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HomeMy WebLinkAbout0179 CLAMSHELL COVE ROAD COVE l C07l1 � r �= Dos - 038 i o4G 9li6 opt► , Town of Barnstable * mkt o Expires 6 months from issue date Regulatory Services Fee BmwsrABLL MASS. $ Thomas F.Geiler,Director 1639. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �--/ Not Valid without Red X--Press Imprint Map/parcel Number =s' 03 s Property Address (3-9 ciQ,n C'ki I � 1ea C-C+V I ❑Residential Value of Work$ �(��� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address n!'. A,� y 1S VbAl r FCWGl, 't.-)n vc_ , Nov\ O1-S-`fs-- Contractor's Name �0� { �A t� a C,. Telephone Number(1 l0 O3 '00D 3 Home Improvement Contractor License#(if applicable) t03]I LJ Email: ©�+l Ce 9 Ca ZeoA C-O rn Construction Supervisor's License#(if applicable) 1900rorkman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor S E P — 6 2013 ❑ I am the Homeowner [c�have Worker's Compensation Insurance Insurance Company Name � A rL/1S yrmole-Pi TOWN OF BARNSTABLE Workman's Comp.Policy# W C c57 r'&(5 VC 6'7'(> r 0( Copy of Insurance Compliance Certificate must accompany each permit. Permit Reques check box)e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 9Qyjf > _ ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: a C:\Users\decollik\AppData\Local\Microsoft\Windo Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 The Connnonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,K4 02111 • sminniass gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plnmbers Applicant Information Please Print Legibly Name(Busmesvorga=tionandividud)—T _ `az7�-t1 ty h S5 _ Address: [DI 1 fy)c&l(\ S*foR,A City/State/Zip. fl<<f- N-� D 2 CS5—Phone g: Aree yo employer"Check the appropriate box: Type of project(required): 1. I am a employer with L 4. ❑ I am a general contractor and I employees(full and/or part-rime).° 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 � t3`• I 9. ❑Building addition [No workers'comp_insurance comp-insurance .1 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 LF]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]"s c.152,§1(4),and we have no employees.[No workers' 13.0 Other comp_insurance required-] *Any applicant that checks box Rl®gist also fill out the section below showing their workers'compensation policy information- 1 Homeowners who submit this afiidaet indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such Contractors that check this bat must attached an additional sheet showing the name of @re sub•comractors and state whether or not those entities have employees. If the sub-coatractors have employees,they must provide their workers'comp.policy number. .Tam art e)npioyer that is pmi&ng tt�orkers'conTensaiion insurance for u)yy enWh)yees. Below is the policy and job site information. Insurance Company Dame: Corp . Policy#or Self ins.Luc.#: W GS l �D I C>r b F�piration Date: 0 �q Job Site Address: 1-79 Clwl+,S�e l COVE- City/State/Zip:l ,0fi2i F Attach a copy of the workers'compensation policy declaration page(showing thee 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 S1,500.00 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 the pains and penalties of pedury that the inforinrrtion provided above is true and correct Signature: Date: Phone#: , T — 1 (1 Official itse only. Do)rot write in this area,to be c-0mpWed by city or town official City or Town: PermitUcense# 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#: - -- - 6 I 3/.16/2013^8:05:09 AM PST (GMT-8) FROM: 100005-TO: 15084204555 Page: 2 of 2 r ® DATE(MM/DD/Yl'YY) Q CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER DOWLING &O'NEIL INSURANCE AGENCY INC CONTACT NAME: 973 IYANNOUGH RD PHONE C o E-1 A/C No): PO BOX 1990 HYANNIS, MA 02601 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC ft WSURERA INSURED INSURER B PAUL J CAZEAULT&SONS ROOFING INC 1031 MAIN STREET WSURERC: OSTERVILLE MA 02655 INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 17327850 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea OccccuErence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ JFCTAUTOMOBILE LIABILITY (Ea CO a¢ident)S INGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS $ HIRED AUTOS NON-OWNED PeracadTMenl�AMAGE $ AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED HRETENTION$ $ S S WORKERS COMPENSATION WC STATU- CR A WC5-31 S-386670-013 8/10/2013 8/10/2014 ,/ TORY LIMITS AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS belowE.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 . IL UGLA 1,-. . Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD WIT NO.: 1732J 850 CLIENT C DE: 16 4182 Anne Chan 1 8/16/2013 8.03:3,3 AN P ge 1 of,1 has certlrIcate cance�s an� supersedes dA� previously issue certificates. i )v Massachusetts- Department of Public Safety ° Board of Building Regulations and Standards Construction Supervisor License: CS-026325 `�13. 1 t 1 5 PAUL J CAZEAULT 1031 MAIN Sx + Y; OSTERVaLI3E MA 026-5�' y, yo Expiration Commissioner 10/20/2013 671-1 Office of Consumer Affairs and Buslness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - - Registration: 103714 Type: Private Corporation Expiration: 7/9/2014 Tr# 228652 PAUL J. CAZEAULT & SONS, INC;. Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment Lost Card ?S-CA1 Co 50M-04/04-G101216 Pamal �✓G Office of Consumer Affairs&Business Regulation.. License or registration valid for individul use only - before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Registration: 1.03714 Type: Office of Consumer Affairs and Business Regulation Expiration: 7/9/20.14 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 PA J.CAZEAULT&SONS,.INC. en Paul Cazeault 1031.MAIN ST g � Qr OSTERVILLE,MA 02658 Undersecretary Not valid withou ature LJ I C pp- PAUL J. & SONS Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. J 1 (print) , as Owner / 'Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job 't e4 Signature of Own Z-- Mailing Address of O ner I ' Telephone # (7) C6�_ 0003 Date Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com WE : . The .Town of Barnstable • s�►tuvsrne�, • . ASS 1�6J¢ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 I I Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner i January 22, 1996 Mr. Martin Kantrovitz 185 Devonshire Street Suite 510 Boston,MA 02110 RE: 179 Clamshell Cove Road,Cotuit,MA 02635 Dear Mr. Kantrovitz: Enclosed,please find all the information we have in our files,concerning the above mentioned address. A remittance of$6.00 would be appreciated,to cover the cost of the Xerox copies and mailing. If we can be of any further assistance,please do not hesitate to call. Sincerely, ph M. rossen Building Commissioner RMC:Ib enclosures g960122b LAW OFFICES OF MARTIN KANTROVITZ 185 DEVONSHIRE STREET,SUITE 510 BOSTON,MASSACHUSETTS 02110 MARTIN KANTROVITZ TELEPHONE(617)426-3050 LISA BAER FAX(617)426-3640 GABRIEL KANTROVITZ OF COUNSEL January 4, 1996 Mr. Ralph Crossen, Building Commissioner Barnstable Building Department 367 Main Street Hyannis, MA 02601 Re: Barry Arnold Dear Mr. Crossen: Please be advised that this office represents Mr. Barry Arnold regarding a workers , compensation accident that occurred on October 25, 1994 . I would greatly appreciate your checking your records and sending me a copy of any applications for permits, the permits themselves and any related correspondence dealing with the building at 179 Clamshell Cove Road, Cotuit, MA. If there is a charge for same, please notify this office.. Thank you for your cooperation in this matter. Very, truly yours, r MART KANT OVITZ MK/cc Please Direct Written Corn.pondence to Boston Ogre. HUDSON OFFICE:173 WASHINGTON STREET,HUDSON,MA 01749(508)562-3800 NEW BEDFORD OFFICE:60 SPRING STREET,SUITE 12,NEW BEDFORD,MA 02740(508)994-6010 ��1rtiY-•f.'nfw':✓...+-L�,�-`"r.=-r•;.-ee-+tifs.'+S^y'ya"".;YA,•:..,. .���:.�ryq�:t,;>.n+:1Y•l;�rfr..�.'-"'i+x'�E'.ta'y:�'a.�Y.`_'+..' -.1 f.... -,--tea- .,,,�..��-. •' :a-;1C/a^r- - -' c .. r. TOWN OF BARNSTABLE ;'�37041 � . Permlt No. ......:......... BUILDING DEPARTMENT 'A"'T ! TOWN OFFICE BUILDING Cash HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Richard A. Veneri y Address 179 Clamshell Cove Road Cotuit. MA 02635 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. July 10, 19 95 _ .. Building lnspec o t L _/ iy'.....:`+Kriv'.i`:-;. / .�••n.. ."l;• s..y ems:+._ y r.� , N.,,.a.--cy,.y.." . -_a., -..-. r. -. .. _ _..: �. i _ � _ - TOWN OF BARNSTABLE Permit No. ..�37041..... BUILDING DEPARTMENT I ,..,n ................ ■,,. I TOWN OFFICE BUILDING Cash HYANNIS.MASS.02601 Bond . CERTIFICATE OF USE.AND OCCUPANCY Issued to Richard A. Veneri i Address 179 Clamshell Cove Road Cotuit, MA 02635 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ' July 10, 19 95 ... ... .. ... .. .. ....... .... ................. ....... ,............. Building Inspector ti�rN� ;.�,,�... r,;� BUILDING `PERMIT Jentember 19 19 94 PERMIT NO. .LSO. 37041 ADDRESS L1Sted Below Owner (NO.) (STREET) (CONTR'3 LICENSE) PERMIT TO Build Dwel' in ( �?) STORY JSingle Family DWe111ngNUMBLRN OF G UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) '10t 4 Ciamis eil Cove Road, Cotuit D ZONING ISTR CT— Rf. (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE'BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ! (TYPE) I ' REMARKS: 7r-_,wa c #94-444 LC�:au AREA OR VOLUME i450 5K• a L• ESTIMATED COST 130, 000' U'`S-/� FEE M^ 1 10• %il (CUBIC/SQUARE FEET) % OWNER i,--liarC //r n ADDRESS 4G `..(JiJl"iIai _)rIvc. , !�naover, _,,A BUrLD /GD�TT.je, FR-OWT'H'E-D-EP-KR-TTA- RTC-F-PU LI�C WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND f, FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Gars j/:�/I�--f`T 2 S'iP 6�'�C Z 3 HEATING INSPECTIO PPROVALS ENGINEERING DEPARTMENT 1 2 BOARD O HC/ " OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT ''W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT 15 ISSUED AS NOTED ABOVE. NOTIFICATION. b : . . ; The Town of Barnstable • i�ivsra>�, • Department of Health, Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner November 2, 1994 FAX TRANSMITTAL #of pages / TO WHOM IT MAY CONCERN: To: A7,le/C f3T� O From: ,QOSSF RE: �179 Clammshell-Cove Road Cotuit ,� . S�� ed A 005-038------------------_'J Dept Phone 9 (508)790-5227 Fax# 6/r/ 574.5 69c23 1 Fax# (508)775-3344 I have completed my investigation of the accident that resulted in personal injury at the above address on October 25, 1994. The following is what I found: 'A. I was first notified of the accident on Friday afternoon,October 28, 1994 by the mother of the injured man. B. I immediately went to the site. No one was there,but I saw no hole. The chimney had its hearth extension in place and flush with the first floor deck. C. I obtained statements from all parties involved. D. There were no eye witnesses to the accident. E. Based on the above I cannot conclude that work was underway in a non-workmanship like manner. The site when I saw it had no hole,the inside of the house was cleaned out and the stairway was blocked off. Very truly yours, Ralph M. Crossen Building Commissioner RMC/gr OF-620 +;.+ + +x.:+ —JOURNAL— -+;4;>K:k+:+::k:+;F:kY;:+; IiATE 11/02/1994 h'-+::+ :+. T 1 l lE 16:57 NO. COM DOC DURATION X/R IDENTIFICATION DATE TIl'lE DIAGIOSTIC 22 OK 01 00:00'46 X111T T 916175656923 11/02 16:56 8404402COBO t —Town of Barnstable — r' —PAHASON I C— F;:k+:+;:+;+;t +.+ f;+;:+::+;:t;>+;:+e:+ +;;f::t;.=... s. 5087753344— X jAssess I Floor): , �a Assessor's jo'and IcA numb �� 'li+ p1 M PJg TN(t0` Conservation(4th Floor). ' -su'vaorm, TALL °0, R4P Board of Health(3rd It W'TH TITLE$ i iasa»ran� Sewage Permit number ?X • Engineering Department(3rd floor)., ��� CID Engineering O YAT House number , Definitive Plan Approved by Planning Board to 0, If 19_ APPLICATIONS PROCESSED 8:30-9:30 A.Wand 1:00-2:00 04.only TOWN Of BARNSTABLE BUILDIfiG INSPECTOR APPLICATION FOR PERMIT TO 4r- L I-IAe TYPE OF CONSTRUCTION _ (,dij o o "RA076,- 19 e/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location °�6/� I"'9 L�o,*�SHE LL Co v, /2v,4� / Co Tv Proposed Use /5�E.l2•v1 AN*�// %� '//✓��tl Zoning District Fire District 5i3 71,/7 Name of Owner /f!Czy4, A. y,4AIF.e/ Address P,6u6 4 4iV,f9p✓Ea�7/�, „ � r Name of Builder Address Name of Architect Address 6 8 1 Number of Rooms Foundation d 29- r/tA,0Z- Exterior �� /N�s L� /�L���e �� Roofing A. 4747& l 7— Floors Z/20S Interior OR 44LL � Heating F S Plumbing aTI,IS Fireplace /3 J2!C e Approximate Cost /3e D a0 Area �� i D'i 95gram of Lot and Building v Ih Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License VLNERI, RICHARD A. 179<,CL�H�ELL COVE ROAD, COTUIT 3 a -42-ff ' Permit For 11, STORY 4 <.. S. F. D oeation Owner Type of Construction Plot Lot Permit Granted Sept. 19, f 1 g, 9 4 Date of Inspection: V Pj Frame 19 Insulation 19- ol �. Fireplace 19" � Date Completed 191 � x , • r i l WrLKINS AND DEYOUNG ATTORNEYS AT.LAw 258 WINTER STREET HYANNIS,MASSACHUSETTS 02601 (508)771-4210 FAX(508)790-4668 PARTNERS: OF COUNSEL: WILLIAM J.BEARD BARRON&STADFELD STEVEN S.DEYOUNG June 1, 1994 FRANCIS E.SCHEELE PAUL E.MAYER RUSSELL N.WILKINS Building Inspector Town of Barnstable 367 Main St. Hyannis, MA 02601 Re: ,Lot 61, 179 Clamshell Cove Rd. ,, Cotuit, MA Barnstable Assessor's Reference R005-038 Our Client: Richard A. Veneri, Mary M. Veneri Our File No. 9143. 094 Dear Sir: Please be advised that this law firm represents Richard Veneri and Mary Veneri relative to the purchase of the above-referenced lot. Please be further advised that the subject lot was established by a plan approved by the Town of Barnstable Planning Board in 1968; said plan being referenced as follows: "Plan of Land of Cotuit Coves, Section 3 , owned by Allan and Edith Crawford in Cotuit, Barnstable, Scale 1" = 801 , June 1, 1968, Newell B. Snow, R.L.S. , Buzzards Bay, MA" recorded with Barnstable County Registry of Deeds in Plan Book 223 , Page 39 . The subject lot was conveyed to John R. Stoker and Caryl M. Stoker by deed recorded August 13 , 1973 with said Registry in Book 1916, Page 097. The subject. lot is a half-acre lot, and at the time of the conveyance to the Stokers..in 1973 it was properly g.randfathered as a conveyance within seven (7) years under G.L.C..40 A. The Stokers have owned the subject. lot continuously to June 1, 1994 since the deed to them in 1973 and have not owned any contiguous lot during that period of time. . The present owners of the property are Richard A. Veneri and Mary M. Veneri, having taken title June 1, 1994 by deed from said John R. Stoker and Caryl M. Stoker. The Veneris do not own any lot which is contiguous with the subject lot. June 2, 1994 Veneri/Building Inspector 9143 . 094. In my opinion, the subject lot is a buildable lot because it is properly grandfathered under G.L.C. 40 A. Very truly XEARD, , WILLIAM ESQ. .WJB/cmd cc: Richard A. Veneri & Mary M. Veneri r J O " , �A/ O O ►D �� FOUNDATION O LOT 61 c� o� oti LOT 62 js�op I FLOOD ZONE "C"_ FO UNDA TION CERTIFICATION RES ZONE. "RF"___ TO WN. COTUIT SCALE-1"=30 PL.REP 216139 ELEV NIA I CERTIFY THAT THE ABOVE YANKLE SURVEY CONSULTANTS FOUNDATION IS LOCATED ON ,`w OF P. 0. BOX 265 THE GROUND AS SHOWN, AND PAUL UNIT 5; •�.40B INDUSTRY ROAD ti� IT'S POSITION______ A. MARSTONS MILLS, MASS. 02648 CONFORM TO THE ZONING LAW o TEL. 428-0055 SETBACK REQUIREMENTS OF FAX 420-5553 � BARNSTABLE __- �o � . ' PAUL A MERITHEW DATE 911 NUMBER50490FND COMMONWEALTH OF MASSACHUSETTS, R DErA YNIENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STRE.Ef BOSTON, MASSACHUSETTS 02111 fames.: Ca^)aoei' ,Ornm,ssione, WORKERS' COMPENSATION INSURANCE AFFIDAVIT l �i 20 0 ✓9 yt eg / (licensee/permirtcc) with a principal place of business/residence at: (City/State/Zip) do hereby certify, under the pains and penalties of perjury, that: [ J 1 am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number [ J 1 am a sole proprietor and have no one working for me. ( J I am a sole proprietor, general contractor r homcowncr circle one) and have hired the contractors listed below who have the following workers' compensation : cc policies: Dame of Contractor Insurance Company/Policy Number ?game of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number VII am a homeowner performing all the work myself. )\'OTE: Please be aA-arc that while bomeowncrs wbo employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in wbieb the homeowner also resides or on the grounds appurLcnaot tbereto arc not generally considered to be employers under the Workers' Compensation Act(GL C. 152,sea. 1(5))r application by a borneowoer for a license or permit may evidence the legal surus of an employer under the Workers' Compensation Act. 1 understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Oftiee of Insurance for.coveragc verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of_uiminal penalties consisting of a fine of up to S)500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against me. Signed this r day of /4(JS USA `� ' 19 Licensee/Permitzce Licensor/Permittor r TOWN OF BARNSTABLE BUILDING DEPARTMENT -- _ HOMEOWNER LICENSE EXEMPTION.. Please print. - DATE _�hJ� v5% t3 /F S c/ JOB LOCATION . Number Street Address Section Of Town "HOMEOWNER" /�iCl wxe JAI. Ilk I"t 7,= o70 �6l7��.ry Z/4g Name Home Phone Work Phone PRESENT MAILING ADDRESS A 2 Co COS"1A Z DIZICI-- *4 City/Town State Zip Code The current exemption for "homeowners" was extended to include..owner-. occupied dwellin s of six units or less and to allow such 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 to six 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, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or 'larger, will be required to comply with State Building Code Section 127.0, Construction Control. i Kiscs ,y l r HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work permit is required shall be exempt. from the for which a building � (Section 109. 1. I - Licensing of onstructionpSupervisorsf this section Home Owner engages a persons) for hire to do such work, Owner shall act as supervisor. " � % Provided that if k, that such Home j Many Home Owners who use this exemption are unaware \ the responsibilities of a supervisor,. (see Appendix that the for Licensing Construction Supervisors, Secton215) . This lack are assuming awareness often results in serious problems 4' Rules and Regulations -Owner hires unlicensed persons. lack of particularly when the Home P In.this case our Board• cannot proceed against. the' unlicensed tperson as supervisor. The it g as would with licensed Home Owner actin supervisor is ,ultimately responsible To ensure that the _Home Owner is fully aware of his/her res many communities require, as part of the a ppnsibilities, Owner certify that he/she understands the pre ponsibilitiesnoftaas the Home . On 'the last page of this issue is a form currently used b several You may supervisor. y care to amend and adopt such a form/certificationyfor use inoyour community. Y I ' The Town of Barnstable UPPWAIRZ '� �0� Department of Health, Safety and Environmental Services r+ 16 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner November 2, 1994 TO WHOM IT MAY CONCERN: RE: 179 Clamshell Cove Road,Cotuit A 005 038 I have completed my investigation of the accident that resulted in personal injury at the above address on October 25, 1994. The following is what I found: A. I was first notified of the accident on Friday afternoon,October 28, 1994 by the mother of the injured man. B. I immediately went to the site. No one was there,but I saw no hole. The chimney had its hearth extension in place and flush with the first floor deck. C.. I obtained statements from all parties involved. D. There were no eye witnesses to the accident. E. Based on the above I cannot conclude that work was underway in a non-workmanship like manner. The site when I saw it had no hole,the inside of the house was cleaned out and the stairway was blocked off. Very truly yours, Ralph M. Crossen Building Commissioner RMC/gr �- 1-7l1 �"�5 � f - David Dawe David Dawe building 2 Sharon Lane Forestdale , MA 02644 11 /01/94 Dear Mr . 'Crossen : I was asked by Mr . Richard Veneri to write a letter explaining what occured on the day we received shipment of windowszor.dered from Home Depot . We were breaking for lunch_ when Home Depot arrived with the windows . As they unloaded the windows we were in the truck eating lunch . We were almost done with lunch when we heard some commotion from the house . When we got to the house to see what was going on , we saw that one of the two men had apparently stepped through the chimney hol.e .arid had fallen to the basement . He was lying on his back and in pain., so I tried to go to a couple of neighboring houses to get help , but no one was home . I then �got in my truck to drive to a house where someone was home and called an ambulance . When the ambulance arrived , they put the man on a back board , carried him to the ambulance and brought him to Cape. Cod Hospital . Once the ambulance left , we went back to work . I hope this tet.ter is of some assistance to you . Sincerely, David Dawe 11-01.94 07,50AM FROM PARSONS MAIN TO 915087753344/88634 P001 Post-lt'm brand fax transmittal memo M71 x of pages TO F ta. tN .D! . Phone# oG r3stAolo 17-85 —214 Fax# ax# TO : Mr . Ralph Crossen Town of Barnstable Building Commissioner FROM: Richard A. Veneri ' DATE: October 31 , 1994 RE: Accident at 179 Clamshell Cove Road,Cotuit ,MA This is a report of what I. know about: the accident that occurred on my job site at 179 Clamshell Cove Road, Cotuit on Tuesday, October 25 , 1994 . I am the owner of the property but I do not have first hand knowledge of the incident as I was not at the job site at the time of the accident . The following is a brief account of the happenings as reported to me . The "HOME DEPOT" of Quincy , MA, was delivering windows and doors to the project . At approximately 12: 00 noon on that day one of their delivery men slipped and fell through a hole in the flooring on the first floor. He landed in the cellar . The hole was triangular in shape and approximately 2 ' 3" x 2131' x 17" . As was related to me by my framing contractor the men had unloaded most of the material from the truck and had brought that material into the project . They used the front door opening and a front window opening . The material was put into various areas of the house for storage , prior to the accident . I have informed my framing contractor , David Dawe Building, to submit a separate report to you. I have been in contact with "HOME DEPOT" and the parent of the injured workman about the incident . I have not received any written information from either party. If I can be of further assistance to you regarding this matter please contact me . Submitted by: l 10/31/1994 16:54 508-428-0202 COTUIT FIRE DEPT PAGE 01 i Cotuit Fire Department DT Er �'� 0 Fire, Rescue & Enwrgency Services G '�' an�r 64 High St. - P.O. Box 1632 h� Cotuit, MA 02635 Paul A. Frazier CONFIDENTIAL MEMORANDUM Phone (sob) 428-2210 Chief of Department FAX (508) 428-0202 To: Ralph Crossen, Building Commissioner From: Chief Paul Frazier Subject: Incident ® 179 Clamshell Cove Rd., 10/25/94 Date: October 31, 1994 Time of Call: 12.27 On Location: 12:32 At Hospital: 13:19 Patient: Barry Arnold, 91 Holly Rd., Mansfield, MA Attendants: Fenner, S., Trainor, M.)., Littmann, E. Others @ scene: Nailor, B., Frazier, P. Description of incident: At approximately. 12:27 hrs, this department received a call from someone on a cellular phone reporting an injury at the above address. The incident was described as a man fallen into a cellar. On our arrival, we found a 24 year old male lying supine on the basement floor; the patient and bystanders stated he fell approximately 8-10 ft. from the first floor. The patient complained of lower back pain. The patient was further examined on scene, immobilized in a cervical collar and backboard and transported to the Cape Cod Hospital. Assistance was obtained from other workers on scene in elevating the patient from the basement to grade through the cellar door opening. The patient continued to be evaluated and monitored en route, the ambulance returned to quarters and logged in service at 14:19 hrs. 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' 12 Q 10 1 i attic ---'--___ __ -_ --- ------- - --------- 1 1 1 1 / 1 f 1 2nd floor w_- ---1-------------------------- ------------------ w ---------------------------------- --------- Z - ----------------------------------- w > -- ---------- fs Lu - --- 10, i lot floor -----------!-------- 1— -- ------------ ------------------1---- -------------- -- ------------1 SIDE ELEVATION SCALE ' = 1''S' _ Ate! 1 I I I I I I ` I 1 II I I I I I I I I I I I I I 1 1 I I I I I I I ' I I I I I I 1 I I I I I I I I I I 1 I 1 I I I I I I I 1 r1 1 1 I I I I I I I 1 I . I 1 I� 1 , I I 117TTTT=1 I I I I I 1 ' ' I ------------ I I ' 1 I I 1 • 1 I i I D 1 1 I I I 1 I I i D I I I I I I , ♦ ♦ � \ 1 , ♦ ♦ ♦ ♦ ! ' . I 1 i ! 1 I 1 1 I ' I I i \ I I I ♦ � 1 I I I I � _H I _ I I 1 f------------ 1 ; I I I I I I , 1 1 I 1 1 , 1 1 ! i 10• 1 T-6- T-s• N O c► a � 0 0 0 ° MR. & MRS. VENERI CLAMSHELL COVE RD . ]ESIGN COTUIT, MA. :I i ( 4 " GARAGE rye HALL _ O O CLOSET Lo SKYLITE m LLJ O �. K j ¢ 3 ABOVE J Q BATH BREAKFAST AREA (vaulted oealing) ® O W ; BATH 4'-4• 8'-0 FAMILY ROOM ^ - ® KITCHEN 2 -0• 2'- 7'-10' 3'-4• 3'-4- m WOOD N I 'STOVE --- W N t. MASTER BEDROOM Z j ENTERTAINMENT m io CLST ••I.B. ., rr r r O w O �` _ a CENTER L� L-�L_ U � 2'-4- i" _ t J f' © DINNING; ROOM _____ O _ b p Ao LIVING ROOM U © N ' 7'-0- zo © _ m I o o o 5'-6- �'-0' FARMER'S PORCH 12'-0' 24'-0- 14'-0' L— ————— ---------------------------- IST FLOOR PLM SCALE Yx = 1'-0• 8'-0. 'u 12'-0' T-0' ................. VZ I D 7� 14'-6' � '-4' BATH i -j m O U ar M BEDROOM SEWING ROOM 107_8. QE STORAGE r HALL ��1, M� 1� 5O • shelves s CLOSET aGE Z LU CD BEDROOM 50 SITTING - :::::::::::::::::::::: > .....•. to ZD to O • U m U --------- --------•---- ------------•0'- - - - - - - _ H 24'-0, 2nd FLOOR PLAN SCALES' = 1'-0' AmShe -------------- - ------------- r-----------I------------- z 4'COWJMTE SLM W/ 6x6 t8/12 W.W.F.GNEET)ON 6 141L. Fa I 1 F2 POLYETHYLENE ;AiER PMMILENE VAPOR ON "JOLCOMPACTED GRAVEL -i r r BOTTOM BOARD yJ'Olk ANCHOR BOLT - - a 8'-0*O.C. MAX. P.T.ONLY CONT. T 1 T 3%-COLUMN WITH om COIL.FILLED SILL SEAL CONT. LALLY%x 6(t;= AM BOTTUM I ,ply ) FINISH GRADE 2! 31-0. X V-0'W WITH -FOUNDATION PLM .4 . FjqT SCALE Ye" V-0' olNr I C. ACH WAY (typical 3 placeal to —————--———— 2' RIGID INSULATION BELOW GRADE W1 r————————————————- MASTIC WATER BARRIER 1 11 T _�-4'PMOLYT"IC.CONCRETE SLAB FOR FAMERS.PORCH TIE INTO FONDATION WAAEBAM WFOUNDATION 91-V 1 27*-r CD cr WALL L--—————————————————————————— w uj E CONT.V FONOATI ON Z--———————— WITH ;r -WALL (TYPICAL) ZKIZ BILCO 0 MI_BEv8mT0F V TSLAB (tomool 4 plaoso BULK MEAD 5 u GRAVEL -=a.FOOMM '21-VffYPICAL) . I #P 4,_10 7-#(b 7 7" FILL --T cr _J (W-r K Ir x Ur 0) ri LLI I FO0TING %nTmi,-t4 a 37 TOP AM am rp 3-u4 CONT. 0 4i 2: 0 T =4 -IT 4' DIA.PERF. u PVC PIPE 2'-0- TYP. FOOTING x.3'-V x 11 Yrr., 1, -. 1 3V2*DIA.CONC: FILLED FOOTW WffH'ft4 a DAL Y,coum WITH PLATE W/ SHEAR KEY WAY ITYP EAFH ■5• 5 TOP AND BDTT(04 • (tk%noel 7 ploo") (GRA L FILL TT N/ HOUSE FOUNDATION 'SECTION . ------- ------- P ——————— :r cowmm SLAB wag r__A————————-f———— .SECTION Fl Lef".W.W.F.smmy�om 6 m— :R BARRIER L------- PolLv_=ww= GRAVEL • L----————————————————— ——— -- v I 04 L-----------------------I I —————— Al::O ..v N . . -• - • :a••t��.•.-r: ;";,:Y' •......+sid•i�•.+., .- .,,,t. .,: 'i .�i V xrv.; r'�}�• .F _ ,.....}r �aesYP '-9y .,'�.Nk- t:e�. yy.�v� k•s a. r • w ' RIDGE VENT 240 RIDGE BOARD ROOF RAFTER � + WINDOW SCHEDULE POLYVENT ALL WINDOW ARE ANDERSON UNLESS NOTED OTHERWISE %' CDX PLYWOOD ixa E ,.. NO. TYPE QUANTITY FIBERGLASS ROOFING SHINGLES �� COLLAR BIRD WINDSEAL 80 OR BETTER '� w/ 015 FELT .' • A DOUBLE HUNG - UNIT NO. 2452 4 INSULATION (R-30) 36'ICE AND WATER B DOUBLE HUNG - UNIT NO. 3452 3 ' SHEILD BARRIER %•PLYWOOD ^�L C DOUBLE HUNG - UNIT NO. 204+2 1 VENTED FLASHING (SEE 1ST FLR) ` • DRIP EDGE E DOUBLE HUNG - UNIT NO. � Z44Z 8 CONT.ALUM.GUTTER n _7. F DOUBLE HUNG - UNIT NO. 2032 r W/ DOWNSPOUT AT G TRANSOM - UNIT NO. TR3816 1 . ALL CORNERS 2x4 STUD WALL Q 16' O.C. H :..: .... CLEAR PINE FACIA V2' BLUEBOARO W/ J fi1BL 0A1Ci- UNIT NO. 24210 1 AND SOFFIT FINSIH COAT PLASTER �D K CASEMENT - UNIT NO. CW24 f TYVEK OR EQUAL 31/2' INSULATION (R-11) L CASEMENT - UNIT NO.C.33.5".... . 2 VAPOR BARRIER (3 MIL) x Ct1�i5E't�F:hJT: 1iIiJ:1T'_ WD �.CfJ 24 _ SOLE PLATE cso muc Huuok DG Zo Z to 1 SUBFLOORING 0 OCTAGON a. O (SEE 1ST FLR) cr ?�xlo P BASEMENT cay Fow . Go1xrR) 3 m FL OR JOIST S VELEX SKYLITE VS6 (21 /Z"" K 39"� 1 UJ Z j CRIPPLE tti "r C>OUBLF- HVW(A.- UM IT VQ DC E0162 . w O TOP PLATE " •��V Ci � U Q TYPICAL HEADER U.N.O. t0 DOOR SCHEDULE �-- (2)2x8 W/ �6'PLY.SPACER i. MP' LLl y�•COX PLYWOOD TYPICAL SILL ( NO. TYPE QUANTITY U SHEATHING (2)2x4 " 1 CELLAR ENTRY METAL INSUL. 1 °� O (TYP.) ,_ . r_ " ¢ U TYP. SUBFLOOR ' PLYWOOD £ 2 3 0 x 6 8 ENTRY METAL INSUL. 1 :. GLUED & NAILED TO JOIST 3 2'-6' x 6'-8' ENTRY METAL INSUL. 3 U 4 G'-0' x 6'-6' PATIO DOOR 1 lhx6 RED CEDAR CLAPBOARD GRADE A s'1' 5 2'-4' x 6'-8' INTERIOR DOOR HINGE R 6 Zx(.o ut' 6 2'-4' x G'-8' INTERIOR DOOR HINGE L 3 z . FLOOR JOIST ='rw t:. •r: W/ INSULATION (R-19) i 7 CLOSET DOUBLE BI FOLD DOOR 3 8 1'-6' x 6'-8" LINEN CLOSET DOOR 2 1•� ANCHOR BOLT o " 9 2'-6" x 6'-8' INTERIOR DOOR HINGE R 3 r�11 ,;,•. 10 2'-6' x 6'-8' INTERIOR DOOR HINGE L 3 �d FOUNDATION WALL -$' X �c-$�• ENl�2Y METAL II�ISLJI.. .e FLOOR SLAB FOOTING �:= • : TYPICAL WALL SECTION