinisteERV 40 24, 27, Yes 66
I
Exhaust Only, 20.7 24 8 Yes 0
Lighting
%Interior Fluorescent %Interior LED Lighting %Exterior Fluorescent %Exterior LED Lighting %Garage Fluorescent %Garage LED Lighting
Lighting Lighting Lighting
0y 100 0. 100 0 100`
i t
Building Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Raters LLC Results are projected
Centerville,MA 02632 508-8333100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210-II-XonW62 Budder
Bayside
Solar Generation
None Present
Solar Generation Library List
None Present
Lj
Conditioning Equipment
Name Library Type Heating Percent Load Cooling Percent Load Hot Water Percent Load Location
AC(1), T ACC24k,13SEER 0% 100% 0% Unspecified
I
Fumace(1), FURNACEAFUE95.0,NGj 100%, 0% 0%' Unspecified
Water Heater INSTANTANEOUS,EF92.0,NG 0°h" 0% 1001/0. Unspecified
Equipment Type: ACC,24k,13SEER
Fuel Type Electric _�
Distribution Type -- Forced Air
Motor Type PSC(Single Speed)_ _
-
Cooling Efficiency 13 SEER
Cooling Capacity[kBtultt]
Equipment Type: FURNACE,AFUE95.0,NG
�.
Fuel Type Natural Gas
Distribution Type Forced Air
�tdloto�Type_ PSC(Single Speed) �_____.�.4�
jj_
Heating Efficiency 95 AFUE '�
Building Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Raters LLC Results are projected
Centerville,MA 02632 508-833-3100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210-ILXonW62 Builder
Bayside
Distribution System
Distribution TYP— Forced Air _ I
Heating Equipment Fumace(1)
Cooling Equipment
Sq.Feet Served �2244
2
Retum Grilles
_Supply Duct R Value 6
Return Duct R Value 6 1
Supply Duct Area[ftl] 380.16
Return Duct Area[tt2] 140.8
Leakage to Outdoors 56 CFM25(2.5/100 s.f.)
Total I6aka e _ 40 CFM25
~Total Leakage Duct Test Conditions Post-Construction
Use Default Flow Rate Yes
•Duct 1...__,.....__.,.._._�
=Duct Location Basement(insulated basement_ceiling) �
Percent Supply Area '50 � _ ~�
Percent Return Area 50
Duct 2 - —
Duct Location Attic(well vented) -�
Percent Supply Area 40
-PercentReturn Area 40 -
Duct 3 m
Duct Location Conditioned Space
Percent Supply Area 10
"Percent Return Area 10
Duct 4 w
_ - _
Duct'Locatiion Conditioned Space -'
_Percent Supply Area 0 - -
_ :
Percenf Return_ Area 0 �I
Duct 5
Duct Location Conditioned Space
Percent Supply Area 0
_-. - u,rW
Percent'Retr_n Area 0
Duct 6� _s
-
_�. _
Duct Location Conditioned Space
Percent Supply Area 0 _
Percent Return Area 0
Ceiling Pan
,____ _
_Has C_eiling_Fan No
Cfm Per Watt 70.42254
s:
Building Summary
Property Organization Inspection Status
210 Elliot Road Home Energy Rater;LLC Results are projected
Centerville,MA 02632 5DS-833-3100
Chris Mazzola
Elliot Road 210 Pre
Elliot Road 210-ILXonW62 Builder
Bayside
Water Distribution
Water Fixture Type — Standard _
-Use Default Hot Water Pipe Length No �
"Hof Water Pipe Length[ft]_ 05.7 "]
At Least R3 Pipe Insulation? Yes
...r---__-- .
Hot Water Recirculation System.._.? No -
Recirculation System Pipe Loop Length[ft] 170
DRaii Water Heat Recovery?� 'r No
Clothes Dryer
-Fuet Type w Electric ]
Cef 2.617
Feld Utilization Tmer Controls
Clothes Washer
Label Energy_Rating 704 kWhNdar
Electric Rate $0.08lkWh
i4nnual Gas Cost $23.00 __]
Gas Rate $0.58lfherm
Capacity 2.874
Imef 0.33053
Appliances and Controls
Programmable thermostat? Yes _ _
Dishwasher Size Standard
_Dishwasher Efficiency 0.46 EF
Range/Oven Fuel Electric
- n.-. —_Convection Oven? No
Induction Range? No
Refrigerator Consumption 691 kWh/Year ��
Notes
D/SGLNMER.• �r,
EGKSTROM HOME DESIGNS AND OR l/5 EMPLOYEES A55U11E NO RE5PON5/B/L/fY FOP ANY t
01IIM--WON Dl5G,pEPANG/E5,OR GIIAN6E511ADE7-0 ANY PORTION OF THE 5T5MLCTURE.ANY
0/5CREPANCY IN 5T9'UGTUPe UNIFORMITY,SUCH A5 MATER/AL GON507TNGY,THE STRUCTURE r.
BEING PLUMB,LEVEL,AND SOUARE COULD GAUSE THE STRUCTURE TO BECOME PMY5/GALLY
UNSAFE TILEHOMEOWNERANDOKCONTKAGTOR/DU/LDER5HALLVEKIFYALI-PLAN }`. 210,ffLUOT P0111) -GUS7-0M HOME PI-AN5
D/MEN5/0N5,STRUCTURAL DL'TA1L5,AND GUILD/NO CODE5 REOUI:?EMENr'S.THEN NOTIFY THE BAY501f OUILDINO GO.,IN GOU WORAT1ONW1rH ECKSTKOM 1101-7F_5'DESIGN D✓I5/ON
AeCtMEGT/
DE5/6NER OF ANY D/MEN5/0NAL ERKORS,,0I7/55/ON5 OR DISCREPANC/E5 BEFORE
BEGINNING
OR FA09rGAT/N6 ANY WORK ON THE PROJEGT•TO THE OE5T OF OUR KNOWLEDGE THESE PLANS
ARE DRAWN TO COMPLY WITH OWNER'S AND/
OR BUILDER'S SPEGIMA7710N5 AND ANY GMANGES MADE ON TMEM AFTER PRINTS ARE MADE
WILL BE DONE A7 THE OWNER'S AND/OK BUIL0ER'5 EXPENSE ANO RE5PON5/BlLITY.THE
CONTRACTOR SMALL VERIFY ALL D/MEN510N5 AND ENCLOSED DKAW/NG.ECKSTROM HOME, "
DESIGNS/5 NOT UABLE FOP FRKOP5 ONGE GONSr"kUGTION IYAS BEGUN.WHILE' _.
EVERY EFFORT MA5 BEEN MADE IN THE PREPAKATION.OF TH/S.PLAN TO AVOID M/STAKE5,THE
MAKER CAN NOT 6UAKANTEE AGIVNST HUMAN ERP09 THE GQNrRAGT0IZ OF THE JOB I'lU5T
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PPAWN.0Y'E.T.E. ECKSTROM HOME DESIGNS ^a•^
POOP PRltMI.NG PLAN R Dt NC S a To m
8/5/19 GYIEGKED�Y:'�.T.E: 210.'ELL10T POAD
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Edge of Creek
As Shown an Plan By The
BSC Group Dated 12/SEP/08
see Plan 632124,
N NIF
° David J Bluestone Campbell Family Irrevocable Trust
I_, -- Kevin M & Judith D Campbell Trs .oyo,
ry0 _ W -
�Ix �q FEMA Zone Line 554.T
As Shown on Ma
/25001 C0564J 4.
July 16, 2014 �b�
pZen6 `% Edge of 8VW
ed by
50t' Flood Zone°f HallFlog on19/JUL/19d00
O
ZONE. 10
Ri9Oe �/ � Q'3g'�3 �
Ol 9 sgg 0t'
gyp, ti� ,4 � _ -ao f-• _...._. -- ;�
RB
u t
Area (min. 87,120 SF (RPOD) Q, - ��
Frontste min 20' P13.47) ro a �i idthmin) 100 � N/F
Setbacs: \, Konstantfne N ignatiev do Ekaterino DanBovo
Fron t 20'
Side 10'
Rear 10' -'"`�-�{ e�� ASSESSORS REF.
�I dE ^ o Map 248 Parcel 57-4 .
35'e�3, :��' LOT 4 0
NOTES: Nag.6Q 0Q z� 46,884±SF Upland OVERLAY D/STR/CT.
34.04diSE Weiland
932.±SF Total AP - Aquifer Protection District
1.) The structures shown were located on the ground
0,
by conventional survey methods on (or between) s' FLOOD ZONE:
23/OCT/18 and 11/SEP/19. o
O r• . Zones: X & AE(EL10)
2.) The property line information shown hereon was 3 Based on Map.#
compiled from available record information. '`"'' :. 25001CO564J
#210 a, July 16, 2014
3.) This plan is not for recording and is not to be
used for construction layout or deed description
purposes.
New Concrete 58 g, __
N78'19'25"W
6
Foundation
a
T.O.F. EI=3Z3' / S$ I
.4 116. 17.T Monique FR Crawford
N i Jahn D & PLAN SHOWING FOUNDATION AS-BUILT
Q AT 210 ELLIOT ROAD
Z(0 p< I certify that the new
BARNSTABLE
I ------ ,iea foundation shown hereon
conforms to the setback (CENTERVILLE)
I Fas e s 40� AC requirements of the Zoning AA SS.
1- `ge�eni' Barnstable.laws of the town of
' DATE: 12/SEP/19 SCALE: 1"=50'
O 25 50 75 100 FEEr
jP
- - PREPARED FOR:
' RICH RED Elliott Road Realty Trust
L 31 110
�o
f pp.
���P�JQ. PREPARED BY: CapeSury
O
--` r 23 West Bay Rd, Suite G
Osterville MA 02655
DWG #: C904gl cppl FIELD BY. WHK/ASK/RRL 508 420-3994 420-3995fax
_ i
1 4 lgJl�
Edge of Creek
As Shown on Plan By The
BSC Group Dated 12/SEP/08
see Plan 632124.
NIF
Famil irrevocable Trust
David J Bluestone y i u �_^,�—-- - ------—-. Kevin M Cam (& Judith D Campbell Trs �oyyo
O�1Kh�O� FEMA Zone Line
�6 As Shown an Map lh G
#25001C0564J / ' 40,,
July 16, 2014
a '
02� Chance o of Edge of BVW - O
f As Flogged by Brad 1�
`$ An to 4 /6°. „ Q) K' I Flood zone k Hall on 191JUL119 00
o °8
Rr9ge ,/ / 8.35''E3 W %
ZONE: �' o,,Q sa z _ _- 10of•
RB
Area (min. 87,120 SF (RPOD) �! �� 1
Frontage �min) ZO' P 113.47
wrdth (min) 100'
Setbacks: H/F
Front 20' // Konstantine N Ignatlev & Ekater(no Danilova
Side 10'
Rear 10' -�- —�-- ----
�' ASSESSORS REF.:
�E ^ o, Map 248 Parcel 57-4
35�3, �� LOT 4 o
NOTES: Naa b°°° 46,884±SF Upland OVERLAY DISTRICT:
932.tSF Total AP — Aquifer Protection District
1.) The structures shown were located on the ground
0,
by conventional survey methods on (or between) FLOOD ZONE:
23/OCT/18 and 11/SEP/19. -o
r % Zones: X & AE(EL10)
26 -0 .) The property line Information shown hereon was 3 Based on Map
compiled from available record information. `' :. �� 25001C0564J
421 Q a, July 16, 2014
1.0
3.) This plan is not for recording and Is not to be
used for construction layout or deed description
purposes. °`-
New Concrete I _ y N 58.8' 0 i Foundation `N78'19,25„W a5
I T.O.F. EI=37.3' eU 16 $ I N/F Crawford r
N I 17.7' Jahn D 8c Monique R PLAN SHOWING FOUNDATION AS-BUILT
i Q AT 210 ELLIOT ROAD
NQ `Je1
z(0 N p� I certify that the new BARNSTABLE
— Aga ► foundation shown hereon
conforms to the setback {CENTERVILLE)
40 AC I requirements of the Zoning ASS
Fes;�ez� ---____ e Bylaws of the town of
t I DATE: 121SEP119 SCALE: 1„-50f� 9 erlO9 Olive Barnstable. O 25 50 75 100 FEET
PREPARED FOR:
RICHARD R.
v Elliott Road Realty Trust
do L'HEUREUX
No . 34312 +or
� QF3TE���Sao PREPARED BY: CapeSury
a _ P
' 23 West Bay Rd, Suite G
Osterville MA 02655
DWG #: C904gl cppl FIELD BY. WHK/ASK/RRL 508 420-3994 420-3995fax
i
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. r I � I � r 1.Location of Utilities kown on This plan Are Approx.At Least 72 Hours � I I � / V -, � 1�'�_ . �'- : I � � I f4/F1 r ' .
I r . r I � � . I I I I I,� � , I �July 16,� 2014 r ��� . � I I r r I � I � . I , I �,,,r � I �,o �,,,` � \11 . . (PER P;AMwaOOK 523 PAGE Zji j, .�, ,, I � r I , r I � .. r , , I I 1'r , r I '' . , � ,
1. I I I I I ,�, .1 I . I I I Prior to Any Excavation For This Project the Coritroct6f Shall Make . . r � � 01 �I I I I ,,� rr I \ r r � I I � � ,I l,
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r , I 11 11 F. : �I . I I � I r 11 r, � � I r, r I I � . I I: r � I the Required Notification to Dig Safe(I -33,4). : r r I I , . r I � r I 1� �;, , . ,� I - 1\\ �._� �_� I I � -_ , r ",�, . � ,.,� .,r- _� I I - ,;\0 r , , I I I I :KanstChN, 1 190 � � �r r � , r � I . I I I I , r. � I r I I
I r � I r I I . . � . I Sullivan Engineering&Consulting Inc.(598A2� I . I I / I / r "I I I I I � I -1 , � -�� �;,� �". _.r.,, I ' � � I . r I . I I I I I I � � I
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r., I I I � - Map QB Parcel 057t001 : 1, I W" F r � I r � 1,The Contractor is Required to Secure Appropriate Perifilts Front town, I �I � I :/ ,'_o_____ I ' , ", r I I __� �, 1 I r \,� . I ,, , __ 7-- 1 1 Ir ,r r I I I I I .1 I I r
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r I ` I I r r . I I I I . Lot Area=77,862§F(1.78 Acres) , � r . I I r � r I ,� q�(.),-- 1_el _ ....�... :.".-��� :�........,"Buffe , ,__ �_ � �,, , r I �.% '--, \ I I . I
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r I �1,�,i_,", I I Ir � ,� r . I I I 11 �I Agencies for Construction Deirlmd rby This Plati� I . I ____�'r ,,��'r -.....��...� . 100 � I ,I I \ r .., i \ �- `,�, � I I I I � : . I I . . I I r 'r �
� - . I r State Zone II-1 Bedroom per I0,000 SF=778 OPb ' I I r � ,;, �__ I & \ _� I. I "I � '\ ".�, - I I . I :, r' I
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� � r I I I 1 3.Wherever Sewei Lines Must Cross Water Supply Lines Both Lines Shall � � "i - "I , I � I I A-) '\1 , r �_ � ." I r \1 r"I � � --- I I r I r . . I, I r � I .'r � .r
r 11 r DIRECTIONS,- I I I I .1 WP-330/Acre=589 GPD I be Constructed of Class 156 Pressure Pipe and Shall be Water Tested to .�I.�, I'll I � I /\ IV ,_ I . � - __ ',, I � , ,,, q.. . 20��' --- -,, _�\A'?, , I I I ,�I r r. I I I: � � r
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I r I I I I r I I I Assure Watertightness. in General,Water Lines Shall be Constructed in I r r " I ,1. to - `�/ � __ � I , . 11 +. I , f � r I I � r 11 I I � I I I� . I I I
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From West End Rotary follow West Main I � � r r I � � /\ . ,,, � __ �� �_--,, 11 \1�, � � .,- I � I I � I I I I I 1,
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I r I Street towards Ceitervide; Take a left � DESIGN DATA ' I ' � Coordination With COMM Water,and Shall'be in Accordance I I I I I �"�, I I/r/ I I le� r I . I / , r I I- �_ ,rl.,I �,�, r \ , " I r .�. \� I . I I I I I � r � I � r I I I I . I
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. ,r r . onto Pine Street, and then a left onto Single Family I I r � I With 248 CMR 1,00-7.00&3 10 CMR I 5.00' r �� I ,I 11 I � A 1-1 . ./ I I . �_ �', I .\ I 1, � ,� � r '50;,--'�� 11 . M r I r I . I I �, I r � I I
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I rr Elliot Road; Site is or) the /6?ft,, #210, , -5 Bedroom @ I 10 6111) 1 4.A Minimum or 9"of Cover is Required for All Compohen I I I I I / I I I � "I �, ,_ _�, 1�, � '"A '. . 'r- I I I
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. I � r' fSh ared :drive :with-#2-08- ---214) - I I-- ------"- ---No Garbage Grinder-- �-- L___1_ �_. . 11 �'_'Irl","11 1-1" 5.All Structures Burled Three Fee(orldph!or syllfccu -,-, ,_....r...-�__ I.- . -.. �_� , - r I.r- � I --- 1 1� �..�4 .r ....,�, ,-"e .� �._-,,,--�. .- .:�r......1.�r.I , N � ,_,__.__-.-.--�.---�,�----��1--:�--.1--:-r-'''�---��--_.���, � _ , , r -� r I——--,rl � r ,____ - � - � r I __11 �:,_ _._L�
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I I . I I I,r,,"', � .I I I I I r, I r I I�I r I I I to Vehicular traffic to be 11-20 Loading.It is the Engineer's r I � " �.�, ___ I . "I-- 7 � I I I � � , , I I r i
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I . I I . : Q,4 >� I r I I � � I � I . I I Total bw;Flow-sso a0b �, . I . I Recommendation that H-20 Always be Used. I . � I I I I I . 05 - _�_ � _',,_, I,--, -____ r I ,, �.,; I\ � __ _�_,_ I I 100, r � 1. I r � I I � r I . I I 1, I r r I I� I r �� 11 I . �
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I � � I I I LEACHING AREA r , I All covers'are to be truixithurn 18'�for concrete yr 24"Cast No. � I I I I � _� ".�;-� I � I , . - __ __ I I I , I I I r r � I �.
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I I Outlets Shall be No Less than.the Liquid Depth.Inlet Tees Shall P , '
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