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HomeMy WebLinkAbout0106 WHITMAR ROAD l 1 x y � .,., r. ,k i d �, i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' V Map OS h Parcel 077 AN 12 206 Application Date Issued /4 L Health Division rRW�AF B+�R�IgT,�B�E . Conservation Division Application Fee a 00 WiLbiw a DEPT Planning Dept. Permit Fee Jr/ 00 Date Definitive Plan Approved by Planning Board AN 12 2' Historic - OKH _ Preservation/ Hyannl, nc p s�,.� • gLE Project Street Address lo (� /,ej Y Village _TL Owner. i Address 1 �� RC»c q2z r <<71y�1tf� l�j'�1 Telephone Permit Request V/ � ^D 43 � c �, o� �I M_ r 6ibrr'007 LO J0 P-Q, 4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District �t�' Flood Plain f U Groundwater Overlay Project Valuation D O Construction Type Lot Size A cfa! Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1 ,r Two Family ❑ Multi-Family (# units) Age of Existing Structure L% Historic House: ❑Yes N(No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 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: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: XYes ❑ 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 XNo If yes, site plan review # 4 Current Use --� ` �I� , Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ,L 4 130 Telephone Number Address le i tJt/ L .Wa(- R0,0KI License# C S m C7 17 1 !2,, _ MA 0 2 6 3 5 Home Improvement Contractor# 10 7 8 eg Worker's Compensation # LyCA _r>Z 374 9' ALL CONSTRUCTION DEB* RESULTING FROM THIS PROJECT WILL BE TAKEN TO _Q C U r lhe. SIGNATUR DATE S ,A b FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t ' t DATE OF INSPECTION: r - FRAME f INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - f r /ie rpa"riawwen k o j�Oicandc�cc�eZ Office of'Comincr Affairs&Business Regulation RA �fYOME IMPROVEMENT CONTCTOR' egistration 107888 Type: Expiration8t10/2016 PrivateCorporatior? ER , C.H.NEWTON BUILDS;INC - David Newton '549 Main'Rd 26A W.Falmouth,MA 02549 a Undersecretary License or registration valid for individul use only before the-expiration date. It found return to Office of Consumer-Affairs and Business Regulation 10 Park Plaza-Suite 5170 + Boston,MA 02116 • • i No. d t6 u: e } f _�M�sshu�ett�Department4f Pak�lic�a4ety,4� . •k . ward_ '[3uildin c,nq end"dorOa - r license: CS-046192 „tiaras#ruc#tan S1►prvisi'r,'. DAVID L NONTON ... 10ii WHITMAR ROAD COTl11T M74 02635 ? nn . T l - EEplrciat;. Ctsmmis�ioRer 09/19/2017 Construction Supervisor Restricted.to: Unrestricted.% . dings.of any use group which contain less than 35,000'cubic feet(0.6 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause forrevocatiori of this license: OPS.Licensing information visit:.FNWIMMASS:GOVIDES I ' k. ® CERTIFICATE OF LIABILITY INSURANCE 112/D/12/ /2 0 1'6 "� 16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: COI1S tZ'UCtl OIl Eastern Insurance Group LLC PHONE(A No . (800)333-7234 FAX 233 West Central St E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Natick MA 01760 INSURERAAcadia Insurance Company 31325 INSURED INSURER B C.H. Newton Builders, Inc. INSURER C: P.O. BOX 399 INSURERD: 549 West Falmouth Highway INSURER E: West Falmouth MA INSURERF: COVERAGES CERTIFICATE NUMBER:MASTER 2016 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 INSURANCEADDLSUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDDIYW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 A CLAIMS-MADE F_x]OCCUR PA-5237488 1/1/2016 1/1/2017 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY FX PRO- LOC - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED —5237491 1/1/2016 1/1/2017 BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident PIP-Basic $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 10,00 A-5237493 1/1/2016 1/1/2017 $ A WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) —5237494 1/1/2016 1/1/2017 E.L.DISEASE-EA EMPLOYE $ 500,000 it yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE 1MLL BE DELIVERED IN Proof Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John Koegel/PMA ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rig hts reserved. INS025r9mnn.ini , Tho oRnpn name and Innn nra►onicfararl marlrc of Arnpn 37ie Conintomveallh;vf .ass�c:�taesetCs ;; L1irtczxtof LtdtsaaZAcciderrt� GUO. uslrsrri Street V Bostrni,414 02111 sipvts ntas�;�vu/dro: wor��ers'"comp�u�.�#i+oa:Insaraace<end,�:Viersl��nO%txac�urslEIectrici�z� ' Viers 1licaunE.XufistmaEgn ..:..: Pose prof.$ ' Iv _. Name' C.H. Newton Builders ... .. dte s. .549 We t,..FaIMpgth `. lS at '...:c 1�Test,�almouttti MA 02574 phone S08-54E8<1:353 f Are you as eml tit''ChecbtLe appropriate buss Tie of project(regooi:rec : L.® l ama�snployer wdh A 4. I am a geaeeal coutiacxor and I (fistl aadfcrpaat )* hac haecL�te;s,tfa-coactgrs<. 6. (]NeR cflus0cuctioa c ?ElI axes soEe pmpsrietot otput IastEsd oae izaclaeil c 7-`Q RrmadeliscS ship aadbarenoemplayees 'Lsmb caitaarsl S. Dom.; wnO=g fvrm,einaaytcitywp}Yttyeesaadhadavvbdets' [go leoi&ea'oaamp.,iace cp p ❑la addstase 5.=1] We we acosp=tiaaandus lo.Qnctd repaizsaradditions 3 Q I sra a La�seoyi dais a an work o base eaezrised theft it i'La s sepaics at a&dd s myself Fo wazl m*-mps. a*r€ mapezMCrL: 22 Reo� esrgtdre,3�3 c.1S?,§1(d),:ap�d'sce Laveno n s 13 Q O&er comp. '�Y�t1m'rhet3at�c�2< +�?sai�o�a�ee+rtmy.bakrmr� aro�cersrc p�ky.< ,. TSam �AtLo 3xr f s t ga aLBwak:Odom Wosad—Ift mmrtsa az�nf�� y .=4?oamtc;�cei8etxd�ctaasatta aa46ia��Snnna�ofs�a;s�-c �#st�ar2irarnu%tttosetr�ste' a ��'� spo;a�tocfiissu .�C7', ptC+ti�,` '��t' p•1' " #� " T'aot att snrp7ayer$eatsptnvtdtsg saotr itciurarecc or '.. �evrla'rs'ra. f ��e�.'Belor�3s'thePc7iev aadlob site ir�orma�tort _ / Ct�'d IrtSl(I7C6 CiC3tTll11Y. Ia, ce Co®paayliaurexe.. . u PatuyRorSclfins Isc _._I�fi�A 5 94 O,I Q1-2017 Job bite Address: 4*fME C xa '3:Etac3s acx►p�er1'6�erTa�rs;so3uup�onga arat�an.P�ga+(ant pot�'` r,aresd idasa das� coiresxa ns aa$er SA c 7 c 3ead r o cxiatis�at r7aue to- cztce � .�' fiae taSi,SflQOfl dforo >s ao asts asc peuallces-ax�the "vfa. 1P WC1R Ol Raiuia�Me gfstty$2S90.ada�a�ias�Yhe�vio4ator�3e•�'f�atat�yai6ils•statemrut. aylseZcwwurlecitptl� .t� naestt�at or:s oftli$D7Arf' co �atioa I do Jtereby aer8fy u+ubv andlteaWj&S°fVwfiUy that*,ivtformadiou provided auovs is trt[e and corract Si tare:. +;D„03cud ass onlyt Da nor write in tkis area,d,be avmpJtaed by citF artome afficiat "aty or To`sn:. Nnsdt3.Gic=e* Fssui g-Authorhy(dwde am&)r 's 1.Board ofMod&,:2.BuIlding Depsaz ilk I CUytYdvm Clerk 4.EleetricalInspector S.PlumUnIuqwtor 6.Other CCoatactPerson:.. ._.. ................._.... _...".Phone ., t . 6 i In accordance vith the provisions 'of MGL c. 40, s..S4; a condifii�n of Baiicling Permit' Number. is that the.debris;r Iting.;from this work.shall belAsp6sed. of'in"a.properly licensed solid"waste disposal.facility'as defined by MG c.111, s. 1SOA,; "T}tis,cielris"will be.disposeil:.of Bourne {LacatozY of`Fa+cility} Signatur "Permit Applicant" 1/12/16 ,Date rl A DUMPSTIM zS U$E TN EXCESS t3F 7 CUBIC YARDS; A PERTVIIT FROM THEFIRE DEPARTMENT IS REOIT RED., mar Town of Barnstable Ae ato ry$emees ' Richard V.S.cali,:Director ]RURdWg D"lon Ti)=Perry*,.SuOding Comminioaer 2Q(I'1V2ain Sizr .Hyann9s;11+fA oZ601. WWW tdvft:baxustabla mit.= Office: 5:08462,p4038 Fax.: 508490-5234. Property OwnerlVXurst Complete and Sign This Section If Using AD wider Y, David L.Neydon ,as Ow=of the subject property herel YauthoiiM_ CH.Newton Builders-Inc. to action my,beha.If, mall matters ielat to work aude xor zed by" bug&mg;peunit application for: 106 Whitmar Road Catuit (Address of Job ""'Pool fences.md ala=s are the responsIafity of the appliciat Pools axe not to be fikd or before fenceis metalled.and..all final inspections artpado= ed and accepted:, S' ID { carigsta Appt David L.Newton David L.Newton Prim-Name- Print:Nance i o . V U 1.6 E Dad I i r EXISTING BATHROOM LAYOUT 61_01 FANTECH UNIT TO BE ADDED WITH DRAW TWO LOCATIONS O N O r------------ -------� 1 en 1 O 1 1 1 1 - 1 1 1 --------------------- EXISTING TO BE REMOVED •A DRAWING NOT TO SCALE - - lip ? _ - .:, ,m SKI 01 F �9 k Y 4- F A 3 V � z _ � R r i h p g�j s 1 � s y a a a 1 _• Sr`i1'•_.y—�i<r� 1 � -'^"' y" s . ,.ter - .ea z e..- � ,. • 9 - ;� 4. 3 L Na y v AV F s ! ag�rps s €, iy ,f, x IoLe RIP T } F f x g y f Y ; d a � x p 4a n IE � I tit 3 — r i y •1 a Alwr ti OL §q� x N• f a r d a .eu i .nb 2 i Gam,: green1402 Stamp - 184 Riverview Ave,Waltham,MA 02453 . established in 1989 TEL(781)-899-3618 FAX(781)547-5659 Spray Foam&Other Insulations www.GreenStampinsulation.com Insulation Affidavit/Insulation Certificate Dater December 17,2015 Location: 106 Whitmar Rd, Cotuit, MA (Pool House) GreenStamp Insulation has installed the following at the above location: • R-20 walls open cell, 5", BASF. . - -- - • R-38 roof open cell, 10", BASF Respectfully,- Benjamin Marshall President -id a ti : r . ® ' ' Final Construction Control Document v To be submitted at completion of construction by a Registered Design Professional J for work per the 8th edition of the Massachusetts State`Building Code, 780 CMR, Section 107 6 4 Project Title: 15135 Date:11/12/2015 Permit No.B20152621 Property Address: 106 Whitmar Road,Cotuit,MA 62032 Project: Check(x)one or both as applicable-.a New construction Existing Construction Project description: Pool House I Dennis M.Colwell,Jr.RA MA Registration Number: 50216 Expiration date: 08/2015 ,am a registered design professional, and hereby certify that I'have prepared or directly supervised the preparation of all design plans; computations and specifications concerning': Entire Project x Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project. l eertifythat I,or my designee; have performed the necessary professional services;in accordance with the Professional Standard of Care, and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780`CMR and the design.documents prepared by me and approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept, shop drawings, samples and other submittals by the.contractor in accordance with the requirements of the construction documents.Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Have performed the duties for registered design professionals in 780 CMR Chapter.17;as applicable: 3. Have been present at intervals appropriate to.the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code.The contractor is responsible for-the performance of the work in accordance with the contract documents and shall be exclusively responsible,for its cons tructio eans,methods, sequences and procedures,and for'construction safety. ��aEp ARCh,�T F GOL6yF� p� Enter in the space to the right a"wet"or electronic signature and seal: o Nq.sots A NORTON ' J 'MASSACHUSETTS Phone number: (508)241-2122 Email: dennis@dc architect.com: Building Officia]Use Only Building Official,Name: - Permit No.: Date: Note 1.Indicate with�an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other is'chosen, provide a description: Trial Version 10_09 2012 Draft modified by-AIA ILIA. rwf TOWN OF BARNSTABLE Permit No: .5-45"6 BUILDING DEPARTMENT ($600. 00) TOWN OFFICE BUILDING Cash 7 ML .650 '>to++v► HYANNIS.MASS.02601 Bond ................. CERTIFICATE OF USE AND OCCUPANCY Issued to David L. Newton Address Lot #15 , 106 Whitmar Avenue Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. August 23, 93 �A2 24la 19................. ......... ........�'..................... Building Inspector NOF, BUILDING PERMIT �YOVNN OF;�ARNSTABLE, MASSACHUSETTS N DATE 19 PERMIT NO. A/PPLICANT Jpjy NQ'c�1`1�r1 ADDRESS (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) �+/1/ ZONING AT (LOCATION) IeG� 60,5zhT✓ham- P449, �1.�� DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) - LOT +SUBDIVISION LOT_ BLOCK SIZE 'BUILDING IS TO BE FT. WIDE BY FT. LONG BY. FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) -. REMARKS: 'i AREA OR PERMIT' VOLUME ESTIMATED COST $ FEE �� • (CUBIC/SQUARE FEET) OWNER )' BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION.OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS.PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDI;VLS.ION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND r��GF: -F•� I)"1PDF. Wi-!�F�G q !'r_OTIF�r'A.T.E OF OCCUP_A NCY IS RE MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL - �-"- MINAL IN IRE INSPECTION 70 LATHE )FINAL INSPECTION HAS BEEN MADE. 3:�FINAL INSPECTION BEFORE OCCUPANCY. " POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS z z �N //✓S f19� Yto•v O K 2 3 1 //HEATING INSPECTION APPROVALS ENG EE/RI/INN/�J_DEP TMENT 2 RD OF HEALT 31q3 OTHER -- SITE PLAN REVIEW APPROVAL. UF WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. r. .f B ,U-. ING P -P �E ; 11T. l -_- .. �. +�� �- � ..�. � • a. _ � _ _may -��. � ;.�. � �� • r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ae6 I { Map 0516 Parcel 077 Application #Q�I o5 Health Division Date Issued Ct/ (" ,- Conservation Division Application Fee ll7Da Planning Dept. Permit Fee Ad� 5- Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis C) Project Street Address /oz kI f?�~`l- CLr Village 4::�Q+U q Owner s L t', to < l Q NQ W �0 Address n0 (fix T 2Z� FcZ Telephone TOO Permit Request I i ' _0,9 c9 e Wi+b ne"i 16 Y �?7" o no h o oe,P, o b (2 dA; on C(> b t Square feet: 1 st floor: existing ® proposed 39Z 2nd floor: existing proposed Total new 35-;:, Zoning District R Flood Plain IV Groundwater Overlay NO Project Valuation If / ,0 06� Construction Type Lot Size f Qe-nee Grandfathered: ❑Yes ❑ No If yes, attach supporting do umen ation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) a ; a Age of Existing Structure Historic House: ❑Yes On Old'Kang's Highway:t-U-3 Yes'IANo Basement Type: ❑ Full ❑ Crawl ❑Walkout Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) O `� `` Number of Baths: Full: existing new Half: existing r,:, nea�r+---L— Number of Bedrooms: d existing C?new Total Room Count (not including baths): existing , new :1 First Floor Room Count .. Heat Type and Fuel: ❑ Gas ❑ Oil 1(Electric ❑ Other . Central Air: )tYes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 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 di�i XNo If yes, site plan review# Q5, i i�� kz�I 1�c ®ESL Proposed Use 2Gc,�Current UseR2f;� APPLICANT INFORMATION _ - _(BUILDER OR HOMEOWNER) Name aDaw;�A L Telephone Number 508 E3 e 1.3-_ Address License # � q,� # .Cc (�� ��-6�� Home Improvement Contractor d���� Worker's Compensation # WX O®,Z�1210? ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I9L SIGNATURE DATE S t' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED_ MAP/PARCEL NO. ADDRESS VILLAGE { OWNER r DATE OF INSPECTION: t L2EQUNDATION S) .�.:�;. f� FRAME e l!) 1 t JNSULATIQN;�_- ` FIREPLACE ELECTRICAL: ROUGH FINAL x I PLUMBING: ROUGH FINAL z GAS: ROUGH FINAL _ FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. r ZHE Tp� Town of Barnstable Regulatory Services MAM T'E'$` -Richard-V.,ScW4 Director ib;q. Building Division Tom Perry,Buldin.g Commissioner 200 Main Street Hyannis;MA 02601 ww ee.towncbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-62.30 Property Owner Must Complete and Sign This Section If Using ,Builder. I, David L.Newton ,as Owner of the subject property herebyauthorize C.E.Newton Builders, Inc:. to act on my behalf; in all matters relative to work:authorized bythis building permit application for 106 Whitmar Road,Catuit (Address Of Job) 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. • i Signature of Owner Sign _f A'plicant'' David L.Newton David L. Newton Pnnt'Name Print'Name 8/27/2015 Date; Q:.F!JxMs:OVft%T r ssroxpoozs In accordance with the provisions of'MGL c. 4% s 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed:solid waste disposal facility as defined by MGL c. 111, s. 150A.; This debris will be disposed of in: Bourne (Location of Facility). $ignajW _f Permit Applicant' 03-11-14. Date IF A DUMPSTER IS USED 1N EXCESS OF 7 CUBIC YARDS A PERMIT FRONT THE FIRE DEPARTMENT IS REQUIRED. . ....... ayta!¢al�a�t�/ ac/rurlGi Office ofConsumerAtTair's&.Business.Reguhtioo OM.E IMPROVEMENT-CON TRACTOR egistration: j107888 Type; Expiration "8L90/2016 Private.Gorporation S C.H.NEWTON BUILDER S$;INC y David Nevwton F 549 Main Rd 28A W.Falmouth,MA 02541: ' Undersecretary License,or'registration valid for individul use only before.the expiration date. If found retain to: Office of.Consumer Affairs and Business Regulation 10_Park Plaza,-Suite 5170 Boston,MA 02116 No iUth 04&0e I r Details Page 1 of 1 Licensee Details Demographic Information Full Name: DAVID L NEWTON Gender: Owner Name: License Address Information Address: Address 2: City: Cotuit State: MA ipcode: 02635 Country: United States License Information License No: CS-046192 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 9/21/2015 Issue Date: Expiration Date: 9/19/2017 License Status: Active Today's Date: 9/22/2015 Secondary License: Doing Business As: Status Change: License Renewal Prerequisite Information No Prerequisite Information Discipline ' No Discipline Information Documentum http://elicense.,chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=235189& 9/22/2015 r mASSAchusetts-Dep"OA l I ubf i Satet Board of 6 suildih R ��1s#iq js;a�tcl Staltc/artls v � C nstructiR 50 enJOT U s :CS-046192` 1 AV LAWTOJ$ t= 106 WHITMAR 1 COWOUL 0263 7 , e©rrssaon Q9119/2015 K TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 5 6 Parcel 7 Permit# y� D Health Division Date Issued J )3 U S Conservation Division Application Fee Tax Collector A Permit Fee Tq, 9 770 Treasurer Planning Dept. SYSTEM Date Definitive Plan Approved by Planning Board LIMt1'EDTO Of BEDROOMS _ Historic-OKH Preservation/Hyannis Project Street Address 106 Whitmar Road Village Cotuit' Owner David Newton Address —in 6 Whit-mar Road Telephone 508-548-1353 Permit Request 470 sq, ft single—story addition, with crawl space, If or z� livingroom expansion & music room. N "� GO 'co � :r Square feet: 1 st floor: existing 1 ,5 0 o proposed 4 7 n _ 2nd floor: existing proposed 0 T®dal nevi 471 co Zoning District RF Flood Plain C Groundwater Overlay N/A � �, rn Project Valuation 94 , 000 Construction Type Wood r Lot Size 1 Grandfathered: ❑Yes J7 No If yes, attach supporting documentation. Dwelling Type: Single Family Ed Two Family ❑ Multi-Family(#units) Age of Existing Structure 12 Historic House: ❑Yes Q No On Old King's Highway: ❑Yes JD No Basement Type: C}Full ❑Crawl ❑Walkout D Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 new 0 Half: existing 1 new 0 Number of Bedrooms: existing 4 new 0 Total Room Count(not including baths): existing 6 new 1 First Floor Room Count 3 Heat Type and Fuel: (Q Gas ❑Oil ❑ Electric ❑Other Central Air: CA Yes ❑No Fireplaces: Existing 1 New 0 Existing wood/coal stove: ❑Yes C1 No Detached garage:Cl existing ❑new size Pool: a existing D new size Barn:D existing ❑new size Attached garage:Ckexisting ❑new size Shed:9 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes (A No If yes, site plan review# Current Use SFD 'Proposed Use SFD - BUILDER INFORMATION 14 Name David Newton Telephone Number 508-548-1 353 Address 549 W. Falmouth Hwy License# 046192 W. Falmouth, MA 02556 Home Improvement Contractor# 107888 Worker's Compensation# WC 9 7 6 9 5 0 4 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Bourne SIGNATUREAi _)Iz DATE 4/12/0 5 ' I ' f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. - t ADDRESS, VILLAGE { OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING no gi�pp' DATE CLOSED OUT L�1 ASSOCIATION PLAN NO. m ' ct; I # BOARD OF BUILDING REGULATIONS 4 t •:K cense: CONSTRUCTION SUPERVISOR it �- Number: CS . 046192 Expires: 09/19/2005 Tr.no: 5031 Restricted: 00 DAVID L NEWTON _ ..PO BOX 9.22 E key.a 6 FALMOUTH, MA 0254-1 Administrator - - m • m ' rn vs Board of Building Regla 'ons and Standards Cn One Ashburton place - Room 1301 Ca _ Boston- Massachusetts 02108 a Hone Improveme4K44tractar Registration Ln L, .Registrafion: 107888. _ - �— r Type Private Corporation Expiration: &1012006 C.H, NEWTON BUILDERS,,INC: r ®avid Newton � � __: -. —_----.--- •— ----- PO BOX 922 > —t - Falmouth, MA 02541 f' Update re lark reasan for change_ Address and taro card ,`r wm DPSC.AI 0 54F 0A0Ui-Q10tZto'„ ❑ Aid S: n Renewal. _ I� LrIDp nt.0 l,os M Address toyme t Card ---- ---- -- --- � --i 'Gromrsr,.rmrx!/ aaaacrh`ude�Id` O Hoard of Ba[Wrig Regulations and Staadards'Q License or registration valid for individul use only, HOME IMPROVEMENT CONTRACTOR before the expiration date. Hfound return to: Re istra[toR_i1178$d Board of Building Regulations and Standards g - One Asithurten Place Rm 1301 E � EQ 1012006 It3osYar�,l+ia 82i 0B _=J. W rav;a6o-Gorparalian G.H.NEWTON at��o�>it�rive 549 brain fed 28A GrG-._•� ✓_ , r Aaim5traloF NotvAd williout siguaturt W.Faimoulh,MA 0Z541 , D m C9 ti r Ite: 1/13/2005 Time: 9:46 AM To: @ 7,15085484290 Page: 002-002 Client#:3248 2NEWTONCH ACORDw CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO1YYYY) 01/13105 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Acadia Insurance C.H.Newton Builders, Inc. INSURERB: Fireman's Companies P.O.Box 922 - Falmouth,MA 02541 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICYNUMBER DATE MMIDDIYY DATE MMMD/YY LIMITS A GENERAL LIABILITY BINDER226444 01.101105 01101/96 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $25O OOO cn encel CLAIMS MADE O OCCUR PREMISES Ea ocMED EXP(Any Y one pwaa:) $5 000 . PERSONAL.&ADV INJURY S1,000,000 X DCID GENERAL AGGREGATE s21000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMPIOP AGG S1,000,000 .I POLICY j RLO7 LOC " B AUTOMOBILE LIABILITY BINDER226448 0110110$ 01101/06 .COMBINED SINGLE LIMIT - X ANY AUTO (Eaacadewj $1,000,000 ALL OWNED AUTOS - BODILYINJURY $ SCHEDULED AUTOS fPer persanl X HIRED AUTOS' - • I BODILY INJURY $ X NON-OWNED AUTOS (Par and 6a,n) X Drive Other Car 1' PROPERTY DAMAGE + (Per acdid.11) S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT. $ ANYAUTO - . OTHEP.THAN EAACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY BINDER226452` 01/01105 0110/106 EACH OCCURRENCE $1,0 000 000. X OCCUR D CLAIMS MADE AGGREGATE $10 000 000 RDEDUCTIBLE S X RETENTION so $ A WORKERS COMPENSATION AND BINDER226450 01/01105 01101/06 We STATU- DTH- EMPLOYE RS'LIABILITY - - O S Iti IT R ANY PROPRIETORIPARTNERIEXECUTIVE - - E.L.EACH ACCIDENT 5500,000 OFFICER/MEMSER EXCLUDED'? El.DISEASE-EAEMPLOYEE $SOD 000 If Y.S.deambe under - SPECIALPROVISIONSbelow - E.L.DISEASE-POLICYLIMR 5$00,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BYENOORSEMENT I SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION Town of Falmouth-Building Dept. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL 10_ DAYS WRITTEN Attn. Eladl O Gore „ NOTICE TO THE CERTIFICATE.HOLDER NAMED TO THE LEFT,BUT FAILURE TO OO SO SHALL 59 Town Hall Square IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Falmouth, MA 02540 REPRESENTATIVES. AUTH_ORRED REPRESEk4TATIVE - ACORD ZS(2001108)1 of 2 #36986 US1 © ACORD CORPORATION 1988 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of/nyestiffstions 600 Washington Street y Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit _ name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole Praplietar and have no one wormg M auv achy /%/%%/////%% //% /l/%l�/O%%%/%///O/%%/%///%////%////%%%%%%%/O///Ol� l��i�1/%//Jl, ❑X I am an employez providing workers' compensation for.my employees working on this job. ;.:. e�.,..t. . ::.:.. :..:..:P arse €..:......:. ::.. .. ... insnraaceta..............-..... ............................. ....... IIiiev# ❑ I am a sole proprietor, general contractor, or homeowner(ezrde one)and have lured the con#raclm listed below who have the following workers'..compensation polices.:.::::::::,. ::..::.:.:::..:..:::..:..:::::::.::,:::,.,:::::.::::::.:.::::::::::::::::::::.::.::::::::::::::::.::::::.:. ::.�.::•......:.... 'LOII2p II II aEtI2s :........................ ..................:................... : din r3fF" D !!-:4::j F;r.;'i:':::}�{:�'__i;ii:;:;:i?;';.:;iij}ii: :}L;i;;:_: :;: is;ss�:��i?ji!;isi:{;:i:_:'�'isi�?:C;:'�':;i�;iJj�::Isis :.::!`.:.i:::}::i':;..:}i:':ji+':i{J_:i•. x MEN: v:::is::•:::::::::::::::.�::•v::::.:.... ............................. r............................................-......... ............. y.......................................:!vC:v::.v- ::•.�:::::�:w:n�.[vw.wJ.n• Mw.w.:rn::- :�:. Q GQ-M":8i:y::;::::;�:•:ii:?Li::�::---.i::vi?ii?:::.;._;:�:.;::ry;:•i:?.iii:6?:r.;v[:.�::.:::!.i::i•::iviiiiii:•:ii: ......................... it�nran �'.e..�Q'r::i:'ii:•:Ji:ii::C�:::�:•i:•::-:i:??_i:!•ii:ii:!•ii:i':!'i::in��ii:':i:!!•ii:::�::�iii?v':i.:ii::?:i?:i�i:�:.!�:�:�ii:i�i:.::::::':�::.•.iii,:�.::.�.'.:.::.: /....................... ...... :.:::::::::::::::::::::::::::.::::::::::.:::::::::.::::::::::::.::::::::::::::::::::::::::::::::::.::::::.;;:;.:.;:.;::;.;::. ........ ............................. X. �.. a diFres :.:::::....:....... ......... ....................... . ........ �,e�. :�; ollicv�? :.;.;:•:;.:;.::.?•.?.; aims / iM Fa0nse to secs coverage as required under Section ZSA of MGL 152 can lead to the imposition of criminal penalties of a&a imp to SIASM00 and/or one years'imprisomnent as wen as civil penalties in the form of a STOP WORE ORDER and.a sine of$100.00 a day against nm I mulersissad that a cwpy.of this may be forwarded to the Office of Investigations of the DIA for caves p veriIIcxfiomL I do h ergs pa and penalties of P�WY that the information provided above is trsu.and caned signs Date PintnAme David L. Newton plume# 508-548-1353 oinrial use only do not write in this area to be completed by city or town official city or town: Pub# CJTICM�dnL Board ❑check if immediate:re gmise is required ❑Sdes4aen'a Oldce pHealth Department contact person: phone#; — pother (revised 9/95 PIN 04/12/2005 12:50 5069970993 WISE SUPHA JONES ".RC PAGE 02/02 ' (2)$ 1/2'LVL HEADER. (21 9 I/)r"LVL HeADFPI .a 'till R'VV 14x36OR UI I W 12x50 Ej — Ip 3 1,+2"SaIEDU� 4Q SST >wL FI°E CGi Uiv'lty —! B;APJNG ON ?Yl!STIN3 f 0Jh;pA'(IGN Ls i MIC.AL FOR.50 H F DS OF BEAM 21 t9 _ ILI I AMt�11��Vi 05 4/1 c4 r-- �!1'�,z(beNTIFY'BEAM 51M5 I O I I u � j (4) 2"x6 F05T5 TO rOUNDAT10r1 TH ROOF AMING PLAN 5CA►.E! 1/4" ; Ij'-U (2)2x5 HEADER 1 I I rap,Newton Residence - it 106 VVWtmar Road Cotuit ! Revision Sketch -ReviFe Roof Raming I i sk- I Wise Stiana.Jones Architects 4i V05 I I—--r------L I - 04/12/2F05 12:50 5089970993 WISE SURMA iONES ARC' FADE 01/02 24 Centre Street 4 Now 9Wf6trl Massachusetts 02740 ec (508)997-5977 FAX(508)997-0993 does A C M fi TRANW TW. - x 1 McJohn Rodenhize:t ' , � From Gregory J _ DMO ---April 12,200-5 vim "+ Drop Off-41— Commdaft = Dining Room!Addition--N&Mon Residence° nya Revision SK-09 Its: Fie WOMI; Derr Your Request Please C6nunent Par Distri bu"On X Q' Vw ' Pricing Jahn, A py ,.,cur l - Attached please find a copy of Sk-01 a revision to theL Roof Framing ,,,av s hho Please have V. Philbrook review it before it actually gets ordered. Thanks "JUL Gregory Janes <' Giones.wsia verizon.net w i ! _ Cam► t. �'� € pit. �'\.. x t .. r' is r _ • • .. ° - � �5 E} �{�.fi £� 9 � ..gip' � .y... i - � `� � � r �� � r :ra•.e. .a . j. �. .. 'den i �, t z-.-,��' C` s �, - a In accordan= with the provisions of MGL Ic 40 S Sd a Number _ ) condition of Building Permit disposedi 15 that the debris resulting from this work shall tv of in a properly licensed solid --ante dispcs:.l berry as defined by MGL c 111, S 150A The debris will disposed of in: Bourne (Location of F2cEty) t 4rat.u:e c[ F::wit Applicant David L. Newton . Date RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ; New Buildings $100.00 Residential Addition $50.00 a� Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 4/�(� square feet x$96/sq.foot x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below.(if applicable) GARAGES(attached&detached) ] square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120.sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x M.N.= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) �js Permit Fee / 0 D Projcost Rev:063004 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION tI Applicant Name: �Avtc) N�W h Site Address: ��� ���rn�'✓ ��- Applicant Address: 0& . City/Town: U 'f O 2(03S Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): Prescriptive Package im ed to 1-or 2-family residential buildings heated with fossil fuels only) Package(A.through KK): ' 'Z'�'l Heating Degree Days Base 65 (HDD65)from Table J5.2.1 a: S 7 1 3 (For items d.through i., fill in all alues that apply from Table J5.2.1b:) a. Gross Wall Area 4��O' V sq.ft f Wall R-value R- r b. Glazing R.O.Area 7i d sq.ft. g. Floor R-value R- D c. Glazing%(loo x b�-a)2% h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- -,�2 a j. Heating AFUE + Component Performance:"Manual Trade-Off" (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 F1 Zone 13 Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if ap licable] DA AL Scheck Software �151 Attach Compliance Report and Inspection Checklist printouts. m • 1 El Systems Analysis OR Renewable Energy Sources S'Q Attach Mass Registered Architect or Engineer Analysis h� Official's Name: Official's Signature: Application Approved Date.of Approval: Application Denied Date of Denial: Reason(s)for Denial: (provide more details, if needed, on opposite side) . esxs 01n3/98 J, � o • �+ rr �i%F � Aix 12 ��,�°� �, ,� t � • -. �4¢ f°M;i/. • �l r f� - � x C� ��, t l � .'� q t h ��Jbp r S1 f d��� � �•�, i '�� lt�'�i,n�`a "" �.. e,y /..� i�f y��'� t�''�'�t'tF ,r=i�>�Sx� a„�'7sat y'y n. 2 Jt F� `*'�; r• W`� �w r I a �14 � s �� 7"� ,h,��,�ty`�t`���� v5rf"'"��r r��T'�`f��r��1�,'d� �df�Sr "' � •� Csyr yr(Yr uq.�a�.+ �+ *ti �. .:. • � r"`6a s�1•J��, s'��,fi�'S'axa., .L�1 a�� pu s.si' �"'.��� �ora ra�r / `i s}•�, f�. r�,yyV`y, F4 i�(�a'��u sa{�i 1 � I � �r};yrk`'l�r�'��7�w' C� � 'Tq•-a �,��`��cf"5,�fy+ V11\� s•N p:a Fi F}t � 5�j t ikn k � _yp �,. .r ..'• s ,. „ � •..t..s -!�; {t�v 6§• k r�r �J s �. a ieT +_a iq Ong V /r ,, ; � r74'�'1i�rRi`fll!'ta.a 1'.�%1►/4"";7;�1 � —- ,�� / .i .' . 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(1st floor/School Admin. Bldg.) Definitiv I roved by Planning Board 19SEPTi INSTALLE MASS TOWN OF_BARNSTABLE WITH Tb , Building Permit Application E�IV ONMENTAL COD]- Project Street Address 06 V-N V molly Y- TOWN REGUL. y:C. -� Village V 1p Owner L,)f3'V NvAn Address 0(0 Oi,� MoV rC� C0�NT1��►23s. TelephoneZa -Permit Request COVNAQ16iZ RICODasi2rA bPAYO rvv--� OV,4-r Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories square uare feet Estimated Project Cost $ \©,O�t?�c�o Zoning District Flood Plain Water Protection ?40 Lot Size I hue- Grandfathered ? Zoning Board of Appeals Authorization Y v Q Recorded Current Use /V�' �_. Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family /111" Two Family Multi-Family Age of Existing Structure 5 lAeW S Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths 2 V 2 No.of Bedrooms L� Total Room Count(not including baths) V First Floor Heat Type and Fuel 4► FPS Central Air YeS Fireplaces a Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds BX 0 Other ll 11 Builder Information Name (�f,V�o7M �dt?ls (� Telephone Number 14 Za` Address License# Cq G l-�l Z WW , TY10 ) , 02a ` Home Improvement Contractor# Worker's Compensation# C,(� O(21'2 24 S NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS.BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTIO EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,1 SIGNATU DATE 1 0- 3- c��, BUILDING P IT DENIED FOR THE FOLLOWING REASON(S) i FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED 4 MAP/PARCEL NO. t - ` 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1/ ha 9- ' y 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The. of Barnstable ,S Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6n7 { Ralph Crossen Fa= 508-775-3344 Building Commiss For office use only Permit no. y Date _ AFFIDAVIT SOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERKlT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,.repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other Type of Work: Est.Cost 1 b t3Z0 W Address of work: l 0 b rd C6+V Owner.Name: C.J(/ j �•- l�et�l ^^ Date of Permit Application: I hereby certify that: � - 1 Registration is not required for the following reason(s): Work mduded by law Job under S1,000 Building not owner-oocupied Owner pulling awn permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGM ERFM CONTRACTORS FOR APPLICABLE IMP HOME ROVEIMIT WORK DO NOT HAVE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ow•der. �i AIM _ Contractor name ° Date n No OR �LA. L. Date Owner's name Comnsofi4le'at4 o/ Vamacki�etb - p 2, oarfrnenf o1 jnclu.1tr ja[ cccc>(¢n1J 600 f/Va��ingfon�fr¢¢E ..4. James J.Campbell 1—?o-1fon, 'Vamacitud¢ffd 02 f f f 1p Commissioner Workers' Compensation Insurance Affidavit (Ilcauee/pern Wee) with a principal place of business at: 5 cL 1kOV4--- aeA West ma�}�, mass OaS`la (cicy/suwzip) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. CO MrnWQc , u ir/Y, Cp l0 8a e Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. (� 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () 1 am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition of criminal penaldes consisting of a fine of up to S 1,500.00 and/or one years' i pris ent as well as civil i penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. Si ne, his day of 19 licensee ermittee Building Department Licensing Board SeIectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 40S, 409, 375 ✓fie - &X, ol,&awac2ui Wt6 A. . HOME IMPROVEMENT CONTRACTORS REGISTRATION s3 oard of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR - Registration 107888 Expiration 08/10/98 Type - PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR Registration 107888 C .H . NEWTON BUILDERS , INC . Type - PRIVATE CORPORATION David L . Newton Expiration 08/10/98 549 Main Rd West Falmouth MA 02574 C.H. NEWTON BUILDERS, INC. David L. Newton Main Rd ADMINISTRATOR West Falmouth MA 02574 i OEPRRIMEHT OF PUBLIC SAFETY' - CONSTRUCTION SUPERVISOR LICENSE 1Huber: Expires: Restricted To: 00 . M I DAVID L NEUTON P0 BOX V FALMOUTH, MA 02541 Restricted 10: 00 • fa(lata to Romaasa a M+�ea�ehascsarx.�tts�+aait - ' Qtie 00 Hone ld tes caws«i�r rOvoeat be fFtr t�caHsc, - lA - Masonry only ; IG - 1 8`2 milt' o®es 77 I CERTIFICATE OF YNSURANCE: { CSR BM 12 07 95 Paul Peters Insurance Agency CONFERS NO RIGHTS UPONJUEU THE CERTIFICATE HOLDER, THIS CERTIFICATE 680 Falmouth Rd . . DOES NOT AMENO, .EXTE,ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.- _ - Mashpee, MA - - ---------=--------•-------------------------------------------------- 02549— COMPANIES AFFORDING COVERAGE • - PHONE 5@8-477-0021 � i ------------•------------------- - --- -- -=-----•-----= -- _. _. . - r------------------------------------------- INSURED COMPANY LETTER A Commercial Union Insurance - Com C H - -----------------------------------------•----------_.... COMPANY LETTER8 NewtonBuilders, Inc. ` - T------------------------------------------------------------------------ P.O. Box V Falmouth MA CQ-----NPANY LETTER C 02541— COMPANY LETTER D ---------"���•I COMPANY LETTER �--------------------------------•---------..-_._.------- .� I) COVERAGES =o=c:=aa=aaaa�=====a:ao::aa 1 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTEDIBELOW HAVE BEEN ISSUEC- TO THE INSVRtO HARED ABOVE FOR THE POLICY PERIOD INDICATEO. NOTWITNSTANOING ANY REgUIREMENT, JERM OR CONDITION OF ANY CONTRACT OR�4THER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 9AY BE ISSUED OR MAY PERTAI,N, ITHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO __-_ALL-TERMS_-EXCLUSIONS, AND CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAID CLAIMS. ---------------------------------=--------------__...----- -------- -------- ------------ --------------' ------ CO TYPE OF INSURANCE POLICY NUMBER. POLICY EFF POLICY EXP f LIMITS I r lTR DATE DATE I ---- -------------- ------- WE, N E R A L L Z A$I L I T ------Y •---------"--"-'""-"-"-----1 ' GENERAL AGGREGATE J1.,000,00 A jXj COMMERCIAL OEH LIABIIIi'f ABR116226 06/28/95 06/28/96 PROD-COMPIOP AGO 1,000,00� ( j CLAIMS MADE jX j OCC. PERS. b AOU IRJURY500,000r [ j OWHERS'S b CONTRACTOR'S -+ FROTftTIVE EACH OCCURRENCE 604a.030 ( I j j I ( FIRE DAMAGE I I I (ANY OM£ FIRE)----- 60,800 I ` MEO. EXPENSE I--- -----------•--------------...__�---------------------I-­J--------------- --------- (ANY ONE PERSON) 15,.0 0 0 1 - ----------=------- ----------- ± AUTOMOBILE LIAR 1 CON r B. SINGLE LIMIT �50@, Alf ANY AUTO CBXA024332 01/01/95 01/01/96(BOOIIY INJURY - -----_--_---� All OWNED AUTOS PERSON) 500,000 4 SCHEDULED AUTOS � � ---- -- AIRED au1DS ------------ ; BODILY TNJURY MOM-0lJNED AUTOS �(PER ACCIDENT) 250 000 j GARAGE LIABILITY ! ---- -----!-- -- ----------------------------- -------------- ---- ------ ---------------1....-------- PROPERTY-DAMAGE---- 2 5 0 , 0 0 0-_� I EXCESS LIABILITY I ' �EAC:� OCCURRENCE A (Xj UMBRELLA FORM CEBDZ25204 } 06/29/95406/29195 --------- 3. 000 ,'00� ( J .-,------- --------------I OTHER THAN UMBRELLA FORM 3GGRE5ATE -------- .... .... ----------- --- .. ...-�- --1--- I j ___________ __laTAiUTO:�Y LIMITS r -----( A WORKERS ' COMP C80618245 11 1a 95 11/14/96 EACP ACCiOENT 500 , 000 AND' EMPLOYERS ' LIAR DISEHS£•POI. LIMIT �500, 000 --- - OISE9SE-EACH EMP. 500 . 000 iOTHER I ----- -----=----- -------------- --------- ------ --------- -:---- ' ------ I --- --------------------- - { . SCRIPTION OF OPERA TIONSjLOCATIO;IS/VEHIC Les;.SPEC:A! :TEq CERTIFICATE NOLOER = S�OULO ANY OF THE AaoVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE Ex- 2 PLRATION PV. THEREOF, THE ISSUINO COMPANY WILL ENGEAVOR TO MAIL 20 TOWN OF F A LiM O U T H = DNYS WRIVEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT - FA!ILURf tO--MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF BUILDING DEPARTMENT = AN!Y KIND UPON THE COMPANY, ITS.A6ENTS OR REPRESENTATIVES. FALMOUTH MA --------...� 02540 = AUIHORI1fD REPRESE'iTAiIVE ACORD 25-S (7/98) Robert W. Moore I I Engineering Dept.(3rd floor) Map., Parcel Permit# 0L ti House# 1 b Da cued .3 Q- �'"`11 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) yy� ��Sr` T a Q� Conservation Office(4th_floor)(8:30-9:30/1:00-2:00) ��� � el.illnow all,r1T AIPL14,Vc P�pt.(1st floor/School Admin. Bldg.) T AlEiV IVRE Be€ie�� a �Board 19 A BUILDING DEPT : BMARNSTA MASS. D FEB 2 TOWN OYBARNSTABLE 7 1998 ! Building Permit Application r Project Sti bet,Address . ���-Y`�0�/ Ed— �c� LO - Village Co t U 1 t Owner p hU I a Address _ 115 Telephone 15 29, — 5 rl (4 Permit Request omsiwd S Ir First Floor square feet Second Floor square feet Construction Type C�UYLb6 Estimated Project Cost $ 2040 ,n Zoning,District Flood Plain LW Water Protection Lot Size`,Q Fse res Grandfathered ❑Yes ❑No Dwelling Type: Single Family Ur" Two Family ❑ Multi-Family(#units) Age of Existing Structure U►l Historic House ❑Yes &04o On Old King's Highway ❑Yes L)IGo Basement Type: Gpfeuiil ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing _ New Half: Existing �] New No. of Bedrooms: Existing 5 New Total Room Count(not including baths): Existing. �O New First Floor Room Count Heat Type and Fuel: 2`6as ❑Oil ❑Electric ❑Other Central Air p'Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: [kilool(size) I P/X L2,4o ttached(size) ❑Barn(size) ❑None p Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes pklo If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address T License# Q q(e)�� 2 2VtA Home Improvement Contractor# 109 RAIL j Worker's Compensation# F - NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. r ALL CONSTRUCTION DE RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU4 A DATE c)—c 4�( BUILDING PERMIT DENIED FOR TH%­F0 LOWING REASON S) FOR OFFICIAL USE ONLY rct -- PERMIT NO. S i . _. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER + DATE OF INSPECTION: FOUNDATION FRAME INSULATION ti FIREPLACE , ELECTRICAL'.= ROUGH FINAL PLUMBINf, *ROUGH ' FINAL -' GAS. ` ' ,;w. :s .::ROUGH FINAL FINAL BUII_:DING- - DATE CLOStDbUT t. ASSOCIATION PLAN-NO. • q,,_ THE r The Town of Barnstable • u�wsrns� • . 'M �0� Department of Health Safety and Environmental Services Eo N,o3' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner i For office use only Permit no. Date iAFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION t MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: ���� Est.Cost 20 C orD Address of Work: D k-ow AtQ-. Owner's Name � Y " Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A ` SIGNED UNDER PENALTIES OF PERJURY I hereby apply for perm t e agent o he e . Y 11 Date Contracto ame Registration No. OR .�_._ (lwnrr�v Nama r _ J. iiifl FrLU 1V ZL Y[Li >VO I10 1L10 VVnLAINij, a V LNziL �J UL .... ..... ...... ... .... :: - ...DATE(MMJDD1YY) fl 7 ...... ........ .. pRooucEa THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION Dowling & O' Neil InSuranC@ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO BOX 1990 COMPANIES AFFORDING COVERAGE Hyannis, MA 02601 COMPANY Eastern Casualty Insurance Company INSURED COMPANY C.H. Newton Builders, Inc. B P. 0. BOX V COMPANY Falmouth, MA 02541 C COMPANY D . ....:.....:. ... THIS IS TO CERTIFY TI'1AT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWI'MSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CON"(RACT OR O'fHFR DOCUMENT WITH RESPECT TO WHICH TFIIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TErWS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.U Mr S SHOWN MAY HAVE BEEN REDUCED DY PAID CLAIMS. __.__...._.. --... LTR� TYPE OF INSURANCE POLICY NUMBER IPOUCYEFFECTIVE�L►CYEXPIRATION� LIMITS DATE(MM1DDIYY) DATE(MMIDOlYY) GENERAL LIABILITY GENERAL AGGREGATE' MM5RCIAL GENERAL LIABILIT I I PRODUCTS-COMPIOP AGO.S I_ -ICUUMSMAnF- `OCCUR (-PERSONALLADVINJUR4Y �S OWNERS&CONTRACTOR'S PROT I (EACH OCCURRENCE 7IS�" FIRE OAMAOG(Anyone Iir;)'S MEDEXP(Any onePaten) S AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT (E - ANYAUTO I son) _...._.. ,_•.. ALL OWNEDAU7OS I - ( BOOILYINJURY(rer nel SCHEOULCOAUTOS I HIRED AUTOS I BODILY INJURY IS . I (Pv aceloent) NON-OWNED AUTOS ( - ....._.._.. - - PROPERTY DAMAGE I I I I GARAIIE LIABILITY AUTO ONLY-EA ACCIDENT 13 _. . --- .._I ANYAUTO OTHER THAN AUTO ONLY: ___—EACHACCIDENNT 1S .—_.._._ I ( AGGREGATE 13 EXCESS UABILt7Y EACH OCCURRENCE I3 IUMBRELLA FORM. OYHFR THAN UMBRFLLA FORM A WORKERS OOMPENSATIONAND WC97695047 11J14/97 11/14J98 STATUTORY LIMITS EMPLOYEAS'LIABILITY EACH ACCIDENT-.� '$?9 0 J 900�::: THE PROPRIETOR/ .I DISEASE-POLICY LIMIT �O O O 0 0 PARTNEASIEXfCUTIVE X.X" (NCI _ I DISEASE-EACH EMPLOYEE 55 O O 00 0 OFFICERS aRE: I FXCLI ! OTHER I I OEBCRIPIION OF OM;kATIONSJLOCATIONSIYEHICLESISPECIAL ITEMS Operations performed by the named insured as provided for by the policy and its conditions. .do wl..TE.HOLDF�i:.....::..:.. ..::"::::...:...... .. . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE Town Of Falmouth EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5 9 Town Hall Square 1Q�DAYS WRITTEN NOTICE CERTIFIC E HOLDEA N EO TOTHE LEFT, t Falmouth, MA 02540 BUT FAILURE TO MAIL SUCH NOT SSEN 1�. TtIRLIABILITY OF ANY KIN UPON THE COMPANY �� T TATIVES. AUTHORIZED REPRESENTATIVE f .....,..I. ..:.......... .......; ...:... Agency,s Inc. r i rg A�RD:25-'$:(3I93►T:::'.ot'::I..::.:::. .1.Z;.�t�'Fi:.::�:::....:.. .......:.::.::.:...... ....... .........:..:::..: ;.::�fFS ::.O::ACOFiD.CflRPC)RYtTfC)Ai:1.993:: ,7 7, A 74 4 )'A 0. -tK cw I-, or V W % F `T7 4 LOT -,j.. X jl , , 1 V­��w *,u Flo 1?m- - I ,ern ri 2 V_F� c7V �Afr� & 4-3 20 46- 61' ....................."W,tee, .... A. r 4a. 0 .hart�,f. ux 'q V .6 r u LOTA k6l,, 1.0±ACRES r,7"­ APPRO'X 166AilON I C41VIE a 6;TF P 'OF, SEPTJC,,SYSTEM' pf� 10 1C01WRE TE BOWID �RliLHO(r.FOUND! 2 4, EXISTING HOUSE rt) P! 'd Te txt, p 5V_ tW111 i17, Islot aim- P V J­ 'Ar" w PAVED DRIVEWA '7­�'___ - 5F 1 ­y,- — v " A C ;.I - Al 'e­�z t ht 0y. 'A'1 N., z 31.. 'o 'V 4�S 67'38'46" W 'P a— v 4 7, Ay. A & A 4, NOTICE r I d-10 t� the.191-1 free) t—p af the 'esw,mnle.F�ofesssonai Enq�— c,ProteemnoIlLmo Surv!vw x i (A) a.—c,0,—.—I.d.9 4 �P,1,14 officiolr.may rely upon the inf—loon contains hwe�;< (8)this plan ftenehs the woao,ty of Hownwo MCG'Oth.Inn:1; LOT t 141f, `01'i EZ wr4M�&ed DATE f'-' DESCRIPTION:'!'�,7-4"0�1'43 P�7 :14 R E V :1 -S 1 0 -N.- S! A AN 3z, PLOT PLAN PROGRESS,PRINT�� A ED FOR . Q� "DAT i�i�D A V1 D NEWTON oi?E`p R, �41 't NOTES'q�`�;44tj ROADI Y' IN"0 q., OR LOT 15.WHTM�R, 1. HOUSE 106 j at NUMBER. ;� BARNSTAS 5 2. ASSESSOR'S NUMBER: or)—T7 ILE.. -t 32ONING,DISTRICT. RF -!.c GRAPHIC -,ew SCALE: V =-20' DATE:FEB 4,1498r-,�-, C vk,� 'o r r s'..4.FLOOD HAZARD ZONES. HIC SCALE� . I,4t - 0 0 holmes and mcigrath, rtiF 5,REFER I t ENCL.f LAND COURT PLAN 39614 . , � I .. 10 ".7 civ il engineers and land swrveyors It 200 main strelj� IN FEET N outh, ma: 02540 I Inch 210 falm it 4 Fit DRAWN: TMS, PJR HECK_ 54-3—,16A, 7P`014 JOB NO: 98021-- [D SHEET �2 ' D. _4 DWG. NO.: t"A 4� 9 A'S iN�u N L ` The Commonwealth of Massachusetts -� Department of IndustrialAccidents � _� O1flCE0l/�9�DOS 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit EM VMMt n• --�-_ location: - city phone# I am a homeowner performing all work myself. L] I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name aildress• !<L ' : phone#: :.:.: b t ::..:<: his....::: ce o �O�W'� ''� .�t. TLif✓:�::: �::::.:.::_:DOIICY'�; 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: tame* address: :.:. . . .... .......... oh city. olicv :.:..:.. address-- :. . insurance',co ...;.:.:: ::.:;, _.:... . . . MM: Komi('—s"lieeraecessa Failure to secure coverage as r ired n r Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as ell as c ii pe it in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may a forwa a to he Office of Investigations-of the DIA for coverage verification. J do hereby certi under t ai d p of perjury that the information provided above is true and correct Signature a Print name�-L �^� y�G� Phone# i official use only do not write in this area to be completed by city or town official city or town: � Ix rmit/license q riBuilding Department Licensing Board N 0 check if immediate response is required []Selectmen's Office i Health Department contact person: phone q; —Others— � t ti (revised 3M'PIA) - •_' a Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or anv 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 section 25 also states that every state or local Iicensing agency shall withhold the issuance or renewal of a license or permit to operate a business qr:to construct buildings in the commonwealth for any J applicant who has not produced acceptable evidence of compliance with th'e insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any,contract for the performance of public.work until,acceptable evidence of compiiance,with_ the insurance requirements of this chapter have been presented to`the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or Iicense 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 Iisted below. e :ti.-fl=-s�•..•-\�}T' vw.�� .;P ._ V ' ...�...,.►.:!!G:.R ..Ja�'.QL1Mi� City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned.t.o the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call lJ r .bt'..^ i.�.,.. •.f>.J.rye-...�,: �•r"...�2f�a.. -r� ..ice- _ _ Y^.i T.�.�.•'t The Depaixment's address, telephone and fax number- The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street 4 Boston,Ma. 02111 1 fax#: (617) 727-7749 phone 9: (617) 727-4900 ext. 406, 409 or 375 ; F E F 3 pp Y ' ' fie - omwz wawald o� HOMFd I�PROVT� ENT �ONTIRA�TORS RECISRTRATM j ' Boar o ui ing egu a ions an tandaroos One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 107888 Expiration 08/10/98 Type - PRIVATE CORPORATION �7e HOME IMPROVEMENT CONTRACTOR Registration 107888 C .H . NEWTON BL)ILDERS , INC . Type - PRIVATE CORPORATION Day/:id L . Newton Expiration 08/10/98 549 Main Rd West Falmouth f�lA G2574 C.N. NEWTON BUILDERS, INC. David L. Newton G� o� Hain Rd ADMINISTRATOR Jest Falmouth MA 02574 1 %'zv -s +fix \tr•P . !, ., _,,% 3�'w w ._ r . . -n + a _'� . , . -z a _ a 1e a 4t s > _ . -•€.. - .. - r y R"r -} - 3 '7 -^�.ti 1-a._ , 's. ✓: Y ',:v �. v r+ t c� •"••fr2'� '$`,a ^r.y, 1`�t3::l,G''r'. -, u '-`�,. - .',a y s i 4'S r r .' `3 r t " {E Lr ' `+ .iS r ' _* a i ` r z n . >- s � q < ; c - r I _ { "s e _ / �/LCh� A Y. l P ' * `•2�,yF,dr- 1 ' `` �t �. ``W} RCI,�"� 4,,'ir.c :' � p�,y, a& v *i' R r a?- z ' r s {c -} x+' 1., 't .�.;„, n s''1:4 fit _ �' '• `' ,, { `, rJ, f h - _ � v �§ DEPART ENT OF PUBLIC,SAFETI' �� , k ,t.•^ r'^..*,4Yy. r' rs a ,�. :k x�rr�3: ar A3 S u - CONSTRUCTION SUPERVISOR LICENSE A �tB",`k ' � s F _ Ex Tres ' ".:. ;�} ^rr p % `�. ;F "t 1 s '} tw r I t w r * 3 .:s: qu.r 4r:o- ReSun y"q,?j a a:. . �`x ✓a" - `t i Y_ y,. �.; .. ?` 'rxk4�,3.x,'tr ,c- .x 1S"s v ..:+a'S1 I .-tiM t,s 3,t F �,,�-G' c'.-C 'f r. S• 'c't ­111 ,3x'I Inw,, r ffi.. i_ ", a�• a`,z .o. 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'�. -4, 7 .3 Cvj. ,.. t r ::.r gr �, % .. ✓a....f� r c^ -. �r '�,`+�` 1•Z k� r F4 x rr t.r { x n r ,i,. > 1 , y ✓ .r'+ '� .r 'c > c w,� 'a y ar• y`'� si�•x s+ r '`r j2. ,� .t ... .� 'k�^' a N. c. 1 +5r .a •�- t - +�:�+` tF r,»v'. ileJ'` - �.,. i G'"'' ., ?..,... ,,w^,-'•• Y',� .z'Y r, a'`�`�.r-r K,y 4'� - 7c .d vy _ g, Wr rah r ,'y;' „,'< z - r I S +7 y b,�S%� x '� ''1. .7 s p"`' lt-i.rr'." nb 3 s �tak "• 3- t ✓ -. ;.r :: : ;v r z t �",.,. Z', '' x4. '�.5 r- i y �'^- 1\ .,!„ t ,t: ;`=c ''r�: - n p`F-,1. J' • VE The Town of Barnstable L►arrsr�. : . 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 Q Building Commissioner GNU ►�� �A-� - 0 :....... ..:. ..::...:..: _ O•Y OL M - •O Ml s.� . - - - •�_' -~r` - - fir..r.. - N•M OL�Y. - _ m �r 0 •fi. - - - - MAIN DRAIN DETAIL ,'k - <:�" _ _ - _ - •-.. -'� .•M�s:� ,xt- �'� - cal � � . :�,• z;s.. •. K.� .. _ - - SLOPE L TRANSITION•SECTION_:::'; sm.owd"Ym m o N UNDERWATER LIGHT DETAIL �"""" ' ' eum aa+r = SHALLOW END-WALL SECTION M i� eY V _ - •�Or - M r1 Y�r+�� M �. •�1 v LONGITUDINAL SECTMM DIVING POOL TYPICAL L' •:.'t•:. •p{ 11LL a000s ww.�a{Vf vmw Toro - aa:a>�: ..mad . • .�.. :�� ' ".:.; .=O' p _ SWAIM 06 VAZU Ar STEPSi TYPICAL r� —4 O'HARA&COMPANY,LTD. 94 Nickerson Road �' --•••---� { Ashland,MA 01721 T DEEP END WALL SECTION SKIMMER DETAIL SKIMMER DETAIL (508)881-6851 �s •a — locum m r '. ..s, 8 �'� �S. r S.°�a.,9.�. .. �b'�v• ,.LOT f rYA �T*' ����. v ., . � r, i A 7M Y•1+11� s, Y�ti N taw 9 r'. l 1 O _ o 1.Ot4 ACRES o ' �APPROXIMATF LOCATION 'I ' ''ENCROACHMENY }'" OF SEPT4C•5YSJFM o-: r` .. In 5w/oaa tunic arunp _ 2L� ,- 6 W lu .EXISTING HOUSE Ix Of „ pI� Q _ PivEWAr4. s Y �wh tw.w — L� .• s S 67'38'46" W 'sr i z /�!';'4q > �!'� _ 7� r �',a'. '`B' �a9 a,`,•' ,,i^r' t as +TM .t c h1r i.6 'bD 'S •MDantw4o Rotss-i.wWsn Ie M IM p�I�g�Y�,M�(Is4)slam(,ofUtlM CnQYNa..'P Ptoltio—ol Lp.o S--W \ 5 :appspf On thm plot: -. . • L (A)no pwson p Dnsans.slrhgnp OnY m� 001 p OUM..:. s✓ { . e a LOT 16 P.N. tfK0. —Y .I Dan tn1 nlpmpl on—,W l.w -d 111 thM peon amslm IN pr"q ty d Hlonnaa k MCCG th bft N. Qz DATE DESCRIPTION row` w R E V .1 `S 1 0 N S PROGRESS PRINT PLOT PLAN F l �• 'PREP NOTES \ DATE � .R, DAVIDANEWTORN ) t': Z 9� OR Sa FOR LOT 15 ITMAR OAD 1. HOUSE NUMBER 106 ' IN ; 2 ASSESSOR'S NUMBER: 567 ;c. .., ��•. ,coTUI� BARNSTABLE. ,-7 !�A &ZONING DISTRICT: RF 4.FLOOD HAZARD ZONES: C GRAPHIC SCALE SCALE. 1 —-20' 1 DATE.FES s 1998 b.REFERENCF. LAND COURT PLAN 39614-8 20 to,'",0 20 ✓<>,,•wx. ra tso r�b hOIm6S and me rath civil engineers;and Ion eurwyori, +f, M 1, �� I loon. 20 it. 200 main stregt "ecer ) wn falmouth mo.' 025 ,>1 . ( ) � burr f DRAWN: TMS, P,IR� CHECKED: r 5. rr> NO 98027 DWG. NO.:Sa-3= 980Y7P bA SHEET o 2 •�;" t ' R J09 J 9 �w Assessor's office(1st Floor): Assessor's map and lot number V�O`TN(t0`` Conservation - 2— � Al S ew Board of Health(3rd r NST ""�"'b���'�SYS�ZM IN C01W Sewage Permit number � � 1�— 1;�J W"Tn t u ay LOL Engineering Department(3rd floor): � °o .a3o. House number M6 TOWN R V�'C+OD� Definitive Plan Approved by Planning Board 19 LMONS APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2W P.M.only TOWN OF BA;RNSTABLE BUILDING -INSPECTOR APPLICATION FOR PERMIT TO COY1 S VfU( ( a NtW "Cirot (�,S TYPE OF CONSTRUCTION _ woo ' rcmmL 19 9 Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �- ®`� \0& kAVkr�-MCVV- �V 2 CO7It Proposed Usee.SSc� Zoning District Fire District Name of Owner v�� L �C�Z U� Address 2 14 �d !R�a Name of Builder C, K?-VMay) 7q(1ACr51?1dAddress ��� We,S tnJ'( 1 Name of Architect Da y I 'Q S' (D l.. Address 138 S-7" Number of Rooms Foundation� r\C rf-te- Exterior �IzU(Aiy- 6(,ip bbrj4s Roofing (tc-Dr)y Floors/ tfi t� Interior WC CO AX 3;AQQ<J Cy"- / /V1'vc zK.w.. Heating i 1W+G�,� S Fo reel -k6l 613/ Plumbing (�WK / '>V6 Fireplace s rrW Approximate Cost no loop 10'r rY 117, AM Are D �- Diagram of Lot and Building with Dimensions / y 7 Fee C 7� f�y fps/ ®,vCI P,)ar -010�o0 Ld OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bar to e r ardikgthabo a nstruction. Name Construction Supervisor's License 016 IS 2— NEWTON., DAVID L. 1} ` No 35456 Permit For Two Story �.. Single Family Dwelling _ ,Location Lot -#15, 106 Whitmar Avenue _ C_ otuit ? Owner L/ David L. Newton f � . Type of Co struction' Frame Plot r- Lot { - { ZZ ;Permit Gra`ted October 1919�- 92 Date o n�or �3�1�3 3-/--9?19 . r Date Completed '7-'-77 19 ? r _ 9!? _42-30 (7 , 7: .. � `� �fie.Ua�imo�usea� a�✓L�acluc6eC�a , *1GME IMPROVEMENT CONTRACTOR { ` Re911st�.ation i07888 Type :- . RRIVA T E .CORRORATItiN i Expiration .08/10/94 C .H. Newton Builders, Inc . - ua id L . Newton f 49 We*ct, }a1_mcu:th Hywy ADMINISTRATOR i, !A01514 iaeSt Falmoutil. 1��, License or registration valid for inclividua!use only, before expiration date, If. .found return to: n As burt n P ace Rm 1301 Boston M . 03 108 LICENSE CAUTION . ` EX,0IRATIONDATE CONSTR. SUPERVISOR R PROTECTION AGAINST -35 EFFECTIVE DATE LIC-NO. O EFT, PUT RIGHT THUMB 9/3 /1 9 9 2 04 61 92 o PRINT IN APPROPRIATE NONE ° BOX ON LICENSE. 3DAVID L INEWTON o 6 P U BOX V z BLASTING OPERATORS 1 SS 4 022-42-5640 m FA, L 40UTIi I'1.A 02-541 m MUST INCLUDE PHOTO. i l PHOTO(BLASTING DER ONLY) FEE: 1 J 0a V U NOT VALIp YNTIL qIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMP D OR- IGNA URE0 THE COMMISSIONER S DOB: . i _ 9/19/1960 RL 17 THIS DOCUMENT MUST BE SIGN NAME IN FULL ABOVE SIGNATURE LINE - CARRIEOONTHE PERSON OF IGNATURE OF LICENSEE FFF --- THE HOLDER WHEN EN- }.�/ t J OTHERS-RIGHT THUMB PP.INT GAGED OCCUPATION. �j•�•J'<�,y COMMISSIONER 3 �J J •- , . -....... _ _....__ .... .. ._- ... _.- -. .. ..-. I • i i ' 1 • f ;j I I F b L ; _ I 3 � y &➢ Fm L. C - t I;il \0 r\1 t T F i — I �:--I 4p I ft; I •o z z � F I 0 LI52 a ust I in 1 - ... I r 7�p 7 yyy pp C✓ t � z .� IO ROJECT: NL!-RE510ENCC fec.., J.� y 9 MR € M dRS 0,\ 4WTON �a(,� y ym y {'• iJU o A j .; � F g' � lllr U-106 WM TTIAA PD.' 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(I:l Ii II l)IIIliI IIIIIIIIIIIII I I I I �rt ;I I I I l I i I.c I I I l Il,lih I I I 'SOL i I i II•I I I I Il��ll I f'I I II - - 'I '_ I1111 IIIII, I l I I,III'�I II 11 LII} _11L_ I l � - i �1 •( lrT " I uI L'� I L}- � I I'I i!I I IIIII :II IU II!I III II I'lll t I I I ,IIII ,I I i ,' IIIII I. Iij . IIIII it I� — _ li, III IIII I I I I IIIIII it IIIII II'II!'!I I:II:i i II I;I! I I I!''!Ij I . 1L ' I t I g I p I'� IIII II I `i � p p ��RIt'1 .� ��� pF (P PR�'�EGT NLY'REbIDENGE IOA '� fit. �/ � $F} 61 MR d N1RS DI�VIfD NE�J'a'ON bb Ago ; ""'.y..: wl Fi C 'C�w•A F A h { a -� I.- Yltl : tit {5 .."G9 ����'r,�"�..`�bz�,��,>����!'. Fh�h?°�:�1�Rt�Y+'�e'��,F•Ys-�s'•i .ar`�s+�"it5�``c b �..;;., w, :, t~k,. •�4,#p'Tt g',,�.•'w;•,,o4t. �:.,,;a.,s :K� r;. 1 IL — - r ari 0 r ,8 .I. _ =� .Jc Imo' — �_ — 3•—� i .. - 0� y I giE. V L ��` `x CFT2• Y- 6�;...g�^ ° V t .. •_ � lam N �[£ � j ayt . - I 1T - PROJECT n��� r; aoa. . F;! Fm MR.sMKS. DAVID NEWTON 1 . �p I (- -------------- -1 TI _I • ;I L I J r Ir i I r ° L. r I 2 _ -- Fop- I:I 7:I s - -.. - - __ � J m I I I �P C' 59'p• 1 i « - T I > Z q , $ PROJECT NEW.'.RESIDENCE.FOR MRSMfR DAVID NE\,/TON F �✓,: t t� bT 16 NITI1eR Rp. "- tors T, lM � r1, r I n TOWN OF BARNSTABLE Permlt N 35456 o...... .... BUILDING DEPARTMENT (WO. 0 0) TOWN OFFICE BUILDING Cash ••• • HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to David L. Nwwton Address Lot #15, 106 Whi-t-mar Avenue : I Cotuit, Mass. j 1 USE GROUP- FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. August . . 19....93 ........... � ..................... Building Inspector I -PAYABLE TO: C. H. Newton Builders Inc. TOWN OFBARNSTABLE P. 0. Box V \� WILL NG COMMISSIONERS OFFICE Falmouth, MA 02541 DATE__.8 VENDO'317 # AMT. 4 d, b PO# APPROVED BY �, 4", -a C? Client#:3248 2NEWTONCH DATE(MMIDD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 07/22/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil PHONE 508 775-1620 FAX 5087781218 A/C.No,Ext: A/C,No Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:Acadia Insurance INSURED INSURERB:Hiscox Insurance Company C.H.Newton Builders,Inc. Union Insurance Company INSURER C: p PO Box 399 West Falmouth, MA 02574 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY CPA005747626 1/01/2015 01/01/2016 EACH OCCURRENCE _ $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $250,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $5,000 X BI/PD Ded:250 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO JECT LOC $ C AUTOMOBILE LIABILITY MAA005747725 1/01/2015 01/01/201 COMBINEDSINGLELIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED �( SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE Per accident $ AUTOS X Drive Oth Car $ A X UMBRELLA LIAB X OCCUR CUA005747525 1/01/2015 01/01/2016 EACH OCCURRENCE $10 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10 00O 000 DIEDX RETENTION$0 - $ A WORKERS COMPENSATION WCA007321123 1/01/2015 01/01/201 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 B Professional Liab MPL155701415 3/30/2015 01/01/2016 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S154857/M154856 LS1 ELECTRIC CO., INC. www.driscollelectrc.net Spetember 1,2015 Town of Barnstable C/O William Amara Electrical Inspector 200 Main Street Hyannis, MA 02601 • Newton Residence • 106 Whitmar Road • Cotuit, MA 02635 Dear Bill, This letter is to certify that we disconnected the Electric/Voice/DATA services o the existing"Pool Area Shed" located at 106 Whitmar Road,Cotuit, MA 02635,to allow for complete demolition.This "Shed"was fed from the Main House. Please call if you have any questions. . I Best, Brendan Driscoll' President Driscoll Electric Co., Inc. Main Office/Mailing Address 83 Newbern Avenue Medford,MA 62155 781.393.9299 fax 781.393.9393 MA LIC#A17303 15Jan Sebastian Drive Sandwich,MA 02563 50&833.4915 Fax 508.833.4917 NH LIC#10257M irAflQ E '• ALt -0 S "Y' :t1`Vk741 N.5 - 1SSUE5�7THEFOkkOW1� G lIrCENS x , Xr AS EsG f NEY�1MERE- r � �. 83 NE tJBER _ MEDFORp IAA o215'�j ,6+3f1 'sk .' 0 0� M_ m_o_iwEALTM OFx: I �=-,gt ISSUES THEE�frLlpW,IaMC�II�i+t�3,€��� S3 N� d ryvX.at,r:avr *.*'r -wxn�"�" �e-.��� s •� R£ �ISTEKEA, 1MWIER� ME "ER�CC1 A „ x au war yt eta rt 'ru se�'"�yw'''' 2� 4�t ax p ...... ._ RIEDEL� ill PLum8wn•HEATING•A]R CO7.vnoNING 778 MAIN STREET OSTFRVIL_E,MA 02655 PH:(508)428-6365 FAX:(508)420-0180 September 2, 2015 To whom it may concern, Carl F. Riedell &Son, Inc. has performed a visual inspection at 106 Whilmar Road, Coluit, MA 02655 and has determined that there is no gas or water going to shed. If you have any questions, please feel free to contact the office, Thank u, Carl S. Riedell Plumbing License 8246 } die Commorn>teahlu of lasstrcTrusetls ZDe�vva�hn�rit of lndrrstrial AcriaTerrs. � U�ICe.o,jf�ireSlag'atio7lS' v 600 Washnrgtou Shvel F� } Bostmt,s�lA D�I�I ••` svrrtc irrassgov/da Workere CaWensataoxt Lisurance Af B"B dersl on#ra et¢ricianstPlurmbers Awlicanf"Wep=fion P1ease.PrintIt,ePa�1F Name: rotiridaa�'. C.H.;Newton Builders _ Addressz 549 West Falmouth;Highway -4 /State.;Zi i West Falmouth,:MA 02574 Ihoi eT 508-548J 953; :ire zou au employer?Che*-ile appropriateTwe box 1.®Yamaemploperulith �8 .�Iamageaecaicaaaactarflnd:I °fgr°�ect•ireq�ri"edl:: f0 es fnllauxl(or 1 L"ebuedtbemb-ountmetm b ❑N OA ?l].Iautasoleprop eborvrpaitger listedoatbe•atia'*edsbeet 1 1]Remodeling. slripaadlaaveuoemplopees 7h�sesmb;cmatractozs••$at�e S: =JDeaioStioa i.N oP ias�auce� ��P- �MhYFevros�ers' �.�Bos�.diagadatiiiozE � ] 3 fl'fie ate a cacpotationaud its IO Electrical sepaus pr a&liiioas 3.[ I aMahameovrnes doing altmarY of ices Im—i emewised their 1.�]Y'li�mbnagsepaus ar a itians; m}�etE[No�voz�ece°cow; ssg�ta;Eesempdon.perMGL a2[]Roofrepairs is canceregaiie8]i c:42,§44),.iotd*pbare20 enVoy es-.jNowo&ew 13.09ilier comp.�nsnuaacerequited:] ±�+Y�Tliaats�iacsLetiYbaari�slsc'�IIacAi3eaes�oebetcarsl�ovria�tLeasYarl�'comnmaSaapatit�i , �gnm�.w�vaastvi�csabm33uss�adaei�tac�.ade�,rkapsardoioospuznTesodt{seyL�neo�sidecoanscoosmnsrsnbffiisarxai "�icst�'�tcg; =Caetataoasch�c5eck�isba�nmsCCan�ehedaaadduioaalsheet'S3totr��tl�ea�neofs�ie saD-caima�ns�spse�rlieth�rcrnott3mseiare; emp7oge�-Iftt�sob-pum�oasiuceemclasee�shermassptot�detheir s�lieA'tomF•P�Sa�hzi ` q'aue ale-9byer tludispro►'Ong"wkees'coerrpansatian uwurauice fcr my eraploJ'ee HeTo�r is 9eepoHev aad jrnbxite ittfor+audorG bman ceCompaay%a Acadia1nsurance:Companv PoTicy4orSellras.fic:� WCA007321123.-,- .,. ` _ EapitatoitDate; 19l111/2fllfi iob siteAddoess: taclaa cuiFof fhe�sorders'aoenpensat3oapohcr.derlarafionpage(shostItepolcymber and exfrai€aadate} Failureto sectise covexad as requizedund ;Section 23A ofMGL c E52 canacTto the iugasition octiminalpeaalties of a fiae up to S1;iO4�0 arzdforosse• ear �* +,as tac�l as civil penalties.an the£Dana o£a STO'F W6RKORDMLs td a fime' of up to$25p.80u dag ag�amst&e 8io7ator,: a adciseiltitata copeoi TIas statesn tmay b"eforwarc4eii to•riseOfbse Of Yn.�estigatto>n ofiheDYrl�r'cnenra,e�.cocezage�ea�catind IdaIierebycee7ifyseeder•deep r eiealttesr erjet>PtTratriveinform�►onprbvitieduovseit meandaorrec& I�oness: 508^548-1`3 3 Baal rue aeTy Do for svr�fa frri{s are�a,.to be complecd by ctitlr; rto»�e o, rciaL ,; kssning,�athoralg(circte'oue)s` . .. �: . ,. 1.Boani of ealth Z.Bugdi I?e ai 6nuent S;'Qtyrf&Cerk 4:Eechical7Aspector S ham7iimgFaspectar 6.Other ContactPcsbn: Phone#s.. on ' a . . New onstruction N , T 106 Whitmar Roadjo - C otuit, MA 02032 Q e //^ey f�,q-a . r. � ``� :."}5"5.1%!('�°.:/ � ''�� � �n �:•T f'V'..9-'K.�a r��:'C. Q 10 - � .-.-+ - .- -'- '^.�-.c.����y„ �v`n'}•r �r:/I,,n. y,, � .., ,r.„ lj, :,F'Rdry,i�g ,fin - ... ... � � ... - i .. fix:. .g k,3 r_- y,•mX.`.' -� +� _ `C�. � - - O • i .. ... :. �i, ' !• r</ fad '" kk � aa'� - .. ;e w x O i O �\y o� . DENNIS COLWEL�L RCHITECTS, INC. ��RE°ARC w' 4 Commercial Residential Structural z2 158 Burt St, Norton, MA'02766 NORTON w . MASSACHUSETTS .� O p. 508-241-2122 f. 508-455-4466 <TH OF 0 5 M www.dc-architect*.com 0 Q - 0 O - n 9EE€� es �ESS;Gee y��� €y� 99gF"o "oSYgg^.�+P ®€8 '�C= "^ ��`"o ,�,'o } �''° o4€Fg' h,i,.t: .-"r•s _ O •�'O D. p�bn o rn - `.� gg s�E &-gg"s5�•^g 8" $ £.°€'. � S3 °4 "gK@"@ sF €e '€'€� - €�`im-- zpalg�G�& ;;a$=•5'�a��o g��A�.; � m �. 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DATE 3/22/93 srxE NONE swvao TYPICAL STANDARDS J� LOT 14 a O � y� V N 74°33'20" E 334.61 ' 0 00 �- y LOT 15Ole w 1 . 0± ACRES O CONCRETE BOUND APPRO�IMA T�L OCATIOf, "ENCROACHMENT- W/ DRiLLHOLE FOUND �� T OF �F F T1C .F M I i I L,J EXISTING HOUSE Ln >_ — ry - _ 3lve sa CL �\ 0 PAVED DRIVEWAY Qr sa i— -- ------- - \ P a '"Q �— � � '� " ':gyp L ( C�uw•Lw,b. :�, t) t�> a 1 j z S 67'38'46" w NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons, including any municipal or other LOT 16 public officials, may rely upon the information contained herein; and (B) this plan remains the property of Holmes & McGrath, Inc. DATE DESCRIPTION jDrawnFChecked R E V I S 1 0 N S P an PROGRESS PRINT PLOT PLAN G � �,� PREPARED FOR DATE DAVID NEWTON NOTES FOR LOT 15 NHITMAR ROAD ti 1. HOUSE NUMBER: 106 2. ASSESSOR'S NUMBER: 56-77 COTUIT BARNSTABLE, ��A 3.ZONING DISTRICT: RF 4.FLOOD HAZARD ZONES: C GRAPHIC SCALE SCALE: _ 'I' DATE: FEB 4,1998 5.REFERENCE: LAND COURT PLAN 39614—B to = holmes and mcgrath, Inc. civil engineers and land surveyors IN 200 main street I Inch - �10 ft falmouth, ma. 02540 DRAWN: IMS, EJR CHECKED: '?8027PP.DW(- I JOB NO: 98027 DWG. NO.: 54-3-6A SHEET >F +p� LOT 14 Q&II 4 N 74.32'16" E 334.62t OOJ�,00Jt�0 Doc PENLDECK OsT� APPROXIMATE CFIILDS PLAY HOUSE F9 I LOCATION OF pSEPTIC SYSTEM LOT 15 06 1 .0± ACRES Q� W EDGE OF LAWN ���,�• _0 2&(Y DECK r i "ENCROACHMENT"� b 30.0' - EDGE OF LAWN 105.0' w 10.1 OUTDOOR c� - - - -- _ -- -- ---- - - - - - EXISTING HOUSE b N - � o w r' c m Q _A R1GK i� 2s0' 30.0' ygWK�PY _.__i' -= 4 GH FEAT( R _._.1 STONE PATIO PAVED DRIVEWAY 16.2' T��O 0 oo N N r: EXISTING POOL 4 t U 16.2 cn � - - ------- -- --- 174.9' -- — rV I I Lon 76 6' ^ 312.14' iy� CONCRETE BOUND W/ DRILLHOLE FOUND T Fti � S 67'38'46" 'N A 2CF �91 A k. 0 osT s� LOT l cz NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons, including any municipal or other public officials, may rely upon the information contained herein; and (B) this plan remains the property of Holmes do McGrath, Inc. DATE DESCRIPTION raw hecke R E V I S 1 0 N S PLAN CERTIFY THAT THE STRUCTURES ARE I CERTIFY THAT THE STRUCTURES AF' l 1. HOUSE NUMBER: 106 ��t� OF EXISTING STRUCTURES PREPARED FOR LOCATED ON THE LOT AS SHOWN, AND LOCATED IN FLOOD PLAIN ZONE X AS 2. ASSESSORS N!,M- BER: 56-77 ��� DAVID NEWTON THAT THEIR LOCATIONS CONFORM TO THE SHOWN ON FLOOD INSURANCE RATE MAP' 3.ZONING DISTRICT: RF MINIMUM SETBACK REQUIREMENTS OF COMMUNITY PANEL NO. 25001CO543J AND 4.FLOOD HAZARD ZONES: X FOR LOT 15 WHITMAR ROAD THE BARNSTABLE ZONING BY-LAW. THAT FLOOD PLAIN ZONE X IS NOT A 5.REFERENC:E: LAND COURT PLAN 39614-B IN COTUIT 6ARNSTABLE MA SPECIAL FLOOD HAZARD AREA. ' HOLMES AND McGRA1H, INC. HOLMES AND McGRATH, INC. GRAPHIC SCALE SCALE: 1" = 20' DATE: AUG. 20, 2015 _4 20 10 0 20 60 holmes and megrath, inc. Michael B. McGrath r JS civil engineers and land surveyors = 'aAEL Registered Professional Date Michael Grath ( IN F, ) 205 thcester curt, suite A4 5 548-3564 (PHONE) 3 Land Surveyor Registered Professional Date 1 inch = 20 & fdm ma 02540 �52 548-9672 Land Surveyor DRAWN: PJR CHECKED: r r, INrcrJ'\(jAVIU'\[1wG� ������PP R2.rawc JOB N0. 215181 DWG. NO.: 54-3-68 SHEET 1 of 1 CERTIFY THAT THE STRUCTURES ARE I CERTIFY THAT THE HOUSE IS LOCATED IN FLOOD PLAIN ZONE C AS LOCATED ON THE LOT AS SHOWN, AND SHOWN ON FLOOD INSURANCE RATE MAP THAT ITS LOCATION CONFORMS TO THE COMMUNITY PANEL NO. 250001 0018 D MINIMUM SETBACK REQUIREMENTS OF AND THAT FLOOD PLAIN ZONE C IS NOT pJ�o THE BARNSTABLE ZONING BY-LAW. A SPECIAL FLOOD HAZARD AREA. ��A�� / 7� g��o L41�.4 � ,L �1 DATE REGISTERED 'PROFESSIONAL DATE REGISTERED PR FESSIONAL tl �- LAND SURVEYOR LAND SURVEYOR 4 4 N 74-32#16" E 334.62' 'DECK.a Q ADD ITION OS J D APPROXIMATE CH ILDS PLAY HOUSE LOCATION OF O i� SEPTIC SYSTEM00 \ 06 :. 1 LOT 15Lo _ ' 1 .Of ACRES 32 10 MIN. P J i (�BE MOVED) 5' EDGE OF y>I Ld LA IMd ,PAC. 0 2ILW b a RESET SEPTIC TANK zoi TO PROVIDE PROPER M ENT" O CONCRETE BOUND 10' SETBACK TO HOUSE. "ENCROACH ,W/ DRILLHOLE FOUND b 300• EDGE OF , 10.1 105.0 W �- EXISTING HOUSE b SHED C / 12" OAK Z +o m a)Q N 12" OAK W wpY 0 4' HIGH FENCE 0 , o O' b \ c> PINE 14" PINE - :..PAVED DRIVEWAY . Q .. . . . . � _,.,�— 2 9",_ 8„ OAK 1_= POOL AREA 3 : . 6.2 0 i 10„ N ENE ���s 0 w PINE N Oct 0 0 10" OAK 0 FOUR Z �w 10" OAKS I„ 312.14' - �W —. CONCRETE BOUND , W/ DRILLHOLE SET s� S 67'38'46" W s� s� spy 12" OAK �9� NOTICE 'F Unless and until such time as the original (red) stamp of the LOT 1 fi s'F SF� `rF`� responsible Professional Engineer, or Professional Land Surveyor > appears on this plan: (A) no person or persons, including any municipal or other public officials, may rely upon the information contained herein; and (B) this plan remains the property of Holmes & McGrath, Inc. •n. distance LOT COVERAGE NOTES 4/6/05 ADDED PROPOSED ADDITION, RESET SEPTIC TANK PJR,LAC ADDED SHEDS, DECK PLAY HOUSE, ROD CAPS SET, ,t EXISTING PROPOSED 6/3/03 SETBACKS AND CERTIFICATIONS JKR,PJR MBM Proposed 19.6% 19.7% DATE DESCRIPTION Drawn hecked Addition Reset covers to within e rot Existing Pyy'ooa Alamtam 6' of finished grade R E V I S I 0 N S Cansta"t Slope To Tank Ground surface el. = 64.2t (EXIST.) . . . . . . . :: . . . . . . - PLAN ,. . . NOTES OF PROPOSED ADDITIION PREPARED FOR 13 LF. 4" PVC TO BE RESET 15 LF. 4" PVC TO BE RESET 1. HOUSE NUMBER: 106 ( RESET s=0.01 2. ASSESSOR'S NUMBER: 56-77 DAVI D NEWTON EXISTING 3 ZONING DISTRICT: RF FOR LOT 15 WHITMAR ROAD SEPTIC TANK i � . --� - . SEPTIC-TANKS . ': t t - - -• . - - - - EXISTING - - - - � IN TO BE REST co trMto►� &rorr kstorr D-BOX 4.FLOOD HAZARD ZONES: C COTUIT BARNSTABLE MA Proposed . .,,O Schd. 40 PbG' Tee and �� &REFERENCE: LAND COURT PLAN 39614—B � o . Gas Baffle if needed r� h'� ,.o Foundation o h r o (Designed o ,00 _ `°F SCALE: 1" _ .20' DATE: MAY 1,1998 �� =""ors By Others) Nh� y W c M 4 11145,J W - ' , �' holmes and me rath inc. MICHAEL �. b 6 LAYER OF CRUSH b b h GRAPHIC SCALE �� �. �► . . . . . . . . . . �" cauPACTED STf.YVE . . - . . . h R. �. . . . . . . , - g• surveyors civil en engineers and Ian q c W '$ 20r 10 0 20 60 200 main street r.+ falmouth, ma. 02540 SCALE: 1/4" = 1' ( IN FM ) DRAWN: TMS,PJR,LA CHECKED:--&t� i inch = 20 it 98027PP.DwG JOB NO: 98027 DWG. _NO.: 54-3-6A SHEET 1 OF .Z