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0803 SOUTH MAIN STREET
�p E Ey}, r I, k ,.. lx�, �1'Spal SMt_1i .A.� r �,,+ ra J tJ b�' !A t .. � _. . a n tlt�'tt .{ i I}1^1. 1) of �, )WAM tl•s#t!.nr tf lad k !f. ;u„ ► j �, III ' E r,,', l is��, ti �<<. �, (,. ,J�.. �l.. r.E , t, FL--I--.." +r 9 P t. t I. ItII { { }e P !* i I y 1 1 ;FF! { �, �h It 'i 41 •� ,f t J ba t iI. I ,+ , , ` I ., } , t 1 n '� W. n 1 ,.II, n )l, , . n, a f, e O it' ;it. "" a i9 i, t •ti �. as• .9• 1: ,t ! a a P7 ( r,1 f. E f V 4 , , q i' ! '�'I - t 1 ., t ,E „P ;5x '0' s; '� �. ! is k'i. i 3 !+ f .' :�4 4 �,. f .t' lY ;14 f it J.1 ,i .} i', i Ifs �k rlt, s R s § F i .:i 1 1 i ,t,k S,l; 1 , r`-tl, v , „i 173 art. .'} 4 y� + �(( F 1 ;,y 1 �, r Y:' ..i1 ,1,'v '� `.4 4 J J { .} Fl 7 A,.Vi- 1 f } d h q } ptl{ 61( if J E Y Y H ' 4 ' ' 4 V + b 4 '..r t i •dl., a v t rig 'II",, �'d '� rN e w: 2.�' V{ '1 > t 1 9'. '9 A Iy`� 1 , E 1 1 _ I" 'i f I•e + t 9, } t. 2 Via, L r , 'V• f a p� ,'']may•' '1 S . (7( y 'a S 1 t ..0 o .! } •., i E' .t i '� J , 1' .,I e , y Ea Al 'W II 1I f P {P .i5' r {. i.t{ �! ), ,� .' ,, ,1 , A t n 4,w4 + P a +� ,�J .,f ! e °. ' :� ` _ '1�.� �s ..a:,- Taa; .';wti^F .� �'�._ ,. .,� --- f., �yG„ 174 cr��'^Aam:r+.. . „,s,,� a xy--.�. .� T Town of BarnstableBuilding aa�sr�$ PosfThis Card So That it is Visible From the Street-Approved Plans'Must be Retained on Job and this Card Must be Kept w n�Ass $ Posted Until Final Inspection Has Been Made. er j .a39. rt i C�Mae Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a'Final Inspection has been made. Permit No. B-19-528 Applicant Name: PAULJ MAZZOLA Approvals Date Issued: 03/07/2019 Current Use: Structure Permit Type: Building-Detached Accessory Structure- Expiration Date: 09/07/2019 Foundation: Residential Map/Lot: 185-016 Zoning District: CBDCRNB Sheathing: Location: 803 SOUTH MAIN STREET,CENTERVILLE Contractor Name: PAUL J IVIAZZOLA Framing: 1 Owner on Record: PATALINO, MARGARET C& PATRICK M TRS Contractor License: CSFA-057934 2 Address: 88 APPLEBY DRIVE - Est. Project Cost: $4,500.00 Chimney: BEDFORD, NY 10506 Permit Fee: $ 135.00 Description: BUILD ONE 8X12 STORAGE SHED ON EXISTING UPPER PROPERTY Insulation: Fee Paid: $ 135.00 LEVEL. Date: 3/7/2019 Final Project Review Req: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six.months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. 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 Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) ' 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 �, b\ , ",-.9Application Numbe ..... 41 s. 4 ,i Permit Fee.......................... ............Other Fee..................,..... p MIS ,' � L • '� yA Total Fee Paid....... d ...........l...V/..... ...... TOWN OF BARNST4W--LEA, Permit Appmval by.. .Oa.. ` BUILDING PERMIT Map.......... . ............parcel........ .. ... ...................... APPLICATION Section I — Owner's Information and Project Location Project Address 803 StwTH A AAA ST VPP T Village �' )it v 1 I(e Owners Name ?AT ?C.%tsP UQ D Owners Legal Address City i���'�2� State 14ew Yo R lL Zip 10 SD Iv Owners Cell# 1 -gl 1 r1 - 6q 0l -4 17 Q• E-mail PAT AT aLivn @ !5tY%A)L ,CO Section 2—Use of Structure Use Group''- ❑ Commercial Structure over 35,000 cubic feet "Commercial•Structar)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 ❑ Renovatioq ❑ Pool p:❑ Insulation 4 Other—Specify gX I o� STD e- Section 4 -Work Description S 1 C)P _wn T me nndafed_2I9201 8 i Application Number.................................................... Section 5—Detail Cost of Proposed.Construction my Square Footage of Project Age of Structure Dig S umber # Of Bedrooms Existing : ms:(proposed) 110 MPH Wind Zone Compliance od ❑ MA Checklist ❑ ❑ Design Section 6—Project Specifics ❑ Wiring Oil Tank Storage fi+ + N ` ❑` Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fue Suppression ❑ Heating System onry Chimney ❑Add/. locate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: '���� �,e.�{�JS�..5-�4-��I am using a crane El 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 5M4&zg, - Lot Area Sq.Ft. S J'=J Total Frontage 10?5' Percentage of Lot Coverage `` #"of Dwelling Units (on site) Setbacks Front Yard Required 1d Proposed_ 511 Rear Yard F `Required Proposed /o - 3 Side Yard Required /6` Proposed /p` i Has this property had relief from the Zoning Board in the'past? ❑ Yes No Last vnaate&2J920 1 s Application Number........................................... Section 9—.Construction Supervisor gName FAI _MA-27,0[& Telephone Number t Address_�l g Q� t'4� City Millitate MA Tap D 964 9 License Number C5FA-05723 4}License Type 1 vQ'FA*4Y, Expiration Date Contractors Email9e-9.S n CoAt4sr, ,yt_r Cell# 76 -A 41 11 I understand my responsilnli' er the rules and reguM for Licensed Construction Supervisor in accordance with 780 CUR the Massachms Building Code. I understand construction inspection procedures,specific inspections and documentation re by 780 CMR and the Town of le.Attach a copy of your'license.-',- s Si �D / t Section 10—Home Improvement Contractor Name PAUL ,M47-20 l4— Telephone Number a �' Address�q (ZT'. I �j City " 1,u �/1 f t jet State )04- 'Zip D;�(„4-B Registration.Number L! g 3 Expiration Date 1 a/ 14 J.20 I Understand my responsibi"hti the rules and re 'ons for Home Improvement Conizactors in accordance with 780 CMR theZMassachus Building Code. I d the construction inspection procedures,specific inspections and documenn d by 780 CMR and the wn of Barnstable.Attach a copy of your ELLC... Signa Date" <<j Section 11—Home Owners License Exemption Home Owners Name: � - 1'��j��.jb-►F) Telephone Number • q/74 ell or Work Number _ S i9ALe I understand my onsibilm'es Under.the roles and 'ons for Licensed Construction Supervisor in accordance with 780 CMR the sachusetts State Building Code. I d the construction inspection procedures,specific inspections and do 'on required y 780 CMR and own of Barnstable. Si Date a , "PLIC T SIGNATURE Signatur Date Print ame AWL MAZU 14 Telephone Number V i -9 7L -A 495 E-mail permit to: , v i Come.4.5 . Pe� V T e..a 11 mum o G. i Section 12—Department Sign-Offs Health Department ❑' Zoning Board(if required) Historic District ❑ Site Plan Review Of required) 0 ti Fire Department-. . ''❑ _ Conservation ' err('(//ply -. . •�! - .�, . � ' For commercial work,please take your plans& -kiifire deparbbnent for approval ? Section 13—Owner's Authorization as Owner of the-subject property hereby authorize to act on my behalf] in all matters relative td work authorized by this building permit application for: (Address of j ob) 1 Signature of Owner, date Print Name =' - _ . • i • { 1 • I l _ 1 j a t Last undele&219/2018 �. Town of Barnstable _ Zoning Board of Appeals Decision and Notice , Special Permit Application No. 2018-067-Waquoit Group LLC §240-131.4 E. -Craigville Beach District use Regulations To allow the construction of a 8 foot by 12 foot.shed within the setback Co a a c-) - -- Summary: Granted with Conditions NJ r Applicant: Waquoit Group LLC d/b/a GCI Builders rn CO Property Address: 803 South Main Street, Centerville, MA ' Assessor's Map/Parcel: 185/016 Zoning: Craigville Beach District -Centerville River North Bank '� Hearing Date: December 12, 2018 Recording Information: Book:23544 Page: 238 Background Waquoit Group, LLC.; d/b/a GCI Builders, applied for a Special Permit pursuant to 240-131.4 E Craigville Beach Regulations. The applicant proposed to construct an 8 foot by 12 foot shed, 10.0 and 9.9 feet from the lot line. The property is located at 803 South Main Street, Centerville, MA as shown on Assessor's Map 185 as Parcel 016-000. it is located in the Craigville Beach/Centerville River North Bank Neighborhood Overlay Zoning Districts. The subject property is a .24 +/- acre lot accessed from South Main Street, Centerville and, according to the Assessors records, is improved with a single family dwelling constructed in 1910 and containing four bedrooms and a gross floor area of 3,884 square feet. The existing dwelling overlooks the Centerville River and accessed via a walkway, stairs, and ramp. The property is within the Craigville Beach District, an area designated by the Cape Cod Commission as a District of Critical Planning Concern. The Craigville Beach DCPC was initiated by village residents concerned with the changing character of the area and adverse impacts to the Centerville River. The DCPC addresses issues related to natural and ecological resources; cultural, historic and architectural resources; natural hazards; wastewater management; and waterfront management. The regulations contained in Section 240-131 are the adopted DCPC implementing regulations. These implementing regulations are the means by which all development is regulated - within the district; grandfathering provisions and/or nonconforming rights conferred by M.G.L. Chapter 40A do not apply within the Craigville Beach District. Procedural & Hearing Summary Special Permit Application No. 2018-067 to construct an 8 foot by 12 foot shed that will not conform to the applicable side yard setback at 803 South Main Street; Centerville, MA, was filed at the Town Clerk's office and office of the Zoning Board of Appeals on November 19, 2018. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested parties in accordance with MGL Chapter 40A.. The hearing was opened on December 12, 2018 at which time the Board found to grant the special permit subject to conditions. Board Members deciding this application were Alex Rodolakis, David A. Hirsch, Jacob Dewey, Todd Walantis, and Mark Hansen. Paul Mazzola of GCI Builders presented the application. Mr. Mazzola described the need for the shed by the property owners as they lack storage for their bikes and kayaks. Mr. Mazzola also described the design of.the shed and that it will be a high quality custom shed and the height will be 10 feet to the peak. d Town of Barnstable Zoning Board of Appeals-Decision and Notice Special Permit No.2018-067—Waquoit Group LLC The q Board Chair requested public comment no one spoke. Findings of Fact Findings the hearing on December 12, 2018, the Board unanimously made the.following findings of fact " for Application No. 2018-067, a request for an 8 foot by 12 foot shed that will not conform to the applicable side yard setback: 1. The application falls within a category specifically excepted in the ordinance for a grant of a special permit. Section 240-131.4 E allows for relief from setbacks with a Special Permit from the Board. 2. " After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial.detriment to the public good or the neighborhood affected. 3. The "proposed alteration/expansions" are not substantially more detrimental to the environment, community and/or historic character of the neighborhood than the existing building or structure. 4. Contributes to and respects the character and historic development patterns of the area and minimizes inconsistent redevelopment impacts to the historic and community character resources in this area. 5. Protects and preserves scenic views and vistas and ways to the water. 6. Protects and improves natural resources, including but not limited to the barrier beach and groundwater and coastal water quality and minimizes development and redevelopment impacts to the natural resources and ecosystems in this district. 7. Protects human life and property from the hazards of periodic flooding. 8. Preserves the natural flood control characteristics and the flood control function of the floodplain. 9. The development complies with the setbacks and lot coverage requirements set forth herein, and is in character with surrounding structures, particularly structures that predate it. 10. Setback relief is being requested for the addition of the structure in accordance with § 240- 131.4E. Lot coverage requirements are met. 11.The redevelopment complies with the height limitations set forth herein.' 12.The proposed accessory structure does not exceed 25%of the gross floor area of structures - in existence as of July 1, 1989 or do not exceed 10% of the gross floor area of structures in existence as of November 6, 2609.2 BUILDING HEIGHT:The vertical distance from the grade plane to the highest point of a gable,tip or gambrel roof and the highest point of the coping of a flat roof. These height limitations shall not apply to chimneys cupolas,flagpoles or other similar apptutenances as approved by the Building Commissioner.)(Gable roofs having a slope of 7/12 or greater allowed maxiinum height,hip and other sloped roofs with a slope of 4/12 or greater are allowed five feet less than the max) 2 Gross floor area is defined as"the sum of all floor areas within a building or structure,measured from the perimeter of the outside walls of the building under consideration,without deduction for hallways,stairs,closets,thickness of walls, columns,or other features. It shall include all areas capable of being used for human occupancy,including all basement floor areas,mezzanine and attic space and enclosed porches. 2 Town of Barnstable Zoning Board of Appeals—Decision and Notice Special Permit No.2018-067—Waquoit Group LLC 13. The proposed" accessory structure does not increase lot coverage over what is allowed under § 240-131.6, Coverage limitations, or by more than 10% over what was existing on November 6, 2009. 14.The proposed accessory structure does not increase flood hazards in the neighborhood. 15. The applicant demonstrates undue hardship without desired relief. The vote to accept the findings was: AYE: Alex Rodolakis, David A. Hirsch, Jacob Dewey, Todd Walantis, and Mark Hansen NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No. 2018-067 subject to the following conditions: 1. Special Permit No. 2018-067 is granted to Waquoit Group LLC d/b/a GCI Builders, for the construction of an 8 foot by 12 foot shed within the side setback at 803 South Main Street, Centerville, MA pursuant to Section 240-131.4 of the Craigville Beach District. 2. The accessory structure shall be constructed in substantial conformance with the site plan entitled "Site Plan of 803 South Main Street, Centerville, MA" prepared for GCI Builders/Patalino, dated October 11, 2018. 3. The above-described alterations shall represent full build-out of the lot. No further alterations shall be permitted without approval from the Board. 4. The maximum height of the proposed shed shall be 10 feet to the peak. 5. This decision shall be recorded at the.Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to issuance of a building permit. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Alex Rodolakis, David A. Hirsch, Jacob Dewey, Todd Walantis, and Mark Hansen NAY: None Ordered Special Permit No. 2018-067 to construct an 8'X12' shed 10.0 and 9.9 feet from the lot line at 803 South Main Street, Centerville, MA has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision, a copy of which must be filed in the office of the Barnstable Town Clerk. / Alex Rodolakis, Chair Date igned 3 Town of Barnstable Zoning Board of Appeals—Decision and Notice Special Permit No.2018-067—Waquoit Group LLC I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this -day of under the pains and penalties of penury. x-�+ 6 Ann Quirk, Town Clerk �. 0s' '7� r W Q'"'O Y , •3 04 • D i 4 .S 4 A 1�� V - v •�.` l � rv� eA A i + i i t t 1 c I f s 1 I 111 f f t bN f TV— t i i 1 O i I I t 1 T n n. r-. U ir z " (% X c9iCP 9) •j € � C1 � r a ! r' � 0 1 74 x lit G Aj C PATRICK M. PATALINO 803 South Main Street Centerville, MA 02632 October 23, 2018 To Whom It May Concern: My name is Pat Patalino,.and I am the owner of 803 South Main Street in Centerville. I am , hoping to be able to build a shed in my driveway where I will keep my garbage cans and bicycles,among other things. I understand from my contractor, Paul Mazzola of GCI Builders, Inc.,that I need to get approval from the Zoning Board of Appeals(the "Board")for this project. With this letter, I authorize Mr. Mazzola to represent me before the Board for the purposes of trying to get approval for this project,which I respectfully request the Board to grant and hope it will do so. f if you have any questions or require anything further of me, please do not hesitate to contact me at 917.572.9174. Thank you for your consideration. Sincerely, _ Patrick M. Patalino KRISTINE'TREGLIA NOTARY PUBLIC STATE OF NEW YORK RICHMOND COUNTY LIC.OZTRM6336Z COMMMSION fEXPWS MAY T,2019 I - Ti`� �.�zrro�ec�ecc��o�,/06a�a�.vell� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:+Comoration Registafio�n—_, Expiration _52253� y 10/14/2020 WAQUOIT GROt1F L-L- =.ice D!B/A G.C.I.BUIL'DERS.. `•1 h, 2 r r kp, PAUL J.MAZZOI_ � `V 644 RIVER ROAD"�4" ✓�' (�}�`� MARSTONS MILLS,,MA 02648 Undersecretary != JouolsslWWOO 869Z0,VW S1IIW SNOISSVW d ' 609 XOS Od viozzvW r-ifnt/d 6LOZ/6L/90 :sailc�2 p'r. A11ute: Z gJ�-'ios►A�t6ARSNUoipni;suoO spjepuejS`pue suogein6ab 6ulplin8 to pjeoS fi1�� f Construction Supervisor 1&2 Family Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license ovldpl Call(617)727-3200 or visit www- Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation, 1000 Washington Street-Suite 710 Boston,MA 02118 jV Not valid without signature . f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations IV 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information AA A �+ Please Print Legibly Name(Business/Organization/Individual):Ad 1J 0 a V &AIP L_L 94 GC M 19 0kees PAVL 1M4M.o 1+ Address: %%4t Rr 14a M 495T. 0i M iM S City/State/Zip: f�A . 02646 Phone#: 5D 8 428'S 8 9 4 Are on an employer?Check the appropriate box: Type of project(required): 1. I am a employer with- .:rL _ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ( New construction 2.❑ 1 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' # 9. ❑Building addition [No workers'comp.insurance comp.insurance. 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its ep officers have exercised their 11. Plumb' repairs or additions' 3.❑ I am a homeowner doing all work ❑ � myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t a 152,§1(4),and we have no employees. [No workers' 13.[1 Other comp.insurance required.] ' *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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: A RsQ.ck PavTec 'IOW x'wSvR.Awcc. CII Policy#or Self-ins.Lic.#: Expiration Date: II %Or (9 Job Site Address: 007 S OV'r , /k 4l�) 577Z OT- City/State/Zip: Ub-4ou tk- NA 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 o�ne- ear-iiapl'isamnr t,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day a 'arLst the violator. Be Wised that a copy of this statement may be forwarded to the Office of Investigations of the for insurance cove verification. I do hereby ce under the pains a penalties o rmation provided above is true and correct. Simiafore: n Date: a 50 LJ Phone#: C'et( 504 ' Z7(o -- 9q f L7,01- -4 Offu:ial 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 an two or more �P P� � rP g tY� Y 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 cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, .The Department has provided'a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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-MA.SSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia Client#:766388 2WA000ITGRI ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 02M 3/2019 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 any rights to the certificate holder in lieu of such endomement(s). PRODUCER NAME: The Hilb Group of N.E.dba Py"c°No9 Et):508 775-1620 1 iuc No): 5087781218 Dowling&O'Neil Insurance Agy E-MAIL ADDRESS: P.O.BOX 1990 INSURER(S)AFFORDING COVERAGE NAIC a Hyannis,MA 02601 INSURER A:Arbella Protection Insurance Co 41360 INSURED INSURER B: Waquoit Group LLC DBA GCI INSURER c A/0 Paul Mazzola P.O.BOX 509 INSURER D: Marstons Mills,MA 02648 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/D MMID A X COMMERCIAL GENERAL LIABILITY 8500069262 1/19/2018 11/1912019 EACH OCCURRENCE $1 000 000 CLAIMS-MADE FJXI OCCUR PREMISES occurrence) $100 000 MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY ECTT .❑LOC PRODUCTS-COMPIOP AGO s2,000,000 OTHER:IX, $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aceident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 422007823501 1/19/2018 11/19/201 X PER OTH- A ER AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 000 OFFICERIMEMBEREXCLUDED? I NJ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Patrick Patalino SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 803 South Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE 4..� _-�:.�.. ©19W2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S229987/M229986 RPSW1 Town of Barnstable Buildin Post'This'Ga'rd So That its-Visible"From the Street :A roved Plans Must;be,Retamed�on Job,and;th�s�Gard MG�st,be Kept, • 0A1UMMAB1E. �.«s•''f3 �.`ry-`,, M" �~ Posted UntII Final Inspe,,ct�on Ha's Been Made_' ems, t � � H R Permit `Wlrere:a Gert�ficatepfOccu anc : s Re,u�redsuch Bwildm shallNot be Occupied;until a„Final Inspection has been made Permit No. B-18-2931 Applicant Name: Russell Cazeault Approvals.' Date Issued: 09/07/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/07/2019 Foundation: Location: 803 SOUTH MAIN STREET,CENTERVILLE �Map/Lot: 185 016 Zoning District: CBDCRNB Sheathing: Owner on Record: PATALINO, MARGARET C&PATRICK M RS k y. �Contract�oName h PAUL J. CAZEAULT&SONS INC. Framing: 1 Address: 88 APPLEBY DRIVE �� r Co � icense ntracto L 103714 2 ` BEDFORD, NY 10506Est 'ProJect Cost: $43,063.00 Chimney: Description: Remove existing asphalt roof on the whole house and install newPermit Fe{e: $219.62 cedar roof. Insulation: FeePaid $219.62 Project Review Req: � 9/7/2018 Final: Plumbing/Gas a �kvrr �0 Rough Plumbing: AA R •- Building Official m Final Plumbing: Rough Gas: 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 or which this permit has been granted. Final 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 Electrical work until the completion of the same. �t r . x Service: The Certificate of Occupancy will not be issued until all applicable signatures by the building and Fire Officials are`providedon1ttiis permit. Minimum of Five Call Inspections Required for All Construction Work:` �` Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. - "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site �N�wE All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .VK5 Parcel Application # " az Health Division Date Issued 7=17 i7 Conservation Division Application Planning Dept. Permit e Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address 503 Village C�� Owner. SKO./Tcs-i Wee� GZC- Address s`tf0 ���► �j' �i`1�^0�'S Telephone / Permit Request 5b�.�� ✓�' �� �c>�(= �.J i 4L DOcl: Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3S K Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new BUILDING ��I�T. Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other JUL 24 2017 Central Air: ❑Yes ❑ No, Fireplaces: Existing NewT ,,",", 7F 13Exist ng�wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes LrNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Cdq 7 e— Telephone Number ?7 Address J, &d1l', 10.,� License # C�— 0W�� A',4 Y� Home Improvement Contractor# �G 2 CLrlS(2,GecicoAm4,rtle-co.cc)M Worker's Compensation # 6 kUS9402_ l Wi 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ��� Scru.ceS SIGNATURE DATE �S �� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED .4 MAP/PARCEL NO. - s -ADDRESS VILLAGE OWNER i i DATE OF INSPECTION: A I' w.±-FOUNDAT,ION,4_:. i, A FRAME INSULATION ` FIREPLACE it ELECTRICAL: ROUGH FINAL 'r PLUMBING: ROUGH FINAL :h GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ; C DEPARTIVIENT OF THE ARMY US ARMY CORPS OF,ENGINEERS I 1 NEW ENGLAND'DISTRICT 696 VIRGINIA ROAD CONCORD-MA 0174214751 August 26, 2016 �PT. Regulatory Division � tLoING File Number: NAE-2016-1347 JUL 2 4 2011 546�Main St eet, Unit#2 TOWN OF BARNSS�`�t'E Hyannis, Massachusetts -02601, .Dear Sir Or Madam: We have reviewed your application to construct and maintain a 4' x 26' boardwalk, a 4.' x: 24 pier and an 8'x 25'float. This project is locatedJn the'Centerville River at 803 South Main Street in Centerville, Massachusetts. The work'is shown on the enclosed.plans entitled ''540 MAIN LLC 803 SOUTH MAIN STREET, TO CONSTRUCT A BOARDWALK, PIER, RAMP FLOAT IN THE CENTERVILLE RIVER„CENTERVILLE, MA:", on.four sheets, and dated "MAY 24, 2016". Based on-the;information you have provided, we have determined that the.proposed activity will>have only r minimAl individual or cumulative environmental impacts. Therefore, this work'is authorized,under the enclosed.February.2015 General'Permits for Massachusetts=(GPs for MA),specifically,QP03, under the pre-construction notification process. This work must be .performed in accordance with the terms and conditions of the GPs. The:National Marine Fisheries Service'has not provided any Essential Fish Habitat conservation recommendations ih accordance with'the Magnuson-.Stevens Fishery Conservation and Management Act: You are responsible for complying with.all,of the GP requirements. Please review the enclosed GPs for Mkdocument carefully, it particular'the general conditions beginning on Page 23, to familiarize yourself with its contents. You should ensure that whoeverdoes the work fully understands the requirements and;that a copy:of the permit document and this authorization letter are'at the,project site,throughout the time the work is underway. This permit does not obviate the need'to obtain other Federal, state, or local authorizations required'by law; as listed on Page57 of the`GP document. Performing work not specifically authorized by this,determination or failing to comply with any special condition(s) provided: above or,all the terms and-conditiona,of the GP.may-subject you to the enforcement provisions of our regulations. Your project is located.within, or may affect resources within the.-Coast all zone. The Massachusetts Office of Coastal Zone Management(CZM) has already determined.that no further Federal Consistency Review is required: This authorization presumes.that the.work-as;described.above and as shown onyour plans noted above.is`in waters of-the.'U.S. You may.Submit a'request for an approved jurisdictional determination to.this'office in writing if"you desire. 2 4 2011 JUL 2 BLE . T0� This authorization expires on February 4 2020. You'must commence or have under` contract to commence the work authorized herein by February 4, 2020 and complete,the work by:February 4, 2021. If yo.0 do not; you must contact`this,office,to'determine the need for further authorization before beginning or.continuing the activity. V11e recommend you contact"us before 'this',,permit expires to.discuss a time extension-or permit reissuance. You must contact us immediately to discuss modification of this authorization if you change,the;plans or construction methods for work within our jurisdiction: This officeFmust approve any changes before you undertake them. We continually strive to improve our customer service: In order for us to better-,serve you; we would appreciate your completing our CustomerService Survey located at http:Ucorpsmapu.usace.armV.mil/cm apex/f?p#6 uq_latory :survey. Please contact'Crystal-''of 1my staff at(978)_318-8332 if you have any questions: Sincerely; .r - Barbara H. Newman, Chief, Permits & Enforcement Branch,. Regulatory:'Division Enclosures; cc:. John O'Dea, Sullivan Engineering &,Consulting' Ed Reiner,,U.S. EPA;`Region 1, Boston,'Massachusetts, reiner:ed(a�epagoy Alison Verkade, NOAA; alison:verkad60n64a:a6v' David Simmons, USFWS; david s'immonsCc�,�fws.gov Zach Jylkka, NOAA; zachanr.iylkkaf)a noaa.aov Robert`Boeri, Coastal Zone'Management,Boston, Massachusetts,,Robert:Boen@state.ma us Jim Mahala, Acting Chief; DEP SERO, V1letlands.and Waterways. Lakeville, Massachusetts; jim.mahala@state.ma.us LID �E�T �UL 24 2011- TpW�OF BA �STABLE .:.r-r'�v'r,�r =' �e? � ` s " Cranbet�+• a r �•T ,// Hatcb } � , tir /j , t; ..• a 8.•. f I,..' �p�� •ys.y p�'n `�\ ''x '. L ,gc.,'e." g•- l� .' 1 1/ , a • 4eC a rt�}• �, !� _ ys.� 6 '`t`. `a r O•r •.� .114 it. �l r . ..e`' IBH�ffIF� •' ' �• o7 J• ' ♦ lV' ( r/ :iY 1Ts�e,� �'Y',a aim` � •j N f� � :'iT Vi ' '�..,••t 'yr r� ~ r�- C fty� y):. f f� �j f 'y`�';plpr �. ", +� n' �_•� ,• 4 ♦ !�*`Y ����. 1 `�7J li�-..6 �j !1;�" •i.ra�ft`c�� '� �c �t {[+..j4! L 0=:- Sp. �.Fr J e'.Iw J % f �. : i s1 1 .'lY'i=�j••.'4• / Y„ i_ ''�.._ �♦ 51•S !!/ a f1 ti, i Y� "o � J�••c> �• � . / j' , `ti��t '' `'r ,`..L•� f • J • •• i .faF�• -a�} 5 , y"�.'��xy 7��%• a 1� �� Y '4� �.., / }'•t2., .o� (til` f}` �ti�l - r> � .``• ' J .�?da r sfi +� t•'-) �S!rt ,..r�•E f \--- ^j••3 b �'..� � 1 r �+� :ti �rah �, , \ r b ��/� ; •�7 ��if y:' �`�� ,� \ � � � �. h 1 a � .j° o\� 9: 'L� a�^��1 � �'!° �an�?►° �'� �•r A���� �.� }��µ 'eps•� 'a. r�\ \- � 0� s �^'.. 1> 41f�/ ,`- °- •-'•^yJ -fA f k AMom �.' tr.. '°:- �J I/`) s. ..�f 'Y Cau tp.,rp t� �,'��/�1 :4 ....�» ♦: �r,. , • 6 r ; �tM i i 4..,eF 41i•. • �:,�,� C�(�:.f/ ` ��, > o �. .: ` Pond ,D �� ..�' � l:•-«-�• _. tt �y It a � _ rr W;r •iR � .:.� — !�+'� . • 3 e• !4 , ' o ¢�, 1��•`e�. L �`� `c�yc +}�� `- doe �,�`•;�4 d � � 'J�.���tip' +t-�� ' O J ,_ __+ LM-�_0:. • .._.[.w.,r, yam„ • r 17f!qti �i CAN '( !•y_ 4 �rY ,- •�•.�djg�J�$ �00+� .i-,� t; yp� Ye r 't] _ -n 'iA .+ :6 i p ,�• -' , Beach •'~ ..•� ( - - ic ndfn ,-. - � �-. ...'' • • p .`r_ ?c 'yam 4��g. �8! i a e. Neck` } •. 3:r; lri'L kz».68 r 14 DIRECTIONS: FROM HYANNIS ' 'TAKE MAIN'STREET TO THE SHEET 1 'OF 4 WEST END ROTARY AND, TAKE A RIGHT ONTO SCUDDER AVENUE. 540 MAIN LLC TAKE A RIGHT ONTO SM1TH S7REET AND'FOLLOW AS IT TURNS 803 SOUTH MAIN STREET INTO CRAIGOLLE BEACH ROAD. AT THE STOP'L'IGHT TAKE A LEFT TO CONSTRUCT A BOARDWALK, ONTO SOUTH MAIN STREET: # 803-IN ON THE. LEFT. PIER, RAMP &- FLOAT IN BY`ASSESSoRS: MAP 185 PARCEL 016 CEN7FRVlLLE RIVER CENTERVILLE, •MA LATITUDE:. 4138.6" MAY 24, 2016 LONGITUDE 7021 22" SULLIVAN ENGINEERING UTM: 387050E 4s1o]51N z & CONSUL7ING-INC. OSTERVILLE, AMA f SOUTH MAIN STREET N80 58'20 JUL 2 4 2®11 0.061- STONE �Ae TOWER TOWN BARBS' OVERALL PLAN VIEW SCALE 1"%6V NIFTRUST NOMINEE 60 0 30 60 120 SERVICES. uC o '; rn BRICK ^'• GARAGE- co DATUM N/F NOT TO SCALE CARLSON, PATRICIA M. TRUSTEE .: JOHN V. MCMANMON JR.. PERSONAL RESIDENCE TRUST MHW S76-56'2'O"W e _ w NAVD 88 3 MA Z0n '0 - 1 0 V. _ � ESE MLW . #TY w/F MHW 2:8 2p LUNG. MARS - W ` REFERENCES: N .... DEED:.'C207597' � t ;PROPOSED BOARDWALK, PLANS: LOT 19 LCP 8884-0 PIER, 'RAMP,:& FLOAT M"ARSH..: i LOT 20-.tCP;8884—P 2 LOTS24 & 26.3. 3 —2 7 6 LCP 88847Q p''31x-31 LOT 27 LCP :8884-R 11 x x-3 `3l3 x_ 33 j-37 x_33 x : p x_4{�c_45 41 x-4.6 x 48 x¢j7t�5 —5$ x_6.0 5.7 6 3 NEL x—6.? x-5 5 x_5 6 EDG OE CHAN x_62 CENTERVILLE RIVER 3c_6 6 GE OF CHANNEL. x-s ED x_ -6.0 -FLOOD p w0vi Of S JOHN C. cyc x-2 4 SHEET 2 OF 4 �0 ` 540 MAIN LLG 0.48168 80,3; SOUTH. MAIN STREET XO7 TO .CONSTRUCT A BOARDWALK, PIER, RAMP & FLOAT IN FSsJ10 AL E,G�� . 04 Q�� � CENTERVILLE RIVER CENTERVILLE, MA x 0 6 pQ O��J MAY 24, 2016` 5� SULLIVAN :ENGINEERING & CONSULTING INC. OSTERVILLE MA j3UILDING U ,wr_ �- o •• :) To\NN OF BR ,NSr �E 803' MHW 2.8' 2,5TMt1 N/G pWE_ - :` 0.G i ,- �;.� ,MARSH -• .�' ' BOgRD�YA` :� ; PROPOSED ,DATUM SOARD.WALK,`PIER, NOT TO SCALE`. MARSH :c RAMP & FLOAT' MHW 23 "'23 .x ?7 rn PI R. 41' x _3 x-3. x'-31 x_3 0 NA W '88 4 10'RAMP x'33 o AkW -32 x137 k_37 . ,25• x_4 1 x-2. x�4.9 -4•5 X-46 "4 2 x7,7 x x-54 x-S,5 PROPOSEDx"6p 29' 6" x-6 3 8'X25'`FLOAT x_62 x_65 . ` = EpGE OF CHANNEL x`62 CENTERVILLE RIVER x"6B FLOOD x_67 x.-63.-.EDGE`.OF CHANNEL x-6 p x-62 a��P4SN OF Ms9�, x`5.3 c� JoHri c. yc� SHEET 3 OF 4 o y 540 MAIN LLC 48168 x-24 803 SOUTH MAIN STREET TO CONSTRUCT A BOARDWALK, �° PIER, RAMP & 'FLOAT IN o_. GISTER ^ss[ONAL E CENTEROL-LE RIVER CENTERVILLE, .MA` MAY 24, 2016 SULLIVAN "ENGINEERING & CONSULTING INC. - ,..,.�.� . ....: ". .,•.. OS -.AMA !6uvL . J ERNS TOWN o�E� ti J.Rs O J. O W Q, 0` a o_ O op z W !i- J Z O O iq Z _j � = Jo U m (> O ' cl) O WN r O a i uCL CL y o n O a E O : . ��.... Lcl (L ��vyQu. O 2 c W W,OW.FW W� Zz�Jg O�U3� p La Q z:W Z ?'O i �L 0,, 4.0 LUd0 2L5 .W 00. WQ4 -'� 03tiQUFW-.Q W.WOOZ � ZZ� W 0'O-i LtJ -cc Ili (o O N N U � lz Q V) Q � al UO.z Q.OW N (�0o C�1�W O� X'�(D W SHEET 4 OFF 4 540 MAIN LLC 803 SOUTH MAIN STREET TO CONSTRUCT'A BOARDWALK, } PIER, RAMP & FLOAT IN CENTERVILLE RIVER C -NTERVILLE, MA MAY 24,. 2016, . . SULLIVAN ENGINEERING &.,CONSULTING INC. OSTEI7VILLE= MA i DATE(MMIDD/YYM ,4coRo® CERTIFICATE OF LIABILITY INSURANCE 07/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NTACT NAME: Lauren Randazzo DELAND GIBSON INSURANCE ASSOCIATES INC PHONE (781 237-1515 = 1C, No: AEOMDARIL Irandazzo@delandgibson.com 36 WASHINGTON ST INSURERS AFFORDING COVERAGE NAIC9 WELLESLEY HILLS MA 02481 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B BEACON MARINE CONSTRUCTION LLC INSURERC: INSURER D: PO BOX 586 !' INSURER E: COTU IT MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: 175848 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD M/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADED OCCUR y PREMISES DAMAGE ISES Ea occurrence $ ` MED EXP(Any one,person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE - $ POLICY JECT a LOC ' PRODUCTS-COMP/OP AGG $ OTHER: _ $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTYDAMAGE $ HIRED AUTOS AUTOS Per accident ' $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ *' - $ WORKERS COMPENSATION - X I S ATUTE ERH- AND EMPLOYERS'LU1BILnY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? WA N/A N/A 6HUB8H02618817 04/07/2017 04/07/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes•describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) t 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/Iwd/workers-compensationfinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable Barnstable Building Division 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 ` p C . Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD' • / ZONE: B tS DCPC-Center*ale Rlver North BonkSt. i Aro (mA.J 87.120 SF(RPOD) Toren Frontope(min)125' ,p r • Setba . 4.0' Front 20' p'-•. 2'X 6'MIN.DOMING(TVP.), WATER AND RTe ts' a.e„�`a "�•, 3/4'MW.SPACING DRY EtOC EXCEPT-FIBERGLASS , GRATING DYER SALT MAR91 EL SD �' ' - s• . PROVIDING A MINIMUM OF Y X 8'FOR ALL ' B51<UCNT PENETRATION STRUCTURAL MEUSIERS Nomine%t Trust` 'M' FLOOD ZONE: LLXW z8 Services,LLC; zones Y£19ea 14. r X(Mink—Flood Hazard) E, 10-I2'PROS(TW. '� 14:14:2 - Community Pmd No Y MLW.O.O 6 T014 . a dday 16, 014 CCA-TREATED PILING AND \— Ln Mom: STRUCTURAL RMBER(GREATER OSS BRACING - THAN THREE(J)INCHES T16dQ ARE ALLOWED. OTHERWISE•NO CCA-IREAIm OR CREOSOTE- Y ASSESSORS REF.: TREAIID •• •• • • "T MATERAILS SHALL BE USED "I �� `11 - Mop 185 P—d.016 PTEooeedt.108B 88CtT88 S - .. mY f+B \ 1 l n t / tee OVERLAYDIS7HICT A Patricia Al. Trustee AP_Aquifer Protection Wstrkt rust _._._..._ John v.M anmo Personal Residence T DIRECTIONS: Stairs, Walkwa &Path EWek �\ �'• to be rebut t W. GossRotary an d t k.o right-o S.dddo Ao xtot Eno repaired as needed 4 +- ante o r10ht onto Smith Street and romr m It tume[.to Clara 8—h Road At Na atop do take a left on o South Mat.Shoot /818 ..__.•' •. r3 /4B M on the/eft ` NOTES.- . 1.)Tha sbuatarm drmm Iamted on the qa d by con—U-1--y—thotls on or hot— one �Z SeptJ,2010 and Oct 21 2011 , n �FEMA 2)The Property line Nrmmatkn shorn harem ws yE ELF.14 5 Pffod orn h a.g re t.)Soundings one based on a bon .U—ark pmvWod b 4)Samdt.ge conducted m Nov.21 2015 26, \----------`�/� .1 a Woo - r_r6 r 28 _•�_.IO*_�O'81 —'—' _ ... 1 *'24r_2 2•' 34• -4.5 L-RJ r�4A•�S As r_4.8 t. _ *'.14 *_5 .7 *_$6_ 4 *-SS• * 2.6 ShoiR sh r_6.j r_Q Ratt.g 4 ' *-se DATUM dqe of Mimnd r_56 Not to Scale I MHWr_82a6KAV CENTERVILLE RIVER * 6,g I&W MLW *"aJ Edg,of Chmnd . PIOOOBBdF7Bn V►etr *'SJ � _ *`Z4 *47 r 12 eoo.ddk � . Ed thip Rain togeRebuBt �• - Pier Ram Flmt Nesed tl 2Y Tap Ir r ♦ -pglYy'8• a �jldlnq ................................. .......... ...MLW.O.C....' F ndatbn Land Soft Marsh Under 0— r ♦ ..�. 41 • PAVmed Plaft Vlefr .. � flaMa fL10 - Revision Shorten Pier 5' 412812016 TIRE. Site Plan PREPARED FOR., PREPARED BY., m Proposed Pier, Ramp& Float Engineering& 540 Main LLC Su llivan At consuitingfina; . ,. -+ a s TD 20 �o 803 South/Main Street ` ' " '.P°'"wWf,' ° Barnstable) Mass. 5-Hasa Sec` a ?S 6 10 RO - Centervto-Pro-we. Draft. CTR Calcs: CTR ao-Flm Yfor o 1s w eo 120 DATE SCALE Review: JOD ' Research: JOD/CTR mamh 14 2016 AS Noted Prof,1 3500029 1 Proj: Chariton +) t. 4 .. ......... _ . �ie fronv��aMuuecz�,/,1 o���/,czeaac/ucaeCt�. , _\ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR -- TYPE:Individual I"stra ion Expiration i s7-oi`L 02/20/2019 1,4 George R.GillydR 1 i George Gillmore-�, = 200 Pine Ridge � �-- Cotuit;MA 02635 ; i Undersecretary ! , T Mass:achusetfs Department of Public Safety Board of Building Regulatious and Standards License: CS-068433 , Construction Supervisor GEORGE R GILLM6RE PO BOX 940 y COTILI MA 02635 '��/1L Expiration: Commissioner 06/10/2018. 1 � f a DEC 302 - TOWN OF BARNS�TABLE,BUILD NG PERMIT APPL`ICATIbN _ �n�ni i ar n n AIATA A1A 0214 _ Map Parcel Application Health Division Date Issued Conservation Division. Application F Planning Dept. Permit Feef� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 6' Village Ceivtavw I( Noll we. Awt A >1 mm t ( 1�e Owner Cobe R044,4 L L C Address 504 2 S Telephone � [Ato 1�Qe '791 ' -7 37 - 1742 ( ' is 1s A UW gs4*U Cti-Ae e Permit Request %IS W 1 li I M L v� MUA-A ( W4 W=P�t40e-)00 12Y Pr��w ►,53 1�536 ► 53� 53 Square feet: 1 st floor: existing 6 proposed 2nd floor: existing � proposed - Total new_ Zoning District Flood Plain Groundwater Overlay Project Valuation. Construction Type RP,tr6JA440w Y Lot Size 30-414 Sg f T Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 100 Y 6 Historic House: ❑Yes Mly/No On Old King's Highway: ❑Yes U No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Ofe.ri A 142 ON DVJXAT Basement Finished Area (sq.ft.) - D Basement Unfinished Area (sq.ft) ^ 1O " Number of Baths: Full: existing. new 3 Half: existing 1 new 1 Number of Bedrooms: g existing _new SAnh,£ Total Room Count (not including baths): existing _�new First Floor Room Count Heat Type and Fuel:.. ❑ Gas ❑ Oil ❑ Electric ❑ Other D ",MT 3 SeASoN Colr45 e- vS P Central Air: ❑Yes YNo Fireplaces: Existing -° ' New "b Existing wood/coal stove: ❑Yes U//No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 24No If yes, site plan review# Current Use 5UMMPIL Co7r.45(R Proposed Use S M10 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -:F>v1�Ot('RS =UC Telephone Number SOf3-q�3 �%Q3'E Address PO �60 V �01 License # eSEA -10_,57 AN 0ox:)A (a Home Improvement Contractor# 1 �3 � 1 Email �� t h��1��,rt� AS( .IUG� Worker's Compensation # �IIC00Da37+ ALL CONSTRUCTION DE RESULTI G FROM THIS PROJECT WILL BE TAKEN TO �FLfL SIGNATURE DATE l 8 / FOR OFFICIAL USE ONLY APF ICATION# DATE ISSUED MAP/PARCELNO. ADDRESS - VILLAGE dWNER i DATE OF INSPECTION: t . s' ..FOUNDATION FRAME IG 311:01 o _ INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I S� s Town Of Barnstable �z Regulatory Services sr►ertM ,Qes. � 'Richard V.Scaly Director Building Division Tom Perry,Building Commissioner E� .200 Main Street,Hyannis,MA 02601 —6 C � www.town.barnstable.mams ca r M. — Office: 508-862-4038 Fax: 508-790-6230 Property Owner NJ istl Complete and Sign This Section if Using A Builder I i as,Owner of the subject property hereby authorize Gam- 601 A to,,act on my behalf, in all matters relative to work authorized by this building permit application fox: C 3 S o�� m� n S� �e,✓t rvr .� Gz lJ3lo 3 (Address of Job) r _ "Pool fences and alarms are the responsibility of the applicant. Pools are,not to,be filled or utilized before;fence is installed and all final nspecti ns`are performed and accepted. ature of ner: S g�nature of Applicant CI v1VA �c Print Name Print Name: Dat .77ze Commorrivealth�z,f-Massy djusetts Deparammt of rudus-that AGcidertts fl ire of Investigations : . 600 WaAantgtort,Srtreet Baston,AA 02111 nlyptst mamgviMia r . Workers' CampensafionInsurauceAflidavit--Buitder-s/CantractersMecfririans/Plumbers Applicant Infm-in,afim Please Print F.eQibl 1`'Tatne i>s�sslGrganizati+�, n� �1R�9}. nn ,_ .. Address e� ' Owl �ri� Are . u an employler'Check e appropriate box: ' Type of raject(regnired)c I.L`s I am a em la er with a 4. ❑I aim a general contractor and I P -y b (l. ❑ ew constructiora employees(full and/or part=fine)_* have hired.the subcontractors 2.❑ I am a sole propnetof or partner- listed on the attached sheet. 'I_ Remodeling ship and have no employees. 'These sub-condractors have g ❑Demolition wodzinb for ine.in any capacity ernployee:5 andha{e workers'w- g_ ❑Building addition ENO orkmM, comp-insurance comp_insurant�$ required_] $. ❑ We are a corporation and its 10❑Electrical repairs or additions 3_❑ I am.a homeowner doing alI work officers crave exercised their 11-0 Plumbing repairs or additions. my [No waikers'comp- r g of e$empfion per MGL 13_[1 Roof repairs immn=e required-]i c.152,§1(4k and we Have na employees-[No workers' 13_❑'Other camp.insurance required_Z. *Amy WNcsa 6stcbedsboafl— also fill cutthesecdaab9 wsb=dxgdmirwaaerecompensafiaapeEryinfvffiauaa i&a�eoara�svrho sub®dt his af�daeii ia,�ratiag tirv_y aze daia�all waoic 8'd�theII btTe o•IIt9d8 contxactnrs�.st 5!]Ilmit a new Bfnlll'Fit inclic¢tino SIICb_ ` . . fCcntact=$Mt chwk ibis boa m=attached ffi xMidaual sfieer stowing the name of the sub-coartisctxs and state vrhethet or nit Phase amities ham ernplg,ees.Ifthesab-coatnctmshaceemployL--% fie}'mvsrpm%-Aetheir umrken'tomp.pGHUxLmnbm I ant an emplajw that is praisfAng markers'eoa1mmmettian insrirance,for my employees Relosv is titepo£icy cued job site irtjormcriiors r , Insurance Company Nam: Policy 44 cr^self-ins.I.ic. 1A)(11'] ij 27 1- I;xpirakiouDate: a Job Site Address: Cify/S#ate![sp: Attach a.copy of the workers-compensationpolscy ded-aration page(showing the policy number and expiration date). Failure to secure coverage as re Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to,$1, 0�t)0 and' y�esrimpriso as w&as civil penalties �a the foffi of a STOP WORD ORDERand a fine of up to 0-0.0 a da gaiast the violator. a advised that a copy of this sfa#ement maybe forwarded to the Office of . 11rVestrgations of DIA for insurance a��catian. . Io Liereby cy nardRr t£ttc artrf psnattres t x}1 fhatftte in;far9txatzmrro t pzrlrRd abmr#is g and correct Sit�ature_ Bate_ �`� �' Phone ik I A -9 8 -:776 -�E 9 QB&iai aw comfy: ,go itat write in thb area,to be coimpLeted by cfiy ortoer-n offiirccraL City or Toww PermitUcense if . lssuing-Auffiarity(circle floe): L Beard.of Health I Building Department 3.Citylrown Cleric 4.Electrical Inspector.•5.Plumbing Inspector' r, ' 6.Other Contact Person: Phase#: Taformation and lastructions Massachozef s Geaeral.Laws r 152 recpmes all employers to provide wozkeas'compensation for their employee Pm antto this stamiv,an empkyee is dafined as.¢.every person in the service of another under any contract ofbire, express or aMplied,oral or wzittr n An employer is defined as°`an individnal,paifneuship,association,corporation or oilier legal entity, or any two or more of the foregoing engaged in a joint a tmTrise,and mclnding the legal sepresm a&as of a deceased employer,or the receiver or trustee of as individual,partnership,association or other Iegal entity,employing employees. However the owner of a dwelling house having-not more than$n-ee apartments and who resides therein,or the occopa at of the - dweIIing hone of another who employs pexsons to do maim m ce,construction or repair work on such dweIlmg house or oa the grounds or budding appurinn.ant therein shall not becane of such employment be deemed to be an employs_" MGL chapter 152, §25C(6)also sties that"every state or'local licensing agency shall withhold the issuance or renewal of a licen a or permit to operate a business or -construct buildings in the common wealth for any applicant who has not produced acceptable,evidence of compliance with the insurance,coverage required' fi Additionally,MGL chapter 152, §25C(7)states"Neithcr the commouwealth nor auy of its polttical snbdtnszons shall e ce enter in,� any con�[iact for the'perfomtance ofpnbitc workm�I acceptable evidence of compltan.cevn$i m ms,n�n requirements of this chapter have been presented t J the contracting a ulhozity Applicants . Please fn out the wo&trs'compensation aBHdavit soarPletelY,by che g$eboxes that apply to your sitnation.an. if necessary,supply sob-mntractor(s)name(s), addresses)and phone n=ber(s) aIong with their cmtti acate(s)of 7nsr=ce. Li it Liability Companies(LLC)or Limited Liabi75ty-Partnersbips(LLP)wnno employees other tban tilt, members or partners are not regimed to carry workers' compensation nistuance_ If an LLC or LLP does have employ(-,es,apolicy is reg� Be advised that this a$idayitmaybe submitii_-d to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign[and date the affidavit_ The affidavit should be-mtammed to the city or town that the application for the permit or license is being requested,not the Department of Lunnst ial Accidents. 11 ouldyou have any questions regarding file law or ifyou are meal red to obtain a workers' compensation policy,please caa the Department at the m=bea listed beIow gelf-rosined companies should enter their self-in.sara ce license number on the appropriate line. City or Town OfElciais Please be sine that the affidavit is complete and praftrA legibly. Thi-_Department has provided a space at the bottom of the affidavit for you tc)fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permiY)icense number which will be used as a reference number. In addition,an applicant that must submit multiple per itllicense applications in any gaven.year,need only svhmit one affidavit indicating='--nt policy inf =, atioa(if necessary)and under"Tob Site Ad&ess-the applicant should wute"all^locations is (cry or town)-"A copy of the-affidavit that has been officially stamp(--d.or marked by the city or town may b e provided to the _ applicant as proof that a valid affidavit is on hIe for fui$ it's e�peam or licenses_ A n6W affidavit must be filled out each ye r Where a home owner or citizen is obtaining a license or permit not related to any business or commercial v&nime (i.e. a dog license or permit to bum leaves etn.)said person is NOT regMized to complete this affidavit The Of of Investigations would like to thank you in.advance for your coopexafion and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Th3 Cz)-=ManWeaja of Mjss clL sf t- ' a Pe-pattmmt of lidmf dA Ac zgenta 4 hfn tan - s Tf,-L 4 617 -4g00 Qxt 4-€6 or 1477 hASSAFE Fax 9 617 72.7M Revised 4-24-Q7 .maLgog E& DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/19/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANDCONFERS 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 endomement(s). PRODUCER CONTACT Kat h Silvia NAME: y The Fair Insurance Agency Inc. PHCNN (508)775-3131 FiA_X_ (508)790-1677 619 Main Street ADDRESS:kathy@thefairagency.com Spite 1 INSURER(S)AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURERAEssex Insurance Co INSURED INSURERB:Safety Insurance Co. 39454 The Waquoit Group LLC, DBA: GCI Builders DBA Paul INSURERC:Savers Property 6 Cas.-ARWC 31771 PO BOX 509 INSURER D: INSURER E: Marstons Mills MA 02648 - INSURERF: COVERAGES CERTIFICATE NUMBER-CL15101901138 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES.OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIOD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,600,000 DAMAGE TO IENTEI A CLAIMS-MADE ❑R OCCUR PREMISES E.occunence $ 500,000 2CV2830 5/28/2015 5/28/2016 MED EXP(Any one person) $ - 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑SRO RO ❑LOC _ PRODUCTS-COMPIOPAGG $ 2,000,000 J OTHER: Individual Risk Mod Prem $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 5052134 6/3/2015 6/3/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS pera.dent Medical payments $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 C OFFICER/MEMBEREXCLUDED? NIA El (Mandatory in NH) WC0002374 5/28/2015 5/28/2016 E.L.DISEASE-EA EMPLOYEE 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ '500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 Chad Doe THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 803 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Centerville, MA 02632 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIMTI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) ' I A <":/j o Office of Consumer.Affairs&Business Regulation -HOME IMPROVEMENT CONTRACTOR �egistration:. 152253 Type: == _ >Expiration: 8l11i20Ati ^:mate Corporation GCI BUILDERS INC: PAUL MAZZOLA. 644 RIVER ROAD MARSTONS MILLS,':.:.'.03Af3 10 'Massachusetts -Department of Public Safety Board of.`Buiiuing RegWaations and St.—A—A, - - fi -9 License: CSFA-057934 o:ri:S 0�.. PAUL J MAZZ016A PO BOX.509 Marston Was MR dklo Expiration Commissioner 06/19/2017 r f . License or registration valid for individul use,only, before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid out signature Restricted' One-and two-family dwellings or any accessory building thereto;irrespective of size. Failure to-possess a current edition of the Ma3sachusetts State Building.Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS r ry Town of Barnstable f , �* Regulatory. Servicest` ;r,k � xa y MA9S $ Richard V.Scali,Director r rµ h d { <t s u 0 Building Division Tom Perry,Building Commissioner 4 3 r {, 200 Main Sheet;Hyannis,MA 02601 www.townbarnstablema.us Office: 508-862-4038 Fax: 508 790-6230 Property Owner Mush ` 4 t Complete and Sign This Section t If Us ina A Builder I, 67`1� (T►/a�'n( . �-.� ,as Owner of the subject propeity he by au±o ;e l�.C„� I�Q�! 1�1 C to,act on my behalf, �gv in all matters relative to work authorized by this building permit application for t (Address of Job) 'Pool fences and alarms are the responsibility of the . Pools are not to be filled or utilized before fence is ' Called and final ections are performed and accepted. S er S' tore of Applicant eAvL tint Name Print Name . Q:FORMS:O WNEKPERMISSIONPo0IS A. Town,Qf Barnstable Regulatory Service's - 400 royy� Richard V.Scali,Director $ceding Division f RARNEMA33T3[ Tom Perry,BmTdmg Commissioner p 163T9. 16 200 Main Street; Hyannis,MA 02601 www town.harnsiable.mans Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Plczse Print DATE: JOB LOCATI02L number stroct vrllago "fiOMEOWlr�: name - home phonc# work phonc fr 7 CURB ENT MAMJNCY ADDRESS: city/town state rip cods The current exemption for`homeowners"was extended to include owner-occgRied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ DEFIIMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,an`which thamjs,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such woik performed under the building permit (Section 109.1.1) , The undersigned`.`horQeownet"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she imderstands the Town ofBarnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signat=ofHomeowne Approval of Building Official Note:-Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a bniIding permit is'required shall be exempt from the provisions of this section(Section 109.11-Licensing of contraction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who rise this exemption are unaware that they are assuming thelresponsihiprties.of a supervisor (see Appendix Q,Rules&Regulations for Licensing"Construction Supervisors,Section 2-15) This lack of'awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it Would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible_ To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page . of this issue is a form currently used by.several towns. Yon may care t amend and adopt such form/certification for use in your community. Q.\WPFu-ESTORMS\bunZdmgpermitfa=\E ZESS.doc Revised 061313 �015 0c elephone: 508/563 60 49 COLONY 1NSUL,4TION INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET i CONTRACTOR JOB SITE ADDRESS: �K03 � o U DATE: R.VALUE AREA — THICKNES.S + — Ceiling , Cathedral Ceiling — Garage Ceiling B a s e m e n t C e i I i n g — Slopes \ V — Exterior W all Garage H se. W all — W alkout W all. Cathedral W all B lockers Overhang — Stair/Risers — ioo . 'are'deemed to be accurate by the followin All R-values and thickness measurementsg installers: TECHNICAL DATAFOR MATERIALS IS ATTACHED TO THIS FORM f / - - ' noon¢ ThermalGuard CC2 TECHNICAL DATA SHEET PRODUCT NAME PHYSICAL CHARACTERISTICS j Property Value. Test Method , �� � �� Density(nominal): 2.0 lb/ft3 -ASTM D-1622 R-value: 7/inch ASTM C-518 TllbrmalGuard CC2 . Compressive Strength: 35 PSI ASTM D1621-94 Tensile Strength: 70 PSI ASTM D1623-78 PRODUCT DESCRIPTION Dimensional Stability: <4%A ASTM D 2I26 j Closed Cell Content: 96% ASTM D 2856 ' ThermalGuard CC2 is a fast set,closed- Air Permeability: .002 L/sm2(@ 75 Pa @ I") ASTM E283 celled,245fa-blown spray polyurethane Vapor Permeability: .8 Perms @ 2" ASTM E96 foam(SPF)insulation designed for use Fungus Growth: None ASTM G21' in residential&commercial structures, Service Temperature: 250-'(120°C)* exterior foundation or perimeter - insulation,below grade applications, 'Service temperatures will vary depending on application. Contact your Arnthane Technical Representativefor recommendations and limitations.Always test 77rermalGuardMforsuitabilityforyourparticular application in exterior tank/pipe insulation and etc. a safe manner. . ThermalGuard CC2 is applied as a LIQUID PROPERTIES I liquid and expands 25x in seconds to fill Property Value Test Method and seal building cavities of any shape Viscosity(A) 200-250 CPS ASTM D-2196 I and size. It exhibits superior thermal Viscosity(B) 1100-1300 CPS ASTM D-2196 insulation,air-barrier,and sound Weight Per Gallon(A) 10.25 lbs/gal ASTM D-1475 attenuation properties compared to Weight Per Gallon(B) 9.4 lbs/gal ASTM D-1475 conventional insulation materials. REACTIVITY PROFILE Once fully cured ThermalGuard CC2 Property Value remains rigid maintaining significant Cream Time: 2-3 seconds @ 25°C(77°F) structural strength and thermal g Rise Time:: 12-16 seconds @ 25°C(77°F): j insulation properties in adverse conditions across a wide variety of' COMBUSTION PROPERTIES I applications. Pro pert Value T s Method rt Flame Spread Index: <25 ASTM E-84 MANUFA ff TURER Smoke Development: .<450 ASTM E-84_ ThermalGuard CC2 is manufactured' PACKAGING&STORAGE exclusively by Drum Weight(A) 551 lbs t Arnthane Inc. Drum Weight(B) 500 lbs . Total Set Weight 1051 lbs 1002 West Main Street Storage Temperature Range(STR) 60—80 OF Richmond,MO 64085 Shelf Life at STR 6 months P.816.776.3015 F.816.776.3215 *Do not allow material to freeze.Do not preheat or recirculate(B)material as it ivill calise frothing and loss of www.arnthhne.com--- blowing agent. Storage at temperatures above or below STR may shorten she f life and cause degradation or loss of blowing agent. Cold material will develop higher viscosity which can cause during processing such as pump CORROSION cavitation and poor mixture of(A)and(B)components.For best processingperformance chtring application(A); and(B)drum'temperatures should be between 60 T—80 F ThermalGuard CC2 is chemically& PROCESSING PARAMETERS physically compatible with all common Processing Pressure Range: 900-1400 PSI* . building materials including electrical Processing Temperature.Range: 115—145°F* wiring,wood,metal,concrete,plastic Substrate Temperature Range: 35 105 OF (PVC),copper,vinyl,and glass. Ambient Temperature: 35—105 OF Substrate Moisture Content: •<19%° INSTALLATION Yield: 3800-5000 Board Feet Per Set* Maximum Lift Thickness: 4 inches** TlmermalGuard CC2 must be spray, i ' *Processin orameters& .- applied using approved equipment.Use gp yields can vary widely depending on substratet¢mperatur¢,type&condition,ambient 1:1 ratio proportioning system that can temperature,elevation,humidity,equipment and other factors. During installation the applicator must observe the achieve the specified temperature and qualitypnd characteristics ofthe foam and adjust equipment temperature,&pre iWL settings as needed to accommodate these variables in order to ensure optimum yield,proper adhesion,proper cell structure,and,, pressure:requirements. performance ofthefoam. ,*,*ALWAYS test ThenmgIC6rd CC2 at desired thickness in as*manner prior to insulating structure.to ensure e - that it can be safely installed at the desired Ili?thickness without risk of charring or combustion. It is the exclusive responsibility of the applicator to achieve proper liftthickness for safe application. Safe ih thickness may vary from application to application. f 1002 W Ma Richmond,M( P 816.7 ® F 816.7 arnth www.arnthr Arnth ne Spray foam insulation P'rrudq, , 4. It io �^s 6y �a,,. - i - - •• � E- � 4 is r 2YY '� ' fi ThermalGuard Th_ ermalGuard ThermalGua CC2 OCI 00'5 & OC.5R Nominal Density: 2.0 Ib/ft-1 Nominal Density: 1.0!b M Nominal Density .5 lb/ft' CC2 R-value: 7.Olin R-value 5.24/in OC.5 R-value: 3.8/in Compressive Strength: 45 PSI Compressive Strength: 7 PSI OC.5R R-value: 4.3/in Vapor Permeability: 0.8 Perms @ 2" Vapor Permeability. 3.6 Perms @ 5" Compressive Strength: 0.6 F <` Vapor Permeability.•4.2 Perms Y Product Description Product Description Product Description ThermalGuard CC2 is a semi-rigid,fast.set, , -ThermalGuard OC1 is a soft, fast-set, ThermalGuard, OC.5 & OC:5R an closed-celled, spray polyurethane foam open-celled, 100% water-blown ,spray low-density,open-celled;100%water-bloK (SPF)insulation system designed for use as polyurethane foam (SPF) insulation system polyurethane foam (SPF) insulation , a high performance thermal insulation: designed for use in residential & commercial `designed for use in residential&commerc wall,attic,and roof-deck applications. attic, and roof-deck applications. Both F can reduce energy consumption by up to 5 ThermalGuard CC2 is a spray applied insulate & air-seal the structure in.a sing system suitable for a variety of insulation ThermalGuard OC1 can reduce' energy Y Y ThermalGuard 0C.5fZ is a bio-renewable applications including in-plant, tank & consumption. in structures by up to 50% that exhibits superior fire-resistance proper, compared to conventional insulation systems increased R-value. ThermalGuard OC.5 ,pipeline, residential & commercial , because it insulates&air-seals in a single step. construction, foundation and below.grade g p optimized for installation in cold temps applications where compressive strength or down to 15°F. ThermalGuard OC1 is applied as a liquid and impact re.sistance.are desired: expands over40x in approximately 8 seconds to ThermalGuard OC.5 & 005R are applie fill and seal building cavities of any shape and liquid and expand over 100x in approxim ThermalGuard CC2.is applied as a liquid. size. ' It exhibits superior thermal insulation; seconds to fill and seal building cavities and expand 25x' in a approximately 12 air-barrier, and sound attenuation properties . shape or size. They deliver superior t } `seconds to form.a smooth, durable surface over conventional.insulation materials and has insulation, 'air-barrier, and sound after ° perfect` for the application of primers or been proven to improve indoor air quality & properties compared to'-conventional ins comfort. materials and contribute to.a healthy indo( finish coatings. )utdoorenvironment. �. n 4 Town of B arnsable ��� ° � � l�egul�tory..•Serv3�es - ' , : • .• ' ' ' • ,�,axsr1p7,Y _ Thomas F, Gel]er,DirE�tdr - • . . Building Division ThomasPErry,•C30,BuEding ConzmissionEr 200 Ma; Street Hy,annis,MA 02601 . ... R,WPF.town.barnstable.ma.us O$icz: 508-862-4038 Fax: 508-790-6230. ' JD LAN REVIEW Owner: Map/Parcel: l�5 L Proj ect Address $`0 3 Sow'Mom, J3 uildei 'MA-2 a IA CG,.C%3-) The following items :were noted on reviewing: 1 U,N £AXO 2 A-n�A �bZN G ON�-` �No n w oak �o� --rr VMS . p ErznsT> . tlhorcE 0�' Ta 2, tYti�sT g F 2Avyn F'0 2. -rFi*O RPyie�.ed by: �� •. . . . _ . r - C� iojz�l�s Town of Barnstable *Permit ' 01 070 Z4 Expires 6 nwnda from issue dote d Regulatory Services Fee snsivsrAJ= BEAM1659. Richard V.Scali,Director Building Division . Tom Perry,CBO,Building Commissioner ® PERMIT 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us OCT 19 2015 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDE9Tfi RiPtJ STABLE Not Valid without Red X--Press Imprint Map/parcel Number ` Property Address 8� s /� 44j srltel-1 &yheAy e 1�'1 dResidential Value of Work$ a MO.w Minimum fee of$35.00 for work under$60010.00 Owner's Name&Address I e. ReQ I44L Rv'�'ty F4a R , wl w df+sQ DdoR.7 i2�•1� Ro1Te� �c�►4o,Nsr Contractor's Name l9 LZ pu,IcXGAS P"L 0%7-2dI& Telephone Number 508- W -9)83+ Home Improvement Contractor License#(if applicable) 3 mail: c-i 6 m,141A S Q sf Wr Construction Supervisor's License#(if applicable) C S FA-0 S71,34 a [/dorkman's Compensation Insurance Check one: ❑ I a sole proprietor ❑ am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box). ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to W l d�' Ar �ur/ � e-roof(hurricane nailed)(not stripping. Going over existing layers of roof) e-side /�p1�DewN AW Sd�1 Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows 36 #of doors: 3 �[l S f 5 A V V-TW..S v19�� 3 �SOJJ C.OM4SA Z W 4-4 jj 0 He4r- ❑ Smoke/Carbon Monoxide.detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits re uired. ll *Where required: Issuance of this p oes not exempt pliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pr erty Owner must sign operty Owner Letter of Permission. copy of the Home I rovement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMS ilding permit forms\EXPRESS.doc Revised 040215 The Commorrweakh of-Massa Itusetts LNrlawhment of Indkytrid Acciderds Off"OfInve3figadam 600 Washington Street Boston,MIA 02111 mPmmamgvr/d"ra , Workers' CampensationnInsurance Affidavit:BuRders/Cantx-actur&Uec •icians/Plumbers.` AppUcamt an Ple.aseIrint�gi�y FO-;t>aK SD ei (o 44 Pi,�sw2 �A� cityyrstat f)ks-�OP fo& 1 .o��& phone ik 59 -gad 9e)34 Are,�an employer?Check the appropriate be= Type of project(required):1.L9'I am a employer with 3 4 ❑I am a general contractor and I employees(fu;ll aesclfor part-time)-* 'rave hired the sub-contractors 6- ❑ er�nsfrnc ota 2.❑ I am a sale pmpsietor or partner- listed on the attached sheet. �- Fegarrdeliug ship and have no employees . These:sub-contractars have g- ❑Demolition Woticing forme in any capacity. employees andhave wadmrs' 9. ❑Build-tag addition ` [No worbn(s'pomp-insurance Comp_Msuranml 5_ ❑ we are a corpora#im and its 10-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have wised their 1 L❑Plumbing repairs or additions o workers' _ right of exemption per MGL repairs ranceequ dj F c.152,§1(4h andwe have no17❑Loaf emplo3'ee&[Nowoziners' 13-❑other pomp-imurarce zequired-) *AzEy apptic=ffiatcbed3bas isl nmst also Moutthe sectionbelow showing tbeirwcd ele campensafinapoT fn eyinemadmL * 1 Eonuwvn m Srho subuatt dds affidacif imdEcr6utg they are dGing all W al=41&M hire Outside eontmCmrs WM submit anew affidavt mdicsa¢g Such .. fCaatsacmm;brat duedI this b=mast simched=additfuQa2 sheet shovdhg dmname of the sub-caatrscm¢s and state whether or not those entities bxm employees.Ifthesub-c�sbac a emplayee%dLe}' pmvide their wwken'comp.policy,number- lam an ,8'eloev is flee pvHcy and jab sfte information, Insurance Company Nam: � � �• Paficy 41.or Self-ins-Lic_# Job Site Address: &�S ,�-) sT ' CrEylStafeJ2ig ° ,(Le Attach a copy of the workers'compensation policy declaration page(shaming the policy,number and expiration date). Failure to secure cavesage as requiredunder Sez i=25A of MGL a 1572 can lead to the imposition of criminal penalties of a fine up to$1,500 OO andlar one-year imprisonment.as west as cif peualties.in the fazm of a STOP WORK OMER and a fine of up to$250-00 a day against the violator. Be advised brat a copy of this statement may be hrvmded to the Office of r Iavesfigations of ins coverage verifrcaftom I do leersby Cgrezuder ' s andpenaIt m°fp ry that Me hzforerrn€Pmprm dabmw is bare aced correct Ste : Date: //&7//6-- Phoneg.7 MU22-vIA 09 -.77(o 0,0icial use an£y. Do rat write in#leis area,&be evinp&ad by cdp ortot m. ojoSciat City or Town: FeruaittlLicense# Issuing Antharity(circle one): 1.Board of Health I Building Department 3:CityITown Clerk 4 Mectrieal Inspector S.Plumbing Inspeeter 6.Other Canbct Person: Fhone#- • k.1. '. , 6 Information and Instructions i Massac,news Ge=rg Laws chapirr M reclanes all employ=to provide w06eas'compensation far their empioyees- Fwmantto this sbtafr,an.m plo3'w is detme .as.'�—every person in the service of another order any coiract ofhire, express or implied oral or " An ezrrp£oye2-is defined as"air inclividnal,par[nerShT,association,c mpora don or other legal eathy, or airy two or more of the foregoing engaged is a joint Vie,and inchrding the legal represeves of a deceased employer,or the receiver or trastee of an individnA partnmship,association or other legal entity,employing employees- However the owner of a dweIli ig house having not more thanthree apartments and who resides fhesei�or the occ�t of the - dwelling house of another who employs persons to do mamtenaam,construction or repair work on such dwelling house or oa the grounds or bm mg appratm :ltthemto shaIlnotbecanse ofm=h emplaymeactbe deemed to be an employer" MGL chapter 152,§25CC-6)also states that'every State or local Ur=s ng,agency Shall withhold sae issuance or the commonwealth for • or to construct buildings m �y of a Iicerzse or ermittoo erate arbnsmess dmg� renewal F P a-PPlicazt who has not produced acceptable-evidence of compuance,with the 4nsn ce.coverage required." Additionally,MCM chapter 152, §25CM staters-Neithar the coimuanwealtb.nor any bf its political subdivisions shall enter into any contract for the performance ofpubho weak u a acceptable evidence of compliance with the insui-aace._ ets of this chapter have been preseniEd to the rn„fi-a ctink autb-ozity_" ° ApplicautS Please fll out the wo&rs'compmsation affidavit completely,by checlong the boxes apply to your siiaation and,if necessary,supply sub-contractors)name(s), address(es)and Phone manber(s)along with their cetti acate(s) of insrttance. Limited Liability Companies(LLC)or Li=i LiabEity-Pactaerships(LIP)wiihno employees other than the members or pactneas,are not required to ca3zy woiiceas'compensation iasraance If an LLC or LLP does have employees,apolicy is required. Be advised that this affidayitmaybe submitted to the Department of Industrial Accidents mr conn[matio of iasnrm=coverage. Also be sure to sign and date the affidavit. The affidavit should be retain ed to the city or town that the application for the:permit or license is being requested,not-tire Department of Industrial AccideatL Should you have any questions regarding the law or if you-are recpz¢ed to obtain a workers' compensation policy,please call the Depmtnj ±at the mumbea listed below Self-insured companies should ester their self insurance license number on fhe appropriate line City or Town Officials . Please be sure that the affidavit is complete and prirdmd legibly. Thu Department has provided a space at the bottom of the affidavit for you to fill out i a the event the Office ofinvesti,gations has to conty tyou.regarding the applicant Please be sure to fill in the pen Jl cense mtnnber which will be used as a reference number. In addition,an applicant that must submit em it multiple pmllicense applit adons in any given year,need only submit one affidavit indicating curr eat p olicy information Cif nere_ssa y)and under`Job Site.Ad&r-ss"tiie a,pp,, should ate fall locations in (may or town)-"A copy of the-affidavit that has bey officially stamped or marked by the city or town maybe provided to the ' applicant as proof that a valid affidavit is on file for future permits or Hceuscs_ A new affidavit must be,filled out each year.Whew a home owner or citizen is obtaiIImg a license or permit not related to any business or commercial verse (i.e. a dog license or permit to bum leaves eb-- said person is NOT regtmmd 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 Departmemfs adds,tnleghone and fax number: . Dega�ment cif Acaid�nts . ' face�,fur.� fzoaa� � I�fA E��11 Tf,-L 4 617' — 9W cxt 4€6 car 14 Fax 9 617 727�� x evised 4-24-07 W W �� snaxsr�sr.�, �MASS. Town of Barnstable , Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize V �.� �/!IU�°2� �• to act on my behalf, in all t natters relative to work authorized by this building pertnit application for: ro 3 Sov+14 (%u 5�gyT Og dle (Address of Job) S' lure Owner Date Print ame a If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the , reverse side. - QAWPFU ES\FORMS\building permit foams\EXPRESS.doc Revised 040215 Town of Barnstable 'S Regulatory Services °U11M A Richard V.Scali,Director Building Division `* + Tom Perry,Building Commissioner z" ��� 200 Main Street, Hyannis,MA 02601 ED www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE ExEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval ofBuilding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner-performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for'hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFMES\F0R1AMuilding permit forms\EXPRESS.doe Revised 040215 a f 5 • r Massachusetts.-Department of Public Safety Board of Building Reguiations and Standards i-t»istruction%ne%-VaSor i &2 Faa7nii_` axirr: License: CSFA-05.7934 y ct T 1•.S PAUL J MAZZOIi PO BOX 509 Marston HERS-N 1 'Expiration Commissioner 06/19/2017 _ - L:/he (Gcmvnia�tz�eea��e n�t'p�1ctT�iu� . Office of Consumer Affairs&Business Regulation, rOME NPROVEMENT'CONTRACTOR egistration a52253 'type; xpirotion 8/ ii2u t;, ,ililie Corporation, GCI BUILDERS INC PAUL MAZZ `OLA 64 RI _ - 4 RIVER ROAD, G MARSTONS MILLS Cr48 _, y Jr. .,,�craary F L� ease orlegis ration valid:for individul use�only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Pl6za-Suite 5170 Boston,MA 02116 Not va i without signaturef' SdQ jnag•SSeyyMMtA INA uo„ewJo;w BwSU 339 Sd(j J01 •asua3ll slyl;o uolie3onaj j01 asne:)sl apo:8ulpling aleiS suasnyaes$eyy a4l10 uolupa luaiim a ssassod of ainilej azTs�o angaadsajm`o1aiagp S*pTmq tiossaaoe AUU io 82um0nnp APUFe3-oM4 pine-aup-paPulSaH ACO® DATE(MMID `CO CERTIFICATE OF LIABILITY INSURANCE 10/19/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Silvia The Fair Insurance Agency Inc. PHONE (50$.)775-3131 FNo:(508)790-1677 619 Main StreetE-MAIL kath @thefaira en com ADDRESS: Y 4 cY- Suite 1 INSURER(S)AFFORDING COVERAGE NAIC S Centerville MA 02632 INSURERAESsex Insurance Co INSURED INSURER B:Safety Insurance? Co. 39454 The Waquoit Group LLC, DBA: GCI Builders DBA Paul INSURERC:Savers Property & Cas.-ARWC 31771 PO BOA 509 INSURER D: INSURER E Marstons Mills MA 0264E INSURERF: COVERAGES CERTIFICATE NUMBERCL15101901138 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL BR POLICY EFF POLICY EXP LIMITS - LTR POLICY NUMBER MM/DD MW0D X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A I CLAIMS-MADE Fx_1 OCCUR DAMAGETORENTED 500,000 PREMISES Ea occurrence) $ 2CV2830 5/28/2015 5/28/2016 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1.,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 B POLICY 1-1JRE T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Individual Risk Mod Prem $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED g SCHEDULED 5052134 6/3/2015 6/3/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS per accident Medical Eaments $ 10,000' UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER' ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 100,000 OFFICERIMEMBEREXCLUDED? NIA C (Marntatory In NH) NC0002374 5/28/2015 5/28/2016 EL DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Chad. Doe THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 803 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Centerville, MA 02632 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIMTI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD IN3025 r�orann - Parcel Detail Page 1 of 3 �F * � < . . III `1h55 Ni Logged In As: Parcel Detail Tuesday, Ju Parcel Lookup Parcellnfo _.. Developer Parcel ID i 185-016 Lot 'LOTS 19 24 26, & 27 Location 803 SOUTH MAIN STREET Pri Frontage 30 _Sec Road Sec� �� Frontage village CENTERVILLE Fire District C-O-MM Sewer Acct� � Road Index �1507�^ Interactive Map f -. Owner Info Owner WILLER, DWIGHT D & Co owner MIL R, OLDEN D JR & DAVID P Streetl 52 DUFF ST Street2 ^ ,__ —x. City IWATERTOWN St a MA Zip eo 72 Country - Land Info 1 Acres 10.24 se Si 1 Zoning �kD1 Nghbd [WF10 Topography!Level Road Paved r-- --- - — —� Utilities 4Public Water,Gas,S ptic Location Excel View,Waterfront - Construction Info Building 1 of 1 Year 1910 � Roof Gable/ Ext iC alai pboard- � Built - -- -. --- Struct Wall Effect f3115 Roof jAsph/F GIs/Cmp Area ---- -- Cover — Type I - _ _ Bed Wall '€6 BedroomsT style Cottage Minimum Rooms Floor[Hardwood m Rooms Bath Model [Residential €Hardwood 2 Full --- - Grade verage Plus .Heat N one Al� Total .$Rooms Type F Rooms� '\ htt ://iss 12/intranet/ ro data/ParcelDetail.as x?ID=12458 p q p p p 7/10/2007 Parcel Detail Page 2 of 3 Stories 12 Stories I Heat None Founa- Pouted Conc. Fuel a-.-.. , Permit History Issue Date Purpose Permit# Amount Insp Date Coma 2/3/1997 Repair Work 20894 $5,000 8/10/1998 12:00:00 AM Windo, Visit History E6/26/ Who Purpose 2001 12:00:00 AM Paul Talbot Meas/Listed Sales History �� Y Line Sale Date Owner Book/Page Sale P 1 12/29/2000 MILLER, DWIGHT D & C160244 2 MILLER, DWIGHT D C80305 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $250,100 $6,400 $0 $1,138,800 $1 2 2006 $167,800 $6,400 $0 $1,028,000 $1 3 2005 $144,900 $3,800 $0 $1,019,100 $1 4 2004 $120,500 $3,800 $0 $764,400 5 2003 $90,700 $3,800 $0 $538,300 ; 6 2002 $90,700 $3,800 $0 $538,300 7 2001 $89,600 $0 $0 $538,300 ; 8 2000 $89,400 $0 $0 $222,900 9 1999 $89,400 $0 $0 $222,900 10 1998 $83,700 $0 $0 $222,900 ; 11 1997 $78,000 $0 $0 $222,900 12 1996 $78,000 $0 $0 $222,900 13 1995 $78,000 $0 $0 $222,900 14 1994 $75,600 $0 $0 $222,900 15 1993 $75,600 $0 $0 $222,900 16 1992 $85,400 $0 $0 $247,700 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12458 7/10/2007 Parcel Detail Page 3 of 3 17 1991 $93,500 $0 $0 $247,700 18 1990 $93,500 $0 $0 $247,700 19 1989 $93,500 $0 $0 $247,700 ; 20 1988 $65,100 $0 $0 $134,000 21 1987 $65,100 $0 $0 $134,000 22 1986 $122,700 $0 $0 $178,700 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12458 7/10/2007 Engineering Dept.(3rd floor) Map /)Parcel z�71 ermit# House# U�jGGC� Date Issued v2`'jJ Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 'Bq 3��5 Fee o® Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 2 ] } m Planning Dept.(1st floor/School Admin. Bldg.) 111E Definitive Plan Approved by Planning Board 19 BARNSTABLE. tFO MAr�`� TOWN OF BARNSTABLE Building Permit Application 4rojectStreetAddress bos '50J *V--% mygF y- Village Owner �(d_ l,b V Address 50 3 '5®J"M M e� Telephone te I Permit Request (44g�q\^-c� O®o tL rv,� `��v1ca > IM0 N First Floor Lj Z- square feet Second Floor ! t'O square feet Construction Type ( o(V1 Estimated Project Cost $ �QCo ' Zoning District Flood Plain Water Protection Lot Size ;� —) Grandfathered es ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure , Historic House ❑Yes ❑No On Old King's Highway ❑Yes XNo Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) -- Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing L/ New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other no tic Central Air ❑Yes PNo Fireplaces: Existing New Existin woo coal stove Wes ❑No ,-Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) Uf None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑10 If yes, site plan review# Current Use Proposed Use Builder Information Name �E ` Telephone Number Address Q�'`C License# 01 J d Lf Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONST CTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO GNATURE DATE A/17 *ILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED' MAP/.PARCEL NO. 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION , 5 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT A _ ASSOCIATION PLAN NO. f [ ] [R185 016 . ] LOC] 0803 SOUTH MAIN STREET CTY] 10 TDS] 300 CO KEY] 106058 ----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0 MILLER, DWIGHT D MAP] AREA] 35WA JV] . MTG] 0000 52 DUFF ST SPl] SP21 SP31 UT11 UT21 . 24 SQ FT] 3170 WATERTOWN MA 02172 AYB11910 EYB11970 OBS] CONST] 0000 LAND 222900 IMP 78000 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 300900 REA CLASSIFIED #LAND 1 222, 900 ASD LND 222900 ASD IMP 78000 ASD OTH #BLDG (S) -CARD-1 1 78, 000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #RR 1507 0030 TAX EXEMPT #PL SOUTH MAIN ST CENT RESIDENT' L 300900 300900 300900 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] C803050 AFD] LAST ACTIVITY] 06/14/90 PCR] Y Y R185 016 . A P P R A I S A L D A T A KEY 106058 MILLER, DWIGHT D LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RD- 1 222, 900 78, 000 1 A-COST 300, 900 B-MKT 199, 100 BY 00/ BY /00 C-INCOME PCA=1041 PCS=00 SIZE= 3170 JUST-VAL 300, 900 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 35WA -- TREND EXCEEDS STANDARD NEIGHBORHOOD 35WA OSTERVILLE/CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 151 15 LAND-TYPE 2229001 LAND-MEAN +Oo 3009001 576800 IMPROVED-MEAN -860 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] r r R185 016 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 106058 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT CAPET-MILLER PHONE NO. : 703+560 3611 Jan. 31 1997 03:16PM.P2 r � v .4 r V S _ lrloy � Z ✓ '' � Zd � j D 0 c �Ot1c)3/kSN r z r � t V-n Jr ci r T t rd 1� r 6 � � z i mi s on Z Qz (r10Al 3f$u g j r � v ?J _ i I r �`' •j�� �• c� � s•I — r� F r rT'• I -:AL � •� �"`�t��j• ; �r � � f1 1 1. S ' 4 C� " I t l •a,T�b , r "�y )' 14 _ �.•: r g `d"�Si"'ems• ,�� I < 4r� • a�tuvsrnst� . The Town of Barnstable 94, ° ;�16 ,0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissior i For office use only 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. Type of Work: ��f'�Z� Est. Cost Address of Work: 8© 3 Owner's Name V\Ac��\�1'� Date of Permit Application: 3 I hereby certify that: 1 i Registration is not required for the following reason(s): r Work excluded by law Job under S1,000. _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 FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: o Date Contractor Name Registration No OR ., The Commonwealth of.Massachusetts Department of Industrial Accidents Office ollnses 921180s- _ •''\_, '�' -- ;;^'` 600 N'ashin;;forr Street Boctotr, Afuss. (12111 Workers' Compensation Insurance Affidavit ... .,�.-..._ ._..r:. .,.may.. �mlicant information• Please PRINT lebi�v name: locati city LY�TC --' \�� Z�3 2=— nhon cf t, `31�`� I am a homeowner performing all work myself c2l am a sole proprietor and have no one working in any capacity �....3_".:....r... -.+r^:�'7�...s s•�e•—.7-{ec,r,r-s:asr'T!.s+Tacr il6'aaM•r'.'+!r^^.. .w^R!'�•Sw•�.tr` ^+,^.u.wtr�n• a .r+.......t..==�,...«_...•.,.•, this job. contp•tnv n• me address city: insurance co. Policy# 77 I a sole prop�ers' neral contractor,or homeowner(circle one)and have hired the contractors listed below who have th _ ompensation polices: company nine- address• cirv: i rrhone#• insurance co ' policy# comram• nitne• address: city r Phone#: insurance co policy# Attach additional sheet if necessary, H._ tea° _ •� f''� �"r` ' y T� Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this "ta tent may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereb.V •rrifr under tin prrinr an per pities of perjure•that the information provided above is true and correct. Sicnature Date /_ Print name ��"C — �\\� Phone# T ofliciaPuseoonh• do not.write in this area to be completed by city or town official city or tnvn: permittlicense# nBuilding Department Licensing hoard _ check if immediate response is required ❑Selectmen's Office ' [311calth Department contact person: Phone#; rJ01her 5 i (rec.sed J;1)4 NA) information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "lacy", an einploree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An enrpinrer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foreuoinu en-aucd 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 haying 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 ��rounds or building appurtenant thereto shall not because of such employment be deemed to be an etn"ployer. MGL chap1cr 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal ofa license or permit to operate a business or to construct buildings in the commonwealth for any applicant Nf•ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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 police, please call the Department at the number listed below. City or Towns 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 leas to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. Tile affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. 'R tv like to thank you in advance for you cooperation and should you have any questions., The Office of imest►_at►ons ould p q 'please do not h * es►tate to �►v e 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 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 i �-' •.. .. `�� ___- -�� j/JdIIYI�2tYl2ClICQA�iL 6�✓I�GCYQQCGCfLLCQfiGL(i� `+._-- -._ ... _ _. _ _ _ _ _ _ _ .._ _._ _,_ _ Restricted To: 0B DBPARTKBNT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE 00 None. Ruder, <.1zpires: Birthdatg: . lA - Kasoury only CS . 615844. J 08115/1997 08115/1951 16 - 1 & 2 Family Homes Restricted'..To:' 00 Failure to possess a current edition of the Kassachusetts State Wilding Code PBTBRNB EBLLY is cause for revocation of this license. 93 PHEASANT NAY I CBNTERVILL, KA 02632 F-: MM Ugk �4 4 ei,y Y1 •> p y.4.Y. t M N M PROV_. ENTCONTACTOR e9 sir Yoh 03928„ � �. Tyke INDIVID L; � g �Exp►ratton � . 4 PETER E KELLY , 1 �^ & .t..; . 9Vheasant Way .x enterville MA 02632 4 ADMINISTRATOR ia•d i ry i TOWN OF BARNSTABLE BtiILDING PERMIT APPLICATION' Map S Parcel Permit# Health Division Date Issued DO' Conservation Division Fee Tax Collector Treasurer i Planning Dept. Date Definitive Plan Approved by Planning Board " Historic-OKH Preservation/Hyannis Project Street Address S y J Village Grn A&n vt Owner OwIGHT m 1 I 2 Address t Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 9000 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat.Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other 4 Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:O existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ERASER CON3. Telephone Number Address 71 TARAGON CIR. License# COTUIT PEA 02635 Home Improvement Contractor•# 5 B) 428-2292 Worker's Compensation# ALL CONSTRUCTION.DEB RI RESULTING FROM THIS PRCJECT WILL BE TAKEN TO SIGNATURE DATE v �� FOR OFFICIAL USE ONLY - - PERMIT DATE ISSUED MAP/PARCEL NO. :k• - ~' �'+ - � �`,. ~ . `' `` q`... r.,,.,. rig, l ADDRESS VILLAGE s OWNER' DATE OF INSPECTION: FOUNDATION' s FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL; GAS: ROUGH FINAL, _ FINAL BUILDING r } DATE CLOSED•OUT ASSOCIATION PLAN NO. ! t fi - .� V7l�.�/O�J�P/JliE09tdl16� Q�../� lQe� HOME IMPROVEMENT CONTRACTORS REGISTEtATION and of Building Regulations and Standards One Ashburton Place - Rom 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR --- ---------------------- -__-_-- •-- _ Registration 112536 Expiration .04/06/01 Type - DBA J: tM NWWT WTOR R"jsuaUei 1125% Type - 08A FRASER CONSTRUCTION co 4 i DEAN C. FRASER 1. TARRAGON CIR --- COTUIT MA 02635 i FRS CONSTRICTION co KM C. FRASO CIR TUIT M 0264 r .. 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',^•�' .:v:nv77}`}:{vv.v:•v:;.::.:: '.i:•::..:.:v7:::..if%ii 5•{i:%}'%}:{ '^\+.•.•fiG.••:•:{•' .CTY.Y!{•,{,,ISYr •:rr..: ,/„'^ x ±�..f,3,x+..x..�, ^A,R.. r. f.,{,y^+:.:.. ,:.:k•.;,• .::r+F ..,.};:a'+r,.%r:'+$:. t;,?.:::::•r.�•".;:��'�:• :::a�£:;:::;: ;;::: }per F T..... �{ U ..vvC• 4...x ..Y }... ..x.r:S r ... .n..v:...........v.....v............n. .v.,. p x. ......... FaHure to secure coverage as n ukvd order 8edim 2SA of MQ.152 estulead to the imposltlon otceimittai penaWas ota Hue IIp to fi1,S00.00 andJos one yeses'imprlsomna d ss'wefi es4M jVi*Atles in the corm of a i+M WORK ORDER and a An of 3100.00 a day against me. I understand that s copy of this staumeat may be tbrwarded tat ftOffl a of of the DIA for mane vaiAeadM I do hereby certi t artd ofpajW that the information provided abore is trw and corned Sigaatnre Date Print name,i ��gy� . (="2v9�-e �C Phame# -02E V W---------------- offldal use only do not write is this area to be eongdd d by city or town official _ I city or town: pan dbucrose M C3BWldfng D°Parfn'ent f3hicrosing Board check if immediate response is required ❑selectmen's OfficeCO ` �Hedtlt Depsatenee►t contact person: F ^ Del�"�' II (tevaed 9l95 PJia . . �: The Town of Barnstable . EL „ . • NAM Department of Health Safety and Environmental Services Y N►o�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 } Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW .aza 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. 1 Type of Work: Ife Estimated Cost Q Q t, Address of Work:} Owner's Name: ,.. .f�C (� Date of Application: `' add I hereby certify that: r� Registration is not required for the following reason(s): 0 Work excluded by law Job 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 FORIAPPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby"apply fora pe;i tas the agent of the owner. ti ate Contractor Name Registration No. OR Date Owner's Name i i q:fb ms.Affidav 1 tollq .lg e� Loz,:�-n4-- 4t� 12uA cLs �2 IJ Ala- 't. "-bc-Tc_, Cm-di cc l l iA -) a- g0 , J W( t t tJ n I go /N AA 40 . 2a�, PAO - i 31 . � a 5 VuZI y Ce ep,)ki w-e- CF A va -Ft) 2 -5L�e D Sc i 3?re.(ZJ IEV-. -k .5 o F Poo N�use s s� apd p �x�st'i�g � lib Q . - � ACT 19 2013, - A From': <dgonsalves@downcape.com> dgonsalves@downcape.com Subject: 803 South Main Street ®ate: Oct 12, 2018 at 11 :33:06 AM To: <gcibuilders@comcast.net> gcibuilders@comcast.net Attached is s sketch showing a-proposed shed. Unfortunately the side setback in this area is 15'which leaves us no room to put the shed and still meet the setbacks. There is a provision-in--the-zoning bylaw that says-you Gan use the setbacks that were in effect at the time the lot was created. I think a conversation-with the building commissioner would be necessary to get his thoughts. It may require a special permit. Thanks, Danny E. Gonsalves, EIT Engineer in Training Down Cape Engineering, Inc. Tel:508-362-4541 Fax:508-362-9880 This Electronic Message contains information from the engineering firm of down cape engineering,inc., which may be privileged. The information is intended to be for the use of the addressee only. If you are not the addressee,note that any disclosure,copy,distribution or use of the contents of this message is prohibited. pdf i 18-286...(1)-pdf 474 KB h Town of Barnstable, MA Page 1 of 6 Town of Barnstable,MA Tuesday,September n,2078 a e A oning Article XIV. District of Critical Planning Concern Regulations 7eighborhood Overlay regulations. [Adopted 1-19-2011 by Ord. No.ii-oi of the Barnstable County Assembly of Delegates pursuant to Ch. 716 of the Acts of 1989(Cape Cod Commission Act)] A. Purpose.The Neighborhood Overlay regulations establish uses,dimensional requirements and design guidelines to preserve the distinctive character;allow continued use and enjoyment of properties and structures; make provisions for changes and expansions; protect and preserve scenic views and vistas;protect and improve natural resources;and limit damage from periodic flood events for each neighborhood within the Craigville Beach District. B. Historic and community character. These regulations will ensure that development and redevelopment in the CBD contribute to and do not detract from the historic character of the Craigville Beach area;that any proposed additions to historic structures shall be consistent with the historic structure and shall be consistent with the character of the surrounding neighborhood,including elements such as building height,mass and orientation;and preserve views and ways to the water from public spaces,streets and ways. C. Applicability. Development and redevelopment shall be subject to the following additional requirements and regulations based upon the applicable Neighborhood Overlay. Q•G eral performance standards. The development complies with the setbacks and lot coverage requirements set forth herein,and is in character with surrounding structures,particularly structures that predate it unless relief has been granted by the SPGA in accordance with§240-131.4D and E. 2 The development complies with the height limitations set forth herein. Exposed foundation walls for raised septic systems and/or elevated structures are prohibited;foundation walls shall be screened through the use of foundation plantings and/or the use of other natural materials. i ,,bStormwater management and erosion control for nonresidential uses comply with best management practices through low-impact development or other adaptive management practice. hqs://www.ecode360.com/print/BA2043?guid=14829720 9/11/2018 �L Town of Barnstable, MA Page 2 of 6 'Up to 5o square feet of roof deck may be allowed atop the first or second floor of a structure if the railing and support structure for the roof deck are constructed fully below the tallest part of the roofline they are contained within. All new non-water-dependent development shall be set back at least 50 feet from the top of the coastal bank resource area.Change,alteration,or expansion of existing structures shall not be sited closer to the top of the coastal bank resource area than the existing development to the maximum extent feasible. Existing natural vegetation within the fifty-foot buffer area to salt marsh and undisturbed buffer areas 5o feet landward of the mean high-water mark of coastal water bodies shall be preserved to the maximum extent feasible. 18( No direct untreated stormwater discharges shall be permitted into any coastal waters or wetlands, including discharges above or below the mean high water level. Stormwater discharge shall be located and treated the farthest practicable distance from wetlands and water bodies and shall be located a minimum of 50 feet from wetlands or water bodies. E. Long Beach/Short Beach Neighborhood. (1) Permitted principal uses: The following principal uses are permitted in the Long Beach/Short Beach Neighborhood Overlay area subject to the performance standards listed below. (a) Single-family residence. (2) Permitted accessory uses:Customary and incidental uses and structures are permitted in the Long Beach/Short Beach Neighborhood Overlay area subject to the use limitations and performance standards listed in§240-131.7D. (3) Neighborhood performance standards.All development and redevelopment shall meet the following standards: - (a) No development or redevelopment shall be permitted within V Zones, except that existing structures may be changed or altered,provided that there is no increase in gross floor area,footprint,or intensity of use(including but not limited to increases in wastewater flow and impervious area)within the V Zone.This provision shall not be construed to include duly permitted docks and piers. (b) New septic systems shall be prohibited in V Zones except to upgrade existing failed systems where such systems pose a demonstrated threat to public health,water quality,or natural resources. (c) Any activity or development in a V Zone that creates an adverse effect by increasing elevation or velocity of floodwaters due to a change in drainage or flowage characteristics on the subject site,adjacent properties or any public or private way is prohibited.Any proposed activity shall not result in flood damage due to filling which causes lateral displacement of floodwaters that,in the judgment of the SPGA,would otherwise be confined to said area.The burden of proof for this standard rests with the applicant and shall require certification by a professional engineer. (d) Open foundations shall be designed to accommodate only the height required to elevate the lowest structural member two feet above the BFE in V Zones and one foot above BFE in A Zones. For all new construction and substantial improvements within the V Zones,the space below the lowest floor must either be free of obstruction or https://www.ecode360.com/printBA2043?guid=14829720 9/11/2018 Town of Barnstable, MA Page 3 of 6 constructed with nonsupporting breakaway walls,open wood lattice-work,or insect screening intended to collapse under wind and water loads without causing collapse, displacement,or other structural damage to the elevated portion of the building or supporting foundation system. F. Craigville Beach Neighborhood. " -- (1) Permitted principal uses.The following principal uses are permitted in the Craigville Beach Neighborhood Overlay area subject to the performance standards listed below. (a) Single-family residence. (b) Small-scale food service. (c) Beach club. (d) Cottage colony. (e) Hotel or motel inexistence as of July 16,2oo8,that is lawfully established. (2) Permitted accessory uses.Customary and incidental uses and structures are permitted in the Craigville Beach Neighborhood Overlay area subject to the use limitations and performance standards listed in§240-131.713. „ (3) Neighborhood performance standards.All development and redevelopment shall meet the following standards: (a) No development or redevelopment shall be permitted within V Zones,except that existing structures may be changed or altered,provided there is no increase in gross floor area,footprint, or intensity of use (including but not limited to increases in' wastewater flow and impervious area)within the V Zone. (b) New septic systems shall be prohibited in V Zones except to upgrade existing failed systems where such systems pose a demonstrated threat to public health,water quality,or natural resources. (c) Any activity or development in a V Zone that creates an adverse effect by increasing elevation or velocity of floodwaters due to a change in drainage or flowage characteristics on the subject site,adjacent properties or any public or private way is prohibited.A proposed activity shall not result in flood damage due to filling which causes lateral displacement of floodwaters that,in the judgment of the SPGA,would otherwise be confined to said area.The burden of proof for this standard rests with the applicant and shall require certification by a professional engineer. (d) Open foundations shall be designed to accommodate only the height required to elevate the lowest structural member two feet above the BFE in V Zones and one foot above BFE in A Zones. For all new construction and substantial improvements within the V Zones,the space below the lowest floor must either be free of obstruction or constructed with nonsupporting breakaway walls,open wood lattice-work,or insect screening intended to collapse under wind and water loads without causing collapse, displacement,or other structural damage to the elevated portion of the building or supporting foundation system. (4) Beach club design guidelines. ,. https://www.ecode360.com/printBA2043?guid=14829720 9/11/2018 Town of Barnstable, MA Page 4 of 6 (a) Purpose:to maintain public views to the water and to maintain the neighborhood's existing character with.,small-scale building masses and natural or traditional building materials. (b) Building height and massing. New construction on beach club properties shall have modest massings to relate to the small scale of most structures in the beachfront neighborhood. Any structure with a footprint of 3,000 square feet or more shall incorporate significant changes in massing to break up the facade and should integrate one-story massings into the design to relate the building to the surrounding smaller structures. (c) Building orientation. Buildings shall be oriented with the narrow end facing the street and the water to maximize public views of the water across the site. New buildings or complexes should not extend over more than 15o feet of the lot frontage,and efforts should be made to limit the expansion of existing buildings. (d) Maintaining views to water. Multiple buildings on one lot should be clustered close together to limit obstructed views of the water,or shall be separated from each other by ioo feet or more of road frontage to allow broad unobstructed views across the lot to the water. (e) Fences. Fences shall be of open construction and low profile (such as split rail and low picket fencing)to maintain public views to the water. Fences over three feet in height should be limited to screening loading and delivery areas adjacent to buildings, or modest trash collection areas. Screening fences should not extend farther than necessary beyond the building footprint to maintain public views. (f) Building materials. Exterior building materials shall be those traditionally used in the region or other naturally weathering materials,such as wood shingle,wood clapboard, or board and batten siding. CT C nterville River North Bank Neighborhood. (1) Permitted principal uses.The following principal uses are permitted in the Centerville River a North Bank Neighborhood Overlay area subject to the performance standards listed below: (a) Single-family residence. cW Permitted accessory uses.Customary and incidental uses and structures are permitted in the Centerville River North Neighborhood Overlay area subject to the use limitations and performance standards listed in§240-131.71D. Neighborhood performance standards.All development and-redevelopment shall meet the following standards:. Tree removal or vista pruning shall not interrupt the treeline as viewed from the south looking northward to the treeline.- No development or redevelopment shall be permitted within V Zones,except that ; existing structures may be changed or altered, provided that there is no increase in gross floor area,footprint,or intensity of use(including but not limited to increases in wastewater flow and impervious area)within the V Zone. ny activity or development in a V Zone that creates an adverse effect by increasing elevation or velocity of floodwaters due to a change in drainage or flowage https://www.ecode360.com/print/BA2043?guid=14829720 9/11/2018 f Town of Barnstable, MA Page 5 of 6 characteristics on the subject site,adjacent properties or any public or private way is prohibited.A proposed activity shall not result in flood damage due to filling which causes lateral displacement of floodwaters that,in the judgment of the SPGA,would otherwise be confined to said area.The burden of proof for this standard rests with the applicant and shall require certification by a professional engineer. " Open foundations shall be designed to accommodate only the height required to elevate the lowest structural member two feet above the BFE in V Zones and one foot above BFE in A Zones. For all new construction and substantial improvements within the V Zones,the space below the lowest floor must either be free of obstruction or constructed with nonsupporting breakaway walls,open wood lattice-work,or insect screening intended to collapse under wind and water loads without causing collapse, displacement,or other structural damage to the elevated portion of the building or supporting foundation system. H. Craigville Village Neighborhood. (1) Permitted principal uses.The following principal uses are permitted in the Craigville Village i Neighborhood Overlay area subject to the performance standards listed below. (a) Single-family residence. (b) Conference center. (2) Permitted accessory uses.Customary and incidental uses and structures are permitted in the Craigville Village Neighborhood Overlay area subject to the.use limitations and performance standards listed in§240-1131.71D. (3) Neighborhood performance standards.All development and redevelopment shall meet the following design guidelines: (a) Purpose. Most buildings in the Craigville Village Neighborhood date from the late 1800s and early igoos when the neighborhood developed as a Christian Camp Meeting Association. The neighborhood is still defined by its historic structures and their configuration around a central green,small street grid,and communal paths. (b) Objectives. [1] To preserve the character-defining features of the original camp meeting neighborhood,including its small lots,modest-scale structures,and orientation of buildings to public areas. [2] To ensure that additions and alterations to structures are compatible with the existing scale and character of the building and preserve the original massing and unique architectural features of its historic buildings. (c) Application. The design guidelines set forth herein do not apply to structures in existence as of the date of the adoption of§§240-131 through 240-131.8, but shall apply to all new development, to any additions to existing structures,and to all reconstruction projects except as provided for in§240-131.0(1)(e). (d) Building design. The guidelines shall apply to construction of new structures and. expansions and alterations of existing structures. [1] Preserve the original massing of historic structures(pre-1945)• https://www.ecode360.com/printBA2043?guid=14829720 9/11/2018 Town of Barnstable, MA Page 6 of 6 [2] Additions should be attached to secondary or less prominent facades of the building(the side or rear facades),and should be stepped back from the front and rear corners of the building so as to preserve the original massing of the structure,including its roof form. [31 Work with modest massings.Additions should be scaled to be consistent with or smaller than the size of the original historic structure, following the neighborhood tradition of expanding small cottages incrementally with modest additions.Additions should generally have a lower roofline than the original structure to maintain the prominence of the original building, though some additions may be slightly taller than the original structure if attached to the original structure with a smaller connecting mass. [4] Roof forms. The roof pitch on new construction and additions should complement the roof pitch of the original historic structure and should maintain a pitch of at least six over 12. [5] Retain original architectural details and unique forms.Additions should be placed so as to limit the removal of distinctive architectural trim and features that are unique to the building. Additions and alterations should not interfere with character-defining features,such as open porches,steeply pitched roof forms, unique windows, and carpenter gothic trim along eaves and entries. Siding materials used on the original structure should be retained,though other regional siding materials may be appropriate on additions. https://www.ecode360.com/printBA2043?guid=14829720 9/11/2018 . go 1• _ 1 9 C6 � a t ova E f SU11Engineering & Ivall Consulting, Inc. (508)428.3344 • P.O. Box 659 • 7 Parker Road, Osterville, MR 02655 seci@sullivanengin.com • www.suilivanengin.com May 27, 2016 Thomas Perry Town of Barnstable , Building Department 200 Main Street Hyannis, MA 02601 RE: Chapter 91 Permit Application 540 Main LLC, 803 South Main Street, Centerville Dear Mr. Perry, Please find enclosed a Municipal Zoning Certificate Notification along with a copy of pages 1-5 of the Department of Environmental Protection Waterways Permit application, and copy of the plans for the above referenced project. If you would please review and sign the Municipal Zoning Certificate Notification and return it to me in the enclosed self-addressed stamped envelope at your earliest convenience. Thank you for your assistance. If you have any questions, please contact the office. Very truly yours, 4 Leah O'Dea CD Sullivan Engineering& Consulting, Inc. CD UI Attachments V Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x270946 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment Important:When filling out forms A. Application Information (Check one) on the computer, use only the tab NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing key to move your Package for BRP WW06. cursor-do not use the return Name(Complete Application Sections) Check One Fee Application# key. WATER-DEPENDENT VS-11b General (A-H) ® Residential with <4 units $215.00 BRP WW01a ❑ Other $330.00 BRP WW01b For assistance ❑ Extended Term $3,350.00 BRP WW01c incompleting this -----------------------.._..------------------------------------.----------.---------------------------..-..------------------------------------------------- application,please Amendment(A-H) ❑ Residential with <4 units $100.00 BRP WW03a see the "Instructions". ❑ Other $125.00 BRP WW03b NONWATER-DEPENDENT- Full (A-H) ❑ Residential with <4 units $665.00 BRP WW15a ❑ Other $2,005.00 BRP WW15b ❑ Extended Term $3,350.00 BRP WW15c Partial (A-H) ❑ Residential with< 4 units $665.00 BRP WW14a ❑ Other $2,005.00 BRP WW14b ❑ Extended Term $3,350.00 BRP WW14c --------------------------------.._.._.._..-------------------------.-----------------------..-..-.._.._..-----.............................................. Municipal Harbor Plan (A-H) ❑ Residential with <4 units $665.00 BRP WW16a ❑ Other $2,005.00 BRP WW16b ❑ Extended Term $3,350.00 BRP WW16c Joint MEPA/EIR(A-H) ❑ Residential with <4 units $665.00 BRP WW17a ❑ Other $2,005.00 BRP WW17b ❑ Extended Term $3,350.00 BRP WW17c --------.._.._..-.._..----------------------.._.._..-.._..-----------------------._..-..-..-------------------------------------..-..-..-..-------.._.._.....- Amendment(A-H) + ', i ❑ Residential with <4 units $530.00 BRP WW03c ❑ Other $1,000.00 BRP WW03d ❑ Extended Term $1,335.00 BRP WW03e OE ' , i7 c3 k 41rfu I f9UiSK-I'dV 1 j,0 i�P,0i CH91App.doc•Rev.08/13 - Page 1 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x270946 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: 540 Main LLC Name E-mail Address 540 Main Street, Unit 18 Mailing Address Note:Please refer Hyannis MA 02601 to the"Instructions" City/Town State Zip Code 7 7,1 Telephone Number Fax Number 2. Authorized Agent(if any): Sullivan Engineering &Consutling, Inc. john@sullivanengin.com Name E-mail Address P.O. Box 659 Mailing Address Osterville MA 02655 Cityrrown State Zip Code 5084283344 5084289617 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): 540 Main LLC Owner Name(if different from applicant) 185 016 41.63514 N 70.35588W Tax Assessor's Map and Parcel Numbers Latitude Longitude 803 South Main Street, Centerville MA 02632 Street Address and Cityrrown State Zip Code 2. Registered Land Yes ❑ No 3. Name of the water body where the project site is located: Centerville River 4. Description of the water body in which the project site is located.(check all that apply): Type Nature Designation ❑ Nontidal river/stream ® Natural ❑Area of Critical Environmental Concern ® Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary ❑ Great Pond ❑ Uncertain Uncertain CH91App.doc•Rev.08/13 Page 2 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x270946 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the "Instructions" To construct and maintain a boardwalk, pier, ramp and float. 6. What is the estimated total cost of proposed work(including materials &labor)? $30,000 7. List the name&complete mailing address of each abutter(attach additional sheets, if necessary).An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50' across a waterbody from the project. Nominee Trust Services, Casa Sulla Spiaggia Trust, 77 Newbury Street, 4th Floor, Boston, MA LLC 02116-3077 Carlson, Patricaia M. Tr., c/o Andover Admin Services, 38 Essex Street, Andover, MA 01810 C. R. Mcmanmon PRT Address Name Address D. Project Plans 1. 1 have attached plans for my project in accordance with the instructions contained in(check one): ® Appendix A(License plan) ❑ Appendix B (Permit plan) 2. Other State and Local Approvals/Certifications ❑ 401 Water Quality Certificate Date of Issuance ❑Wetlands SE3-5386 File Number ❑ Jurisdictional Determination JD- File Number ❑ MEPA File Number ❑ EOEA Secretary Certificate Date ❑ 21 E Waste Site Cleanup RTN Number CH91 App.doc•Rev.08/13 Page 3 of 13 , s Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x270946 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents must sign this page. All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." C MPy DJ / 2z/, AppfiaAfs signature Date Property Owner's signature(if different than applicant) Date Agent's signature(if applicable) Date I CH91App.doc•Rev.08/13 Page 4 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x270946 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment F. Waterways Dredging Addendum 1. Provide a description of the dredging project ❑ Maintenance Dredging(include last dredge date & permit no.) ❑ Improvement Dredging. Purpose of Dredging 2. What is the volume(cubic yards)of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location(include separate disposal site location map) 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by applicant and submitted to the Department. CH91App.doc•Rev.08/13 Page 5 of 13 I �� t �'r'9' u.�f 4$g+3.'YJ' 9' Z.t�'' � � Aia � � �C � "c • ! F 'r C ��s. �- - r` m'C��� i"a i 'Cr�'^`��'�... '£ � Re ;'`. � � ,� e n ty ,.• ••' � _ �- <��i. •'Q ,� � <w, ¢`��'�'"r dl' �' .,' J RI M� $ -< � as��; � 1'.a�.` " t t' Rt zy� ti� '�r a ���t � a- � 6, ma� �.�0&18 � # '. x �s�x i s �1 �..,,.-Fi7 • k' 4 a 19 @Rd2 r � ss� �t a b 4 7 V+to j v�'� ,a> s'^ s o. _ S � ,� •S - ` � �s i�i a F >, �,�3Zsa '� z t a\ }pfynk. - j Q d. 9 $ 5 v 'p •`u yC h # E g. ! _ �..� .W `.k�4�+ t L✓�'/� 1 4 6y ����e .sr3k.se � �€v }.+i ze�$4�Fz. a A • �'a .i �ilEB� Ll '� 2j i�• r C fftx`' s�€� � e_ '' _p � � it �� �Si to e �.t,9�♦ '� � �5 4 - ViP$FS�. - tt �T"%s�"�' v . x �.>; rd Y \�'� 8 Rdytia V !t ""� e a •x i., `1 a q x �S �,� ',�3�C��' �° +' � � t s-. ibli mq I: .� � �� •. Phi 1VX��� eCICkx r,dt. o In � •u 1+�7 (� b,�� ,t /} � a DIRECTIONS: FROM HYANNIS - TAKE MAIN STREET TO THE SHEET 1 OF 4 WEST END ROTARY AND TAKE A RIGHT ONTO SCUDDER AVENUE. 540 MAIN LLC TAKE A RIGHT ONTO SMITH STREET AND FOLLOW AS IT TURNS 803 SOUTH MAIN STREET INTO CRAIGVILLE BEACH ROAD. AT THE STOP LIGHT TAKE A LEFT TO CONSTRUCT A BOARDWALK, ONTO SOUTH MAIN STREET. # 803 IN ON THE LEFT. PIER, RAMP & FLOAT IN BY ASSESSORS: MAP 185 PARCEL 016 CENTERVILLE RIVER CENTERVILLE, MA LATITUDE: 41'38'6" MAY 24, 2016 LONGITUDE: 70'21'22" SULLIVAN ENGINEERING UTM: 387050E 4610151N & CONSULTING INC. OSTERVILLE, MA SOUTH MAIN STREET N80 58'20"E 30.0 ' STONE TOWER (A_ OVERALL PLAN VIEW N/F • SCALE 1"=60' +, �o NOMINEE TRUST gp p 30 60 120 SERVICES, LLC •.•.•.. m , rri BRICK GARAGE ... N/F DATUM CARLSON, PATRICIA M. TRUSTEE NOT TO SCALE JOHN V. MCMANMON JR. PERSONAL m RESIDENCE TRUST MHW rn S76'56'20"W e NAVD '88 X 3 F CM Z 14' � VE ELEV. MLW . —60 2 # $p3 2 STY W/F MHW 2.8 \ +� t+ DWELLING MARS N �............ �, REFERENCES: PROPOSED BOARDWALK, DEED: C207597 "i = PIER, RAMP & FLOAT PLANS: LOT 19 LCP 8884-0 MARSH... i LOT 20 LCP 8884-P x_2 6 LOTS 24 & 26 _2.7 LCP 8884-Q x_ 4-3 1x_3 Ox-3 1 x_3 j LOT 27 LCP 8884-R x_ x_3 33 x- 4-37 37 x-33 -4.5 4.1 x-4.6 x-4.8 x77r-5. _6-5.5 x-6.0 x-5.7 x_6.2 3 x-6.5 EDGE OF CHANNEL x-56 x-6.2 CENTERVILLE RIVER x_66 x xs 7 EDGE_pF_CHANNEL _ _ � _100 EBB FLOOD x_62 x_53 x_2.3 x_2 4 SHEET 2 OF 4 540 MAIN LLC 803 SOUTH MAIN STREET x0.7 TO CONSTRUCT A BOARDWALK, x-1.2xo 4 PIER, RAMP & FLOAT IN CENTERVILLE RIVER x Q 6 0�pRE CMATY 241 L 2016A S SULLIVAN ENGINEERING & CONSULTING INC. OSTERVILLE MA # 803 MH W 2.8' ZDWELLIN�F -- -- -- - ,� MARSH 0.0 Mtnw... I � ° ° MARSH................:% .. / / I PROPOSED DATUM BOgRDAL i BOARDWALK, PIER, NOT TO SCALE MARSH ' RAMP & FLOAT MHW _ PI R x-2.7 rn 41' NAVD '88 x_ x-3� x-3.p x-31 3 4 N 00 10'RAMP MLW _32 � 3 x_37 x_3j 25' x_2 x-4.9 -4.5 x-4.6 -4.2 x 7.7 x x-5 4 x-5.5 PROPOSED x-6•p 29' 6 x-6.,3 8'X25' FLOAT x_62 x_6.5 EDGE OF CHANNEL x-6.2 CENTERVILLE RIVER EBB x_6.6 FLOOD x_67 x-6 3 EDGE OF CHANNEL x-6 p x-6.2 x SHEET 3 OF 4 540 MAIN LLC x-2.4 803 SOUTH MAIN STREET TO CONSTRUCT A BOARDWALK, PIER, RAMP & FLOAT IN CENTERVILLE RIVER CENTERVILLE, MA MAY 24, 2016 SULLIVAN ENGINEERING & CONSULTING INC. OSTERVILLE MA r— 77' BOARDWALK 26' PIER RAMP FLOAT T_ 23' 10' 8' LRI-ri EXISTING o FOUNDATION & BUILDING HTL 3.8' t7 - $, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MLW 0.0' EXISTING RAMP TO BE REBUILT AS NEEDED SALT MARSH LAND 26' UNDER OCEAN I, 41' Proposed Profile View Scale 1"=10' 4.0' 2" X 6" MIN. DECKING (TYP.), WATER AND p 314" MIN. SPACING DRY ELEC. 0o EXCEPT - FIBERGLASS n GRATING OVER SALT MARSH EL. 5.0 c��z PROVIDING A MINIMUM OF 3" X 8" FOR ALL n m`O �� 659 LIGHT PENETRATION n O-�Z y �p�P 2 STRUCTURAL MEMBERS �:ocZoZ�r���n=arm M.H.W. 2.8 10-12" PILES (TYP.) r-_I r-m Z .................: .:....------------------------------- .......................................----M.L.W. 0.0 cz Z Np! 1 �r oj Z rri CCA-TREATED PILING AND z rri p� p (A n STRUCTURAL TIMBER (GREATER CROSS BRACING THAN THREE [3] INCHES _ rri THICK) ARE ALLOWED. Z D m OTHERWISE, NO CCA-TREATED �~ OR CREOSOTE-TREATED �� MATERAILS SHALL BE USED. Proposed Cross Section Scale 1"=5' Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x270946 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate 540 Main LLC Name of Applicant 803 South Main Street Centerville River Centerville Project street address Waterway City/Town Description of use or change in use: To construct and maintain a boardwalk, pier, ramp acid float in Centerville River. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and.plans is not in violation of local zoning ordinances and bylaws." Printed Name of Municipal Official Date R-J Signature of Municipal Official Title City/Town CH91 App.doc•Rev.08/13 Page 6 of 13 -' Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x272225 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate 540 Main LLC Name of Applicant 803 South Main Street Centerville River Centerville Project street address Waterway City/Town Description of use or change in use: To construct and maintain a boardwalk, a pier, ramp, and float, and license a single-family-house which was located on filled Commonwealth tidelands prior to January 1, 1984 and which was previously a boathouse over filled and flowing tidelands, licensed in 1923 by DPW, License No. 338. t To be completed by municipal clerk or appropriate municipal official:. "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." . PA-0 L P0 M4- Printed Name of Municipal Official Date PTy//non i. Signat re of Municipal Official Tit, City/Town p� .. .E . . CH91App.doc-Rev.08/13 Page 6 of:13 Sull " Engineering & ivan Consulting, Inc. (508)428.3344 • RO. Box 659 • 7 Parker Road, Osterville, MA 02655 seci@sullivanengin.com www.sullivanengin,com, October 12, 2016 Paul Roma Town of Barnstable .1 Building Department 200 Main Street Hyannis, MA 02601 1 � � rx� RE: Chapter 91 Permit Application, Transmittal No. X272225 540 Main LLC, 803 South Main Street, Centerville Dear Mr. Roma, Please find enclosed a Municipal Zoning Certificate Notification along with a copy of pages 1-5 of the Department of Environmental Protection Waterways Permit application, and copy of the plans for the above referenced project. If you would please review and sign the Municipal Zoning Certificate Notification and return it to me in the enclosed self-addressed stamped envelope at your earliest convenience. Thank you for your assistance. If you have any questions, please contact the office. Very truly yours, liah C6JcD Leah O'Dea Sullivan Engineering& Consulting, Inc. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x272225 _ Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent,Nonwater-Dependent,Amendment Important:When filling out forms A. Application Information (Check one) on the computer, use only the tab NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing key to move your Package for BRP WW06. cursor-do not use the return Name(Complete Application Sections) Check One Fee Application# key. WATER-DEPENDENT- General (A-H) ® Residential with <4 units $215.00 BRP WW01a ❑ Other $330.00 BRP WW01b For assistance ❑ Extended Term $3,350.00 BRP WW01c incompleting this .................................................. -._.._..-----.-..-.._..-..-----.-.._..-..-------.._..--------.._..--------------.-.._..-..-..-..-.....- application,please Amendment(A-H) ❑ Residential with <4 units $100.00 BRP WW03a seethe — "Instructions". ❑ Other $125.00 BRP WW03b NONWATER-DEPEN DENT - Full (A-H) ® Residential with <4 units $665.00 BRP WW15a ❑ Other $2,005.00 BRP WW15b ❑ Extended Term $3,350.00 BRP WW15c Partial (A-H) ❑ Residential with <4 units $665.00 BRP WW14a ❑ Other $2,005.00 BRP WW14b ❑ Extended Term $3,350.00 BRP WW14c Municipal Harbor Plan (A-H) ❑ Residential with < 4 units $665.00 BRP WW16a ❑ Other $2,005.00 BRP WW16b ❑ Extended Term $3,350.00 BRP WW16c Joint MEPA/EIR(A-H) ❑ Residential with <4 units $665.00 BRP WW17a ❑ Other $2,005.00 BRP WW17b ❑ Extended Term $3,350.00 BRP WW17c Amendment(A-H) ❑ Residential with < 4 units $530.00 BRP WW03c ❑ Other $1,000.00 BRP WW03d ❑ Extended Term $1,335.00 BRP WW03e CH91App.doc-.Rev.08/13 Page 1 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x272225 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: 540 Main LLC Name E-mail Address 540 Main Street, Unit 18 Mailing Address Note:Please refer Hyannis MA 02601 to the"Instructions" City/Town State Zip Code 71 Telephone Number Fax Number 2. Authorized Agent (if any): Jamy B. Madeja Esq. jmadeja@buchananassociates.com Name E-mail Address 33 Mount Vernon Street Mailing Address Boston MA 02108 Cityrrown State Zip Code 6172278410 6172279943 Telephone.Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): Owner Name(if different from applicant) 185, 016 41.63514 N 70.35588W Tax Assessor's Map and Parcel Numbers Latitude Longitude 803 South Main Street, Centerville MA 02632 Street Address and City/Town State Zip Code 2. Registered Land ® Yes ❑ No 3. Name of the water body where the project site is located: Centerville River 4. Description of the water body in which the project site is located (check all that apply): Type Nature Designation ❑ Nontidal river/stream ® Natural ❑ Area of Critical Environmental Concern ® Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ® Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary ❑ Great Pond ❑ Uncertain ❑ Uncertain CH91App.doc•Rev.08/13 Page 2 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x272225 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the "Instructions" To construct and maintain a boardwalk, a pier, ramp, and float, and license a single-family house which was located on filled Commonwealth tidelands prior to January 1, 1984 and which was previously a boathouse over filled and flowing tidelands, licensed in 1923 by DPW, License No. 338. 6. What is the estimated total cost of proposed work (including materials& labor)? $30,000 7. List the name &complete mailing address of each abutter(attach additional sheets, if necessary).An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50' across a waterbody from the project. Nominee Trust Services, Casa Sulla Spiaggia Trust, 77 Newbury Street, 4th Floor, Boston, MA LLC 02116-3077 Carlson, Patricaia M. Tr., c/o Andover Admin Services, 38 Essex Street, Andover, MA 01810 C. R. Mcmanmon PRT Address George Haseotes Peter&Polyxeni T, 773 South Main Street, Centerville, MA 02632 Name Address D. Project Plans 1. I have attached plans for my project in accordance with the instructions contained in (check one): ® Appendix A(License plan) ❑ Appendix B (Permit plan) 2. Other State and Local Approvals/Certifications ❑401 Water Quality Certificate Date of Issuance ® Wetlands SE3-5386 File Number El Jurisdictional Determination JD- File Number ❑ MEPA File Number ❑ EOEA Secretary Certificate Date ❑ 21 E Waste Site Cleanup RTN Number CH91App.doc-Rev.08/13 . Page 3 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program X272225 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents must sign this page.All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." 0'r NA9111 Of V7 io 1-4- Applicant's ign re z� Date Property Owner's signature(if different than applicant) Date Agent's signature(if applicable) Date CH91 App.doc•Rev.08/13 Page 4 of 13 f^ Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x272225 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment F. Waterways Dredging Addendum 1. Provide a description of the dredging project ❑ Maintenance Dredging (include last dredge date&permit no.) ❑ Improvement Dredging Purpose of Dredging 2. What is the volume(cubic yards) of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location (include separate disposal site location map) 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by applicant and submitted to the Department. CH91App.doc•Rev.08/13 Page 5 of 13 frv- - _ _ _ 4. ,c:•• r f +' r a, -`" - fiw � ," •'�":=:`f•`+i_�";i- s�`r t''+ x>``r°�t ,� -1" "is =sti x ;""k..aw yy'`��r t:t r=r' .r t .,4i?. a o.{s''; u� y °-k t�'4-i« �,"1 ��e i . " ,,, � :,,a `iw p R �j.,-,I ��% .,; "� ��._,i�6' ,,. �g ��"a�� ` ; � tt�y:s� � �{ 4 a � a T�a ? S t M } :�"4 fs ��f��. .:•,g7,ybY Ptt .C.'{ yea' S �7'hRz +i.tf , " t #H ..+k. +F 3 4Y- .i:h Y. 'f" W - +r'f"4 'S.i f M+• '•,, fa ,�- w"' anaiS];,4 A-r v' •t'{ :A} :n Y,.'S r 1. • t *' ,•�. ;k7 Y' 5 ,y`A; 1 r?K.<,y, t '�r r ] tea .S ;y(. 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ROOF Ea n Wo w 2ND FLOOR--- 0 2ND FLOOR H . -------- Q ® ill ® ® ® ® O0 — � ® �1 o LSE FLOOR - U 15T FLOORcc w PROPOSED REAR ELEVATION cn o SCALE: 1/4" = 1'-0" z I I I I I I I L_I 1-- ---LJ---- I I I ------- -----------�-1- ------� -J Q ------ SMOKE DETECTORS REVIEWED PROPOSED FRONT ELEVATION tlul�� SCALE: I/4" = I'-0" I AB E UILDINGDEPT. DATE - Q FFP FIRE DEPARTMENT DATE � - _-==-- BOTH Sf3NATURES ARE REQUIRED FOR PERMITTING -J - ==- - - =- . - _ _ W O ROOF _ - - - -- BM - _.--- - ---- =. ROOF Q U-i LU Oz �/ _J 'q < LLJ U Q LU 2ND FLOOR ----2N O O Q ---- D FLOR CC O E p1sLin .I D EBBI 0 I I ST FLOOR---- _--15T FLOOR m s. •1 I k I SHEET � 32_0. J2._o. � I I I I PROPOSED RIGhT ELEVATION PROPOSED LEFT ELEVATION T JOB:503 50UTH MAIN SCALE: I/4" = I'-O" DRAWN BY: TFR SCALE: 1/4' = 1'-O 1 DATE: 12/6/15 32'-0' Y Y Y Y ' Ir• ——————— —— .....................................I...... 71 ::::::.::,:::::::::::::...::......::a::::.. i N .....--... :- 66s\ I po. I ° .. .. 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IIII I IIII IIII \ y%4 4X IIII III! % _ PT 4%8 ABOVE AT 4%B ABC) / - PT 4%B 6XB 2X4 EXT.STUDS®1 /F A 2%B S k 16 O.C. CE k W'ATERSBARRIER O _ QE a 0152 ' 6 6.O.C. I' 1 J �II �t 11 W ABOVf,TII L�gBOVE 'I V / W .III CONSTRUCT NEW T: _ CONCRETE PIERSF- liio CONT.4X1D RIM O p O �jil Z !O n III; n III, In N ® ® ® o c�,,�� FLUSH WBX10 E%.2%10'S O 16'O.C, E%.2%10'S O 16.O.C. cW IIii; K JC %C .•..III; - 5'-0 G IIIIv W W W Illi FLUSH - "P, (2)1 3/4"a 9 1/4'LVL :III -- FLUSH WB 10 FLUSH - • III IIII (3)1 3/4•X 9 1/4•LVL' W z ST ]�X�l 1 OPOTPT 4%B PT 4%B PT 4X8 ®.P 2.4 EXT.STUDS O tE•O.C. W__ Y31//2 3 1 2Tr' ___ Tr - r W.0 SHINGLESPASTI I I 3 1/2•C LUMN 4X4 ICE k WATER BARRIEROEXTEND CONC�2ETE PIERS � � ffI� .O.C.CANTILEVERED EXISTING 2X6'S 616.O.C. li iv ti iTu ti i" SEAL & GROUT �j I II rn Ci iv N o 7 lll� O I1� O U IV Ci 11 b 10 III �p 11 - 4% P.T.RIM Q II> N III N 11� IIV N II] K II N / [9 / LVIL PT.4X8 'l io to Ic 11 O. u� Ic l io a ® to ® l i. i 4x4 II4 Il,y In x II 11 W II W III GALV.METAL ANCHOR I I� K Ib x m 4X DIAC.CORD Ilx W II � ® II w II Ila I1� _ it II-\,; Ilj 3 1 211 4X4 ('3)13/4j X 9 1/4 LVLS �3)',• ku 3/4 9 1/4'LVL6 �3)1 3/4•X 9 1/4 L 511 ('3)1 3/4'X 9�1�4 L-Lm %4 13 1 2 �___ __ .....E fie=cc=_i3_ ®A OVE A85T 4X4 ..._ABOVE®=_ _€ESE.= 4®4 3 = 4®4 ! n _ -�4 OVE ! I RR990.4 -�4Xd 4%4 3 1�2 _ _ q�q �47C4 - O II II ABOVE PO 7 ABOVE it ABOVE POST II A VE II II I1� jlp Al- io ABOVE lio Flo V J j1j1V¢ VIOK U I IU¢ N� UID 1111 U KEEP EXISTING 10'-2 1/4' 17'-7 1/2• 10'-21/4• u � I 10 C I I II ji 0 POST INTO WATER O 1V - v\ a iU II NW ® Ilp NF ® Illy NW ® Ila NJ ® III NJ ® 11� NJ ® III EXISTING CONCRETE F F Ti FOUNDATION W/SHEETING II ii ii it ila iia n 7'-B" 32'-0 5-�• IIK WQ WQ WQ m WQ �Im W6 �'a Ilm Ila ZU Ile ZU I Ic ZU Ila ZL, la ZU la ZU la it II II II II 11 .__._J.l 4X8 CONT.-RIM JOIST W J PROPOSED FI RSIT FLOOR FRAMING PLAN O PROPOSED CROSS SECTION w z SCALE: 1/4" SCALE. I/4" = 1'-0" g Z [=RAMING NOTES: 17- FRAMING NOTES (Cont.): L z 1 . ALL BEAMS TO BE SUPPORTED WITH FULL BEARING AND SHALL HAVE 51MP50N PC'S MINIMUM OR EQUAL. 29. TYPICAL FLOOR SHEATHING 30. TYPICAL ROOF SHEATHING 1- 2. ALL NAILING 15 TO BE 780 CMR TABLE 5GO2.30) OR THE MASSACHUSETTS STATE BUILDING CODE. 5/8" CDX GRADE PLYWOOD I/2" CDX GRADE PLYWOOD Z tW 3. TOP PLATES TO ALL STUD WALLS SHALL BE (2) PIECES THE SAME 51ZE AS 5TUD5 (SPLICES TO LAP 4'-0" MINIMUM). P.I. 32/I G EN: 8D AT G" O.C. o IL/ BN: I OD AT 6' O.C. EN: 8D AT G O.C. F � 4. SPLICE PLATES OF EXTERIOR WALLS AND SHEAR WALLS W/(1 0) 1 G"O.C. AND 4-0" SPLICE, UNO. EN: 10 D AT G" O.C. FN: 8D AT 1 2" O.C. u n j 5. STRUCTURAL MEMBERS SHALL NOT BE CUT FOR PIPES, ETC UNLESS SPECIFIED. FN: 10 D AT 10" O.C. USE CCX PLYWOOD AT EXPOSED EAVES 9 � G. PROVIDE 2X SOLID BLOCKING BETWEEN JOISTS �- RAFTERS AT ALL SUPPORTS. BLOCKING SHALL BE ONE PIECE AND FULL DEPTH. o Z N 7. PROVIDE DOUBLE FLOOR JOISTS UNDER INTERIOR WALLS PARALLEL WITH FRAMING. Q 8. PROVIDE SOLID BLOCKING UNDER INTERIOR WALLS PERPENDICULAR WITH FRAMING. 3 1 . HEADER SCHEDULE O 9. PROVIDE MULTIPLE STUDS UNDER MULTIPLE JOISTS. FIRST FLOOR 10. PROVIDE STANDARD J015T HANGERS AT ALL JOISTS FLUSH FRAMING. _ JACK STUDS CLI 1 1 . ALL FLUSH FRAMING BEAMS MUST BE HUNG FROM FLUSH FRAMING WITH 51MP50N HU'S HANGERS. HEADER SIZE MAX. SPAN. 12. PROVIDE 4X4 POSTS AT ALL PA., ST. * HD. hOLDOWNS. (3) 2X85 5'-1" 2 13. PROVIDE 04 POSTS AT EACH END OF 4X 10 OR LARGER MEMBERS. (2) 2X4 5TUD5 AT EACH END OF 4X8 OR SMALLER MEMBERS. (3) 2X 1 CIS G'-311 2 0 14. AT CALIFORNIA FRAMING USE 2XG RAFTERS AT 24" O.C. MINIMUM SPAN 15 9'-O". (3) 2X 1 2'S 7-3" 2 15. ALL SHEAR WALL PLYWOOD SHALL EXTEND FROM BOTTOM OF SILL PLATE TO TOP OF PLATE OR ROOF PLATE, WHICH EVER IS GREATER. SECOND FLOOR m I G. ALL MICROLAM DBL. JOISTS TO BE FASTENED WITH (.2) ROWS OF 8D NAILS AT 1 2" O.C. C) 17. ALL(3) 2X OR MORE JOISTS * (3) MICRO-LAMS OR MORE TO BE FASTENED W/ 1/2" DIA. MACHINE BOLTS AT 18" O.C. STAGGERED. HEADER SIZE MAX. SPAN. JACK STUDS 18. 5EE BUILDING PERMIT PACKAGE FOR REFERENCE OF SPECIFIC BEAM AND STRUCTURAL MEMBERS INFO-"�^ATION. 1 9. PROVIDE PURLIN SAME SIZE AS RAFTERS WITH RAFTERS WITH 2X4 BRACES AT 48" O.C. TO ADJACENT STRUCTURAL BEAMS � BEARING PARTITIONS. (3). 2X 10 5'-911 2 20. BRACES SHALL BE A MINIMUM OF 45 DEGREES FROM HORIZONTAL. (3) 2X 10'5 8-2" 2 2 1 . PROVIDE MINIMUM 2X4 RAFTER TIE AT 48" O.C. FOR MAXIMUM LENGTH OF 8 FEET, OTHERWISE USE 2XG TIES AT 45" O.C. (3) 2X 12'S 8-2" 2 22. BRACE HIP AND RIDGE MEMBERS TO ADJACENT STRUCTURAL BEAMS � BEARING PARTITIONS. 32. CEILING J015T SCHEDULE 5HEET 23. ALL STUDS TO BE C.D.F#2 OR BETTER. T MAX. SPAN J015T SIZE/SPACING 3 24. PROVIDE MULTIPLE FULL BEARING STUDS AT LOCATION WHERE ROOF BRACES ARE KICKED. I 25. PROVIDE MULTIPLE FULL BEARING STUDS UNDER MULTI-STUDS � POSTS ABOVE. 101-011 2X4 AT I G" O.C. 2G. PROVIDE DOUBLE TRIMMERS UNDER 4X 10 AND LARGER BEAMS. 1 5'-911 2XG AT I G" O.C. I 27. ALL STRUCTURAL DRYWALL SHEAR PANELS MUST BE PRE-HUNG PRIOR TO FURRING AND TO BE EDGE NAILED AT TOP BOTTOM PLATES. 1 9'-911 2X8 AT I G" D.C. 28. PROVIDE M58 UNDER DOUBLE JOISTS. JOB:803 SOUTH MAIN DRAWN BY: TFR DATE: 12/6/15 I YI — ^ 7 n v / __,_------_,_------ --------------- _,_ _._........._ 1 1 1 rn it II �. 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I:: I .:..1, 10'-2 1/4" 11•-7 1/2" 10'-2 1/4' J2'-0" o a O JOB LOCATION: g --{ N 803 SOUTH MAIN STREET, CENTERVILLE, MA 03 N CON5TRUCTION SET TROGER5 ALL DIMENSIONS ARE TO BE CONFIRMED IN THE FIELD 413.770.7623 3 PROPOSED FRAMING PLANS D z r-- L-- r-- I I I -j rn x rn ! n I lam vJ I I I O I U � I - O � rn I x r- I rn (n , II z I -fl I z rn I I ; i x rn II z TFFM NO lilt r-n rn I - < I I I I O I I I z I _ I I I - - I I L-- r-- L-- a o JOB LOCATION: o 803 SOUTH MAIN STREET, CENTERVILLE, MA < N CON5TRUCTION SET TROGER5 xq ALL DIMENSIONS ARE TO BE CONFIRMED IN THE FIELD 4 13.770.7823 3 EXISTING CONDITIONS N z 7'-8. 32'-0. 3•-8' 16'-0' i \ / I \ / I \ Ict Li \ z Z I o \ _ o \� / ciI D z \ _ Z / j D \ A �n = rn U) I \\ I X r I 71 II 0 \ I W O t o C 'm, 4 -_--------3I 70 -o z D , > LP —I z I O rn 0 < N -u / I 71 u I r ElZ / \ I z ❑ . / \\ I ° 1•-2 1/4' 11-71/2' 10'-2 1/4' \ I Z m z�\ j rn D z / \ 1 L--- --- 32'-0' 7.-8. .. 32•-01 32'-0' '^ 10'-2 1/4' - 10'-8 1/4' W-4 1/2' 6'-0' 8'-0' 6'-0' 8--0- II o II II II a U) II ° m D III II 0 ci ' r" Z II 3 II I � Ir �I II II I d• \\\ A N I I I I �, -oil 't II 71 T—t t/z' y_4• G z N I O i b rn N � e'-0, s'—o' � rn N Z T N ° I 03 II II D Z 3 If - II i II b- II o II ° II • II II r I II CI II v a II 0 0 II II II v v JOB LOCATION: rn { rno 803 SOUTH MAIN STREET, CENTERVI LLE, MA W-4X CO N STRUCT ION SET T RO G E RSN ALL DIMENSIONS ARE TO BE CONFIRMED IN THE FIELD L} 13.770.7823 s m K EXISTING CONDITIONS Ln D Z i SOUTH MAIN STREET ZONE: - Bab' DCPC-Centerville River North Bank Area (min.) 87,120 SF (RPOD) Stone Frontage min),125' ry Tower Setbacks: fig :: P A 4.0' zg Front 20' Side 15' WIN. DECKING (TIP.), WATER AND Rear 15' � 41N. SPACING DRY ELEC. IT - FIBERGLASS ..'" OVER SALT MARSH EL. 5.0 Public ' VC A'MINIMUM OF 3 X 8" FOR ALL, i o° cus bane ¢, GHT PENETRATION STRUCTURAL MEMBERS Nominee Trust. u FLOOD ZONE. M.H.W. 2.8 $ery ces, LLC Zones VE Elev. 14, , c X (Minimum Flood Hazard) e ' �.:• rr 2"PILES (TIP.) ; m:m m N Community Panel No. roe` M.L.W.•0.0 V. 11250001 0563 J o r * - `................;.... July 2 ITED PILING AND ul 16, 014 TIMBER (GREATER. CROSS BRACING ,' : 4 LOC8tlO11 Map: 7EE[3]INCHES 1"=2,000f' ARE ALLOWED. No CCA-TREATED t' -ASSESSORS REF.: )SOTE-TREA TED 77 \� SHALL BE USED. Jo- Map 185 Parcels 016 ftpOSBd CMSS Secdo/1 scale 1. „ —+ n/f Trustee OVERLAY DISTRICT: ❑ �-- - �� ` rrarlson, Patricia AP - Aquifer Protection District �...N Trust John V. MCMan onJr. - u, ........ Personal ResidenceDIRECTIONS: Brick t Stairs, Walkways, & Path Garage �� From Hyannis - Take Main Street to the West End to be rebuilt or _3j-_ Rotary and take a right onto Scudder Avenue. repaired as needed Take a right onto Smith.Street and follow as it n turns into Craigville Beach Road. At the stop sign J 0D take a left onto South Main Street. J/49 is on the left. #819 cn o w/f Dwelling 7 e....�.v `- n F, a _ y NOTES: 1.) The structures shown were located on the.ground by conventional surveymethods on or between S76'56'20" X Se t 7, 2010 and Oct 21, 2013. _ `__ __ =�/r=_— _�/�� ___ 3 FEM p 2.) The property line information shown hereon was -- vote o �- ELE� 14 compiled from available record information. _ -_._ --_=i / � Ele � � 3.) Soundings ore based on a benchmark provided.by at Yr cape sury and converted to MLW 4) Soundings were conducted on Nov. 24, 2015. If 803 __---e'er �� 2 Sty w/f _• ___ Dwelling --- 0. -- erg— ri 71 �A` Ytc� ��„ 'I T "2r O.2 x-1•S x l9x-22"'-1-5 x_1.9 �2. / x-23 x_2 x_ _ 23' x-1.9 6 26 �' - x- 41.0'. x _29 �27 -- - x_ x, x 2 1 _ x_ -3,4 3x1_ 3p 100' 3a 31 5 x_3 a.�3.3:3• r_ 32. ,0 _ x_ .,-•�,+, x_ '�• __ -::�x�4 .--.,.. -'-x�41 37?533Z,.;:`�-._.'•.='-'^-ry.�-:"_33'"-fir- __, _ _ _ .r -- x_24 2 3 - -4.5 x-4.3 x,q.35x 4.6 x,48 - _ x_ - -' 4 x_ 7 x_S64 6.3 x-55 x-51 x-6.0 x-57 7-3 5, x- 26 x_6 Shellfish Rating 4 x " x-65 X DATUM x-58 �62 • Edge of Channel Not to Scale x-5s, MHW 2 CENTERVILLE RIVER. - M NA VD 88 x-sa - MLw EBB FLOOD x-6.7 248' - x-6,3 Edge of Channel x-6. Proposed Plan View x'S 3 scale 1 A90 k_24 • ' 9- - • ' x07 • - x-1.2 77' • a Boardwalk Existing Ramp 26' to be Rebuilt Pier, Ramp Float as Needed. 23' 10 8' HTL 3.8' e< , -MRW fib' Existing ..............:..... ............ . ......... '. .............. ...ML.W.OA .... Foundation & Building Salt Marsh T Land 26, - Under Ocean . 41' Proposed Profile View soars f.f r ® Revision Shorten Pier 5' 412812016 ,E. Site Plan PREPARED FOR: PREPARED BY. f Proposed Pier, Ramp & Float 54o Main �« ilivan Engineering & consultin ,Inc. /� A�t/� �1 g 803 South Main rf Street (508)428-33" • P,O.Box 659 . 7 Parker Road,Osterville,MA 02655 seci®sullivanengin.com • www.sullivanongin.com Barnstable ) Mass. 5-Cross Seat o z.5 5 m 10 20 Centerville 10-Profile View o s 10 20 ao -Draft: CTR Calcs: CTR 30-Plan View 0 15 30 '60 120 SCALE: Review: JOD Research: JOD/CTR March 14,2016 AS Noted Proj. # 3500029 Proj-: Charlton THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IMF � DATA LEGEND NOTES —99— 1. DATUM IS NAVD 88 �x c y o EXISTING CONTOUR OOO ti X 99 EXIST. SPOT ELEV. 2. MUNICIPAL WATER IS EXISTING � Sl —[99}--- PROPOSED CONTOUR 3. THIS PLAN IS FOR PROPOSED,WORK ONLY AND o NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 198.4] PROPOSED SPOT EL. 7H1 4. CONTRACTOR SHALL BE RESPONSIBLE FOR p a ' CALLING DIGSAFE (1-888-344-7233) AND 'oo TEST HOLE VERIFYING THE LOCATION OF ALL UNDERGROUND & ,p o Ladd _ O RK EAD UTILITIES PRIOR TO COMMENCEMENT OF O�`PA LOCUS 2% SLOPE OF GROUND � J Rose UTILITY POLE Loh Beach FIRE HYDRANT CenterviQe NOTE NOT ALL SYMBOLS YAY APPFAN IN DRAVAN0 Bffbpr Nantucket Sound LOCUS MAP SCALE 1"=2000't ASSESSORS MAP 185 PARCEL 16 __--- I LOCUS IS WITHIN FEMA FLOOD ZONE X TN REBAR FND ` (AREA OF MINIMAL FLOOD HAZARD) AND SOU Ice I, \ ;; ZONE VE (EL. 14) AS SHOWN ON COMMUNITY of 2aOp \\ \\ �� PANEL #25001CO563J DATED 7/16/2014 ZONING SUMMARY rx ZONING DISTRICT: CBD-CP,NB MIN. LOT SIZE 87,120 S.F. J "D MIN. LOT FRONTAGE 125' MIN. LOT WIDTH 150' \ GRAVELMIN. FRONT SETBACK 20' DRIVEWAY \ � � ( 1, � QS � � MIN. SIDE SETBACK 15' \ \ \ I 1 N MIN. REAR SETBACK 15' MAX. BUILDING HEIGHT 30' \ PROPOSED \ \\, �• ` \ \ SHED •r � .I { \ O1 LP \ /ice \ �i\;.,ls�y 1' ,1�0,•', j'// /��:'.�ii, y�� LCB FND <.' --------------- i EXISTING D1&LING i %/ i/•/jam%/�!�. / f�i PLATFORM,,EL. 2.98 CONCRETE PLATFORM j SITE PLAN �//� %�i// /i I 9 /• ,' �i (TYP.) JV OF 803 SOUTH MAIN STREET -7`fcM 41V� CENTERVILLE, MA / �'j ( � ; n •'/ / �j % -^) PREPARED FOR �! % G� %;; GCI BUILDERS/ �SM 4�• PATALINO DATE: OCTOBER 11, 2018 J� l� f' \ DOCK O I off 508-362-4541 i J!' I fax 508-362-9880 downcape.com down Cape en ineeria iac. scpie:, 20' ! P civil engineers \�0 10 3 land surveyors 0 1n -;u sn FEET 939 Main Street ( Rte 6A) 6L+ � DATE DANIEL A. OJALA, P.E., P.L.S. � YARMOUTHPORT MA 02675 DCE #t�/8—GO8 V 18-286 GCI BUILDERS-PATALI NO.DWG ;i 0 �w �o z r� - r� CA TV -- t - NOTESs LEGEND _ c}tii o oo ' - 1. DATUM IS NAVD 88 —99— EXISTING CONTOUR 2. MUNICIPAL WATER IS EXISTING X 99.1 EXIST. SPOT ELEV. 3. THIS PLAN IS FOR PROPOSED WORK ONLY AND —[99)— PROPOSED CONTOUR - NOT TO BE USED FOR LOT LINE STAKING OR.ANY OTHER PURPOSE. 198.41 PROPOSED SPOT EL. 4. CONTRACTOR SHALL BE RESPONSIBLE FOR a° Tm - CALLING DIGSAFE(1-888-344-7233) AND - oo TEST HOLE - VERIFYING THE LOCATION OF ALL UNDERGROUND.& dip. (o u� ! OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF oP tppA 0%. W pod 2� SLOPE OF GROUND O L°n Be UTILITY POLE Centerville FIRE HYDRANT Harbor NaM-NOT ALL SYMBOLS MAY APPEIR IN DPAINO - Nantucket Sound LOCUS MAP SCALE 1,.=2000't ASSESSORS MAP 185 PARCEL 16 P�Jd " LOCUS IS WITHIN FEMA FLOOD ZONE X REBAR FND (AREA OF MINIMAL FLOOD HAZARD) AND ZONE VE (EL. 14) AS SHOWN ON PANEL #25001C05 3J DATED 7/16/2NITY 14 g0 Do ; \ ZONING SUMMARY ZONING DISTRICT' CBD CRNB MIN. LOT SIZE 87,120 S.F. v \ MIN. LOT FRONTAGE 125' \ MIN.'LOT WIDTH 150' \ MIN. FRONT SETBACK 20' \ GRAVEL\\ \ �; MIN. SIDE SETBACK 15' \ DRIVEWAY\ \ MIN. REAR SETBACK. 15' MAX. BUILDING HEIGHT 30'\��\ \ PROPOSED y 12'X10 \ \ \SHED \ �C, \` 9 0 \ f as \ ALP )\ e PQy LCB FND `7 71 9 /29 , EXISTING D LLING PLATFORM 2.98 PLATFORM J!!� SITE PLAN / f� F✓ � .�' '6 (TYP.) ` V of 803 SOUTH MAIN STREET M CENTERVILLE, MA _ F\'O0 /1 _ PREPARED FOR _ w/ G!�1'� /i' / /i GCI BUILDERS/ SM 4 PATALINO / o DATE: OCTOBER 11, 2018 - _ - DOCK ))) off 508-362-4541 508-362-9880 J I downcope.com @ down cape engineefing,hX Scale:1 20' / civil engineers land surveyors 0 10 20 30 40 50 FEET 939 Main Street ( Rte 6A) O 4 L+ - DATE DANIEL A. OJALA, PI., P.L.S. YARMOUTHPORT MA 02675 DCE #/.I U-286 18-286 GCI BUILDERS-PATALINO.DWG s ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... SOUTH MAIN STREET N80*58'20"E 6 q w STONE 30.0 TOWER CUS NIF NOMINEE TRUST 5 SE NO NOt RVICES, LLC ................ 0 joc;y'o LOCUS PLAN SCALE: 1:25,000 HYANNIS QUAD. BRICK GARAGE NIF CARLSON, PATRICIA M. TRUSTEE JOHN V. MCMANMON JR. PERSONAL RESIDENCE TRUST REFERENCES: DEED: C207597 PLANS.- LOT 19 LCP 8884-0� S76-56'20" X Zone LOT 26- LCP8884-P 3 FC�A 14 LOTS 24 & 26 VE ELEV. PPROX ISTORIC LCP 8884-Q 60 Z W/F M w LOT 27 LCP 8884-R cn TY DWELUNG H W 2.8' MAR .. ....... DATUM . NOT TO SCALE PROPOSED BOARDWALK, MHW PIER, RAMP & FLOAT 0TARSH -2.6 rn -2-3 -2.7 NAVO '88 )c 3.1 4 0 -3.3 -43 -J 7 -3. 3. .3 MLW X-4 -7 - -4.�-4_5 x-4.6 X-48 k 0 6 -6.2 -3 -6.5 EDGE OF CHANNEL X-56 -6.2 CENTERVILLE RIVER -6.6 GE OF CHANNEL EBB BB FLOOD -6.2 5. -2-3 -2.4 R >c c Q7 OVERALL PLAN VIEW 4 SCALE 17--60' 60 0 30 60 120 0.6 SHEET 1 OF 3 PLAN ACCOMPANYING PETITION OF 540 MAIN LLC 803 SOUTH MAIN STREET CENTERVILLE, MA TO CONSTRUCT & MAINTAIN A TIMBER PIER, RAMP, & FLOAT AND MAINTAIN AN EXISTING DWELLING IN THE CENTERVILLE RIVER OCTOBER 11, 2016 SULLIVAN ENGINEERING & CONSULTING, INC. OSTERVILLE, MA ................_._............._._..............._._...._._.._._..........._..._..__............_......................................__............................_............................................................................................................................................................................................_.............................._........................................................................ I o.00'.....1 APPROX. HISTORIC # 803 F MHW P DPW 2 STYpWELLING MHW 2.8' EXISTING - - -- ^\ MARSH Ml ...0.0 i MARS ' H = VINYL WALL & CONCRETE SLAB BOARDWAL :. XISTING DECK DATUM EXISTING BALCONY NOT TO SCALE MARSH x_2 MHW ' 23' PROPOSED )(-2.,, CID PI R BOARDWALK, PIER, x_ 411RAMP x&3 BOAT x�3.1 x_3 j N NAVD '88 3.4 00 10'RAMP x 31,3 ML W -3.2 x-3 7 x'3..7 25' x-4.1 x-2 x-4.9 -4.5 x-¢6 -42 x 7.7 x x-5 4 x-5.5 PROPOSED x-6.0 29' 6 x-6_3 8'X25' FLOAT x_62 x'6.5 . EDGE OF CHANNEL x-6.2 CENTERVILLE RIVER EBB FLOOD x-6.6 x_67 x-6.3 EDGE OF CHANNEL x_6 O x-6.2 x'5.3 DETAILED PLAN VIEW x-2.4 SCALE 1"=30' 30 0 15 30 60 SHEET 2 OF 3 540 MAIN LLC 803 SOUTH MAIN SRTEET CENTERVILLE, MA OCTOBER 11, 2016 SULLIVAN ENGINEERING & CONSULTING, INC. OSTERVILLE, MA . . . . _ _ _. _ __ . � BUILDING � �O w PEAK � c) r- nnnjN�cn O � � 'Z'� O p m BOARDWALK 77' � � zr� � 2 m 26' C � � ~ 34.3' � yZ � � � n �,.� PIER RAMP FLOAT m� ZvmZrz- � �, 23' 10' 8' � d � Z � -� � � EXISTING n Z °� r j o FOUNDATION � y � , ;:.,.Y.. & BUILDING i, HTL 3.8' � � . . . .MLW 0.0' _ EXISTING RAMP TO BE REBUILT t . AS NEEDED SALT MARSH LAND 26' UNDER OCEAN PROPOSED PROFILE VIEW 41' SCALE 1=10' 10 0 5 10 20 � 4.0' � ,-■ ••, ___ 2" X 6" MIN. DECKING (TYP.), WATER AND 3/4" MIN. SPACING DRY ELEC. EXCEPT - FIBERGLASS GRATING OVER SALT MARSH EL. 5.0 PROVIDING A MINIMUM OF 3" X 8" FOR ALL 65% LIGHT PENETRATION STRUCTURAL MEMBERS M.H.W. 2.8 10-12" PILES (TYP.) __M.L.W. 0.0 CCA-TREATED PILING AND STRUCTURAL TIMBER (GREATER CROSS BRACING THAN THREE (3] INCHES THICK) ARE ALLOWED. PROPOSED CROSS SECTION OTHERWISE, NO CCA-TREATED�� �� OR CREOSOTE-TREATED ii �� SCALE 1"=5' MATERAILS SHALL BE USED. S 0 2.5 5 10 I 9 ...................................................................................:..........._.............................................................................................................................................................................................................................................................._.................................................................................................................... � ` REMSdON ; DATE FRAMING NOTES AL ANZED•G a a 314" DIA. X 5" A307 ALL BEAMS TO BE SUPPORTED WITH FULL BOLT - GALVANIZED BEARING AND 3 MINIMUM OR EQUAL, HAVE UNO. SIMPSON PC'S FIELD VERIFY ANGLE 114" SAEAP 4X8 DIAGONAL CHORD AZ i� 2. ALL NAILING IS TO BE PER 780 CMR TABLE 5602.3(1) T,gg,S OF THE MASSACHUSETTS STATE BUILDING CODE MEMBER 4X8 P.1 RIM JOIST EIGHTH EDITION. \ / 3. TOP PLATES OF ALI STUD WALLS SHALL BE I/LE" GALVANIZED (2) PIECES THE SAME SIZE AS STUDS. \ 4X8 DIAGONAL CHORD SPLICES TO LAP 4'-0" MINIMUM. 8-114" X 16' PLATE STEEL 4. SPLICE PLATES WALLS W/ (10)O 6d EXTERIOR WALLS AND LINO. X 114" THIC ANCHOR PLATES GALV. METAL ANCHOR GALV. BA PLATE �� 5. STRUCTURAL MEMBERS SHALL NOT BE CUT FOR PLATE EXISTING PVC CONC. / \\ PIPES, ETC., UNLESS SPECIFICALLY I/2' DIA. NIGI-1 DETAILED. ` �.--- - BLLK1-IEAD I 6. PROVIDE 2X SOLID BLOCKING BETWEEN i STRENGTH EPDXY- \ JOISTS, RAFTERS AND TRUSSES AT ALL i TIE •%�••' ,• • SUPPORTS. BLOCKING SHALL BE ONE PIECE EXIST. (E) MASONRY SUPPORT AND FULL DEPTH OF THE JOIST OR RAFTER. CONCRETE i� 4" FROM EDGE - I PIERS - REPLACE DAMAGED t ' 4-112' EMBEDMENT ,42 SISTER-SLJPP02T PIERS - GROUT ALL PIERS 7. PROVIDE DOUBLE FLOOR JOISTS UNDER ► (E) 2X6 FLOOR INTERIOR WALLS PARALLEL WITH FRAMING. I JOISTS E C NT, 8. PROVIDE SOLID BLOCKING UNDER INTERIOR •- (N) AT 10" O.C. WALLS PERPENDICULAR WITH FRAMING. 9. PROVIDE MULTIPLE STUDS UNDER MULTIPLE JOISTS. ; ;.• ;:,; I . .]]� _ 10. PROVIDE STANDARD JOIST HANGERS AT ALL :' `',•` '•' ' •• JOISTS TO FLUSH FRAMING, UNO. •� F •' '"� •'' •' "� • 4 SECTION A MARK y 11. ALL FLUSH FRAMED BEAMS TO BE HUNG FROM ; FLUSH FRAMING WITH SIMPSON HU'S HANGERS r, " I " # M�DO���� - UNO. j 12. PROVIDE 4 X 4 POST AT ALL PA, ST, & HD AT DIAGONAL ;CHORD LOCATIONS SCALE: 3 = I -0 HOLDOWNS. s AIA 13. PROVIDE 4 X 4 POSTS AT EACH END OF IX MAHOGANY DECKING 4 X 10 OR LARGER MEMBERS; (2) 2 X 4 STUDS AT A MEMBERS, UNO. 314' END OF 4 X 8 R SMALLER 314' DIA. X 6' A307 A2 BOLTS - GALVANIZED 14. AT CALIFORNIA FRAMING USE 2 X 6 RAFTERS { AT 24" O.C. , MAXIMUM SPAN IS W-0". 15. ALL SHEAR WALL PLYWOOD SHALL EXTEND FROM I CALIFORNIA 48'-O" BOTTOM OF SILL PLATE TO TOP OF PLATE OR ..,.; A MASSACHUSETTS ROOF PLATE LINE, WHICHEVER IS GREATER. CONNECTICUT 16. ALL MICROLAM DBL JOISTS TO BE FASTENED WITH 2 ROWS OF 16d NAILS AT 12" O.C. UNO. 17. ALL (3) 2 X OR MORE JOISTS & (3) <.::... ... ._ .............. MICRO-LAMS OR MORE TO BE FASTENED WITH 1/2" DIAMETER MACHINE BOLTS AT 18" O.C. " 5 "`�r, s�6 `8 free A STAGGERDED, UNO. 4 /� L 1 L 18. 0 INDICATES LOCATION OF SPECIFIC BEAM " it nni$ "V' �3 ' OR FRAMING MEMBER CALCULATIONS = IN STRUCTURAL CALCS (FOR BLD. DEPT. 508=385-3201 REFERENCE ONLY). 19. PROVIDE PURIN,SAME SIZE AS RAFTERS,WITH 2X4 BRACES AT 48" O.C. TO ADJACENT 4X8 RIM BEAM STRUCTURAL BEAMS AND BEARING PARTITIONS. 20. BRACES SHALL BE A MINIMUM OF 45 DEGREES 2X6 P.T. DECK JOISTS STRUCTURAL STABILIZATION FOR; FROM HORIZONTAL. AT 16 O.C. A 21. PROVIDE MIN. 2X4 RAFTER TIES AT 48" O.C. 4X8 P.T. DIAGONAL CHORD Doe Residence FOR MAXIMUM LENGTH OF 8 FEET,OTHERWISE USE 2X6 TIES AT 48" O.C. 22. BRACE HIP AND RIDGE MEMBERS TO ADJACENT NOTE: (2) 4X6 DECK OUT- STRUCTURAL BEAMS AND BEARING PARTITIONS. RIGGERS AT CHORD LOCATIONS a 23. ALL STUDS TO BE W.C.D.F. #2 OR BETTER. , Tw< 24. PRTUDS AT OCAITIONS DE LWHERE ROOF BRACESTIPLE FULL BEARING SARE KICKED. DIAG CTILJ/Y AT DECK LEVE_ SCALE, 1-112' = 1'-0" 25.__....PROVIDE MULTIPLE 'FULL-BEARING -STUDS 'UNDER ; MULTI-STUDS AND POSTS ABOVE. 2X6 FLOOR JOISTS N 26. PROVIDE DOUBLE TRIMMERS UNDER 4X10 AND AT 16• O.C. e LARGER BEAMS, U.N.O. f 27. ALL STRUCTURAL DRYWALL SHEAR PANELS MUST 1 r ' BE PRE-HUNG PRIOR TO FURRING AND TO BE ° _ 8 EDGED NAILED AT TOP AND BOTTOM PLATES. ° ° ° 28. PROVIDE "MSB" UNDER DOUBLE JOISTS. ° ° ° 4' 314' DRAIN ROCK 29. TYPICAL TT&GSCDXTGRADE PLYWOOD, P.I. 32/16. V) BN: 10d AT 6" O.C. ° IQ EN: 10d AT 6" O.C. ° U FN: 10d AT 10" O.C. O ' 30. TYPICAL ROOF SHEATHING: MTSMI6 AT EA. OUT - cv m 1/2" CDX PLYWOOD P.I. 24/0. ch BN: 8d AT 6" O.C. O F- EN. 8d AT 6" O.C. RIGGER. TO GROU SO Y Q GROUT ALL MASONRY FN: 8d AT 12" O.C. GIRDER LOCATION $ SOLID W/ $ FATE �o PIERS SOLID W/ SUFATE USE CCX PLYWOOD AT EXPOSED EAVES. 803 SO�r Main Street RESISTANT CONCRE E N 3 RESISTANT CONCRETE 31. HEADER SCHEDULE (UNO): (2) MTSM20 AT EA. FIRST FLOOR Centerville, MA HEADER SIZE MAX. SPAN SPAN JACK STUDS GIRDER TO MASONRY ((3)2X8 5-1 2 PIER LOCATION C (3)2X10 6'-3" 2 C ajg 3 2X 12 7'-3" 2 1 ' N SECOND FLOOR SHEET TITLE D l PIER DEMO 0) P _ I' E CO STRUCT RECONST HEADER SIZE MAX. SPAN JACK STUDS ° ° W �3�2XB 1 5"-0" 2FOUN� T'ON 32X10 7"_O„ 232X12 8,_2, ° - �--- ------ �----- ----- C9� O -------- - � -------- �- � � �[ - � _' 32. CEILING JOIST SCHEDULE: ° ° SIR FRAMING W (� O O O MAX. SPAN JOIST SIZE/SPACING O 0>[ I- a I-- �� 10�-0° 2X4 AT 16" O.C. PLAN a- EL 0- �IJL Q W O- (1 n 15-9 2X6 AT 16 O.C. we X X k 19'-9" 2X8 AT 16" O.C. .JEST E N z TR T RAL YMB L FULLY GROUTED MASONRY PEER SCALE: 3" = I'-0" 3 5��� x Q STRUCTURAL U SYMBOLS SwGC t IX MAHOGANY DECKING (A) ,r INDICATES SPAN AND DIRECTION OF ROOF _ TRUSS / I aLQ.1 m SPAN AND -- -------- ------------------------------------------------------- INDICATES ------ W �p AZ �� I 1 1 N 1 1 1 DIRECTION OF --- --- --- Y 1 1 I 1 CONVENTIONAL FRAMING U 1 1 I I I I I W L2 U ---- ------- ------ -- --- ------------ ------------ ----- ------- ---- ---- - - - INDICATES SPAN AND y DIRECTION OF CEILING 4 T4 7.M GROUT ALL MASONRY JOISTS PIERS SOLID W1 SULFATE 4 2 RESISTANT NCRETE I A2 A2 I _ - --------- - �` `- INDICATES SLOPING 2' 0" 7'-4" 7 -4" T-4" 7r_4" 7,_4" T-4" 2, 0" CEILING AREA - - INDICATES SOFFIT _ 4 '-0' OR SHELF 4X8 P.T. RIA4 JOIST m Z INDICATES SOFFIT 1 2 3 A 4 5 s 7 AND SHELF LUS28 HANGER A2 CE INDICATES CALIFORNIA FRAMING W8XIO GALVANIZED STEEL BEAN BEYOND INDICATES BEARING PROJECT NG, WALL 20'16-07 FIRST FLOOR FRAMING PLAN 2X6 P.T. DECK JOISTS AT 16' O.C. S1-IFFY NO. ; INDICATES CEILING SCALEr I/4" = 1'_0• 5\-OPSp FLAT SLOPE D-CK JOIST COMZCTON A A2 AT EXTE2102 BEAM LncAvoN SIO - _ t' 0C3 Z—\ REMSION DATE .1. ——-————:JO —2X8 DECKST W8X10 FLUSH BEAM 2X BLOCKING BEYOND A4, 1 I W8X10 GAL'✓ANIZED ' I GALV STEEL W8X10 DROPPED BEAM STEEL BEAM (2) 314' DIA. SHIM AS REQ'D A307 BOLTS 6X8 WOOD CAM AT BEAM TO TS 4X4X 3/16 GAL V. BEAM LOCATIONS COLUMN x MARK DROPPM SEW C TIOiN N nEWMATE CAM ANC1-'I W 9 " r " M D WELL " r . c 0 AT SECOND FLOOR FRAMING SCALE 3 - I -0 AT INTERIOR BEAM .LOCATION SCALES 3 - I -0 AIA - - - - - - - k1c:1 . . . . . . ....... . . . . . . . . . . . f fi CALIFORNIA r a MASSACHUSETTS I CONNECTICUT ... ........................ .. . . ...... I _ . E • ` i t ,., 2X8 DECK JOIST W8X10 FLUSH BEAM D 2X FLO 01 S ..Brls + l Spree) BEYON Ok JOIST 0 BE W8X10DR PPED AM STEEL :.�s��ls s GAL V. S (E) .6X8 CAM ' 508y385-320 fi SHIM AS REQ'D TS 4X4X 3/16' GALV• s , COLUMN (E) 6X6 P'JST (4) 1/2" DIA. A325 BOLTS AT EA. COL MST-48 SrRAP STRUCTURAL STABILIZATION FOR; y Doe Residence .............. ..................... 3 ............ E.-, j ............... ........ .............. ............................. ........... . ...... ............. .............. .,..,,. n If �` n . ............... ........... p,: . ..... ED 6EAM COr1N 10 _ F SECOND FLOOR 6 -- n _ AT FIRST E S C POST LOCATIONS SCALE 2 - I -0 . ' : • _ y SECOND FLOOR DECK FRAMING SCALE: I - I 0 .: a ,::: . .�....+rtx'r�< r.-.e�::..>r., -r ^•�`. EC Q IX MAHOGANY DECKING' a -. ...E TOWN OF LE x. : 5 6 5 A4 -— A4 —— A4 —— t --------------- - ------------------------------------------------ - „............ :. �. r mm � : . ... ......... . ... :...... .... . . .... ....�. . ... ., . ... .. ..., ,. .., ... f --- --- - -- (4) 1/2' DIA. --- --- - -- • A307 BOLTS AT BEAM TO BEAM LOCATIONS o L�Q1 o�w o I j _ r --- ----- -- — -------------------------------- --- ---- — le a -- - - -- 803 South Main Sfreef Cen ter wipe, MA (2)I-3/4"x9-I/4" LVL (2)i-3/4"x9-I/4" LVL (2)1-3 'x9-1/4" LVL 9 0� (2)1-3/4"x9- 4" LVL (2)2X8 HDR 4:: .. ........................ ., ...:; ,.._._.: >: ..,: A4 �u ...:.........,.. . m,.....: ,.... 4XI P.T. HEET TITLE : 2 .T• RA�.101ST _ FOUNDATION W8X10. GALVANIZED oW8)c90 / BEAM \ p+ STEEL BEAM fYOND 2X8 DECK :DISTS PLAN 10 — o A4 BEYOND �i� ����rt"�l!�i C V� 11 ..�.....: ............�, II. ...., I'1A.,IT.........!•DIA�....A71r'A A.,.�... ,,_.... . � ,� AT EXTERIOR BEAM LOCATION SCALE 3' = i'-0" �"- OOCT' 15 \ 7 \ ——- 8 2X8 DEO JOIST A4 A4 W/ LUS?8 HANGER j_ I I m D W I I � W8X10 GALV. U STEEL BEAM W1 �I 2 NOTES ALL TS 4X4 POST CONNECTIONS SHALL BE v4• ENS ,,LATE II SHIMMED AND BOLTED FOR FUTURE SE TTLEMENT WELDED - II ADJUSTMENTS II SECOND FLOOR FRAMING PLAN z : Q : • is 4XI2 RIM BEAM O (4) 1/2" X 5" A307 " GALV. 60LTS CANTILEVER PROJECT NO, : �-07 SHEET NO. : 1210MAT M M CANTLEv� g 1 r " �-.,.,.�__ _-� _ _ -..._ _.�.e......._--.�.,�_ � �in>rn>e_y. .._��.a -�...._W.........^.,.�........:......... ..... ....:...:...—,..,u.,-.+wa..�.::.-,:«.-_y.,,.a..�u�.... .-,.___.._..r. -�....a...,....�,..�,..-.._..._.. '. REVISION : DATE TS 4X4X3/16' GALVANIZED FRAMING NOTES : a o 3/4' DIA. X 5' A307 1� ALL BEAMS TO BE SUPPORTED WITH FULL BOLT - GALVANIZED Ilu BEARING AND SHALL HAVE SIMPSON PC'S F VERIFY ANGLE 3 MINIMUM OR EQUAL, UNO. FIELD 4X8 DIAGONAL CHORD TA SI-�AR 2• OF THE LL LIMASSACHUSETNG IS TO BE TSRSTATE BUILDING CODE MEMBER MEMBER TABS EIGHTH EDITION. 4X8 P.T. RIM JOIST 3. TOP PLATES OF ALI STUD WALLS SHALL BE d�\ / ( PIECES THE SAME SIZE AS STUDS. 114" GALVANIZE® LICES TO LAP 4'-0" MINIMUM. 8-1/4' X 16': PLATE STEEL 4X8 DIAGONAL CHORD 4. SPLICE PLATES OF EXTERIOR WALLS AND SHEAR X 114' THICK ANCHOR PLATES WALLS W/ (10) 16d AND 4'-0" SPLICE, UNO. GALV. BA GALV. METAL ANCHOR PLATE 5. STRUCTURAL MEMBERS SHALL NOT BE CUT FOR PLATE PIPES, ETC., UNLESS SPECIFICALLY AI/2' DIA. HIGH DETAILED. - EXISTING PVC la CONC. \ \ � STRENGTH EPDXY- 6.I "... :' ': :'., .. •, 6. PROVIDE 2X SOLID BLOCKING BETWEEN TIE JOISTS, RAFTERS AND TRUSSES AT ALL EXIST �f�--- SUPPORTS. BLOCKING SHALL BE ONE PIECE (E) MASONRY SUPPORT AND FULL DEPTH OF THE JOIST OR,RAFTER. CONCRETE 4° FROM EDGE PIERS - REPLACE DAMAGED ' : I �,_' 4-1/2' EMBEDMENT ' SISTER-SUFPORT PIERS GROUT ALL PIERS 7. PROVIDE DOUBLE FLOOR JOISTS UNDER A2 INTERIOR WALLS PARALLEL WITH FRAMING. (E) 2X6 FLOOR _ JOISTS 6 CONT. 8. PROVIDE SOLID BLOCKING UNDER INTERIOR (n� AT o O.C. WALLS PERPENDICULAR WITH FRAMING. ty .: 9. PROVIDE MULTIPLE STUDS UNDER MULTIPLE I . I ::, •o ; JOSS •r. ,.• ��. :�. �;. ' STANDARD JOIST HANGERS AT ALL I . ,,.• , .f " : ;. :...'....: 10. PROVIDE •,• .• .•.. . ..• . ,,• • • • •.. � ; •�••••:. ' ' ' •.;�..',•;.� JOISTS TO FLUSH FRAMING, UNO. : I to- :. AA RK 11. ALL FLUSH"FRAMED BEAMS TO BE HUNG FROM SECTI N _ FLUSH FRAMING WITH SIMPSON HU'S HANGERS I I SCALE. _ _ µ UNO. 1 cD AT DIAGONAL CHORD LOCATIONS SCALE: 3' = I'-0' M OWELL 12. PROVIDE 4 X 4 POST AT ALL PA, ST, & HO HOLDOWNS. AIA 13. PROVIDE 4 X 4 POSTS AT EACH END OF IY. MAHOGANY DECKING 4 X 10 OR LARGER MEMBERS: (2 2 X 4 A STUDS AT EACH END OF 4 X 8 OR SMALLER 1 MEMBERS, UNO. 3/4 DIA. X 6 A307 I A2 BOLTS - GALVANIZED 14. AT CALIFORNIA FRAMING USE 2 X 6 RAFTERS AT 24" O.C. , MAXIMUM SPAN IS 9'-0 z ! 15. ALL SHEAR WALL PLYWOOD SHALL EXTEND FROM CALIFORNIA BOTTOM OF SILL PLATE TO TOP OF PLATE OR !. 48 0 - . M ROOF PLATE LINE, WHICHEVER 1S GREATER. » ASSACHUSETTS CONA ECTICUT 16. ALL MICROLAM DBL JOISTS TO BE FASTENED `. I -: WITH 2 ROWS OF 16d NAILS AT 12" O.C. UNO. 17. ALL (3) 2 X OR MORE JOISTS & (3) I ,;;,,,,,,,,,,,,,,,» MICRO-LAMS OR MORE TO BE FASTENED WITH 1 2" DIAMETER MACHINE BOLTS AT 18" O.C. STAGGERDED, UNO. a ���SLP00 2 3 4 5 6 7 RJ 18. 0 INDICATES LOCATION OF SPECIFIC BEAM OR FRAMING MEMBER CALCULATIONS c 50 385 32011 _ 1N STRUCTURAL CALCS FOR BLD. DEPT. �'`��,.�'y g � � REFERENCE ONLY). -�_ 19. PROVIDE PURIIN,SAME SIZE AS RAFTERS,WITH 2X4 BRACES AT 48" O.C. TO ADJACENT 4X8 RIM BEAM STRUCTURAL BEAMS AND BEARING PARTITIONS. 2X6 P.T. 'DECK JOISTS 20. BRACES SHALL BE A MINIMUM OF 45'DEGREES STRUCTURAL STABILIZATION FOR: FROM HORIZONTAL AT I6 O.C. 21. PROVIDE MIN. 2X4 RAFTER TIES AT 48 O.C. c 4X8 P.T. DIAGONAL CHORD A FOR MAXIMUM LENGTH OF 8 FEET,OTHERWISE Doe Residence USE 2X6 TIES.AT 48 O.C. NOTE: -(2) - 22. BRACE HIP AND RIDGE MEMBERS TO ADJACENT O 4X6 DECK OUr 11,21 STRUCTURAL BEAMS AND BEARING PARTITIONS. RIGGERS AT CHORD LOCATIONS. O U 23. ALL STUDS TO BE W.C.D.F. #2 OR BETTER. 24. PROVIDE MULTIPLE FULL BEARING STUDS AT _ LOCATIONS WHERE ROOF BRACES ARE 'KICKED. "" DIAL C�IiOiRD CI��C p 2 I AT DECK LEVEL SCALE_. 11I2.. I 0 _PROVIDE MULTIPLE .fULL HARING :ST!;.OS UNDER.,,..._u ,...�... �: i a f ryA f !5 Py MIL j. b t,C7S U tJw H4 E , 2X L k T.. � 6 00 JJ U S co TRIMMER,., N R 4X1 ANO.C. SV 26. PROVIDE DOUBLE ER� U DE 0 D �- ,. A 16 , .;, , LARGER BEAMS, U.N.O. 27. ALL STRUCTURAL DRYWALL SHEAR PANELS MUST BE PRE-HUNG PRIOR TO FURRING AND TO BE _ o ° / EDGED NAILED AT TOP AND BOTTOM PLATES. ° e _ ° . . 28. PROVIDE „MSB" UNDER DOUBLE JOISTS. ° ° ° 29. TYPICAL FLOOR SHEATHING. ° 4 3/4 DRAIN ROCK 5/8 T&G 'CDX GRADE PLYWOOD, ° : . BN. 10d AT 6 O.C. f- EN: 10d AT 6" O.C. ° 6 N U FN: 10d AT 10" O.C. • O 30. TYPICAL ROOF SHEATHING: •I : : - cV : 1 2". CIDX:PLYWOOD P.I. 24 0, _ / / MTSMI6 AT EA. OUT BN. 8d AT 6 O.C. RIGGER .TO O � EN. Sd AT 6 O.C. i1 le Q T ALL MA OIVW FN: 8d AT 12 D.C. GIRDER LOCATION GROU SO Y GROUT S USE CCX PLYWOOD AT EXPOSED EAVES. FATE .o PIERS SOLID W/ SI FATE S SOLID w/ S A 803 South Main Street E N 3 RESISTANT CONCRETE 31. HEADER SCHEDULE (UNO):RESISTANT CONCRE r (2) MTSM20 AT EA. A2 - FIRST FLOOR "� HEADER SIZE MAX. SPAN JACK STUDS GIRDER TO MASONRY Centerville, NA PIER LOCATION �3�2X8 5-1 2 32X10 6'-3" 2 i ' i iv 32X 12 7'-3" i 2 - SECOND FLOOR SHEET TITLE : + DEMO (E) P MAX. SPAN JACK STUDS ° D ( PIER HEADER SIZE • RECONST 1 C TRUCT to 0 3 2X8 5'-9" 2 l ° o cn 3 2X10 7 0 I_ 2 FOUNDATION _ I I cn v C9 p32X12 8 2 - �- _ CY 32 CEILING JOIST SCHEDULE: o p� p� FRA AIDING ° MAX. SPAN JOIST SIZE SPACING r.:. o i Ilu 10'-01, 2X4 AT 16" O.C. ,_ , PLAN H- !1 15 9 2X6 AT 16 O.C. [L �� Q W 19'-9" 2X8 AT 16" O.C. T �iMOM Q.�p F- X �O �D X x r x ° = 3 k �, z x v �r FL�.LY GROUTED MASONRY PIER SCALE 3 1 0 x Q S TRl�CTURAL SYMBOLS cn IX MAHOGANY DECKING 7 INDICATES' SPAN AND : DI RECTION OF ROOF a TRUSS / m \ W r 1 1 INDICATES SPAN AND I�i-- -- I W DIRECTION OF �L 1 1 I �, 1 1 1 --- - = ., NO A2 1 1 1 CONVENTIONAL FRAMING 1 ---- --- ---- _ 1 1 : 1 1 1 I i„ ray ( - --- -- --- ---- -=------- -- -- ---- -- -- ---- - INDICATES SPAN AND it E - ---- ------- DIRECTION OF CEILING �, o 4X8 E3EAMdsS. CO ... GROUT ` aL< MASONRY JOISTS IL PIERS SOLID W/ SULFATE 4 2 RESISTANT BETE A2 A2 - --- x ° ,- - _ - 1 CEILING AREA INDICATES SOFFIT OR SHELF m ` 4 0 � 4X8 P. RIM JOIST Z INDICATES SOFFIT AND SHELF Q A , LUS28 HANGED, 1 2 3 4 6 6 7 0 INDICATES CALIFORNIA FRAMING W8XI0 GALVANIZED STEEL BEAM BEYOND PROJECT NO, c 20'3-O7 INDICATES BEARING WALL FRAMING ' PLAN 2X6 P.T. DECk. JOISTS AT 16' O.C. SHEET NO. : FIRST FLOOR INDICATES CEILING , SCALE, 114' = 1'-0' OP�p FLAT SLOPE s� A 2 D�� .�c�T_ C . T�� 4 REVISION : DATE ri 2X8 DECK JOIST W8XIO FLUSH BEAM 2X BLOCKING BEYOND , W8XIO GALVANIZED „ „ GALV. STEEL W8XIO `DROPPED BEAM STEEL BEAM (2) 3/4" DIA. SWIM AS REQ'D A307 BOLTS AT BEAM TO 7V TS 4X4X 3/16" GALV. 6X8 WOOD BEAM BEAM LOCATIONS COLUMN „ _3 MARK DROFFM BEAM CONAMMY 9MMWWIATE BEAM AWPM . . 5 WDOWELL AT SECOND FL OOR FRAMING SCALE: 3 = I -0 AT INTERIOR BEAM LOCATION SCALE: 3 = 1 -0 f F AIA . . . . . . . . . . . I I � I CALIFORNIA MASSACHUSETTS , CONA ECTICUT » - - - - - - - - - - - - ' , _ r= I kt a I e ' isr»r,r..rrr..,r»rrrrrr� !1 rm .rr»..rr...r.. »...F a F 2X8 DECK JOIST W8XIO FLUSH BEAM 2X FLOOR JOIST qP T�St �0a » I BEYOND I W8XIO DROPPED BEAM �. GALV, STEEL » °rx cE) 6xe BEAM f 508�385-320t t 1 r,� SWIM AS REQ D TS 4X4X 3/6 GALV � ���•'`+j COLUMN I I _ (E) 6X6 POST 'I (4) 1/2 DIA. A325 kl � BOLTS AT EA. COL MST-48 STRAP k � STRUCTURAL STABILIZATION FOR: Doe Residence k . --------------- DRO PW MW Ct>NWCMY 10 GRDER. ANCAM 3 F I . - _ -F N F _ • ? : % _ SECOND FLOOR 'DECK FRAMING SCALE I 1 0 AT FIRST '� SECO D FLOOR POST .LOCATIONS` SCALE 2 I 0 % , t 3 v 5 Ya , L, 5 a k . r � IX N;AW GANY DECKING O , k a » r , 5 6 � 5 k 5 , : A4 A4 l� \ \ �, \ »» _ --- ----- - (4) 1/2 DIA. ,�.�®—,�.� .,�.�-„--®�,— � \ : E � A307 BOLTS ` A T BEAM TO , z BEAM LOCATIONS k ap x X 5 , r _ ^ r e 803 South Main Street , en ter vill HA a p a 9 1 5 i - - • - (2)I-3 x9-I/4 LVL (2)I 3/4 x9 4 LVL (2)2X8 WDR 5 f (2)13/4 x9 I/4 LVL (2)i 3/4 x91/4 LVL ... :.,.....,»»,. .:......»,...,.:.,,,. » .» .» SHEET TITLE : 4XI2 P.T. RIM JOIST cn i W8XIO GALVANIZED FOUNDATION � cUW8X10 BEAM I i STEEL BEAM BEYOND� ` � p+ � f � . 2X8 DECK JOISTS SS PLAN /I 10� A4 BEYOND ya DECK EF4�M CONNECTION 11 _ 7 AT EXTERIOR BEAM LOCATION SCALE: 3. I,-C. n r \ i I 7 8 2X8 DECK JOIST II A4 A4 W/ LUS28 HANGER } it m w II Y W8XIO GALV. U STEEL BEAM W/ h w 114' END PLATE U NOTE, ALL TS-4X4 POST CONNECTIONS SHALL BE II WELDED SHIMMED AND BOLTED FOR FUTURE SETTLEMENT \5��QE®AR ,r ADJUSTMENTS I1 o MASS. �y SECOND FLOOR FRAMING PLAN ' m SCALE. 1/4• ' I'-0' CE I I I I Z Q 4XI2 RIM BEAM ❑ (4) 1/2' X 5' 8 A307 • 3 GAL V. BOLTS PROJECT NO. : 20rm-07 CANTILEVER SHEET Na A4 1210M BEAM CANT r-0. 81 FRAMING NOTES F-] REVISION : DATE F ALL BEAMS TO BE SUPPORTED WITH FULL BEARING AND SHALL HAVE SIMPSON PC'S MINIMUM OR EQUAL, UNO. 2. ALL NAILING IS TO BE PER 780 CMR TABLE 5602.3(1) OF THE MASSACHUSETTS STATE BUILDING CODE EIGHTH EDITION. 3. TOP PLATES OF ALI STUD WALLS SHALL BE (2) PIECES THE SAME SIZE AS STUDS. SSPLICES TO LAP 4'-0" MINIMUM. 4. SPLICE PLATES OF EXTERIOR WALLS AND SHEAR WALLS W/ (10) 16d AND 4'-0" SPLICE, UNO. 5. STRUCTURAL MEMBERS SHALL NOT BE CUT FOR PIPES, ETC., UNLESS SPECIFICALLY DETAILED. 6. PROVIDE 2X SOLID BLOCKING BETWEEN JOISTS, RAFTERS AND TRUSSES AT ALL SUPPORTS. BLOCKING SHALL BE ONE PIECE AND FULL DEPTH OF THE JOIST OR RAFTER. 7. PROVIDE DOUBLE FLOOR JOISTS UNDER INTERIOR WALLS PARALLEL WITH FRAMING. 8. PROVIDE SOLID BLOCKING UNDER INTERIOR WALLS PERPENDICULAR WITH FRAMING. 9. PROVIDE MULTIPLE STUDS UNDER MULTIPLE JOISTS. 10. PROVIDE STANDARD JOIST HANGERS AT ALL JOISTS TO FLUSH FRAMING, UNO. ` . 11. ALL FLUSH FRAMED BEAMS TO BE HUNG FROM ���� FLUSH FRAMING WITH SIMPSON HU'S HANGERS UNO. 12. PROVIDE 4 X 4 POST AT ALL PA, ST, & HID MCDO WELL HOLDOWNS. 13. PROVIDE 4 X 4 POSTS AT EACH END OF A'A 4 X 10 OR LARGER MEMBERS; (2) 2 X 4 STUDS AT EACH END OF 4 X 8 OR SMALLER MEMBERS, UNO. F EI, I 3 E t. B i F f. S a F. t a € i f'. i C C. 14. AT CALIFORNIA FRAMING USE 2 X 6 RAFTERS I' a a I E i . f r. EI a I a a e a a P AT 24" , 0u.O.C. MAXIMUM SPAN IS 9' E' { t 9 Q 1 f t E k C € f a F E E. a t r a a a r 3 7 a a a c a WALL PLYWOOD SHALL EXTEND FROM i : a F 15. ALL SHEAR L L €'. z t r a t a a : a s I I: f z I a a t F T P OF R BOTTOM OF SILL TO 0 PLATE a BO 0 0 L EE i a p E': a � a I 3 a € 1 Gaa aaa {pp »...r.. a f ROOF PLATE LINE, WHICHEVER GREATER.R. 16. ALL MICROLAM DBL JOISTS TO BE FASTENED MASSACHUSET TS CALIF0RNIA WITH 2 ROWS OF 16d NAILS AT 12 O.C. UNO...::::._:.v CONNECiTICUT . ALL 3 R(3) 2 X OR MORE JOISTS & (3)MICRO-LAMS OR MORE TO BE FASTENED AS ENED WITH 1/2" DIAMETER MACHINE BOLTS AT 18" O.C. t t STAGGERDED, UNO. F . ` r 18. INDICATES LOCATION OF SPECIFIC BEAM 5 alm"", 4,"I st W OR FRAMING MEMBER CALCULATIONS �' 1� ` Of IN STRUCTURAL CALCS FOR BLD. DEPT. »..... :p REFERENCE ONLY). ( VQllll�a.. v381 ' ... -.L 508385-3207:I: 19. PROVIDE PURIN,SAME SIZE AS RAFTERS,WITH 2 y 2X4 BRACES AT 48" O.C. TO ADJACENT HAS BATH LA NDRY ROOM BUNK ROOM STRUCTURAL BEAMS AND BEARING PARTITIONS. U U , 20. BRACES SHALL BE A MINIMUM OF 45 DEGREES FROM HORIZONTAL. _ b b O SO ;K -� RESIDENCE FOR: i ��0� ��.0� FOR 21. PROVIDE MAXIMUM RAFTER OF BEFEET,OTHERWISE 1- X /A" ,1 1! ,. ,,, ,, ,.. ., -. /., ," ,.11 7/ ".,...LI I Q f,. Q » ... ..:.......f�) . 1-3/„�J.' ?l 117,/R"....L V(,. ..,,.,,, ..,,..,,,,.,,..,.,,,.,. USE 2X6 TIES AT 48" O.C. r31 3/4 v ff 7.� L (.�) 13.4 X v 8 / �..,,:.....» », _ _ _ BEAM I FL(JSH`�..,BEA1V1 ».. .....:.... .....::..�l�Sl=a. ..t�CX11Vl SLUSH t�EAiV� 22.O »», X BRACE HIP AND RIDGE MEMBERS TO ADJACENT Doe E': STRUCTURAL BEAMS AND BEARING PARTITIONS. • . ........ �t mot; »»», „ »,,,, « �': ��f .:. ..:.:::::::.......�:::. ... .... ..::..... :«.._:::: •_....::::::::::. .. t.., _v. ...:.... . ,.... ....:::::.., .. 23 ALL STUDS TO BE W C D F # OR BETTER. eSlaenC ................................ { 24. PROVIDE MULTIPLE FULL BEARING STUDS AT LOCATIONS WHERE ROOF BRACES ARE KICKED. { I VUE�7 T BA T/7 26. PROVIDE MULTIPLE FULL BEARING STUDS UNDER z E,' HALL MULTI-STUDS AND POSTS ABOVE. 26. PROVIDE DOUBLE TRIMMERS UNDER 4X10 AND LARGER BEAMS, U.N.O. I' 27. ALLN STRUCTURAL DRYWALL SHEAR PANELS MUST BE PRE-HUNG PRIOR TO FURRING AND TO BE s EDGED NAILED AT TOP AND BOTTOM PLATES. Q O ��b�� 28. PROVIDE "MSB" UNDER DOUBLE JOISTS. z E o P (,,)....1..3,..4.. X ,v v 8 L/ », .,, (3)», I J X V. 7,8 L/ 10 ,.,:.. .� ... .,:: : »,.: ,. _.� . . : ::::: ,._. . �• ... � � E-- O 29. TYPICAL FLOOR SHEATHING. O ��IJSl-1 BEAM ,..., .:::, 1=LfIJI-N. ..7�EfXIVf ... -I=LUS1-1 REAM'::::::...:::.. ..:...:. . .:... 5 I811 T&G CDX GRADE PLYWOOD, 9 P.. 32/16. U ,U BN: 10d AT 6" O.C. 1ST FLOOR MASTER BEDROOM DEN O EN: ,od AT s" Q.C. FN: 10d AT 10" O.C. J I i I GUEST BEDROOM 30. TYPICAL 1/200 DX P YWOOD P.I. 24/0. BN: 8d AT 6" O.C. EN. 8d AT 6" O.C. FN: 8d AT 12" O.C. x, USE CCX PLYWOOD AT EXPOSED EAVES. 803 Main Street c 31. HEADER SCHEDULE (UNO): FIRST FLOOR Centerville MIA HEADER SIZE MAX. SPAN JACK STUDS N IS �3�20 5'-1" 32X10 6'-311 2(2) 13/4" X II-7/8" LVL CONT. NDR. (2) I-3/4" XII-7/8" LVL CANT. NDR (2) i 3/4" X 11-7/8" LVL CONT. NDR 32x12 7'-3" 2 T TIT' � � SECOND FLOOR SHEE LE E' F e s i e f { i E @ E t f z o. f'. E C P R D; HEA a ER SIZE MAX. SPAN JACK STUDS I a a z 8 S k r k z t z a S t{ t P t C: a f i t !l S 4 f n d n 2 a P I a E 3 20 5' 9 { a t a j I C E' 2 a a a P a e f E a T n a a a z g t 7 s E a a 3 X10 t a k 2 0 4 1 a { a i i 2 { p EI p r u t t FRAMING PLA N X1 E s f 32 2 t I € - a I k 8 2 R t t'. { { 2 g Y E: a E I 2 z k € I 44 { C f t d f A z k I E f JOIST H k € a 32 CEILING JO S SCHEDULE: € E! I z C E z i E a t E t { I': pi t 1 2 a a c gg E F f 8 t E'a k t a I 1 MAX. SPAN JOIST SIZE SPACING 3 E E F E a z r t f 9 L{ t €' k p EI z a { E' k i, K { t a f C a , C 1 II 11 I k p Ep E E a i z EI - 1 0 X4 AT 1{ z k { I 0 2 6 O.C. { f g € i{ 1 z 1 a a R II 11 a E r e E R a I a k t € f 15'k 9 2X6 AT 16 O.C. A i 1 i F [ f i t'. a a 11 11 a f a f t a e { a f. e ' E EI 1 19'-9 2X8 AT 16 a � O.C. E a I e E C 9 { $ E a I e c 3 f € r i 1 I a I E c a f 3 i B z k 3 E' t { a k I' a a E z x E' : zt TR RAL T SYMBOLS UC U S BOLS m INDICATES SPAN AND w DIRECTION OF ROOF TRUSS W U INDICATES SPAN AND DIRECTION OF CONVENTIONAL FRAMING AtiREIDARC, INDICATES SPAN AND oZ; DIRECTION OF CEILING 2_1 w . JOISTS 0 MASS. �fiq�rN 0 P CO INDICATES SLOPING CEILING AREA } m SECOND FLOOR FRAMING PLAN INDICATES SOFFIT Z OR SHELF SCALE: 1/4" 1 0" Q 4 INDICATES SOFFIT E AND SHELF INDICATES CALIFORNIA PROJECT NO. : 20032 I FRAMING I s: INDICATES BEARING SHEET NO. : WALL INDICATES CEILING A4w1 -77 EO FLAT SLOPE LOP 0/3 0 .. -