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Home My WebLink About0107 BLUFF POINT DRIVE ,, � . , � ; � . , � � .. �� ., ., , . �_� .� /V'^r�F�'4eFj�, ^� Town of Barnstable _ Building Post This CardSo That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept ' RAtimirl in Posted.Until Final inspection'Has Been Made.. - r Permit i6S9 . rr ' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-657 Applicant Name: VILLAGE CRAFT BUILDING & REMODELING Approvals Date Issued: 03/16/2018 Current Use: Structurae��. Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/16/2018 Foundatior� `N�� P� �� Residential Map/Lot: 034-_067_ Zoning District: RF Sheathing: Location: 107 BLUFF POINT DRIVE,COTUIT CK Contractor Name-.".,,VILLAGE CRAFT BUILDING& Framing: Owner on Record: MCKEIGUE,JEANNE SULLIVAN TR REMODELING 2 Address: GAME CREEK VIDEO .-.....,..Contractor License: 105548 Chimney: HUDSON,NH 03051 4 Est. Project Cost: $60,000.00 �, Q Description: Finish off space over garage game room/two bathrooms Permit Fee: $356.00 Insulation. Project Review Req: Not to be used for sleeping or seperate dwelling Fee Paid: $356.00 Final:�F Date: 3/16/2018 Plumbing/Gas Rough Plumbing: 4 Final Plumbing: Building Official g Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structure's shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. /f Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: ----�, ____ _ ,_�_. —= 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT op BUILDING DE PT Application Nmnber..................... ................................... • HARNOD433 !w �5 V 0 t • ' MA MAR 15 2018 Permit Fee.......................................other Fee........................ TOWN OF BARNSTA13L Total Fee Paid TOWN OF BARNSTABLE Permit Approval by.................................on........................... BUILDING PERNIIT 2 MV........1/�..1..3.�.................P abland....... ...................... APPLICATION Section I — Owner's Information and Project Location Project Address CO / Village z Owners Name4� � �► ✓�✓� ZG Owners Legal Address City State =✓ . -- Owners Cell# E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Ad ' 'on ❑ Retaining wall ElSolar enovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description y m t T A ct undated-2/9201 S i i Application Number.................................................... Section 5—Detail Q- .a Cost of Proposed Construction Square Footage of Project D Age of Structure Dig Safe Number #Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics 1 JWiring ❑ Oil Tank Storage ❑ Smoke Detectors i [numbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i Water Supply Public ❑ Private Sewage Disposal ❑ Municipal ❑ On site + Historic District ❑ Hyannis Historic District ❑ Old Kings Highway 1 ; Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated:2/9/2019 Application Number........................................... Section 9—.Construction Supervisor Name f , Telephone Number Sd 7,�ff Address 44L0r_1?_t1 64City �✓k4 State Zip License Number .7(/ License Type 6 Expiration Date 170 Contractors Email �l'l ( 1 J 4' Cell# I understand my responsibilities um the Esaffid 'eguIadons for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State B�ilding Code. I understand the construction inspection procedures,specific inspections and documentation required b 7 T of Barnstable.Attach a copy of your license. l Signature Date Section-10 —Home Improvement Contractor Name ad'd ✓ Telephone Number • �� J Address �& U City 1/ State_�� PIF 3 Registration Number Expiration Date zzz Z&e I understand my responsibilities under the rules and regulations for home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required=7andof Barnstable.Attach a copy of your H.LC... D Signature Date 9A a Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I�understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE ! Signature Date Z 6 Print Name Telephone Number ,'5Vd_ �°� yo7��✓ E-mail permit to: T n..►.....i..a-.i. 1/nr%^10 9 r Section 12—Department Sign-Offs Health Department © Zoning Board(if required) 0 Historic District ❑ Site Plan Review(if required) ❑ Fire Department 0 Conservation ❑ t For commercial work;pl;a7s-e take your plans directly to the fire depardnent for approval Section 13—Owner's Authorization as Owner of the-subject property hereby authorize PM40. to act on my behalf, in all matters relative to work authorized this building permit application for: l�� , 63� fir✓ C�uv (Address of Job) -3//4 Signature of Owner �� V -17Print Name ij I i I I i j I l Last undated:2/92018 The Commonwealth of Massachusetts Department of Industrial Accidents UW Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Pl use Print LegibIy Name(Business/Organization/Individual): I -L %.1 tJ Address: �� City/State/Zip: Phone#: � Jdv2,-6&7 Are y u an employer?Check the appropriate bog: - Type of project(required): 1. I am a employer with I 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' � Y P tY• comp.insurance.: 9. ❑Building addition [No workers comp.insurance p required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state Whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 6 s , Insurance Company Name: /` / Policy#or Self-ins.Lic. Expiration Date: / Job Site Address: 1� 7 City/State/Zip: L � Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th rpains and pe f perjury that the information provided above is true and correct Signature: Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance I requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant; Please be sure to fill in the permitflicense number which will be used as a reference number. In addition, an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Addregs"the applicant should write"all locations in (city or ' town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to 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 IudustiW Aoddents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,##617-727-4900 ext 406 or 1-977-MASSAFE Fax##617-727-7749 Revised 4-24-07 w wmass goo#dia .:.Y. • i 1 .• o ��JJFF�r "i WORKERS:COMPENSa 0I 1 ANt7 EMPLOYERS LIABILITY'INSURANCE POLICY I.f\!EORMAiT:ION,RAGE t 2 k Assoctatedl-1„vpIoyers Insurance Eamoany;a x� � rr., Sac.:;cnic�c,�tupn e:T.;C�4rci� fgc�, sactt'usetti t' 0.P0),.a76r•276& ' MCC[NO 40959 POLICY NO. I WCC-500-5006114-2017A PRIOR NO. I WCC-500-5006114-2016A ITEM .1. The.Jnsured: MI.scbael:Qe7uga.: :DBA: Village Craft.3uJ!dang.&.Remodeling r ' 111.a111T.Ig c'3DdresS: �vs�}Y,1%i?�� .-1�•-..f?y >.i..q.Y b1K;. � � : :' lti` '• "Cotuil;Y�kl)2f 35 , Legal Entity Type: Sole Proprietor Other workpiaces not shown above: 2. The policy per'tod;is from 12/23/2017 to 1 .'22.'???'8 12:0112.m: tand'irdair�Je at'tlae`i'asrsneds ili+ttigtaddres.s. 3 A. 'Workers Compensairorr Insurance: Purl Cno G;.ttre policy dppjies Eo`thie 1Norkcers Cornpensalfan taw oi'arie . states Itsfed here: MA- k. B. Employers' Liab'rlity.lnsurance: Part Two of the policy applies to work ih each(state listedsi uj. eniS.A.,' The limits of liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident' E3odily Injury by Disease $ 500,000.policy limit ':nrlilsi lnir rli by rn'SSB�Se 100,000�,a� h em�ln fcc �..� _. C. Orfier.Stakes lnsurance: .Cover..o17-e l ";r,,.e l:,y Endorsement WC:20:03-D 8 D. This Poky InclL!des?has.e Endo selnent_ and Schedules: 'SEE SCHEDULE 4. The premium for this policy will be determined by r - 'vianuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to ve, !,ca., ,n and change by audit. Classifications, Premium,Basis Rates• Ca. ; Estimated Per$1;Oa Estimated, Aqnval serncineralron �. Reimiiiteratiorr �... Predaitrrr.+'.: i INTRA 355380 l JNTER 3LASS CODE SCHEDUI E nimi�rtsPra7Jklir :A54�0 TL;�`EstimAted 'rJrJua)'PrerrWm $3,,874 Gov Gov Deposit Premium' $1;009 'STATE,CLASS MA 5645 State Ass essments/Sdreharges $3,522.00 x 4.5600% $161 This poiicy,inciuding aii endorsements,is.'r,c.,rcy^ccu,r °r. .,.Z d by Authorized S•igpature Date. Service Office: M-_!ca!m& Parsons !nsurance A&ncy nc 54 Third Avenue. P O Box 527 'Burtington MA 01803 Stoughton, MA 02072 trwludes oep-vrighied material ofthe National Council on Comp,- tm;urance., `r13ed Wit3i'3rs.yernJss)on, c. Massachusetts Department of Public Safety �! Board of Building}regulations and Standards License: CS-050234 .... Construction Supervisor MICHAEL DELUGA ,,t n 568 SANTUIT RD- COTUIT NIA 02635 Expiration: Commissioner 07/09/2018 •� `J�Cl: l(.%UI/L%/GII//.!U'G(!•I�iL d/�GGQ':iJlLf,�lId6�J cl Of(ire of Consumer Affairs&Business Regulation 1•iOt,tE IMPROVEMENT CONTRACTOR Rogistration;''_1.05548 Type: F Expiration.:_?/17/2q,18 DBA VILLAGE CFLaFT BUIL"DiNG;B_REMO DELI NG Michael 568 Si NTUI' i2`). �:c::...r.:.a_�•<."— ,; ..COTUIT, MA J•2635 UnderSeeretary License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 1'.1•k 1'(a..a -Suite 5170 4 Boston, i1IA (12116 I �'ali,! ri!,iout t re r ,t; HEATLOK610.0 R= -. S7A0 �w D- 23OWV Company Name Cape CbdInsulation Phone Number 508-775-1214 Applicator Name Z�)Czrxgl �u CL Installation Date 5-11-2018 1 Jobsite Address Bluff Point Rd. Cotuit Ma. A-Side Lot #'s PA8600177 Permit Number B-Side Lot #'s P3397605718 Walls 3° R-20 1150 Attic/Roof Line 7" R-49 1000 r www.Demilec.com CBDEMILEC ' TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION F, arcel pp. /�,, • ' is .: /Z Map l Application # T ` Health-.Division Date Issued Conservation Division '` Application Fee Planning Dept. Permit Fee - Date Definitive Plan Approved:by Planning Board D Historic - OKH Preservation / Hyannis �►'" Project Street Address Village 1 rio�\4_ A- (�63� I Owner �� 4a�(�P� Address Lr,)c65 LY1 �� t `I,3� Telephone U-) s� Permit Request ��- Q l��'t Y. ToA REXD vd , X b q Square et: 1 st floor: existing proposed 2nd floor: existing oposed otal new Zoning Distr Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If , attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Famil units) Age of Existing Structure Historic House: ❑Ye No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ kout ❑Ot Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new I Number of Bedrooms: exi ' g new i Total Room Count (not including baths)• xisting new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ it ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Exists wood/coal stove: ❑Yes ❑ No Detached garage: ❑ exi ng ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing ❑ new size_ Attached garage: xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Boar of Appeals Authorization ❑ Appeal # Recorded ❑ _.. f Commercial ❑Yes ❑ No If yes, site plan review# 1.10 Current Use Proposed Use o � Rom. APPLICANT INFORMATION no m (BUILDER OR HOMEOWNER) rn rr Name Telephone Number 6DEI- 741 I 75D Address ( C, Cn& Ly:� License # A&m.�Dr\ A-A A ac)-7 iS, Home Improvement Contracto # Worker's Compensation # 7&LW� Ql( 5o�y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TA EN TO a SIGNATURE DATE �I� FOR OFFICIAL USE ONLY 3 APPLICATION# DATE ISSUED I .MAP/PARCEL NO. ADDRESS VILLAGE OWNER l DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH :FINAL ' GAS: ROUGH FINAL ' FINAL BUILDING: t DATE CLOSED OUT k I ASSOCIATION PLAN:NO. r . f a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' a 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �y lC� Address: City/State/Zip: 'AAA, ej�7*'Phone #: t;M 7'/'�17Sa Are you an employer?Check the appropriate box: Type of project(required): 1.�4 1 am a employer with 1-a 4. ❑ i am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. + 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I.am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] .� employees. [No workers' 13 V Other cornp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and Then hire outside contractors must submit a new affidavil indicating such. Contractors that check this box must attached an additional sheet showing the name of 1he sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Belo►v is the policy and job site information. insurance Company Name: 1 Mk�vV Policy#or Self-ins. Lic. #: —76 k,3�6 Q� Expiration Date:. )p ffO Job Site Address: l 1D�— �J�U 'rO�YI City/State/Zip: cnw,4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DI.A for insurance coverage verification. I do hereby certify under the s a enalties of perjury that die information provided above is true and correct. G Si nature: Date: 9 O 1 Phone 9: 6y$ 7k 817 9 o'1 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing inspector 6. Other Contact Person: Phone#: I Feb 13 2009 09:43:31 10669246941 -> SOB 740 3997 The Hartford Fax Page 034 is I ACORD,M CERTIFICATE OF LIABILITY INSURANCE U022 02-13 2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HARTFORD FIRE INS CO/PAYROLL ASSOC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 250760 P: (877) 287-1316 F: (877) 287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 308 FARMINGTON AVE FARMINGTON CT 06032 INSURERS AFFORDING COVERAGE INSURED INSURER A:Twin City Fire Ins Co INSURER B: SPERRY TENTS CORP. INSURER C: 11 MARCONI LN INSURER D: MARI ON MA 02738 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. INSR POLICY EFAECTTVE POLICY EXRRAT/ON LTR TYPE Of INSURANCE POLICYNUMBER DATE MMDD Y DATE MM Y La4?S GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one tire) S CLAIMS MADE 0 OCCUR MEO EXP(Any one person) S PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 9 POLICY PROJECT, LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO IEa accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS IPer person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S IPer accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHERTHAN EA ACC S AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION 9 8 WORKERS COMPENSATION AND X WC STATU• OTH- TORY LIMITS ER A EMPLOVERS•LIABILITY 76 WEG PR5242 10/15/08 10/15/09 E.L.EACH ACCIDENT $100 000 E.L.DISEASE-EA EMPLOYEE $10 0, 0 0 0 E.L.DISEASE-POLICY LIMIT SS 0 0 0 0 0 OTHER DESCNP71ON OF OPERAnONSAOCA TIONSrVEIBCLES/EXCLUS/ONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER ADDITIONAL INSURED.,INSURER LETTER• CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT)TO THE CERTIFICATE Joe Mcke 1 Ile HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO g OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR �. 107 Bluff Point Dr REPRESENTATIVES. Cotuit, MA 02635 AUTrw RESENranvE ACORD 25-S(7/97) ACORD CORPORATION 1988 Regulatory Sakes MAMLMMMss F."er,Director tom, BunUmv iLow"10 . 200 Mans St"It, gyms,MA 0260, "vw.tawmLbarwmbieuR.w n# 508-962-403X 701 _.- Co fete and Si Section ifITsing AB. der as Owner of the subject property e ; to act on my behalf:. in all matters relative to wotKauthoriud bvthis buald mrar,st aoou_a�+o_q a. CJ Me 3 o 3 a ¢R rrsAp� SION -9 Certificate of Flame Resistance Manufacturer Number Sperry Sails Date of Manufacture 472 28-Feb-07 11 Marconi Lane Marion, MA 02738 (508) 748-2581 This is to certify that the materials described have been flame-retardant treated or are inherently non-flammable and were supplied to: Name: Sperry Tents City: Marion 02738 State: MA Certification is herby 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 Marshal Code equal to or exceeding NFPA 701,CPAI 84 Method of Application: Coated Fabric Color,Type and Weight Oster Polyester 7.2 oz. Descri tion of Item Certified: 64x124 ft. Pole Tent Flame-Retardant Process Used Will Not Be Removed By Washing And is Effective For The Life Of The Fabric 1 Name of Applicator of FR Finish Signed Kolon 9XV) I `i Of Nialke gestostancle i Nlanufaaftne Number SPERRY ... TT C Date of man ��8 11 Marconi Ln Box 215 lot" 0� Marion,Mass 42738 1 3(hlid5-9 Gu id►3�74A?S!VJ7 web_sperrysaHs.cam * e--11:sperrysailsfcapecad.nei This is to certify that the materials described have been- flame-retardant treated(or are inherently nonflammable) And were supplied to: . NAME. IF 1'r r CITY STATE M� t. 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 Marshal Code, equal to or exceeds NFPA 701, CPA1 84 Method of application: OA j - A! Type, color, and wetWef calkwasmnyl. 4&,r oil. C* VV taltirt. Des 'ptio of item t ar 1 Flame Retardant Arocess Used Will Not Be.. , Removed By Washing And is Effective For The- Life r Of The Fabric Name of —of Flame ResmimfF"mish f signed: WV II u . Certificate of Flame Resistance Manufacturer Number Sperry Sails Date of Manufacture 443 11-Oct-06 11 Marconi Lane Marion, MA 02738 (508) 748-2581 This is to certify that the materials described have been flame-retardant treated or are inherently non-flammable and were supplied to: Name: Sperry Tents, City: Marion 02738 State: MA Certification is herby 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 Marshal Code equal to or exceeding NFPA 701, CPAI 84 Method of Application: Coated Fabric Color,Type and Weight: Oyster polyester 7.2 oz. Description of Item Certified: 32x50 ft. Pole Tent Flame-Retardant Process Used Will Not Be Removed By Washing And is Effective For The Life Of The Fabric 1 j: Name of Applicator of FR Finish Kolon �o ` I PROJECT NAME: 4 ADDRESS: � h PERMIT#C7'-� ,rOO PERMIT DATE: M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT 7f — Data.entered in MAPS program on: 7 1616 BY: q/wpfi les/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J Parcel Application # C;IX9 �•I �� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee e 7 Date Definitive Plan Approved by Planning Board (� Historic - OKH Preservation/Hyannis ,p Project Street Address Village Owner salvo 1*4m T Address Telephone 7 12 g - 2 Permit Request , kjW be,6Hu, z I��6 (�,�l�Qk► Square feet: 1 st floor: e xA4 2nd floor: existing proposed Total new Zoning District F o d Plain Groundwater Overlay Project ValuatiJ 7 M' Construction Type Lot Size .C_ o'r�� Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 00 t Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 24 Basement Finished Area(sq.ft.) Bas ment Unfinished Area (sq.ft) Number of Baths: Full: existing $ new Half: existing 2-- new Number of Bedrooms: 15 existing 0' new Total Room Count (not including baths): existing 2 3 new ZZ First Floor Room Count Heat Type and Fuel: ZrNo as ❑Oil ❑ Electric ❑Other r�CentralAir: ❑Yes Fireplaces: Existing New Existing wood/coal stove..:,❑Yes ❑ No Detached garage: existing Ll new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing O�new�'size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ C-3 Commercial ❑Yes "❑ No If yes, site plan review# Current Use �(,Pf�12 Proposed Use �Iw APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License# I V Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 206 r FOR OFFICIAL USE'ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. !� ~ADDRESS - VILLAGE - -OWNER _ DATE OF INSPECTION: - - _ FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ZrIltyQ 4Ak> DATE CLOSED OUT ASSOCIATION PLAN NO. is ` . • , 1_ r Town of Barnstable Regulatory Services Thomas F.Geiler,Director MARS 16; ;�`0� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ban stable.ma.us "Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: am,L 'v'`'"J f 4m t` ""� 7 Map/Pareel: 3 tP Project Address 0 7P�flurUft.Builder: The following items were noted on reviewing: • 11 �12 F}VK t N�' L N S f�Tl o N 1'�/`{t 5'C R� �O N t✓ W�nl -A�Fl�l4- i 5 •oPi'Iv�i� � Reviewed by: Date: )Co ° 8 Q:Fonns:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors[Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): S,LL1V4j c=ddreSs I o) 13L r P Fa[�v)" P2rv& `�—��tZ�i h'�} �32,/16 Phone.#: S 6 Y *2f-7?6 7 City/State/Zip: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction . employees(full and/or part-tithe).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' g 0 Building addition [N workers' comp.•insurance comp.insurance, t:quired] 5. We are a corporation and its 10.0-Electrical repairs or additions —3. 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myselL[No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compcnsatim policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If-the sub-conhwtors have employees,they must pravidb their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-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 c. 152 can lead to the imposition of crirnirial penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00.a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the WA for insurance coverage verification. -- I do hereby certcfy under the airs andpenalties ofperjury that the information provided above is true and correct I Si atur� �1h�, � �a..!' � Date• y /1 0 � _ 6l Phone# Of use only. Do not write in this area, to be completed by city or town offuiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/To"Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: . Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local::licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the corn non�vealth for any applicant who has not produced•acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of in sun cc. Limited.Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their . self-inanranco license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit,must be filled out each year.Where'a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington street Boston, MA 02111 Tel.# 617-727-490.0 ext 40,6 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia I r Town of Barnstable �OF1HE Tp�� Regulatory Services t3nRrtsxwer a Thomas F.Geiler,Director 9 MASS. t63g. Building Division �lFD I u'�p Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION cy Please Print DATE: JOB LOCATION: 107 7 ac :,C In/- number �^. In,,� street village HOMEOWNER": dti) Me Az�) 0� name �i home phone# work phone# / CURRENT MAILING ADDRESS: �+ W"j 5, N C. �-A-�Ica P4,A I A/ M A 0 Z 1 7 0. city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual.for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requg:ts:.n„n ?'►` Si ture of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000.cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. °FTHETa,� Town of Barnstable Regulatory Services -�: BM MAS& � Thomas F. Geiler,Director i$A 63¢ �0 . jF6.19. " Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.toWn.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner;Must. Com lete and Sign This S tion Using A Build I, , as Owner of the subject property s hereby authorize �' to act on my behalf, in all matters relative to work authorized by this building rlit application for: f / (Address of Job) Signature of Owner Date f Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Bk • 1 OS 1 D--024 7791 I 02—13-1337 a CIS •�7 �1.. .R of 8uageeaor 'A'ru1lroo Pursuant to they provisions of Article FIFTH of THE SULLIVAN FAMILY COTUIT RBALTY TRUST - 1982, established December 30, 1982, by and between WILLIAM H. SULLIVAN, JR. and CHARLES W. SULLIVAN, and recorded in the Barnstable County Registry of Deeds in Book 9079 at rage 231, of which the undersigned, BRIAN D. BIXBY, is the present Trustee, the undersigned hereby appoints JHANNS SULLIVAN rlaCKBIQUB, of Jamaica plain, Massachusetts, as Successor Trustee to succeed the said BRIAN D. BIXBY as Trustee of said Trust upon the death or resignation of the said BRIAN D. BIXBY as Trustee as aforesaid. SIGNED AND SEALER as of this �� day of 1! , 1995. b . 'J Id BRIAN D. BIXBY, T2UStee. COD24DNWEALTH OF MASSACHUSRTTS Suffolk, as, �� 47 t ►• Then personally appeared the above-named BRIM@ �,. acknowledged the forgoing instrument to be his freefaI before me. ' ` r� ' , f Notary Pubnnc: My commission Bxpirea: 8522.9 Mr COMM161IW,bpba Sap%mber 21,2001 resign BARNSTAM REGIST fuN7 OlBTRY OF DEE09 A TRUE COPY,ATTEST JOHN F.MEAD R EQISTE i Teed Wd 81 : 1I 800Z—iT-8a0 k17— CRAM ERL.AINO LA:I IBERTE DE.SIGle1 ASSOCI:A►:TES 70 LANGLEY ROAD, NEWTON CENTRE, MA 02459 61T-332-7330 % FAX: 617-64I-03I4 t i i D/W Ll t t i 1 • 1 i t tDl t . t t � i SULLIVAN RESIDENCE : 107 BLUFF POINT DRIVE, COTUIT EXISTING Scale '/4" =1' DESIGN ASS `0CI.A:'TES . . 70 LANGLEY ROAD, NEWTON CENTRE, MA 02459 617=332-7330 % PAX: 617-641-0314 12 i 1 1 ;r; r 11 DtW 1 1 1 - 13ed 1 i 1 t - 1, LI1 I: v d m v D/W P SULLIVAN RESIDENCE : 107 BLUFF POINT DRIVE, COTUIT PROPOSED Scale 1/4"= F ALDEN WEBSTER ASSOCIATES o��►yl� rwLA`r�l �rs�ti� joB 7 Structural Engineering Services 113 North Street LEXINGTON, MASSACHUSETTS 02420 SHEET NO. OF (781) 861-6513 CALCULATED BYL DATE 01 - � ii : ; ! 1 — i ✓� i -- - -- ---I Of 4, i WEOST�P _STROCTtlRAt— No. 31 2 + ,J I : ; ,�L -7b, ; ! i `' ' _L4 644 I I !h 6.1 AW IQ : ; ; ! i Parcel Detail Page 1 of 4 TABLE M1ti5,109, Logged In As: Parcel Detail Wednesday, Ap Parcel Lookup Parcellnfo Parcel ID'034-067 ( Developer!LOT 5 Lot Location 107 BLUFF POINT DRIVE I Pri Frontage 1311 _ Sec Road , I Sec - - - - Frontage Village C TO UIT I Fire District COTUIT Sewer Acct I Road Index 0145 Interactive Map `Si a' �., i_�a�.• Owner Info_ Owner,MCKEIGUE, JEAN S TR I Co-Owner C/O SULLIVAN, PAT Streetl 'GAME CREEK VIDEO I Street2 23 EXECUTIVE DR City'HUDSON I State NH zip 103051 Country I - Land Info-- Acres 1.82 use iSingleFam MDL-01 Izoning ,RF �yl� Nghbd 'WF11 Topography Level T I Road Paved utilities Public Water,Gas,Septic I Location Excel View Construction Info Building 1 of 1 Year 862 '� I Roof Ga( ble�Hip ") Ext Wood Shingle Built Struct Wall Effect 7775 I RoofAC Area Cover Wood Shingle Type pe •None Style Conventional I Inl ; Rooms ' Plastered I Bed Wall 9 BedroomsInt' Bath ,I Model Residential I Floor`Hardwood I Rooms 48 Full + 2H I Grade .Custom Plus I Type INone I Rooms 125 Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2178 4/16/2008 Parcel Detail Page 2 of 4 4a ` 9:T6.tl>:.... s.. r.31, r�. Z, 0A Heat Found- a n ? op Stories 2 1/2 Stories I Fuei:None I anon 1Poured Conc. I ., s t P_ 5 Permit History _ Issue Date Purpose Permit# Amount Insp Date Comme 4/1/1992 B34951 $5,000 1/15/1993 12:00:00 AM CO STC - Visit History Date Who Purpose 8/23/2007 12:00:00 AM Nancy Finch In Office Review 7/30/2007 12:00:00 AM Karen Perry In Office Review 7/10/2007 12:00:00 AM Nancy Finch Meas/Listed 6/6/2005 12:00:00 AM Paul Talbot Meas/Est 4/6/2000 12:00:00 AM Paul Talbot Meas/Listed - Sales History Line Sale Date Owner Book/Page Sale P 1 2/13/1997 MCKEIGUE, JEAN S TR 10610/025 2 3/15/1994 BIXBY, BRIAN, TRUSTEE 9079/248 3 6/15/1985 SULLIVAN, CHARLES W TRS 4572/313 4 6/15/1983 SULLIVAN, CHARLES W TR 3774/275 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2008 $856,900 $9,100 $24,400 $2,556,400 $3 3 2007 $1,896,700 $12,800 $24,400 $2,556,400 $4 4 2006 $1,676,400 $12,800 $25,100 $2,288,400 $4 5 2005 $1,263,200 $11,100 $25,700 $2,288,400 $3 6 2004 $972,000 $11,100 $26,100 $1,830,700 $2 7 2003 $581,500 $11,100 $26,800 $2,548,000 $3 8 2002 $581,500 $11,100 $26,800 $2,548,000 $3 9 2001 $581,500 $12,700 $26,800 $2,548,000 $3 10 2000 $531,500 $11,600 $27,800 $1,244,900 $1 11 1999 $531,500 $9,700 $26,500 $1,244,900 $1 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2178 4/16/2008 y ar Ul LL 16, it- g74za�9 fiT 07I0820071223 t } i �r Ll s ' 07/08200712:27 07108200712:30 f Parcel Detail Page I of I htt �V � �:A T�,F,r�, ��'� #c�,y.-wit r _ •,�ti � N .A ¢�� ..� � t.+"'• fir, \ � •ae .�j_- _ �,�•. � -!. �t •fir ..r�T"��eY� /s AF,� t �� y �� • ."�.fr�-'^`_-•-��.... � -.ram".....�� .. � 071082007 12:22 - H" { •'N •�. �07/08f20p 2528 v:.Gl' '�"°71.'>!]L�'�- •%�'-�_ • • - • • ••. 1- • i I • 00i Brockway-Smith Company ` [;lr,, Brosco Architectural Group 0� Serving Greater Northeast Architects since 1890 r' GARRY PREVEDINI W.,t Offices and Exhibit Area: ARCHITECTURAL REPRESENTATIVE 146 DASCOMB ROAD 1 (Route 93-Exit 42) 800-225-7912 ANDOVER,MA 01810 FAX (24 hours) 800-242-4533 L COMMERCIAL - RESIDENTIAL DATE JOB � t - ��L1ffa-1�Vta g i L iz -7. 157 i u ° 1 !! 'w 1 z11 y-ot ►I ' uaila6le to serve you'I tuiYA J vices, . Z?)lnarow 17e1'ail'n9 anon cspec Z?)rilin9 I ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic Closing Hinged French Patio Doors ROOF WINDOWS ` yY TOWN OF BARNSTABLE BUILDINGS DEPARTMENT .HOMEOWNER LICENSE EXEMPTION � Please print. DATE JOB LOCATION Jo7 C.uFF Powr �i� n;r- Number Street Address Section Of Town "HOMEOWNER �/I LC,a„, N Sv LG Name Home Phone, Work Phone PRESENT MAILING ADDRESS, .. Fb. Mu O� , (!:�4r,,r7 . City Town State Zip Code The current exemption for "homeowners" was extended to include o occuoied dwellings of six units or less and to"allow such home owner engage an acts for hire who does .not possess a license owners to the owner acts as su ervisor. , provided that DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides o reside, -on which there is, or is intended to be, a one to sixrfamily to dwelling, attached or detached structures accessory to such use 1 structures. A person who constructs more than one home in a two-year farm period shall not be considered a homeowner. to the Building Official on a form acceptable to the"homeowner" Buildin Official,year that he she shall be res onsa form for all Such "homeowner" shall submit building hermit-, such work erformedgunderthe r, (SectiorY log.l.l) The °undersigned "homeowner" assumes responsibility State Building Code and other applicable codes by-laws,for compliance with the rules and The undersigned "homeowner,-' certifiess that he Barnstable Building Department minimum requirements inspection procedur / )1e understands the Town of es and HOMEOWNER'S SIGNATURE -------------- r APPROVAL OF BUILDING OFFICIAL Note: / requiredhtoecommily dwellings 35,000 cubic feet Cont* to ply with State Building Code Section 12 or 7gpr' wlll, be Construction +uses i HOME OWNER'S EXEMPTION . Th®..code states that: . "Any Home Owner- performing work for which a building peimit `is required shall:-be• exempt from the provisions of this;.section (Section .109.1.1 - Licensing ;of` con'struction Supervisors) ; provided that;:if Home Owner engages a person(s). for hire to do such work, that such:Home .` Owaier shall act as supervisor: " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a `supervisor (see Appendix Q, Rules and Regulations for Licensing Construction Supervisors, Section 2.15) . This lack _of awareness often results in serious problems, particularly when the Home ` Owner hires- unlicensed persons. In this case, our Board. cannot , proceed against the unlicensed person as it would..withJl licensed. supervisor.: ` The Home Owner acting as zupervisor is ultimately responsible. To ensure 'that the lome Qwner. is fully, aware of: his/he r `responsibilities,. many•'communities require;•has part of `the permit application, : that..,the Home Owner certify that he/she understands the responsibilities"of 'a supervisor. On the, last page of this issue is a• form currently used by several. towns. You 'may care to amend and adopt such a form/certification for use- in-your community. s Assessor's office(Istfloor): Assessor's map and lot num SEPTIC SY�°� p�y,TM E Conservation '— — INSTALLED IN Board of Health( rd floor) Z7�r &u � Vk n(� ��Sewage Permit number 1 1 (p�NME Engineering Department(3rd floor): / TOWN REG House number 6 o Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 0-4 L-47az 2 jiik c��ovrtr! 0 _ TYPE OF CONSTRUCTION GcroorQ ` 1s 92 TO THE INSPECTOR-OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /0-7 � -� ��' CCU Proposed Use l j AA Zoning District f Fire District Name of Owner '' + J� Address fO7 � ,� palms Name of Builder Address I Name of Architect Address Number of Rooms Foundation Exterior Roofing �� Floors Interior Heating Plumbing Fireplace Approximate Cost AM r Area GE Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable gar t a e co nstruction. L'N`ame Construction Supervisor's License Z4',�( �- "'--SULLIVAN, WILLIAM H. , No 34951 Permit For ADD STORAGE OVER GARAGE Accessory To `Dwelling Location ' 107- Bluff Point Drive Cotuit Owner " William H. Sullivan Type of.Construction Frame ' , Plot 'Lot Permit Granted Apr i 1 8 , 19 t 9 2 • Date of Inspection 19 Date Completed 19 r r ; M j I�pP{Q6Gi-'! Engineering Qi ept. (3rd floor) Map r c5 7. Parcel 6/, �� Permit# House# 4� 2 / Date Issued _ 3 9 4 - Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) N o &eo ri o4" Fee 2$',Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) u V` Planning Dept.(1st floor/School Admin. Bldg.) yS�1►u= Definitive Plan Approved by Planning Board 19 M INSTABLE TOWN OF BARNSTABLE Building Permit Application Pro' treet Address 0-1 RLUFF P01 NT fl R-1 V E C®TAX%T Village Owner UJ 11- A AK 5%A\.\A VA Q J9, • Address SAME Telephone a _ 6's Permit Request _ HQJ 120 O L F- TEPT S FT �A 7 C First Floor C/ square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No . If yes, site plan review# Current Use Proposed Use Builder Information Name A M mi G Rig➢ T£01 Telephone Number q a 0 Address ` ,% O 1-t) ' :WAAWT-1 P.D License# old VA AR.ST 0N5 N1 ULS i M{� • 09L fo LA9 Home Improvement Contractor# Worker's Compensation# WC S 33 S NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _I 1 GIIo BUILDING PERMIT DENIED FOR YdE FOLL WING REASON(S) --- The Commonwealth of Massachusetts Department of IndusVial Accidents 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit name, location city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity [Yfam an employer providing workers' compensation for my employees working on this job. company name. ...:.:......::....:.......:..... ::... . .. .. :.. ..... . . tnsaraneeco: .. 40ti. .�:�..... ;:::..;-;;:<.:•:': .:.,::...:.. .;;;::.....;;;;::>-:.:;.<'?<::.: ::�::.ptilicv-'#:. :.::.:: �: �.::.. �� ':. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices. Sanpany :•::;;:.,:. ..... address., city, :...::.:... ... •:^one'# . .. insarencecti: ::.:..::::::..:::::::.: .::::.:::..::: :::: :. .. »:` .;.•:;-:...._ company name: ....•::. .... add ress: city: msnrancr•co. ..:...:: : .: ..;.. ..:. ... . .... .. ..:.eolicv'#:.::;;:>:.::.::;::z :::;;>:;:;.>::;.>:: .•.•. Failure to secure coverage as required under Section 25A of MGL 152 can lad to the imposition of criminai penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. /do hereby certify under the pains and penalties of perjury that the information provided above is true and eorrem Signature V''��—� ��c (,� Date Y�t j Print name 0 5e—C 1 Phone# r otricial use only do not write in this area to be completed by city or town official city or town: permit/license q nBuilding Department C3Licensing Board �j Q check if immediate response is required C3Selectmen's Office Health Department contact person: phone q; nOther (revised If9s PIA( f_.. - w s x-:�.. _ � _ _..�..__.'•,--D= - - -_ `--- - � {J ��r to t'.1 I Wit' p-� (�',Y �.,. -,+.+...'•o-4.w.....',a..3-�n.„.,«.y✓!+}..w _. ... _.•...«. + � w 5 d /'^+.f_^4 � t+.�ppp.yl�'4`.Mw+MRti`M'. +4Waq.ni,.awsr..wywy ..�Ew:MWx aifO r..'M"'u"b^w""'^��_ro-rw:� .�n,,,S r � • r.. r l f � ' �� $� '�, Y ,t �-.�" ,� }.,iW C�t�>�� i 3 t•"�' i'"`"„"",�'.'� "'..'•.•,cFr'�,.' �. - t� ¢ `a,•�I r-�s'y r'i '"{tv, w� y.1"t `t,?rr 'K6J`iw~Y $ ",tt'a �' - "' };,d'tflv fiKv•`"Aii*� �; f ". 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CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS ON GABLE ABOVE Al 3o•xs�• 6o•x36• 6o•x36• 3o•x sr &DIMENSIONS IN THE FIELD DOUBLEHUNG AWNING AWNING DOUBLEHUNG 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, \ I \ I I LINEi�I DETAILS,&FINISHES IN THE FIELD WITH OWNER O CA. 3.) FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY •' EGrtE55 2'8'DOO DOUBLEHUNG - EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION c STAIR P0°,/ INSTALLER/CONTRACTOR. z's•DooR / 3•-10 24•x za• 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS ON. F`\ II //PO, AWNING STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 ,., O \ I I , °a� - �1I /;Py�� I i 5.) 110 MPH EXPOSURE C WIND ZONE 6.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE © 2a DOOR 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD e 1I RIDGE ABOVE____ W ______ _ 8.) SEE CERTIFIED PLOT PLAN FOR ALL EXISTING&PROPOSED DETAILS / 1 I DOOR 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON COMPONENTS NEW 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS GAMEROOM I I / \ TO BE 3000 PSI 0°,� I I I I ( TO MAT.Tc 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE XIS /P _ I I (VAULTED CEILING) I I FLOOR-6 DOOR \��6• DURING FRAMING CONSTRUCTION / I~ \ x DOUBLEHUNG IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS D / 1 I !n m O I �c\ CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 30'x 36' / BUILT-IN CABIN T1J I I LI €N TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) DOUBLEHUNG / I I HANGING p I I ( CAB.` FENESTRATION SKYLIGHT CE�ONG WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SIAB LRAWL SPALE W U-FACTOR U-FACTOR R.VAIUE R.VNUE R-VALUE R.VALUE R.VAL EE CC=ME 0.30 A__w NO 0.55 'E 20.13•5 30 15119 10(.FT.DEEP) tY19 ' 30'x 36- DOUBLEHU G NOTES: NEW 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. ON. EGRESS STAIR 2.15119 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS 4.13-5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR -A &R13 CAVITY INSULATION Al EXIST.2 x 8 RIDGE 5•-0• 9'-2' 2 x 6•s @ 16•o.c. 38'-0' 12 EXIST.2 x 6 RAFTERS EXIST. AT 24'o.c. SECOND FLOOR PLAN ' TOP OF PLATE EW SPRAY FOAM TIES AT EACH LEGEND: NEW 1/2•GYPSUM BOARD RAFTER C� EXISTING WALLS AZEKORP.T. —NEW SPRAY FOAM DECKING& INSULATION(R20) /L, CONSTRUCTION TO BE REMOVED RAILINGS NEW ^ m 0 SMOKE DETECTOR e GAMEROOM NEW CONSTRUCTION CARBON MONOXIDE DETECTOR --�_�. a SECOND FLOOR N BATT INSUALTK)N(R30) F�/ DETECTORS 1 pry p�•+q�r1. SUBFLOOR OI\E iLl Y EV�VI�I� 1 CdeVIE W�� EPSON JOISTS ZAMX H2.5A P. .2 x 8's @ 16'o.c. EXISTING 16'L JOISTS @ 16'o.c. INSTALL FLASHING UNDER �� IQS ® Q HOUSEWRAP&DECKING A. /� �� 3-P.T.2x 10's �G I DECKING 13UILDIN 1.7 � BARNSTABLE BUILDNG DEPi. DATfw//SIMPSONZMAXACE6 G BUM OARDONl RATED �/�/ POST CAPS - STRAPPING AT 16'o.c. FLOOR JOISTS �� I ^o�� P.T.I x 8 LEDGER BOARD SCREWED STO C 1 L SOLID BLOCKING W/(2)JOISTS HANGERS SCREWS 16'o.c.W/ZMAX 1U210 JOISTS HANGERS O P.T.2x8'sDECKJOISTS M FIRE U TMENT DATE P� INSTALL SIMPSON DTT12 TENSION TIES �� (2)LOCATIONS FROM HOUSE TO DECK JOIST RUBBER MEMBRANE K TOWS 0 T�6 BOTH SIGNATURES ARE REQUIRED FOR PERMITIIII�G EXISTING BETWEEN LEDGER 8 GARAGE SHEATHING P.T.6 x 6 POSTS ON 12•DI/L CONCRETE SONOTUBES TO P.T.2 x 8 LEDGER BOARD SCREWED SC 4'0-BELOW GRADE.USE SOLID BLOCKING W/)2)LEDGJOISTS HANGERS SCREWS SIMPSON ABU66 POST BASE 16'o.c.W/ZMAX 1U210 JOISTS HANGERS INSTALL SIMPSON DTT1Z TENSION TIES 8 ECCL POST CAPS (2)LOCATIONS FROM HOUSE TO DECK JOIST SECTEC_TLON @ GAMEROOM 0 TYPICAL DECK DETAIL Al ERRORS GNEROR OMISSIONS SHALL BENE IFIED FOUND ANY SCALE : DRAWING NO.: 11�1�/\/\J COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: CONSTRCDMISSIONSAREFOUNDOF W B V 43 BREW STER ROAD IN T;MSRAWwGSPRIDRT THE CO T LONSTRucnON.THE BU1D0NG CONTRACTOR 1/4" = 1'-0" WILL BE RESPONSIBLE FOR THE CONTENT P1 THESE ES ITHSIF CONSTRUCTION MCKEIGUE/CHAMBERLAIN RESIDENCE THESE CDNMENCESNGSMESOELYFORTH Al MASHPEE MA. 02649 OES'GNER OF AMY ERRORS OR OMISSIONS. DATE OF THE DINNER NOTED.NN OTHER USE OFE PH. (508 274-1166 THESEDRAWO GSREOUIRESTHENRRTEN FAX (50 ) 539-9402 107 BLUFF POINT DRIVE C OT U I T MA MCHITET DF THE DESIGNER DNDERCTI yg/2018 MNSENT FTH DESI ER P DERTH ON ACT OF IM. I I