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0142 SKUNKNET ROAD
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B-18-2185 Applicant Name: GARY GUSTAFSON Approvals Date Issued: 08/03/2018 Current Use: Structure Expiration Date: 02/03/2019 Foundation: S pt Permit Type: Building-Addition/Alteration-Residential Ex p Location: 142 SKUNKNET ROAD,CENTERVILLE Map/Lot 171-004 Zoning District: RC Sheathing: Owner on Record: DAVY,SUSAN A&STAHLHUT, PRANCES K ffi Contractor'Name . CAPIZZI HOME IMPROVEMENT, Framing: 1 e)10h INC. Address: 142 SKUNKNET ROAD 2 - , -"- tractorFLtcenseTo007-40 �b S CENTERVILLE, MA 02632 4 Chimney: k �: Est Pro ect Cost: $40,000.00 Description: Remove a Door in Basement at Bulkhead Replace with new thermatro door(Bottom of Stairs Leading to Bulkhead) Remove old PermtFee: $254.00 Insulation: i deck on side of house replace with 10x12 ScreenRoorh sm ae size R � cFee Paid' $254.00 Final: and Footprint as the old deck. No Heat or insulation 2storm doors 1 harvey storm/screen wall panal new interior dooratottom of� '� ,Date�u 8/3/2018 Plumbing/Gas basement stairs smoothstar by thermatru. ; � qri� Rough Plumbing: �Af _. Project Review Re �Pro _f q Final Plumbing: z Building Official � X , 4 Rough Gas: Final Gas: �4r r, Electrical This permit shall be deemed abandoned and invalid unless the work authorized by this•permit4is commenced wrthmgsix months after issuance. r Service: All work authorized by this permit shall conform to the approved applica�and the approved con struct dri documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compl�ancewrth ihe�local zoningby laws and codes. r ¢, ti ••. Rough: This permit shall be displayed in a location clearly visible from access street.or„roadantl shallibe�mamtalned:open forpublic inspection for the entire duration of the work until the completion of the same. Final: .. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: Minimum of Five Call Inspections Required for All Construction Work: Foundation or Footing Low Voltage Final: ` Sheathing Inspection All Fireplaces must be inspected at the throat level before firest flue lining is installed Health Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final; 6.Insulation 7.Final Inspection before Occupancy Fire Department Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. pf t11E TpY,� Application N=ber.. . .. ..BAMSTAMM I. .. ... NAM $, �'7 �Peanrt Fee..:y Q`/.. '. .6 4 � �,ors �®��� ,� ,Total Fa Paid. .... ...... . k.... TOWN OF BARN S T n R . • .. Permit Approval by... .... ............A 62... BUILDING PERMIT `A ice.... ......: ................ `..:.................. APPLICATION A /rf Section 1.= Owners Information and Project Location Project Address I Lt z :5 j<L)n K n -+- 'R o'a c�` y' e C Owners Name 5USAa3 -DA QVI0 1-1ew�+ees toHthvt Owners Legal Address v i z• 5 k-wik.1il=� � City C Zul•i yzo o°1 e State 44- "" zip ° 2 La32 Owners Cell# �.© �'- 3�0 �4 2 E-mail �DA b .� 6l'14;/; 60/19 Section 2—Structural Use Single/Two Family Dwelling Commercial Structure,over 35 000 cubic feet Commercial Structure under,35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ . Move/Relocate ❑ Accessory Str is we ❑ Change of use ❑ Demo/(emirs sftu�)``a ❑ Finish Basement ❑ Family/Amnesty 4 ❑ Fire Alarm I R ebuild ✓,���ta4 , Deck Apartment• © Sprinkler System on ❑ Retaining wall ❑• Solar 4�. f vation ❑ Pool ❑ Insulation `I c� Other Spe ell d e A D O 2 i`N ba 5 a Fte�/� b 1/Z/c 64 p 1 i C 1z t l at At Gv A/,e%u.. 'Tk•e✓ a C ba tfe," o;f f r,4jj? od,�fr tQ 4 �i of`A"'� DetaTil _ Cost of Proposed Construction ,4 a 1000,Vd Square Footage of Project: I® x 2 1 U of Structure l g � Dig Safe Number #.Of Bedrooms Existing al, Total#Of Bedrooms(proposed) 11.0 MPH Wind Zone Compliance Method ❑ MA Checklist© WFCM Checklist Design Last updated:11/7M17 Section 5 -Work Description C•. ��( oy-e.. .o 1 o V eck, O Al 5i ve of n ouJR- ' RCetAcz tyiti 1 C) X i2— C',S Rt '�ITZtJ C S Axle- i i2e- ��b 'ro d+yViNt Tt4e- b'Q o 0 ee,/e ' No k&,1' av !N ✓tI1Abvw IJ .e.W I IU+evi oe -VOO� AT °$o-Hotj o� eA6e1q eA-- -VTA1'Q,( C�s..��'vo°ralftAr�G TG�.e -tr✓ Section 6—Project Specifics ❑ Wiring , _ [] Oil Tank Storage . -. . ❑ Smoke Detectors [] Plumbing ❑ Gras _ ❑ Fire Suppression ❑_Heating System ❑ Masonry Chimney - ❑Addhelocate bedroom - _.---Water Supply - -- Public—=-- --- _,❑,_Rdyete- - — L'7 Sewage Disposal ❑ Municipa On Sitel Historic District ❑ Hyannis Historic District ❑ Old Kings Highway , Debris Disposal Facility: feu) 6eO r'O v 0 �U<4 d f I am using a crane ❑ Yes 19 No Section 7—Flood Zone Flood Zone Designation x ~ Within or adjacent to a wetland,coastal bank? Yes ❑ No Er Section 8—Zoning Informationlakoov T - Zoning District� Proposed Use = Lot Area.Sq.Ft Total Frontage ?"WPercentage of Lot Coverage #of Dwelling Units"(on site) _ "5 Setbacks Front Yard Required Proposed `� If t#4N G Rear Yard Required Proposed 9 .O y t 4jAnrt t Side Yard ReqWed1 O Proposed. /VD t P,4 Va ( 0,V13ifIV' Has this property had relief from the Zoning Board in the past? ❑ Yes No Last npdstc&11r712R017 Section 9—Construction Supervisor Name CA rz j (;WJ fA rJ v" Telephone Number 3'dt (o q�' �i �i y Z. ✓ �v y�s�tQ/� Address 6 SHORT 'WA q _City' f ���,✓) 6 aNDw�GI4 • Stagy M� zip s License Number c 5_®7`6 Ye License Type W Expiration Date i I (�91210 Contractors Emai G A R J a c,A?p 2v hoge, C®M' Cell#_ { I understand my responsibMes under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I mx1mrstand the construction inspection procedures,specific inspections and documze station required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signattae. - , Date , ,,� 7 -1 l z o ire Section 10—Home Improvement Contractor Name CA ft l-2r 1401le 1:11 AKoU$He" Telephone Number Address 1 W f AUeUJ Ty ajH a1) City C p i oi'f State NA Zip s RegtstrafionNumber 100 1 yy - Expiration Date I understand my responsH.n1h ies under the rates and regalations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Code. I understand The construction inspection procedures,specific inspections and documentation req�ed 80 and the Town of Barnstable.Attach a copy ofyour ELI.C... Signatt�e Date O Il��� 1 � Section 11—Home Owners License Exemption Home Owners Name: �� - Telephone Number Cell or Work Number I understand my responsbilitie s under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code.'I understand the construction inspection procedures,specific inspections and doc=entatim regaimd.by 780 CMR and the Town of Bamstable. Signafiufe Date f APPLICANT SIGNATURE ' Signature Date wei4eV11 - We— Print Name �� �� Telephone Number eP _ A . 1 E-mail permit to: Last upaatmk I lnr2017 Section 12—Department Sign-Offs y Health Department ❑ Zoning Board(if required) ❑ Historic District, ❑ Site PIan Review(if=`qI d d)..❑ Fire Depia6rit' ❑ Conservation ❑ is fi For commercial work,please take your plans&ectly`to the; a dep for approval Section 13— Owner's Authorization E5,A t7l%44ed, as Owner of the sub*e' � �erb�;authorize ff � ZZ B 2 K 1/o de/���/fi �" to a y emall matters relative to work authorized by this building permit application for: (Address of j ob) .3, .,•.t . . , Signature of Owner date Print Name j ; �, zv Last updatc&I 7/2017 LOT 13 q O LOT 14 1 r 16.938 sq.f U "1 CONCRETE f vt'eov- "( 0.39 Acres FOUNDATION PC,= 55.6. t If ,4✓ O O :ff � N 90"O f f 169.,'I LOT 15 BUIL0aNG OOP . JUL 0 2010 , TOWN OF BAr NS�A"3'Ll JOB # 96-251 CER TIFIED PL 0 T PLA N LOCATION SKUNKNET ROAD CENTERVILLE, MA SCALE 1" 30' DATE s AUGUST 26, 1997 PREPARED FOR: REFERENCE: LOT 14 PB 224 PG 127 CHAMPION BUILDERS INC. I HEREBY-CERTIFY THAT THE STRUCTURE SHOWN ON THIS FLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. ZH Of Mqs off 508-362-4541 pZ� ARNE tax 5w 382-9w H. I � down cape engineering, inc. o. 8 CIVIL ENGINEERS 1139 main at�vnriouth�moEYD2675 DATE R s�oN � PI sJ URVEYOR • Sketches-Map/B1ocklLot: 171 TOM 26 , 21VD1� 1 b. OAS 24. BMT • � of � _ , ' • a http://www.townofbamstable.us/Assessing/printl8.asp?ap=0&searchparcel=171004 5/15/2018 Tke Conur bnieoeal of Massavht DepQI'J)11W Of ITlifillf ACC1411" __ _ t'F88�asArr�-St Basav4MA#211 wwwxm&govldAff WbAwns Compemdon Insurance Affidavit:BufldnWConft coo mM A�4�nt Tatermatlon Please Print I Name : CePtu1 Home tmpcevetn®nt Ate• 1645 Newtown Roar{ C' Stde/Z' . Catul MA 02836 Phone#. 608-428-9618 Are you sa employer?Check the approprhfe boa: Type arprojeet trequbw. 1. I am a employer wlfle 40+ 4. I am a gemeral contractor and I d. Now cam employes(fall and/or part-time).* have hived the sub-couftectors 2.O I an a sole proprietor or partner- listed on the attached sheet. 7. V Remodeling ship andleaveno loyees yresandhave $. Demolition. 5 C e� working for me In auw�. z 9. Building addition 'Po P-t t w�kers l 'comp.imumoo 10. fcsel rep�rs or additlons S. We are a corporation.and its 3. I amahmeowner doing aP'work offices have�tleair 11. Plumbing repairs or additions. myself.(No workers'comp. rW eotemp�ion per MCiL 11 Roof repairs insurance 'l t c employe"[o wli see no N wo 13. Ofleer .� 4. JI '�ywffi�ttba��2 m�tattro�t�t8�aavr ��tro 'en. t Hoasrbosalm�t�a$idav� 1n8�1�doL�geUwor]cand�biraonfsides��ctotam�taebmiCane�v aau3►. tCatom 90ftakWobumeetea bedinsditonWabwtels t*e offfieXb40Gt!SdMendslatewhether0rmtliea eve P • Iftha�ehatva0nP*4MtheyMWVWA W warYers'wM.pof9 - I M im"Vkyer that jjpreW tgwmimP wnrpanma don biawwxe.j�►r�Yeagnlo, Belowts�iepol�Q+aratjob SW InsursnoecompegyNamr. AMGUARD INSURANCE COMPANY {��/ +y,•/y� ,(y��� /f�f�7��I�/�/�■fit{4' ♦�#o seM�1�1!..•�Yf•�IV�Y 7k l 1@p� ffi�51m�u` Job.Site Address: 9 Z J/Gy Al r To ' CRY fZ*. (eV feyadle4 4 Attach a eW of fe workers'compensate ponq dedowdon pop(shag dw policy n mber and exphudon date). Faibnv 10 seow coverage as required under Section 25A of MGL a.152 can lead to flee imposition of criminal p000ldca of a fine up to$1,500.00 and/or one`year imprlsonntent,as well as civil penaNg in the form of a STOP WORK ORDER and a fine ry of up to$250.00 a day apbW the violator. Be advW dft acopy offleis statemartmay be forww*dto flee Office of Inv ions ofthe D)JA for iww aaoe coverage vwffioad= I do hmty eery tyre Wb ma&npmvJaied Awe&Due nerd Avon Datm 0 40/20R 8 508 428-9518 pJW we on&. Do Trot wrlt+t in an4 to be coWkkd by cIV or Awn ojfctd ChyorTom Penmitifdemeed Ipdng A>utltarhy(chide one): L Board dBaaith L Bwwng Deparbuw 3.Citytrown Clerk 4.Liedried h opeewr S.Phrmbbg bwedor lie Other ContaetPMN: Phone#: t 6+ l a Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT WE, SUE DAVY& FRANKIE STAHLHUT, OWN THE PROPERTY LOCATED AT 142 SKUNKNET ROAD IN CENTERVILLE, MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: �.(2, OWNER'S ADDRESS: 142 SKUNKNET ROAD, CENTERVILLE MA 02632 OWNER'S TELEPHONE: _ (703) 380-8629 LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: �lr,�nmrraa�rueall/c�P�lauac%:tellt Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:,Corporation before the expiration date. If found return to: Registcation Expiration Office of Consumer Affairs and Business Regulation 100740 06/22/2020 One Ashburton Place-Suite 1301 CAPIZZI HOME IMPROVEMENT;INC. Boston,MA 02108 THOMAS CAPIZZI JR , r.Q CGQ 1645 NEWTON RD.' COTUIT,MA 02635 Undersecretary Not valid without signature L Massachusetts Department of Public Safety Board of Building Regulations and Standards ' License: CS-074640 Construction Supervisor GARY GUSTAFSON SHORT WAY ' SANDWICH MA 02663 {A Expiration: /';/Commtssio er 11129/2018 DATE(MMIDDNYYY) ACC V CERTIFICATE OF LIABILITY INSURANCE 12/27/2017 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). CONTACT PRODUCER R_o ,ers__a._n_d.-G....r._a.. _P_—roc...ess_L g ROGERS & GRAY INSURANCE AGENCY INC /c PHONE No E : (508)398-7980 i(AAic,nlo)____.—_�—__ E-MAIL mail@ro ers ra com — 434 ROUTE 134 INSURER(S)AFFORDINGCOVERAGE__-__ SOUTH DENNIS MA 02660 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURERS_.__—. _--_-__-._---.--_-.... CAPIZZI HOME IMPROVEMENT INC INSURERC: INSURER D: 1645 NEWTOWN ROAD iNSURERE: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 225451 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. ---"--- POLICY EFF POLICY EXPT� INSR: ADDLISUBR LIMITS R, TYPE OF INSURANCE POLICY NUMBER �MIDD Y MID Y ' EACH OCCURRENCE $S GENERAL LIABILITY 4 __--- COMMERCIAL DAMAGE TO RENTED CLAIMS-MADE ;OCCUR _PREMISES LEa occune_nce) 5___—..--_-...__ i MED EXP(Any one person) ±S NIA } PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE S PRO. LOC j ± PRODUCTS•COMP/OP AGG IS POLICY JECT q I S OTHER: I f I COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY I i I Ea accident �— -- t Q BODILY INJURY(Per person) !5 ANY AUTO ) I If ALL OWNED I SCHEDULED ? N/A BODILY INJURY(Per accident) S T AUTOS !_!._ AUTOS j —_.._.._—.______------�--- NON-OWNED PROPERTY DAMAGE — j _(Per accident)....__ T _ .. —. --- --- HIRED AUTOS AUTOS S i { i UMBRELLA LIAB OCCUR 1 ! EACH OCCURRENCE s EXCESS LIAR I N/A f AGGREGATE CLAIMS-MADE I 5 DED RETENTIONS S = PER OTH- WORKERSCOMPENSATION ` /�',STATUTE I ER AND EMPLOYERS'LIABILITY Y/N I S 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT I A !OFFICER/MEMBEREXCLUDEp? NIA NIA (N!A R2WCS6372H 12/25/2017 12125/2018 E.L.DISEASE-EA EMPLOYEE S 1,000,000 (Mandatory in NH) i I _ __.. _ ._.. ..... if es,describe under i E.L.DISEASE-POLICY LIMIT IS 1,000,000 DESCRIPTION OF OPERATIONS below N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees In states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwdiworkers-compensation/investigations/. 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 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601-0000 Daniel M.Cr y,CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD " .,`�- is .-' �,• ��r��� p/r�'�`/fa � 1w , �A�' �.� ri w • r p p @ ♦ .t{, aie '6 ' a� �;'�u`..,. �' � ;lf � � � gP' 3$ + � ,Y:3r`. i a','� is ... "'„ a• i . s - w .T ' ; M , " �t o ,co o LOT 13 q I , 1 69.06, o LOT 14 CONCREM 16,938 sq.ft± FOUNDATION 0.39 Acres TF 55.6' O O 'H O 9p � Of O N 169.; � i LOT 15 i JOB # 96-251 CER TIFIED PL 0 T PLAN LOCATION S'KUNKNET ROAD CENTERVILLE, MA SCALE : 1" = 30' DATE AUGUST 26, 1997 PREPARED FOR: REFERENCE: LOT 14 PB 224 PG 127 CHAMPION BUILDERS INC. I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. IH OF M sub-362-4541Dy� ARNE�N H.down capetWOff eering, inc. p o. 8 CIVIL ENGINEERS . 2� �14� 439 main st�ya�mouthU mac Y0 BATE R s�eN SJ URVEI'OR TOWN OF BA'iRNSTABLE BUILDING PERMIT APP11CATION ~ ,, ....... i Map O Parcel TOWN OF B:A„RNSTABLE Application # Health Division `Tr• � ; R„ Date Issued tai,4 ;.,; 1? 9: ^i .19 Conservation Division Application Fee '6 CIS Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyanriis -r ,� Project Street Address `I f. Village Owner . C Address Z;G 1r 74& Telephone Permit R uest �'12 ,d�6" Cll*f, h c Square feet: 1 st floor: existing7gproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation V Construction Type 6C-5C- 04 Lot Size Grandfathered: ❑Yes / ^o If yes, attach supporting documentation. Dwelling Type: Single Family �ff -Two Family ❑ Multi-Family(# units) Age of Existing Structure tq. Historic House: ❑Yes )4::�to On Old King's Highway: ❑Yes ❑ No Basement Type: 1�aull ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) 720K 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: as ❑ Oil ❑ Electric 0 Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes P to If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name Telephone Number q Q517 Address l' !Cl a-cfc—, License# GS /0?&7 3 Home Improvement Contractor# �7G 'cs Email 67,e 15 LV eeat i e, -Worker's Compensation # ALL CO ST UCTION'q(BRIS ES LT G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l FOR OFFICIAL USE ONLY APPLICATION #, DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ,> OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ~. PLUMBING: ROUGH FINAL -` GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. • _ 4t Y } i r � �e Cpomrmaarzcuea,�C� Jae`ivael7`i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR 0'7 TYPE:Individual tea• Rena— Exairation 01/22/2019 GEQFFREY B 1, Syner a+einents GECIFFREY BRIGt . . i 91 Poltside Circle East Falmouth,MA i72536 Undersecretary jC Massachusetts Department of Public Safety - � t Board.of Building Regulations and Standards License: CS-108673 Construction Supervisor. GEOFFREY BRIGHT 91 PORTSIDE CIRCL EAST FALMOUTJi M ' 0253 Expiration: Commissioner 02/0812019 —=— .—..........._................... ........................ ._._. 3 Construction Supervisor Restricted to: Unrestricted-Buildings of any use rou less than 35,000 cubic feet 991 space. ( cube P]ac met Failure to possess a currentedition of the OVI State Building M g Code is cause for revocation DPSLicensing information visit: �IKE Town of Barnstable E Regulatory Services Richard V.Scali,Director cxt�. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: '508-790-6230 Property Owner Must = Complete and Sign This Section If Using A Builder I, csUSR-Fl �AV FRA►�c ;�rAb/�i ,as Owner;of the subject property hereby authorize {F Pere S to,act on my behalf, V.in all matters relative to work authorized.by this building permit application for: (Address of Job) w - **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 inspections-are performed and accepted. 'La-.041N Z- Si afore of Owne a e fApplicant c, 0-! c.-Si4.iJ A. DRIJ Print Name rint Name i3VI7 D to i The Cammo rweahh qfMassar-Ar=eift ���lrnent a}'�iatl�crid� . • Office vArpe4-adans. - ` 600 WFashuigii jh, eat ., Barstbu,MA 02.U.1 MPiumfi= din Warkeers' GfpensafimInsurnce Aft. i-gam&-7JQM ra WrSM n� M APPUMEd Ufa =t-inn Please rjDt LMffilV I`dame If1 d A d&e P�01 -Cols no Are you an a aployer?Check the appropriate boar 4 I ant a eri r Contractor and I T of project(r�,ed) I_❑ Iazga euiplaper�. 0 g fi. New oonst�fa� employees(fa11 a�fofpart-lime* fmgeluredtiie salt court' � - 2 am a sale propdetor orpart'¢er Tiered c�atlte of cbed sheet I odeliug and have no 1 ees These sob-confi-actais have �-` p �P 4' 9- Demolition watl�-ia; forme in any capacity., emplar andhave wadmn' ,,��,�,� INQ w6done Comp,fT SUMM e, Camp.Rtsurancz 1 g- El"•�"""'Y=aC�iOI} reTiked-] 5. We are a coaporativa and its 16-❑Electrical repairs or additions 3.❑ I ama hameounw dautg all vmk officers have eseressed fizefr 1LQ Plumbing repairs or adclidom n7sel€[No Waskets' _ u&of exemptim per Mo- 17 El Roof repairs kMM=8required-1 i c.M,¢1{4k audwehaveao employees:[NowoArss' a0other Camp-insurwxel Mquired1 !Aag apg& �st cheriz 6aa fl tffisY also fiIla�tlseoabeTaa��as�g H�e3wadcecs`mm�persatiauPcIicgiafo� #�meoaraecsu�a saint sus s�dar 8iey g eg tsci3t sad h�anisi�ece�cmtsamst sahmits new el mdies 5nrT1 . fCaat�oesSsst eberf tLa burr mast stt�ed�mr.e vbyem Tf sdeLdifi�r�al sheet F sbeseiagti�ename of IHze ,,i:,.) mmd st�me vrhe�s®root fhuse em�eshave ' tile�^-B-Ce el,ar+a, im-aVigy '-%l ��ff wadmi5'M-P•P M-b- I am mi errig ar tJiatis prauidurg workers'tan azsaftmt gcsrirarFca#vr earpfof BdmV is Air party aid job site i�,�orccsertinrt IasmanceCompany1fasre: ' Parity 4-or Self-im Iic.;9 aI}afe: Job Metlddress: CifglS Attach a copy of the workers'compensationpoli4 declaration page(showing the policy munber and-C-3piration date). Failure to swum mveea,,�e as required.under Section 25A of MGL c.152 can lead to the imposilioa of ctimffial peua of a fine up to$L50D-OD and or one--yewimpdsm==3k as va&as cif peas in the faaa of a STOP WORK ORDER and a ime of up to$25 OG a day against the violator. Be ad;dsed dkd a copy of this statememt=ay,be forwarded to the Office of 1mVesEgzHc=of the DIA€os inamance coverage v Ida bera6y pains s ue ty ibatf7es kfibnarafimp.raridrd a W is h7y and carrect 712 Dater Phone ik d 02kid am anEy. 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"J r 1•" ��•:r m:+u ■. ■1 • • ..- -.n■. 1 me •l n 01 .n n u: ■t a On. • u•:.■-.um .: a .nn■: •. :-. .n._ a n• • ■ ■ ■�-�■ w nnn■. ■ .•a a.w a{ ... u ■..1 1. ■ '•■•t. r. .1■1• - .�•ra It ifl - :t.■ r'.n.la t{ .,t' •l•�t •�:1 .:•mil .■ - ` .I ■r_■ t n 1' .1• [." nl a ■•••■ ... •' • •• • . t. ■■" :aa• .v/.. .1 .• IN ■ ■t.. 1 .■ ■." 1.1 atr■aa - .:1..1 L • ►if1 .� t' ..t !!■ - ■•1■ - •••■r • Nn /�I •• to go' rwa�- •1 ■�.l■1 t• :!■►• l• ./t •.Yn.�.w • Ra7n.n •. •�f.ptl �t . a::F•n • :•l.n�. ,• ..nu �r a it•. •t ■- . n • . •may•:1.■It •••■ • .•' n [a.... ••t It .. .t.r' •I a n r••■�! .n•ta :■/• ... . •■■ ■ • ••■ •. •■It �. �.�•'r ■■.III 3.tl ww fr•.•1.- .n. Y. ■Ill.■. Wig a of got. �V„E rqy, 'down.of Barnstable *Permit Expires 6 mont ro issues dat, °^ Regulatory Services Fee BnaxsrnBM + MASS. Richard V.Scali,Director 1639. A Building Division, Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint, Map/parcel Number - d Property Address ���oli �/� -,'A,' N�'T ✓Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address za./Ajo Contractor's Name ,IU QZ0 2 Z z/u / L/ Telephone Number cof-ray" �_6 Sg. 1 � Home Improvement Contractor License#(if applicable) l d_0�6 Email: Z 7N�EA/ `"e oln 4 ml Construction Supervisor's License#(if applicable) 7/ ® Workman's Compensation Insurance J Check one: RESS PERMIT ❑ I am a sole proprietor ❑ I am the Homeowner NOV4 1 have Worker's Compensation Insurance d 1 201 Insurance Company Name 6/1,0G lC 5Xal-'.J TOWN nF ey n a-, �NSTASLE Workman's Comp.Policy $—Od 500 J 41y 2 aA/ A Copy of Insurance Compliance Certificate must accompany each permit. Permit R est(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to _tE�IRe-roof(hurricane nailed)(not stripping. Going over 0 existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ' ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is uired. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRES .doc Revised 061313 , The Cormnonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ivn4p mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/El lectricians/Plumbers Applicant Information ` Please Print LeeibIv, Name(Business/Organization/Individual): ,OAU/,o Address: City/State/Zip: Phone M 3 41y`Rk;0 Are you an employer?Check the appropriate box: Type of project(required): IV9I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole propridtor or partner- , listed on the attached sheet t 7. Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity, workers'comp.insurance. g. Building addition [No workers'comp.insurance " 5. ❑ We are a corporation and its required.] officers have exercised their L0.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp, e.IS2,§1(4),'and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' ME]Other comp.insurance required.] *Any applicant that checks box 11 must also fill out the section below showing their workers'compensation policy infomtadon. t Homeowners who submit this affidavit indicating they ace doing all stork and theahire outside contractors must submit anew affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub•coadracton and their workers'comp.policy Irdrnmatioa. I am an employer lira!is providing iporkers'compensation insamuce for nip employees Below b the policy and job site tnformatlon, Q B Insurance Company Name: Policy#or Self ins.Lic.#;/�fC 6'4:57't5 0'JY V D/y—A Expiration Date:' Job Site Address: IZ-1a 5;�41 2& _ez City/State/zip; � Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). , Failure to secure coverage as required under Section 25A ofMGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as%veil as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be fonvarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cart er thegpg and pe ties ofperjury that the ir{/ormadon provided above Is true and carrecb Si titre: y Date lam' Phone P / Off dial use only.'Do not sprite ht flits area,to be completed by cify or town of}iciaL ,I City or Torn; Permit/License# Issuing Authority(circle one): } 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector i 6,Other Contact Person: Phone#: i as l 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 andther under any contract ofhire, express or implied,oral or written." -An eutployer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more ' of the foregoing engaged in a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer," MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the Issuance or renewal of a license or permit to operate a business or to construct buildings In the commonwealth for any applicant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally,MGL chapter 152,§25C(7)states`•`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of Insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the 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 hill in the permittlicense number which will be used as a=reference number. In addition,an applicant that must submit multiple pennittlicense applications in any given year,need only submit one affidavit Indicating current policy information(ifnecessary)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 it license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves eta.)said person is NOT required to complete this affidavit. The.Office of Investigations would like•to thank you in advance foryoui•cooperation and should you have any questions, please do not hesitate to give us a call i The Department's address,telephone and fax number, Tho Commonwealth of Massachusetts Department of Industrial Accidents t Office of InvoWgatlens i 600 Washington Street Boston,MA 02111 Tel.##617-727-4900 ext 406 or 1-87?-MASSAFB ' Fax#617-72777749 Revised 5-26-05 ; www,mass.gov/dia i TO: Page 2 of 3 2C14-08-25 14:59:43(GMT) 150E9380246 Fron: Brian P,eldy . OR00 a CERTIFICATE OF LIABILITY INSURANCE 0A1V(mW0D/YY✓YS 0812512014 OF INFORMATION PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER `3lackstone InsufanCe ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 3144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester, MA 01613 INSURERS AFFORDING COVERAGE NAIC ik INSURED I7JSU2ER A-E.I.C. Linnell Enterprisos e 50 Freeboard Lane R,s,,e c Yarmouth, MA 02675 ws IReR D ----..- INS'JRE?E: COVERAGOS THE POLICIES Of INSURANCE LISTED EE!/0`vV HAVE BEEN 1SEUEC TO THE INSUREC NAMED F•.ECVE FUR[I HE POLICY ICY PERiOD INCICATEC.NOTlY1TH3TAN)INC� ANY REOUR_MENT,TERM OR C0NJI1ION-.0F A14Y CONT R.AfCT OR OTHER DOCUMENT WITH RESPECT'r0 WHICS^TH:S'.;ERTiFiCA 1 E MAY K ISSUED OR MAY PERTAIN,Tr E INSURANCE A6FORCED BY THE POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE T-:RWG.E.Y.CLUG'ON`S AND';ONOiTIOAS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED B`✓PAID CLAIMS. _ 1. R INSR9 TYPE OF INSURANCE POLICY NUMBER DATE(AIMIDDIY j 1 D,1? iMNlYY LIMiTS 6EN2RALLIABILITY I F-ACH OCCURRENCE ?'b IRWCOMMERCAL GENERAL UADILITY P SES+'Ea CICN:nncs i CLAIMS MADE. n,OCCUR MEU EXP ir.ny ma oolsoN > PERSONAL E ADV INJURY y GENERAL AGGREGATE 3 GENT AGGREGATE LIMIT APPLIES PER:: PRODUCTS COMPICP AGG I POLICY PROJECT -oc AUTOMOBILE LIABILITYC0413WED SINGLE LAUT $ ANY AUTO (Ea accidar.-) ALL OWNED AUTOS BODILY ItiJURY t $ SCHEDULEDAL•TOS ! (Per xrsc) HIRED AUTOS EG0;LY INJURY (rarer.^.k'.onij $ NON-OWNED AUTOS PROPERTY DAMAGE $ t:'er ec:;izent GARAGE LIABILITY AUTO OW.Y-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC i AUTO ONLY, AGG $ I EXCESSIUMBRELLJI LIABILITY EAC.F OCCURRENCE $ F OCCLF CLAIMS MACE. AGGREGATE S $ DEDUCTIBLE $ RETENTION S i1----77 $ WORHERS COMPENSATION AND �J TORY LIMIS'S—�`t ER EWIPLOYERS'UA8ILIT( A ANY PR(iPR1ETGR!PARTPS[ftlEXECUTIVE WC135005007447 20'4A 811.,'20i4 8/112015 E.L.EACh ACCIDENT _ $ IOC,J�O OFFICER/MFMBEREXCLUDED? = ELMi4c )s-EAEW U91_ $ 160,D0? N on.dosaiba undo SXECLAL PROVISIONS LoIcIs E.L.Dr,EASE,PO:.ICY L I M I I $ 500,D70 OTHER David Linneli is covered by the workers compen;xaon pclicy. CERTIFICATE MOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPiRATOH Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN Building Department 367 Main St. NOTICE TD THECERTIYICA':'E HOLDER NAMED TO THC LEFT,etiT Fas1,UR0 TO DO 90 SMALL Hyannis, MA OZ6Q1 IMPOSE NO OBLIOATICN OR LIABILITY OF ANY HIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATNE ACORD 25(20011`08) ' 0 ACORD CORPORATION 1988 r �ir�� ! 11AXNSTAEMY- 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 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using.A Builder as Owner of the p subject property y l p rty hereby authorize_1J1,U) Q ,Z I 4./Llc /l to act on ray behalf, in all matters relative to work authorized by this building pen-nit application for: (Address of Job) S e of Owner Date �- / ; Print � .. If Property Owner is applying for permit,.please complete the Homeowners License Exemption Form..on;the reverse side. , Q:IWPHILESTORMS\building permit fwms\EXPRESS.doC Revised 061313 Massachusetts -Department of Public Safety Board of Building Regulations and Standards C'un+truction Supers isor I & 2 Family License: CSFA-071507 . DAVID J LINNELGJR 59 FREEBOARD:LN YARMOUTHPORT MA'02675 Expiration Commissioner 08/11/2015 t �,� / 1�/l ,q V�G l(.�O%/I1/N,(1/JlUCCL.I�Il. /,/IJ9CLC/.(LJG'llJ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only -_9V OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ = Registration: 120659 Type: Office of Consumer Affairs and Business Regulation ;'Expiration:._ 2/19/2016. DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 LINNELL ENTERPRISES.: DAVID LINNELL 59 FREE BOARD LANE YARMOUTHPORT, MA 02675 Undersecretary Not valid without sig ture CJDIG ?/70/,7)x �,►,F, Town of Barnstable 'Permit# y 1 (0-7-71 i�nthm Regulatory Services Exp o swiuvsrast.e, � ��r �+ Thomas F. Geiler,Director Building Division S�y Tom Perry,CBO, Building Commissioner a� ��- w, �^B`IB00 Main Street,Hyannis,MA 02601 a ``, n > � B�AR S www.town.bamstable.ma.us Office:� 1 Fax: 508-790-6230 EXPRESSPERMIT - APPLICATION RESIDENTIAL ONLY Map/parcel Number Not Valid without Red X-Pr essp Imprint l�7 lJ �� • Property Address �j 4V 4-i14-4 &R-t> oi�iJV ❑"Residential Value of Work$(� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Clk oi-le RRIQw, Contractor's Name .OW15 o-7O Telephone Number Home Improvement Contractor License#(if applicable)' {13 ap'V 5' Email: Construction Supervisor's License# (if applicable) ® Z 5 6 EE4rkman's Compensation Insurance ' Check one: I ❑ I am a sole proprietor ❑ I am the Homeowner []4have Worker's Compensation Insurance Insurance Company Name NGLU J �O . D Workman's Comp.Policy# q a 7 Sr/ 3 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) o ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) - Re-side + Replacement Windows/doors/sliders.U-Value 0 t 3 O (maximum.35)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ' z ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: R, C:\Users\decollik\AppDataU.ocal\Microsoft\ indows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 Southern New England Windows d.b.a Renewal by Andersen of SNE OleMassachusetts-Department of Public Safety. Board of BuildingRegulations g ulatio ns and Standards C6nstruction Supen isor License: CS-095707 - BiLW D DENMSON 7 LAMBS POND EIRCILE- s Char iton MA 01507 , 1, Expiration Commissioner. 09/08/2014 , Wowwww" Office of Consumer Aff04 airs�anWBusiness Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration . Registration: 173245. t .. Type: Supplement Card •. SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/19/2014 DENNISON BRIAN 1137 PARK EAST DRIVE ' WOONSOCKET,RI 02895 Update Address and return card.Mark reason for change. srw t.o zouavti Address ❑Renewal C1 Employment 0 Lost Card " r>'b"h�..,...,,.,e ///:�ii./L�i /..co-//• _ II1rr ofCoos r ARelrs Q Bosioen Reg lati a License or registration valid for IndIvidul use only ' I'll OME IMPROVEMENT CONTRACTOR heron the expiration date.If sound return toi Office of Consumer Affairs and Business Regulation oBistrotlon: 173245 Type: 10 Park plain-Suit,5170 ` Expiraton:9/19@014. Supplement t:ard Boston,MA 02116 .. SOUTHERN NEW ENGLAND WINDOWS I.I.C. _ RENEWAL BY ANDERSON ' "�. DENNISON BRIAN . , -•1737 PARK EAST DRIVE 2 WOONSQCIt[T,RI02995 :Undersecretary Nolvslid wilhoutsigneture f The Commonwealth. of Massachusetts Department of Industrial Accidents Office of Investig ations ' 600 Washington Street Boston,MA 02111 g www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): e �N b Address: 9 ioA/ �Oh?C Ci /State/Zi /,/l�ICO A� 4,S Phone #: yo o? go® h' P� N Are you an employer?Check the appropriate box: Type of project(required): 1.4 I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6: New construction 2.❑ I am a sole proprietor or partner- listed on the,attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y p tY• 9. ❑ Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LF1 Plumbing repairs or additions myself, [No workers' comp. right of exemption per MGL 12:❑Roof repairs insurance required.] t a c. 152,§1(4),and we have no q ] �her Q CP�rvt,i�1 employees. [No workers' 13. comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A-,IQAlg&� 5tlraw Copi&r (d p 2 Policy#or Self-ins.Lic.#: �� a 67,9�O 3 Se-2-�7 Expiration Date: a Job Site Address: L s�V N��'�` City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi,gations of the DIA for insurance coverage verification. I do hereby certifLunder th ains and penalties of perjury that the information provided above is true and correct Si nature: - Date: ! Phone#• �-��j �. 07 0� 9 Official use only. Do not write inn 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#: Client#:30124 SOUTNEW ACORD,, CERTIFICATE-OF LIABILITY INSURANCE DATE 8/06/2013- 6/2013- THIS-CERFTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND-,EXTEND-ORALTER 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). TACT PRODUCER NAMO E: Anita Little Willis of New Jersey,Inc. PHONE g56 914-4660 ac Ne ai: ac No): 856-914-1881 1015 Briggs Road,PO Box 5005 E-MAIL s: anita.little@willis.comADORES PO BOX 5005 i :. INSURER(S)AFFORDING COVERAGE NAIC# Mount Laurel,NJ 08054 INSURERA:iSelective Insurance Co of the S 39926 INSURED INSURERB:'Argonaut Insurance Co. 19801 Southern New England Windows LLC , D/B/A Renewal by Andersen INSURER c,,Beacon Mutual Ins.Co.. 24017 26 Albion Road INSURER D Lincoln,RI 02865 INSURER E I. INSURER F:I ' COVERAGES CERTIFICATE NUMBER: ; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVO POLICYNUMBER MMIDD MM/DD A GENERAL LIABILITY S202945900 8/10/2013 08/10/2014 EACH OCCURRENCE $1 OOO OOO ' X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100 000 CLAIMS-MADE FX1 OCCUR i MEP EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 j GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG .$3,000,000 POLICY JE O- LOC $ A AUTOMOBILE LIABILITY S202945900 8/'!0/2013 08/10/201 EaaccdentCOMBINED SINGLELIMIT) 1,000,000 X ANY AUTO T( BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS $ X HIRED AUTOS Ix NON-OWNED. i PROPERTY DAMAGE AUTOS i Per accident A X UMBRELLA LIAB OCCUR ' S202945900 8/10/2013 08/10/2014 EACH OCCURRENCE s5,000,000 EXCESS LIABH CLAIMS-MADE 1 AGGREGATE s5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 0000068028-RI 8/21/2013 08/21/201 X.WCsTAMIj oTH- AND EMPLOYERS'LIABILITY . - B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N AIC927818352394 8/2112013 08/21/201 E.L.'EACH ACCIDENT $1 000 000 OFFICERIMEMBER EXCLUDED? 7 N/A (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 L ' DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If mare space Is required) CERTIFICATE HOLDER CANCELLATION a Southern NE LLC, SHOULDIANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE _- �- THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion,Road. ACCORDANCE WITH THE. POLICY PROVISIONS.. Lincoln,RI.02865 -- AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All:rights reserved. ACORD 25.(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD AXL#S215109/M215088 .. - Aug 2013 11:48p Jim 508 699 3938 p.1 Renewal KI Wow 93rCM RENE XAL BY ANDERSEN MA 11,0"C#,;':45 byAnders (l. Cr Li--ffi 1i34r,5r WINDOW arwtrratNr =As,6m,nQ pw 26 Albion Road • Lincoln,RI 02863 4ad r:rm#t'_37 Phone 866.363.2235•Fax 901.633.6502 redera:Taa 1V446-05,66633 Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name DamofAgreement i-1 iIl. L_ ' _.. 0 / 3 Buyers)Street Address.City.Sace.and Zip Code/P.O.Bea . [4Z ll 37 E-M,il Address Home Telephone Number V4llTeleohweNumber.�7vLnL ci c4r- 10- G roe as- -3&37 BuycRsi hereby jointly and severally agrees to purchase the products and/or services of Southern New England endows,L IC d/b/a Renewal by Andersen of Southern New England "Contractor";,ut accordance with the terms and conditions described on the front and the re%ersr of this agreement and on the attached specilicc�ar6'oon shect(s)icullectively,this"Agreement'"). ❑Historic D Condo C HOA? Total jobAmount��/ Estimated Starting Date: Method of Payment ❑Check Ll*sh _)fIll'`manced Deposit Received(33%):�)(' - Credit Cards are accepted for deposit only-maximum 113 of the Balance at Start of Job(33%}: project cost(Please see Credit Cord Payment Form)By signing this Estimated Completion Date: Ag.eer.e„t,you acknowledge that the Balance at Start of Job and the Balance on Substantial _ / Balance on Substantial Completion of Job cannot be made by credit Completion of Job(33%): card and must be made by personal check,bank check.or cash. Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Buyer(s) acknowledges that Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and(2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THEREARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Bayer:(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it.(3)You may at any time pay off the fall unpaid balance due under this Agreement,and is so doing you may be entitled to receive n partial rebate of the finance and insurance charges.(4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyer's rights. Buyegs'received the consumer education materials provided by the Rhode Island Contractors Registration Board. (Bveralai&ds) Renewal by Andersen of Southern New England Buye (s) 7 Buyer(s) By: �' y " �_ �i..CF:� ignature or Pro u Manager Signature Signauuc Print Name of Product Manager Print Nance Print Dame YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. - - — — — — — — — — — — — — —�.c- - - - - - - --- - - - - - - -9<- - - - - - - - - - — — — —� N-OTICE OF rn R tTLQJcI NS>11CF OIAC,ANCA14A-TI_ON Date of Transaction ,Z Lt' 3 .You may caned l Date of Transaction d^—.� 'S .You may cancel this transaetien,without any penaky or obligation,within this transaction,without-any pen aky or obigation,within three business days from the above date.If you cancet any three business days from the above date.If you cancel,any property traded in,any payments made by you under the I property traded in;any payments made by you under the Contract or Sale,and any negodabk instrument executed I Contract or Solq and any negotiable instrument executed by you will be returned within ten business days following I by you will be returned within ten business days flullowing receipt by the Seller of your cancellation ttotieq and any I rece4t by the Seller of your cancellation notice,and any security interest arising out of the transaction well be security, interest arising out of the transaction will be canceled.Ifyoucamekyou must makeavaiblbleto the Seger i canceled.ifyoucancelyou must make avaibilsleto the Seller at your residence,in substantially as good condition as when I at your resideacq in substantially as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or Salt;or you may,if you wish,comply with the instructions of I Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment ofthe goods at the the SAler regarding the return shipmentofthe goods at the Seller's expense and rick.If you do make the goods available }( Seiee's expense and risk.If you do stake the goods available to the Seller and the Seller does not pick them up wkMm I to the Seller and the Seller does not pick them up within twenty days of the date of cancellation,you may retain or I twenty days of the date of cancellation,you may retain or dispose of the goods without any further obigation.if you I dispose of the goods without any further obligation.If you fail to make the goods available to the Seller,or if you agree I fall to make the goods available to the SeBer,or if you agree, to return the goods to the Seller and fall to do so,then I to return the goods to the Seller and fall to do so,then you remain liable for performance of all obligations under you remain liable for performance of all obligations under the Contract.To caned this transaction, mail or delver I the Contract.To cancel this tv saction, mail or deliver a signed and dated copy of this cancellation notice or any I a signed and dated copy of this cancellation notice or any other written notice,or send a telegram to Renewal by I other written notice,or send a telegram to Renewal by Andersen of Southern New England at 1 137 Park East Dr., I Andetsee of Southern New England at 1 137 Paris East Dr., Woo socket,R102895,NOT LATERTHAN MIDNIGHT OF I Woo�aoci�et RI 02895,NOT LATERTHAN MIDNIGHT OF U.(Date) !l— l� 1?*(Date) 1 HEREBY CANCEL THIS TRANSACTION. 1 HEREBY CANCELTHISTRANSACTION. h .. Buywl.Signature PMt Name Date Buyer`s SiVatum PARt Nanw Date RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink `�tHEo� The Town of Barnstable BAE. Department of Health Safety and Environmental Services MASS. t679 `0� Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crosses Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location H-7 S <c-.=f, ►r 1 Permit Number 7 l Owner Builder ClA 4,x A!0 -' V One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: `f ( C-L4"0 �OA vf't> S AD r Q {(a./L '51 A t A- 5 u �Lq7 ( ` (r q w:'(A Ale 4- ft,4l 't) i-/'2� 4C'J 7 t C0 f (A` 1 P 7 C C L (67) t 14 a Please call: 508-790-6227 for re-inspection. Inspected b f Date / .z A(7 t TOWN OF BARNSTABLE , CERTIFICATE OF OCCUPANCY PARCEL ID 171 004 CEOBASE ID 9854 ADDRESS 142 SKUNKNET ROAD PHONE CENTERVILLE ZIP LOT 14 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO ._., PERMIT 27046 DESCRIPTION SINGLE FAMILY DWELLING (PMT.018798) PERMIT TYPE 'BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 , CONSTRUCTION COSTS $.00 75.6 CERTIFICATE OF OCCUPANCY * ; ` BARNSTABLE, + F 039. A� BUILD, O'DIV14IO BYE DATE ISSUED 11/12/1997 EXPIRATION DATE BUILDING PERMIT PARCEL 'ID 1.71 004 GEOBASE III 9854 ADDRESS 142 SKUNKN9T-%ROAL? PHONE Centerville.. LIP LOT .,4 : BLOCK LOT SIZE .__. DBA DEVELOPMENT DISTiiiFT -`PERMIT 18798 DESCRIPTION SINGLE FAMILY.' DWELLING' (SEW-PMT.#96-531) _PERMIT TYPE ` BUILD TITTLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: DACEY, MATT Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $241 43. BOND $.00 THE CONSTRUCTIONCOSTS $77,880.00 101 SINGLE FAM HOMR DETACHED 1 PRIVATE P E O .. * 6�1'IiN§TABLF.. MASS. NER ` CHAMPION BUILDERS, '.INC ., �1639._�1 DRESS 300 OAK. STREET, #.156 Fo� �x BUILDING D VISION�/ PEMBROKE, MA r � . BYE.; '' DXTE ISSUED 1'0/24/199G E P�R�4" IaN DATE' 4 HIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN ROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET 0 r ' LLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THI ERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.RESTRICTIONS. #= MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS. HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BI III DINT SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL-FINAL INSPECTION HAS BEEN MADE. - 4.FINAL INSPECTION BEFORE OCCUPANCY BUILDING INSPECTION APPROVALS PL MBINGJNSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 I�l, 3 1 E ING,INSPECT N PPROVALS ENGINEERI DEPARTMENT 2 O R F HEALTH OTHER: SITE LA EVIEW APPRO L .WORK SHALL NOT PROCE D UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE.THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. ° - a �70q a 7-7 vffllzg'NEW t :« r k `bs a a A 3a a 0{ 4v a•�' � � _ y_: ryes^ � J- °,*THE The Town of Barnstable BAMSTABM 9� M0 9.AS& 10� Department of Health Safety and Environmental Services prEDMA'�a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 24, 1996 a G Re: 142, 152,162& 172 Skunknet Road,Centerville,MA Map/parcel numbers 171/004,005,006&007 TO WHOM IT MAY CONCERN: This letter will verify that,in accordance with our meeting on October 22, 1996,You have agreed to do the following as a condition of all building permits being released after foundation permits: 1. Upgrade the section of Skunknet Road in front of your lots 16 feet wide with six inch dense graded stone and two inches of 3/4 inch crushed stone on top. 2. In addition, if the water main is not in front of your lots, it has to be extended. Sincerely, Ralph M.Crossen Building Commissioner RMC/km f t� ° Town of Barnstable °F t Regulatory Services 9 „��'E�,' Thomas F.Geiler,Director i639' Building Division ArEp�,la Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 00 PERMIT# FEE: $ �✓ SHED REGISTRATION 120 square feet or less a wc ( � Location of shed(address) Village r7LO 70 Property owner's name Telephone number g x 1 l 00.Y Size of Shed Map/Parcel# 01/9 Y(1(21 Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? �( Conservation Commission(signature required) L � PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. 4 THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN dOA e Q-forms-shedreg REV:083001 LOT 13 I ; 7 69.Os' a �•st LOT 14 coNCRerE 16,938 sq.fth FOUNDATION 0.39 Acres TF 55.6' .. O O ^ 90.0% O r69•>>, LOT 15 JOB # 96-251 CERTIFIED PL 0 T, PLAN y LOCATION SKUNKIVET ROAD CENTERVILLE, MA SCALE : 1" = 30' DATE : AUGUST 28, 1997 PREPARED FOR: REFERENCE: LOT f4 PB 224 PG 127 CHAMPION BUILDERS INC. I.HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS. PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. 1H OF , afxf oe—see4 o ARN E H. down cape eee . —tnc. 19 a CML ENGMEERIAND ss 4Zak-/���-- -- -- +s J -------- 939 main st. yormouth, ma 02V.5 DATE R �cti s UR'JEYOR i The Town of Barnstable • sAMSrnsM 9$ 'i69. � Department of Health Safety and Environmental Services ArEDNIo'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 17, 1996 John W.Kenney,Attorney At Law 12 Center Place 1550 Route 28 Centerville,MA 02632 Re: Lots 14, 15, 16& 17 Skunknet Road,Centerville Map/parcels 171/004,005,006,007 (142, 152, 162& 172 SkunkneURoad;Centerville)� Dear Attorney Kenney: : Thank you for your clarification of the beneficiaries on lots 14- 17 on Skunknet Road in Centerville. Based on this information, I believe the lots are buildable from a zoning standpoint. Sincerely, r Ralph M. Crossen Building Commissioner RMC/km r c., OCT 10 196 02:59FIN 5087 7 56029 P.2 ;..► Op'tH!tp� � aaxivsTaBrz, � The Town of Barnstable , 1An 6 a � 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 3 wilding Commissioner y i 1 a October 17, 1996 t John W.Kenney,Attorney At Law 12 Center Place 1550-Route 28 Centerville,MA 02632 1 j Re; Lots 14,15,16&17 Skunknet Road,Centerville Map/parcels 171/004,00s,006,007 i (142, 152,162& 172 Skunknet Road,CentervilIe) i Dear Attorney Kenney: : Thank you for your clarification of the beneficiaries on lots 14- 17 on Skunknet Road in Centerville. Based on this information,I believe the lots are buildable floor a zoning standpoint, Sincerely, N Ralph M.Crossen wilding Commissioner RMC/km l Engineering Dept. (3rd floor) Map Parcel Permit# House# t�}a- ��S Date Issueedj /0 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 925�-- .J� � ? Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) � ZZI Planning Dept.(1st floor/School Admin. Bldg.) C-Ep c.- qA DIME F y OdY�T: Definitive Plan Appro Planning Board k r/ 19 /'F6 I "' 6�AlrL��yg�I p� . BE t �?I F—J5— -� I'FeA R?e� W a MA A3u i. �1 r:i�: TOWN OF BARNSTA 'ON ENTA ";VA' EGULA�4�: ; Building Permit Application Project Street Address LOT l4', :a 14-Z SyuwV NET %of-\n. cgNi-T�v,U-t t wo, Village GE►.� 2v t ALE Owner C.N A NA y t o Nj Ru l t_D EE(2-S . I m c__ Address '3oo o A K ST„ 1 5. k&,a(2oKt JInA Telephone so Permit Request -TO (',0"CT(RvC.T A SINGLE PAM tLy D l Llti1C� First Floor 1(o square feet Second Floor o O square feet Construction Type bvo0n 5 Q-h vm Estimated Project Cost $ _-7-7) $o Zoning District K c Flood Plain R o Water Protection ; Lot Size S.F, Grandfathered ❑Yes ❑No Dwelling Type: Single Family 0"' Two Family ❑ Multi-Family(#units) Age of Existing Structure Q/A. Historic House ❑Yes ❑No On Old King's Highway ❑Yes Ua(No Basement Type: L-3"F'ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) $1(p Number of Baths: Full: Existing New 1 Half: Existing New i No.of Bedrooms: Existing New 3 Total Room Count(not including baths):Existing New G First Floor Room Count 3 Heat Type and Fuel: &'Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ErRo Fireplaces: Existing New Existing wood/coal stove ❑Yes ffNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) 1 4-' x 7-21 t F uTu P-E J ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name NAAiCHE5y/ S. DRc.E,/ Telephone Number 50P, Blas (o(o4-P, Address_ CN~PiON 6u1L-069-S'I 1ryL- License# CS O4-C40L0 300 o+A 1L ST., SvNTF. '*-15S Home Improvement Contractor# �� �/ A O—"�)jQ Worker's Compensation# C4 l(o O I Z--1 G NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 6n t2N� SIGNATURE DATE AU �T 2"7 , i qq 0 f 910E� BUILDING PERMIT DENIED OR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` MAP/PARCEL NO.. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION Y i � FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH. FINAL GAS: RO'i1:GH FINAL FINAL BUILDING DATE CLOSED OUT..= ASSOCIATION PLAN NO. LoT 14� s K NKNET RoA� ,. -f , nil- At VZ� Y�' �� .. L - � 1. IP iZ r ! � f _ 1 +tr + r r r +&7 4 ]7-t 1` J r ' �r`c"a�.� L �.f�'.�i�2« '*aA,c ��'3D�.r:itlltr.:r;1�.�,.i�'..rr rrY.''A.1.:��.k:� Nc..n"�:'4 �eyn...:�ia�� -..�<- '1 1 j i' !L...�� '` '�� r !g r i P 'it♦ � ,�C 4 -n''. ix >,c_F, t.�ib.rk. x✓'.::� .. ��n ,.�44: T.,.P .:ta��ys .. �_ _"�w.At.,-i)¢� .e"�: ¢ 1 1 l i I o' 140\\i4l, i i -;--:�. i - � ✓lee 'IDonvneo� a�./�a4oac/uravtta � �. DEPARTMENT OF PUBLIC SAFETY License:.-;-CONSTRUCTION SUPERVISOR Nusber:: Expires �MATiHEY'J OACEY PO BOx 1558 7y011RRDS BAY, MA 02532 I COMMISSIONER RESTRICTIONS: 1G 1 00 - None lA - Masonry only (:. lG - I S 2 Faaily Hoses • � F�' z u ' i_Hi=i{'IF'IGFa BUIILDER'_. 617 =29 0000 F'. 01 � - 1 . * - 1 �:'[ "t �.-,71 a V• .•1f J �1�5 -� V -�.�t �r� 'i. C1'_�A✓ J � M k-�,� �', •' �i s ._ , •�.,a�5'7 � {kii +? h...< . �r l;'�� a.:, Ft,'� V r t ),;,,� '�''+�,Ylly' 1 �y d T HOLE,, In '' r r x' Y �y• t � ,. .��. DATE: PERC. RATES C(ASS SOILS R11 __�•_ ss,5 4' P4 _ ►fE4 r LOCATION MAR h` s ASSESSORS MAP 12L PARCEL {O S ?0 4C FLOOD ZONE _ c �t L, '?5rT BUILDING 20NE: KrM SMACKS: FROM - Z.-I! SIDE 7 RFAR z * Ge It PLAN REFERENCE: Z,Z: __t/ J tL V - wa o r.uK(t¢r 1, DATUM IS —���/�-.,e, .J��a �•ra►.]t • !� SEPTIC DESIGN: (a7ta4oE o+SPvsEw 4 ��� ) 2, MUNICIPAL.WATER.IS �•-lywe' & —, 3, MINIMUM'RIPE PRAM TO 8E 1/d• PIER'FO( f. DESIGN FLOW:,A BEDROOMS (-Lf GPD) 31°n GPD 4, DESIGN LOADING,FOR,.ALL.PRECAST, UNITS '0 BE AASHO-H."�"? ,. USE A, �3o GPD DESIGN.flow S. PIPE JOINTS TO 6E IrtAbE WATERTIGHT, SEPTIC T3 ANKH '? GPD ?:) ,L GALLONS 6. CONSTRUCTION DETAILS 5T0 BE IN ACCOROi VCE WITH MASS. USE A_,1e2 GAllON.SEPfiC TANK ENVIRONMENTAL. CODE TIRE V. 7. THIS PLAN IS FOR PROPOSED WORK ONLY ND NOT 'To"RE If A HI ►�, � USED f-OR_LOT LINE STAKING. SIDES: i.1=� i-� ( .) " '� GPD B. PIPE FOR S EPTIC SYSTEM TO'SCH. 40-4' PVC. , BOTTOM-`V - -- ('as@ 5 GPD 9. NSPEC110 Nol TO 8E BACKFILLED OR ONGEALED WnHOUT .4is 1 1�ti_ GPD 10fAU S,F. N BY.SOARD OF;HEALTH AND PE IMISSION OBTAINED . FRoM BOARD OF ,HEALTH. - SITE AND SEWAGE PLf,N OF L321 IA 14, vo- IN THE TOVN (7! eo,um or tar.1,7N ..-�. ... . , PWARED FOR:MA riPPROVED 1)A?C 1 v , `' ' 2b 0 2b 'A° C iod 9CA21S -�� DATE: IN f I Ut1►T� gape LII$1I1Gerlg,.'11?G �1�".t� 1 , , G�1'v1rl� �Pt'GYTyEERS. y� � ���Y r 'I.it�3:7 ISU$tVEX:O — A39 r#iairi st. �amouth,riles OJA K a _ The Common C h o f M hut := ( ' Department of Industrial Accidents _ oxce 9/1O/YSa MOBS 3` 600 Washington Street • r �a. Boston,Mass. 02111 ,,Workers'Compensation Insurance Affida At name: C -hAAim p e V O0\�7:1 location: �� city eel() D �� phone# 617 U U 3 U OO j � I am a homeowner performing all work myself. - k O I am a sole proprietor and have no one workin g in any capacityMAI ,' 5I am an employer providing workers' compensation for my employees working on this job. r, address: o City: phone N. . CIONA I►JsuaA 'C0' 4-1� Z�l q insurance co. pol(c} # o t �c'G�'`.",.�'�sO'Sx'__s.._�„a....m., ao.�rn ,air-�.-•,•emcam�--,•. _ _ _ - q.,:.. I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices,. company name: ,. address: city: ' phone insurance co. policy At company.name t address: x City'. phone insurance co. policy# Ik teach additional s6eeUf necessa 7 " " _7 - �7 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 aad/orr , one years'imprisonment as well as civil penalties in the fa•m of a STOP WORK ORDER and a fine r i 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations orthe DtA for coverage verification. I do herebl•certify' aJ an penalties of pefj'ury that the information provided above Is true and correct Signature Date AUG V 3T Z.�l 4 lam fo V Print name A b C Phone# (o M, official use only do not write in this area to be completed by city or town official city or town: permittlicense q nBuilding Department • ❑Licensing Board check if immediate response is required ❑Selectmen's 0Mce to Health Department ,a•. contact person: phone#; nOther (rr•ised 3195.P1A). t i JOHN W. KENNEY ATTORNEY AT LAW 12 CENTER PLACE 1.SSO ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632 TELEPHONE 771-9300 FAX NO.775-6029 AREA CODE 508 October 15, 1996 Mr. Ralph N. Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request For Determination of Buildability of Undersized Lots Locus: Lots 14, 15, 16, and 17, Skunknet Road, Centerville, MA Parcel ID: Parcels R171 - 4, 5, 6, and 7 Current Owners: Lots 14 and 16 - Dana S. Briggs, Trustee of John E. Barnard, Jr. Trustee Lots 15 and 17 - Dana S. Briggs, Trustee of Barbara W. Barnard Trust Dear Mr. Crossen: I am writing in response to your letter dated September 30, 1996 concerning my Request For Determination of Buildability of the above-referenced lots. In said letter, you requested additional information concerning the trusts and the beneficiaries which currently hold title to these lots. Enclosed herewith for your review is a copy of the Barbara W. Barnard Trust and pages 1 and 2 of the John E. Barnard, Jr. Trust. The John E. Barnard, Jr. Trust is, 'for our purposes, the same as the Barbara W. Barnard Trust after page 2 . As you can see, these trusts are living trusts created in connection with the estate plan of the Barnards. The immediate beneficiary of each trust is the grantor. Paragraph 2 sets forth the distribution of the trust property upon the death of the grantor. It is my opinion, that since these properties were transferred into the respective trusts for estate planning purposes there was adequate consideration paid. The properties are held by separate independent entities with different beneficiaries. Therefore, it is my opinion based upon this information along with the information supplied to you in my letter dated September 26, 1996 (see copy enclosed) , that these lots are buildable under the Barnstable Zoning By-law. 1 Mr. Ralph N. Crossen October 15, 1996 Page 2 Please inform me by return letter as to whether in your opinion these lots may be built upon for residential purposes. Thank you for your attention to this matter. Very truly yours, 47 /hn W. .Ke ey JWK/wwl Enclosure cc: Matthew J. Dacey Champion Builders, Inc. 3/8 e ]wb t a I BNO3160-02813 94—OS-06 2:19 Q81 73 q ii I is i i - X JOHN E. BARNARD, JR. TRUSTu s of AoP16 5;7 9 �y DECLARATION OF TRUST made this 5th day of April One ; Thousand Nine Hundred and Eighty-nine. t°F I D W I T N E S S E T H T H A T: — — _ — — 1 P.... 1 WHEREAS, JOHN E. BARNARD, JR. , of Barnstable (Oster- ! ville) , Barnstable County, Massachusetts, (hereinafter called :I the "Grantor" .when reference is made to him in that capacity) is about to transfer and deliver to DANA S. BRIGGS of Sandwich, -4 1j1 Massachsuetts, as Trustee, certain of his property; r : 1 NOW, THEREFORE, said DANA S. BRIGGS (hereinafter with his successors in trust called the "Trustee") declares and agrees with the Grantor that he shall hold and administer the property which is now or hereafter may be transferred to him as Trustee, or in any way acquired and held hereunder, and will hold the pro- 1 +! ceeds of any insurance payable to the trust IN TRUST for the pur- poses, in the manner anti with and subject to the j ) powers and pro- f 5 visions herein. contained as follows: h' I� FIRST: This trust is revocable in accordance with the provisions of Article SIXTH� and shall be known as the' I ' I "JOHN E. BARNARD, JR. TRUST OF APRIL 5, 1989", and may be re- ferred to as such. SECOND: During the lifetime of the Grantor so much of the net income and principal as the Trustee may determine I' jfrom time to time, or as the Grantor may request in writing, shal i be paid to or applied for the benefit of the Grantor, and in the event of the Grantor's incapacity, also to or for the benefit of the Grantor's wife, BARBARA W. BARNARD. Any such income not so I � 'k SYKES AND COLE ATTORNEYS AT LAW 620 SOUTH STREET POST orrICE BOX 13SA . i HYANNIS.MA 02601 i "k i 6 job -r �31 is BP*OJ1E;i�-0�81.Etq-p 2:19 �i21 i0 a 06 1 One = paid or applied may be added to the principal of the trust fund or held as accumulated income for later disposition as hereinbe- fore provided. Upon the Grantor's death, the trust property 3 > = shall be disposed of in the following manner: ster- :s a; a) If the Grantor is survived by his wife, BAR- lled DARA W. BARNARD, the trust property shall be retained IN ity) is TRUST:` and the entire net income therefrom shall be paid to her or ap- plied for her benefit until her death, at which time the trust' :mow principal shall be paid over and distributed free of all trust as with f" follows: r agrees w„ F aa] ONE QUARTER thereof to the Grantor's stepson, perty BRUCE D. BRIGGS, if he is then livng; or if he is not then liv- stee he ,r,kw ing, to his issue then living, said issue to take by right of pro- Y `- representation; and in default of such issue, to the Grantor's e pur- stepson, DANA S. BRIGGS; pro- bb] ONE QUARTER thereof to the Grantor's stepson, DANA S. BRIGGS, if he is then living; or if he is not then living c e k?: to his issue then living, said issue to take by right of repre the " r sentation; and in default of such issue, to the Grantor's stepson, re- BRUCE D. BRIGGS; cc] ONE EIGHTH thereof to the Grantor's daughter, so x' BARBARA A. BARNARD, if she is then livnn gt or if she is not then ermine living, to her issue then living, said issue to take by right of shal representation; the dd] ONE EIGHTH thereof to the Grantor's daughter, 't of JOANNA L. BROWNE, if she is then living; or if she is not then so 4 living, to her issue then living, said issue to take by right of SYM F 5 AND COLE ATTQPAxvs AT LAW . 4F0 sOUTM aTREET _ POST OFFICE BOX 1358 2 ] RVANMS,MA omo1 NEW C AWU A, s li �a !' EIP:0920-0270 2 5 F BARBARA W. BARNARD TRUST DECLARATION OF TRUST made this 5th day of April One `l YL "b,54 4 4 T ( _al i Thousand Nine Hundred and Eighty-nine. ¢ t P 1 4t s w , W I T 11 E S S E T H T H A T: — — -- — — — — — — — — — J.:. WHEREAS, BARBARA W. BARNARD, of Barnstable (Osterville) ;t Barnstable County, Massachusetts, (hereinafter called the "Grant- ' 11 j or when reference is made to her in that capacity) is about to transfer and deliver to DANA S. BRIGGS of Sandwich, Massachusetts io r> E I j as Trustee, certain of her property; NOW, THEREFORE,, said DANA S. BRIGGS (hereinafter with r 1 f h" titq his successors in trust called the "Trustee") declares and agrees jrx , I with the Grantor that he shall hold and administer the property which is now or hereafter may be transferred to him as Trustee, or in any way acquired and held hereunder, and will hold the pro- gm ceeds of any insurance payable to the trust IN TRUST for the pur- poses, in the manner and with and subject to the powers and pro- M, max" �F visions herein contained as follows: rE ili 4 JAI FIRST: ^his trust is revocable in accordance with the provisions of Article SIXTH and shall be known as the - �,I , Ij ' "BARBARA W. BARNARD TRUST OF APRIL 5, 2969", and may be referred to as such. ( !i SECOND: During the lifetime of the Grantor so much of the net income and principal as the Trustee may determine from time to time, or as the Grantor may request in writing, shall be paid to or applied fo_ the benefit of the Grantor, and in the d ; l event of the Grantor's incapacity, also to or for the benefit of ' the Grantor's husband, J(:;HN E. BARNARD, JR. Any such income not M - 1 SYXE5 ANTI COLE ' ar• A1101♦M VS AT LAW I IWA"",.MA 0?60r s It ( :x i N> M Ro. ,. w.. .. .. .. _. w 6 bwb r t 221 BNO91C.10-0271 94-05-06 2:19 C2.0'172 aril One so paid or applied may be added to the principal of the trust fund or held as accumulated income for later disposition as here- inbefore provided. Upon the Grantor's death, the trust proeprty shall be disposed of in the following manner: sterville) a] If the Grantor is survived by her husband, :ie "Grant- JOHN E. BARNARD, JR., the trust property shall be retained IN about to TRUST and the entire net income therefrom shall be paid to him or sachusetts applied for his benefit until his death, at which time the trust principal shall be paid over and distributed free of all trust as Ler with ..........,Z follows: ind agrees aal ONE QUARTER thereof to the Grantor's son, rOperty 13 BRUCE D. BRIGGS, if he is then living; or if he is not then liv- 'rustee, ing, to his issue then living, said issue to take by right of the pro- representation; and in default of such issue to the Grantor's the pur- son, DANA S. BRIGGS; and pro- bb) ONE QUARTER thereof to the Grantor's son, DANA S. BRIGGS, if he is then living; or if he is not then living lance to his issue then living, said issue to take by right of repre- is the sentation; and in default z. of such issue, to the Grantor's son, referred BRUDE B. BRIGGS; cc] ONE EIGHTH thereof to the Grantor's step- r so daughter, BARBARA A. BARNARDj if she is then living; or if she etermine is not then living, to her issue then living, said issue to take ng, shal by right of representation; in the ddl ONE EIGHTH thereof to the Grantor's step- efit of daughter, JOANNA L. BROWNE, if she is then living; or if she is :)me not not then living, to her issue then li ving, said issue to take by SVKES AND SOLE right of representation; 4710RNrV5 AT LAW SMn"S1 FlErT pOfl-1-CE BOX 13" is A 02 so i 'Wit 3/3 e bwb r i ON09160-0272 99-M-06 2:19 112,2172 , 4 ' eel ONE EIGHTH thereof to the Grantor's step ,y daughter, KARLA E. MATTE.RN, if she is then living ; or if she is " not then living, to her issue then living, said issue to take by right of representation; i; T31' ff] ONE EIGHTH thereof to the Grantor's step- daughter, }LOLLY E. SAWYERS, if she is then living; or if she is not then living, to her issue then living,s�. ( g, said issue to take by L i right of representation; P. gg] Any portion of the trust property not effec- tively tively disposed of by the foregoing subparagraphs aa] through ffJ �y ;, shall be distributed free of all trust to the Grantor's issue then living, said issue to take by right of representation; h' b] If the Grantor's husband, JOHN E. BARNARD, JR jl predeceases her, the trust property shall at the Grantor's death be paid over and distributed free of all trust to the issue of � I the Grantor and the issue of the Grantor's husband in the same manner and proportions an set forth in subparagraph a] above; c] In audition to the payments of income herein- before provided, the Trustee is authorized at any time or from { j time to time to make or apply payments of principal of the trust A . s j property to or for the benefit of the Grantor's husband, JOHN E. BARNARD, JR. , in such amounts, including the entire trust fund, a r I the Trustee may deem advisable. In making the discretionary pay- k ' ments of principal under this subparagraph c] , it is the Grantor' desire that the Trustee exercise the power to make such payments i ? i in a liberal manner, and the Trustee may but need not take into j account other financial .resources available to the beneficiary; SYKES AND COLE d1 If the order of death of the Grantor and her ATTORNEYS AT LAW 42D souTN STRECT •' POST OPflCE BOX 135 �. NV ANNIS,MA ONWI ] ,j � 3/3 e bwb r DP:09180-0273 09-05-00 2119 C26172 Fyfi l' 1 F. step- husband cannot be established by proof, it shall be presumed that a. she isLrh,; the Grantor survived her husband; take by4. e] An adopted child in any generation and his or her issue, including adopted issue, shall have the same rights step- under this instrument as natural children or issue of the adopt- she is ing parents. take by THIRD: The Trustee shall have the following pow- = ; ers and discretions in addition to those conferred by law: s b r effec- ; a] To retain the property delivered to the Trus- ough ff] - tee and any property added to the trust fund without liability ssue fig' for any decrease in value; 1 � b] To sell or exchange an g y property comprising ARD, JR w the trust fund and to invest and reinvest in an y property, in- death . cluding any common trust fund, whether or not of a kind or in a e of {ST S+v a, proportion ordinarily considered suitable for trust investments; same e] To sell, exchange, lease, mortgage, subdivide, secY. manage and improve any real estate forming a part of the trust aerein- on such terms as said Trustee �� property u ma p Y deem proper and to from execute and deliver deeds, leases, mortgages or other instruments n } f{ trust in regard thereto; any lease may be made for such period as the :HN E. . Trustee may deem proper without regard to the duration of the und, a trust a> Y pay , d] To carry and bold property of the trust in antorl the name of a nominee of the Trustee or in the names of any per- ments sons including the Trustee's own, or in any other form without into disclosing the existence of any trust; a iry, el To settle by compromise or arbitration or :? ! her SYKES AND COLC ''477ony rs A IAA . . n`.�1'0 f0U111 57IICI.I ost on Xt oox Inn [ 4 ] ,6 W;. a�. ,I 11: 19 30 �'i ii f 311, e bw b t r -- d l{ :'Jill f Swt�} b g . otherwise, any and all claims and demands in favor of or against i"4:4 1� or in any way relating to the trust property upon such terms as s the Trustee deems advisable; f] To act as Trustee without giving bond or fur- nishing surety or sureties on any bond required by law; �.,, g] To pay income in monthly instalments or at such other times, at least as frequently as quarter-annually, as 4 the Trustee may deem advisable; ti• d 3 1. I 1 h) To make any division or distribution required r p4 by this agreement in cash or in other property, real or personal, � ! bl or undivided interests therein, or partly in cash and partly in property; - I; To determine in accordance with reasonable accounting practice what: shall belong and be chargeable to prin- cipal and what shall belong and be chargeable to income, and to 'V � 1` amortize or to refrain from amortizing premiums on securities ,4Y I i purchased at more than par; To apply to the use of any person any proper- ty, whether principal or income, vesting in or payable to such person and in the case of a minor, to pay or deliver the same to such minor or to a guardian or custodian under a gifts-to-minors ji act, including a custodian selected by the Trustee, or to a par- 1,1 ent of such minor or to a person with whom such minor resides. FOURTH: A written statement of the Trustee at any time as to any facts relative to the trust may always be relied upon, and shall always be conclusive evidence in favor of any purchaser, lender, corporation, association or officer or trans- t i tT SYHES AND COLE { 3. All Dr4NLYS Al LAW NLF.1 � � ] }.��.� !'; iI11 ❑p51 ur nGr'uox 435n 02W1 i fi i ' 3/3 e bwb t 172 - EP:09180-0275 54-OS-06 ?i19 h2e,172 Z.� gainst fer agent thereof, and an p y other Persons dealing in m s a Srr,:: 9 good faith with the Trustee in reliance upon such statement. FIFTH: The Trustee shall give to the Executor or -)r fur- Administrator of the Grantor's estate such amounts as may be re- quested by such Executor or Administrator at for the payment of the r I Grantor's debts, her funeral expenses, the expenses of the admin- Y' as s`' istration of her estate, legacies provided for in her will, and q estate and inheritance taxes due b y reason of her death, whether ?aired due with.respect to the trust property or otherwise; provided, sonal, a. x however, that in the Trustee shall not use for these purposes any assets of the trust or the proceeds thereof, which for the par_ poses of estate or inheritance taxes are not included in the le Grantor's taxable estate. The Trustee may rely upon any such re- rin- quest and the amounts included therein without computing the t0 F taxes or other sums involved. 3 If at the time of the death of the Grantor, the Trustee holds United States Treasury bonds redeemable at par for the pay- •per ment of federal estate taxes, then notwithstanding the provisions h in the Grantor's will, the Trustee shall in any event to R. pay such y portion of the federal estate taxes due by reason of the Grantor's ors death as is equal to the par value of said bonds. 4¢ ir- SIXTH: The Grantor reserves the power at any time or from time to time to alter, amend any or revoke, in whole or a in part, the terms and provisions of this Declaration of Trust and the trusts hereby created, by an instrument in writing signed by her, acknowledged before a notary Y public and delivered to the Trustee during her lifetime. In the event that the Grantor shall SYKES AM)CpLE A11onwvs A,L^w ` 'OSV-r KF.BOX i)is li 1WAK"$.W02MI [ 6 ` �U 3/s e, Y)wn tr Y� �dJ �4 i a:rxk R ` BP:G:JIch 0 it Etq _ ); „-,,,1 U -CIS z= u c.� 7i� r { Ktt it •+ 3r �.M�� 6 - Ywt 3 4� a it djj , i revoke this trust, the Trustee shall transfer and pay over the 4. s 'aF � i trust property or the portion thereof to which said revocation is applicable, to the Grantor or as she may direct in writing. ys1O,,i SEVENTH:. The Trustee shall render accounts of the erg , , administration of the trust annually, except during such time if any as this trust is revocable by the Grantor, and she or her Ell guardian or conservator has waived such accounting in writing. zttC (; The assent by all persons who, for the period of any account, q were entitled or eligible to receive the income of the trust, and "YIII who were of full age and legal capacity (but if under guardian- S GIB It ship or conservatorship, then by a guardian or conservator, or if deceased, by the executor or administrator) shall make such ac- it tl � count, in the absence of 'fraud or manifest error, binding .and iy+ 14:1y u ': E conclusive upon all persons then .havin or who may thereafter P P 9 Y have any interest, vested or contingent, in the income or princi- r�r� pal of the trust estate. The failure of any such person to ob- Irfr ject to any such account by a writing mailed to the Trustee within sixty (60) days of the receipt of a copy of the account shall be deemed to be an assent by such person. 4 3 r it EIGHTH: No person to whom any reversionary, fu- 3i - "' ' { ture or expectant interest is given nor any person entitled to any income shall have the power to alienate or dispose of such interest or income by anticipation or to subject the same to his or her debts or liabilities, and no such interest or income shall 'Y i 1 t a ` ;# be liable for his or her debts or liabilities. NINTH: No Trustee shall be liable for the acts 1s � Ili or omissions of a Co-Truf.tee, any prior Trustee or any person ad- 5 YKIES nNt.COLC ' Al UN-17..VS nl L.nW 1•p51 OI r'ICL IK.X 13V1 f� I 11 ; 11YA NNIS.Mn otC-0. 4. �G4 r;, l 3/3 e bwb r =•,,.,, BP-09180-0277 94-M-06 2:1!- f2 lip :a .Y. 1�r x the ministering the Grantor's estate, nor unless requested in writing ation >. by a beneficiary, shall the Trustee be obliged to inquire into Ling, :: such acts or omissions or to ascertain that the property trans- of the ry.5 . ferred to said Trustee is the entire trust property, time if AE;• TENTH: Notwithstandingthe provisions hereinbe- her a {, fore set forth in Article SECOND of this Declaration of Trust, in y.. Ling, the event any trust held thereunder shall in the opinion of the .jnt Trustee becomes uneconomic or otherwise inadvisable to administer ist, and .: as a trust, the Trustee, if said Trustee deems it in the best in- -dian- N terest of the, beneficiaries is authorized to terminate such trus or if and distribute the principal to or for the benefit of the benefi- !h ac }{ ciary then entitled to receive the income. and "s ; ELEVENTH: If the trust inst rument is recorded in a ter Registry of Deeds, any resignation, appointment, acceptance of princi- `. ' trust or other instruments relating to the trust may but need not o ob- be recorded in said Registry. =e TWELFTH: Any Trustee hereunder (whether originally x. count designated herein or appointed as a successor Trustee) shall have the right to resign at any time by giving thirty (30) days writ- fu- ten notice to that effect to each adult beneficiary to whom the i to < ; Trustee is then directed or authorized to pa y y net income of such :uch x, trust. If DANA S. BRIGGS shall resign or otherwise cease to act .o his } as such Trustee, the Grantor's son, BR UCE D. BRIGGS, of Albany, shall New York, is hereby appointed to act as successor Trustee, but if .ix •• Bruce D. Briggs shall predecease the Grantor or decline to serve acts Y or resign or otherwise cease to act as Trustee, a majority in i ad- i number of the beneficiaries then entitled or eligible to receive !!YKES AND cote RyttglM-vs nl lnw fl- - .--:�bUlII FI/II:I:I I ICC box Ilse / p 'INn,ra MA o7CAl F �lil III �r0.1 ;'' V j .a 1i J/J U it Lt V U �Za r y ji EP:DO160--0-_2r8 94—M: O6 2:19 QL1I IL p payments of income sha):1 have the power by an instrument signed and acknowledged by them (or if incompetent, by their legal rep- 4, { resentatives) to appoint a successor Trustee; provided, however, n� that no beneficiary to whom discretionary payments of income or } discretionary payments of principal can then be made shall be ap- pointed to serve as Trustee hereunder. In the event said major- ity of income beneficiaries shall fail to designate a successor Trustee within thirty (30) days after the notice of a Trustee's5 �_ f{t intended resignation, the then acting Trustee may apply to a ; court of competent jurisdiction for leave to resign and for the `v 511 `+ appointment of a successor Trustee. Any successor Trustee shall ; , � v qualify by filing a written acceptance of appointment as Trustee4PI . with the trust records. I! THIRTEENTH: The Grantor declares that this Indenture, s' �t fIII its validity, interpretation and administration, shall be regu- mf tr'. I J' lated and be determined in accordance with the laws of the Com- ' I monwealth of Massachusetts. Via, 1 IN WITNESS WHEREOF,. the parties hereto have executed this Indenture in dupliDate, effective as of the day and year -. }k first above written. i I � Barbara W. Barnard Grantor ate , ,n �i �'r^ � { Dana S. Briggs Trustee I 2, T y �, 1 , SYKES Arm EOLE f ATTOWF_YS AT LAW SO .I ST AEEI : bq �•[ �''dt A ''li ' PO51'OffICF BOX r358 - ` ' HVANN,S.MA 02G0, 4 � 3/3 e tr bwb - i'2c17� `�• EP:0!3180-0279 54-05—Ci6 2:19 42-172 t : COMMONWEALTH OF MASSACHUSETTS t signed !gal rep- however, t Barnstable, ss: 5 April 1989 Then personally appeared the above-named BARBARA W. _ BARNARD and acknowledged the foregoing instrument to. e•";ei'•� ree icome or 9 g 9 `� �• All be _ act and deed, d maj ap Before me, o f r- _ David B. Cole �}Toy�' tb��ie 1ccessor My commission expires: 23 April 19 � ' •••• '` 'ustee'sti r:: 4 �s. to a for the s } ` ee shall `! ,'. COMMONWEALTH OF MASSACHUSETTS Trustee Barnstable, ss: 5 April 1989 fi Then personally appeared the above-named D N� S' BR Trustee as aforesaid, and acknowledged the foregoing ir►� Y_ument-. ; �,. ,denture, a� 6, gam` to be his free act and deed zi Before me, - '•. ie Com- Davia B. Cole •\Nothk '•�4rb�`e "r My commission expires: 23 April 1993 , cuted year R E C E I P T DANA S. BRIGGS, Trustee, hereby acknowledges receipt ^' from BARBARA W. BARNARD, Grantor, of the sum of FIVE DOLLARS as antorzi " '' ` the initial funding of this trust. Dated this. 5th day of April One Thousand Nine Hundred and Eighty-nine. _yt istee Dana S. Brigos SYKL'S AND COLE 1.; ATTORNEYS AT LAW 420LOUM LTRE(.T 10 t.r POST OPTCE lox 135E T KYANKIS.MA 02W I BARNSTABLE REGISTRY OF DEEDS 74 4i C-7�, �F JOHN W. KENNEY ATTORNEY AT LAW 12 CENTER PLACE 1 SSO ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632 TELEPHONE 771-9300 , FAX NO.775-6029 AREA CODE S08 September 26, 1996 Mr. Ralph N. Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request For Determination of Buildability of Undersized Lots Locus: Lots 14, 15, 16, and 17, Skunknet Road, Centerville, MA Parcel ID: Parcels R171 - 4, 5, 6, and 7 Current Owners: Lots 14 and 16 - Dana S. Briggs, Trustee of John E. Barnard, Jr. Trustee Lots 15 and 17 - Dana S. .Briggs, Trustee of Barbara W. Barnard Trust Land Area: Lot 14 - .39 Acres Lot 15 - .39 Acres Lot 16 - .39 Acres Lot 17 - .39 Acres Dear Mr. Crossen: I am writing to request a determination from you that for zoning purposes, the above-referenced lots are ""non-conforming lots" exempted from the current minimum lot size provisions of the Barnstable Zoning ordinance. The facts regarding the lots are as follows: 1. The lots were established on a plan of land dated October 11, 1967. The plan is recorded at the Barnstable County Registry of Deeds in Plan Book 224, Page 127 on November 1, 1968. A copy of the plan is enclosed for your records. At the time the subject lots were established the minimum lot size requirement in this area was 15,000 square feet. 2. The title to the land which was eventually subdivided into Lots 14, 15, 16, and 17 was first acquired by John E. Barnard, Jr. on February 10, 1965 from Anna -M. Kirkland. This deed is recorded with the Barnstable County Registry of Deeds in Book 1290, Page 638. A copy of this deed is attached for your reference. Mr. Ralph N. Crossen Building Commissioner September 26, 1996 Page 2 3. On August 21, 1978, John E. Barnard, Jr. transferred title to Lots 14 and 16 to Barbara W. Barnard. This deed is recorded in Book 2769, Page 252. A copy of this deed is attached for your reference. 4 . On April 27, 1994, Barbara E. Barnard transferred title to Lots 14 and 16 to Dana S. Briggs, Trustee of the John E. Barnard, Jr. Trust. This deed is recorded in Book 9180, Page 294. A copy of this deed is attached for your reference. 5. John E. Barnard, Jr. held title to Lots 15 and 17 from February 10, 1965 until April 27, 1994 . On April 27, 1994 John E. Barnard, Jr. transferred title to Lots 15 and 17 to Dana S. Briggs, Trustee of the Barbara W. Barnard Trust. This deed is recorded in Book 9180, Page 292 . A copy of this deed is attached for your reference. 6. On November 15, 1983 by Article C-2 of the Barnstable Town Meeting, the minimum lot size for the subject area was increased to 43,560 square feet. 7. At the time of the change in zoning from 15,000 square feet to 43,560, square feet became effective upon these lots, the lots were held in ownership separate from that of any adjoining land located in the same residential district and have continued to be held in separate ownership from that of any adjoining land located in the same residential district. A copy of my title rundown, subdivision plans, and assessor's map supporting this statement is attached for your review. Based on the foregoing it is my opinion that under Section 4- 4 .2 of the Town of Barnstable Zoning Ordinance these lots were lawfully laid out on a plan which complied at the time of recording with the minimum area, frontage, width, and depth requirements of the zoning by-law in effect at that time. There has been no common ownership with that of adjoining land located in the residential district since the change in minimum lot size became applicable to these lots. Therefore, it is my opinion that these lots are "grandfathered" and may be built upon for residential use if the lots conform with Section 4-4 .2 ( 1) of the Zoning Ordinance. Mr. Ralph N. Crossen Building Commissioner September 26, 1996 Page 3 Please inform me by return letter as to whether or not in your opinion these lots may be built upon for residential purposes. Thank you for your attention. y tru-1 rs, JWK/ww1Z ohn W. Kenney Enclosure cc: Matthew J. Dacey, President Champion Builders, Inc. °F THE Tp� The Town of Barnstable • snxxsrnsM 9 .'16 9 �' Department of Health Safety and Environmental Services i639 �� ArFO N1A'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 30, 1996 John W. Kenney,Attorney at Law 12 Center Place 1550 Route 28 Centerville,MA 02632 Re: Your request for determination of buildability of undersized lots atr11742, 152, 162 and 172 Skunknet� Road;CentervillC MA (Map/parcel 171004, 005,006&007) Dear John: Prior to deciding whether the above referenced lots are buildable or not,I need to know more about the trusts and the beneficiaries. As you know,separate dominion and control must be established. Sincerely, Ralph M. Crossen Building Commissioner RMC/km l � �.'"-? � o� S . �5� 51��� � _ o�� '� ��-� . . _ - . - - . � + 1 0 t JOHN W. KENNEY ATTORNEY AT LAW 12 CENTER PLACE 1 SSO ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632 TELEPHONE 771-9300 FAX NO.77S-6029 AREA CODE S08 September 26, 1996 Mr. Ralph N. Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request For Determination of Buildability of Undersized Lots r Locus: Lots 14, 15, 16, . and 17, Skunknet Road, Centerville, MA Parcel ID: Parcels R171 - 4, 5, 6, and 7 Current Owners: Lots 14 and 16 - Dana S. Briggs, Trustee of John E. Barnard, Jr. Trustee Lots 15 and 17 - Dana S. Briggs, Trustee of Barbara W. Barnard Trust Land Area: Lot 14 - .39 Acres Lot 15 - .39 Acres Lot 16 - .39 Acres Lot 17 - .39 Acres Dear Mr. Crossen: I am writing to request a determination from you that for zoning purposes, the above-referenced lots are "non-conforming lots" exempted from the current minimum lot size provisions of the Barnstable Zoning ordinance. The facts regarding the lots are as follows: 1. The lots were established on a plan of land dated October 11, 1967. The plan is recorded at the Barnstable County Registry of Deeds in Plan Book 224, Page 127 on November 1, 1968. A copy of the plan is enclosed for your records. At the time the. subject lots were established the minimum lot size requirement in this area was 15,000 square feet. 2 . The title to the land which was eventually subdivided into Lots 14, 15, 16, and 17 was first acquired by John E. Barnard, Jr. on February 10, 1965 from Anna M. Kirkland. This deed is recorded with the Barnstable County Registry of Deeds in Book 1290, Page 638." A copy of this deed is attached for your reference. t "r Mr. Ralph N. Crossen Building Commissioner September 26, 1996 Page 2 3. On August 21, 1978, John E. Barnard, Jr. transferred title to Lots 14 and 16 to Barbara W. Barnard. This deed is recorded in Book 2769, Page 252. A copy of this deed is attached for your reference. 4. On April 27, 1994, Barbara E. Barnard transferred title to Lots 14 and 16 to Dana S. Briggs, Trustee of the John E. Barnard, Jr. Trust. This deed is recorded in Book 9180, Page 294 . A copy of this deed is attached for your reference. 5. John E. Barnard, Jr. held title to Lots 15 and 17 from February 10, 1965 until April 27, 1994 . On April 27, 1994 John E. Barnard, Jr. transferred title to Lots 15 and 17 to Dana S. Briggs, Trustee of the Barbara W. Barnard Trust. This deed is recorded in Book 9180, Page 292 . A copy of this deed is attached for your reference. 6. On November 15, 1983 by Article C-2 of the Barnstable Town Meeting, the minimum lot size for the subject area was increased to 43,560 square feet. 7. At the time of the change in zoning from 15,000 square feet to 43,560, square feet became effective upon these lots, the lots were held in ownership separate from that of any adjoining land located in the same residential district and have continued to be held in separate ownership from that of any adjoining land located in the same residential district. A copy of my title rundown, subdivision plans, and assessor's map supporting this statement is attached for your review. Based on the foregoing it is my opinion that under Section 4- 4.2 of the Town of Barnstable Zoning Ordinance these lots were lawfully laid out on a plan which complied at the time of recording with the minimum area, frontage, width, and depth requirements of the zoning by-law in effect at that time. There has been no common ownership with that of adjoining land located in the residential district since the change in minimum lot size became applicable to these lots. Therefore, it is my opinion that these lots are "grandfathered" and may be built upon for residential use if the lots conform with Section 4-4.2 ( 1) of the Zoning Ordinance. r Mr. Ralph N. Crossen Building Commissioner September 26, 1996 Page 3 Please inform me by return letter as to whether or not in your opinion these lots may be built upon for residential purposes. Thank you for your attention. y tru rs, JWK/ww1Z ohn W. Kenney Enclosure cc: Matthew J. Dacey, President Champion Builders, Inc. L I OVrtCLA04 o®tA+ MODAL► wa Imu=X) IAfi 6.3 i I :. I, ANNA M. KIRKLAM. widow 4 of Palm Beach, Palm Beach County, State of Flrrida, �Oanmgpaocaoex I *aVzmxltxk for conQcration paid,grant to JOHN E. BARNARD, JR. of Barnstable (Osterville), Barnstable County, Massachusetts,, e : x1d ��a b'y 0 with >j[tit[fa►R[AOrf{AAL! '. ! lbocbo�imc two certain parcels of land located in Barnstable (Centerville) ' / . � it�flffi�•IwM!.� 61lIKf1,It Ylrl I •.µ5��r'� Barnstable County, Massachusetts, bounded and described as follows: Parcel I , A certain parcel of land situated in Centerville aforesaid, On the Southeasterly side of the old road leading, from Osterville to Vest Farnstable and Sotthwesterly from where i r� the County Road leading fray Vest Barnstable to Centerville crosses the first named road, and bounded and described as i E' a= follows: Northwesterly by the first named road; Y Southwesterly by land now cut' far�;erly of Levi Hinckley; i _• Southeasterly by land now ar formerly of william Crocker; and. �. f Northeasterly b� land Ycrmerly of Marston Woodbury. I l Containing ten 00) acres; more or less. Parcel II I Another parcel northerly of the first named parcel and bounded ! and described as follows: Northwesterly by the old road leading from Osterville to West Parnstable; Northeasterly by land now or former of I' Lewis; formerly Ezra W. Southeasterly by land now or fOrnerly of William. ► .• '� Crocker; and 1�- Southwesterly by the above described parcel. !� e Containing ten (10) acres, mcre ca{ leas. .:r ' ("dH W—Joint Tmanb—Teeaeb iA Canna•—Teaob by the End-y.) - f t i ILar y s t' i 77 1 4 rK If i s +- i The said premises are intersected b•Y the Hest Farnstable and Centerville Road dividing, the trnct into, southeasterly and southwest erly parcels. The above same parcels are shown on an unrecorded plan of f I land entitled "Plan of Lend in Centerville Barnstable County, Massachusetts, Pri+Ferty of Clarence S. Kirkland Scale 1" 200' May 1S42 Whitney & Bassett, Arct,ltects and�EnFineers." z For RV title reference is made to a deed from 2r1a Lt; Taplei- . to me and my deceased husband, Clarence S. Kirkland dated I + W July 13, 1937, and reccYded in the Bar stable, Co 1mty .t 1 � Re;•lstry of Deeds in Book 629 , Pa Fe 1S7 . +f r�,r. «.� ,tea Y"• 7 a 'k0. /1SS. , Lq t} � �� , 11- 1. '�'�, - I` v�• !1') '� '' ♦ ./ .'. •.(• DU - X i i W 129U rnct 639 you 1290 nun 6.10 . •xxxx 71R7Qcixgf141�dQC i ,���. - � 7mo�c�mcd��K76xtOt7¢txf(olti�OC '=a Wwwaii_._MY__ hand sod areal _.._.._dad of.. 9tri7frX...,.19_1a5.ANk �= l y Yy y Y STATE OF FLORIDA 1 �I{io�ae�wor�ass�omc��t � Palm Beach, ,a February i 19 �. i �� 1 L' Th-PAY*PPn-d the abo a named Anna 11. KlrklanA ; :i and edmowledaed dw fore;ois;faattsmeot to be her fme act uld deed before me 's 1'ublK— I . � H1 cmlmilw.a Emirs..._�rx.1t.L.......... H/•� ;', .] MOU'v►utlk.Sul..1 from 1 rdr Pon[n< %Jon.9,{96 ^• �'i saa.a h a'wic"aw+r ca of (seal) !•� , +o hrf'r'�10� r t I v10�� a I •- Barnstable, as., Racelved,March 5, 1965, and is reoorded. : Zeaaa 252 2�•'T`�' ' MASSACNUfIt{T'SOUITCUIY D[[D SHORT►011M (INDIVIDUAL) t♦� ,�� , 1, JOHN E. BARNARD, JR. . � . of Starboard Lane, Barnstable (Centerville) ,Barnstabia County,Massachtlsem i I I being xo married, for consideration paid, and in full consideration of $1 ,0 0, X'3 gr=rsto BARBARA V. BARNARD of Starboard Lane, Barnstable .(CentervlIPe) o& Barnstable County, Massachusetts, with litillrialm rournauto '. z5mdxadtincx seven (7) certain lots or parcels of land situated in �. Barnstable (Centerville) , Barnstable County, Massachusetts, more (Dcscriptien and encumbranm,It nay)�e 1 i' a; ' g particularly described as follows: , 3j 4 LOTS NOS. 14, 16, 18. 20, 22. 24 and 26 as shown on Land Court -J! ", Plan No. 35435A (Sheet 2) , filed In Land Court Confirmation Case s v t x No. 35435, and plan drawn by Charles N. Savery Inc. , Surveyors, Dated October i1, 1967, filed with Barnstable County Registry of Deeds toff} :' g { Plan Book 224, Page 127. j ail. I , 4r j Being a portion of the premises conveyed to me by Anna M. Kirkland by a" x�+l Y 9 deed recorded in Barnstable Count Regis Y of Deeds on March 5 1965 ? in Book 1290, Page 638. See also Confirmation Decree filed with said - ul Registry of Deeds in Book 1419, Page 403. I ; The above described lots are conveyed subject to the following restric- tion, appurtenant to the remaining land of the grantor: ;' `.,. No dwelling shall be erected, placed or maintained on said lots ]il until the exterior plans or design thereof have been approved '! ' in writing by the herein grantor, or by such person or persons as may be designated for said purpose by the grantor, said approval to be recorded with Barnstable County Registry of Deeds. Approval of plans shall not be unreasonable withheld. Together with a right of way over Skunknet Rd. as shown on said plan in common with others who are now or may hereafter be entitled thereto. a s�fl� Wi ase...m ...hand and seal this ......... ..�.......... day Au. .3 9 ......... ........................................................................ . r ohn E. B rn rdf•JQ. �• F 111 'I ........................................................................ ib .. ............. l - + ........ ... 1 m4r (BammunwraU4 of fliti>tez} ilttar22a ' IN yit•{'s j� Barnstable, ss August_L 1978 ? Then personally appeared the above named J O H N E. BARNARD 1 Sa a i " and acknowledged the foregoing ir,e.e.rr.tene to be h s free as an tom,before me 10 1 tart'Pbli —fw¢fto07t)bat 9lrof X 'cl �. My Commission esC, 01(r-up LIB dr! 19!l { ti" It (IsIndividual—Joint Tenants_Tenants in Common—Tcrunts by the Entirety.) y.i i1 c •. CHAPTER 18)SEC 6 AS AMEN UM BY CHAPTER•497 Of 1969 Eaery deed presented for record%ball contain or have endorsed upon It the full oame,re+i,leme an,f pal office address of the ftranrre and a recital of the amount of the full consideration thereof iri dollars or the nature of the other Coruidcration therefor,if not&iiveml • :) !a a specific mooenry,sum. The full consideration shall mean the mtal rice for the con once without deduction for my licru or ,k.{ZI'-`.� evcsrmbraacn assumed by the aratrec or remaimatt thereon. All such en Porsemcon and recitals shall be recorded as rats of the deed. 1 A` p:y with this seevoo shall oor affect the validity of any drd. No register of deeds&hull acne a deed for rrcvrdin un.css �f,,•'_�. Failtue m cum 7 ) 8� Pr R � it is in comp:ianee with the requirements of thus section. �r c.fd_+f I r RECORDED AUG 22 197B _._ i'? i . ` OP:09160-0294 94—OS—OE 2:19 92cI17C QUITCLAIM DEED I, BARBARA W. BARNARD, of 29 Wheeler Road, Marstons Mills, Massachusetts 02648, rw Ill for consideration paid, and in full consideration of $1.00, i grant to DANA S. BRIGGS, TRUSTEE of the JOHN E. BARNARD JR. TRUST, > � under a Declaration of .Trust dated April 5 , 1989, recorded with Barnstable Registry No " q ry of Deeds as book+Pag .es y180- 2� � - 1 of 29 Wheeler Road, Marstons Mills, Massachusetts 026481 , with QUITCLAIM COVENANTS, three (3) certain parcels of vacant land situated on Skunknet Road in Barnstable (Centerville), Barnstable County, Massachusetts, more j . particularly described as followss I LOT 14, LOT 16 AND LOT 18 as shown on Land Court c"A, - �i4��oM1 Ln.1B Plan No. 35435-A (S heet 2) , filed in Land'Court Confir- 1� mation Case No. 35435 and plan drawn b p s y Charles N. Savery _ , Surveyors Dated October I� Inc. y ;; 11, 1967, filed with Barnstable County Registry of Deeds . in Plan Book 224, Page 127. x Together with a right of way as appurtenant to each of said lots over Skunknet Road as shown on said plan in common with others who are now or may hereafter be entitled thereto. Each of said lots is conveyed subject to the following restriction: No dwelling shall be erected, placed or maintained on ; said lots until the exterior plans or design thereof have been approved in writing by John E. Barnard, Jr., or by such person or persons as may be designated for said j purpose by John E. Barnard, Jr., said approval to be recorded with Barnstable County Registry of Deeds. Approval of plans shall not be unreasonably withheld. + a I. ~I I y I II ; f $ 11. #�Gl;l 7G EP=09180-0295 94-05-06 2 19 928176 YM ills, `` For my title see deed from John E. Barnard, Jr. to me dated August n; 21st, 1978, duly recorded with Barnstable Registry of Deeds in Book 2769, Page 252. WITNESS my hand and seal this - day of ✓�✓t� , 1994. RUST, h.a. with Barbara W. Barnard C3 o cq Road STATE OF FLORIDA C more �/aR Jb7/9 douAJry `,. se. , 'li9 „,4 st "o`• �rR4{ion Then personally appeared the above named BARBARA W. BARNARD Sheet and acknowledged the foregoing instrument be her free act and nfir- deed, before me, (VJi 6L 7rlaae. /Y,4�� 'K/�+-�� plan avert' tober table Notary Public s in My commission expires: J//JJ/p///I/J/JJJJJ/INJ///JJ///I//H!/INNI/JJi L.Ven Wicncr '• �Noury Public,Sme ofFJorid• lots ,4; C W1%$ionNo.CC360P63 a who •rw° MyCoaunis•bnEaptn•03/3U9= iW$-NMARY.FM.NM,s«.e.l wd;.{c•. t ion: 2 BARNSTABLE REGISTRY OF DEEDS II�I ICI q.. i I T° I ! EP�09180-0292 94-05--CE; 2:19 921 175 ?' QUITCLAIM DEED i I, JOHN E. BARNARD, JR., of 29 Wheeler Road, Marstons Mills, # Massachusetts 02648, l for consideration paid, and in full consideration of $1.00, grant to DANA S. BRIQSS, TRUSTEE of the BARBARA N. BARNARD TRUST, ;i under a Declaration of Trust dated April 5, 1989, recorded with Barnstable Registry of Deeds as No,No, 7A of 29 Wheeler Road, Marstons Mills Massachusetts 02648, 4 jl with QUITCLAIM COVENANTS, i two (2) certain parcels of vacant land situated on Skunknet Road in ^ � Barnstable (Centerville), Barnstable County, Massachusetts, more j. , particularly described as follows: LOT 15 AND LOT 17 as shown on Land CourtPlan Conf�.,n�ion No. 35435-A (Sheet 2), filed in Land " Court Confirmation Case No. 35435 and iI plan drawn by Charles N. Savery Inc. , l I '; Surveyors Dated October 11, 1967, filed with Barnstable County Registry of Deeds :Jill, in Plan Book 224, Page 127. I !' Together with a right of way J g 7 as appurtenant to each of said lots f' ! ooveer Skunknet Road as shown on said plan in common with of now or may hereafter be entitled thereto. here who 'a I Each of said lots is conveyed sub ect(� �r Y j to the following restriction: E . �I No dwelling shall be erected ' E , placed or maintained on 11 said lots until the exterior plans or design thereof have been approved in writing by John E. Barnard, Jr., or by such person or persona as may be designated for said i� purpose by said John E. Barnard, Jr., said approval to be recorded with Barnstable County Registry of Deeds. Approval of plans shall not be unreasonably withheld. For my title see deed from Anna M. Kirkland to me recordedR on ! � „ March 5, 1965 in the Barnstable Regiatrty of Deeds in Book 1290, j� I, is JI .1 I aY BPCO9180-0293 c14-OS 2-017S le, page 638. See also Confirmation Decree filed with said :cede in Book 1419, Page 403. �» l this Z 1 day of �� �, 1994. WITNESS my hand and seaith 31 \— 'Y John E. Barnard, Jr STA OF FLORIDA elaw-ry iF ST4tA SoTA o1 7 in ore Then personally appeared the above named JOHN E. BARNARD, JR. and acknowledged the foregoing instrument to be his fre act and deed, before me, &d;tdv Ian and and C. , Notary Public led My commission expires: ads J►.0w L ven VAsncr ` ° ^Notary Public,Sue of florid+ Canmission No,CC 360&63 • 7,j no My Commission Expires 03/31/93 ots 1•MAYNOTMY•FU.Nd"6—i[s l9-"%C.. who on: on 2 BARNSTABLE REGISTRY OF DEEDS y � r -------------------------------------------------------------------------------------------------------------------------------------- ______- i 5 Oynd i 1 U4s 5 F ------_�t_Y_c�_-�5� Jahn��ca�na�d-t v�'--'�-__�XtYK�--S�-3��-C�s--►._._"_Trusk�_c�-�/_Uc�_r_�.....W-•----------- ----------'-- — ----1a�o-t���'------A n nw_M_Ki rki��__`�_U_ J�r►_n E__3Grra rr�t._J�=------- ------------..a�-o`b 5.--------- --- -------------� o+S i LI arm_ d i(e f ssessa rs Lam+S c to - ---- - --gt b'o-,;Ici -- Cbarci I ..,_B rnarc( --fo - any S._3,'�c s Trus --- -- - — - -------- ---- '---------------------— — ---------- 769�5 a -J ------------- _ a -_hr% _Barnaf i__ vr• i $car_bGral.U__ _rear -- —E- -- --- - — r -- ----- --...----- - -- - -Q1-7 '--- -- ---------------------------- /a "-kwnand DomeAC..1 LkWn- -------IAP—to3_F� �iS.above- -- ----- --- ------------ q 53y=�y- Trvs�,-�ft�------------------ --- _._---:-----:.-.- ----------— -- -�=° `� S--- - --- Lnf i5 Rurle in Pcxth Ain uU/!o7 LAssessc✓s l ail ) - --'--- - -----------•----- - -- -- - 4�-C 5 .......J Whiten O ----------- -�y-gG or tiy ---- ----------�ykb_43__Nci�+��_v__��1�y-��ane�ri._�a`ic�...�-0_.1Z1__���._l_F_`3Ct.__.il�--------------'----'------------3-{S-4_'`_•--------- - ----- ----S n►co_33--- Barkwo-C• 6rcens- . -I.lct}{w,�;D-_8u 4eY_±:�a►�ofi L. 3q�I�Y.---- a LO+ �Cil cl C-tim 6, Qs+on +o Qohn F. Els+on =7-75 t k0 -au Algvy E 5mnl(, the. do �©hn F. E-ls4o-r% E loot A- Elskrt lY-l--7 3 i4Ql�-(c7�t W1�11��n p 5wof+ �o (}( � small, Ih IX-7 t Lo+ 13 "ssessor,s Cofi A L7 3 34o AloI.Sml(. (roc. to—RiLha A. 4- A_wol4�- i 44( - 7 a (t6o v-=- 33 a'1-14 '-Iludwa- L. �1!mvn—le, Witku_m7r- 4 c Cvrcf j kccurc -7-13—fr 3 XIS- 21-1 t#enr j HQrntgn L. Ntirr�wr� - ihelrnct L farm_ � a-a3-r?► Lf(Cs-ail Alan-E- Small, 1i +o n r,j a ►4armo 7 'Mulma I j4arovn 5-c?y-73 101e.e-15( a s abow-,- LQ4- I I (Assessors L64 air 1 i4U51-3i8 WhlGe►1 N. Akalai+is to k_It+6lcc-n Salyma-n '1-IY-Cr5 A967-39 l I�e•{•er7- -946an+ N. I a*e-en Salmon +o ka-Fhlee.n k. 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M - RI••• i ar urge: l• I '`I e.no- ORMMNAL 1- M13UC /9Sr1: I [ •Io' lie-LAM - BY AY/9 S T it r..N•l trill: . M-t�es5 cv1Y' .rrc�rw nl IONAL ISSUE:Ij sw sw• �.O 343 149 17Q 19T :rt,u4 tJ0 — I'� 14B 171 191 (Za;natp 11 R ' 22053 a TOWN OF. BARNSTABLE Permit No. _________—____ Building Inspector cash $124.00 (a me ) ` OCCUPANCY PERMIT Bond "No building nor structure shall be erected,`'and no land, building or structure shall be used for a new, different, changed,,or enlarged use"without a Building Permit therefor first having been obtainedk£rom the-'Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to E.T. Finan III & Patricia A. Address 12 Lexington Terrace, Waltham, E.,,C"•it1aZ1 lot- 410 1 s;0 %ircl kTav_ rpnttprvi_17 P M VA Wiring Inspector / Inspection date Plumbing Inspector,/ � Inspection date �f�j :.gd Gas Inspector' f` Inspection date. l/Engineering Department . �r�'! ����,. ,/� Inspection date or THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE.OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. { ._ .. ... 19..L ............. Building Inspector 4tr� e,,fa-Aw r Z/o wilt � 94,E ZoT �3i h =- 0 � n 1 83f CERTIFIED PLOT PLAN sz LOCATION .(Ovr .tZVi441 .�'1�1 5.< . . . . /*A741 SCALE . �=.S.'. . . . DATE !> .!? 9$o . PLAN REFERENCE o,v. ,q. P[sYv XV a . . . . . . r I CERTIFY THAT THE �Zrl ovG. . SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF /•S.T/9 467. . . . . . WHEN CONSTRUCTED. 77-/oi`folj li.vt►�v DATE .!?*.7Z. PETITIONER! C&7"7Z--XV/GL� M�9Ss "' REGISTERED LAND SURV R '• -� - S//E�'T / of Z S�,/E�T.S 'V i 31 �r/r5 N >� ED/Soti � l i 1 � dEDa i I L/G/�/T Co�PAy / /6 83 3 5 q�� 1. 0 lb 0 EDWARD E. KELLEY Zo7— �1° i�.� o �s \`� �i�'. 0 CUMMA_QUID, MASS. 02637 � �' 01 43 Orro p }B E. (y1' KELLEY 1 �1.• CA No 2Z,10 1a f, 47- 4 0 3.,e,�,e 0 CERTIFIED PLOT PLAN LOCATION E�r' �L� SCALE . ''S.� . . . DATE,7 Z9 /1%80 PLAN REFERENCE . .QE7NG La7- 30 I CERTIFY THAT THE .. SHOWN ON THIS PLAN IS GROUND AS SHOWN HEREON [ I RMS TO THE SETBACK RE d HE TOWN OF WHEN CONSTRUCTED. 7�aMs rn/A� DATE . .. . . . . .. . PETITIONER: CC-wT�;��/iLG6�MgSS. REGISTERED LAND SURVEYOR S�Y��T o f Z -s�lZTs J. 48,o0 TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS • 4' CAST IRON 12°MAf4 X. • 12"MAX. mn PIPE (OR 4'�ORANGEBURG(OR EQUIV.) EOUIV.)— MIN. - PIPE- MIN. LEACH ' PITCH 1/4"PER. PITCH 1/4"PER.FT. PIT e'a PRECAST ;... LEACHING o' NVT °. e EL..... -`'1.. INV INVERT o� W o.'- PIT OR SEPTIC TANK 01 ST. ,q� EQUIV. V. , 0 INVERT EL.... r.3. BOX EL....�.?�. >x 0: �s: EL.44r 34.. /.000.... GAL. INVEST a'CL ,.� EL ..,9L INVERT v wW 3/4��T011/2� �,o WASHED w STONE PROF)LE. OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE PuncLIMINAR SOIL LOG WITNESSED BY : DATEi97p. TIME. 3o A'.h< pi4t�G fu �/ BOARD OF HEALTH TEST HOLE I TEST HOLE 2 Tfy6�ys>S ,!�eSZGc')/ PE., ENGINEER ELEV. .4C.9Gs. . . . ELEV. .. .. . . . . . . �'DWAR�O E; A ZO"►, d DESIGN DATA 3G . NUMBER OF BEDROOMS . . . . . . . . . . TOTAL ESTIMATED FLOW . . zz0 . . . GALLONS/DAY Lsty&zs o` BOTTOM LEACHING AREA 78,.So. . . SO.FT. /PIT obArm a B8,So SLOE LEACHING AREA . . . . . . Sa.FT./ PIT GARBAGE DISPOSAL .Mow$. o (50 /o AREA. INCREASE) TOTAL LEACHING AREA . ?7,4 o. SO.FT PERCOLATION RATE . m pew MIN INCH Li LEACHING AREA PER PERCOLATION RATE . �.. SO.FT. .No .WATER ENCOUNTERED NUMBER OF LEACHING PITS APPROVED . .. . . . . . . . . . : BOARD OF HEALTHT S�arv� P�Z P�7; THOMAS'Er KELEEY CO. DATE. . . ENGINEERS—SURVEYORS 0111(L AGENT OR INSPECTOR 346 LONG POND DRIV SOUTH YARMOUTH,MASS. H OF/ygS 02664 tH�F �S THOM S �oT '30. . . . . . . EDWAR o r��' o cn E v o.24260 Y' O TS PETITIONER _ sT CeA T74�V/GL. � /r7.SS t . . . ��r �� Vic' ' ,R r �tS lr�� G��� _ ��� ��� �� �-y �f��' �: ����� ��� �. q r sj , I _ ` A • \\ •.. Assessor's map and lot number 0"**"**' Sewage Permit number ".... ..... ............................ n Co Housenumber ..............111��...................................................... � 14E i639 ENVIR AI NTAL C0�0 M0 A,- TOWN OF BARNSTAMUNEGULATIONS A BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........3 !.A. TYPE OF CONSTRUCTION ..... .Id c e..................................................................................................... ............ .......:!...........19R... TO THE INSPECTOR OF BUILDINGS: t d' The undersigned hereby applies for a permit according to the following information: Location ........ '. .. ........1-3,4l..e.h.....1 i9 .....................&U!7"—WLLB.E................................................... ProposedUse ..( wy)ea..�........ ..................................................................................................................... Zoning District .....................................................Fire District Name of Owner r y,J.�!...��r'r�R 4 1a.�./- &.k,Ay . Z Name of Builder ;T. ........................................................Address ..... .......... .Name of Architect �l... L4...fz-g.... .,. R-..............Address .... ....... Number of Rooms ......... ..................................................Foundation .....�5�:. ..................... Exterior .......4).tlkl.14�5.........................................................Roofing ......... .�. .'I4� �.... �.4!^�`,�5.............................. PInterior �+..:......Floors b.Y1 .............................................. cC4�..bs?....... ............................................. Heating ..... e-c-'rp.�c'......... Plumbing �hr' C'.�' "� 7` / C� ........... ... Fireplace ..... Q �.. �[t2Y►1.�!r(.. 500)C�' Approximate Cost ....... .. ...................... (`S..cc,0 :....j/... Definitive Plan Approved by Planning Board -----------_______-----------19________. Area .....e........ .. .'.............. Diagram of Lot and.Building with .Dimensions Fee e� ........: SUBJECT TO APPROVAL OF BOARD OF HEALTH ,l oc d 0 G� h i v� V $. l �b I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam .......................... ............. ....................... -- .. —.—, pr- st~� 22O ' ^ ~ �n �--'��— Pennitfor —���..�����---- - . ' � le family dwelling ' ........................................................... ^ Loroh6n .........6U.�Baird..Way______---. ~ ' ^ Ceoterv�Il� ' --------------------------' ' � � ��I & 9atri - - Ovvne, --.�—�'�.������.. --- A. ~. � Type of Construction. .....frgm�--.—..�---.. . `. ------------------^-------- ' F1c� '. �� #30 ` ---------. ----------' � March I^- � 80 ' Permit �ron�a] ---------./ '�.._l9 ~ _ Date of Inspection [;,n . uona Completed ^ - PERMIT REFUSED ---------_-----.-----. lAfn - a / ' - � - ^ ^ ^ ^ ..^ . . ' . . . �. .................................................... . � � ' Approalg v{ � ) ^ ........... --m,............................................... ' , in C) . ~~ ^ --------------------~—^—'^^— ^ c ~ i � ' Assessor's map and lot number Sewage Permit number ....60 0) TOWN OF BARNSTABLE ~ �� N0 �N �� 0 �� INSPECTOR ��NN00-NNN ���m � �� ~� � ���� m °� �� . ~ APPLICATION FOR PERMIT TO ........... -----------------.-----.--..---.--..---- � -7 * TYPE OF C4�0�STRUC�Uo�0� --,J«����/J1,��/��t-----.---.-----..----.'----.—.--.------. / . . � .—_. ................................... ........ < TO THE INSPECTOR OF BUILDINGS: i . The undersigned hereby applies for o permit according to the following information: Location --'c^ ....... ...... ..................... ................................................... r ���~ � Proposed Use ---'�nuR��--..:°�'.^<. ----.—.—.---------...---..-------,--------. � | � Zoning District -- ��� '---.....—.—.--.-----.Rve D | ... ..................................................................... ` ' ' ] Name of Owner,'... ....................... �..�... � .—.��� .�..� � � s �*�66nsn ^ � '' r i ^ ^ -- '| Nome of Builder —�.�-��������--z2�---------'A66n�a —./.z—�.�.�..^�� `—./.��>��.—L���C.'.`--..� � ` .Nome of Architect .��`�!�.���—.�`'.����v^���,�-�.----�A66reo —. � |�------_------______ "_~� Number of Rooms ---��-----------------FuunJohon —' �... Ex/e,ior --�������1��L----------------_—�RooGng --_l] �� �l/1,_.������/����______~_,., 1 J 1 Floors --- ...................................................—.k a��..�oz� --.---.--________.. i Heating —'!���6//'=T' .��/'�\.f-�����----------.P|um6ing /{��./..............—~�,..//_ . ___,__,. ! Fireplace ...... ....... ............Approximate Cost .—.. .......................................... � Definitive Plan Approved by Planning Board 1g--------, Area -------------- j � | ! � Diagram of Lot and Building with Fee ............................................. ' SUBJECT TO APPROVAL OF BOARD OF _ _H ` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ' ' / " ~ ` ^ ` , i � " ~. | � ^ ' � ' ' _�� � -----------------'^^^^~--^'~ Finan, E.T. ,II'L & Patricia li�. A=1.71-4 L-Finan , No ...22Q5,3... Permit for ..........o ne,,,atory,,,,,,,,, ..........single.,family...dcae.]11 g., I n Location .............. ..Way........aUn!.!. .................Center:v.ill,s................... Owner ....E,...T. L-Finan Type of Construction .......frame........................ ................................................................................ Plot ............................ Lot ............it.3Q............. Permit Granted .....March .17 1 q 80 u f Date of Inspection ....................................19 Date Completed ......................................19 i k � PERMIT REFUSED ............................................... ... ..... 19 a . ........... ...................... .................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... P`oF1HE►�,,ti The Town of Barnstable '• 9ANN8SMASS. � Department of Health Safety and Environmental Services 16.59. �0 1 prEOM Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection //e U-' P 0- r2 '5' 'C'mr/gL Location 4Qj). -am Permit Number Owner 5, 'gf 4-PR�14 Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: Please'call: - - -508 862 4038 for.re inspection. Inspected by Date I{b Form LCE-D-2. 2M-1066-9136b4 CONFIRMATION 35 35 1 Sheet { ` PLAN OF LAND IN BARNSTABLE Charles N. Savery Inc., Surveyors October llv 1967 + - B.R.B. -• ` � � 5� ' r 3 C.i? 1 O 144.3 S 7.5-3[=54C' O • 573237=a0"E Y t�+Ti. ic7} 0 3 o rr if U17, S73 37=4C"E ' r; � C t p { 3 93 ej ST3`37:40"E �i YJ yg > p uo ` 158.38 F f° 4. S73 37-4C"e �Yp Asr lF,q 0 6 j o S 73=.37'-4C-C x .. qq p % B/'1MS 1 AWZ 3 — r'�, /65.27 , 1—. = =•:: 'E R:�.GiSiRY OF DEEDS 0 8 1 H31 M i : RECORDED Y - 7 5 n Y 1 Q , O LG'C[IS Com���Ses �i - N6is is /-.3!!:7 C/. Logy of pa,t cf;,!:.? LAND RMSTRAT/ON OFFICE j ✓AN. /d, /968 r. =T r Scale of this plan ioo feet to an irch fi y C.M.And_rson, Eng; r Cost J F3 r , c 1 , i , 1 ' a /! 00/ 'u// Ir • /OAS , �Z . o n0 v tt , t s 0£'/6/ o Z cp' . 1 A of 491 c. O ,Z 9777 69 F t O Q SL oz 9.. :tS: S tr, 0• J ly 8Z o o Q ej O S r O Z c r.. '0 �,oz-rsasLs H 9..JS-./ ;�. of ? °> m \ Q Ic Itz — r — 4 0• O r o Q O :o ,;.. Y � Q ro Q o f of r r �g>:.,'., �.cz-ssascs � a•� .�..cs: �-sLS � o t , a A t o O j (q N QO Q 1 t � 00 O �. Oo r6 y t •' y ` G r 0 n14 rr, 00 h j. m O Z Q O r_ 1 � o L�•g9/ �•fi'99/ 0 } > OO O • ! t F r Z o /z e O s S O if sr! O VIP•99/ �, � 2 .9..Os./F• 9z fe l i'T'i t4 t Z 54 �ggys �?r t•� o if 8 ° I E *. 0 m CD < v 0 - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - m m 0 m v ryry NN.�, 0' CD 3 ° 3 - Q p m m m O 3 0 3 m m 3 m n m 0 .. o o.� Q N (D r N 0 a y - Ell Q 0 In .. ro = r n a Davy/ 5tahlhut Screened SHEET TITLE: updates W M rn o a Porch Sales:AR Gapizzi Home Improvement Elevations Gotuit, MA. w r 142 5kunknet Design: JB 508-428-q51 S s. n C. o L MiCF1E -` Ct1QIL0 �1F E No.34774 =r- > STRUCTURAL Qd it g1GJm��Jn A L Ln 7/6/18 STRUCT. ONLY m 2 x 10 ridge w/ 2x6 collar ties in each rafter set architect shingles to match U) p existing, 50' ply, 2 x 6 rafters solid blocking 4' @ 16" oc,H2:5A clips all 4xa°`°°sts o/c end 2 bays @ rafters to plates gable end (3)2 x to 2x6 @ 16"o/c 8 pitch,match n9 hangers 16"vault existing ABU 66 w/5/8" -- to match existingx 9"+anchor E) 2 x 6" .Joists bolt C 4x6 continuous headers O top plate height @ts"°.°. EGG L/R post 0 caps all.posts I , 7 MF op_ � " M Harvey wht.hollywood L] Lj M p storm/screen wall panels 4x4 pt posts 48"x 10"conc. O sonotubes w/ F Uj solid blocking 4' SiMP ON BASE: p ost ft 8 "_ 24"big ot"base o/c end 2 bays @ ABU44 W/5/8" (2)LSTA 14 gable end straps all DlA. X 7" EMBED. ° posts to box Ll L N see footing / framing details p V Z l� p L Section F cam, 1/4" = 1' s r, cu 1/2 — 1 ' date printetl Builder to confirm all dimensions and conditions on site. These plans are for the sole purpose and use of SHEET:- Capizzi Home Improvement and are not to be distributed or used for construction other than by Capizzi Home Improvement. E DEPT. Jul- 2018 _ o � TOWN OV BpRNS-TABLE N N 'Q existing deck to be _ v removed and replaced w/ new screened porch 191 10, 37 Q t � to J �� �� DECK 1 st Floor Existing 91-11 x 121-01, I 1/8" = 1' — — — — — — — — — — — — — — — Jt _ t. •.a, ° - - —z«em. r�'w«ew.— usa — — — — — — — — — — 7-4 B7 _ 34•-4- kn - } - o BwTwtable Bldg.Dept. > ApPraved by: - " Permit#: Y _ date printed M 7/4/2018 ' SCALE: -_ Builder to confirm all dimensions �. ,;r� •;. _ and conditions on site. These plans are for the sole purpose and use of SHEET: Capizzi Home Improvement and are not to be distributed or used for construction other than by Pg-1 Capizzi Nome Improvement. aQU E � � 10' 10' a� 2 JACK POCKET — 2 v o Mdersen 2868FX 2868FX _ (2)2x10 box Lu/hangers - N _ Q HU0210-2 r v LL I 16"vault line 5 5 _ Harveu wht•hollt,�.uood m I storm/screen wall panels I I o v III xl � iri 0) o I •n o x CO a) _`o - -" - - - - _ x o N rn oo Cn � m E1 ; �- E12 a � 3 W W � CV Ltl I x I 3 Andersen wht. I I I 48"x 10"conc.sonotubes a >` I �, E w/embedded post ft.&24" o I I v single vent storm x 16^vault line I big foot'base,bxb pt posts � U- — — e 2B60FX z66aFx— (2)2x10 box w/hangers I U 26b6 I HUC210 ' 2 r- - - o 0 wow µ I n I F Q � 2 JACK P. w u, Foundation f :: 1 st Floor I I I lu • I � I _ � I N OF''`'9S,,q y MICHELE -. , S- o t't)_ I L — . CUDILQ EL 0 No.34774 _. I STFaUCTURAL date printed AA A,/P� 7/4/2018 7/6/18 SCALE: Builder to confirm all dimensions ' and conditions on site. These plans are for the sole purpose and use of SHEET: Capizzi Home Improvement and are not to be ti distributed or used for construction other than by pg—2 Capizzi Home Improvement. i fny • CX2 r- r 6 7 - ,._- ._ Qx -jj, y, n �� rl 5 c to v cn 11 .', 2 ------------- '~'• a � .tin �,` � - Q •�'-' � t, : � _ (GARBAGE asPOs;`R IS _ � _. - . # •--....._.. , SEPTIC DESIGN: a _ tam e FLOW USE A :Z'�g GPD DESIGN w ✓-�1�2 / �p SEPTIC TANK: :5 GPD (�4_) ":_ o .GALLONS a USE A vo �'' e,��y �r r'. �% t -L•----. :.GAaI ON SEPTIC TANK _.. r F i E � � ' tti� �•�!_ LEACHING: 7 ? SIDES; 43. - GPD 7 _ ) Q BOTTOM: x ) ---- 'GPD ` ! I _ GPD S 6 ' G / - + r'1-3e:L r, f:--Q fl �. �V TOTAL: `4`�'{' S.F. �ss�. -r" r ; �. ' .1 f .. - ' .._._ its` :7.a• •� .1 r�y Z� 'iG�. ^'_'L.�_..-_. --;---- 5's.S � t ; � � - § Rt 4 v i"' S �� { �.: ` ' AF.► �'Y✓ l� L�vJV f9 *' t�� '�(J}4 it r��ice. `v L-oY I5 Cs - HOARI3.OP EMALTA MA �raVv`I-✓.pf�'ri► 3�,'ipi3►.� 6oiV APPROVED DATE 141 lo 19� : W7P P De en do .. - - ng,' inc, -LA SUR VEYORS •!' , .. 4 _ 988Q 4 . PHONE 5Q8=3b 1 . FAX 508•-362-- i TnA7ri 4 &s e-4i eei a x y poy-7W� Wa 1(- C0n,5 -t CC vyl 30 (, a JO� IV cfYo�v��d c et tt Y;X"dk yboct UX4 � 4gCL � lace i�S�11a4d9�, t I (�� �IS�e ,-0 e Above, r OF ct-4-4--- ocA+ c( V60(4-2-UJA I - - - See e/evc �A61 5hee A a e ,E arec. 3 1 CARBON MONOXIDE ALARW! . ice C� e�:► �,A A� MUST BE.INSTALLED PER ch � MASSACHUSETTS BUILDING GOCE t k v ` e�/",V(cc"ql c- f-4V C(/,cu'`4,-6/ 1 __.t;. ® baee c •3t� .... E 3'ni' sIT1 1 lVQ r Iq , i , s r 0 10 ,/ KE DET TORS REVIEWEt _ ' RARNSTAS6E BUIL ING DEPT. DA11 FIRE DEPARTMENT :DATE ROT V GNATURESARE REQUIRED FOR==crL fTING c lv �- ' z , .. k yFy QN Y A 3 ( " �. A • R l V r , _ � 1 3 V - CZV G V c� CD .................. - V Y r 1� ti 17 ,>.. SEPTIC PROFILE , TEST HOLE LOGS T.O.F. AT EL. SS'.c5 (MOT TO SCE ACCESS COVER TO wTTHIN 8" OF FIN. GRADE ACCESS COVER (WATERTIGHT) To ENGINEER:_ / tWUM .75' OF COVER OVER PRECAST WCTFtiN 5" OF FIN. GRADE htN 2X SLOPE REOUMED OVER SYSTEM ^ x WiTN Z (D8RUN_) OR FPIIRSETL DATE: = — PROPOSED -' — '3_�-- -- — — = .'�p.L ,t �,. I:. N GALLON SEPTIC WVERT PERC. RATE TAW (Hla) j CLASS ,__ SOILS P# (,% SLOPE) d, _�' CRUSHED STONE OR MECHANICAL L ...__., _.____._--__—__'_.____..___I_____....__ — J DEPTH OF FLOW - ` _ COMPACTION. (15.221 [21) Cr TEE SIZES: (1% SLOPE) 1% SLOPE) INLET DEPTH _!�._ - �- '�4- _ � /z. y7G,.!�� 'v-+d��•4.tj' �i�►-1� �.4 -n `. � r_ OUTLET DEPTH 4 ,:a^ %x I e � ,f 1 _LOCATION MAP _ _...._ — .._ _ - - _ SEPTIC TANK -- - - - D' BOX --- -- , LEACHING - ASSESSORS MAP 1 �_ PARCEL VC) FOUNDATION— - iQ� ------ FACILITY '; '�. ��rtz 5 _ ?•` `;'.G _ FLOOD ZONE -y-�-- 1 BUILDING ZONE:^----_-._�'" '____ ►VA, _ SETBACKS: FRONT - 6k SIDE - __ d REAR - I " i.V G�, { PLAN REFERENCE: ���-- __ 1. DATUM IS �_ %` � ' a- E`er' �- 2. MUNICIPAL WATER IS ,,r.r _ a.t•+ , SEPTIC DESIGN: _ „(cAReACE asPoseR �I""" 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. Fie. N FlOW �-> BEDP,OOMS �. GPD ^t=' CPD ,� DE ,IG __- ( ``-=r_ ) - = - 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHC H ham- GPD DFSIGN F'i OW U E A _ 5. PIPE JOINTS TO BE MADE WATERTIGHT. f o ,L '`�. -- 7 - - - --------- SEPTIC TANK _ GPO ( 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 1 \ I10 LIS ENVIRONMENTAL CODE TITLE V. F. A �`�cJca GALLON SEPTIC TANK 7. THIS LA IS F PLAN OR PROPOSED WORK ONLY AND NOT TO BE r t w LEACHING; USED FOR LOT LINE STAKING. S .. . G ' 4" PV C. B PIPE FOR S PTIC S S EM TO SCH 40 P . GPI) CONCEALED;` d �y �-, �,� •; ` � _ 9. COMPONENTS NOT TO BE BACKFILLED OR CO CEAD WITHOUT E 00, TOTAL: '�._ S.F. '' ' ` GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED ^` FROM BOARD OF HEALTH. u s-i 1 ___._. -- —Y—:-_'�,. � F ' , �• �.,,�, • � � ��.�.�:_-._S-...--_a..t2c.��.s � r___..tom .`�.1�.�� e t�-" t it SITE AND SEWAGE PLAN OF 4 I IN THE TOWN OF: BOARD OF HEALTH (..�G� dCJ I �-- , �h•1c.P'.1 r•1 j"f L.fi. N;1,y, :��s� t-""4 �-{ t�► ;.G' T - - -- MA PREPARED FOR: � - t * C ;��- ;,- -` ' . ' ` . ►.;L. R _ �. .� S . ,: 5 4TIdrt� ©F w►15� 4 t a- E dot�,, APPROVED DATE 3GALE: ---- -_� DATE: o. -X 7-_ c1�. tt1 s.� .{%A?• / down cape engineering, ine. CIVIL ENGINEERS LAND SURVEYORS t n '*a PHONE 508-362--4541 ,� ,� 0, t r 1 . FAX 508—.362--9880 t �,. ' tNQ � _ 939 main st. yarmouth, ma .t ' JOB 7Z, 71 BF iZ 7 co L4r--1 .7r Q.) (41 ly,�,J� 1�tir t I 10 C4 0 100 PIT P. YV OE Inn Lo 0 021, 0;0 �iI6 4L 60 52 - ice= : � 'A r - }f� ===4r lo Rno 4f @AT[ F-7 [IJAI seat M no AWN 71 e co ll L CY —44 SHEET x 24 Ail d r ( c ' l NG'v ji Lij 40 L'L" '� iXT '1C I m t - �► u b ►�-Tt, w*oL pti+z rU `y1 j _ - r� �lV3 m �,• , _ - I I _ 7 3 f 1 7 k w 17 NATI row circa� r m t r U �i�����,-[�.-�C� � �C✓ I f� - ! t/ � `�����' �� ��-.�-"'� ; � SHEET � ,-x a rz o • __... . ... ,. .... :,i.-.. „ #r.._. .._. 2...aa,'_.: YA'.._ .. _ _.. .•....:. .. F_ -.._Ra't._.w.__16r.�.:... s_.,.1e._..�3c -_•'__i�'!`x.m.,__.y..�¢..�....}.t,.__...z r...' .�. .— _ _ _ .:_.. - . _ ry. `�3i:. ... _ la�I:'t. ., y .+��_�;y,