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Home My WebLink About0193 WHEELER ROAD I a � o Lniversel one; www myuniversalop.com ° phone:1-866 756-46776 UNVI 5 1 MADE 1N USA i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ra Application# 006,15a 7y Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �¢¢ Village t-�'�—v��!� 61� CcL Owner g 4f ID &0_?� Address Telephone Permit Request �� I Square feet: 1 st floor:existin� propose¢�ao 2nd floor:existing proposed Total new O Zoning District Flood Plain Groundwater Overlay Project Valuation c Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure >Q� Historic House: ❑Yes dlgo On Old King's Highway: ❑Yes Jd'I�lo Basement Type: UF-Gr❑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 ❑ Electric ❑Other Central Air: 9�v�❑No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes>, a'No Detached garage:Cl existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size r-f Attached garage: existing ❑new size Shed:❑existing ❑new size Other: co Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ v' Commercial ❑Yes ❑No If yes, site plan review# 5 N r Current Use Proposed Use r%"# M r" p BUILDER INFORMATION l Name ,� i'lZr $ � �.6C—. Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING OM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE (7 i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ; MAPTfiPARCEL NO. i ADDRESS VILLAGE '. r OWNER DATE OF INSPECTION: FOUNDATION p FRAME INSULATIO o� �%o? FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 7 , FINAL BUILDING N�l�� lL� �� DATE CLOSED OUT ASSOCIATION PLAN NO. I ' 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 Informatio c Please Print Legibly Name(Business/Organizatio divi \ l(7 Address: r City/State/Zip: © S Phone.#: �� C Are you n employer?Check the appropriate box- Type of project(required):. 1. I am a employer with� 4. ® aim a general contractor and I 6. ❑New construction . . employees(full and/or.part-time).*. have hired the sub-contractors ^ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 'Remodeling ship and have no employees These sub-contractors have g,employees and have workers' ��"""❑Demolition working for me in any capacity. �• $ . 9. ❑Building addition [No workers' comp.insurance comp.insurance. required. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself. [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 showinj4heir 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. xContractors 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. Insurance Company Name: AAL Policy#or Self-ins. Lic.#: � _ Expiration Date: L� 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 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 olator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o he D for' nce coverage verification. I do hereby ce Jun r t e pa n and penalties of perjury that the information provided above true a d correct Signature: Date: Phone M d Official use only. Do not write in this area,tb be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . r 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 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-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. 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 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number:. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,NIA 02.111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax## 617-727-7749 Revised 11-22-06 www.mass.gov/dia 1VYr11 V11JµIJLLOL[LI✓lS;i Regulatory Services y�xsras,E, Thomas F.Geiler,Director 9� �s ,�0� Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstable.ma.us fice: 508-8624038 Fax. 508-790-6230 Permit no. Date AFFIDAVIT HOME MROVEMENT 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 adj scent to such residence or building be done by registered contractors,with certain exceptions,along'with other requirements. Type of Work Estimated Cost ��b� �.- . Address ofYlork: 9 ��L�� Owner's Name: Date of Application: %`� I hereby.cm ify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING IWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR .i0ABLE ROGRAM OR UARANTY FUND UNDER HAVE 142A.. ACCESS TO , IG `NED UND OF PERJURY I hereb ap ly as a agent of the owner. '\ Date Co actor Signs tionNo. OR � e f Date Owner's Signature Q;wpfnes.fomu:home?fB day Rav 060606 0 a • ry�Q, EMEN CONTRACTOR HOME IMpRO 1253 - sft' z , pETEft TZ iPETER FITZP E C _ p\ipish;ator 20WINTERFR _ 05TERVILLE, { r ✓lie mvn�ynULp IGPTBNR ARUOTRUGTION SyERVSOR License. CONS 049222 Number—-S Birthd" ,9L195� 17225 :19II2008 no: R�strac� PETER C FITZPA�1 PO-BOX 1165 OSTERUILL MA� 2�55`� Comm�sslorier E, 12/11/06 12:37 FAX 5087900249 GOLDRAN ASSOC zol AC-M CERTIFICATE ®F LIABILITY INSURANCE MO CSR As ! (MMID01YYYY. Rsoso 12 10 06 06 PRODuce3< THIS CERTIFICATE IS ISSUED AS•A MATTER OF INFORMATION GOLDMAN &.ASSOCIATES INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FINANCIAL SERVICES INC. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 933 FALMOUTH RD. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS MA 02601 Phone: 508-775-6010 Fax:508-790-0249 I INSURERS AFFORDING COVERAGE I NAIC# INSURED INSURER A: LIBERTY WTUAL INSURANCE CO. INSURER S: MARYLAND CASUALTY COMPANY ,ION T MOREAU ELECTRICIAN INC INSURER C: �- 9 REDBERRY LANE INSURER 0: MARSTONS MILLS MA 02648 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE?TO THE INSURED NAMED ABOVE FOR TF:E POLICY P:RICO INDICATE].NOTWITHSTANDING A-NY REQUIREMENT,TERM OR CONDITION OF ANY•ONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT4IN,THE INSURAJ4CE AFPORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AV-THE TERMS,EXCLUSIONS AND CONO!TIONS Oc SUCH 1 POLICIES.AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. uu'lTR SR TYPE OF PISURANC[ POLICY NUMBER DATEMFMroD DATE MMICDIYI' LIMITS 1 GENERALLIAVILITY EACHOCCURRENCE $1000000 B i X 'OMMERCAL GENERAL LIABILITY I SCP00423444 01/27/06 01/27/07 PRZMISES;Eeox�crce $300000 CLAa1SMADE I�OCCUR MEDEXP(Anf one ParaOn) �:10000 !FF—ER-90NALaAOVINJURY 3 1000000 j I I GENERALAGGREGAT�000O0� GEN'L AGGREGATE LIMIT APPLES PER: PRODUCTS-COMP:OPAGa S2000000 POLICY 17 F LOC AUTOM081LE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ee aWcent) S ALL OWNED AUTOS BODILY INJURY 3 SCHEDULW AVTCS iPef DBrSOR) i HIREDAUT09 BODILY INJURY $ I NON-0WNED AUTOS (Per=Idont) PROPERTY DAMAGE 3 (Par accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ,S ANY AUTO I OTHER THAN EAACC 16 AUTO ONLY: —AG'. t EXCESSIUMBRELLALUIBILITY EACH OCCURRENCE S j OCCUR C CLAIMS MADE I AGGREGATE S je DEDUCTIBLE ; RETENTION S 5 TH- WORKERS COMPENSATION AND i T RY IMIT 1 I ER EMPLOYERS'LIABILTTY IANYPROPRIETORMARTNERICXEC0WE #35863401.6 I 03/07/06 i 03/07/07 E.!.EACH.ACCIDENT 3100000 L_OFFICERMeASEREXCLUDED? E.L.DISEASE-EAEMPLO 5100000 0 yes,deesIl3awrder E.L.DISEASE-POUCYLIMiT 3500000 SPECIAL PRO`ASIONS Oa1ew OTHER I i I • '� DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES 1 OXCLUMONS ADDED BY ENDORSESIENT f SPECIAL PROV15101415 ! CERTIFICATE HOLDER CANCELLATION PETERFI SHOULD AMY W TW ABOVE DESCRIBED POLICIES 13F CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TG MAIL 10 DAYS WtUTTEN NOTICE TO THE CERTIFICATE 149LDER NAMED TO THE LEFT,BUT PAILURi TO DO 60 SHALL PETER FITZPATRICK IMPOSE NO OSLIGATICN.OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR FAX 508-428-0232 I PO SOX 1265 REPRESENTATt _ 4UTH0 OSTERVILLE MA _ E LOUI'92 B GIR ACORD 25(2001108) (PACORD CORPORATION 088 12/12/2000 16:39 FAX 5084283068 GERMANI INSURANCE 0001 0-1 LIN"! 1! V qts,amsop 1: imlwom 1,imn .12/12/2006 fw j; �11,1w5�11"Ir THIS W-411FM AS A MATTER OF INFORMATION ��'ACORD,, 14 PRODUCER Ta is la ONLY MD CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOY AMEND. EXTEND OR 908 MAIN STREET ALTER-T"F QVF _MEORDED BY THE POLICIES BELOW.C —,RA W. OSTERYILLE,MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INS.CO. INSURED COMPANY SPENCER HALLETT PLUMBING ANO HEATING B AIG MEMBER COMP.OF AMERICAN INT.GROUP PO BOX 61 COUIT.MA 02635 COMPANY COMPANY D T li"�'C;` n' T., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED$FLOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY Pi'R'IOC INDICATED,NOTWITHSTANDING ANY RCOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 8 Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Poucyem%�me PCUGYCXrIRATION LTR POLICY NumagA LIWTS TYPE OF INSURANCS aAT0 W05M) tATFL(MWOOM) i GENERAL LABILITY 1 GENERAL AGGREGATE 8 2.000,000 -tiMIRCALG!NERAL LIABILITY 04/2()/2oC6 C,4/2�0=7 CLAIMSMADE r—!OCCUR PRODUCTS-COMP/OP AW 3 BP 00000394 PjFISONA4&AOV INJVAY s NER'S&CONTRACTORS PROT I EACH OCCURRENCE is 1000000 FIRE DAMAGE Om=fim) is MED EX/(My orlB Person) 5 AUTOMOSILC LIA01417'Y COMBINED 8INGLE LIMIT 5 'ANYAUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS -IlfteDAUT03 BODILY INJURY NON-OWNEDAUTOS (Persookem) - _4 PROPERTY DAMAGE I b GARAGE LIABILITY AUTOONLY-FAA CIDENTT—$ ---- ANYAUTO OTHER THAN AUTO ONLY! EACH ACCIDal H AGGREGATE 8 EXCESS LABILITY i EACH OCCURRENCE s UMBRELLA FORM AGGREGATE.. 6 OTHER THAN UMBRELLA FORM WI:SYATU. WORKER'S COMPENSATION AND TORYLBAITS EMPLOYERS LIAWTf WC 895-39-13 02122/200e OV22/2007 EL EA04 Accl DENT Is 100,000 THI.PFLOF-FuLlol-v ' INCL ELDISeASE-FOUCYLWIT s 500,000 PAR7NVWA=UlIVQ QFPC04AN; H eXCL a DI5EAlSE-EA EMPLOYEE I s 100.000 OTHER I DESCRIPTION OF OPERATIONSILOCATIONSIVENICLEWSP&CIAL 17"s MANOR SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE PETER FITZPATRICK 10"NIATION DATETHEREOP, THE ISSUING COMPANY WILLENDEAVOR TO "L DAYS WRITTEN NOTICIS TO THE CIRTIFICATS NO=R NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTIOG SHALL 101FOlM NO COUGAInON OR WOUTY FAX#* 508-428-0232 OF ANY KJND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVE& AUTHOPJEP REPRIESIENTATIN4 ,w" "P. + - Town of Barnstable Regulatory Services UxrrL s • Thomas F. Geiler,Director. MASS 16.39. v 39. Building Division Tom Perry, Building Commissioner_ 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-196-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �� .�: �r—✓ve tip, ,p _-,as.Owner of the subject property hereby authorize„ I �� I" I+a to act on mp behalf, in all matters relative to work authorized by this building p ertnit application for: cl ke l iw IV (Address of Job) Signature of Owner Date Print Name Q:FORMS:OWNERFERMISSION i i �M ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 7 Map Parcel v 2� �->> Application# &Ju Health Division Conservation Division Permit# Tax Collector Date Issued' —1 Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 19 t1_A4EF_Q.r_2 2- Village MA& fit)S Nl L5►--5 r Owner RLAOM 6PASSCOPA b Address kCmc.A k, Telephone Permit Request bL ADD( Tl a� t��:> ��.P Cy Square feet: 1 st floor:existing proposed 2nd floor:existing proposed 0 otal ne4VL_16< 0 Zoning District Flood Plain Groundwater Overlay Project Valuation $b��• Construction Type lAnj d'OD VeAKIF— Lot Size fl . SS Ac a25 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure v Historic House: ❑Yes _2*b On Old King's Highway: ❑ems a0-No 0 0 r Basement Type: ull ❑Crawl ❑Walkout ❑Other C Basement Finished Areas .ft. Basement Unfinished Areas .ft cr>l co Number of Baths: Full:existing new Half:existing o I new x X Number of Bedrooms: existing !!�;_ new 0 y Total Room Count(not including baths):existing new_� First Floor Room ount s c' Heat Type and Fuel: 016as ❑Oil ❑Electric ❑Other Central Air: 12res— ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing 0 ne size24K.2),Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use - .-, BUILDER INFORMATION [ Name � � � �C, Telephone Number q `r a� ��3 2 Address Q Q � �GN Ct Z• License# 15 C U1 C_ 4- Home Improvement Contractor# 1 :1 S3� Worker's Compensation# M Pgg0�32- nr0 t SO ALL CONSTRUCTION DEBRI ESULTING FROM THIS PROJECT WILL BE TAKEN TO =��SIGNATURE DATE D� FOR OFFICIAL,USE ONLY, PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE l OWNER -A I l DATE OF INSPECTION: FOUNDATION 19'W FRAME �� r c Ret Cl�fe(V�c- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING fi DATE CLOSED OUT �• ASSOCIATION PLAN NO. .�. - r 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 LeZibly Name(Business/Organization/Individual): . Address:_ . O (L'urt City/State/Zip: Phone.#: ,�`� �1�D Off-3 Are you an employer? Check the appropriate bo : Type of project(required):. 1.❑ I am a employer with 4. am a general contractor and I m loyees (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, 0 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. 0 We are a corporation and its 101-1 Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1.2.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . 13.0 Other comp. insurance required.] . 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providt;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. I us Insurance Company Name: 1.! Policy#or Self-ins.Lic.#: Q �F� r rd 6 M Expiration Date:�`�� Job Site Address: %.Z R use_ 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 criminal penalties of a fine up to$1,500.00 and/ on 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 violator. Be advised that a copy of this statement may be forwarded to the.Office of Investigations of e D for ance coverage verification. I do hereby ce un er t tns rind penalties of perjury that.ihe information provided a"ovg is ue and correct: Si afore: Date: !D. d7 _ Phone#: Official use only. Do not write in this area,to be completed by city or town offtciaL City.or Town: Permit/License# Issuing Authority(circle one): A.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 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 f insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that ibis 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 permit/license number which will be used as a reference number.'In addition, an applicant that must submit multiple permittlicense 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, ILIA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE. Fax#617-727-774.9 Revised 11-22-06 w .mass.gov/dia E Town-of Barnstable royy . regulatory Services snaxsr� . _ Thomas F.Geiler,Director s639. BuRdincr Division prfD MAy a b . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office; 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 1 �)�—� U Estimated Cost ,kddress of Work: /�1 �.C�� FO P Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 QBuildmg not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS FULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply r a permit as the agent of the owner: Date Contractor Name Registration No. ( 01 OR Date Owner's Name Q:fomsshomeaffidav r REScheck Software Version 4.1.0 Compliance Certificate Project Title: GRABSCHEID/BLOOM RESIDENCE Report Date:0611t?107 Data filename:G tPROJECTS\GRI310R6_HOUSE,RCK Energy Code: Massalchrrsetts Energy Code Location: earnttta3ble,Mmsachusetts Constructi0n'fype; 1 or 2 Family,Detached Heating Type: Cnhsr(Non-E3sctria Resiatertee) GlazingAree Percentage: 1101% Neat{ 6117 Construction Site: Owner/Agent: Designer/Contractor: 193 WHEELER RD. PETER C.FITZPATMOK 165 AIARSTONS MILLS,MA02646 0,33TERV iLE, OSTL-RV;LLE,MA 508.42e.0232 Maximum UA:250 Your Horne UA:210=16.0%Better Than Code !.,ailing 1:Flat Calling or Scissor Truss 60 30.0 0.0 2 577 30.0 0.0 20 Ceiling 2:Flat Ceiling or Scissor Trues 4 Wall 1:Wood Frame, 16'o.c, 59 19.0 0.0 3 Well 2:Wood Frame,16"o.c• 5A +9.0 0.0 5 0280 1 Window 1:Wood Frgme:Double Pane with Low-E 4 Wall 3:Worn:Frame.16"o.c. 100 30.0 0.0 g O.Zt30 3 Window 2:Wood Frome:Doubie Pane,with Low-E 12 Wall 4-Wood Frams,16"O.C. 249 19.0 0.0 Window 3:Wood Frame:Double Pane with Low-E 48 0.2FA i3 197 19.D 0.0 10 Wall 5:Wood Frame,16'0.0. 28 G.400 11 Door 1:Solid 372 19D 0.0 20 Wall 6:Wood Fame,16`o.c. 0,280 10 Window 4:Wood Frartle:0ouble Pane with Low-E 35 3 Wall 7:Wood Frame,'16"o,c. 60 19,0 O.0 Window 5:Wood Frame:Double Pane with Low-E 12 0.?.80 3 127 19,0 0.0 6 Wall 8:Wood Fratne,16"o.c. Window 6;Wood Frame:Double Pnne with Low-E 24 4.280 7 Wall 9:Solid Concrete or Masonry:lnterior insulation 98 100 .0 10 Floor 1:SlatrOn•GradoMeated 99 19'0 06 Insulation depth:3.0' Compliance Statement: The proposed building design described here is cornsigtent with the building plans,specific atif.rts,and other oslaulations submitted with the permit application.The proposed building has been designed to meet the MassachusTs EnergyT�de O requirements in REScheick Vutsion 4.1.0 and to comply with the mandatory requirements listed in the REScheck Insp ction Chet, The heating IoaC for this bvi:ding,and the cooling load if appropriate,has been determine using the applit:abie Stan prd Design" Conditions found in the Code.The HVAC equipment selected ro heat or t bul{ ail no greater than 1 °�of the dew load as specified in Sections T$OCh1R 1310 and J4.4, Co Inp 2: Name•Ti118 Signature Qat Z GRAGSCHElO/6LOUM PESIDENCE Page 1 rsf,9 M. i,d WHZ12:Oj L0'dc 81. •ur:t' F2FOKb80S 'ON Xdd wN_?tld t 't. REScheck Software Version 4.1.0 Inspection Checklist Date:06/1 BM7 Csibngs; 0 Coiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity Insulation Comments:_ - ❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: - -- Above.-Grade Waits- ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: —-----— Wall 2:Wood Frame,16"o.c,,R-19.0 cavity insulation Comments: [] Well 3:Wood Frame-.,16"o.c„R-30.0 cavity insulation Comments: - O Wall 4:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ Wail 5:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Q Wall 6:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: --- ;] Wall 7;Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: -- Wall 8;wood Frame,16"o.c.,R-19,0 cavity insulation Comments:.— -- --- 0 Wall 9:Solld Concrete or Masonry:lnterlor Insulation,R-10.0 cavity insulation Comments: - - Windows: Window 1:Wood Frarno,Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features; t#Panes—Frame Type Thermal Break?—Yes—No Comments: - U Window 2:Wood Frarna:Double Pane with Low-C,U-factor:0.280 For windows without labeled U-factors,desc tlbe features; Vanes,—Frame Type Thermal Break?- Yes—No Comments: — -- --- ---- — Window 3:Wood Frame;Double Pane with Low-E,U-factor.0.280 For windows without labeled U-fectors,describe features; (#Panes_-Frame Type ----Thermal Break?_Yes.—No Comments: Window 4:Wood Frame:Double Pane with Low•E,U-factor:0.280 URABSCHEID/BLOAM RESIDENCE Page 2 of 5 E6 WdLC:0T LOBE 8T ''Urf Eec-Z08Eb80S 'ON XUA WONA I G IABSCHEI®/BLOOM RESIDENCE Page 4 of 5 #Panas Frame Type Thermal Break? Yes.—_No Comments: --- -a---- ❑ Window 6:Wood Prame:0ouble Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type _Thermal Break? Yes No Comments: -- Doors: ❑ Door 1:Solid,1-1-factor:0,400 Comments: — Floors: LJ Floor 1-Slab-On-Grade:Hestted,3.0'Insulation depth,R-19.0 continuous insulation Comments: _ Slab insulation extends down from the top of the slab to at least 3.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 3.0 ft. Air Leakage: C Joints,penetrations,and all other Such openings in the building envelope that are sources of air leakage are sealed. When installed In the building envelope,recessed lighting fixtures#meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the Inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage Into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.94d Lis)air movement from the the conditioned space to the r:eiling cavity.The lighting fixture has bde>n tested at 75 PA or 1.67 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification. Materials and equipment are identified so that compliance can be determined. u Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that grNeves the rated R-value without compressing the insulation. Duct Insulation: Li Ducts are insulated per Table J4.4.7.1. Duct Construction: 0 All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaoes used to transport air,are seated using mastic and fibrous backing tape installed according to the manufacturer's Installation instructions.Mesh tape may be omitted where gaps are less than 1I8 inch.Duct tape is not permitted. U The HVAC system provides a means for balancing air and water systems. Temperature Controls., 0 Thermostats exist for each separate HVAC systern,A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided, Ideating and Cooling Equipment Siting: u Rated output Capacity of the heating/cobiing system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. GRABSCHEID/BLOOM RESIDENCE Page 3 of 5 2d Wd82:121Z ZOaZ 8T •unt F-EE082'11780S : 'ON XUj WOad I t t Table 2:Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Silas _ ange(°t~) Piping System Types R Temp. 2"Runouts 1"and Less 1.25"to 2,0" 2.5'to 4" an Heating systems Low Pressureftemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1,5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) GRABSCHEItMa OOM RESIDENCE � Page 5 of 5 4. r —^ Table JS=n tecumueo pmaipth,Paeksgd fardae and Ti c-Fwully FiaideatislBa3ldinga Acstcd wit posail•F'p"s 144A7Lf11•iUM � • Glazing Glazing Ceiling Wall H ax Hoot Bmeat Slab 13eatiagJCooling Arcs Clad U.Yzluc; R-valuer ' R-value+ R•valuW wall -pesiraelu F�dFinast EtSaeacy9 . Blues 1'ae R-values R-v ' 570I to 6500 Besting Degrsr Days' 12%. 0.40 31 13 19 10 6 Normal 12% M2 30 19 -. 19 10. 6 Normal �. '•8574#UE 5 . I2% 0:30 39 ' 13 I9 10 6 Isla 036 33 13 23 .NtA NIA• �N}oorai l AT . zip • .J7flIIila 15% 0.46 33 19 19 10 6' V 15% 0.44 31 13 23 NIA' NIA 13 AFM pr 13% 0.37. 30 19 19 10 35 AF UE 13% 0.32 38 • 13 2 N/A NIA Normal Y 18%. 0.47 39 19 25 WA N1A� Namzal 2 19'/a 0.42 31. 13 19 id $ 90 AFUB I o% 030 30 19 19 10 6 90 AFUE 1, ADpRE55 OF PROPS$Z.y. 7 2, SQUARE FOOTAGE OF ALL BXTMOR WALLS: ' 3, SQUARE FOOTAGE OF ALL GLAZING: 4, oa GLAZING AREA.(#3 DIVIDED BY•02): j, SELECT PACKAGE AA sea chart above): , MOTE: OTHER.MORE IN-IOLVEI]METHODS OF DEiB�RMINING EidERGY REQ S ARE AVAILABLE. ASK US FOR THIS MF0RMATION. BMDINCI-INSPECTOR APPROVAL: YES:• rTO; r �FZHE 1p�, Town of Barnstable. ti y y. Regulatory Services �'"MAn 'g Thomas F.Geiler,Director 0 °TEo;w�Al Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Oder Must Complete and Sign.This Section if Using A Builder I, Wa tA , as Owner of the subject property hereby authorize l to act on my behalf, in all matters relative to work authorized by this building permit application for; . (Address of Job) M PAS 0,S5 M(C&s , Sign tune r ate Print Name QFORMS!0 9RgF_UERMISSION 13tfi oY'(# FPA�4i uf( fhY�f'i.1"�i(2f`--11 fl � License or registration valid for individul use on1v HOME IMPROVEMENT CONTRACTOR f hcforc the capiration date. If found return to: _ Registralion: 125334 • 13oarrl,of Building Regulations and Standards. `-� ( One'Flshburton Place Rm 130 Expiral/24/200 r Boston, IVta.0 108 r Tgp f di ideal ! PETER C. FITZRATR-10 ! '. PETER FITZPATRIEre 20 WINTERFREEr�\iR,J= OSTERVILLE, MA 0265e Not:, ilid ithout n, ure � .'' .�s j ✓�ie i°ioo��xoouueal� o�..�aa�ac�zrc6ell'a , 1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numb ARCS O49222 - Birthdate 02/19/1959 I. Expires 02/19%2008 Tr.no: a7225 1 --- -- Restrictd&:-,,:Gj PETER C FITZPATRICK; { f PO BOX 1165 OSTERVILLE, MA 02655}`` Commissioner I ' I JUN-12-2007 15:58 From:MCSHEA 5084209011 To:5084280232 P.1/1 �M - CERTIFICATE OF LIABILITY INSURANCE 6�12 2007 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MaBhea rnsuri nce Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDep BY THE POLICIES BELOW. Ostervilla, Ma. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAICY INSURED Cape Golf Construction Corp.. IN.gIIWRA• Travelers Ins Co. mstmr-k y' Trayelara 371 Willow Street INSUHLKC. Tocbaology znsuranoo Company W Barnstable, MA 02668 INSUAGRD. 1508-362-7177 INSURG2 E: COVERAGE$ THE POUCIES OF MURANCL'LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA MOD=VE FOR THE POLICY PHRIOD INDICATCO NOTWITHSTANDWO ANY KECUIREMENT.TERM OR CONDITION OF ANY CONTRACT UR armER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATEMAY IbG ISSUED OR MAY PERTAIN,THE INSUWWCE AFFORDED BY THE POLICICS DESCRIBED HEREIN IS 81,I15JECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POL CXS AGGREGATE LIMITS SHOWN MAY KAVE BEEN REDUCED BY PAID CLAIMS. LiA IN POLICYNlq,OM r II:Y- Mrl. I R Ply N .- ... Ltb1175 GP.NUVAL UADILTTY EACH OCCUrdMNCE It 1 0004000 , $ COMMEROIAL0eNE14ALUADILOY PHFM� Ca,R,;,°9 c 500 000 _ Cu+IM8Mn76 OCCUR Mpu�xNlAnyoneoetw) S �S 000 >S 1680858215392 4/22/2007 4/22/2008 ftMSONAL6,AOVINJURY c 1 000,000 GENERAL A(WkEUATE ! 2 000,000 1 GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS•COMPtop Auu Y 2,.0 0O 0 00 MUUCY iM (LOC AUTOMCGLEUAFM I I Y COMRINEDSINriLEUMIT c 1„b00,000 ANTAUI U (E,t 2 W 0etlt) _ ALLOWNCDAUTO:+ DODILYPLIUKY 6 X WHEOULEDAUTOO lNalm'w) A X HIRED AUTOS BA8003942 02/22/07 02/22/08 BODILYAwURY S X NON-0AINEI)AU103 (I`CIOCC0M1) PHOYFNIY DAMAGE _ (Per=tdent) GARAGELIAOILRY AUTO ONLY-CAACODEN I S AMYAUTO ppTH RTMAN CAS' S AU TEONLY. AGO S CXCESSAIMORELLA LMLITY `ACH UUUURRENCF S OCCUR L IXAIMSMADE AGGRCGATG DEDUCTIBLE i WMNTCIN S 6 WORGR40CH,IWWArIUNANO X VVC TO S IA ANYVRW.%TOIMRTb 517581 3/7/07 3/7/08 E.L.LAUHACCIDENT $ 500,000 ANY Iwt.11tit[r0iwutro6+lE>eECVTIVC .. , C awev"MaJAE%M41DFM C.L.012-EARF-I,:A t!MPLOYI!t.0 500 000 nmgm,"wlaorN�WON 500 0001 OTIICR OtacKirrIONOPOG4;RA'I'IONSILOCATODNSIVCHICLESIEXCLUSIUNSADDEDBY6NwRfpIFN'I IALPROVIGIONS TE HOLDER CANCELLATION WXAD ANY OP THE ADOVE DESCHIMED POI.ICF„&BE CANCCLLCO DGFORE IHL tXPIRATiO Peter Fitzpatrick UAIV 7I�nF•THE ISSUING INSURER INII.I t_HDEAVOR TO MAIL_2,9 DAYS wai.it N I PO Sox 1265 NOTICE TO T'HF CI,.+mFlGATC HOLDER NAMLD'TU THE LFFT,NT FAILURE TO DO SO SHALL Ostervi lle, MA 02653 IMPOSE NO OBLIUATION OR I IABIUTV Or ANY KIND UPON THE INAURF,R ITS AGENTS OR RFPRESENTATIVCS. I FAX II 5 0 S-4 2 8-0 2 3 2 AUTHOR2 RCPRESENTA•i w. ACOR025(200i1o8) 4IACORD CORPORATION 1988 06/12/2007 12:42 5084205584 MYCOCK INSURANCE PAGE 02/02 ACORD CERTIFICATE OF LIAEILITY INSURANCE °'�'��°° 6/12/0707 PRODUCER THIS C19ITTRCATEIS ISSUED ASA NATTER OFINFI,RMATION ' b*bock xrisurance Agency ONLY AND CONFERS NO RGHTS UPONT NECERTIFICATE ' 20 School Street, PO Box 437 HOLALTIRTHECC�G� EDOWNCr AM FFORDW19YTHE ClCET M OR OO . Cotuit, OSA 02635 INSURERS APPWtNG COVERAGE NAIC 8 I1NOUaEo INSURER A:Vermont Mutual Bay Colony Concrete Forms IncINSURER M Renaissance Snsur>anoe en cy Commercial Account INSURER C: PO Box 469 Cotuit, MA 02635 INSURERD: �T^ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW NAVE SEEN ISSUED TO 71iE INSURED NANIED ABOVE FOR THE POLICY PERIOD INDICAT60,NOTWITHSTANDING ANY ReCUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REJECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THIR INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCN POUCIES.AGGREGATE UMITS SHOWN MAY HAVE BEEN-REDUCED BY PAID CLAIMS. POLICYNUMBER T D LILY p1FiRff LIMITS GINERALLtARaRY EACH OCCURRENOE 0,_ 1,000,000 A COMMERCIAL GENERALLLABILITY BP11021056 3/30/07 3/30/08 rsss oo s 50,000 ,P;:l oIAMS MIO R QX OCCUR MED EXP(Arvygmp W) s 5,000 J PER&ONALAADVINARY s 1,000,000 OEN�tALA00REGAT6 y 2.Q � M'LAGOREOATELIMITAPPUESPER: PRODUCTS-COMPIOPAGG S 000,000 PDuCY NPRO- LOC -- AUTONOCILE LU181LITY COMBINED SINME LIMIT ANY AUTO I I lEE80W4 T !! ALL OWNED AUT08 II 8WILYINJURY J 6CHEDULEDAUTOS I fperperea+) S R H MM AUT06 NON•OVMFO AUTOS (Pa re 1RY $ - PRO�PERRTT'Y�DANAOE t (Peraw*rd) OARAQPUABtLm AUTO ONLY-EA ACCIDENT S ANV AUTO OTT }HAT EAAACC i$ AT ONLY: A30 CIGBSSNIRdRELLALUIBILITY EACH OCCURRENCE $ OCCUR OLAIMSMADE AOOREOATE $ CIDUCTIRL@ .•. .-•. $ a RETENTION a a WORKIR9CONPQN fONAND I 8 EMPLO, -LIABILITY WC0002466 ER ANYPOPR pNEPraECUT EE.L.L�ACMACCIbENr _ 1,000 ,000 EMEEL� UDGD IfgDleaw"ff EL DOEASE.EA EMPLOAM s 1,000,000 S9ATPR0v10CN8b0%t J E.LDVJEA e-POUCYLIMfT S 1,000,000 OTHER 0 WCRfPTIO N OF 01T RATIONS I LOCATIONS I VET ID LES I EXC L US10NS AD DO BY END CRSI:MCUT 16MIAL PROVMON9 Coiierote Forme 9E7 I ATENOLOt CANC 1-ATTON SHOULD ANY OF THE ABOV;OESCRIM POLICIIIIII0DC CANCELLED BEFORETHEOMPATION DATEETHEREOF,THdISSUINOIKSUREAwILLCNOCavoRTOMAIL 20 DAYSWItITTEw Peter Fitzgerald NOTICETOTK000MTRRCATE HOLDER NAMED TO THE LEFT.BUT FAILURE T00000SHALL Building C Renovetiiosae 1008EN000LIG=NORLIADJUTYCR ANY KIND UPON rmewWRER,R6AGENTSOR PO box 1165 Rq M90TATiYES, OsEArerill®, MA 02655 AUTHORIZED REPRE>'MTAT" R J Mycock ACORD 25(2001;oe) M ACORD CORPORATtoN 1988 J'�yj'� � Ag.-�..,.,-.�Ql"`,-"wlryj�`;r>.t �.�.�;.Yy:�.-.+;w'F:.v};.,.1�T.�,,oro�Li.w•opts'�„L `scM"k"+R�k:�jL�MFs-;%Y,'.,..n+•,. _.r;�'..:,.y�,:,c..�; ,.trS:...+-,,ln.,sJ�e,.ir�-rb...ri�,r N� d y`oFINE lOk� Town.'of'Barnstable BARNSTABLE, : Regulatory Services MASS -� .•. ....,�....•� t639• 039,a Building Division. 200 Main Street;Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 i' Inpction Correction Notice Type.of Inspection Location /13 l�� /rdi � Permit Number Owner Builder f-= One notice to remain on job site, one notice on file in Building Department. The following items need correcting: ri �s ko' -r lk'(r f�- ! �'G-� F!�-�.G— o� �w s cc c�•t! �/ /��s �or/��i�tJZr 5 J Please call:, 508-862-40��B for re-inspection. Inspected by /K✓X7-wJ��` Date fo / t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel (J Application Health Division Date Issued �- C Conservation Division 7Pr-I10"10 �� 1� ��^�13' Zoe, Application Fee Planning Dept. _ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis 17 Project Street Address ` NA fe�� Owner tZL .�Ac�,�F I� Adder ess=�" I - �Telephon �F?ermit'Re`quest Via( )ILD ()�GIL 1x�1�Obj&)S . SjQ1AJ6=34CL C1� tb,)s F_ Q0k 64 r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o; Construction Type Lot Size 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 ❑ 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 :V. � -` 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 st v-: O_"�es ❑ No Detached garage: ❑ existing ❑ new size--Pool: ❑ existing ❑ new size _ Barn: ❑jexisting� ne.g size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: l Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� _--Telephone-Number-- y61 7 I Address3— �S att I CI Home Improvement-Contractor . . ._ " Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGN�ATURE':!7�- DATE C FOR OFFICIAL USE ONLY r APPLICATION# _`DATE ISSUED _.;MAP/PARCEL NO..,,--" ADDRESS VILLAGE y ` OWNER DATE OF INSPECTION: ." z 3; FOUNDATION i AOS Sow v d`�k l�q �L S o� z / Iz R/1� afR SG �:��i Rr �-- I ®(� 0 FRAME rn INSULATION). :=y. ,z FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL iGAS-- ROUGH={; FINAL .',TFINAL BUILDING; A` 5 R -74?�4 .DATE CLOSED OUT: ; -t 7 ASSOCIATION PLAN NO. . � r Tow)a. of Bar'stable Regulatory Services • ixsrA�c� -. Thomas F. Geiler,Director fib, 6s� kip Building Division rho • Thomas Perry,-CB O,•Building Commissioner 200 Main Street, Hyannis,MA 02601' www.town.b am-ta b l e-ul a.us Fax: 508-79M230 'Officcc 508-862-4038 PLAN Owner /3j_a0� -- Map/ParccP a.-3 //A(&Bu'Ider Project Address The faITowing zterls were noted.on .reviewing: '`�n� ce 'r eANor C�/3GC� ljQ�9•lG /'!�G Reviewed by: Date: i The Commonwealth of Massachuseas Department of Industrial Accidents .fie-oflnn►e 600 Washington Street Boston MA 0211I www.massgov/dia Workers' Compensation Insurance Affidavit: Binders/Conti-actors/Electricians/Plumbers AP.Pficant Information Please Print Name (Businesdorga�tiondadividnaI): Address: City/State/Zip: I L 1 Phone#: Are you an employer?Check the appropriate box 1.❑ I am a employer with 4. ❑ I am a general contractor and I Type-of project(required): . `�nplayees(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' [No workers' comp.insurance comp.insurance. 9. ❑��g addition required] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.0•I am a homeowner doing all work officers have exercised their 11.0 Phmmbin g repairs or additions myself [No workers' comp. right of exemption per MGL 12 r insurance required]t c. 152, §1(4), and we have no 0 Roof �� employees. [No workers' 13.0 Other Comp,Insurance ] *Any applicant that checks box#1 dnst also fll out the section below showing their wmixrs'compensation policy idformation• t Homeawncrs who submit this affidavit indicating they are doing all work and thm hue= tmLside eontractors mast submit a new affidavit indicating each Cantxactiors that check this bar mast attached an additional sheet showing the name of the sob-contractors and state whether or not those entities have employees If the Mb-motmetnn have employees,they mast provide their wodmm' eoroP•policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy acid job site information, 1ncrn-d=Company Name: Policy#or Self-ins.Ur,.#. 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). Fain=to secure coverage required under Section 25A of MGL c. 152 can lead to the impos tin of criminal penalties of a fine up to$1,500.00 and/ one-year imprisomme� as well as civil penalties in the form of a SVPn WORK ORDER and a fine of up to$250.00 a day the violator. Be advised that a copy of this statement may be forwarded to the Office of Iuvest,gations of e D insurance coverage verification. I do hereby c pains rind penalties of perjury that the in ormadon f pied a is ue and correct S' tore: Date: L Phone# QJfuzal use only. Do not write in this area, to be completed by city or'town ofzcW City or Town: PermitUcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.PlumEInspeator 6. Other Contact Person: Phone#: Paul U. GraGaeGeiG 193 Wheeler Read Nerst®aa Millar MA 02468 13 December 2011 Mr. Peter Fitzpatrick Dear Peter: This letter will serve as authorization to carry out the work required to complete the deck remodel and window replacement project at our Marstons Mills house. Sheila and I look forward to continuing to work with you. Very truly yours, Paul Grabscheid ►Ylassuchusctts- Department of Public?:uc`• or antl St:uulards Bt�;trtl 01'Builtlin„ ervisor License `Construction Sup LicePse Restricted to 'IG PETER C FITZPATRICK PO BOX M ;p2655 OSTERVIL'LE;,. Expiration: ?J1912012 oj�_ �� Tr#: 20167. ( //ze -e°"wwo wren ��ac/age License or registration valid for individul use only Office of Consumer Affairs&Bdsiuess Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: "1,25334 Type: Office of Consumer Affairs and Business Regulation Expiration: J11124/2013 Individual 10 Park Plaza-Suite 5170 1 P - =I = Boston MA 211 R C. PETER FITZPATR,ICK i 20 WINTERFREENiCIRCLE OSTERVILLE, MA 02655` Undersecretary i signature n DG� • I SKgD C, 1� •` j O � ctIv� o o . ICE- � ' r�,� -SDtCK 1 61 24.5 2400 14V 10 S2ING N G G � GE , o DWELLIN FU DATION FO ND- N ,. A 00 26.50 102.5 28.2 o -` . o. o kn 115' . P_ Ln L=126.6 84.74 6=08-14-51" R=879.3 N 77000'20"W -y3 Lt��`IL�C�LL�G�3 G�OQD 7certify that the foundation shown on PLOT PLAN OF LAND this plan is as it actually exists on the LOCATED IN, ground and that it conforms to the town of MARSTONS MILLS,MASS. Barnstable zoning regulationsregar PREPARED FOR yard setbacks;" OF Mgs49� PETER FITZPATRICK DAVID CHA M E S DATE:SEPT. 18 2007 SCALE: 1"=40' date:Sept.18,2007 U 28Ion ', CAPE & ISLANDS ENGINEERING flood zone c[non-hazard] P o MASHPEE wheeler ,MASS. ,1( LAM) r - PE 11 r "Permit Town of Barnstable . �'J/� � 6 rrlu om issue.�te Regulatory Services (� B G14 MASS. i639. � Thomas F.Geiler,Director TO Building Division ARNCOTA13LZ Tom Perry,CEO, Balding Commissioner 200 Main Street,Hyannis,MA 02601 www.towm-barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid widiour Red X-Press b7prinr Map/parcelNumber��Z`2 Property Address _ f ��A /£1�— Y �� *Residential Value ofWork S' Minimum fee ofS35.00 for work underS6000.00 Owner's Name&Address J11 y Contractor's Name 7 ITy-� .r ! Cell hr Nun LV/ Telephone Number R—1-6 p—ao)9a Home Improvement Contractor License#(ifapplicable) 11d53 Construction Supervisor's License,(ifapplicable) tTJorkmaes CompensationI+s+ranCe - Check one: ❑ I am sole proprietor Vamthe Homeowner have Worker's mpensation Insurance , Q ��' ( �fa. e �nSu.Cavic� Co Insurance Co Name ``-- II l l Workmaes Comp.Policy, W o Copy of Insurance Compliance Certificate mast accompany each permit. Perms} st(check box) Re-roof(hur icane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hur icane nailed)(not strippim. Goad over existing layers ofroof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (tnaxiinum.35)r ofwindows n ofdoors: ❑ Smoke/Carbon Monoxide detectors 4 floorplans marked with red S and inspections required. Separate Electrical&Fnv Permits required *Where required:Issuance ofdiis permit does not exeupt eonpliame with otter town departmemregulatims,ie.Historic,Conservadoa etc ***Note: PropertyOwnermustsit-�nPropertyOvmerl.etterofPermissfon. A copy of tyre Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: , C�Users\decoM1AppData1LocaLN1icrosofmindowaemporary Isuernec Files\Coare=Oathok\SR i 6BD1%1A\E.k�RESS.doc Revised 061313 Fraser' Construction, LLC 31 -Bawdoin Rd- Mashpee, N-LA 02649 ': f, T f(-),*...z,:-:-a scrcc)r,.�.t' 7l IC:T I `IC2 L:dCC-,," CC I-1 C c C,o.c c)rn PHONIE-' 1-5()fw3A28-2292 HICL#131253 6 C S -1668 PARTIAL RE-ROOFING PROPOSAL DATE: May 13, 2014 PHONE: 781-235-5,824 NAME: Sheila Bloom EMAIL: Sheilabloonr,.'u,verizon.nct MAIL ADDRESS: JOB ADDRESS: 193 Wheeler R& Marstons Mills, MA 02648 FRASER CONSTRUCTION ,- -p"r br'_:-0sCz -Ic- pc-rfr.=, the Un -a nea-, profession.-al "likc rnanner �n accord.--_-=_t 1xhh the ifi specccat-0-ris .Z and buildiang code. -Removcand Haw _.VaV ar, of Oid :.Oodng Lmr,.Crlal rdi nlywiood sh-e-athing as needed. Fraser Construction xLul hnc)u .2 4. wTzan-�ics have a 50 year anv 0 vear shingies or .-iny Life- e shingics. 4 Star 4V Non-Prorated Coverage Ln casr or an.y war-ranty rrpair, :arbor and, rnatcnnalls. slliaglc Tcl.r_Ox zinc' disposal fccs. CCXt.ain,Tt:(1d plUS 71-_c: c7,-.r:; co_-rI,p,-,ny iT1V.L2i1:*S wn Intep,7 y _,tL)af S,.stem. ASK US, A-BOTT-T OUP 017_05RHE.-0 C-4RE, CLETB! THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A F m / L DATA i Below Roof.prices are for left side of house.and.(2) corresponding rear dormer - -- - Bciow _oof Colors arc quc ed _n Slatc 51c-_ 1= in,a_-.11 -_:iistir.c•. -r•• in rL)O? Supply and Install - CERTAIN'TEED LANDMARK ARCHITECTURAL ASPHALT SHINGLE ' ..1:?.:t:r-c L:T_lc'G !=CL<:tiT!;-:=�!C 7i'cbr•?�ll_^r Cd_ss Fire Rated - 240 'hs. .scivare T%vo Rica =ibCr Glass C:cnstructiari - Di ,,z ab1c. BCa utlful Color Blc_ded Line zoi 43=Ci any, trim '^7 siCili'1�_' color - N1.-,nUfacr1:7cd -,pith Self-Ad hc-;iv &.rips and fastcnr1 .Vi=" S _.: i- c0ir- on oond. :a-Fc :wiling .area 10 year warranty against, 41 =c conCair-_-Mcm c,?u_smg iscolorazi= a_d, st_ealdnyg - 15 year wind-resistance warranty t:p -o 13,0 MI—PH. Color: J".' �f 'U . 'r4 PRICE-S 1I,900 Initial =�/-- Supply and Install - CERTJ LNTEED LANDMARK PRO ARCHITECTURAL ASPFL4LT SHINGLE - L iferinc. Li=rd:cd T r1-i-f(-*sb1c V.-arrannT - Clasp :-h ire R arr_d - 7, -2? 1 l�)s. per Squat c - Two Piece itll.iti-la•.•crt td Lax--tin tcd Fiber Glass Ccrostruetic_< - Class— 5! =ti Cs �LC1Q clirncnsicina! clppcaT?'CC U� aniraJ v;o-, C)' S�a:6 `V1a.S Ct l.�?lUr C�CGtt�ri e cT 3 r orb '• bran 11'_11_CY �i1�C:Gi=.-=?:t `•t'1f.L a_ ° s MaxLU n: S'C—t,--C C C;=arlu_es -chat F:rovitit a rr'C=C pr-O'CU iu dept_l of cok)_ ?[:`_UrCd S%iith Sclt Ad-tsive .=nd fas_ened vi--)? sip: _ails in commI.em bond, !cT`�r �11I121'ST i2ri• 15 year warranty agai-st Algae c_cnt Urinr-t�MUS11g d-scoiora—Lion and su-cal G1 . - 15 year wind-resistance warranty up i G MPH Color- PRICE-$ 12,765 Initial _ Supply and Install - CERT_JN T EED LANDMARK PREMIUM ARCHITECTURAL -ASPHALT SHINGLE - LifeLi.iYie. L rlitcd Trarls cra t- 'tV�L—n 1!'r-, L:da3ss, A- Fire Rca-Lcd ,00 lus. per square Piece rriulta-?3vc_ed Lanina:cd Fiber i•_lass C o-a5truc-1i1:: :ceptional Durr_hiiirt ._nd P_otCC -- M.-ix Del Color Srlicdon of cr a mu re :•ioralit, "ID T)Car:urce wirh ._ c11c depth of ^nior . z t - - - - - - - _v4�r1__ac_u_ed :�.ul SeL•'AcLe.si e S tos 2.nd as-encd :ri:h ^ix a,. iEs r :0.--ram- DGne_ ar - 15 year warranty as;-4nst Coilia_nment caus—ing, discolora7_ion and s!.c kci-•F - 15 year mind-resistance warranty Ll_' _o 130 Color: PRIC"14,250 Initial Roofing Product & Installation Retails Supply Ss Install - (Soffit Venting) Hick's Ventilated Drip Edge or _--- S" Alumininn Drip Edge with existing soffit vents- Smart vents over white drip edge_ LO 111C Y•:��fjllrl^ 21-o.T :!ZL-S 3111. 1,%jC.,*kM:- ^ilc n,__S_ :IrG-i "C" '�` SLG'I IS _�_l• 1lCC .T- I.. t 3 C:iP_dU�L _Tiiii]TT' :i'.• 3.1 :7i- :Tl :ic'7� =C T_Ur .C: ?�C_cSL::_� Ste• C`:_i..?t'_�ICI L_U___ -c L= :I_il-rat_ :UPP1_r11! 0, U7 ?C:i= .'_i' fl0--A '_10n_ +-:C Supply & Install- Ice & Dater shield 7+•a��.1'111'r.��jT ..11��:.'1'�rt_r- �• i�:CT �=L_ �Z1 G-';..� ci:::7 I IT%2.1�. a= ]cC. ?Tr.' a etc.- S-7C:._ ::; :: SC JLi_.tT1: 1:._crl of —n 7c'-1 T-.f)f ::11:L C1U_1,i1,^'`I.:, cL:• :_�,'1L`_1'. _ 7,3 `=Qtf:7.' .:,�!_�i i it` .iTU C i;j TC5 3:ic :P__•_'T1U_ _a �S _-'OM Tj�-aTC— ^Tll�1 Supply Ss Install- Surround Underlayment iA Typar Brand) :'_-_ of ice=,.. by storm d• %r:��'c'. i r-t ' :=_ !'�� ::�:1� .1.a1 '•T,�:'„ T!�^. '.r. iT.:1:CT1'dl::. 1: :] ct ,:iC=CS•li:'IJi•, -r_::ty_1CL -11•aT :0'1 r^•-..^1. ..._- 1•10=t •:,._tj_11T.- r Supply Install- CerrtainTeed Swift Start 1 a.1+'lerirng a--*--,,-.,It St:::iC- �:l V 4Sr r•` _ 'C:'-.3' 'ecdd 11s oroc1iiG. i Supply & Install - Aluminum as Neoprene Soil Pipe Flashing Supply & Install CeritainTecd Ridge Vent _ 1._f=l i i i i J l 1 z Supply & Install- Pre-Cut CertainT ecd Hip & Ridge sbingies _hc hip a tll ridge _.cc so;- - L�_7. Li---T'Ccra [71 _,T1= .R_t_lf titiJt�l= ts.._1i.� is :''al:i'•j'S Ce.It :J_ ur_dc_--i v7nt:z, ?r.h;i�_ ^`.,. .:..::c;:;or: t�r-�e_c's and _I. ':°.J_1 2-,!4 L� CL1C:. 1;ie ?tom•( 1t_ 1a'1.]S'" ,.C�,^..^l:'_ilia:--: . (3s recomr-gended by CertainTeed) Clean o„ Remove - Dcbri, from work area daily. PAYMENTS -UqI• DUE iMMR.D-tAT'EZY Ah-TER JOB COMPLETION. I i 1/3 initial payment, remainder to be paid upon ,completion Fay.-nC'ts acm-n-rr 3-c-. CASH - CHECK-MASTERCARD -VISA- AMERICAN EXPRESS pclC•_pon ion ._rnp?:•'_lcr,ulil be iris•:!".d 0.005"a !G' � .l C Ct_ jay a,f cr tl?e, iYetT _TxL �^r_tiod upon day of'os_ c.orrpl:tirr. Possible Extra - lifter he 8hLng- .es 1re removed fro-in th.c .cioft :.-c- uitl lift one sheer_ of e �� _- }t — g -� m' ea—, 1 i_-a:0ed to _�i-J..- s...rC'h . -hc .-sulsLn_� _s _ o ;wrest he ,.i� ..eod s� :hzM` P'r�:cn:.in`_' vc=L_IaL_on :r1m the' a .-cs 'o ti:.0 l��[`_ "I .I 1 i'CT_t 13C_'' o3=i''1s T Ll Ua installed Jv, 1'C.CiC:t"g T.=zc shcaLain • =sTzdling L? zxmels. 'uT-n,;nG_-r.i:c p1V00d ti'vc.. paid hell _e-ilst:!lel.7=-hc pl;'rood. I=needed, this would be.. charged for is a aTra_at the r^tc- c-, S�.0 =C- �anca sic uC].=:g Miateriais & ;..r:.bon 'I rrr!' 3'C G s Panels l c_ sheet of pl-�nrovd. Possible Extra -Anv rotted or ot:nc.--isc cctcrioratrd boards, pl-.—. L__ le-ad flashing: or Wier carpcnt_- needing =e7?acenicnt :?!? )n done and char&ed fc_ _s Ai 7: rxr7,i a'_ c rsee of S 7 5n.0 01 cz-hour, plus ?,)`'; :. t i •� % i.r. �' i:f�A f.�f� L�J t - (' .', .�rL-•l ri � �Ir r i � 1��/'•� , e 7 Y FRASER CONSTRUCTION ' .t_Ct_ltiC^, 7"-,,C. 1.'-h7:7 =car LIFETIME of FRASER CONSTRUCTION `eV•;_Lm:uicl . YS •r.,:rs. 4 CERTAINTEED _11.5 .::L1Ct LiL'� i IJQ i't Ll_i. :"1 }iC _-C __-t =TT.3't'.- [j::rat: CERTAINTEED 'A c_i=!-1 rc, _Ii.: til?:il`k: io %r ALGAF res?SLoun: for he •_L:__•__Uil _•! Llr deoendLn-g O_ he :5'hi-ngjC L_ 9 ix-as pur .ha I eaSe =iULC s_3i a_1 PTI*cing 'S con—inge n-, ,-, on GLII'Ienz- r-na.7ket X.nC,ng. if is -;}- :i. :^.^rted 'Tvl-1ua l_•_1 `i d;EL4:i _LLtC or 7:)=Upcn a1. =11:?T1:C` :Tl 1.� :TSii_i occur due LO de: 1'iazion 2 :T1cLCi1cL! -�C. ` ^S?_v dEl'ea_]ii 1' '�tLC-=L:U-1 i^•-1 �70 °G spccdilC,.t?on w I �3t executed u 1 V.:-Aten o_dc-s and :c*ill be c-7-nc a.. cxC<<: charge c.-er and a*�o:'c :lie --SL--MaLC. Ala =cnr-ts contingent upG S_i1:C5. c1�C7QC'ts -:)- i � r ( ,?* dr a Y= arc.. 7C-i(4Tt our c�_�11-rc�l• J tIG= should CcL=Y ELC, to7nzdo and .:-.IS(r il(:ccssi ry msura_n-ce. =:pon Lae a,-,,1VC work. Wc. if not a..GG -1ca :v_Lil!n1 ,1?ir-L-v:its S ii.av %nii_::dr_.. _h:s -D-r )sai. FRUSER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request.. DATE OF ACCEPTANCE: f Homeowner Fraser Construction, LLC 5 Massachusetts -Department of Public Safety f' Board of Building Reguintions and Stnnclarcts I Constructlon salmrvisor 1 License; CS-091668 DYANCFRASER2;` IOd TWIIVN VII,W�,� EAST FALMOUTar to�e; Cummissiaier 06/07/2015 Office,of Consumer Affairs andBusiness Regulation 10-Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration. 112536 Type: DBA FRASER CONSTRUCTION Co. Expiration: 3r2312015 TrA 237059 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 SCA 7 Update Address and return Card-Mark reason for change- Address E] Renewal E) Employment Lost Card License Or registration valid for indMdui use only IMPROVEMENT CONTRACTOR before the expiration n: 112536 date. If found return to: Type: Office of Consumer Affairs and Business Regulation '6 3/23/2015 DBA 10 Park Plaza -Suite,970 FRASER CONSTPUCTION CO. Boston,MA 02116 DEAN FRASER 104 TWINN VIEW LANE E FALmOUTH,MA 025 36 Undaucretary N10t valid without Signature r �C FRASCON-01 PAAS �., CERTIFICATE 4F LIABILITY INSURANCE DATE(MMDDW"� 9119/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER (508)676-0309 NAn1EA� Ashle Paiva Viveiros Insurance Agency,Inc. PHONE 375 Airport Road AIc No Exr: 508-676-0309 127 (AiC,No): 508-324-9147 Fall River,MA 02720 ADDRESS:APaiva Viveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURERA:Granite State Insurance CO INSURED Fraser Construction LLC -INSURER B: PO Box 1845 INSURER C: Cotuit,MA 02635 INSURERD: 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. ILTR TYPE OF INSURANCE IN R D POLICY NUMBER MIDD MMIDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMSMADE OCCUR WED EXP(Any One person) $ PERSONAL&ADV NJ'_IRY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ POLICY I PRO LOC AUTOMOBILE LIABILITY SI LIMIT Ea accident) $ ANY AUTO BODILY INJURY(Per person) S ALLT0 ACHES ULED BODILY INJURY(Per accident) $ HIRED AUr05 NON-OWNED AUTOS Per accident!) $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILnY WC STATU ER A ANY PROPRIETORIPARTNER.1EXECUTIVE Y 1 N WC009930601 TORY LIMBS ER OFFICER/MEMSER EXCLUDED* ❑ NIA 9/26I2013 9/26l2014 E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) uyes.describeunder E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION 0=OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601— AUTHORIZED REPRESENTATIVE e01988-2010 ACORD CORPORATION- All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r } .f re Commonwealth of Massachusetts Department of Industrial Accidents O'lice Of Inveslyparions y _ ,� 600 Washingron Street ,� Boston, MA 0211.1 - 1 vla w.s,zass.gov%dia Worker's conipeusa-,ion.Insurance Affidavit:Builders/Contractors/Electrieiams/Plvznbers Applicant Information Please Print Legibly Name (B—us'iness/OrganizatioaaditiZdual).: Fro Address: 1 `� City/State,'. KI 7 MA Od b J?5 Phon.e4: Are you an employer?Check the appropriate box: Type of project(required): 1- lJ 1 am a employer with-2 i 4• I a. a general contractor and I have 6. New ccas�eetion " employees(full and/or part-time).* :•hired the sub-cox:tractors listed.on the -Led-she'et` ❑Rcmode>mg 2. I am a sole proprietor or partnetsbip These`sub-contractors have $• ❑Demolition and have no employees woridng for employees and have workers'comp. 9. Building addition mein any capacity.[No viorkers' insurance.$ comp insurance required] 5.Q-We are a corporation and its 10- ❑Electrical repairs or additions officers have exercised their right of 1 t plumbing repairs or additi ohs 3 Q I am 2 homeowner doing all work .1 per MGL c.152§(4),and 12. Roof repairs- myself.Nt o workers'comp, we have no employees,[No workers' insurance required]i comp.insurance required.] 13.❑Other 'Any applicant that checks-pox z1 must also Eel out the Sued n below snowing their workers'.compenr.tion policy i2oactttiot. fi Homeowners that who scbmit:his affidavit ch anixn0$icy ate doing aU work and tben hire ontsid contractors mu-a submira new alGdavit indicating Mach. #Contractors that check this box must attach an addieoual sheet showing the name of the sub-conMaC,rs and start whether or not those entities have^rnployees,if the sub-con=_,rors hevc tanployees,they must provide the ;'porkers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Belory is the policy and job site iafo771tad02L Insutrance Company Name: �Ce o Policy r or SeL**'-ins.Lic. `t� C 0 qq Sot g o J a� �! Expiration Date: lob Site Address: u/ City/StateMp- Attach a copy of the workers'compensation.policg declaration page(showing the policy.ntuxiber and expitatfon date).Failure to secure coverago as required ancer•Section 25A cf MGL c-152 can lead to the imt)osition of criminal one-yearpenalties of a tint up to$15o().00 and or impdsoamenr,as wen civii penalties enalties in the form of a STOP WORK ORDER:and a fine of u u [o$ Pma a day against't$e violator. advised this may be forwarded to the Office o'Investigations of the DIA for iMU=ce coverage vcri8cati that a copy of s on 16 hereby certify the :) enalties of perjury•t3tat the informdtfon r Yrded above is true and correct. Signature: Date: �,��/3 Phone#: a Official use only.Do not write in this area,to be comple!ed by city or town official I City or Town: Permit/License n 1&-. i g Authority(circle one): t 1.Board of health 2.Building 3)epprtment 3.Ct:?/Town Clerk 4.Electrical Spector S.Plumbing irnspector , J 6.Other Contact?erson: Phone 4: y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel m Q _ ` Permit# Health Division '7 -�'] y0 1 : 4`a @`3 -� ��0.�._ date Issued 0 2a ENVIROMME AL CODA Conservation Division �� ®�N � no . �L�ifiiO�9 Tax Collector. 7�7/06 Treasurer Planning Dept. 46 A Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 9 - Village p Owner Addressg, . Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfatfiered: ❑Yes ❑ No If.yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure.-3A Historic House: ❑Yes Xl No On Old King's Highway: ❑Yes ;�No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other D Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing / new - I Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas Cl Oil ❑ Electric Cl 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 El Commercial ❑Yes ❑ No If yes,site plan review# n&i1QQ� Current Use Proposed Use Q BUILDER INFORMATION Name G' f�� i//A, Pam, 4400t-5 Telephone Number hZ Address,,3 V �2 -4 1.SIE 5� License# 7� Home Improvement Contractor# Worker's Compensation# e2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED ' + MAP/PARCEL NO.. + ` ADDRESS] , - VILLAGE' ' OWNER ;? r r1 t DATE OF INSPECTION FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL* r s PLUMBING: ROUGH FINAL- GAS: 'ROUGH FINAL FINAL BUILDING • r DATE CLOSED OUT ASSOCIATION PLAN NO. ` . 'r'(�':fir'1. �-`4 i''' t 1t l.;• r ti r�La7q lq /7rx S:O� x � ADMINISJFiATOH 4 j`' - • rat c r i). y�l; � {1 'h lr 1,••••i��.�',t ;... .- x.�* _, ✓ T�ommau�tC o�./�avoac%zuae `SOi4RD-OF'SUILDING REGULATIONS ` -UcenW-,ONSTRUCTION SUPERVISOR :NrtrtntieFatS 022375 kI: 1 1950 �! 001 ' -T►.no . 3557 To: 00 PAUL F - 92RIC.. DSON= => CENTE;tVILL IIAA.0263Z Adrrimstrafr...' ' :Y"''�'a'i`.'Yt??.T�,}�? t,*r�c�,' $;t'�;gra.�c�axre.sa:.,.� • I E1HE y The Town of Barnstable IAItMSiABLE. Department of Health Safety and Environmental Services Eo►A. Building Division 367 Main Street.Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissione- Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVE UM CONTRACTOR LAW. SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation.repair.modernization,conversion. improvement.removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered-contractors,with certain exceptions.along with other requirements. Type of Work: &oa / Estimated Cost ��A Address of Work: aa&4�1 Owner's Name: Date of Application: —7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law []Job Under S1.000 - ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: GISTERED OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH HOME IMPROVEMENT O�DO NOT HAVE CONTRA OORSFOO APPLICABLEIO ROGRAM OR GUARANTY�D UNDER MGL c. 142A. ACCESS SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Con for Name Registration No. Date OR Date Owner's Name The Commonweauh of Massachusetts .. D��tment of Industrial Accidents : � ,�� eStl88llOaS • � 600 Washington Street r= Boston,M OZlll ass. t� y ce Affidavit ,• f��r %/%�,��rrrrq: Workers' Com ensatioa Insuran //%%%%%%/��//////,/�/i///i%,i%//%�r�;.�;; -ne: stion� hone V �) I a hnmeowt3rs�P and bm�� is anv - .�//////�//,OO�/lLl�u'�% ] I am a sole�rofla ogees wcilaag oa this jobF:I am an .. .:::.::::.}::::::?:::::::::::::.:.:.:::.::.:.,.,::,,,:,:....:. ,•Tf: l(�yl�Y•+�.... .!. ....Y .. .. vv 4Y•':v:., ....:v:: -:f•:iss:t4:}:4'.;:.::.22ifh:{:isiL}'R:$:$?•:.::ii;.;v.}:i::i:ti?i'r?i::i:i:w:::::.:::::i'i::::: - — ;,..1M1•,•; +K{•.wnx..Y'90GCY{?.:rr..x..rf�R2�' v..:. ..h..w:•. !4.:•.\,i:•:Y.•i::{.}y}l.•.�.•Q::•{,.,, ••:•::.• .{:..M.: vTi�r4i. '.•. .... ........ :..v v.OW Y•x. 'n-+.1'vvOF AYi»... .<. �•. S;�:.;. 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Itntderss�d 'afire w seezQs eo�eraie ��tosnt ota STOP of 5100.00 a da atainst that a gar�esrs'bnprisomnent ay weII as d�D pena7lies ottbs DlAfos'pie�eti$eatiosl • �tanmt�7 be tozlrasdsd to the OIDoe :op!of this nniad above is true Md correct ccrti md a er the pasts and pwallia of P� �'forsrta�ion P hereby Dft �L 213Iae ofad2l we off' do not wrue in this arcs to be eampistAA tq d!7 or fawn otIIdal C)Bunding Department pesntit/lieease�! EDylcensing Board city or to": (_)Selectmen's Office : �� Health Department 1J is re checkuimmedwe reSpons [:)Other pbM#' contact person: y i d Instructions Information an " . . compensation for their all employers to Provide workers' comp General Laws chaPuT 152 section 25 mires �emery person in the service of another under any contr ;sachuseas ��"]aw".��nptvyee is defined lo�•�'-s• As Quomplied, oral or written- ire. express or imp or a y two ar more of armership, associatsoa, Pon or other legal�m3', lover, or the rewn•er or employer is defined as an individual,p representatives of a deceased emp e, and including However the owner of a ed in a joint eaterP sty, loymg em, loyees. g house of foregoing engag ��association or other legal ' � or occupant of the dwelling ;tee of an individual;p and who resides therein, grounds or than three apartme� house or on tlt: :lI.ing house having not more or repair work on such dwelling arsons to do mainteaaaeC. be deemed to be an employer. ,ther who employs P shalt not bemuse of such ; =appurten t withhold the issuance or renewal 25 also states that every state or locaTFic�mg �c3'. applicant who has JL chapter 152 section bmldings in the commonwealth for any aPP the operate a business or to constrict neither s license or permit to op 6. ce coverage erfo ublic work until msur £orthe p produced acceptable evidence of cempl'iance with ��-2Ct a to the contra" of its political subdivssLams shall o f�isP��been prey nmonaealthnor any Rance withthe ins -of camp :eotable evidence . ,plicants g tbC bmctbat applies to Your swan and as all davits may be ease-Min the w0�� number alms V a�� o be sure to sign and and Also oolying comPanY names • for - of msm ce 63r the p�or license is .omitted to the Departmaot to the�9 ar�av�athatcation g�d�g the "law"or if'•ou ..te the affidavit. The a should be rem m D art�mC� D have nay =bar listed below. ing n;* ao�t, ate, carapmsatzaaPo�.P��;�.. , �� u rapired to i/. Ity or Towns lathe P a space at the bottom of the and ICIY• Mm Departmed has P�cd the applicant. Please =se be sme that the afi�* PQfbVCs has to camtact you be r�0d t" y1nam for you to fill out lathe event wMbe used as a=ft=ce sure to fi number. 'Ibe afndavrts may cimi� a�erwbsch have be�made. ll l or FAX unless� Deparancnt y you have any questions. Office of Invesdgan ons would Ile to thank you,in advance for von COOP on and should. give us a call. „ do not OEM f3xabet; Drparancat's address,telephone and assachusetts The Commonwealth Accidents Department of Industrial Clue of IMMstlgations • 600 Washington street Boston,Ma. 02111 far#: (617) 77.7-7749 _L...:e a• 16171 77-7-4900 ext. 406, 409 or 375 I sxED V q10 o . Ao I z as 2 24.00 14 82 10 E1�STING GE e DWFL�G EKIST G N G ND' N r o FO F n 26.50 2$2 102.5 CD o !11 ON o Un o G �0/0_Mn �1 0 /i!] - 115' a o_ L=126.6 84.74 6=08°14'51" R=879.3 N 77000'20"W l-y,.3 [�I�L�C'L�C�GG�7 G301 D "I certify that thefoundation shown on PLOT PLAN OF LAND this plan is as it actually exists on the LOCATED IN ground and that it conforms to the town of MARSTONS MILLS,MASS. Barnstable zoning regulations regar ' PREPARED FOR yard setbacks."� 1H OF .� PETER FITZPATRICK DAVID o CHARLES DATE:SEPT. 18 2007 SCALE: 1"=40' date.Sept.18,2007 U S2 085 ", CAPE & ISLANDS ENGINEERING flood zone c[non-hazard] q p sir.'. MASHPEE,MASS. wheeler ,say ECIsnik �''tAl LA.NUS� 4 TOWN OF BARNSTABLE Building Department - Foundation Permit Date � 4S o7 Permit # 200�0 3 6 yy Name_Bcoo*t Location _ /93 W me La cet Re . IG AA Aa,&r � sp. of Bldgs. i PROJECT NAME: ka. i ADDRESS: /1 II II-�lalmQ PERMIT# �"20 3 Y PERMIT DATE: 71�D M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT Ate' DATE COMPLETED: �l BY: q/wpfiles/archive e ♦ 410 Pro MAP 82 22 ' 2 21 19 ' a� liSgnlconservationAgn Jun.26,20M 16:22:09 2'-9I'4" X 4'-0" replace exieting window 19'-&V2 (same size) 3i�" exieting mechanical area existin Z existiY�g boathouse bath _ replace overhead door 0 with ellder N 4 exieting c4blnetb and oink � o � o new windowe replace exieting wl ow (same elze) r IV-5 13/16" X 4'-0" 2'-9V4" X 4'-0" MAIN FLOOR PLAN FRONT ELEVATION r' ul �� i - - - as LEFT ELEVATION f , t f REAR ELEVATION e c 5/2x& header new windows 8" CONCRETE E31-OCK 0 0 0 SUILDINGrt SECTION ; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 627, Permit# �0 Health Division C55;� Date Issued Conservation Division S o� Fee 6r25 . )U Tax Collector 0 Treasurer &lLli�O SEPTIC SYSTEM MUST Be INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL COrJ71 AND TOWN REOUP- Historic-OKH Preservation/Hyannis Project Street Address village � \ � t�5 Owner V 6 2 It 1,Ct,,jm- �Atr\oA Address Telephone Z�Z�ism Permit Request �'� �� Gam( `C�(�-ram hc�C�✓ 6 k Vy��. )jo— eA\,.+\, Q r S S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes k(No On Old King's Highway: ❑Yes Id Basement Type: ❑Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new _A\Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil 0 Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: 0 existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size 'Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name �o —0 -U hone Number L4 (-t Address �1/ I A ,� (� License#LT(ASO y l (;(-S,P I " i 1S 1 A \ c) nL4x Home Improvement Contractor# 1�)Q"d Worker's Compensation# 01-WL 02_(o(3�1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOV��D_Jru_ w V t� SIGNATURE DATE 0 w FOR OFFICIAL USE ONLY - y. PERMIT NO. DATE ISSUED"...: _ MAP/PARCEL NO. a� ADDRESS VILLAGE OWNER DATE OF INSPECTIONff'; 'I FOUNDATION . FRAME INSULATION - J FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH}3 FINAL GAS: ROUGH' n =i FINAL CaFINAL BUILDING DATE CLOSED OUT � ASSOCIATION PLAN NO.. ! ' ___-;-_� The Commonwealth of Massachusetts Department of Industrial Accidents office 91MMSMOSMONS _ 600 Washington Sheet ✓ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: O S location city Q��(S�nS 4`� \ 1 �D hone 0 J ❑ I am a homeowner performing all wblk MYMM ❑ I am a sole etor and have no one is anv �� /pp/////%////////%/�//%/�%/ �� workingon this ob easatlon for my� ......: .::}:.}:.};>:.:.}y;�:<.::.»:.}:.}>}}:ii.>;:.:?.:?.:}}:::::}:«:<::>:«:<:><::>::>::::>::::><;:�;<»>:>:>> :::::.>. 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Y.x... ..,..... ...... ..........................::::�::.......,.,r.::•::•.•. .........::..........:vr..............•:r.:{v...............,. .. ..r...... ...v:4:nn, .r..v.vv?^:: ,.::•.r. .................::::::::::v:::i:•}:?ii:::::. ........... :::::•:.}:•::::::::.................nv:{x-.k ••::.vr:kvJ.%•:%^m:::::rhv.;.,...:�' }....v„v....70.. ......................................... ....::•.v:::w:.v.:v:... :.�::::...........:::............v... ..n{..NN4:v......r ...rn:+.X... „r J 2 f4.•.,:}.:. K!„r-. ,•....:::............. ::.. �T17tITanCe}CO >.:<::r•5:;;•}:..;::•:::... •:•:...%..} �i. Failure to secure coverage as required muter Section 25A of MQ.14 can lead to the imposiflon of e:lm�Pest of a Ste to 51�00.00 and/or one years'imprisonment n well as dull pa�aities in tha form of a STOP WOGS ORDER and a Ste of$100.00 a day against me. I m►derstand that a copy of this statement may be forwarded to the OS1ce of Inoue otthe DIA for coverage veriScation. aralties o that ae information provided above is tru,mid eorred • I do hereby a raider the pants p fPQl�' Date 7 — Sigaatune Phone ii��6 0 1"1 Z$�— CJc�V print name �5 f ` ofacw use only do not write in this area to be completed by city or town oIDdal peradt/llcane# ❑Building Department city or town: ❑Ucensing Board [:)Selectmen's OtSa ❑checkif immediats response is regdred ❑Health Department phone M, ❑Other contact person: (tented 9195 PIN Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employersprovide workers' compensation for their to in the service of another under any contract employees. As quoted from the"law",an employee is defined as every p�� of Hire, express or implied, oral or written. ' oration or other legal entity, or any two or more of An employer is defined as an individual,partnership, association, core g �S' the foregoing engaged in aloint enterprise,and including the legal represeirtat vl es 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 renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required., Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance' of this chapter have been presented to the contracting authority. FAM , i Applicants the box that lies to your situation and Please fill in the workers' compensation affidavit completely,by checking. applies company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted Department Industrial Accidents for cmnfirma6m 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 Off ce of has to contact you regarding the applicant. Please be sure to fill in the pemnit/license number which will be used as a reference member. The affidavits may be rertemed t^ the Department by mail or FAX unless other have been made. ans would Ice.to thank you in advance for you cooperation and should you have any questions. The Office of Investigati please do not hesitate to give us a call. /01114 The Department's address;telephone and fax member.. i The Commonwealth Of Massachusetts Department of Industrial Accidents Office of luestloadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat 406, 409 or 375 '�•✓lie �anvnzancuealCli a�✓�/�r0;uzc�ivaet�6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 076850 Birthdate: 07/20/1973 Expires: 07/20/2003 Tr.no: 76850 Restricted.To: 00 JESSE P CAPRIO 2 BLACK WATCH WAY MASHPEE, MA 02649 ~ Administrator '�`\ ✓/tC L6)lU)H4Jt[IJC¢�UL O�✓�LQJJCLC�[IJC�J HOME INPROYENENT CONTRACTOR Registration: 130930 Expiration: 05/12/2002 Type: Individual JESSE 0. CAPRIO G� o �p�.��1ySE CAPRIO ADMINISTRATOR 2 BLACKWATCH WAY i MASHPEE MA 02649 Th a Town of Barnstable . � . . :..asaus[•nazE Department of Health Safety. and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERNIIT 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. Estimated cost Type of Work:-- �� . �— �66� ��,o �C� Address.of Work: W '�1 ��-'\ McL c, Owner's Name: L a JfCC, Date of Application: (0 I hereby certify that. Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby a ply for a permit as the agent of the owner. ?� P� r- _SO 0 a Registration No. Date Contractor Name OR Date Owner's Name q:forms:Affidav _� _� `• Assessor's map and lot number ..... ` N Sewage Permit,:'number .......R11" ....:.:....::.... Z BAR33TADLE, i House number .......................... ,.................. ::.., roo NAM ♦� a yaY a. TOWN OF: BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... El!! VATS ;l7GcJE//iN6 � 0� ....................... .................... �.......... TYPE OF CONSTRUCTION ( 100ID . ............................................................................................... .................... .:..Z o..........19.�:.! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... TO/YS Mil lS ................................................................................................................. Proposed Use �ZGI/��9 Zoning District . ' ......................................................Fire District Name of Owner ...../yR.RO/0...7....?.EI'a�Y........................Address 9?...414 F-� .. ::..:�.f+.Az,u—T.. Nameof Builder ....................................................................Address .................................................................................... Name of Architect ..�.�M/N;IC„ &grfO a .T...c.ke� rro(. l4N.v�e/d !/yA Address ............ �......................... Number of Rooms ....U. (I NCre � ..'."e!...........................................Foundation ....�Q........... .................................................... Exterior 0 /� Fao C!_1OC��I...Sh..INGiES ................................Roofing 17S .... Floors ......�.:op ...O.!V..CU/yC�C...�e............................Interior I w Ll .................. . ............................................................... Heating ....�l.O/ C!JQ1`E/ ....................... 1Z...............Plumbing ......3..60I6rOQ?1 ............................................. Fireplace :...0.0/1/P...............................:............................Approximate. Cost ..............,OOP.........................t............. iDefinitive Plan Approved by Planning Board -----------_______-----------19_______. Area .../,P.?.......P.. ............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH G d a Cj �• r d 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. rName---4t52 .. a.,...................................................... Construction Supervisor's License ....1�.............................. THERAN, HOROLD A=82-2.3 Na ..U.H 2... Permit for ...UNOVATE ..................... .................................. Location ......19.3...Wheeler...F%QzLd............... .....................l axs.tan.s...1%.UILs..................... Owner ........Raxold...Thexan....................... Type of Construction ........Exame....................... 2 ............................................. ..... ................ 2 Plot ............................ Lot Z j Permit Granted .......January 18.. 19 84 Q2 Date of Inspection r ,' Date Completed ....................................... Assessor's map and lot number C ...... .. ...... . , / sINE Sewage Permit number ... .... ...... ..�.1.. . '!Lri.:.....1� . ��"' - O House number ................................... NSI IN CsC,',' •` Z EAMSTADLE, i . ... �TALLE d s rnea � i Te4 039. \00 'Ep NO M1. TOWN OF BARN- TABLE BUILDING ?, INSPECTOR APPLICATION FOR PERMIT TO .....8E&�V!97- .. .....�..........................Z�.......... TYPE OF CONSTRUCTION ........( OOQ ........... ............................................................................................ ....................1.:�.j .......19. .! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... .I.93.... heeleR.. .....I �RSTONS mi��S........................................................................................... ..................... Proposed Use ............ � /v .................... .... ....................................... ZoningDistrict ..................................:...............i.-.................................Fire District .............................. ...........................I.......:........./.....f...�.................... �14.6- Name of Owner .....h..046....Th E.. aIY........................Address a14�7.ZG ?Name of Builder ....................................................................Address .................................................................................... Name of Architect .. M/NIC &Ui"Fd Address ...off... �r��ke �" �(�NN�� 4 Number of Rooms .....�I��......ery.........................................Foundation ....CL�.ivCrertl°.............................................. /� � f (( E Roofing Fa(-)/ Exterior ........ 1 D.�i'....517/�1/G.....-5................................. ........�.5..................................................................... Floors .......�OQo...O.N CO /C(ef ............................Interior ......... / ......:......;L............................................. Heating AQ1.WQ c......................V� ...............Plumbing ...... ...pU7,/7......715........................................... .ace ... ..Fireplace oNe ........A Approximate Cost U� Od� p ....... ............................................................. PP ...................--..��..((.��....... ............ Definitive Plan Approved by Planning Board ---------------_—-----------19_______. Area ... ..................... Diagram of Lot and Building with Dimensions Fee � °>.?......�Q .............. ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name-.Ii.. .......................................................... Construction Supervisor's License ...zl . .y:/. ?�.... .......... THERAN, HAROLD No .5 9..8 ... Permit for.... ...2. ............... ........................................... Location ...;Lq3..Y)Ag.e.l.e.r...Road.................... .............I...... .......... .......... Owner .......Harold...Th.era.n............I............ Type of Construction ......F.KAIAQ......................... ................................................................................ Plot ............................ Lot ...................... Permit- Granted ..:....January. ..18,....19 84 .......... ..... ........ Date of Inspection /.7 �7,R!„/..............19 Date Completed .......... 19 ........... ..f�::�X•9.^• .I'-H•••.�v-'i7�-.+-Rc; w.....-: ._.^� .a f.rx.:•i t":r.:�6`tc. n'a::M:vy�4S'yah•�,+y'aa��`',y,y,iyy`Y7��x'�Rii?iY""'"^'1:r1' �'J34fF`Y"'Piri' r.,�}��',n :.i. `oF.ME rpk� Town of,Barnstable BARNSI'ABLE. Regulatory Services MASS. rL.'ITT'. 39. Building Division. . 'OrFo Mn+° 200 Main Street, Hyannis;MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice. 0 Type of Inspection BFRAk Location I g 3 QU wvk- Permit Number Owner Builder .One.notice to remain on job site, one notice on file in Building Department. The following items need correcting: IAOM ddrmei-cptb(e IkX(bSJO\� f--Pr?-0 bloc"61oa r rr t Col ne ipd Vlee Where -Octer- Mee ` k -oP UJ-Q . 0-1` 4-oca7F o-o-\- uYlo ce (,mti or loves ?oc5 s -- A6rrR&rs, kc,Ar q. ;Jokes 1 fZ co V1 cf� r i sT o t rL7 Firif toc -Inso ®U-I-S�-de s(a�rlva �L L �5tttiY GU l(ncooNs- Ca wKoT fe 5T ©h Cvrtcre-&.'1 zat 5e4. K��c E sY►zf s Gc.lPS IN G 066 I icy 6-r s e64 -cc wt.eWe cP .10 ©r og 01 I Please call: 508-862-405,8'for re-inspection. Inspected by Date aIP ( � 08 ,)Ire RESIDENTIAL PROPERTY MAP 40. LOT NO. FIRE DISTRICT STREET 192 Wheeler Rd. Marston Mills SUMMARY (on Mystic Lake) 7, LAND 61 7p 82 -�' C-0 rn BLDGS. G�� 23 OWNER � f: -�� r,, ( 7G-tt! (' � TOTAL Q 7 3,7 p. RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: D�L� 2A 17Y LAND 41700 BLDGS. .302. ll TOTAL LAND 1• a ` ' Q+ Blocs. 341300 Tobins, Marshall L. & Barbara A. 5-11-81 3283 349 $205, TOTAL lvS�O D LAND P D P o X b 7 /c�STo Al /�� - BLDGS. 01 TOTAL • (� Q// L �. LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: % — BLDGS. L✓�// TOTAL DATE: % �--� % � 7 Z � LAND ACREkGF,/COMPLWATIONS BLDGS. LAND TYPE OF ACRES PRICE TOTAL DEPft. VALUE TOTAL HOUSE LOT , 0 3d zn0 ,30 00 U 30 0 o LAND CLEARED FRONT �'e BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT s O — TOTAL REAR LAND BLDGS. TOTAL Q'-'tl LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER MLAND,26� ROUGH TOWN WATER (7 rnHIGH GRAVEL RD. LOW DIRT RD: LAND " SWAMPY NO RD. eft-TBLDES771 [Fin. PRIt-ANCaLAND COST ne.Wallt smt.Area Bath Room Base a bi� 0BLDG. COST ne.Blk.Wells ✓ Rec.Room St.Shower BatA Bsmt. nc.Slats Garage St. Shower Ext. PURCH. DATE Wells PURCH. PRICEick Walls .&Stairs Toilet Room Roof RENTone Walls ic ✓ Two Fixt. Bath INTERIOR FINISH lavatory Extra Floors ers , mt. F ✓ 1 2 3 Sink Plaster Water Clo. Extra Attie S-o oZ C) XTERIOR WALLS Knotty Pine Water Only , able Siding Plywood No Plumbing Bsmt.Fin. Ingle Siding Plasterboard Int. Fin. ' Shingles TILING GfL- y° ne.Blk. ✓ P Bath FI. •9 � • Heat to Brk.On Int.LayoLJG .F Bath F 6 Wains. Auto Ht.UnitVeneer Int.Con Bath FI.&Walls Fireplace m.Brk.On HEATING Toilet Rm. Fl. Plumbing lid Com.Brk. Hot Air l....&.i ✓ Toilet Rm.FI.&Wains. _ � • Steam f Toilet Rm. FI.&Walls ls 8 z '�91 � anket Ins. Hot Water-ALASt. Shower 2. f Ins. Air Cond. Tub Area Total ►=—ice 025% Floor Furn. •�� ROOFING COMPUTATIONS s y S r Dh.Shingle Pipeless Furn. S.F. 9 3 A Yf s•—Gas� od Shingle No Heat ,! bs.Shingle ,'Z'0 g Oil Burner to Coal Stoker S.F. 1"a O • Gas ROOF TYPE Electric S.F. OUTBUILDINGS ibis I Flat S.F. 112 3 4 5 6 7 8VRoll 1 2 3 4 5 6 7 8 9 10 MEASURED D Mansard FIREPLACES S•F• Pier Found.mbrel Fireplace Stack Wall Found.FLO RS Fireplace / v Sgle.Sd . LISTED ^c LIGHTING g rth No Elect. Dble.Sdg. / ne Shingle Wells V Plumbing DATE rdwood G.k ROOMS _ Cement Blk. Electric Ph.Tile Bsmt. 1st TOTAL �" •rj Brick TFF Int.Finish PRICED Ingle 2 n d 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. s F .Sf r�• G — ya7 ` J ZO 3L/ / 9q 3y,�R0a z D ZO 3 3 Stirs v u 3 4 s .6 6 e to ` � TO.T1AL RESIDENTIAL PROPERTY MAP N6. LOT NO. FIRE DISTRICT STREET 192 Wheeler Rd. (on Mystic Lake) Marston Mills SUMMARY 82 —9— 7 a LAND G 7o o �3 OWNER C�0 Im BLDGS. (r vv / TOTAL O 7 3•�O RECORD OF TRANSFER DATE SK PG I.R.S. REMARKS: D�L� [LAND o0 01GS. O 102. - AL 1� a / D 0 01 BLDGS. 341300 Tobins, Marshall L. & Barbara A. 5-11-81 3283 349 $205, TOTAL loS�O 10 .LJ O LAND BLDGS. TOTAL d�/ L LAND ell BLOCS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. ch TOTAL LAND INTERIOR INSPECTED: /" � —.- BLDGS. DATE: 7 ] �� _. \ ` t-- ... �._/ TOTAL LAND ACRIEkGE,/COMPUTATIONS BLDGS. LAND TYPE 01 # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL OUSE LOT �CIZ= 3C� CC)p 30 0 0 0 LAND LEARED FRONT S ��." 3 0 o u 0 REAR BLDGS. ODDS 3 SPROUT FRONT TOTAL _- LAND REAR ;06� ASTE FRONT BLDGS. REAR TOTAL LAN HD BLDGS. TOTAL 1 " LAND 1�" BLDGS. 01 LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND �/ ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD; LAND Iroperly Location: 193 WHEELER RD MM MAP ID: 082/023/// lision ID:4981 Other ID: Bldg#: 1 Card I' of 1 Print Date: 02/24/2000 —Elemen-F-- Cd. 1(;h.I Description Commerctal Data ements Sify�eype �J4 Uape Uod Element Gd. Ch. Description AS Model )I Residential Heat&AC Grade ik- A- Frame Type WOK bu. 0 11 Baths/Plumbing 6 24 Stories 1.5 11/2 Stories 24 15 Occupancy 0 CeilinglWall Wall I Rooms/Prtns 4 1 5 tenor Wood Shingle %Common Wall 0'f Structure 2 Wall Height S AS re 3 able/Hip FHS 25 5 11 0'f Cover3 ksph/F GIs/Cmp, 31 BAS 4 AK 21 isue .- C Y BMT MVB7L_EHUMEDA1A,IPUI Interior Wall 1 5 )rywall Vement e juescription Factor 2 34 le 18 Interior Floor 1 4. arpet Complex 26 PTU_ 2 2 iardwood Floor Adj -4 7 7 21* Unit Location Heating Fuel 2 il Keating Type )4 of Air Number of Units AC Type )3 entrall Number of Levels 34 %Ownership Bedrooms )6 Bedrooms Bathrooms i Bathrooms "'_JW'y'1MAXAZ1 VAL UA It Full Unadj.Base Rate 5.UU Total Rooms 0 0 Rooms Size Adj.Factor .86521 Grade(Q)Index .70 Bath Type Adj.Base Rate 0.60 Kitchen Style Bldg.Value New 1.37,044 Year Built 940 Eff.Year Built OV85)1985 rml Physcl Dep 2 uncn]Obsinc �con Obslnc pecl.Cond.Code a G pecl Cond% 0a ode Description Pq�e 0 Cond. 08 ON single ram eprec.Bldg Value 364,000 U A.1`;_JffUjLD1jVU EXIN jl . 7W5Tc7V'm0-" Code, Description L.46 Units Unit Price Yr. Dp R1 Yo(;nd Apr. Value --FPE'2-Fire1-1/2 Sty IT- 1985 -Tuu— BFA Bsmtp Fin-Aver B 200 15.00 1985 1 100 2,600 SNA Sauna B 1 2,500.00 1985 1 100 2,200 APTX Extra Apartmt B 1 5,000-00 1985 1 100 4,400 BRR Bsmt Rec Room B 400 5.00 1985 1 100 .1,800 FGR4 Garage-Excell L 336 37.00 1985 1 100 10,900 DCK2 7k-An Const L 52 40.00 1985 1 100 1 1,800 U 9VB-A RWUMMARY _L-ode— Descrip lion Living Area CirossArea Eff.Area Unit Cost Undeprec. Vaffiv_ F-ir-sFFFoor 2,884 BMT Basement Area 0 1,851 370 14.11 26,122 FHS Half Story,Finished 1,296 1,851 1,296 49.43 91,498 FOP Porch,Open,Finished 0 24 5 14.71 353 GAR Attached Garage 0 378 132 24.65 9,319 PTO Patio 0 544 54 7.01 3,812 WDK Wood Deck 0 330 33 7.06 2,330 IM Gross LivlLease Area 4,1911 7,862 4,774 Bldg Val: 337,U44 [ ] [R082: 023 . ] • LOC] 019.63 WHEELER A CTY] 03 TDS] 300 CO KEY] 42885 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 THERAN, BARBARA MAP] AREA] 18WA JV] 276025 MTG] 2012 foSOKOLOWSKI, MICHAEL & SP1] SP21 SP31 SOKOLOWSKI, MARY-ELLEN K UT11 UT21 1 . 55 SQ FT] 5076 83 ARNOLD RD AYB11940 EYB11980 OBS] CONST] 92940- NEWTON MA 02159 LAND 127100 IMP 384900 OTHER 18500 ----LEGAL DESCRIPTION---- TRUE MKT 530500 REA CLASSIFIED #LAND 1 127, 100 ASD LND 127100 ASD IMP 384900 ASD OTH 18500 #BLDG (S) -CARD-1 1 384 , 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 18, 500 TAX EXEMPT #PL 199 WHEELER RD MM RESIDENT'L 530500 530500 530500 #DL LOT 2A OPEN SPACE #RR 1824 0212 COMMERCIAL #UP FY99 INDUSTRIAL EXEMPTIONS SALE108/92 PRICE] 1 ORB] 8142/222 AFD] I A LAST ACTIVITY] 10/24/97 PCR] Y R082 023 . , P E R M I T [PMT] ACT [R] CARD [000] KEY 42885 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [B25982] [01] [84] [ ] A ] [ ] [04] [85] [100] [NEW ] [MM ADD/REN] [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ ] [?] R082 023 . e P P R A I S A L D A T KEY 42885 THERAN, BARBARA LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 127, 100 18 , 500 384 , 900 1 A-COST 530, 500 B-MKT 399, 600 BY 00/ BY FR 4/85 C-INCOME PCA=1011 PCS=00 SIZE= 5076 JUST-VAL 530, 500 LEV=300 CONST-D 92940 ----COMPARISON TO CONTROL AREA 18WA -- --MAY NOT BE COMPARABLE-- MYSTIC LAKE / MIDDLE POND / HAMBLIN POND PARCEL CONTROL AREA TREND STANDARD 151 15 LAND-TYPE 1271001 LAND-MEAN +0% 5305001 IMPROVED-MEAN +0 2506 ] FRONT-FT 11 100 DEPTH/ACRES TABLE 02 100°61 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] of B ems, CAPE COD COMMISSION 9 O 3225 MAIN STREET V m P.O.BOX 226 BARNSTABLE,MA 02630 (508)362-3828 SACH�35ti FAX(508)362-3136 E-mail:,frontdesk®capecodcommission.org February 16, 1999 Mr. Alan Arruda 193 Wheeler Road Marstons Mills, MA 02648 RE: Hayes/Arruda Subdivision - #TR91082 Dear Mr. Arruda: S This letter is to inform you that the Development of Regional Impact approval granted on February 6, 1992 for the Hayes/Arruda Subdivision expired on February 6, 1999. Therefore, no municipal development permits may be issued pursuant to the original Development of Regional Impact decision. If you have any questions, please contact our office at (508)362-3828. Sincerely, C�6L C7 Dorr Fox Chief Regulatory Officer cc: Mr. and Mrs. William J. Hayes Richard Largay, Esq. Ralph Crossen, Barnstable Building Commissioner Barnstable Planning Board C".i L December 1, 1997 Town of Barnstable Building Department 367 Main Street Hyannis, MA 02601 Gentlemen: We, the undersigned residents of Wheeler Road in Marstons Mills are disturbed about the fact that a home on our street was used as a site for commercial sale of merchandise and would like any appropriate action to be taken to prevent a recurrence. Merchandise including a large quantity of rugs and other articles were sold by a commercial liquidator on the property at 193 Wheeler Road on November 28, 29, and 30. The sale was extensively advertised in newspapers in advance and promoted by the use of signs placed on Race Lane opposite the entrance to Wheeler Road and at the corner of Race Lane and Route 149. The result was, (1) a dramatic increase in road traffic endangering the safety of our children and ourselves, (2) blocking of a residential road not wide enough to accomodate parking alongside the road, (3) damage to private property due to parking on the shoulder, and (4) disruption to the normal peace and quiet of our road which is very important to all of us as home owners. Please take any action necessary and appropriate to protect our rights as home owners on a residential road. Sincerely, iVAmG Dp/L'6�S,f Co Me rS 379 n-OAD 'P:zr�— ., age (.�he•e(�� ,�! l31 Ay'.C(e.. 5;�A , ty)fil I �eau;id �J� 6 ),c I lx/Ar 7 IeA4 �� — I li7£`�A�'F112�fD $t71"' �0 9 �: I 795,000 4' t- 6y s MarsIons Mills ' �5 .• N ma 10 Bedrms 6 Fu1lBaths 5 1,12 Baths 0 S B. CONTEMP WatAec "BEACH LA Built O APPROXI Lo Size 1.55 F '3201+' Adeir 193 WHEELER 11013/262 Sub®v Map/Per 23 YA Beach BEACHFRT BahOwner PRIVATE otalAsamt 513500 Terms 7189 1999 Heavc0ol 'CNTRL AC,OIL,3 ZONE' Watr/SewrARII PRVSWR G o a3 IM Feat W HRLPOOL' Equlp/App 'REFRIGER,DISHWSHR,COMPACTR,INTERCOM, Bacot Y 'FULL,FI EWIY Lead U Utfl N 'ATTACHED DIR Y Y Rem Waterfront estate otfeAng the finest In Cape Cod living. This property to separate guest cottage with kitchen,living rm, and 2buba.Boathouse dock. House has curb appeal and Owner SOKOLOWSKI St.CALLOFC LatO1f COTTON REAL ESTATE INC Ph (508)428.9115 LitAot JOAN WRTER 508 999.9999 r Race Lane to hee er Road House on Aght. SAF 3%% tsAl-3%1% vu 3%1% IML# 990d2d2l 54 rn nJ aB �Ia�3 I rn �J a8 �1a� 3 ---------- GENERAL NOTES: These drawings and specifications shall remain the sole and exclusive property of D.Michael Collins Architects as instruments of service. All drawings,sections of drawings,details,and design concepts shall be used only for the purpose intended by the ArchII itect and shall not be copied, amended or reused at another site without the expressed written consent of the Architect. t st e res sibility of the Contractor to pon review these drawings and report any errors F 2 x CeIlIng Joists a IV' o.r-. with drawings,details,or associated sketches to X rathe Architect before construe to pp n!o O.C. with commenced. Do not scale drawings. I x 64G Beaded board or as noted. ----------A 12 EXIST. 2nd FLR EXIST, 2nd FLR - — - — - — - — - — - — - --- - — - — - — - — - — - — - — - — -- - — - — - — - — - - — - — - — - - — - — - — - - H2BA HURRICANE CLIP 0 EVERY RAFTER (3)2X8 PT AC(PIACE& POST CAPS rqX& PT POSTS INTERIOR RAIL SYSTEM -TEXIST. lot R 77= ST CAPS 2XIO H& CLIPS ONE SIDE HO CLIPS EACW 1 OF JOIST TO BEAM SIDE OF BEAM L 1 AC&/ACE& 6X6 PT POST L POST CAPS AM,166 P05T IBA5E W/%11 >c ROO OR 0 4 GROUTED L ......................... 0 0 a,0 51(3pc MIN.4811 5ELOUJ GRADE L--------- --j-------------- Screened florc h Section SCALE: 114" V-011 DECK RAIL 15UIL7-IN MENC14 II Rear Elevation T5D. COMPOSITE FINISH WV PT STRUCTURE SCALE. 114 0-0" EXIST.ISTIFLP. EXIST.IST FLP. EXIST.1ST FLR. ISSUE DATES: F-2" 11-21 —UFMR DECK L UPPER UPPER DECK October 27, 2011 t J, 2XI9T DECK FRAMING 2XIO PT Dtx FRAmNG XIO PT DECK FRAMI (2)P.T.2 x 10 BEAM 5)P.T.2 X BEAM (2)P.T.2 x 10 BEAM (SEE FRAMING) LOWER DECK FRA MING) LOWER DECK (SEE ING) LOWER DECK OL ...... 2XIC PT DECK FRAMING 2XIO PT DE=ING 2XI0 Pt DECK FRAMING --------------------------- He CLIP JOIST To N8 LIP J IST 0 HIS CLIP JOIST TO BEAM TYP. BEAM TY*P. BEAM TYP. (3)P.T.2 x 10 BEAM -7 (3)P.T.2 x (3)P.T.2 x 10 BEAM ------------------------------------------------------------------------------- (SEE FRAMING) (SEE FRAM ) ----------------------------------------------------------------------------- (SEE FRAM AC(a GALVANIZED METAL AC&GALV, TAL AC6,GALVANIZED METAL POST ANC44OR TYP. POST AN POST ANCHOR TYP. -------------------------------------------------- Ste 5 eC Gr"' ')`ler eC 0!ALE�Ii/2n1 1a0t �!A L TE� 0 SCALE 1/2 1 0 EXISTING HOUSE ------------------------------------------------ ------------------------------- ---- --------- 4 GENERAL NOTES: DECK RAILS,POSTS,BALUSTERS AND DECKING SHALL BE CEDAR,MAHOGANY, --------- -43.4-- -- ----------------------------------------- OR COMPOSITE MATERIAL AS NOTED ON ELEVATIONS AND/OR PLANS. -------------- ------------------------------- TRIM,FASCIA,SKIRT BOARDS,AND SCOTIA SHALL BE PANT GRADE PINE OR COMPOSITE MATERIAL AS NO ON ELEVATIONS AND/OR PLANS -------------------------- ALL HANGERS AND FASTENERS SHALL BE COMPATA,BL£WITH CURRENTLY .......... AVAILABLE PRESSURE TREATED LUMBER(ACQ).HEAVY GALVANIZED COATINGS (GI85),STAINLESS STEEL,OR ISOLATION MEMBRANE SHALL BE REWIRED BETWEEN P.T.WOOD AND MTL.HANGERS AND FASTENERS, 0 aO 8 ...... DN. 4111 Ob (else a,It gig EXISTING WALL CONSTRUCTION DECK RAIL SYSTEM MID. ............ ------ ------- UFFER DECK LAP FLASHING w/ ............. BUILDING PAPER 21 ELIOT STREET NATICK,MA 01760 Ix COMPOSITE DECKING ON 2 x 10 PRESSURE TREATED FLOOR DMCARCH.COM P+F 508.651.7099 DININ Fl— JOISTS a IS oz.(SECURE DECKING w/STAINLESS STEEL - D . I x COMPOSITE DECKING. 4 0 5K T AIREA "PICTURE FRAME"DECK RING NAILS) EDGES FLASHING-RLIN OVER LEDGER BOARD E BLOOM . T 2 x 10 P.T.JOISTS 49 fib"o,-- MEMBRANE OR f=.(D COATING BETWEEN P.T.WOOD AND RESIDENCE ' PANT GRADE I x 10 MTL.JOISTHANGER `o 4 -0 5 REE GALVANIZED JOIST HANGERS AM Li WHEELER ROAD 2 x 10 LEDGER BOARD w/1/2"x 6"DIA -------- LAG BOLTS a 16"or-STAGGIEVOED. • MARSTON MILLS, MA A HOLD OM WALL tu/SPACERS 3 (3)P.T.2 x 10 BEAM ------------- LOWER DECK (SEE FRAMING) 77T FLASHING AW DRAWN: RE A) ....... ACAP GALVANIZED METAL Al� -I POST ANCHOR Ll 7 --------- -------------- SCALE:- AS NOTED 6 x 6 P.T.-WOOD POST DESCRIPTION: 141-011 A5U&&GALVANIZED METAL POST ANCHOR DECK PLAN OF MARK & ELEVATION WKENZIE 10 Deck Plan Railin DWG. # g Detail edger Deack eta I I 2 SCALE: 1/4 6 I 1 SCALE: 111 11-011 7 SCALE: 1 11-011 LL ------------- l_ p t a e Q 0 Q ll _ • 2 0 6 0 N0 4 9 1 r !' E P A E G C 11� B P r 11 a A BVIV ..: 40 , . 1 i . I3 , �Y i i , / / : 1 P 1 , _ 1 r / i 1 \ i / i r \ i i I vW . B a r �.�. S I � D s � 6 ' J r ' \ 42— s ---_ s 1oo o jo o v� \ s \' f s 48- O O 6 0 _ 5 l 1 0 s 5 S — / I -- \ 5S-` 6 6 2 6 6 t 6 T(J V v � f To � 6 8 IT TOW T �_ ) r =— l t „ 36.70 _ 6 EL.6 . 1 g DECK O a a w 1 ON _ o , a , h _ 2 4.00 i�82----- ,6I 8 6�.ACCESSORY a \ r a � , EXIING ST D�UIL ING ,r o . s WELLING I _ 24.70 \o 0 w M O J r� 22.22 - Lll P _. --- PRO OSED �a fADDITI OIL 0& r, — CL,f } RENOVATION 26.50 PROPOSED i 9 ., GARAG t. 2 -- N ,. --- 1 2 28 t 0 _1 ; . 1 9 P \ A VE D DRI VE' i _ W A 1 i Y \ __ 1 i 1 � 1 0 � O V 6 76-- O � o 0 :, o a w 0 0 0 o � 0 b o ti (t 6 \ w L \ 1 N OF i 2 6 6 . t d0 _ EA 8 1 4 r 5 1 _ R 8 7 9 0 .3 \ �- \ s \ E . S PRO OS S C P ED ITE PLAN NI K� 6� 28085 6 _ LOCATED IN _. l f o � G sty R r I L MASS. I 4 s MARSTONS M L S H ND 4 AL LA ND N\ - `PREPARED FOR 0 a ,r O 0 w PETER FITZPATRICK D r D DATE.M 1f _2 SCA LE: 1 — 20' - � AY 28007 S 0 D FILE. 307 BA wheelerrd Q D A CAPE & ISLANDS N S ENGINEERING 800 FALMOUTH ROAD SUITE 301 C 4 MASHPEE MASS.02649 508 77-7272 s