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HomeMy WebLinkAbout0546 WAKEBY ROAD �P c4 Town of Barnstable *Permit# Regulatory Services �e 6,n n h°"'�e EMANSYABIE, i6SS 39 Thomas F. Geiler,Director Building Division �✓ Tom Perry, CBO, Building Commissioner �C! 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Z:d` % Property Address residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 6&-c .r• Contractor's Name � � f rZJ, ]. S Telephone Number Home Improvement Contractor License#(if applicable)__ Construction Supervisor's License#(if applicable) S—Z Z � L orkman's Compensation Insurance - Check one: ❑ I am a sole proprietor TOWN OF BARNS T ABL5 ❑ I am the Homeowner ED,4"have Worker's Compensation Insurance Insurance Company Name t /� Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) CA i X wl�%A VIA 4t-lJ EB/Re-roof(stripping old shingles) All constructior debris will be taken to ,1 ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows_ *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 Im rovement Contractors License& Construction Supervisors License is requi SIGNATURE Q:IWPFILES\F'ORMSlbuilding permit forms\EXPRESS.doc Revised 070110 The Commonwealth of Massachusetts -r- -=- 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): rk- koe- Address: '-2,3� quffl_o ,. Avt ri City/State/Zip: 5 v\ Phone #: 3"be Are you an employer? Check the appropriate box: a 4. I am a general contractor and I Type of project(required): 1.["I am a employer with Z ❑ g 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 working for me in any capacity. employees and have workers' 9. Building addition [No wo'rkers'.comp. insurance comp. insurance. $ ❑ required.] S. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself ' . right of exemption per MGL y �o workers comp. 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 mn an employer that isproviding workers'compensation insurance for nzy employees. Below is thepolicy andjob site information. Insurance Company Name: Policy# or Self-ins.Lie.#: C Expiration Date: Job Site Address: •�— City/State/Zip: Attach a copy of the workers' compensation p icy 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 here b under the pain penalties ofperjury that the information provided abov is tru and correct. Signature Date: Phone : 1)9'7—( /l / 0fficial use only. Do not write in this area, to be completed by city or town offzciaL 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 M Client#:33723 CAREF ACORD. CERTIFICATE OF LIABILITY INSURANCE D9E(MMID;YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Herlihy Insurance Agency,Inc. PHONE. No Ext:508 756-5159 C A/ Ne: 508 751.5747 51 Pullman Street L Worcester, MA 01606 ADDRESS: 508 756.5159 CUSTOMER ID M INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:Interguard Insurance Company Care Free Homes Inc 239 Huttleston Avenue INSURERS:Safety Indemnity Insurance Comp Fairhaven,MA 02719 INSURER C: INSURER D: INSURER E: ' INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. TYPE OF INSURANCE BR POLICY EFF POLICY EXP GENERAL LIABILI POLICY NUMBER MM/DD MM/DD LIMITS TY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEIT--- PREMISES Ea occurrence $ CLAIMS-MADE DOCCUR MED FRCP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY jEcTPRO- LOG $ B AUTOMOBILE LIABILITY 6213850 07/01/2011 07/OT/2012 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE $ AGGREGATE DEDUCTIBLE $ I RETENTION $ A WORKERS COMPENSATION CAWC244043 09/01/2011 09/01/201 X WC STATU_Llml- OTH- AND EMPLOYERS'LIABILITY OFFICER/MEMBER ER EXCLUDED?ANY ECUTIVEY N N/A $1,000,000 E.L.EACH ACCIDENT (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Acushnet ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 122 Main Street AUTHORIZED REPRESENTATIVE Acushnet,MA 02743 0196h.1009 A66Rb¢ORfrORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered ma of ACORD #S48857/M48747 PB2 r OFFICE: (508)997-1111 MA. Builders Lic. #021330 FAX: (508) 997-1297 ACWARE FREE Home Improvement r :TOLL FREE: 1-800-407-1111 meS Inc. Contractor's License l WEBSITE: #100503 MA. Y www.carefreehomescompany.com 239 HUTTLESTON AVE.(RT 6)• FAIRHAVEN, MA 02719 #15179 R.I. � l NAME 1*oj�rje Nnns'� DATE ADDRESS Q�746 "Ife�,-, mcifsbr ZIP CODE 016y Z ADDRESS OF JOB —Vh c TEL S6 Xj JOB DESCRIPTION :: s�c�•�..1 .(/cam �Rt 4 jQ- 4x. .{� .s4,e. 7o cc.,-t! -ems ..�. 'RF". 4'1 �e'Sl"'+` '� •�•S,l,+.r, S'.• ✓� �,« ^ �� �1 �► � �-h�a/ ram►-, F/vL� e. Wiik } Tr.�. =Y,.r.'•F 4i.- _�, .fs�a-+r�,.yta* iti.-4r. • ' tri 1��Jr�' �j1.�-rf. �µl.�"i„ns1*�•Y�,�w� ♦ 'C., a+-Scheduled Star r� �"F �,G Scheduled Completion t +h'-r•�'F7 �r` +f +. A Replacement of;missing or rotted lumber is not included unless specified. B,All start;&'completion'dates are approximate and could change due to weather conditions. e C Stripping of roof Includes removal of up to two(2)layers of shingles, ach additional layer to be charged @ ftz. «' ti� skD. Replacement`of,rotted`roof boerds/plywood to be charged® ftz. k., g' ,.ffl g p necessary, is not included. E. Eiclsltln chimnet flashin swill be'reused;replacement,if'-tF Cage Free Homes,'Inc?Is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the 'S1` ' °attentlori`of CrF H Inc promptly q YES, ^. .lY' 1T '".. R A ., l•t he Com an -hereby.proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this 71, P y Y P P P .1" order Is contingent,,.howeve�,upon the want of strikes,fires,and any natural disasters,the ability to obtain materials,or any other � . conditions beyond tFie.control of the Company. + Cost of Project$ tr !�'h �G�-ex I '� PAYMENT TERMS / w p �/ Ulj r . 'O, /�/!� ' (wit l�ti�„( d 7y/0 ` � E Date 5—t—/% 1. You,tif ancel transaction at any time prio t6 midnight of the third business day after the date of this transaction. ;2. You,te tc pay any and all expens Incurred by Care Free Homes, Inc. in collecting money due under this contract !$y,,�,};F-.•t , ` , and enforcings of this contract, incl g but not limited to,reasonable attorneys es, interest and court.costs. - • ''DO NOTSIGN S CONTRACT IF THERE ARE ANY BLAN ACES ARE FREE ACC _Buyer acknowledges OwnerfAl �S* grd. B y' receipt of fully completed tt copy of this Areement ner: i t. All contractors and subco/ractors shall be registered by the director and any inquiries about a contractor or subcontractor relating ' to a registration should be directed to: ' Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 ` Tel. (617)727-8598 .� �„�cuusc(rs- ucl�artmcnt Of Public Sit Board Oftui.ldiiig Regiulatmiis and Standard.s G6nsifd&ipn:Supervisor License License CS '95228 Restricted to: 00 DANA PICKUP i 19 HAMLET STREET FAIRHAVEN, MA b-2719: Expiration: 3/22/2012 Cinnu�issioncr Tr#: 18680 � - .areaslC/ a�✓�aaaaa/zuaetta q •� —— -", ✓lze omvrr�or a -.. ' _ Officc of Coiisumcr:Affai'rs Busmess;Reguta[or, . " a License or.registration valid for I ndau:dul use or HJM.E IMPROVEMENT CONTRACTOR before the expiration date.-lf.found return to• (!`�,.. Office.of Consumer Affairs and Business Regulatio,fi,, Registration A 100503 TYp i 1.0 Park Plaza=Suite 5170 Expiration _9/2012 Supplemen's aid, Boston ,MA 02116 CAREFREE HO:ME:SfNCF==_,:bl Fes__�_✓=:=-_>�':� DANA PICKUP 239 Huttleston ave>;:4` Fairhaven, MA 0 2719�.':>> lJndersecretar� i Not valid wit outsigna ti.. r Town of Barnstable *Permit# ��Z-� Expires 6 months fro issue date X-PRESS P ER �T Regulatory Services Fee Thomas F.Geiler,Director NOV 1 e 2005 Building Division TOWN OF B Tom Perry,CEO, Building Commissioner ARNSTASLE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.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 0.11Z 961072 - l Property Address �y� UJA k✓Ly a �!Yl ass 1 yl_ [Residential Value of Work 4 Z-157-00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address�'e_,6r,'q e. 'r l 6w ri 1 ylR lq ? Wia_nnD Ave- 04ervt 1/e Contractor's Name IVa_kan RGkvp Telephone Number Home Improvement Contractor License#(if applicable) 100 5-03 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑�am the Homeowner E 1 have Worker's Compensation Insurance Insurance Company Name A Z G Workman's Comp.Policy# 6 F'I Z// q Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to 6?(Re-roof(not stripping. Going over j existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner m sign Property Owner Letter of Permission. Hogae Improveem t o actors License is required. SIGNATURE: �J Q:Forms:expmtrg Revise071405 i TMe Town of Barnstable Regulatory Services Thomas F.Geiler,Director c . Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder V) K1111-a ,as Owner of the subject property herebY authorize N Q �1 14 G�'U to act on my behalf in all matters relative to work authorized by this building permit application for: 5y� tixk e y Rd M a r-s-vim M111 S (Address of Job) ignature of weer Date Print Name Q:F ORW:0WNMERMLS SIGN f Results 4% Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number I Select Search type: r AND r OR :roSearcl : Search Results Reg. No. J1 Applicant Street City State Zi NameI Title Expiration CAREFREE 239 Vice- ' 100503 HOMES, Huttleston Fairhaven MA 02719 PICKUP, president- 6/19/2006 INC. ave DANA Treasurer Total of 1 Records matched. Back to Home Page BBRS Privacy Statement i http://db.state.ma.us/bbrs/hic.pl l l/l/2005 LAW OFFICES OF THEODORE A. SCHILLING, R C. 1550 FALMOUTH ROAD, SUITE 10 BRANCH OFFICE CENTERVILLE, MA 02632 2 MAIN STREET MERCANTILE TEL. (508)775-0700 NORTH EASTHAM, MA 02651 FAX(508)775-0792 TEL. (508) 255-1116 email: law@cape.com October 10, 2002 Kenneth F. Horne Verizon 44 Old Townhouse Road South Yarmouth, MA 02664 Re: `Installation of stied at 546 Wakeby Road Barnstable(Marstons Mills),MA Dear Mr. Horne: As I explained to you by telephone yesterday, I have had several conferences with Thomas Perry, Building Commissioner for the Town of Barnstable, and numerous faxes and telephone conferences with him and Robert F. Smith, Town Attorney. 0 fio �/ Mr. Perry explained to me yesterday that based on all of the information we provided and our discussions relative to the provisions of Chapter 40A as it relates to public utilities,he is willing to allow up to 100 square feet of shed with a roof height of not more than 8 feet to be erected at the site without the requirement of any Board of Appeals action. I strongly suggest that you apply for a building permit so that Mr. Perry can verify the measurements and inspect the project. I believe this can be a standard established by the building commissioner; certainly at his discretion, but allowable at the present time. I trust that you -understand this fully. I look forward to working with you on other projects. nclosed herewith is my bill for services and expenses to date. Very yo T e c i l' g TAS:mcp Enclosure cc: Robert D. Smith EsquireITY and Thomas Pe , g Buildin Comm' Toner f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION IYO Map Parcel 29 Permit# s z/ Health Division Date Issued /! alei 1:2, Conservation Division &IJ lla7lf f �/NE7 -- T �o Application Fee /y Tax Collector 0 01 /* Permit Fee BPS Treasurer Planning Dept. /��I'► Date Definitive Plan Approved by Planning Board H ` Historic-OKH Preservation/HyannisCD ca Project Street Address SyG AWA044,f A&A Village A&#JT)xd .04,/*h -� v�� ) - Owner CePOIJ4 d_TJ*f U /LAMA/ I Address l YS Liir A�rl� 1411L. msriev. '�/Ii Telephone .SOS- JL7S-0 Permit Request 1' q''t X 8' °'14 Iv,;, 64& Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 5 'y Zoning District Flood Plain Groundwater Overlay Project Valuation ?,I/1 Construction Type ��G(AA7'(�mly��i f�'.rcl.M►d',1i,Y�t7M s�• Lot Size ?.Qa mye-3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes IW 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 Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil 51 Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial XYes ❑No If yes, site plan review# ` Current Use Proposed Use ---=-� -' BUILDER INFORMATION Name LZ'` 94Jt )414 It?C Telephone Number (s�� 923'&OLZ Address 7 Ldalchlaw r License# 690 119 RSA LO 416( yanA�� ll_lvdal�? Home Improvement Contractor# Worker's Compensation# AX, 24'5�7915 2Z. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE Q DATE 1.0 f o�I �a a- FOR OFFICIAL USE ONLY PERMIT NO. NO. DATE ISSUED ;MAPY PARCEL NO. ADDRESS ° 1 VILLAGE OWNER ' p DATE OF INSPECTION: FOUNDATION' FRAME INSULATION..-I FIREPLACE ELECTRICAL: - ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING . DAT02LOSED OUT- is y ASSOCIATION PLAN NO. °FjHE, Town of B rnstable ' Regulatory ervices ' BAMSPABLE' ' MASS. Thomas F:Geile Director 9 g �p 1639. �0 Building Di 'sion Tom Perry;Building ommissioner 200 Main Street, Hy s,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDA T HOME IMPRO MENT CONTRA OR LAW SUPPLEMENT PERM T APP CATION MGL c. 142A requires that the"reconstruction,al ratio reno ation,repair,modernization,conversion, improvement,removal,demolition,or construction of an a di ' n to any pre-existing owner-occupied building containing at least one but not more than f dw ll' g units or to structures which are adjacent to such residence or building be done by registered con acto s with certain exceptions, along with other requirements. Type of Work: Estimated Cost Address of Owner's Name: Date of Application: I hereby certify that: Registration is not required for the llowing reas n(s): ❑Work exclu ed by law ❑Job Under 1,000 ❑Building of owner-occupie ❑Owner p ling own permit Notice is hereby given that: OWNERS PULLING THEIR O PERMIT OR DE ING WITH GISTERED CONTRACTORS FOR APPLI ABLE HOME IMPROVEMENT WORK O NOT HAVE ACCESS TO THE ARBITRA ON PROGRAM OR GUARANTY FUND DER MGL c.142A. r GNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as a agent of the owner: Date Contractor.N e egistration No. OR Date Owner's Name Q:fon-mhomeaf day i LICENSE OR PERMIT BOND Bond #0333351 Road Opening KNOW ALL MEN BY THESE PRESENTS, THAT WE Bay State Piping CO Inc 467 Wareham St, Middleboro, MA 02346 as Principal, and International Fidelity Insurance CO as Surety, and having its principal office in the Tnwn of Rnrkl^nd MA as Surety, are held firmly bound unto Town of Barnstable MA hereinafter called the Obligee in the penal sum of One Thousand Dollars ($ 1,000 �. Lawful.money of the United States of America to be paid to the said Obligee, for which paymont well and truly to be made we bind ourselves, our heirs,executors, administrators and assigns, jointly and severally, firmly by these presents. SIGNED WITH OUR HANDS AND SEALED WITH OUR SEALS this 31st day of October 2002. WHEREAS a license or permit has been granted by the Obligee's to the above bounden Principal authorizing him to Road Opening Wakeby Road NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if.the Principal shall faithfully observe the provisions of the laws, ordinances, and resolutions, governing the issuance of this license or permit , then this obligation shall be null and void, otherwise to remain in full force and effect. This bond shall become effective the 31st day of October 2002. The Surety may cancel this bond at any time by filing with the Obligee 30 days notice of its desire to be relieved of liability. The Surety shall not be discharged from any liability already accrued under this bond, or which shall accrue hereunder before the expiration.of the_3n_days period. Bay State Piping CO. , Inc. Princip BY: 41LAAA In.ternation 'l i CO Surety :BY LL L.Robert DeSanctis, Attorney-in-fact i Ter(973)62:4-7200 POWER OF ATTORNEY .INTERNATIONAL FIDELITY INSURANCE COMPANY HOME OFFICE: ONE NEWARK CENTER,20T'H FLOOR NEWARK,NEW JERSEY 07102-5207 FOR BID BOND/RIDER/CONSENTS/AFFIDAVITS KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing laws of the State of New Jersey,and having its principal office in the City of Newark,New Jersey,does hereby constitute and appoint CHRISTINE B. DEAN, ADAM W. DESANCTIS, L. ROBERT DESANCTIS, GREGORY D. JUWA, JAMES J. AXON, MICHAEL F. CARNEY, WILDER PARKS, JR., MICHAEL T. GILBERT Woburn, MA. its true and lawful attomey(s)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,contracts of indemnity and other writings obligatory in nature thereof,which are or may be allowed,reqaired or pertr»tted by law,stature,rule,regulation,contract or otherwise including any and all consents for the.release of retained percentages and/or final estimates on engineering and construction contracts required by the Department of Transportation, Sate of Florida,and the execution of such:nstrument(s)in pursuance of these presents,shall be as binding upon the said IMERNA HONAL FIDELITY INSURANCE COMPANY,as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed,and may be revoked,pursuant to and by authority of Article 3-Section 3,of the By-Laws adoppted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting called and held on the 7th day of February, 1974. The President or any Vice President,Executive Vice President,Secretary or Assistant Secretary,shall have power and authority (1)To appoint Attorneys-in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and, (2)To remove,at any time,any such attomey-in-fact and revoke the authority given. Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting . duly called and held on the 29th day of April, 1982 of which the following is a true excerpt: Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile,and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. TY/Nf IN TESTIMONY WHEREOF,INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be �\ �OD- G� signed and its corporate seal to be affixed by its authorized officer,this 31st day of August,A.D. 1998. 4 SEAL e^ y INTERNATIONAL FIDELITY INSURANCE CO C l r Z 1904 STATE OF NEW JERSEY County of Essex d5A Secreta On this 31st day of August 1998, before me came the individual who executed the preceding instrument to me ppersonally known, and, being by me duly sworn,said the he is the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COMPANY;that the seal affixed to . said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company. MAR�G IN TESTIMONY WHEREOF,I have hereunto set my hand affixed my Official Seal, �P' CO at the City of Newark,New Jersey the day and year first above written. O NOTARY PUBLIC r y JEF�s� A NOTARY PUBLIC OF NEW JERSEY CERTIFICATION My Commission Expires Nov.21,2005 1,the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Section of the By-Laws of said Company as set forth in said Power of Attorney,with the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect IN TESTIMONY WHEREOF,I have hereunto set my hand this 31St day of October, 2002 Assistant Secretary i � a�; ; U//,e Con��naor�.tnea�%� o`•.���t:;,ur,;;�uaella BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015857 xpires:02/02/2004 Tr.no: 18325 Re RICHARD V YAi 53 TANGLEWOOD DR "�' E FALMOUTH, MA 02536 Administrator I ' w °FI►Q l Town of Barnstable . Regulatory Services &UWSrAace MASS Thomas F.Geiler,Director 9 �a .s63q39 i0Tf0 Building Division Tom Perry. Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 July 29, 2002 Verizon Kenneth Horne 44 Old Townhouse Road S Yarmouth,Ma. 02644 . Re: SPR 048-02, 546 Wakeby Rod,MM (028-028) Proposal: Install new utility cabinet Dear Mr. Horne; Please be advised that this application was approved at the Site'Plan Review meeting on July 18, 2002 as presented. Sincerely, Robin C. Giangregorio Zoning.& Site Plan Review Coordinator.: Q:\BUELDING\WPFILES\,SITEPL,AN\SITE2002Werizon.000 ' SITE PLAN PREPARED FOR I' NEW ENGLAND TELEPHONE AND TELEGRAPH CO. 44 OLD TOWN HOUSE ROAD SOUTH YARMOUTH. MA. 02664 TN: 508-398-5754 OVER LAMED OF GEORGE E. MANNING & IRENE BRAY MANNING LOCATED AT 546 WAHEBY ROAD BARNSTABLE, MASSACHUSETTS NOT TO SCALE DATE:JANUARY 15. 1999 N MAP 28 LOT 4 N/F MANTON Quo GEORGE E.MANNING BOOK 1411, PAGE 681 &IRENE BRAY MANNING TN: 508-428-2750 6' 28 CEC-2010 546 WAKEBY ROAD, BARNSTABLE,MA. WALK-IN CABINET DEED REF: BOOK 1426, PAGE 692 13'XT �FLUSHO GRADEOLE 20'X 30'N.E:T.&T.CO. EASEMENT AREA. O :>:: Fp GFpi�Cgyo�/p • . ROp Q� 0 OP MAP pq� MAP 28.LOT 26 N/F EAGAN&GOLIA BOOK 8368,PAGE163 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im A DATA f.�xi.�`r.. :t,): b"��,jx;A.�`yyt M:t£ �t♦p 5l ��h i»'{M'+,�"��YS M+•�'j�i1►s}�Y X+?��vt���.w '..� x 'F.i ti'h'�•' i t:• .+r �' ' 6 a ,'Si q'��•� a` �a K L'p. ,•ICr+4. � +�' 4 r 3` �r ''.� ��� ���4'�f"•1'r.+r.hh 0. ''Y' ta.s ,C r }�•Sf j'Z"1��„P�S�,r��T��i �ft�+ r'���`,� tee. tw��� �� �Sj. � � <' y aF' '..' F, y ,n '{( 5 �ia.+i k'. k�1�{. .•+7j�{ � k �.. 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Q!` JL� rti yJ 7*r'ty •" �� L. r rir` � � ► Js? .. b �+• tr�f..c� ...+rppex'� ��a,"B.�5���� �'" r t'r. rL�Q..y Y.t' L f 1 rr d J rsti. a Y4x' }v '� r day 3eR .1• rer. ,*a?.� ti �+r.rJ� �� r ,� �k.>y[i-ccrj,,�4 t°,��i�r ; �r s�[,Fr 1 14. ,;�� �-,;;r� ,� rf� r� •�`y, _ :in _.;.s.}1{Y,� ' +'M l..�J•, r s`"r t tv..('.� � ,x F ���..{<Fq.R.JJ '}1".0 1, � �,'Y► ;q.�t'�'aa Y .t,''!{ cy'f-i5.� S i� "/f {.l,sr- -"+ i 1 +-;�-J s ��� n tY^• �.s.r�t��tempi 4 ;r i�;�.r"Ltir�.1`+�.� �`r��.�4�s;�.v nte"''tZ�A?i FRONT ELEVATION I.I:FT SIIDI3 ELEVATION (TYPICAL► 4 1-1'PICAL► 12'5" 7'6" 11'4" _ ASPHALT SHINGLES HVAC m CEDAR SHINGLES {} o CABLE CONDUITS f GRADE -. iT I I I _IT I I I I N I BELOW GRADE I I BELOW GRADE I I------------ ----- --------------------IL I � 6'o„ CEC(CONTROLLED ENVIRONMENT CABINET)MODEL 2010 LOCATION: TRISTRAM'S LANDING WITH CUSTOAI ER-I'ERIOR FINISH NANTUCKET,MASSACHUSETTS Manufactured by ROTUNDO PRECAST Northeastern U.S. ASSESSORS MAP: No. 59.4.PARCEL 133 - 6'6" 151 Old Farms Road,Avon,CT 06001 PROPERTY OWNER: MADAKET MYSTERY L.L.C. (860)673-3291 Fax(860)675-1294 TN: (508)228-0359 PREPARED FOR NEW ENGLAND TELEPUONE ANA)TELEG61APH COMPANY PREPARED BY 44 Old Town House Road,SouOt Yafrnovth,MASS 02664 NEW ENGLANID TELEPHONE AND TELEGRAPU COMPANY ($08)398.5754 SHEET 1 of 2 44 Old Town House Road,South Yarmouth,MASS 02664 SCALE:1r2 in.-1.0 ft. DATE:NOV.04.1999 (508)398-S754 ......_.._.._. ............... --� J !tC l.UlYIMUttwetttllt t1J lxlassaclzuserls Ci�_7- .5: Department ojlndustrialAccidents �.�. _ , - — &VC-6 olloyestlgatloos . 600 Washington Street Et Boston,Klass. 02111 Workers' Compensation Insurance Affidavit - AV S 1 t"i 1 1 1 IV co :rNC W, r OCQ 7 ls<1 A'R��+A n1 Ste' - y - -- -- Inc�tir�' 1 o D� oRo , m pr oa3 50g• 90�3 6ka I am a homeowner pe::or ing all work myself. C1 I am a sole proprietor at:d have no one working in any capacity I am an employer provid -t`g workers' compensation for my employees working on this jab. �nmonnv`name� 3ddre<s 7�n7 --y�A'k6gA , y� �I flDt_sQQRo::.: . :•1Yf}' n� 3' ohonett- `5��.- '9 -�a0. '. 3: (J" I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below woo nays the following worke. compensation polices: c m n y nnme* ciry phone 9• - insurance co nolicv" is ... - - - - - - — - —-- 777 a r-< - - e �w z hon j .. in s uran cc !`� s✓I �. '; t :(/i '� �:' >lt i vd /• •'Attich add_idanal'sheet if ae___—_rn --:.. ..�..-- _._.:�:.,::::;:-_.. _;r_•` :- __— ;.,r. _., , Faifurc to secure covera;e as rewired under Section?SA of�IGL 152 can lead to the imposition of crt=inal peaalncs of a fine up to S1=,OO.00 anNor one years'imprisonment as -ei: as :i.•il penalties in the form of a STOP H'ORK ORDER and a fine or sl oo.00 a da- against me. I understand chats copy of this statement may be .'Cry-arded to the Orrice of]Investigations of the DIA for coverage verifies;on. I dQ.hereb_t•Berri etrider the alas and penalties o perj that the i ormatiort proyid bone & tr-le and comes,. V� - Date .I� l�-7 — St2.^atur / ^ Pint name R,C V. /VN , V tCeg ahc.._ orrcial use only do no: '•'`•.r in this arcs to be completed by city or town official sin or tnw n:- per;niulicense d "Building Dcpart n;at t [L:ccnsin;;3o2rC t C.56cctmcn'i of ic, check ifimmtdiate r_s-:nit :s required [health D•.^artmr-: r hone 9; r'Other y contact person: p i r . Bk- 1 9-e9 PG1. VD10 21OS r A= IP GRAN'r OF EASEM1EN1' We, George E. Manning and Irene Bray Manning, husband and wife as tenants by the entirety, with a mailing address of 148 Wianno Avenue, Osterville, Barnstable County, Massachusetts 02655 (hereinafter called the Grantors), in consideration of the mutual covenant herein contained, and the sumf�o three thousand Five hundred ($3,500.00) Dollars paid by the Grantee to the Grantor, the receipt of which is hereby acknowledged, grant to the New England Telephone and Telegraph Company (hereinafter called (he-Grantee), a corporation duly organized and existing under the laws of the State of New York and having a principle place of business at 185 Franklin Street, Boston, Suffolk County, Massachusetts, and its successors and assigns forever, with quitclaim covenants, the perpetual right and easement to locate, erect, construct, reconstruct, install, lay, dig-up, operate, maintain, patrol, inspect, repair, replace, alter, extend or remove one or more lines for the transmission and/or distribution of intelligence by electricity or otherwise, and all necessary and proper wires, cables, conduits, conductors, manholes, generators and associated surface closures, terminals, pedestals, foundations, service cabinets, electronic enclosures, huts, buildings, with equipment therein, and other apparatus, equipment and fixtures deemed necessary for the purposes specified above, as the Grantee may from time to time desire along, upon, across, under and over the following described premises in the Town of Barnstable, County of Barnstable, CunlmOn\Vealtll of Massachusetts being shown as an easement area of six hundred (600) square feet (the "Easement Area") as more particularly shown on Exhibit A attached hereto and incorporated hereunder; the Easement Area makes up a portion of Grantors' `\O property (the "Grantors' Remaining Property") shown as Parcel I on a plan entitled "Plan of Land in Newtown Barnstable Mass. for Harvard Trust Company" dated July 31, 1968 by Charles N. Savery, Inc., and recorded in Plan Book 225 on Page 151 at the Barnstable County Registry of Deeds. C For Grantors'title see Book 1426, Page 692 at the aforementioned Registry. Also the perpetual right and easement at any time and from time to time and without any further payment therefor, to cut, trim and remove trees, brush, overhanging branches, and other obstructions to the extent that the Grantee ta' deems necessary to clear and keep clear and operate safely the said lines within the Easement Area. r Permission is herein granted to reasonably enter from time to time the Grantors' Remaining Property for purposes of constructing, replacing-and maintaining improvements on or under the Easement Area for all of the above purposes, provided that such entries are made so as not unreasonably to interfere with the Grantors' use and enjoyment of the Grantors' Remaining Property, and that the surface and vegetation on the Grantors' Remaining Property promptly i are returned at Grantee's sole cost and expense as nearly as practical to the same or better condition than they were immediately preceding such entry. It is also agreed that all improvements on or under the Easement Area and each and every part thereof, whether fixed to the realty or not, shall be and remain the property of the Grantee, its successors and assigns, as its interest l^ may appear. Notwithstanding anything in this Grant of Easement to the contrary, the Grantee shall defend, indemnify and hold the Grantor, its successors and assigns, harmless from and against any and all claims, demands, liens, liabilities, penalties, losses, costs, obligations, actions, causes of action, suits, judgments, losses or expenses of any nature, (whether specious, frivolous or substantial), arising directly or indirectly from or out of the use, operation or ownership of the interest herein granted, including without limitation from compliance with or as a result of enforcement of Environmental Laws. Environmental Laws shall mean,without limitation, any federal, state or local statute, rule, regulation or policy relating to the environment. It is also agreed that such line or lines and each and every part therof, whether fixed to the realty or not, shall be and remain the property of the Grantee, its successors and assigns, as its interest may appear. Witness our hands and seals this 5 day of aza George E. nning Irene Bray Manning n y� The C Baw4 qWe , ss. Then personally appeared the above named George E. Manning and Irene Bray Manning and acknowledged the foregoing instrument to be their free act and deed, before me. My Commission expires t sum Maus Notary Public (signature) °~ '-_Comilesion#00 821551 Expires Apr. 27,2003 &S .ti V tl ` atn�c ; ., ,,ice� Bonded Thru ;1. AtImUoBonai gCo.,Ino. Notary Public (please print) 98-E91 i, , U 1 e e 1 C H 18�■ T I EXHIBIT A EASEMENT SKETCH PREPARED FOR NEWS ENGLANB TELEPHONE ANB TELEGRAPH CO. 44 OLD TOWN HOUSE ROAD SOUTH YARMOUTH, MA. 02664 OVER LAIN®OF I GEORGE E. MANNING & IBENE BRAY MANNING LOCATED AT 546 WAHEBY ROAD BARNSTABLE, MASSACHUSETTS NOT TO SCALE HATE:JANUA➢Y 1 S, ➢999 I N �v MAP 28 LOT 4 N/F MANTON ee BOOK 1411, PAGE 681 GEORGE E.MANNING &IRENE BRAY MANNING MAP 28 LOT 28 546 WAKEBY ROAD BARNSTABLE,MA. DEED REF: BOOK 1426, PAGE 692 ?gym/ 20'X 30'N.E.T.&T.CO. EASEMENT AREA. �d FO i C pRop�R oe oF`ayo MAP 28 LOT 26 N/F EAGEN t BOOK8368,PAGE163 BARNSTABLE REGISTRY OF-DEEDS I I LAW OFFICES OF THEobORE A. SCHILLING, P.C. 1550 FALMOUTH ROAD, SUITE 10 BRANCH OFFICE CENTERVILLE, MA 02632 2 MAIN STREET MERCANTILE TEL.(508)775-0700 NORTH EASTHAM,MA 02651 FAX(508)775-0792 TEL. (508)255-1116 email: law@cape.com SENT VIA FAX:508 790 6230 August 15, 2002 Tom Perry Building Commissioner Town of Barnstable Building Department. 200 Main Street Hyannis, MA 02601 RE: Installation of New Utility.Cabinet by Verizon Dear Mr. Perry: I represent Verizon in connection with the proposed installation of a shed at 546 j Wakeby Road in Barnstable, (Village of Marstons Mills)!, Barnstable County, MA 02648. I enclose a copy of a site plan showing the location of the shed, pictures of same and dimensions. Also enclosed is a copy of the Application for Site Plan Review dated July 2, 2002. I have been iri discussions `with. Bob Smith, Town Attorney. We would like to arrange a meeting with you, Bob and myself at your earliest convenience concerning this matter and the exemptions afforded publicly served corporations on certain zoning matters. Please let my office know of a good time and date to meet with you and we will make arrangements with Bob Smith. I would like t hear from u at your earliest possible convenience. Thank you in advance f yo r cons' ration. ' I i Very tr y yo s, e A. S it i g /gs Enclosures cc: -Robert D! Smi h, Town Attorney FAX: 508 862 4723 ..._ mac. SITE PLAN PREPARED FOR NEW ENGLAND TELEPHONE AND TELEGRAPH CO. 44 OLD TOWN HOUSE ROAD SOUTH YARMOUTH, MA. 02664 TN: 508-398-5754 OVER LAND OF GEORGE E- MANNING & IRENE BRAY MANNING LOCATED AT 546 WAHEBY ROAD BARNSTABLE, MASSACHUSETTS NOT TO SCALE DATE:JANVARY 15, 1999 N �v MAP 28 LOT 4 13 'z N/F MANTON Quo GEORGE E.MANNING BOOK 1411, PAGE 681 &IRENE BRAY MANNING TN: 508-428-2750 6 0 MAP 28-LOT 28 CEC-2010 546 WAKEBY ROAD, BARNSTABLE,MA. WALK-IN CABINET DEED REF: BOOK 1426, PAGE 692 13'X7 FLUSH TO GRADE MANHOLE 29 X 39 N.E.T.&T.CO. EASEMENT AREA. 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ASPHALT SHINGLES f HVAC to t CEDAR SHINGLES �o CABLE f CONDUITS GRADE ► T to BELOW GRADE I BELOW GRADE I N II------------ I-------------------------I -- t' 6'O" CEC(CONTROLLED ENVIRONMENT CABINET)MODEL 2010 LOCATION: TRISTRAM'S LANDING WITI1 CUSTOM EXTERIOR FINISH NANTUCKET,MASSACHUSETTS Manufactured by ROTUNDO PRECAST Northeastern U.S. ASSESSORS MAP: No. 59.4 PARCEL 133 6'6" 151 Old Farms Road,Avon,CT 06001 PROPERTY OWNER: MADAKET MYSTERY L.L.C. (660)673J291 Fax(860)675.1294 TN: (508 122"359 PREPARED FOR NEW ENCI.AND TELEPIIONE AND TELECIIAPII COMPANY PREPARED BY 44 Old Town house Road,South Yarmouth,MASS 02664 NEW ENGLAND TELEPHONE AND TELEGRAPH COINPANV (508)398-5754 SHEET 1 o12 44 Old Town House Road,South Yafmouth,MASS 02664 SCALE:1/2 in.=1.0 0. DATE:NOV.04,1999 (508 1398.5754 i APPLICATION FOR SITE PLAN REVIEW LoCATION Business Name: Veit mom Subdivision Plan Assessor's Map # AS Parcel # ANR Plan , Property Address: Sub Lyj4j(zLu Remo Site Plan 1tc#sTAm 11,1Ys &gLja r,4G lg Aj4 OWNER OF PROPERTY APPLICANT Name: G paje {rxe nL y¢rtp i Ha Name: 08rt 1 Z001 Address: It(a Luim yua Avc,vu.,- Address: Ljq a IATOWV doIjAi mSTuLAIL Alif DHSS ._S60 Pik AL ►91 A�GI�y Telephone: ��Q!s - t{1g.1-256 Telephone J04 •311$-57.9. 7 Fax Fax Set- ZLJ •Lrj739 ARCHITECT/DEVELOPER/CONTRACTOR/ENGNEER AGENT/AfP@fti ' Name: �91►iMy E-Uaus Name: Y jdZ Address: y a/,L JWjy J&psL &L Address: YY6 j'et Myy dm4d Ll �A(.4 D.2/, y , -Ydr�& OA6h y Telephone: �Ug.348. 3717 Telephone M fr. 39a'-S ZO Fax SOa • 71.e - G syf Fax �-!-U S. 714 -!8rf STORAGE T_kNK,S (HAz MAT/FUEL OR WASTE OIL) ZONING DISTRICT CLASSIFICATION District 11 F Overlay(s)G a 0m v Dv*r;rt G P Existing Proposed Lot Area 2,p, y Sq. t. Ac. Number 1 Number D Fire District Size ZSo 6joI Size Setbacks (ft.) Above Ground—Veg _ Above Ground NJ* Front r y• 7" Side /O 'L" Rear 4AD.;L j Underground M9 Underground 00 Contents lkAt/w 02 Contents Ado Number of Buildings Existing / Proposed ! 1 i L-d Demolition UTILITIES (PPeycsra) TOTAL FLOOR AREA By USE Gv Sewer- ❑Public ❑Private Size gal Existing (sq.ft.) Proposed(sq.ft.) Water- ❑Public ❑ Private Basement Electric - D Aerial Underground Resideirtial Gas - ❑ Natural ❑ Propane Restaurant Grease Trap -❑ Size gal Retail Sewage Daily Flow * gpd Office Medical Office PARKING SPACES CURB CUTS Commercial (specify) Required �_ Existing / Wholesale (specify) Provided _�_ Proposed 1_ Institutional (specify) On-Site �_ To Close 0 — Industrial (specify) Off-Site �_ Totals I All Other Uses On Site rcfyi �' Handicapped N/y4 Gross Floor Area *GP or WP areas restrict wastewater discharge to 330 LPxlelj�S'cxvo�cJ T�4p1s, � gallons per acre per day into on-site system. ,SO Sdt F7: Q:SiteP1an:SPRPG3—02/20/2002 Old Kings Highway Regional Historic District File # Approved? ❑ Yes ❑ No Hyannis Main Street Waterfront Historic District File # ,�//� Approved? ❑ Yes ❑ No Listed in National and/or State Register of Historic Places? ��— ❑ Yes ® No Previous Site Plan Review File of a-19 Approved? ❑ Yes ❑ No Previous Zoning Board of Appeals File # Approved? ❑ Yes ❑ No Is the site located in a Flood Area (Section 3-5.1) ❑ Yes ® No In Area of Critical Environmental Concern? ❑ Yes No Is the Project within 100' of Wetland Resource Area? ❑ Yes ® No Site sketch—informal presentation ® Yes ❑ No Site Plan prepared, wet stamped and signed by a Registered PE and/or PLS. ® Yes ❑ No Parking and Traffic Circulation Plan ❑ Yes ❑ No Landscape Plan and Lighting Plan ❑ Yes ❑ No Drainage Plan with calculations and Utility Plan ❑ Yes ❑ No Building Plans, (all floor plans, elevations and cross sections) Yes ❑ No Note that all siiznne must be approved by Code Enforcement Officer at the Building Department Lot area in sq. ft. 4-3-T6.0 sq. ft Total Building(s) footprint 3'p sq. ft. Maximum Lot Coverage as % of Lot , 017 % GROUIv'D WATER PROTECTION OVERLAY DISTRICT REOUIREMENTS: DISTRICT: Lot Coverage (%) Required Proposed Site Clearing (%) Required Proposed PRINCIPAL BUILDING ACCESSORY BUILDINGS) ❑ Yes ❑ No Number of floors Height: ft. Number of floors�_ Height: ft. FLOOR AREA: FLOOR AREA: Basement sq. ft. Second sq. ft. Basement sq. ft. Second sq. ft. First sq. ft. Attic sq. ft. First sq. ft. Attic sq. ft Other(Specify) sq. ft. Please provide a brief narrative description of your proposed project: P1*40- 0604 GRBu,uD C'f«61w li/NLY/Iu 1ZZLIl OAZii-10 Ae/A 6" FiN&�h f f AMA) 11AAJ110k C Al A/r.& Z AM 0hf 'rad;t Aka". ZL A 4 1 a 1 re fir. /0!5 &1j . Sim nQ„f ,[o d-A ii A '7,1 xitaytmVu ii�.i/ ey/vvia i STA& or 27,z/'. id 7 l/sti/' J�iQTA I assert that I have completed (or caused to be completed) this page and the Site Plan Review Application and that, to the be t of y knowledge, the information submitted here is true. '�JSignatu of Applicant Date � D Q:SiteP1an:SPRPG4 02/20/2002 °Ft►�rQ,,� Town of Barnstable r • Regulatory Services • Ba ASS. a Mass. Thomas F.Geiler,Director M 9�'AiEo39.�1% Building Division Tom Perry. Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 29, 2002 Verizon Kenneth Horne 44 Old Townhouse Road S Yarmouth, Ma. 02644 Re: SPR 048-02, 546 Wakeby Rod,MM (028-028) Proposal: Install new utility'cabinet Dear Mr. Home; Please be advised that this application was approved at the Site Plan Review meeting on July 18, 2002 as presented. Sincerely, Robin C. Giangregorio Zoning& Site Plan Review Coordinator Q:\BUIL.DING\wPFH-ES\SrPEPLAN\SIM002\verizon.DOC I i The Town of Barnstable IARNSrABIZ Department of Health Safety and Environmental Services MASS. . Building Division 059• ArFO MA'�a 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 1, 1999 Albert Teufel 44 Old Town House Road South Yarmouth, MA 02664 Re: SPR-012-99 N.E. Tel &Tel, 546 Wakeby Road, Marstons Mills (028/028) Proposal: Applicant proposes to construct a CEC 2010 Walk-in utility cabinet with custom interior finish&roof. Dear Mr. Teufel, The above referenced proposal was reviewed at the Site Plan Review Meeting of January 25, 1999 and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance and forwarded to the Zoning Board of Apepals. This site is located within the RF Residential-F Zoning District and therefore this use requires action by the Zoning Board of Appeals.. Please note a Building Permit is necessary prior to any construction. Upon completion of all work, a letter of certification is required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinance must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Respectfully, Ralph Crossen Building Commissioner ng' ) Map d 2 g' Parcel Permit# �� 9 Q House# s� DaW Issued 9 ' Z U 7 Board of Health(3r ,oor)(8:15 -9:30/1:00-*3ej - 1 ,37 Conservation Office (4th floor)(8:30-9:30/1:00-2:00) 4� Plapming Dept.(1st floor/School Admin. Bldg.) e a. Definitive Plan Planning Board 19 ; � BARNSPAkLLE. MASS.., p �, TOWN OF BARNSTABLE �`. Building Permit Application Project St ddress Village Owner Q5_LQi 6-C MAij4 1 r<)(r- Address 1 Ji 47Vy Vd A-Vff_ Telephone -5-0$ Permit Request 1JJ f S rpm,/fir- M I AJ t--C-. E a First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ / 700 ° Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: S' le Family Two Family ❑ Multi-Family(#units) Age of Existing Structu Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: 18 Full ❑ wl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing ew Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): fisting First Floor Room Count Heat Type and Fuel: ❑Gas ❑ ❑Electric ❑Other Central Air ❑Yes ❑No ireplaces: Existing New isting wood/coal stove ❑Yes ❑No Garage: ❑Detached(si Other Detached Structures: ❑P (size) ❑Attac (size) ❑Barn(si ❑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 AAf_JbxJ/d E— Da4—S it V4 Telephone Number -5Vcp 7ST Address �3 Q (5p 0 pt Lt F' License# ©L%S/S-d Home Improvement Contractor# Worker's Compensation# �------ 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 SIGNATU"��� DATE✓ / ' �O BUILDING PERMIT ENIED FOR THE F LLOWING REASONS) FOR OFFICIAL USE ONLY ,A PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE zgF OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1^ - 1- �� DATE CLOSED OUT ASSOCIATION PLAN NO. _ The Town of Barnstable NAM Department of Health Safety and Environmental Services �E„ • Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: For office use only Permit no.�_ Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. i/Type of Work: /I�1l�� �i /It-, s� A jj Est.Cost �dl, �20 Address of Work: Owner's Name �i7 '�''Z-� W"4j)j 0 Aj Date of Permit Application: � P I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE H051E IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owners Name ' I r._-_:----_-- The Commonwealth of Massachusetts <� - -=• Department of Industrial Accidents Office ofinyestigatioos 600 Washington Street = t - J+� Boston,Mass. 02111 Workers' Comipensation Insurance Affidavit t/ location: 3 city ► Iiy•v lD/J i MA 0, Z790 nhone# S-OL—923—9-757 ❑ I am a homeowner performing all work myself. I am a sole pro rietor and have no one workin in any ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. company name address: city nhone#: insurance co. R01icV# ❑ 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: company name address city phone#. olicv# ". insurance c0 :... company name: - .:::::.. address: city- phone#: insurance co _. olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 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. I do hereby certify der the d penalti of erjury that the information provided above is truo d correct Signature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license t! ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (tevued 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or. ' trustee of an,individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewai of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. i The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. D�i%%/10�� The Department's address,telephone and fax number: + The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Inyesugadons 600 Washington Street . .4. Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION.SUPERVISOR LICENSE o I Number ' Expires: lestrl'c.tedfld ? 16 ANTONIO`f` ASILVA 39 60DFREY ST TAUNTON, pA 92180 j� a+�� ..r �� ✓Re TOo7�fno�eu��c�✓�aaoddFiraelld r, t " ` SHONE IMPROVEMENT CONTRACTOR ' _ .RegistfWon' 103574 ; �� � ,��•TyPe � :QBA �` t ` ` Expiration 07/48/00 s DASILVA HQME�IMPROVEMENTYi :A Antonio E ,DaS1 va W =t Taunton.AA 42780 `=B a \ NYF S,ETH R. MA RY F IVAMBL//V _ A „3S� S2 2S'E 3 mF.N 4'2o'AO'E /4 O.S/ _ /V 38`46 4 O E -> N 1 \� �-37.50 Cl h . N 39 20'00"E-- 224./3 -- ^-- /4S.S7 --0- 64.09 /a' ; 1\ N p} • rm ••`�' � atoc�H N vp a z z ! V b o 1 C Z a C z m ` h > y O d y � n i — �— til O � O ® r., CCX o Z q wry o � o C y rA too 7 I �m M43'00*/O"',E� I� /� C� PRIVATE �/ 00, 00, 0. C e N/F •. MAAMV T. EAr,,w & ANj,ErrF- 09 Got�,a