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0076 WOOD DUCK ROAD
0 i �^ Town of Barnstable Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Shed BARNWARM Posted Until Final Inspection Has Been Made.eon' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Registration Registration Number: B-20-279 Applicant Name: Mary Beth ONROEN Approvals Date Issued: 02/13/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 08/13/2020 Foundation: Location: 76 WOOD DUCK ROAD, MARSTONS MILLS Map/Lot: 030-116 _ Zoning District: RF Sheathing: Owner on Record: OBRIEN, MARY BETH Contractor Name: Framing: 1 Address: 76 WOOD DUCK RD Contractor License: 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $400.00 Chimney: Description: Erect a 10x12 metal shed on Permit Fee: $35.00 Insulation: Fee Paid:' 5 35.00 Project Review Req: ' Date: 2/13/2020 Final: { 4 ,���,� Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: l Service: 1.Foundation or Footing r 2.Sheathing Inspection f' Rough: I 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "P ons c actin with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i Town of Barnstable Building t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept r rwtNSt'wBLE, � - 6 Posted Until Final Inspection Has Been Made. Permit c° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-19-289 Applicant Name: STEVEN SENNA DBA SWIMMING POOL&SPA DESIGN Approvals , Date Issued: 02/01/2019 Current Use: Structure Permit Type: Building- Pool-Above Ground Expiration Date: 08/01/2019 Foundation: Location: 76 WOOD DUCK ROAD, MARSTONS MILLS Map/Lot:_030-116 _ - Zoning District: RF Sheathing: Owner on Record: OBRIEN, MARY BETH Contractor Name'ti STEVEN SENNA DBA SWIMMING Framing: 1 POOL&SPA DESIGN Address: 76 WOOD DUCK RD i %., 2 - -_-.__Contractor License: 172668 MARSTONS MILLS, MA 02648 1 1 Chimney: Description: Construction of a 15x24x52.Above ground pool with wood deck and Est. Project Cost: $ 10,000.00 fence Permit Fee: $ 125.00 Insulation: Project Review Req: MUST MAINTAIN PROPERTY SETBACKS! Fee Paid: $ 125.00 Final: SEPERATE PERMIT REQUIRED IF CONSTRUCTING DECK - Date:f 2/1/2019 AROUND POOL. /J Plumbing/Gas Rough Plumbing: ., Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. i Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for:public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �Im Town of Barnstable Building s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAS& Posted Until Final Inspection Has Been Made..v Pit .as s`� Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. erm Permit No. B-19-2738 Applicant Name: OBRIEN, MARY BETH Approvals Date Issued: 09/11/2019 Current Use: Structure Permit Type: Building-Deck Expiration Date: 03/11/2020 Foundation: Location: 76 WOOD DUCK ROAD, MARSTONS MILLS Map/Lot:_ 030-116 M Zoning District: RF Sheathing: Owner on Record: OBRIEN, MARY BETH Contractor Name: Framing: 1 Address: 76 WOOD DUCK RD Contractor License: 2 MARSTONS MILLS, MA 02648 -� Est. Project Cost: $7,000.00 Chimney: Description: Refurbish existing deck attached to house attach new deck to above Permit Fee: $ 110.00 ground Fee Paid:f $ 110.00 Insulation: Project Review Req: D I -ate: 9/11/2019 Final: �I Plumbing/Gas l Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit iss commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: OF IHE O Application Number.... �.j..............._I snxxsrAsrE. = MASS. I DI Peru&Fee.......................................Other Fee:....................... 039. •`� NG KEPT ri 2 32019 Total Fee Paid............................................................... ...... Tp TOWNOF BA �,ggT�,'E Permit Approval by.................................On........................... BUILDING PERMIT 03 o 0 (p Map........................................Parcel.............................................. APPLICATION Section 1 — Owner's Information and Project Location - I Project Address 7 (oa WOO J)UCK )e-jb Village I*YIV�STONS .M 1 L L S 9wners Name AR M �ETH Q ! mers Legal Address 7�o WOO� b ULr— 2h C ityMMSSV l�T L)-S State "l Zip Owners Cell# 7 7 1 — SoZ I — �Y7� E-mail ©m q e yb e-A a/-7 6) IJOL CZ M Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild eck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description /7 f� Re Flp-&JSH �C rS G /��'-Cf� f'r i T74etf� ,�-�-o c tS�� Mj(11 A EW 1-0 f M ✓e G ZO U 0 0 P OO L- I1 T ee+,,-A.+.A• 1 1/1 c nn l Q Application Number.................................................... Section 5—Detail Cost of Proposed Cons c6on-t �-- Square Footage of Project'" 2,7 a sQ FT— Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) i 110 MPH Wind Zone Compliance Method ❑-MA Checklist ❑ WFCM Checklist ❑ Design 7 Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site a Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed j Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated: 11/15/2018 -76 WO() p BUCK D klS M, I LiS AA - w be-,lc- Ito x ao �d`iw���� 4• xT ax8 TO 1o� Al � � r L ` P-E�v�Q►S Lu ec 7-0 pea �- 19.53 9.55 NO 4' GND127 06 --' ; 54 ' ® /METE /PIT •' ' X 143.71GN S ).58 .�q, w ✓w Zb 131A °� � f° N F 2� '%^�� lop X�.'D144.91 128. \4D144.91 . #76 31.21 x 0.74 TGF=131.51 ✓� De 0 CP •\ Paved ASMNT-FLOOR-- . r. Drive128.6 ,N i�ss9 Ny 27.96 127.4 128.50 •\ o x 129.3 ~ \ Benchmark f con . 1 ck o� • . s' � =129. ,B4 0 i GN 131. 0 lAssuMed 1 f C 2719 Gard � •- • ' •\o l.s,x�y, x 129.08 o v g L PRO TUSF r1.�b ,, N 129.51 12 9.80 ' \•4� 8,46 Q�3oNE Ga(tayN'D � A W NTH F'EN •,S�Rc�O:UN� a• N.D i 127.63 s F . x 128.77 C)qp SO r a rc' • •�c 127.26 ��. GND128.18 , •A 36721 8 127.91 127.84 Shed 128.26 DATE The Commonwealth of Massachuseta Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information` Please Print Legibly Name(Business/O anization/Individual): "` I e T -( nQJ e / o j Address: C /(o U)0 0 UC r /e City/State/Zip: WVr9XTM m U,l-S 1"Phone m 77 Y, Sa V Y Are you an employer?Check the appropriate i'max: Type of project(required): 1.❑ I am a employer with 4�] I am a general contractor and 1 6. [1 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 subcontractors have g. Demolition go king for me in any capacity. employees and have workers' 9. ❑Building addition workers' comp.insurance comp.insurance i 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 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp,insurance reel hrA] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infomration. 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 provide their workers'comp.policy number. , lam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c /' and the pains an e o p at the information provided above is true and correct Si ature: Date: Phone 7 —Say �yy� Oftial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance 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 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 UP 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 wormers' compensation policy,please call the Department at the mrmber 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 cxt 406 or 1-877-MASSAFB Revised 4-24-07 Fax#617-727-7749 www:maw.gov/dia is a q- �oq p _ Application Nwnber................................ .... BARN~ ��'SS. Permit Fee. .I..X.: �..: o .. Other Fee. ..... ... _ .... .. 'e� JAN 2 5 2019 TotalFee Paid.................. ...... ..................................... ...... TOWN 0F BARUS TOWN OF BARNSTABLE Permft Approval by......... ... .................on...?/1..�..�..1.�!�. BUILDING PERMIT Map. ..... .................... 'arceL..........'.. `� ..................... APPLICATION Section 1 — Owner's Information and Project Location - Project Address 7G W OC Vn 6� C� Village mw-s6)n 61(s Owners Name q �3 2 Ar,1 u Owners Legal Address S vn C °`S 16 a=j City M(n�S�f\ M 615 State M Zip �� Owners Cell# E-mail Section 2 Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two.Family Dwelling Section 3 Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish-Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar ❑ Renovation Pool ❑ Insulation Other—Specify �U� li t) od, Section 4 -Work Description 'c11 C_ -- Last updated.11/152018 r Application Number... ...:........ Sectiow 5—Detail Cost of Proposed Construction LIO C3 I Square Footage.of Project Age of Structure A e W Dig Safe Number. . #Of Bedrooms Existing W Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ';❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6=Project Specifics Wiring ❑ 'Oil Tank-Storage ❑ Smoke Detectors ❑ Plumbing ❑ °Gas ❑ Fire:Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal El mimic ipal ❑ On Site Historic.District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Faciiity � q L I am using a crane El Yes &o . f'0 S Section 7 Flood Zone Flood Zone Designation' Within or adjacent to a:wetland,coastal bank? Yes ❑ No Section 8—Zoning Information . Zoning District. Proposed Use L Lot Area Sq.Ft. 02V Total Frontage, d Percentage of Lot Coveragess 6#of Dwelling Units (on site). Setbacks. Front Yard: Required �jy Proposed 06 Rear Yard Required Proposed Side Yard Required 15 Proposed I6 Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated 11115R018 { - � ApPlica�on Number :. . ......... . .. .... • ... :. - _. S.eehon 9 Cons4riflctton Superasor Tele phone Number:: .. .. : Tip: License Number License Type Expuatton Date cractors;Emall:.;:........ ........:...... .. :..::.. . _. ::..,. •..:.:::;.. �s.;..::....:..-:Cell#: ,.:. .. I understand my responsibilmes tinder the rules and regulations for Licensed,Consttuction supervisor m accordance with 750: CMR the Massachusetts State Building Code I understand the coji t -dhon'vnspechon procedures,specific m§pectlons;:and documentation requaed by 780.CMR and the Town of Barnstable Attach a copy of your license, ....: ......:.::...:... . .:.......... D �ectaon 10° �ome.IBnproveffient Contractor. Name: . J.�. .....S.en�.G•.:..•.;:, ::.: : f Telephone Number Address $.7.En.�T �(?n.5c:: . .. ..: ReglstratlonNumber I��'�� Expuahon:Date �`��� ���'� t I—4 derstand my responsibilities under the rules and regulations for HomeYImprovement Contractors m accordance with 780. CMR the Iviassachusetts State ding Code I understand the construction'=inspection procedures,spec_ific:mspectibns.and. CO cumentation r by 780 1VIR and the°Town,of Barnstable Attach a copy of your H I C x Signature, .. . . . ...... Date —r Sectaon 11 . : �offie� ners'iI,icense Ezeitmpdo>a: s Tel hone.Number Cell or!Work Number eP. I understand my responsib dance with 7:8b u CMR the Massachusetts State;Buildmg Code I nnderstand the construction inspection procedures,;specific,mspections and docm�entation regwred by 780 CMR:and the:Town of Barnstable �: ` ' � �' Si tore:.:.... :.... ... : :... LNT: S� GNAAT F x Sgrlatlae . . I Date:.l u PnntName :s _... .:. TelephoneNumbed. .. _l._.�.... .:I .. 2wo ' �:��c ►.: . . ...: ... ... ... ...... Section'12-- Department Sign-.Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) El Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval, Section 13-Owner's Authorization. I, „( �c�-� Q`•. r�r as Owner of the subject property hereby authorize SW M a S to act on my behalf,.in all matters relative to ork authorized by this building permit application for: 7� U60 6,L �A M� MA (Address of job) Wsief Owner date C�` Qfi en. Prin Name Last update&11/15/2018 The Commonwealth of Massachusetts Deparbnent of Industrial Accidents Oj,flee of Invesdgadons 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Businesslorganization4ndividual): S,)t M n 1 ; JL& De-v!1 n Address: 1 £1�crgny- City/State/Zip: NI 6 Phone#: Are,you afl employer?Check the appropriate box: Type of project(required): 1. ] I am a employer with- —�7) _ 4. ❑I am 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 shy 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition workingfor me m employees and have workers' any opacity. _ 9. ❑Building addition [No workers'comp.insurance comP•inslnanceJ ram] 5. ❑ We are a corporation and its 10.❑Electrical repairs or,additions 3.❑ I am a homeowner doing all work officers have.exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also hT out the section below showing their workers'coMeasation policy idormstim t Homeowners who submit this affidavit indicating they are doing all work and then hire ox ide co tractors must submit anew affidavit indicating suck ;Contractors that check this box must attached an additional sbeet showing the name of the subcontractors 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: U rik r C Policy#or Self-ins.Lie.#: S w W C q(4 -(— Expiration Date: Job Site Address: o0r'` Qv C,� f City/State/Zip:I MArs4_ Mt 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.imprisonmerr,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c under the p ' and penalties of perjury that the information provided above is true and correct s' Date: Phone# S� I Ifcial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M. 11 CERTIFICATE OF LIABILITYINSURANCE DATE(NNA/DDIYYYY, 2/23/181 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 endorsemen s. PRODUCER CUTAC Schlegel & Schlegel Ins Broker PHONE JIM HINDMAN 34 Main Street tAta{y�q�L 508 71-8 81 r�X No: (508) 771-0663 West Yarmouth, MA 02673 ADORESs: schlegelinsurance@=ail.com INSURE S AFFORDING COVERAGE I NAIL# ---- --• —_._____—__�__ _ INSURER A:SCOTTSDALE INSURED INSURER B:GUARD STEVEN SENNA DBA SWIMMING POOL-SPA DESIGN INSURER C: INSURER 87 ENTERPRISE RD INSURER E: HYANNIS, MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO'CERTIFY THAT THE POLICIES-OF-INSURANCE LISTED'BELOW HAVE BEEN 7SSUED'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.ADDLI ILTR TYPEOFINSURANCE IISR BR POUCYNUMBER PM11»IYE MMIUDWYYIXWP LIMITS A GENERALUABILITY CPS2392840 ( 1/27/18 1/27/19 EACH OCCURRENCE S 2 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I S ZOO OOO CLAIMS-MADE ®OCCUR ME EXP(Any oneperson) is 10,000 PERSONAL&ADV INJURY IS 21 QQQ QQQ_._ GENERAL AGGREGATE I S 3 00 000 GEN'L AGGREGATE LIMIT APPPL LIES PER PRODUCTS-OOWIOPAGG S 3,000,000 • POLICY PRO- I {LOC I Is AUTOMOBILE LIABILITY COMBINED I LIMIT Ea accident S ANYAUTO BODILY INJURY(Per parson) S ALLOW�_CD SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE I S AUTOS Pereccident s I I UMBRELLA UAB OCCUR I EACH OCCURRENCE I S EXCESSUAB CLAIMS-MADE I AGGREGATE 15 DED RETENTIONS I I S WC STATU- OTH- B WORKERS COMPENSATION SWWC962C962175 2/21/18 2/21/19 � I AND EMPLOYERS'LIABILITY AIYPROPRIETORMARTNERIEXECUTNE YIN E.L.EACH ACCIDENT S ZOO 000 OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EAEMPLOYEEI S 100,000 If ppes describe under 0 -RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101.Additional Renarka Schedule,If more space Isrequlred) STEVEN SENNA HAS ELECTED 'TO BE COVERED UNDER HIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE TiVE i i © $81-2PIO ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered ma ks of CORD Phone: Fax: E-Mall: i Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home ImproverrIM-Contractor Registration Type: Individual Registration: 172668 STEVEN SENNA D/B/A SWIMMING POOL&SPA DESIGNF€ .Y'T"":h � - �� Expiration: 07/16/2020 87 ENTERPRISES.RD "i _ •:.: "i I HYANNIS,MA 02601 roy4xt,ty, ��: {ti•-- :� bpf `°-SCA 1 % 20M-05/17 Update Address and Return Card. V/ee COanvneoouueu`l/a�CJ/lltraauc/��e/ld Office of Consumer Affairs&Business Regulation -HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:rindividual ' before the expiration date. If found return to: Registratlori.. Expiration Office of Consumer Affairs and Business Regulation ,.._1..266&= i 07/16/2020 1000 Washington Street-Suite 710 t._ STEVEN SENNAJ�,-- rE' Boston,MA 02118 D/B/ASWIMMIN6 _'6&,'��$PX0ESIGN ' �ms�1 STEVEN SENNA' `.,+ ! 87 ENTERPRISES HYANNIS,MA 02601 Undersecretary Not valid without signature o I 'Z'r e v MANUFACTURING Fit f/\ � Mal - -- - - -- - i °1,' �\ ��• `..-'� �^+y _yam���� t.R�: � ,"'1 ABOVE-GROUND • • • . POOL It, 206 I� �� u 206 D The Trevi 206 Aura Innovation offers quality and robustness at an affordable price. Thanks to its 7-inch wide resin top seat and reinforced uprights, your kids can splash around all summer long. This pool is especially suited for resin pool enthusiasts whose top criteria are quality and a reasonable price. A t NI rl i l} !y} Y o ° O O� MANUFACTURING i r r I' m i i lid ��y 1 i i low i AN i r J 10 �D 0 `ll C - : V I J 206 �J) Ll rp 1 When you purchase a Trevi pool, at you also acquire peace of mind, ( unparalleled manufacturing quality and - � safe materials. When you purchase a j Trevi pool, you will be satisfied. j THAT'S THE TREVI DIFFERENCE! 7 ,ril �• f r O 0 In � OO I 0 �j Cr'C�MU o 0 ' MANUFACTURING ^ m trevifab.com 0 >t I I TECHNICAL DETAILS i SPECIAL FEATURES Corrugated steel wall Superior quality resin top seat Bottom safety track ff •1 features uniform calibration, UV (a/a")(1.90 cm) treatment against discolouration, and a molecular memory to prevent warping. Plus, it's scratch-resistant! Top and bottom galvanized steel joint plate Exclusive to Trevi, the double :Resin upright uprights for straight walls in oval I Galvanized steel support post models offer improved resistance to water pressure, yet retain a Ij >Stay assembly for additional certain elegance. Made of galvanized strength.For oval pool steel, the bottom rail offers greater stability. STEEL WALL COMPONENTS 1. Plasticized SP coating 2. Molten zinc coat ® 3. Primer coat 4. Application of an alkaline W� Q solution to cleanse the oxides S. Galvanized steel wall core ®� O 6. Chromate anti-rust coat 7. Heat-hardened inlay �I M 8. Ultra-resistant polymer I` STRUCTURAL ELEMENTS 1. 7" (17.80 cm) extruded resin topseat c,�---�-- 2. Steel coping 3. Resin seat cap 4. Steel joint plate S. Resin upright 6. 52" (1.32 m) steel wall TREVICLIP: EXCLUSIVE LINER «Overlap» «U-bead» LOCKING SYSTEM Prevents liner setback in case of movement caused by freezing or thawing, and increases overall pool stability. (Available only with i "U-bead" liner) Liner i Round metal stabilizer Inner Wall I I. AVAILABLE STYLES . Round: 12' (3.66 m), 15' (4.57 m), 18' (5.48 m), 21' (6.40 m), 24' (7.31 m), 27' (8.23 m), 30' (9.14 m) Oval: 12' x 24' (3.66 m x 7.31 m) 15' x 24' (4.57 m x 7.31 m) 15' x 30' (4.57 m x 9.14 m) 18' x 33' (5.48 m x 10.06 m) f f i o�0 Irrevi -O MANUFACTURING Easy to install and easy on the budget, an above-ground pool is a wise choice. It makes i the whole family happy! Jump, splash, dive... the fun of summer is right there in your own backyard! Thanks to a wide range of shapes, materials and finishes, you and Trevi can create 1 I the pool that's right for your family, no matter your needs. Want a pool for fun? For the kids? For relaxing at the end of a busy day? With Trevi, you will create a delightful, relaxing refuge in your own backyard. 7REW, THE SIEMS!BLE CH0110E! i i K,_@� P t a E Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 ' CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date a Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Hom Owners Name: /'l K /6)0'J OJ Telephone Number Cell or Work Number I u�'derstand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 fthe Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and mentation required by 780 CMR and the Town Barnstable. s Date APPLICANT SIGNATURE Signs Date 3 1 9J rint Name 9 ��?/�% �C '1421 Telephone Number -mail permit to: Qma r�,L� l 7 /` C . C 0-v� Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ i Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval, Section 13—Owner's Authorization I as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name Last updated: 11/15/2018 s w e �6 &-) � - ty r Town of Barnstable CF THE ip� �y� o Building Department Services Brian Florence, CBO anxxsTnais, v� MASS. `0g Building Commissioner AjFo �p 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mams Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: !`My name is AkY ;8&_Tq 023k f UJ I am the owner/resident of the property located at: 7� U)00 Q D UC4< �� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: ,� ) Name &relationship to owner: � N�C� J 0 `6,e)eW So av Name &relationship to owner: The Family Apartment will be the primary year-round residence for the gbove-identified—•� I family members. In the event that the listed relatives vacate said apartment, l jiill immediately note the Building Commissioner in writing. I understand that no subletting or�subleasing:of said= Family Apartment is permitted. _= I understand that I am required to file an Affidavit annually with the Building 0.: C Commissioner listing the names and relationship of occupants in said Family ARartment..Ialso understand that I am required to comply with all conditions imposed by the ZBA-Special Permit'A and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments.^Pagr to note the Building Commissioner immediately in the event of the sale of this Property. i- v If there is no.longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of pe ' this day ofVU `1 2019. Signature Ll Phone Number Print Name q:forms/famaff.d.doc rev 11/08/13 r Town of Barnstable Building Department e Brian Florence, CBO 'J Q� • MANsrns, �(�Q�Pr � Building Commissioner i63� 1°lFo 39. 200 Main Street, Hyannis, MA 02601 JAI/10 www.town.barnstable.ma.us Tow/v ?418 ZTSNE® G�&qR,Office: 508-862-4038 Q Fax: 508-7frF Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: ,� My name is III 1�y ���� �l X��'l G V� I am the owner/resident of the property located at: 76 WOO 6 �UCA�— 2J The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: �� I T ,�y /�Name & relationship to owner. J"'v ���- v 8 P,) iU Name &relationship to owner: so The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties o this �Q day of j WU P � P rJm'Y Y �� 2018. v b - YP�- 579p1 Signature p � 0 Phone Number Print Name /\/ �J n q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services of � Richard V. Scali,Director TOWN OF BARNSTABLE Building Division Paul Roma,Building Commission"e'r 1`9 -3 AM 9: 5 2 �g 1639 200 Main Street, Hyannis, MA 02601 ED MA'S www.town.barnstable.ma.us Office: 508-862-4038 1`1VISION Fax: 5087790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is J I am the owner/resident of the property located at: 7(,--;2 (�O Q 1) LUCK � E MU mmu 14A The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: A/C ()NO5 IS C 0 e2-61V i L y L%Vt 1lj G /K/ THE Name &relationship to owner: i&1e-)J 01 Name &relationship to owner: VAS/-r A)G , /G E The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties erjury this day of j/`n✓VR12-Y 2017. Signature ,,,, Phone Number Print Name &qlz! d&�. M� q:forms/famaffid.doc 4 rev 11/08/12 31 2016 12: 04PM USPS MARSTONS MILLS MR 5084287086 P. 1 life DAIF: NAY 31, 2016 Send to: Town or Banistable. Building Dlvhsiun I FYDrn: Mari Belk O'Rdcn Attention: Drenda Coyle Address, 76 Wood DuCk kd. Marstnns Mills, MA U06 Offia-.Location: ZDO Main Ft.Hyannis MA 02601. Phone Numbnc 500-428-5782 Fax NumUei; SOR-790-6230 Number Of NigO.-S, 111dUdlr)9 Cover;2 1.j URGENT U REPLY ASAP L.1-PILFASE2 COMMENT PLEASE RVVIEW 'X FOR YOUR INKAIMA'110N SUBJECT: FAMI0'APAR17,1c-r4TA1-F1DAV1T ca M Company Name srrepr Address,City,57- ZIP code Country phone number I fax nunit)(w e-n-all address I Web site May 31 201G 12: 04PM USPS MRRSTONS MILLS MR 50842870BG p. 2 Town of Barnstable Regulatory Services 4 Richard V. scali,Director Building Division � = Paul Roma, CBO,Building Commissioner s0J°� . 200 Main Street, Hyannis, MA 02601 www.town.bsrnstable.me.us Office: 508-862-4038 Fax:'508-790.6230 Town of Barnstable Family Apartment Affldavlt Dr- 1, being on oath, depose and state as follows: My name is Mel 467�' I am the owner/resident of the<<? N 03 rn property located at: We W004 D UU-' 94 C MArZATIM P01 c.•cr AO a 14 y� The following members of my family will be the sole occupants of the Family Apartment at the. aforementioned address: Name &relationship to owner: / L � E Name &relationship to owner. The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will Immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understmul that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also widerstand that I am required to comply with all conditions imposed by the ZBA Special Permit anWor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. Other Sworn to under the pains and penalties o tury this day of 2016. X s w Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 g Town of Barnstable Regulatory Services o„ Richard V. Scali,Director 1 anxxszAsM Building Division T o�, H OF BARNSTABLE f 39. Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 0260,15 "*. 19 PM 3' 02 www.town.barnstable.m a.us Office: 508-862-4038 790-6230 f,14?VISIOIN Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is LAS� A&TN (JA2lal I am thqgg�/resident of the property located at: 7(a WO-0 6 b U Cam- The following members of my family will be the,sole occupants of the Family Apartment at the aforementioned address: , Name &relationship to owner: � ��L T D l ls�o /Q Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this. 7 day of 2015. Signature Phone..Number 0V '77Y-Sa► - Print Name Qrzl Lw q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Serf k 28918 Ps 2l =25517 r Richard V.Scali,Dirk06-04-2015 a 02 = 450 enxNsrnet.E. • MAM Building Division jOrFn 39. Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I, Mary Beth O'Brien the undersigned, being the owner of property situated at 76 Wood Duck Road, Marstons Mills,MA holding title under a deed recorded with the Barnstable County Registry of Deeds Book 16628, Page 38, being shown on Assessors' Map 030 as Parcel 116, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Mary Beth O'Brien Relationship to Owner. owner Resident of Family Apartment Daniel O'Brien Relationship to Owner: Son This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 20/3 TOWN OF BARNSTABLE: OWNER: By: Mary Beth O' en Thomas Perry,CBO Building Commissioner THE COMMONWEALTH OF�l�l4A�S��,Rel�jf�i7;I BARNSTABLE COUNTY,SS Date O .GOMiniss'roN.,�FJ,% Then personally appeared Ae ab�S�2r A{o�,`&r), c D and made oath as to the truth of gte foreg t ;Aent e e L 0 d Notary Public.,�OT ••.....,... My Commissio Expires: O/ gsample /'/i,�?Yi IPUB�`G����` 01 BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register (�O�n ' ��gtF�i��r✓� -- °FTME l Town of Barnstable Regulatory Services • r r • r MUMSI'ABLE. • MASS, Richard V. Scali, Director �A i63q. rE039�6. Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 5, 2015 Mary Beth O'Brien 76 Wood Duck Road Marstons Mills, MA 02648 Re: Basement Apartment Dear Ms. O'Brien, This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by May 27, 2015 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation, per day. Sincerely, Robin C. Anderson Zoning Enforcement Officer /blc I t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ®�® �� Parcel :f ; Application Health Division Date Issued e�mConservation Division Application Fee 5 1p Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board K Historic - OKH _ Preservation / Hyannis IQ Project Street Address 76 w©Oh b OGK RL Village MRSTO A)S MILL 5,, MA O a 6 V(T Owner /+/f�/� V 66}1 O ZE1,- /-- —AdPress 7-& WOOD 4� UL_ IQ 9 Telephone 7 7 V- 5oll M10AA 1 us _ 11_ Permit-Re quest /�N AP7 �� B"� O ,An1,65-d My /&2- 0'6 121&?J (sue) < o�J l l� FA-W l L V 11-rh727)12 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 1 1 05- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family bif Two Family ❑ Multi-Family (# units) Age of Existing Structure qR YXS Historic House: ❑Yes .6 No On Old King's Highway: ❑Yes [�Mo Basement Type: ❑ Full ❑ Crawl a Walkout ❑ Other Basement Finished Area (sq.ft.) #16'a Basement Unfinished Area (sq.ft) 7a Number of Baths: Full: existing 13 new Half: existing new Number of Bedrooms: existing —new v►°ST°,A�rLS �? Total Room Count (not including baths): existing I new First Floor Room Count Heat Type and Fuel: . Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing o), New Existing wood/coal stove: JdYes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: C existing 0 new size_ Attached garage: ❑ existing ❑ new size _Shed:V existing O.new size _ Other.- t� Nt� C3 - Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -, Commercial ❑Yes ❑ No If yes, site plan review# ' ' Current Use Proposed Use 01 rn APPLICANT INFORMATION n/� (BUILDER OR HOMEOWNER) Name Ajq-9/% 10/ Telephone Number 7_7 -5a1_(?V 6 Address 7(,-;7 V V©©6 Q UCC 2" License # M)WSTDIw Al U /yl/7 0-YOI P Home Improvement Contractor# Email f�M'W' _t/ ei n 479)CW I-C�JYL► Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR at DATE s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED s MAP/PARCEL NO. f ADDRESS VILLAGE OWNER` DATE OF INSPECTION: I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL h PLUMBING: ROUGH FINAL GAS: ROUGH FINAL_ J : y FINAL BUILDING ��1� o!� 6 !7 �5-.,t�GC� DATE CLOSED OUT ASSOCIATION PLAN NO. ;� §240-47.1 Family apartments. v [Added 11-18-2004 by Order No.2005-026;amended 10-7-2010 by Order No.2011-010] The intent of this section is to allow within all residential zoning districts one temporary family apartment unit occupied only by the property owner or a member(s)of the property owner's family as accessory to an owner-occupied single-family residence.A family apartment may be permitted,provided there is compliance with all conditions and procedural requirements herein. A. Conditions.A family apartment shall comply with and be maintained in full compliance with all of the following conditions: ' (1) The apartment unit shall not exceed 800 square feet or 50%of the square footage of the existing single-family dwelling,whichever is less.The Zoning Board of Appeals may allow up to 1,200 square feet by a special permit finding.In any case,the apartment shall be limited to no more than two bedrooms; (z) Occupancy of the apartment shall not exceed two family members; (3) The apartment shall be located within a single-family dwelling or connected to the single-family dwelling in such a manner as to allow for internal access between the units.The apartment must comply with all current setback requirements for the zoning district in which it is located. (4) At no time shall the single-family dwelling or the family apartment be sublet or subleased by either the owner or family member(s).The single-family dwelling and family apartment shall only be occupied by those persons listed on the recorded affidavit. (5) When the family apartment is vacated,or upon noncompliance with any condition or representation made including but not limited to occupancy or ownership,the use as an apartment shall be terminated.A building permit must be 2pplied for to remove all cabinets, countertops,kitchen sinks and appliances from the family apartment,and the water and gas service utilities must be capped and placed behind a finished wall surface. B. Procedural requirements.Prior to the creation of a family apartment,the owner of the property shall make application for a building permit with the Building Commissioner providing any and all information deemed necessary to assure compliance with this section including,but not limited to, scaled plans of any proposed remodeling or addtion to accommodate the apartment,signed and recorded affidavits reciting the names and family relationship among the parties,and a signed family apartment accessory use restriction document. (i) Certificate of occupancy.Prior to occupancy of the family apartment,a certificate of occupancy shall be obtained from the Building Commissioner.No rnrtificate of occupancy shall be issued until the Building Commissioner has made a final inspection of the apartment unit and the single-family dwelling for compliance and a copy of the family apartment accessory use restriction document recorded at the Barnstable Registry of Deeds is submitted to the Building Division. (z) Annual affidavit.Annually thereafter,a family apartment affidavit,reciting the names and family relationship among the parties and attesting that the property is the year-round primary residence of the property owner and family member(s),shall be signed and submitted to the Building Division. Purchase a code Privacy Policy Terms of Service Mobile View POWERED BY GENERAL CODE http://ecode360.com/6559607 6/26/2014 I i own of Darnstaoie oe'VKE— a Regulatory Sere k 28c?18 Po 21 =25517 Richard V.Scali,Dirt.06 134-21315 a 0 2 = 45v «�BARNSTABM ASS �� Building Division'DrE039. Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I, Mary Beth O'Brien the undersigned, being the owner of property situated at 76 Wood Duck Road, Marstons Mills, MA holding title under a deed recorded with the Barnstable County Registry of Deeds Book 16628,' Page 38,'being shown on Assessors' Map 030 as Parcel 116, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the.property owner or a member of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Mary Beth O'Brien Relationship to Owner. owner Resident of Family Apartment Daniel O'Brien Relationship to Owner: Son This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 20/,J TOWN OF BARNSTABLE: OWNER: By: (Z_ Mary Beth O' en Thomas Perry,CBO Building Commissioner THE COMMONWEALTH OFF ILI ,T BARNSTABLE COUNTY, SS Date O� Then personally appeared the a'b� -2r `4{oi�r), and made oath as to the truth of a foreg i "ent e e L Notary Public 2Q ...... ' M Commissio Ex p Tres: eze /� �O gsan,ple //�� 1?yPUg`������\\\ BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register IM;BN NT - UPGRADE UIRED /a}AI TQF,,r OF BARNSTABL STAT DE REQUIR HE UPGRADING OF F SMOTORS ENTIRE DWELLING WHENONESLEEP S ARE ADDED OR CREATED. NOTARATE PERMIT IS R ED FOR THE INSTOF SMOKE DETECTORS-THE CTRICAL PERNOT SATISFY THIS REQUIREMENT DV;,1IMN Gam' i EL t SM EDT TO S D —7 6 00 A J U C 9 AB NG D PT. DATE V P (-' t ®F • 11()pfe-sT o f4s m il as 3n gA�c,4 E T® 'L 12 74 fo, F7- S U TfING T� ;f f `92&(s0b RAAjCff 7(o LA)00,6 U ti ..ram "Zo �� z 7 E 77;t E CU� —�106 S �c AVG i o TWL // 2 ' '� 1) 7� Parcel Detail Pagel of 4 op tii,S55 � �„ :A0._;,,u°��,'� "� �` ` z_�!��G'�'o�i��•��ti L�'`LG%, . ;w ��r`">o�^e'��i�"' Logged In As: Pa rceI Detail Wednesday, 2015 Parcel Lookup Parcel Info _ Parcel 030-116 Developer LOT 6 ID Lot Location 176 WOOD DUCK ROAD Pri 125 Frontage Sec Sec Road Frontage Village IMARSTONS MILLS Fire C-O-MM District Town sewer exists at this Road 1871 address No Index Asbuilt Septic Scan: k, w 030116_1 Interactive �'� Map r� } 030116_2 Owner Info Owner JOBRIEN, MARY BETH I Co- Owner Streetl 176 WOOD DUCK RD Street2 City IMARSTONS MILLS State MA Zip 02648 Country - Land Info Acres 11.05 Use 18ingie Fam MDL-01 Zoning IRF Nghbd 10105 Topography Above Street Road jPaved Utilities ISeptic,Gas,Public Water Location Construction Info Building 1 of 1 Year 1973 I Roof Gable/Hip I Ext Wood Shingle Built Struct Wall Living 1276 Roof AC GIs/Cm AC None �6 p �� , Area Cover Type woK� y n ie , Style IRaised Ranch I Int Drywall Bed 5 Bedrooms Wall — Model Residential Int Ca et Bath 2 Full-1 Half Floor Rooms Heat Total b Grade Average Hot Water 9 Rooms Type Rooms NO! � Stories I 1 Story i Heat[GasFound- Poured Conc.� Fuel ation Gross http://issgl2/intranet/pr'opdata/ParcelDetail.aspx?ID=1959 6/3/2015 Parcel Detail Page 2 of 4 Area 2680 Permit History Issue purpose Permit Amount Insp Comments Date # Date 1/1/1973 Dwelling B15840 $0 6/15/1974 MM 1 12:00:00 AM ISTOR Visit History Date Who Purpose 10/1/2014 12:00:00 AM Susan Ricci Cycl Insp Comp 5/19/2005 12:00:00 AM Paul Talbot Meas/Est 13/2/1999 12:00:00 AM jDonna Dacey I Meas/Listed-Interior Access - Sales History Line Sale Date Owner Book/Page Price e 1 3/25/2003 OBRIEN, MARY BETH 16628/38 $312,500 2 8/16/2002 GARVEY, BARBARA J 15482/253 $0 3 3/11/1975 1 GARVEY, JAMES JR & BARBARA 2158/324 1 -$011 - Assessment History Save Building Land . Total Parcel # Year Value XF Value OB Value Value Value 1 2015 $91 ,400 $43,600 $6,700 $128,600 $270,300 2 2014 $96,900 $44,600 $4,400 $128,600 $274,500 3 2013 $96,900 $44,600 $4,600 $128,600 $274,700 4 2012 $100,500 $41 ,400 $3,700 $130,900 $276,500 5 2011 $136,100 $18,100 $1,400 $130,900 $286,500 6 2010 $136,000 $18,100 $2,000 $130,900 $287,000 7 2009 $166,300 $27,400 $1 ,100 $183,600 $378,400 8 2008 $149,600 $27,400 $1 ,100 $191 ,300 $369,400 10 2007 $148,800 $27,400 $1 ,100 $191 ,300 $368,600 11 2006 $137,200 $27,400 $1,100 $207,500 $373,200 12 2005 $128,300 $27,100 $11-100 $173,800 $330,300 13 2004 $104,300 $27,100 $1 ,100 $147,700 $280,200 14 2003 $94,600 $27,100 $1,100 $55,700 $178,500 15 2002 $94,600 $27,100 $1,100 $55,700 $178,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=1959 6/3/2015 Parcel Detail Page 3 of 4 A 16 2001 $94,600 $27,100 $1 ,100 $55,700 $178,500 17 2000 $74,800 $26,700 $600 $47,200 $149,300 18 1999 $60,900 $13,200 $0 $47,200 $121 ,300 19 1998 $60,900 $13,200 $0 $47,200 $121 ,300 20 1997 $89,100 $0 $0 $31 ,400 $120,500 21 1996 $89,100 $0 $0 $31 ,400 $120,500 22 1995 $89,100 $0 $0 $31 ,400 $120,500 23 1994 $80,700 $0 $0 $37,700 $118,400 24 1993 $80,700 $0 $0 $37,900 $118,600 25 1992 $91 ,700 $0 $0 $41 ,900 $133,600 26 1991 $95,700 $0 $0 $73,400 $169,100 27 1990 $95,700 $0 $0 $73,400 $169,100 28 1989 $95,700 $0 $0 $73,400 $169,100 29 1988 $61 ,800 $0 $0 $23,800 $85,600 30 1987 $61 ,800 $0 $0 $23,800 $85,600 31 1986 1 $61 ,800 $0 $0 $23,800 $85,600 Photos f tr �M1 l }' 5; o- -y- http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=1959 6/3/2015 Parcel Detail Page 4 0{4 yl. . �. �\. > t:/issg12i r net/p£opdat Pa ceIDet il.aspx?1D=1959 3/2 015 rep a7' I E_ TOWN OF BARNSTABLE MARNSTAXLE. t639mum - 0M BUILDING . INSPECTOR � Ic APPLICATION FOR PERMIT TO �L� o 0/v..................... ............. 6' ........... ....................... TYPE OF CONSTRUCTION ...&;00 P....F6191YE............................................................................................... 1............1...9................197:3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 22........g.4, . ........................... ProposedUse ... Ewy). ...................................................................... Zoning District .................................Fire District Name of Owner V0,0VA/—.P....da 0.5.0 A)....................Address -ye-j Name of Builder ai4eyw-.a: X,�7OCUOIV......Address 112rata, Name of Architect ...........................Address ............................. ...................................................... Number of Rooms ........ Foundation .................................................... ............4E Exierior9 .............................................Roofing? ......q. 13 ............................ Floors ..... ...................Interior ...ve Heating Z.4E.CWL.....................................................Plumbing .... Fireplace .... .......................................................Approximate Cost ............................................... Definitive Plan Approved by Planning Board ---------------—----------- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH POO W z �F7 Ld ONO 0 < LL U) �` M cn 0 U-) U) Co LLJ Qf Lj Ld > uAt. LD 0 cc in 2 CL: < LL La cc a- ��: CI- 0 LL LLJ 0 U) >: < Q = ui cn cL LU 0 0 < < Uj z- W a� z, C) Ljj� FL) Lj-j ::DL-d 0q 0. >-' U) Uj -j I,- 013 -j U1.7- 0 Ld F- z (�Oj 4 W o < 1�) Lij (nyam CL > < CA 0 >- CL Uj Lij 1-- < o c) Ar < z I hereby agree to conform to all the Rules and Regulations of the To f Barnstable regarding the' above construction. Name .qDT.Barnstable .....tvevze77:7�............ ........ Hudson, Ronald No151140 one story ........... Permit* for ....... single-family dwelling ...............................................:................................ Locatiox Wood Duck Rd. .................................................... Marstons Mills ............................................................................... Owner Ronald Hudson .......................................................... Type of Construction ..............frame............................ ................................................................................ #6 Plot ............................ Lot ................................ Permit Granted .......Janua. 1.9...........19 73 ...... .... Date of Inspection .. ..... . .. ...... .......... Iwo Date Completed .... .. . ....... aa. 22 PERMIT REFUSED ........................................I........................ 19 ............................................................................... ............................................................................... .......................................... ..................................... Approved .............................................. 19 ............................................................................... ............................................................................... ' o� ASSESSORS MAPi -jb TEST HOLE LOGS PARCEL NOTES-. .ck�, -I M n. • � RS I; � _ SOIL EVALUATOR' a��eJ�l FLOOD ZONE+G o� L L y k50AAF-D 'c ' R� WITNESS, 1. VERTICAL DATUM, S �L - REFERENCE,BY- Z51 ,fir 2. MUNICIPAL WATER AVAILABLE. _ W DATE+ }-Uy1;5T Zt Zpc�� . S 3 CHEDULE .,40 PVC PIPE O BE U ED .THROUGHOUT SY T M � �, S S EM UN�.ESS PEkCOLAtION RATE+' Z rjrat J 'OTHERWISE NOTED. D, 124.30 UP/933- = pcll y + � GLASS -r SoIL. Lrl�e. 0. y �. 4. ALL PRECAST UNITS T❑ CONFORM WITH AASHTO _ • 1 2 50 J 4.76 +I TH-2 • en 12 TH 1 EL...(30.1?, 5. PIPE PITCH 1/4 PER FOOT UNLESS OTHERWISE NOTED. JgP CB/BRKN O AAAA QD Iv4 LOCATION MAP N.TD ok' , �DIuM 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA, ENVIRONMENTAL $, 0 CODE (TITLE V) AND. LOCAL REGULATIONS, d� R � C 121.50 I 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION, 1 2sy i ?- Wl✓'2ktj W /n� W� or twPaSG� [.E �N 1p3 4 ,� oc� 14�t 118,13 L�. 9, IC10 fGNow � •� w WIN /Sa of PR.opo SEO [,�-cffiw4 , . WP�TEP`•,` .. n 119.53 No Y 9.55 l0• A l�l A�h1! til T1 T Lr V v2 5`j�"t�QC.�. _ LT h" v o p0 � 118.65 0 x 127 06 / ey/s77N S'EtoT/G S'YSf�y 7z) �3E Pmwao G�t :� � F!u4D g GND _. ... .__ r R - s b g0 20. �1 /METE /PIt Y �- x 143.71 SEPTIC SYSTEM DESIGN ti v GND 7.87 k 6 120.58 2 �' w -r 117.0 3_,� M. � o s BASIN 8.95 b 11 N \ FLOW .ESTIMATE 126.46 s 117.68 2 s G�D 0 110 _ SSO HYD 9 •, 144.91 _s� BEDROOMS AT GAL/DAY/BEDROOM • 0 ti MD � 2 � - ✓ 1 .4 N ti GAL/DAY a -SEPTIC ;TANK. . 124.8 122.61 _n s r -128. �. � d DYx2DAYS\AJ44.91GAL/ A 6 #7 31.21 . �✓ X, 0.74 140 � GAL � . a TOF=131.5! G� it 2 o � Deck � d l� . - USE GALLON `SEPTIC TANK RfD SA Paved _. a ASM F 0 R NT L O v � .w Dr/ e r ,..... ,...... J 12 � • _ c OIL .ABSORPTION SYSTEM Ic.ra9 a► T-/ 7 �l!r vv /n! C.1! U u U. ,� L STvN E on,' � r v t2 3 � 0vr� f 27.96 o .+ r 1 d . . � .� ZN. i✓ DE ,ZS L� J N 127.4 �, "1 . S t* S �S 12 /6 2 28.50 ) \ o` 129.3 , vs "' : 2 2 45 �21 Z x2 b /6 c SIDE AREAS X .7� c1. 93 V 24- M Benchmark o _ 3 / lJ. _ 2 b n r r, l x �`� /, Co c. ck 'o � aC ? 7 17 BOTTOM AREA �•/S ZS o .-129 1 x 131. 0 'tf r 1 d 4 N .84 0 a CAssuned N i v s J�77, U P s 2 'Z : t SEPTIC Y N PTI SYSTEM SECTION / oG/ . x , ,. r f N P,e (,G 10 v /1 8 /o 27d9 Gard �y 129.0 $ o y 5 2 , 1 . n .rb 0 0� x A L D v+ �S 128.51 . . 12.i.80 N tS C®4� 9\ R�Q 1 t3 O 6 8.2 46 ----- 4y +r 0-� - ran '� \ Sw m rw Po : - - _ ^ 2 105.13 - g • Ft - S+�Rc�. 7 4 Cc y A t'SS 04. �-+n/SG. `rash a fc�' `° •� Z- D(' Brat. 1 ns ✓ 127.63 x 128.77 S ✓ Jr rr r� o r /2G./� h Vegetated .,. S�i9e .9 s ELEV 8 ✓ \ Yt 6 Sfane -� I✓etland dry N - y � �, 0�3 S ELEV D. BOX --... GAL _ v L/e /2S,Sty l�e>' �s� ELEV � � , }. ' •� n 1 . ,. 27.26 SEPTIC TANK %vt/ ess � <�tlashe�l S�ne S >c i ` ELEV {riv c , x ' 128.18 Ni`1�1 S ZS r \ a �sr � `' LIs,, 3 B rry T rt � � 8 r . W3872t SITE AND SEWAGE PLAN - 1 < - , 76 lac 000 Dvo1L R,04-a LOCATION r - Zi D Scale 1 20 7 8 /�Iq�2s7awrs /�ri�.c.s - PREPARED FOR, 127.91 0 20 40 60 127.84 ` Shed 128.26 SCALE + =-� DARREN MEYER, R.S. O DATE, � Z 3 Z•- c r. �, .. 43 `VINE ST._ � , M 4,. DUXBURY, A 02332 h,-. DATE HEALTH AGENT C508)362 2922 1.,, . w