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HomeMy WebLinkAbout0018 SEAFARER LANE r' r C Application number .................... .. ...... ' L 0 9 2018 Date Issued............. ' � � `+ ' !6g �� � � ®�� Building Inspectors Initials......... :.................. M� D iE Map/Parcel..a:a TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: .. ROOF/S IDING/`WM O W S/D OORS/TENTS/S TOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: ' NUMBER STREET UVILLAGE Owner's Name: (VI c k� P-A o I,� Phone Number Email Address: Cell Phone Numbe Project cost $ ooO , 00 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: cx &16 ct�+ Date: C TYPE OF WORK ❑ ding ❑ Windows (no header change)# 0 Insulation/Weatherization . ❑ Doors (no header change) # Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingle Construction Debris will be going to is tt�e wu.; CONTRACTOR'S INFORMATION Contractor's name cog 1 6L,1-2 Home Improvement Contractors Registration(if applicable) # �(6g®�f � — .: : .(attach copy) Construction Supervisor's License# �00040 (attach copy) Email of Contractor G0rPF(-0 1 oaf C CAM ft'L. Co kPhone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ ti *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent :If food is being served at your event please obtain a Health Department approval between the hours . of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the'Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. �+ CAPE CAPE CO® HOME IMPROVEMENT TM Home Improvcment 27 MILL POND ROAD, WEST YARMOUTH NIA 026.73 (617) 710.1001 , (508) 469.0102 CAPECODINC@GMAIL.COM, WWW.RoOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHOME -------------------------------------------------------------------------------- PROPOSAL 06.07.2018 TO MIKE f,4L0A) LOCATION: 18 SEAFARER LANE, HYANNIS WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR MAIN COMPOSITION SHINGLE ROOF: • REMOVAL OF ALL EXISTING ROOFING AND FLASHING MEMBRANES TO THE-PLYWOOD DECK SURFACE. • REPLACEMENT OF ANY DAMAGED OR DETERIORATED PLYWOOD DECKING AT AN ADDITIONAL COST. DECKING WILL BE REPLACED IN WHOLE SHEETS ONLY IN ACCORDANCE WITH RECOMMENDATIONS BY BOTH THE NATIONAL ROOFING CONTRACTORS ASSOCIATION(NRCA)AND THE AMERICAN PLYWOOD ASSOCIATION (APA). NEW DECKING SHALL BE APA RATED FOR STRUCTURAL USE.DECK FASTENING WILL MEET OR EXCEED LOCAL BUILDING CODE REQUIREMENTS. • REPLACEMENT OF FOLLOWING FLASHING MATERIALS:STEP FLASHINGS,PIPE FLANGES,PERIMETER DRIP EDGE MATERIAL AND ALL SKYLIGHT FLASHING MATERIAL.ALL MATERIALS TO MEET OR EXCEED MANUFACTURER'S REQUIREMENTS. • ONE ROW OF ICE AND WATER PROTECTION MEMBRANE SHALL BE INSTALLED IN ALL VALLEYS AND AROUND THE CHIMNEY. • ONE ROW OF ICE AND WATER PROTECTION MEMBRANE SHALL BE INSTALLED ALONG ALL EAVES AND SHALL EXTEND PAST THE INTERIOR WALL LINE A MINIMUM OF 18 INCHES TO PROVIDE PROTECTION AGAINST DAMAGE FROM ICE DAMS. INSTALLATION OF ONE LAYER OF ROOFING UNDERLAYMENT ON DECK SURFACE NOT COVERED WITH ICE AND WATER PROTECTION MATERIAL. • INSTALLATION OF NEW,ARCHITECTURAL-STYLE ALGAE-RESISTANT CERTAINTEED SHINGLES.SHINGLES WILL BE INSTALLED IN STRICT ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS AND SHALL BE FASTENED USING SIX NAILS PER SHINGLE. • COLOR OF ROOF PENETRATIONS AND FLASHINGS TO BE CHOSEN BY OWNER. • INSTALLATION OF A SHINGLE-OVER RIDGE VENT.VENT IN THIS AREA IS CONTINUOUS AND WILL CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE 4w'� k'tl lw­ CAPE COD Home Improvement CAPE COD HOME IMPROVEMENT TM i 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001 , (508) 469-0102 CAPECODINC@GMAIL.COM, WWW.RoOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHOME PROVIDE MAXIMUM INTAKE VENTILATION FOR THE FULL ATTIC VENTILATION SYSTEM. • REPLACE ANY DAMAGE FASCIA-BOARDS OR RAKE-BOARDS AT AN ADDITIONAL COST. • ALL GROUNDS TO BE CRANED UPON A DAILY BASIS.ALL BUSHES,SHRUBS,AND FLOWERS TO BE PROTECTED. HOMEOWNER IS ASKED TO SUPPLY ELECTRICAL POWER IF NEEDED. OPTION 1 CERTAINTEED NDMARK4HINGLES 50 YEARS NON-PRO D FERABLE WARRANTY LABOR AND MATER S: $7, 1 50.00 DUMPSTER: $65 .0 i TOTAL: $7,800.00 OPTION 2 CERTAINTEED LANDMARK SHINGLES 40 YEARS PRORATED WARRANTY(1 O YEARS NON-PRORATED PERIOD) LABOR AND MATERIALS: $6,350.00 DUMPSTER: $650.00 TOTAL: $7,000.00 *WE WILL MATCH OR OUTBID ANY LEGITIMATE COMPETITOR CAPE COD HOME IMPROVEMENT TM IS PROUD TO PRESENT YOU WITH SUPERIOR 10 YEAR WORKMANSHIP AND SERVICE WARRANTY.THIS WARRANTY IS IN ADDITION TO,BUT RUNS CONCURRENTLY WITH ANY MANUFACTURERS WARRANTIES.IT COVERS ALL SERVICE CALLS RELATED TO WARRANTY REPLACEMENT AND/OR INSTALLATICN ISSUES FOR THE FIRST TEN YEARS AFTER PRODUCT INSTALLATION CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS , PLEASE INITIAL THIS PAGE CAPEPCOD CAPE COD HOME IMPROVEMENT Home Im rovement TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001 , (508) 469.0102 CAPECODINC@GMAIL.COM, www.RoOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHOME PAYMENT TERMS: 50%AT DEPOSIT; 50%UPON COMPLETION. JOB IS ESTIMATED TO COMMENCE APPROXIMATELY 2 TO 8 WEEKS AFTER DEPOSIT RECEIVED WORK IS SCHEDULED TO BE SUBSTANTIALLY COMPLETED IN APPROXIMATELY'1 TO 2 WEEKS. ANY WORK ABOVE AND BEYOND THE SPECIFICATIONS WILL BE PERFORMED AT 56.00$PER MAN HOUR PLUS MATERIALS OR PRICED ON REQUEST.ALL ADDITIONAL WORK,INCLUDING TRAVEL TIME AND LUMBERYARD RUNS,MOVING ALL PERSONAL OBJECTS,FURNITURE,ETC.FROM WORK AREA,WILL BE SUBJECT TO EXTRA CHARGE.IN THE EVENT OF ROT REPAIRS, ROOF REPAIRS OR ANY RELATED WORK REQUIRING IMMEDIATE ATTENTION,WE WILL PROCEED WITHOUT CUSTOMER APPROVAL. CAPE COD HOME IMPROVEMENTTM.WILL PROVIDE CLEANUP ON A CONTINUING BASIS AND ALL DEBRIS WILL BE REMOVED FROM SITE(PROFESSIONAL CLEANING DOESN'T INCLUDE).ALL PRODUCTS INSTALLED BY CAPE COD HOME IMPROVEMENT TM WILL BE TO MANUFACTURER SPECIFICATIONS.ALL WORK WILL BE PERFORMED BY INSURED PROFESSIONALS. ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED,AND THE ABOVE WORK TO BE PERFORMED IN ACCORDANCE WITH THE DRAWINGS AND/OR SPECIFICATIONS SUBMITTED FOR ABOVE WORK AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE MANNER. OWNER TO MOVE ALL PERSONAL OBJECTS, FURNITURE,ETC.FROM WORK AREA.ALL ITEMS AGAINST WALLS SHOULD BE CONSIDERED FOR REMOVAL DURING ANY EXTERIOR SIDING JOBS,ADDITIONS,ETC.TO GUARD AGAINST DAMAGE.IN THE CASE OF ANY ROOFING AND RIDGE VENTING,DUST AND DEBRIS SHOULD BE EXPECTED AND ANY ITEMS IN THE ATTIC SHOULD BE REMOVED.CAPE COD HOME IMPROVEMENT TM IS NOT RESPONSIBLE FOR ANY DAMAGES IF SAID ITEMS REMAIN IN PLACE. CAPE COD HOME IMPROVEMENT TM IS NOT RESPONSIBLE FOR ANY DAMAGES THAT MAY OCCUR DURING CONSTRUCTION TO LANDSCAPING OR ANY FINISH GROUND WORK,PLANTINGS,,ASPHALT OR STONE DRIVEWAY, ETC.FLOWERS AND SHRUBS AGAINST HOUSE MAY NEED TO BE REPAIRED OR REPLACED BY HOMEOWNER. ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS,AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE.ALL AGREEMENTS CONTINGENT UPON STRIKES,ACCIDENTS OR DELAYS BEYOND OUR CONTROL.OWNER TO CARRY FIRE,TORNADO AND.OTHER NECESSARY INSURANCE UPON ABOVE WORK.WORKMEN'S COMPENSATION AND PUBLIC LIABILITY INSURANCE ON ABOVE WORK TO BE PLACED ON THE RESIDENCE AS A CONSEQUENCE OF THE CONTRACT.OWNER WHO SECURE THEIR OWN CONSTRUCTION-RELATED PERMITS OR DEAL WITH UNREGISTERED CONTRACTORS WILL BE EXCLUDED FROM ACCESS TO THE GUARANTY FUND. CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT Tm WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE f CAPEPCOD CAPE COD HOME IMPROVEMENT Home Im rovemcnt TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001, (508) 469.0102 CAPECODINC@GMAIL.COM, WWW.RoOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHoME i i COSTS OFF COLLECTION,INCLUDING ATTORNEYS FEES WILL BE RECOVERABLE,IN THE EVENT OF NON- PAYMENT. WE LOOK FORWARD TO WORKING WITH YOU: PLEASE CALL IF YOU HAVE ANY QUESTIONS. SINCERELY CAPE COD HOME IMPROVEMENT TM THIS CONTRACT NOT VALID UNLESS SIGNED SY ANATOLI "TONY"SIVITSKI Ora �. epq�ollli' ACCEPTED BY SIGN DATE �D ACCEPTED B IG DATE r� •�3:�� ACCEPTED BY SIGN DATE CAPE COD HOME IMPROVEMENT'TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE . tc j��{�! Office of Consumer Affairs and,Business Regulation One Ashburton Place • Suite 1301 Boston, Massahusett's 02108 Home lmprovement"� o ractor Registration Type: Corporation CAPE COD HOME IMPROVEMENT, INC. Registration: 168043/2 � k� Expiration: 12/2/06/2018 27 MILL POND RD WEST YARMOUTH, MA 02673 e` Update Address and Return Card. SCA 1 4 20M-05117 Office of Consumer Affairs&Business Regulation HOME IMPIROVEMENr CONTRACTOR Registration valid for individual use only TYPS fProoration before the expiration date. If found return to: ra i Ex ira ion Office of Consumer Affairs and Business Regulation 168043 09EW 2/06f2018 10 Park Plaza-Sul CAPE COD HOME Ifu)PRQUEMN`f, INC. Boston, MA ANATOLI SIVITSKI OE, 27 MILL POND RD. "�► , f �� ��" "�tT WEST YARMOUTH, MA- Undersecretary Not valid without Signature AC`�® DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 06/15/2018 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 endorsements. PRODUCER CONTACT NAME: Linda Sullivan DOWLING &O'NEIL INSURANCE AGENCY PHONE 508 775-1620 a N,: E-MAIL ADDRESS: Isuilivan@doins.com 9731YANNOUGH RD INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER B CAPE COD HOME IMPROVEMENT INC INSURERC: INSURER D: 27 MILL POND ROAD INSURERE: WEST YARMOUTH MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: 281511 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 ADOL SUBR POLICY EFF POLICY EXP LT POLICY NUMBER IMMIDDIYYYYI 1MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE $ CLAIMS-MADE DAMAGE TO RENTED OCCUR PREMI ESE occurrence $ MED EXP(Any one person $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY E PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? NIA N/A N/A R2WC940123 06/03/2018 06/03/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 N/A DESCRIPTION OF OPERATIONS/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 0306 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Anatoli Sivitski ACCORDANCE WITH THE POLICY PROVISIONS. 222 Buck Island Road 6-8 AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD C"10"ommonwealth of Massachusetts Division of Professional Licensure Board. of Building Regulations and Standards A Specialty Constructlo CSSL ..106040 05/14/2020 %V* ANAT(A.1- SIVITSKI- A 27 MILL PON MfA,, D VVEST YARMOU Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents -- Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): ccoc cxkzV4A_Q Address: �-4 ttA�(A City/State/Zip: V 'mac Phone#: (S-48) Z16 9— 010'er. Are u an employer?Check the appropriate box: Type of project(required): 1. -I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, E]Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions re 3.El I qu a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13. Other o comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employes,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. LAAJ , Insurance Company Name: Policy#or Self-ins.Lic.#: (����4 Expiration Date: Ci 6 Job Site Address: l 9 S'�� C@1V�� City/State/Zip: ` 4 Attach a copy of the workers' compensation policy declaration page(showing the policy numb d expiration date). Failure to secure coverage as required under Section MA of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un th ns .d penalties of perjury that the information provided above is true and correct: Signature: Date: ®� . Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): \ 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: A Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express implied,oral or written." xP or An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required.JBe 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 Departmekt has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 42111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#61.7-727-7749 Revised 4-24-07 wwv.mass,gov/dia M 7 y Town of Barnstable Regulatory Services R�S'tA,g� o� Thomas F.Geiler,Director 2 �3 ^�? 1 A13M ` Building Division 2� 1639. ��� Tom Per Building Commissioner • .�� rye g 200 Main Street, Hyannis,MA 02601 Ql v* 77�• www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790=6230 PERMIT# 8201,361071F FEE: $ 3-(-., , SHED REGISTRATION 200 square feet or less A SCAF1-Q5:(L Zt44;f, l� Y14NA/i t Location of shed(address) Village fM 1 C A 041 S-Ole) • gS'7. 20 Z y Property owner's name Telephone number ;) � Size of Shed Map/Parcel# Signature Date Hyannis Main Stye et Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE, PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED rBY A SLOT PLAN Q-forms-shedreg REV:042911 r ti.i INSPECTION PLAN NORTHERN ASSOCiA �"S:, INC. ;.LAWRENGE. 13A 01843-352;2. (978)837=3335 FAX (978)837 .3336 ..EL F PALONE' DEEE _REF: 19846X783 -��- ? EAFARER LANE_ PLAN REF 536164 ;t rAFZ 1STASLE-(HYANNIS) MA T SCALE: 1 ' 97 � 20O:r/Q3%29 `2p701 19 3-1,.20 �,' �� OPEN SPACE OT y 29A LOT 2 LOT 28 �,' "�0645 S � - (TOTAL) V. nUfi r`l 7�t 2 S'.Tj, , - M LOT LOT 28A 30 �0 5© _ -SFAt a LANE . N . t a� } REQUEST FOR WAIVERS FROM SUBDIVISION RULES & REGULATIONS FOR A PLAN OF LAND ENTITLED: "COBBLtSTONE LANDING LAND SITUATED IN HYANNIS BARNSTABLE, MASS, PREPARED FUR CAPRICON REALTY TRUST DATED MAY 5, 1986" The Petitioner seeks a waiver from the following provisions of the Subdivision Regulations of the Town. of Barnstable Board: Planning j i 1. Section 4, Paragraph B, Streets, Subparagraph 3(a) Length r of Dead-end Streets - Petitioner seeks a . waiver of the five hundred (500) foot maximum length dead-end street for Aurora Lane as shown on the subdivision plan, said lane being in j excess of 600 feet in length. 2. Request for Reduction of Intensity Requirements of then,., Zoning Bylaw i Under the provisions of Section T Open Space Residential ` Development, paragraph 5. Minimum Requirements, subparagraph (b) Intensity Regulations, the Petitioner is seeking a reduction in the intensity regulations of the underlying zoning sx [TAXT for the cluster subdivision plan as follows: .... a. A reduction in the minimum lot—size from 15 000square feet to lots ranging from the smallest lots of ASS 6,503 square feet to the largest lot of 13,727 square Morn Feet. �� Sewn b. A reduction in the frontage requirement from 125 feet sower to a, minimum of -33.73 feet for each lot shown on the + Slaew subdivis-on plan, Other c. A reduction i� the side and rear-yard requirements of Comm;: 15 feet each to 7 1/2 feet of both side and rear-yard : WATER setbacks, DltTlllE f[ TOT/ d. A reduction in`E'he frontyard requirement from 30 feet to a minimum of 20 feet for all lotLthe ith the exception of:1-ot- 74, a corner lot in which reduction soughtfrom the minimum frontyard se_tback a 50 per cent f rreductior of 15 feet. t e. A reduction in the required 50 foot perimeter strip F t to 20 feet in those areas as shown on the .plan i 2167j RCCDR•DED oct sl eb F( 4 - li - iJ rr UF,t0912F-00S4 94-04-01 3121 120435 • I:I(AN('O KIW. VRIATE DEVELOPMENT CO., INC., a Massachusetts Corporation with e mailing address of 10 Seaboard Lane, Hyannis, MA 02601 for consideration of less than One Hundred and 001100 (S100.00) Dollars paid grant to COBBLESTONE LANDING, INC., a Massachusetts Corporation with a mailing address of P.O. BOX 274 'Barnstable, MA 02630 %'th Quitclaim Covenants certain land,together with the buildings and other improvements (hereon,situated in Barnstable in the County of Barnstable and Commonwealth of Massachusetts, bounded and described as ' fol)ow5: I i I All lots not previously conveyed by duds of record, all open appurtenances thereto as shown on a plan of land entitled " 0eu' ices in the roads and all i in Barnstable, ittve Su Mass. (IRS prepared for Capricorn bdlvision Plan of Land p rn Realty 11dated May 51986 recorded with the Barnstable County Registry of Deeds in Plan ook 425, Pages 2�9 through _ 34. Together with the right to use the streets and ways as shown on said plan and on Land Court Plan 32949-B and on the plan filed in Plan Book 375, Page 29. For tit( me ,.J set forth in deed from the within mortgagor to Nicholas D.Franco,Trustee of Capricohl rn Realty S Trust, dated December 39, 1994 and recorded with said Registry in Book 4358,page 169, and T a registered as Document No. 99352; see also deed from Nicholas D. Franco, Trustee of z Capricorn Realty Trust,dated October 2, 1985 and recorded with said Registry in Book 4739, Page 323 and registered as Document No. 375,911 103601. and noted on Certificate of title No. v Subject to and with the benefit of the provisions of a Special Permit from the Town of d Barnstable Planning Board recorded in Book 5280, Pee 252 nt to the Commonwealth Electric Company et al recorded with said Registry in Book 5990. page 20g• the provisions of an Open Space Restriction-Easement dated January 11,1989 and recorded in Book 6592, Page 30, Protective Covenants, Restrictions, Rights-and Reservations governing u "Cobblestone Landing It"dated January 11,1989 and recorded in Book 6592,Page 33 and the e Declaration of Trust of Cobblestone Landing If dated January 11, 1989 and 6592, Page 42, and Covenant with the Town of Barnstable Plannin ttcorded in book 1986 and recorded at Book 5380, Page 251. g Board dated October 31, 0 a Together with the right to use and maintain the sewer lines and appurtenances thereto servicing treatment plan( and all of the grantors rights,said lots and open space and connecting said llots and open space to the municipal sewage d fit an lots the land interest in and to the entire sewer systcntown on said plan located both within and without the land shown on said plan. Said land convcycd is subject.to all Previous mortgages of record. For grantors tltlr see deed from Nichols& D. Franco, Trustee of Franco Pa 11 Nonlnee Trust recorded I Book )851, Pege 159 a conffrmed 1n Dred recorded Sook�� and deed frnn Nlcholea U. Franco. Trustee of Carptcorn Realty 7ruat racer"d d in Book )851, Parr ]59. _ 1 A8�7T►DLL.I. OFFICE 0 .PLANNING AND DEVELOPMENT 'r• Ali;; 2s �.•-�, Al • �lcz�anin� (617)775-1120 ' Main Street Ext. 160 E. 190 ;annis. Mass.02501 , l � Y - June 24, 1986 a Mr. Framis A. Lahtiere Town Clerk S Town of Barnstable Town Hall 367 Main Street Hyannis, Mass. 02601 .` 3 Re: Subdivision #572 Framo Realty Cobblestone Landing Dear Mr. Lahte ine: At a meeting of the Barnstable Planning Board held on Jum 23, 1986 i 1 it was voted to grant a Special Permit under Section T. of the Town by-laws subject to review of the related doculents by Town Couns and subject to the Town of Barnstable. Subdivision Rules and Regulations and corditions of the Board of Health. Kilkore Dr. , Daybreak Ln. , & Mariner Ln. , to be paved 26'wide. The Board also accepted waivers from. its' Subdivision Rules and Regu- lations as requested and lis ed as herewith attached. Names of ways as shown on the plan that may be duplicated elsewhere in the Town to be re named. Plan is entitled; Definitive Subdivision Plan of Land in Barnstable, d for: Capricorn Realty Trust. Dated May 5, 1986. Mass. (Hyannis) Prepare • Drawn by: Cape Cod Survey Consultants, Barrstable Village, MA.' Yours very tzul,Y, _ Joseph E. Bartell, Chairman Date 2 3 ?crk of t):c Town of _1 Barw-tab a li_i-zb • 01 1 fic i:;.i_ 0: - fl= t;,i• P':a I1}• :: .. "lc�•.... r•. ., '... ?. ... -:;'•fir .'.• ,arc hw bec_. rc�_iv_: :: : .:.' i._ ..:: no Luca ram"`^'t CLE-aK �Ytio� Town of Barnstable Building Department - 200 Main Street t SARNSTABLE• * Hyannis, MA 02601 9�A b� ,��' (508) 862-4038 rED MA't A Certificate of Occupancy Application Number: 201203064 CO Number: 20120113 Parcel ID: 273246 CO Issue Date: 08128/12 Location: 18 SEAFARER LANE Zoning Classification: RESIDENCE C-1 DISTRICT Proposed Use: SINGLE FAMILY HOME Village: HYANNIS Gen Contractor: BAYSIDE BUILDING, INC Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: fol� Building Department Signature Date Signed TOWN OF BARNSTABLE Building 201203064 Permit BRN ASTABLE, 'Issue Date: 4 05/29/12 MASS. I 9 �p 1639• Applicant: BAYSIDE BUILDING INC rF0 MAC a Permit Number: B 20121204 . Proposed Use: SINGLE FAMILY HOME Expiration Date: 11/26/12 Location 18 SEAFARER LANE Zoning District RC-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 273246 Permit Fee$ 255.00 Contractor BAYSIDE BUILDING,INC Village HYANNIS App Fee$ 50.00 License Num 005645 Est Construction Cost$ 50,000 j Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADD A 16X18 2 STORY HEATED FAMILY ROOM ADD TO THIS CARD MUST BE KEPT POSTED UNTIL FINAL REAR OF HOUSE,WOOD BURNING FRAMED FIREPLACE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PALONE,MICHAEL F BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 18 SEAFARER LANE INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PR Building Permit Issued 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,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,,MUST BE APPROVED BY THE JURISDICTION, STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE - OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. b. FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). IN BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1ko a 2 , '� - vi 2 2 v` V` 1 . 3 `�A5 r-7 t.-1 -: r 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 kBordofalt Commonwealth of Massachusetts Sheet Metal Permit Date: 7 ' Permit#�O l Estimated Job Cost=.$ S�yboC�> `�" `? a z . Pemit'F.ee: $ )D I.0O ?j B Plans Submitted: YES NOV Plans Reviewed: YES NO V b Business License# f(P.o Applicant License# a_M Business Information: Property Owner/Job Location Information: Name: Vern 0n l& deq,l Name: podonC , MiChOd l f ,,1,,,�� i Q C� Street: A V 1 I la P, {�.S�i lU)n Street: 1 U c;. en 4�nrpr kanci City/Town: W. CY IQ�i V(Q � City/Town: Telephone: Telephone: NA Photo I.D. required/Copy of Photo L.D. attached: YES NO Staff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dweLings-3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 172 family V .y Multi-family Condo/Townhouses '-Other Commercial:. ; . .Office,.. ' : Retail Industrial Educational -� Institutional Other ' Square Footage: under 10,000 sq.ft; y over 10,000 sq. ft. Number of Stories: .� Sheet metal work to be completed: New Work: Renovation: ✓ �., .: 14VAC Metal Watershed Roofing Kitchen Exhaust System C_ Metal Chimney/Vents Air Balancing Provide detailed description o-L work to be done: Add duC f VOrK-b SP-rve e, �rS� �- Se � r' c � on ecn�id t)cj :&no ae .,j 4 Y4 INSURANCE COVERAGE: 11 3c`,1 0' J have a current liabilitv insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you•have checked Yes,indicate the type of coverage by checking the appropriate box below: { A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only f 9 Owner ❑ . Agent ❑ v d Signature of Owner or Owner's Agent t By checking this box[:],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments f Final Inspection - - Date _ - - - - - - - - - - - - -Comments - Type of License: By t,. ❑.Master •, ' r , ' R Title t,, E:Master-Restricted Cityrrown ❑Journeyperson t . , . ' i Signature of Licensee M 1 Permit# ❑ m Joueyperson-Restricted License Number. '] I Fee$ ❑ Check atwww.mass.gouldpl Inspector Signature of Permit Approval COMIMONWEALTH OF MASSACHUSETT.S rr y ry..}t �. SHEET METAL WORKERS AS A BUSINESS ISSUES THE ABOVE LICENSE TO: j ER1C 'T' WHITELEY W VERNON WHITELEY PLBG AND flT ti . 28 VILLAGE LANDING `PO ."BDX "1266 r , W ` CHATHAM MA 026697'0000 160 12/22/12 97;00�2 Tn ------------------------------- COMMONWEALTH OF MASSACHUSETTS e .a. a SHEET METAL WORKERS AS A MASTER—UNRESTRICTED ISSUES THE ABOVE LICENSE TO: s ERIC T WHITELEY a' PO BOX 248 ,:WEST CHATHAM MA 02669-0248 _ 2967 02/28/14 119423 e r:. Fo!d,Then Detach Along All Perforations i4 �� ,.>t�'` 13IY-L. ; x rN IYJ� uj J��I�a I f 11;��r I=. <d�'•��a' 41 vNUNBEH }1 " o714•S.d .µ..9ra1 i �:I 1�1 11;;�1 i t � 1F'19 It-,-t!4 V✓{f ! (I �rix� '*tl f -I'.I i t , { i The Commonwealth of Massachusetts Department of Industrial Accidents . ] Office of Investigations a, 600 Washington Street Boston, MA 02111 w ww.nw.ss.gov/dia Workers' Compensation-Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information : Please PrintLe�!ibly Name (Business/Organization/individual): . V�fLnu n tl. �..-l��z 1 LA m n� N u.'� n 7! C_ Address: v I 1 a Lam.,,, n, {� c C , 1 d b L City/State/Zip: LUes-i Ck r,: l r.Yr Ala o�L,l✓`i Phone #: g) o Are you an employer? Check the appropriate box: Type of project(required): I am a �3 with employer 4_ ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2_❑ I am a sole proprietor or partner- listed on the attached sheet. 7. L] Remodeling ship and have no employees These sub-contractors have g_ ❑ Demolition workingfor me in an capacity. employees and have workers' Y F 9_ ❑ Building addition [No workers' comp_ insurance comp.insurance.+ required.) 5. ❑ We are a corporation and its 10_❑ Electrical repairs or additions 3.❑ I am a homeowner doing ail work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp, right of exemption per MGL 12_❑ Roof repairs insurance required.) t c. 152, §1(4), and we have no employees_ [No workers' . 13.❑ Other comp. insurance required.) *Any applicant that checks box 41 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. lContractors 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 isprovidina workers'compensation insurance foi,my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: C_C__ Z, i j _L o o 3 c ) Ci Expiration Date: 1011 !�— Job Site Address: Vr-, k City/State/Zip: Ju/C, 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 well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. B , dv*' d t copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance ov age �rifa ti I do hereby certify under the pai, and enal .s p that the information provided above is true and correct Signature: Date: Phone# G$ = cl ul )l6 o Official use only. Do not write in'this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: j Client#:48736 VERNWHI DATE(MM/DD/YYYY) a ACORD- CERTIFICATE OF LIABILITY INSURANCE 10107/2011 THIS CERTIFICATE IS ISSUED AS A.MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES { BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER E: NAMME: Karen A.Walther,CISR Rogers 8 Gray Ins.moo.Dennis PHONE Ext:508.760.4630 Alc No; 508.258.2230 434 Route 134 AD ADRESS: waltherka@rogersgray.com P.O.Box 1601 ' INSURER(S)AFFORDING COVERAGE NAIC& South Dennis,MA 02660-1601 INSURER AArbella Mutual Insurance Co 17000 INSURED INSURERB:Wausau Underwriters Ins.Co W.Vernon Whiteley Plumbing&Heating INSURER C: - Company,Inc.&Chatham Sheetmetal,Inc INSURER D P.O.Box 1266 INSURER E: West Chatham,MA 02669-1266 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT,TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DL UB - POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER M/D WD LIMITS A GENERAL LIABILITY APP463206 0/01/2011 10101/2012 EACH OCCURRENCE $1 000 000 NTED X COMMERCIAL GENERAL LIABILITY DPREAAAISES EaE $300 000 CLAIMS-MADE F—x1 OCCUR MED EXP(Any one person) $15,0W PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER ) X _ PRODUCTS-COMP/OP AGG $2,000,000 POLICY X JPECOT- LOC - Is A AUTp°OBILE UAB'UTYAPP463271 0/012011 10/01/201 C 'O Nd.D SINGLE OMIT $1,000,000 ANY AUTO BODILY INJURY(Pet person) $ALL _ O X AUTOS BODILY AUTOS .. - BODILY INJURY(Per acadent) $ X HIRED AUTOS X NON-OWNED - - PROPERTYDAMAGE AUTOS (Per acDjent $ X Drive Oth Car $ A X UMBRELLA LIAB X OCCUR APP463274 1010112011 1010112012 EACH OCCURRENCE $4 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4 00U 000 DIED X REfENT10N$$10 000 - -$ B WOPM RS COMPENSATION WCCZ11260053019 0/0112011 10/01/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY IER ANY PROPRIETORIPARTNER/EXECUTIVE Y/N - - EL EACH ACCIDENT $5O6 000 OFFICER/MEMBER EXCLUDED? I NJ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - - EL DISEASE-POLICY LIMIT $500,000 ` DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Plumbing,Heating&HVAC CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE - ®19 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S72459/M72376 KW IKEri Town of ]Barnstable Regulatory Services uxxsrAsca, M g Thomas F. Geiler,Director i Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstab I e.ma.us Of ce: 508-962-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us'in Builder 3ee form aO -fi/e �br --'VJ I, hadone, �1rl���J , as Owner of the subject.property hereby authorize A); V e on Oh)� to act on my behalf, is all matters relative to work authorized by this building permit application for: SRI Y?z-rff kar) e (Address of Job) Signature of Owner Date I Pant Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNEUF-WIS31ON L moo, ray Town of Barnstable TH'E ' Regalatory Services RA.RNsr"LF_ ? Thomas R Geiler,Director husM g 019• 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 HOl MOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: _ number street village "HOMEOWNER": name home phone# work phone# CURB-ENT MAILING ADDRESS: ^ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellihu of six'units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. - I ' i DEFIXMON OF EOMROVrA'ER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official an a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance vrith the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that•he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements: Signature of Homeowner Approval of Building Official . Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOAMOWNER'S EXEMPTION .The Code states that: "Any homeowner Performing work for which a building perrnit is required shall be exempt from the provisions of this scctign.(Section 1D9.1.1 -Licensing of construction Supcnzsors),provided that if the homeowner engages a penon(s)for hire to do such work,that such Homeowner shall act as supervisor." Ntany homcowncrs who use this excmpticm are unaware that they are assuming the responsibilities of a sup=-eimr(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bft=results in serious problems,particularly when the homeowner hires unlicensed persons. In.this ease,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. Thm homcowncr acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her respormbilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by scvcral towns. You may care t amend and adopt such a form/certification for use in your corrununity. Q:forms:homccxcmpt t 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t—� Map / Parcel (0 Permit# /� Health Division O14::. z I Date Issued Conservation Division $ Fee Tax Collector �4 (�� b N �— /o;;zTreasurer Planning Dept. �''' APMCANTMU OBTAI ASEWER CONNECTION PERMIT FROM THE Date Definitive Plan Approved by Planning Board ENGINEERINGSUT ON PRIOR TO Historic-OKH Preservation/Hyannis Project Street Address �- Village Owner �^`Z o�� -� � - Address 1 �K Telephone .5 Cq - -7`t 0- O �� Permit Request )`1 IX Square feet: 1st floor: existing proposed -t2nd floor: existing proposed Total new 1 O Valuation A a a, , Zoning District Flood Plain Groundwater Overlay Construction Type 5A Lot Size Grandfathiered: ❑Yes ❑No If yes, attach supporting documentation. r Dwelling Type: Single Family I 0 Two Family ❑ Multi-Family(#units) L r Age of Existing Structure Historic House: ❑Yes �2 No On Old King's Highway: ❑Yesj 1Vo Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other N I UM E CD J Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new:- c; r~ Number of Bedrooms: existing new ,. Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes -J&No Fireplaces: Existing New Existing wood/coal stove: ❑Yes -ENO 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 ;W No If yes, site plan review# Current Use Proposed Use 3 — S'Z-0-SQ�f S wit-o�� \ BUILDER INFORMATION Name. �r��-� �a�� � s=t Telephone NumberJ� - Address 1 Ors License# 07 O9 9 Y Home Improvement Contractor# =BETAKENTO ' -en-sation`# 3 S GJgCA:s79 � ALL CONSTRUCTION DEBRIS RESULTIN FRO HIS PROJEt- �'`pJ_V-� -1 SIGNATURE DATE 0A OZ l FOR OFFICIAL USE ONLY f S PERMIT NO. ` w DAiTE ISSUED s MAP/PARCEL NO. ADDRESS VILLAGE OWNER' 1 .Z v i ti -- DATE OF INSPECTION: 7 . FOUNDATION FRAME 4. INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL x FINAL BUILDING 3 , DATE CLOSED OUT ' ASSOCIATION PLAN NO. t —U.la of Buliding irjllS a1d icepse or re-istrptioll �,IT ft- in.6b,idu1.use only r md rc-.-- HOME IMPROVEMENT CON TRU�..— D�F bef"o,e the expiration date, Iff f,:m LUM.trl: Board of Bmld; ' ReguLations;and StlllMd-,--rft, ncl egis,ration,.-- P ""t- ' ,*-4�25168 ;.— ne Ashh 0 -urtop.Place R,,:-n 1'�:G 1/03 Y" 112108 -_Type Private C51 poratic7n - -r'—Pd PATIO ROOMS Oj:.E50ST,-Oft-jNjC ANDREWS MAL N-E 100 OTIS ST NORTHBOROUGH, MA01 532 Not valid without Si Jar" Itme PEG UILA n� ONS R ICTION SUPER VISOP License: CONS N u ra b a .................. 1-2-10-7 7227 Restricied To- l..G ANDREW T MALuNIE: 41 WASHINGTON-ST#2 NATICK, MA 017E-� 111dr-ninist,ator f &"rDAVZT In accordance with Article 1 Section 114.1.3 of the Massachusetts State Building Code, I certify that all debris resulting from work associated with Pex=ai.t will be properly disposed of at EL-. }tA��CY� ��� lk licensed solid waste' disposal fertility as defined by MGL C111 S150A- f Signature Of Permit Applicant E . L . HARVEY &SONSiN }�NL�'ZE / r mzcoA/�= 68 H Q P K I K T O N R Q Print Name of n-pnlicant W E S T H O R 0 , MA - -aETMR4.1VIN65 P.4-'+D Q S (R E 1351 1581 �& Firm Nama (if any) T/o ) 0T ��� d ��yam` Address Effective September 12, 1991 the Departmezit of Health/Code R nforcement acting under Chapter 2 Article 13 of the 1986 Worcester Revised Ordinances recta rz:s Proof of d3aPnaa i Of debris generated as a result of this permit. The proof shall be a dated and signed receipt from the licensed disposal facility containing the following information. A: description of the debris, the weight and volume of the debris and the location of the disposal facility. The receipt must also have a signature of the owner/operator of the disposals facility. Failure to comply with the requirements of this Ordinance will result in enforcement action by the City. TOTAL P.O2 F7 EX1511NCA 6'DOOR FROM HOUSE EXI5TNG DECK 14'XIS'"9"(APPRO)() 1,2XIO Pf FRAME @ 16"O.C, 2.5/4"X 6"Pf DECKING 3.WI,2XIO BEAM 4,(5) 10"0 FOOTINGS 5.4X4 P055 6.J015f HANGERS a �.paf5 8.5TAIR5 CUf 9"OFF FROP056P tra?fim5 TO EXI511Z t2l Ca — EXI5T NG DECK I.f0 CUf 9"OFF EXISTING"C"WALL MAKING fOfAL 2.TO ADD(5) 12"0 X 48"DEEP FIGS W/ ANCHORS 2'"18' LAN0H OF 1101 3,f0 ADD 3/4"f&G FLY OVERLAY WAIL 180° 4.f0 ADD 2XIO END MAM(OK5M) TO AM 17131.2XI0 51PE J015T TO"C"W&L y 6.fO ADD 2XIO 51DE J015T f0"A"WALL(OLtr5m) T fO ADD 6X6 P055 8.TO AVV NEW STAIRS 9.f0 AW 5/4"X6"Pf DECKING ON STAIRS PROP05ED 3 5EA50N PORCH —.-- 14'X 19'(APPROX) A FRAME STYLE 3"EP5 x H ROOF 5Y5fEM (T-6"SPAN) NEW 6'D00R FROM PORCH (NOT SHOWN IN fHIS VEW) I I I-I it I I �I I I [TinT_�Ir I i ICI I�I�II I�iI -I -Iil �[�, - IIC-JIC-I��'I-ill �IIIJ I 1 I i�� I-II I III -IIE -711-i11�l�II�I-Ii�l I 1=1t �I k�I�I .�� J LJ' ---,-I-r,ujJr K=1� L..1� .l�l= � , I_liti.j L f LJ SfAf&RAII ® 36"NIGH RA& Q II"fwAn 541 m 4"6ALI15fMR SPACE Pro)xt: 5c�e:I/8"dI'"O" Drawlrq: etteri ivi ng MONS P,. 51MNC� A-1 BPAn ROOMS ISM`` NYANNIS,MA 02601 il�h m((508))3393 04N 400((M8)�393 0340 Date:8/6/02 Sheet 1 of Nq t�,t RN Re LAYOUT FLANS WALL 5ECTIONS EXI5TING 31JILPINGor �• v; 9675Tfl 0 (MAX) ( ;c<;V (MAX) 87 fic7 --- jj— b GABLE SIDE WALL(A) GABLE 5IDF WALL(C) r i G i a A55EM13LY D ETA IL5N4 5EE ALLOWABLE LOAD �" „ `' ! TABLE FOR PANEL 51ZE5 . ,�t 1>x78 D 81'x78 D • (MAX) ..� B-WALL PITCH 1:12 TO 5:12 < r GABLE FLOOR PLAN ; GUTTER FASCIA , b P;AA E RIDGE BEAM BEAM OK TRAN50M(OPTIONAL) (NOT TO 5CALE) ti HEADER SUPPORT F GLUE LAMINATED BEAM GABLE FRONT WALL(13) ALUM.SLIDING (ALLOWABLELLIVE;LOAD TABLETFOK'9--F_T_'I'_ANEL'_IWI_T_H--8 FT:OR L-E;SS=5i'AN; DOOR OR WIND ow I-- _ .dye t ► tt j2?­Pi;�2!PSF 3U PSF 35 PSF 40 PSF 45 PSF 50 PSF i 55 PSF `60 P$ TEMPERED GLA55HGC 3 HC�t,� �� 3HC 3"HC 3"HC 3"HC i 3"HG 3 HCa, �1�1uuu�� SLIDING DOOR ON SILL Y'" 3"EP5"rH 3 CP5111 3 EfTS`fF)'•, 3'EP5+H 3 EPS+H 3"EPS+H 3"EP5+f I 'i'EPSi H ?3 EPS CFI `p�����F WEW y �N, SECTION WITH DOOR 'b t3 `*�°,........,•Z10 p FLOOR CHANNELS , <IAO0 E5 FOR GABLE CON5TRUCTION f �> CRAIG 1.STRUCTUP.AL MEMB�i`SHALL COMPRISE 4.WIND LOADS=20 P5F 1O.ABBREWIATION5 4`` _"� Jioss '" DECK/SLAB FOR 80 MPH EXPOSURE A,B,C D DOOR 6063 T6 ALUMWUM WRU510N5 PROVIDED ' _ n•.sss DM=p00k� ULLION = o: r e1 f BY GRAFT 6ILTn I4UN �ACTURING COMPANY. 5.DEAD LOADS=5 PSF x n y •�� , i" (5.DOOR AND WINDOW LOCATIONS W WINDOW. �' %°�'• oErls�� TYPICAL GLEAB 5ECTION 2.ALLQWABLEyC0AD5 ARE BA5ED UPON WM,,4UINPOW MULLION ,�Fss�'••• Nu`,: , ' NCZT TO SCALE ARE INTERCHANGEABLE. i!\ �i, oNnl. THE L4550R',OF THE ULTIMATE LOAD/2.5 U-`U CHANNEL q OR THE LO/1D AT 5PAN/120. 7.GLA55 KNEE WALL5 ARE HC=I1ONEYCOMB PANELS J a h ` Mq 3.HC/EPS REFERS TO GRAFT-GILT STRUCTURAL INTERCHANGEABLE WITH PANELS. EP5 POLYSTYRENE PANELS �Fp'SN of -PROJECT: CONTRACTOR: ssy° � PANELS WITH ALUMINUM 5KIN5 BONDED TO 8.ROOM PROJECTION(A or C WALL H=THERMALLY-BROKEN o� CRAIG J. HONE'iCOMB/POLYSTYRENE GORES(3 4'V- WIDTH)MAY VARY PER DOOR& ALUM H STIFFENER � Joss N 1� 6 c) x 15' 211 AND 6"THICKNE55E5.). s WINDOW LAYOUT&RIDGE BEAM/ O/H=OVERHANG ..STRUCTURAL. o � COLUMN DESIGN UP 7016 F PSF=SOUNDS/SO.FOOT 4032a GABLE ENCLO�U�E ADJACENT PANELS ARE CONNEG(ED�l51R ( �' t E o ,e; RAWN BY:CJJ DWG NO.: r VINYL CLEATS OR Hs. 9.AUTHORIZED FOR BETTEKLIVING FT PFEET �� t"� : In °Fssl NAL em40 15xi5 2 GENERALF Lf1'YQ.UT R"3 dt v'r ..y '' 3'du cam` dam,NA4� a� �,�� DEALER USE ONLY ALUM.p ALUMINUM �h,�'� Sr;ALE:1"'-50" DATE:1/9/2.001 4�+ �w3 ,ar M � . 1 i - i - I , I Properly Owner :dust Complete and Sign This Section If tising A Builder I, 0 , as Owner of the subject property hereby authorize Betterlivmig Patio Rooms (d.b.a. —Patio Rooms of America) to act on MY behalf, in all matters relative to work authorized by this bui]ding permit application for (address ofjob) o � Sig ature or caner Da e Owner or Builder (as Agent of Owner) Must Complete and Sign This Section as Owner/Authorized Aorerit hereby'declare that th.e statenents and in foriTlat?on On the IoregOing application ioT (address of job) are true and r accurate rn the}aft of m v L nn z: and neli�T, ` D Signed under the pains and pena]ties of perjury. Print Name Signature of 0-s ner/Agent Date i �ssReh�uset_r„�S ate ul��;•G{ode;(780�CI1 '�'Ap�'en_c�iz��{Secf�onf , .1.,'.�r7 T'` Y The Massachusetts State Building Code (780 CMR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions-to an existing house (780 CMR, Appendix J, Section JI.1.2:3.I). This FORM is not intended to prevent a homeowner from selecting a ``sunroom" of any size, configuration, orientation, form of construction or percent glazing, but rather is only . intended to assist homeowners in becoming aware'of some of the important energy conservation and year,;. round comfort considerations involved in selecting and utilizing a "sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and constructionfinstailation of"sunrooins", included below is a non-required, open-ended Iist of product and design considerations that a homeowner may wish to consider before actually constructing/installing a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption 'and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSI:DEILATIONS RELATED TO "SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • . Insulating value • Solar heat gain • Frarne materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation - Operable windows and fans • Applied Shading Systems • Insulation level in floors, walls, and ceilings • Possible Sunrooin isolation,from the train house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property, owner..(not the owner's agent.or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning Still room.comfort and energy conservation. S gnature of Actual Building Owncr Date rint Name Address of Permitted Project ej n( ,0— Z0 ?'(5 Owner Ad ress (if different than project location) Owne 's telephone number —�'h'�'7+YRi�'J°�!f+'"3'^ . n+'^^",..1*.-,�• Y^ ,t4f�----Z. , .. � n. ,n.;jr^--t?Yi!'-- ''Ta�.,._�'Zj* e,^f^m'*-•»�...,. nie enc: steQ4 €IcS �Q Iegall radciress ,snaa;ooans , Y Exception: Sunroom Additions ! Consumei`.Notification Sunrooms, as defined in 780 CMR . Appendix x.o I E lrl)"�ii l IONt , dr ill 6*.d exeii lA-11!,Oat the o0111p11ance.mquirements set forth in 780 CMR JLl.2.-!.1 and J1;1.3 provided that the actual property owner(not.th e- owner's agent or representative) of the structure onto which the sunroom addition is being made, provides a signed copy of the Sunroom "CONSUMER INFORMATION FORM" (found in 780 CMR, Appendix B) to the Building Department. This signed "CONSUMER INFORMATION FORM" shall be submitted to the building official as a requirement of building permit issuance, and shall remain as part of the construction documents. If such sunroom additions are separated from the main house by a wall and are conditioned spaces, then a readily accessible manual or automatic means shall be provided to partially restrict or shut off the heating and/or cooling input to the sunroom addition space. That portion of a wall that separates the sunroom addition from the existing building/dwelling unit, if an existing exterior wall, shall be allowed to remain and neither that portion of said wall or any fenestration within said portion and common to the sunroom addition, need comply with die thermal envelope requirements of Appendix J. yc"fioa el�' ....... Acrid.T10tI?ETti'INTIONS,toro�de>arciefuufioaa'tDi�Ia: 780 CMR J2.0 DEFINITIONS SUNROQM.: An addition to an existing building/dwelling unit where the total area (rough opening or unit dimensions) of glazed fenestration products of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. mae �m cte® Ste�6' dduG^�.O StTNtEIL*IlO � see oiln a�a qpe�ndizJ3�®f�theoc2encl° o)Je,�ocateci aannnedkate J:]mlllf= ilm ,.w' "c i��' .r ru,._ i - '^'1y1'� +y . •S-` :� � AC®RD CERTIFICATE OF LIABILITY INSURANCE ' DATE(41MIDDNY) PRODUCER C"6/27/2002 THIS CERTIFICATE IS ISSUE AS A MATTER OF(INFORMATION Joseph McKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JP McKeone Insurance Agency, Inc. ALTER TFIETHIS COVERAGE AF RDED BY NOT THEMPODC EXTEND ND OR P.O. Box 333 Ann Arbor, MI 48106-0333 INSURERS AFFIDRDING COVERAGE INSURED Patio Rooms of America INSURER A: Hartford dba BetterLiving Patio Rooms INSURER B: Arbella i 100 Otis St INSURER C: Northboro, MA 01532 INSUREE INSURE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY�ERIOD INDICATED.NOTvitTHSTANDING 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,dXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i IL R I TYPE OF INSURANCE POLICYNUMB ER I ""LI FC VE POLIO-RAT( N D MMIDD DATE ttlMlOD LIMITS A GENERAL LIABILITY 35 UUC 35019 11/01/2001 11/01/2002 1 EACELOCCURRENCE �X CObIMERCIAL GENERAL.LIAB!LITY I I' 2,00G,000 FIRE DAMAGE(Any one fire) t 0O 000 CLAIMS ttADE OCCUR I ID EXP(Any one person) $ _ 5,000 PER§ONAL&AD� V INJURY 1000,000 GENtRALAGGREGATE S _2,o0O,000 GEN'L AGGREGATE LIMIT APPLIES PER: �PRO- I _ PRODUCTS-COMPIOP AGG S 2000,000 POLICY l i JECT I I LOC i AUTOMOBILE LIABILITY i B MM 97 09 98 ANYAUTO 12/15/2001 12/15/2002 COM INED SINGLE LIMIT ! (Eaa ;dons) $ 1,000,000 HI ALL OWNED AUTOS I "0,X INJURY tSCHEDULED AUTOS I - I{Per.orson) $ HIRED AUTOS - X NON-OWNED AUTOS pODIlYer D N)NJURY _ $ PROPERTY DAMAGE $ (Per a�rloenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S L_ANY AUTO 1 OTHE� THAN EAACC S - AUTOPNLY: AGG $ L EXCESS LIABILITY I 1 I i I EACHGCCURRENCE S OCCUR CLAIMS MADE _ FGGR�GATE §g DEDUCTIBLE i t RETENTION $ ' -- .— g A WORKERS COMPENSATION AND C STATU- OTH- EMPLOYERTLIABILITY IWBC13935 08/01/2002 08101/2003 TmRY LIMITS ER • E.L.F4�CH ACCIDENT $ 100 000 -L.DI I EASE-EA EMPLOY_EE_1$' 100000 i E.L.DISEASE-POLICY LIMIT $ A OTHER 35 UUC 35019 ( 000.t)oo Property 11/01/2001 111101/2002 1 I DESCRIPTION OF OPERATtONSILOCAT10NS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS j I r CERTIFICATE HOLDER I �J ADDITIONAL INSURED;INSURER LETTER: CANCELLATION 111I FillY OF THE ABOVE DESCRIBED POLJ4IES BE CANCELLED BEFORE THE[EXPIRATION OF,THE ISSUING INSURER WILL NOEAVOR TO MAIL 3O OAYWRITTInSUfed Copy HE CERTIFICATE HOLDER NAMED'TO THE LEFT,BUT FAILURE TO DO SD SHALL OBLIGATION OR LIABILITY OF ANk KIND UPON THE INSURER,ITS AGENTS OR REPREANTATIVES. AU RIZ D REPRESENT I ACORD 25-S(T/ST) o ACORD CORPORATION 1988 4' � i RESIDENTIAL BUILDING PERMIT FEES . APPLICATION FEE IS New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 6 10 square feet x �0$96/sq.foot= ? I - x.0031= 6z" plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE _square feet x$64/sq.foot= x.0031= plus from a ob 11 w(if applicable) ACCESSORY STRUCTURE>120 sq.1L >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.0031= STAND ALONE PERMITS , Open Porch x$30.00= (number) Deck _x$30.00= Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost The Commonwealth of Massachusetts Department of Industrial Accidents Office afftesti9atfons . 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name location: i � S��� . . •p�,.. .. -7 c❑ I am a homeowner JYmnog all work myself. ❑ I am,a sole r rietor and have no one workin in ca achy %%�%%%/%%%%�%�/%%/%%%%��%//%/%%%%%%%%/ %%/%%O/%/G%%%%%%%%%%%/%%O%//G/%/////%//O%/%%/%%%/G%%%%%%%�%�//%%%%%%%%%%%//�%i orkers' com ensation for my employees working on this job.an, ,;?•};,•,$$•Y::;->.:;3:•}},{->:.}:..;, ovidin w P :}r.}:.;:<.Y;{;.};$$::<$::r•:$$ an e 1 er_ r g ...... .:.... ... ...r. ..... ..r.. .,.... .... ......... r.:..r... ....................nL...• ... ........ .. ... ...... .. w:::•:::.:... - .... 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Failure to secure coverage as required under Section 25A of MGL 152 cah]ead to the imposition of erlminal penalties of a 13ne up to$1,500.00 and/or one years'imprisonment as well,as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a' copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ns en -of--perjury that the-information-pravided-abnve_is-tr" �c sect ,- I do herebycertifyu —.. Date atur . 0' �� Signe :,.. Print name' oRM"dal use only do not write in this area to be completed by city or town official permit/license# OBuilding Department city or town: QI.icensing Board ❑sciectm&s OMce ❑checkif immediate response is required ❑HealthDepartrnent contact person: J phone#; ❑Other L� — 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 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 section 25 also states that every state or local licensing agency shall withhold the issuance ar 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and' supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be s for confirmation of insurance coverage. Also be sure to sign and submitted to the Department.of Industrial Accident date the affidavit. Tlie-affidavit should be returned to the city or town that the application for the permit or license is `r not the Department of Industrial Accidents. Should you have any questions regarding the"law".pr if'you being requested, eP .... .. . ...... ... are required.to obtain a workers' chi pe ation policy,please cZl die Department at the number listed below.: City or,Towns ted legibly. The Department has provided a space at the bottom 9.. Please be sure that the affidavit is complete and prin affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. .Please„+ .�.t ._._ -----vhich ,..... be sure to fill is the.permrtllicense number which will.be used aas a reference num. er..The affidavits^may.iie're im,ed tq the Department liymail:o 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�nestions, . please do not hesitate to give us a'call. The Department's address,telephone and fax number:.: ...... . .. .:...:... .... _...... •::....... .. . The Commonwealth Of Massachusetts -De partment ment of Industrial Accidents Office of Inyestigatlons 600 Washington Street =;ti Boston,Ma. 02111 fax ff: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °EVE r° Town of Barnstable Regulatory Services ASS.Mass. Thomas F.Geiler,Director 1639.y M g �ATEG MA.awe Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. n \ Type of Work: �� K�O� ��� Estimated Cost tea,( Address of Work: Owner's Name: �- Date of Application: g to U a I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied El Owner pulling own pernut 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 PE Y I hereby apply for a permit as the agent of the owner: �- L- o �� � Date Contractor Name "ck\Z1. Registration No. OR Date Owner's Name ` Q:forms:homeaffidav l , I 3�.z" LOT Vf A SEAFARER -- ��� �� ' x V5' LANE CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCATED ON THE FOR GROUND AS SHOWN AND THAT IT CONFORMS LOT 2 9A SEAFARER LN. , HYANN I S, MA. TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING INC . � �H OF SCAIE: 1" = 30' DATE: HUCH 19,2001 RU WELLER & ASSOCIATES ',1645 FALMOUTH RD. SUITE 4C CENTERVILLE. MA 02632 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map c7 `73 Parcel o�y '�� , , it :� ;`; ��,=Permit# �o' Health Division 7�Z 3�0/ /rf� �� i Date Issued a B 2, 3 2oal ej Conservation Division Z12_- '�,v Fee 37 7 Tax Collector - �3��� L4 "4�` Treasurer APPLICANT MUST OBTAIN A SEWER, Planning Dept. Z CONNECTION PERMIT FROM THE /J�G ENGINEERING DIVISION PRI.OB TO Date Definitive Plan Approved by Planning Board 4'r — G �"` / CONkRUCTION. �-0 S <s Historic-OKH Preservation/Hyannis Project Street Address /9 5rA F19gr4e, AA1ijF `o (yam 02q _1_Z_qA) Village t Owner /3 A y5 460 6 L D C Address VILI- _ Telephone 7 7/t- Permit Request 7-U CAIA+/S%RUCT fjt S IA161—Z f AM1C y Co "Al iffL OJ17-4( Square feet: 1st floor: existing proposed- 2nd floor: existing proposed Total new /7 �v Valuation Zoning District Flood Plain Groundwater Overlay P Construction Type 14)01),b 00A41 E Lot Size Ioo 6 Grandfathered: ales ❑No If yes, attach supporting documentation. Dwelling Type: Single Family UK*� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 91 0 On Old King's Highway: ❑Yes 01-Pdo Basement Type: Gull Q Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 9_&y Number of Baths: Full: existing new Half: existing new / Number of Bedrooms: existing new .3 Total Room Count(not including baths): existing new 7 — First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: U1es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Ql o Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing 8 new sizeAxa�L Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization Cl Appeal# Recorded❑ Commercial ❑Yes 2 o If yes,site plan review# Current Use VAC IA17 LO T Proposed Use BUILDER INFORMATION Name 8 L-rJ 6• IVC Telephone Number 77/- /Q 6 Address 60 X License# 06; 56 ZY S_ GFNT412—✓ILL E Home Improvement Contractor# �— Worker's Compensation# TC / gl ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO MAIDCUICH J__#/w hr1 t C-._ SIGNATURE DATE ,i _ FOR OFFICIAL USE ONLY r PERMIT-NO. ' DATE ISSUED MAP/PARCEL.NO.J T _ r ADDRESS k -. VILLAGE' OWNER..,.- DATE OF INSPECTION FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL + PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING r ' DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 273 246 CEOBASE ID 37671 ADDRESS -'18 SEAFARER LANE PHONE HYANNIS ZIP - LOT 29 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 54125 DESCRIPTION CERTIFICATE OF OCCUPANCY BLDG_PMT#51896 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: k ARCHITECTS: Department of Health, Safety and Environmental Services TOTAL FEES_ BOND $.00 CONSTRUCTION COSTS $.00 I 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P ..E�" . ; * iARNSTABLE, + MASS. J I BUILDING DIVI I I�I BY DATE ISSUED 06/22/2001 EXPIRATION DATE - I - I Y ,'I x; g4iY �f,, pit,. :J .x _. . ,, . FHONJR La� 's` _ 2 4 T � ;x.�• ' s,r z p��;;vYx', j x-f i y i-C+,r. IBM,y-{t [ t r�z x s•t-v 1 2r y }+� ;��� C C 1.s IB Z,L.D. 'k..a.t E ' lif,4 ;.t.,k.1'D'alt?.,C A�. L�:E..4�ai. G PiM...I' - � Department of, ealt .;'Safet', and nviron��ental.Services ' 41 THE sue.-. . 16 BUILDING DIVISION P .. ...,• .c ,r 12,.m.- - y If 1e x r ; R. T 'RA THIS F'ERMI7 CONVE'YS NO RIGHT TO OCCUPY ANY STREET;ALLEY OR SIDEWALK OR'ANY PAFT'THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CR09CHMENTS ON PUBLIC PHGPERT),NO"s•SPEC!FICALI: PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES ASWELL AS CEPTH AND LOCATION OE PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NO"T RELEASE THE APPLICANT FROM THE COND71ONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM.OF FOUR CALL iNSPEC i ON`' •iF-OUIRE FOR ALL CONSTRUCTION WORK' APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FCUNaJ.A"IONS OR.Ft i1T!Naa THIS CARD KEPT. POSTED`UN T It_ FINAL INSPECTION 2. PRIOR'TO C,V4RIIIIG ST9UCTURAL MEMBERS � HAS:BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMIT ARE REQUIRED FOR 3.ILADY"TO LA'Tf�' - .,PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- NSULATION. J OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANIGRL INSTALLATIONS. k•FIiJAI.INS^rECTION bEFORE.QCCLIPANCY.. SUlLDING INSPECTION APPROVALS PLUMBING INSPECTION!APPROVALS ELECTRICA N APPROVALS } 2 el 3 9 F' 1. EATIIdC�l9dSPEC & APPROVALS ENOINSEEII�G EPARTPPJEIVT < f 2 BOAR OF OTHER: v '. - Sm. PL.. f REVIEW APPROVAL WORK SHALL NbT P' CEED U TIE_ PERMIT WILL BECOME NULL AND VOID IF CON INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS PPROvEDTHIE. .STRUCTION WORK IS NOT STARTED WITHIN! SIX CARD CAN BE AR9ANGED FOR BY VARIOUS STAGES OF CONST`RUC MONTHS.OF DATE THE PERMIT IS,ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION � NOTED ABOVE.. � TION: fy - .Y },.. �`t \ _. s�� � .. {� �� ,. I �` � : �..�_ ,- - - ` 1 �"" �� i, �_� \ J _ P.F �,� �. � �� \` � �, � _ ,l_ 1 ���' 9 t ' n I � , �. '��� � _ � J r 31.z' � lool SEAFARER LANE CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCATED ON THE FOR GROUND AS SHOWN AND THAT IT CONFORMS LOT 29A SEAFARER IN. , HYANNIS, NA. TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING INC . OF ` SCALE: 1" = 301 DATE: MARCH 19,2001 � S V � Ci ��Fess�oNPo� Ds WELLER & ASSOCIATES 1645 FALMOUTH RD. - SUITE 4C CENTERVILLE. MA 02632 81< - 1 1066-1=180 r 1 QUITCLAIM DEED Cobblestone Landing, Inc., a Massachusetts Corporation, having a principal place of business at 110 Breeds Hill Road, Hyannis, Massachusetts, for consideration paid and in full consideration of One Million Nine Hundred Sixty- nine Thousand ($1,969,000.00) Dollars grants to Brian T. Dacey, Trustee of the Cobblestone-Nantucket Landing Trust','�u/d/t dated 0, a , 1997, recorded herewith, with Quitclaim Covenants, r,r Lot 18, Lot 21, Lot 29 (excluding Lot 28A), and Lot 29A of Phase I of c Cobblestone Landing, and Lot 34 through Lot 95 of Phase II of Cobblestone Landing together with any buildings or improvements thereon, situated in the Town of Barnstable (Hyannis and Centerville), Barnstable County, Massachusetts, and all more particularly described in Exhibit A which is attached hereto. This transfer is made in the ordinary course of the Grantor's business. Z a Witness my hand and seal this 7 day of December, 1997. 1 co co0 Cobblestone Landing, Inc. X M M h7 ¢ - Imo- •.0 � •: �.. o x o w Kevin Wise, President-Treasurer Or COMMONWEALTH OF MASSACHUSETTS . ss December , 1997 + Then personally appeared the above named Kevin Wise, President and Treasurer of Cobblestone Landing, Inc. and acknowledged the foregoing instrument to be his free act and deed and the free act and eed of Co estone Landing, Inc., before me, o ary Public „dc • sS�,,ew/ ,,,, = d d d !.9 H My Commission Expires: IV1, /500 y 3 r • B�� = 1 11���-�� 1 � 1 �c:� EXHIBIT A The following described lots, together with any buildings or improvements thereon, situated in the Town of Barnstable (Hyannis) , Barnstable County, Massachusetts: Lot 18, Eventide Lane; Lot 21, Centerboard Lane; Lot 29 (excluding Lot 28A shown on plan at Plan Book 536, Page 64) - and 29A, Seafarer Lane; Lots 34, 35, 36, 37, 38, 39, 40 and 41, Sunbeam Lane; Lots 42, 43, 44 , 45, 46, 47 , 48, 49, 86, 87 , 88, 89, 90, 91, 92, 93, 94 and 95 Daybreak Lane; Lots 50, 51, 52 , 53, 54 , 62, 63 , 64, 65, 66, 75, 76, 77 , 78 and 79, Kilkore Drive; Lots 55, 56, 57, 58, 59, 60 and 61, Starbeam Lane; Lots 67, 68 , 69, 70, 71, 72 , 73 and 74, Floodtide Lane; Lots 80, 81, 82, 83, 84 and 85, Coastal Lane; All of the above described lots except fof',.Zot 29A are shown on a plan of land entitled "Definitive Subdivision Plan of Land in Barnstable, Mass. (Hyannis) prepared for Capricorn Realty Trust" dated May 5, 1986 and recorded with the Barnstable County Registry of Deeds in Plan Book 425 Pages 29 through 34. Lot 29A is shown on a plan entitled "Plan of Land in Centerville, Mass. for Mary Koretzky" dated May 7, 1997 and recorded with the Barnstable County Registry of Deeds in Plan Book 536, Page 64 . • Subject to and with the benefit of the provisions of a Special Permit from the Town of Barnstable Planning Board recorded in Book 5280 Page 252. Subject to an easement to Commonwealth Electric Company et al recorded in Book 5990 Page 208. Subject to the provisions of an Open Space Restriction-Easement dated January 11, 1989 and recorded in Book 6592 Page 30, and the. Certification .and Indemnification pursuant thereto dated July 8, 1994 recorded. in Book 9274 Page 13. Subject to the Protective Covenants, Restrictions, Rights and Reservations governing "Cobblestone Landing II" dated January 11, 1989 and recorded in Book 6592 Page 33, as amended in Book 9124 Page 192. i Bd : 1 1096-082 71 S82 Subject to the Declaration of Trust of Cobblestone Landing II dated January 11, 1989 and recorded in Book 6592 age 42, as amended in Book- 9983, Page 311. Lots 34 through and including Lot 95 are subject to the Covenant with the Town of Barnstable Planning Board dated October 31, 1986 and recorded at Book 5380 Page 251. Together with the right to use the streets and ways as shown on said plan, on Land Court Plan 32849B and on the plan filed in Plan Book 375 Page 29 in common with others now or hereafter lawfully entitled to use the same; and Together with the right to use the "Open Space" areas shown on said plan in Plan Book 425 Pages 29 through 34 for recreational purposes subject to such reasonable rules and regulations as the Trustee of the said Cobblestone Landing Trust II may at any time and from time to time specify. Subject to drainage easements, the locations of which are shown on said plan filed in Plan Book 425 Pages 29 through 34 . For Seller's title see deed from Franco Real Estate Development Co. , Inc. to Cobblestone Landing, Inc. dated March 30, 1994 and recorded with the Barnstable County Registry .of Deeds in Book 9128, Page 54. . r . BARNSTABLE REGISTRY OF DEEDS ES TIMA TED PROJECT COST WORKSHEET Value % LIVING SPACE square feet X $Wsq. foot = /(Q. 9)� GARAGE (UNFINISHED) square feet X $25/sq. foot = PORCH �G� square feet X $20/sq. foot = DECK aaC square feet X $15/sq. foot = 3 d OTIIER a✓l11 square feet X $??/sq. foot = Total Estimated Project Cost For Office Use Ong y lnclusionarV Affordable Housin_q Fee Residential [] Commercial** Property Owner's Name Project Location Project Valise Pen-nit Number **Existing Sq. Ft. "Proposed New Sq. Ft. IAHFORM 1/3/00 i y 1 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-12-2001 DATE OF PLANS: 2/12/2001 TITLE: LOT 29 SEAFARER LANE, HYANNIS PROJECT INFORMATION: COBBLESTONE LANDING II COMPANY INFORMATION: BAYSIDE BUILDING, INC. COMPLIANCE: PASSES Required UA = 365 Your Home = 292 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------=------------------------------------------ CEILINGS 884 30.0 0.0 31 WALLS: Wood Frame, 24" O.C. 2160 19.0 0.0 126 GLAZING: Windows or Doors 197 0.350 69 DOORS 59 0.400 24 FLOORS: Over Unconditioned Space 884 19.0 0.0 42 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125t of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date r MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 LOT 29 SEAFARER LANE, HYANNIS DATE: 2-12-2001 Bldg. 1 Dept. 1 Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 2411 O.C., R-19 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location . DOORS: [ ] 1. U-value: 0.4 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: ( ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. i DUCT INSULATION: ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ l Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125t of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20t of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in.) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-111 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- r .. � .. a a r" •'� //7/' 1 'II/7///l II//I/.'i'i//�� I/• o"lI BOARD OF BUILDING REGULATIONS 1` License: CONSTRUCTION SUPERVISOR 1A Number: CS 005645 Birthdate: 04/19/ CMW) Expires: 0 /19/200 Tr.no: 18679 Restricted To: 00 BRIAN T DACEY _ 62 FERNBROOK LN CENTERVILLE, MA 02632 Administrator 00-35,000 cf enclosed space (MGL C.112 S.60L) 1A-Masonry only 1G-1&2 Family Homes Failure to possess a current edition of the Massachusetts Slate Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888)344-7233 1 . F COMMONWEALT11 OF N ASSACHUSETTS -- DEi`AI1viEl`t'T OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET arnes J Car—.:eel: BOSTON, MASSACHUSMS 02111 �or--sas�cne• WORKERS' COMI' MATION INSURANCE AFFIDAVIT 1_2 /r1 T �Jc_ C_ Y (l ice nsee/perrni"cc) with a principal place of business/residcncc at: (City/Statc/Zip) do hereby certify, undcr the pains and pcnaltics of perjury, tluc 19 1 am an employer providing tic following workc:s' compcns-.jon coverage for my employees working on ails job. Insurance Company Policy Number [ ] 1 am a sole proprietor and havc no onc working for mrr [ ] 1 am a sole prop rieror, general contractor or homeowner (cird!e one) and liave')sired the contractors listed bye« who have the following workers' compensation insurrtc c polio Narnc of Contrcror Insurncc Company/Policy Nurnbc: Namc of Contractor Insurance Company/Policy Nurnbc- Namc of Contractor Insurncc Company/Policy Nurnbc: 1 am a homcownc: performing all the work myself. NOTE. Please be aware that while homeowners who employ persons to do maintenance,construction or repair wor4 on : dwc:ling of not more thin three units in which the homeowner also resides or on the grounds appurtenant thereto are not gener:lh considered to be employers under the Wotl crs' Compensation Act (GL C. 152,sect- 10)), application by a homeowner for a liccn'sc or permit may evidence the legal status of ass employer under the Workc:s'Compensation Act. I uncle st:sd that a copy of this statement will 6e forwarded to the Depar-rcr.:of Industrial Accidents' Office of Insu:2ncc for cove::: ve:i:ic::ion and that failure to secure eovenge as required undo Section 25.E o.'.MGL 152 can lead to the imposition of c.iminal pcn-i-;n coasis6ng of a fine of up to Sl 500.00 and/or irnprisonment of up to one yc::.-sd civil pcnaltics in the form of a Stop Work Ordc. a^.t : Fine of S 100.00 a d:v mains: me. Signcd this dry of , 19 Liccascc'Pc:miricc Licc-isor/Pcrrnirtor SUBCONTRACTOR' S INSURANCE BAYSIDE BUILDINNG: (L) ZURICH - SCPM31195788 (W) NORTHERN INS N.Y. - TC1 91911041 ENGINEEER: BAXTER & NYE ENG: (L) KEMPER - 7CQ27676000 (W) EVANSTON INS - AE802232 I WELLER & ASSOC: (L) NAT'L GRANGE MUT. - MSP45246 LAND CLEARING: PETER GOVONI : (L) CNA INS CO - C179997230 (W) CNA INS CO - WC179997244 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 NORTHERN SEALCOAT (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: GARDNER CONCRETE FORMS : (L) ST. PAUL - BFS00000169269 (W) ST. PAUL - 7717171998 WELLS : DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS : MASON WORKS: (L) TRAVELERS - 1680204Y4465TCT FRAMERS : ROBERT DORRER: (L) TRAVELERS - 680526K991A (W) ST. PAUL FIRE & MARINE INS CO. - 6S16UB-510X322-3-99 MIKE DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 DAVID HILL: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE : (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED FERNANDES WAYNE : (L) HINGHAM MUTUAL - ART9800896 DANNY TORTORA: (L) ZURICH - SCP 31874051 (W) WAUSAU INS - TO BE ASSIGNED GAS PIPING: BAYSTATE PIPIMG: (L) CRUM & FORSTER - 5031766863 (W) CRUM & FORSTER - 4086081999 ELECTRICIAN: CHAVES ELECTRIC: (L) MISC. INS . - ZDN5245913 (W) MISCELLANEOUS INS CO. - WCP0006299 AMES ELECTRIC: (L) NORTHERN INS . - NBF418165 (W) AMERICAN EMPLOYERS- QBH208297 BAYSIDE ELECTRIC : (L) ST PAUL INS . - BFS00000400422 (W) EASTERN CASUALTY - WC98695063 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) HANOVER INS - PAC105393 (W) WORKERS RISK - WCS-80414040 INTERCITY ALARM: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE : MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID' S REMODELING: (L) CGU - NBFB40738 M & R CARPENTRY (L) MARYLAND INS . GRP- SCP30235965 (W) CIGNA PROP & CAS . - C80049997 K FITZPARRICK: (L) MARYLAND INS . GRP- SCP30235965 (W) CIGNA PROP & CAS . - C80049997 OAK INSTALLER:. ROBERT BURDEN: (L) COMMERCIAL UNION - NBF824090 (W) LEGION INS. - WC30024039 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) ASSOC INDUSTRIES OF MA. MUTUAL - AWC 7000126-01-99 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BFS000000348188 (W) TRAVELERS INS CO - 1810336H8138T1A99 u STORMS & GUTTERS : ALUMINUM PRODUCTS : (L) CNA INSURANCE - 1074079839 (W) CNA INSURANCE - WCC174080411 OAK FINISHER: AMERICAN FLOORS : (W) EASTERN CASUALTY - WCV3001745 CARPET, VINYL & TILE : CARPET BARN: (L) TRAVELERS - 1680625Y1691TILOOS (W) MA. RETAIL MERCHANTS - 8100-06 TILE INSTALLER: TONY AVERINOS: (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS : (L) ARBELLA - NBF8410782 (W) TRAVELERS - 7PJUB-521X529-4-99 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS : L & M GLASS : (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY' S BROOK: (L) TRAVELERS - 6880937D0453 (W) RENNAISSANCE INS - TBD DRIVEWAYS : NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 SUSPENDED CEILINGS: ATC CEILINGS : (L) TRUST INS CO - TMP1005666 (W) SAVERS PROPERTY - WC0000873 RUBBER ROOFS: CAZEAULT CO. (L) AMERICAN EQUITY - ACC 060106R-1 SIDEWALLER: STEPHEN CRESSWELL: (L) MARYLAND INS - SCP29031342 t ° 9 i a u J a ° ° Western Surety Company n n a u p G LICENSE AND PERMIT BOND F For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, y Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P- 4 30 4 9 418 That we, RaySide Rili1ding Inr _ , of the Village of C P n r P r v i l l P State of M a c c a r h 11 R P t t R , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Mac c a r h us-pi t s , as Surety, are held and firmly bound unto the Town of R a r n s t a b 1 e , State of ma c c a cb u_-,P t t s , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of Two Hundred Ei bfy 1)n11nrR and nnPntc DOLLARS ($9Rn _ nn ), (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind,ourselves and our legal representatives, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed to construct a single family frame located at : 18 Seafarer Lane Hyannis , MA 02601 frontage 70 ' by the Obligee. N? 'FORE, if the Principal shall faithfully.perform the duties and comply with the laws and ors` ark ,4 LC a all amendments), pertaining to the license or permit, then this obligation to be void, #°fin full force and effect for a period commencing on the 14 t h day of #.,ft '9 . = February 2 0 0 1 , and ending on the 14 t h day February 2002, unless renewed by continuation certificate. � hi0on(IM,ayb rminated at any time by the Surety upon sending notice in writing to the Obligee and to tNr acipal, m,ca���,af the Obligee or at such other address as the Surety deems reasonable, and at the expira- tioifi��ot) days from the mailing of notice or as soon thereafter as permitted by applicable law, which�v �i� {t �`this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 14 t h day of February 200 1 . Principal Principal Coun r ed WESTERN SU ETY CO ANY c T f By By Resi Don M. S e v i o u r dent Agent President G ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA 1 (Corporate Officer) FCounty of Minnehaha f ss f On this day of ,before me, the undersigned officer,personally appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing F instrument for the purpose therein contained,by signing the name of the corpo 'on by himself as such officer. ; R IN WITNESS WHEREOF, I have hereunto set my hand and official se . a u J. RHONE NOTARY PUBLIC c s$en SOUTH DAKOTA sL ,� otary Public, South Dakota y r My Commission Expires 6-12-2004 Western Surety Company • 101 S. Phillips Ave. n a Form 849-A—12-97 Sioux Falls, SD 57104 • 1 605-336-0850 A G tl ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) tl STATE OF F 0 F ss , G County of tl tl F V On this day of ,before me personally appeared' G :a tl tl G tl F tl f Y known to me to be the individual_ described in and who executed the foregoing instrument and n u n , F acknowledged tome that_he executed the same. F t: My commission expiresF, 7 Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared ,who acknowledged himself to be the of , a corporation, " and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. My commission expires. at Notary Public q r G � r n n F n a G n � n Z f zz Q Q' C 4-4 n t F O Z Z 9 D W F O o W � '� o " wce 4j I+ f o cc . i LT J t0 7 59 g SEAFARER LANE PROPOSED PLOT PLAN FOR Fy�N OF LOT 29A SEAFARER LANE HYANNIS, MA. o�� �y PLAN BOOK 536 PACE 64 g STEVEN G R MB PREPARED FOR 1 h !,q SIONQ� BAYSIDE BUILDING INC. s Z � 15 SCALE: 1" =30' FEBRUARY 14, 2001 Weller & Associates 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 (508) 775-0735 o � r= g at n _ RIDGE VENT VJ CI 2-12 RIDGE BOARD ASPHALT SHINGLE5 CD.SHEATHING0. ' �f nL^Sn ATTIC M1T�s R30 F.G.INBULATION CCONT,VCENTING DRIP EDGE n� RIDGE VENT lz4 SECOND'nEl'ffiER V I I 2n5'a @ 16 O.G ALUHIMIM GUTTEft9 AND OOWlI SPOUTS 2x12 RIDGE BOARD - Ix3 STRAPPING --J FRIESE BOARD AND MOVLDING UuII ASPHALT SHINGLES GTP.BOARD PLASTER FIN.TYP. 2x0 E T.5TU05 0 24'.O.C./ �5/5"CD%SHEATHING _ b'R19 F.G.INSUL./ mil. ,a 12 SH - BEDROOM PALL 'BATH V2'PLYWOOD EATHING/ cJ .0' - - TTVEK WRAP/ (BEYOND) CEDAR CLAPBOARDS IN FRONT 'n1L91�L+T1IIF n!1 N.C.SHINGLES SIDES 0 REAR vU 5/4'PLY Q SURF— - a w.:0 K O.C. CONT,VENTING DRIP EDGE 2x10'e Ib'O. _ 0 C.- 2x10'n P Ib'O.C. —FASCIA - WIOfi3 STEEL BEAM 1.4 SECOND MEHBER ALUMINUM GUTTERS AND DOWN SPOUTS R\\ FRIEZE BOARD AND MOULDINGS FINISH 9TAMB ISR � a0 5/e'FIRE RATED is 3-2x12 CARRIERS _ GYP.BOARD 2xb ERT.BTUD9 @ 24'O.C. FOYER BREAKFAST Q BETWEEN GARAGE 1/2-PLTNOOD SHEATHING AND LIVING SPACE TYVEK WRAP(OR.ELLIAL) (OPEN TO ABOVE) CEDAR CLAPBOARDS IN FRONT - Qa c GA AGE N.C.SHINGLES SIDES<REAR 14AR—D FLOOR P.T.2X�/?z 6 SILL SILL SEPL' RI 4'CONC. 5/S'PLY 9VBFLC0R ANCHOR AT B"MPX I q I PITON.TO DOORS 6'FIBERG—INSUL. _�iR9�_PL R HAH 75 DECKING -----" - "—'—"'—"-- @ Ib'D.C. 2x10'e 0 Ib'O.C. Litltl2f Stll P.T.2x1d9 @ 3-2x12 GIRT - _ .. _ .....-. .. .... .... ... - - I WIFE, f STAIRS R t` 3-212 CARRIERS —FACT FILL - 3 I/Y 9TEEL,COLUMN9OF i Li z DAHP FRCOF BELOW GRADE v CONC.WALLS lUJ . ? 3 1/2'CONC.SLAB j - " W w GARAGE SECTIONCROSS SECTION m BCALEI 114' -11-0' LU . - Z n oC) a . - SHEET JOB, ' - DRAWN BY. o � - o v _9 ull — y7 C� 9 cnJ _ o + _ - �— Q - � � I I ML FRONT ELEVATION Z tL w _N Q Q — w W Iu Q � .. f 1... .. SMOKE DE 1 EC 1�� Y'S O.Y.. 9HECT Al REAR ELEVATION BARNSTABLE BUILDING DEPT. OB' o1°s e � rcw o p � G Q NJ N a � UO 4 C J � G 00 00 RIGHT ELEVATION . n a0 Z W n U o[ w C W W (Y LEFT ELEVATION LI DRAM BY, KW DATE. i a 0 N u— WIDx09 STEEL BEAM ABODE o pCm ma Nn D �m 49 yO7 s Nw 0 0 /1 "D 2%6 P sq v Z O PCL 21di-2 wy d2 3/d°x 41 3/4' p r - - 13_O° 131"On Z ol Z 7TD - p 3/d•x 59 3/d' 5'-D° 2'-O° ________ __�_ 7tl W OI,�O nD P S T 20% ��IfW�ll! G U1 n'xB2° q (ml J 0 E' ro . PTD 2959 - p m p 3/d•s 59 3/d' - �b — O - A a 1 PTD 2959 PTD 2941 . p 3/d°x 69 3/4' APONTE R851DENCE AYBUDLE o tU1 HLDHH(M9 HHCo m LOT 29 SEAFARER LN. 3 Mlar(Ce3EARY SQMAR , C C M 1T ERVHL LE, MA 002(9332 Q£ LU PLAN pHO rHE. 808-77 2-9 00400 FAe 308=775=0 9 as 20'-0° a �I N rn A �FTC'2959 Z A 3/4•%69 3/4' _ _ n PTD 2°59 A u! 8 y 29 3/A'>c 59 3/4' 7'-6' 6'-6' 1'-1° 10'-B"3 O PTD 2969 N - (11 . 1 ' O O 29 3/4'Y 59 3/A' D -D 2M7 y PTD 2969 m O ® 29 3/A'K 4J 3/4'. O 29 3/A'k 69 3/4' i O f O P D 2959 29 3/A•A 59 3/4' - m rrD 2969 29 3/4 >t 69 3/4 St �• g APONTE R 9SIDENGE 03 LOT 29 SEAFARER LN. 3 C3AYBERRY SQUARE, CAE nNSPERVUL LE, MA(028 32 PLAN PHOHE, 808- 7q9 840 PAX, 508-773=09.55 a o° n o --.-------------- -----� I I D N I , I g mn i I -q Io P � L---------------------- Ir--------------. ------------ C I I I I b Z I I I b z I I ' Kyp 14-1 Z I L-_J r I b LI-J3 I I I ---------I 26'-0r $ L���I�QDC o L�QQ�DQtn!IC9 QIn�Co � - APONTE RESIDENCE o m LOT 29 SEAFARER LN 1 3 MAYBERRY BQUARE, CGNTIERVULLE, MIA 02032 . . °: The Town of Barnstable • RAP. erAJ= • °� ' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 21, 1997 Re: 14 and 18 Seafarer Lane,Hyannis(Lots 28&29) Map/parcel273/245&273/246 TO WHOM IT MAY CONCERN: Please be advised that the land swap between Lots 28 and 29,as approved in May of 1997 by the Planning Board, is acceptable from a zoning perspective. Sincerely, Ralph M.Crossen Building Commissioner RMC/km By Fax and U. S.Mail ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Application # Health Division Date Issued a Z-- Conservation Division Application Fee i Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address Villagey �a/ �� , l✓11� 1� � Owner / /,I o Address cSi7rrr� 'TYt2�/ Telephoneff q,� V Permit Request Square feet: 1 st floor: existing Fq proposed 2nd floor: existing , proposed �<�g Total new c,13Y41 Zoning District Flood Plain G Groundwater Overlay Project Valuation' ' Construction Type7 �--- Lot Size /!' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;7--Two Family ❑ Multi-Family # units) Age of Existing Struct re o)C101 Historic House: ❑Yes 2 On Old Kin 's Highway: ❑Y ilr 9 g ges o Basement Type: Full ❑ Crawl ❑ Walkout ®'Other r Basement Finished Area (sq.ft.) & Basement Unfinished Area (sq.ft) YJf Number of Baths: Full: existing 02 new k Half: existing new Number of Bedrooms: L3 existing I new Total Room Count (not including baths): existing '4�_ new r First Floor Room Count Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ Other Central Air: "B 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 garageNexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: dV' tcZ2-` Zoning Board of Appeals Authorization ❑ Appeal # /"/� Recorded ❑ y Commercial 0 Yes '03 No If yes, site plan review# Current Use / Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) oll Nam?;h �,S/ter ��® � ��' Telephone Number Address l7. License # L'. S f /W" — QZ6 — Home Improvement Contractor# Worker's Compensation # p 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE //� FOR OFFICIAL USE ONLY { -APPLICATION# DATE ISSUED I MAP/PARCEL N0. ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: t r ` FOUNDATION l FRAME } INSULATION FIREPLACE ELECTRICAL: ROUGH : FINAL ; PLUMBING: ROUGH FINAL " GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ;�- Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wmly.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ll l'' C— Address: • City/Statelzip:(XVI ` I° M A4A 020.�?, Phone#: 9'71 la a Are you an employer?Check the Appropriate bow: Type of,project(required): 1.❑ I am a employer with 4. I am a general contractor and I �A'Demohtion � , tion employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ Remodeling ship and have no employees These sub-contractors have 8. working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: t Policy#or Self-ins.Lic.#: F e673 W4 Expiration Date: 12-13it;z �o City/State/Zip: �� 7 Job Site Address: � s 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. B3e advised that a copy of this statement maybe forwarded to the Office of Investigations.of the DIA for insurance coverage verification. I do hereby certify under the zd penalties of perjury that the information provided above is true and correct Signature: Date: - Phone#: f o Z Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of:health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Client#: 15273 2BAYSIDEBU ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 05/1612012 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&O'Neil PHONE 508 775-1620FAX -(A/C,No, Ext: ac,No: 5087781218 Insurance Agency 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIC ii INSURER A:Acadia Insurance INSURED I INSURER B: Bayside Building,Inc.and INSURERC: Bayside Design&Remodeling,Inc. PO Box 95 INSURER D Centerville, MA 02632 wsuRERE: 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 MMIDDIYYYY MM/DD/YYYY A GENERAL LIABILITY CPA007340920 1/01/2012 01/01/2013 EACH OCCURRENCE $1 000,000 X COMMERCIALGENERAL LIABILITY PREMISES ERENTED occcu ence $250,000 CLAIMS-MADE FY OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 X OCP GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JEa LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY.INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accdent UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCA007340621 1/01/2012 01/01/201 X WCSTATU-S OTH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? F`N] N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Town of Barnstable, BuildingSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 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 #S96172/M96171 LS 1 Subcontractor's Insurance Updated 1/31/2012 GLPohcy WC- Policy Sub Contr`actor. „.� „ . . �: :sExp,i_ration � :Expiration lnsurnce Agent All Cape Garage Door 10/7/12 6/1/12 Dowling&O'Neil Aluminum Products of Cape 8/15/12 8/15/12 Rogers&Gray Plymouth Anthony Averinos 4/6/12 7/25/12 William Palumbo Cape Cod Marble&Granite 7/1/12 8/16/12 Southeastern Insurance Cape Concrete Forms 9/29/12 12/7/12 Almeida&Carlson Chaves, Robert 8/13/12 12/17/12 Marshall Lovelette Ins Cornerstone dba Tony Arede 10/22/12 2/1/12 Sylvia&Company Ins Coy's Brook, Inc 4/24/12 10/1/12 HUB International D.P. Fuccillo Construction Inc. 10/20/12 10/23/12 Almeida&Carlson Govoni Land Services 6/22/12 6/22/12 Southeastern Insurance Hill Construction 4/29/12 8/14/12 AXIA East Insurance Kitchen Appliance Mart 8/12/12 8/12/12 USDI MAP Insulation 10/1/12 10/1/12 Willis of Tennessee Meagher Bros.Construction(Decks/Michael) 3/24/12 11/9/12 Olde Cape Cod Insurance Meagher Construction(ROOFER) 3/13/12 6/23/12 Dowling&O'Neil Insurance Morse's Masonry 3/10/12 9/29/12 GH Dunn Insurance Reed, Mel 7/21/12 7/21/12 Kerry Insurance W.Vernon Whiteley Plumbing Heating 10/1/12 10/1/12 HUB International Wood Floor Specialists 2/3/13 2/3/13 Dowling&O'Neil \\SBS2008\RedirectedFolders\whitney\Desktop\Subs for John 1 N tD 31.2p- � N. C9 —� 0- lu m Q U) o- PROP05ED m ADDITION 1 D-- OR +� ( m 0 N T) Lu H T) 14 to 0 Q LOT AREA: I OG45 S.F. R� ��S9•Sp, •44, , SEAFARER LANE BUILDING LOCATION PLAN FOR 18 SEAFARER LN., HYANNI5, MA PREPARED FOR o� ST ENVY. MICHAEL PALONE UMBA IN .35a91 ti SCALE: DATE: DRAWN BY: 0 1 " = 30' 05-23-201 2 TMW $lON JOB NUMBER: REV1510N: 5HEET NUMBER: qN0 �0 97-09 I CPP- I WELLER * ASSOCIATES I G45 PALMOUTH RD., SUITE 4C -- P.O. BOX 4 1 7 CENTERVILLE, MA 02G32 2 WINDY WAY, #232 NANTUCKET, MA 02554 TELEPHONE # FAX: (505) 775-0735 EMAIL: trl5weller@COMCa5t.net REGISTERED LAND SURVEYORS * ENVIROMENTAL CONSULTANTS Traverse PC JOs 7;?A ®IV C TAYLOR DESIGN ASSOC, INC. SHEET NO. � OF P.O. Box 1313 Forestdale, MA 02644 CALCULATED B DATE a ~� Tel./Fax.:r(5508)r 790-4686 CHECKED BY OF a�OT Z9 r i.► �4p✓ 1'i�4�hMJ` CALE _. ........ .. . ......_.... . CIO ... .......:..._. .0.... ... _..... __ .. .. f ....... ....._.. ....... ...._...... .. .. _. . _..._. t''' ior.�Sp.G or}-t�3LG"T'Tr STArR'� t J c�c. 7 io jr.t . fl..L �. ►_ Gl'9a_`�oa . _.. ..... ....... .. ......... ......... ...... ......... .. ... ....... ......_ .........__. ....._ __.. .... .. ............................ __ .. .... tc ........... ........ . ........ ......... ........ ....... . _ .. . ...... ►vC-r r. a c -G'�O .._w r-t Wit..._ -�.. :.... c. ,p S r: •J._ ._ .. ......... . ... cr .... �..G�.F..... `n 1 C'7 ±. ... . .... _CsC.__ .P .,a . .: 7 ..... , __ ............... _........... 4 .- .13� c.c.RCS► IX.._� ..k _�. ..a3c..v .. ..... V7 J" (..14f 7--lt �.4Z ..__ Z-._ .. . . `� 9�t� ...-- ... .. .. ... ..... 3�0 Z t�Q Cry. �... . l:7t .P.a.e _... . ,.. _ .. ... ._ __...__ ...... ... I - t JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 � e Forestdale, MA 02644 CALCULATED BY GMT DATE ; " Tel./Fax: (508) 790-4686 CHECKED BY DATE 6 ACeAVVN1—5SCALE ....... ... ...._ ... _. _.. .......... ...SC,�c�iti3 Ems.._ ..D�..... -�..,e..�..�.• ,p,i t'� . ... .._.8. __.. ��..... -r-�. cJ.;= .._�.S t p �.e_._ 'Z�1a.C_. . . . _ _._.... c if / - _v 2 ct lay. _ .�,- r . .... =-s... 4. E � a '� c.S. 1.4 _ . �-.. . ... .......... . . ....... . ...... . ...... .... t 7. ....... ... i . "VIP .. �� i JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 Forestdale, IVIA 02644 CALCULATED BY �'I T DATE Tel./Fax: (508) 790-4686 ,, `� � CHECKED BY DATE LO E61 C-4-&eO- Ad'JNlSCALE ` / _...._._. ..._.. ......... _. ...._ _ ... ......... ...... ......... ....... .. .... ..__ ..._.._ .._._.... Pik........ .. .._ _ ,....._.......-__.... ._ .. t l�. �1 S �Lo Pa ... _ . Pilo \ .. . .. ........ z..... 1.4. �( .. CCoPSF.. ..... .. .. ..........:. ...... ......... .....:........ . .. .. .... 4 s ' - .. . _. ... ...... ..... r Construction Supcn i.or Ll=nsL-CS-005645 K_t.Ti T.4 s} � BRIAN T DACEY =i PDXGX 95 CENTERVIESLE M�.A 02�632 e �� 04/19/2U1.4 Unrestrictedf=Buildn s �n use rouwliich Y g� p cont nk vess,than m 0'00 cubic!feet(991 )o'f enc'1!osed�space;. Fai1:u'reo po'ssessa current ed'iti,on of the;IVlasSachusetts State`B'iaildmg.Code~is causefo.Frevocatio,nrof6,s' cens For'©'PS,Li'cem§i'ng:imfo�maton:uis'it: viwww�Nlass:Gou%DPS t J -6 Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration r Registration: 113786 Type: Private Corporation Expiration: 7/16/2013 Tr# 213797 rs BAYSIDE BUILDING INC BRIAN DACEY ' PO BOX 95/ 3 BAYBERRY SQ CENTERVILLE, MA 02632 Update Address and return card.Mark reason for change. { u. . Address ❑ Renewal Employment Lost Card PS-CA1 is 50M-04/04-G101216 •.n Oftic kA%Tr A{'�a�rrsB`3'sA e� talion� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: .113786 Type: Office of Consumer Affairs and Business Regulation Expiration: ,7/1.6/2013 Private Corporation 10 Park Plaza-Suite 5170 - Boston,MA 02116 B DE BUILDING,INC_a„_. .:.,. BRIAN DACEY PO BOX 95/3 BAYBERRY�SQ CENTERVILLE,MA 02632 Undersecretary didiut signature Qf-1HErpw Town of Barnstable Regulatory Services STAe Thomas F.Geiler,Director nam �ATFD► �°�Q Building Division Ton Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b2nstable,ma.us office: 508-862-403 8 Fax: 502--790-6230 Property Owner Must Complete and Sign This Section if Using ABuilder }�✓ �—�f I, � , as Owner of the subject property lierbyauthorize S/�� /v�/tc�� 1AA to act on rnybebalf, in all matters relative to.work authorized bytl,is building permit application for; . (Address of Job) Signature of Owner Date ►MICH AEL. 5AMIC K NI-OVE Print Name Q:F0R_'VS:0WNFRPF_Pj MS10N 6 N Cobblestone Landing U Trust 50 Centerboard Lane Hyannis,MA 02601 Lynn C.Fay,Steven J.Home,Nanci L.Konick,Edward R.LaVallee,Albert H.Long,Denice A.Lubash,Barbara A Piscuskas Date: May7,2012 To: Michael F.Palone 18 Seafarer Lane Hyannis,Ma.02601 From: Trustees Cobblestone Landing II Subject:2 story addition to residence at 18.Seafarer Lane This will confirm our message left on your voice mail on this date.The trustees voted to authorize your proposed home addition request as outlined in your letter package submitted to me on May 3`d,2012. Trustee Chair Lynn C.Fay rely, Denice Lubash Secretary ° . .pg PER LADE No n - ' 0 0 0 y g m9 7a ml I m7 m R 0 C1 r rn r m m r _ m o o O rn mzZ m�� �dy D r 0 A m A 0 N Q pp N 9 m T m rn rri L A � rn A A m m S m 3 N m pc 77 V' m ° 3 `J' O N !T1 zoo AZD C a v z '77 N N I N D$ PALONE RESIDENCE BA1'SI'DE BUILDING; INC. ry 18 SEAFARER LANE, NYANNs MA 3 BAYBERRY SQUARE, CENTERVILLE, ,MA 02632 p PROPOSED.ELEVATIONS pNONE: 508-771-1040 FAX: 508-775-0155 u m m70 o rn aN U z m F rn G O z ooa 0 0 i i PER CODE 0 m a7 3 --I m cn I . N N N , PALONE.RESIDENCE SAYSIDE BUILDING/ INC: T 1B SEAFARER LANE HYANNIS MA 3 BAYBERRY SQUARE, CENTERVILLE, MA 02(>32 �pg PROPOSED ELEVATIONS .. PNONE: 5OB-77171040 FAX ,50B-775-0155 i 20'-0 - 9i_0. 9i_O. .. n /-U m -u y O o fil y �1 I 70 70 - - 4 _ m N ..Z Z I A j A O 00 dUm ���m xug x �- STEP DOWN N Cy - � fl �t ® O a � �y oy mo `p h _ s n -1 eau � c T\� N➢ Czi. xm ILLLHCCCC a€m N ❑ m 20'-0' N N , N - pOL PR0.I RESIDENCE PALONE R BAYSIDE BUILDING INC. m 18 SEAFARER LANE, HYANNIS.MA / m ( u 3 BAYBERRY SQUARE, CENTERVILLE, MA 02632 A5 PROPOSED FLOOR PLAN PHONE: 508=771-1040 FAX 508-775-0155 m : U 0 Z o P P LID Lo LQ I J LO . TW24410-6/6 TW24410 6/6 _ \ I -J r CALIGN W/BELOW) (ALIGN W/BELOW) .. co2'2'-q" -q" 5'-0' 2'-q' 2'-qLO ° Ld p TW24410-V. � BEDROOM #3 i I TW24410-6/6 � � Q CO ol (ALIGN W/BELOW) I CATHEDRAL CEILING ' (ALIGN W/BELOW) � O o w Ln ,"4 TW24410-6/6 I I CQ / PROPOSED ROOF PLAN (ALIGN W BELOW) jd 24 51244I0.6/6= < O SCALE: 1/6° . I'-0° _ I 3o Ire'x 60>/e'.o 2A 5'-b' (ALIGN W/BELOW)Y IC�1-�I 7 29 3/3/4�"x A 3/4' 2fi I� g�j� I _ •-'--" (() [L J TEME EXISTING B W�KIOIALINN KITCH BELOW ® ' - - OFF17E BATH #2 gLySQ E IXISTING CARPET - /� ID ATH TILE 2fi2( W zLIN.2& ZIn QJQ„ _Z �- Q W O BI-FLD i PULLl.O 2fi N W W I ATTIC STAIRS Imo/ N L---------- S K J Q S - W W 2fi a p w O Ly o- BEDROOM #2 BEDROOM #I - 0. � � - CARPET - CARPET Q Q W c 54 OPEN TO PROPOSED SECOND FLOOR PLAN SWEET ,,,T(( SCALE: I/4° - I'-O" /\ /I .106• PALONE c PERMIT SET —22-12 DRAWN By'TFR DATE: 5/22/12 rn 0 zQ LLo 0 w RIDGE VENT LO 12 2x12 RIDGE BOARD a� 8 r ASPHALT SHINGLES >n� I RIDGE VENT 5/a°CDX SHEATHING - z .lr_ Co - 12 (2)1 3/4'%II T/B'LVL RIDGE 0 G, t/O ASPHALT SHINGLES(MATCH MSTING) ®b Lo ya D - 5/B•coz sHEATHIN4 ,y+ ATTIG _ W X 2x'.0 Ib O.G. T.VENTING DRIP EDGE q'T� -0 F.G.INSULATION '6�p V IxB FA IA - C Ix3 STRAPPING — LL 114 SECOND ALUM NU IM GUTTERS AND DONN SPOUTS 2xee P 16 O.G. PIASTER FIN OTYYPD W FRIEZE BOARD AND MOULDING w Ix3 STRAPPING ,./� o _ In'GYP.BOARD - 2x6 E .STVDS 0 24'O.C./ - PIASTER FIN.TTP. - O NEW ADDITION n C _ 5EDROOM #3 6"RI9 F.G.F IN _ N NEW ADDITION r v2^PLYwoOD SHEATHING/ BEDROOM WALL BATW BEDROOM #3' I TYVIX WRAP/ r- - W.C.SHINGLES(MATCH IXISTING), PLY SUBFLWR \ r f 3/4'PLY—FLOOR - PARTICAL BOARD !- . - 61 P CARPET FLOORING CZ9 In 1- STS•16 O.C. / C/ o 2x10'e B Ib'O.C. 2x10'a B Ib'O.C. 11 SRAPP W {.() IK3 T ING v 1 GTP.BOARD co PLASTER FIN. > TYP, - W FINISH.9TAIR513R � 3-2,12 CARRIERS =o - Bov PROPOSED ADDITION c Q PROPOSED ADDITION T FOYER BREAKFAST SUN ROOM (OPEN To AE) m m . SUN ROOM (n C HARDWOOD FLOOR I5T FLOOR HEIGHT OF NEW ADDITION 6/5'PLT LASS I OR 1{ARDWGbD FLOOR TO BE 6'BELOW METING 6'FIBERGLASS INSUL. S 5/6'PLT SUBFLOOR LEDGE IN 10°R A 4-ION WALL 2x10'e®16'O.C. 2x1O's G 16'O.C. 6'FIBERGLASS INSUL. tt 9 1/2 I—Ts V 12 O.C. TO ALLOW FORA 6'DROP FROM FLN 5-2 GIRT OU Q t> IXSNG HSE IST 4" ANIDTI FOR 9 1/2 JOIST$ STAIRS 13R - CRAWL SPACE 3-2x12 CARRIERS 3 In'STEEL ca.unNs - CRAWL SPACE a D'x 3'-9"CONC.WALL ' N . .,.. •- r... 0x 0'CONT.FCOTIN4 � r � -� Z � /.. 4'C-0NC.SLAB >._ W/(2)# REBAR PER i�i G Lu z Q 20' W/6X6 WIRE MESH 20 0 ENGINEER TOP t BOTTOM 20 U Q (PER OWNER) AND 4'LEDGE FOR FLOOR - '13'-W Z >- 3 V2'GOING.SLAB PROPOSED NEH ADDITION a � Z PROPOSED NEW ADDITION_ W Q A CROSS- SECTION �` CROSS SECTION _ , o 2: w OJ a/ N SCALE: a � T C SWEET ' JOB:``-�/PALONE PERT"IIT SET 5-22-12 DRAWN B7:TFR DATE: 5/22/12 ' 4-0' 22_O" ---------------- m I I p I d £a I I - I ��n I I ��?fm �$ I p�F I I 20'-0' a I I z I A I I N q ---_j L------------ --------J O I I I a I I W I - -m I I ga�j is, o o L J 1I -- --- --- --- i InnY� np DA A A--.I -- -- --- —.—'I I f D L J z I I I I Ns AaR� slllf I s O OO ° Z I I I I 3 _I I nor I u r 'L J I r J a l I" I ---., I L J $tl I - ----' ------ —J I --------------- _ I q I I L Ja I I a= I T � a I I J ° _u m LAr 70 I 3 — — — -1 F----- -- — ---- I I IT20,_o^ UP P } �;MFARER R B/�YSIDE BUILDING; INC. ' : ALONE RESIDENCE mY LANE, NYANNIs NA 3 BAYBERRY SQUARE, CENTERVILLE, MA 02632 Az PROPOSED STRUGTURALS PI-4ONE: 508-771-1040 FAX: 508-775-0155 . - �� NE4DER HEADER HEADER � ' y' m C am o n �Q D '• y S S • ado 07 r u � 0 � A i D 3 ' - HEADER HEADER y R O NZ ym 3N O m � I - IXISTING ' a D � rO m y 1° I m 70 3 IXISTING Q o 0-1 dti4� LON7 R SIDENCE BA T"SIDE BUILDING/ IN�, I SEA ER LANE, HYANNIS M A3 BAYBERRY. SQUARE, CENTERVILLE, I"IA 02632 A PROPOSED STRUGTURALS PHONE: 50B-771-1040 FAX: 505-775-0155 t j a OHM ®® MU IL t ZJ � m O ®® ®® D Z m m mom ®® r m ® m ®® D < ®® O 0 ®® ®® z z . ® ® ®® ® ==o ® ®® ®® ®IM ®® ®® ®® ®® ®® ®® Yf i D f$ m APONTE RESIDENCE B/ I S I D E BUILDING, INC. XI m LOT 29 SEAFARER W. 3 BAYBERRY SQUARE, CENTERVILLE, MA 02632 a f N ELEVATIONS PHONE: 508-771-1040 FAX: 508-775-0155 m m mm r m m G < D D O Z Z QN. i 4" D$� I ' I APONTE RESIDENCE BAYSIDE . BUILDING, INC. . £ LOT 29 SEAFARER LN. $ X 3 BAYBERRY SQUARE, CENTER VILLE, MA 02632 of2 N" SECTION PHONE: 508-771-1040 FAX: _508-775-0155 A'-0- 22-0' I � < Ip myY ml O - I O - 0 0 0 — PTD 2959 I . p � p PCG 2141-2 P _ / D 29 9/4'z 59 3/4' - m m -1 _ ® 42 3/4'z 41 3/4' O - I I I I PTD 29 3/4'z 59 3/4' 5i_Da ,_Dn C p N O �i1 b gD o . PTO 2959 m 29 3/4'z 59 3/4' T b G o PTD 2941 PTD 2959 29 3/4°z 41 3/4' 29 3/4'z 59 3/4' - 0 P N a - I1'-3' . . 26-0'. . APONTE RESIDENCE BAYSIDE BUILDING, INC. m x 2 LOT 29 SEAFARER LN: 3 BAYBERRY SQUARE, CENTERVILLE, MA 02632 0 N CsI PLAN PHONE: 508-771-1040 FAX: 508-775-0155 6,_pe 20i_p, 3,_0e f (n m _ c� �. �rro 2939 m - n m Q 29 3/4'x 59 3/4' 18, - - d N 7'-6' S 5'6' 2'-4' Ip'- 29 3/4'x 59 3/4' e O # W 2939 - O 29 3/4'x 59 3/4' dl - D J DDy PTD 2959 / o O tt ® 3/4' _ O 29 3/4'x 59 3/4' O � J O PI'D 2969 29 3/4'x 59 M uu W 29 3/4 x 59 3/4 - H S T 7 b" 3_y 20-0 o mj— �f$ APONTE RESIDENCE BAYSIDE BUILDING, 'INC. m X LOT 29 SEAFARER LN. 3 BAYBERRY SQUARE, CENTERVILLE, MA 02632 off PLAN PHONE: 508-771-1040 FAX: 508-775-0155 Assessor's map-and lot number .... .,7 ......... 7. ...... : . a�n ..,...,...,,_ �_ *THE n� �* ... fY�U�� Ctltl�hOL�tl tiv tlVYY111 dL�YLI� (pt4 pw Swage Permit number ........:.. d".'`"'1... • . Z oo9�AFR"p 6n MepY LL House number ............................ r ..................................... 39A, TOWN OF BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................................. TYPE OF CONSTRUCTION ...W44a..f r.=Q........................................................................................................ ........ xy....Z.]...............198.9... TO THE INSPECTOR OF BUILDINGS: 0 The undersigned hereby applies for a permit according to the following information: Location ...,,Lot #29 Seafarer Lane Hyannis, MA ..................................... ............................................... ProposedUse ............................................................................................................................................................................. Zoning District R•B• .......................Fire District Hyannis ................................................. ....... ............................................................... Name of Owner Capricorn Realty Trust Address ...�65...Fa.lmouth Road, Hyannis, MA ............ ...................... .......... Name of Builder Franco R.E. Dev.Co. Inc........Address ...765 Fa.lmouth Road, Hyannis., MA Nameof Architect ..................................................................Address ......................................:............................................. Number of Rooms ...Eight.................................................Foundation ....P.r.Cr................................................................ Cla Exterior bard n.d .o ...s.h.i.n Le .................Roofng .....as. hal.t...sh.i.n .Le.s ...........................,........ I Floors ..carpet........................................................ .Interior .....sheetrock ........... ...................................................................... HeatingGas-F,.,W.,A............................. Plumbing............. .................................................................................. Fireplace ...................................................................................Approximate. Cost .................................................................... Definitive Plan Approved by Planning Board _______ /_—3_________19 __. Area .......................................... Diagram of Lot and Building with Dimensions j Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ,.ie.��,ee ....... /✓f�� 000989 .....Construction Supervisor's License ............................... � ' v No ................. Permit for ------------ ' ^ ~ --------------.--.--------. , Location --__________~________ . - --------.—.---------------- ^ Owner -----__�___________�__—. Type of Construction ............................... ---.�.—'---------.-------.---.. Plot ---------' Lot ----------.. � ^ . . . � 04,mh G,on*aJ -------------]V -. Doteof | ------------lg - . ' ' . ` Dote Completed .......................................lg ^ � . . ' . . . ' . ' . - ' ^ � ` � ' ^ , ` . . . . ` + ' ' . . . \ ' ' | ^ SINE _ ^ BUILDING � NN N 0 �� N �� �� INSPECTOR �� 0NN0-0� N �� 0� ` � � � �� � �� ~� APPLICATION FOR PERMIT TO .../5 .1.a Md,lV, ...dwe}]. ' .................................. TYPE OF CONSTRUCTION ...Vqg�..�������---------.------__,____.____________'_ —� � --��\DgitrY...Il .............lA8.q... TO THE INSPECTOR OF BUILDINGS: � The undersigned hereby applies for o permit to the following information: ' Location __Lot #29_____.Se.afa.rer.�Lane __..__________ i�......M.A....................................... ProposedUse ----------------------.—..---------------.--.----.__'____,___.. Zoning District ..........]l...B.......................................................Fire District —. io....................................................... � Nome of Ovvne, Capzic��rn_Be.�ltv_Tru�.t____A66,eo _765_ ..Roadx_ /�x_DQ�. - Nome of 8vi|6o, F�������—B����—De`����C����ZTu��--�A�6,e» —765...........................................8madx_ x_��\. Nome of Architect ----------------------A66ress ------------------------____ Number of Rooms — i ----------------.Foun6ohon —'����---------..----------. Ex|eho, C _aod/mr..��1�nole!�______ _.��� t_��bioS[le/�'�'___________ ' . F/oom .----------------------.|nterior `—'ohe ..................................... ______ Heating =------------------.Mum6ing ........................................................... Fireplace -------------------------.--.Appruximote Coo ---------___,________.,_ Definitive Plan Approved by Planning Board lA Area -------------- .. ' Diagram of Lot on6 Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH � ° ` ` =� � . _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � | | hereby agree to conform to all the Rules and Regulations of the Town of Bonn$o6|e regarding the above | construction. no\ma*: � 000989 � Construction Supervisor's License .................................... \� ' ' | / No ................. Permit for .................................... ............................................................................... Location ................................................................ ............................................................................... Owner .................................................................. Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 BDOWWIRAGE 6 _ RECEIVED ? 19 97- sotva io.ao 3 �Ne 1�RECORD a LOC�4ZION 04.0 fit? �GQ[E a,�Fti r 2Z ce do• S�QCE LOr 28 82 Ze _ _�� V49,y �rORErz Ir CIO /0303/Z7/ 9 e . 3 ,QRfQ= /O,Z 5 6 3.F. y L Or 27 LOr 294 AfM-- �x�1T�itrG v ry0 14-- N O COBBLE.We MVVI NO /NG. J LOT Ze4 35'/ 5,47 C-8 j �o RAF4 /0, l005 5./ e CIO ON \7 co 5 or, EL/Z46ElH ANC S�ER�j' 103/6/079 JAM*CAR ER Z 4NE 50' WIA9E) Mra5: L Oj'2BA �'U BECOME P,4�Pr OF LOT 28 LOT Z94 IV 6ECOME PgRT OF LOT 29 ,VJ.5E5.5OR5 M4P 273/PCZ. Z05 gPPW!/4Z &NOF,P r//E SUdD/V/S/OW C'MMOL LAG!/ ZONE RC-/ IVOT �PEQU/RED . ,BdAMM4BLE P[,4AMAolev BOAC er'eQCK- 30, 1 ' , 5/OE Z' REq�Q- /5 0 / of F/tONT/aGE - /25' JOHN K 0 1 2 3 3" SCALE 7XI.5 FLAW 4 43 BEO,V PREr•ARE,0 /,V ,PE�UL4l/ONS OFTf/EPEG�3T�5PS OFDE,fp3 PLAN Of L4N,0 IN IYY-4AIN/S,o MW SS, . OFIiYEco MlWlVwf4LwewWq".wc for MAAI Q RjrZ�y we 4eWAI M/LMF PZ.s. MAY 7, /997av �C4LE� / i30 ALL CAPE AWOMEERIA140 49 A/AR,609 OA0 R #YAVV15, A/QSSt1Gl,/(JSETTS P l0 � -- Ro"a-r� } LOCATI O M 11AP 1 I CA L E " = 2 000' O4 \^ 6-\N � `\ c�a \ V 6v i, c( CHAPMAN .p No. 276 The BSC Group-Cape G !LlC' Maadaket Place B12 BE.^�CH MARK USED: Route 28 110C ELEV , Q 75 . 68 N . G . V . D . Mashpee MA ZONE RC-1 02649 SETBACKS: (OPEN SPACE) C 1., ` .. _ FRONT 2C� ' SIDE 7 . 5 ' REAR 7 . 5 ' CONNECTION �CCCC FOR SEWER MAIN DETAIL SEE PLANS BY KALKUNTE ENGINEERING CORP . l._OT L 1749 CENTRAL STREET STOUGHTON MA . 02072 k In B."af NESTAB3 E MASS , FOR: CONSTRUCTION NOTES : I. ALL UNDERGROUND UTILITIES WERE COMPILED ACCORDING TO }'A!LA -"--E C,^lPcl tGC;1:�I R;A!_.1I 1` l F;u RECORD PLANS FROM THE VARIOUS UTILITY COMPANIES AND PUBLIC AGENCIES AND ARE APPROXIMATE ON' Y. ACTUAL LOCATIONS BE DE T ERMIA Eli IN TIF FIELD. THE, CONTRAICTOR MUST NOTIFY UTILITY COI PA,,�IES 7Z HOUIRS IN A.)Vrk:%l'E SCALE I = OF COBS RVCT ION. THIS MAYBE ©ONE BY CONTACTING THE DIG - SA-FE CENTER VETERS' FEET a 10 161-C 57r. 2 ALL WORD; AND MATERIALS SHALL CONFORM TO THE TOVVN OF EApNSrASI.E Rw_-_._�_.._n,.. DEPT. Orl DATE;PU I._IC WORKS CONSTRUCTION SPECIFICATIONS AND STANDARDS . � 1 V �._ -- PRIOR TO START OF CONSTRUCTION THE CONTRACTOR MUST O TAIN FROM T HE ' `I`O 'N' OF SARNSTAeLE A SEER TIE - IN PERMIT At , A ROAD OPENING PEI;;"! i. CH CI° : f q DRAWN - i FIELD, FILE NO. DWG NO: 5 t�2-7-_9,106 NO: ram, dP S "E E T c y+ch:..:::. -._....; .. -..:.-.„. _.....„., ,.... ,.a.:_ r -,.......,. _.....i.. ,...,..ram.,._...-,3. ..... ,!"Tw...c 7.. Z s,_A.t.,_..... ..u..sA.7:$.°4-^° n. 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