The URL can be used to link to this page

Home My WebLink About0009 JOHNSON LANE +n� �C� 6 „�..,v"v r �.F{'11t, i, y tip ..'3 �;'.. _ c ly, v 5• e'4 =v r -,i. +ram: ,',,',�;,�,-,-,1.,'.1,�,;��I,��..,:��t"-a,*1,-",�,-�,,�;`�-.,-�--!��"1;;i�T"q.,,�!,-1�I�.",�,.,,�p,',-��',�"�.,:_,�1,i.,"--:-�K,"�,�,.j,��-,,�;�.,,I�,,-",,..,;.,-.","�'�1,,.�,��,�,�-,��-�--��d-1�,"i,I,2.I�1"",�,,,-.,-��I��-�i��,;�1,�:�"�,:-N.��,0I:--.-.,,,,,,,,--.��'..�.��,�..;��,,,-,.�'',-,,I,,:''..��,�-.,,:'-.-�n,-,"-�'��,."C1,,;-,.�,A,:/-_�,��_,�:,-,�,��.,�,,T�,,,,.,'.�'��'.i,",��,,,:�..,...,';,.�1W&:,��-��,-:,;�-,'��.,�,,-'::�.-�:",-�I,�,---,i-T'-�,"I�,�1.�,:?,.,�,,-,';.,:�,,.,-�,,T,"-�,.I I'.,,�"��"�_'��"-.�',,�,V��I-�1."1.�s---,,'1,'.,�,..-1,j.,�,,-,,.,1-",,,1,�''�l-r,-,�.,.�",:��.W�"9,-',.'s,i;,-1;:-�",..i�,�,,,�,l�1,�,..;�T,�..-"�:,,�;--��,—,,-jW-:.--��`-,�,,,k:�---'.%:"-�-.I0��P,Ml'--,,, .."-,''-''1-:I t,-;y,,-,,,,,,,,,.�,,�4:1..'1,:.��-,")1',M,'�,5',�-,'�1-�,,,,6�"*�, ,',-,,.��,-,,��-,:1,',,:-�:-,,,.,,,,,,,,,��,,-",Z�'!-,i,��:,,'-.��L,;,1,!�-,,,��",I-�,i',,-,4;-��-4;'",�-...',.�"�,'`I��-�,,.�,",.",.,,�-I,,I,o'��',-111 e,,�;�,�1'�,"�,',--�0:��,,,,,�,-��,'v1,,,A��'�", '1-�,k"-,,1-',;t,"�,'I�s��,-'J,��,_.�",,`;,,,"-,��--�I�,�!,�.L,�-,:-�"..1".�"��.�.,i,,�.`�,�,�.,,--�.��".',,-�-',,-,,,�",I-�,,1�1,:��,,4�/-"�-,-',,,'��, ',,�,.��-"�9�."",�,"�-.".-,;.-',--;��1,-�;,'�l,,'�,":�-�,"-�.,,-�mm.�,,,-I�,-'�,"A-�"i.-,,"1�,"�-,1 N��,.�,1II,�,',,�,."I,"W,1. ,.,4,,�,7!M"I-�-�"j��--.,:�- . a 1 a} 1 y:,�y w ,,tom',,,,'�`` ,,^,f fa+ ,4� , i r. i'r i ;��i 3 k ,", d _k .l• - t 11 �. 'fS (SGf 5' y 1 J � N� C 1�7. A 11, ?' f tip' r ,h n S vY *, n ... s` a,I ,�hi� , �' -- , Y \ 4. fit', ! n � k r �I)�n%:II,�,I I I.�I-,,II��:I-:I;�,.',I,�.,,,,�-;I,1�I.,0 I I��I,I Ii I�,III " to r...,I ..v, ",+. , , _ n•ii'' _ S Y x 7 - = .: .. . _ - ..•' .+ ', .. s 4 kI. ),' r h �` ,7r r'a,i is yb �'�� f p , tf f S J$ ., 4 C y. }. rj. 4 �` i f . 1 t t S 1 n 9 3 Y 1 ` v K c . s � ��y z i' k - -�'.y ^� S S M1 If .. .k I_ 4, ii },r-L, ° 4 ci 2 SiF U ref yk 4 t ' � f f $' l .,'s1 a Y F Y Y r {, 3 t u k a i o , r 1 x d •,4. ;v. L.� �' rf F 3 l., 3,...,g. J..• I i :� t✓ a F a .FPS 7 d "f :f ! k 4 r' t !7 X s pp � l 1 'l t C 9 .F f ,� .. l y f f 4 '1 I t Y t i t« 7 Y "r k ',` ,i l t 3 1 1 f G i t Fk a i !.. ,.Ki k i TEK r.' 6 t. a :waa "�ff A \r 9 -,",:-�,,.P,,�',,�,T,,"-,:�--1�-��,.,,'i0,_,.','-�:"-�.,,,,,-,�".�,��,-�',�",1,::1-4.;,,,�I.:��-�.�_.,I:,,,l i,�4,-,V,a4,,�-�.,��1,"-�,-"'�,,',-,�:,.-�,�,,,".��,,*�a�'-.-,",,-.1'�,,��--,"!-,,-�I�',1,-.,�,I.--�,�-�,1,i,�.,'.:y,.!W,t��:,'�1.�-,v;,'��',,T,-:,-�,.:��7�'�l�-17'�,.I��i��,,,1,,."--",:��-'.:I.,,oY,,";:I,A 1::I,,:--��,-,-.:'".��-,nA1:,,v:-i�X,,ji-:�-,�":--,,,-,_-i,-�,�,:�,�7�,,��t,:,,�,,.:.�'',�,-�,-�,,��I"�n4-,,,-�;T�-1,�,,:'-�i,,,:,-,:Q��0.-,,.:n.�s,",'�, , e t t P r" t 8 i - § -.,--,I,Q:,�,'�,�"��:'�,,-�,��k,�.,,-,;I I�,.-,1--��-.�:�,,I�1,!,:,,,-"O.,-:,!,,-t�,��,,_�,�I,.�q'/z t-t�",I,:��-..�I,�,.�Q�,',-"�,- , i t t Z+ F4 kg y �'k 1'yt tt t "4 I r �- °d a�,r t w .::;,� > a :i is K+ f :a ,�-�,7,-'4e,,-1j',,�,'I---,,,,,.--��,i:�q..,;r,1t.-,,T..,,1,,,U n;'",:-�,.�'.�,�,-,,,�,V,,,-,.�.,",-,�II.��m.�-�, '�'`-,-��,��,�":.�.;I�.-�;��I,t-,,-'"$��.,"r'-�,%.5..�,�,.,,,,-�-'K-,.-,:�,��.'��,'I�`l',�,�1j,,`'I,'-,--W,,,"-"----s-,��;�,,,�v�.�,',.�,-,,-,-.�,:'�"1..'1.��,`,,�I,I",o:.'-,-'.-�-�",,,-�",,-1.-'1,,,",��-'I�',�,V,-,,;.�,1"*-�.�,,-�-�.,.��:,:--.,�,,,,-";:�1,�,,,,�,:-"�I_,_:1-,�,��.-�,-�,,"",,�1"-11,,1�',�,,h�,�,�_-*,�,�,�.-j7--.,-"1,,.I-,":1z�-Q q,I,,�,,,.;�.v,�'�.--�,,,-,,��'"-.��-,,-"�,-,-.-,�,�,�l,:I',��`1u-"",.,��-�:�,,,"I"-�,,,��,`",:1��.,p-�'.-,,7I,`��,....,!.:,,�,y-,,.,Q,p-,,�,�'��I�!,:,�,�:I-��:��,�--o�,A-�7�4l-��",,,,., } � yc '� <s s wb f F ^s a 1 , t Fr :! r ', 6 a a. t 1 4 j j ': k r'L t r r t i 7 i "" s "' ,(r iN r'v � 'n i, ,4 3,. ey b r +` +i . :- ,. .. .. '. ` -. d r I r' ` 1Vi . ; q.r �:�, 6�v��Z ,.. y j . _ F L � � _ , ,. a.�i.: THE.COMMONWEA Departme One Ashburt Boston, REQUEST FOR DUPLI PLEASE COMPLETE THIS FORM AN ATTN: REQUEST FOR DUP OR FOR IMMEDIATE ASSISTANCE,PLEA OR THE REQUESTED INFORMATIO WITH THE SUBJECT LINE "REQUEST F Failure to do so will result in your license rene documentation is provided.Licenses not renewed after.one year be reinstated only by a new applicati� �� I Telephone: Owner of Record of Building: Address: . e nit Holder of Certificate: Name g� y: SIGNATURE.OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED.AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with yourfcheck to: BUILDING CO PLEASE NOTE: 1)Application form with accompanying fee must be submitted f 2)Application and fee must be received before the certificate wi 3)The building official shall be notified within ten(10) days of FOR OFFICE USE ONLY: CERTIFICATE~# J0201156 1 Town of Barnstable �IMME qn Regulatory Services Ri lls s . Richard V. Scali,Director _`. e'� 'P � %�` y �� Building Division 1°rEp MptA Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ...- ;t'1�; 1( Office: 508-862-4038 Fax: 508-790-6230 PERMIT# �2� FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 0 �-� ►� Co o�<ni Location of shed(address) Village Property owner's name Telephone number � 0 113 076) Size of Shed Map/Parcel# S' atu Date Hyannis Main Stree aterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) m -G ��`��R"� Sign off hours for Conservation 8:00-9:30&3:30-4:30 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 (�() I S Z Q-forms-shedreg CC- _TD REV:040914 2( � C r Of THE r, Town of Barnstable + Department of Health,Safety,and Environmental Services wuvsrABLF, MAM Conservation Division ATED N+p't a 200 Main Street,Hyannis MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator ` MINOR ACTIVITY REGISTRATION 50� $S g' Property Owner Telephone number Ce K?��r o26 S 2 Mailing address °l Jyhy's l er ryk1 02632— la 7 ProJect location Map/Parcel# c Project descripr6on The following minor activities will be rev#wed,under Aft.27,by Conservation staff instead of the Conservation Commission,as long as they'are constructed at least 60' from a wetland resource area or top of a coastal bank- * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement, 6" above grade * Conversion of lawns to decks, sheds,or patios that are accessory to single family homes, as long as: house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq.feet. -sedimentation and erosion controls are used during construction * Stonewalls (this does not include stonewalls for retaining wall purposes, grading and/or fill) S' a Date ZT: Reviewed by Date -GIS Plan Attached(fee charged for plan) Q/WPFiles/Form/MinorAct . .., ZONE: FLOOD ZONE: Q RD-1 Are (min.) 43,560 SF Zone B & C (see plan) Area Area a (min) 6 Community.Panel No. #250001 0015 C C m S dtbh S(min) 125 August 19, 1985 Fron t 30' I Side 10' Rear 10' FEMA Zone Line as shown on FIRM ASSESSORS REF: Panel ly 250001 0015 C (August 19, 1985) Map 193, Parcel 076 N OVERLAY DISTRICT: �g AP — Aquifer Protection District M O 30.6': . vO�9 I. r n 1 j v ♦ j ' Buffer 51.7 ' II \� 1 - �� C�,m i 1 1 116< "owe• New Concrete 'Foundation c tP 1 1 Resource Line as Flagged \\\\ \�• O 1 1 by ENSR, July 26, 2004 \ 1 L4 DOJO O �\�` ,ae• , �V woioe a ek'12 Note: \9 See Variance to Section 240-211(E) Bulk Regulations, Front Yard Setback. ,•�H.OFMgys� Appeal 2005-112 — Stewart cy� I certify that the •foundation RICHAR0 N R. shown, hereon conforms to the LHEu Eux setback requirements of the PLOT PLAN #302 Zoning Bylaws of the town At 19 Johnson Lane In ,�. � Ess\°`� Q of Barnstabls. BARNSTABLE , �61- dec 0C, (Centerville) Professio a Land Surveyor : Da e MASS NOTES: DATE: 15/DEC106 SCALE: 1"=30' 0 15 30 45 60 FEET 1.) 1The foundation shown was located on the ground by conventional survey methods on 14/DEC/06. PREPARED FOR: Joseph Polino & Donna Packer 2.) The property information shown hereon was 9 Dunes View Road compiled from available record information. Dennis MA 02638 3.) This plan is not for recording and is not PREPARED BY: CapeSurv to' be used for construction. layout or deed description purposes.. 7 Parker Road Osterville MA 02655 DWG #. C489_2g1 FIELD BY. WHK/DSS (508) 420-3994 / 420-399.5fox ZONE: FLOOD ZONE: Q RD-1 Area (min.) 43,560 SF Zone & C (see plan) Frontage (m August (min) 20' Community nity Panel No. Width min 125' 01 0015 C m Setbacks: August 19, 1985 Front 30' I ;. Rear 10' Side 10' FEMA Zone Line as shown on FIRM ASSESSORS REF.. ` Panel N 250001 0015 C (August 19, 1985) Map 193, Parcel 076 N OVERLAY DISTRICT: Rg AP — Aquifer Protection District � v 7jti O h 4 30.6' _A 90 1 � �s V - 1 5 Buf f fer O J 17.6' 1 ` U I \\ N New Concrete o \� Foundationca 71. 1\11 1 1 \ \\ 11\ Resource Line as Flagged by ENSR, July 26, 2004 \ 1 \ i\ (3\ \\\ 1 A6 52• \ \ U1. \ ^\ 2 �{'\ \ •Haller d gk \\ Dee \ Note: See Variance to Section 240-211(E) Bulk Regulations, Front Yard Setback. tNOFMgss�o Appeal 2005-112 — Stewart RICHARD y�s�, I certify that the foundation R. shown hereon conforms to the IHEUREUX (n setback requirements of the PLOT PLAN .� #34312 Zoning Bylaws of the town At 19 Johnson Lane In IF S\ Q of Barnstobls. BARNSTABLE !qN 3 /6/- P, 4/10 6 (Centerville) Professio a Lond Surveyor Da a MASS. NOTES: DATE: 15/DEC106 SCALE: 1"=30' 0 15 30 45 60 FEET 7.) The foundation shown-was located on the ground by Conventional survey methods on 14/DEC/06. PREPARED FOR: Joseph Polino & Donna Packer 2.) The property information shown hereon was 9 Dunes View Rood compiled from available record information. Dennis MA 02638 3.) This plan is not for recording and is not PREPARED BY: to be used for construction layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG #: C489_2gl FIELD BY. WHK/DSS (508) 420-3994 / 420-3995fox Town of Barnstable Building Department - 200 Main Street � * Hyannis, MA 02601 y MASS 1639- . (508) 862-4038 RFD MA'S e► Certificate of Occupancy Application Number: 20060108 CO Number: 20130046 .Parcel ID: 193076 CO Issue Date: 05/10113 Location: 9 JOHNSON LANE Zoning Classification: RESIDENCE D-1 DISTRICT Proposed Use: SINGLE FAMILY HOME Villager CENTERVILLE Gen Contractor: MARKWOOD CORPORATION Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: lria lr-� Building Department Signature Date Signed TOWN OF BARNSTABLE 20060108 Building BARNSTABLE, Issue Date: 06/22/06 Permit 9 MASS. Q�pr1639. A�� Applicant: STEWART, SHELDON F Permit Number: B 20060506 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/20/06 Location 9 JOHNSON LANE Zoning District RD-1 Permit Type: NEW SINGLE FAMILY HOME Map Parcel 193076 Permit Fee$ 693.52 Contractor MARKWOOD CORPORATION Village CENTERVILLE App Fee$ 100.00 . License Num 005867 Est Construction Cost$ 160,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TWO BEDROOM HOUSE W/ATTATCHED GARAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL CHANGE OF CONTRACTOR 1/14/2013 TO TIM PEARSON INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: STEWART,SHELDON F BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address:. P O BOX 9110 INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS;NO RIGHT TO OCCUPY ANY STREET ALLEY,OR SIDEWALK OR ANY PARTTHEREOF,EITHER ORARILY TLY ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLYTERMITTED UNDER THE BUILDING CODE.MUST BE APPROVED BY THE JURISDICTION., STREET OR ALLEY �- - 'GRADES A WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE h' OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT.DOES NOT RELBASE'THE'APPLICANT,FROM THE CONDITIONS OF ANY APPLICABLE SUBONISI0 � k RESTRICTIONS- MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.I42A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2�cnA I+ 3 1 Heating Inspection Approvals Engineering Dept Fire Dent �c 2 � Bo do eal s �, y IIoIZflt3 TOWN OF BARNSTABLE SINE Building 20060108PermitRN BASTABLE, * Issue Date: 06/22/06 9 MASS. �A i639• �� Applicant: STEWART SHELDON F rFG MAC a � Permit Number: B 20060506 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/20/06 Location 9 JOHNSON LANE Zoning District RD-1 Permit Type: NEW SINGLE FAMILY HOME Map Parcel 193076 Permit Fee$ 693.52 Contractor MARKWOOD CORPORATION Village CENTERVILLE App Fee$ 100.00 License Num 005867 Est Construction Cost$ 160,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TWO BEDROOM HOUSE W/ATTATCHED GARAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL CHANGE OF CONTRACTOR 1/14/2013 TO TIM PEARSON INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: STEWART,SHELDON F BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: P 0 BOX 2110 INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: LB Building Permit Issued By: ULA THIS PERMIT CONVEYS,NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER T - ORARII.Y _ TLY. ENCROACHMENTS ON PUBLIC PROPERTY;N( SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR;ALLEY GRADES AY 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. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c,142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL; 1 1 1 3 1 Heating Inspection Approvals Engineering Dept Fir D t - 2 b Z - Board of Health 31.L. S � J oF�HET , Town of Barnstable Regulatory Services + BARNSCABLE, MASS. g, Thomas F. Geiler,Director, 1639.rA,O Building Division Tom Perry,Building Commissioner 1 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 W NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT c� Construction Supervisor License # 5Z7 hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by buildfg permit p (' # ��D ; issued to (property address) � �(17 4.e/',) 0 Za Za on 6213 , = M I also certifythat on 201 3 I notified the property owner, that the , p p Y , project under construction must cease until a successor licensed Construction Supervisor, is submitted'on-the records of the Building Division. LICENSE HOLDER DATE q/forms/newcontr reference R-5 780 CMR , rev:110410 Town of Barnstable-:- Regulatory Service . c RFKrCPl Rfr r - .. Thomas F. Geller, Dzr=tor. Building Dr ' i Thomas Perry, C130, $¢ilding Coarmissioner 200 Mein Street, Hyannis, MA 02601 W".town.barnstable.ma.as . Office:--5D8-862-4038 Fax: 50&-790-6230 PLEASE FORWARD TEE ATTACEED PAGE(S) TO TO: ATTN: FAX ND FROM: DATE: PAGE(S): . (INCLUDDhG COVER SHEET) lty�.� t Rc�1219D1 ETown of Harnstable Regulatory Services r BARNSTABLE. ' 9 MAM g Thomas F. Geiler, Director �p i659• �� , Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 . Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I Construction Supervisor License # hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # b(QalOU , issued to (property address) Oh Vl (�) on 6as aDo I also certify that on , 201 , I notified the property owner, that the project under construction must cease until a successor licensed Construction.Supervisor, is submitted on the records of the Building Division. LICENSE HOLDER DATE q/forms/newcontr reference R-5 780 CMR rev:110410 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma l 1 Parcel y� P Application p pp Health Division Date Issued �o Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 1 OINI�3 Historic - OKH Preservation /.Hyannis Project Street dress Village L A P g Owner �� 69/9� Address Telephone. An Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No :Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION \ (BUILDER OR HOMEOWNER) Name / G;� /ec Telephone Number / �07 Address License # Home Improvement Contractor# f Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f R k c FOR OFFICIAL USE ONLY rt APPLICATION# ` DATE ISSUED MAP/PARCEL NO. ` r ADDRESS VILLAGE OWNER DATE OF INSPECTION: h FOUNDATION FRAME INSULATION F FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL S GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT .t ASSOCIATION PLAN NO. z . The Commonwealth of Massachusetts Department o,f Industrial ccidenty k— Office o,f Investigations ' 600 Washington Street Boston,MA #2111 -. wnnx mas&gvv1dia NVo kegs' Compensation Insurance Affidavit- BuiIders(Contractors/Electnc ans/Pbumbers Applicant Information Pease Print L .�iblv Name(BusinessorganizPa n4adividaai): VS cJ' cam; O Address. �- ► CityfS t�e/Zip: 19 t� Phone4, - �6 - 7 r--e-,)73 d tyre u an employer?Check the apprapriatr box» Type.of ject(required)_ 1_ I am a employer with t ❑ I am a general contractor and I 6- CVNewconstruction employees(full andlrrr part-time).* have:hired the subcontractors 7- Remodelii� 2.El am a sole proprietor or partner- listed on the attached sheet. ❑ g ship and have no employees 'hem sob-contractors hags 8-, ❑Demolitizit. em R worldrig for in any capacity- ployees and have workers°1 9.- ❑Building addition' o workers'comp:insurance tom'-insurance, 1(}.❑Electrical r yr additions required] 5- ❑ We are a corporation and its repairs ..or El I am a homeowner doing all work right have exercised their 11-❑Plumbing repairs or additions myself [No workers'comp- C.15 of 1(4), nd per have n 1?.❑Roof repairs' insurance required.]F_ C. 152, y1{4),and have no to o workers' 13.❑Other comp-insurance required-} 'Any applicant that checks box C must also fill alit the section below showing their wozkeie compensation palicy information_ I Homeowners who submit this affidavit iatiicating they are doing&U we is and then hire outside contrm tots must submit a new affidavit indicating such tCantracturs that check this box trust attached an additional sheet showing the nsme of the siib-contractors and scale Whether ar not those entities bate employees. Ifthe sub-contactors have employees,they must.provide their Wwke s'coup.policy number. -- I am an employer that is prvvidirrg workers'cony nr sn iTrsarrraur fa ery eff1ployem Below is fhe policy,acid job site in fortrra hon. l Insurance Company Name: \�h 1 2 Policy#or.'Se1f ius-Lic.#: W C - 3,9 3 ��v�tf-&:�� .xpiratiau Date: Job Site Address: c-1 V:Pn') 5Cr1 City/stat 2r p c- Attach a copy of the workers'compensation policy declaration page(shoving the policy number and expiration date). Failure to secure coverage as required under Secti�on'25A of MGL c- 152 can lead to the imposition of criminal penalties of a fine up to$1,5OO_OG and/or one-year impr soon ent,as well as civil penalties in the form of a STOP WORK ORDER and a rime of up to$250-00 a day against the violator. Be advised that a copy of this statemetrt may be forwarded to the Office of Imestigations,of the.DIPS for insurance cm,aage vecifi ou I do here bue. s and penalties rr,f` ram that the inforitud on pr otided above is bras and correct si2patrare Date Phone#: 121— 7� 7 3 0jgkiai arse tarty: Do not write in this areas,to€+e coratpWed by cit.-or telva o f can! *' City or Town: PermitfLicense,g L%s ing Authority(ci.rete one): 1.Board.of Health 2.Building D} partzuent 3.t�ity, tsvr u Clerk d.Electrical lnsper3or ..Plumbing,Inspector, 6.Other Contact Person: t Phone 9. 6 -Town of Barnsi-able Regulatory Services. vBAMSTABLE, MASS. � Thomas F .Geiler, Director TF1639. Building Division Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 ' www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 - NOTICE TO THE BUILDING DIVISION OF: LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY 0. Construction Supervisor License # C`� � , hereby certify that I have assumed responsibility for the project under' construction,as authorized by"building permit# cz�w_I issued to (property address) �Yl L t �� on - �� , 20C(p The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) LICENSE HOLDER DATE q/forms/newcontrb rev:1 10410 THE� Town of Barnstable Regulatory 4 Services Thomas F.Geiler,Director i63q. `0� A,Fp � Building Division Tom Perry,Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: .508-790-6230 Property Owner. Must Complete and Sign This Section If Using A Builder I, SQ Q4 as Owner of the subject property hereby authorize /lv 0/1 ?,0,0 R J'O I to act on my,behalf, in all matters relative to work authorized by this building permit: C/ a r-k 14 P-, C:ew/ (Address of Job) "Pool fences and alarms are the responsibility.of the applicant. .Pools are not to be filled or utilized bef ore fence is installed and all final inspections are performed and.accepted: S' ature of Owner Signature of Applicant: V F P ' t Name Print Name Da e Q:FORMS:OWNERPEFMISSIONPOOLS 6/2012 t Town of Barnstable w . Regulatory Services ST.ABIZ, : Thomas F.Geiler,Director A "yg �`�$ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occuQed dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department m;n;mum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.". Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results,in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t.amend and adopt such a form/certification for use in your community. Q:forms:homeexempt of Paablic Safety Massachusetts-bep.artrr►ent }, Board of Building Regulations and Standards construction Superisor. CS-p05867 License 1 r� 6' TIldIOTHY PE"► SON" t PO BOX 519 02632 CENTERV%"MA � s Gorrimessioner 11N2/2013' : 9.4e -� � Office of Consumer Affairs and usiness Regulation = 10 Park Plaza -Suite 5170 Boston; Massachusetts .02116 , Home Improvement Contractor Registration t Registration: 100871 Type: 'Private Corporation d I Expiration: 6/24/2014 Trtt 223965 MARKWOOD CORP TIMOTHY PEARSON --— -- - - --110 BREED'S'HILL ROAD UNIT 1' ��4;4 HYANNIS, MA 02601 �'{ ' Update Address and return card.Mark reason for change.. DPS-CAi Cr 50M-04/04-G101218 Address (� Renewal .Employment Lost Card F • ✓fte •C�oarr�r�ioo2urea� u�14&Jac�cate�G • -\ Office of Consumer.Affairs&Wsiness Regulation License or registration valid for individuf use only g s y ,s I HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:, 100871 Type: Office of Consumer Affairs and Business Regulation K = Expiration 6/24/2014 Private Corporation 10 Park Plaza-Suite 5170 e Boston,M.A 02116 MARKWOOD CORD r r l� fi TIMOTHY PEARSON 110 BREED'S HILLROAD UNIT 10 . HYANN IS MA 0 -------.--- ----- ,2601:-a--..;t:-- — !c Undersecretary —- Not valid without si • nature g 2/ I2612 7:40:1=_ AM EST (C41ITI-8) FROM: insurarcevisions.com-TO: 15087 t60770 Page: 2 of 2 DATE(MMIDDJYYYYI CERTIFICATE OF LIABILITY INSURANCE , I 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 WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER FREDERICKS INSURANCE AGENCY ING - - CONTACT NAME: 1046 MAIN STREET PHONE(AC,Nn a s-89 c Nc: 420-1 s OSTERVILLE. MA 026550427 E-MAIL ADDRESS: NSURER S AFFORDING COVERAGE NAIC 2 NSURERA 'HhL INSURED NSURERB: MARKWOOD CORPORATION 110 BREEDS HILL RD UNIT 10 NSURERC: HYANNIS MA 02601' NSURERD: INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: 12310557 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED.BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR a SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICYNUMBER -MMXlD MMODrrM) GENERAL LIABILITY _ EACH OCCURRENCE $ . COMMERCIAL GENERAL LIABILITY PRREMISES(Ea RENED occurrence) $ CLAIMS-MALE OCCUR MED EXP(Anyone person) y PERSONAL&ACV INJURY S GENERAL AGGREGATE b GENLAGGREGATE LIMIT APPLIES PER: - - PRCDUCTS-COMP/OPAGG i POLICY PRO- LOC __ _ y AUTOMOBILE UABdfTY - COMBINED SINGLE LIKE .Ea accidsnl) $ AN"AUTO BOCILY INJURY(Per person) ALL OWNED SCHEDULED BOCILY INJURY Par acciienp AUTCS NON-OWNED PRCPERTY DAMAGE HIRED AUTOS AUTOS Peraccdent S $ i UMBREUALIAB OCCUR EACH OCCURRENCE $ - EXCESS UAB CLADS MACE AGGREGATE $ DED RETENnON$ $ a A WORKERS COMPENSATION WC2-31 S-319674-032 ` 2i112012 2!1 i2013 wC STATU- V- ANDEMPLOYERS°LIABILITY YIN ✓ TORY LIMITS _ APY PROPRIETORIPARTNERfEXEOUTNE a E.L.EACH ACCIDENT S 100000 OFFICEPJMEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe wider DESCRIPTION OF OPERATIONS bebar E.L.DISEASE-POLICY L MIT Is 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SANDWICH MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 16 SAN SEBASTIAN WAY SANDWICH MA 02563 AUTHORIZED REPRESENTATIVE V Jeff Eldrictge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CE7T t10.: L2310557 CL_EIT CODE: 1319574 Deb Corby 2/1/2012 7:39.51 AM Page 1 of 1 This certificate cancels and supersedes ALL previously issued Certificates. ' BIKE TOWN OF BARNSTABLE Building Application Ref: 20060108 BARNSTABLE, Issue Date: 06/22/06 Permit 9 MASS. 1639. �� Applicant: STEWART,SHELDON F Permit Number: B 20060506 ArFO MAC A , Proposed Use: VACANT Expiration Date: 12/20/06 Location 19 JOHNSON LANE Zoning District RD-I Permit Type: NEW SINGLE FAMILY HOME Map Parcel 193076 Permit Fee$ 693.52 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 100.00 License Num OWNER Est Construction Cost$ 160,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TWO BEDROOM HOUSE W/ATTATCHED GARAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL CHANGE OF CONTRACTOR 11/7/06 TO JOSEPH PALINO INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: STEWART, SHELDON F BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: P O BOX 2110 INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: LB Building Permit Issued By: rf THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;`ALLY OR SIDEWALK,OR-A PART THE EIT ER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY,PERMITTED UNDER,THE BUILDING CO E I YST BE APPROVED BY TAEJURISDICTION. STREET'WALLY GRADES AS.WELLAS 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,9F ANY APPLICABLE SUBDIVI 1.SION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). AV- 1"17- BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee c5+• Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address _/ 14 /A -P Village Owner e !�4 Address -9 r t"ki gl 44 Ro/_ Telephone SO cc/5 Permit Request 1 DD 04 P1 u.ai e oP Ate:; Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# >- Current Use Proposed Use - BUILDER INFORMATION Name r� ' OWe ephone Number �a� 3t� f�ISSp Address �_( y11 er VJ License# la[4 14 � 0 0163 � Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT - - DATE 7 ^ 0 —T- f FOR OFFICIAL USE ONLY i a y ` l PERMIT NO. DATE ISSUED MAP/PARCEL NO. Y ADDRESS VILLAGE OWNER DATE OF INSPECTION: t x FOUNDATION ' FRAME 7 INSULATION t FIREPLACE r , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. lvrrtt va yaivaLar.Fia, Regulatory Services srarvszt . '' Thomas F,Geiler,Director �''°TEci+ ►'� Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyarmis,MA 02601 www.towA.barnstable.ma.us Rce: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL a 142Arequires that the"reconstruction,alterations,renovatiori,repair,modernization, conversion, improvement;removal, demolition,or construction of an addition to any pre-existing owmei-occupied building containing at least one but not more than four dwelling units.or to structures which'are adjacent to such residence or building be done by registered contractors,with certain exceptions,along R>th oler requirements- Type of Work: �to c,J r ciyt:f(.6 CT(C C'a Estimated Cost, 40 Address of Work: �y I.t I.r r 0 ti Lof 0 Owner's Name:r<1 CJ_t �� l f`c d Date of Application I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 Building not owner-occupied vner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A, SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: !Date Contractor Signature . Registration No. OR Date wner's Signature Q wpfiles.fomu:homeaffidav Rev: 060606 The Commonwealth of Massachusetts i Department of Industrial Accidents le t�i u - Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): f l f Address: d in Pf V i C�� i . City/State/Zip: Q (A P c f W K Qo T� _Phone #: �d� 3 PIS- Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the'sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. g, ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its quired.] officers have exercised their 10.❑Electrical repairs or additions 3.0am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions . myself. [No workers' Comp. c. 152, §1(4), and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 131-1 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 Investigations of the DIA for insurance coverage verification. I do'hereby certify un pains Ities of perjury that the information provided above is true'and correct Si ature. Date: Phone#: ��!}� �� 15 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: F -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as".-every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual.,partnership, association or other legal entity,employing employees.,However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required," Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates).of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy-information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,MA 02111 TeL # f 17-727-4900 ext 406 or 1-8.77-MASSAFE Fax 617-727-7749 Revised 5-26-OS www.mas.s.gov/dia Town of Barnstable Regulatory Services Thomas F.Geiler,Director UMNSTABM ruse. 9 1639. �� Building Division Tom Perry,Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ,+ �t Please Print DATE: / -7 D l _ JOB LOCATION: (1 LTC/ t y M l 6fLN P Ce ki (.f- r y.i / 4/P Pnuumber street village y "HOMEOWNER": V OS"e 4"/l �dhm_b name ,1 home phone# / work phone# CURRENT MAILING ADDRESS: a 1J f/Ii1 f'.r V l e",_tl -- �C> K'� city/town state zip code .The current exemption for"homeowners"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,provided that the owner acts as . supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family"dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building*Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspectio procedures and requirements and that he/she will comply with said procedures and requiremen Sign re of o Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. . - HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: Q:forms:homeexempt fTw,. Town of Barnstable Regulatory Services w BMWSTABLE, i NAM $ Thomas F.Geiler,Director s61q. �0 iOTeo ra+" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: .508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR hL70 fe a P01 if , owner of property located at ff k P , M rep��ll ,hereby certify that is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# D 6 0 10(issued on 200 I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. PROPERTY OWNER DATE c `o-r-p t— Gf l cal G q/forms/newcontr reference R-5 780 CMR rev:080102 Bit 21501 P--j 2 8 ;69193 11-06-2006 a 01 4 399.1 QUITCLAIM DEED SHELDON F. STEWART having a mailing address. of P. 0. Box 2110, :Centerville, Massachusetts 02632 for consideration paid in .the amount of NINETY THOUSAND AND 00/100 1'P s � DOLLARS, 90 000.00 DOL , grants to- JOSEPH PALINO of 9 Dunes View Road, Dennis, Massachusetts, 02638,_and QQNNA PACKER of 34.Haviland Way, Centerville, Massachusetts 02632, as Tenants in Common, with QUITCLAIM COVENANTS, a, certain- parcel of land-:---in- Barnstable (Centerville), Barnstable County, Massachusetts, bounded-and.described-as follows: WESTERLY by Shootflying Hill.Road, as shown on hereinafter plan, a distance of fifty-three and 45/100 (53.45) feet, and one hundred thirty-six and- 72/100-(135.72) feat; NORTHERLY Y by Johnson Lane, in an arc, measuring therein fifty-one and 49/100 (51.49) feet, as shown on said plan; EASTERLY by Johnson Lane as shown on said plan, a distance of one hundred twenty-three and 76/100 (123.76) feet, and one hundred ten and 00/100 (110.00)feet; and SOUTHERLY by-lot 6- as shown on saidplan, a distance of one hundred forty-six and-57/100 (146.57) feet. Containing'22,�00 square feet,more,or less, and being Lot 7 as shown on plan entitled "Revised. Plan of Lots at Weguaquet Lake, Centerville, Mass. belonging to John H. Johnson, Scale 1" = 50.', July:-20, 1970, Nelson Bearse-Richard Law-Surveyors; Centerville", which plan is duly filed with the Barnstable County Registry of Deeds in Plan Book,243, Page 37. Together.with..a. right of way over the way shown as Johnson Lane on said plan in common with.all others who are now or may hereafter be entitled thereto. Said.lot is siip)ect to an easement to the Cape and Vineyard Electric Company et ai recorded irf Book 1199.,image 567 and an easement to the Town of Barnstable recorded in-Book-1478, Page 720.. .Dead . Page, Said Lot is further subject to an Order of Conditions recorded in Book 1469, Page 348 as extended by a document recorded.in Book 1526, Page 1192. Subject to an Order of Conditions from the Town of Barnstable recorded in Book 20797, Page 206. Subject to a Town of Barnstable Zoning Board of Appeals Decision recorded in Book 20986, Page 219. Subject to a Deed Restriction regarding the size of the house to be built recorded in Book 20986, Page 218. For-title reference, see deed dated June 24, 1985 and recorded with the Barnstable Registry of Deeds in Book 5716, Page 17. Property Address: 19 Johnson Lane;Centerville 'Ma 02632 WITNESS my hand and seal this day of= , 2006. Sheldon F. Stewart COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this- 40 day s. , 2006, before me, the undersigned notary public, personally appeared Sheldon F. Stewart proved to me .through satisfactory evidence of identification, ,a-_ , to be the person whose name is signed on the preceding or attached document,-and acknowledged to me that he signed it voluntarily for its stated purpose. 011. Public: hJ•ommission Deed Page 2 r t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 5 ram, Map I ` Parcel l Application# 00 C� v� Health Division p Conservation.Division v� 3 ' '` Se ZXY Permit# Tax Collector SV 1i'�"'' PE Date Issued Treasurer Application Fe �q Planning Dept. Z_e1 *at 6,,k JP i 'Permit Fee ttcR3.SZ_. Date Definitive Plan Approved by Planning Board nnICJ� � _ Of� P&Lm6r- /� UtYL� Historic-OKH �� Preservation/Hy nn' A?o / � A Project Street Address _SD S L l 7 Village C -f`� `Vz ' Owner � ' V_. � es Address Telephone c- � - Permit Regaest r _._. � `\ ` Square feet: 1 st floor:existing proposed (,AL_\ 2nd floor:existing proposed ' Total new Zoning District Flood Plain Groundwater Overlay Project Valuation JAE.C�Q Construction Type L1_SW:S�*rPV1A_ Lot Size - e,Jew'\ Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Nlo On Old King's Highway: ❑Yes *No. Basement Type: ll ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) IS W Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new �— Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel:k 7Gas ❑Oil ❑Electric ❑Other Central Air: NCYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing 0 new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 1 tJ�l Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name _�. Telephone Number Address_ �� `� ( License# O`-j} J ' !lam_brj,� Y'Y� `� � Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Y, a f FOR OFFICIAL USE ONLY PERMIT NO. • ' DATE ISSUED MAP/PARCEL NO. O _ 1 1 ADDRESS VILLAGE OWNER • - y `: DATE OF INSPECTION: FOUNDATION FRAME 5.2/67- ' va _ INSULATION FIREPLACE T ELECTRICAL'— ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING k0fi3�Q,/ 4j, t DATE CLOSED OUT ASSOCIATION PLAN NO. - " - ONE r, Town of Barnstable Regulatory Services • M ' BARNSrABLL ' Thomas F. Geiler,Director 9�r 16 9, p�0�, A Eo 39n., Building Division ; Thomas Perry, CBO,Building'Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-796-6230 PLAN REVIEW 5A-� a7� ' Owner: w a-�� Map/Parcel: 19 3, ProjectAddressf9 TokKsox Builder: ioti The following items were noted on reviewing: D ee� f-0 oS<-A lori- Iay� 116A c�o`�'� C—e lli c-e� �'11ti��obYti Corner Cer eGyh. '�eaw, C2) 2xib oyecs�ah -�a� �e czbov� Or OIUOVe- e- Cl Q� 5 i o n P tA`I 'rc )rice -o -eSpNOLJ c kSs w ere_ c-P1iu;neJ L co J e Reviewed by: raoT Date: 6/17JDb Q:Forms:Plnrvw The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street }: Boston, MA,02111 www.mass:gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nagle.(Business/Organization/Individual): C'.1'et'e Address: City/State/Zip: ryq ��331hone#: Are you an employer? Check the-appropr e b IM T a of project(required):1.❑ I am a employer with 4. 1 am a general contractor and I 6. New construction employees(full and/or part time).'" aye hired the sub-contractors 2.❑ I am a sole proprietor or p artner- Listed on the attached sheet Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition (No workers' winpAusurance 5• ❑ We are a corporation and its required;] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.71 Plumbing repairs or.additions myself.(No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees.(No workers' 13 ❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinforrnation.• ` t Homeowners who submit this affidavit indicating they are doing all work andtheu hire outside coatractars must submit a new affidavit indicating such �Contraetors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site . information. Insurance Company Name: Lsu`' ki> ) Policy#or Self-ins.Lic. #: �, pCC-��t' �' ��Z- '� Expiration Date:. Job Site Address: �� '� �� City/State/Zip: � "_- "4)� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expkraition[late). 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$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance,cover age verification. I do hereby certify unde the pains nd penalties of perjury that the information provided above is true and correct , Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle.one): 1.Bosrd of Health 3.Building Department 3.City/T own Clerk e.Electrical Inspector 5.Plumbing InspectLor 6. Other Contact Person: Phone#: ' Instructions ' Inf®rmat�®�. and. . Massachusetts General Laws chapter 152 requires all employers to provide workers' compenshtion for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another Mader any contract of hire, express or implied,.oiul or written." An employer is defined as-"an individual,pgmership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents fir confirmation of insurance coverage. Also be sure.to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Departrnent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on-the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/licens a applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year. e a home ow ner or citizen is obtaining a license or permit not related to an business or commercial venture Y �� g P Y (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this of idavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Deparment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-0077-MASSAFE Fax#617-727-7749 Revised 5-26-05 w-w- .m.ass.gov/dta I v .A f Affidavit of Substantial Financial Interest I, l of�_ uI� `r" , on oath depose and state as follows: 1. 1 am an applicant for a building permit for the property located at Map , Parcel . The address of the property is 2. 1 have % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is / �'S , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Addr s 5. Within this calendar year, I have sub ed building permit applications for property in which I have a 1% or great legal or equitable interest. 6. Within the last ten days, I hav submitted building permit applications for property in which I have a 1% greater legal or equitable interest. 7. Within this month, I h e submitted building permit applications for property in which I have a 1% leg or equitable interest. 8. Within this m th, I have received building permits for property in which I have a 1% legal or uitable interest. Signed under the pains and penalties of perjury, thisftday of , 2004. 2001-0050/affin 1 Q/LOTTERY/AFFI DAVIT °elms oyti Town of Barnstable Regulatory Services BAMSUBLE9 NAS& � Thomas F.Geiler,Director �ApE1639. Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Oder Must Complete and Sign This Section If Using A Builder as Owner of the subject 7 property hereby authorize A `—' to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) L Signature of Owner Date Print Name Q:FORMS:OVR-ThWERMISSION RESIDENTIAL BUILDING PERMIT FEES ;pPLICATION FEE . New e B guEdin s $100.0.0 Residential Addition $50.00 Alterations/Renovems $50.00 Change of Contractor/Builder $25,0.0 , NEE VALUE WORKSHEET NEW LIVING SPACE ' �O(� square feet x$96/sq.foot= 5 I x.0041= plus frorabalow(if applicable) ALTERATIONSaMNOVATIONS OF MMTING SPACE square feet x$641sq foot= x.0041= p1Us frombe]ow(if applicable). gABAGES'(attached&detached) Q 9 squaw feet $32/sq.ft= x.0041= 3 o F ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 . >750 sf-1000 sf 75,00 >1000 sf-1500 of 100.00 >1500 sf-Same as newbuildingpesmit: . square feetx$96/sq,foot- x•0041m • i�q �sz ��3 �� STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) FireplaeeMbimney x$25.00= (riumbw) Ingraund Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee . CHAMPION BUILDERS, INC. 300 Oak Street, Suite 155 UU lL PEMBROKE, MA 02359 LETTER (781) 826-3800 < . t FAX (781) 829-0000 4�LE .�,�6�. Ob Date....................................... Lvz--�� 2 o P uib .............................. ` 6Y."..- ;:r:-�...-.:..,....,..,... ....51\ � ^........-.. ............................................ Y) l .......... °`" ....... ..... l� ......................... . . ................... . .... . ................ . . .......... -_ _............................................................................................... .............................................................................................................. ............................................................................................................................................................................................................................................................................................................. ..... ................................. ..............1.1 _ ..... ..... ........ .................... .......... ------ ........................................................ ..................................................... ................................................................................................................................................................................................................................. ....... ... ............ .. .. ......... ...... ........................ ............ ............ '� I r j: v - : ................................................. .... ...... _ - " _ 1, . .... -. : .. ............... ........ ..- ............................................................ ............................ ............_cc. \........._,� 1 ............... ...✓............................ ��- '............................................... ..................`'..,.....,...' ............... ..... ' S1 NED ❑ Please reply ❑ No reply necessary ClienW.67S4 2CHAMPIONBU aCERTIFICATE OF LIABILITY INSURANCE CANACORA C 03106106 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIL y INSURED INSURER A Evanston Insurance Company Champion Builders,Inc. INSURER B; Associated Employers Insurance Compa 300 Oak Street Suite 155 NSURERC Safety Insurance Company Pembroke,MA 02359 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,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 THETERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICYNUMBER POLICY FE Cif XP'IRATION DATE 11111111I DATE(MMICKIFfn LIMBS A GENERAL LIABILITY 05GLP1007061 10120105 10/20/06 EACH OCCURRENCE 31,000,000 COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED $50 000 CLAMS MADE ❑X OCCUR MED EXP(MY wm person) S X BI1P0 Ded:25000 PERSONAL 6 ADV INJURY 31 000 000 GENERAL AGGREGATE S 000,000 GE Nt AGGREGATE LUAIT APPLIES PER: PRODUCTS-COMPIOP AGG $1 000 000 POLICY PERO• LOCCT F .. - .. C AUTOMoaLELIABILTTY 2433M 11106/08 11106106 ANY AUTO (Ea acddeD SINGLE LAIR 31,000,000 a ALL OWNED AUTOS BODILY[+UURY q X SCHEDULED AUTOS (Per Person) X HIRED AUTOS - BODILY INJURY S X NON-OWNED AUTOS (Per amdwt) X Drive Other Car PROPERTY DAMAGE S (Pa accident) GARAGE LIABLITY AUTO ONLY-EA ACCIDENT S ANY AUTO EA ACC S OTHER THAN AUTOONLY: AGG S EXCESSAMRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S 3 DEDUCTIBLE g RETENTION S S B WORKERS COMPENSATION AND WCCS004789012005 11/0610S 11106/06 WC IORSTATU- FR EMPLOYERI:LIABILITY - ANY PROPRIETCRIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1 000 000 OFF ICERIMEMSER EXCLUDED? E.L.DISEASE•EA EMPLOYEE $1,000,000 If yes•describe under SPECIAL PROVISIONS bdm El.DISEASE-POLICY LIMIT $1 000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS - Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - Town of Noltl,n-Bldg.Dept. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL i0_ DAYS WRITTEN Norton Town Hall NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL 70 East Mein Street IMPOSE NOOBLIGATNXN OR LIABLJTY OF ANY KIND UPON THE WWRER,ITS AGENTS OR Norton,MA 02766 REPRESENTATIVES. AUTNORMD YPWWWAMW C.t_. ACORD 25(Z001/08)1 of 2 #41868 MAK ®ACORD CORPORATION 1988 z sb 12 "' �, y 4'. `.�•'b x -A>s ;E•. •,.r3 wsu it c dW"�I�, @ Z.R �4 t v'...i� r y' s. v faY� �. 3r.�,s, :•s d -x'. I: �r� s z F Lr .Y.Yj" '"'xhb,•y,a t" wx„`Fc'~' a`.��, , �,q I ''L'�'+ikY..� id".c+ ^^� 1?fir z•1 gy p; =-;ni°1 f, a�^•c:; '"J �� .�..,"*,.'F�`i .,i .^Y d�..fi , � "y,q x F y{f, s^� •4 a ;" C;> > : �1"Wit' .1T."7.X^'e•�^'�"'_ , r+., r -m a t .M _:. JY x 5. c, 2 r i N ^, 3»,t } n.+ F•-., f'fs s_ft I .i. a -TW a •t 3..y :r I. y ..J F'; ,� ,H Y. rF 7 e a' 4�.. ryE^y rk'"' s ,�rN t-e¢r td j.. '1;1*,_" w V7 _. r •r Y ' -t i , 'x by i.-a. r _. a $^o• M"9i »a..: .. i 4 Y },+ J . L > J Y y Y S 1 -�,ykd:6yvy,3, y Y 6L 4 4,Y: ,f r2 "` # , L c + + t a cf a Y r*�" :ra,F„ Ss 'E Fit 'r � , �s F ca w Y �t� ,ias,{ I ? i, a :. s !I La a i a I l h ri.1r}x f y5-"dr k r'i ta+}s.. "fr r = _ ,r 9 a y , o j t: i ; ; 1 .r >4 4u r ;. r 7f•'. i { z s5 1. ;° 4 f 4 r Y 4 s F* a 1 d4.7k,'.�{J �,X7 �y �s}yt �r�' I.�x jJiW1. ,, 1. , 4} ,� ° ,s , ,.4i i t i J i tr _ f ,� �k'ry✓ 'v'-, ��1 . 7�1 M'S�1"R I +' a6ry } >. .. 1. ; k rJ f P Jr N s sA A-} i B,p "'Arlk°+' _ - p 11,`� . , f F 3 ! �! z 1, , hLf i -( AC A .11l�%r}-a8 1. s , - a f i, -6 t a k a ? va i 75 ;' f 4 k 'i- j C j .f '� ) 1: a 'Y'«it' .. N. 1 I x i a J t { rF -c a { n to 1 1 art d p.tiR , i a' t f la.. syq AY S{ -L d T 1.Y I¢.. { 2 13 : t ` d , �L y "4 ; i t; } , `I lei "yrs 'Y L �.}��oo.. '.�. ;•fy"r r,!s^ 'ep S'7�' ,{YS x� to s i8t �-` sH"het..•.dry .'D ��d1d`1))�°�' N YW`Y�`}�E0. 5:. lA�Mt `` ! Jl,y"3 3 fY f. /RJli l'"f {N CW f'. C!`r"^,i. ipL. t.7..- i t E t__. E ` �7, �s t dh r e a eF::. 3 yY .qi-°r� �, ,x'�.t� >y fF K �" e /f ' # Y 4� §e :Sid ;1` i�a ,1, ,,, �'� � , 3 J .., c Ry :,�i EsS.�,g3aa§�°�;3g• S Ac�r - { a ° a 1 _ 1-FR116 A ) Z^ 7IONS t: E OF BUILDING REGULA , .. BOARD TION SUPERVISOR ,. J ; 1; License: CONSTRUC + d ` ' fl ;A N mbf 046020 V r 1 J 962 - L ` , i. t i07 Tr.n _� , R t8y, d� c ry 'A F > iQ.da4 _ M 1,a? ''S� f �� a•c'k`}d '' '`"'.a t. t s'dK a,.! k - ._.>,.+-•.'+f+�0.�. s �s�j �{�,a-;.Z" y r'y..J ",. 'as �.s 1 d - 3 5 - Y �g'� W_ ° � 300 OAK STREW . 35T COMMISStoner k e ° z ,- f . PEMBR E{ OK z a s x I, f a{>`�- F' s ,.�, .of{�. 2 " �yl csE ,. < <e ... �� ¢ f a z .., i s 3 $ > e 5 r 5 dS - f C...'. { t n. . ! .. .. .. ,...r. 1rS .. ;?, ra . t :t d $ y dC e kI x v..y. a } 4 3 "� ,,; S - H - .. } is „ Y ;' ., >'.�. - --.. h Ki ..'. ,, - .. .... . ,.,.. n •_!- ...e. n' { n _ .- _ ,': . i .. _ .. ... _ - r. . .. .., . . . . - , s .. ,�,.. -. F i. .. ,. .. .. ... ,., . .' ., . _ .. �. ,. ,: .. :•- - .... �� % - - .. I. .. .. - . .. , ,.. - r _ } 0 :... :, q .:'- u - . .. - ... .. .:. .. r. ...... .� - ... ., - «. ....:.. ',.. -a - ,. •- ° . .r .. e. .. .� -. . ., ., .. .. .. .. ... _ ° ., .,�. „' a. + :.i'- t"E TOWN OF BARNSTABLEBuilding' � ' Application Ref: 20060108 i BARNSTABLE, Issue Date: 11/15/06 Perm t 9 MASS. �prFG 3 A�� Applicant: STEWART, SHELDON F Permit Number: B 20061759 Proposed Use: VACANT Expiration Date: 05/15/07 Location 19 JOHNSON LANE Zoning District RD-1 Permit Type: NEW SINGLE FAMILY HOME Map Parcel 193076 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 100.00 License Num OWNER Est Construction Cost$ 160,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TWO BEDROOM HOUSE W/ATTATCHED GARAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL CHANGE OF CONTRACTOR 11/7/06 TO JOSEPH PALINO INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: STEWART, SHELDON F BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: P O BOX 2110 INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632A& M& . Application Entered by: PC Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR Alp PART THE H TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY:PERMITTED UNDER.THE BUILDING.0 DE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY 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. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ® p i1 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health ParcelEdit Page 1 of 2 .1 � � y� Syr fia � is 14 -ogged In As: �� I Wednesday, Mayt/ _ 2006 =rank Schlegel r Application Center Road System Reports Road System 1 ()O o The record has been updated. Parcel detail Parcel ID: 193076 Sewer Acct: T/R Uptlate > s.. Devel Lot: LOT 7 .__. .. _ ,._._. .. _ _.. _ . . . ..... T...... _ Owner: ISTEWART, SHELDON F Co Owner: Street: IP O BOX 2110 _,_.._......_ City: CENTERVILLE State: 4 3 Zip: 02632 --------------- Location: 9 JOHNSON LANE I Village: Centerville Road Index: 0806 Pri Frontage: 235 Secondary Road: ISHOOTFLYING HILL RD Sec Index: 1484 Sec Frontage: 1204 Visions Location: 19 JOHNSON LANE Last Updated' S/17/2006 4 01:41 P --------------- No. Bldgs: 10 Account No: 119311 Lot Size (acres): 0.51000918 State Class: 1310 Year Added: 10 Fire Dist: _.. .. Deed Date: 5/1 roll 987 Deed Ref: 67 1 610 1-7 Land Value: 46700 Bldgs Value: 0 Extra Features: ( --------------- Condo Complex: Building: Unit: ktp:Hissgl/Intranet/Propdata/ParcelEdit.aspx?ID=14167 5/17/2006 rou570 1)U OV MASSACHUBRTTS QUITCLAIM DEED SHORT FORM (INDIVIDUAL.) 861 31931 I, Janet E. Stewart, of Johnson Lane, (Centerville) Barnstable, Barnstable County,Massachusetts, being unmarried,for consideration paid,and in full consideration of One dollar grant to Sheldon F. Stewart ' of said Barnstable -Johnson Lane. (Centerville) with quildnint raptuanto a the land in Barnstable (Centerville), Barnstable County, Massachusetts, bounded and described as follows: [Description and encumbrances,if any] WESTERLY by Shootflying Hill Road, as shown on hereinafter plan, a distance of fifty—three and 45/100 (53.45) feet, and one hundred thirty—six and 72/100 (136.72) feet; NORTHERLY by ,Johnson Lane, in an arc, measuring therein fifty—one and 49/100 (51.49) feet, as shown on said plan. EASTERLY by Johnson Lane as shown on said plan, a distance of one hundred twenty—three and 76/100 (123.76) feet, and one hundred ten and 00/100 (110.00) feet; and Southerly by lot 6 as shown on said plan, a distance of one hundred forty-six and 57/100 (146.57) feet. Containing 22,500 square feet, more or less, and being Lot 7 as shown on plan entitled "Revised Plan of Lots at Wequaquet Lake, Centerville, Mass. Belonging to ,John H. Johnson, Scale 1"=50', July 20, 1970, Nelson Bearse- W Richard Law-Surveyors, Centerville", which plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 243, Page 37. Together with a right of way over the wav shown as Johnson Lane on said plan In common w1t.h all others who are now or may hereafter he entitled thereto. Being the same premises conveyed to the Grantor herein by deed of Mary A. Phinney, dated April 18, 1984, recorded with Barnstable County Registry of �k Deeds Book 4081 Page 007. 24 th tune 85 (��tlnrffs ..mY........hand and seal this............................day of......:..............................19....:.. z'L�Ltc.7...�'.,�.j....' /.fk i.u�ci.Le(/ ........................................................... ................................................................... .............. ...........................................I............... ..... .............................. .. t�f(e �tutnntantuettlll] of >�tteettrl]ueclla i Barnstable ss. June 24, 1985 Then personally appeared the above named Janet E. Stewart and acknowledged the foregoing instrument to be her free act and deed before me ••.....,.. otary.Pub�_ 4.v 1K mmission expires Dec4tgwr. to ,9P2 ., (ilndividual—Joint Tenants Tenants in Common.) CHAPTER 183 SEC.6 AS AMENDED BY CHAPTER 497 OF 1969 Every deed presented for record shall contain or have endorsed upon it the full name,residence and post office address of the grantee -recital of the amount of the full consideratinn thereof in dollars or the nature of the other consideration therefor,if not delivered a spec monetary sum.The full consideration shall mean the total price for the conveyance without deduction for any liens or cumbranc assumed by the grantee or remaining thereon. All such endorsemenq and mitals shall be marled m part of the deed. ilure to c mply with this section shall not affect the validity of any deed. No register of deeds shall accept a deed for recording unless A TRUE COPY,ATTE s in coin iance with the requirements of this section. �.�� RECDPDED MAY iz 87 JOHN F MEADE REmISTER Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 Data filename: C:\My Documents\greywing\drafting\champion\ch06O3l4.rck PROJECT TITLE:20'X 28'COLONIAL CITY: Centerville(Barnstable) STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: I or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) WINDOW/WALL RATIO: 0.07 DATE:04/19/06 DATE OF PLANS:APRIL 11,2006 PROJECT DESCRIPTION: Conventional frame single family residence. 19 JOHNSON LANE DESIGNER/CONTRACTOR: Champion Builders Inc. 300 Oak St.,Ste 155A Pembroke,MA COMPLIANCE:Passes Maximum UA=324 Your Home UA=243 25.01/6 Better Than Code(UA) Gross Glazing Area or Cavity- Cont. or Door Perimete -Value R-Value -Factor 3Z�, Ceiling 1:Flat Ceiling or Scissor Truss 850 30.0 0.0 30 Wall 1: Wood Frame, 16"o.c. 2105 19.0 0.0 117 Window 1: Wood Frame:Double Pane 107 0.350 37 Door 1: Solid 22 0.350 8 Door 2:Glass 30 0.350 11 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space. , 852 19.0 0.0 40 Furnace 1: Forced Hot Air,78 AFUE 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 Massachusetts Energy Code requirements in RES checkVersion 3.6 Release 1 (formerly MECchec4 and to comply with the mandatory requirements listed in the RES checklnspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the 16520 The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design loa ified in Sections 780CMR 1310 and J4.4. Builder/Designer Date Permit# Permit Date REScheck Software Version 3.7.3 Compliance certificate Project Title: 20' X 28' COLONIAL- Plan Date April 11, 2006 Report Date:06/12/06 Data filename:C:\My Documents\greywingXdrafting\champion\reschk1ch060314.rck Energy Code: Massachusetts Energy Code Location: Centerville(Barnstable),Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 7% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor. 19 JOHNSON LANE MATT DACEY CENTERVILLE,MA Champion Builders Inc. 300 Oak St.,Ste 155A Pembroke,MA 781 826-3800 mdaaey@championbuilders.com r �h � x r •3s+wa�, ti T�i b 4,,,„ �7� '9' a •. P � 'rx �� - . Ceiling 1:Flat Ceiling or Scissor Truss: 850 30.0 0.0 30 Wall 1:Wood Frame,16"o.c.: 2105 19.0 0.0 117 Window 1:Wood Frame:Double Pane: 107 0.350 37 Door 1:Solid: 22 0.350 8 Door 2:Glass: 30 0.350 11 Floor 1:AU-Wood JoistlTruss:Over Unconditioned Space: 852' .19.0 0.0 40 Furnace 1:Forced Hot Air:78 AFUE 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 Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.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 coo the buikfng shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Company Name Date - Project Notes: . Conventional frame single family residence. 20'X 28'COLONIAL-Plan Date April 11,2006 Page 1 of 4 REScheck Software Version 3.7.3 Inspection Checklist Date:06/12/06 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ` Doors: ❑ Door 1:Solid,U-factor.0.350 Comments:9light and Entry ❑ Door 2:Glass,U-factor:0.350 Comments:6'Sliding glass door Floors: ' ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:78 AFUE or higher Make and Model Number. r 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 fodures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fodure 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 cim(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled.. Vapor Retarder. « Required on the warm4n-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'.' ❑Mam&cluneemanuals for all astal[ed heafmg and cooft equipment and service water heating equipment must be provided. - insulation R-values and glazing U-factors must be dearly marked on the building plans or specifications. Duet Insubdiom- ❑ Duds shall.be emulated per Table J4.4.7.1. 20'X 28'COLONIAL-Plan Date April 11,2006 Page 2 of 4 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. Heating and Cooling 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. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. 20'X 28'COLONIAL-Plan Date April 11,2006 Page 3 of 4 f - L Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 •1.0 1.5 2.0 140-160 0.5 0.5 1.0 1-.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressurerremperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and• 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) f e i 20'X 28'COLONIAL-Plan Date April 11,2006 Page 4 of 4 Bk 2 U 98 6 F19 2 19 2-8'74d s` US-1�]-2U�d a 1.1 2 21at BARMASM HAS& Town of Barnstable Zoning Board of Appeals Decision and Notice sAppeal 2005-112- Stewart Variance to Section 240-211 (E) Bulk Regulations,Front Yard Setback. To construct a single-family residence 17.5 ft.off Shootflying Hill Road where a 30 ft. setback is required. Summary: Granted with Conditions Petitioner: Sheldon F. Stewart Property Address: 19 Johnson Lane,Centerville,MA Assessor's Map/Parcel: Map 193,Parcel 076 Zoning: Residential D-1 Zoning District Relief Requested &Background: , In Appeal 2005-112, the applicant sought and was granted a bulk regulation variance to allow for the development.of a two-bedroom, single family dwelling to be located within the required 30-foot front yard setback from Shootflying Hill Road. The proposed dwelling at its closest point is to be situated 17.5 feet off Shootflying Hill Road. The subject undersized lot is a vacant 0.5 1-acre parcel created in 1970. The lot was deeded into separate ownership prior to the 1985 Town-wide rezoning to a minimum lot area of one-acre and is a pre-existing legally-created non-conforming lot. The applicant was deeded the property in 1987 and is now seeking to develop it. The proposed dwelling is to be a two story structure of 1,675 sq.ft. gross living area. Also proposed is an attached one-car garage of 215 sq.ft. and an open second floor deck of 200 sq.ft. Procedural &Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 24,2005. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 30,2005, at which time the Board found to grant the variance subject to conditions herein. Board Members deciding this appeal were, Daniel M. Creedon,Ron S. Jansson, Randolph Childs,James R. Hatfield,and Gail Nightingale, Chairman Attorney Michael D. Ford represented the applicant Sheldon F. Stewart who was also present at the hearing. Peter Sullivan of Sullivan Engineering was also present to discuss the plans for the new dwelling and its location. Mr.Ford presented the history of the lot documenting that it was a pre-existing,legal undersized lot and could be developed as-of-right. However, given the triangular shape of the lots and the facts that it has two 30-foot front yard setbacks and is encumbered by wetlands with a desired 50-foot setback, the lot is rendered difficult to accommodate a dwelling without setback relief. �,I S t The design of the home, shape of its foundation, and the proposed location were determined based upon the shape of the lot with respect to the 50-foot conservation setback from the wetlands. That location of the dwelling intrudes into the front yard setback on Shootflying Hill. The proposed dwelling was described as being a modest two-bedroom home of 1,675 sq.ft. and an attached garage. Plans for the home and its location were presented.. Mr.Ford noted that the on-site septic system had been approved and it conformed to Title 5 State Regulations without variance. However, certain variances were necessary from the local Board of Health regulations and those variances were granted. An Order of Conditions for the Conservation Commission had been issued for the development of the home in that location. The Board questioned the existing old traveled way, and if any rights of passage by others existed in the way. Mr. Stewart cited that he was not aware of any rights in the traveled way and that it has not been used. He commented that it only accessed the neighboring lot, and this neighbor is in support of the granting of the variance as a letter from him indicates. He stated that the location of the dwelling did not block the traveled . way. Public comment was requested and no one spoke in favor or in opposition to the request. The Board Chairman noted that letters from Dennis and Ginger Manizza, 46 Johnson Lane and Walter and Avis Ochs, 44 Johnson Lane in support of the granting of the variance have been submitted to the file. Findings of Faet: At the hearing of November 30, 2005, the Board unanimously made the following findings of fact: 1. Appeal 2005-112 is that of Sheldon F. Stewart seeking a Variance to Section 240-211 (E)Bulk Regulations,Front Yard Setback for the subject property addressed 19 Johnson Lane, Centerville,MA. That property is located as shown on Assessor's Map 193 as Parcel 076. It is in a Residence D-1 Zoning District: 2. The subject undersized lot is a vacant 0.51-acre parcel created in 1970. The lot was deeded into separate ownership in.1971 prior to the 1985 Town-wide rezoning to a minimum lot area of one-acre and is a pre- existing legally-created non-conforming lot. 3. The applicant seeks to construct a single-family residence of two stories. The structure is to be 1,675 sq.ft.gross living area and is to have an attached one-car garage of 275 sq.ft. and an open second floor deck of 200 sq.ft. 4. The subject lot is unique in that it is bounded by two roadways, Johnson Lane and Shootflying Hill Road and is subject to two front yard setbacks. The eastern quarter of the lot is an overgrown cranberry bog, and a good portion of the lot is within the 50-foot wetland buffer area to the bog. 5. To impose,the two required front yard setbacks on the proposed development of the lot would represent hardship to the applicant as very little of the lot would remain developable, especially when compounded by.a 50-foot conservation buffer to the wetlands. 6. This relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. 2 .1� Decision: Based on the findings of fact, a motion was duly made and seconded to grant a front yard bulk variance along Shootflying Hill Road to permit the construction of a single family dwelling, subject to all of the following conditions: 1. The dwelling is to be located in accordance with plans presented to the Board entitled"Site Plan Proposed.Improvements 19 Johnson Lane Centerville,Mass", as prepared for Sheldon F. Stewart by Sullivan Engineering, Inc. and dated September 28, 2004. The encroachment into the front yard setback shall be.no more than that shown on the referenced plan. 2. The dwelling to be built shall be in conformance to those plans submitted to the Board entitled "Proposed Residence" as drawn by ADG Residential Designs. 3. Development of the lot shall conform to State Title 5 requirements without variances. This condition specifically applies only to State requirements and not any local Board of Health regulations. 4. There shall only be one access to the lot, and that access shall be from Johnson Lane only. The vote was as follows: AYE: Ron S. Janson,Randolph Childs,James R. Hatfield,Daniel M. Creedon, Gail Nightingale. NAY: None Ordered: Front Yard Bulk Variance 2005-112 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised within one year. Appeals of this decision,-if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty(20)days after the date of the filing of this decision, a copy of which must be filed in the office of the To Clerk. - L it C. Nighting Cha' Date Signed I, Linda Hutchenrider, Clerk.of the Town of Barnstable,Barnstable County,Massachusetts, hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in jhe of ce the Town Clerk. Signed and sya8e day of vO under the-pains and penalties of perjury. * AOT Y As{� Linda Hutchenrider, Town Clerk g own Clerk �ARNSTASLE The Commonwealth of 11lussachusetts --ar Department oflnrlustrid Accidents __ — Office of Insesdgations G00 tiVcrshington Street, ��Floor Boston, Mass. 02111 t Workers' Com�ens)hon Insurance Affid clt Buildutg/Plum ms/1: tr.. Contractors h ley ... , rA hc.mt:mformahon.:. •�.� Home: C 14 1 address: Iwo �- aC zi r D"C G state: yin' EM work site location full address: ` ` Project Type: eta Construction Remodel I am a homeowner performn�all work myself. Building Addition EJ I Im a sole proprietor and ha�re no on �ror In any c h 4. . '� n�..cyn y.�.r�yaa ws. cs-.•.�r�a :.rm..7s...:-.�=---y— .b.. .•r--.:Z.C'.:� .. QI am an employer prop idme Workers' compensation for m, employees N�orl inR on thLs lob Com ancname. _ address. _ hone#- Ci n incur i co _, �_.. ,:�. I am a sole proprieto seneral contractor r homeowner(circle one)and have hired the contractors listed below who have the follolvinL«'orkers c(rapensation po ces: _ _ = - address:'` hone#. city olio# uesm•ance co Th 'ts�'i..�. � we com I.mc n:un e. 77777777777777777777 hone#. cit<: hc�# 1n.Cnt":iiInCe CO tt�chadd�homd,sheete up to$1,500.00 and/or tfneeessar�^ to the Imposmon U f criminal penalties of a fin pe as re itired under Secti n the form of a STOP WORK ORDER and a finofMGL152 can lead e of$100.00 a day against me. I understand that a Failure to secure covers q one years'imprisonment as well as civil penalties ge verification. copy of this.statement may be forwarded to the Office ofIttvestivations of the DIA for coverage I do hereby certify under the wins and penalties of perlur)'that the inform afion provided above is true and correct - Date Signature Phone# riff -L(a 3 Z50Q Print namePS, -� ' ' town official 0Mcial use only do not mite in this��ea to Le completed b}cite of crmit/lic�nse# QBuilding Department p city or town: ❑Licensing Board ❑Selectmen's Office k ched:if immediate response is required Health Department phone []Other # $ coIren: l ntact person. .., t. �+edSe�l.'UU?l ,,"'�^°"s".rH?,,"°°'N L.�.,,,.Ws:,is'':i'.�_�*.•s..�+�'��'Yr",e._.�.g+"s9?�' l - --. CL S Company Address Insurance Company Policy Sealund Corporoation 794 Washington St., Pembroke, MA Acadia Insurance WCF 1301498-110 - Robert J. Oliver 21 Ocean Pines Drive, Sagamore Beach, MA Liberty Mutual WC5-31S-325673-013 Flaherety&,Stefani, Inc. 67 Samoset St., Plymouth, MA Quincy Mutual Fire 08WECPD4698 John Page Electric 285 Montello St., Brockton, MA Arbella Protection 9095511003 Ladner Corp PO Box 514, Sandwich, MA National Grange Mutual WCC5002594012003 Kevin McCarthy Contracting 17 Weaver Street, Wareham, MA Associated Industries VWC600880012004 Map Insulation -350 165 State Road, Sagamore Beach, MA Liberty Mutual Insurance = WA2-64D-005193-013 Timothy Marks PO Box 2120, Teaticket, MA Masswest Insurance WCM001059 AFM Plumbing Inc. 1102 Hanover Street, Hanover MA. Federated Mutual Ins. 9317193 Rodrigues Home Improvement 66 Deane Street, New Bedford, MA 02746 Arbella Protection 7PJUB632X571AO3 Mortland Overhead Door P.O. Box 515,Accord, MA 02018 Central Mutual Ins. Co. WC7978124 Wood Floor Specialists, Inc. 24 Liberty Street, Sandwich, MA St. Paul Travelers Ins. WCC5604139012005 Michael T. Jones 89 Thatcher Street, Milton, MA Commerce Insurance Co 7957A58 Gutter Pro Enterprises, Inc. PO Box 1197, Plymouth, MA Arbella Protection Ins. 7763614 MacDonald Concrete Finishng 12 Tiscpaquin St., Middleboro, MA The Travelers 6KUB7397A11-9 Atlantic Kitchen & Bath, Inc 300 Oak St., #140, Pembroke, MA Preferred Mutual Ins. pending Michael Mongeau 77 Traders Lane, West Yarmouth, MA Continental Casualty Co UB-48OX760-9-05 Cardoza Paving 12 Bog River Bend, Mashpee, MA Penn-American Ins. PAC6450914 t i , 1 . w -y2ea• �tOl�- Y f t f r I I mi =, } L UT -- i'- i RSA 2 A o LETTELZ VVA Act nil. 7te 4 C L E\1,N N taut �� _. ; iAZ / 1 ,3 ,n� f, �. TO 0 07/ r .. Ly o • 1 FPONT YwRti , BUPF�R I I 86TOACK 1 j Zc 0 . j EXIST TRAWLGD Hwaxias I �^ WAY � NAY BALSS ' 1 j I 43.0 // TOW to.o IJ 1 I .0 LAWN 1 Q NOTgI ALL OIMeNSION5 ! 1\ y I SECTION 1 McAsuago To FA4a OF SCALE;I ;p- FounOATCN e It ��0 FEMA Zone Line o$ shown on FIRM I•. i L i \ I I Panel 1250001 0015 C(August 19, 1985) 1 15UFFDR I 1 FxouTYwaD se reAcicJ 0 EA19T.TRAYCLSO `"wY I _ F.b.42.o LAWN a 1 I I Il T ' 1-- T.O.W.4L.o SILTFUNGa WITH \\ 1 \\ I I 41►AD.01 L STAULD MAY 9ALILS 1 \4 \ \ SECTION 2 \ \ \ \ I SCALE=I"s20' 1 \ \ \ I I I I Za J a-4�0 \ Variance to Residential District RD-1 Bulk Regulations,j Minimum Setback Front Yard feet Pro9posed:17.5 feet at the closest point. \ \ I I 1 1 1 ,� 1 \Ja-4a4 1 1 1 h�!Oro�? 1 1+ ; i 'A` A r^ � o .� \ 1 J PRIMARY 1 A'Ty6•) \L \ \ J 1 I + t s'H + 2 \ l l 0 1 1 + \ 0 \ + 1 l i to , \ \ ow i �.tii 1 Ir N lb _ e _ \ o \ r3 ; \ I 1 ,�*� \ IY� I 1 i' , 70> O \ °' \ N \1 '\ ; I /�� I 1 11 ``'fly \� \ •' I I 1 I 0; + \1 I I`P II 11 \'I` +h \\N\'\\ �O. •.' �_ __ .a.t. \ 1..•' I l ore 0, �s \�\ 'moo \ \ \ \ \ 1 0A\ o& o• ��\ \\ 0 1 \ \ ` \ 1 .1 a \ \ � +1 \ 1 1'h �� • � / moo,\\ \\ � \ �.• It so 1 0 A LOT A(iCA 40 1`+n•l' `+ + ��\\ \i . A \ ! \ \ \ 1 \\ + M1 Resource Line as flagged '� =_"• \ \ \ \\\\\\ \ \ \ i \\ \\ 6y ENSR, July 26. 2004 �g!+! \\ \ ^ ..OF UjuW SUTAIild°J °� D VIA i 131312 v 4 r qS Title: + PREPARED FOR: PREPARED BY: 7 Ca eSury SITE PLAN Sullivan Engineering, Inc. p r N „ Sheldon F. Stewart PO Box 659 PO Box 718 p PROPOSED IMPROVEMENTS PO Box 2110 0sterville, MA 02655 Hyannis MA 02601-0718 19 JONNSON LANE Centerville, Mo. 02632 (508)428—J344(508)428-3115 fax (508)790-7901(508)790-7905 lax, b, PSWIPEBooLeom copesurvGcopecodnet CENTERVILLE,MASS. b 20 0 10 20 40 e0 Comp./Draft: MJD Field: WHK/RRL I Date: : Scale. Review: PS Comp./Draft: WHK/RRL t September 28,2004 As shown Prod #22026 Drawing I C489-2G1 —R NOTES I. Water Supply For This Lot is Municipal Water. :G.42.0 F.G. 43.3- Vent 2.Location of Utilities Shown on This Plan Are Approx. At Least 72 Hours Prior toAny.Excavation For This - Project The Contractor Shall Make The Re wired 40.0 —"--_ — Bot.EI.41.5 ti Notification to DIG SAFE 1-888-344-�233. 1000 Gal _ 42.2 ` 3.The Contractor is Required"to Secure A 39.7 1500 Gal. " pump Appropriate ` Septic Tank " Chamber 42.0 5 - Permits From Town Agencies For Construction 13, Defined by This Plan.':' Adj.GroundwaterEl.36.5 -a 4.Install Risers as Required to Within 12"of Finished Bedding as Grade. Per Title 5 Pa,ME.av 5.All Structures Buried Four Feet (4) or More or ' Subject to Vehicular to beH�20 ioading. ' DEVELOPEDPOSED SEPTIC SYSTEM PROFILE-OF PRO l00%~ Not to Scale REaER�e 6.Septic System to be Instal led`in Accordance With i� 310 CMR 15.00 Latest Revision And The Town of Barnstable Board of Health'Regulations. 2a"00pening Above For M.H. 1 2 0 alv.Pi DESIGN DATA / G eFor 7All Piping tobe Sch.40 PVC. Float Support Frame&Cover. Single Family -2 Bedrooms + o--vttyT P ow Line: No Garbage Grinder .�:.y_,_.� h✓ 8.Depth of Inlet Tee Below Flow e ;•.IP_•:Depth of Outlet Tee Below.Flow L.ine:,14 Min. -With B DoilyFiow; 2;x'ItOgal. =220gpd Gas Baffle. Septic Tank:220gpdx200%=440gpd Pump Power 5FloatControl Use a 1500 Gallon Septic Tank es Installed i Elec.Acco odes ' O .,. - �. Q `'I ' P WithCablLocat'BIdg:6Elec.Codes. - r �I LEACHING AREA d 3 O '220 9Pd/0..74 298 s.f.Required 40'Sc1:a0PVC'LL From Septic Tank Precast Pump Use Bottom Area Only _a 303 s.f.Provided Chamber .. CN AAA 13Et2 " LEACHING BED DESIGN ..�. °., to ro l Pipes to be Schedule 40 PVC IfEticovntered Remove&Replace Perforated With Ends to be Vented_°Use PLAN PARTIAL PLAN An Unsuitable Soilswithm.5 of on tines in a 6' 4 Distribution The Outer Perimeter of The System Leaching Bed as Shown. Not to Scale 4;0Sch.40PVC Finished Septic ch.4 PVC Grade 9 Min' Cover—�.. - M " . l r Galy r� �'.H.- 1 E _E�r. 4!.S Cor rownduiter Q Flhru o amber D IO (Min.) r Emer en StoraChan o- T:O.W:46.0 O Emergency 4e Cables , o RG1.,N I G5 DA,2K IaRN _ 220 Gallons Inv.39.3 p 10 YFi 3 3 � Varies 2-0' 3 / Alarm on 38.5 2 0' Mercur Float y 2 r Sded Pi PVC AtnD - Pump on 3Z7 s- Threaded Pipe T.O.W.43:5 l A s 3 pRK GR't51-t Ci1i;N 5 Y d . Finish Grade 43.3' LOAM IOY1� 3/Z � a Finish Pum off 36.7 Check Valve � Swit h eq R o Grade 42.0 t r C f�RowN t_oon�Y SAND SecurePipeatTop&d - R S43 Bottom of Chamber 1� ,. q _ Bottom E1.35.3 °' Leaching s a YraL:ISy'gRN. LOAMY E 61We.Med e mperma ble Chamber S�tv p 1 O Y R 5/!e �° LL'VM Barrier �0 6,fL97 g �, L SECTION C LT, YEI 16H` l3fZN 61IV". SECTION �— SANG 2.5 Y ZI/47/" • �� "�� L, (1000 GALLON SEPTIC TANK) ' Not to Scale 7T e � PUMP C GR041ND WATER r(7. a-7 t . �Q Not to ScaleHA ' Wfi CHAMBER DETAIL - peRc, t.lo:t,p�.yy 9'Mln. l=S_S -171 ZMIN/INCIJ �, - Finish Grade 13Y' �IJLL.I�/Ah1 ENC,rINEEC?tNC' INC " WITNESS: D, D�SMAfiAiS� T,O.('3• _ - Compacted Fill--� Filter 4"0 Perforated bATE'. 8�3/OS }, PUM Fabric Pvc Pipe �. No State Title V Variances Required '"M ! N 1/8"-1/2' �.,�_2 Et_w. t t.S Board of Health Variances Required W.297 Pea stone otz�A1V�G5 0 0.ti.< c3RN Town of Barnstable Chapter 360 �� 3/4'-11/2' O On-Site Sewage Disposal Systems StoneeWashed ~ A pRK GR'151� g12N sa.NDY Article I: Location of Components L0Ann 1 o Y tZ /z z'-d' 3'-0" oRN �o�My SAND 100 foot separation required for all (Typ. (Typ.) Varies \o YR s/s components from wetlands SEPTIC SYSTEM DETAILS 10'' Septic 13 YF_�15►4 cdRt-4 Li_OArAY. p 'c Tank: 56 feet provided from BVW l9 JOHNSON LANE 5,ANo X 0 Y M 5/� PUMP CROSS SECTION OF LEACHING BED ao" p Chamber: 70 feet provided from BVW - CENTERVILLE MASS. Not to Scale -T. YEL;1 SH caizN Leach Field: 82 feet provided from BVW 8�• G sA.Np z. Y SULLIV,4I11 ENGINEERING INC. , Reserve Area: 80 feet provided from BVW BULLOSTE I VI LLE, MASS. c,RouNDv�.nTSR @ 87 "Deed restriction required for 2 bedroom design SHEET 3 of 3 , . i ak 6'd 76O' .. 6'-0' Td 9'A 18• IGHTI C q ro Bft P.T.DELI(WITH HANDRAIL { O r- - - OVER RUBBER MEMBRANE t ATTIC I - F E 4 ROOF SURFACE IT, 44- 3'-1' S-t• '-0• B-0' ACCESS 3'-10' . I ABOVEI - OPrIONAL - CHIMNEY O b 0 tom• P-1O' K-I CL T : sre"Dom ■s 1/4•: 4 BEDROOM# 16'OX1sto17'0O- e b MASTER BEDROOM BATH I § 23'0 X 12'a B FANILIGHi � - FOCRIRE IP a-0•. ra• 4'4• 34r 6 8' rw 6'-T T.7 44' 6'4• F. .� 1 4 - rHi 28'd- { 47.1' h SECOND FLOOR PLAN ENERGY INFORMATION E; SECOND FLOOR LIVING AREA$40 S.F. LIVING AREA OVER UNCONDITIONED SPACE=852 S.F. CEILING AREA UNDER UNCONDITIONED SPACE=850 S.F. GROSS WALL AREA 1ST FLOOR=1093 S.F. GROSS WALL AREA 2ND FLOOR=1012 S.F. TOTAL GROSS WALL AREA=2105 S.F. 'I GROSS WINDOW AREA= 107 S.F. +GROSS DOOR AREA= 52 S.F. TOTAL WINDOW&DOOR AREA= 159 S.F. GROSS WALL AREA=2105 S.F. LESS GLAZING AREA=-159 S.F- �j vvV NET WALL AREA=1946 S.F. f' NOTE:ALL WINDOWS&DOORS TO HAVE A U-VALUE.35 OR BETTER "Expect the Best" SECOND FLOOR PLAN & SCHEDULES • C HA■_S P 1 O N DATE: APR 112006 PROJECT:20'X 28'COLONIAL 2 BEDROOM,2 12 BATH - B V I L.� D E R 5 . I' N C . SCALE: 1/4"=T-p' 19 JOHNSON LANE ASSESSOR'S MAP 193,PARCEL 78 300 OAK STREET,SUITE 155A Drafting&©2006 Groping Design 508 888-0886 CENTERVILLE,MA PEMBROKE MA 781 826 3800 PROJECT Na.CH060314 SHEET'AS of 7 ORNAMENTAL . 'REAL BRICK' CHIMNEY b' CONTINUOUS RIDGE VENT(TYPICAL) - OPTIONAL BRICK CHIMNEY _ ..._.. .. —_ _ SMOKE DETECTORS REVIEWED - - - _ _ . - - i � ASP SHTNG ES EROLAS9 — _1 L (1'YPK;1LL, TA E BUILDING DEPT. DATE — -- _ ---_ FIRE DEPARTMENT DATE - 71 BOTH SIGNATURES ARE REQUIRED FOR PERMITTING IFT _. ..... .. ......_ ... _ ..._... ._: ..... ..... __... .... .. .._ ._ ... ._ PT DECK WITH HANDRAIL LJI I ._ - _..... _ 0 0 : } . - ------------- _ WO FIBERGLASS BRICK FACED S`OOP Wart :>:oS INSTALL WITH ARCHITECTURAL TO GRADE . OPTIONAL SKIRTBOARD WITH TEMPERED GLASS COLUMN MUORAIL _ - VINYL SIDING ALL SIDES(TYPICAL) MAY SUBSTITUTE CEDAR SINGLES AT4'T.W OPTIONAL OR WHITE CEDAR SHINGLES AT 5 V2'T.W. - - - BRICK CHIMNEY - - .. /12 - _ - GENERAL NOTES: 1.GUTTERS AND DOWNSPOIJ i S TO BE PROVIDED WHERE REQUIRED. -. - 2.PROVIDE FLASHING ABOVE ALL WINDOWS AND DOORS. =-- 3.PROVIDE CROSSBRIDGWG AT JOIST MIDSPAN AS REQUIRED. 4.DOUBLE JOISTS BELOW ALL PARTITION WALLS. .._. ...:...:_._._._..-.____..__...__.. - 5.VENT ATTIC SPACE TO MEET?CODE REQUIREMENTS. AND 6.ALL CONCRETE TO BE A IYI IrvtUM OF 2500 PSI STRENGTH AT 30 DAYS. 7 OWNER AND CONTRACTOR HALL ASSUME ALL RESPONSIBILITY FOR CONSTRUCTION _ CONFORMANCE WITH ALL APB- 'CABLE CODES AND LOCAL RULES AND REGULATIONS. Ab ------.--- ._..... — -.._.._.... — .... ... .._.........._....-.._. INSULATION NOTE: FLOORS ABOVE UNHEATED ;.BELOW HEATED SPACE-6"R-19 FIBERGLASS INSULATION OR BETTER. CEILINGS ABOVE HEATED AN;_.BELOW UNHEATED SPACE-9"R-30 FIBERGLASS INSULATION OR BETTER. EXTERIOR WALLS ABUTTING r•�ATED SPACE-31/2"R-13 FIBERGLASS INSULATION OR BETTER. - = FOR SOUND INSULATION OF .,T HROOMT.V.ROOM&KITCHEN-3 1 SOUND INSULATION(OPTIONAL). CONCRETE WASH. .._......._._....._ _. ..._... .. ._._... .. .- 7 7 „Exp .E�.he Best" FRONT AND RIGHT ELEVATIONS ' CH 1PION � DATE: APR 11 2006 PROJECT:20'X 28'COLONIAL 2 BEDROOM,2 1/2 BATH — B U I L. v E! R S I N C . SCALE: 114"=V-0" 19 JOHNSON LANE - ASSESSOR'S MAP 193,PARCEL 76 - 300 OAK STREE SUITE 155A Drafting&©2006 Greywing Design 508 888-0886 CENTERVILLE•MA PEMBROKE M�,Y '81 826-3600 N,,, ,,,„ m�,,,,,„,,, ,,,p,,_�„�;, PROJECT NO:CH060314 SHF_ET:A J OF 7 11 r a•-r W-W r-11• r-r r-n• s-1• - r», BOOKSHELVES/ - N ENTERTAINMENr� CENTER .. ...I I ld%6'd N :axed C :!(PENT OF 2ND STCRY ABOVE FAWL1 CASED STEEL OR UEARSPAM MOK I 1 P IO bI O RE - BEAMA80VE-CLEARSPAN +,4 0 ,�• H OPTIONALI 14:10' CASED STEEL OR MICROLAM�- 1• ' 4, CHIMNEY BEAM ABOVE-CLEARSPAN 19'4'--i(/ I /g�0• ® ® } I I it PROVIDE 518'FIRECODE GYPSUM WHERE GRADE KITCHEN I ABUTXNG }yamy., 13.6 X 8'0 x I LIVING ROOM 23'0 X 15'to 19'0 DINING AREA • zr - i . I lr6 O rox Q / CASED STEEL OR MOICROL AIM 14 r FLRUSAAVLBEAM ABOVE-4 ISPAIW MUD RM. MICRO NM CLEARSPAN B4•O O�d' ¢ }4 . \ A O \ Q I rrr � O T-0' _ S,a rrrr A STEPS TO PLATFORM AT FIRST FLOOR LEVEL 07 "a" A } 4•4' 3A• BB r.... z-10• r-w 7-6' 4'-O' _. 7B-0 . - STEPS TO GRADE - TEMPE TEMPEINS REDD G - GLASS Ir OIA FIBERGLASS ' ARCHITECTURAL COLUMN FIRST FLOOR PLAN FIRST FLOOR LIVING AREA 738 S.F. WINDOW SCHEDULE LTR. QTY ROUGH OPENING REMARKS GLAZING A 5 34118'X 65 IN' 2D BLE HU G80VER Sx9.9=49.5 S.F. B 5 34118•X53114• 2542 DOUBLE HUNG 6 OVER 6 5 X8.7=43.5 S.F. C 4 245WX24 SW A2I AWNING 4x233.F=9.3 S.F. D 1 2811r X 381Q' 306VS SKYLIGHT 7.1 S.F. - E 1 110'X 14• 14 LIGHT GARAGE TRANSOM - TOTAL WINDOW GLAZING 109.3 S.F. DOOR SCHEDULE # QTY. DOOR SIZE REMARKS I 1 1 3•41X 8'-8' ENTRY DOOR W/SIDELIGHTS R-5 MIN. 12.0 S.F. 2 8 z-01 X B•$' 6 PANEL INTERIOR DOOR 3 1 z-'X w-w 9{ITE STEEL FIRE DOOR R-5 MIN. 9.5 S.F. - o••- 4 2- 51-0•X61-8• 5'INTERIOR BIFOLD 5 1 S'-0•X IF-W SLIDING GLASS DOOR 30.0 S.F. 6 1 T-w X r4r OVERHEAD GARAGE DOOR z-6'X 6•4' 6-PANEL INTERIOR SLIDING DOORS zA•X 8•-8• 15 LIGHT STEEL FIRE DOOR R-b MW. I N/A. - TOTAL DOOR GLAZING 51.6 S.F. _. "Expect the Best" FIRST FLOOR PLAN + - - • CHAMPION DATE: APR 11 2006 PROJECT:29 X28'COLONIAL 2 BEDROOM,2 12 BATH � EI U I L- D E R S , I N C . SCALE: V4"=V-9, 19 JOHNSON LANE 300 OAK STREET,SUITE 155A ASSESSOR'S MAP 193,PARCEL 76 PEMBROKE MA 781 826 3800 Drafting&©2006 Greywing Design 508 888-0886 CENTERVILLE.MA /�"ro,,.,,,.„,,,,,,,,,,,«a•,m••,a,•,a,,, a««,,, PROJECT NO:CH060314 SHEET:A—T of 7 SL1' 28b` w4r Td 91A JIB• 9'A` 8'�` 19'-0• J'-0` 7d`' h E 7-7, mmm I $KYIIGHT)T14'.- FANILIGIVE I BATH O —J P.T.DECK WITH HANDRAIL - - 9-2• 1.4• 4 71' 9-0'I 1. ACCESS I 7-10• F E 4 OVER RUBSFEACE MEMBRANE ROOF SURFACE � b „ I I O O � )PTKINAL CHIMNEY I�mm mmmmsmmm O 4'•4• 1'10• b WALK-IN CLOSET O STEPS DOWN I2■51M� BEDROOM#2 u 190xi 'to1TO N - H �es�oameaao a 4 O b MASTER BEDROOM 0 BATH § z3'o x 1 ro q ' N Hi r FMMRE O N O O� r O 7-C um 'O. T4r 6'4• 2'-V 5-2• 7S 4'4• 5'-W 4W SECOND FLOOR PLAN ENERGY INFORMATION SECOND FLOOR LIVING AREA 940 SF. - LIVING AREA OVER UNCONDITIONED SPACE= 852 S.F. CEILING AREA UNDER UNCONDITIONED SPACE=850 S.F. GROSS WALL AREA 1ST FLOOR=1093 S.F. GROSS WALL AREA 2ND FLOOR=1012 S.F. TOTAL GROSS WALL AREA=2105 S.F. GROSS WINDOW AREA= 107 S.F. -GROSS DOOR AREA= 52 S.F. TOTAL WINDOW&DOOR AREA= 159 S.F. GROSS WALL AREA=2105 S.F. LESS GLAZING AREA=-159 S.F. NET WALL AREA=1946 S.F. NOTE:ALL WINDOWS 8 DOORS TO HAVE A U-VALUE.35 OR BETTER "Expect oe Best" SECOND FLOOR PLAN & SCHEDULES • CHAMPION DATE: APR 112006 PROJECT:20'X 28'COLONIAL - - - 2 BEDROOM,2 12 BATH — BUILDE R S , I N C: . SCALE: 1/4"=1'-0" 19 JOHNSON LANE ASSESSOR'S MAP 193,PARCEL 76 - 300 OAK STREET,SUITE 155A Drafting&©2006 Gleywing Design 508 888-0886 CENTERVILLE.MA PEMBROKE MA 781 826-3800 ..�,.,e.m.„ , PROJECT NO:CH060314 SHEET:A�JC� OF 7 ' ORNAMUML REAL .. _ ........:.i.. BRICK'CHIMNEY S ...:..__._......_._.........._ ..._.. .,. ..____ __.� ............. ._ ._ ,...._... OPTIONAL 7. _._. ..............__. .........__ _ _ -- _ _.. _.___ _. ..._ _._.._.._.... _ ___. 71 ._.__ .. _ :.: 17 REAR ELEVATION 12 10 ,— ,2 ..........--- -.-- - -- --- - 771 a ITUTTM .. ...._ - _ :'Ex�rct the Best" REAR AND LEFT ELEVATIONS _ - . C H ,MPION DATE: APR 1,2008 PROJECT:20'X 28'COLONIAL 1 2 BEDROOM,2 1/2 BATH B UILDE R .S . I N C . SCALE: 114"=1'4O" 19 JOHNSON LANE 300 OAK STREET,SUITE 155A ASSESSORS MAP 193,PARCEL 76 Drafting&©2006 Greywing Design 508 888.0886 CENTERVILLE.MA LEFT ELEVATION - PEMBROKE MA 781 826-3800 y „M,�,M �,��,,,�a„�m� � �� PROJECT NO CH060314 SHEET:A2 OF 7 E1-0 3/1 W Ora• 8'4' 2r-w - S'4• IM-8 31W BBB` e'4' tva• 3'.r .. ate, —————— :r r------------ I 2-2820 up, b \ h I BEAM POCKET r - / / • 9,0• MIN.4•BEARING I I T y - -I— coLLIMNON IrZOCkTP&FOOTING OPTIONAL BRICK ` PRG/EO AT 1%"TOW ARDMES ENTRV CNIMNEY/FIREPLACE-CONSTRUCT ' I �• I I (((��` PER STATE BUILDING CODE ON C--X \\ / // OVER NON-ORGANIC EARTH 4 W X 12'P.C.FTL� (TYPICAL GARAGE) 31/2000NCRETE FILLED STEEL I I COL TYPICAL) POCKETIMIN.UMNONA 3B"12'XBB'P.C. BEARING / / �- I orwP TOP OF CONCRETE T P.C. TO SLAB . '? EXTENT MRAISED / sV T —gJn I I 1 J-- I COLUMN ON A 30k1TX 69V.C. \ �9. PLATFORM FOR MUD —J TRENCH FOOTING I .. I ROOM ABOVE // BEAM POCKET ).—+— ` `� - // // MIN.4•BEARING `4-2X12b BEAM I------------ --_-- I 2X10b JOISTS(IVPK7/LL) L.-------------- ---- —--————————————--—____ I I B•P.C.FROST WALL (MIN.4'a•BELOW • ` GRADE)ON 6.X 18• ---_— --"{3•$_—_ ---_—._-- ---T4`8—__------ • t� FOOTING / /, / I. T OF P.C.SUB OVER 8•FROST WALL V-W p�SON FOR I I MIN.BELOW GRADE-BRICK SKIN `` NOR ABOVE 8'POURED CONC.FOUNDATION WALL r-10' I L——_—_—__J I PAVERS TO BE SET i•BELOW T.O.F. HIGH WITH A BITUMINOUS ASPHALT FINISH ONA8'X 18'CONTINUOUS P.C.FOOTING(TV -----------J INTERIOR BASEMENT AREA=658 S.F. 4 "" ® SMOKE DETECTOR "Expect tye Best" FOUNDATION PLAN & FIRST FLOOR FRAME • CHAMPION DATE: APR 11 2006 PROJECT:20'X 28'COLONIAL - - 2 BEDROOM,2 1/2 BATH B U I L D E R S . 1 N C SCALE: 1/4"=1'-W 19 JOHNSON LANE 300 OAK STREET,SUITE 155A ASSESSOR'S MAP 193.PARCEL 76 Drafting 8©2006 Greywing Design 508 888-0886 CENTERVILLE,MA PEMBROKE MA 781 826-3800 N�,. �.� o• PROJECT NO!CH060314 SHE T A3 OF 7 - r ,F • CONTINUOUS RIDGE VENT(TYP.) X Id RIDGE 2 X 10 RIDGE BOARD(M.) ASPHALT OR FIBERGLASS ROOF SHINGLES OVER - • CONTINUOUS RIDGE VENT(TYP.) PPYWOOD OVEROVED BACKING X 80X 7R Itr EXTERIOR 10•RAFTERS®Ia-D.C. ASPHALT OR FIBERGLASS ROOF SHINGLES OVER ' APPROVED BACKING OVER 1/2•EXTERIOR 12 PLYWOOD OVER 2 X 8 X U'RAFTERS 0 IS'O.C. - 2X8X6'CALIARTI�S®18.O.C. 2 X 10 PURLIN 12 2 X 6 COLLAR TIES 01$-O.G 12 " 12 2XBX8.4•RAFTERS®18.O.G 1 X8 STRUM �4 10, ®16"D.C. 2XBb®f W O.C. A ICE a WATER SHEILD B ICE a WATER SHERD AM AM 9'R30 2 X S CEILING JOISTS i. 'O.C. "1 CONT.DRIP EDGE VENT/ 1 X 3 STRAPPING 018.O.C. - - t/!'GYPSUM BOARD(TYPICAL) TYPICAL WALL CONSTRUCTION ' .. VINYL SIDING OVER - 'TYVECK7 OVER 1W EXTERIOR PLYWOOD OVER 2'X 4'X T4•STUDS - C ®16"O.C.WITH 2 TOP AND 1 BOTTOM - SECTION ROTATED g, PLATE a TB 1/2"STUD WALL - ~ .INSTAL!.P.T.DECK OVER RUBBER MEMBRANE ROOFING(PER f ` -MANUFACTURERS SPECIFICATIONS) 6 3/4•PLYWOOD SUBFLOOR _ - PTrCH MIN'1%T 2 x 10'a 18•oa O GUTTERS - PROVIDE FIRECODE GYPSUM WHERE GARAGE ASUTT^DWELLING 1 X 3 STRAPPING®18'O.G - 1!P GYPSUM BOARD(TYPICAL) - - TYPICAL WALL CONSTRUCTION TYPICAL WALL CONSTRUCTION VINYL SIDING OVER VINYL SIDING OVER. - 4 '-"'-"""'" '11NECK'OVER IR"EXTERIOR 2 X 10 RIDGE BOARD(TYP.) WOOD O OVER 4'X&STUDS PLYWOOD OVER 2'X 4•X B STUDS ' ---------- PLYWOOD OVER 2'X 4'X 8'STUDS Q 76'O.G WfTE-TOP AND 1 BOTTOM __________ �- @16'O.C.WITH 2 TOP AND iBOTTOM PLATE=8'41/2'STUD WALL -_- ___-_-_ 4 PLATE=8'412'STUD WALL I 12 ASPHALT OR BACKING ASSOVER ROOF EXTERIOR SHINGLES OVER —- APPROVED RACING OVER 1/Y EXTERIOR T PLYWOOD OVER2 X B X 4L•RAFTERS@18'O.G 8'R-19 F.G.INSUL _-_S FfNISH 1ST FLOOR BEYOND ---------- 31!!R•11 FIBERGLASS INSULATION —2x 10 PURLIN GRADE ----------- GR•19 F.G. - - 2X6XeVCOLLARTIFSQ18'O.G PITCH.11%MIN.TOWARDS ENTRANCE ' 12 ----------- 314'PLYWOOD SUBFLOOR 2 X S X 7'6•RAFTERS® L 8•P.G FOUNDATION J 2x oc. 12 2X8 18.O.G i WALL 4 CEIUNG I 3 2JG6(LT.— 3.2X12SOR4-2X i0SW000 BEAM —� --'—'--- JOISf8®16' 2? � SILL WITH O.G o -L21 i - .;Jnii J _ V2.9X 1V R =L ANCHOR G FOOTING GARAGE SECTION BOLTS®6'-0.O.C. 31/2"O CONCRETE FILLED 1 X 3 STRAPPING 1E O.G FOOTNG STEEL COLUMN(TYPJ 1 ' W P.C.END.WALL T-10'HIGH - 1/I GYPSUM BOARD(TYPICAL) 'p TYPICAL WALL CONSTRUCTION VINYL SIDING OVER 'TYVECK*OVER IR"EXTERIOR p PLYWOOD OVER TX 4•X T•4"STUDS - LZ4'POURED CONCR SLAB WITH 0 16'O.C.WITH 2 TOP AND I BOTTOM 8'X B•010 WWM OV BAIL POLY VAPOUR _ R PLATE=T81/T STUD WALL BARRIER OVER COM CTED EARTH - ' 8'X 78'COM.P.C.FTG. 2'A'X 10'POURED CONCRETE TRENCH 314•PLYWOOD SUBFLOOR FOOTING FOR COLUMNS - 2 x ® o. b TYPICAL BUILDING SECTION W G IX3STRAPPGQIS-O. 1/2'GYPSUM BOARD(TYPICAL) TYPICAL WALL CONSTRUCTION VINYL SIDING DYER 'TYVECW OVER 1/Y'EXTERIOR PLYWOOD OVER 2'X 4'X 8'STUDS 16.O.C.WITH 2 TOP AND 1 BOTTOM IT PLATE=V4 10 STUD WALL - 31R'R-11 FIBERGLASS INSULATION, ' 314•PLYWOOD SUBFLOOR 6'R•19 F.G.INSUL. ...• U 11 112x •°a' ' 3-2 X 127S OR 4.2 X 101S WOOD BEAM ' ...... - :;L J S'P.G FND.WALL T-10•HIGH 1'POURED CONCRETE SLAB WITH // 6'X6,010 WWM OVER 6 MIL POLY VAPOUR OVER ' + BARRIER COMPACTED EARTH LIVING ROOM SECTION "ExpeCtttheBest' BUILDING SECTIONS _ • CHAMPION DATE: APR 11 2006 PROJECT:20'X 28'COLONIAL 2 BEDROOM,2 1/2 BATH _ B U I L D E R' S . 1 N C SCALE: 1/4"-T-0" 19 JOHNSON LANE •- ASSESSOR'S MAP 193,PARCEL 76 300 OAK STREET,SUITE 155A Drafting&O 2006 Greywing Design 508 888-0886 CENTERVILLE.MA G PEMBROKE MA 781 826-3800 �.w "a,, ,q o.m p,,„„ PROJECT NO:CH060314 SHEET:AV OF 7 HEADER SCHEDULE SUPPORTING ROOF ONLY SUPPORTING 1 STORY ABOVE SUPPORTING 2 STORY ABOVE SIZE-2 HEADER MAX.LENGTH MAX.LENGTH MAX.LENGTH 2X4'S 4'-0" WA WA 1 2-2 X ES 6•d" 4'-KYWA 2-2 X 8'S 8•-0" 6'4" A 2-2X1D'S I 101-M W-W Y ROM r ' \ \ 3111NGLtS 2-2X8'S MIRHEADER - SECOND FLOOR FRAMING RAFTERS ALLWOOD 8TRUGWRAL : lo PROVIDE CHHANEY TIES MEMBERS TRPAMED 74 AWAY FROM CHNNEY \ L0®WRH F02ECllY RUE LIHNG OR EMW HOT LESS \ \ THAN 5WTHICK ..i sMoxE SHELF \ � STE0.LQNi0. FRAME FOR 27 19' SKYLIGHT F \_ .. ASH pME \ FORMER AFTER C -�l- \ INBTALJATION ASI PIT \ 1e RU GI CLEANDUT 200 RIDGE 0 T� 1ff \ ens>>>D3NrcoNCRETE SLAG 2-Dc4t MIN. HEADER 22H FIREPLACE SECTION I ROOF FRAMING "Expect the Best" FRAMING LAYOUTS CHAM P I O N DATE APR 11 2006 PROJECT:2V X 28'COLONIAL 2 BEDROOM,2 12 BATH B V I L D E IRS . I N Q SCALE: 1B"=1'-O" 19 JOHNSON LANE ASSESSOR'S MAP 193,PARCEL 76 &G2006Gr 300 OAK STREET,SUITE 155A DraftingeywingDesin50888M886 g CENTERVILLE,MA 3 PEMBROKE MA 781 826-3800 Nlsres�.Mg sreYmM��aWa aq ws wib pm�. 1PRojEc CH060314SHEET REV ISF= C? FLAN OF L coTS AT •l/ECuaQuET LAKE, , CENTERYI L.i-E , MASS. ! gF. LC N4 C-t N G To JOHN H . JoH " Sot,-,� SCALE i IN=50 ft JULY 20, 1970 oOl•� NELSON BEAFZSF- - P(cwa.c4,p LAW -SvRV�YORv CGNTr.RV 1 L O 4 20,6 d p f n �� • I 0- 6 � 0 8 ot ` rr ti Z ro�• oo t° �\ �" ! �' jonef E. Stewart ,1¢6 n% l \\ •c Annelle yV. Pete,--son t�- 0 -o 7713., Y�r''ij'P� A i 0 _ go.O6 6.00 kv 17* G000 O D C7y GIQIGINAL. LoT- P`AN Fi L,-o BK /d12 P.4/ f` No te Lot ' to be co ve ye: ,� to PelerA. Ruth O. Ddy �� c423 5i29