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Home My WebLink AboutBuilding Permitsi r TOWN OF YARMOUTH Building Department BUILDING (508)398-2231 ext.1261 PERMIT NO __8.,2.294.' PERMIT ISSUE DATE 9/8120U.. ; PROPO APPucANr unatVrre�,iaPariy JOB WEATHER CARD --- --e- PERMITTO ; MIisa. ri ; AT (LOCATION) 10426HIGHBANK RD ZONING DISTRICT�Bldg, Type: Residential SUBDIVISION MAP LOT BLOCK ',092.7 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R.9 LOT SIZE erect temporary tent - wedding - duration: 07/I I.09/12111 - REMARKS (— AREA (SO FT) EST COST ($ i$1,500.00 1 PERMIT FEE ($) $35.00 OWNER i ALSH, JACQUELINE BUILDING DEPT BY ADDRESS �0426 HIGHBANK RD South Yarmouth MA 02664 INSPECTION RECORD Date Note Progress - Correctlons and Remarks CONTRACTOR LICENSE 0 Undercover Tent S Table 31 American Way South Dennis Me 02660 5OB3989M PHONE 150a2733601 i FIELD COPY Inspector M c EXPRESS BUILDING PERMIT APPLICA TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 (508) 398-2231 Ext. 1261 CONSTRUCTION ADDRESS: `i I!o 14"41 f`b^rt p izj ASSESSOR'S INFORMATION: OWNER: CONTRACTOR Map: Pagel: t3 L4, Qu• (ks��,,,G f'j LAME PRESFNr ADDRESS S ....4 L ....,,... J1 TEL r L 14^" 3 L umea Use unty. _ - Permit �a=d% FeeS Permit apices 6 atootiss from Issue data gRECEIVED SEP 0 6 2011 /6 E3UILOINb ,Q Z73 36 S-6v,91 NAME MAILING ADDRESS 3. !),Anic TELa Re idmtial Commercial Yam" Cost of Construction$ /500) [tonne Improvement Contractor Uc. r Construction Supervisor Lice r Workmen's Compensation Insurance (check one) I am the homeowner 1 am the sole proprietor I have Worker's Compensation Insurance 1� Insurance Company Name: Tl, c TAM• 1�< w Worker's comp. PolIcyr W E � E XTeot (Fire retardant Cesu(irate attach9� ed) 0 Wood Stove Shed- 0 Siding: r of Squun ❑ RepLa em nt windows: v D Replacement a 0 Re -mot. r of Squam 0 Iamladon () Stripping old shingles• () going ova -layers of edstlag coat ❑ Old Kings HlghwaY411storic District RooBolVsldinr (11ke for Ilke) 'The debsis will be disposed of at: Location of Facility I declare under penalties of perjury that the stamcau haela coatained are twat and condor to the hest of my knowledge and bead. I undentaad that my false answer(s) will be just cause for dplld or revocation of my license and for prosecution under Kai- Ch. 261. Section 1. Applicant's Signature: owners sla Stan (a Duce: eT i' S / 11 Approved By: Doc Building official (err designee) IGstorical District: Yes N Flood Plain Zone: "'1 No Water Resource Protect! ° District Within 100 it. of Wetlands: Yes Y� to No 101 ;r. The Commomveauh of Massachusetts Deparihmnt of lndus&W Accidents Office of lnvesdgadons 600 Washington Street Boston, DNA 02111 www.ntassgov/dla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Businczx rgaeiarioolladividnal): Address: 3 t Q ^' If-# t u.. Tza-t t- ) ,., Are you as employer? Cheek the appropriate box: 1.0 I am a employer with / U 4. 0 I am a general contractor and I Type of project (required)' employees (fill and/or part-time).* have hired the sub -contractors 6. ❑ New construction 2.0 I am a solo proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have no employees 71ese A&tontncton have g, 0 Demolition for me in any capacity. [No workers' comp. insurance employees and have workers' comp. insurance t 9. 0 Building addition required:j 5.0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work myselL [No worker' comp. officers have exercised their . right of exemption per MGL I I.0 Plumbing repairs or additions insurance required.] t 3a.0 1 am a homeowner acting as a c. 132,110), and we have no employees. [No workers' 12.❑ Roof repair 13.0 other — (u4 general contractor (refer to #4) comp. immanee remaredl r 1AnthatP applicant tchock. tier A mat also all our the Section itches showing thek wakes' coo>aardog puller tolhtmado< Homeowner. who submit this allldwit indindng Thep av doing as work and then hin oubida coma arm mbmir a uses amdavil indicting such tCoomcmn thal cheek this boa aster aaaehed o additiertal sheer a6owbtg the name of the and stW wberhw or not thous ends" have empbyese. Ifths adcooaecrus have employees, they min povids their worker• cam, pdk7 �h� . law ployerrhatis provldlaS xvrkera' coarpacradox Luerance for my seeployeas, Below lY die pulley andJob site Insurance Company TP,4.ce Polity #err Self ins Ira # X & v ►3 l q y -1-9 / Zl Expiration Date: /f L t /l Job Site Addrac 2% 1..� L K,4 See �L �'�'a<L city/Statdrtp Attach a copy of tits workers' compensation policy declaration page (showing the policy number and expiration date)` Failure to secure covasge as required under Section 25A of MGL c. 152 can lead to the imposition of criminal fine up to 31,500.00 and/or one-year' penalties of a tmprisonmeati a well m civil ptsaldes in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violates 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 nndtr thepahn and penalties of perlary that die [nfornratlos prorMd abm Is time and tomert ,q // S-S? - 34? --7 ae�- 001k at UM only. Do not write /n A& area, to Be eonrp/rard by city or foxes OAUML City or Town: Permlt/LiceaM # Issuing Authority (circle one): 1. Board of Health b Building Department 3. Cityfrown Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Peron: Phone#, Information and Instructions u7cnaal Laws ahWW w is dtr!laed ace --ninety MOM 29 � ia fttariee alabo troy `cwrSd o pttrattad ro dda ttatttb. a■ wl.,�r. writtea- w, sfal+ V detbtad a. "ace iadividta� p�as�P►'YOC °Otp01dOa or tubes lept booty. of my het off torn oI rhr l6tesolia� eappd it a Jaiot �� rind hachedlt�{ the tepl rspees�tivw Duce dtceaeed �lalati ar tb. realm ateadw of s hadtvWod. Psm■abi 4 "@=biba ar G&W d�wbo reaidas � a �. H v t!r owarr o[a dweUi+s maw badai trot man thta � ma� 1 coauoactjaa � reps wort oa atri dweUbts heww dweUiy hoow ot'aaothet wee amplala t � �.0 Doe e.c.aw ut,aei empbrmmt b. aeemae eo a ca te.Oausdo w bdldtas appmtmawt ,%toL ahapw 15112=6) Am Stalls"-svay BUM w 'ed V=ft ap"y shalt wttbbeld tb (owaace or rsM R of a Usaan w perdu W epwab a bdaew w to aaeabwd bdlddp in the awMawultlr atawy sppdtmd wM bw ttet prdwead aeseptaW avWaan.taee�ssaw wlt! rice braraww tw.erast tre�ek Addidway. bM ah.pltr 1l2. JIM" ra` a 8s work ustil Y i rcqmkmxsb ON" bit h.r+ ban Peew"d to the waaaedep ash• pleas trs atd the WWI= ' affidavit cempletalA by chocUnd the bom the apply eo yoar sibm" =4 u oaa EM mppli wbaoeaaeta(a) samr(a� ddam(o) ad pww t woWs) along 'idwir dk m aoOt the the icet nws LlmiMd LWg* Corpin w(LLC) at L mMd L W&W pamaabtps (LLI� wi mambas ......,OdmpindtocmyvmkuifcompsondasIansabea 1f za LLC ar LLr dow hm amplalee► a peUay V ttegored. Be adwind that thin &Mdwm may be sabmin ed to the Departmad of fadmddd MuM Axidats #w c=&n=dow odbawt ma Conn@. ALe be nun b alp ad date dw atlldaalb me � d be ,Como r the city or tow that the spplicWw for the permit ce Uaww is bobs ragwerb� [ndNW W Aecidab. ShmW yaw bow aq Wwdaw ee- ,U ter tan cc if you an tegeied to obab a warlan' co®ebudse teolla)4 pho" nU ths D@pKanod d the b®bar hared ibis SdOwned compWo shwW radar their Cly • Teww Omdbb pine boom that the affidavit it eaagkta ad prised lcSW The Depatmmt to protrided: apace d the boors o[the affidavit for yaw to Mad be the event the officeoltavedpdow hoe to contact yaw repedias the appNen< place be bow ro jM d the panoUdbw member wbicb will be and a a tefwewce ®het: is a&Mk , s aPpdcead that mod suborn mddpM pwMW5cmw is Say Sim laz. Sad awry aobcd! aaa affidn* Eo caQeat poUCy whZE" gm, 1) ad owdw'lab Sib A&kMe the spokad sb=M wrib'ys locadow ice_ (dry at tows}- A Copy of the affidavit the to bee affiddly auatpd Of UMdrd by UN dry ar taws may w provided b thb appUw/ ■ pt9od the • velW et]!dvil t. ea ffie for 6rise ps®lt a Uewaas. A Sew affidartt rind be HUad aced nett yew. Wha a home owoa to bta teays a timm paSa+ to NOTbregoLd a CompMta dde waxy'�d vea0we (La. a dos Ueeew Of pereoit The anin d lnvadpdow woaW lira b thins )art i1 ad"= fbt ym cwWadow ad shmm yaw bare Sty 4aMIM4 pleaaa de ad haim be Siva as a aR ON Ceps—W addtao, talepbMw ad flax tubers Tbtt Commoawealth of Mawwbusetts Depw Mwd of Industrial Agddtmts Office of IavestlpWu 600 Wwbb Ooa 3tt d Boston. MA 02111 Tel. 0 611-7214900 cd 406 of 1.1177-MA99AFS Fax ®617-J27-77d9 Revised 11.22.0 wwty rtttls pv/dice OP ID: AK ,4�oRo� CERTIFICATE OF LIABILITY INSURANCE °" 08137"°"1111 " 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(les) must be endorsed H SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require on endorsement A statement on this cer"cats do" not confer rights to the certificate holder In Ikiu of such endoreemen s . PRODUCER $00-8245201 Bony Insurance Agency 9 Ma Street 508520-691 Frankliq MA 02033 Daniel P. Sullivan TAC NXEN p ", =ss• - - pRooucER UNDER-1 INSURE S AFFORDING COVERAGE NAIC0 INSURED Undercover Tent 3 Party Tony Prl2i1 31 American Way South Dennis, MA 02660 INSURER A:St Paul Fire 3 Marine Ins. Co. NsURERa:Quincy Mutual Fire Ins. Co. 15067 NsuRERc:The Tnvalere Insurance Co. 19038 INSURER D INSURERS: INSURER P! 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 IMICH 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 CLAMS. - NSR TTPE OF INSURANCE NUMBER POLICY E" POLICY EXF LIMITS A GEMERALLIABLITY X wu"ERoALGENERALuAmin CLAIMS -MADE aOCCLR K00222216 05102f11 05107J12 EACH OCCURRENCE S 1.000.00 PREMISES fEea 100,00 MEDEX► " S 5,00 PERSONAL A ALN NARY S 1.000,00 GENERAL AGGREGATE S 2.000.00 GENL AGGREGATE POLICY UNIT APPLIES PER: P"a Loc PROIX17fS-COMPA0P AGO i 1.000,00 S B AUTOMOBILE LMBLFTY ANY AUTO ALL OVMED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.ONREDAVTOS f'V205655 OSfi)L11 06102112 COMBINED SINGLE Lain (Ea a0warn S 1,000,00 BODILY RLNRY(PP PWWO e BODILY KIURY p'w erltleq i X PROPFMIM YMAGE (PwommeD i X X S i UMBRELLA LIAR EXCESSUAS occlR CLAIMS.NADE - EACH OCCURRENCE IS AGGREGATE i DEDUCTIBLE RETIE i i C • WORKERS COMPENSATION AND YERS UABLITY ANY PRo�PRIETTOF TNvrrvE YIN OEEILERMFUSER EXCLUDED? (MYaNndl IY 1a NH) orsc= OFOPERAT10N5Welow NIA XEUB1999TS1210 11121110 11@1ACCIDENTL TK X STATLI FF EACH ACCIDENT s 1,000,00 E.L. DISEASE -EA EMPLOYE S 1,000,00 E.L DISEASE -POLICY LIMIT S 1,000,00 p qulpment Floater CKD0222.216 05MV111 06102112 Unit 600.00( IMeuct IAW OExnnlo"OF TION$ILOCATIONSIVEMCLES(ARMN ACORD 1M, AC®INrI R.MNU Bc;= aaea apse b"RwMq Party Goods entsls BENBARN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE I En BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bon Walsh ACCORDANCE WITH THE POLICY PROVISIONS 426 HlghBank Road South Yarmouth, MA 02664 AUTHOR® REPRESENTATNa aw OeA.:a AAA-� M 19Ba-2UU9 ACUKU wKPUNAT ION. AN ngnts reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORO Tie rttft.rate of Name lestatanct REGISTERED APPLICATION NUMBER F121.4 ISSUED BY ANCHOR INDUSTRIES INC. Date of Manufacture EVANSVILLE,INDIANA 47711 SERIAL #: MANUFACTURERS OF THE FINISHED 26958 3/24/93 TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described have been flame-retardant treated (or are Inherently noninflammable) and were supplied to: NAME: Pn CITY READING STATE Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done In conformance CERTit EDalifor#nia Fire Marshall Code, equal to or LAMINATED exceeds NFPA 701, CPAI 84 GOVERNMENTU.L. - 214 Method of application. MIL - 0 - 430060 NYC - 374 - 60 -SM Type, color and weight of canvas/vinyl: 15 oz BOYLES BIG TOP VINYL LAMINATE White Description of Hem certlRed: (1) 30 x 60 Century Top 4 c Flame Retardant Process Used Washing And Is Effective For JOHN BOYLE 8 CO. Name of Applicator of Flame Resistant Finish STATESVILLE, NC Will Not ow nGrllvvcu Lay The Lif Of The Fabric Signed: T� ENT D RTMENT—ANCHOR INOU51 nits Inu. `/ LOUIS R. BROWN (Urtiftrate of ,Jfiiamie Reststattrr REGISTERED APPLICATION NUMBER F121.4 ISSUED BY ANCHOR INDUSTRIES INC. Date of Manufacture EVANSVILLE, INDIANA 47711 MANUFACTURERS OF THE FINISHED SERIAL #: TENT PRODUCTS DESCRIBED HEREIN 26958 3/24/93 This is to certify that the materials described have been flame-retardant treated (or are Inherently noninflammable) and were supplied to: NAME: ebrnRTVAN PnTITPMRNT CITY READING STATE PA Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code, equal to or exceeds NFPA 701, CPAI 84 GOVERNMENT CERTIFIED LAB #3056 Method of application; LAMINATED U.L. • 214 MIL - C - 43UU6U NYC - 374 - 65 -SM Type, color and weight of canvasivinyl: 15 oz BOYLES BIG TOP VINYL LAMINATE White Description of Item certified: (1) 20v x 40 -Century Canopy r-lame nexuraarij Process Used Washing And Is Effective For JOHN BOYLE & CO. Name of Applicator of Flame Resistant Finish STATESVILLE, NC Will Not Be Removed By The Lif Of The Fabric Signed: ?cti1 T� ENT D RTMENT—ANCHOR INDUSTRIES INC. �/ LOUIS R. BROWN ORDER #: 8936-17 -nderCover Tent & Pa % 31 American Way South Dennis, MA 02660 Phone: (508) 398-9000 Fax: (508) 398-9091 Website: www.undercovertent.net BILL TO: ARIEL BEN WALSH 6914 6TH QVE APT 3B NEW YORK NY TEL: (347) 231-8251 FAX: EVENT DAY: SATURDAY DATE: 09-10-2011 EVENT TIME: DELIVERY: THU 09/08/11 PER REQUEST CUSTOMER PICKUP: MON 09/12/11 PER CUSTOMER REQUEST SALES PERSON: BH PURCHASE ORDER #: ORDER DATE: 02-17 TERMS: C.O.D. (917)400-7531 11209 SHIP TO: ANNA (617) 838-9837 426 HIGHBANK ROAD SOUTH YARMOUTH MA CATERER:TREATSCATERING QTY ITEM DESCRIPTION PRICE TOTAL 1 15X15 FRAME TENT(WHITEXPATIO) 260.00 260.00 1 20X40 FRAME TENT(WHITE) 575.00 575.00 1 30X60 FRAME TENT(WHITE)-3 CLEAR MIDS 1,200.00 1,200.00 18 7X20 CLEAR SIDE WALL (OPTIONAL TO POINT OF DELIVERY) 25.50 459.00 15 60" ROUND TABLE 8.50 127.50 5 30" ROUND CAFE TABLE 8.50 42.50 3 8' BANQUET TABLE 8.50 25.50 5 6' BANQUET TABLE 8.00 40.00 150 WHITE PADDED GARDEN CHAIR-1/2" PAD 3.75 562.50 360 STRING LIGHTING 1.10 396.00 1 TENT PERMITTING FEE 150.00 150.00 160 10.5" SQUARE DINNER PLATE-WHITE-20 PER RACK 0.47 7520 160 5" SQUARE BREAD & BUTTER PLATE-WHITE-20 PER RACK 0.37 5920 1 7 1/2" WHITE SALADIDESSERT PLATE-20 PER RACK 0.39 0.39 1 •*DAMAGE/LOSS DEPOSIT" 125.00 125.00 180 6 OZ. WINE GLASS 0.40 72.00 180 6 OZ. CHAMPAGNE FLUTE-36 PER RACK 0.43 77.40 150 10 1/2 OZ. WATER GOBLET-25 PER RACK 0.43 64.50 150 DINNER FORK(25 PK) 0.38 57.00 150 SALADIDESSERT FORK(25 PK) 0.38 57.00 150 DINNER KNIFE(25PK) 0.43 64.50 150 TEASPOON(25 PK) 0.38 57.00 5 120" ROUND WHITE LINEN 18.00 90.00 15 108' ROUND WHITE LINEN 16.00 240.00 SPECIAL INSTRUCTIONS: REVISED 5/3/11 $750.00 DEPOSIT REQUIRED TO RESERVE. WALSHQNAVIONICS.IT 1ACKIE 508-273-3661 n Customer Signature Date *Customer is responsible for obtaining necessary permits and marking of any underground utilities. TOTAL: 5,161.69 SALES TAX: 305.42 DELIVERY: 40.00 LABOR: 0.00 TOTAL: 5,507.11 DEPOSIT PAID: _ . 750.00 BALANCE DUE: 4757.11 ORDER #: 8936-17 UnderCover Tent &paiy 31 American Way South Dennis, MA 02660 Phone: (508) 398-9000 Fax: (508) 399-9091 Website: www.undercovertent.net BILL TO: EVENT DAY: SATURDAY DATE: 09-10-2011 EVENT TIME: DELIVERY: THU 09/09/11 PER REQUEST CUSTOMER PICKUP: MON 09/12/11 PER CUSTOMER REQUEST SALES PERSON: BH PURCHASE ORDER #: ORDER DATE: 02-17 TERMS: C.O.D. ARIEL (917) 400-7531 BEN WALSH 6914 6TH QVE APT 3B NEW YORK . NY ' 11209 TEL: (347) 231-8251 FAX: SHIP TO: ANNA (617) 839-9937 426 HIGHBANK ROAD SOUTH YARMOUTH MA CATERER :TREATS CATERING QTY ITEM DESCRIPTION PRICE TOTAL 3 90" X 156" FULL LENGTH WHITE BANQUET LINEN -FOR 8' TABLE 19.00 57.00 5 90" X132" FULL LENGTH WHITE BANQUET LINEN -FOR G TABLE 17.00 85.00 150 20"X20" WHITE NAPKIN 0.95 142.50 SPECIAL INSTRUCTIONS: TOTAL: 5,161.69 REVISED 5/3/11 $750.00 DEPOSIT REQUIRED TO RESERVE. SALES TAX: 305A2 WALSH@NAVIONICS.IT DELIVERY: 40.00 IACKIE 508-273-3661 LABOR: 0.00 TOTAL: 5,507.11 DEPOSIT PAID: 750.00 Customer Signatie Date BALANCE DUE: 4757.11 *Customer is responsible for obtaining necessary permits and marking of any underground utilities. or .y TOWN OF YARMOUTH Building Department BUILDING - - - - - - - - (508) 398-2231 ext.261 '- PERMIT PERMIT B-09-022 a ISSUE DATE :--71812008• -: PROPOSED USE APPLICANT :Charles Corey_ JOB WEATHER CARD --- PERMITTO Repair AT (LOCATION) 10426HIGHBANK RD ZONING DISTRI R-40 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK LOT SIZE strip and reroof, 10 squares, paper and vent to code REMARKS AREA (SO FT) EST COST ($ Lam• OWNER IWALSH, JACQUELINE ADDRESS O426 HIGHBANK RD South Yarmouth I MA 102664 BUILDING IS TO BE: CONST TYPEI 5-B I USE PERMIT FEE ($) $25.00 BUILDING DEPT BY INSPECTION RECORD Remarks CONTRACTOR LICENSE 136068 Carey, Charles 1694 Falmouth Road Centerville MA.02632 5087758240 PHONE 15083942468 FIELD COPY /:1kA-1:;??alwJ WELDING PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 (508) 398-2231 Ext. 261 a a �/.!415,IN i � /s, 0 Commercial Est. Cost of Construction S Y502 A Hama Impmvemmt Contractor I.ic. / 1 s & dG f, Contraction Supervisor I.ic. / Wod=vn•a Compensation t^wunnoc: (check me) ❑ I am the homeowner 0 I am the sole proprietor 0 I have Warkels Compensation Insurance insurance Company Name •••t"vp t/.a r p. S Wakds Camp. Policy/ `f T 7 fL�a Ail- 0 0 Tat (Fos Retardant Cartlficate attached) Duration Wood Stove Shed 0 Siding: A of Squares ❑ RepLcemeet windows: 0 0 Replawmeot doors a LTRa�ooe M of 3qurss (#SliqVing old ahinen* ()going over Iayen of existing roof Me debris win be disposed of at: [.oration of Facility I declare corder poaa ties of perjury that the statements bowie wosained an husand coned to the beat of my knowledge and bolieL I undwdmd did any fakers snrwer(s) win bs juat ease for denial or revocation ojryd(osms and for proseaAioe under k[O.L Ch 262. Section 1. _ Applicant's SWUhac owners Sigtabue (er attachment) Data: Approved Hy: Dde BuildingOfficial (ere designee) IV o ctact Ym i-, c0.ZabAl:z Zoning Distric 1 istorical District ❑ Yes §� No Water Resource Protection :ishict� ❑ Yes X No INYu #}'- Flood Plain Zo= &Yes ❑ No Within 100 R of Wetlands: Yea ❑ No 3A1 IThe Commonwealth of Massachusetts / Department oflndustrial Accidents OJJ4ee of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: BnIlders/Contractors/ElecMcians/Plumbers Name Phone Are you an employer? Cheek the appropriate box: 4. I Type of project (required): 1. ❑ I am a employer with am a general contractor and 6. ❑ New construction employees (full and/or part-time).• 2. ❑ I am a sole proprietor at partner- have hoed the sub -contractors listed on the awsched sheet. 7. ❑ Remodeling ship and have no employees These subcontractors have 8. ❑ Demolition working for me in any capacity. employees and have work=' 9. ❑ Building addition [No workers' comp. insurance required.] comp. h manse t 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required] t c. 152, 41(4), and we have no 13.0 Other employees. [No workers' comp. insurance required] - *Any apples fur chocks box at must also fig out the sectiom bebw• showing Ihek nodes' co pmatien try infaenadca. t Honnowwes who mbmit this atgdavit iodiraeog dzy on doing ag work and dmm him ounids twnvoctan mart submit a new affidavit 6di sting such. tContnclars dust check this box mast smachod an sddidaul shed Yawing the none of the subcoursdo s and sun whether or not gore entities have emptoyeea. if the subsmbsctm have employes, dry must pmrvids dick wvrkaa' comp. pocky number. law an employerthat b providLiS workers' compensadon hrsuramcefo►my employees. Below is thepallcy and job sue information. a Insurance Company Policy # or Self -ins. Lic. #: 7 P3'U� 7 SI=�nil7^tJ s Expiration Date: Job Site Address: ��t;5h City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy nu er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of aiminsl penalties of a fine rep to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the foam of a STOP WORK ORDER and a fine of up to S250.00 a day against dig violator. Be advised that a copy of this statement may be forwarded to the Office of Investiqations of the DIA for insurance coverage verification. I do hereby cerif j'a�dri on.kakas and penaMd s of perjury that the information provided above Is duo and correct, use City or Town: or town of)7ciaL PermlUUcense # Issuing authority (circle one): 1. Board of Health L Building Department 3. Cityfrown Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employbra to provide workers' compensation for their emp)oyees. Punvant to this statute, an employee is defined as "-.every person in the service of another under any contract of hire.' express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance. construction or repair work on such dwelling houx 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 shell 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 Laurance 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 tie contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if may, supply sub-contractor(s) name(s), address(es) and phone numbers) along with their caftfieate(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 t"n+A"ce. If an LLC or LLP does have employees, a policy is requ ire& Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sam to sfga and date the aIDdavit. 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 Irony, 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 mars that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be nre to fill in the permit(liceme number winch will be used as a reference number. In addition, an applicant that mat submit multiple permittliccme 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 (La. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would him to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth of Massachusetts Department of Industrial'Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-7274900 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax # 617-727-7749 www.mass.gov/dia CRARLES COREY !'nI'hq Raofer's Re@fe" TOTAL. INVESTMENT $ M. Payable immediately upon completion. POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards, Plywood Sheathing, Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of $ 75.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available Please Make Checks Payable to: CHARLES COREY CHARLES COREY Warranties the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles for LIFETIME if the shingles becomes defective. CERTAINTEED Wan -ants the Shingles up to a 110 MPH WIND WARRANTY ( CATEGORY 2 HURRICANEI . CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. Thu proposal may be withdrawn by us if not accepted within thirty days. CHARLESCOREY carries Workm (sozensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: & , T ACCEPTED BY: SUBMITTED BY: V CKIE CARNEVALI HOMEOWNER ROOFING ACORD ;, CERTIFICATE OF UABIUTY INSURANCE 06/0 /2O a "" nc mzam. 1NSURANCS ONLY AAU CONMM NO PO"S UPON THE CERTIFICATE 36 nlx 8s - NOLOER TIES CE UVMTE DOES NOT AMDWt MM OR ALM THE CONOMGB AFFC d BY THE P'OUMS BB W ItUr. 7MOOOSS, HL 02673 BISUREIi AFFMOMCOVERAOE NAIOS ,•� t� k NCRTEMAM nlStXtA)= Pahl BO�ailltm e.wee. TREEvsTnts 1NSOSANCS DM BDCDaLLlCR n00ram , ..,�L .rAraeQ . By0on10, Iw 62601 �t GONE PAM - 0E PCUCE9'CF a XIWACE USim 88Aw -/NVE BEEN MMM.70 ➢E MATED IMNM AME FOR 7M POLY MNM MQUM tj"7HffWMM ARY FMMXI ABR, 7EM CR CM=M CF M!Y CONDUCT OR On6t DOaAENr wren MWBCY M WEI " CERTi IE MAY 8E MWM aR MAY PSMK 71E RAXRM M APFMW SY 71E PCUC ES CESOUB D HUM 0 BI.B Wr 70 ALL IIE TMA8, 87CEU51O18 MO 00rOr CF 601 -PLUM&.AOOrECA'rEELrrSOHMMWYEMVEOMF13XE )OYPADCIAM rn Iwp inaw� "m um A. a -&A" x-1 CP46859504 05/15/07 - 05/15/08 . 8 oCcastwa $1,000 000 150, 000 ' w®oPtM�..� tD IDID 19p01MAI MAMV 81,000,000 ®e1ai A0aeeo08 82,000,000 °�"O�"w WrArrlL rr3c tazr u�•r ra0 PIIOGLCIe-canal $2,000,000 AOmeuttun w..wno A OMMAwa oma®wrot �osow®wnw mrmttaa uw F�+r0 I emir tuwr srr�M I t00arluwr o�....r.o I . rw0Pan0.wa p....rw I tAro•ut0urr Aumaar-uAo�r t onunlw MAAOC All0 oar. ,ae t I t>�u1111em 00= a WAM 0[nnaae FIOIooDallo>4 I AYOImt1e I I 8 tntso�wlw0,Ae ats�ea uola>®I wta�ar0aeto.`r. 7PJCB-7130A7-07 7PJUS-7A30A7-08 04/11/07 04//11/08 04/11/08 04/11/09 Z IOIY leIr1 Q uuwl0rart 6100,000 t. DNSMC-GMIORI 0100,000 Ei0tiA11-Iaati uwr ISS00.000 o� onAoa�nori�001earir.sl8, moAomw reor_Ri.eonntmoo M limu 8 001070{S=Cm P06 = DOSS NO= MM= COPl pm MR PAD7 socgm d.= w�, rww, c rww+sn GAMMU AUIOI CC= Wos= naeA Aw O N 1aAD• a 0oe� tnse N woos 16% rAZAOM M 1115 ra Neet N ttu .era m eea 21 em twrrr CZrfZRV=a, to 02632 NO= 10 N � Wv mmm m N ewc ew raw To 00 o wu eeve ro a LWAW All ree w N pomm m mom a FZY- 508-775-0155 . M.•, t A • 41•.�•r' -•— �,ny .wv.+t 41•Iw:. MI •":.t s.aL�r i, •J 11•wl� V• *\ a�{.J 'ti ��K r - flYISiYM-iGY/M�Pi�Y�/Y�Wlal•••a'p.lo t AM1{Y YUY UJiJ �. a.m1 rtir .y,/ - � �' �.: ' i�"d.+y+� 1�•i'{�' �-�:N'\ ♦ ... Q a� S� - ".aTMS' a Ja •r "^"-^— t udSN. . ;kFBRPwwOi^, t •UOf ■Wl�t` jl'•r .iwQ-n�id� li.--.S�ar+'f '�_} BRP WW 03'AmendmenttaNaterwaysaicease'orPe�mit=e3t General WareWYSAPPllcalion Municipal Zoning Certificate - PMasaor Donald J. .Gauch li Theodore Rogers Oft CM4&I . xwearuptye • Momutloa' pMOkoa 422A S 426 Highbank Rd. .. Rgeavlraew . ,South Yarmouth Bass River To provide noncommercial boating access to navigable Oea�aYwrtnrgearue waters. i.'.. .....-..".•:.:'.!...Siw'�di'i�'i.^.YiI'.:i...�lX�Ei�'.Si+'is.~..rYi�'iv.1 :•.,. .. .. ...:a1�.. To be completed by municipal clerk orappmpriate municipal ofciat 9 hereby certify that the project described above and more fully detailed In the applicant's waterways license appiblion and plans is not in violation of IoW zoning ordinances and bylaws.' Raxtndu,ayr0arn' ' Sgwt wDrMt�C 141 Rif -A 4 cVM Dan �d��/t�/•4r ;.BAP-WW 01 `Waterways Ucense o 'Pe jrYyii2�w4 y f r R BRP WW 03 Amendment to Waterways Ucense or Permit:- :ee &Project Information . losdaWow oe pals 1 Oslora 1. YNO punt tategwy are you appty4 for? ' 7. Pro owk..a ty desedsom semplaual MBRPWWg1 = BRPWW07' Construction and maintenance ascUoa A-0 of Me fors of•a pile supported pie;,. L ADDS ramp and float system. Donald J• Gauch'& Theodore Rogers NM C/0 8 Kolamat 'Farms Circuit Sh evsbury MA•01545 CO or so IaCae 506-398-4781 k><sieOmtl ha! S ANhorlted spent (a anyk . a Oescrgtion of t>dstinl and�or proposed use(sX -To provide noncommercial boating access,to navigable waters. Robert M. Perry 50 Leland Rd. wee 0. IslWe pr*d Brewster MA 02631 XXStar-0eplod"?'=sonw9or-dependui? ,;08-896=4861 raw" 4. Properq IntormaCan (al hlornudlon must be pmAde* Donald J:-Gauch 6 Theodore Rogers OmrvMpl4 "@WMv MAP #92 PARCEL # 7 6 8 • rak.wKalywrrcrw.Due 422A A 426 Hiahbank Rd. seuuo.portem�l South Yarmouth Barnstable CV" • corny S. Nams of the water body. Bass.River S. ihewaterbodyeliheproJedslGis: (duck 1 or more a both a i b) a.R2 Thal = MiTWdWs =Gad Pond RbeUWUM = Uncertain D.gx Natural = LlarfMads C UntoAah. ileKtYOT. • ..•_i,_ �• Ia. Wha te IM appm dmate tow cost o1 ally proposed work finduduq maUfts i labor)? 25,000.00 11. Ust IM nams and complete malbg address of each abutter (&W additbrud sheets, I necessar# Gail A. Gauch 8 Kalamat Farms Cd Shrewsbury MA 01545 Nancy K. Tripp 8 ya tee Rd. Harvard MA 01491 1L 1 hart 1laehs0 pro)ed plans in teeadanee wdh the . tns4ucdau conta4red Ir>r �AppendhiA (tor P�mU(apPlatlors) Apptndia H (for Llcena appk4ft t) , Appendices A•B tiepin on page 0 o11Ns Appttcadon Pubge. • Mas7ecbuuttt Department tilt aNracmanW ProtacGon 1207 0.3 8 'Bureau of Resource Protection=Waterways Program Transir"I . •BRP WW 01.- Waterways License or Permit r BRP WW 03 Amendment to Waterways License or Permit General MemoAMIlcation Mesa %" or • orkucwrdu Inrormesoe proved oe We form Certification All appticards proputy owners and authorhed silents must sign this pope. Ace future spplketion correspondence maybe signed by the authorlmd agent along I hereby make apiAcaon for a permlt or license to aut adre the &dMWs I have described hank Upon my signstura, I agree to sitow the duly tuthorind represadatives of the atassachusem Department of En*dnmenW Protection and the Mmachus ft Coastal Zone Uanagemerd Program to erder upon the premise of the project site at reasonable times for the purpasa of irgactiom . . I hereby certify that the Information submitted In this spplication Is true and accurate to the best of my knowledge' Waterways Dredging Addendum 1. ProWde a description of the dredging project. 2 What Is the purpose of the dredging? a. What is the volume (cubic yards) of material to be dredged? 4. What method wM be used to dredge? kpa;++rf+raroen 'SE6AGFNTF�� :n.�4s4�i as nooayo+mspwrpFaemnwwcec++o L Describe IN d'apotal method that will be used and ghre the disposal location (Include a sepante.disposal th Wcetion map I AGENT AUTHORIZATION To Whom it -May Concern, As owner of 422A lEghbank R4.. South Yarmouth, MA, I hereby designate Robert M. Perry. P.E. as my agent for purposes of preparing, filing and receiving documents on my behalf in connection with the design and permitting of the proposed pier ramp and float system for the site. U _iD�Owner Signature Date Print Name AGENT AUTHORIZATION . r" To Whom it May Concern, As owner of 426A Highbank Rd. South Yarmouth, MA, I hereby designate Robert M. Perry, P.E. as my agent for purposes of preparing, filing and receiving documents on my behalf in connection with the design and permitting of the proposed pier ramp and float system for the site. Owner Signature V ate Print Name our au of Resource Protection - Wetlands N Number WPA Form 5 = Order of Conditions for "Pwmy Massachusetts Wetlands Protection Act MAL c.131, §40 Applicant Information Frdm: YARMOUTH caearrixr Ca Ate" For: SE 83-1499 rlarrrhlrMmer - T9,*Donald J. Gauch ..Theodore Rogers - War Kalamat Farms Circuit Sh a sbury, MA 01545 fro 01545 sov Anus The project site is located at South Yarmouth 111" 8 & 7 ArGMUw rl beau/ and Ne property is recorded at the Registry d Deeds tor. The Notice of hot for this project was fled orc January 7, 2000 w Ths public hearUp was closed orc. January 20, 2000 Title And Dab of final RM and Miler Documeraz Hydrograghic plan of land in So. Yarmouth showing proposed :-pi er,ramp & pile anchored float: 1-20-2000 - Robert M. Perry,P.F Barnstable Lot 7-1086; Lot 8-7913 cello 'rot 7- 31? Lot 8-271 CamtrsPe7rd+eYr� 13 Findings Findings pursuard to the Massachusetts Wetlands Protection Act Following the review of the above•nferenced Notice of Intend and based On the Nlormadw provided In Va application and presented at the public hearing. this commission finds that the Ara In which work is proposed is significant to the following Interests of the Wetlands Protection Act (clock all that apply): Public Water Supply Private Water Supply XGGrundw aSupply Land Fisheries rq Shellfish XPrevintX Storm ro, Pollution ton lution = Protcctton of Wildlife Habitat Furthemmre. this Commission hereby finds that the project as proposed, Is: (chedt one of the following boxes) Approved subject tm the following condNont which as necesury, in accordance With the performance standards $et forth in the wetlands regulations, to protect those intmests cheftd Above. This Conrrnissioe orders that an the work stud be perfonred in accordance With the Notice of Intent referenced above, the following General Conditions• and any other special Conditions stitched to this Order. To the extent flat the following conditions modify or differ froin the plans, speGtrcatim& or other proposals submitted Will tie Notice Of Indent, these conditions slue control Rev. teas Page t of 5 MsassdWa tsGsparimaot olEoedroamaahlftfacnoo Town of Yarmouth Bureau OfResoarfrd Protection —Wets ods Wetland By -Law WPA Form 5 = Order of Conditions Chapter143 Massachusetts Wetlands Protection ActM.G.L c.131, §40 Findings (cone) - Coaled because: G the proposed work wuat be conditioned to meet the pertom u= standards set forth In the wetlands regulations to Protect those Interests checked above. Therefore, work on this project may not go forward unless and unto a new Notice of Went is subrtdCed which provides measures Width are adequate to protect these interests, and a foul r Order of Coehditiahs is Issued. El the Information submitted by the applicant Is not sufficient to describe the &its, the work or the effect of the work on the interests Identified In the Wetlands Protection Act Therefork work on this project may not go forward unless and until a rMsed Notice of Intent is submitted which Provides sufficient Information and includes measures whkh are adequate to protect the Acts kderests, and a foul Order of C Id ms Is Issued. A description of the specific information which Is lading and why it Is necessary it attached to this Order as per 310 CMR 10.05(b)(c). General Conditions 1. Faoun to comply with AN conditions stated herein, and with all related stabiles and other regulatory measures, shall be deemed carom to revoke or modify this Order. 2. The Order does not grant any property right, or any tulusive Privileges; I does not autho lze any Injury to private property or km*n of privals rights. 3. This Order does not re0eve the pertn0tee or arty other Person of the necessity of complying with all otter Applicable fedenf, state• or local statutes, ordinances, bylaws. or regulations. 4. The work k0orfaed hereunder &hall be completed within three Pala from the date of this Order unless either of the following apply. (a) the work Is a mairdenance drcAgbV project as provkfed for In tie Act or (b) the time for CanPietlon has been extended to a specified data more than three years, but less Urn five years, from the date of Issuance. U this Order is Wended to be valid for moil flan three years, the exImilion date and the special drourtrstances wartentfng the extended time period are Set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority, for ON or more periods of up to Una years each upon application to the Issuing authority at least 30 days peke to the Lviral on date of tie Order. fL Any fit used In connection with this project shall be clean M Any fit shad contain no trash, refuse, rubbish, or dabris• including but not limited to lumber. brlcl , plaster. wire, lath. Paper, cardboard, pipe. tirm ashm refrigerators, motor vehicles, or parts of arty of the foreoobrg. 7. This order. does not become final wtl al administrative Appeal periods from this; Order have elapsed or U such an Appeal has been taken, until ad proceedings before the Department have ban wmpbted. No work shall be undertaken tall the Order has become final and then has been recorded In the Registry of Deeds or the Land Court for the district In which the land Is located, within the chain of title of Car affected property. In the case of recorded tared, the Real Order Stet also be noted In the Registrys Grantor Index under the name of the owner of the land Won which the Proposed work Is to be done. In the cue of registered land. the Final Order shin also be noted on the Land Court Certificate of Two of the owner of the land upon which the pmposed work Is dace. Tie recording Womadw shall be submitted to this Conservation Commission on the format the end of this Order• which form must be stamped by the Registry of Dads, pilot to the comnrmcemerd of tin work A A sign shag be displayed at the site not less than two square feet or more than three square feet In Stu bearing the wads, 'N assarhusetteDeparUnad of E Mmmnertal ftleccion- [or, VA DEM -File Number SE 83-1499 nrtirarrasoerr 10.Whem the Department of Ererironmental Protection Is requested to Issue a Superseding Order, the Cahervation Commission Sal be a party to all agM procrangs and hearings before the DepartmerL 11.Upon completion of the work described herein, the applicant shag submit'& f(pquest for Certificate of Compliance (WPA Form UJ) to the Conservation Commission. 12.The work shad conform to the following attached plans and special conditions: Final Approved Plans (attach additional plan references as needed) : Hydro raghic Plan of Land me 1-20-00 90 ert M. Perry, P.E. �amCom rswwy Rev, iM closet Page 2 of 5 Ilassacbfrsatb Oeparlmsat of EadroemecLl Proteeafoa Town otYarmouth Bureau of Resource Protecdon —Wetlands Wetland By-I.aw WPA Form 5 w Order of Conditions Chapter'43 Massachusetts Wetlands Protection ActM.G.L c.131, §40 0 Findings (cone) 13. Any charges to the plan Wentlfied in Condition / 12 above shall require the applicant to Inquire of the Conservation Commission In wrh4g whether the charge Is significant enough to require the filing of a new Notice of Intent. r 14. The Agent or members of to Conservation Commission and Department of Environmental Protection stag haw the right to enter and hispect tha area subject to this Order at rmsorable hours to evaluate compliance with the condi- tlons staled In this Order, and may require the submittal of any data deemed necessary by this Cozen -Am Commis• don or Department for that evahutloo. 15. This Order of Conditiaa dal apply to any successor ki knerest of successor km control of De properly subject to this Order and to any contractor or other person perform- Ing work conditioned by this Order. IL Pia to the start of work and 4 the project kwo m work Adjacent to a Bordering vegetated Wetland, the boundary of the wetland In the VW* of the proposed work are shag ba martsd by wooden sfaiw a ftappkg. Orca Vt place, De Wetland boundary markers shd serve u Out fuM of work (unless another limit of work fine has been noted In the plans of record) and be maintained until a Certificate of Compliance fors been Issued by the Consem8on Commis- sion. 17. AN sedimentation barriers shall be maintained In good repair umdilas dishrbad areas hm been tullystabigud with vegetation or over means, At no time shah sediments be deposited h a wetfend or water body. During eonstruo- Von, the appfiard or hi w designee tag Inspect the erosiogcontmis on a dally bade and stall remove eceumndarad sediments as needed. The applicant shall imuredialaly cordrol any erosion problems that occur at the rote and dull sho kmmed4d* notify the Conservation Commission, wW reserves Me right to require additional erosion and/or damage prevention controls 4 may deem necessary. Spy Conditions (Use additional paper N necessary) SEE ATTACHED SHEET Findings as Is smanldpal law, bylaw, or ordinance Furthermore, the hereby Ands (check one that applies): 0 that the proposed work CUM be eormdtdoned to meet the standards set forth In a municipal law. ordinamA or bylaw, specifically ''Aaeendm[wary�lait b`�a rrmireu Therefore, work on We project may not go forward unless and until a rMsed Notice of Intend is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions Is Issued. 7 that the following additional cmdMons are necessary to comply with a municipal law, bylaw, of ordinance. sw-t& cIlIY The Commission orders that an the work stall be performed In accordance with the call additional conditions and with the Notice of Indent referenced above. To the ardent that the following conditions modify of differ from the Duns, specifictione, Of other proposals submitted with the Notice of Irdert, the conditions shag control. Additional ron6tlons relating to municipal law, bylaw, a ordnance: Rev.laS$ SPECIAL COMMONS DONALD L GAUCH THEODOjtE ROGERS SE 83-14" L The applicant shill be responsible for having a copy of these "Orders of Conditions^ on the job site at all tunes. Fai m to do so may result in a revocation of the "Orders^, or a fine, or both. r 2. TheConservation Commission. its agents or assigns; shall have the express right of entry upon the job site at all reasonable times for the purposes of establishing "compliance^ with the conditions at" herein 3. Upon completion of the project, a "Certificate of Compliance^ shall be requested in writing. Ibis "Order of Conditions" shall be considered incomplete until the "Certificate of Compliance" is issued and recorded at the Registry f Deeds. 4. All shellfish in the vicinity of the proposed pilings shall be removed at the applicants expense under the direct supervision of Yarmouth's Natural Resource Department. This removal must take place prior to the construction of the dock. S. There shall be no dredging in connection with this project 6. The pilings shall be hammer driven. 7. No other piers shall be constructed on lots 7 or 8 in the Srture. Routine maintenance and/or reconstruction of the proposed pier may be allowed pursuant to a new Notice of Lrtrnt 8. The applicant shall provide the Conservation Commission a recorded deed easement indicating common use of the proposed pier by present and &lure owners of lot 7 and lot B. Such easement shall run with the property title perpetually and shall be provided to the Conservation Commission prior to construction of the pier. i r • i!'»telrasatls0eyarlmeetolEodroameatalpmbcdaq To&wn Of BweauolResourceftlavw—Weaws Wetland Mou WPA Form 5 m Order of Conditions stapler 143 Massachusetts Wetlands Protection Act M.G L a 131, §40 Findings (coot.) This Order 4 and far three yeas, unless o0bn+tse specMed fr c shedal a Of is oo pur:uarrt to catenl condmons II, from the date of Issuarta. January 25. 2000. awe This order mat be signed by a maloft of re conservation r comdssba The order mat be mated bya-Mled and (return realpt reques14 or hand doerad to the Appsa uc A copy slso mat be mated of or hand dett4md at the same Um to ft Dropruam miner uPr orop,0fanat otaee of theDepertrr,ert of onV* 4t dayd ear 2D4 b w bat= Wd� pea0rnsp Ippeaed " 1• Dµsl./ISSe to no Jam to be the person desulbed In and who fuw&d the fore0drq kmtm=4t and edmcwIsdged that taVw !xeadsd fhe same u hl w free act and deed. et=yA/efc ae'oee�inueepihs This Order Is Issued to Me appo= as 1000 a; O by hand depvery m i F by amified mat return roceipt requested, on January 25, 2000 we 13 Appeals •• The eppfiomt the owner, arty person aggrieved by this Order, any owner Of land abutttq the land subject to this Order, or eery ten mft is of the dry or town to whidt such tend Is looted. an hereby notified of OWr right to request the appropriate Depa brat of Fnvlro MMW Protaaim Regional Office to Issue a SuMseding Order of Cw4ftms. The request must be made by MUM mat or hand demary to the DePlbpo Re h v for wlall Lang fee a d a completed Font es provided In 310 CMR I OA3M wwft ern b days from va due of Issuance of thIs Order. A copy of me b request thus at oe ime era y certified mat oh r and deavery l0 the c0narvaathe wte bson comrdsslom and to the eppaeutt p helahe Is oat the appeaut The request shag state clearly end C0ndsoJY the objeWons to the Order M t Is bekq appealed end how the Order does nd contribute 10 the ptotecdee of the kderestt iderafied In the erd IstrcormistetrW with the we0ands mguWoom (31 a , 8 10.00) To the aderd that the Order Is based on a muhicipat bylaw. and not on the lfaesadweems wetlands ProbWon Act Of no Ap4 lust acuor tknerd or fnvkono,gtUl Protection rus nor. tt19a Page 4 of 5 Abtnd rtti& Depatwd otEadrvdwW P=tecUm Town otYa mouth Surma VIResource Pratecdon—Wetlands Wetbud By -Law WPA Form 5 - Orderrof Conditions Chapter143 Massachusetts Wetlands Protection ActM.G.L c. i3l, §40 r Recording Information This Order of Conditlons must be recorded In the Registry of Deeds or the Land Court for the district In which the land is 1= 4 within the chain of title of the affected property. In the case of recorded land, the Rrut Order slnl also be noted in the fiegIstrys Grantor Index under the name of hie owner of the Land subject to the order. In the case of registered land, this Order slug also be noted on the Land Court Certificate of Title d the owner of the tend subject to the order of W"onL The recording information SW be submitted to the r YARMOUTH ' cam nswe cammb1*0 on the form below. which must be stamped by me Registry of Deeds. Detach on dotted Ins and submit to the ConunatlonCommission. ----.mac ----- ------------------ TO: YARMOUTH Coronawco marroe Please be advised Mat the Order of Condon for the project n 422A*&.426 Highbank Rd., So.Yarmouth naimLAMON wrrwm. SE 83-1499 has been recorded at the Registry of Deeds of Barnstable C"a and has been noted In the chain of title of the affected property In awl . Ap In accordance wipe Order of Conditions Issued on ,Do. It recorded land, the Instrument number which Identlfies this transaction Is Awwwrk"N It registered Land, the document number which Identifies this transaction Is as-nweor s�nenaaoaur Rev.Ing Page 5of5 IN i J'SSt" -moo► , FilflOg NI GL'OO'L-L CNtY dWpC` 31d. Vf'lWIN VN CNV Jj%jL1 LSN CO CXLI 'o� H0n 9 cel a'Oi`adNOQ �9 NOW19d 9NIAWY40MV SNV-W d c:r- _asp[ C.-ti3)DOn L'-Iazzsvd ttoJl;anz�lr a+lvt asaaist�aa :a=va ;NMOri>: ww %AVM MaN aOd 2!o dlMs -Zl3NMo Vr4USW0eo MIWAtO bQLSaNnAWN ON 1vtyLaNv'oatisrtaen�aAaVazslvrOA 513ab15 ml,AVUUJ UO Dnt4nt.fa0 9GRU. arm NMQ't'� SIVM GNO S.LU2VJS IJM-0089Nn1 9MLONV Sd*-5 3NM0 ONUSIXi DNOWO V-3mn ani wv Nv-w WKL NO NMoHs SaNn Ausuot a 7►U J3rmLA1UZM AMIN I •'1>,'X�147is�lYd'o'F1�'l3Lt 'b '98L1 •rlVr "ncmvi.L c2wA y w aNV 9LAA aAu=dzl3 9022C do onS-6ae21vs �raa�aao�'d77feU3nrM3t3 OW oM NeI1d s�tlalVriLA�117�:�I 'l 8 '1 axlt7�. M ..i 'BASS RI veR "YZ0 4R F UMIT n3 MNMSVYAMChbR i N p 4 d II i�cerrs+. IrMw l o I 0 roo rao Sao icc �ROFI L c A!_g cal.e• 1• :exd • _HDQI uric '.��n� ��r� . 1 �i' i rrOCAP — 'ALL K4l2l:,w aYr) DI SMALLat aft GGL%M.VZZ D 10 �F��.iFICi TYPICAL PIE oeTAI L -ram QCALQ- GA�`� ROGER PI�Qr RAMP two FLOATS w "BASS 'RI VE'2 sotrti..l Y.at�naovn.i� MAas. �A9E CAD ENGINEERING Lac. 50 -gR WS'fiR 'T20A•p y+eer 2 or Z, ,Mass. LS TORPILe6511 I If _ 1 tl . v Y :. CommtunlVCallil of MassachLseOYIYW UW Only DepartmenfvfFlreSemkos BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 11/99j ave limi APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wad to aepat«meain MCCadmGewiththeManuhusensEledrial code (MEC), 527 coat tl 00 (PLEASBPRIM'!NRvKORTYPE ALL JNFORWT1019 Date: ' 12/18/00 City or Town of: YARMot1PH To. the Inspector of )Iriru: By this application the undersigned gives peace d or her imraaoa to perform the electical work desmbed below London (Street & Number) 426A HIGMAM STREET Owner or Tenant WAT ctr • Telephone No. .OwnamsAddress 426A HIGEMM ROAQ S YAR40UIH MA 02664 li this permit )n eoujanctioo with a building permit! Yes ❑ No ❑ (Check Appropriate Bat) Purposed Building ►h SIDENCE Utility Authoriution No. Fig Service Amps / Volts Overhead ❑ Untl r4 ❑ No. d Mess - ' Mew 8v4ce = 'Amps - / Volts Overhead ❑ Undgrd ❑ Na of meters ROUGH AND FMSH OF BASEI4ENP No. of Recessed Fiance a.on ,�. anon No. of COL-Susp. (paddle) Fans .awrraavoerarveaovreer or wrv. flo. at TOW Trsasfarmes KVA No. or lighting Outlets No. of Hot Tubs General= KVA No: of lighting Pictures Swimming Pool 4 d ❑ o eT B Units No. of Receptacle Outlets No. Of 00 Burners FIRE ALARMS INoorzom No. dSwitches No. dGas Burners LIM 01 BeteCtionand n Devices NndRanges Total No. of Air Coad. Tons NadAlwt llevices - No,dNNasteDisposers flentoos Tows: SpaedAmReaSog KW n of 1-coaftio-eff— Ddeetim/ Devices No dDishwat6ers Iasi ❑.Ln onIII aesim Q Oche: ' No. of Dryers Na. or Water . en•�rHrjt(gs KW 1110tin Appliances o. . o. ' $I f BaQ. =� eta: • r... .. Nn Of or No iomame<e Bathtubs . No d Motors Total OTIiER: naacnom aaaxdamrng ofclectrico ork ap�a ueunae. INSURANCE COVPBAGE: Unless waived by the owner. m peratit uana delechi work may issue unless the licensee MvtdespudofhaUtnymu==uwludng-om#mdoperatioewvwApa—r=2to=gMwalcnL The u ndercigned awes that such coverage is is fora, and has exhibited proof of same to the permit issuing affix CHECK ONE IIMMMCE IN BOND ❑ OTHEFL ❑ (Specdy.) fWERAL ACCIDENT INSURANCE 7/31/01 Estimated value of Electrical wort °e) (When tuluired by municipal I�tYJ Workto Scot - Inspecaom to be requested in accordance with hMC Pule 10. and upon completion. I mrtfy, aader tee pain.♦ cad penances ofperlwy, that the hrformottorr on tits oppacafion is tree and umpteta FMMNAME: BREWER ELECTRIC & UTIT.ITIES INC� LIC NO.:A9897 Licensee: MIKE MCSHEFFREY Signatu a LIC NO.: A9897 ((lapptknWSeerer'a.�r rnrlwlrcmrerarsbe►fine).• BusTd.No.• S 40 Address 110 OID TOWNI IO[ISE ROAp S YARMOlI1N, MA 26 AIL Tel No — 11 OWNER'S INSURANCE WAIVER: I am aware that the License does nor have -lily murrance coverage normally iced requ by law By my signanue below, I hereby waive this requirement I am the (check one) ❑ owner ❑ owners r OwnedAgent Signature Telephone Nn---.I PERMIT FEE: S 1 BUILDING TcAm of m m m / PERMIT December 15m 2000 APPLICANT MaUsy FhLlbroDATE ADDRESS g t) MLDCOrj- px I�_� 6-Dl-44b !YI oD a. /54'v' (NO.) (STREET) (CONTN'S UCEN5E1 PERMIT TO NUMBER OF 1-1 STORY ) DWELLING UNITS (TYPE OF IMPR WE N I NO. (PROPOSED USE) ZONING AT (LOCATK)N) DISTRICT .�Q_ (NO.1 I R I +e BETWEF AND i ICROSS STREETI (CROSS STREET) LOTS � - ESL Am SUBDIVISION 9217 LOT_ t U Om BUILDING IS TO BE FT. WIDE BY -FT. LONG BY BLO-SIZE'- • • `R IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O fTO TYPE TO USE GROUP R-4 BASEMENT WALLS OR FOUNDATION R TYPE( O REMARKS: Finish interim of wzistiney hsEawesnt_ �nntwll ani,-al :tai.Y.stes t slider. Zncreass window sizes in awl ting area wells. AREA OR VOLUME ESTIMATED COSTS 24000.00 FEEMIT $ 231.00 (CUBICISQUARE FEET) OWNER Jaaque3 {++A Ualsh426 ADDRESS S ghbank Rd. S. Z. BUILDING DEFT. �/ 40 INSPECTION RECORD _ DATE NOTE PROGRESS - CORRECTIONS AND REMARKS INSPECTOR k � if YqR� 0c ,e S ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Toum of Yarmouth Building Department 1146 Route 28 • Yarmouth, NIA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-2365 . Office Use Only Permit No:11�_ Date_ Permit Fee $ a 3!. Deposit Rec'd. $ 5q-eD& I b Net DUB $ . F7� Planning Board Information Plan Type Endorsement Date Recording Date _ Plan No. DUiar Assessors Department Informabon: Map Lot Map Lot Old - New 1,4 Property Dimensions: C Lat ea(sf) Frontage(ft) Lot Coverage This Section for Office Use Only Building Permit Number. - Date Issued: Signature: Certificate of Occupancy / is is not required - - Building Official Date Section 1 - Site Information I Use Group: R-4 Type: 5-13; 1.1 Property Address: 12 Zoning Information: Zoning District Proposed Use So _ Vr cin�r cN 1.3 Building Setbacks (it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 'Po I Water Supply (M.O.L. e. 40. S 54) Public ./ Private 1.5 Flood Zone Information: Comments: Zone: C BFE: Section 2 - Property Ownership/Authorized Agent 1 Owner of Ree1rd: �) a riot) Mailing Address Sign9fut Telephone - 2. A thor d Agent: E S[. Nye (print) Mailing Address Signafure Telephone Section 3 - Construction Services S 3.1 Licensed Construction Supervisor. i IV� p - le rr 4 aye_ l,J G % C-C. Bose umber y Address Expiration Date 5I1 ( O-3 Signature r Telephone 3.2 Registered Home Improvement Contractor. Company Name 1O'�(�(,� (?,At,.'YnoO,t. ENG, a �cUSC, t7ErJU�y. �a. C�a�3$ Not Applicable ❑ LicenseNumber % Aress ��31�5 O G AeR15 O G Ael Signs re Telephone Expiration Date eo{ a!5 0Z 9-15-99 1 of 2 OVER Section 4 -Workers' Compensation Insurance Affidavit (M.G.L c. 152 S 25C ( )) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ..X.... No .......... Section 5 - Description of Proposed Work (check all applicable) New Construction qJ No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ I Alterations ® 1 Addition ❑ AccessoryBldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: of S — E 0X 7);'X I q = 112, 357, -7-00 - , Section 6 - Estimated Construction Costs Item Estimated Cost (Dollars) to be Check Below ❑ Conservation -Commission Filing (it applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) completed by permit applicant 1. Building 2150 2. Electrical fl 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 150 6. Total = (1 + 2 + 3 + 4 + 5) 7. Total Square Ft. (new houses & addUons) 3,y'6 0� Section 7a - Owner Authorization - To be Completed When Owner's Agent or Contractor Ap lies for Building Permit I, a O V%_%'NC L , as owner of the subject property hereby authorize 'i ukUNrZ !Ak 'EKU, • + CZ!tJr ;'�• to act on my behalf, in all matters relative to work authorized by this building permit application. Silure o wner Date ' Section 7b - Owner/AuthonzedAgent Declaration I, V E%_LEY t as Owner/Authorized Agent, rP ., t hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and_belief. Sigried under the pains and penalties of perjury. I- _ Printname Signatu of dl;;�er/Agent Date 9-15-99 2 of 2 TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARAIOUTH • MASSACHUSE]70026644451 Telephone (508) 398-2231, ExL 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELECTRICAL GAS PLUMBING SIGNS Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at Lk,�L 'Po_ � 4n ACAno0-� C�1(i. wont Address is to be disposed of at the following location: '%/arkMot'S-(SA kg%QJ FEn 5'MXkutS Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. t 4�T-n Date Permit No. The Commonwealth of Massachusetts Department of Industrial Accidents Offledof/srest MOis 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Applicant information: PleaseYFtI1PTTwlidsr name: JAGt•VVtuE cs 1Pk , S,,l 1 am a homeowner performing all work myself. 0 1 am a sole proprietor and have no one ssorkine in any capacity ❑ lam an employer pros iding workers' compensation for my employees working on this job. companyname• O%Atuytsts%4 address: - \tJi %5EgCt1 !yT, city: t7e nk% tOi1, phoneM: 54:>cg SAS A6NP insurance co. G X71MAE STM— ,.IUS. CCN- oolicv, a ia*,1!C_ %as 41 C�b I am a sole proprietor _ neral contrac o or homeowner (circle one) and have hired the contractors listed below who has e the following workers' ;om sa ton polices: Failure to secure coverage as required wader Secnoa 25A of MGL 153 as lead tome impoutioa of rrtmtW peamoes of a out up m 31.5m uo sa win one years' Imprisonment as well as civil penalties IN the form of a STOP WORK ORDER mad a fine of 3100.00 a day against me. 1 aaderstaad that a copy of this statement maybe forwarded to the Office of lovestigatioa of the DIA for coverage veri0ation. t do hereby certify under the pains and penal ies of perjury that the information provided above is true and correct. Print name gF L£Y ?o�y -=Nk PhoneI KQ8 3 s 'official use only do nor %rite in this area to be completed by city or Iowa official city or town: YARMOOTQ check if immediate response is required contact person: permitticcate d n8ullding Department plJeeaslog Board 261 Oselectmrn's ODice (508) 398-2231 ext. OHealth Department phone I; _ mother tend 3.95 PJAI Information and Instructions T * Massachusetts General Laws chapter 152 section 25 requires all emplovers 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 entphtrer is defined as an indi% idual. 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 ow ner 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 buildin-, appurtenant thereto shall not because of such employment be deemed to be an employer. NIGL chapter 15_ section =: also states that even' 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 w ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha% e been presented to the contracting authority. Applicants Please till in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affida% it 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents i MCI 81INVI xll:l111lis 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: job Location: K-d s HAV&" k(M3%k Number Street Village Owner of Propert): 4 A c.06-Sh C VSl! Construction Supervisor.. VKLLE+f �raui3Qm�i O'IS 9?A 64% 3A53e!J5' Name License No. Phone No. Licensed Designee: 64tkc (If other than Supervisor) Name license No. 2.15 Responsibility of each license holder. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Anylicenseewho shall willfully violate subsections 2.15.1, 2.15.2 or 2.15.3 or anyother section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing constriction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: 1 have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes a No ❑ If you have checked = please indicate the type coverage by checking the appropriate box. 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 152 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signa re er or Owners Agent' Owner ❑ Agent ❑. ' Signature: Building Official Approval: JZ.�coin«wnaealLi �1.,«.,�d,�,�.r4 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 006083 Blrthdats: 01/14/1951 Expires: 01/142002 Tr. no: 15350 1 Restricted To: 00 THOMAS V PHILBROOK 107 BEACH ST DENNIS. MA 02638 Administrator — --.� �o�waalLi o!✓�(q,two�ruwlA •` ". J BOARD OF BUILDING REGULATIONS f n ` Llcense: CONSTRUCTION SUPERVISOR i4-WA 5, Number: CS 075828 Blrt6dats: 05/07/1053 Expires: 0=72003 Tr. no: 75828 Restricted To: 00 KELLEYC PHILBROOK 38 WRIGHTS LANE GLASTONBURY. CT 06033 Admin — NONE INPROPENENT CONTRACTOR Re0islnlior 101112 Espialior 0412512002 Type: OBA PdARROON [NOR. I CONSTRUC p,� l Beul Slreet i Deosis NA 0263R • J I Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use only Penult No, Dele WGLc. NAME OF CITJTOWN AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application done by reputered contracrom mth cenan excepunns. aonx %un rtner regwremenuL Type of Work: Est. Cost SStCOi Address of Work LA 2. tAtr.k*QAkML QQ- v�At1• Owner Name: L. rlLs%A Date of Permit Application: 11 a L40O I hereby cenify that: Registration is not required for the following rcason(s): _Work excluded by law Job under 51.000 Building not owner -occupied _Owner pulling own permit _Other (specify) .Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HA VE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 132A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. No Notwithstanding the above notice. I hereby apply for a permit as the owner of the above propern- Date Owner Name I PLOT PLAN Abuttor's Name Lot # FOR LOT # Indicate location of garage or accessory building Additions with dashed lines -------------------- Sewerage disposal (cesspool) Well I(lot................ft. rear) REAR YARD If this is a corner lot,: write in name of street. 8 a : SIDE YARD • (1---- FTs SET BACK SIDE YARD a----- FTO � 1c13s (lot..................ft. frontage) (NAME OF STREET) Information Supplied by w b ti Abuttor's Name Lot # If this 1 corner lr write in name of other street. MARK NORTH POINT IMF fJ Dv 'T►tr- � LJ000 -SlU V E .s1D � EsDGo r Sv►ab. s ru+►L TST lvt. rorL N0'O Lx > > n,., c r.o s.-,.,,1�c f� A�r�, o �:,� Gam., �►,rx,.o.. Stts•s - �v"' 1'0 116X Iq = S66x,3f l9G . cv w wa Srn✓E ss /,oa �i �' 0)S S►►suct \ \ J I 1 '' /1 A S 'TLJ 3c�H2 )%.A nVAMuDr = SErf1C 3D4't. 1 IZ ■ 0 u IN T'1IL Wall) VG, R•tl Z93Sn,a) 0+4 Z"I TLP fi C3 mr--, T6sti-? WQUN rzo)MN- cc- y2l N1t;1123Ae.ItLra�d� 1 tf3+z�oiL 3�-�6>;2 T'OU-35 I N tjov dU WiN v fJ oo TItr- 310. 6)P -�= 1 ; C.JWD .S7DVE, rr J 106 y a /� { 013 f20 U m3 1 51t� Yy � /� n�j S ID'C•r � � t ,1 t PAP` 11.! /.li2t{i�1J�oY _�Q'O J7- (9.6 pr =) Lx» n,.,� TAD✓trYwL1� (�o�aT•+ous•�' GU�1wL. _�_ '»_:B :_ b��.��t.•_^�,xuf— cu �/� •f �l I 'I 1 f7,. , t�Fti [tn+•�1:� % ' � � �� ,ram r r � f ;I - 1 i .�; - jrUd�71a0bg.�1 �! 1 �. r nm1-JTYtaOrRotiJ . f a✓ 737 LvC.. ruri �Noinyi�l - - IwlOt[nrouay1__.._ WAun rzk5mt-N- cc yzc MG)ASAWY lP*40 SU• i/rOK[�rwvT1:� �� ._., , Jil j t itzo0r*n-gAi�n-Jc) ll nrx < I .�+ j _100Gg 1m.`:}° ! -t., ,�}'' ' I �:.CzrjpILi A�.i' - �. -` r _ • j'�; la h1RL'�1Jo�11 I �/blo 1- • - � Y T �n - i � ' I 4 - ' --:_ � I �_w w l - l G tsT '1..1C 1�.0'Oa� 1f'•-�oA OVSY 'I j�aa�hiK17J►. I 771 1 Q u +�, R Ej)p�,1C 12, r T� 71 r 1♦ ,. .. l �- _.I 1...t -�1• ! -�, w I LTk LAC, r 3 "Ro OF, YARMOUTH OWN : BUILDING DEPARTMENT BUILDING PERMIT APPLICATION SIGN OFF Applicant Building Permit No.: . SOS Address: 4? L. Tel. No.: ZWS - PtLQ Date Filed: Imo_ Bldg. Site Location: S c3Krc Map No.: Lot No.: - V k The following information outlines the procedural steps required to obtain a permit to build, alter, or add to a structure within the Town of Yarmouth. The Building Department will determine compliance to the following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department will be responsible for assisting the applicant through the following departments: J RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain) ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; Le., If Lots) Border any Type — of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc. HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements for Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; Le.; Smoke Detectors, Sprinkler Systems, Eta _ The following Departments must sign off, in the respective order, prior to building inspector issuing the required buildingpermit REVIEWED BY: _ _. I. WATER DEPARTMENT: DATE: N/A: Y. ENGINEERING DEPARTMENT: - DATE N/A 3. CONSERVATION: DATE N/A: 4. HEALTH DEPARTMENT: DATE N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR DATE N/A: 6. PLUMBING INSPECTOR DATE N/A: 7. FIRE DEPARTMENT: DATE N/A: PLEASE NOT All stumps and/or brush must be disposed of at an approved site. COMMENTS: 3,63 G I X i- OP F6 In r A 85 a o/L L6E i _ .. - - --- dK-3 If' fxrsTy.�r Ea H Wt>ot7 >arl� 3 FAG 4 Nsa 'fNj# W"v 7akA --- ` 1(_ -t t.^n G /LoL/D6 icita �s Cs oiJ+6� {ez WAf1-nCl 8/99 Applicant Signature r...,mwu proot or same to the permit issuing office. CHECK ONE: INSURANCE XE1 BOND ❑ OTHER ❑ (Specify;) GENERAL ACCIDENT INS 7/31ro2 Estimated Value of Electrical Work (Expitatto� o Da� Work to sumS/13ro2 (when required by municipal policy.) J �fY. seder a an Inspect oos toe requested in accordance with MEC Rule 10. and upon completion. Penott of per/ary, that the lnforamdon on this uPP&-arson is true and oompW, FIRM NAME: REILLY ELECTRICAL CONTRACTORS, INC LIC. NO.: 1666A Licensee. JAMES R LEB,LY Signature p Qfapplicab/e, ewer "aempt" In the license number line.) LIC. NO.: JbMA Address: 110 OLD TOWNHOUSE ROAD, SOUTH YARMOUTH, MA 02664 Bus. TeL No.: 508-T71_ 2_Og0 OWNER'S INSURANCE WAIVER 1 am aware that the Licensee doer not bars the liability AIL TeL No.: 508-394 3211 Owner/Agent entlaw. By my er below. I hereby waive this requirement I am the (check one) [] owner ] owner's,owcoverage a entnocmallY required B Signature ` Telephone No. PERMJpFEE:S50.00 TOWN OF YARMOUTH • i BUILDING DEPARTMENT BUILDING PERMIT APPLICATION SIGN OFF Applicant A M .tMA 0E L&�A\mSN Building Permit No.: SOS Address: ►+� 1�tw� [3a�t 1ZtJ Tel. No.: i1y - ALkWR Date Filed: && Bldg. Site Location: S21e1E Map No.: 9% Lot No.: V k The following information outlines the procedural steps required to obtain a permit to build, alter, or add to a structure within the Town of Yarmouth. The Building Department will determine compliance to the following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department. will be responsible for assisting the applicant through the following departments: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain) ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Eta HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements for Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; Le.; Smoke Detectors, Sprinkler Systems, Eta ---------------------------------------- The following Departments must sign off, in the respective order, prior to building inspector issuing the required building permit REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: Y. ENGINEERING DEPARTMENT: DATE N/A: 3. CONSERVATION: DATE N/A: 4. HEALTH DEPARTMENT: DATE N/A. - INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR 6. PLUMBING INSPECTOR 7. FIRE DEPARTMENT: PLEASE NOTE All stumps and/or brush must be disposed of at an approved site. COMMENTS: 313 G 1 ,#6 r OF .8S,W 'r r D.V 6 .ric 2 a DATE N/A: DATE N/A: DATE N/A: i3 RuAr210 TOWN OF YARMOUTH Building Department Town Hall Yarmouth, I % 026U (W8) 39&2231 94261 E V; . F1 Building Location: 0426A HIGHBANK RD Owner's Name: Phiibrook Engineering Owner's Address: 107 Beach Street Dennis MA 02638 Owner's Telephone: (508) 385-8682 ' Electrician Name: Reilly, James License Number. Company Name: Reilly Electrical Contractors Company Phone: (508) 771.2040 PERMIT TO PERFORM ELECTRICAL WORK (OFFICE USE ONLY Recorded By. Ic PERMIT NO. Permit Fee: $50.00 Payment Type: Check Check Number 23500 Issue Date: 5/8/02 Type of Work: New Comments: rough and finish wiring of addition INSPECTION RECORD Date Note Progress - Corrections and Remarks Inspector 'J Date Printed: 5/9/02 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. f` -OZ- 9Z-7 UIV BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked So �U [Rev- 11/991(leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEA SE PRINT IN INK OR TYPEALLINFORMATION) Date: 4/26/02 Cityor Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 426A HIGH BANK ROAD, SOUTH YARMOUTH Oq ner or Tenant P1I.BROOK ENGINEERING Telephone No. 508-385-8682 'a Address 107 BEACH STREET, DENNIS, MA 02639 permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) of Building RESIDENCE Utility Authorization No. Service Amps / Volts Overhead ❑ Undgrd ❑ du Amps / Volts Overhead ❑ Undgrd ❑ No. of Meter No. of ]litters of Feeders and Ampacity and Nature of Proposed Electrical Work: ROUGH AND FINISH WIRING OF ADDITION Completion ofthe followine table may be waived by the Inspector of tires. No. of Recessed Fixtures No. of Ce1L-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool I Above ❑ n- ❑ d. d. o. o Emergency g g Battery Units No. of Receptacle Outlets No. of Oil Barriers FIRE ALARMS No. of Zones No. of Switches No. of Gas Burner No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tow No. of Alerting Devices No. of Waste Disposers Heat Pump Tohls: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local Municipal ❑ [I Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of SlLns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing ounce. CHECK ONE: INSURANCE X❑ BOND ❑ OTHER ❑ (Specify.) GENERAL ACCIDENT INS 7/31102 (Expiration Date) Estimated Value of Electrical Work (When required by municipal polity.) Work to Start 5/13/02 Inspections to be requested in accordance with MEC Rule 10. and upon completion. r certify, under7e-p-a-M—&—nd—pex—aliles ofperfury, that the Information on this appIIcadon B true and complete FIRM NAME: REILLY ELECTRICAL CONTRACTORS, INC LIC. NO.: I666A Licensee: LAMESRREILLY Signature (Ifopplicable, enter "exempt" in the license number line.) Address: 110 OLD TOWNHOUSE ROAD. SOUTH YARMOUTH. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the IlabWt law. By my signature below, I hereby waive this requirement I am the (check one) ❑ owner Owner/Agent Signature Telephone No. LIC. NO.: 1666A Bus. Tel. No.: 508-771-2040 Alt TeL No.: 508-394-3211 nsi mane coverage normally required by ❑ owner's agent PERMr2'FEE. S5A00 PHILBROOK ENGINEERING & 107 BEACH STREET DENNIS, MA 02638 CONSTRUCTION 1-508-385.8682 ENGINEERING DESIGN " CONSTRUCTION INSPECTIONS " BUILDING, ALTERATIONS 6 RENOVATIONS 22 December 2000 Town of Yarmouth Attn: Mr. Jesse Brandelini Building Commissioner l Yarmouth, Massachusetts 02664 �2C rn1� Reference: ihUZR Basement Conversion - 1 Family Dwelling D O D Permit No. B-01-420 DEC 2 12000 Dear Mr. Braadelini: The following information addresses Commmnts on the Building °a^+Y0� Form dtd. 24 NOV 00 (copy attached): ✓1) The height of the actin room will be 8' V to the suspended coiling. The height of the dropped down portion where the upstairs deck is framed over the foundation will be 71 V. Vf) The basement space will provide a sitting t family root w/ a view of the water accessed inside by the spiral stairs. There will be a hobby/storage room in the rear of the basement space. Windows were added for light and to nest ventilation/fenestration requirements. 4) Them is a double height deck. The upper is directly over the lower and the lower is ccaplately over the existing full -height concrete foundation walls. Separately we are filing w/ Conservation and if approved the Building Dept: -for the repair of an existing outside • stairway and the addition of a walkway in front of the slider w/, another set of stairs over the stonework to the beach below. These are separate issues and not part of the current scope of work. ✓C) There are provisions for a wood stove. The brickwork and flue in -let exist as does the concrete floor. Fire protection wise all the nec- essary requirements can be met. Currently the wood stove is on hold. VS) The current work includes the addition of a hot water baseboard zone run off of the existing oil fired boiler. This work is being rough - and will be visible for the framing inspection. 6) t construction is 2"x 12" A 16" c/o spanning 14100. Obviously there is ample floor capacity. The cut-out for the spiral stairway creates a 510"x 5100 square against one wall. The openings for the the stairway only need doubled 2"x 12". Originally and in the plan provided the Town the floor system was thought to be 2"x 10"s. 46 this is not the case the bonds r and trimmers will be doubled 2"x 120. Note that the spiral staircase is a center bearing pole supported structure. PA will rely on the opening for lateral stability. ran a quick check of solid SPF lumber to show this for you. Respectfully submitted, T. VAR1= PRILBROOR, P.Y. Mass. C.S.L. No. 006083 as: 2 incloscres R1 TOWN -OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION SIGN OFF Applicant �L�L�-\►\C C,1A`au Building Permit No.: Address: t3tahm 12o Tel. No.: 31'+� Date Filed: 1QLLjeS.% Bldg. Site Location:— SAKE Map No.: 9t Lot No.: V k The following information outlines the procedural steps required to obtain a permit to build, alter, or add to a structure within the Town of Yarmouth. The Building Department will determine compliance to the following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department will be responsible for assisting the applicant through the following departments ESIDENTIAL AND/OR COMMERCIAL BUILDI WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain) ENGWEERING DEPARTMENT- Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Pon4 Rivers, Oceans, Bogs, Bays, Marshland, Etc. HEALTH DEPARTMENT- Determines Compliance to State and Town Regulations; i.e., Requirements for Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; Le., Smoke Detectors, Sprinkler Systems, Etc. ----------------- �------------------------ 7lie fogourbeg Depardnents must sign off, in the respective order, prior to building hupedor =ruing the requirad ' building permit: REVIEWED BY- 1. WATER DEPARTMENT. DATE: N/A: L ENGWEERING DEPARTMENT: DATE- N/A: 3. CONSERVATION: DATE N/A: 4. HEALTH DEPARTMENT: DATE N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRWG INSPECTOR. DATE: N/A: 6 PLUMBING INSPECTOR. DATE N/A- 7. FIRE DEPARTMENT- DATE N/A: PLEASE NOTE AU stumps and/or brush must be disposed of at an approved site. C0114ff7VTS- -7 a G AS T OP R-Tm `T Ok `r: ti l3�pt2� 8/99 Applicant Signature p�Wq�C} Double 2'St 12- SPF trimmer members - Tia.- vam s w bm7=oma 2 PCs of 1.5" x 11.25" 1.4E SOLID SAWN SPRUCE -PINE -FIR #2 BEAMUSA 1111 22-DmW ra13:11AM Paps l cn r Surd Code doe THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 'A FIT 14' :n Product Diagram Is Conceptual. LOADS: Ana" for Beam Member SWpor" FLOOR - RES. Application. Tft" Load Wdtk 1' 4- Load*o: 40 Live at 10D% duration;15 Dead; 0 Partition; and: TYPE CLASS LIVE DEAD LOCATION APPLICATION COMMENT Poi t(bs.) Floor(1.M 425 160 V 6- Adds to SUPPORTS: INPUT BEMING REACTIONS(bs.) WIDTH LENGTH LJVEMEADITOT. PLY DEPTH DETAIL OTHER 1 2xS Plate 5.50- 5.5- 5W I2501788 1 112* Blocking 2 2ns Plate 5.50- 5.50 63412881919 1 11.2- Blocking DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(b) 893 808 1575 Passed(51%) RL end Span 1 under Floor loading Momerd(fl-b) 3542 3542 4614 Passed(J7%) MID Span 1 under Floor loading Live Del(in) 0.144 0.444 Passed(U899+) MID Span 1 under Floor loading Total Defl(in) 0.208 0.667 Passed(LJ770) MID Span 1 under Floor loading - Deflection Criteria: STANDARD(LL: L/360. TLLJ240). - Bracing(Lu): All compression edges (top and bottom) must be traced at 11' de unless detailed otherwise. Proper attachment and positioning of lateral bracing is requited to achieve member stability. - The allowable shear stress (Fv) has not been increased due to the potential of spots, decks and shakes. See NDS far applicability Of increase. - Analysis assunes continuous member. Lap Joints, splices and finger Joints signifies reduce member performance and ton not bow considered. ADDITIONAL NOTES: - IMPORTANTI The ana" presented is output from software developed by Trus Jofst(TJ). The specific product application, Input design bads. and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. - Solid sawn lumber analysis Is it accordance with 1991 NDS methodology and is solely presorted for comparison purposes. Program imitations and assrrnptlom about this analysis are available through tte soflwrare's On4r a Help. Trus Joist does not warrant the analysis nor the performance of sold sawn timber materials. - Allowable Stress Design methodology was used for Code BOCA anayznrg the sold sawn timber material listed above. OPERATOR NOTES Provide trimmers (3 57 header) far spiral staircase opening WALSH Build -out Philbrook Engineering & Construction Project No. P00.35 Vain Phibrook 107 Beach Street Dennis, MA 02638 1508-385�m Copyr4t02oWbr Tm Jonts Weywtr Bushu TJAm-rd T,FBern"'mVN*WudnTns JCid. TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS026644451 Telephone (508) 898-2231, ExL 261 — Fax (508) 598-2965 BUILDING DEPARTMENT w May 24, 2000 Kinlin Grover 4 Wianno Ave Osterville MA 02655• To Whom it may concern: BUILDING ELECTRICAL. GAS PLUMBING SIGNS ' On 426 Highbank Rd in South Yarmouth you have a Real Estate sign that is not located on the property that is for sale, as required by section 3033.13 of the Town of Yarmouth Sign code. I have called before and asked that this sign be removed, and it was. It now is back at that address so I am sending you this WRITTEN WARNING as is called for by the sign code and this will be followed by a daily citation and $50 fine. If you wish to avoid this please ask your agents to not display this sign other than on the lot that is for sale. S6ccely, Richard B. Graham Local and Signs Inspector � • fit/ PnYd m Pr.7cied P+wr L'Fi4%%EcJ ms,.� P 3d?9 36 X 97-f� h1RY-31-2000 11 33 - :' '''¢ '•:: 15089454343 P.01 • ._;, --_ .._.... ,_.tip �IN�:IN GMAC ROVERS��+ Fax (6b8)87 B56 Main MmetChatham. W4 02633•(608) 945-185k 2 856 Main Street Chatham, MA: 02633 Phone: 508-945.1856 Fax:. 508-945-1872 Ll Fax ♦ !J Y - TO f„� 3 w F�onu* Larry Feightner Fain y7�`•'P`i Dstw mil'' �n Pagan..: Ra ,.r,�� .r•CCA ❑ want ❑ For Rw ow . O Plea" Reply •Co,emaka. ... ., Sin�lri LARRY FlWit NER LrP . Coll phone 237♦1331 MRY-31-2WO 11:33 15089454343 P.03 Z6 fpj a Avi Lawo ml jnva aw. sv, Pa. 3/9. V �go AN f)J •rloQv�'00 i, 10. 4.9. 737 33 vos st go X-N A& 000A- 8" p" VJ 0 43 10 I- At.95 aaOAe /04W AACPC J7 it PI-AA1 00 Z-Aj40 ljv-. vrw 'Y.4 ZH 0 V 7714 AO SUA2VAYAD -cO= N Dwlo44r, -;eoo&zs cArokv&" tA SS. It "A-e 1117Z; 1: VA r,& Av S.9 4 800 jAk,=,Sr,P colvrzm. 4,-.W-j C45 AAOr4&-: .0440D A PPWO PA4y' -WOW" O'l N AMA MRY-31-2000 11 33 t'.`.; .. 150B9454343 P.02 k3�C 12674',' FAG 1 B0 IBS724 2 01 s 1S MM" T.: �. �... ram.... ♦..�.. • .. I, THEODORE'S, ROGERS a/k/a THEODORE.=NN RDGERS, of P.O. Box 472, South Yarmouth,:Maseachusetta 02664;', for consideration of $415,000t00 grant to Donald J. Gaoch cnd 01111 • A'. Gaucb, Tiw of 8_ Kalamat Farm Circle,,, Shrewsbury. , MIL. 01545, haab+md` and rise as tenants by the entirety c with QUITC.A:M COVENANT9,'the land'situated'in Yarmouth (South), Barnstable Count y;.Massachusetts, more -particularly bounded and described. as* follows_: a Beginning at`a concrete bound -at the SOUTHWEST�Y corner of land now or formerly o£'Arnold T. Helbye st:uxt. thence'. running NORTHB]�9MY y land of, said Mel ye.100:96-feet to land of s Laurence Rogers thence -turning and:running SOUTHEASTERLY by said land of- LauranceRogsrs 320.20 f astL to Bass Riven thence turning and running SOUTHWESTSR#aY.by.-Bass!River about,106.00 feet to other'land_of.Dwight. Rogers I.. thence turning and.running NORTHWESTERLY. by other, land of Dwight Rogere,.about 314.36 feet to the point or place -of'bdginning.''. w The above described premisaa:=ard shown.on a_plan entitled •Plan e of Land,: in South Yarmouth, Massachueetta•an surveyed for Dwight ° Rogers'=made by Crowell,-k Taylor Corp.; Yarmouthport, L Massaehusatta, dazed•May 1972, recorded with Barnstable County Registry-of•Deeds 'in Plan. Book 2e0; PageLl6 IL w The above described•premises are conveyed subject to and with the bene c•of•'the ri ht -described in=a•deed•from Dwight Rogers to ma .Rogers an '•others -dated June 4;71973tand recorded in Book 1998, Page-282: " _i.:..__' ..... iN,lJ For tit}e,'..see deeds reco•taed:at tna:Barnstabls:-County Registry of Deeds"in Book.11970,.:.Pags3107,rBooki,1938,,Pager282 and Book • 7913. Page 271_ t. ,.u... lb E:.. fir. WITNBSS'fy hand andjeeal:thia 11iday oS:November, 1999.- 40 ATOMM-8S..Roge �}t rrq Q).'V' .. L 1 • h (� r� X a w •n 17. tr .��. �:..• �:, ..-:iCY,! is �:'y :?a � . '. .w1 e h ••r. r.1 � -.� ` � + .w�.,pr tt. 1" • �•.r.;.nh w:k ;uiT�1l�), �W NA O y`y/{{�-\I4�YERLkFw7 rG�V {i��Y. M �e � r JK ... r d ^fb2Xart >� k" , a 7h4 O y", of +" �f; BRP VM 0 i ^�Watei Ytap •UC a or � t >. ,+ : s BRPW - 03'AmendinenttoWaterway§Ucense'or,Pemdt•�3:�iti General WalermpApplicalit i t Munlclpai'Zon►np Certificate - Mass %"of Donald J. .Gauch b Theodore Rogers orw crab ee AM O( erf Iolormallm, paAdedon 422A & 426 Highbank Rd.We form. .. /rc�ed>rmr+etoe . -South Yarmouth C�pRa+ Bass River ww=■v • . To provide noncommercial boating access to navigable RwiGr�c+lp�xremrCwgebue waters. ii. •.. :ti.-._...+:::t.:: ° Sitirlw:ri115. wi I �y`,'�n 1.::a:-.JrZS-'irr:.%.,._: - ....::.a'S �. . To be completed by municipal clerk or appropriate municipal olTciak I hereby certify that the project described above and more fully detailed in the applicard's waterways license sppllcalion and plans Is not In violation of I«► zoning ordinances and bylaws.' �thcs D- /SraAJ0 /1111• l b, ltu •. ' I>a110dI0at 00 paellalore . sompte0e/ asuan A-D 01 Ibis lore► BBP WW 01'.Waterways Ucense:or Permit:;' `Js'm BRP WW 03 Amendment to Waterways Ucense or Permit General Waterway; Awbuon •Project Information . 1. Which pomp eategaq an YN applykq for? 7. ProJecUllcUvlq de alp0on: ZARM01 = BRPM07. Construction and maintenance . of -a pile supported pies, L ADpk4* ramp and float system. Donald J. Gauch• & Theodore Rngecs C/o 8�Kalamat'Farms Circuit Shrewsbury MA•01545 wa.! fw IeCaa 508-398-4781 hybAepfflo fs+>1 a AWrorlad spent (Veny): . Robert M. Perry a 0esugtion o1 exls0ng and/or proposed use(sx To provide noncommercial boating access.to navigable waters. 50 Leland Rd. • Anw a IsWspM14 Brevster MA 02631 )M vdu-0apen4aa'1 =nonw9a-0ependentl C ees Soo ZIP CO 5ne-896=4861 4. PropvV 1nfar dw (al l iid=904 must be prW&4 Donald J_•Gauch 6 Theodore Rogers Mymrpl4maa�xlo�+�e MAP #92 PARCEL # 7 & 8 r,�waSrauyerrmweoue 422A & 426 Highbank Rd. South Yarmouth Barnstable Cq/ra+e Cwq ti. Name a the water body: , Bass .River ' a The water body et 1M proJed sha W (duck 1 or more a bah a 8 b) LxX Tidal = FIOidTlddWs =Grid Pond• = Rlredweam = Umadah 1L )R Natural = Ilan triads 13 Uxulah - l4KVIT. :i. . •_ 10.1Ytw b ttu approxlnute teal cost d any proposed work (indud'uq madaWs i bbc4? 25,000.00 11. Ust the name and complau ffww* address of each abutter (attach adctiww sheets, 0 necessary): Gail A. Gauch 8 Kalamat Farms Ci Shrewsbury MA 01545 Nancy K. Tripp 8 J?attee Rd. Harvard MA 01451 I 1 hm attadud vMjaa plans In accbrdua whh ttu .NcWctlons conWned Yt,_`. AppendhiA (for Pumkappkams) = Appendix (for License appik4m) Appindices A•0 begin on pipe 0 a1NsAppkdc4 Packager • Mauacbuutti Deputmeaf of Envlronmantal Protactloo 12070.3 8 Bureau of Resource Protection = Waterways Program Tra m"I t BRP WW 01. • Waterways License or Permit. BRP WW 03 Amendment to Waterways License or Permit General Memo Application Pteuetyos or printclearyal Iniorrnaboo • prodded oe this forte Certtltcatt0rl All spplieuds, property owners and suUrorbsd agents must sign Ws pale. M future application correspondence may be signed by the autbort:ed agerd alone. 'f hereby make Apptieatlon for a perm t or license to authaft the actIfts I have described heroin. Upon my signature, I agree to allow the duly Authorized ropresenatives of the 4assachuseta Department at EnvU runantal Protection and the Massachusetts Coastal Zons Management Program to enter upon the premises of the project Ake at reasonable times for the purposed Inspection., I hereby ee" that the Infornatioo subn tad In this application Is true and amuraa to the best of my knowledge' 0 Waterways Dredging Addendum t. PrWds a description of the dredging project L What Is the purpbse of the dredging? 3. What Is the volume (cubic yards) of material to be dredged? 4. What method will be used to dredge? kwar+rsarrerue •• - 'SE6RGFNTFri✓1� AnaGsfFi or �arroO.+e•1 ipwrPFaaarfWe(Wkr�d L Describe the disposal method that will be used and Ohre the disposal location (Include a sepwaa disposal Ala location mat .R . AGENT AUTHORIZATION To Whom it -May Concern, As owner of 422A ITighbank Rd•. South Yarmouth, MA, I hereby designate Robot M Perry. P.E. as my agent for purposes of preparing, filing and;eceiving documents on my behalf in connection with the design and permitting of the proposed pier ramp and float system for the site. ... D-a / Owner Signature Date Print Name AGENT AUTHORIZATION r To Whom it May Concern, As owner of 426A Ifiighbank Rd. South Yarmouth, MA, I hereby designate Robert M. Perry, P.E. as my agent for purposes of preparing. Sling and receiving documents on my behalf in connection with the design and permitting of the proposed pier ramp and float system for the site. ywo(k, Owner Signature ate Print Name Ntssaebtesatb De�arfineat Nfadmnlaeabl Probctla : • e ' EP Fle Bureau Of Resource Protection - Wetlands mbar WPA Form 5 = Order of Conditions Massachusetts Wetlands ProtectlonAct M.G.L c.131, §40 Applicant Information Frdm: YARMOUTH cacrrooe W.racue For. SE 83-1499 PXAWANAlrtl,r T9; Donald J. Gauch ,.Theodore Rogers• Aao�wwsr 8 Kalamat Farms Circuit Shrr ewsbury, MA 01545 X" 01545 sr roan The project sin is located at South Yarmouth W10 8 & 7 Aumassresvrr/ pom"e and the properly is recorded at the Registry of Deeds for. The Notce of Intend for tlds project was fled orc January 7, 2000 ar TM pubec beukrg was closed on: January 20, 2000 Do TWO and Data of foul Plans and Other Documents Hydrograghic plan of land in So. Yarmouth showing proposed : pier,ramp & pile anchored floate 1-20-2000 - Robert M. Perry,P.1 Barnstable Lot 7-1086• Lot 8-7913 Tot 7- 31 Lot 8-271 OeiaePr7rrsrMq U Findings Findings pursuant to the Massachusetts Wetlands Protection Act Following the review of the above -referenced Notice of Intent and Used on the information provided in this appaaton and presented at the public Waring. this Commission finds that tip area In which work is proposed Is signi6ard to the following kderests of the wetlands Protection Act (check all that apply): = Public Water Supply Private Water Supply Groundwater XHoodcadrolSuDWY Xroles Lan nq Shellfish FishX Storm Damage Prevention ?Xhrgnum of Ponution _ Protection of W110s Habitat Furthermore, this Commission hereby finds that the project, n proposed, Is: (check one of the fog -owing boxes) Apprond subJeato: the following conditions which en necessary, in accordance with the perlormana standards set font in the wetlands regutetlons, to protect those Interests Checked above. This Commssion orders that an the work shag be performed in accordance with the Notice of Intent referenced above, the fonowing General Conditions, and arty other special conditions amached to this Order. To ear extend that the following conditions modiy or dAfer bin the plus, sDectficatiorm or other proposals submitted with the Notice of Irderd, these conditionsslut control Rev 1"ll Page f of 5 M:wcboutbDeportmoatoJEaNraameaWProtertJoa . Bureau OIResoum Protection —Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L c.131, §40 0 Findings (cont) Denied beak u the proposed wort cannot be conditioned to meet the performance standards at forth In the wetlands regulations to protect those Idareste checked Above. Therefore, work on this protect may not go b Ward unless and Wes a new Notice of Intend Is submitted which provides measures which An adequate to protect these Interests, and a final Order of Conditions Is Issued. O the infonrndm submitted by the Applicant is not sumcierd to describe the Site, the work, or the Affect or Me work on ON kderests Identified In the Wetlands Protection Act Therefore, wort on this project may not go forward Suess and unt0 a revised Notice of Intent Is submitted which provides suffickM Information W includes measures which are adequate to protect One Acts I terest& and A final Order of Camdltlmns Is issued. A description of the specific kdamatio n which Is lading and why It is necassary is attached to this Order a per 310 CUR I0.05(b)(c). General CKMOU 1. Fallure to comply with Ail Conditions stated herein, and with All related SUMN and other regulatory measures, shall be deemed cause to revoke or mod'dy Ohs Order. 2. The Order does not grant any property rights or any eXCIUSI a privile0es; O does not authortm any Injury to private property or Invasion of private rights. 3. This Order does not reIIave the pem mu or Any other person of the necessity of compryhq with ail ow applicable federal, pate, or local statutes. ordinances. bylaws. or regulations. 4. The work wAorfmd hereunder stag be commpleud within thin years from the data of Oft Order urdess ebb of the following Apply: (e) On wort is A mandemarce dredging project As provided lot in the Act or (b) the lime for completion has been extended to a specified date more than three years, but less than five years, from the date of Issuance. If this Order Is Intended to be valid for more than three ynrs. the exten0on date and the apecW dnanmstances warranting the extended time period am set forth AS A $pedal condition In this Order. 5. This Order may be extended by the Imft Au0ority for one or mare periods of mp to three years each upon Appluation to the Issuing Authority at least 30 days prim to Oe ez➢Iratlon data of the Order. L My fill used In connection nWn n with this project stall be am bash. refuse, rubbish, or Town of Yarmouth Wetland By -Law Mpter 143 debris. knduding but not limited to lumber. bdcl , plater. wire,'am paper. cardboard. pipe. Ons. ashes. reMperatm. motor vehicles, or parts of Any of the foregok4 7. This Order does not become final until All Administrative Appeal periods from this Order have dapsed, or O such an Appeal has been taken, urdg ere proceedings before One Department have been completed. a No work shaft be undertaken until the Order has become final and then has been recorded In the Registry of Deeds or the land Court for the district In which the land is bated. within the chain of tide of the Aflectd property. In the case of recorded land. the Final Order stop also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work Is to be done. In the Case of registered land, the final Order stall also be noted on the land Court Certificate of TUe of the owner of the land upon which the proposed work Is done. The recording Information sha0 be submlbd to this Conservation Commission on the form at the end of this Order. which form must be stamped by the Reolstry of heeds. prior to the commencement of One work I A sign shall be displayed at the rite not less than two square feet or min than fine square feet 1n aim bearing the words. 'Uassachusetts.Depuhnerd of Envtronmental Protection' [or, 'MA DEP') "File Number SE 83-1499 P1WFiiNner 10.Where the Department of Environmental Protection is requested to Issue A Superseding Order. the Conservation Commission shall be a party to an Agency procesdkngs and hesrbgs before the Departmem 11.Upon completion of ON work described herb, the applicant SW submit& RJquest for Certificate of Compliance (WPA Form 3A) to the Conservation Commission. 12.T11e work shall conform to the following smacked plans and special eocumons: Final Approved Plans (attach Additional plan references as needed): HydrograRhic Plan of Land rn 1-20-00 pert H. Perry, P.E. town 0so'wm If nY4ww Rev.l6ge , Page 2 of 5 wtfmae6asalls Dtptrmteat of EaNroamsrttal Probotlon Town of Yarmouth Bureau olResource Protection —Wends Wedaud By -Law WPA Form 5 w Order of Conditions Chapter143 Massachusetts Wetlands Protection Act M.G.L. c.131, §40 Findings (cont) 13. Any changes to tie plans Identified in Condition / 12 above shad require the applicant to Inquire of the Conservation Commission In writing whether the ctnmge Is significant enough to require the filing of a new Notice of Intend. r le. The Agent or members of the Conservation Commission and Department of Uvironmantal fttectim shag haw the right to enter and inspect the area subject to this Order at reasonable boors to avaiuue compliance with the condi- tions stated In this Order, and may require the submittal of any data deemed necessay by the Corservellm Commis- slm or Department for that evaluation. 15. This order of Conditions shag apply to any successor in Interest or successor In control of the property subject to this Order and to any contractor or other person perform. Ing work conditioned by this Order. I& Prior to the curt at work and a the project Involves work adjacent to a Bordering Vegetated Wstand, the boundary of the Welland In the Mdntty of the proposed work aril shall be marked by wooden stakes or flagging. Once in place, the wetland boundary merkars on seen a the Mdt at work (unless another lunit of work tine has been noted It the plus of record) and be maintained until a CareGcate of Compliance her been issued by the Conservation Commis- sion. 17. All sedimentation barriers shall be maintained In good repair until al disturbed areas have been fully stabilized With vegetation or other meat. At no time shag sediments be deposited in a wetland or was body. Dung eonstrue- tlon, the Applicant or td l w designee shag inspect the erosion.commis on a daily basis and shag remove Accumulated sediments as needed. The applicant shag Immediately eontrd any erosion problems that occur at tie site and slug also immediately notify the Conservation Commission, which reserves the ripM to require additional erosion and/or damage Prevention controls it may deem necessary. Speolal Conditions (Use additional paper If necessary) SEE ATTACHED SHEET Findings u to =Wclpal law, bylaw, or ordieanee Furttemrore, the cam "ONCO=WS e hereby finds (Mack one that applies): ❑ that the proposed work cannot be conditioned to meet the standards set forth In a municipal law, ordinance, or bylaw, specifically waa,emeorrwrriwrrcNee answer Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequau to meat lieu standard; and a final Order of Conditions is issue4 7 that the following additional conditions are recessay to comply with a municipal sew, bylaw, or ordmae:e, spechl- c* rOna•0 WioralnricjaYeq 0tr[ rararnra The Commission orders to all the work slug be performed In accordance with the said additional conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submttted with the Notice of Intend, the conditions shad control Additional conditons relating to municipal law, bylaw, or crdiu = SPECIAL CONDTITON DONALD J GAUCH THEODOItE ROGERS SE 83-1499 1. The applicant shall be resppnsible for having a copy of these "Orders of Conditions r on ' the job site at all times. Failure to do so may result in a revocation of the "Orders", or a fire, or both r 2. TheConservation CommiesiM its agents or assigns, shall have the express right of entry upon the job site at all reasonable times for the purposes of establishing "compliance" with the conditions stated herein 3. Upon completion of the project, a "CaOcate of Compliance shall be requested in writing. This "Order of Conditiondr shall be considered incomplete until the "Certificate of Compliance is issued and recorded at the Registry f Deeds. 4. All shellfish in the vicinity of the proposed pilings shall be removed at the applicants expenu under the direct supervision of Yarmouth's Natural Resource Department. This removal must take place prior to the construction of the dock. 5. There shall be no dredging in connection with this project 6. The pilings shall be hammer drivers. 7. No other piers shall be constructed on lots 7 or 8 in the fidure. Routine maintenance and/or reconstruction of the proposed pier may be allowed pursuant to a new Notice of Intent. 8. The applicant shall provide the Conservation Commission a recorded dad easement indicating common use of the proposed pier by present and future owners of lot 7 and lot 8. Such easement shall run with the property title perpetually and shall be provided to the Conservation Commission prior to construction of the pier. DEP wetl rbautls0eparfineaio/EafaaaLlPnbctla Town of Yarmouth Bu2w olResource Protetx/on—Wetlands rmWetland By -Law WPA Form 5 - Order of Conditions Chapter143 ' Massachusetts Wetlands Pmlectltin Act M.G L a 131, §40 KA Rndings (cont) this order is ea0d for am yeem udess otherwdse epcdfied as a spedal awmar Purim to Ger" Conditions 04. from ttu date Of issuance. January 25, 2000. arr I. This Order namt be eipned by a ma)oaty a an conservatioa r MMIESSiwr. The Order must be mottled by certified mote (Rbnm ooetpt nquested) of hand de0mW to the appgma. A copy ft must be ma0ed of hand deMmd at the am tirudto thl�D ul offi hatecum ce a the Oepertma a &Mmnm Appeals The appkant'the owner, eny per M a0odewd by this Order. my oamer a WW Mutffno the Imd subject to this order or my ten MSWK is Of ON dy or town In wWch suolr land is Ind. am hereby notified of their rw to request the aptxoprWe Depeftmant of Envkonnneaal Pr)tedioo fie0iwnl Ofr= to lsca a Superseding Order of Carctt ML The request must be made by certified nni Of hand d*P4 to the D wd E wfth V est t ppmpdate fling fa end a eoMisted Form es prouWed m 310 or DowtnenW Away Fee Tmumft t days from am date a issmnoe atl�Order. A ten business raquhst chat et the sense tune be sea by urMdd matt of turd G e N Is not the conunissbn end to Ne epDOnrd On this 2 A daya �ay vary rear rr befom uw perswnpysppeyed Ave s� �Dwr►M/SJIM to me laowo to be me person desedbed In end who e=w, th to" krsbanea end adomwled0ed Out t*fts exeated the sans es M111w free ad end dad. eeo�rwe w�lwegis This order is issued to the appOnrd es fonow r7 by land degmy on by certified matt, return rmipt requesULt an January 25, 2000 we The request SW slate Geary end eondsey the Objections to the Order wlddr Is being appealed end taw the Order does not cordrtbute to tine pmtmdm Of the Iaerosis Idardified In the 140 end is nW � wetlands MOUI Oons (310 C' MR 10.04 To the cderd that the Order is based on a munnkod bylaw. end not on the LUssadu b wetlands Protcdion Ad Or OUg A. the D pmraa of En*mn errtal fROte m her fNr.taga Pape 4 015 • . ffasraebasrtts Department of &dM1fiiNW Proteotlen Town of Yarmouth BureauolResouree Protecdon-Wetlands Wedand EplAw WPA Form 5 w Order,of Conditions Chapter143 Massachusetts Wetlands Protection Act M.G.L c.131, §40 Recording iniotmation This Order of Conddions cost be recorded in the Registry of Deeds or the Land Court for the district in whfdf ttw land B located, wf fl the chain of tftie of the effected property. In the case of recorded land, the Rnat order and sho be noted in the Fieglsbt)rs Grantor Index under the name of the owner of the land subject to the Order. in 0a case of registered land, this Order shelf oho be noted on the Land Court Certificate of Title of the owner of the Land subject to the Order of Conditions. The retarding Information Shelf be submitted to the r YARMOUTH comwW C&=&%ee on fhe form below, which must be stamped by the (tegfstry of Goods. Detach on dotted be and submit to the Consemtion Commiuton. ______________dr __________ TM YARMOUTH Pkue be advised that the Order of Conditions for the prgat . �- 422A&.426 Highbank Rd., So.Yarmouth vtiwreaw arrfmwew SE 83-1499 has been recorded at the Registry of Deeds of Barnstable CWV and has been noted In the Win of tide of the affected property Im actor pp + s In aaord%whe Order of Conditions Issued on • or 25 00 If recorded lan4 the Instrument number whkh Identifies this transaction Is eemmrrAlneer If registered land, the document number whkh identffies this transaction is PAVANS Page 5 of 5 '- A=GL 8 gAL)4H IETI eLu • ♦q2 1. XCL%vt*c%l*iue ELLS Mo QE43UtPLAN �AT� CP We RWI TC�QAS OF 0EE06 EFFECTIVE V1/76 AND As RZVIEED lumouGW JAN. tla&. 2. V".. CNAP4J SeG81-X,IiL. IMEaLDYCeaTICY7WA7Tut FOOPERTYUNES G a WN ON Tu15 PLAN AM TUE ONES DMOING lwsnN6 OWNE2S%4PS AND:ue UNF%CorWra aTREnTS AMP WAYS aut WN Aim TLICOU Or PUSUC OR rRIVATe STar.M oRVW.Y3 AL=*ADY E:SlMLtSHWAANO n4AT NO NeW UNRs lt; t DIvl610N OF Oc =NG cw?NMR- =M1P OR MR NLW WAYS AFL ZWOWN: . V=Z: ISTeaBD LAND'JURveYOR 'P.nrLCE: l.-i RocZE:Rg �t ' .LW iSyPP tL�fi�;- ILss�Pa?IARP LT h"FZ I-� MF"a4�j\ 1� 6� 1<,Fpo N utasa9, 1 .� Iq, L.%3,JytD� SaoP'1 .I\ �to . a� oFtl�'t3' A -- a (/ $.— 5�, eon a arm 'LAMS ACCOMPANYING PETITION�bF 'DONAL'O GAUCH AND- MAeODOQE 120GEQS b coNSTmucrAND MAINTAINA >IE ,RAMP AND FLC TS IN BASS R 1 V Et2 r SOUTH Y44MOLM4, MASS. "HASSRIVER 5 %.0 e.R Ftd&T ^5'r-%�a3MrAMCMOR and e Iyd 82el,ln oe nYs -EtRAOPJLc AA �Ioa aDUTi�i }34... �rdRL1It{7�n) 2.6 cer(T)'�) 7rd CAP ' e. r !-fAQDWGR nir� Swr . HQ STE E� ►aosoirccLbonuZED �oC��Ncl TYPICAL PI1:R DETAIL -nO 3CALQ- GAS- ROGER PIE2, 1?AMP AND FLOA?'g �►� BASS V E'R socrrsa YsaTZnlpI MAMs. dAP2I C10D e:MlNEEMING INc. Sn I �. — am TMN OF YAMIO�M FIELD COPY BUILDING6i PERMIT 13-od-6Gq, I; Feb �1002 !_PERMIT NO. E-02-666 PERMIT TO addition ( - (TYPE OF IMPROVEMENT) NO. _I j`TORV AT (NO.) (5TREETI ,NO.) 151REET1 IlVIY1N 51 NUMBER OF "� -- DWELLING UNITS - ROPOSEDUSEI DISTRICT R 40 a I BETWEEN 1 AND I O l )CROSS STREETI ICROSS STREET) LOT m SUBDIVISION 92/7 LOT BLOCK SIZE u O BUILDING IS TO BE R. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION, 0 'Z PE- �, 58 USE GROUP 84 BASEMENT WALLS OR FOUNDATION ¢ (TYPE) r �1 REMARKS: Addit4rx, of 121Yd flnnr hedrnOBl. hathreeBl_ Atn4rVeii vlfh PA elev i d deck AA per plans dated 1/30/02.% AREA OR VOLUME ESTIMATED COST $ R,FEEMIT 5820000 $ 221.00 (CUBIC/SQUARE FEET) ". OVINER N.artha Henderson O ADDRESS 44 Sklar Road Southborough, Southborough NIA 01772 INSPECTION RECORD /►Ma OF til— / i r 01 V ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department 1146 Route 28 Yarmouth, NIA 02664-4492 Tel: (508) 398-2231 x261 - Fax: (508) 398-2365 _ - Office the Only PermitNoC9te Permit Fee $ a �'/ -- � - ,1�I �jposit Rec'd. $ r&Qte'+i��+t �� Net Due _' ... $ Planning Board Information Plan Type Endorsement Date wording Data No. Oiler Assessors Department Information: - map La Old New 1.a Property Dimeruwms: . Lot Area (af) - . Frontage (R) .. Lot Coverage This Section for Office Use Only Building Permit Number. - Date Issued: Signature: / 3d O ng Official - - Date Certrficate of Occupan is Is not required Section 1 - Site Information Use Grou : R-4 Type: 5-B 1.1 property Address: 421e A latrA4LkQn]d 1�71� 12 Zoning Information: R-MA Zoning District Proposed Use S. \JAQnc,LK%A g_ 1.3 Building Setbacks (tt) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided W wt ?BLit 1 A Water Supply (N.O.L c. 40. S 54) Public Private on: - Comments: 1.5 Flood Zone zolv Zone: BFE: T!5t /t Section 2 - Property OwnershiptAuthorizad Agent 2.1 Owner of Record: - AAenfA m nAJ ame (print) _ Mailing Address Signature Telephone 2.2 Authorized Agent: U.,cy G Name (print) Mailing Address 5 3t3S nvom%'LZ C Cfa�S Signa ure- Telephone I ' u. I �! Section 3 - Construction Services 3.1 Licensed Construction Supervisor. I I NJ L.J Not Applicable ❑ Y �L�Q.r.ttTt lamc, G\_gsT. �C-c. otto3� License Number 2 Address fp$ Expiration Date SigrlaturTelephone 3.2 Registered Home Improvement Contractor. Company Name �` �'• co�t � V Not Applicable ❑ License Number Address_Leg -1 t►GN St.�; tO\S Sriq+ 3AS fyoS� Signa ure Telephone Expiration Date 9-15.99 1 of OVER Section 4 - Workers'Compensation Insurance Affidavit (M.G.L: r- 162 S 25C (6) , Workers Compensation Insurance affidavit must be completed and submitted with this application. Faiiur+ . to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes &.... No Section 5 - Description of Proposed. Work (check all applicable) New Construction ❑ I No. of Bedrooms No. of Bathrooms Eidsbng Bldg. ® IRepair(s) ❑ I Alterations ❑ Addition Accessory Bldg. ❑ Type Demolition Bdef Description of Proposed Work: 0 Section 6 - Estimated Construction Costs Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6.Total=(1+2+3+4+5) 1 b9-aL6 7. Total Square R. (new houses & wide) I W 530 Owner's Aoent or Contractor ADDlies for BuIldino Permit Other Specify: Check Below ® Conservation -Commission Fling (if applicable) ❑ old Kings Highway & Historical Commission approval (if applicable) I, t' jgtztaA as owner of the subject property hereby authorize U-►f 3 ^�&� CE)a- to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner I, V'F xy t��c3 zoo�i , as OwnerA!g horized g hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Signature o er gem - Date 9-15-99 2 of 2 r"Ra • TOWN OF YARMOUTH °= BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT.: job Location ► 12 fo Q �wktt3AtJt� �(12HOl1iH NumberStreet Village Owner of property: 1AGW&C% !Lm]nEcae-�el t Ui<L1k. .. ��F1:Y3c�.7�S��2a17�T�Nar�e Licenns-e No. Phone Address: s'6 i.)Zwkts �wtJE'Gt_asTot_3�Qt , CT. Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder. License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes Q No ❑ If you have checked yg;i, please indicate the type coverage by checking the appropriate box. 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 152 of the Mass. General Laws, and that my signature on this permit application waives this requirement �/. Check one: signaltre•o~Owner or wnaCaA nt Owner Q Agent Signature: t t�i' Building Official Approval: For Office Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL a 142A requires that the 'monostruction, alteration, renovation, repair, mWe nation, conversion, improvement, removal, demolition or construction of an addition to any p e"eziistmg owner -occupied building containing at least one but not mom than four dwelling units or swuchaes which are adjacent to such residence or budding' be done by registaed eonhactors, with certain exceptions, along with other requvemems. Type of Work: ' awo 52oRY Est. Cost Address of Work KZ A "ttatc4Ao,-)ti moo.. Owner Name: P'1 acm�w � �t.5o�a5or.1 it I p q l of Date of Permit Application: l\ 1 as lot 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 Owner pulling own permit Other (specify) 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 o. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner. w1 1ox tot42a Date Contractor Name Registration No. XLZ Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name MCI The Commonwealth of Massachusetts Department of Industrial Accidents excoalloros affoss 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Applicant information: 1?1cs5rJ KflPI`ResM o cin S-%L-rl N 4AC2riQ4Q A phone e -Scg 31�55 '3$1& ❑ 1 am a homeowner performing all work myself. ❑ 1 am a sole proprietor and ha\e no one working in any capacity ❑ I am an employer ppro%iding workers' compensation for my employees working on this job. company name: l�U\�c�o ran\1 G.I��c 1116Q\o�Y_ agwCN Cpt,,_,,V0 r_x%0 ) tJL 654 WA, 3y insurance co. G0.94N1E S-cme C n, nniicy M Oys. &L, 03[A o a ❑ 1 am a sole proprietor. eeneral contractor. or homeowner (circle one) and ha\e hired the contractors listed below who have the following workers' compensation polices: Ell 211v name: address: city: phone N. insurance co. yolicv 0 rulure to secure coverage as required odder be[son 35A o1 MeiL 133 can lead to me imposition ofcrtmlaal peumes of a use rap to si.5oa31a asuum one years' Imprisonment so well u civil penalties is the form of a SfOF WORK ORDER and a Ilse of SI00.00 a day against me. 1 saderstasd that a copy of this statement may be forwarded to the Office of lavesdgadoes of the DIA for coverage verification. t do hereby certify under the pains and penalties of pery'ury that the information provided above Is true and correct Print name �� v N �uazti2s�YA Phone g SQ B 3Fn S i4,e-52 omcial use only do not write in this area to be completed by city or lows official city or town: YABMODT11 check if immediate response is required contact person: permit/liceae a C311uildieg Department 011censiog Board 261 p5eleclmen's Omce (508) 398-2231 ext. 011talth Department phone a; _. riOtber 4,vmM LVS r1A1 Information and Instructions Massachusetts General Lasts 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 empl(trer 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 duelling house having not more than three apartments and who resides therein. or the occupant of the duelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the .-rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe. NIGL chapter I:'_ section :5 also states that even• 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. Additional1%. 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 suppl%ing compan% names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requesta 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to rill in the permittlicense number which will be used as a reference number. The &Mdavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents fMCI of lm3943don 600 Washington Street Boston,Ma. 02111 fax M: (617) 727-7749 phone H: (617) 7274900 ext. 406, 409 or 375 v TOWN OF YARMOUTH 1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664A451 Telephone (508) 898-2291, ExL 261 — Fax (508) 398-2865 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELECTRICAL GAS PLUMBING SIGNS Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 4eL A (WZMcst -K,,% Work Address is to be disposed of at the following location: CAPE tT-QA`�AOLE,I - E- Z- Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Permit No. 1\�9 '01 Date i BOARD OF BUILDING REGULATIONS �► LIM ": CONSTRUCTION SUPERVISOR Number: CS 075828 Blrtbdeb: 05W/1953 i Exp1m: 05/07=m Tr, no: 75828 Rmb ctad To: 00 KELLEY C PHILBROOK 38 WRIGHTS LANE GLASTONBURY. CT 06033 7 LnWmW BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Nrsnber: CS 008087 BlrtlrdsEs: 0IM411951 q qk% Ezplm: 01114r4M Tr. no: 15350 Restricted To: 00 THOMAS V PHILBROOK 107 BEACH ST DENNIS, MA 02638 Admin*08 or HOME IMPROVEMENT CONTRACTOR Registrstios: 101422 Espiret ios: O1125/2002 Type: CIA P1I181001 ENGR. A CONSTRUC � w T hilhrooA T�MR I Ind Street Desois NA O243R " GRA 131 JNSURANCE COMPANY PENNSYLVANIA T 1r A DatitM MU11 DDnnV a vrl 1 V nUli DnnnV AGENT NUMBER wilp'lloamoTe SEND CORRESPONDENCE TO: AMERICAN BJTERNATIONALCO. P.O. BOX 409 PARSIPPANY, NJ 07054-0409 PHONE: 1.900-645-2259 WC 854-44-39 013-66-0301-02 107 BEACH STREETT- - - -- -,J/1 Member Companies of ►of / American International DENNIS, MA 02 38-DODO Group EXECUTIVE OFFICES: 70 PINE. STREET, NEW YORK. N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 M K.LOVELETTE INS AGCY INC WORKERS COMPENSATION AND EMPLOYERS 396 MAIN STREET LIABILITY POLICY INFORMATION PAGE WEST YARMOUTH, MA 02673-0000 INSURED IS PREVIOUS POLICY NUMBR PARTNERSHIP RENEWAL 0071254700 OTHER WORKPLACES NOT SHOWN ABOVE: SEE NAME AND ADDRESS SCHEDULE - wc9go610 ITEM 2 POLICY PERIOD 12:01 AM. standard time at the Insured's malling address FROM 03/01/01 To '03/01/02 ITEM A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work In each state listed in Item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident 9 100,000 each accident Bodily Injury by Disease S 900,000 polity limit Bodily Injury by Disease S - 100,000 each employee C. Other States Insurance: Part Three of the polity applies to the states. If any, listed here: SEE ENDORSEMENT - WC200306A ITEfae The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below Is subject t0 verification and change by audit Olassillcatlons Code Number Estimated Total Remuneration Rate Par 21000E Re, Estimated Premium ElAnnual ❑ 3 Year munerallof a Annual ❑ 3 Too, SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $105 EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $ 2 1 4 MA MINIMUM PREMIUM S SDD MA TOTAL ESTIMATED PREMIUM $2 , B 39 If Indicated below. Interim adjustments of premium shall be mods: Semi -Annually 1:1Quarterly Monthly DEPOSIT PREMIUM ' 03/12/01 ASSIGNED RISK SEE ATTACHED FORM SCHEDULE - WC990612 M Issue Date 30067 Issuing Office INSURED'S COPY WC 00 00 of HAMLYN CONSULTING IIrL JL 890 Thousand Oaks Ddve. Brewster, MA 02631 • Phone K Pax: (508) 394-5803 September 26, 2001 Yarmouth Conservation Commission Town Hall 1146 Route 28 South Yarmouth, MA 02664 RE: John Henderson, 426A Highbank Road, (South) Yarmouth, MA Wetlands File No. SE 83-1566 Enclosed please find the receipt for the recording of the Order of Conditions relative to the above referenced matter and recorded at the Barnstable County Registry of Deeds. Yours truly, r Melissa Freedman Hamlyn Consulting enc cc: John Henderson T. Vamun, Philbt k 4- r. e Massachusetts Department of Environmental Protection DEP Fie Number: Bureau of Resource Protection - Wetlands SE 83-1566 WPA Form 5 — Order of Conditions ProMedbyDEP Massachusetts Wetlands Protection Act M.G.L a 131. §40 A. General Information Important: From: When filling out forms on YARMOUTH the computer, Conservation Commission use only the tab key to This Issuance If for (check one): move your cursor - do ® Order of Conditions not use the return key. ❑ Amended Order of Conditions QTo: Applicant: Property Owner (f different from applicant): John Henderson Martha Henderson, Jacqueline Walsh 3 .. Name G.Cartvate Norma Four Skylar Road Four Skvlar Road Mating Address Mating Address Southborough MA 01772 Southborough MA 01772 cityrrown state zip code Clyrrown state Zip code 1. Project Location: I. _ • 426A Hiahbank Road South Yarmouth street Address Clyrrown 92 7 Assessors Map/Plat Number ParceV4ot Number 2. Property recorded at the Registry of Deeds for. Barnstable 1 t' 13074 221 courty, - ,..I Book Page rDv Carbfx:ate (if registered land) V. 'A. 3. J Dates: , B-21-01 9-06-01 9-18.01 Date Notice of Intent Fled Date Public Hearing Closed Data of Issuance 4. Final Approved Plans and Other Documents (attach additional plan references as needed): She Plan 416A Highbank Road; South Yarmouth, MA 8-01-01 'Title Date 5. Final Plans and Documents Signed and Stamped by: Arne H. Ojala, P.E., P.L.S. Name 6. Total Fee: $220.00 (from Appendix B: Wetland Fee Transmittal Form) VVPA Fa 5 Ppe1017 a.o rom Massachusetts Department of Environmental Protection DEP Fie Number. Bureau of Resource Protection -Wetlands SE E3.1566 WPA Form 5 - Order of Conditions Preride°DyDEP Massachusetts Wetlands Protection Act M.G.L a 131, §40 r B. Findings Findings pursuant to the Massachusetts Wetlands Protection Act Following the review of the above -referenced Notice of Intent and based on the information provided in this application and presented at the public hearing, this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: ❑ Public Water Supply ❑ Private Water Supply ❑ Groundwater Supply ❑ Land Containing Shellfish ❑ Fisheries 9 Storm Damage Prevention ❑ Prevention of Pollution ❑ Protection of Wildlife Habitat Furthermore, this Commission hereby funds the project, as proposed, is: (check one of the following boxes) Approved subject to: ® the following conditions which are necessary, in accordance with the performance standards set forth In the wetlands regulations, to protect those interests checked above. This Commission orders that all work shalt be performed In accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: �. ❑ the propoied work cannot be conditioned to meet the performance standards set forth in the wetland regulations to protect those interests checked above. Therefore, work on this project may not go forward unibss and until a new Notice of Intent is submitted which provides measures which are adequate to protect these fnterests, and a final Order of Conditions is issued. ❑ the tnfornatiod submitted by the applicant is not sufficient to describe the site, the work, or the effect "'Of the work on the Interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions Is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). General Conditions (only applicable to approved projects),., 1. Failure to comply with all' conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the pemdttee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. WPA F. e e nxn Vpe2d7 • DEP File Number. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands SE 83-1555 Provided by DEP WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L a 131, §40 B. Findings (cont.) 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply.project as provided for in the Ad: or a. the work is a maintenance dredging P ro1 b. the time for completion has been e)dended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the wdension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be eadended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be dean fill. Any fill shall contain no trash, refuse, rubbish, or debris, inducting but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this order have elapsed, or H such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been rewrded in the of the Registry ffeof Deeds or the cted property. Innd Court forthe district In thecase of recorded land, the Final Order hich the land is located, I also be noted In the of title Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording Information shall be submitted to this Conservation Commission on the forth at the end of this Order, which torn must be stamped by the Registry of Deeds, prior to the commencement of work. `1 9. A sign shallbe displayed at the site not less then two square feet or more than three square feet in size bearing tare words, {. Y yMassachusetts Department of Environmental Protection' [or. OMA DEPI 'File Number SF U-15Ti6 ng Order, 10 C nse Conservation commission share'the Department of ll be a partynmental to all agency proceed ngection Is requested to Issue nd hearings before DEP. �e 11: Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A) to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition $12 above shall require the applicant to Inquire of the Conservation commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. Page eav WPA Fw e e MM Massachusetts Department of Environmental Protection DEP Fie Number Bureau of Resource Protection - Wetlands SE 83-15M *WPA Form 5 - Order of Conditions ft°xdbyDEP Massachusetts Wetlands Protection Act M.G.L a 131, §40 B. Findings (cunt.) 15. This Order of Conditions shall apply to any successor in interest or successor In control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. IS. Prior to the start of work, and if the project imrolves work adjacent to a Bordering Vegetated Welland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. AD sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall irnmediately control any erosion problems that occur at the site and shall also Immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. Special Conditions (use additional paper, if necessary): SEE ATTACHED SHEET Findings as to municipal bylaw, or ordinance Furthermore, the-YARMOUTH hereby finds (check one that apples): Conservation Commission • 1, ❑ that the, proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: Natngq Municipal Ordnance or Bylaw Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw, specifically, Town of Yarmouth Wetland By -Law Chapter 143 Name - Municipal Ordnance or Bylaw The Commission orders that all work shall be performed in accordance with the said additional conditions and with the Notice of Intent referenced above. To the erdent that the following conditions modify or differ from the plans, specifications. or other proposals submitted with the Notice of Intent. V1ieiiie the conditions shall control. da..ar a.. mm WPA FORM 5-ORDER OF CONDITIONS SPECIAL CONDITIONS -PAGE 4A OF 7 SE 83-1566-JOHN HENDERSON - 1. The applicant shall be responsible for having a copy of these "Orders of Conditions" on the job site at all times. Failure to do so may result in a revocation of the "Orders!',a fine or both. , 2. The Conservation Commission, its agents or assigns, shall have the express right of entry upon the job site at all reasonable times for the purposes of establishing "compliance" with the conditions stated herein. 3. Upon completion of the project, a "Certificate of Compliance" shall be requested in writing. This "Order of Conditions" shall be considered incomplete until the "Certificate of Compliance" is issued and recorded at the Registry of Deeds. 4. Gutters and downspouts directed into drywells shall be installed to provide for roof runoff. 5. All an off ends and debris shall be cleaned up at the end of each day and not be allowed to enter the waterway. 6. A haybale dike shall be staked in place as shown on the plan, prior to any work on the project. The Conservation Administrator may allow the substitution of a siltation fence in an appropriate case. 7. This dike shal ,constitute a "work limit line". No work of any kind shall be permitted on the wetland sid' f f this line. 8. The deck shall not be closed in without a future filing with the Conservation Commission. � Massachusetts Department of Environmental Protection DEPFre Number Bureau of Resource Protection -Wetlands WPA Form 5 - Order of Conditions ProridedbyDEP Massachusetts Wetlands Protection Act M.G.L c. 131, §40 B.-Findings (cont) Additional conditions relating to municipal ordinance or bylaw: This Order is valid forthree years, unless otherwise specified as a special condition pursuant to General Conditions #4, from the date of issuance. Date This Order must be signed by a majority of the Conservation Commission. The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be matged or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office (see Appendix A) and the pmperly owner (if different from applicant). ... _ _ J . / Ori Of Day before me personally appeared Segcwt&xr - 1eG Month ind Year s {! - i o LKts�l l.S S'Q r to me known to be the person described in and who executed the foregoing Instrument and acknowledged that he/she executed the same aas//h' er free act and deed. Notary Public My Commission Expires This Order is Issued to the applicant as follows. ❑ by hand delivery on Date Q by certified mall, rvtum receipt requested, on 9-18-01 Date WPA face 6 R.. "M Massachusetts Department of Environmental Protection DEP Fie Number. Bureau of Resource Protection - Wetlands SE 83-15N WPA Form 5 — Order of Conditions Provided by DEP Massachusetts Wetlands Protection Act M.G.L a 131, §40 D. Recording Information (cunt) Detach on dotted line, have stamped by the Registry of Deeds and submit to the conservation Commission. -------------------------- -------------- To: YARMOUTH Corm nation Commission Please be advised that the Order of Conditions for the Project at: 426A Hiahbank Road South Yarmouth SE 83.1566 Project Location DEP Fie Number Has been recorded at the Registry of Deeds of: BARNSTABLE County Book Page for. Martha M. Henden Property Owner and and has been noted in the chain of title of the affected property in: Book, P 1ti l In accordance with the Order of Conditions issued on: 9-18-01.- Bk 14264-Pg208 #70555 09-25-2001 P 12:56P If recorded land, the Instrument number identifying this transaction is: Insbument Numbs If registered land, the doourpent number identifying this transaction is: Document Number M'7 "T'! VMA Fin a P.pe? d 7 a.. rom Book: 14264 Pages 268 Inst#s 76559 Ctlg: 1891 Rec:9-25-2ool 112:56:36p YAM 426A NlW AHK RUAD DOC DESCRIPTION TRANS ANT I YARMOUTH TOWN -OF ORDER 16.66 rec fee- 12.66 Surcharge CPA S26.66 28.66 Total fees 32.66 • r ' Property London: 426A HIGHBANK RD MAPID: 92/ 7/ / / Vision ID: 12793 Other ID: 81/F001/// Bldg N. I Card I of 1 Print Date: 12107/200111:26 CURRENT OWNER TOPO. UTIL/T/ES STRT✓ROAD LOCATION CURREM ASSESSMENT ' ENDERSON, MARTHA M AISH, JACQUELINE & CARNIVALE, GUISEPPE SKYLAR DR OUTHBOROUGH, MA 01772 Additional Owners: Des tion Code A ised Value Assased Value d/S YARMOUTH, MA LAND [DNTL 1013 1013 403,200 129,800 403.200 129,800 — SUPPLEMENTAL DA TA kccount N 1311400 ubdivision 241 Ward �rccinct IS ID: VISION Tool 533,000 533,000 RECORD OF OWNERSHIP - BK-VOL/PAGE I SALE DATE alk err( SALE PRICE V.0 PREVIOUS ASSESSMENTS HISTOR 1ENDERSON, MARTHA M OGERS. THEODORE S OGERS LAURENCE T 13074/ 221 11970/109 06/152000 011w1999 Q U 1 1 750,000 99 .0 00 1F Yr. lCadel Assessed Value I Yr. I Code I Assessed Value I Yr. I Code I Assessed Value 20011013 2001 1013 403,200 1264M 000 000 1013 1013 191JM 99,200 Total. 530 000 TNak 290 Tad: 306AN EXEMPTIONS OTHER ASSESSMENTS This signature acknowledges a visitby a Data Collector or Assessor Year nypevDescriplion Amount Code Description Number Amount Comm. Int. APPRAISED VALUE SUMMARY - Appraised Bldg. Value (Card) Appraised XF (B) Value (Bldg) Appratsed OB (L Value (Bldg) Appraised Land Value (Bldg) Special Land Value Total Appraised Card Value Total Appraised Parcel Value Valuation Method: 125,900 4A00 0 403.200 333.000 533,000 Cost/Market Valuation Total: NOTES HUGE FPL W20VENS 0241 et Total Appraised Parcel Value 533,000 BUILDING TRECORD S/T/CHANGE IS RY - ` Permit ID Issue Date 11w Description Amount Imp, Date Camp. Date Camp. Comments Date ID I Cd. I Purpose/Result 0IJ20 SOS 12/15/00 1028/96 IRS IRS Residential Residential 24,000 10,11N S/22/01 3/3/97 100 100 I2N1 FINISWBASEMENT 12/97 2 FPI WIN 5/22101 920195 KF RD 00 00 euur+Usttd easur+Listed LANDLINE ALUATIONSECTION BN Use Code Description Zone D Fromtaa Depth Units Unit Prim I. Factor S.I. GFactor Nbhd Ad. Notes. AdilSpecial ppicin-e Ad. Unit Price Land Value 1 1011 SFR WATER 33,105.60 SF 1.46 193 7 3.60 0076 1.20 X909.ACCESS ILN 403.200 Tow Card Land Ua/ts 33,106.001 SFJ PwrcvdTwdL&ndArvw:l 33,106 TF1 Tod Land Yala 403,200 PropertyLocodoa: 426A HIGHBANK RD MAP/D. 92)7/// - Video ID: 12793 Other lD. gl/ F001/ / / Bldg /: I Card I of I Privet Data 12107/2001 It CONSTRUCTIONDETAIL : , - SKETCH Element CA Ch. Description CemmercLl Data Elements tylal Type coventlonal Element Cd. CA Deccrption odel e taria 1 S Uddeadal •erage+20 t Storks FOP r UBM - icat & AC sae Type di&Tlwnbing 3ccupancy 'ling/Wa0 10 taior Wall I fSttucnee loof t 3 pboard abldHip ph/F GWCmp v cmrn n wall all Height FU3 BAB FBM 1 23 CONDO/MOBlLE HOME DATA feria Wall 1 2 lain Floa I 2 eating Fuel eating Type C Type 6 2 S 1 Itywood Panel alald Sht Gdr B of* ion* 15 1 Fgpg UBM 1 c- 0 PTO 1 4 19 19 4 /ement a Description actor lex ar.Adj Jnmt Loeatitm umba of Units umberoftevels Ownership oWa Roans 2 Bedrooms Bathrooms Bats m Roos 15 BAY SAS 2 4 UBM 2 COST/MARKET VALUATION j. Base Rate iu Adj. Factor 60.00 0.97394 lath Type 2 adaa lm&(Q) Index 1.17 'tchen Style 2 odes Idg.�uee New fear Built 157,296 1976 23 19 Year Built 1990 " " --MIXED _._ ..: = USE " .. rml Physcl Dep imrnI Obslnc con Obslne paL Cad. Cade ipecl Cad % 20 0 0 - 1013 SFR WATCR 100 3cproc. Bldg Value 12SA00 OB-0UTBUILDING& YARD ITEMS(L)/XP-BUILDINGEXTRAFEATURESB Code I Description I LB I Units I Unit Rice I Yr. I Dy Rt I %Cnd I Apr. Value FPL3 R STORY CH1M B I mom 1980 1 100 2,200 FPL1 IREPI.ACC t ST B I 2,200A0 1980 1 100 1,800 COS od Oats Shwr B 1 0.00 2000 1 100 0 ff UILDEV1i8U6- NUMMARY51KU _ .. ,... Code Des Lion Livin Area Gross Area E . Area Unit Cost Unde rec. Value BAS rat Floor 1,495 1,495 1,495 6836 102,198 FBM asemeat, Flal■hed 0 195 88 30.85 6,016 FOP oreh, Open, Flalshed 0 105 21 13.67 1,436 FUS pper Story, FIn46ed 495 495 495 6836 33,938 PTO ado 0 376 19 3AS 1,299 UBM meat.UaDalded 0 861 172 1J.66 11,758 WDIC Wood 0 105 11 7.16 732 v J v J 1.0 QUOTE Store 2681 NORWOOD 1415 BSTN PROVIDENCE HWY NORWOOD, MA 02062 Phone: (781) 762-9270\\-- Salesperson: MWREW� �7C% Reviewer: MWJWB 5;p1 Or NUM . Hm PI KALAITZIDES KIMON (617)327.2327 A0 -148 BEECH ST WM Phn ( ) Cmpwy NUM c"'' ROSLINDALE JobDai ptlon ADDITITON MATERIALS S" MA Z'° 02131 `°' SUFFOLK \. Page 1 of 2 NO. 78108- C6111911 d 0 �2001.11.301657 ;Prices Valid Thru:1210112001 ----------------------- HOME DEPOT DELIVERY #1° MERCHANDISE AND SERVICE SUMMARY merchandi"se'sofdTiicu4toiiiers: """"'""-' REFfV17 STOCK MERCHANDISE TO BE DELIVERED: I:REF # SKU OTY UM DESCRIPTION SAX PPoCE EACH tEXTENSlON'. R01 438-135 1.00 1 EA LOWEIFULL SCRN 2/4X3/2 4 9116 PRIME /LOW E GLASS THERMAL PANE. RO 30-1/4X41-1/4 Y 4112.00 $112.00 R02 388-615 6.00 1 EA 4/OX4/0 2400 WHT LOWE W/1/2 SCRN /R.O. 48-1/2-X48-1/2- THERMAL J GLASS WITH LOW E Y $112.00 $672.00 R03 826-488 1.00 EA 36 LH IRIS BRASS 22X36 IS BM /R.O. 38-1/4'X82' STEEL INSULATED DOOR Y $249.00 $249.00 R04 254-176 1.00 EA 5500 6/OX6/8 LOWE CLR OPR PNL W/SCRN/160.00 + 140.00 + 65.00 s 365.00 Y $160.00 $160.00 R05 254-472 1.00 EA 5500 6/OX6/8 LOWE CLR STAT PNL / Y $140.00 $140.00 R06 230-713 1.00 EA 5500 KDDR 6FT WHT FRM HARDWARE / Y $65.00 $65.00 R07 343-943 40.00 EA R-19 151N KRAFT ROLLS48.96 SOFT / /qSu !ate Y $16.98 $679.20 R08 267-954 2.00 EA VENT GABLE MOUNT PRO -ONE 1280 CFM / Y $35.87 $71.74 R09 293-870 3.00 EA AC ALARM CONTROL SMOKE ALARM / Y $10.97 $32.91 R10 439-614 32.00 EA 23132 4X8 CDX RATED SHTG DFR /3/4 / Y $16.92 $541.44 R11 386-081 22.00 EA 71164X8 WAFERBOARD/OSB /EXT WALLS Y $6.20 $136.40 R12 166-081 34.00 EA 19132 4X8 CDX RATED SHTG SYP/5/8 /EXT ROOF PLY Y $13.93 6473.62 R13 841.262 3.00 EA 3 1/2 X 7FT6LOLLY COLUMN I Y $19.98 $59.94 R14 554-591 EA 4'LOLLY COLUMN CAP/BASE / Y $4.46 -+26:7 '3 Pis 'J'-,., Ux, I "* CONTINUED ON NEXT PAGE ••.' Page 1 of 2 NO. 78108 /3.38<j QUOTE - Continued Last Name: KALAITZIDES Page 2 of 2 No. 78108 HOME DEPOT DELIVERY #1' IContinuodl REF HIV 17 STOCK MERCHANDISE TO BE DELIVERED. REF d SKU OTY UM DESCRIPTION TAX PRICE EACH EXTENSION' RIS 1 258-350 1 35.00 1 EA 1/21N 4X8 DRYWALL / Y $4.79 $167.'65 R16 1 201-625 1 60.00 1 EAJ 2XIOX14 K.D. NO. 2 SPRUCE / Y $11.50 $690.00 MERCHANDISE TOTAL $4,277.66 DELIVERY INFORMATION: V17 1 515-663 1.00 1 EA I Curbside Delivery Service Y $50.00 DELIVERY SERVICE SUBTOTAL4 $50.00 HOME DEPOT WILL DELIVER MOSETO: JKALAITZIDES, KIMON ADDRESS:148 BEECH ST CITY: ROSLINDALE STATE: MA ZIP: 02131 COUNTY:SOFOLK SALES TAX RATE: 5.00 PHONE: (6171327-2327 $4,327.66 TOTAL CHARGES OF ALL MERCHANDISE & SERVICES END OF HOME DEPOT DELIVERY • REF 017 s4,327s6 SALES TAX $216.38 TOTAL $4,544.04 BALANCE DUE $4,544.04 END OF ORDER No. 78108 Page 2 of 2 No. 78108 N"egk COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 CITY: Yarmouth STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 12-18-2001 COMPLIANCE: PASSES Required UA - 227 Your Home - 122 I 1 Permit i I 1 I Checked by/Date I Area or . Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 596 38.0 0.0 18 WALLS: Wood Frame, 16. O.C. 741 15.0 0.0 57 - GLAZING: Windows or Doors 128 0.300 38 GLAZING: Skylights 19 0.480 9 HVAC EQUIPMENT: Furnace, 80.0 AFUE COMPLIANCE STATEMENT:' The proposed building design described here is , consistent with the building plans, specificatious, 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 1251 of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date - �. f�j� - _ Z % Lfi rA 'LOOT-. PhObrock Eng. a Const 107 Beach Street 1lenn1s, MA 02638 s TV MAScho9k INSPECTION CHECKLIST Massachusetts Energy Code MAScbeck Software Version 2.01 DATES 12-18-2001 Bldg.1 Dept.1 Use I I I CEILINGSs (] [ 1. R-38 I Comments/Location I MALLS: ( ) I 1. Wood Frame, 160 O.C., R-15 ( Comments/Location I WINDOWS AND GLASS DOORS: (] 1 1. U-value: 0.3 I For windows without labeled U-values, describe features: 1 # Panes Frame Type Thermal Break? 1 ] Yea [ ) No I Comments/Location 1 I SKYLIGHTS: ( ] 1 1. U-value: 0.48 I For skylights without labeled U-values, describe features: 1 I Panes Frame Type Thermal Break? ( ] Yes ( ) No I Comments/Location 1 I HVAC EQUIPMENT: . (] 1 1. Furnace, 90.0 AFUE or higher I Make and Model Number 1 I AIR LEAKAGE: ( ] I Joints, penetrations, and all other such openings in the building 1 envelope that are sources of air leakage must be sealed. When 1 installed in the building envelope, recessed lighting fixtures 1 shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2, Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the 1 conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: ( ] I Required on the warm -in -winter side of all non -vented framed I ceilings, walla, and floors. 1 MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified 30 that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glaring U-values, and heating I, equipment efficiency must be clearly marked on the building plans I or specifications. I DUCT INSULATION: Ducts shall be insulated per Table J1.4.7.1. 1 1 DUCT CONSTRUCTION: I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or 1 joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. TEMPERATURE CONTROLS: 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 1251 of the design load as specified in Sections 780CHR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 201 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.): HEATING SYSTEMS: Low pressure/temp. Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant PIPE SIZES (in.) TEMP (F) 2• RUNOUTS 0-1- 1.25-2• 201-250 1.0 1.5 1.5 120-200 0.5 1.0 1.0 any 1.0 1.0 1.5 2.5-1• 2.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 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 I CIRCULATING MAINS i RUNOUTS REATED WATER TEMP (F): RUNOUTS 0-10 I 0-1.25• 1.5-2.00 2.0f' 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0. ----NOTES TO FIELD (Building Department Use Only) 3" x l iz Aqua►. t�AsH�� w\tti I(ERF cuc ♦MTO (3EAtA\La%—\ y" I.�ASEcZ (mlD S.GE 3ARR\EQ SP�\NE nvcc� Zoc� , QRQ\U5 EDGE 'DEcK\uc. 'DE 5ET 3Y SHWc.tS �A�Atq(''� Gouc25ES �E�c1 So\Nt lleuaEE[l1 OaEgti qua StoEwr�� S4AvEo W\'CN r gq,\Zs Ao\�Esw� cqu\.\i\u� S\flEWAt.\. yaEM. SHEgTA\ Jc, �►-CRAP / Window Schedule 426A Highbank Road, South Yarmouth Anderson Windows: C-235 2 units ; one in newbath, one in new media room C-345 1 unit in new bedroom P 4040 1 unit in stairwell Anderson Sliding Door. FWG 12068-4 1 unit in new bedroom Roto Skylights : RV 2127 1 unit in new bathroom' RV 2938 2 units in new bedroom 0 ' BOISE CASCADE - BC CALC"' 2001 DESIGN REPORT - US Tuesday, Decerrber18, 200108:01 -11 90XL FilSingle ,a unwed Jab Name HENDERSON 2nd Story Addition END SON Customer _ Address 428a Highbank Road Specifier Designer - T. Vamum PhibnooK P.E City, Slate, Zip - So. Yamroith, MA Company. - Philbrook Engineering 3 Construction Code Reports - ICBO4665, NER 446 Mist - Project No: P0035H Main 2nd Floor Joists 640 bs U. 640lbs LL 240 bs DL 240 its PL General Data Load Summary Vemion: US Imperial 10 Description Load Typs Ref. Start End Live Dead OCS IS Standard UnfArea Load Left OD-W 0 24-WW 40 PSF 15 PSF 160 MenbKType: - Joist Number of Spans - 1 LefCanblever - No RightCanblever - No Slope 0(12 OC Spacing 16- Repetitive Yes Construcdon Type Glued itrots Summary bolTyps Value Wd 5280 ft-ba Reaction 880 be I Deflection 1./331 (0.87-) Deflection U455 (0.632") . Dell 0.87- (Unit 1-) VDepth 24.3 %Allowable Duration 61.7% 0100% 61.8% 0100% 72.5% 79.1 % 87.0% Loadcase Span Location 2 1- Internal 2 1- Right 2 1 2 1 2 1 1 Lire Load 40 PSF Dead Load 15 PSF Bearing Supports Pan Load 0PSF Name Type Dim.(LxW) Value %Allowed Case Material Duration 100 SO Beam 2-1/Y x 3-lir 880 bs 11.2% 2 Versa -Lam B1 Beam 2-1/Y x 3-12- 880 bs 112% 2 Vera -Lam Disclosure The completeness and accuracy of the Input must be verified by anyone NOTES: who would rely on the output as Design meets Code rrnkmm (1I240) Total bad deflection criteria evidence of suitability for a particular Design meets Cade mintrsan (L/d60) Live bed deflection criteria application. The output above is Desk its arbitrary (1") Maximum bad detlecdon criteria. based upon binding code-eocepted design properties and analysis maMods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installaton Guide or d you have V any questions, please call (dts�0fa beginning ProucIndo `\ D 3 2p02 Dur. 100 Page 1 of 1 BCI® and Versa -Lance are registered tradernaft of Boise Cascade Corp. PHILBROOK ENGR & CONST This: 'Jab e T. Vamum Phlibrook, P.E. Dapnr. Data WSW 1S DEC OI 107 Beach Street Description Dennis, MA 02638 Scope: 1-508.3884682 e,r emwoe ��lInjm_"+..kw General Timber Beam page Description P0035H; HENDERSON Cantilever Deck Beams - Stresses Reduced for Service Level 2 Exterior Use of Parall am Stocks per TnaJoist MacMillan General Information Caen- N designed to 1997 NOS and 1997 UBC Requdramarda Section Name Prom: IAx9.3 Career span 14.50 R .....w 1.33 R Bean Wkfth 3.50 In Cart9e`er a00R / 1.33 R Bean Depth 9250 h ....Lu O.00 R Lumber Type Tess Joist - Ma L lac ParaJlan 20E Bon WL Added to Loads Fb Base Alm 2,090.0 psl Load Dur. Factor 1.0m NAB= 175Apoi Beam End Fbfty pkwh FcAl w 650.0psi WoodDensiy 45.00Opd E 1,740.01ai Full Len h Uniform Loads Carta IX 10.00 Alt LL 25.OD AIR Left Carole" DL MOD AIR LL MOD Alt Rlyt Cateaer DL AIR I.I. am Spam 14=K Left Cant- &0dk Bean Width - 3.500in x Depth - 9251n, Ends we PkWh Max Stress Ratio M789 :1 Maximum Moment 48 kit Maximum Shear • 1.5 Allowable 8.7 kit Allowable Max Positive Mmrat M67k- t at U'l l R Show Q tart Max Negam Moment -1.17k- t at 0.000 R Q Right Max Q Let Support 484 k-R Camber. Q Ldt Max Q Riot Support 0.00 k-R Q Center Max M etaw 5.87 Reactions.- Q Rat 1b 1.645.02 poi tv 10422 psi Left DL 0.62 k Max Fb $084.65 poi Fv MOD poi Right DL 0.07 k Mar Beam Design OK 3A it 5.7 it 225 k 0.33k 0.185 in 0.034 In 0.000 In 3.05 k 025k Deflection 0.023 in -0.047 In DeSxtio n 4124 In -1.044 In „.Location 4.014 R 8.356 R _.LanpthiDe l 1,159.5 1380 _.LagOYDdI 7,679.9 3,688.12 Right Candiwer_ Defection 0.000 In 0.000 in _.Lwghw 0.0 0.0 Stress Cates Bending Analysis Ck 23.400 Le 2739 R Sex 49.911 in3 Area 32.375 h2 Cr 1.000 Ftb 4.983 Cl 0.997 Sex Redd @ Q Center hat 1.17 k- t 8.75 kn3 2,084.85 psi Q Left Support 5.84 k-R 39.39 kn3 2,054.85 pal Q Right Support 0.00 k-R 0.00 h3 2.090.00 psi Shsw Anaysta Q Lelt Support G Riga Support Design Show 3,37 k 0.49 k Ares Required 19281 Ina 2 794 kn2 Fv. Allowable 175.00 psi 175.00 psi Bearing Q Supports Mac Left Reaction 3,08 k Seeing g Length Read 1.354 in Max Right Reaction 025 k Beakg Length Raga 0.108 in ' Q Cater Span Location = 0.00 R 484 k-R 0.80 k 0.0000 in Q Riga Cat. Laca0on = O.0D R 0.00 kit 0.00 It 0.0000 in Q Left Cat. I arallon = 0.00 R 484 k- t 0.80 k 0.0000 in TOWN OF YARMOUTH BUILDING DEPARTMENT FILE COPY 1146 Route 28, South Yarmouth, MA 02664 Telephone 508-398-2231 ext. 260 Fax 508-398-0836 January 2, 2002 _ . Kelley C. Philbrook 38 Wrights Lane Glastonbury, Ct. 06033 tRs'd3'A� ROAD:; Dear Mr. Philbrook: I am in receipt of your building permit application received November 29, 2001, on which you propose to perform the following work: .."Additionladd god floor bedroom, bathroom, stairwell with new deck from Zed floor to existing home" Having reviewed said application and associated documents I have determined that a building permit cannot be issued at this time due to the following reasons: 1. Budding Code, Chapter 1, Section 110.7, Construction documents The following documents were not included with application. • Energy Print out. • Para Lam Printouts — Exterior exposure for deck. • Print out or Certification for all manufactured lumber and joists. • How will cantilevered deck be flashed to basement to prevent water infiltration? • Provide complete floor plans for smoke detector location. Additional bedroom triggers full compliance. 2. Section 3107, Flood Zone was not identified on site plan. Therefore, you are required to contact this office before proceeding with said work pursuant to 780CMR Chapter 1, Section 110 of the State Building Code. Finally, your application package will again be reviewed upon resolution of the foregoing. Very truly yours, a,aL201fir -i, C. B. 0. Building Commissioner JDBrjs hAwj& CERTIFIEDMAIL 7001 1140 0002 9393 701s . . . • TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, IVIA 02664 Telephone 508-398-2231 exL 260 Fax 508-398-0836 January 2, 2002 Kelley C. Philbrook 38 Wrights Lane Glastonbury, Ct. 06033 RE: 426 A HIGHBANK ROAD Dear Mr. Philbrook: am in receipt of your building permit application received November 29, 2001, on which you propose to perform the following work: "Additionladd 20d floor bedroom, bathroom, stairwell with new deck from 2°d floor to existing home" Having reviewed said application and associated documents I have determined that a building permit cannot be issued at this time due to the following reasons: 1. Building Code, Chapter 1, Section 110.7, Construction tion documents. The following documents were not inchlded with application. dEncrgy Print out. Para Lam Printouts — Exterior exposure for deck. J• Printout or Certification for all manu&ctured hrmbcr and joists. ✓• How will cantilevered deck be flashed to basement to prevent water infiltration? 11 ,7 J V6' Provide complete floor plans for smoke detector location. Additional bedroom triggers full compliance. 1/ 2. Section 3107, Flood Zone was not identified on site plan. Therefore, you are required to contact this office before proceeding with said work pursuant to 780CMR Chapter 1, Section 110 of the State Building Code. Finally, your application package will again be reviewed upon resolution of the foregoing. Very truly yours, James D. BrandolK C. B. O. Building Commissioner IDBrjs h:d=k%W@w& CERTIFIEDMAIL 7001 1140 0002 93EE 704s TOWN OF YARMOUTH BUILDING DEPARTMENT tIYIcSSd� ��Qi PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES ADDRESS: Map / Lot: Date of Initial Review: �> - S.. ate: Inspector. NOTES: td-,3) 2 0 74— �&AJ Avela g Denial (if applicable): Section 10432, pare gmange, Extension or Alteration (pro-adsting. nonoonfaming) The proposed requires a Special Permit from the Zoning Board of Appeals. Other XI _ Building Code Denial (if applicable) Rev. 11-01 C - � aO -�� 1,..� ems- �! � °/ � '�;�'� � ... �r�-, - � ,may - �� 0 TOWN OF YARMOUTH BUILDING DEPARTMENT iYlcss � 1�-Il-Q� PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES ADDRESS: 410V (� Map / Lot: Date of Initial Review: `J — Inspector. % . NOTES: fr1 Approval Date: Section 104.32, pars. change, Elamsion or Alteration (pro -fig, nonconforming) The proposed requires a Special Permit from the Zoning Board ofAppeals. Other Building Code Denial (ifapplicable) Building Site Location Proposed Improvement: Address: TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET f T% A 40/Map No: _Lot No:7 r, The Building Department will be responsible for assisting the a plicant by dispatching your plans and or application to the following applicable departments. WATER DEPARTMENT- ENGINEERING DEPARTMENT: CONSERVATION COMMISSION: HEALTH DEPARTMENT: FIRE DEPARTMENT: REVIEWED BY: 1. WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location Determines Compliance for Parking and Drainage. Determines Compliance to Wetlands Ads; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc Deic mines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. Z. ENGINEERING DEPARTMENT: DATE: N/A: 3. 4. HEALTH 3. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A COMMENTS: RECEIPT OF PLEASE NOTE 0C.±;lim.tx 1 DATE: d, la, Whftwm-0u0&v Dept. - Ydlwr Copy—HeaMDept. - Pu*Copy—Engineer Dept - C*W=W-Fim DcpuCanmra&m .:1 .4-- s. Building Site Location: Proposed Improvement: Address: TOWN OF YARMOUTH d BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTIAL SHEET The Building Department will be rely nsible for assisting applicable departments. WATER DEPARTMENT: ENGINEERING DEPARTMENT: - CONSERVATION COMMISSIO1 HEALTH DEPARTMENT:,. --FIRE DEPARTMENT: No: Lot No: Te1No.: Date Filed-. by dispatching your plants and or application to the followmg/ RESIDENTIAL AND/OR COMMERCIAL BUILDING Determines Compliance of Water Availability and or existing location. Determines Compliance for Parking and Drainage. Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. REVEEWED BY: .1. WATER DEPARTMENT- DATE: Z 3-0 N/A: 2 "ENGINEERING DEPARTMENT. 3. CONSERVATION: 4. HEALTH DEPARTMENT: DATE: N/A: i. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR DATE: N/A 7. FIRE DEPARTMENT: DATE: N/A PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICAN 4 4, l �E 6 i�t r { [ j • DATE: - I White ropy - Buddin`Dept- Gram ropy -Water Dept. - Yd1vw Cu" -Hedth Dept - Pink Copy- Engmeamd DepL - Gddmud- Foe tkp/Cumvntim TOWN OF YARMOUTH BUILDING DEPARTMENT BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF Building Site Location: The Building Department will be responsible for assisting the applicable departments. TRANSMITTIAL SHEET No: —2�1— Lot No:7 by dispatching your plans and or application to the following RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Eta REVIEWED BY: 1. WATER DEPARTMENT. DATE: N/A 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A 4. HEALTH DEPARTMENT: DATE: N/A: 1 n z0n 'LIj ' lir. 3. WIRING INSPECTOR DATE: N/A: 6. PLUMBING INSPECTOR DATE: N/A 7. FIRE DEPARTMENT: DATE: N/A COMMENTS: 0 PLEASE NOTE RECEIPT OF COPY: SIGNATURE OF APPLICANT. White copy—BuAdng DqL- Ydlow Copy —Hanle Dept - Pick Copy— Engbwaiu` Dept - GoW=W-Fie DrybConvvsb= PROPERTY ADDRESS: ;)-Y,x 1'? jl� �3 s OF ROOM. ETC I NO IDECK WITH ROOF I " I (DINING ROOM I I I FIREPLACE I I IGREAT ROOM I I ilelelL ID ROOM FICE H OPEN OFING (SWIMMING POOL ABOVE GROUND I a. TOWN OF YARMOUTH Building Department = Town Hall Yamauth, MA 02664 (508) 398.2231 exL261 Building Location: 0426A HIGHBANK RD Owner's Name: Henderson Owner's Address: South Yarmouth MA 02664 Owner's Telephone: Plumber Name: License Number. Company Name: Company Phone: Glenn Boucher 12256 Cape Cod Mechanical Systems PERMIT TO DO PLUMBING WORK (OFFICE USE ONLY Recorded By. Ic PERMIT NO. P-02-571 Permit Fee: $53.00 Payment Type: Check Check Number. 5053 Issue Date: 5/6/02 Type of Work: Renovation Comments: 1 water closet, 1 lavatories, 1 shower stalls, 1 water piping, 1 bidet INSPECTION RECORD Date Note Progress - Corrections and Remarks Inspector •Z fc4 3=�0 3,rs « fo o Lr55-�. ,fAl 2 E 2 d o. 2,'1re- 11o7 Date Printed: 5/14/02 APPLICATION FOR PERMIT TO DO PLUMBING TOWN "MOUWAb (OFFICE USE ONLY) By A r/ / II 0 i iSn Fee: $ ��✓ 7 "/ [ I 3� T � as J p PERMIT NO. ' / Date Building ,/ / I I Owner's Zph d4'sa^i AT:Location 7a6A d16/gt3�4,ji? I�N Name SAY 'atiM. Type of Occupancy �S NewD Renovation Replacement Plans Submitted Yes ❑ No ❑ 25. z �Q Z Y H > N y W R W fL 53, N Z H W R 2~ O Z Z a O y W y F- V¢ y? Q y LL Z =O = Q N ¢ Q W Z C Q y Z 6 Q J LL W 10- W 3= 3 W W = a Z y Y a O y Z Z Q 1L H LL O Y U= QQ m N 0 0 QQ 3= H LL 3 m J J y 17 O Q tL 0 SUB-BSMT. BASEMENT 1ST FLOOR 2NO FLOOR 3RD FLOOR (PRINT OR TYPE) Business Telephone Check One: ❑ Corp. ❑ Partnership ❑ Firm/Company Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑ No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement Check on Owner ❑ Agent ❑ Signature orOwnerorOwner's Agent hereby certify that all of the details and Information I have submitted Signa ure of Licensed (or entered) In above application are true and accurate to the best of Plumber my knowledge and that all plumbing work and Installations performed 7 / under Permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Plumbing Code and License Number Chapter 142 of the General Laws. Type: Masteli� Journeyman 0 TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO : �� so, _ PERMIT ISSUE DATE : _ 10J2=008_ ; PROPOSED USE APPLICANT :Scott Murdock..................JOB WEATHER CARD ............................. PERMRTO A epair AT(LOCATION) 10426HIGHBANKRD ZONINGDISTRICTR-40 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1092.7 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE siding 32.5 squares. replace trim REMARKS S AREA (SO FT) EST COST (r).540.000.00 PERMIT FEE OWNER Jackle Camevall BUILDING DEPT BY ADDRESS 'I0426 HIGHBANK RD South Yramouth MA'02W4 INSPECTION RECORD Date Note Progress - Corrections and Remarks CONTRACTOR LICENSE 80395 Murdock Scott 42 South Yarmouth Road Dennis MA 02638 5083850905 PHONE 15=942468 - FIELD COPY TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.261 PERMIT NO1. -----598. PERMIT ISSUE DATE 11/19/2008_ ; PROPOSED USE APPLICANT li. saoti fdurdock ...... • - - - " - "' - JOB WEATHER CARD ............................. PERMITTO Atteradons AT(LOCATION) 10426HIGHBANKRD ZONING DISTRICTR-40 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1092.7 BUILDING IS TO BE CONST l LOT SIZE Install new windows. replace railings on three balconies (decks) with vinyl telling sy REMARKS bathroom remove tub and Instal closet for washer/dryer with shelves as per plans AREA (SO Fn EST COST ($) $10 OWNER 1jacideCamevali ADDRESS 0426 HIGHBANK RD iSouth Yarmouth I MA 102664 PERMFT FEE (E) BUILDING DEPT BY LBJ USEGROUPLR-4 remodel existing PHONE CONTRACTOR LICENSE 80395 Murdock Scott 42 South Yarmouth Road Dennis MA_ 02638 5083850905 INSPECTION RECORD FIELD COPY Date Note Progress - Corrections and Remarks Inspector '5- S O/ I Qi /i .. /i - 1. Ili LF TOWN OF YARMOUTH va 13Ins 03! s BUttOtNGDEPT Building AT: Location APPLICATION FOR PERMIT M DO PLUMBING By Fee: $ PERMIT (OFFICE USE ONLY) Date _ / - r • a . i 4 Type of Occupancy ; fiOfiri�9( New ❑ Renovations Replacement ❑ Plans Submitted Yes No❑ I� = Y z Q F y J 0 V 2to 2 W W �fln f/) Z y Q C' K S t"' 2 n O 2 2 a O Its OJ e) W (/1 N W y F V O: y Q N a U. Q2_ Q_ ~X OLC�`Q� W O O W Q ca Q W G to Z C a K U. C 3 x 3 Y 0 ~ O¢ w x w FW- U Q > x Q= x 60. y = Q 0 z o. 0 0 H_ z 2 ¢ W P U. O u x 3 Y y o g 3 y o u o C 3 m o M w o x ►a- SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name CHECKOWAY ENTERPRISES Address DENNIS 02638 508 - 385 -1911 Business Telephone Check One: ❑ Corp. ❑ Partnership SIrrni'R PET R - Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent Check One: Yes—& No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement Signature or Ownerw Owner'sAgent 1 hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ ature of Licensed Plumber /,T P7 Licens Number Type: ME ! Journeyman ❑ • �- --� v.�r M ...v • �.v.r• v.•r. - vv.Vvmv r'Lnnns 1 • r O APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING4' p y Town of Yarmouth Building Department 1146 Route 28 • Yarmouth, NIA 02664-4492 Tel: (508) 398-2231 x261 • Fax: (508) 398-0836 of lai Use Only Permit No. ' - � Permit Fee $ Deposit Rec'd. Date Net Dug $ Planning Board Information VV Type Endorsement Date riling Date No Assessors Department Information: 7 7 New 1.4 Property Dimensions: Lot area (sq Frontage (m Lot Coverage This Section for Office Use Only Building Pe it umb r. I Date Issued: Signature: ddzlE t�- 40 Buildeg Onklal Data Certificate of Occupancy is is not required Section 1 - Site Information I Use Group: R-4 7 e• B 1.1 Property Addrsasa µa (D Hlqlie)I;MK RDAVO 1.2 Zoning Information: Zoning District Proposed Use S.Lj farm tivrJA ►„1 A Otto 1. 1.3 Building setbacks (R( Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water supply(eLO.t_ C.4e. s s41 Publi Private t.5 Flood Zone Informed rc / Zone: 6FE: nflE on IddO Section 2 - Property Ownershi Authorized Age—nt-1 2.1 Owner of Records ::!g-6 14L(3ArpttVAI1 Sot OIOSf-pe-Cr%r'mtvq 1 BUILDING Name pdM) 1 Mailing Address Lr— A—l"Tr LNtiD Lx QCLSS PF:fM1 r- Signature Telephone Fax E-mal 2.2 Auth�(Ised Agonte t� C .7 -r-- YYjoeDt> �z S� 7APMpV-rH rD VE.MNis WtA oZ63 No r MadN Address G.a .SOl3� g.Q.� $co7T5 CQrP t i �GMC[I�-• / Signature Tel / Fax E-mall / 2 l E D Section 3 - Construction Services r 3.11 Licensed Construction supervisors C, Sc-o-rT M V RDOCk L 4 13L i k 0 L' I yz 5,�1prn,coT 20 Number erase O3 5 Address �/'��-s )V,9 02G38 BuuDl� 3Ira�Date 2-00 Sign a Fax E-m id So-3$S0gO3 SAma ns A13ove— aadroee S1a s, 7imo%%C�iVMJqaz638I-Zoo 8 I 011161f:1:lm tof2 OVER JOY\IWI1-tIN 1\OIO WII IOO\IiI1111gY\pllyO fN11Y011\\w�r.•..w.+v�.��\�I . Workers Compensation Insurance affidavit must be completed and submitted with this application. Falir ; •1 to provide this affidavit wig result In the dental of the Issuance of the building permit Signed Affidavit Attached Yes .......... No .....:.... section S - DescriDdon of Proposed work (check all aoolkablel New Construction ❑ Na of Bedrooms Existing Bldg. ❑ Repair(s) ❑ 1 Alterations ❑ No. of Bathrooms 1 Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify. Brief De ript on of Proposed Work: —,Iy I� ►1¢�J W1W.DoWS IN Sou -TN WAII� u II 0k' ' S SA-rNro D •N Ptoll Clost,+for �JASNL2 pr PNS9 SIJ ves Re O.0 zx1►.l T ON all 8R Co/J/fS w sTN v�, V 1. 041, r k S 5 e-/v+. le.-r::« W.Wt. e1..;911:!0-1114C.III#: 111-JoPl•FeTl111•I:91:.•■ I I L:11■eeee� or Contractor Avalles for I, Check Below ❑ Conservation -Commission Filing (g apple) ❑ Old Kings Highway 3 Historical Commission approval (B appikable) , as owner of the subject property hereby authorize to act on my behag, in all matters relative et�towork authorized by this building permit application. Slgnaturs al Owner Date Section 7b - as Owner/Authorized Agent hereby declare that the statements and Information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. J 0)• col—T MU Kok 9-15-99 2 of 2 .:g ;r. i v w 114 y r I n n In V L) l rl e s BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PIS" PRLW. Job Location: 4'07 G HI GN3ANk gD S. �/pr"ot)-7W Number Street village Owner of Prooerty: Swat L 5 n L G4 rN iLV A l l Construction Name W_ License Address: -4"2- 5.1/prMp0T4 � r��v/VCS MA OZ{o3R Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder. -3 85-090-S Phone Nc License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licenseewho shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 oranyother section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCECO ERAGE: I have a curren iability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes No ❑ If you have checked y-u, please indi the type coverage by checking the appropriate box. A liability Insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER' I a aware that the licensee does not have the insurance coverage required by C r 152 of the Mass. Ge al La , and that my signature on this permit application waives thls requirement. Check one: r_1// Signature of Owner or wners Agent Owner Agent Signature: Building Official Approval: For Office Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requva that the 'reconstruction, alteration, renovation, repair. modernization, conversion, improvement, ranoval, demolition or construction of an addition to any proctisting owner -occupied building containing at lead one but not more than four dwelling units or structures which are adjacent to such residence or building' be done by registered contractors, with certain exception; along with other requirements. Type of Work: IZ yn op to Est Cost /O, OOD Address of Work _ 4o7 fo N t G ti B A N K 92 D S.'JA r!rt a ozu Owner Name: SgGM r✓ +S"o e_ CArricya, I t Date of Permit Application: /e—e78-09 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job tinder S1,000 Building not owner occupied Owner pulling own permit Other (specify) 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. Sighed under penalties of perjury: I hereby apply for a permit as the agent of the owner: /0 -t�?g -013 Q..%aTr MUiC.Dof' 1 qi c j 7 q Date Contractor Name Registration No. OR: Notwithstanding the above notice. I hereby apply for a permit as the owner of the above Property*• Date Owner Name "r • (t The Commonwealth ofMassaehusetts Department of Industrial Aeddents Qfflke of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electiicians/Plumbers Applicant Information n Please Print Leeibly Name (Budness/Orgmirationandividual): /ry 3C-Z - ►�Y) �� oc�k Address: 4eg 5,!/ArlrlptTl-4 RD 2)£NN 1-% City/State/Zip:Z)WM-13 MR 02,(o36 Phone#• 508 385-005 Are you an employer? Check the appropriate bos: .type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I ,..,Aloyees (full an&or part-time).• have hired the subcontractors 6. ❑ N coashuctiom 2. (b I am a sole proprietor or partner- listed on the attached sheet 7. grRcmodcling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. employces and have workers' [No workers' comp. instmAwe comp. insumnce,t 9. 013ttilding addition required.] 5. ❑ We are a corporation and its 10.[ repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions mysclL [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t e. 152, 41(4), and we have no employees. [No workers' 13.❑ Other comp, inshnance ) -any aphamuct phot Meaa cox •t must also fig our the section below slowing their rsoW r' eotrpenotien o. pokey iafGFMgd t Honmwnaa who submit this &M&vh iodinating they an doing as wok and then hire maids on r part submt a new affidavit l dieting Mck tCm&wton that d mk this box mat attached No odditionel stet showing the na m of ttw subcontractors and state whether of not Lose enatiea have employees. Uthe subcmbwlm have ethgloyees, they mur povide their waken' cony. policy norther. I airs an employer that It providing workers' compensator Insurance for my employees Below /s the polkey andleb stte information. Insurance Company Policy 0 or Sclf-ins. Lie Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the inposititm of criminal petulties of a fine up to S 1,500.00 and/or one ;rear imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of tip to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of I do hereby Son under the pains informmlon provided above It true and conva OsrUrd� AM—� a : • . • not write In NU area, City or Town: or town 0.07cial Permit/License Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone Information and Instructions r Massachusetts General Laws chapter 152 requires all employees to provide workers' compensation for their employees. Pursuant to this statute, an enrpleyee is defined as "...every person) in the service of another under any, contract of hire, express or implied, oral or written." An empleycr is defined as "an individual, partnership, association, corporation or other legal entity, or any two or mom 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 mom 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. 425C(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 read, if accessary, supply sub•contractor(s) name(s), addresses) 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 partner, are not required to carry workers' compensation insurance. If an LLC or LEY does have employee, a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sun to sign and date the amdavit. 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. Sclf-insured companies should enter their self-insurance license number on the a line. City or Town Officials Please be sum that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding Applicant. Please be sure to fill in the permitllicense 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 (Le. a dog license or pemrit to bum 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 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Reviscd 11-22-06 www.mass.gov/dia r TOWN OF YARMOUTH 1146ROUIE28 SOUTHYARMOUTH MASSACHUSEM026644451 Telephone (508) 398-2231, Eat 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELEcnuCAL GAS PLUMING SIGNS Pursuant to M.G.L. Chapter 40. Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the roposed work/demolition to be conducted at 40?SO NIg NBaA/k RD S, VprMotrrg Work Address is to be disposed of at the following location: StS F-kCD Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signa of Applicant Permit No. /a —07 8-0 P) Date Scotts Carpentry eta 42 S. Yarmouth rd Dennis, MA 02638 v i CARNEVALI 426 HIGHBANK RD. S. YARMOUTH, MA. SIDING- REPLACE ALL SIDING WITH MAMEC DOUBLE DIPPED SH94GESS f!� ' TRz REPLACE AS MUCH TRIM AS POSSIBLE WITH AZEK PVC TRIM NEW WINDOWS- ADD 4 NEW WINDOWS ON SOUTH FACING WALL . RAIIINGS- REPLACE ALL DECK RAUX40 WITH A VINYL WING SYSTEM Z Go y S o raw iwa S BA7HROOW REMOVE TUB AND MAKE CLOSET FOR STACKABL.E WASHMMYER AND SHtl 1 - ✓�e•�mmumr.w�/�a r� ��nturr�u�ciQ Board of Building Regulations and Standards - Ronstruction Supervisor License License: CS 80395 C� Birthdate: 3/1311964 - Expiration: 311=009 Tro 9751 Restriction: 00 D SCOTT MURDOCK 42 S YARMOUTH RD DENNIS, MA 02638 Commissioner �e L�-ammonueal/ia n` ��a.�w+duoelG - _ Board or Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR t s ReplstraUon: 144829 Expination: IIIW2008 Trig 124376 Type: Individual D. SCOTT MURDOCK DAVID MURDOCK 42 S. YARMOUTH RD. DENNIS, MA 02638 Admialstrator J 0 f`IIAnpJb •5779 MURDDSC .AT- CERTIFICATE OF LIABILITY INSURANCE 01211108 Y' oIX CER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers 3 Gray Ins. -So. Dennis 434 Route 134 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 1601 South Dennis, MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC 8 INSURED INSURER A. National Grange Mutual D. Scott Murdock 42 South Yarmouth Road Dennis, MA 02638 INSURER B: INSURER a INSURER INSURER E' COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N R TYPE OF INSURANCE POLICY NUMBER 41,11pofm LMnf A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OOCUR MPB64999 09/02108 08/02109 EACH OCCURRENCE $1000000 DAMAGE To RENTED SES $500 000 MED EXP( "pawn) $10000 PERSONAL 8 AIN INIURY f1000000 GENERAL AGGREGATE s2,000,000 GENT. AGGREGATE POLICY UMrr APPLIES PER: �-M LOC PRODUCTS-COMPIOP ADD s2000000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDM.EDAUTOS HIRED AUTOS NON -OWNED AUr0.9 COMBINED SINGLE UMIT (Ea Poddwn) f Booar INJURY IPw Pwwn) s BODILY INJURY (Per waOwH) S PROPERTY DAMAGE (PW f GARAGE LABILITY ANY AUTO AUTO ONLY -EA ACCIDENT s OTHER THAN EA ACC AUTO ONLY. AGO f f EICEEWMBREUA LIABILITY OCCUR �CWMS MADE DEDLXRIBLE RETENTION f EACH OCCURRENCE f AGGREGATE i i f f WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETdWARTNEWEXECUTWE OFFFIC=RIMEMBER EXCLUDED? SIT P`4`& pN pelves YIC SDRYTATLL IOTH- I E.L. EACH ACCIDENT f E.L. DISEASE - EA EMPLOYEE i E.L. DISEASE -POLICY LIMB I s OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSKINS ADDED BY ENDORWAENTI SPECIAL PROVISIONS "PLEASE NOTE THAT A WORKERS COMPENSATION CERTIFICATE WILL FOLLOW SHORTLY UNDER SEPARATE COVER, AS IT IS BEING ISSUED DIRECTLY BY THE INSURANCE COMPANY — FAXED TO: 508398-2365 Town of Yarmouth attn: Building Dept 1146 Main St South Yarmouth, MA 02664 CANCELLED BEFORE THE EXPIRATION THEREOF, THE BUNG INSURERWLL ENDEAVORTO MAL In DAYSWRrrTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL ME NO OBOOATIOH OR LIABILITY OF ANY KIND UPON THE INSURED ITS AGENT6 OR ACORD 25 (2001108) 1 of 2 2397RI MI V O 198E cm O0a Or O* PVY. Fecf Peal ape 6 am"fom seeder EXPRESS MELDING PERMIT APPLICATION TOWN OFYARMOUM •Yafmoal! D+US DcpwltmeW 1146 Route 29 • South Yamiouth, MA 02664 (509) 399-2231 Ext. 261 ,� ter_ tu,.,4�ANk tR,� �/ArrnourH YnA. OZ�o(e4i cONMUCT10NA0DMM' y Ass>issoa s aIFOLMATM: i;a q d lerl acd: __-- -c-, a _-•ru :c- r,%c-ijF-vaLI 4db H(oABANk 42D Delp --- Oqommomd fltcoadcom.udimf (00,000•aO '}{®almpmmcdc=vmmwllaP 149+BCRCI cmndms.pee.emtiL# Q0395 Woelm iCsCampm+aia.lm(Cbo*�) Dl=dwb=ww=9rlm9wwwr 11 bra wodmes cuugmaeim leemam la mamcmopeaNa.a waAn's camp.Paagt o Tom (m Raw," catscm aetwo VWWWI wowswm sir ALM 0c(s ma 2&YA O � o agl.oaoef Iouat . oaaeaoL.orsyme �^- 1 ►nwmffw.eaeefyo.+ra•.5+-s "CO --- Iaodo.ofFen7eP roiligi wo mw 100owdafafl s/6ded IredmladYeq Ye4e ana(s) s1r)A"Ck26kS=dm 1. AFMWW BY• IOC BdldrfOmeir (a+ lmim9 DetrR Mariod DaoiR ❑ Yes 0 No Food PtMZMC 0 Yes 0 No war Rom= Ptmcdo. D{mm WIWL 1001 dwafaods 0 Yes 0 No 0 Ye$ 0 No o. tti TOWN OF YARMOUTH Building Department Tovm Hal ti. Yarmouth, MA 02664 (508) 398.2231 exU61 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-09-116 Applicant Name: D. Scott Murdock Applicant Phone: 5083850905 Building Location: 0426 HIGHBANK RD Owner's Name: Jackie Camevali Owner's Addres 0426 HIGHBANK RD South Yarmouth MA 02664 Owner's Telephone: REVIEWED BY: (OFFICE USE ONLY Recorded By. Ic Permit Fee: $0.00 Deposit Rec: $25.00 Payment Type: Check ChkNo.: 479 Net Owed: ($25.00) Application Date: 10128/2008 Issue Date: Expiration Date Comments: Map/Lot: 092.7 install new windows, replace railings on three balconies (decks) with vinyl railing system, remodel existing bathroom: remove tub and install closet for washer/dryer with shelves 1. WATER DEPARTMENT: DATE WA: 2. ENGINEERING DEPARTMENT: DATE WA: 3. CONSERVATION: DATE WA: 4. HEALTH DEPARTMENT: DATE WA: 5. BUILDING DEPARTMENT: DATE WA: 6. FIRE DEPARTMENT. DATE WA: PLEASE NOTE RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE Date Printed: 1028/2008 Kroy Railing Systems Offer The Ultimate Combination of... • Style & Design . • Strength • Function • Ease of Installation - • Lifetime Warranty • Low Maintenance Detailed Classic"Ospindles ® post caps ® bases and * mounting brad= give the look of rnil vok without the maintenance ofmK)od. Railinn With Rninrilon I II11111111111111111 I I I I I I I I I I I I I I I I I I Railing With Pickets Fasrm a Kmy mad insert or wood 4x4 to su6wucme when pmae. and merslccwe uith stray( for secure ra1mg pants. The hidden patented E-Z Post rnotmmg hrodket a0I ms strong butallawn of posts m wand or concrese surfmrs; refer to Kwy's deck uura0awn guide for inwukvwks. Railing Specifications KROY RAILING SYSTEMS meet or exceed the following requirements of the Boca Building Code Section 1615.8: • Concentrated load of 200 Ibf applied at arty point and in arty direction along the cop railing member. lbr foot applied horizontally simultaneous with 100 Ibf per foot applied vertically downward. • The in -fill area shall be subjected to 200 Ibf applied on a 1 W area at any point of the system. • Refer to Kroy engineering guide as to spans and recommended construction. THE INFORMATION BELOW IS TEST DATA TO ASSIST IN THE DESIGN OF YOUR DECK. PLEASE CHECK BUILDING CODE REQUIREMENTS IN YOUR AREA. Repon Swmnary fw PVC 2'x8' Umd as Dek Makerid Cmxmaaud Lwdmg (sbnuLung 200 lb. nsm ) Tress Live Load Allowable Actual Allowabla Actual Limiting WIO D Spas (lbhv O) Defleeflon De0actloo Stress Stress Criteria Wort? (Inches) (inches) (Inches) (psi) (psi) 24 40 0.07 0.01 3000 -90 YES 30 Q 0.08 0.02 3000 -140 YES 36 40 .1 0.M 300D -201 YES 42 40 .12 0.08 30DO -274 YES Truss Uve Load Allowable Actual Allowable Actual Ummng Will 0 Span (Ihhq D) Deflection Deflection Stress Strew Cellars Wort? (inches) (Inches) (Inches) (pet (ps0 24 200 0.07 0.04 3W0 363 YES 30 200 0.08 0.07 3000 461 YES 32 2W 0.09 OA9 30W 494 DefletSian YES am aorta Pic ombrwq Y A" DIM • Ddb Uric ON ftwkow sbe.see dmsa•Lhe Lost 40 a pw sameawpsovq a Coerrt+Ye be appbd w■ a'rT ae drdL CAM40wa bme w w we coral/ ryprrd wd w we bL ,oii'. GarNE.VHlr' 4Zb Ni9NaANK 20 1?GL4vT SccT+' M UGDe"c, PDR 5o t3- Z /f, _ O ilp Kroy Building Products, Inc. ` P.O. Box 636 York, Nebraska 68467 c Toll Free: (800) 769 � Fax (402)362-679-6797 Bu0ding Products. Inc cmr�ft 401999 4 wow ft,"V AaQ,�, M¢ -P(-p p05 E0 rcW ELK QAll�s->, V Ny�2a�� ir19 wv► y ) W FiV-)M, z4vrn Itsgi.r^- / A Ha 3' 3* RAilrN�s t�os-t- Ballr�sr��s w► 11 sLEsvr H Av Liss -')14 $ a G1N y,, • 7 C:� o c z uj uJ o 38„ 4z" ILr�q &o I-rs C,� r r ►aq,e. 30 (ts TOWN UTH REYIEWEDFOR BUILDINGAND ZONMQODE OMPLI. ANCE. ERRORS OR OMMISSIONS DO NOT RELIEVE THE APPLICANT FROM THE RESPONSIBILITY OF 'AS BVILT' COMPLIANCE, _�, DATE,y, BUILDING FFICIAL�� F �.5EgG I ass D Fc\<. a(o Z X 8 P J?- D � C k � e*q Tn SC�c sn r�q e� 'VG jrA4 "I-rr 4;(q PaST =X � STgNC� L 2 X g P/-r F i s , we 4 RD SCoT`T' Y�'1URAOLk-RG�1�i'. StiC1G1G CRRVAIVA�) I - pwNz2 i t N ew W �►d Dow µD[rs4-1.1 Co 15.- 5-nwnofj Ary 0 z' 4 "/B 1(5'03/g z a I (- ,. 2Xy FcflrnE � j Sl�xc i 0P�N'r�� 8�} EX i s-ri N c� I thou �C 8 cif l5 I Po NDATI ON I 11 Z %. H r it N k ZD �X1iTINq 6AT}'rOOn� =7VP— Cl AF) Pc OL'wg5H it .Dfyie ClGS�T' W nSHcxL VC 32" A me T01 sl ok T s�-phss s t}�fvcs oc«s 9� l ov v W-0, Ovnm )h/ �i�+7E�3T�� r rur rE CiO. INCORPORATED 133 UPPER COUNTY ROAD • SOUTH DENNIS, MA 02660 ' (508) 394-4800 • FAX (508) 394-6735 HARWICH 00 0000 a. b.. a. b. a. b. a 2 x 312 KBP Sm1r TAm 6 Bass m 2 x 312 OrU Trim 3 Mod Bess (6) $12 x 11Ce3 S4 DIM S.S Kda 2x3%RW a. 2 x 3 U2 Alum 4sA S BX (6)$12 x 1147 03 Sy DOM Ss. texe Thaw Fan+• Thad Sasw (0.130 Wan h 2 x 312 Alum 1frA I BX h 2 x 3 t2 OEM Tdm d 2' OEM Base h 2 x 312 OEM 32 Sir TM a Mod 83 (4)$12x I'A'63 s4 DA•a S.&NU Thread Sao+ (S)V12x1)G e354Ddr ss Mxo YARMOUTHPORT Q5 a 6 2314 x 3114 Garlour 2314x31A4AJumbwm 2314 x3 V4 Brm*d 23gx3 tiStatr Bracket FtEffl ( imM 4012 x I W#3 64 O.Mo 98. teK. Thx d molt x4'S6iAefx Sneer Par rloe Snell 1 Rul' • J 72x312 T-fta2 2x31RAlum ImA14O 31f2T41n3OEMTdm3Bma 312 TdtaY Stale BAd 4 It12x1Y. ASq DM S.M HAD Tlxead 5ceir MOx l""" sa" Cape Cod Nantucket 7/8" x 1 %2" 7/8" x 3" Colonial 1 318" x 1 3/8" Vingyard FENCE M INCORPORATED 133 UPPER COUNTY ROAD • SOUTH oeoa , UA 026W • (=)3g&" • FAX (508) 39"MS PRO VINYL RAILINGS Both Ton &_Bottom Rails Are Reinforced With Aluminum For Added Strength Harwich 2" a 3.5" Rail _. BAULSTERS \ Cape Cod S14.00 per/M ti Nantucket S14.00 per/M Colonial S15.00 per/fL OLT ��/ Vineyard S16S0 per/it. L Yarmouthport Too Rail BALUSTERS Cape Cod $14.50 per/M Nantucket S14-50 per/fL Colonial S15.50 per/M Vineyard $17.00 per/ft. Truro Too Rail •v BALUSTERS .r Cape Cod $14.50 per/M Nantucket $14.50 per/M Colonial S15.50 per/M Vineyard S17.00 per/fL ' ADD S2.00 PER/FT. FOR STAIR RAILINGS' To: 15084322756 From: (2114) A ARCHITECTURAL TESTING, Inc. Code Compliance Research Repoi Subject to Renewal: 0124/08 Visit www.archtestcom for current status Kroy Building Products, Inc. 6501 Weston Parkway, Suite 250 Cary, North Carolina, 27513 (910)649.7501 1.0 Subject Krov Vinyl Railina Systems: Kroy Performance Vinyl Railing Assurance Outdoor SoluBonsn Kmy Express Outdoor So/utfonsTM 2.0 Research Scope 2.1. Building codes: 2000. 2003 intemational Building Code (IBC) 2000. 2003 Intamational Residential Code (IRC) 2.1 Properties: Structural performance Durability Surface Burning 3.0 Description 3.1. General — Kroy Vinyl Railing Systems are guards under the definitions of the referenced codes intended for use on elevated walking areas in buildings and walkways as required by the codes. 3.2. Guard Assemblies - Railing systems are provided as level guards for level walking areas such as decks, balconies and parches, and sloped guards for open sides of stairways. 3.2.1. Level guards witty a 36-Inctf overall Installed height are provided In lengths up to 10 feel (120-inches). Guards with a 424nch overall Installed height are provided In lengths up to 8 feet (96-inches). See Table 1- Maximum Railing System Size and Code Recognition. 3.2.2. Stair guards are provided In lengths up to 6 feet (96 Inches) sloping length with a height up to that corresponding to a 42 Inch level rail. See Table 1 - Maximum Railing System Size and Code Recognition. 11/13M 84:36 PH Page (2 or 28 �' IJnlu NOV 1 4 2008 - BUILDING DEPT. mna Date Issued: 0124/07 Page 1 of 19 3.3. Materials and Processes - Railings are an assemblage of extruded and molded components utilizing Poly Vinyl Chloride (PVC) material and aluminum reinforcements. Vinyl components are produced in one color (white). All systems consist of the following components: 3.3.1. The top and bottom rails are extruded PVC profiles of various styles. 3.3Z Balusters are extruded PVC profiles in various dimensions. Some extrusions are reshaped by a thermoform process to simulate a turned spindle design. See Table Table 4 for a list of styles. 3.3.3. An extruded aluminum (6105-T5 or 6005-T5) Insert provides reinforcement for the top and bottom rails. Bottom rail reinforcement Is utilized only in level rail lengths exceeding 8-feet and all stair rails (Sea Table 2 and Table 3). 3.3A. Top and bottom rails are connected to posts with molded plastic brackets that are secured to the supports with stainless steel screws. Screws are general purpose wood screws with a'Hi-Lo' thread. 3.4. Supports - Railing systems can be attached to conventional wood supports or a structural PVC post Installed with an aluminum or steel post -mount tower. 3.4.1. A PVC post sleeve that is non-structural Is provided as a cladding over conventional 4x4 wood posts. 3.4.2. Structural 4"x4' PVC poste are supported by an UIOMount lim post mount system or by an aluminum tower mount as permitted by Table 7. 3.4.3. Non-structural PVC posts are Identified as 44 STD Post and have a wall thickness of 0.135'. Structural PVC posts are Identified as 40 RW Post and have a wall thickness of 0.170'. 3.4.4. Railing systems include a bottom rail intermediate support located beneath the rail at rNd-span (See Figure 11� Exceptions: The following systems do not require Intermediate supports: 1. Systems with aluminum Inserts In the bottom rail. 2. Stair rays Architectural Testing, inc. 130 Derry Court a York PA 17406 717-764-7700 www.arc htestcom Opt -Out: Not Defined To: 15084322756 From: (2114) 11/12M 64:36 RI Page 3 of 20 A ATI Code 4.0 Performance Characteristics Research 4.1.Iroy vinyl railing systems have demonstrated the capacity to resist the design loadings spocfied In Chapter 16 of the IBC when tested In accordance with IMES AC174. 4.2 Structural performance has been demonstrated for a temperature range from -20'F to 1258F. 4.3. Materials used are deemed equivalent to preservative treated or naturally durable wood for resistance to weathering effects, decay, and attack from termites. 4A. The PVC materials used have a flame spread Index of 40 when tested according to ASTM E 84. The referenced criteria, AC174, requires a flame spread Index not exceeding 200. 5.0 Installation Installation shall be in accordance with the manufacturer's installation instructions and this report. Where differences occur between this report and the manufacturers Installation Instructions, this report shall govern. 5.1. Railing assemblies consist of top and bottom rails with pre -routed holes to receive balusters. Akumirum railing reinforcements are Inserted in the rails during assembly as specfled for the type and length of calling (See Table 2 and Table 3). 5.2. RalWgs attached to wood supports with molded PVC brackets utilize stainless steel 9-0- Lon wood screws for anchorage. The wood In the supporting structure shall have a specific gravity of 0.50 or greater (Southern Yellow Pine or better) and a minimum thickness to allow full penetration of the bracket mounting screws. Bracket attachment shall be In accordance with Table 5 — Rail Bracket Fastening Schedule. 5.3. The troy Aluminum Post Tower shall be Installed In wood decks In accordance with the manufacturer's installation Instructions and Figure 13. 5.4. The UIUMocmt Iln post mount system may be mounted In a wood deck or anchored to concrete and/or steel with approved anchors. Installation in wood decks shall be in accordance with the manufacturers instalatiort Instructions and Figure 12. CCRR-0106 5.4.1.The UkiMount Ilm post mount system anchors used In concrete or steel Installation are not within the scope of this report and are subject to evaluation and approval by the building oftkial. Anchors mist satisfy the design load requlrernents specified in Chapter 16 of the building code and must meet the following minimum requirements. 5.42. A minimum of four anchor bolts must be used and located In the four pre -drilled holes in the post base plate. 5.4.3. The anchors must be stainless steel or other approved material compatible with aluminum. 5.4.4. The anchors must have a minimum diameter equal to 5116'. 5A.5. Where required by the building offldal, engineering calculations and details shall be provided. The calculations shall verify that the anchorage complies with the building code for the type and condition of the supporting construction. 5.5. Compatibility of fasteners and other installation hardware with the supporting construction Including treated wood Is not within the scope of this report 6A Supporting Evidence 6.1. Manufacturer's drawings and Installation Instructions. 62. Reports of testing and engineering analysis demonstrating compliance with the performance requirements of IMES Acceptance Criteria for Deck Board Span Ratings and Guardrail Systems (Guards and Handrails). AC174 effective July 1, 2006. 6.3. Quality control manual in accordance with IMES Acceptance Criteria for Quality Control Manuals, AC70. 7.0 Conditions of Use The guardrail assembles Identified in this report are deemed to comply with the Intent of the provisions of the referenced building codes subject to the following conditions. 7.1. Guardrails are limited to use In residential use groups (Group R) of Type V-B construction. Some systems are further limited to use In One - and Two Family Dwellings (IRC) as Indicated in Table 1. ArGuRectural Testing, Inc 130 Derry Court • York PA 17402 717-764-7700 wwmamhlestcom Dot-M: Not Defined To:1508432275B From: (2114) 11/IaM 84:37 PM Page 4 of 28 ATI Code Compliance Research 7.2. Conventions] wood guardrail supper are not within the scope of this report and we subject to evaluation and approval by the building official. Supports must satisfy the design load requirements speclRed In Chapter 16 of the IBC and must provide suitable material for anchorage of tie ram brackets. Where required by the !wilding official, engineering calculations and details sham be provided. T.3. Compatibility of fasteners, post mount brackets, and other metallic components with the supporting structure, including chemically treated wood, la not within the scope of this report 7.4. Kroy VW Railing Systems are manufactured in Fair Bluff, North Carolina or York, Nebraska In accordance with the manufacturer's approved quality control system with Inspections by Architectural Testing, ins. (A"76). CCRR-0106 8.0 Identification The vinyl guardrail assemblies produced by Kroy Building Products, Inc. and Identified In this report shall be Identified with labeling on the individual components or the packaging that Includes the name and/or trademark of the manufacturer, the Identifying mark of the Independent Inspection agency, Architectural Tasting. Inc. (AA-676) and, the ATI Code Compliance Research Report Number (CCRR- 0106). 9.0 Code Compliance Research Report Use 9A. Approval of building products and/or materials can only be granted by a building official having legal authority In the specific jurisdiction where approval is sought 9.2. Code Compliance Research Reports sham not be used in any manner that Implies an endorsement of the product by ATI. 9.3. Reference to the Architectural Testing Internet web site address at vnmarchtest.com is recommended to ascertain the current version and status of this report Table 1- Maximum Railing System Size and Code Recognition Code Recognition Kroy Performance VIny1 RaUlnp Maximum Railing Sire (Length x Haight)' IBC ' IRC 2' x 3 112' Open STD by x 424 Level 117 x 36' Level 8-111. Stair 8-ft. Stair 3-112' x 3 1/2' T-Ram 8' x 42' Level 10' x 36' Level 8-111. Stair 84 Stair 2" x 31/2' Open RW IV 42' Level 8' x 42" Level 6-ft. Stair 6-ft. Stair 2�14' x 3 1/4' Contoured Ball 8' x 42" Level 10'x36' Laval 94" Stair 94' Stair 2-114' x 3' Smarr Contour V x 42' Level 10' x 39' Level 94" Stair 94" Stair 3' x 3' Open RW 8' x 42' Level 10' x 36' Level r Railing lengths are dear length between supports. Railing height is installed height from walking surface to top of top rail Minimum bottom rail clearance Is 2-10 t Coda recognition for the IBC is limited to Residential use groups. Architecture# Testing, Into. 130 Derry Court • York PA 17402 717-764-7700 Www.8rch1e8t0om Opt -Outs Ibt Defined To: 15084327756 Fros: (2114) 11/13/08 64:37 PM Page 5 of 20 ATI Code lance Research Table 2 — Level Railing System Descriptions CCRR-0106 Level Railing System Components Kro Performance Y (See Table 4 for available balusters) V/ro Rawng Rails Brackets Top: 24-112' STD Open with Alum OH"channel Top: OEM or MOD 2' x 3.1/2' Open STD Stm: 2x3.1/2' STD Open (Alum'H' Channel in B� OM or MOD lengths exceeding 8 feet ) Top: T Rag with Alum'H' channel Top: OEM 3-1/2' x 3.1/2' T-Ra0 BtmSTD Open W-1/2' SOpen (Alum'H Channel In Btm: OEM of MOD lengths exceeding 8 feet.) 2' x 3-1/2' Open W with Akan TO channel Bhn 2K33-.1/2' Top: OEM or MOD RWOpen pen Sim: OEM or MOD Top: York Open Contoured with York Open Rag 2-/4' x 3.1/4' Alum Insert Top: York Bracket Contoured Rag Btm 2x ACO STD Open (Alum OW Channel in Btm OEM or MOD lengths exceeding 8 feel) Top: Small Contoured Open with Small 2-114' x 3' Small Contoured Alum insert Top: Two -Piece Contoured Contour Btm 2x3-1/2' STD Open (Alum 'H' Channel in Btm OM of MOD lengths exceeding 8 feel) Top: 3x3 RW Open with 3'x3' Alum.'H' Channel "Fr Top: 3 'x3' Chamfered 3' x 3' Open RWBtm 3x3 RW Open (3 x3' Alum. Channel in Btm 37xW Chamfered lengths exceeding 8 feet) Table 3— Stair Railing System Descriptions Stair Railing System Components Kmy Performance (See Table 4 for available balusters) YMyf Rall/ng Rails Brackets 2' x 3.112' Open STD Top: W-10 STD Open with Alum OHO channel Top 8 Btm: OEM Btm: W-1/2' STD Open with Alum'H' Channel 3.1/2' x 3-112' T-Rall Top: T-Rall with Alum'H' charnel Top.T-Rag Stair Bracket Btm: 2x3-1/2' STD Open with Alum'H' Channel Btm OEM 2' x 3-1/2' Opan RW Top: 2x3.112' W Open with Alum 'I'* channel Tap 8 Sim: OEM Blue W-1/2' RW Open Open with Alum'channel 2.W x 3.1/4' Top: York Open Contoured with York Open Rao Top: York Stall Bracket Contoured Rag Alum Insert Btm 2x3-1/r STD Open wth Alum "HO Channel Btm OEM 2-114' x 3' Small Top: Small Contoured Open with Small Top: Small Contoured Stair Contour Contoured Alum Insert Bracket Blm: 2x3.1/2' STD Open with Alum OH" Channel Btm OEM ArchBah turd) Testing, Ina 130 Derry Court • York, PA 17402 717-764-7700 www.archtestcarn Opt -Out: Not Defined To: 15084MM From: (2114) i1/13/08 84:37 PH Page 6 of 20 i111L ATI Code lance Research Re Table 4 - Balusters Baluster Style 3/4' x 1-1/T" RW PVC Picket 1-12' PVC Spindle 1-12' PVC Baluster 1-1/2' Square STD PVC Picket 1.1/4' Square RW PVC Picket I�VS' Square RW PVC Picket 1-3/8' Square STD PVC Picket 1' x 2' RW PVC Picket 2' PVC Baluster' 1�V4' Square RW PVC Picket' The Z and I-W Balusters are available far the 3 xcr rall system ony Table S — Rail Bracket Fastening Schedule CCRR-0106 Rall — Bracket Combination Bracket to Post Rag to Bracket 2' x 3-12" Open STD Rail with OEM Bracket (4) #12 x 1-114' Stainless Steel Screws (2) #8 x 3/4" self -tapping screws T' x 3-12.Open STD Rail with MOD Bracket (6) #12 x 1-114" Stainless Steel Screws (2) #8 x 314' self -tapping screws 3.112' x 3.12' T-Rail (4) #12 x 1-114' Stainless Steel with OEM Bracket Screws ((2) Round Head & (2) (2) #8 x 3/4' self -tapping screws Flat Head) 3-12-x 3.12' T-Rall with T-Rail Stair Bracket (2) #10 x 4' Stainless Steel Screws (2) #8 x 314' sed4apping screws 2' x 3-112' Open RW Rail with OEM Bracket (4) #12 x 1-114" Stainless Steel Screws (2) #8 x 3/4" self -tapping screws 2' x 3-12" Open RW Rail with MOD Bracket (6) #12 x 1-1/4' Stainless Steel Screws (3) #8 x 314' self -tapping screws VW x 3-1/4" Open Contoured Rail with York Bracket (4) #12 x 1-1/4• Stainless steel Screws (2) 08 x 3/4" self -tapping screws 2-3/4' x 3-114" Open Contoured Rag with York Stair Bracket (4) #10 x 4' Stainless Steel Screws (2) #8 x 3/4' self -tapping screws 2-1/4' x 3" Small Contour Rail w/ (4) #10 x I.12' Stainless Steel (T) #8 x 3/4' sed-tapping screws Two Place Contoured Bracket Screws 2-1/4" x 3' Small Contour Rag w/ (2) 010 x 4" Stainless Steel (2) #8 x 3/4' self lapping screws Small Contoured Stair Bracket Screws W x 3" Open RW Rag with 3'x3' Chamfered Bracket (4) #10 x 2' Stainless Steel Screws (2) #8 x 3/4' self -tapping screws Architectural Testing Inc. 130 Derry Court • York PA 17402 717-764-7700 www.archtestcom tlpt-sulk Not Oefired To: 15084322756 From: (2114) IlAa BI 94:37 PM Page 7 of 21 ATI Code lance Research Table 6 Alternate Railing System Identifications t CCRR-0106 14oy Performance Vfnyf Railing Assurance OuW0w Solutlons1e Kroy Expross OutdoorSo1utlons= 2' x 3.1/2. Open STO 2' x 3.1/2' Standard Rag Kit 2' x 3.1rr Standard Rail Kit 3-1/2' x 3.1/Y T-Rap 3.1/2' x 3-1/2' T-Rail Kit 3.1/2' x 3-11T T-Rall Kit 1 Each row represents an Identical raging system and Its Identification under the product series name given in the column headhg. Table 7 — Post Mounts Coda Recognition Maximum Supported Railing Length and Posf Moumung System Height 18C IRC UltiMount II surface mounted to 6 R Length 10-fL Length concrete or steel 42' Height 42' Height UltiMourd II Installed on a wood NA 104 Length deck (See Figure 12) 36' Height Aluminum Tower Mount Installed NA 1D-ft. Length In a wood deck (See Figure 13) 36' Height ' Railing lengths are clear length between supports. Railing height is Installed height from wal ft surface to top or top rap. Minimum bottom rail clearance Is 2-1/P' = Code recognition for the IBC Is limited to Residential use groups. Architectural Tes ft Inc. 130 Deny Court a York PA 17402 717-764-7700 www.archtestcom Opt -put: Not Defined To: 15BB4322-M From: (2114) IIAI 18 94:37 Ph Page 6 of 26 mil ATI Code Research 2A00 x 3.500 STD Rail P.250 x 3.000 Raleigh Snail Contour Rail 3.000 x 1000 Open Rail 4.000 x 4.000 STD Post CCRR-0106 2.000 x 3.500 RV Roil 2.700 x 3.150 York Contoured Roll 3.500 x 3.500 T—Rail 4.000 x 4.000 RV Post Figure 1- Rail and Post Profiles Amh9ecturaf Testing Inc. 130 Derry Coon • York, PA 17402 717-784-7700 www.amhfeatcom Opt -Out: Not Defined To: 1588432ZM Frn: (2114) 11/13M 94:38 PM Page 9 or 29 TI Code Research 2.000 x 3,500 Aluminum H-Channel Insert U 2.250 x 3.000 Raleigh Rail Aluminum Insert 3.000 x 3.000 Open Rail Aluminum Insert CCRR-0106 2.000 x 3,500 Aluminum P-Channel Insert 2.700 x 3,150 York Rail Aluminum Insert Figure 2 -Aluminum InseRe ArchRecturat 7est/ng, lnc. 130 Deny Court • York PA 17402 717-764-77W www.amhtestcom Opt -Out: NA OeFIMd To: 15BB43ZM From: (2114) llA2 8 81:98 PM Page 18 of 28 I Code Research 0 0.750 x 1.500 RW Picket CCRR-0106 : DB 1.000 x 2.000 RW Picket 1.250 x 1.250 RW Picket 1.375 x 1.375 STD Picket 1.500 x 1.500 STD Picket 1.375 x 1.375 RW Picket Figure 3 - Picket Profiles 1.75x 1.75 RW Picket AmMectural Testing, Inc. 130 Deny Coot a York PA 17402 717-764-7700 www.arddedcom Opt -Out: NA Defined To: 1508432V% I'm (2114) 11/13M 64:38 Ph Page 11 OF 20 AT Code Research 1.500 x 1.500 Spindle CCRR-0106 Page 10 o119 mlull—IMMIrINIMI - - 1.500 x 1.500 Baluster 2,000 x 2.000 Baluster Figure 4 • Spindles and Balusters Architectural TestMg Mr. 130 DenY Coort • York PA 17402 717-764-7700 www.archlest.com Opt -Out: Not OeFinod To: 150MM756 A iIL ATI Code From: (2114) Research ll/13/08 04:38 PM Page 12 of 28 CCRR-0106 Page 11 of 19 Figure 5 — 2 x 3-1/2 Open STD Rail (Level and Stair) Bottom rag reinforcement not shown for level rail. See Table 2 for requirement. Architectural Testing. Inc 130 Derry Court • York PA 17402 717-764-7700 www.archtestcom Opt -Out: Not Defined To: 15084322756 From: (2114) 11/IYN 64:38 PN Page 13 of 20 �% ATI Code Com lance Research Report Figure 6-2 x 3-112 Open RW RaO (Level and Stair) CC RR-0106 ArchRemUaf Testing, Ina 130 Deny Court • York PA 17402 717-764-7700 www.archtest.C= Opt -Out: Not Defined To: 15084M-M From: (2114) II/lU 8 64:38 Ptf Page 14 of 28 -V ATI Code Compliance Research CCRR-0106 Figure 7 - T-Rail (Level and Stair) Bottom rail reinforcement not shown for level rail. See Table 2 for requirement. Architectural Testing, Inc. 130 Deny Court • York PA 17402 717-764-7700 www.archtesLcom Opt-M: Not Refined To: 15OK122756 From: (2114) 11/13/08 84:38 PM Page 15 of 28 iIk. ATI Code lance Research CCRR-0106 Figure 8 - Small Contour (Raleigh) Rail (Level and Stair) Bottom rail reinforcement not shown for level rail. See Table 2 for requirement Arch/tecturaf Testing. Ina 130 Deny Court • York PA 17402 717-764-7700 wwmarrhfestcom Opt -Out: Mot Defined To: 15M4322-M From: (2114) lIA3M 64:38 P" Page 16 of 28 ATCode Com Research CCRR-0106 Figure 9 - Contoured Rail (York) (level and Stair) Bottom rail reinforcement not shown for level rail. See Table 2 for requirement. Architecture! Testing, I= 130 Derry Court a York PA www.archtestcorn 717-764-7700 Opt-M: Not Defined To: 1508M756 From: (2114) 11/13/08 64:39 PH Page 17 of 28 - I Code Research CCRR-0106 Figure 10 - 3 x 3 Rail Bottom rall reinforoement not shown for level rail. See Table 2 for requirement Architectural Testing, Inc 130 Deny Court • York PA 17402 717-764-7700 www.amhiest.com Opt -Out: Not Defined To: 15084322T56 From: (2114) 11/13M 64:39 PH Page 18 of 28 0 II 'IL ATI Code Com Research CCRR-0106 M'a I-IIr MRAWLVWIL CAU Mm+r0 oaraacvL W.1IR'%MRA1SC MCW IOUMn "if, I-0YIWnWALVWL CIb4]ILI, :M=105MNZ WTII wxorwn 4pCl A5• MDM pW unG wr 51YhYh) Figure 11- Bottom Rag Intermediate Support (Foot Block) Archttedund Tesft I= 130 Deny Court a Ybdl PA 17402 717-764-7700 www.archtestcom Opt -Out: Not Defined To: 15084322756 Frm (2114) 1IAVM 64:39 PN Page 19 or 29 ATI Code Not Cm are equ In it Research unewuean emww: & Immm Figure 12— URfMount ll ' Installation on a Wood Deck CCRR-0106 Architectural TesOng, lnc. 130 Deny Court a York PA 17402 717-764-7700 www.aichtest.corn Opt-0ut: Not DeFired , To: 15064322756 From: (2114) 11/12M H:33 Ph Page 26 of 26 (7 ATI Code lance Research CCRR-0106 Figure 13 -Aluminum Tower Post Mount Three fir Bolls (2 Front 81 Side) with structural framing on all four sides fastened with (4) S1Ox3' deck screws each member Architectural Testing, Inc. 130 Deny Courf • York, PA 17402 717-764-7700 www.archted.com Opt -Out: NDt Defined APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 j'S O nV E I� (OFFICE USE ONLY) FMT I�Si�tQUyT U Fee: $ Cnc7 r7 �rf nDWGDE hC^ PERMIT NO. LtJi — 17 5.cam (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: - To the Inspector of Wires: By this application the undersigned gives notice of his or her work described below. Location (Street & Owner or Tenant r Owner's ii Is this permit in conjunction with a building permit? es ❑No to perform the electrical (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service /CV Amps laZi 1,AY49 Volts , OverheadO Undgrd t[ o. of Meters / New Service Amps / Volts Overhead0 Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed electrical Work:' /(&Ad -I ZaQLT 'Yci o,,-Pey-5'- —P/eror. f Comnletion of the fallnwinr tableman be waivedby rhr Invr rnrof Wn,. RecessedNo. of o. o 0 Transformers KVA No. of Lighting Outlets No, of Hot Tubs Generators KVA No. of Lighting Fixtures Above n- SwimmingPool d. ❑ md. ❑ o. o Emergency Lighting Bane Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o Detection an InitiatingDevices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers po eat rap Totals: um r ons — _ _ No. of Self -Contained Detection/Alertin Devices No. of Dishwashers S ace/Area Heating KW P % Local ❑ C omc'Pal ❑ Other Connection No. of Dryers 4 Heating Appliances KW 8 pP Secutity Site No. of Devices or ui valent No, of Water Heaters KW No. of No. of Signs Ballasts Data Whing: No. of Devices or Equivalent No. Hydromassage Bathtubs No of Motors Total HP ' Telecommunications Wiring: No. of Devices or ivalent Attach additional detail if desired, or as required by the Inspector of tires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent The undersigned certifies that such coverage is in race, and has exhibited proof of same to the permit issuing office. C CK ONE: INSURANCE BOND❑ OTHERO (Specify:) (Expiration Date) a— Estimated Value of a 'cal Work: (When required by municipal policy.) 1,1 Work to Starr. 3 /t Inspections lobe requested in accordance with MEC Rule 10, and upon completion. M I certify, under th pains and penalties of perjury, that the information on this application is true and complete. ,,,-FIRM NAME Ll !G r LIC. NO. A19,440 Licensee: Signature LIC. NO. fz3a'7 � (If applicable, enter "exemp't"/in the tice,Rse number line.) us. Tel. No.: So S e1 70.25 Address, �ik/at, neiYLuIG Clo�o Alt Tel. No.: OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner owner's agent Owner/Agent Signature Telephone No. [Rev. 04M] 6fismis ShpGei- Portal Hone m5k. Town of Yarmouth UaTemplate [Building Dept] pvmnl�. Slipsheet Identifier Isg27724] Document Category Building Permits Map -Block Number 092.7 Street Number 0426 Street Name HIGHBANK RD Department Building Parcel ID 12793 Backfile Batch Scan No Document? Additional Naming Info Index Operator Operator, Yarmscan Date - Time 2015-06-15 - 14:15 " AaserfichetP/Sl WmY 1/1