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0469 MAIN STREET (CENT.)
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F' � '-. �. � m i ,,.R: r .. � .. � .. .. y - p 1 , 2 , r s w universal® www.myuniversalop.comt o phone.: 1-866-756-4676 UNV12302 MADE IN CHINA " •Town of Barnstable Buildin 9 .' s ;y xr. ? ,s - •-w .,s�a..x- °°r .. P', tdc ., f 'S" ';a» a a,F''°.>a POStThls Card So T;hat�t isUis�ble From the Street Approved Plans;Miust be::Retamed on Jo„b and`this,Card Mus .be Kept -"s aARNtTCAW.E, r .... y, `tea ? " v *"` Posted Until;Final Inspection�HasBeen Made ��k� _ 03 °� ate-of'Occu .ane:`is Re'fa red,such Buildm "sF all:Not�be Occu pied untila Final Ins`�ection,has been ma le Permit Where�a Cert�fic p y q g Permit NO. B-20-818 Applicant Name: MARCOS DASILVA Approvals Date Issued: 04/01/2020 Current Use: - Structure Permit Type: Building-Pool-Ingrourid Expiration Date: 10/01/2020 Foundation: tL�l- 0 'l Location: 469 MAIN STREET(CENT.),CENTERVILLE Map/Lot. 208-085-002 Zoning District: SPLIT Sheathing: �C Owner on Record: COELEN, NATHAN&CHRISTINE Contractor,Name '; MARCOS DASILVA - Framing: 1 Address: 91 HUNTINGTON ROADR, Contractor License 186520 2 GARDEN CITY, NY 11530 Est.,PrOiect Cost: $65,000.00 Chimney: Description: Inground Swimming PoolGunite 16x32 Pool Fence to'be installed Permit Fee: $175.00 per code door alarms automatic cover. ?> Insulation: Fee Pald $ 175.00 • '. Final: Project Review Req: Date 4/1/2020 Plumbing/Gas ¢ - - � Rough Plumbing: _.. ui rn icia This permit shall be deemed abandoned and invalid unless the work auihonzed,by this permit is commenced within six months fter issuanr Final Plumbing: All work authorized by this permit shall conform to the approved application and th6approved construction documents for whicfVthis permit has been granted. All construction,alterations and changes of use of any building and structures shall fie incompliance with the local zoning by lawsand codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street of ioaM and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Bwldingand Fire Officials are providedon this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work r Service: 1.Foundation or Footing C 4 2.Sheathing Inspection x 4 Rough: 3.All Fireplaces must be inspected at the throat level before firest flue,lirnng is installed g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage final: 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. Health "Persons-contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: c-� Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: OF THE Jq Application Number..z .... ...................... Oy &A - BARNSTABLE, -7 MASS. Permit Fee.......................................Other Fee........................ Q) 039. k C> A 4*4 /:,s Total Fee Paid............................................................... ...... TOWN OF BARNSOBI! Permit Approval by..... .......On..e110— ...... BUILDING PERMITF Map...00?....................Parcel..DW. Ou�...... APPLICATION Section I — Owner's Information and Project Location Project Address Gq /WiJ 67-- Village— 1�76yrz;wvl,1115- Owners Name IVA-TffA-,,) C,0970 Owners Legal Address 6)1 6Arn rvm P\D �J Citytate ip S`3 0 Owners Cell # -mail - P} C067 Section 2 Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet F-1 Single /Two Family Dwelling Section 3 —Type of Permit F] New Construction El Move/Relocate F-1 Accessory Structure [J Change of use El Demo/(entire structure) El Finish Basement 0 Family/Amnesty 1:1 Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall F] Solar ❑ Renovation Pooh ❑ Insulation Other—Specify Section 4 - Work Description itvGaouA),b SL4j7MM1A]4 Poo/ 6UNI'7C 16 ' 132! PooR Axz1r)5 Last updated: 3/13/2020 r _ Application Number..........: . Section 5.—Detail Cost of Proposed Construction 0,000 Square Footage of Project 5 Z Age of Structure Dig Safe Number #Of Bedrooms Existing ' Total # Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method MA Checklist' WFCMChecklist Design Section 6 -Project Specifics Wiring Oil Tank Storage El Smoke Detectors Plumbing 0 Gas 0 Fire Suppression Heating System ❑ Masonry Chimney D Add/relocate bedroom Water Supply Public Private Sewage Disposal 0 IVlunicipal d - On Site ' Historic District ❑ Hyannis Historic District Old Kings Highway Debris Disposal Facility: 'r.1N I am using a crane,El'Yes ® No Section 7-Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? ` Yes 0 No £ r Section 8'-Zoning Information Zoning District .Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units(on site) Setbacks Front Yard• Required Proposed - a Rear Yard Required Proposed Side Yard Required Proposed ; Has this property had relief from'the Zoning Board in the.past? - 0 Yes. ❑- ` No .¢ x Last updated: 10/23/2019 AOL The Commonwealth of Massachusetts Deparmnn#of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance AMdavit:Bulders/Contractors/Electricians/Plumbers ARylicant Information l�,, Please Print Legibly Name(Business/Organizwon/Individual): 1� ates. Sir 'VAr Addre ss: VL A-70il City/State/Zip: 1` Phone#: 5o? " Z Lj 6 - ®L y 7 Are you as employer?Check I a appropriate bog: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and I employees(firll and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have K Demolition woricing for me in any capacity. employees and have workers' $ 9. ❑Building addition sur[No workers'comp.insurance comp.insuraace• required.] 5. We are a corporation and its 1011 Electriml repass or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions [No �• of exemption per MGL 12.❑Roof repairs ins required.]t right a 2,§1(4),and have no � employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sbeet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providtng workers'compensation insurance for my employees Below b the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach'a copy of the workers'compensation policy declaration page(showing the policy number and 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. 1 do hereby c under the pains and penalties of perjury that the information provided above is true and correct: S' atw-e• Date: 3 1 Z — Z,--3 Phone#: O,fJrclat use only. Do not write in this area,to be completed by ci(y or town of`icid City or Town: Permit/License# 4 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#: Application Number......... r .....:............. Section 9— Construction Supervisor = Name Telephoner Number . Address City State Zip License Number License Type Expiration Date` Contractors Email Cell# m I understand my responsibilities under the rules and regulations for Licensed Construction.Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,-specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature r 'Date Section 10 - Home Improvement Contractor Name mpewA D A- S��V� Telephone Number' j 09' ZLi b - D& ti� Address 191 Ia N I AWI_) Pi,t:City i f 1 S State Zip_ d Registration Number 96 S Z/0 Expiration Date / ( � 2�� - ZflZ<) I understand my responsibilities under the rules andregulations for Home Improvement Contractors inaccordancewith 780 CMR the Massachuset State Building Code. I understand the construction inspection procedures,specific inspections and ,documentation requil y 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C.... r Signature Date Section I I —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures;specific inspections and documentation required by 780 CMR and the Town of Barnstable. , Signature Date APPLICANT SIGNATURE Signature Date Print Name �NQCO& S' \ Vik Telephone Number ^ 504 Z41(g U(� E-mail permit to: ° MP.tz Co 3 m AdL co.m Last updated: 10/23/2019 r S"oa.12—Deg�artr�e tSta _ Health D' q)m rent ID Zoning Road(if required); Historic DWfict ❑ Site Flan Review,(if required) � .Fire Department ❑ Conservation. 0 Far command.wm4pkam fake your plans dbW*to OeAe depaa"`ent far appmva% Secti ►n 3 OW..trer"s;A orixat n Go i to t?w oroftl e subitapropertyhcreby Autbar e=. .4 to act on my behalf,is all ;irr ttcrsrc at veto woirk a iflir d l y tb7 slbuiidmgp�r t;application_for: 2- (Address ofj b) -. - 3--2. - 237 ignatureofO.vvfier date. Pi itWa*e-, tasi;updaW-WHOM Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, M �§achusetts 02118 Home Improveme R tractor Registration r Type: Individual s z Registration: 186520 MARCOS DASILVA ,a,__ n y ""l^ Expiration: 11/27/2020 141 WAYLAND RDFt HYANNIS,MA 02601 hQ ! It a a Update Address and Return Card. SCA 1 0 200�M-05/1177 � p .%fCP UG'/Y1/I20/lU.'P.11,Gf�6�.���Qd'r1CLC/lGC16�f9• Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TY,P 4ndividual before the expiration date. If found return to: Realstrt[on Expiration Office of Consumer Affairs and Business Regulation i$GGQ 11/27/2020 1000 Washington Street-Suite 710 ' Boston MA 02110 MARCOS DASILVA R, ,� ,�.; ' MARCOS DASILVA `� 141 WAYLAND RD '•:.a= .= HYANNIS,MA 02601 Undersecretary of valid without signature 3 2oz0 T pWN OF 8AftS .. Town of Barnstable .. m. _ wW Building srn Post This Card"So That it is Visible From the Street-Approved Plans Must be Retained"on`Job and this Card Must be Kept, SAW"S Posted Until Final Inspection Has Been Made. s63fh ♦ e� �� nap' Where a Certificate of Occupancy`is Required,such Bulding:shall Not be Occupied' Final Inspection has been made Permit NO. B-19-1616 Applicant Name: FRANK DONOVON Approvals Date Issued: 05/21/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/21/2019 Foundation: Location: 469 MAIN STREET(CENT.),CENTERVILLE Map/Lot:�208-085-002 Zoning District: SPLIT Sheathing: Owner on Record: COELEN, NATHAN&CHRISTINE Contractor Name":.`.,FRANK DONOVON Framing: 1 Address: 91 HUNTINGTON ROAD Contractor License: 164521 2 GARDEN CITY, NY 11530 - Est. Project Cost: $4,500.00 -Chimney: Description: REMOVE EXISTING BAY WINDOW& EXTERIOR DOOR REPLACE W/ i Permit Fee: $85.00 Insulation: 12'SLIDER DOOR Fee Paid:^° $85.00 Project Review Req: ,, Date 5/21/2019 Final: � 4 �T Plumbing/Gas Rough Plumbing: - This permit shall be deemed abandoned and invalid unless the work authorized-by this permit is commenced within six months after issuca"R& icia Final Plumbing: All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of_the work until the completion of the same. ;F Final Gas_, The Certificate of Occupancy will not be issued until all applicable signatures by the Building.and Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for-All Construction Work: o` 1.Foundation or Footing Service: 2.Sheathing Inspection 'f,. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed , Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �p Application Number. . . . .. 6.."�....................... + � BARNSPASLE, •' �1YSM& Permit Fee.......................................Other Fee........................ ED N1lx( - TotalFee Paid.....:.........:............................................... ...... TOWN OF BARNSTABLE Permit Approval by. ............. ..........On.. ?/ J......... BUILDING PERMIT Map..........a05..............Parcel........ (,,! APPLICATION -sac", Section I - Owner's Information and Project Location Project Address_ ���' t la,;A V . Village �a v�`0�2 Owners Name_ Owners Legal Address (Z d City &V- State ! Y Zip Owners Cell# a?/y E-mail 4 C-p e eve 1� Ca Section 2 -Use of Structure Use Group Commercial Structure over 35,E cubic fM a ❑ Commercial Structure under 35 cubic feet n Single/Two Family Dwelling Section 3 — Type of Permit C.1? ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ C ge of =P ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm F Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description e - tJ om 2v A l qet�tj z,< ,a 1-,r OrPV R t ' , Application Number........... *Section 5—Detail Cost of Proposed Construction !!Kl S�� Square Footage of Project Age of Structure $ a Dig Safe Number #Of Bedrooms Existing 3 Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Methods,[] MA Checklist ❑ WFCM Checklist ❑ Design 1 Section 6—Project Specifics _ ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas, ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway pp � Debris Disposal Facility: &,1 s 4 61>! k�Sf-a-r tm using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation ., Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard . Required Proposed Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No T ac+ —A.t—l- 11/1 i/)A 12 The Commonwealth of Massachusetts Department of IndustridAccUents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia . Workers' Compensation Insurance Affidavit:Bwlders/Contractors/Electricians/Plumbers . Applicant Information Please Print Legibly Name(Business/Organizationdodivid w)• gwK1 ( ,G1dL Address: /D!z ( A vaG City/State/Zip: Guar Phone Are you an employer?Itheck the appropriate box: Type of project(required): 1.❑ I am a employer with- '4. 0 I am a general contractor and I employees(full and/or part-time).* have hired tite sub-contractors 6. ❑New construction 2.UffI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling.. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' s 9. ❑Building addition [No workers'comp.insurance comp.ice. . required.] 5.0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LEI Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs it rr,ance ram]t c. 152,§1(4),and we have no employees.[No workers'� 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also M out the section below showing their workers'compensation policy information. t this affidavit indicating they are do' all work and then hue outside contractors must submit a new affidavit indicating such. Homeowners who submit g ey doing g rContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Lnsurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/StaWZip: 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 MGI,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 c ' under e p '7andpenaUies of perjury that the information provided above is true and correct: Si store. Date: — Phone#: OjJiciat use only. Do not write in this area,to be completed by city or town ofj`icial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person:. Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide wor ' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,Corp on or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal entatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other gal entity,employing employees. However the owner of a dwelling house having not more than three apartments d who resides therein,or the occupant of the dwelling house of another who employs persons to do maiatenan construction or repair work on such dwelling house or on the grounds or building apprntenaut thereto shall not bees of such-employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or I licensing agency shall-withhold the issuance or renewal of a license or perm' to operate a business or to ct buildings in the commonwealth for any applicant who has not produ acceptable evidence of co pliance with the insurance coverage required." Additionally,MGL chapter 152,§ 5C(7)states"Neither the mmonwealth nor a�of its political subdivisions shall �, enter into any contract for the performance of pub]cR work tit acceptable evidence of compliance with the insurance requirements of this chapter have beers presented to the co g authority." Applicants Please fill out the woricers'compensation affidavit coin letely,by checking the boxes that apply to your situation and,if " necessary,supply sub-contractors)name(s), ( and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)o L' Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this davit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. be sure to sign and date the affidavit. The affidavit should be returned to tine city or town that the application th " or license is being requested,not the Department of Industrial Accidents. Should you have any questi re the law or if you are required to obtain a workers' compensation policy,please call the Department the mrmb listed below. Self-insured companies should enter their self-insurance license number on the appropriate e. City or Town Officials Please be sure that the affidavit is complete printed legibly. The artment has provided a space at the bottom of the affidavit for you to fill out in the event a Office of Investigations to contact you regarding the applicant. Please be sure to fill in the permit/license n ber which will be used as a erence number. In addition,an applicant flint must submit multiple permit/license 'cations in any given year,need my submit one affidavit indicating current policy information(if necessary)and under Job Site Address"the applicant sh uld writs"all locations in (city or town)."A copy of the affidavit that has b officially stamped or marked by the 'iy or town may be provided to the applicant as proof that a valid affidavit is file for future permits or licenses. A w affidavit must be filled out each year.Where a home owner or citizen is o ' g a license or permit not related to business or commercial venture (i.e.a dog license or permit to bum leav etc.)said person is NOT required to compl this`affidavit. The Office of Investigations would like t thank you in advance for your cooperation an hould you have any questions, please do not hesitate to give us a call. The Department's address,telephone an fax nuanber: CommonwWth of Massa&usetts ent of Industrial Accidents Office of Investigations 600 Wasl>on Street Bostm MA 02111 Tel.#617-727-4900 6xt 446 or 1-877-MA,SSAFE Fax#617-727-7749 Revised 4-24-07 wwwmaw.gov/dia ct y'1 SILVA-2 OP ID:VP2 .ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �.►� 02/14/2019 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 508-428-8999 CONTACT Kathleen Geddis SG&D Agencies PHONE FAX Hyyannis Office (A/C,No,Ext):508428-8999 (A/C,No): 540 Main Street,Suite 9 E-MAIL Hyannis,MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Western World Insurance CO INSURED p INSURER B:Travelers Insurance Company Silva Propertvdl Ut1 Y vveement Inc 401ndust RR' n INSURERC: Marstons Mills,MA 02648 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 19000,000 CLAIMS-MADE [X]OCCUR NPPIS03828 11/20/2018 11/20/2019 DAMAGEREMISESTOEa RENTED 100,000 P occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 29000,000 POLICYFI PEST LOC PRODUCTS-COMP/OP AGG S 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Frank Donavan THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 469 Main St. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACo® CERTIFICATE OF LIABILITY INSURANCE r (MMIDDIYYYY)ATE 02/14/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cris Webster SULLIVAN GARRITY&DONNELLY INSURANCE AGENCY INC PHOE ,CNNo Ext: (508)453-2529 1 a No: E-MAIL ADDRESS: VIP@sgdins.com 10 INSTITUTE RD INSURERS AFFORDING COVERAGE NAIC# WORCESTER MA 01609 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B SILVA PROPERTY IMPROVEMENT INC INSURERC: INSURER D: 40 INDUSTRY ROAD UNIT 4 INSURERE: MARSTONS MILLS MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER: 368290 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDIYPOLICY EYYY MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1:1 OCCUR DAMAGE T RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB Id CLAIMS-MADE N/A - AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? NIA NIA NIA 6HUI31K54479618 08/15/2018 08/15/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Frank Donovan ACCORDANCE WITH THE POLICY PROVISIONS. 469 Main Street AUTHORIZED REPRESENTATIVE Centerville MA 02632 �" Daniel M.Cro y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ?r icce ar CbTSUP12f Af'alrs us,r?s�$e ulatioR CONT iz 10/1 8.2('1.3 ' Office O" E5a F.tiVK^vPJO"G+ -, 10 arS Plaza .r,n atcn _4" i. � o2y,.s J. CARLO r Ear de��rre r(fF ! i i���� 415 �yv '!s c s tf i.-. a l F Construction Supervisor Unrestricted-Buildings of any use group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visitwww.mass.gov/dpI Commonwealth of Massachusetts . a�} Division of Professional Licensure �-•1 Board of Building Regulations and Standards Construction Supervisor CS 091391 Expires: 10/28/2020 i FRANK DONOVAN r 104CARLOTTAAVENUE_. HYANNIS MA 02601 • "t fi1RS�_i� Commissioner Application Number........................................... Section 9- Construction Supervisor Name jRom►,, ])pX)p��pL Telephone Number S-o -er37� o/°d Address ,ZDZe 6arjcr#4 City -Gem 4,/,'I 1 State L�_Q Zip 0 ado License Number C S'- a g/,3 91 License Type vAres4rrc#c4 Expiration Date_`o--xk-/o Contractors Email a s Cell # ,�o, 7 3�_ v/0,9 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re by 780 CMR and the Town of Barnstable.Attach a copy of your license. , Signature Date Section 10-Home Improvement Contractor Name 4 A" b(3 X)t/AK7 Telephone Number ,S b,? -73q,0/601 Address /ey 6,16 �t City fie"Lv v4 L(/C_ State ^4 Zip O ACo4 Registration Number /64/3� I Expiration Date /G-/,f-.,,,/q 4 ' I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and f documentation require by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature ,L2� ¢r r t uu- Date og- /5, 1,9 Section 11 -Home Owners License Exemption Home Owners Name: Tele hone Number ol.l4 o P � R� ? Cell or Work Number I understand my responsibilities onsibilities under the rules and re up regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature SUdL,__ Date APPLICANT SIGNATURE Signature Date Print Name ftZu��NU� bC U)OyrgX Telephone Number Sir ?-Z3�7 a/Oa E-mail' permit ��/L2 C� Cif G f�g�n r it t ,- Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ `! For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I, as Owner of the subject property hereby autho 'ze T w,,-k to act on my behalf, in all matters relative to work authorized by this building permit application for: dL.6 3 Z_ (Address of j ob) Signalure of Owner ° ' ° date P t Name ` G' e• ,.� Town of Barnstable _ _ _ Buildin 8rar3M Post This Card So That it is Visible Fromthe Street-Approved Plans Must be Retained on Job and_this Card Must be K pt ryas& Posted UntifFinal lnspection Has Been Made. �� 039,eQ� l�1l i Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspectiony�has been made py.,.: Permit No. B-19-805 Applicant Name: FRANK DONOVON Approvals Date Issued: 03/26/2019 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 09/26/2019 Foundation: Location: 469 MAIN STREET(CENT.),CENTERVILLE Map/Lot 208 085 002 Zoning District: SPLIT Sheathing: Owner on Record: COELEN, NATHAN&CHRISTINE Contractor'Name: k FRANK DONOVAN Framing: 1mo J�6)zj)i Address: 91 HUNTINGTON ROAD Contractor'License: CS=091391 2 GARDEN CITY, NY 11530 9r w. "Est. Project Cost: $50,000.00 Chimney: Description: KITCHEN REMODEL, BUMP OUT SECTION OF KITCHEN WALL 3'/16' 1 Permit Fee: $305.00 r. Insulation. Fee Paid:' $305.00 Project Review Req: 4 Date. - 3/26/2019 Final: Plumbing/Gas � 5 Rough Plumbing: Building Official Final Plumbing: -This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after'issuance. All work authorized by this permit shall conform to the approved application and the£approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st luctures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed iri a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. " x Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are pro4ided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low,Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health W.Qrk shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: T ... n...• gi► Application Number...4�/.................................................... r � O�IN OF B BARNSTABM INSTABLE MASS. g Permit Fee.......................................Other Fee........................ 039. Eon° R t Ali 94 39 TotalFee Paid............................................................... ...... TOWN OF BARNSTABL '` TSI provalby.... on...ah9...... 0� BUILDING PERART - -- _ Map......... .......................... �........ .. APPLICATION Section 1 — Owner's Information and Project Location Project Address-�� tcl aU r t Village &�,i A-t(I-Q- Owners Name 1,�, ewe-(e&N Owners Legal Address 91 JA Q �0^ , City ga C I State__(�� Zip l S U' Owners Cell# -2/ e2 2 S E-mail Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet single[Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ - Solar E` MRenovation ❑ Pool ❑ Insulation Other-Specify. Section 4 - Work Description Last undated: 11/15/2018 I Application Number.............. Section 5—Detail i Cost of Proposed Construction 5'0, ,'Square Footage of Project Age of Structdre. Dig Safe Number # Of Bedrooms Existing i Total#Of Bedrooms(proposed) J 10.MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors J ❑ Plumbing ❑ Gas ❑ Fire Suppression E ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private d Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: c —1—&g&r Q ,�,eA I am using a crane ❑ Yes No Section 7—Flood Zone l Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required - Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Iniestigations 600 Washington Street Boston,MA 02111 wwtumassgov/dia Workers' Compensation Insurance Affidavit: Bwlders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly v� Name(Business/Organizatim&dividual): =d D/A K k !/'t✓l D t/ Address: ;/l��—/ & �t o 4cr City/State/Zip: Phone M 50 Are you an employer?dheck the appropriate bog: Type of project(required): . 1.❑ I am a employer with- 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.MLI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work _ officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.[- Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. . t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and 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 cart; under a paints and penalties of perjury that the information provided above is true and correct: Si Date: Phone#: /oo 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#: a ' Information and Instructions Massachusetts General Laws chapter 152 requires 0 employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required:' Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the member listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents OfIfice of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MASSAM Revised 424-07 Fax#617-727-7749 www,mass.gov/dia 1 ?;` VJLe�697GJ7d!r7GllJQCLWL'CL l/�JJILclLL[Jet!� Office af.Caasu+sxr Afars i!k 9usieess Regulat on HOftzL "lPROVEM NT COtYITRAC OR Registratio,�r i�8#ar r=? °tw y T7Pt 'lndnridu2l " before ttie expiration We if#oil h.`kum z ne is`ratio N £ iraticn f a. xp Ofrice o.Consur+. AffaiFs'and Bui.ipess Fsgulation '! ih .21 10/1w2019 10 Park-Plaza-Suite 51:4 FRANK DOIVOV(3N a:cn,MA 021i6 L 4 RA K J.OO€dOVA. 3 104 C RLOT.A AVE-: } iiYFli\r1 S;},� � C+1s y d t+ l,ndersecrefar V a9 �1t3 s. ,ra�ure ;. . Commonwealth of Massachusetts Division of Professional Lice.nsure Board of Building Regulations and Standards Constrkt t ofi":S apservisor CS-091391 E p i res: 10/28/2020 FRANK DONOVAN # 104 CARLOTTIi�AVENUE * HYANNIS MA 02604 �` Commissioner r Application Number........ ................................ Section 9= Construction Supervisor Name 4-ao k(� yi Oc/ n Telephone Number 0 8' 3 �lo Address /o, Gt1/o tg & City 14v4P K,C State &,-z z-;;� Zip o A o License Number e, i3 License Type 6V A Expiration Date c> Contractors Email cL Cell# 5a�- ;73 7z I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. SignatureG �, (���.c�--- Date --'-�/,,4/,//al Section 10-Home Improvement Contractor Name 'i' nXiraa, Telephone Number Cyk— -4-'3 Address toy (�o�,�T,4* City -G State A44 4 Zip Registration Number / Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... i . Signature -' mac, r. t Date -k-Z Section 11 Home Owners License Exemption Home Owners Name: _ Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Lt�s � )o r,�,.� Date 3 Print Name ai4g k-, 6 n,"J, Telephone Number g-,g-`r 3-;z o/,,aa E-mail permit to: ek'a,Ca 6 fG 4< 6:2 Zs,Aft, Last updated. 11/15/2018 Section 12—Department Sign-Offs Health Department Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization i I, ��/„ , as Owner of the subject property hereby authorize m�k �oN o,mot— to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date t as Ar Print Name i Last updated: 11/152018 Town of Barnstable Building Post This Card So That it is.Visible From the Street Approved Plans Must be Retamed on Job and this Card Must be Kept BAMNSMABLM ' .,. , a „a -a Posted Until Final Ins ect MAC "p ion Has Been Made erIl�l� �bs� Where a Certiticate of Occupancy is Required;such Buildmg shall Not be Occupied until a Final Inspection has been made ., Permit No. B-19-480 Applicant Name: FRANK DONOVAN Approvals Date Issued: 03/04/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/04/2019 Foundation: Location: 469 MAIN STREET(CENT.),CENTERVILLE Map/Lot:-208-085-002 Zoning District: SPLIT Sheathing: ~ Owner on Record: HYNES,VINCENT T& MARY F Contractor Name:` FRANK DONOVAN Framing: 1 Z Address: 7 JOANNA WAY Contractor License: CS-091391 2 SHORT HILLS, NJ 07078 Est. Project Cost: $90,000.00 Chimney: Description: add 2 dormers, 2 new windows and front door renovate 2 bath rm, Permit Fee: $509.00 new hardwood flr Insulation: Fee Paid: S509.00 Final: 1 Project.Review Req: TWO W DORMERS IN EXISTING BEDROOMS UPSTAIRS. Date: 3/4/2019 L2_0/ 9 REMODEL TWO EXISTING BATHS f ` Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authoriied by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents.for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. F Electrical" The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. ' Minimum of Five Call Inspections Required for All Construction Work:= Service: 1.Foundation or Footings _ • ,- 2.Sheathing Inspection j, Y o Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final' 5.Prior to Covering Structural Members(Frame Inspection) . Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ,Final: • Application Number........, ...........}............. ................... • • , Lo MAE& -I ee....•..................................Otbea Fee........ .... Total Fee Paid................ ................................. . ............ ZZ .g -.--t i TOWN OF BAR NSTABI E PemitApprovalby • ...........oa........ . 01 BUILDINGPERMIT?LP ...0....................Parma.......... . ......_...................... APPLICATION , sir Section I— Owner's Information and Project Location Project Address ai�t t �pvro�►��. Village Owners Name �Or(-kt� [ y" Owners Legal Address Gt U City State zip owners Cell# -Vy �"02 �i S E-mail Section 2—Use of Stractnre Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System [� Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool [] Insulation Other—Specify Section 4-Work Description t;vJr� � T Act Tmdxhed:2/9/2019 yApplication Number....................................... Section 5-De it Cost of Proposed Construction 'S �FooProject Age of Structui'e,y ', Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method .•® MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wining ❑ oil Tank Storage Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: A7caii I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required. Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No i Last tmdatm n201 S The Commonwealth of Massachusetts 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 Name(Business/Organization/Individual): —?�� � ���r/��� Address: ����r f'�l�77 City/State/Zip: Phone#: . Are you an employer?ebeck the appropriate box: Type of project(required): 1.ElI am a employer with 4. ❑ I am a general contractor and I employees(full_and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.)4 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.ElI am a homeowner doing all work• officers have exercised their 11.El Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 certi under the pains and penalties of perjury that the information provided above is true and correct Signafore:i 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.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would bike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.govfdia Application Number........................................... Section 9-:Construction Supervisor Name rtar��nk �/X Telephone Number �o e- Address City 1(00,1 f State 94q,, Tap /✓� License Number S'6 91.3� License Type (f.5 Z, Expiration Date 6 ? p Contractors Email (few-' Cell# Sa a G. I understand my responsililities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature v Date Section-10=Home Improvement Contractor } Name -f �� D 6/geA Telephone Number Address/� City State G . Registration Number��,5�/ Expiration Date / I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the 780 CMR and the Town ofB construction inspection procedures,specific inspections and documentation re d by amstable.Attach a copy of your H.I.C... Signature ^ Date F_ Section 11—.Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date a Print Name Telephone Number 5-0 � f E-mail permit to: T e..n....A..a�.i.n tt1nn1 o Section 12-Department Sign-Offs Health Department © Zoning Board(if required) Ilistoric District ❑ Site Plan Review(if required Fire Department Conservation ' For commercial work,please take your plans directly to the fg'a deParbnent for approval Section 13-Owner's Authorization I, NAIu MN ., , as Owner of the-subject property hereby l �-- authorize to act on my behalf in all -� �a�, ���--s—� matters relative to work authorized by this building permit application for: LtG9 wxaGEr�-Eays Y►'lt�t 02-C S i (Address of job) Signature of Owner Print Name Last=date&2/92018 , ®Wig of Barnstable *Permit 0 0 ® Z 7 `~ .PRE Expires 6 months om t;e date `�� Regulatory Services Fee SEp 2 2 vr Thomas F.Geiler,Director 7,0W/V 0', 2008 Building Division a J0)61o9 r �R Tom Perry,CBO, Building Commissioner �SrA$t<.� 200 Main Street,Hyannis,MA 02601 www.town,bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Qoe -� 5 0 p V Property Address [residential Value of Work (� 5� (7 d Minimum fee of$25.00 for work under$6000.00 '/Owner's Name&Address (�� �— y 6 � jJ& G 6 Contractor's Name G¢,�t� �M Telephone Number 50 Home Improvement Contractor License#(if applicable) Cs 3(P Construction Supervisor's License#(if applicable) es l ry [0Workman's Compensation Insurance Checl one: ❑ I am a sole proprietor ❑ I am the Homeowner ZI have Worker's Compensation Insurance Insurance Company Name aAl Cal) Workman's Comp.Policy# G 7, J O L 5 cU 0 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) aRe-roof(stripping old shingles) All construction debris will be taken to Ze__� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note Property Owner must sigh Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Fomvs:expmtrg Revise061306 The Commonwealth of Massachusetts { - Department of Industrial Accidents Office of Investigations y 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name (Business/Organization/Individual): gftSEE Address: City/State/Zip: 0 d�, J ,Z 3_5Phone #: Are you an employer?Check the appropriate box: 1.01 am a employer with+ 4. ElI am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6• ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [] Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.# 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no 12ARoofrepairs employees. [No workers' 13.❑ Other comp. insurance required.] 11 *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: N I J_/_T v Policy#or Self-ins.Lic.#: D 2,5 Q L 355-Q - h Expiration Date: � � oC� • Q Job Site Address: City/State/Zip: - l� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration p . date).Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of ea* 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 certi der the pains and [ties of perjury that the information provided above is true and correct Si ature: Date: Z Phone#: Jr-- FS yo �oZ 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#: • - a � at oils n S l�.c _ d 130sto ��Om 13()1 ffi�t � ®r 1Istreat.1 ®,, OEMFRMER ®f�9�T1��JCT Re®Pettstion: FRAI ?.�[TPtatPore: ® . a dVL4 ®2�a5 �� zooe 127920 DPB.C,A7 6�d HOlbi.�H/OB-p�gyH� - �� A&, — -- �� Aur loard HOME fiLf d CD -- ❑ Sara ��N P C®P� �� t ❑ ]L Cara il2l or fka for 76,L p UQU datL pPf,91 s D8 7 92782p ® �]�g�g�g Bf �� ®� FRASSR C ., 9�tP t®, $DEANsseFRA4ERTl�UrPO'IV�0.� `P Mangy 1 Ie� �3deX�� oC rUP7;MA 02MS � - milt "ft opt I r .... DATE I ®�d�®® .::: .:: . :.:.;: :.. - .. :.; ..:.;•>:: :.>:::::: :. :, .. .;> : .::.;.;;::.::;::.;;:.;:.::::::::.:;:.;:-r:::.::.:::::.r.-::;;•:::•:;::<.;:.::<.::;::.;:.:�:_:.:::::>:;.:.:�: WM1DD\YY) 1 — —07 R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION THE CERTIFICATE & gUiNN IN5 AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LEASANT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BROCKTON MA 02301 COMPANIES AFFORDING COVERAGE COMPANY 24WCB A HARTFORD UNDERWRITERS INSURANCE COMPANY INSURED COMPANY FRASER CONSTRUCTION LLC B PO BOX 1845 COMPANY COTUIT MA 02635 C COMPANY D THIS 15 TO . ......:::::,.:::::::.::......::::::::::#<�:>:5��::»?:>:;::.::;;::.;:;;:;<.;:.:.;:.:�:-;;:.;:.>;::<.;:.>::>:.s::;:;;;::::;::•>:•;<::>:z:»;:<::::s:::�::>:.»>;:;;:»>;°:>:::z:>:��:<:::>;;::>:::<:;::,s:<::::.::::>:::::>:.:�;::::::.>::»::»:<:;;:;::<:::<::>:<.>::>:::�:�::: 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION L POLICY NUMBER DATE(MMIDD�YV) DATE(MMkDD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE a OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED ALTOS (Per Person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND ::::...... A : EMPLOYER'SLIABWTY (6S60UB-0850L35-5-07) 09-26-07 09-26-08 STATUTORYLIMT mo ::::.S THE PROPRIETOR/ INCL EACH ACCIDENT $ PARTNERS/EXECUTIVE DISEASE—POLICY LIMIT $ cino Ono OTHER OFFICERS ARE: X IXCL DISEASE—EACH EMPLOYEE $ 500 .000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECULL ITEMS THIS REPLACES ANY PRI.OR...C RTI•F.ICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP C OVERAGE. : ............::....................................... ....................... .. ......::.... . ....................................... ...... >:;.... . . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FRASER ENTERPRISES LLC LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PO BOX 1845 COTUIT MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED FtEPRESENTATWW �.g��yyyy,,��yy7ry�:. " ••>:.:;.;;:.;::::;:.;-:;.;;:.>;::;;:;:;{:;::::;:::;'•::;::;.:;:::`;:';:;: ;:;::isti :::::: :::::::;::::i::;:';:; ::;:::i:::::::::::::::::;::::;;:::i£:::::;::::;::;::r::::;.:;;:;:;:i:::_:.;:;.>:;;:.;;:-.:;:.;;:.;:.;:.;:::::::. :::::.::::....................................................... f Ii "supply 8s Install-Air dent Ridge `lent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. SIDE WALL: Remove & replace white cedar siding on right ki dormer on back PRICE- $675 Initial 2% Discount if paid by check immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$55.00 per hour, plus materials, plus 15% overhead mark-up on total extras. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Homeowner Fr er C str on, LLC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map c�,C��(, Parcel COSS —CX�TOINN OF BAR STABLE Permit# ,.f Health Division J" 17 H 8: 2 8 Date Issued Conservation Division � LcUZ fy1k �e A _fie rw�. Sr ;IL l 5 /� Fee Tax Collector ' � olv sft �6;Jq)_ Treasurer _ 42 04C Ik SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address LOCI ffiz✓,%X\ Village C—E ALF � w �, Owner r— r-j f Address ��) t;'v\ C e r, �y�►1.�<= Telephone Jbl 0110 Permit Request el QfN CIA p C-i CA;__ fyVT4 ' NJeseoz,v\ Square feet: 1 st floor: existing 11. proposed 2nd floor: existing proposed _ , Total new Valuation - Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size CDbC7!> Grandfathered: ❑Yes NrNo If yes, attach supporting documentation. 1 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.) C) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new -L)I\ Half: existing ( new CJ Number of Bedrooms: existing new _I Total Room Count(not including baths): existing new _(�K — First Floor Room Count (o Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: Cl Yes 1dNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Q�Jo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:Xexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes SNo If yes, site plan review# Current Use Y/ `3t�e�t Proposed Use ao�fC .e BUILDER INFORMATION Name GEORr,- rue Telephone Number \ Address ' Venture- 0 `L"' License# b t I Home Improvement Contractor# 1 L3 r-) Worker's Compensation# 1 C 6r C 51 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �1 a SIGNATURE DATE F FOR OFFICIAL USE ONLY PERMIT NO. p DATE ISSUED MAP/PARCEL NO. ADDRESS i VILLAGE I OWNER ' ' t It DATE OF INSPECTION: j FOUNDATION FRAME y F INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL ~ PLUMBING: ROUGH FINAL • to 4 GAS: ROUGHl t FINAL FINAL BUILDING t DATE CLOSED OUT g [ ASSOCIATION PLAN NO.i"' rl I r 5 F ZHE The Town of Barnstable aASNsrABm MASS. g Regulatory Services 059. `0 Geiler, Director Thomas F. . Building Division Peter F. Di1Matteo, Building Commissioner 367:'Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair.modernization,conversion, improvement.removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. . h. Type of Work: � cT Fstimated Cost pots Address of Work: L�ko S Owner's Name: V�w Date of Application: 1' O I hereby certify that: r .Registration is not required for the following reason(s): MWork excluded by law OJob Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FOND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. 733.� o Da e C tractor N Registration No- OR Date Owner's Name q:forms:Affidav:rev-070601 The Commonwealth of Hassaehusetts Deportment of Industrial Accidents 2 — � 0/llce o/leresUp�tfiir 600 Washington Street �. Roston, Moss. 02111 \\orkers' Compensation Insurance Afnd2vii Applicant information: Picnic FRIHI k-gj& n:tlllt ��� � I arr_t a hun�eolsper gtrt�Cmtng II_�yuri, rn)self. ems . 50.32 2—Q3bo3 mil a sole, proprIC(Or i hj%e no one %%orkint! in any capacit\ _ }` aril an ernpl'o%cr.proN tJrng +orkrrs: compensation for m\ ernplo\ees orkine on this job. t:4nif�an�nitne SEEMS E DAM BUILDERS ERS alut 9 New Venture Drive,##7 t 8 Fhnnc�: ins!iUars_CQI C, C-t It W L� I am a sole proprietor _encral contract( or r irirrle one) and ha\e hired the contractors listed belo%% %kho ha\e the Iollo!!in_ \%orkcr, ;onipensition polices: L4II1J2�nY_Ramc: asliiriu: slit FhQns_p: in�urLnrss4. --.F411i1.a m mRany yams; t1lSl.drSls: city: Dhut 0. l>15!!r1[)iLco. F4ljcxlY '�1Qi�5ia r f� Failure to secure coseraet as required under Secnoa 15A of N(;t. I51 caa lead to let isnpositioa of triasl►al ptealtics of s flat op to 51.S00.00 and/or one years'Imprisonment as well as ci%il penalties in the form of a S7OP WORK ORDER and a flee of SI00.00 a day agaloit me. ( nderstassd ibat s top) of this statement may.be fo"arded to the Office of InvtsiiQations of ibt DIA for eottragt rerincadon. a. I do hereb}•cmif)•under the pains and penahies jperjur)•that the information provided above u true and cornet Signature Date Print name 'LOS ca i S Phone N ntficral use onl% do not we in This area to be completed by city or town onlcial city or torn: perrnitAltcnsc M n9uildioS Department Ot.ictasiog Board check if immediate response is rtquittd QSdreimen's Office _ f]llealib Department ..- conAct person phone a: nOihtr i. Tab1@J3=b(esmdmwd) hem Packages for Qua and TwrFandfY Rudd Batidb w Haaaad with Fad Facia MAXIMUM Blum M Gl=nS Ghmn8 Ceiling Wail Flaoe Rn® • dab Hmungrcooiin� Arm'('/•) U-value: R-value' R,"luo' R-mina' Will Fliasoa Packare I I I I R►vafoe R.vaioar 5101 to 6500 Hnda;Deresr Dais' Q 12% 0.40 31 13 19 10 6 Normat R 120.11 032 30 19 19 10 6 Nommi 3 1201. 0.30 31 13 19 10. 6 UAFUE T 15% 035 31 13 25 WA Wf Normal U 15% 0.46 38 19 19 10 1 6 Normal V 150/. 0.44 1s 13 23 WA I WA Is AF'UE W 15% 0.32 1 30 19 19 10 6 IS AFUE X 18% 032 31 13 23 WA WA Normai Y 11•% 0.42 31 19 2s WA WA No�si Z 19% OA2 38 13 19 10 6 90AFUE AA11% 03D 30 19 19 10 6 90 AFi1E 1. ADDRESS OF PROPERTY. Vy\c,i P S C—tAA.9,1c,,`( . N� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: .1 4. %GLAZING AREA(#3 DIVIDED BY#2): at1S S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETER AIMING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a a ` RESIDENTIAL BUILDING PERNIIT FEES APPLICATION FEE New Buildings,Additions $50.00 Arn 0-0 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1t >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= { STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee 3a projcost s BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 056130 i Blrthdate: 02/29/1968 Expires:03/01/2003 Tr.no: 6601 Restricted To: 00 GEORGE F DAVIS _ 9 NEW VENTURE DR 07 S DENNIS, MA 02660 A min slrelor Itnard of liulWing HrRulatlnni and Slandar(A HOME IMPROVEMENT CONTRACTOR ' Registration: 107333 Expiration: 07/31/2002 J Type: DRA GFORGE DAVIS Bull.1)ERS George Davis 9 NE`N VENTURE.DR I)N1 i 7 So. Cennis.MA 020�,n ldminisiratnr d NUTTER,McCLENNEN & FISH VILLAGE MARKET PLACE II ONE INTERNATIONAL PLACE 297 NORTH STREET WASHINGTON BOSTON,MASSACHUSETTS 02110-2699 HYANNIS,MASSACHUSETTS 02601 SAN FRANCISCO (617)439-2000 PALO ALTO TELEX:940790 (617)771-4100 AMSTERDAM TELECOPIER:(617)973-9748 COUNSEL: TELECOPIER(617)771-8079 LONDON PARIS TOKYO December 2 , 1987 Joseph D. DaLuz, Building Inspector Town of Barnstable a Town Office South Street Hyannis, Massachusetts 02601 Dear Joe: Reference is made to my letter to you of November 16 , 1987 . . Would you please let me have your views at your earliest convenience . Sincerely, Edward F . McLaughlin Jr. EFMJr/ab cc: Mr . & Mrs . Edward J . Spellman 1110M �t w NUTTER,McCLENNEN & FISH VILLAGE MARKET PLACE II ONE INTERNATIONAL PLACE 297 NORTH STREET WASHINGTON BOSTON,MASSACHUSETTS 02110-2699 HYANNIS,MASSACHUSETTS 02601 SAN FRANCISCO PALO ALTO (617)439-2000 (617)771-4100 AMSTERDAM TELEX:940790 TELECOPIER:(617)973-9748 COUNSEL: TELECOPIER(617)771-8079 LONDON PARIS TOKYO November- 16 , 1987 Joseph D. DaLuz, Building Inspector Town of Barnstable Town Office Building South Street Hyannis , Massachusetts 02601 RE: Mr . & Mrs. Edward J. Spellman 469 Main Street (Fernbrook ) Centerville, Massachusetts Dear Joe: This is to advise you that I represent Mr . & Mrs . Edward J. Spellman in connection with a dispute they ' re having with Salvatore DeFlorio and G. Brian Gallo, who are Trustees of 481 Main Street Real Estate Trust and the owners and operators of a Bed. & Breakfast establishment which was once the main house of the Fernbrook Estate . It is my understanding that you and Mr . Spellman met at his home approximately two months ago to discuss the problem which relates primarily to guests and employees of DiFloro and Gallo utilizing property owned by Mr . & Mrs. Spellman for parking without permission . I am enclosing, for your information, photocopies of my title examiner 's report along with a photocopy of the certificate of title and a photocopy of Fernbrook Declaration of Easements , i Joseph D. DaLuz, Building Inspector November 16, 1987 Page 2 Restrictions and Protective Covenants dated December 4 , 1981 and recorded as Document No. 289373 in the Certificate of Title No. 92851 . I call your attention particularly to page 9 , paragraph (k ) , which clearly prevents anyone from interfering with an owner ' s peaceful possession P P and right to use his own property. I also call your attention to page 2 of the title examiner 's report concerning DeFlorio's and Gallo 's application to the Town when they sought the Lodging House license . Their parking plan, which was required to be filed, does not include the Spellman property. At my request, Mr . Spellman retained the Russell A. Wheatly Co. , Inc. to survey this area of his property. I 'm enclosing two plans prepared by Mr . Wheatly in April, but which were not received by Mr . Spellman until very recently. We have tried to be reasonable in this mattter , but it appears that the owners of the Lodging House do not want to accept the information that as been made available to them as to the question of ownership and right to use . The records clearly indicate the property in question is owned by Mr . & Mrs . Spellman, and that there is no right to use the premises in any other person or entity . The conduct of the owners of the Lodging House , their employees and guests , is clearly in violation of the rights of Mr . & Mrs. Spellman, as well as the contents of document no. 289373 , particularly paragraph 5(k ) on page 9 . I would appreciate if you would look into this matter and advise me of your intended course of action. Since this problem has existed for at least one and a half years, and is most frustrating and annoying, I would appreciate it if you would give this matter your immediate attention. I would be pleased to discuss the matter with you at your earliest convenience. Sinc ly, ward F. McLaughlin, Jr . EFMJr/ab Enclosures 1060M cc: Mr. & Mrs. Edward J. Spellman w co 4 n 5T) Ci k n &n P-6.h /S 4 /-33 . in pat u - Q "Cl 446 At 0)C&d 16. d n _.__`,..-vqu rxCL6 o . a-a ov KJS W ' . 6a rL kha4u (o-) CLIe QAQnIW o's PcA �i Kq Ova�� usc.f� f I�a,�mc,�a c@r . aP e ,ld $P lLf(¢. , 4.4 U4 �,l 61.8T �n l.C.t-au Ct m I n dt e Cat 114 C,� ➢ t (c<.�s� eaA n S-16- `"Al (��-L'i CC�to� rCtt p,C�U�tk Ct.tea Ala,r; �in& f"unt(Bxc� c� a tm QQc o 'n e�uc�C �' a otap Pc� �E' cr�za, el Cl h I�tarn �- 6r��ns_,_ — lkk_ 5�.2.,I �n's _ Uj a e.q Extract from Ckapter 19S, Section 46, of the General Laws, as amended Every petitioner receiving a certificate of title in pursuance of a decree of registration, and every subsequent purchaser of registered land taking a certificate of title for value and in good faith, shall hold the same free from all encumbrances except those noted on the certificate,and any of the following encumbrances which may be exist- ing: First, Liens, claims or rights arising or existing under the laws or constitution of the United States or the statutes of this Commonwealth which are not by law required to appear of record in the registry of deeds in order to be valid against subsequent purchasers or encumbrances of record. Second, Taxes, within two years after they have been committed to the collector. Third, Any highway, town way, or any private way laid out under section twenty-one of chapter eighty-two, if the certificate of title does not state that the boundary of such way has been determined. Fourth, Any Lease for a term not exceeding seven years. Fifth, Any liability to assessment for betterments, or other statutory liability, except for taxes payable to the Commonwealth, which attaches to land in the Commonwealth as a lien; but if there are easements or other rights appurtenant to a parcel of registered land which for any reason have failed to be registered,such easements or rights shall remain so appurtenant notwithstanding such failure, and shall be held to pass with the land until cut off or extinguished by the registration of the servient estate, or in any other manner. Sixth, Liens in favor of the United States for unpaid taxes arising or existing under the Internal Revenue Code of 1954 as amended from time to time. x— T = � tn = F = m N ro �, 1+ o E M6 3r. X m a 0 g V wto CO o a a •x v�i h--1 rn N m > ro sgg £21 4 L F g a Q N � i o u ; tr1 :34 10 M N 'O w h a u o w V C g = 2 7 f �t `J� Certificate. No. 315,923 01uner'g ;Duplicate Certificate. Ctf. No. 92851 From Transfer Certificate No. 87765 Originally Registered January 11, 1982 in Registration Book 714 Page 45 for the Registry District of Barnstable County. Zbi$ ig tO (krtifp that Edward J. Spellman and Mary C. Spellman, husband and wife, both of Cross Street, Barnstable (Osterville) , Barnstable County, Massachusetts 02655, are the owner(s) in fee simple. as tenants by the entirety of that land situated in Barnstable in the County of Barnstable and Commonwealth of Massachusetts, bounded and described as follows: Westerly by Main Street, nine and 30/100 (9.30) feet; Northeasterly by a portion of land now or formerly of Herbert T. Kalmus, one hundred thirteen and 15/100 (113.15) feet; and . Southerly by Lot 5, one hundred twelve and 94/100 (112.94) feet. Said land is shown as LOT 4 on plan hereinafter mentioned. Northwesterly twenty-eight and 88/100 (28.88) feet, and Northeasterly sixty-five and 76/100 (65.76) feet, both by land now or formerly of Herbert T. Kalmus; and Southerly by Lot 5, sixty-eight and 09/100 (68.09) feet. Said land is shown as LOT 10 on said plan. All of said boundaries are determined by the Court to be lo- cated as shown on subdivision plan 14972-D dated November 14, 1981, drawn by The Russell A. Wheatley Co. , Inc. , Surveyors, and filed in the Land Registra- tion Office at Boston, a copy of which is filed in Barnstable County Registry of Deeds in Land Registration Book 712 Page 35 with Certificate of Title No. 87515 and said land is shown thereon as LOTS 4 and 10. Said land is subject to easements in favor of Crosby et al land as set forth in a deed given by Howard Marston et ux to Aaron S. Crosby dated May 15, 1903 duly recorded in Book 259 Page 589. There is appurtenant to said land a right of way over Ruska land to said Town Road as shown on said plan as set forth in a deed given by Ella M. Marston to said Rusks dated August 20,. 1925 duly recorded in Book 420 Page 412. Said land is subject to a Declaration of Easements, Restric- tions and Protective Covenants dated December 4, 1981 being Document No. 289,373. Said Lot 4 is subject to the rights granted in an easement given to the New England Telephone & Telegraph Company et al dated February 22, 1982 being Document No. 291,854. And it is further certified that said land is under the operation and provisions of Chapter 185 of the General Laws, and that the title of said Edward J. Spellman and Mary C. Spellman to said land is registered under said Chapter, subject. however, to any of the encumbrances mentioned in Section forty-six of said Chapter, which may be subsisting WITNESS,WILLIAM I.RANDALL,Esquire,Judge of the Land Court,at Barnstable,in said County of Barnstable. the twenty-ninth day of July in the year nineteen hundred and eighty-three at 1 o'clock and 21 minutes. Attest, with the Seal of said Court, Land Court Case No. 14972 •�lJ� STEPHEN WEEKES, Assistant Recorder. f� MEMORANDA OF ENCUMBRANCES ON THE LAND DESCRIBED IN THIS CERTIFICATE DOCUMENT DATE OF INSTRUMENT ` NUMBER RIND RUNNING IN FAVOR OF SIGNATURE OF TERMS DATE AND TIME ASSISTANT RECORDER DISCHARGE OF REGISTRATION 206,333 N/Variance Carmelite Sisters for Re: Lot 2, P1. 14972-B. 4/12/76 the Aged & infirm 4/20/76 11:33a.m. kD 290,462 Mtge. Michael D. O'Neil et al Lots 4 & 10 & other Reg. Ld. , 1/11/82 $75,000. 1/11/82 1:39p.m. 291,855 Par. Rel. N.E. Tel. & Tel. Co. et Rel. int. in Ease. fr. Mtge. 2/22/82 al Doc. 290,462, Re: Lot 4, P1. 2/23/82 3:32p.m. C1 14972-D & other Reg. Ld. � kD .oT:,TAIJO_PLAN: fY9.7!1.D NTGE. DUC: l 6O aAQ.eF m sW. 1WEr Frfil La 8-9-83 ..:OT NO.S V4 14� KJ i Assessor's map ar d&Iot number. ......... ............ THE T Sewage Permit number ......... � ................... .. Z BARN TABLE. i House number .... !a:. ................................................ 90 raea t639- o U13 a' TOWN OF BAR.NSTABLE t" , 4 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......! .c' a" r� T�..... .! "'� l'`'' c+.r - '+'......................... ...�................ ...................................'r'.� ......... TYPE OF CONSTRUCTION ......... d? ....... :,�, en67--.:............................................................................ ................� .......................19..��^ JTO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �? . ......� �ic/�eZar��/ ,a`^r�� a,r/.�.:��ac .............. . !© A . r ..� s . t�j_ ....... ......................�............... �. .............. .�.............................................. ProposedUse ...........: c. 5;17 /! i!94. ............................................................................................................................ Zoning District �.....�... .......................................Fire District .......critJT [.....--'.;G t//C"r Name of Owner k5K �...tu:'.. 1 Address ..... ... Iy�nl ... ../ !. '9!?1 / ............. Name of Builder" Z.... � Address Nameof Architect ` !'vLr....................................Address..............."'.... ....... .................................................................................... Number of Rooms .........Foundation :.....!/.ov2gz;>................................................. Exierior ..............................<......................................................Roofing ....................... ..........................................:............. Floors �/.. 1�. ..:..........................Interior ...... �17A leoe4.............................................. Heating ..... -.....................I.........................................Plumbing i D -- Fireplace Approximate Cost 00 Definitive Plan Approved, by Planning Board __________l -�__________19_�4. Area ...�b�� s f ...................y'......... Diagram of Lot and Building with. Dimensions Fee. ............................................. SUBJECT TO APPROVAL OFBOARD,OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bauble regarding the above construction. Name ......................... ..................................................... A. CECERE &. iHOMAS WEST A= 08-85 No .25833 Permit for ....1 Story ................... S.ingle. . ...Family. ...Dwellin. . . . g ............. .. ....... .. .......... .... ..... .. . .. ..... . Location Lot„A,r 469„Main Str t„. ................ Centerville Owner ..A....Cecere & Tho s West Type of Construction ..... rame ........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...,Nov. 30, 19r Date of Inspection ....................................19 Date Completed ......................................19 DG 6 , o - 1 � F ys FERNBROOK DECLARATION OF EASEMENTS, RESTRICTIONS AND PROTECTIVE COVENANTS DECLARATION. made this day of December 1981, by DANIEL C. HOSTETTER and MICHAEL D. O'NEIL of Hyannis, Barnstable County, Massachusetts, (hereinafter called "GRANTORS" ) . WHEREAS, GRANTORS are the owners of certain real property situated in the Town of Barnstable, Barnstable County, Massa- chusetts, known as and hereinafter called "Fernbrook" , "the Premises" or "the Lots" being shown as Lots 4 through 10 (regis- ' tered land) and Lots A," 2 and 9 (unregistered land) on a plan entitled "Land Court Subdivision Plan of Land in Barnstable, Mass. " prepared by The Russell A. Wheatley Co. , Inc. , dated November 14, 1981 and being Land Court Plan No. 14972 D and recorded with the Barnstable County Registry of Deeds in Plan Book Page , - to which plan reference may be made for a more particular description of the Premises (hereinafter called "the Plan" ) ; tsec- CTl=. g, g-7Sis) WHEREAS, Fernbrook has been subdivided into Eleven (11 ) lots, as described above, and the GRANTORS wish to impose certain restrictions on a portion of the Premises which will preserve its rural character, enhance the residential living environment, insure adequate open space and privacy and provide for substantial homes of a traditional Cape Cod architectural design. WHEREAS, there exist roadways which will provide ingress and egress from Main Street in which there will be installed underground water, electricity, telephone and drainage lines to provide such services to Fernbrook; WHEREAS, portions of Fernbrook were designed by Frederick Law Olmsted (the Olmsted Gardens ) and the Grantors wish to provide for their preservation, maintenance and upkeep as signifi- cant works of landscape architecture; WHEREAS, there is to be formed under Chapter 180 of the Massachusetts General Laws a non-profit corporation entitled Fernbrook Resident' Association, Inc. whose members shall be the Owners of Lots in Fernbrook; NOW, THEREFORE, the GRANTORS for themselves, their succes- sors and assigns, declare as follows: 1 . Except as expressly provided herein, the easements, rights and privileges established, created and granted by this instrument shall be for the benefit of, and restricted solely to, the owners from time to time of lots in Fernbrook ( "Owners" ) their immediate families, their tenants and the immediate families of such tenants and their guests, who are residents in occuppincy of dwelling units in Fernbrook, for the duration of their tenan- ._cies, but,-the,-same ..is_:nothintended nor shall it be construed as , creating any rights in or for the benefit of the general public or. any' rights in or to'any portion of Fernbrook not specifically et:. forth herein. . a. 2 . All improvements in Fernbrook shall be constructed and maintained in accordance with this Protective Covenant. The Lots shall contain no more than nine dwelling units (including the presently existing buildings on Lots 8 and 9 and 2 on six Lots the main house and a cottage on Lot 6)/which shall be used only for -residential purposes .and uses incidental thereto including an artist studio and. gallery. None of the Lots shall be further subdivided. 3 . All utility lines installed or constructed in Fernbrook by any person shall be underground. 4. GRANTORS hereby establish and create- for the benefit of the Owners and hereby give, grant and convey to each of them the following easements, rights and privileges: (a) A,,perpetual : right-of-way for ingress and egress, by vehicle or" on foot,`,in, _ to, upon, over and under the _.ways. shown .on the Plan respectively as "Drive Easement" for Lots6, 7, , 8 ;and9!' and ,!'Driveway and .Utility. easement" for rLots ;A, r5, 6 ;ands~:7 -for`-the benefit of such Lots for all purposes,,,;for:==which private ways are commonly used in the Town of`--Barnstable including- access to the -"Easement for Common ;Land.Vse" shown�"onnthe Plan. and. the .right and easement to. pass over .on foot chose porti-ons of Lots 6, 7, 8 and 9 shown on the 'Plan as° "Garden easement" for use of the z, -I.., - Olmsted-Gi=rdns (b) Rights to connect with, make use of, maintain, repair and replace underground utility lines, pipes, conduits and drainage lines which may from time to time be located on or under ways shown on the Plan and within the areas shown on the Plan as "Utility Easement" areas, provided that all damage caused:.by the exercise of such rights is promptly repaired, including without implied limitation the restoration of all surface areas to their condition immediately prior to such exercise; provided, however, each Lot Owner shall be . responsible for an equal share of the costs of maintaining the road and repairing and replacing any utility lines therein. (c) A perpetual right and easement for access to the area shown as Easement for Common Land Use" on the Plan for the enjoyment ofthe ponds and open space located thereon in common with all others lawfully entitled to use such ponds subject to the obligation to pay a proportionate share of the costs of maintaining such area. . Any lots created in the future which abut on the above described area called "Easement for Common Land Use" shall be required to share proportionately in the costs of maintaining such area. Any charges for the maintenance of such common areas shall, upon filing of a notice in the Barnstable Land Registration Office by Grantors or Fernbrook Residents Association, Inc. , constitute a lien on such Lot. 5 . The Lots and the "Easement for Common Land Use" inclusive, are hereby declared subject to the following Restrictive Provisions which shall remain in force until December 1, 2010, unless extended by notice recorded by GRANTORS with the Barnstable County Land Registration District and the Barnstable County Registry of Deeds: r ' F - 4 er�a,;n (a) No buildings or other structures of any kind shall be erected, placed or allowed to stand on each Lot except one dwelling unit, designed as a residence for one family, together with accessory buildings and structures, ` a including a guest house, normally appurtenant to such a dwelling situated in other residential neighborhoods in Barnstable; no construction other than existin structures h own as 'Garden Ease entt on 14972-D may be constructed within the Olmsted Gardens�an no structures may be erected within the "Easement for Common Land Use. " (b) No dwelling unit shall be used for any other purpose than as a dwelling for . one family and incidental business activities . No advertising signs shall be displayed thereon, except such signs as . may be approved by GRANTOR or their agents . No loam, sand, gravel, except that resulting from landscaping . or from construction permitted under this Protective Covenant .shall be removed from the Premises. (c) Buildings constructed on any lot shall be substan- - " tial homes of a traditional rural Cape Cod style, such as . co1onia1., .:_salt_box., cape^,and, .similar_designs . No buildings, fences, clothes-drying facilities or other structures of any kind or exterior additions or alterations thereto or ~ driveways shall be erected, placed or allowed to stand upon any lot and no changes in materials or color shall be made - to the exterior of any structure until the description, plans, specifications and locations thereof shall have been -z t approved in writing by GRANTORS. No Owner shall be responsi- ble under this paragraph except for his acts and defaults while Owner, nor required to remove or alter, because of violation of this paragraph any buildings, fences or other structures or driveways erected prior to his ownership; and any buildings or other structure or additions thereto, or driveways, completed for more than six (6 ) months shall. be deemed to comply with this restriction unless notice of enforcement has been recorded ap propriately to affect the record title to the subject lot. The provisions of this paragraph 5 (c) shall not be deemed to give any other Owner any right to approve the size, plans, specifications and/or locations of any buildings, fences, clothes-drying facilities, ' or other structures of any kind or additions thereto or . . driveways erected, placed or allowed to stand upon the remaining land, or any right to enforce any restriction imposed thereon, or to require that any such restriction be imposed on such remaining land for the benefit of any owner; provided, however, upon completion of construction of dwellings on the Lots GRANTORS shall assign to Fernbrook Residents Association, Inc. the foregoing design approval rights . (d) Plans and specifications showing. the location and the exterior design and material for any proposed structure shall be submitted to GRANTORS for review and approval, which approval shall be in the sole discretion of GRANTORS. asps Y i { GRANTORS shall respond to a .written request from an Owner for approval of such a proposed improvement within thirty (30 ) days . after receipt of such request accompanied by plans showing such improvement. Failure of GRANTORS to take action on any such request within said thirty (30 ) days shall be deemed approval of such improvement. Any person hereafter having an interest in the premises may rely upon. a certificate signed by GRANTORS, certifying that plans and specifications or completed construction has been approved or that this restriction has been waived or released in whole or in part. (e) No trees having a trunk circumference of more than six. (6) inches two (2 ) feet above grade and located within twenty (20 ) feet of any lot line shall be removed without approval of GRANTORS. MmPoRARq (f). NoAtructure or movable trailer, tent, shack, garage, barn or shelter shall be located on any lot or used even temporarily as a place of habitation. (g) No unregistered vehicle, trailer, ,commercial truck---,recreational-.-vehicle-or boat shall be parked within Fernbrook except within a closed garage. (h) Within eight (8) months after the issuance of a building permit by the Town of Barnstable for the construc- tion of any building on the land the building shall be completed and those portions of the land not covered by said building. shall be placed 'in a neat .and orderly condi- '. 7 tion, free of uprooted stumps, construction materials and other debris. Any areas bared of their natural growth during construction shall be covered with established pine needle mulch, grass, plants or other ground cover of a type satisfactory to GRANTORS. If the foregoing provisions of this paragraph shall not have been complied with within said period of eight (8) months, GRANTORS shall have the right at any time within one 1` ( ) year thereafter to perform such work as may be necessary for such compliance and shall be reimbursed upon request for the reasonable cost thereof. (i ) Nothing shall be hung or displayed on the outside of windows or placed on the outside walls or doors of a building and no sign, awning, canopy or shutter shall be affixed to or placed upon the exterior walls or doors, roof or any part thereof or exposed on or at any window, without the prior consent of GRANTORS. (j ) No animals, livestock or reptiles of any kind shall be raised, bred or maintained on the Premises, except that .dogs and cats may be kept in Fernbrook, provided, however, dogs shall be restrained by a leash at all times iS\•yT?L?"x:e. �_'•'. ... .. ,,r —.. and shall not be permitted to enter on any Lot other than ' . its Owners ' and, provided, further that any such pet causing or creating a nuisance or unreasonable disturbance or noise shall be .permanently removed from Fernbrook upon three (3 ) days' written notice from GRANTORS. t ' ... e+a. :.. ....... ve..3:-1r y.7.YnjJ....:.. -. - '"'t•.•:'l.ye••�. (k) No noxious, unlawful _or m_offensive :activity shall ' be'.`carriedR'.on-in any dwelling unit., or .in .Fernbrook, nor =shall anything be -done=mtherein, - either willfully or" negli- gently, '_which..maybe' or- become an annoyance or nuisance to the .other .owners or- occupants. . No Owner shall make or permit any disturbing noises by himself, his family, servants, employees,, agents, _,visitors and permitted occupants and guests, nor do or.permit anything by such persons that will W interfere with the peaceful possession and right of other _ owners . (1 ) No clothes, sheets, blankets, laundry or any kind of other articles shall be hung outside or exposed on any part of Fernbrook unless concealed by a fence approved by GRANTORS in accordance with Section 5(c) . The Premises shall be kept free and clear of rubbish, debris and other unsightly materials. (m) Each Owner shall keep his dwelling unit in a good state of repair and cleanliness and shall not sweep or throw or permit to be swept or thrown therefrom, or from the doors, windows, decks or balconies thereof, any dirt or other substance. (n) As used in this Protective Covenant, the term "GRANTORS" means GRANTORS or such person or persons as may from time to time be designated by GRANTORS, each such designation to be by written instrument recorded with the Barnstable County Land Registration District. d J - <; 9 f (o) The provisions of the foregoing paragraphs 5(a) through (n) , inclusive, (except paragraph 5(d) ) of this Protective Covenant shall be enforceable only by GRANTORS or Fernbrook Resident Association, Inc. (as defined above) and may be waived or released in writing only by GRANTORS . Paragraph 5(d) shall be enforceable only by GRANTORS. 6 . This declaration shall create privity of contract and estate with :and._ among-.,all grantees of or any part of Fernbrook, their heirs, executors, administrators, successors or assigns . 7 . If any provision hereof is determined to be invalid by a court of competent jurisdiction, the remaining provisions shall not be- affected thereby. 8. Provisions of this declaration may be abrogated, modified, rescinded or amended in whole or in part only with the consent of Fernbrook Resident Association, Inc. , and of all mortgagees under any mortgage covering all or any part of Fernbrook, by declaration in writing, executed and acknowledged by all Owners and mortgagees duly recorded in the Barnstable County Land Registration District and Barnstable County Registry of Deeds, and- this.-declaration-may ,not otherwise be abrogated, modified, rescinded or amended in whole or in part. IN WITNESS WHEREOF, GRANTORS have duly executed this declara- tion the day and year first above written. D EL C. H�OJ 3 ET E MI HAEL D. O'NEIL tit, •`.'. ! �. st .vr if :i .0 S t) ti 1 �' Commonwealth of Massachusetts f Sufolk, SS. December �L, 1981 Then personally appeared the above named Daniel C. Hostetter' and Michael D. O'Neil and acknowledged the foregoing instrument to be their free act and deed, before me. N ry Public My commission expires : fi ., RE/PFM-2J LAND COURT. BOSTON. The land herein described will be shown on our approve0 ""n to follow as DEC 41981 Plan - (Examined as to description only} R. L Woodbury, Engineer r k f ZONING DISTRICTS: RC2 & AQUIFER PROTECTION PROF FRONT YARD: 20' THAN SIDE YARD: 10' PIPE REAR YARD: 10' AS Is N/F OAKWOOD LIVING CENT. MA INC. PROPOSED WOF 200' RIVERFRONT BOUNDARY S.B. ind S 88'54.30" W 258.83' x 26.8 7.51 18.8 x 24.9 2829 44,00 S.F. x 6.1 x 2 .3 / 25. x 21.5 27.7 9 s: �O o N F x 22• .5 / 1 ;9.67 , G :+::; 25.7 J� Js 15.7 � CRAWFORp � y�� �rS ,C 49.4 ' .3 co 25. N �w • ' Q '3 "i 't.Ile x 15.7 /26.85 / i:. .�' :,i rvtt;; 27.9 Y 0.4 ,rn + L, / 9.85 E.Fpg;e • 7Qi� t o v �.r. ' 01 f. Q 29.78 J, 2 x 24.2 25. 26.14 ,: a: ..� A � x 27.4 28-39 „�;• 29,6 Nr / t x 9.6 29.15 9, g 5.9 6.6 W✓ 48 r 5 �.y x x 2 . 26,28 29. Jes .6 15.4 C.B. tnd 2 /:itii x 26,7 2 , S 88'54'10"W � vgg, 283.75' / / .5 • 24.17 01 6.0 U nj 22/ 75 ,k�'A1 x 24.5 S 84 12'07• E 27.9 a6 2 25.6 283.75' x 23.2 24 24.0 x 23.5 N ea'54'Io• E �22 >\O m 23,1 m f N/F ;:. ::. x ts. GLApCHUK �� 20•8 2 , 6.7 .5 x 8.8 WHERE PROPOSED SEWER CROSSES WATER SERVICE, USE A 2V SECTION BENCH MARK--S.E. CORNER OF _ OF S0440 PIPE, OR DOUBLE SEWER`NE BOTTOM STEP = 30.71 ASSIGNED be O� BENCH MARK--TOP & CENTER OF a� WOOD STAKE= 30.00 ASSIGNED 4, P01 THIS PLAN IS A VALID AN ORIGINAL RED STAMI �ZH OF MqS LEGEND R A D yam � J TH 1 TEST HOLE LOCATION, NUMBER # 1060 W WATER LINE MARKINGSOA E UNDERGROUND ELECTRIC WIRE MARKINGS �S VITAR\`aISTS �qNo A+NITA��P ��_8.7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) O EXISTING CONTOUR .__._.8 PROPOSED CONTOUR 0 UTILITY POLE (IF SHOWN) X - FENCE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPR 0 TREE (IF SHOWN, NOT ALL SHOWN) REVISED 9/27/01--NOTICE OF INTENT FILING JOB NO. B01-12 �d / „ � Ford.dwg ro ��' NOT TO ED TANK IS 7 HIGHER "�o�c_ SCALE XISTING--RUN NEW I. Locus Is A.M. 208, PARCEL 85-002. CK TOWARD HOUSE 2• ELEVATIONS SHOWN ARE ASSIGNED. DED. 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 2, 1992. Henry ; 4. ALL PIPES TO BE 4" SCH 40. AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) PI. ° 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. �0 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. r 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". UNIT B. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW �tr`den D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. 9. DEPTH OF COMPONENTS NOT TO EXCEED 3'. OR VENTING MUST BE PROVIDED. BUILD UP COVERS TO WITHIN V OF GRADE. .MORTAR CHIMNEYS IN PLACE. ONE COVER OF TANK TO BE WITHIN 6" OF GRADE. 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2 LOCATION MAP " PEA STONE ON TOP. 11. IF UNSUITABLE SOILS,_OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. 12. IF AN OVERDIG 15 CALLED FOR BELOW, FILL MATERIAL FO.R 5' AROUND AND UNDER LEACHING 3 IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN 100' RIVFRFRONT BOUNDARY LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet) 1 ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. 0 A layer 10Yr 3/3 28.5 / TEST HOLE DATE: June 14, 2001 6.Evaluator 6" loamy sond PERFORMED BY: Ron Cadillac, 30.96 WITNESSED BY: Glen Harrington, RS t7' a �loo y sane/6 27.t 1.6 PERC RATE: <2'-00"/inch (C layer) ay Top Fnd. Carver coarse sand BCloc+1r+y s0�id 5� c SOIL SURVEY(1993): { g07G grovel) i. GEOLOGIC MAP(1986): Harwich outwosh plain deposits � 26.0 Invert 27.55 b 3.6 Invert 26.90 3 pRY WENS 52 0. C layer 1f)yr S/6 Exist. Cast Iron Use Gas Baffle Coarse sand o Proposed Invert 26.03 (toz gravel) F Proposed Top Conc.=26.7 1 ft 9" min. cover 5= �2 " ft= Top Peostone-25.4 t12" w Propose =1/4 /ft S1/8"/ min. no ater 17.5 Z bar i, d w 1, Invert 27.15 1500 Gal. _ _1 00 + I Proposed 24" i fp E 9 I 23.90 Invert 26.20 Invert 25.90 23.5' E•4- Bottom 3,2 {% I 6" Stone or compact I►oposed roposed 1 .99 11' r-35' I �13� Bottom THt-17.5 1 x 0.8 x ss 1 m Pond water El. (7/3/01)=0.4 DESIGN DATA LEACH AREA 10. x 4.3 BEDROOMS: 5 28 GARBAGE GRINDER: No USE 3 DRY WELLS SET 4' APART AND REQUIRED CAPACITY:- 550 GPD WITH 4' OF STONE ALL AROUND FORA SEPTIC TANK: 1000 GAL. 41'-6" X 12'-10" X 2' DEEP LEACH AREA: BOTTOM LEACHING AREA. 532.4 SF a [{41.5' X 12.83)] . SIDE LEACHING AREA: 217.3 SF Cp 3.5 �{� [2(12.83+ 41.6) X 2' DEEP)] 554 GPD c�'de DESIGN CAPACITY: [(217.3 Sr + 532.4 SF) X .74 GPD/SF] D*e tl 100' FROM Bvw I I (pqT 3/7 () H/Rp��. II SEP 2 T 2001' BARNSTABLE CONSERVATION on FWN Aft HtAw U ND OCT 2 3 2001 OAT E SITE PLAN FOR :OPY ONLY IF IT BEARS SUSAN FORD AND SIGNATURE. NATURE. MORRIS �c A 469 'MAIN ST., CENTERVILLE, MA LOTS 49 10 8e , bOFMAs� PTEMBER 79 2001 SCALE: 1 =30 N SE 35779�� E�S�o 0 RONALD J. CADILLAC, PLS, RS sURj PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN P.O. BOX 258 WEST YARMOUTH, MA 02673 (508) 775-9700 PACE 1 OF 1 OVAL. DATE @2001 gY R.J. CADILLAC 1=T ---- C, rn gi -----M— —r— T— RN i . I ——__ -- . -- -- _-- ...-------- fwT�T��. ------------- --------------- __ .--._ __ --- ._ _.. - _ ._.. - IL 5o? James M. Gilhooly e� MASS �Q��9 159 Cotuit Bay Drive Cotuit, MA02635-2911 \ ---.___......_.. . . z 1�1• 1 t a ( � r • _ - -f► , L i. e _ i IJILL --- . - . .Say �► �-��-- _ I i 1 _ --:_— ♦e AA — - `��- w �u Ate �— rOTUIT y; f PdlAas, r -a _.._..._._.._. ...- - --�--- - - - � , _��;•� -- ----- ---'----�------_.__—...__ -.�q ... ...5'r CF3i.1T Its- =---�- - ..:. James M.Gilhooly -- �G-.-L �=_-.:.._, 9 Cotu Drnre 15 rt Bay ��~" Cotuit, AAA 02635-2911 22<6"G�Ic_G CMS. QY Yz _ Ali - Ti :AW MA tor-,".15VAT-gavi l! E i i - i I TI y ��t'. 4r �il _ r� i I Po4� zo P► �FE� r�� � 2d N►�. �`� �. GI( N�j�'.r :._.. - 325b7 e - -- S - - -f W OTU �_- — MASS. ilh SQ�4'C James M. ooly � ------ --- OF vas s�° T Cotuit, MA 2635-911 N i9 I� r Barnstable Bldg.Dept. Apprav®d dry: Permit#_ _ , -------------- _ 1Tw- , 1 ---- -- - 1 �.., l9 ZL - I � ------------ I.&AAAj F 0 �•, cQfu .._."-j A4 o No. 32507 "' ► — --iMA_�--:Sr.�r N't"�V rum COTUIT a o MASS. Jim James M. Gilhooly off: 159 COW Bay Drive Cotuit, MA 02635-2911 — ► H OF MA f t� fl.O - S� i -� ►►►►rrrAA.a°° 1 r�G�SSEREDq,Q Barnstable Bldg.Dept. Approved by: A r ! : Pe l "l(�! 32 'o. < rrillt#i � � ° 507 cn ► oT ...... ..... ...._ _,._ _.__ _.,.._.__. _. UIT i I1ASg. ►►►►OF M AS rvvv�� James M. Gilhooly 159 Cotuit Bay Drive Cotuft, MA 02635-2911 w,^Y q,20 19 . POOL SPECS. Pool size: 16' x 32' Pool walls: 10" Pool floor: 8" 4' long swimout POOL DEPTHS 8 0 Shallow end: 3'6" Break point: 3'9" t POOL SIZE " Deep end: 8'0" Shallow end ; Break point 16' x 32' Deep end 8' 3'6" 3'9" o Q Prepared for: NATHAN COELEN 469 Main St. CENTERVILLE, MA 02632 QUALITY POOLS of Cape Cod, Inc. HYANNIS, MA 02601 508-246-0647 03/12/2020 r Barnstable Bldg. ept. Approved by: g Permit#: fir o o.� i "�FL aft --— t o c• - �_—. - �+ - --- --- NO-- -0., _ - -- 9. Aa (1i 'Fsii It„. t MA- mow. o. un 507 e �55 �a s James M. Gilhooly 5Q m 159 Cotuit Bay Drive -; � A►��'F p5 a - Cotuit, MA 02635-2911 . - • : s. 71 4 --- - -- `.. _ - _ i� -FIF ' e> _ I ►► i� G It �- J COTUIT y I I i Q [+/IAS � • 1 S sae PE-1 I � - James M. Gilhooly c� 159 Cotuit Bay Drive" :1: Cotuit, MA o2635-2911 lZ rIA- r 4i AL- 2-9 c _ iti1P,- TQ I` _... I L�M v r. 0 l _ : 1 : W.T-,4i& 57 ZA RIP q. > --t b ANY-- 132507� '- Q i UST �2�1.._II:!�_....4�_.:�'i.G T�.f�V�U.� - _ James M. Gilhooly — �'�+• _- __....�.. _ _... _ __.____ _.._._. �,f4 _�_.j g - �,� PS�4a159 Cbtult Bay Drive — l�T - 01 e� Cotuit, MA 02635-2911 N - M dr a �a � t • Barnstable Bldg-Dept- Appraved bY: Permit#: �19 � _ � I , • • 1 . _ # . ; �Iaw1 — -_ - -- i — _ � 1 - 1 it •� � : 1 r I V � •'� u fl I' r S&* AAAA � °Gib Ij RP _ e o No:32567 CoTUtT : James M. Gilhooly J Po eee it Bay Drive MASS. . 1b9 Cotu' �THUfMPs�'• twit, MA 02635-2911 -- p£GY/,4lX/ET /' f GlKE f � ROAD FALMOUTH PROJECT N ,SOT 1 LOCH 77ON sr N/�' F sTREEr "CrArCY L"PZO" &, UC LOT 3 ArIP LOCUS MAP CHARMS JYLRBLRCM NOT TO SCALE A"ILY "v.1 TR. wa�ac i P1CKEr F •, -ter ENCE 588.54 30 W S8/0H FOUND •,, �0 258.83 43.7 �42 PIN 43.6 ALA � Gq - PI4t6C - R �£ ,.44 41.5 �R � �s .�� c< LOT 1 �-•r $ A W ,� � A 31.5 AI .. PIN c„ ._.._ FLA �LAwly , GA �H 'CL'NCY R.R. TIE A --- `38= 36a A �`,. 7 yr IN LINK 4s. P `'� � Nc L�'W49" 0.4 �LLC` PAVED STEPS ,p Al�7M' !T, E \ R DRIVEWAY /SG/ 265 \ 435 38. PIN \ , n 4. .4 42, L m I 44 T ,2 A. ♦ 8 f - 5.1 DOUBL r t , PIN 42.F IRCH � C� \ 77.4 4G, PLAG �. 46.4 3$ I l \ a4.1 -�: t PIN u' � � to to 37,1 Y 9 43 0 Q t� OC W 1� � s F1,fi o FLAGS S 42:0 , LAWN ' 26.2 46.5 ` \ co l 30.1 r J z a 46.3 A(k 39,4 Los , Y Y.....^. 1 / / 1 W . lC ARIL a� N ,moo 35.5 1 0 f / ,t. . �C ,OHO 38:5 46.4 Iry 4 42.6 ' APPROXIMATE _ ° •� �C ' �,/� Q ��� O 35.5 : i \ LOCATION OF . 9 W o � � v / EwsnNc SEPTIC � •� � n OVERGROWN j ( I W N t44:3 / SYSTEM FROM ! 39.1 58.2' 38,9; `� Q 3D.0 ' ' BOG �/ LIGH1`� / AS-BUILTS� 4L E`A o } , s -. ., 0 y +ev z z - 39.8 3� -. ? -- .��� / / Cl) C L 1,2t, y -, �, , o I P 11' ' --"`-- 46a� �b• ---�. c � � \�_,,,_...--•-------� / A.C. 39.9 ro - p LAWN x 46.0 �• fro w ^� f /G�� ry �- JVIFi'i 1: /� x 31. Co '' 45I2 ! / /� AV9 2 a o YINCL'1VT T. JURY I / ,I 46.5 of(� m '�., t 4 ce fIYNL'.S Z /J / QJ ��- c� ! LAWN C7 FOUND 5.10 -..;r,_,r_ �i »LAWN . 1 / fl rf ' t'�j �o ob I FOUND � 43.5 ., ._ CV /� ` _ �. 4 b Q / / V 10 yyo S88 54 r - rr 283.75 . \ / ra °` r Jow 9 N 4"12 07 E Re / f •� 195-91, , N COLUMN .04 N 1 40 BENCHMARKC a LUMN TR. NAIL Cl - 25.7 & CAP m N88.5410 E 4p- f t 83.75• EL. 47.07 2 38.9LOT 3 i N' f' _ ,'� 39.4 � _ S x 38,1 CHESTZR S. `CLAWCHUX, ✓R. r W p ii MAG NAIL FOUND f I I l SITE PLAT r FOR I } NA THAN AN & CHRl5TINE COELEN #469 MAIN STREET GENERAL N0 TES. I CEN TER VILLE, MA LEGEND 1. HOUSE NUMBER. 469 Scale: 1 2. ASSESSOR'S INFOR A 20 Do te. DECEA48ER 9, 2019 i S ' M nON: MAP 208 PARCEL 85 LOT 2 C -_.._ CONTOUR 32 EXISTING 2 J. FLOOD ZONE.: X FEMA MAP 250001 056J J DA 7ED JUL Y 16, 2014 PLAN REWSIONS l 1 ��A OF 44 3o EXIS77NO 10 CONTOUR 1 2/17/20 RErrs><POOL et wAcc Aoa &ECEY�nr c.M. 4. ZONING DISTRIC T5.• RD-1 & RC-2 NO. DATE DE"SCR/PA 'ON BY PA R x 41.5 EXIS77NG SPOT ELEVA77ON 5. LOT COVERAGE BY. aARvs LABRlE tYarwzck Associates .Inc: SIS pH _ o El STONE BOUND W17H DRILL HOLE 20 0 r0 20 0�o A. EXIS77NG STRUCTURES. 3849 SF, 44 060 SF - 8.7X 0 ,4 FOUND , ! Nt7 oa &I j S.F, 44,060 B. EXISING & PROPOSED SIRUCTURES 4 36 SF. 9.9�' , H /� o s� COtL "ROaa� Bdx �� , AID o CONCREIF BOUND 'IMTH DRILL HOLE �c ` DRAJfIV BY. L.M., R.,�W. LL DATE: 1219119 FOUND jsY �- � _ LLt t- t 6. TOPOGRAPHIC INFORMA AON COMPILED FROM AN ON THE GROUND SURVEY I�w SCALE. 1 /NCH ?0 FEET .11 rortlt Falmout/4 Afass 02tf cv z T DF 1 7. ELEVA110NS SHOWN ARE BASED ON NOR AMER/CAN VFR77CAL DATUM 1988. Vz CHECKED BY GSL syrE - _.-------`�`��•_-- SLOPE EARTH:SURFACE T 4" PER ``€ TABLE NO. 1 GENERAL NOTES OWNER OVER BEAM HORIZONTAL BARS MAY BE MAY BE.LEFT IN PLACE TO FORM_THE S » 1.KEEP SHOTCRETE GUNITE DAMP'CONTINUOUSLY FOR 14 DAYS AFTER INSTALLATION. ---- _.--- STEPS OR BENCHES..REINFORCING STEEL: FOOT OR.SLOP 1. THIS STANDARD POOL STRUCTURAL PLAN MUST BE ACCOMPANIED BY A CLEAR PLOT PLAN SHOWING (GUNITE) „- E DECKING 1/8 TO R UNDER VERTICAL BARS. NON-EXPANSIVE EXPANSIVE NO DECK IGH EXP. BUIIDG SURCHARGE SHOULD BE PLACED AROUND,THE STEP OR BENCH » OVER 0 � :'.POOL&OR SPA SHAPE;DEPTH AND DISTANCE TO PROPERTY:LINE, SLOPES AND STRUCTURES. 2.D0 NOT TURN ON LIGHT WHEN POOL IS EMPTY. E CH SHAPED EARTH (3 CLEAR FROM EARTH). 1 4 PER FOOT AWAY FROM PO OL.OOL. TYPICAL INCLUDING ALL SPECIAL DETAILS 3.D0 NOT USE BLACK RUBBER HOSE WHEN G 2. REPRESENTATIVES OF POOL ENGINEERING'1NC.HAVE NOT INSPECTED.THE SITE.& ARE RELYING ON SE N FILLING POOL(IT MARKS THE.PLASTER). 2. THE EARTH MAY BE REMOVED AND BENCHES AND STEPS MAY BE FORMED OF SHOTCRETE GUNITE WITHIN ! THE (GUNITE) A B C D INFORMATION PROVIDED BY THE CONTRACTOR OR OWNER TO DETERMINE THE ADEQUACY OF THIS E STRUCTURAL POOL SHELL: REINFORCING AT THE SURFACE OF THE B 2 STORY WOOD BENCHES AND STEPS IS OPTIONAL: -STANDARD POOL STRUCTURAL PLAN FOR THE ACTUAL SITE CONDITIONS. SHOULD SITE CONDITIONS GLAZING IN HAZARDOUS .LOCATIONS APPROVED SEALANT RECOMMENDED (PER FRAME BUILDING VARY FROM THAT COVERED BY THIS STANDARD POOL STRUCTURAL PLAN IT IS THE RESPONSIBILITY ` DETAIL REQUIRED W/-EXPANSIVE SOIL GLAZING SHALL COMPLY WITH 2018 2015 2012 IBC SECTION 2406.4.5 INCLUDING LOCALLY TABLE 1 TABLE 5 BASIC GRID #3 1500 FOOT MAX. �) Q �` ., - OF THE CONTRACTOR OR THE.OWNER TO:NOTIFY POOL ENGINEERING:INC. AND OBTAIN APPLICABLE / / BARS 0 12" O.C. #/ ADOPTED AMENDMENTS.' COPING _ ,, _ _ ", SPECIAL ENGINEERING DETAILS PRIOR TO CONSTRUCTION. EXPANSIVE SOIL DETAILS ARE VALID ONLY r~ m o o o FOR STATED EQUIVALENT FLUID PRESSURE AND POOL ENGINEERINGR 1.GLAZING IN WALLS AND FENCES ENCLOSING INDOOR AND OUTDOOR SWIMMING POOLS, HOT TUBS BOND BEAM S INC RECOMMENDS THAT THE DRAIN OWNER OR CONTRACTOR OBTAIN A SOILS REPORT, AND SPAS WHERE ALL OF THE FOLLOWING CONDITIONS ARE PRESENT: A TABLE TABLE TABLE WATER SURFACE. SEE DETAIL #1 & #12. DECKING. MINIMUM » 3. THIS PLAN IS NOT VALID WITHOUT ADDITIONAL SURCHARGE DETAILS WHEN THE CONDITIONS AS SHOWN A. THE BOTTOM EDGE OF THE GLAZING ON THE POOL OR SPA SIDE IS LESS THAN 60 INCHES APPROX. 3 BELOW BELOW IN FIGURE 18 APPLY P ABOVE A WALKING SURFACE ON THE POOL OR SPA SIDE OF THE GLAZING; AND WIDTH PER LOCAL B L ( ER 2012/2015/2018iBC SEC,1808.7.3). r E F G BONDBEAM. \ �m-.� 4 BARS. 4 BARS. 4 3 A BUILDING CODE. \ i sit.- -s r v jf (3) #3 BARS. - O #3 O #3 O BARS. 4• THE STANDARD POOL STRUCTURAL PLAN IS NOT INTENDED TO BE APPLICABLE TO NON STRUCTURAL B. THE GLAZING IS WITHIN 60 INCHES HORIZONTALLY OF THE WATER S EDGE OF A SWIMMING C Y� o o 3 rn ITEMS INCLUDING BUT NOT LIMITED TO PLUMBING, ELECTRICAL FENCING, CONCRETE DECKING AND POOL OR SPA. 3-0 MIN. z "' E.F.P. 30 P.C.F. 45 P.C.F. 62,4 P.C.F. 45 P.C.F. +� Q m POOL GEOMETRICS., ENCLOSURES AND SAFETY DEVICES ¢ z 3 - VERTICAL VERTICAL VERTICAL VERTICAL 5. DECKING CONSTRUCTION IS SHOWN AS RECOMMENDED MINIMUM CONSTRUC110N AND DOES NOT „ D € ¢ D R C C C C DEMONSTRATE A SYSTEM THAT WILL RESIST HEAVING DUE TO SOIL EXPANSION. ¢ = N o¢ _ z STEEL STEEL STEEL STEEL 1.PRIOR TO FILLING, THE POOL AND OR SPA SHALL BE COMPLETELY ENCLOSED BY 4 MIN. HIGH " m COPING o w I c� o o „ - 6. ALL CONSTRUCTION SHALL COMPLY WITH THE LATEST ADOPTED EDITION OF THE INTERNATIONAL » No R.B.B. ! o o N "� ''� z 3" ¢ 1 E 3 0 1'-0- 3 { #3 0 12" 3 #3 0 12 3" 3 0 12" 3 3 0 12" BUILDING CODE AND LOCAL ORDINANCES. FENCING & GATES WITH NO OPENINGS GREATER THAN 4: GATES TO BE SELF-CLOSING do -- I o- o to o - -- _ _ # # SELF.-LATCHING WITH LATCH A MIN. OF 4 HIGH, WHERE THIS VARIES FROM LOCAL CODES, THE i w1 N ¢ ¢ _ u u kw " z CLR. o „ 7. POOLS WITH DIVING BOARDS SHALL MEET DIVING BOARD MANUFACTURERS POOL GEOMETRIC s' m a m #€. N x ¢ 3 6 1 -0 3 3 3 3 LOCAL CODES SHALL PREVAIL. ¢ { I ¢ STANDARDS AND/OR LOCAL CODES. _, o v 2.WHEN REQUIRED BY THE BUILDING OFFICIAL BARRIERS SHALL COMPLY WITH I N m - --{ - -I I o BENCH/STEPS --_= �- 8. SIGNS& SAFETY EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH LOCAL CODES.' BC SECTION 3109 1 i Q 4'0» 1'-0" 3» 3" 4" 4 INCLUDING LOCALLY ADOPTED AMENDMENTS. C:, 0 � ¢ SEE OPTIONS a ¢ 9. PUBLIC POOLS REQUIRE COUNTY HEALTH DEPARTMENT APPROVAL AND PROVISIONS FOR ASSISTiVE co w r - __.._: 3.ENTRAPMENT AVOIDANCE SHALL COMPLY WITH THE INTERNATIONAL SWIMMING POOL AND SPA a -I I _r I v ABOVE �J 1 r� UNDISTURBED SOIL I o cn „ " , DEVICES FOR THE DISABLED. , in �� , ! I .. .._. f 46 1-0 3 3/t 5 5 CODE AND ANSI APSP-T. I N 1500 PSF MIN. m 10.CONTRACTOR OR OWNER SHALL /I- r ,.,.. VERIFY ALL FIELD CONDITIONS & DIMENSIONS AT JOB SITE. i J BEARING VALUE. -- ---_ .:_: » » „ » » »` » J 11:POOL LENGTH, GRADE BREAK LOCATIONS& DEPTH DIMENSIONS AS NOTED ON THE PLOT PLAN SHALL SUCTION OUTLETS SHALL BE DESIGNED TO PRODUCE CIRCULATION THROUGHOUT THE POOL OR I I r I 5 0 1 6 3 #3 0 6 4 #3 0 6 5 #3 0 6 5 #3 0 6 SPA. SINGLE-OUTLET SYSTEMS,SUCH AS AUTOMATIC VACUUM CLEANER SYSTEMS, OR OTHER _ _. ____ _. ._, .__. ._..........., C __:_. _....__ _: _._..._ _W _ ,_,,,_, COMPLY WITH APSP SUGGESTED MINIMUM STANDARDS FOR RESIDENTIAL POOLS OR APPLICABLE STATE -SUCH MULTIPLE SUCTION OUTLETS WHETHER ISOLATED BY VALVES OR OTHERWISE SHALL BE r I C I C ;, i ' _ 3 ' + AND LOCAL HEALTH DEPARTMENTS REGULATIONS AND MANUFACTURERS RECOMMENDATIONS. C SHOTCRETE COVER 5 6 2 0 4 5 5/z PROTECTED AGAINST USER ENTRAPMENT. ALL POOL AND SPA SUCTION OUTLETS SHALL BE UNDER --- FOR FOOTING J� �� __: _:.:_._:_ 12.IN ACCORDANCE WITH IBC,A SITE SPECIFIC SOILS INVESTIGATION MAY BE REQUIRED FOR PROJECTS I I� I TO BE CHANGED `G 0 „ + „ PROVIDED WITH A COVER THAT CONFORMS TO`ASME A112.19.8M. WATER I ,( SURCHARGE O A`T 6 0 2'-6", 3 4 6 5% LOCATED'IN SEISMIC DESIGN CATEGORIES D, E, OR F. P _ IN ADDITION ALL POOL AND LIGHT PER � _., ,� �. )_�-. � � UNIFORMLY. � �4, + - --•,-_•.w 13.WHERE FREEZING TEMPERATURES OCCUR, THE POOL SHALL BE WINTERIZED TO PREVENT'DAMAGE SPA CIRCULATION SYSTEMS SHALL BE EQUIPPED WITH AN 6'6 3'-0" 3" 4 " 7- B+ " THE POOL STRUCTURE PLUMBING AND POOL EQUIPMENT. CONTACT LOCAL PROFESSIONAL FOR ATMOSPHERIC'VACUUM RELIEF SHOULD GRATE COVERS LOCATED THEREIN BECOME MISSING OR DETAIL #10. s_.__, SEE TABLE 1 I BROKEN. SUCH VACUUM RELIEF SYSTEMS SHALL INCLUDE AT LEAST ONE APPROVED OR 99 I I �--`: �p ADD #3 ® 12" O.C. 1 � „ „ " � PROPER WINTERIZATION PROCEDURES. . ; 5 LONGITUDINAL ® TRANSITION ACTUAL DIG LINE MAY 7 0 3-6 3 5 8 7/Z ENGINEERED METHOD OF THE TYPE SPECIFIED HEREIN,AS FOLLOWS: 1. SAFETY VACUUM . �' _ ELECTRICAL AND PLUMBING - -- - - - RELEASE SYSTEMS CONFORMING TO ASME A112.19.17S; OR 2. APPROVED GRAVITY DRAINAGE FOR EXP. SOILS. VARY, LOCATE.STEEL `z ,µ T6" 4'-0" 3" 5/i ,-_..��_ 8�" 8+/z" SYSTEM. .... ; " } A _ ALL ELECTRICAL SHALL BE IN CONFORMANCE f 3 CLR FROM EARTH o -- - - CE WITH THE NATIONAL ELECTRICAL CODE (NEC). H TYP. FLOOR - „ IN ADDITION, SINGLE- OR MULTIPLE-PUMP CIRCULATION SYSTEMS SHALL BE PROVIDED WITH A STEEL BASKET IS NOT REQUIRED ) II� SURCHARGE CONDITION. - 8 0 4-6 3 6 9 81 1. IN ACCORDANCE WITH NEC SECTION 680.26, ALL METAL WITHIN 5 HORIZ. OF INSIDE WALL OF POOL E< 6 THICK MIN. SHOTCRETE GUNITE VERTICAL STEEL. » MINIMUM OF TWO SUCTION OUTLETS OF THE APPROVED TYPE.A MINIMUM HORIZONTAL OR I - -- - - - -- I----- AND 12 VERT. ABOVE WATER LINE MUST BE BONDED VIA EQUIPOTENTiAL:BONDING GRID. BONDING VERTICAL DISTANCE( ) USE TABLE 1 SCHEDULE D; 24 MIN. „ „ L D T VICE OF 3 FEET SHALL SEPARATE SUCH OUTLETS. THESE SUCTION OUTLETS DRAIN PIPE SHALL NOT W/ #3 BARS 0 12" O.C. SEE TABLET _� 8 6 5 0 3 6 9 8/Z GRID SHALL EXTEND UNDER PAVED WALKING SURFACES 3 HORIZ. BEYOND INSIDE WALL OF POOL. SHALLP ENCROACH INTO GUNITE SHELL EACH DIRECTION (BUILDING SURCHARGE) WHEN EXTEND WALL CONCRETE BE PIPED SO THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A REINFORCING TIE WIRES SHALL BE MADE TIGHT FOR BONDING PURPOSES. VACUUM-REUEF-PROTECTED LINE'TO THE PUMP OR PUMPS. SETBACK TO BUILDING FOUNDATION HORIZONTAL STEEL REINF; INTO FLOOR. 2. OBTAIN ELECTRICAL AND PLUMBING PERMITS'ALONG WITH POOL BUILDING PERMIT. CIRCULATION " C LATION DRAINS. IN HIGH WATER TABLE INSTALL Wr IS LESS THAN POOL DEPTH. #3 BARS 0 12 O.C. 3. ALL EQUIPMENT SHALL BE INSTALLED PER MANUFACTURERSIN ADDITION,ACCESSIBLE P SITIONED, VACUUM OR PRESSURE CLEANER ETTiR THAN SHALL C LOCATED; (30 MIN. FOR TABLE 5G) INDICATES TYPICAL RADIUS ACTUAL RADIUS RECOMMENDATIONS AND IN ACCORDANCE PROVIDE (2) ANTI-VORTEX CIRCULATION DRAINS PER PUMP, HYDROSTATIC VALVE AND ROCK ( N0 DECK OR HIGH WITH LOCAL REGULATIONS. IN AN ACCESSIBLE POSITION(S) AT LEAST 6 INCHES AND NOT GREATER THAN 12 INCHES COVERED WITH APPROVED A.S.M.E:•STANDARD A112.19.8 _ MAY VARY, SEE STRUCTURAL NOTE #12) EXPANSIVE SOIL 4.POOLS SHALL BE EQUIPPED WITH A FILTERING SYSTEM.' BELOW THE MINIMUM OPERATIONAL WATER LEVEL OR AS AN ATTACHMENT TO THE SKIMMERS. PACK AT LOW POINT. (6' HIGH MAX. FREESTANDING ADDITIONAL BARS BEGIN AT 5' 0" FROM THE TOP OF THE POOL ( ) ANTI-ENTRAPMENT GRATES, THAT ARE HYDRAULICALLY 5. BACKWASH SHALL BE DISPOSED OF IN AN APPROVED MANNER. „ MASONRY SCREEN OR GARDEN WALL (RAISED OR NOT RAISED). D IS DISTANCE DOWN BUILDING'FOOTING BALANCED AND SYMMETRICALLY PLUMBED THROUGH,T" NG 6. POOL/SPA WATER HEATER AND GAS PIPING INSTALLATION TO BE IN CONFORMANCE WITH THE IBC. WALL NOT REQUIRE FROM TOP OF POOL WALL SURCHARGE 7. CONTRACTOR IS ADVISED O REFER FITTINGS: DRAINS SHALL BE SEPARATED BY THREE.FEET.IN *IF POOL WALL HEIGHT DOES.NOT EXCEED 5-0 THEN NO ADDITIONAL T E ER TO THE INTERNATIONAL POOL AND SPA CODE AND ANSI/APSP 7 GEOTECHNICAL NOTES. ANY DIMENSION. SEE ELECTRICAL AND PLUMBING NOTE 8. SURCHARGE DETAIL) FOR PROPER INSTALLATION OF THE POOL CIRCULATION SYSTEM SUCTION OUTLETS. BARS ARE REQUIRED.'(DOES NOT APPLY TO SUPPLEMENT DETAILS) POOL ENGINEERING INC. PEI STRONGLY SUGGESTS THAT THE PROPERTY OWNER AND/OR 8 WHERE REINFORCING STEEL IS ENCAPSULATED WITH A NONCONDUCTIVE COMPOUND, PROVISIONS SHALL (PEI) / BE MADE FOR AN ALTERNATIVE MEANS TO ELIMINATE VOLTAGE GRADIENTS THAT WOULD OTHERWISE POOL CONTRACTORCONSULT WITH A GEOTECHNICAL ENGINEER/ENGINEERING GEOLOGISi TO �/ BE PROVIDED BY BONDED REINFORCING STEEL OBTAIN A SOILS AND/OR GEOTECHNICAL ENGINEERING REPORT FOR THE PROPERTY ON TYPICAL PICAL LONGITUDINAL SECTION N.T.S. STANDARD N•T.S• WHICH THE POOL IS TO BE CONSTRUCTED. IF A GEOTECHNICAL ENGINEERING REPORT WAS ST" "ND_ "RD WALL SECTION 1 STRUCTURAL NOTES PROVIDED TO PEI, THE DETAIL SHEETS PROVIDED BY PEI ARE BASED ON THE REPORT. IF 1. SOIL SHALL HAVE A'MINIMUM BEARING A SOIL REPORT HAS NOT BEEN PROVIDED TO PEI, THE PLANS AND DETAILS PROVIDED BY A ING VALUE OF 1500 PSF. CONCRETE SHALL BE PLACED AGAINST PEI ARE BASED ON INFORMATION PROVIDED BY THE OWNER CONTRACTOR AS WELL AS THE SPECIAL DETAIL REQUIRED TOP OF TOE OF SLOPE OR OTHER NOTE: UNDISTURBED SOIL OR SOILS ENGINEER APPROVED 90%COMPACT FILL THIS PLAN IS NOT SUITABLE / SLOPE SURCHARGE CONDITIONSWHEN ACTUAL SITE CONDITIONS EXCEED A p RAISED BEAM[� WHERE POTENTIAL EXISTS FOR DIFFERENTIAL MOVEMENT FROM DISSIMILAR SOIL CONDITIONS UNDER ALLOWABLE PRESUMPTIVE SOIL PARAMETERS PROVIDED IN THE REFERENCED BUILDING CODE. WHEN LESS THAN 10 PROVIDE ADEQUATE DRAINAGE TABLE NO. 5 RAISED BOND BEAM POOL sucH AS CUT- THE LIMITATIONS BELOW OR ADDITIONAL FILL TRANSITIONS. (SEE GENERAL NOTES #3) 7BEHIND POOL WALL. 2. ALL REINFO IT iS THE RESPONSIBILITY OF THE PROPERTY OWNER AND/OR POOL CONTRACTOR`TO CAUSE SURCHARGES NOT COVERED BY THIS BOND BEAM PER RGNG STEEL.SHALL BE DEFORMED BARS &CONFORM TO ASTM A615 GRADE 40 FOR #3 » NON-EXPANSIVE EXPANSIVE NO DECK I EXP. BARS AND 4 BARS. SPLICES TO BE LAPPED A MINIMUM OF 24'. MINIMUM'CLEARANCE BETWEEN THE GEOTECHNICAL ENGINEER/ ENGINEERING GEOLOGIST TO CONFIRM THAT THE PLANS AND PLAN ARE PRESENT, ADDITIONAL DETAILS #1 & #12 = z 1/4 PER M� # THE DETAILS PROVIDED BY PEI MEET THE REQUIREMENTS OF THE PROJECT SITE AND.THE SURCHARGE DETAILS ARE REQUIRED. `J' PARALLEL BARS IS 2 1/2". FOOT. GEOTECHNICAL ENGINEERING REPORT. -� E F G 3. (1) #4 BAR IS EQUIVALENT TO AND MAY BE USED IN PLACE OF(2) 13 BARS, WITH THE EXCEPTION SPECIAL DETAIL REQUIRED ..:I:to-- THAT IF#4 BARS ARE USED FOR THE BASIC GRID, THE MAXIMUM'SPACING iS #4 BARS AT 18" O.C:. ¢ E F.P. 30,P.C.F. 45 P.C.F. > 62.4 P.C.F. 4. THE PLAN TABLES SPECIFY THE MINIMUM REQUIRED REINFORCEMENT. FOR CONVENIENCE OF THE WHEN LESS THAN POOL DEPTH OR H/4 X m o ¢ (1) #3 ® TOP INSTALLER THERE MAY BE MORE REINFORCEMENT THAN SPECIFIED AT ANY GIVEN 111 .=(€_- ¢ U_ m VERTICAL VERTICAL VERTICAL VE POINT IN THE POOL (7.5 MAX. H/4) o E-WATERPROOFING RECOMMENDED. D C C C STRUCTURE. SPECIAL DETAIL REQUIRED z o 0 o ,, STEEL STEEL STEEL 5. GROUNDING ONDING PER THE LATEST ADOPTED EDITION OF THE NATIONAL ELECTRICAL C HORIZ. STEEL I m w z » ' /B ( ODE)OF WHEN LESS THAN H 6- T co 0 6 ,C.M.U. X. W/ • » » „ " » THE STRUCTURAL REINFORCING MUST BE INSTALLED PRIOR TO PLACEMENT OF CONCRETE. BARS ® 12 O.C. T o m 3 6 3 #3 0 12 3 #3 0 12 3 #3_0 12 (10' MIN., 20' MAX.) iv N < w #3 VERT. BAR 0 24" O.C. -- -- ------- - ..__ 6. SHOTCRETE (GUNITE)TO BE IN CONFORMANCE WITH 2O18 IBC SECTION 1908(2015 IBC SECTION 1908, Wo -------..---..---. � SOLID:GROUT. 4'0," : ,3" 3" 4" 2012IBC SECTION 1910, 2009 IBC..SECTION 1913) &.SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH - - _ _ OF'2,500 PSI AT 28 DAYS. ALTERNATIVE BOND I(_... , -� �nrrur�,�. r ur�,r�; I ..I� 46 .' 3 3ft 5 7. WHERE __ APPLICABLE, SHOTCRETE (GUNITE) TO BE IN CONFORMANCE WITH ACI 318 CHAPTER 4, PER I.B.C. SECTION 1808.7.3 BEAM LOCATION BOND BEAM :WATER � -.. -: � � � » » „ » DURABILITY REQUIREMENTS. CONCRETE.THAT WILL BE EXPOSED TO FREEZING AND THAWING,DEICING _ 5 0 3 #3'0 6 3�/z #3 0 6 5 #3 0 6 CHEMICALS OR OTHER EXPOSURE CONDITIONS SHALL COMPLY WITH ACI 318 TABLES 4.21 AND 4.3.1. LINE. _W __... VERT. STEEL VERTICAL W . " „ „ CONCRETE EXPOSED TO FREEZING AND THAWING OR DEICING CHEMICALS SHALL BE AIR ENTRAINED IN ADDITIONAL SPECIAL`DETAIL » / 5 s 3 4 s ACCORDANCE WITH L • S ' SEE TABLE 5, 24 MIN. EMBED. --•------�- -...._. _. V �� _ AC 318 TABLE 4.4.1. CONCRETE THAT WILL BE SUBJECT TO THE FOLLOWING ,SURCHARGE CONDITIONS N•T•S• » , EXPOSURES SHALL CONFORM TO THE CORRESPONDING MAXIMUM WATER-CEMENTITiOUS MATERIALS REQUIRED FOR CONDITIONS ABOVE 3 SCHEDULES E, F OR G _ 6 0 3/z 5 7 RATIOS AN TYP. HORIZ. STEEL D MINIMUM SPECIFIED CONCRETE COMPRESSIVE STRENGTH REQUIREMENTS OF ACI 318,. 3' C. " 4' " » - - SECTION 4.2.1; CONCRETE INTENDED TO HAVE LOW PERMEABILITY WHERE EXPOSED TO WATER, 66 6 8 . . . - REFER TO AMERICAN NATIONAL STANDARD FOR RESIDENTIAL IN- CLR. C 3 ------- CONCRETE EXPOSED TO FREEZING AND THAWING IN A MOIST CONDITION OR DEICER CHEMICALS,OR GROUND SWIMMING POOLS PUBLISHED BY » „ » „ CONCRETE WITH REINFORCEMENT WHERE THE CONCRETE IS EXPOSED TO CHLORIDES FROM DEICING AMERICAN NATIONAL STANDARD INSTITUTE ANSI AND THE ASSOCIATION OF P 7 0 5 - 6 #3 0 4 8 #3 0 3 (ANSI) POOL AND SPA PROFESSIONALS (APSP) CLR. - _n... .- _ _- CHEMICALS,.SALT,.SALT WATER, BRACKISH WATER, SEAWATER OR SPRAY FROM`THESE SOURCES.. 7'6 5+/Z' 6 g" 8. CEMENT SHALL CONFORM TO IBC SECTION 1903.1,ACI 318 SECTION 3.2, &ASTM C 150. _ _. _ _ 9. SHOTCRETE GUNIIE iN CONTACT WITH SOIL SHALL BE IN ACCORDANCE WITH A B A H - x / D E CI 318 SECTION 4.2.1 C .ENTRY - , » , „ -. STEEL AND SHOTCRETE ' SHALLOW SHELF REEF " + "- i � � 8 0; 6/z 7 ,- 8/t FOR CONCRETE EXPOSURE TO SULFATE AND AS DIRECTED BY LOCAL BUILDING OFFICIAL MASONRY NOTES. _ __ �',_ __ I GUNITE THICKNESS PER 10.KEEP CONCRETE DAMP CONTINUOUSLY FOR 14'DAYS. L CONCRETE BLOCK SHALL BE GRADE N EXPOSED TO WEATHER), + +( WE THE ), TYPE II.(NON MOISTURE 86 7/� 8 9/z 11.A WATER-PROOF P ALL INTERIOR SURFACES OF POOL SPA`SHALL BE COATED WITH A WATER PROOF SURFACE.: APPROPRIATE WALL ___W_ / CONTROLLED), WEIGHT UNITS 135 PCF, CONFORMING TO IBC SEC:2103 AND �3€ �� ,�nzvv.rt ;I .. ) ( ) „ 12.FLOOR TO WALL TRANSITION RADIUS.MAY VARY:DEPENDING ON CONTRACTOR OR OWNER DESIGN SCHEDULE. y,_ . _ 910. g 9 10� - ,-� � ASTM C 90. ALL CONCRETE BLOCK SHALL HAVE A DESIGN STRENGTH OF f'm - 1500 psi. � INTENT RADIUS SHALL NOT BE'tESS:THAN 1-FOOT AND SHALL NOT EXCEED 5-FEET: Z „ - . „ „ 13:IN AREAS DIUS SOIL CONDITIONS SUBJECT TO FROST HEAVE THE FOLLOWING REQUIREMENTS APPLY. o - 2. GROUT SHALL CONFORM TO IBC SEC. 2103 &AS1M'C 476 WITH f c=2 OOO PSI. SEE IBC + Q POOL FLOOR THICKNESS O 9 6 9 10 t t/Z o.IN ACCORDANCE WITH IB 4 t . TABLE 2103.12 FOR PROPORTIONS OF INGREDIENTS. -- - -- C SECTiON'1809.5, THE ENTIRE BOTTOM OF POOL STRUCTURE AND OR �-1 a, MAY VARY T A . . . " " „ PLUMBING MUST EXTEND BELOW THE FROST LINE OF THE LOCALITY. < n 0 CHIEVE 1.. ao 10 0 9 11 12 3. MORTAR SHALL BE TYPE M WITH f c =1800 s€ AND SHALL CONFORM TO 16C SEC. 2103 �' �: DESIRED WATER �__.-_._._'_-._��:-:,., P ------- -- ._..__ _. V. ._. b.ALTERNATIVELY, WHERE DAMAGE TO THE POOL STRUCTURES, PLUMBING;.ADJACENT STRUCTURES. TE DEPTH. &ASTM C 270. SEE IBC TABLES 2103.81 2 FOR PROPORTION AND PROPERTY + AND SURFACE IMPROVEMENTS IS A CONCERN, SELF-DRAINING (),O 11 0 9 1T 12/i V, C GRANULAR BACKFILL MAY BE SPECIFICATIONS. EXTENDED BELOW THE FROST-LINE WITH A MEANS TO PRECLUDE BUILD-UP OF WATER. SEE STRUCTURAL NOTE #1 _MAINTAI N 18 MIN: EMBEDMENT INTO � . . BY THE USE SE OF.THIS PLAN, THE USER :ACKNOWLEDGES THAT HE SHALLOW FEATURES. .... -N. 4 RAISED :BOND BEAM T.s. UNDISTURBED OR 90%-COMPACTED SOIL J_ NOTES HAS READ & UNDERSTANDS ALL OF THE NOTES INCLUDED HEREIN. - s NOTE: BOND BEAM PER TABLE J- ` & LARGER PROPERTY RIGHTS TO ALL DRAWINGS, REPRESENTATIONS, SPA AIR-LINE NO. 1 & DETAIL 12. 6 8 2" 2" BRICK OR PRECAST IDEAS, DETAILS, NOTES& SPECIFICATIONS EITHER COPIES MAY BE LOOPED # CONCRETE COPING. OR ORIGINALS THEREOF THAT MAY BE INCORPORATED INTO 9 1/2 3RD AND/OR 4TH THIS DESIGNARE THE PROPERTY SOLEY OF POOL INTO.SPA BOND c� .� ,1 - " ,, » ,.,-. +w,ax'�.nr'wr'^..vsihrrvv'� ^'tares -, t»r+;nr wrer'tmr u. , _ : z a a I € LEVEL TOP OF GUNITE 4 0 MIN. EXPANSION JOINT & SEALANT to 12 BAR LOCATION ENGINEERING, INC PERMISSION FOR ANY COPIES OF SAID BEAM. MAINTAIN a o -1;.„ 1 I (2) #3 X (4) #3 BARS' _ MAY VARY TO COPYRIGHTED MATERIALS DRAWINGS'REPRESENTAl1 z 1 , a -_ W GROUT& PLACE REQ D. FOR EXPANSIVE SOILS. I ONS 1 CLR. TO REINF. ¢ I » BARS. . � » IDEAS, DETAILS, AND SPECIFICATIONS OTHER ORIGINAL OR r 6 0 15 FELT OR 4 MIL DECKING �-ELECTRICAL J BOX. PER DETAIL#8 _ -1 PROVIDE 2 1/2 _ # r7 COPIES THEREOF TO BE MADE, COPIED OR ALTERED 8Y roi w I a THICK x #3 BARS ,c T" MIN. CLR. VIS UEEN ON TOP. » CLR. BETWEEN w ¢ #» I � Q COPING 8 MIN. ABOVE DECK, WATER - ANY PERSON,BUSINESS, OR CORPORATION MAY ONLY 8E I3 12 O.C. - AROUND ALL _ PARALLEL BARS. w _ SPA LIGHT N 3 BARS 12 _ LINE OR FLOOD LINE WHICH FINISH BOND BEAM W/ (4) #3 BARS ao -. AUTHORIZED WITH THE EXPRESSED WRITTEN PERMISSION o EA. WAY. °°PIPES. # GRADE. PER DETAIL 1 & 12. DECKING. = y OF POOL ENGINEERING, INC. BY THE USE OF THIS PLAN, O.C. EA. WAY. EVER IS GREATER. # # I„ € _ _�, � IT,.� TILE THE USER ACKNOWLEDGES THAT HE HAS READ& T s . SKIMMER _ UNDERSTANDS ALL OF THE NOTES:INCLUDED HEREIN. EQ. EQ. WATER _. ; _ BOND BEAM PER TABLE N0. 1. WATER _. e M a n naNu n w w r nr- COVER. \�' �!�€�. (-.; <-€ r�rt•m 3......I m .., � _ » LINE. 24 \ - w.••• .-- - � J PLUMBING MAY BE LOCATED C :.I._., REINFORCINGP 6 LINE. \\ r:PER DETAIL #10. 2 3 BARS €_--�€ 3 €� . .� - » -BOND BEAM HORIZONTAL' LAP �. : O # \ �- .�,I C" IN BOND BEAM LOWER CORNER „ MIN. \ ,,,.. 2 1/2 a » CALCS BY. o Z. c� BARS MAY BE OVER OR A.J.C. NOT REQUIRED IF 6 MIN. T z COMPACTED � MAINTAIN 1" CLR.TO REINF. 3 BEND' �\ - w CLR. ¢ o-i UNDER VERTICAL z FILL x w w CLR: CAL BARS. CLEAR PROVIDED. " `\ ¢ _ w 5 MIN:-�= BOND �� z U 1>u 1P o N, DRAWN BY. T.L.L. 24 MIN. LAP - a BEAM ,, q( , z AROUND ALL. �' a \! . CIRCULATION DRAINS tO INTO SPA FLOOR 3 BARS _:: _ �tC J1 0 # ( ., UNDER �� \�. I ¢ 8 I 3 �, PRECAST COPING OR BRICK OR POOL WALL @ 12 o.c. :.,. ., - .. x F CHECKED BY. R.L.L. PROVIDE (2);ANTI VORTEX CIRCULATION DRAINS PER PUMP, ._ (2) #3 Z BARS SKIMMER. ¢ '1' \N o m t=- filL.r.I EA. WAY.- I h .I #8'COPPER \O 6 M ¢ . COVERED WITH APPROVED A.S.M.E. ANTI-ENTRAPMENT GRATES, .�� -( Pq ¢ m X _(2) #3 BARS GROUND WIRE _ \ �A x r7 ¢ THAT ARE HYDRAULICALLY BALANCED AND SYMMETRICALLY I o N i FOR USE „ » ONLY AT PLUMBED THROUGH _ L; / a G T" FITTINGS.:DRAINS SHALL BE DAM WALL 6 DAM LAP INTO SPA REINF. -3 co w (-VENEER. I _ SECTION 'AT SKIMMER N.E.c. APP o - SEPARATED BY THREE FEET IN ANY DIMENSION. SEE HORIZ. BAR ` " ROVED F \ _ _ I BEND 469 Main St J 1 12 DAM - LAP INSIDE BARS INTO SPA REINF. FIXTURE Fo _ _ - ELECTRICAL AND PLUMBING NOTE 7. LAP SPLICE: I CONDUIT. oo VERT. STEEL LAP OUTSIDE BARS INTO POOL REINF. » „ LENS Fti - Centerville MA O 32 24 6 RECESSED O 45 OR 90. I \1<- ZI J ;.t.:.: COO _ TiLE POOL MIN. (2) #3 BARS MI LIGHT q J SPA DETAILS MAY BE USED _ . ; �A . o. BOND BEAM PER LAP EACH WAY SPA... DETAILS N.T.S. ;� �Q• �Q' TABLE NO. i. (-PLASTER FOR SPAS WITHOUT POOLS. AROUND NICHE. 18 MIN.' �c \ OF 4 3 LAP, TYP: . y IMPERVIOUS DECK CLR. `� ROCK OR BRICK NOTCH » WOOD POST FROM _LA OO 6 MIN.:DEPTH APPROVED SEALANT ;,___ ...�, - --+ " ., LAC R SLOP 1 - - , :: . -;,- VERL STEEL ATTACHED Pa110 COVER c� REQUIRED E /8 1/4 INSTALL PER MANUFACTURER ,� �;. „ m ( _ _ VI3 PER FOOT #3 ® 6 O.C. MAX. DEAD + LIVE LOAD - 2000 Ib. DRAIN ` �: O o No.49394 3 1/2 - I�. 2 3 BARS. h..., O # NOTES. 5-0 DEEP & BELOW. _' OR LE T O � � � I i LEVEL OP OF BOND BEAM F �. 1. INSTALL NO. 8 COPPER ROCK ON BOND`BEAM. g GrST6R �.E �- I I WITH GROUT.&P ER GROUND WIRE FROM LIGHT NICHE TO x.;_. NOTE. HORIZONTAL STEEL w c� LACE 15# T .� .. » BRASS.CON - �c 1 » CONDUIT TO POOL REBAR;OR'NON NON-METALLIC „ L I' ..... TI. 5 MIN. FELT OR 4 MIL. VIS UEEN ON 1 ' N - L� SATURATION PROVIDE CONTROL JOINTS 3 CLR.�� 3 BARS 0 12 O.C. TYP. M GALV. SIMPSON POST BASE. Q ONAL E o N �` - CONDUIT CAN BE USED WITH INSULATED N0. 8 COPPER WIRE # I TOP OF BOND BEAM. Uj o F RECOMMENDED WHERE APPROPRIATE. - TYPICAL TYPICAL BOND PER ELECTRICAL & E M. INTERIOR W/APPROVED POTTING COMPOUND PER THE N.E.C. `` PRIOR TO €, �:.. ,�z- N PLUMBING NOTE 2. I �L� r NOTE: LL._J 2. SWIMMING POOL LIGHTING FIXTURES SHALL COMPLY NA POURING DECK. w,rs l- WITH EXTRA REINFORCING TO EXTEND a _.,,,-,__ e. 2/27/2020 » i, .1 MASTIC PLAN AT SKIMMER _. -,6 APPLICABLE UNDERWRITERS'LABORATORIES REWIREMENTS : REMAINDER OF JOINT IN STYROFOAM OR 24 MIN. EACH SIDE OF RAMP. 3 1/2 MIN. CONC.,,DECKING. � OTHER EXP. MATERIAL CONCRETE SHALL FOR LIGHTING FIXTURES U.L STANDARD 676. PLAN NAUD>ONLY WITH WET LEIS. TiLE � FOOTING RECOMMENDED NOT TOUCH COPING BOND BEAM OR STAMP'& ENGINEERS SIGNATURE FOR EXPANSIVE SOILS. CANTILEVER CONCRETE ADJACENT STRUCTURES.. IN RED INK ON PLAN. a. AUTHORIZED SIGN , ATURES. IN EXPANSIVE'SOILS WHERE MIN DECK RE MTS Q ° TODD L. LA HER P.E. EXPA NSIVE N.T.s. LAC HER,DETAILS Iv.Ta. ARE N T N.T.S.0 MET USE TABLE 1, SCHEDULE c 8 SKIMMER DETAIL SE TI 9 C ON ' AT LIGHT 10 FREESTANDING POOL ::WALL 11 BOND BEAM DETAILS N.T.S. 12 CHRIS BIEDENBACH, P.E. i SHEET: 1201 N.Tustin Ave.Pool PREPARED IN • T ACCORDANCE WITH ' Anaheim Callfomia 92807 STANDARD POOL , engineering g g Fax. 714 6 0-6114 20181NTE ( ) 3 INTERNATIONAL BUILDING CODE inc. Phone: 714 STRUCTURAL PLAN I ( )630 6100 _ _ -- -- WWW.pOOhhe-cnm ---- ----- 1 i r 4vi `S "•.Vr f R t° 4 � � a Ikk 1 t � � s ro : f N f* U Tt a FT s'ti n I j � s i a I na Nn / rCt i i r O : vow b ) a • T mo �C ` n m 44 �41 SST 4' FND WOS7kZI1"W °s 40 /42.3C ti 3 VAs 00 ,37 O7 4 E c.t5V" 43 N�LX� Fc.ID N I1°15���•� �, RK Noi1 42 ou 4 � 4 I. 'LAI e � I DN 4rti NUV FCN ?l%-IL -►a Fi it S'7 EA 3-A 0.17 I i v q '70 l?= iG43.40 _ DUE SGC.�TN /74.79 _(-5.C)/ _ P-K "I `ki�,, 46 FNo S 3t431z L. \ E.pV�Al�n S�'E�LI�tA�1 MAN Scalp 1 \n- 30 fit. 21, 19 Fj'7 See H6 bk 85/f9 77 69bI