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0554 WIANNO AVENUE
���f Cris-n n Aje gUILDiNG DEPT. 3225 MAIN STREET P.O. BOX 226 JUN 2 6 2020 BARNSTABLE, MASSACHUSETTS 02630 Ci TpWN pF BARNSTABLE CAPE COD (508) 362-3828 Fax(508) 362-3136 www.capecodcommission.org COMMISSION June 23,2020 CERTIFIED MAIL-RETURN RECEIPT REQUESTED Tracking Number: 7019 0140 0000 2042 8536 Jeffrey Kaschuluk c/o David Lawler,Esq. RE: 544 Wianno Ave,Osterville(CCC File No. 20052) 540 Main Street,Suite 8 Hyannis;MA 026ol Dear Attorney Lawler: This letter serves as notice that the above-referenced project has been referred to the Cape Cod Commission by the Town of Barnstable Building Commissioner(referral received by first class mail on June 18, 202o)as a mandatory Development of Regional Impact(DRI)under Section 3 of Chapter A,Code of Cape Cod Commission Regulations. of General Application:Enabling Regulations Governing Review of Developments of Regional Impact. Under the Cape Cod Commission Act,the Commission is required to open the DRI public hearing period on a project within sixty(6o)days of the receipt of a DRI referral. However,under the relevant provisions of Chapter 53 of the Acts of 2020,the applicable DRI review and hearing periods set out in the Act and Enabling Regulations won't commence until after the current emergency declaration associated with the novel coronavirus ends. The Commission won't proceed with hearings on new DRI matters,such as the project, during this emergency period. No municipal development permits maybe issued for the project,and no development activity may be undertaken . for the project,until the Commission completes its review and issues'a DRI approval. To allow for DRI review of the project,the Applicant shall make DRI application to the Commission,which shall be prepared and filed in accordance with the Enabling Regulations and other guidance maintained by the Commission. Copies of the Commission Act,Enabling Regulations,and DRI application cover. sheet and guidance document, among other relevant regulatory documents,can be found on the Commission's website at www.capecodcommission.org. Please do not hesitate to contact Jon Idman,Chief Regulatory Officer at the Commission,should you have further questions. 4inic n'Clerk Enclosure CC via regular mail: Fred Chirigotis,Barnstable CCC Representative CC via certified mail: Elizabeth Jenkins, Barnstable Planning Director Ann Quirk,Barnstable Town Clerk Brian Florence,Barnstable Building Commissioner Chair, Barnstable Planning Board Chair, Barnstable Zoning Board of Appeals Barnstable Health Agent Chair,Barnstable Conservation Commission Chair,Barnstable Historic Commission Development of Regional Impact (DRI) Referral Form CAPE COD This form Is to be completed by the referring municipal agency's authorized representative,Please attach a copy of the municipal development permit application pending before the municipal agency,showing the date on which it was received. Application materials should be transmitted to the Commission sufficient to describe the project and support the referral. Receipt of this information via the U,S.Mail or delivered in person to the Cape Cod Commission constitutes a referral for purposes of the Cape Cod Commission Act and Regulations,Form continues on the back. Referred by(Municipal Agency): The Barnstable Historical Commission through the Building Commissioner x Mandatory Referral —Full Discretionary Referral —Limited Discretionary Referral Project Name: Partial Demolition of 554 Wianno Avenue,Osterville, MA,the George H. Phelps House Project Location: 554 Wlanno Avenue, Ostervile, MA Applicant Name: Jeffrey Keschuluk Contact Address: PO Box 865, Osterville, MA 02655 Email: jeffrey@westbaydi.com ry _ _ Telephone: 508-317-2547 Brief description of the protect including,where applicable,gross floor area, lots,units,acres and uses(please use add'tional sheets as necessary): partial demolition of the George H. Phelps House at 554 Wianno Avenue,in Osterville,MA.The Phelps House is a contributing structure in the Wlanno Historic District a district listed on the National Register of Historic Places. The Notice of Intent to Demolish a Significant Building calls for the relocation of the Phelps House to 58 Wianno Avenue(outside of the Wianno Historic District). National Register documentation describes the Phelps House as being built in the Shingle Style in 1882. List municipal agency(*es) before which a municipal deve;opment permit is pending or required for the project (please use add'tional sheets as necessary): Barnstable Historical Commission ` Brian Florence, Building Commissioner G (Zl ZPZG Print Name of Authorized Signature Date Referring Representative/T'tle Mail or Deliver to: Cape Cod Commission Attention:Commission C'erk 3225 Main Street, PO Box 226 Barnstable, MA 02630 DRI.REF.FORM 0612019 CONTINUED ON REVERSE�► i Development of Regional Impact (DRI) U Referral Form Continued CAPE COD COMMISSION Prior to making any referral,the Commission recommends that the municipal agency contact Commission staff to confirm process and discuss other relevant issues under the Commission's regulations;and specific to limited discretionary referrals, this discussion might eliminate the potential for misunderstanding about the scope of Commission review under the particular Cape Cod Regional Policy Plan(RPP)issue areas requested. For Mandatory Referrals: Please indicate the review threshold(s)the project meets/exceeds from Sections 2 and 3 of the Commission's Chapter A: Enabling Regulations Governing Review of Developments of Regional Impact. For Any Discretionary Referrals:A referring agency should provide support about why it believes a project, that does not otherwise meet or exceed a review threshold, has regional impact and thus should require Development of Regional Impact(DRI) review. A municipal agency making a discretionary referral may request DRI review for one or more, or all,the issue areas of the RPP under which the agency maintains that the project will have regional impact(the RPPs issue areas are set forth below). A"limited" discretionary referral is one that requests review under one or more but fewer than all the RPPs issue areas. If a limited discretionary referral is accepted for DRI review,the Commission will limit its RPP consistency review only to those issue areas specified by the referring agency and accepted for review by the Commission. Please indicate below the RPP issues under which the municipal agency seeks DRI review: NATURAL SYSTEMS COMMUNITY SYSTEMS BUILT SYSTEMS Water Resources X Cultural Heritage Community Design Ocean Resources Economy Coastal Resiliency Wetlands Housing Capital Facilities & Infrastructure Wildlife & Plant Habitat Transportation Open Space. Energy Waste Management Affordable Housing Effect of referral on local board's time limitation to review an application: For mandatory DRIB, local review and the corresponding time periods for review are suspended immediately upon the Commission's receipt of the DRI referral and resume upon the Commission's decision to approve a project becoming final. In the case of any discretionary referral, local review and the corresponding time periods to review are not suspended unless and until the Commission votes to accept the referred project for DRI review. DRI.REF.FORM 06/2019 3225 MAIN STREET • P.O. BOX 226 BARNSTABLE, MASSACHUSETTS 02630 ci CAPE COD (508) 362-3828 • Fax (508) 362-3136 • www.capecodcommission.org COMMISSION To: Wade Staniar and Stewart Young, Property Representatives cc: Barnstable Historical Commission From: Sarah Kodeff, Preservation Specialist Date: December 20, 2o16 RE: 554 Wianno Avenue, Osterville Thank you for showing me the property at 554 Wianno Avenue in Osterville earlier this month. As you know,the building is an historic structure within the Wianno National Register Historic District. Because of this designation, any demolition or alteration involving at least 25% of the building's floor area is subject to review by the Barnstable Historical Commission and potentially by the Cape Cod Commission,which is charged with protecting the region's significant historic structures. Additions and alterations can be made to historic buildings without triggering Cape Cod Commission review if the changes are carefully designed to preserve the building's important character- defining features. In an effort to provide information for potential owners of this property, the following is my opinion on the property's history and key character- defining features. The home at 554 Wianno Avenue was constructed circa 188o in the Shingle style with a complex building mass and many varied window and trim details. The original building appears to have been a 21/2-story L-shaped mass with gable roof and one- story porch facing south,hip roof facing west, and a shed roof covering a 11/2-story ell facing north. The building had significant architectural detailing in the form of varied window forms,inset porches on the upper floors, dormer windows, and flared shingles between floor levels. Late in the 19th century, it appears that the shed roof on the north side was removed and replaced with a larger 21/2-story hip and shed roof addition. Possibly at the same time, or soon after, a one-story living room ell was added to the west fagade and the southeast portion of the ocean-facing porch was enclosed. Numerous smaller changes have been made over the years, enclosing upper level porches, expanding roof dormers, and removing architectural detailing from the south- facing gable,but the overall form and architectural character of the building has been preserved. The primary character-defining features of this building are the original 21/2 story L- shaped mass with a small hip roof(also known as a`jerkinhead')facing west and a gable facing south,the one story porch massing (now partly enclosed) on the s 2^ \J ACHus6` i , w facade and the unique angled bay window above it,the gabled dormer window and second floor porch at the building's southwest corner, the skirted shingle detail between the floor levels, and the woven shingles at many corners of the building. The rounded bay on the east fagade and the tower-like projection above it are not visible in the old photographs I saw,but they are distinctive elements of the east fagade and without better information about them I suggest they should also be preserved. The form of the northern ell and the 1-story living room added to the west side are secondary forms with less significance and less architectural detailing. While they are a large part of the building and they represent part of its historic evolution, I would not consider these elements to be key character-defining features of the property. When considering the location for possible additions or alterations to the building,the northern ell and the one-story addition to the west side are areas where changes could be made or smaller new additions could be added below the eave line without altering the key character-defining features of this building. Please feel free to contact me if you have any questions. I N G-LDgt- G0 tM r • Town of Barnstable Regulatory Services Richard V. Scali, Interim Director E BARNSPABLE �, ' Building Division BA STA BL 1639.2014 i639• ♦0�iOTFp��a Thomas Perry, CBO �75 Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 May 13, 2014 Dear Mr. Phillips, This e-mail consists of five pages plus this cover page. Page 1 is the 2011 advertisement for a 9 bedroom property which agrees with the assessed bedroom count. Page 2 is a letter from the rental agency promising to remove wedding location from ads. Page 3 is the 2014 advertisement for a 12 bedroom property. Page 4 is the 2014 assessment. Page 5 is the continuation of the 2014 assessment of a 9 bedroom property. The confusion/concern of this office is the discrepancy involving bedroom count without an increase in fire protection. Until there is resolution, no permits can be issued for this property. The Building Commissioner, Thomas Perry, is out of the office until May 15 and can be reached at 508-862-3032. Sincerely,, 1 �_ Paul Roma Local Inspector Osteryille Real Estate, Cape Cod Real Estate, Vacation and Yearly Rentals Page 1 of 3 Seaport Village REAJLTv 9 P irMrftM,OsteMlk MA 02WS 508-428-4443 Office 508-428-4493 Fax Print This Page Osterville, MA 554 Wianno Ave$12,500/Week Osterville, MA Vacation Rental Oceanfront 9 Bedroom home < — Pro ert No.#9981 554Wianno MEN u a d aim z s.{ Oceanfront on a white sand Nantucket Sound beach near Dowse's beach this classic home has 9 bedrooms,8.5 baths,tennis courts, a beautiful back yard and deck everything you need for a perfect Cape Cod vacation! For more information, call Seaport Village Realty, Inc., Osterville at 508.428.4443, or E- Mail:Vacations@MargoSells.com. Bedrooms: 9 Bathrooms: 8.5 Half Bathrooms: n/a Square Feet: 5000 Interior Features: Living Room, Reading Library, Separate Dining Room, Family Room , Eat in Kitchen, Floors-Hardwood , Bath-With Tub, Fireplace-Wood , Fireplace- No Use, Laundry/First Floor Appliances, Electronics: Furnished, Refrigerator, Stove/Gas , Dishwasher, Microwave, Laundry- Dryer, Vacuum , Iron, Ironing Board, Bed Linens Provided, DVD Player,Television, Kitchen-Adequate Dishes/#Occupants, Kitchen-Adequate Silverware/# Occupants, Kitchen-Adequate Glassware/#Occupants, Kitchen-Adequate Pots,Pans/#Occupants, Kitchen Utensils , Coffee Maker, Lobster Pot,Toaster Oven, Provided- Paper Towels&Toilet Paper, Provided-Laundry Detergent, Provided-Dishwasher Soap Utilities: Heat-Oil http://www.seaportvillagere.com/cape-cod-vacation-rentals-listing-print.asp?id=332 4/5/2011 La 7 0 LUXURY HO.MES &ESTATES 9 PARKER ROAD OSTIERVILLE Na 02655 PHONIE: 508-428-4443 FAX: 508-428-4493 Date: April 5, 2011 Re: Roberts Wedding 554 Wianno Ave, Osterville April 16, 2011 Enclosed please find the lease agreement for the rental located at 554 Wianno Ave, Osterville, MA 02655 as per your request. I plead with you to allow this wedding to continue as at this late date Mr. Dan Roberts will never be able to find a new location and re arrange wedding plans already paid for and planned out for months. I have removed an mention of wedding in an and all advertising for this ha Y 9 Y 9 property for our company Seaport Village RE, Osterville_ We had the wording " a perfect location for a wedding " but market the home to families for the summer. Please tell me what I can do to fix this situation and I will do whatever it takes so that the Roberts can have their special wedding day as planned. Thank you in advance for your help. 1. can be reached at 508-648-2967. Best, Michelle Wright Sylvia Seaport Village RE, Osterville Cape Cod Vacation Agent Cell 508-648-2967 michelle@capecod.com www.marzorents.com '.,��ririt Brochure Page 1 of 2 print r.p.wd e 554 Wianno Ave, Osterville, Massachusetts Rent/ : $12,500 / j City,State: Osterville, Massachusetts Zip/Postal Code: 02655 a u t Country: US 14N I Region: Barnstable i Osterville Property Type: Summer rentals P Y YP 4P2,. �� _ � � 12 Bedrooms ` 7 Full Baths t 1 Partial Baths Lot Size: 5,000 Sq. Ft. Contact Robert Paul Properties Robert Paul Properties (508)420-1422 r j Alt: (508)648-2967 Osterville Massachusetts 02655 rentalsCaDrobertpaul.com ;r Description Private Beach, Tennis Court.The perfect family vacation rental! This home has 12 bedrooms and 7 full baths, 2 t living rooms and a pool table. Wrap around porch and lovely large yard. < For more information, please contact Michelle Sylvia at 508-648-2967 or email Michelle@RobertPaul.com L yp '� ■ http://capecodrent.re.adicio.conVproperties/search/printBrochure.php?gAdid=4f3OO69e 1 Of... 4/15/2014 Official Website of The Town of Barnstable -Property Lookup Page 1 of 3 Assessing Division Property Lookup Results - 2014 367 Main Street,Hyannis,MA 02601 - «BACK TO SEARCH« 11 IY t l7-C� 1 I Print Fnen Owner Information-Map/Bloc -Use e: 1010 Owner Owner Name as of 1/1/13 PHILLIPS,FRANCIS B&WALTER M JR Map/Block/Lot GI S MAPS 102 ESTABROOK RD 162/0131 CONCORD,MA.01742 Property Address Co-Owner Name CIO PHILLIPS,FRANK 554 WIANNO AVENUE Village:Osterville Town Sewer At Address:No GIs Zoning Value:RF-1 - - - -- --- - - - Assessed Values 2014-Map/Block/Lot:162/013/-Use Code:1010 JI 2014 Appraised Value 2014 Assessed Value Past Comparisons Building Value: $532,900 $532,900 Year Total Assessed Value Extra Features: $71,800 $71,800 2013-$4,935,700 Outbuildings: $49.600 $49,600 2012-$5,091,500 2011-$5,274,700 Land Value: $4,280.000 $4,280,000 2010-$6,437,000 2009-$8,012,400 2008-$6,053,400 2014 Totals $4,934,300 $4,934,300 2007-$6,047,300 - -- - -- -- --- — Tax Information----—201---4---MaplBlock/L------ ot:--162--1 013/—--Use—Code: 1010 �I Taxes C.O.M.M.FD Tax(Residential) $7,450.79 Community Preservation Act Tax$1,350.02 Fiscal Year 2014 TAX RATES HERE Town Tax(Residential) $45,000.82 $53,801.63 Sales History-Map/Block/Lot:162/013/-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: PHILLIPS,FRANCIS B&WALTER M JR1219/2004 19328/326 $2000000 PHILLIPS,WALTER M JR ET AL 8/29/2003 17553/275 $1 Photos 162/013/-Use Code:1010 LM Sketches-Map/Block/Lot: 162 1 013/-Use Code: 1010 BAS/BMT1691) FORM— 17 1'2: 12 v 29 , 8AS 11. BMT = 1& .'. iDP Y � DK 1P AS -.9 MT 2T "� 1� AsBuilt Card N/A Constructions Details-Map/Block/Lot:162 1 013/-Use Code:1010 http://www.townofbamstable.us/Assessing/propertydisplayscreen 14.asp?ap=0&searchparc... 5/12/2014 I fficial Website of The Town of Barnstable -Property Lookup Page 2 of 3 1 Building Details Land i j Building value $532.900 Bedrooms 9 Bedrooms USE CODE 1010 t i Replacement Cost $710.568 Bathrooms Full Lot Size(Acres) 1.83 Model Residential Total Rooms 22 Rooms Appraised Value $4.280,000 i Style Conventional Heat Fuel Gas Assessed Value $4,280.000 Grade Custom Plus Heat Type Hot Air •. Year Built 1880 AC Type None Effective depreciation 25 Interior Floors Carpet Stories 3 Stories Interior Walls Plastered Living Area sq/ft 7,064 Exterior Walls Wood Shingle Gross Area sq/ft 11,630 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp I Outbuildings&Extra Features-Map/Block/Lot:162/013/-Use Code:1010 i iCode Description Units/SQ ft Appraised Value Assessed Value BMT Basement-Unfinished 2966 $41.100 $41,100 WDCK Wood Decking 180 $2,900 $2,900 w/railings FOP Open Porch-roof-ceiling 717 $22,000 $22,000 FPL3 Fireplace 2 story 2 $7,600 $7,600 FPO Ext FP Opening 1 $1,100 $1,100 FGR3 Garage-Good-Wd 900 $27,800 $27,800 Shingle TEN Tennis Court 7200sf- 7200 $18,900 $18.900 Concr Sketch Legend Property Sketch Legend B21N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) I CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) 'FCP Carport KEN Kennel UTQ Three Quarters Story I (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic i FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio I 04)Print .rien Contact Director of Assessing Jeffrey Rudziak P 508-862.4022 F 508$62-4722 8:30a.m.to 4:30p.m. Helpful,Links to Downloads •Abatements SALES LISTINGS Barnstable FD Residential • C.O.M.M FD Residential http://www.townofbamstable.us/Assessing/propertydisplayscreen l4.asp?ap=0&searchparc... 5/12/2014 Pig a L Pema r19 X S-0 7 Re*4 C' rz f 4 a r`r C2oe lie �C-2 Ot lq(, le 14 U 2 � a s 2 L.,f" /� 101A do�z, ,5 y �� yky Ale o- I id xZ` b '�^ '16 2 k-jiQ r , W ova / 2�� • ��':. a X off` N74y. 1,�6 XAl L►.yneluy .Ql� A 'b 6:,e7 /o�(la i�Xi b ------------------------------------ loop O . F : p f ode . . :: .. . . . . bk : . �:tW WIn.1me Ave r 2,Vd1,id ,A/4 SMOKE DETECTORS REVIEWED v«k f t ,ten fhy BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE �v� 2ty1 BOTH SIGNATURES ARE REQUIRED FOR PERMITTING R CARBON MONOXIDE-ALARMS *ST BE INSTRLGEO:PER: O , MASSACHUSETTS'BUILDINGOODE co i 3-YA A s T Oreoa r o?7. Ln+rnblpy Q� ... S Ala . . S CO 41L b4�� 0 g 2 YAW - S Xio O O iaxid TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION I Jate Time: In Out Owner ( Cp7� .1, V1A i ums Tenant jf �►)PL- Address 1-1)Z � I xbizooy- P--%) Address 554 �dt; car , AAA Os E pyIL���l9 . Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8.Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms j k NumberjVehiclned (m �1=} Number of Persons Allowed (max) Person(s) Interviewed Inspecto If Public Building such as Store or Hotel/Motel specify here rTj -fLANIL �'4 f L-L-I. j A -j4 P--wl FO[.-�-o 4L) r apt►,rc, Town of Barnstable *Per, Dl Expires 6 n t( r ids n Regulatory Services Fee * BAUPWO rtasMAM u. _ 039. Richard V.Scali,Interim Director -- Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number l�/„A o J3 Not Valid without Red X-Press Imprint / ` Property Address 1551 tit i4 JAb A V — 0 S%FA V i 1 A Residential I Value of Work$(A Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Q/ le P1 S i 00JCAF CAMALMI,) CAOC4464 CAOWPFTAKEA Contractor's Name C A PL Co 7 Al Ak#j Telephone Number 508-398—63/ Horne Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) zworkman's Compensation Insurance R 'SS PER11fiff Check one: ❑ I am a sole proprietor ❑ I am the Homeowner JUN 11 2014 ❑✓' I have Worker's Compensation Insurance Insurance Company Name 2 t)CYE2 S 0 GJ y TOWN AG QMNSMLE Workman's Comp.Policy# CC —yap Soo(,dl3 3 ao/3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows #of doors: ZSmoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required r � SIGNATURE: _41 . � r T:\KEVIN MBuilding Changes\EXPRESS PERMI REXPRESS.doc Revised 061313 t The Commomvealth of Massachusetts Depaarlrnent of Industrial Accidents OJFice of Invesdgations 600 Washington Street Boston,AM 02111 imm.mass,govIdia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busk--WOsganizatiow7ndividual): C o b A/A 2 fi1 Address: n2ew o/D 7-6LJ A4 )tE 20An ` City/State/Zip: W, Y14-Q IM 0t)TY AM 0alo'�'.3%me ik SO'398 -603/� Are you an employer?Check the appropriate boa: Type of project(required):1..FI am a employe with 1/5' 4. ❑I am a general contractor and I employees(full audlor part time). s have hired the sub-c�is 6. ❑New construction 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-co'n ractots have �P oy 8. ❑Demolition working for me m any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.I 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers.have-exercised their I LE]Plumbing repairs or additions myself[No workers'comp- right ofexemption per MGL 12.❑Roof repairs insurance required.]1 c.152,§1(4),and we have no employees.[No workers' 13_[r]OtherSMO/�t�S C O�S comp.insurance required.] 'Any applicant that checks boa#1 tnnst also fill out the section below showing thek wmkere oompensatiom policy information- ' 1 Homeowners who submit this afEdaw indicating they are doing all v mk and they hire outside contractors mast.submit a new affidavit indicating such_ tContrat:mn lhat check this box must attached an additional sheet showing the time of the sub-contractors and state whether or not those entities have employees. If the sub-cnat>ectms htme eniployees,they must provide their workers'comp.policy number. l ana an employer that is providing workers'contpmsafion insurance for my employees. Below is the policy andlob site information n Insurance Company Name: R(�Gc Q S r �Q y Policy#or Self-ins.Lic.#:-_(,()CSC-500 -560 40 413 3 Q013 Expiration Date: 4/ Job Site Address:S,6_9 W/AW tJ O A V C City/State/Zip:0.5 7E12 V;11,P_. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration dnte). 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 ofthe DIA for insurance coverage verification- Ida hereby certify under a pains nd sties ofpeditry that the information provided above is bare and correct Signature- Bate: C 9 Phone#: Official use only. Do itot write in this area,to be completed by city or totpa official City or Torun: PermitUcense 4 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#- CAPECOD-54 APELL CERTIFICATE OF LIABILITYDATE(MMIDDIYYYY) INSURANCE 5/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT Rogers&Gray Insurance Agency,Inc. NAME: 434 Rte134 PHONE A/C No Ext: aC No,(877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC p INSURER A:Scottsdale Insurance Company INSURED INSURERB:ARBELLA PROTECTION 41360 Cape Cod Alarm Co Inc. INSURER C:Associated Employers Insurance Co. 11104 204 Old Townhouse Road INSURER D: West Yarmouth,MA 02673 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. INSR LTR TYPE OF INSURANCE 171 POLICY NUMBER P-UCY EYY`YI MMIDD OMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CPS1823013 09101/2013 09/01/2014 EACH OCCURRENCE E 1,000,00 PREMISES IK NI pence $ 50,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,00 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY X PRO LOC AUTOMOBILE LIABILITY E ECOMBINED SINGLE LIMIT aent 1,000,00 B ANY AUTO 10200060" 09/01/2013 09/01/2014 -BODILY INJURY(Per person) $ ALL OWN X SCHEDULED AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTOS ED PROPERTY DAMAGE AUTOS PERACCIDENT $ UMBRELLA LIAB OCCUR /!, X EXCESS UAB CLAIMS MADE XLS0084321 EACH OCCURRENCE $ 3,000,000 09/01/2013 09/01/2014 AGGREGATE $ 3,000,000 DIED X RETENTION$ 0 WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X WC STATU- OTH- C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N I ER CC5006433012013A 09/01/2013 09/01/2014 E.L.EACH ACCIDENT g 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ 1,000,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Installation and monitoring of security systems Certificate holder is provided additional insured status with respect to general liability when required in a written contract or agreement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Wiring Inspector ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main St Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 21(2010/05) The ACORD name and logo are registered marks of ACORD r '► Y , WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated.Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. WCC-500-5006433 2013A ITEM PRIOR NO. WCC5006433012012 1. The Insured: Cape Cod Alarm Co Inc DBA: Mailing address: Attn:Gene Cormier FEIN:' '•'3528 204 Old Townhouse Road West Yarmouth, MA 02673 Legal Entity Type: Corporation Other workplaces not shown above: See Location 2. The policy period is from 09/01/2013 to 09/01/2014 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 A D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. ' Classifications Premium Basis Rates Code Estimated Per$t100 Estimated O No. Total Annual Annual Remuneration Remuneration Premium INTRA 184628 INTER SEE CLASS CODE SCHEDU E Minimum Premium $367 Total Estimated Annual Premium GOV GOV Deposit Premium STATE CLASS MA 8901 MA Assessment Chg. $23,614.00 x 4.2000% �- .This policy, including all endorsements, is hereby countersigned by ,� Authorized Signature 0 Date 013 Date j Service Office:54 Third Avenue The Fairway Agency Inc � Burlington MA 01803 63 Main Street Suite 5 Bridgewater,MA 02324 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with Its pennisslon. I . l • �i�.�q;,s1�e, • .• ����i+�oso �asad(r�rae�o.�'s?a. � . AV . i Fold,Then Detach Along All Perforations . .�. �• � ! OMMON iLT N fM: ! s e .:ty: :\A.Itl11Vtl,SJ1M.tlW� I:.::.i.. IWO AN" - N nn W✓I SS a 1 M UEST Cu -s •��:. : ..r«�.. :c �Ran � ONtRA' L ECH� OW I ( : R1'€C:I I :� :' C0 r RM�;ER� ':r..c':L a. 20 F.• rr 1 .� - w` ���'MA 1: t �h :.I .:;q Lu <'i RV W Y OU :r r^: :0 2 6 . 7� T' sF: 3 4' n.Y W d:l �7 H: 5 :F.: :: E' 9 IVN 5 51, Oti anwaff ,o :z6�' s: ry I /- �•'�� �5 1 UvCommonwealth of Massachusetts • Department of Public Safety SecurilY SrNlenls-S-I,icell, License: SSCO-000248 tel:1 1♦ l GENE CORMIER _ 04 OLD TOW1VHOfJ SF�D � "• : . YARMOUFH MA •2G CommissionerT' Expiration: " 11/07/2014 • I �9NSTw6IINc�, SERVICSN d o �1 M NlITIDR1PJq'10f S[cURhY, ARE, AtvdCCTV SYSTEM* $�6�6 * (800) 46�5300 . ( ) l��uc: C>Ennrtr<nl STATION (508)760, 012 MA LICENSE No. IY92C Tt� c s Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ��� llrbr as Owner of the subject property hereby authorize CA8C C Q A1AP-m to act on my behalf, in all matters relative to work authorized by this building permit application for: STY WAAWQ AVE, osTtQVi'tic`rl-iA. (Address of Job) I Signs ure of Owner ate Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN MBuilding Changes\EXPRESS PERMITNEXPRESS.doe Revised 061313 • BARNKABrE. • Town of Barnstable Regulatory Services Richard Scala,Director 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 Property Owner Must Complete and.Sign This Section If Using A Builder I,__ GAZL 14r1 (-R.00Af ,as Owner of the subject property hereby authorize t"Me6l)AlAgo', to act on my behalf; in all matters relative to work authorized by this building permit application for: s�w�lu- (Address of Job Signature of Owner Date Print Name If Property Owner is applying for permit,-please-complete the Homeowners License Exemption Form on the reverse side. QAWPFaM\FORMS\building permit formAsmokecarbondetectors.doc_ Revised 050412 04/06/2011 11:53 FAX e 001 I i T01F ') ' � C' � — IE .. �Wev6�x�7 illaye LUXURY HOMES &'ESTATES' 9 PARKER ROAD OSTERVILLE MA 02655 PHONE: 508-428-4443 FAX: 508-428-4493 Fax: --19 D Phone: From: Phone: Date: Ultl I Re: ►—,L1 � LJ\�cnv�� �j� Pages (plus cover sheet): Notes: 1� - Y- 4 \Jt, ----- - }} Ov � _ I 1 � � �� �� I -B Engineering Dept. (3rd floor) Map 1(a Parcel (3 1-3 Permit# House# _5 S:q Date Issued (o m Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ' Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 17/ Planning Dept.(1st floor/School Admin. Bldg.) IKE Definitive Plan Approved by Planning Board 19 4 BARNVABLE. MARrl EO TOWN OF BARNSTABLE Building Permit Application Project Street Address ��/ KJ k)0) �Q L Village Q P Owner a' Address 6X /b WN ® t7 Z Telephone ILI&L f Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ r (�� Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing I New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use udder Information Name LTelephone Number C Address (} License# Home Improvement Contractor# Worker's Compensation#SW_ O 1= 13 069,0� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE BUILDING PERMIT DENIED FOR E.FOLLOWING REASON(S) b . FOR OFFICIAL USE ONLY i + - 1 1 PERMIT NO. ' DATE ISSUED' ' MAP/PARCEL NO. -4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: - -,� FOUNDATION 4 FRAME r h� INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ' ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT -° - ASSOCIATION PLAN NO. ' _ . jk _ D� DEPARTMENT OF PUBLIC SAFETY E. ONE &�ASHBURT N PLACE, RM- 1301 k OC 13 0 1995 BOS �,02108-1618 ION Fr-)) BE SUPERVISOR LICENSE Expires: `—' d To: 00 T4 Detach bottom, fold sign on U..3 57" back, and laminate license card. V., !:A 02655 Keep top for receipt and change 4 of address notification. Restricted To: 00 23407 01' 111CIS H 00 - lone LypirE,: N 2 Fa&ily Hous Failure to possess a current editior. c' 0� Massachusetts State Buiildinq :ode is cause for revocation of this license, HOME I MPROVEM f ..• "—V Board o .-suil-og OneAshburton, . ..... .... Bost ---------- iOME IMPROVEMENT CONTR4' . �.qistration 10371. ype PARTNERSHIP E CON TRACTOR ' MKT:' 03.714 PAUL J . qoZe11 SHIP Paul J . CaZea-U!J,t! 22 Giddi P. Orleans MA, .0 2 ULL4 SONS ROOFI I d It' d P.O. 278 Rdialt t. _�!Wmz, COMMONWEALTH OF MASSACHUSETTS �- DATE(tdM/DDIYY) AC�RD,. CERTIFICATE. OF LIABILITY 1.'' URANC4A J 2 08/06/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE ITIFICATE Drake, Swan & Crocker HOLDER.THIS CERTIFICATE DOES NOT AMEND EXTEND OR 14 Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POI ICIES BELOW. Orleans M-A 02653-0429 COMPANIES AFFORDING COVEF AGE I David D Rust COMPANY IPh„„wNc. 508-255-3212 Far.No. A Assurance Co. of Americe INSURED COMPANY B Credit General Insuranc( Co. Paul J. Cazeault etal DBA. Paul COMPANY J. Cazeault & Sons Roofing C F 0 Box 2781 COMPANY Orleans MA 02653 D CC` EPn DES - i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE I OLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT •O WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. `'O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION L IITS LTR DATE(MMIDDNY) DATE(MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 1000000 ?? X -1.AMERCIAL GENERAL LIABILITY CFP25552812 05/01/97 05/01/98 PRODUCTS-COMP/OP, •G 51000000 CLAIMS MADE ��OCCUR PERSONAL&ADV INJUF $ 500000_ -•WNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500000 FIRE DAMAGE(Anyone I, _) $ 50000 MED EXP(Any one person $ 10 00 0 AUTO AOBILE LIABILITY COMBINED SINGLE LIME b 1)Y A'.ITG L O:VNED AUTOS I$ BODILY INJURY CHEDULED AUTOS (Per parson) •TIRED AUTOS BODILY INJURY JN•O`NNED AUTOS I (Per accident) -- - --- -- ------------I PROPERTY DAMAGE _ $ GARi:GE LIABILITY I AUTO ONLY-EA ACCIDE fr ''Y AUTO OTHER THAN AUTO ONL EACH ACCID; IT $ EXCESS LIABILITY EACH OCCURRENCE $ -MBRELLA FORM AGGREGATE $ THER THAN UMBRELLA FORM S li•' WORKERS COMPENSATION AND J WC STATU• - E„1P'.)YERS'LIABILITY i EL EACH ACCIDENT — $ 100000 I THE PROPRIETOR/ M $ INCL SWC17005900 08/09/97 08/09/98. EL DISEASE•POLICY IIty $ SOOOOO ! OFFICERS EL DISEASE-EAEMPLO :E $ 100000 I OFFICERS ARE: EXCL OTHER I I I j DE,'.'^.IPT!^N OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS Roofing CERTIFICATE HOLDER ::::CANCELLATION PEACOC 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC LLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL E!DEAVOR TO MAIL I j 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, j BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY i OF ANY KIND ON T E COMPANY,ITS AGENTS OR PEPRESENTATIVES. i AUTHORIZE EP ATIVE j ACORD 25S(1/95) ;; OACORD CORPORATION 1988 I r t The Commonwealth of tllussachusctts f.i! _ _ �:_•�- Department of Industrial Accidents ' �� : •� - Oflfceol/n�estlgaUons Gpll WaAh: ton Street Boston, Marv. 02111 Workers' Compensation Insurance Affidavit �P�lie=��+ iriforrnation� —l- '^� name A)A)A VDA�- lQc1iiomznz (� 1 phone# ��P-1.,714 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity >.,. .. 7R- mw-;p,.8r, r-rr, ---•,T---�-� •...—:'�.,.,,,�.-`_�. I am an employer providing workers' compensation for my employees working on this job. comp'Invnarne gAyt� V address' city: /GCS phone#: ��0 72 insurance co. // Rolicy# S-&Aln./ ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: compinv name: address: city: phone#: insurance co. polio'# +..n::::•n:..,r.rn•---r,,r-: "ter ,^•s ;r";n+�'�?t�nrk•�;r�+ln,aa.'•!c wt,:!Rt�� company name: address: city: phone#: insurance co. policy# :Attach additional sheet if necessary y rtr s ?Y ?Y+4R;#_5:7 <,_�.•ia-._-.rf� e:M4,��w�R�_ .�-��ao a�` _ -• - dZ ra. , - -..4 Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51400.00 and/or one years'imprisonment as well as civil penalties in the form of a'STOP N1'ORK ORDER and a fine of S100.00 a day against me. I understand that a copy of(his slatcutent may be forwarded to the Once of Investigations of the DIA for coverage verification. 1 do herehr ce ' r ut�tj the pains an�d�pennaltitieCs of perjuty that the information provided above is true and/correct. Siena Date GQ—( Print name Phone# :' official use only do not write in this area to be completed by city or town official city or town: permitAlcense# r Building Department (jLiccnsing Board p check if immediate response is required ❑Selectmen's Office t; pHealth Department contact person: phone#i rnOthcr , I rerisrd 111,5 P1A) - Nineering Dept. (3rd floor) Map Paicel -3 PJ," Permit# House# SL4 r—uS• • C Date Issued 5-- 2 -" Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)! Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) -SEPTIC SYSTE E Definitive Plan Approved anning Board 19 IN LED IN C : E .WITH TI '� ' TOWN OF BARNSTAMYM 11MENTAL Building Permit Application , Project Street Address � Al Village Owner t LL( Address Telephone Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cos Zoning District Flood Plain Wate otection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Fami units) Age of Existing Structure Historic House ❑Yes No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑ lkout ❑Other Basement Finished Area(sq.ft.) asement Unfinished Area(sq.ft) Number of Baths: Full: Existing Ne Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existin New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ ctric ❑Othe Central Air ❑Yes ❑No Firepla : Existing Ne Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached ructures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) t• ❑Other(size) Zoning Board of peals Authorization ❑ Appeal# corded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use _ Builder Information r- r— S Name ��f}1U (� ��'lgLrE - Telephone Number r 9 �� ' 1 Address c-Dp�� tb �n'L ��Z`�'-#-�(7 License# AJ he l D aje,, nL6 L-,Ls Home Improvement Contractor# Ai 1� r ` Worker's Compensation# 625 6 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE (q BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) s; ca w4 FOR OFFICIAL USE ONLY r PERMIT NO. DATE ISSUED y MAP/PARCEL NO. t y ADDRESS VILLAGE OWNER - DATE OF INSPECTION: , FOUNDATION FRAME' INSULATION FIREPLACE + ELECTRICAL: ROV, H FINAL PLUMBING: �RO�UG.H # FINAL , GAS: (R' 4U FINAL ! FINALBUILDINGZrr I. DATE CLOSED OUT ' ASSOCIATION PLAN NO. 4 � 1 I I . �. ' � ' E �R,IRtw u e 07 v.° . . '1 CA '>�/•� :.(� 91�,1t'rSR�....ap,.•,.ar.,...a.,..,,...•.�,..:p,�p..vina�^—nc .�.._,..�. -- - --....a�.�.;.r°:>ii'w�-v�'avv���.,a,�m i .,,a.�,.�,.,.mr:..,,,:�.•.,.a,.,.,�.,:.t.,.�.....,na........,..,....�.,,••.,,.�.�„�.....-..-m �. .a.a.,e.....�.,.,aa,.,,...�,.ra.a,.,.,_a..•...,...,�.....a --- '�ltaa„��.��.nr...,...•..�.a�.<e.......w..�..,b.�....a.m.�,....,..r.a•..........�........,,. ......._a,_.a.,,.,.........�:,.._,..�>:�..�,.•......r._.....�,�_a...a•.,:... -- ....�_.. 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' //'.� ♦ .fit•• _ '+',_., 1 \ y -� of REGISTERED ISSUED BY ` FA B R!Ci JOILiNSON VJOB?I_DWIDE ASSOCIATES'. !N,-. �N Onto of i vnufact�jr&� NUMBER 131NIG��ANI T ON, NEIvAl YOR.K: 13902 ' +� Manufacturers of the r=iriest 1 l=_1dU.U1w� Tent � t''c�ri... 1�9 Products C• scribed Herein N�This is to Certify that the, Drt:?6,l)C'''n ll.erefn have been manufactured from material Inherently flame retardant as het,e rift& spe:;�ldled by the rnf;terial supplier. S;I 1 y STATE r Ce-,Wlraiion Is hereby made t'rtat: T.-le 411,_ bS deSCrlOf?Y on If'rS C2rli(!3ai= be-En rna.?ufactured vdith an a 'prove i flare retard3nt C1 n'tiC31 it1 c,rnpii.:l:tce I A".lh C;31ric)rntd State r',fQ Pviar;,.,hf letl .(;, i�!!-r ';}" Ur'SQ'ti3iJJri'ier'• t dlOry f rJa!-;aC!� �. c )A%'r:P ,2(7 'r', 'CL':i�C'•i,r, � 4'...___.._ ._�._.._ __..._.___..__....—..__...._-...___..__.________�__....�....-----•--_-..-_ }, a`-d flab—• beer: liirn :hQ Federal '!esi Metnod `.�7F•CI IC`ir!"•'1 art r,t� ? 0( ex (?I?Cl the tilllla'�' t-1ar'n CJIyCI I,; 1101.- Or 9Jf!i T ypc,rdor and weivht or irwe,la;: .L`'ca"'�iit y 1 r,1h i.t:e G e r P.s i__-_L '' M_t_�a ._-o r_ 4 0 `C:nscn Jon of Item.nrtr."ted: l rye ;<. et.a:rd ani Pracess 1J'sed Will Not Be Rel-roved By Washing Arid 6s Effective For The Life Of The Fabric ��an�rC1QY' ilk Y9l.i :Ya',tl Pt�Yb ,YInc. TEI<T EPAR1VENT,.10',ANSON WORI-CWME ASSOCIATES,WC: � Manufad,urer of i=ianla f:ltilardant`Jinyi Lrri'rn);nabs ------ - - -------- cue . �._._.�.._.w........_.�.....�...�.�.�:1 f I I REGISTERED ISSUED By Erato of t!+nr.utrac_te;re FABRIC' ,JO1-•NS0N V,1ORLDWIDE ASSOCIA I ES, INIC:. NIIMBEA BINGHAMTON, NIIEVV YORK 13002 Manufacturers of the Finest I Ant. J.. 191 9 / Tent Produ,:s Described Herein, l F-1�.G 1 This Is to certify that the products herein have been manufactured Irorn material Inherently flame retardant as here after specified by the material supplier. NAME: AAE; PAne r'ican Tent & Table rars o_�a .T1T __-- __-__. _. - -____._ C, TY .__. _�. STATE Certification is hereby made that: The arlicies describe,d on 'f'hi] cer1,;C,,ale have beer) marlUfactured mlh an appr:)ved fiarne retarjan cherr;tcal in, f.:OrTiL'{i3ni:E n,tkt Cal',totna ta.te Fite to-Bishai Code, NFPA-1101 1Jnd 'rwriters Laboratory of Canada, and heave teen tes'ed In accordance � 1'11t11 tl-,e Fedora, pest Metin--)o apeci•itc;tions and rneef or excee7 the Mkilary Flame Specification-, of 5HL-C-4 G rTit)o,cxoic•at1d weight of r^3te,iel`L 4 o�f;nr! W fl 1 r i- C I I�a,sc�'ip�on rt itFmt r.•ertiliO;d: , _..,Flame Retardant Process Used Will Not -Be l serno `ed By �;N'aShinrj And Is Effective For The Life Of The Fabric i f-----11nsjd.e r Mal,,u` acivr@ng, Iric. rEN'r j E,^:,tRl',•J,ENT,!OHNSON WOR!_CM OE ASSOCIATES,INC. '� � P�Sanuia:�urer c•i f-'larTle f?i6arcfar�l`Jinyi ;..arrdrlateS -- - ..�.-- - ----- - - -- -- ------ ---- - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Map Parcel Wp ion # Health Division Date Issued 1c:>2 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation /Hyannis Project Street Address 0 5 7" `w a Aq Yo A 0 r Village ,�(9 S [2)�r f`�Owner A-A) /f,C/iS Address j 0� E Telephone q� Permit Request I-SuSks Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new District Flood Plain Groundwater Overlay Project Valu ' n Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Fam' ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ kout ❑ 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: ❑Yes ❑ No Fireplaces: Existing New Existing ood/coal stove: ❑Yes ❑ No u Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: xisting ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 0 Name 7�/vT 1 7w6k),c- Telephone Number (508'_. ' 9_0 — 2 21.5 Address �`0- 'Box ) 3 4 g License# /WlW 0"1 WAS 70N s Mx l J,S 41 W Home Improvement Contractor# 14 0 1} Worker's Compensation # -4-02- (o /2-7 1 F ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE - FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ` ADDRESS - VILLAGE + "OWNER I ' DATE OF INSPECTION: r FOUNDATION ` FRAME r i Y INSULATION 5 y . j FIREPLACE �. !� ELECTRICAL: ROUGH FINAL r. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL y, FINAL BUILDING y DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents = Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/vIndividual): (°j/.} y(1 /�'� � Address: ✓� 3 qj f2. / City/State/Zip: .s l O " /t'J' f Phone#: -115'D F Are yo n employer?Check the appropriate box: Type of project(required): 1.I; am a employer with,_ -a 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. El 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 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑ Building addition 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 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no S employees. [No workers' 11. tter 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. lContractors 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: Policy#or Self-ins.Li c.#: �(;(��— � —77 a Q J )l piration Date: L S ( / rn mm Job Site Address: 7 OI A-k)A)O a UE 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 certify under the pain and enalhes perjury that the information provided above is true and rrect. Signature: - 7 ✓� +() LL ) Date: Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Aco o� CERTIFICATE OF LIABILITY INSURANCE °�' ` '"'- oao41201412a;a 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:ff the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms end conditions of the policy,certain policies may require an endorsement. A statement oil this certificate does not confer rights to fhe certificate holder in lieu of such endorsement(s). PRODUCER.06082+001 NAME: T DPS Insurance Group Inc .N E, : (617)4795500 ,. N,: .(617)479-8761 500 Granite Ave oet�Ess Suite 3 Milton,MA 02186 NSUHWSI AffQRDI A.I.M:Mutual Insurance:Company 26158 INSURED ER" American Tent&Table Inc INSURER C P O Boot 1348 Marston Mills,MA 02648 INSURER F COVERAGES' CERTIFICATE NUMBER: : REVISIOWNUMBER: 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- CERT'IFI.CATE MAY BE.ISSUED OR MAY:.PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS: EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN.REDUCED BY PAID CLAIMS, L TYPE OF INSURANCE I POLICY NUMBER pI� LIMBS YM GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PU=SES ETO RE D $ CLAIMS-MADE OCCUR' MED EXP(Any one.person) $ PERSONAL.&ADVINJURY S GENERAL AGGREGATE $ EN L AGGREGATE OMIT APPLIES PER PFtODl1CTS-COMPIOP AGG $ oucY o- Eloc AUTOMOBILE LIABILITY 2=NGLE LIMIT $ ANYAUTO BODILY INJURY(Per person) S AALLOOSMED SCHEDULED CHED L BOUILYINJURY(Per acdQ M)' $ HIRED AUTOS NONONRIED P.R PERTYDAMAGE• S AUTOS S UMBRELLA LIAR .Q000R- EACH OCCURRENCE $ EXCESSUAB CLAIMSMADE AGGREGATE $ DED RETENTION$ S AI t� ��iY XZ"u Ids o ELUTYE .EACAACCIDENT $ 100,001T;00 A I � t c M N IA AWC 400-7026128-2014A. 41=014 4/51201 t pUndabuy In NH) E.L.DISEASE-EA.EMPLOYEE''S 100,000.00 WOMS'SPERATONSbelow' E.L.DISEASE'-POLICY LIMIT S 5Q0,OQ0.00 DESCRIPTION oFOPERATIONS L LOCATIONS!VEHICLES(Anach ACORD 101.Additml Rana is schedule,IT more space Is mquheM CERTIFICATE HOLDER CANCELLATION Cahoom Museum- POI BOX 1853 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. COtult, ER MA 02635 THE .EXPIRATION DATE THEREOF'- 'NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR®REPRESENTATIVE p 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 03/13/2014 13:58 FAX Q 0002/0002 Re'"l�at-o e v ces. .: eusQ boriias"F.:GeEleri-MirkW . �,;�.�. ,.: �3u.�d•�iag piwis:on 'Ibm Perry.;-$il hg:.0 -MV.i.*OVtr ::204:Iu1ss.Fri.,Steei��:�Tya�iiis;'1��►02�(?�� wmr,EoW .bairn. Ei lema,�ts: . . Fix;' 3IIg�740�iS23�' :Ccjr �IiL:t,�::and: ,:rri S Gir1:011 :P,. > IJ/(�L'. .. ,'as(7wr►e�of ti e::s jec prppeMY here y au ooze: :. .:. , • act- n mYyt . - maners ela ive: Rro k,aigthD4 d._iiy�14,buil ling p�t�i�appicaUoolor�� Psiht-Narm f P : °r :`: e ls�app°ly g:f . pex x iit> .ca ete:.die:. 'Ha�me:o n. Ts 1 e xeriTp r::For au the°.:rid° a :e::ss e,. �:FsawNr��tt�sto�r • �+n'° ° 0.w �alr+�,[%� Sri `,9q.aa„oQ. onR,4 aq„v9 D,vo a. qu+�pae ,�opa a ao A� �, � ' Date Manufactured � �YEC Y�WY� - 12/17/2013 2665 COLUMBIA ST INV NUMBER: 0201470 TORRANCE,CA 90503 P.O. NUMBER: (800) 228-3687 CUSTOMER NO: AMER026 } This is to certify that the materials described below have been flame retardant i treated (or are inherently flame retardant)! n , AMERICAN TENT &TABLE INC. Cal!W° Mew Fes'°' nla Comt.. terry-Tex 12,14,16,18t.2 F-419.01 - ' P.O. BOX 1348 Coated Fat.„o Clear Vlnyl 16ga/20ga F370.02 ' DO Clear Vi"169./20ga rr,93.01 381 OLD FALMOUTH ROAD UNIT 41 nu DAF F-593.02 "j Marstons Mills, MA 02648 r�a.d+.wr�p Pal, ed 1 5 F434.01 ' ^y Fend„ ReOOMra1M 02 F4".01 Feuratl PrecantralM 702 F444.08 Phillips Textiles P11117"UW FF-S00.01 PVC Tech. Deraath/AVOW F-SO4.01 'd Snyder Wea„rerspan F-1/0.01 T„Vantage FlrWst Su brella F=M8.0S Certification is hereby made that the articles described below hereof are made T„� &TS°° F;Z;.2 from a flame-retardant fabric or material registered and a y g• approved b thentage T„vantage lVanguard Wet.lan F-069.01 California State Fire Marshal for such use. The fabric has been tested and -Vantage lWeblM/coastline F-069.01 passes NFPA 701 Large Scale. See chart to.right for trade name of lVeseidall 10unoWn 51673,81515 F-530.01 flame-resistant fabric or material used and additionally referenced on the label _ of the fabric panel. I 4 THE FLAME RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHING David Bradley General Manager-Manufacturing Name of Applicator or Production Superintendent Title of Applicator or Production Superintendent oa0a 964y 9. .a elo B -a ITEMS MANUFACTURED TYPE PRODUCED 44x43 2pc Tidewater Sail Tent-Wht S i w/ New PlatesIncludes Jumper Ropes Only White Translucent- Expandable Top 2 Piece End Set (Tie Downs Not Included w/Top) 44x20 Mid Tidewater QKL Tent-Wht S 1 w/ New Plates Includes Jumper Ropes Only White Translucent Queen Pole to King Pole Trans Middle Top -Left (Tie Downs Not Included w/Top) 44x20 Mid Tidewater QKR Tent-Wht S 1 w/ New Plates Includes Jumper Ropes Only White Translucent Queen Pole to King Pole Trans Middle Top-Right (Tie Downs Not Included w/Top) Tidewater Flagpole 20x/32x/44x/51x/59x S 3 (Maximum0.8"OD Pin) Tidewater Flag White (18"x54") S 3 3200 2pc Tidewater Sail Tent-Wht I S 1 w/ New PlatesIncludes Jumper Ropes Only White Translucent- Expandable Top 2 Piece End Set (Tie Downs Not Included w/Top) j 32x20 Mid Tidewater QKL Tent-Wht S 1 w/ New Plates Includes Jumper Ropes Only White Translucent Queen Pole to King Pole Trans Middle Top-Left (Tie Downs Not Included w/Top) , 1 • a fra p uF �Vi `?.�Q..�o, a y g, � h as a� o/r a ®. a v o a. a��r a r.a �, `�s+p�!a., A�.N a® wu tarp o cyp w,p PAGE: 2 - Date Manufactured AZTEC TENTS 2665 COLUMBIA ST INV NUMBER: 0201470 12/17/2013 TORRANCE, CA 90503 P.O. NUMBER: f8001 228-3687 CUSTOMER NO: AMER026 Y This is to certify that the materials described below have been flame retardant treated (or are inherently flame retardant)! venwr I —I rMaw Name IrBun AMERICAN TENT&TABLE INC. Bruin ^ ^ F-22204 _ 61iMrn4 Caf111). lam-Te:12,14,16,IBa¢ fV 19.01 P.O. BOX 1348 S Coate°Faanha clear Vinyl 16ga/209a F-570.02 381 OLD FALMOUTH ROAD UWIT 41 y. � AFrWmll6ga/20ga F 43.a2 Marstons Mills, MA 02648 r=tn:,ty 6xpg �U F43,.D1 - Fetan RhzD;;.t 502 F-444.01 1 •- Ferran Rehr&M t 702 F-444.08 - '� Phillips TexOlm Phil-Texllrher 7500.01 PVC Tech. Dl m cloth/Vebn F-504.01 Snyder Weather5pan r-140.01 Trl Vantage Flreslst 5hn Mla r-368.05 ., Certification is hereby made that the articles described below hereof are made T"°a"t"9` 0500 F-121.02 from a flame-retardant fabric or material re Istered and a T"�'^"9° &gT°° F-121.10 { g• approved by the Tn Vantage Vanguard Weblan 706 021 California State Fire Marshal for such use.The fabric has been tested and lTr1 V jWftlM/coastlne i F-069.D1 passes NFPA 701 Large Scale. See chart toiright for trade name of V--Gag Durast1n 51673,81515 F53o.01 flame-resistant fabric or material used and additionally referenced on the label of the fabric panel. THE FLAME RETARDANT PRO iCESS USED WILL NOT BE REMOVED BY WASHING _ David Bradley � General Manager-Manufacturing Name of Applicator or Production Superintendent Title of Applicator or Production Superintendent ITEMS MANUFACTURED TYPE PRODUCED 32x20 Mid Tidewater QKR Tent-Wht 4 S 1 w/ New Plates Includes Jumper Ropes Only White Translucent I Queen Pole to King Pole Trans Middle Top -Right :I (Tie Downs Not Included w/Top) Tidewater Flag White (18"x54") S 3 Tidewater Flagpole 20x/32x/44x/51x/59x S 3 (Maximum0.8" OD Pin) #20x20 2pc Std Top Only UW S 4 ATC Style Clasp- Blockout White l #Double the corner eave strapsand buckles - 8 add'l'per tent# #See pic attached# 20x10 Std Middle Top Only UW S 4 ATC Style Clasp-Blockout White #30x10 Std Middle Top Only UW S 4 ATC Style Clasp- Blockout White #Add additional clasp set between the 1st and 2nd clasps, up from the eave on both sides of the tent# 15x10 Std Middle Top Only UW S 2 ATC Style Clasp-Blockout White 10x10 2pc Std Top Only UW S 2 ATC Style Clasp-Blockout White woo --.�.- 0 00 ----- Phillips ----- � ------ 10/4/ 14 AMERICAN TENT&TABLE - I:qG- - American Tent & -Table, Inc. 03/27/2014 17:11 FAX IA0001/0001 To Whom It May Concern: March, 27, 2014 There will be a family event at our property,554 Wianno Ave.,Osterville,on Oct.4,2014 and there will be a tent used for the party. If there are any questions,feel free to call me at the phone number below, �aW4, Frank(Francis B.) Philli s co-owner, 554 Wianno Ave.Osterville MA contact:978-369-7428 �7 CD _. � w n •• o0 w r- p M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map Parcel =Applicatio'r # y i- Health'Divisi(5n "Date Issued Z Conservation Division .Application Fee c Planning;Dept. ''Permit Fee �].. Date Definitive:Plan Approved by Planning Board Historic _OKH Preservation / Hyannis Project Street Address Village (�S� Owner ��+ S Address c - 6keotc Telephone ,5 v � cif) 1� 6-6f�J� Permit Request I quare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zonin istrict; Flood Plain Groundwater Overlay Project Valuati Construction Type L6f,Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family (# units) Age of Existing Structure istoric House: ❑Yes 0 No On Old King's Highway: 0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walko ❑ 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 Fi st Floor Room Count Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing A�woo /coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: 0 existing ❑ new size _ Barn: 0 existing:_..0 nega size_ Attached garage: ❑ existing O.new size _Shed: ❑ existing ❑ new size _ Other:" Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# t,, Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name�dj jGAIIJ Telephone Number U � 12)Vt Address License # Azs �L-tsS l Home Improvement Contractor# 7� Worker's Compensation # v05M Lich 5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��7 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ....FOUNDATION -FRAME. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL `-GAS: ROUGH FINAL FINAL BUILDING + 1 DATE CLOSED OUT ASSOCIATION PLAN:NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 i•• y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): /1 / 96) /lei - ZME Z/V L— i Address D JA City/State/Zip: hone-#: 5vd'' Vd d-- <J A;�I oy.an employer? Check t14e appropriate box: Type of project(required): 1. am a e to r with �� 4. 6.❑ I am a general contractor and I ❑ mP Ye New construction employees(full and/or part-hme).* have hired the slab-contractors 2.❑ I am a sole proprietor or"partner listed on the attached sheet. T. ❑Remodeling ship and have no employees) These sub-contractors have g. '❑Demolition workingfor me in an ca aci employees and Have workers' Y P n'• # 9. ❑Building addition [No workers' comp.-insurance_ comp. insurance. 10. Electrical re airs or additions required.] 5. ❑ We are a corporation and its ❑ P officers have exercised their 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no S employees. [No workers' 13.�ther 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 subcontractors and state whether or not those entities have employees. If the subcontractors 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: i UZI Policy#or Self-ins.Lic.#: X U 'j�'�q �Gj 7 S I Expiration Date: I Job Site Address: 1A �� l/�/t� z City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).b�e� 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 cerAfy under th p 'ns•and penalties of perjury that the information provided above is true and correct Si ature: I Date: Phone#: Official use.only. Do not write in this area,tb be completed by city or town official City or Town: I Permit/License# Issuing Authority(circle one): 1.Board of Health I.Building Departrnent 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: I Phone#: Client#:431777 99001533 ACOR& CERTIFICATE OF LIABILITY INSURANCE °; „ , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.H SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement an this certificate does not Confer rights to the certificate holder in Sou of such endorhternertt(g). PRODUCex COWACT USI Rental SpeciaiGes PHONENAME P.O.Box 53310 NoL Ex&800 85"M Irvine,CA 92619 A°°RESS' 800 8543298 CUSTOMM 0 a•- INSIIR® AFFORDING COVERAGE NAC a American Tent&Table Inc. INSURER A:St Paul Fire&Marine Insurance 24767 P O Box 1348 wouRER a-Phoenix Insurance Company 25M MaMUM Mills,MA O2648 NSUMM C: INSURER D: INSURER E: INSURER F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF I SMANCE POLICYmum R11*1 POLICY IRI�ER EFF POLICY Elm LXwTS A GENeRAL LIABILm CK00223058 /2U2011 01/21/201 EACH o=*vw v;E $1 000 000 X CM&MOIAL°BOPAL LIABLITY PREMISES Ea omarenoe $100 000 CLaMSMADE OCX;UR hED Elm(Mr one Person) s5 000 PERSONAL 6 ADV aUURY $1 000 000 GENERA.AGGREGATE $Z0001000 GEM AGGREGATE LB/T APPLIES PER PRODUCTS-O01PNP AGG $1,000,000 X POLICY PRO LOC i $ AUFONOWLE LIABILITY COMBINED SINGLE LIWT $ ANY AlRO ALL OWNED AUTOS i BODILY INJURY(Per Person) $ BODILY UrJUI1Y(P0r a=dem) $ SCHEDULED AUTOS HRiED AUTOS (Pef(Per DAMAGE S NOWOWNED AUTOS $ S (11BRBJ.A UAB E EACH OCCUFOU34M S MESS U" MAOE AGGREGATE S DEDUCTWLE $ RErENT10N S :i S B LILY XNU65819Y97511 /21/2011 01121IM X °T1} ANY PROPRIETowPARrN YIN E.L.EACH ACCIDENT $100,000 OFF OCCLUDED WA E L DISEASE-EA $100,000 tl yNetN�ISIX a in under DFSCRIPIION OF OPERATIONS helar EL DISEASE-POLICY LJW S500 000 A Equipment Floater IM00201291 MMMI 01MW12 $450,00 Limit Special Form $5 000 Deductible 'DESXVWnM OF OPERATIONS/LACATWO/YEW=(Ameb ACORD I OI,A&Worral Remsks Sdwdui%it—space is ra*-eo This certificate is issued as a matter of only. 7-. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE E XMATM DATE THEREOF,NOTICE VVI<L BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHDRO D RREPRESENrAME !' OISM2009 ACORD CORPORATION.AN rights reserved.. ACORD 25(2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5271901/M5264603 CXAJG 04/04/2011 11:36 FAX 001 201"-04-01 05249 AMER ICAN*TENT*TABLE 5084202705 >> P 212 _ A NAftq p TOWD Of Bambble Regulatory.Seas Vim F.C;eaer,bim1 w Duiidiibg D bieta Tom Pcrry:C80 Baltd�Cou.misslp�v . 260%bill SVWs "Ywtttl:MA 02WL www tvwn.barn�lmblauta.vs Qfl`i= SWl-isfZ afl38 Fm,.: SM790.6230 PfOp" Owner Musa Complete Md Sign,Thus Secdon If Using A Buihl" 1: as Comer of the-;U4=pmpCM Uat+r�y aurhorize as on me behWC in aA 102tx7Cr6 relative to work authcauzed by,this bQdi%peemir spplicadoxn f,= (Aanmv of job) Sig�a�e of C)wncr � Q:Fanosoq�mag 04/01/2011 11:54 FAX 0 002 03/31/20J,1 23:09 FAX 9173674036 vvIivvo rt Ak MAW `IV itrw%ol& may-•- v �.� --yam iLWrA C mom; v* M.A.rA"V&'IX!LW%s�,?VMc7 a • TrISE 5 - pgM ML�Qr[FO�iA[—.B O�L�!PF�lt1tY SUION RFAM WWAGEDOPCM AL SY'8'1`EMFORM PAW-A Ad*c=554 (than o Airs. Ow Jim*: ragak . Oaae�"a Address: d . Nape df bmPC for:WIRM FbQ -9 tsat o .i XA4. • ' t tYla11lsgr/ldd�'s • oz¢32 •'' stab. _ moose NemI C9R'!MCILTION STATEN Lwr 1 m�Ilw I b pa 81"wmsont�lly *s et tbns edd as end ue .. bdew is fcaR a�sele ash theeof�e�speetioa•-', •'�P anley �g and ovakme nice paper and of m fife 1 sue•I ani DEP appto�ved sy9tem but Prasaeat�g�,t5r340,d1•�e S f3f4 tom►-1�66� '� Needs Fadwb7►$se itical App=+dvfi�•A>tfbority '• • - 1510 Iaapee�D�'s - ' eys�m *an Stan t s epy odfbfa hoperthD ��• '�►�8! i�'�°f i � w�tiu 30 dery�s of'wo*ktbpg ft bqmqdW ff SP 000, s. ar b"a d d=ftw of Offt � .� aid fb0 syst�'vw +rs lCso'ba4n it a:t�o Qx ap O�rL:bs cAe�cAe�avft ri�.rticar�i�abo�abeeaaa�mr� awma:�oagbm�saotaa�pbaya, a�4 . amhoritY. -- . • +N ;r • �+�+►'thti rspo�t e�sly desaf n eoa UOiN si lliSIM Of mspeetl0lerlad des the W of w utl�t ,^ ttde"lbfs lespeaUon does tao!edarea hoar tbs systea WM Perform fn the fbtit M MKUT' a UM o�d�aast easdtt�of osa - .. � iN II�MA t7YQll� • f 7 Tx7, . V'ti e i ica e o Cline Re- ance PAGE: 1 %- }. Date Manufactured AZTEC TENTS ` 2665 COLUMBIA ST INV NUMBER: 0178567 f.. 02/26/2010 TORRANCE,CA 90503 P.O. NUMBER: (800) 228-3687 ' CUSTOMER NO: AMER026 This is to certify that the materials described below have been flame retardant - treated (or are inherently flame retardant). ' Bruin Math F-222.04 •;fc, ?r. AMERICAN TENT &TABLE INC. 'lVn*CM Um-Tex II,la,16,180t F-419.01 4 coned Ma" . Our Vinyl 16ga/z0pa F-570.02 =tea P.O. BOX 1348 DAF Clur vinyl 169a/209a F-593.01 381 OLD FALMOUTH ROAD UNIT 41 DAF DAF F-593.02 C r - z Marstons A 02648 Exolvnvely Expo Pa le ySatn W F-134.01 Mills,/ Feman PneoOmralnt SO F•444.01 G' .} Ferran jPRCOmrnnt 702 F• 1.08 } Ph1111pt Tudhla Phll-Tax Uner F•500.01 J PVC U0. Deco Cloth/V010^ F•501.01 Y. Snydw Weathufpan F-140.01 - T.V."Q* F11"St Slln"la F•368.05 ` Tn VMtage ` Certification is hereby made that the articles described below hereof are made Praia 500 F-Iz1.0zTnVamape Big Top F-121.10 ram... " from aflame-retardant fabric or material registered and approved by the Tn Vantap V&Nu&M WWIOn California State Fire Marshal for such use.The fabric has been tested and Fa69.01 ' Tn var"" WeDlon/C-94ft F-.9.01 � ` passes NFPA 701 Large Scale. See chart to right for trade name of ^81673,81515 f-530.01fi�J flame-resistant fabric or material used and additionally referenced on the label c of the fabric panel. ' THE FLAME RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHING ,jam �k f� David Bradley General Manager-Manufacturing Name of Applicator or Production Superintendent Title of Applicator or Production Superintendent gg ITEMS MANUFACTURED TYPE PRODUCED 40x40 2pc Series 2500 SP UW S 1 Stock#'5719, #5720 40x20 Mid Series 2500 SP UW S 2 Stock# 5721, #5722 i Cerfiftiate of jr1ame 5tance RE ISSUED BY: Dace treated of q� APPUCATION AZTEC TENTS&EVENTS manubmwed �) CONCERN No. 490 ALASKA AVENUE TORRANCE,CA 1)0503 CAL COMB F419.01 (310)328-5060 ' This is to certify that the materials described below hereof have been flame retardant treated(or are inher- > endy nonflammable).,.. , Fori AMERICAN TENT&=TABLE- - ADDRm- -381-OLD FALMOUTH.ROAD.,-SITE 41 "- crnr MARSTONS MILLS STATE MA.'02648 Certification is hereby made that. (check "a"or "b'q ®p The articles descr ibed ribed below this certificate have been treated with a flame retardant chemical approved and registered by the State Fire Marshal and that the applicationof said chemical was done in confor- ❑ ( mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used Chem.R No. . Meathodof application..........................................................�............................F] I (b) The articles described below hereof are made from a flame-resistant fabric or material registered and approved be the'State Fire Marshal for such use; Fabric has been tested and passes NFPA701-96. Trade name of flame resistant fabric or material used..costa Fa&k .Reg.No. The Flame Retardant Process Used .WILL NOT.... Be Removed by Washing �1 (,will or will noti David Bradley Chuck Miller-7-President- Now of AppkaW or Production Sup&W*&xlW TAb CUSTOMER.ORDER-NO: - .0134713 - R134713 ITEMS MANUFACTURED: 1 2- 10 X 10 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 2-10 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE, 2- 15 X 15 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 3-20 X 20 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 3 20 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE, 2-30 X 30 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 3-30 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE. I Parcel Detail Page 1 of 3 g FTM. 0,z)Logged In As: Parcel Detail Parcel LooLup Parcel Info Parcel ID 162-013 - -I Developer LOTS 6, 8& UN-NUMBERED Lot Location 554 WIANNO AVENUE I Pri Frontage[215 Sec Road — —I Sec l - ------ Frontage village OSTERVILLE I Fire District�C-O-MM Town sewer exists at this address No I Road Index 1832 n _ Interactive -- Map Owner Info owner PHILLIPS, FRANCIS B&WALTER M JR I Co-owner C/O PHILLIPS, FRANK Streets 102 ESTABROOK RD _ I Street2 I City CONCORD I State lmA I zip,01742 Country I� Land Info_ Acres 1.83� —� I use ISingle Fam ME-01 I Zoning I RF-1 I Nghbd WF13 Topography Level I Road I Paved utilities Septic,Gas,Public Water I Location(-Waterfront,Excel View Construction Info Year 1880 I Roof Gable/Hip I Ext I Shingle Built Struct wall IWoo d Living S/ Roof^ v w AC — - BA6M'T16911 Area 7064 I Cover Asph/F GIs/Cmp I Type iNone —.I Style Conventional ( Int Plastered I Bed 9 BedroomsT �I 4 e, Wall Rooms 3. 7QS Model ReSldentlal Int I h 12 Bat 12' 29 FBup� Floor iCarpet I Rooms[7 Full I 1g ew QP Grade,Custom Plus I Type,Hot Air ] Rooms�22 Rooms I _ MT-25'-. Stories 3 Stories I Heat Gas 4 I Found (Typical Fuel ation Gross 11630 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10527 5/12/2014 Parcel Detail Page 2 of 3 Visit History 4/15/2010 12:00:00 AM Jeff Rudziak Abatement Review 2/19/2008 12:00:00 AM Paul Talbot Cyclical Inspection 4/11/2001 12:00:00 AM SM Meas/Listed-Interior Access - Sales History 1 112/9/2004 1 PHILLIPS, FRANCIS B&WALTER M JR 119328/326 I $2,000,000 I2 8/29/2003 PHILLIPS,WALTER M JR ET AL ;17553/275 $1 Assessment History . . • : Value Land Value Total Parcel Value 1 2014 $532,900 $71,800 $49,600 $4,280,000 $4,934,300 2 2013 $532,900 $71,800 $51,000 $4,280,000 $4,935,700 3 2012 $539,100 $69,700 $46,600 $4,436,100 $5,091,500, 4 2011 $776,500 $8,300 $53,800 $4,436,100 $5,274,700 5 2010 $1,364,800 $8,300 $73,300 $4,990,600 $6,437,000, 6 2009 $1,754,700 $5,400 $26,400 $6,225,900 $8,012,400 7 2008 $1,379,400 $14,900 $26,400 $4,632,700 $6,053,400 9 2007 $1,373,300 $14,900 $26,400 $4,632,700 $6,047,300 10 2006 $1,301,100 $14,900 $27,200 $4,578,200 $5,921,400 11 2005 $1,078,600 $14,000 $27,900 $4,578,300 $5,698,800 12 2004 $960,600 $14,000 $28,300 $4,578,300 $5,581,200 13 2003 $479,500 $14,000 $29,100 $2,305,800 $2,828,400 14 2002 $479,500 $14,000 $29,100 $2,305,800 $2,828,400 15 2001 $427,200 $13,800 $24,400 $1,811,700 $2,277,100 16 2000 $509,100 $7,300 $25,300 $1,486,400 $2,028,100 17 1999 $509,100. $7,300 $21,700 $1,486,400 $2,024,500 18 1998 $509,100 $7,300 $21,700 $1,486,400 $2,024,500 19 1997 $216,200 $0 $0 $1,486,400 . $1,729,900 20 1996 $216,200 $0 $0 $1,486,400 $1,729,900' 21 1 1995 $216,200 $0 $0 $1,486,400 $1,729,900 22 1994 $183,900 $0 $0 $1,337,800 $1,554,100• 23 1993 $183,900 $0 $0 $1,337,800 $1,554,109 24 1992 $209,600 $0 $0 $1,486,400 $1,732,700: 25 1991 $408,000 $0 $0 $1,563,100 $2,022,200 26 1990 $408,000 $0 $0 $1,563,100 $2,022,200 27 1989 $623,000 $0 $0 $1,736,800 $2,417,300 28 1988 $316,500 $0 $0 $532,200 $922,900' 29 1987 $316,500 $0 $0 $532,200 $922,900 30 1986 $316,500 $0 $0 $532,200 $922,900 . Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10527 5/12/2014 Parcel Detail Page 3 of 3 r� -. __ .mot- - ✓.. .. i� � � _ � �"" � �.7'b'�h] .A,'� � fit.`-;il'►I"�f' http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10527 5/12/2014 t Official Website of The Town of Barnstable - Property Lookup Page 1 of 3 Assessing Division Property Lookup Results - 2014 367 Main Street,Hyannis,MA.02601 BACK TO SEARCH<< 4Print Fr en ^Owner Information-Map/Block/Lot:162/013/-Use Code:1010 Owner Owner Name as of 1/1113 PHILLIPS,FRANCIS B&WALTER M JR Map/Block/Lot G/S MAPS 102 ESTABROOK RD 162/013/ I CONCORD,MA.01742 Property Address Co-Owner Name C/O PHILLIPS,FRANK 554 WIANNO AVENUE Village:Osterville i Town Sewer At Address:No GIS Zoning Value:RF-1 Assessed Values 2014-Map/Block/Lot:162 1 013/-Use Code:1010 2014 Appraised Value 2014 Assessed Value Past Comparisons Building Value: $532,900 $532,900 Year Total Assessed Value I Extra Features: $71,800 $71,800 2013-$4,935.700 Outbuildings: $49,600 $49,600 2012-$5,091,500 2011-$5,274,700 Land Value: $4,280,000 $4,280,000 2010-$6.437,000 2009-$8,012,400 2008-$6,053,400 2014 Totals $4,934,300 $4,934,300 2007-$6,047,300 Tax Information 2014-Map/Block/Lot:162 1 013/-Use Code:1010 i I Taxes C.O.M.M.FD Tax(Residential) $7.450.79 i Community Preservation Act Tax$1,350.02 Fiscal Year 2014 TAX RATES HERE Town Tax(Residential) $45,000.82 $53,801.63 Sales History-Map/Block/Lot: 162/013/-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: PHILLIPS,FRANCIS B&WALTER M JR12/9/2004 19328/326 $2000000 PHILLIPS,WALTER M JR ET AL 8/29/2003 17553/275 $1 Photos 162/013/-Use Code:1010 a ri Sketches-Map/Block/Lot:162/013/-Use Code:1010 BAS/BM T I6911 �L12 ' 8 i M,Ti�25 if12� i AsBuilt Card N/A Constructions Details-Map/Block/Lot:162/013/-Use Code: 1010 http://www.townofbamstable.us/Assessing/propertydisplayscreen 14.asp?ap=0&searchparc... 5/12/2014 ,,. Official Website of The Town of Barnstable - Property Lookup Page 2 of 3 Building Details Land Building value $532,900 Bedrooms 9 Bedrooms USE CODE 1010 Replacement Cost $710,568 Bathrooms 7 Full Lot Size(Acres) 1.83 Model Residential Total Rooms 22 Rooms Appraised Value $4,280,000 Style Conventional Heat Fuel Gas Assessed Value $4,280,000 Grade Custom Plus Heat Type Hot Air Year Built 1880 AC Type None iEffective depreciation 25 Interior Floors Carpel Stories 3 Stories Interior Walls Plastered i Living Area sq/ft 7,064 Exterior Walls Wood Shingle i i Gross Area sq/ft 11,630 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp i t i Outbuildings&Extra Features-Map/Block/Lot:162/013/-Use Code:1010 Code Description Units/SO ft Appraised Value Assessed Value BMT Basement-Unfinished 2966 $41,100 $41,100 WDCK Wood Decking 180 $2,900 $2,900 w/railings I FOP Open Porch-roof-ceiling 717 $22,000 $22.000 FPL3 Fireplace 2 story 2 $7,600 $7,600 FPO Ext FP Opening 1 $1,100 $1,100 FGR3 Garage-Good-Wd 900 $27.800 $27,800 Shingle ` TEN Tennis Court 7200sf- 7200 $18,900 $18,900 Concr Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only SAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Sam GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ .Three Quarters Story i (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic 'FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio I 1 Print nen Contact Director of Assessing Jeffrey Rudziak P 508-862-4022 F 508-862-4722 8:30a.m.to 4:30p.m. Helpful Links to Downloads Abatements SALES LISTINGS Barnstable FD Residential C.O.M.M FD Residential http://www.townofbamstable.us/Assessing/propertydisplayscreen l 4.asp?ap=0&searchparc... 5/12/2014 Official Website of The Town of Barnstable -Property Lookup Page 3 of 3 Commercial-Industrial-Mixed Use • Cotuit FD Residential Hyannis FD Residential • Townwide Condominium • W.Barnstable FD Residential Department of Revenue Exemptions Parcel Consolidation Questions about values Town Tax Rates Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps Property Maps Contact Director of Assessing Jeffrey Rudziak P 508-862-4022 F 508-862-4722 8:30a.m.to 4:30p.m. Related Boards •Board of Assessors TOWN PROPERTY DATABASE 8. p IS MAPS Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar Phone Directory Employment I Email Town Hall http://www.townofbarnstable.us/Assessing/propertydisplayscreen l4.asp?ap=0&searchparc... 5/12/2014 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home I Help Parcel VieweriF Custom Map Abutters Map Size .■ Zoom Out E®111 l0111In Q ®,; 's_,JPG Map: 162 Parcel: 013 Full •v — — _ __ Property Location: 554 WIANNO AVENUE Info t02009 1a0o27 - Owner: PHILLIPS,FRANCIS B&WALTER M JR - N310 4 M524 Map&Parcel 162013 132o1n Location 554 WIANNO AVENUE N 502 Acreage - ..1.83 acres i I I Mailing Address PHILLIPS,FRANCIS B&WALTER M�JR t320i3 • N201 C/O PHILLIPS,FRANK E 102 ESTABROOK RD I_ 1000 CONCORD MA 01742 06 a300 �Q NantuckeiSound I � Extra Features $71,800 �� 132014 a337 102028 Out Buildings $49,600 �4 �'% N390 Land $4,280,000 G �/ , Buildings $532,900 182002 ® Total Appraised $4,934,300 N38 100122 182028002 , N 4 f Extra Features $71,800 0182010 182 eta2o2300, - N23 - I Out Buildings $49,600 . Land $4,280,000 C S Buildings $532,900 --'' Set Scale 1" = 182 I Aerial Photos I MAP DISCLAIMER Total Assessed $4,934,300 J Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS R,arn stab�e�'A a1.7 S11a I:rnduaiiun' http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=162013 4/15/2014 cy dylc�l�c� awl� VK OviVol �LP� Ph ;u•n5 'XPr • i [TOWNMUNIS 1 i i �' i. ' 1 1 • -r My File Edit Tools Help Detail : APPlication 201101686 Applicant BUS- BUSINESS ................................................. Collect Status F rCTIVE Owner I 265851 Department 16300- BUILDING DEPARTMENT IPHILLIPS. FRANCI Close/Deny Project/Activity 1756- TENT RESIDENTIAL T Contractor Worldlow� Description 1 JINSTALL A 40X60 & 15X15 TENTS FOR WEDDING RECEPTION Business JAMERICAN TENT. Parking/Mist Description 2 411.5111 -4118/11 Fees effective: 103/31/2011 p ; - Assigned to F Property Property/Use Non-Conforming Dates/Misc Permits Business Mast _ Location 554 Unit ' Existing use 1010 Reactivate Street IWIANNO AVENUE zoning RF-I - REST, Adjust Fees Parcel 162013 memo Escrow Municipality OST - OSTERVILLE Subdivision flood zone Misc Chgs � _ _ Lot/Section/Phase IV Proposed use 1010 Paymt History Between zoning RF-1 -RESI Audit History and memo Location desc LOTS 6. 8 & UN-NUMBERED Summ Permit flood zone: Copy APP Permit Alerts Link Insps I3 Prerequisites 123 Hazrd/Restr 123 Names I3 Bonds 23 Sub-Addrs J 23 Text I3 Plan Review C C3 Prior History 23Lnspecti'ons OViolations ORevi'ews1 230penitems 23Wa:mings A Find Related ummer rentals for rent at 554 Wianno Avenue Osterville, MA Osterville - from CapeCo... Page I of 2 ShareThis .Capo Roal Estato om�.r n�• >< o * 0 '�' '' '' Click Hereto BookVour Dream vacation! Crape Cod Real Fstate Business Search Cape trod Classifieds Oncape MyCape Fntertainment Cape Cod Online. Acco—Logio a Sion In[New User?Sian UQ] q Help L"'Yo"'ROn1e' Welcome to Cape Cod's Search Advertise My Tools p rioddo Rmamc ® most prominent website , 554 Wianno Avenue Osterville, MA Osterville for vacation rentals t Tweet 9„h $12,500 Seaport Village Margo Pisacano CAPE COD USA Summer rentals Realty,Inc. ln R L•A L E S TA T E 9 Beds,8/1 Baths Osterville o More formamacion 5,000 Sq.Ft. r�— Call For More Info "-�-� RUEN A CAPE REAL ESTATE lS I Rustic oceanfront Antique on a white sandy beach onNantucket Sound just next to Dowse's beach.This classic Cape Cod retreat has 9 bedrooms,8.5 baths,tennis courts,a Prime Weeks Still Available beautiful sprawling...More Details view Listings Aebsite Hundreds of Mid Gape Rental Weeks! OCEAN EDGE RESORT Contact Rentals Made Easy!Y j SEARCH IRCAPE COO MLS o* Save A ©Email Friend Print Brochure R t N I A L S • NEVIOURPROPERTTES Details Photos A Property Details y, 9 Rent: $12,500 Bedrooms: 9 MLS Number: N/A Full Baths: 8 a Partial Baths: 1 Square Feet: 5,000 Lot Size(Sq.Ft.): 1 Address 554 Wianno Avenue Osterville,MA Osterville s a 1 P 1gtA Updated: 12-04-2010 Description Rustic oceanfront Antique on a white sandy beach on Nantucket Sound just next to Dowse's beach.This classic Cape Cod retreat has 9 bedrooms,8.5 baths,tennis courts,a beautiful sprawling back yard and deck.� 7 __Weddings possible Sept.though June..For information on this beautiful property,call Seaport Osterville at� 508.428.4443,or E-Mail:VACATIONS@ MargoSells.com__.To view all our.CAPE WIDE.RENTALS;`visit our websi�ww.SeaportVillageRE.com--�_ Contact Information required information *First Name: *Last Name: Phone: E-mail Address: *Zip Code: *Contact Preferences: *Bu within: Email - 1 Month Comments: Please send me more info about this listing. J _1 What happens with my info http://capecodrent.re.adicio.com/realestate/dl-4a4a1 d553e61-554-wianno-avenue-osterville-... 4/1/2011 Summer rentals for rent at 554 Wianno Avenue Osterville, MA Osterville - from CapeCo... Page 2 of 2 "Se'.a aDICIO Fnr twhnicnl s.ppon in..P6lnhnl(:—,Cu.,Lwngl_c mi CapeCodRental.com•Copyright:5 2006 capecodONLINE.coin.All rights reserved. http://capecodrent.re.adicio.com/realestate/dl-4a4al d553e61-554-wianno-avenue-osterville-... 4/1/2011 Parcel'Detail Page 1 of 3 07 •�B.L4\;TABLE.�• w,., � 2",t � -. ' _ " p./ - k . _ Monday, 1 • LookupParcel At'uF ,y^�xg'�r' k w. r,:sD; x :�� s6 +a�c� �•�n vyr^ .r��va yvs .:�,-. gs�,,���^�.,:H.,,,,�p�..�•n,} ;Parcel Info t � � ,� m� Parcel ID i 162-013 I Developeo� LOTS 6, 8& UN-NUMBERED Location:554 WIANNO AVENUE I Pri Frontage 1215 Sec Road I Sec j----------...--------__...____'__---'-----'--.._._..------I Frontage Village:OSTERVILLE I Fire Districts-0-MM — Town sewer exists at this address NO ( Road Index 1832 _ L.b`-`to-IItr-)mrn�sarvs`-JR� Interactive Map .. t -c rz.F. rr.k t S- .r•- rYy, �^r xn R I RA ya fs `e{.�d ,'s r,a3a�yt.. ,: • _ owner:PHILLIPS, FRANCIS B&WALTER M JR I Co-owner C/O PHILLIPS, FRANK _..... ...-' _.__...._...-- --------------- ...... _._._..__.._......_. — --.._..._._..._._..._.._... _- ..__..._...- — '- '--' Streets 102 ESTABROOK RD I Street2 City CONCORD I state I MA zip';01742 Country Land lnf0 . .. .....-...,...h:... ....Dwxr.._....._.2...eu�vs.�`.....ww..Y,..a.o-�..__,...._ _•:ix.t�"f.ee. c. K_-..i�.u.,....-,F.. e.... .....v�:�.w.,<.,_ ......_ aa....,....�..�_.. .......5'.. Acres 1.83 Use'Single Fa m MDL-01 I zoning iRF-1 Nghbd WF13 Topography:Level I Road Paved Utilities'Septic,Gas,Public Water I Location Waterfront,Excel View r .7r Construction,Info:,TM: s vp;c ti "y C„'x•'$_ ' fie k a+i :�y^,. D.�,>< D: . t ; � ,.ic .-4'' 1 �.,,x, NOOKS Year'..... ....... . .. ...I Roof;Gable-Hip ------ I Ext`WoodShingle --I Built Struct Wall Living 7064 I Roof`Asph/F GIs/Cmp I AC j None -- -- --I PAS/BMTIMI Area Cover' Type Style Convenii-nal Int�-.-...------................... Bedrooms Bed;._._..___...__......_...._._ �i� �� z � - �. ��• o I wall:Plastered I Rooms 9 Model Residential I Int I Bath'• I e Floor±Carpet 7Full' Rooms ,. Grade,Custom PIUS I Heat Hot Air I Total 22 Rooms d Type• Rooms Stories i3 Stories I HeatGas "I Found 'Typical Fuel' atlon' Gross 11630 Area .Permit History :> �:.r a F f "� c 4r r http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10527 5/12/2014 Town ®f Barnstable Barnstable OFF ` Regulatory Services Department M& ' Public Health Division �• 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 r Richard V.Scali,'Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 3788 .April 30, 2014 Francis B. Phillips & Walter M. Phillips Jr. 102 Estabrook Road Concord, MA 01742 RE: Application for building permit for the erection of tents at 554 Wianno Avenue, Osterville. Prior to our review of your permit application for the erection of tents on your property we require the following; 1. Records, of septic system components, size; capacity, and functionality. Please provide a complete up-to-date septic system inspection report for this property. 2. Clearly identify the location of all bedrooms on a neatly sketched floor plan. Again, we cannot issue a permit until we can property review the information requested has been submitted to the Health Division. PER ORDER OFTHE BOARD OF HEALTH Thomas McKean, R.S.-CHO Agent of the Board of Health cc: Robin Anderson �. Richard Scali Q:ISEPTICUtters septic Inspection Failures or Future EvalUemplate Letter.doc Osterville Real Estate, Cape Cod Real Estate, Vacation and Yearly Rentals Page 1 of 3 Seaport ,i 011age REALTY 8 P iftrftad,6tstwAlle MA 02655 508-428-4443 Office 508-428-4493 Fax Print This Page Osterville, MA 554 Wianno Ave$12,500/Week Osterville, MA Vacation Rental Oceanfront 9 Bedroom home Property No.#9981 554Wianno LEE .t Oceanfront on a white sand Nantucket Sound beach near Dowse's beach this classic home has 9 bedrooms,8.5 baths,tennis courts, a beautiful back yard and deck everything you need for a perfect Cape Cod vacation! For more information, call Seaport Village Realty, Inc., Osterville at 508.428.4443, or E- Mail: Vacations@MargoSells.com. Bedrooms: 9 Bathrooms: 8.5 Half Bathrooms: n/a Square Feet: 5000 Interior Features: Living Room, Reading Library, Separate Dining Room, Family Room , Eat in Kitchen, Floors-Hardwood , Bath-With Tub, Fireplace-Wood , Fireplace-No Use, Laundry/First Floor Appliances, Electronics: Furnished, Refrigerator, Stove/Gas , Dishwasher, Microwave, Laundry-Dryer, Vacuum , Iron, Ironing Board, Bed Linens Provided, DVD Player,Television, Kitchen-Adequate Dishes/#Occupants, Kitchen-Adequate Silverware/# Occupants, Kitchen-Adequate Glassware/#Occupants, Kitchen-Adequate Pots,Pans/#Occupants, Kitchen Utensils ,Coffee Maker, Lobster Pot,Toaster Oven, Provided-Paper Towels&Toilet Paper, Provided- Laundry Detergent, Provided-Dishwasher Soap Utilities: Heat-Oil http://www.seaportvillagere.com/cape-cod-vacation-rentals-listing-print.asp?id=332 4/5/2011 Osterville Real Estate, Cape Cod Real Estate, Vacation and Yearly Rentals Page 2 of 3 r ��a Exterior Features: Outdoor Furniture, Deck,Tennis Courts-Private, Grill-Gas Garage and Storage: Garage Not Available For Use Amenities: Near School , Near Shopping& Restaurants Policies and Restrictions: No Pets, No Smoking Allowed Beach Proximity: Salt Water Beach 0- 1/4 mile, Salt Water Waterfront Sleeping Capacity/Beds: Beds-Crib,#Sleeps- 10+ , Beds Twins# Beds Dbl# http://www.seaportvillagere.com/cape-cod-vacation-rentals-listing-print.asp?id=332 4/5/2011 Osterville Real Estate, Cape Cod Real Estate, Vacation and Yearly Rentals Page 3 of 3 Rate Schedule Rates Available Start Day End Day Weekly Saturday Saturday Start End Date Date Weekly All Other Dates 12,500.00 Availability Calendar January 2011 February 2011 March 2011 April 2011 May 2011 June 2011 S M T W T F S S M T W T F S S M T W T F S S M T W T F S S M T W T F S S M T W T F S 1 1 2 3 4 5 1 2 3 4 5 1 2 1 2 314 5M2728 1 2 3 4 2 3 4 5 6 7 8 6 7 8 9 10 11 12 6 7 8 9 10 11 12 3 4 5 6 7 8 9 8 9 5 6 7 8 9 10 11 9 10 11 12 13 14 15 13 14 15 16117118 19 13 14 15 16 17 18 19 10 11 12 13 14 15 16 15 16 17 18 19 12 13 14 15 16 17 18 16 17 18 19 20 21 22 20 21 22 23 24 25 26 20 21 22 23 24 25 26 17 18 19 20 21 22 23 22 23 24 25 26 19 20 21 22 23 24 25 23 24 25 26 27 28 29 27 28 27128129130 31 24 25 26 27 28 29 30 29130 31 26 27 28 29 30 1301311 July 2011 August 2011 September 2011 October 2011 November 2011 December 2011 S M T W T F S S M T W T F S S M T W T F S S M T W T F S S M T W T F S S M T W T F S 1 2 1 2 3 4 5 6 1 2 3 1 1 2 3 4 5 1112 3 3 4 5 6 7 8 9 7 8 910111213 4 5 6 7 8 910 2 3 4 5 6 7 8 6 7 8 9101112 4 5 6 7 8 910 10 11 12 13 14 15 16 14 15 16 17 18 19 20 11 12 13 14 15 16 17 9 10 11 12 13 14 15 13 14 15 16 17 18 19 11 12 13 14 15 16 17 17 18 19 20 21 22 23 21 22 23 24 25 26 27 18 19 20 21 22 23 24 16 17 18 19 20 21 22 20 21 22 23 24 25 26 18 19 20 21 22 23 24 24 25 26 27 28 29 30 28 29 30131 25 26 27128129130123 24 25 26 27 28 29 27 28 29 30 25 26 27 28 29 301311 31 30 31 Indicates Unavailabe Dates Print This Page http://www.seaportvillagere.com/cape-cod-vacation-rentals-listing-print.asp?id=332 4/5/2011 Message Page 1 of 1 Anderson, Robin From: Perry, Tom Sent: Thursday, May 29, 2014 1:21 PM To: 'Phillips, Frank' Cc: Anderson, Robin; Scali, Richard Subject: RE: wedding/554 Wianno Ave. Osterville Mr.Phillips, Thanks for this and we're in discussions internally to see where we'll go with this.This office will be in touch with you. Thanks;TP -----Original Message----- From: Phillips, Frank [mailto:phillips@globe.com] Sent: Thursday, May 29, 2014 1:12 PM To: Perry, Tom„�� Subject: wedding/554 Wianno Ave. Osterville - ;, Mr. Perry, I understand your concerns over Erika Roswell's wedding being held on our lawn at 554 Wianno Avenue in Osterville. I want to explain some of the circumstances that may answer your objections. Erika approached my brother and me, describing how much she has always loved the property, having spent much time at Dowses Beach. We do not solicit weddings. As I told Erika, we did allow for several weddings some years ago to help ease some of the heavy property tax burden but stopped, both because the town objected and because we were very uneasy about allowing such large events on our property. But because of Erika's deep roots in the neighborhood and her obvious love of the coast line there, we agreed that if she could get the permits, she could use the lawn and would just pay to cover the costs. It is scheduled for October 4, a time when all our immediate neighbors have shut down their summer homes. There would be minimal impact on the neighborhood. I plan to be there as a guest and will make sure it runs smoothly. I would hope the town could make an exception in this case and allow her to hold what she told me has always been her dream for a wedding. This is not a commercial venture on our part, it is accommodating a young lady at a very important time in her life, Frank Phillips 102 Estabrook Road Concord, MA 01742 phillips2globe.com 5/29/2014 r - I ' lq- r I f �� Town of Barnstable ,oFTME rar,,� Regulatory Services Richard V. Scali, Interim Director a"R URK&M Building Division BARNSTABLE 9� 13 ��� 1639.2014 1639. s Thomas Perry, CBO gDg Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 April 16,2014 Mr. Frank Phillips 102 Estabrook Road Concord,MA 01742 Re 554 Wianno Avenue,Osterville,MA Dear Mr. Phillips, On April 10,2014 application was made to erect 2 tents at the above referenced property.This application is denied because there are several areas of concern that must be resolved before any permit will be issued for this address. A 2011 rental advertisement specifies this property as a 9 bedroom site.The town assessor's office and the rental registration form that was filled out for the Health Department both specify 9 bedrooms with a maximum occupant load of thirteen people. A 2014 rental advertisement states that this property is a 12 bedroom.house. State law requires the upgrading of smoke detectors for the entire dwelling when a bedroom is added or created and this work requires a building permit. Our records indicate no.permits were issued for this work. Our records also indicate an incomplete septic plan for work performed on the system. Your promt attention to these matters is appreciated so that resolution can be effected. Sincerely, Paul Roma Local Inspector CC: American Tent and Table PO Box 1348 Marstons Mills,MA 02648 . of tqy, Town of Barnstable 1HE Regulatory Services Richard V Scali,Interim Director BARNSTABLE, MASS, g Building Division 1639• ♦0 AFFDMA�A Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 16, 2014 Mr. Francis B Phillips Mr. Walter M, Phillips,Jr. 102 Estabrook Rd Concord,MA 01742 Re: Rosewell &Luczynski Wedding Dear Mr. Phillips: Please be advised that we are in receipt of your application for a tent permit to be temporarily installed on your property located at 554 Wianno Ave, Osterville for a"family"event on Oct. 4, 2014. A review of the corresponding street file reflects a history of functions at this site. The property was found to have been previously marketed for that purpose and the information is documented in our file. Consequently, an enforcement order was issued causing you to immediately cease the renting and marketing of this property for"events",that order remains in place today. It in no way impacts your ability to rent the entire facility as a vacation home and it is assumed that you now appreciate the distinction as we have not had to address any subsequent violations. Now comes the Rosewell family who purports to be close family friends of yours. Based on your close relationship, Gayle Rosewell seeks approval to erect a tent for the purposes of her daughter's"dream wedding". She has informed us that you are not collecting a fee for the proposed property use. After careful consideration,and in the absence of any subsequent violation, approval will be granted provided that you as the property owner(s)recognize this to be a one time exemption to the standing enforcement order for the reasons cited above. Please carefully read the Memorandum ofAgreement, sign and return the document to this office in order that the tent permit application may be approved and issued without further delay. Sincerely, Thomas Perry, Building Commissioner i Memorandum of Agreement . Date: June 16,2014 Property Location: 554 Wianno Ave, Osterville, MA 02655 Event Rosewell/Luczynski Wedding Event Date: October 4,2014 Application: Tent Permit The property owners recognize and agree that: This is a one time event for the Rosewell Family wedding to be held at 554 Wianno Ave., Osterville, MA on October 4, 2014. This is not a commercial endeavor and no fees have been charged or collected for the use of this property for this occasion. I/We understand that the cease and desist order prohibiting commercial activity remains in effect and the property will not be rented or marketed for special events. . All parties understand that the issuance of this tent permit is a single exception to the aforementioned cease and desist order and no other exceptions shall be sought or granted. Francis B. Phillips, Date Record Property Owner Walter M Phillips, Jr. Date Record Property Owner Thomas Perry. ate Building Commissioner The application for a tent permit currently pending approval for the Rosewell wedding on Oct. 4, 2014 shall be issued upon receipt of this signed Memorandum of Understanding between the property owners and Town of Barnstable. y= „ I,4essage Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Monday, June 16, 2014 8:41 AM To: 'phillips@globe.com' Cc: Perry, Tom Subject: Attached Files Tent Permit Application Hi Mr. Phillips, Attached is a letter and an agreement for your review and signature. Please sign and return to us (or otherwise inform us accordingly) in order that Ms Roswell can determine the status of the venue and make proper arrangements as necessary. Thank you. Vin Rodin C Anderson Zoning Enforcement Officer Town of Barnsta6Ce 200 Main Street 3-Cyannis, M-A 026oi 5o8-862-4027 6/16/2014 200 Main Street Hyannis, MA 02601 1 Mr. Francis B Phillips Mr. Walter M, Phillips, Jr. 102 Estabrook Rd Concord, MA 01742 \/ r i I a r I -i i I i �9 '� i �1i 1 l\ Date: June 1-0, 2014 Property Location: -554 Wianno Ave;.Osterville, MA 026.55 Event RosewelMuczynski Wedding Event Date; October 4-, 2014 Application; Teni,-Permit The property owners recognize aaO Agree that: .,y qPrs rh*!.g is one;.:time'eventf or.#te..,Ros. ewell Family wedding to be hold at 554 Wianno Ave., Ostervilk'..44.,on October 4f.'2.0'1.4. This is not a commercial endeavor and no heyse-of thispropertyfor this.occasion. -MW -fees have b.eet;�,!�l;,arged,'Or ollecte4for-t under#.qnd;fA' I r4qr.prohjbiting commercial.activity-remains in �ffect.:and-tke-.P.eopertyl-W..111.,..n6.t.-.ib'iy.-.-,.-rent.ed or..marketed for special events. A 11parties andlerstand1h at the issuanceof this tent permit is a single exception,to-the aforementioned-ceasO and.-desisi order:and no other exceptions shall be sought or granted Francis .PhH 'Date- .H.0 R 10 ropq caner. 61 Date'P, Yr %01 Reord. Thomas 0.07y.'- L-te Buildirig..'Commissioner. The ap n-fi ten por -ell weddingoi�-. pli.�afip -a tent'' t ".' ""' * .' r .... ... Mzi.gy peqding approvalfor the Ro.�ew Oct. 4' Z6.11-.J' h .upoWreee .f 4:S .all..b.aiiss-zied- 1P 'Of-.this sighed Meniordndunz of Understanding beNjeen�the.�"-'pifqper . :. ..-own.ers.pn.d'.To.vvn.�,ofBarnslabl,e. r , r a, SOS TON MA CQ-I C WORD., MA 09742-5603 oz oo � .4.0� ' =:;=: i, )�11�'Iillill'11,i,,,I�Nfll)1�1)),i;il)I)!'I1),1Ui�),III))I ..�. .µ N. .�'L� .i M... � .'yam;la. >�� rr.... ..mow � � �. ..�� ✓4: �w� i �r� -_.... j. ........ `{ .< t' ..e + ��J 1'^v... .� 1 ..�..... �fit+ _...... �rr�; > +f �� f ..�.. � �� .Y.�� � i �W� i 1 f �' L . r j �_ i i i ` � � �_ 1 � ��,..,_ �} I /,�"-, 1 � , 'b� (` 1 .� r• F � �� .�- a - - - �1 r Page 1 of 2 Anderson, Robin From: Gayle Rosewell [bgrosewe113@comcast.net] Sent: Thursday, May 29, 2014 6:00 AM To: Anderson, Robin Subject: Fwd: Rosewell Wedding Oct. 2014 Hello Robin, As suggested, I have sent this email to Tom regarding my daughters wedding. I would appreciate it very much if you would ensure that he has received and read it. I am hopeful that you will be able to help me make this dream come true for her. Thank you, Gayle Rosewell Sent from my iPad Begin forwarded message: From: Gayle Rosewell.<bgrosewe113@comcast.net> Date: May 29, 2014 at 5:54:40 AM EDT To: "thomas.perry a,town.barnstable.ma.us" <thomas.perrYgtown.bamstable.ma.us> Subject: Rosewell Wedding Oct. 2014 Hello Tom, I am sending this email as suggested by Robin Anderson of the Zoning Dept., in hopes that you will decide to reverse your decision to deny a tent permit for my daughters wedding at 554 Wianno Avenue. I would first like you to know more about us. We have owned a home in the town of Barnstable for 30 years. My husband has been a contractor in the Barnstable area for more than 35 years. I am the Community Honoree at the Cape& Islands American Cancer Society Gala being held in October at the Oyster Harbors Club. I am being honored because of my ongoing commitment and service to the Cape and Island community. I am a Certified Financial Planner for almost 20 years. We raised two children who went through the Barnstable school system. We were extremely involved from heading the Barnstable Boys High School Lacrosse Boosters to staying up all night year after year keeping seniors safe at the after prom party. We are very solid Barnstable Residents. My Daughter, Erika Rosewell grew up at Dowses Beach. She learned to swim there. She has grown to find comfort and solace there. For the last 5 years she has chaired the committee that puts on a road race that begins and ends at Dowses Beach. It benefits The Glenna Kohl Fund for Hope. This is a charity that supports Melanoma research. It is most important to her as she lost her closest friend at age 26 to Melanoma. This was the daughter of another long time Barnstable family who is devoted to this town. As a result of this road race and other fund raising endeavors, there are canopies on every lifeguard chair in the town of Barnstable. Glenna Kohl also grew up on, and was a lifeguard at Dowses Beach. This beach has great meaning to my daughter. It is not just a Cape Cod Beach to her. She is now ready to be married, and it is her dream to be married looking over the shore of Dowses Beach. We know Frank Phillips well, and asked him if he would be willing to consider letting Erika be married on his property. WE CONTACTED HIM. There was no 5/29/2014 Page 2 of 2 marketing on his part whatsoever, and we are paying only for the care of the property as it pertains to the wedding. This is NOT a business deal. It is personal and emotional. The wedding is to be held October 4th, 2014. This is a quiet time of year in this area, as most of the summer residence have departed. We would like to ask you to please reconsider and grant the permit for our wedding. We hope that you will feel that there is not enough reason to dash the dream of this young woman. Please contact me if you have any questions. Thank you, Gayle Rosewell 781-982-3672 Sent from my iPad 5/29/2014 P-1 — Alarm Control Panel — Strobe Only O� Smoke.Detector H� Horn/Strobe P Dead O —Water Detector Nspace © Pull Station E F�— Motion Detector L Ice O — Heat Detector All Cooler 0!!� - Door Contact unfinished Co — Annunciator basement s� LT — Low Temp ® (31 — Flow/Tamper Switch 0� Kp — Keypad STP — Shielded Twisted Pair Addressable Loop Module DAC — Dual Line Communicator UTP f— UnShielded Twisted Pair Dead Carbon Monoxide Detector space Project: Bird, Osterville Location.' 554 Wianno Ave Drawn By: B.Fallon Cape Cod Alarm 1-800-468-8300 June 5.2014 Proposal# 3125 P,rint Brochure Page 1 of 2 r print I i= 0 • • • 554 Wianno Ave, Osterville, Massachusetts Rent/ : $12,500/ City, State: Osterville, Massachusetts le, No Zip/Postal Code: 02655 I Country: US w I *tea• Region: Barnstable _ Osterville Property Type: Summer rentals 12 Bedrooms r 7 Full Baths 1 Partial Baths Lot Size: 5,000 Sq. Ft. '^ Contact Robert Paul Properties Robert Paul Properties (508)420-1422 - v Alt: (508)648-2967 Osterville Massachusetts 02655 rentalsOrobertoaul.com Description Private Beach—,Tennis-Court.—The perfect family vacation rentalP�his home has 12 bedrooms and 7 full baths, 2 living rooms m and a`pool-table-Wrap around porch and lovely large yard. For more information, please contact Michelle Sylvia at 508-648-2967 or email Michelle@RobertPaul.com `r Ji 00 Ell 01 ■ ,m { http://capecodrent.re.adicio.com/properties/search/printBrochure.php?gAdid=4f3O069e l Of... 4/15/2014 Print Brochure Page 2 of 2 n aDIC1O http://capecodrent.re.adicio.com/properties/search/printBrochure.php?gAdid=4f30069e l Of... 4/15/2014 I Sumner rentals for rent at 554 Wianno Ave Osterville, Massachusetts 02655 1 CapeCodR... Page 1 of 2 ShareThis CAPE CODS PREMIER FULL SERVICE REAL ESTATE OFFICE Sea rt,Village•a ••• �REs.n 9 Vacation Rentals-Yearly Rentals • - • • 508-771-1904 Residential&Commercial Real Estate Sales r -_ --- - Cape Cod Real Estate Business Search i Cape Cod Classifieds OnCape MyCape I Entertainment i Cape Cod Online Account Login Sion In[New User?Sign WJ Mobile Version .....—.................... LIM You!Rontal Florida Rontnls Search Advertise My Tools CAPE VACATION Return to Results No ._ Rentals 554 Wianno Ave Osterville,Massachusetts 02655 Made Easy!, � ' Save Ad Email Friend Print Brochure OR Code 2f— Robert Like _ __ -__ _a Paul Robert Paul OnCapecom y r' tl Properties Properties Beysida Building,Ina ��ty®By- - I - L CdP1,ecod Profile REALESTATE.com itfr `. + S t js tt F View Lis[inos Reaue<t More Information I00tlM6 OUIGi6 f ARIYITIFS LEACHES Website Call for More Info SEARCH ACAPE COD MLS EM ,? '�,• Contact Dining. y 1 of 16 OnCope Rent: $12,500 MILS Number: N/A m: A corniwwe { o+rectar, Lot Size(Sq.Ft.): 5,000 Bedrooms: 12 •t: - of:4your r . Address 554 Wianno Ave Osterville, Full Baths: 7 Massachusetts 02655 Partial Baths: 1 Square Feet: N/A �J Details I Property Details fPrivate Beach,Tennis Court.The perfect family vacation rentail This home has 12 bedrooms and 7 full baths, 2 living rooms and a pool table.Wrap around porch and lovely large yard. For more information,please contact Michelle Sylvia at 508-648-2967 or email Michelle@RobertPaul.com Updated:02-18-2014 Return to Results Contact Information *required information *First Name: *Last Name: _ Phone: *E-mail Address Zip Code: Timeframe to buy/rent: 1 Month ,- J Contact Preferences: Select one iJ *_Comments: Please send me more info about this listing. J .�t What happens with my info http://capecodrent.re.adicio.com/homes/for-rent-5 54-wianno-ave-osterville-massachusetts-... 4/15/2014 f Summer rentals for rent at 554 Wianno Ave Osterville, Massachusetts 02655 1 CapeCodR... Page 2 of 2 i i 0 �crPTCHA Ell I Privacy&Terms I Send I Osterville Property Types Osterville Nearby Cities Osterville Related Searches Os[erville sinole family Barnstable Osterville Rentals 95terville summer Sandwich Osterville Ooen Houses Osterville ranch Brewster Osterville Featured Homes Osterville winter Yarmouth Osterville Real Estate Agents Dennis Harydch €astharn Mashoee Bourne Falmouth 9 aDICIO For technical support issues wntect CAmQOdRPnlAI.cpnl CapeCodRental.com - Copyright© 2008 capecodONLINE.com. All rights reserved. I http://capecodrent.re.adicio.com/homes/for-rent-554-wianno-ave-osterville-massachusetts-... 4/15/2014 ■�04/05/2011 09:57 FAX Q 0.01 . . _..v.. SSG _.�.. . ... . LUXURY HOMES & ESTATES 9 PARKER ROAD ngTF.RVTf,T.F MA 02655 PHONE: 508-428-4443 FAX: 5084284493 Fax: Phone: From: Phone: Date: L4 I5*\\ Re: S5LA W \P-Y\r)b Pages (plus cover sheet):S Notes: 4 r, Cj � r I 04/05/2011 09:58 FAX Z 002 f J � LUXURY HOMES &ESTATES 9 PARKER ROAD OSTERVILLE MA 02655 PHONE: 508-428-4443 FAX: 508428-4493 Date: April 5, 2011 Re: Roberts Wedding 554 Wianno Ave, Osterville April 16, 2011 Enclosed please find the lease agreement for the rental located at 554 Wianno Ave, Osterville, MA 02655 as per your request. I plead with you to allow this wedding to continue as at this late date Mr. Dan Roberts will never be able to find a new location and re arrange wedding plans already paid for and planned out for months- I have removed any mention of wedding in any and all advertising for this property for our company Seaport Village RE, Osterville- We had the wording " a perfect location for a wedding " but market the home to families for the summer. Please tell me what I can do to fix this situation and I will do whatever it takes so that the Roberts can have their special wedding day as planned. Thank you in advance for your help. I. can be reached at 508-648-2967. Best, Michelle Wright Sylvia Seaport Village RE, Osterville Cape Cod Vacation Agent Cell 508-648-2967 michelle@cauecod.com www.margorents.com 04/05/2011 09:58 FAX, f]003 TMI5 15 A LthAlt_Y iiINUINU L;ur4I KAG I. W NQY UNC►EK5T0OD, 5ECK GOMPeTENT ADVICC. u CAPE COD & ISLANDS ASSOCIATION OF REALTORS,4NC. REaLTOR4 VacationMecreational Lease (The Term of This Lease Shall Not Exceed 100 Days Duration) Lcuse,made this 15 day nl' January 2011 By Walter Phillips ol, 957. W. eheotnue Hill. Ave rhiladelphia, PJt (z15) 806-8263 (nanid (;rM and mmhnr;adamsl wkpllmo hcminafter called the LANI)I:ORD And Daniel Roberts nl' 2020 12th St. NW Apt. Pti18, DC 20o09 (202) 207-61.65 pW91r) Is;r:a nnJ rarhn;wt•Ir_�.! pacphna�r hcn:inaftcr called TENANT. W flilesseth,That the LANDLORD hereby leases to the TENANT.the premises located at 554 Wianno Ave. Oeterville MwSachusetts. 'this(case shall begin at 3:00 P.M.on April 15 th, 2011 11:00 a.m.on P Jar;h and r:nd at April 22nd, 2011 Ann' term.the*I'ENANrl*agrees to pay S 8,500.00 /including utilities such as gas.electricity,and trash re ti f0 moval_etc. onr! Tcl::phonc toll calls arc not included. The LANDLORD hereby acknowledges receipt h-om the TENANT of S 4,500.00 as payment of the initial deposit. Thr:LANDLORD will upon receipt of die balance due on occupancy of($ 4,000.00 )provide the TENANT xvith a t•t•rittcn rcc_ipt for same. Ana for the heretofore described term,the-TENANT further agrees to pay S 5,000-oo ,is a security deposit.receipt of which the LANDLORD hereby ack:not%,'Icdgcs.it being understood that said security deposit is not to he considcrcd prepaid rent.nor shall any damages claimed if any be limited to the amount of Said security deposit, Th:t LANDLORD hereby notifies the TENANT that the LANDLORD,or his agent.will submit to the TENANT on itcmixed list of any damages claimed to have been caused by the TENANT and return the entire security deposit less damages and other Iwt•ful deductions.thithin thirty(30) da%-s alter termination of die tenancy. tit IMMARY Or PAYMENTS Rental-Initial Deposit S 4,500.00 Rental-Balance due on occupancy S 4,000_00 I'lus-Security deposit g 5,000-00 Tolnl K 13,500.00 The LANDLORD hereby notifies the TL:NANf ihot Walter Phillips unmc) of 452 W. Chestnut Hill Avo-. Philadelphia, Pb. 19118 (215) 806-6263 . - h.nc.9 vol nwdru�?ddggi Oalvpha+a is ..ic person authorized in receive notices ol'violalitmc of law and to accept servdcn of process on behalfof OWNER. Thu parties hereto,in consideration of these presents,a;rcc as inlltlhh.,: I. That n0 more than Twelve (12) Adhalte and one (1) Child persons Nvill occupy said premises, la That no animals.bird:.or pets ofany description shall be kept in or upon the lchsed premises. 2. ']'he TENANT will be respon5ihle for all Llamage or breakage antVor loss Ln the plcnhiscs,except normal vvear and 101-and unavoidable casually which may result Iforh occupancy. 3. '11ie TENANT will Icavc the premise in the wore-cricral anti pwd:m(I habitablc condition, 4. Tbc TENANT Will supply the TFNAN'I"S Own bell 511CnS.Loht'els.extra blankets and fin-eplacc wood, 5. If the TENANT defaults and or odwnvisc bile to comply as rc,ards any item in this Icase_the TENANT,,�rccs,to vaeatc said premises,upon receipt ol•proper notice from the LANDLORD andJor upon proper commcnconc+il and final odJudicaLion of p'occcdin-,s authorized and/or required by the applicable laws and regulations of the Corn monn•calill of Massachusetts. T;r.e roan w. eru.t.d by naroo Daeacnno uantr .-roms. c-roANq in eopyriatt protceeca —1 hay nos b.u..d Dr .ny ethos parry. - , 04/05/2011 09:58 FAX U 004 6. The TENANT agrees to allot'the LANDLORD or his agent to enter and.deli•the premises.Froth inside and.(3utsidc: A) to inspect the premises: B) to make repairs therein: C) to sho.v the same to a prospective TENANT or PURCHASER: D) punuani to a Court Order.;tnd E) to protect die premi6ec Wit appwrs that s]id premises bare heen ahandoned by the TENANT. 7. The LANDLORD:uuJ TENANT aerrr thnl chrmiri the rn?miccc hr:iicslrm•cd by hrc or other casually so JS to betxlme unlit fix human 11aU11;1dUn dial Miele plt:_-'.enu nhull DIclel,y tic eliJctl, n•;LtI uI 1-TCiJANT for uM•rent scan rlml.-d. 7a- Subicct to the conditions orparn-graph seven(7)-die LANDLORD aLrccs that should the premises acquire a condition which amounts to it violation of last which may en(Inngcr or materially impair the health-stifen-.or well-being,of lhc'11NANT.or become tin fit for human L..6I_•,.r,...•..r.....r,.,r,..,-,,.,...-........I:...-......,•L,. L.-I nTJ 111 (IR II d.r,••o l'Il.r .v nl r, .ins..,..•Iron rl.rrn,.l nor-r.r.i7'nn m,nc� lnl n-r.and c�lenl ur Wu cuudlrluu:fault UV:.rl�l,cl nlgl VI u(—=J.111tll AIe—Wil.;—in...L n.Ii...I.ii a-•el•. I:� ed_ t•red nobl..pogo bl:d••--..-,.L,•L....,, In.•n provided.however.dial said condition or violation of law t\-a;not caused by the ITINANTor nthcrs luwfull--upon.aid premisL.e. 8. The LANDLORD a-rees ui supply I-miures and household furnishings.equipment or other personal propeny onh.its represcrited at the time of the initial shmwin_and.when the initial deposit made. 9. The LANDLORD and TFNAN1T statu that the rental of tlttme premises is 11or a vacation or recreatinool pulrnce as eepresscd in General Laws C. 196 1 SB(9). 10.The LANDLORD aerevs w puy a BROKFR'S fee of 15 ° of flit:total rent hereof 1•3 seaport village Realty, Inc. upon rcceipl ufthe First rcivol paynicol Im i his lease from uie TENANT. OPTIONAL PROV1SI0NS (Complete or dcicle i(rrut applir.•nhlej: 1 I:fhe LANDLORD agrees to pay a Broker's fee of 15 %of the total rental on any subsequent rentals of the premises to the TENANT-upon receipt of the First rental payment from any subscqucnl rental it)lie TENANT. in the event of a subscqucnl s de ol'the premises to the TENANT,by the LANDLORD doling the term of the tenancy or\,ithin 90 days 3ficr the te of the(errancy.,1 13ROKFR-5 fee shall be paid by the LANDLORD based upon an amount of fee to be agrccd upon between die BROKER and the LANDLORD.but such'I'GNANT BUYER shall be held harmIcss as to any dispute and/or litigation between the BROKER and the LANDLORD as to the.determination of said fee. 13.A(lditionnl Provisions: Tenants) and landlord(s) agree that smoke and carbon monoxide detector(9) are present and in working order at mowo in. Tenantis) agree to notify landlord immediately if either or both fail. Only people allowed in the house during the wedding are those staying at the house_ Tenants) agree to provide a portable bathrooms for the wedding guests. end floor bed set up 1. twin 2, twin 3_ double w/bath 4- twin S. twin 6. double 7. 2 twins 3rd Eloor 1 queen bath 2. gall twin cx;Lb- Red linens & towels are provided. No smoking- No pets. IN WITNESS WHEREOF-the said parties h to set their hands and.call on the&y and year first above written. LANDLORD: TEN.�NT: an1w 4a.1 Nr Phillip Daniel Roberto Th-:TENANT hereby acknoti'Icd�cs the receipt ol'an executed copy of this IeiLse from the LANDLORD on whi,Ai is within thirty(30)days of the signing of this document b�-said TENANT. `) Daniel Roberts w ng S ae ea Lceeed and— not be aced by any other ty. Tb:.<� So2*+ �•• =r..t.d by A1a190 p:o scans v i o-roan8. a-FORMS So copy: g p Y pr.r ' IL•.iµa h41 lint 04/05/2011 09:59 FAX 1a005 ,w SHORT-TERM VACATION OR RENTAL EXEMPTION NOTIFICATION Under the Massachusetts Lead Law(M.G_L. c.111, s.199B)and Regulations(105 CMR 460.100(D)),the owner of the property located at: 554 Wianno Circle Oaterville (street) (apt.) (city) MA 02655 that is being rented or occupied for vacation purposes, certifies that all paint in the dwelling (ZiP) unit is intact including on the exterior parts of the windows and qualifies for an exemption from the Lead Law which requires the owner to abate or contain lead paint if a child under six years of age is in residence. The Department of Public Health advises parents of young children under six years of age who are tenants or occupants under this exemption for a period not to exceed a total of thirty-one days, that occupying a dwdlling unit for a short period of time where lead paint is intact does no present a health hazard for children under six year; of F,ce. .Should you be concerned about peeling paint that you have found in the dwelling unit, contact: Walter Phillips (215) 665-3224 Name of Owner or Agent Authorized Telephone Number To Make Repairs Date of Visual inspection who all paint or other coating was intact on relevant surface_ 0 O Signature of Owner or Agent rfo g � -'Date Visual Inspection seaport Village Realty. Inc_ osterville Number of Days Rented or Occupied(Not to Exceed 31 Bays) 7 Signature of Tenant or Occupant Signature of Owner or Agent with Child Under Six Years of Age Presenting Notification to Tint Daniel Robert? Walter Phillip.; Date Date If peeling paint is present in the dwelling unit, the owner is not exempt from the obligations of the Lead Law_ THIS FORM MUST BE COMPLETED FOR A VALID EXEMPTION CLPPP FORM 94-1 Thin PC';M sae craated by Margo p�oacano using e-FORKS, a-FORMS im copyright protected and may >>ot ba used by any other Fatty. I Osterv!11V Real Estate, Cape Cod Real Estate, Vacation and Yearly Rentals Page 1 of 2 Cape Cod Rentals,Real Estate Home Real Estate. MLS Quick Search Real Estate on Cape Cod,Year Round and Summer Rentals Choose a Location: Vacation, Summer, Winter, Yearly and Commercial Any ; - Your all inclusive Real Estate Resource Center.We do it all with a personal tc Choose a Price Range: Rental Search Form Minimum 7F - Advanced Search Maximum_," Bedrooms: I Any l MLS#: Search Property Type: Any Type Property Number: 554 Foreclosures/Short Sales Property Address: wianno Translations Location: All Locations Mau" Available Between: Start Date: End Date: Spanish Portugese (Clear Dates) German French Seaport Home Search Listings Reset Form View Our Office Listings - - Search Cape Cod MLS Rental Listings Displa, Non MLS and Global Listings Click on the Property Title or Imageof any listing for n Our Seaport Rentals I Click on the red letter links below for moi Commercial Rentals I There was 1 record found matching your search criteria. Meet Our Agents Vacation Rental Mortgages I Oceanfront 9 Bedroom home -554 Wianno Ave$12,500/Week, Osterville Property Management Property#9981 554Wianno Oceanfront on a whit( Relocation Information I beach near Dowse's beach this classic home has E 1031 Exchange I a■�, courts,a beautiful back yard and deck everything y Cod vacation! For more information, call Seaport V What is Your Home Worth I 508.428.4443, or E-Mail:Vacations@MargoSells.c About Our Office Cape Cod Area Information New England MLS Search I Rate Schedule Seaport Village Start End Contact Sea P 9 I Date Date Weekly Osterville Login http://www.seaportvillagere.com/cape-cod-vacation-rentals.asp?BedRooms=0&RentalPrope... 4/5/2011 i Osterville Real Estate, Cape Cod Real Estate, Vacation and Yearly Rentals Page 2 of 2 i I (AllOther Dates 12,500.00 Crew_E;Ls Witerf 0 t Z. 64-1de,, ``view�31 N1 S n1Gi tEi aanitieg,V �ie!1N'iitt:l��' Comm�fG78� Real Estate Web Design by Webfodder ' " '" :,'.�.�rs`'..'• :Y.,w. "._��..4:..:�.��:.."c`...7`.it.:!.� r. ,:.tiL`},"",�c,rCS . :.::u::'rx '�4'.. �;..�;�'...'�,,.,'^i.:.': -s•'?'`�.'.�..:xtr,= x""'� We proudly present our all-inclusive Real Estate Resource Center on Cape Cod, Massachusetts serving the towns of Barns Cataumet,Centerville,Chatham,Chilmark,Cotuit,Craigville,Cummaquid, Dennis, Dennisport, East Brewster, East Chop, Ea: East Sandwich, East Wareham, Eastham, Edgartown, Falmouth, Forestdale,Gay Head(Aquinnah),Green Harbor, Harwii Marstons Mills, Martha's Vineyard, Mashpee, Mattapoisett, Menemsha,Monument Beach, Nantucket, New Seabury, North Ct Oak Bluffs,Onset,Orleans,Osterville,Otis Air Force Base, Pocasset, Provincetown, Sagamore,Sagamore Beach,Sand'n South Harwich,South Orleans, South Sandwich,South Wellfleet, South Yarmouth,Teaticket,Tisbury,Truro,Vine) West Barnstable,West Chatham,West Chop,West Dennis,West Falmouth,West Harwich,West Hyannisport,West Tisbury,1 We do it all with a personal touch and look forward to helping you find whether you are moving four miles or four thousand mil Cape Cod Real Estate Home I Cape Cod Rentals Home I Year Round Renta View Our Office Listings I Search Cape Cod MILS I Non MLS and Global Listings I Our Seaport Rentals I Commercial Rentals Online Property Management I Relocation Information 1 1031 Exchange I About Our Office I Cape Cod Area Information I New Er Copyright©2011 Margo Pisacano Seaport Village Realty Inc Osterville 9 Parker Road,Osterville, MA 02655 508-428-4443 • 508-428-4493 Fax Margo Direct 508-775-4440 • margo@margosells.com V Vv � http://www.seaportvillagere.com/cape-cod-vacation-rentals.asp?BedRooms=0&RentalPrope... 4/5/2011 Page 1 of 1 Anderson, Robin From: Michelle [michelle@capecod.com] Sent: Tuesday, April 05, 2011 2:01 PM To: Anderson, Robin Cc: margo@margosells.com Subject: re: 554 Wianno Ave, Oster Thank you so much Robin. I really appreciate your help with letting the wedding move forward. I will let the owners know about the permit and make sure they are aware of the zoning laws. Have a great day! Best regards, Michelle M. Wright Sylvia Vacation Rental Agent Seaport Village Realty, Osterville michelle@marizosells.com www.margorents.com 508-428-4443 [Cell] 508-648-2967 I 4/5/2011 Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Tuesday, April 05, 2011 12:40 PM To: 'michelle@capecod.com' Subject: 554 Wianno Ave, Oster Dear Michelle, Thank you for faxing over a copy of the lease concerning the wedding rental scheduled for the week of April 15, 2011 -April 22, 2011 at 554 Wianno Ave. Be advised that it is not our intention to interfere with this event but rather to take advantage of this opportunity to point out that the marketing and rental for the purpose of hosting weddings is contrary to the governing single family zoning. At this juncture, I must inform you that this wedding must be the last non-owner/family function and all other weddings/family reunions/corporate functions must relocated or refused. Additionally, the property must be immediately registered and inspected by the Health Division as a rental unit. Again, the use is clearly limited to a single family use only. This serves to protect the quiet enjoyment of others in the area and prevent complaints. FYI: I was able to discuss this very issue with Margo in person today. She indicated her understanding and agreed to correct all listings. I do appreciate your cooperation. ,R96in Robin C Anderson Zoning Enforcement Officer ?'own of BarnstabCe 200 Nain Street Hyannis, NA 026oi 5o8-862-4027 1 i 4/5/2011 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' Parcel Dl y'Application # O 13� Health Division Date Issued . '�- Conservation Division . .Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board off � Historic -, OKH Preservation/Hyannis �n m, Project Stree Address AU Village �' LJI Owner Address -- Telephone Permit Request d � R C Sq re feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning Di ict Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Famil ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No\ 1 Basement Type: ❑ F v ype Full ❑ Crawl Walkout El 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: ❑Yes . ❑ No Fireplaces: Existing New isting wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ am: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Othe Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) a� llII Name tj!�44&j�LTelephone Number �c / I Address 13 Yk License # / dd� YCJ Home Improvement Contractor# ry rJ TOWorker's Compensation # X /3 /9?VD ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE d r d FOR OFFICIAL USE ONLY APPLICATION# — DATE ISSUED. MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: - E x FOUNDATION s - 'i FRAME INSULATION " s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING r sy DATE CLOSED OUT 1, . t ASSOCIATION PLAN NO. The Commonwealth oflgassachusetts _ Deparin ent of Industrial Accidents Offwe of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers AyyUcant Information Please Print Leeibly Name(Business/organiratio ondividual): �,�'�-X-) /li -' -�l.r' LA Address: �— Address:_ A A X love City/State/Zip: Ddh of Phone#: 6 5 Are yo n employer?Check the appropriate boa: Type of project(required): 1.Url am a employer with >0_ 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 sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition , working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insu mce comp.insurance.# required.] 5. ❑ We are a corporation and its ME]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 l� employees.[No workers' comp.insurance required.] � `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tConnactors that check this box must attached an additional sheet showing the name of the sub-moors and state whether or not those entities have employees. If tome subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that 15,provWn workers'compensation bvurance for my employees Below is thepolicy sandjob shy? information �J Insurance Company Name: D�-H�l��,L rS ��G �' d1 y1 A�7�/16 Policy#or Self-ins.Lic.#: a 51 D Expiration Date: Job Site Address: U4�-0-y-Lk-Z— 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 certify under thepains and pen aNies ofpa jury that the information provided above is vue and corre L Si e: `)"-_.. Date: Phone#: �a FFo:_—ffl-_"use only. Do not write in this area,to be completed by city or town offid b City or Town: PermWUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector Issuing Contact Person: Phone#• Clien*.4317T7 990a1533 CERTIFICATE OF LIABILITY INSURANCE,"o°m' FMRerU Specdaltie5 THIS CER7>I:7CATE IS ISSUED AS A MATTER OF IATINNN P.O.Box 53310 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THNS CER FICATE DOES NOT AMEND, EXTEND OR Irvine,CA 92619 ALT R THE COVERAGE AFFORDED BY THE pOUCIES E ELOW. M 864-3283 TNsta� • INSURERS AFFORDING COVERAGE AnxIll rt Tent&Table Inc. 'Msul Rk St Paul Re and Marine Insurance Co P O Box 1348 S.Travelers Property CaS.Co.of Anted MarStons Mllis,MA 02648 EE a D., COVERAGES eMsLM E COVERAGES AS DF 01P16M0 TH AN TERM OR TIy R(SIJRAtNCE LISTED BELOW HAVE BEEN TO THE NJ3t>RED NAMED ABOVE FORTHEPOLICYPERIOD8�ICATER NOTWTIHSTANDWG ANY11RE3�NT,04SURANCE AFFORDED BY THE POLICES DESCRIBM HEREIN IS OF A CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEiYTiFtCATE MAY BE ISSUED OR ��«ES'ABATE UMITS SHOWN MAY HAVE BM REDUCED BY PAID CLAIMS. T TO ALL THE TERM,R,EXCLUSIONS AM CONDMONS OF SUCH TR TYPE GF 9WURANCE POLICY NWOER EFiI THE DATEGENERAL E7�tATSON l.BRrs A LIABUTY CK00222037 ("Mi10 01/21/11 EACH OCCURRENCE $1 X SCMUBMWGENERALLIABCftY 0oN� « �E MX O� WMEXPAGEaaya+eee) i, o00 PERSONALaADVNARY $1000000 GMA6GREWELIPAWAPPLESPER GENERALAffRW,AIE s2A0,o0o EX PatcY PRo Loc PROOWTS-COWIOPAGG $1 ON AITiT7YOBi E LL48UN ANYAUrO CMBOIEDsNGLELwr S ALL OWNFD AUTOS SCHEDULEDAUTOS BOD R&RW s HMZED AUTOS H,"110 *ED AUTOS w S mp-odlft=""ACE s cNARAGE LIAMM AUTO ONLY-EAACCMENT S ANYAUTO OTHERTHAN EAACC S EXCESSLIABLITY AUTO ONLY: $ EACH OCR $ OCC!!it ❑CLAWS MADE Ad►TE $ DEDUC BLE . S i RETENTION S S B TYOA MMCOM ADM7I0MAND MUS5819Y97510 01/21110 01/21/11 X wcsrwTU- EWg4VEWLtAB/lTY GL!' EL EACHAOCCENT' 5100,000 EL.DfSEASE-EA ENMPL $100A00 E-L.DfSFJ1SE-POJCYL/IIR S500 000 ' A °�� CK00222037 01121110 01121M1 1pment Floater $450,000 Limit Foy 35,000 DeductBTle DESCRIPTION OF DPETIATION61t oeJ1 ADM BY E MORSEM9NrISp aft PROVISIONS This certi IS isssied as a ma0w of proof only.*Except 10 days nonce of cancellation for non-payment. CERIFICATEHOLDER ADDtnONAI NsctREbRQSlES2LETTER CANCELLATION SHOULD ANYOFTHEABOVE DESCRMM POLICESBE CATNCULED BATHE E]EPRM— WE TTEREOF THE fSS MG NSW ER WILL EIWEAVOR TOKA&= _DAYSYiART81 NOTWETOTHE CERIFICATE HCM.DERNAMEDTOTHELEFT,BUYFMAN E TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANIII@ID UPCIN 7H E DISUREP.M AGEN7S OR REPRFSBTrAnim ACORD 25-8(11S'n1 of 2 #M4221572 AXLJG 0 ACORD CORPORATION IM I 07/29/2010 THU 16: 15 FAX 2156653165 OBERMAYER UQ 02/002 1 of e Town of Barnstable Regulatory Services ThomAs)F_Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barustable.ma.as Office: 508-862-4038 Fax: 508-790-6230 .- Property Owner Must Complete and Sign This Section ' If Using.A.Builder I I, Owner of the subject property hereby authorize ���• ' A �.►" .� -� ( /:=t �� to act on my behalf, in all matters reheive to work authorized by this building permit application for. (Address of Job) • i I i I O Signature of Owner Uate I ' I Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. i Q:FOitA.(S:UWNcRPF,IL'tt15S10N Certiftcate of Flame Resistance REGISTERED ISSUED BY Date of Manufacture FABRIC NUMBER JOHNSON OUTDOORS INC. BINGHAMTON,NEW YORK 13902 NOVEMBER 2006 F-140.01 Manufacturers of the Finest Tent Products Described Herein This is to certify that the products herein have been manufactured from material inherently flame retardant as here after specified by the material supplier. NAME: AMERICAN TENT AND TABLE CITY: MARSTON MILLS, MA Certification is hereby made that: The articles described on this certificate have been manufactured with an approved flame retardant chemical in compliance with California State Fire Marshal Code, NFPA-701', Underwriters Laboratory of Canada, and have been tested in accordance with the Federal Test Method Specifications and meet r exceed the Military Flame Specifications f MIL-C-43W6G. Tvoe.color and weight of material 14 OZ vinvi WHITE BLOCK OUT Description of item certified: GENESIS 4OX40 2 PC Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing, Inc. Manufacturer of Flame Retardant Vinvl Laminates TENT DEPARTMENT HNSON O RS 'Large Scale ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION „ Map, '� Parcel° .- ApNlicatirr# Health Division "Date Issued Conservation Division App'Ication Fee Planning:Dept. Permit Fee V Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis n Project Street Address v L Village Owner �t I �-- -�'.� Address Telephone � rt� I �� G�/'� a C, /�� UG tCb Permit Request �() I 7—S 1/J ,i ) V , q--.uare feet: 1 st floor: existing proposed 2nd floor: existin proposed Total newZ i r'g.D st ict, Flood Plain rou water Overlay Project Valuati Construction Type Lot.Size Grandf ed: Yes ❑ No If yes, attach supporting documentation. pP 9 Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure stori ouse: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ C I ❑ o ❑ Other Basemen finished Are q.ft.) \ Basement Unfinished Area (s .ft q ) Numb of Baths: Full: exis 0/ new Half: existing new Numb r of drooms: existing _new Total Room Co t (not includi baths): existing new 'i st Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes N Fireplaces: Existing New Existing woo /coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new 'size—Pool: ❑ existing ❑ new size _ Barn: ❑ exis ing ❑ new size_ Attached garage: ❑ existing Ell-new size _Shed: ❑ existing O new size _ Other: 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 �L)�7�-� ; ' � Telephone Number �1 Address License # I� �PS l n A-Z S l L- - . d 1 /�_ Home Improvement Contractor# �a6 V Worker's Compensation # VU1 J O�^f I L9 7 siJ. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -IX11 SIGNATURE DATE • 1 - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 :.• y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ail E4� iieJ /t14— ZX454 Z/V41 I Address. D Y--L-i Var' City/State/Zip: Are an employer? Check the appropriate bog: Type of project(required): 1. am a employer with __� 4. I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. New construction ..2.0 I am a sole proprietor or•par. r- listed on the attached sheet. T. 0 Remodeling ship and have no employees These sub-contractors have g• '0 Demolition workingfor me,in an ca aci employees and have workers' Y P tY• # 9. ❑Building addition [No workers' comp.-insurance comp. insurance. required] i 5. We are a corporation and its '10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all�work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no , S employees. [No workers' 13. Other comp.insurance required.] *Any applicant,that checks box#1 must also fill out the section below showing their workers'compcnsation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must aiiach�d 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 providingiworkers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: — Policy#or Self-ins. Lie. #: X ll Expiration Date: I Job Site Address: �S7 l�V � l �'7 _ City/State/Zip:n�, /��:' Attach a copy of the workers' coipensation policy declaration page(showing the policy number and expiration date). ' Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crirnirial penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against tlie violator. Be advised that a copy of this statement may be forwarded to the Dffice of _ Investigations of the DIA for m* surarice coverage verification I do hereby Zce ' under th pains-and penalties of perjury that the information provided above is true and correct. Signature: A Date: — r Phone#: Official use.only. Do not write i this area, to be completed by city or town official City or Town: i PermitUcense# Issuing Authority(circle one): I v 1.Board of Health '2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other 1 Phone Contact Person: i #: 04/04/2011 11:36 FAX 0 001 ---------- ---- VJ003/003 201"-04-01. 05:49 AMER ICAN*TENT*TABLE 5084202705 >> P 212 ' Ta �► wa of Barnstable Regulatory,Sermes Tba „"F.Gever,Ditt aw 8oOdi ng Division 'ram perry.CW Su114fuR Ca�m(ssfaner 2o0•Maio Stoma, f-ymnis.MA 02WL *%W.sv.vr+.barnxtmatrlamu.93 QflioC: SQ&KC2�d038 F= SD&79"230 Propcoy Owner Must Complete and Sign TWS Section If'Using A 15uUder is .1B CWner Qf the aU4=C pmPCm ucreb7 awhorbe_ y�- �y as on my behai 7 in aA nnattrrs rdack-e to work autbexized by chit boding pemmit appu,,don fo= (A•d rms,a£)obj Sig we.of C)wncr i`'rinr�tu»r. F .Q-FcurQsoquag i dl :431M 99001533 ACORD. CERTIFICATE OF LIABILITY INSURANCE ° `'°ID1131=OMnI' 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:ff the certificate holder is an ADDITIONAL INSURED,the policypes)must be endorsed.If SUBROGATION IS WAIVED,subject to the tents 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 erldorsenlertt(s). PRODUCER USI Rental S NaLIE pecLalbe.S °r 854-3296 P.O.Box 53310 A"C• Irvine,CA 92619 ADDRESS. - 800 854-3298 CUSTOMER M a: IN SURER(S)AFFORDING COVERAGE NAIL+ INSURED INSURER A:St Paul Fire&Marine Insurance 24767 American Tent&Table Inc.P O Box 1348 N ER SuR B:Phoenix Insurance Company 25623 Marston Mills,MA 02M INSURER c INSURER D: INSURER E INSURER F• COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI ICY 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 TFJLMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE WVD IPOLICY NUMBER MYVW EFF POLICY EXP LIMITS A GENERAL UABILn" CK00223058 /21/2011 01/?IJM2 EACH OCCURRENCE $1 000 000 x COMMERCIAL GENERAL LIABB In' Pa�Es oodity $100 000 CLAIINS MADE �OCCUR LIM EIP ne(Ary o Person) $5,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE S2,0001000 GEM AGGREGATE LIST APPLIES POt PRODUCTS-COMPAOP AGG $1,000,000 x POLICY vRa LOC I $ AUTOMOBILE LIABILITY I. COMBINED SINGLE WAIT s ANY ALrro (Ea aedden!) BODILY INJURY(Per Person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY NJURY(Per a=dera) $ PROPERTY D HIRED AUTOS I (pe, )AGE S NON-OWNED AUTOS S $ Wl9RELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE I AGGREGATE $ DEDUCTIBLE ' $ RETENTION S :I S BWORKERS LOY LlA COMPENSATION XNUB5819Y97511 /21/2011 01/21/201 X `c sTATLA °TM- AM ANYPROPRIETORlPARTN YIN � oER �ocoLUDEVD N wA ELL EACH ACCIDENT $100,000 Pylaens, pr in 00 EL DISEASE-EA EMPLOYEE $100,000 D�S(TiIPTION-dbo OPERATIONS below E.L.DISEASE-POLICY LIMIT 5500 000 jA Equipment Floater I IM00201291 )1MM1Ji1'&1/=2 $450,00 Limit I Special Form $5 000 Deductible ESCRPnOU OF OPERATIONS/LOCATIONS/Vt3MCLES(IYlaeh ACORD 101,Ad6tiorral Remarks Schedule,if more space m ro*,n Q is certificate is issued as a matter of proof only. ;I ,CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE WIPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUngri»REPRESENTATIVE ®19BB-2009 ACORD CORPORATION.All rights reserved- ACORD 25(2009fO9) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5271901/M52"M C)[AJG e- s , a, a Z `Ef .`1- �sF"�.� •rx.>;` f w:t4�'� �y"�:i"(�5 �Ct�. i sy� t +H � YS_f r 44 � r " Y r •: �E''T e t/ �K1�11n ><.x ,{y�,y' >"�;. Y Sf ! /y' {�-r� Y•'�i d '' �$i1il s''! t i...... i �ai i ica e of Fame esisfance `` rf PAG E: 1 '�•�'��� ; I Date-Manufactured AZTEC TENTS - 2665 COLUMBIA ST INV NUMBER: 0178567 02 26 2010 f TORRANCE CA 90503 P.O. NUMBER: b: (800) 228-3687 CUSTOMER NO: AMER0264? __<•: �, This is to certify that the materials described below have been flame retardant W-= treated (or are inherently flame retardant). *r`'h Bruin i Marri 25 Bruin I Mesh F-222.04 i, }'"i'"",iii"'; AMERICAN TENT &TABLE INC. eagroml9 Como. tent-Te:Iz,ts,16,leo: F-439.01 .5?� coated FabrlW dear Vinyl 16ga/2Dga F-570.02 -rr+„r,^x> P.O. BOX 1348 OAF i Gear Vinyl l6ga/2Dga F-593.01 y... 381 OLD FALMOUTH ROAD UNIT 41 DAF DAF F-593.02 } ` Marstons Mills, MA 02648 Exclusively Expo Precontmi tner502 F-434.01 9 Ferran ; Preoontralni 502 F-444.0t ;41r7�•,y.t Feran Prerdnt2lnt 702 F-444.08 �+;!: I-a,7 Phillips Textiles Phil-Tex liner F-500.01 ; •;f^y"3 PVC Tech. Deco cloth/Velon F-504.01 �z��{y, �.'Ir1'. Snyder l Weatherspdn F•140.01 7ri Vantage FlreSIR 5unorella F-368.05 - L..:�:i Tn Vantag¢ Patio 500 F-321.02 vy . Certification is hereby made that the articles described below hereof are made HV�ldag Big Top F•121.10 %j. �. from a flame-retardant fabric or material registered and approved by the Va guedWeblon F069.01 «'•rl webion/Coastrine F-069.O1 California State Fire Marshal for such use. The fabric has been tested and DuresonB1673,Bi515 F-530.01 passes NFPA 701 Large Scale. See chart to right for trade name of .,. ` flame-resistant fabric or material used and additionally referenced on the label s of the fabric panel. THE FLAME RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHINGsz -I, ( 4 David Bradley General Manager-Manufacturing frl Name of Applicator or Production Superintendent Title of Applicator or Production Superintendent .w :. �- � � � � L � � •.� Utz zS <�¢ nON " �� �!M ` �ryf.''!' .�, �Xf•':tr'`•t -.fit�.£a ��;:. ITEMS MANUFACTURED TYPE PRODUCED 40x40 2pc Series 2500 SP UW S 1 Stock#'5719, #5720 40x20 Mid Series 2500 SP UW S 2 Stock# 5721, #5722 .,r• m>.� pia. $ �. �. ,���., IN � �.7_'1 7_h".^�.'�-'.•T•"'4.k..�''.�. i:�-dkf'-.J'1�'<.:3'�Ca a"'�' 4-} Y'E '"'�c• �:�Nw•n c an�•��c����"t�sri v�;c�y� ��"�-'�'ao'/- '" �i'���� NR1n 4y' . 4 Certif itate of iflame Reg;i.5tan"re Date treated or rc t3T REGISTERED ISSUED BY: manufactured 6. x. ,aPPucATtoN AZTEC TENTS S EVENTS �. CONCERN NO. � • 490 ALASKA AVENUE � �•''< I TORRANCE,CA 90503 ( 13 o y -0i ` CAL COMB19.01" (310)32875060 This is to certify that the materials described below hereof have been flame retardant treated(or are inher- ently nonflammable)..,. •,. � �, AMER/CAN"TENT`&-TABLE' - ADDRESS 38�OLD.FALMOUT.H.ROAD,.STE41 CITYMARSTONS MILLS STATE MA:.02648 Certification is hereby made that: (check "a"or 'Vq (a) The articles described below this certificate have been treated with a flame retardant chemical approved ❑ and registered by the State Fire Marshal and that the applicationof said chemical was done in confor- mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal.. .s gwName of chemical used............................................Chem.Reg.No......................... 4 ' Meathod of application , (b) The articles described below hereof are made from aflame-resistant fabric or material registered and approved be the!8tate Fire Marshal for such use; Fabric has been tested and passes NFPA701-96. v 7 Trade name of flame-resistant fabric or material used..coated Fabric Reg.No. nr WILL NOT The Flame Retardant Process Used ....................... Be Removed by Washing (will or will not) •' i ,- David Bradley Chuck Miller...-_President, ° Yt Name of Applicator or Production Superintendent ...." Title Top{� 6 n PUIRRow �• n 41 CUSTOMERORDER-NO. ' .0134713 - R134713 ITEMS MANUFACTURED:; 2-10 X 10 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 2- 10 X 10 STANDARD)RAMS CANOPY MIDDLES-CLASP ULTRA WHITE, 2- 15 X 15 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, - 3-20 X 20 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 3 20 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE, 2-30 X 30 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 3-30 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE. j " I . 04/01/2011 11:53 FAX 0 001 vWU1I4V11 AU.U.7 t•ru► UI/OV(%UVV euUX/UUL Old '\V State Mouse Bureau MA State House,Room 490, Boston,MA 02133 �D Tel. (617) 929-2000 Fax(617)367-4036 �, .fie FAX COVER STET FROM: TO: No. of Pages (Including Cover): I,C.ev� • NOTE: .�, � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 'V Application# Health Division Conservation Division Permit# Tax Collector Date Issued (k2j Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved byPlanhing Board ok 611q/e7 Historic-OKH Preservation/Hyannis Project Street Addresst) Ilia Village Owner �-_~� Address Telephone �� loS 3 Permit Request 1 c 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 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Cl 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 E Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room CoA.E Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/�oal stove: ❑Yee", ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:L existing D❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Autlio zir ation ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION =`Name t��lC /- ,T Telephone Number �� G / �1 Address -1/i 0 i � ��.�0 License# Al A-- �J � l�s Home Improvement Contractor# ilk/ Worker's Compensation#�� M ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING y z DATE CLOSED OUT ASSOCIATION PLAN NO! The Commonwealth of Massachusetts Department oflndusirialAccidenis Office of Investigations 600 Washington Street Boston, Mass. 02111 Workers Compensation Insurance Affidavit 4-v Name: Location: 4-91A-A) iio' 04 116vu City_ C I am abomeowner performing all work myself. L I am a sole proprietor and have no one working in anyra ............. an employer providing workers' compensation for my employees working on this job. Company Name: Address: Vk, City: ki phone drip ri —,r,.Ur- Insurance Co. A -S policy Y 16 I wn a C sole proprietor D general contractor D homeowner and have hired the contractors listed below who have the following workers' compensation policies: Company Name: Address: City: phone Insurance Co. policy # A�x Company Name: Address: City: phone Insurance Co. policy 11 "44P, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 per day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herekv rerfi&under the pains andpenaffies ofperittry that the information provided above is true and correct. Signature Date 7 -D�7 Print nam �a Zua=, S Vi-Ves Tw- —Phone 5D r-- y d�l Y- Official use only: Do not write in this area. To be completed by city or town official. City or Toikm--- Permit License 4 0 check.if immediate response is required Contact Person _Dept-_ Phone USI South Coast 5/30/2007 4 :43 PM PACE 2/003 Fax Server t' AIR CERTIFICATE OF LIABILITY INSURANCE oy3a0° 7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Rental gpetlas,FP ONLY AND CONFERS NO RIGHTS UPON THE CERnFEATE PA.Box mill ALTER THE CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. Irvine,CA 92619-3310 800 854-3298 INSURERS AFFORDING COVERAGE INSUREDI mmERA: St.Paul Fire and Marlm`IsreBrlCe Anlaloen Ted aI Table mom Travalers hmkmlty Company of Anmt P O Box 1348 INSURIER a Marston M ft MA 02MS INSURER D: INSURER E: COVERAGES THE POUCIESOFNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM® ABOVE FORTFE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY FWARE u1ENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUIWIWT WITH RESPECT TO WHICH THIS CERrWATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCR6m HEREIN 6 SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RW TYPE Of INSURANCE PO ICY NUMSGR MEN= TOM uwrs A �EmuPalurY CK00220M 01/21M7 01I21f08 EACH OCCURRENCE H0 0000 X COMMERCIAL GENERAL LIABILITY FRE DAMAGE Vmawir) 6100000 CLAIMS MADE +X'OCCUR MED E.W(Ary as Pa sm) 000 PERSONAL&ADV INJURY S1 00 000 GENERAL AGGREGATE 1$2.M.OW GENI.AGGREGATE LIMIT APPLE SPM PROOUCTS-COWMPAGG St 00 X POLICY IECT El PRO- LOC AUTgNOEu 11.11AIILtT1' COMBINED SINQ.E LIMIT ANYAUTO (EmadM01) S ALL OARED AUTOS SWILY NJURY SCHEDULEDAUTOS mwpmm) S HIRED AUTOS OD e ODDLY KIURY NON-OWNED AUTOS S PROPERTYDAMAGE S (Par aaddwt) GARAGELIAB ITY AUTO ONLY•EAACOMM S ANY AUTO OTHER THAN EA ACC S AUT0CN.Y•. AGG S EXOEssLL1BLRTY EACH OCCURRENCE S QOCCUR Q CLAIMS MADE AGGIREGATE S .S DEDUCTIBLE S RETENTION f S B WORxERBCOWINSATTONAND 581 M3111171JB 01121/07 01/21/08 WcsraTu oIw .10LWERSUABILRY E.L.EACHACCDENT $100000 ELDSEASE•EAEMPL all 000 E.L.DISEASE-POLICYLACIT I SM,M A arNR CK00220040 01/21/07 01121/08 gWpment Floator $450,000 LdTIR peclal Form $ 500 Deductible DESCRRTION OF OPERATC0N0.OWCNaNEMCLF0000W9ONBA0DED BY EIalOR9HEMffsPEpAL PROVL51pNi Proof of coverage. 'Except 10 days notice of carleelldlon for non-psynwmt. CEIRTIRCATE HOLDER ADDflgNALNBURED NBUItERLBTTER CANCELLATION WOULD MYCTFTHEABOVEDEWRAEDPOLICE09E CANCELLED BEFORETHIMPIRI M May Haam DATE THEREOF.THE WWO INSURER WILL 040EAY011.TOMAL a DAYSWRRTIN 647 W.Roxbury Rimy NOTICETOTHE CERTI011CATE HIfAERNNAE DTOTHELEFT.9UrPAILME TODOaOlfALL Wed Roxbury,MA 02132 IMPOSE N006LIGATIONORLJABELRYOFANYIQNDUPONTNE INSURE R.ITS AGE NTaOlt REP1111011111WAYMS. AUUJOFM,p RREEP`REWUATWE •V/ - ACOW 2S$(7 MI of 2 #942=171M415224 A)(LJG 9 ACORD CORPORATION ION -6O Y/ o Certiftcate of blame Resistance REGISTERED ISSUED BY Date of Manufacture FABRIC JOHNSON OUTDOORS INC. NUMBER BINGHAMTON,NEW YORK 13902. AUGUST 2005 F-140.01 Manufacturers of the Finest Tent Products Described Herein This Is to certify that the products herein have been manufactured from material inherently flame retardant as here after specified by the material supplier. NAME: AMERICAN TENT AND TABLE CITY: MARSTONTS MILLS,MA. Certification is hereby made that: The arildku described on this certificate have been manufactured with an approved flame retardant chemical in compliance with California State Fire Marshal Code, NFIRA-7011, Underwriters Laboratory of Canada, and have been tested In accordance with the Federal Test.Method Specifications and meat or exceed the Military Flame Specifications of MIL-C-43006G, Type,colpr and weight of material 16 OZ.WHITE BLOCKOUT Description of item certified: GENESIS 5OX40 2PC TENT Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life:Of-The:Fabric Snyder Manufacturing,Inc. Vienufacturerof Flame Retardant Vinyl Laminates TENT 1)kP RTMENT„JOI-,4SOKio oRS:IN 'Large Scale ' r ,I• �1 TRANSMISSION VERIFICATION REPORT TIME 07/25/2005 09: 22 DATE:,TIME 07/25 09:20 FAX NO./NAME 150088803.11 DURATION 00:01:48 PAGE(S) 02 RESULT G MODE: STANDARD ECM h ._ , Certificate of Flame Resistance REGISTERED ISSUED BY FABRIC Date of Manufacture NUMBER JOHNSON OUTDOORS INC. BINGHAMTON, NEW YORK 13902 AUGUST 2005 F-140.01 Manufacturers of the Finest Tent Products Described Herein This is to certify that the products herein have been manufactured from material inherently flame retardant as here after specified by the material supplier. NAME: AMERICAN TENT AND TABLE CITY: MARSTONS MILLS, MA Certification is hereby made that: The articles described on this certificate have been manufactured with an approved flame retardant chemical in compliance with California State Fire Marshal Code, NFPA-701', Underwriters Laboratory of Canada, and have been tested in accordance with the Federal Test Method Specifications and meet or exceed the MilitaryFlame Specifications of L- 30 6G. Type,color and weight of material 16 OZ vinyl WHITE BLOCK OUT Description of item certified: GENESIS 20'MID FOR A 50' Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing, Inc. Manufacturer of Flame Retardant Vinyl Laminates TENT DEPARTMENT,JOHNSON OUT -Large Scale Certificate of Flame Resistance REGISTERED FABRIC ISSUED BY Date of Manufacture NUMBER JOHNSON OUTDOORS INC. BINGHAMTON, NEW YORK 13902 AUGUST 2005 F-140.01 Manufacturers of the Finest Tent Products Described Herein This is to certify that the products herein have been manufactured from material inherently flame retardant as here after specified by the material supplier. NAME: AMERICAN TENT AND TABLE CITY: MARSTONS MILLS, MA Certification is hereby made that: The articles described on this certificate have been manufactured with an approved flame retardant chemical in compliance with California State Fire Marshal Code, NFPA-701', Underwriters Laboratory of Canada, and have been tested in accordance with the Federal Test Method Soecifications and meet or exceed the Military Flame Specifications of MIL- -43006G. Type,color and weight of material 16 OZ vinyl WHITE BLOCK OUT Description of item certified: GENESIS 20' MID FOR A 50' Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing, Inc. Manufacturer of Flame Retardant Vinyl Laminates TENT DEPARTMENT,JOHNSON OUT ORS IN . *Large Scale i Certificate of Flame Resistance REGISTERED ISSUED BY Date of Manufacture FABRIC JOHNSON OUTDOORS INC. NUMBER BINGHAMTON, NEW YORK 13902 AUGUST 2005 F-140.01 Manufacturers of the Finest Tent Products Described Herein This is to certify that the products herein have been manufactured from material inherently flame retardant as here after specified by the material supplier. NAME: AMERICAN TENT AND TABLE CITY: MARSTONS MILLS, MA Certification is hereby made that: The articles described on this certificate have been manufactured with an approved flame retardant chemical in compliance with California State Fire Marshal Code, NFPA-701', Underwriters Laboratory of Canada, and have been tested in accordance with the Federal Test Method Specifications and meet r exceed the Military Flame Specifications of M L-C-43006 . Type,color and weight of material 16 OZ vinyl WHITE BLOCK OUT Description of item certified: GENESIS 20'MID FOR A 50' Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing, Inc. Manufacturer of Flame Retardant Vinyl Laminates TENT DEPARTMENT,JOHNSON OUT ORS dN . 'Large Scale of �t G� ER CAft F REGISTERED �p�AT� ISSUED BY Date treated or Academy Tent & Canvas manufactured + '2 CONCERN No. 05/31/2002 5035 Gifford Ave. FRETP�` � Los Angeles, CA 90058 ' (323) 277-8368 This is to certify that the materials described below hereof have been flame retardant treated(or are Inherently nonflammable). FOR AMERICAN TENT&TABLE ADDRESS 381 OLD FALMOUTH ROAD CITY MARSTONS MILLS STATE MA 02695 Certification is hereby made that:(Check"a"or"b') ❑(a) The articles described below this certlficat_e have been treated_with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical ; was done in conformance with the laws of the State of California and the Rules and Regula- tions of the State Fire Marshal. Name of chemical used............................................................. Chem.Reg.No.......................... Methodof application..................................................................................................................... a(b) The articles described below hereof are made from a flame-resistant fabric or material regis- tered and approved by the State Fire Marshal for such use; Fabric has been tested and passes NFPA701-96. Trade name of flame-resistant fabric or material used VINYL . o 01 ................................... Reg. o:............ The Flame Retardant Process Used ..A!I.Noc,,,Be Removed by Washing (will or will not) David Bradley By Tom Shapiro - President Name of Applicator or Production Superintendent Title THIS FABRIC WAS USED IN THE MANUFACTURING OF THE FOLLOWING 2EA 30X30 UM!2PC CANOPY TOP ONLY J 3EA 30X10 U/W MIDDLE CANOPY TOP 2 20�0 U/W 2PC CANOPY TOP ONLY CONTROL N MIDDLE CANOPY TOP ONLY CUSTOMER ORDER NO. 51988 2EA 15X15 U/W 2PC CANOPY TOP ONLY 2PC CANOPY TOPS ONLY CUSTOMER INVOICE NO. 49956 YARDS OR QUANTITY COLOR STYLE DATE PROCESSED ALL MATERIALS ARE CERTIFIED BY THE CALIFORNIA STATE FIRE MARSHALL AND MEET THE REQUIREMENTS OF THE NFPA 701 AND UL214— ► r ► a ATE �G�C�RF REGISTERED tSSU�tl SY Date treated or APPLICATION Academy Tent & Canvas p a manufactured r 9 CONCERN No. 5035 Gifford Ave. 05f31/2002 ' 6 Los Angeles, CA 90058 ' (323) 277-8368 This is to certify that the materials described below hereof have been flame retardant treated(or are inherently nonflammable). FOR AMERICAN TENT&TABLE ADDRESS 361 OLD FALMOUTH ROAD 7 CITY RSTONS MILLS STATE MA 02695 Certification is hereby made that. (Check "a"or"b �(a) The articles described below this certificate have been treated with a flame-retardant chemical approved and registered by the State Eire Marshal and that the application of said chemical was done In conformance with the laws of"the State of California and the Rules and Regula- ; Lions of the State Fire Marshal. Name of chemical used............................................................. Chem.Reg.No. ........................ Methodof application............... ............... . ................................................................................ D(b) The articles described below hereof are made from a flame-resistant fabric or material regis- tered and approved by the State Fire Marshal for such use;Fabric has been tested and passes NFPA701-96. VINYL. F Trade name of flame-resistant fabric or material used .......... Reg tj .01......... The Flame Retardant Process Used ...Will9Not...Be Removed by Washing (will or will not) David Bradley By Tom Shapiro - President Name of Applicator or Production Superintendent Title INNIA all THIS FABRIC WAS USED IN THE MANUFACTURING OF THE FOLLOWING 2EA 30X30 U1W 2PC CANOPY TOP ONLY 3EA 30X10 U/W MIDDLE.CANOPY TOP �� ✓' �J 2EA 20 0 U/W 2PC CANOPY TOP ONLY CONTROL N MIDDLE CANOPY TOP ONLY CUSTOMER ORDER NO. 51955 2EA 15X15 U1W 2PC CANOPY TOP ONLY 2PC CANOPY'SOPS ONLY CUSTOMER INVOICE NO. 49956 YARDS OR QUANTITY COLOR STYLE DATE PROCESSED ALL MATERIALS ARE CERTIFIED BY THE CALIFORNIA STATE FIRE MARSHALL ARID MEET THE REQUIREMENTS OF THE NFPA 701 ARID UL214*** � y Certif icate of jf tame Rem".5tance Date treated or ' REGISTERED ISSUED BY: manufactured o�Cw,v APPLICATION AZTEC TENTS o� CONCERN NO. 01/2006` 490 ALASKA AVENUE 4 TORRANCE,CA 90503 CAL COMB F-419.01 (310)328-5060 RI[:T This is to certify that the materials described below hereof have been flame retardant treated(or are inher- ently nonflammable). FOR AMERICAN TENT& TABE,INC. ADDRESS 381 OLD FALMOUTH ROAD CITY MARSTONS MILLS STATE MA, 02648 Certification is hereby made that: (check "a" or "b') (a) The articles described below this certificate have been treated with a flame retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in confor- ❑ mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used ............................................Chem.Reg.No. ........................ Meathodof application................................................................................................ (b) The articles described below hereof are made from a flame-resistant fabric or material registered and ® approved by the State Fire Marshal for such use; Fabric has been tested and passes NFPA701-96. Trade name of flame-resistant fabric or material used..Laminawr-abrfc . Reg.No. ......fvtao;...... The Flame Retardant Process Used WILL NOT Be Removed by Washing (will or will not) David Bradley Chuck Miller - President Name of Applicator or Production Superintendent Title fat� } 161M. , .. CUSTOMER ORDER NO. R160230 ITEMS MANUFACTURED: 2-305r30'(2 PC.)STANDARD TOP ONLY-ULTRA WHITE 4-30500'STANDARD MIDDLE TOP ONLY-ULTRA WHITE 2-20 x2O'(2 PC.)STANDARD TOP ONLY-ULTRA WHITE 4-205r10'STANDARD MIDDLE TOP ONLY-ULTRA WHITE �(1 i 06/06/2007 WED 15!10 FAX 2156E53165 OBERMAYER ZCOV OC2 06/05/2007 1?, 20 5094202705 AMERICAN TENT PAGE 02 Town of Barnstable R.eguiatory Services # $ Tnomw N.caller,Director sey� $afldkg DMsiou TOM Petty, 8uuftz Gommla Loner 200Mei%9fta% Hyam b.MA 02601 �pyyv.tawn.b■rwtable.l�a.tu FBI, 54&� 0a 508-862�-4038 Pro a pwmer Must m.P Co lets and Sign This Sectiaa If Using A wilder u Omer of the subject grvpaitp I -�y to act on Evbebalf,• m rola�t re to wor�C.4.uthnrized by this bu�tding p,,jt aPPuc&6w for vs of jo I I - s, asuro 0f Owner i I i o N CD ,�. 0 o � � o • cnn` m U1,300 wCw ------1 j S o o - N N 00 0o W 0 0 W N (D N W � (D oT N )<'S dam. I OD v I N • : 0 I / X O I N o a � � I � x m (D 0o;U i . o O_ I L-- CD i V 71 I _ Cl? to (n (n O _ c i x OO X O X Wi O n ,zr+ S (OD II O0 ° _ Z O O -0 W N p N ,..+. (D ------ - X `z N 6 I ' I i - s �------ ----------- - - - `- W N -n 77 O p� c - O N p0 � v X `< N � (0 + 7 X `G Oo -' N � N X J X (O .p 0 O O o r N c O D X O0 N S cil +_ + < O N :3 X N v 00 p3 (n c m N s N +— Oo O II ° O X b a 0 • O tb c Note:Dimensions are not guaranteed and are provided fJ€W.F NI.;Lf� . Completed:October 2015 for informational purposes only. k I'HU'1'l (illnl'HY s F (800)328-0217 I u, N N a o U O N N E O Bedroom 12'-8" x 13'-9" w � o o U Bath Bedroom Bedroom 7'-5" x 9'- " 11'-4"x 20'-8" 10'-7"x 10'- Bedroom 10'-7"x 7'-10" Closet P -Closet---- --Closet---- Roof Area m w Y Bedroom Bath <_s g DN 10-3 x 10-3�� to z c e 6-3 ' Roof Area Closet ID Bedroom . 3=" w ®rco 6'-3" x 8'-0" uP N 0 14'-8"x 16-10" Z'.. DN i Open To m Below L) o L? Bedroom 22'-4"x 12'-2" Roof Area O V 0 Bath m o 6'-1"x T-10" W d 0 i • N t0 C ED O E E Zm c Roof Area i � t Second Floor Plan CeilingHeight = 9'-0" 554 Wianno Avenue g z - 8 2 Osterville, MA 02655 scale 1�8"=,'-o" O � - C • Z (D n O Dy o < N CD � r I cn I , . (7 , N• , � ' 1 I I I , 1 I I D 1 I I I n , I I OcD Q I N I I X I ' I N O I i I o3 1 ' I - I ' ' , I . I 1 I, v O aoa � C .b.am ' ' X 0 mom 'x (D 1 X IOU I I � ::37 . `(D I = � 1 I Closet W Q (D X Q 1� Q3 O p ' IN (�--- ----- -� : n (DOD 0 I I1- -------- -- I 1 0 I I N 1 1 1 1 I C 1 1 0 X 0 O � o�o r A. = Q i O X o 1 = � O 00 s 1 � 1 1 N 09 A W -E ate, Note:Dimensions are not Lw guaranteed and are provided MEW(Nl I-ANi? s p —r�.gOR.PI.nN5= Completed: October 2015 for informational purposes only. &PH(YrgGMrHY s F (800)328-0277 J O � S� Z i CD j M i i D D o < N (D C � CCJI ) m v o � = n cp x W G) :3 (o i N � 91 O 02 � n� °(o - x m I I O , cn = 0 O O�- U X 0 9 (0 C2 fo I W _ ,- to � I O I, X v 0 ; (OD N (0 A m CD UtCD 3 = ---- ---- I I w � ( S r+ x 0 .� cn I I 0 A N v : O "cW O_ O N ON O CD 0 X 0 ' I t(O(0 (0(0 A (D p (D N CJ1 ,- cn = O 2 -on X � m O CD zt N 6 W II 'Q A W Note:Dimensions are not guaranteed and are provided Ne4Vl R1l;�I..AN1'°°� Completed: October 2015 for Informational purposes only. t lil•1010GILAPHY s F ' (800)328-0217