HomeMy WebLinkAbout0049 CAPES TRAIL 171�7 55'-V&�
07Cb/'CF NO. 1521/3 ORA
MADE IN u.s.A. ESSELTE
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Cape Save Inc. TOWN �� BARNSTA9lE
7-D Huntington Avenue
South Yarmouth, MA 02664 ;i�l �r, r PM (:
32
Tel: 508-398-0398 Fax: 508-398-0399
11/29/14 DIVISION
Thomas Perry CBO
Town of Barnstable
Building Division
200 Main St.
Hyannis,MA 02601
RE: Insulation Permits
Dear Mr. Perry
This affidavit is to certify that all work completed for 49 Capes Trail(permit#B 20142740) has
been inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
b
A Al' „ . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map U Parcel 3 Application #(:)6,.j 6 6
Health Division Date Issued U
Conservation Division Application Fee 'fib
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board (v
Historic - OKH _ Preservation/ Hyannis
Project Street Address 4
(C
Village lq/L�s'{' &r 5+4L IC
Owner 1at Address Sand
Telephone c
Permit Request 3 68 I
,4- Am 4-he A4r, 6r, w4b eXpAhji17f
4�ao2s
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 0 o Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric 0 Other
Central Air: 0 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes XNO If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name c 1 E 4�Telephone Number SOR � 348
Address -D _ License# SC L�dl Tb
�aYMMA*A nN QUO Home Improvement Contractor#
Worker's Compensation # hl VV[ 3 Og S b 3 3
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �a&fftoyA
SIGNATURE DATE c/
i' FOR OFFICIAL USE ONLY
i4
APPLICATION#
T DATE.ISSUED ---
MAP/PARCEL NO.-
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: —
IA ,
r
i�FOUNDAT1.0Njwi-i:;giv.,D,, ;4 :ra UA.-ra{�:..
FRAME
`` INSULATIONukf va-u '5:h
FIREPLACE
ELECTRICAL: ROUGH FINAL _
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL "
FINAL BUILDING'S
I DATE CLOSED OUT -k
'= ASSOCIATION PLAN NO.
Building Permit Authorization
I, Hannagan,.Katrina-Stephen.. , as owner --
hereby give my permission to
Cape Save, Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Office: 508-398-0398
to take all necessary steps to obtain a building permit to
perform work.at my property located at
49 Capes Tra i I
West Barnstable, MA 02668
Signed 6
Date g
The Commonwealth of Massachusetts
w
Department of Industrial Accidents
- k a Office of Investigations
-; 1 Congress Street,Suite 100
- Boston,MA 02114-2017
- www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): Cape Save Inc.
Address: 70 Huntington Ave
City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398
Are you an employer?Check the appropriate box: Type of project(required):
1.❑✓ I am a with employer 4. ❑ l am a general contractor and 1
P � 6. New construction
employees(full and/or part-time).' have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P tY• 9. ❑ Building addition
[No workers' comp.insurance comp. insurance.*
required.] 5• ❑ We are a corporation and its ME] Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions
myself.[No workers' comp. right of exemption per MCL 12.❑ Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑✓ Other Insulation
comp. insurance required.]
"Any applicant that checks box€f1 must also fill out the section below showing their workers'compensation policy information.
r Homeowners%vho submit this afidavit indicating they are doing all work.and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Wesco Insurance Company
Policy#or Self-ins.Lic.#: WWC3085633 Expiration'Date: 04/09/2015
Job Site Address: 4 I c4 —T t City/State/Zip: VJ, �(L �Ie
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 S 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.
T do hereby cer4f
y under the pains and penalties of er' that the inffporinaiion provided above is true and correct.
Sienature: bate
Phone
Official rrse.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#:
AC40RO® DATE(MMMD1YY
CERTIFICATE OF LIABILITY INSURANCE 4/14/2014YY)
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 NAME:. Colleen Crowley
Risk Strategies Company PHO� (781)986-4400 AC No:(761)963-4420
15 PaCella Park Drive Appgcss.
Suite 240 INSURERS AFFORDING COVERAGE NAIC t
Randolph M 02368 INSURERA:Selective Ins. of America
INSURED INsuRERB-Safet Insurance Ccmpany 33618
Cape Save, Inc INSURERC:We3CO Insurance Company
7 D Huntington Ave INSURERD:
INSURER.E:
South Yarmouth MA 02664 INSURERF:
COVERAGES CERTIFICATE NUMBER:CL1441475243 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.
�TR TYPE OF INSURANCE .POLICY NUMBER MMIDO E F MOLD EXP LIMITS
GENERAL LIABILRY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES Ea occurrance $ 100,000
A CLAIMS-MADE a OCCUR S1994480 0/16/2013 0/16/2014 MED EXP(Any one person) $ 10,000
PERSONAL 8 ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000
IIECT
POLICY rX 1 PRO- X LOC $
AUTOMOBILE LUIBILRY COMBINED Ea accident)SINGLE LIMIT
1,000,000
ANYAUTO BODILY IN,AJRY(Per person) $
B ALL OWNED SCHEDULED 208200 1/6/2013 1/6/2014
AUTOS X AUTOS BODILY INJURY IPer axident) $
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
IAUTOS Per acaden(
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ •1,000,000
A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000
QED RETENTION 42 1994480 0/16/2013 0/16/2014
C WORKERS COMPENSATION - Officers Included For X NCSTATU-AND EMPLOYERS'LIABILITY Y/N T R
ANY PROPRIETORIPARTNERIESECUTIVE overage E.L.EACH ACCIDENT $ 500,000
OFFICERIMEMBER EXCLUDED? N❑ NIA
(Mandatory in NH) 3085633 /9/2014 /9/2015 El.DISEASE-EAEMPLOYE $ 500,000
If yes describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LMIT $ 500,000
DESCRIPTION OF OPERATIONS LOCATIONS f VEHICLES(Attach ACORD101,Additional Remarks Schedule,If more space Is required)
Issued as evidence of insurance. Issued as evidence of insurance.
Thielsch Engineering, Inc. is listed as additional insured as respects General Liability as required by
written contract.
CERTIFICATE HOLDER CANCELLATION
msong@capelightcompact.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Margaret Song r PO Box 427/SCH AUTHORIZED REPRESENTATIVE
. 3195 Main Street
Barnstable; Ida 02630
fidichael Christian/CLC �S -`�-rr�
ACORD 25(2010105) O 1988-2010 ACORD CORPORATION. All rights reserved.
INS025(201006).Dl The ACORD name and logo are registered marks of ACORD
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 171380
Type: Corporation
Expiration: 3/14/2016 Tr# 249649
CAPE SAVE INC. _
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE
SOUTH YARMOUTH, MA 02664
Update Address and return card.Mark reason for change.
sCA 1 Ca 20M•05111 Address ❑ Renewal 0 Employment Lost Card
V/re�anrrzzoncaccAl"a1C1&uaa/zcreffj
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: 171380 Type: Office of Consumer Affairs and Business Regulation
Expiration: 3/14/2016 Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
CAPE SAVE INC.
WILLIAM McCLUSKEY
7-D HUNTINGTON AVENUE Xe'�
SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supen-isor Specialty
License: CSSL-102776 �
W ELLIAM J MC 4�LUS
37 NAUSET ROAD
West Yarmouth MA 62� �
Expiration
Commissioner 06/28/2015
-®
Town ®f Bairnstable *Permit#���S 7S
'
&xpires 6 months from issue date
Regulatory Services Fee
Thomas F.Geiler,Director
Building Division
Tom Perry,.CBO, .Building Commissioner /
200,Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESII)ENT'I.A.L ONLY
1 Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address y 9 C8ta!,T✓1 r•,�--� (�>�� u�l�v�-d >-��
residential. Value of Work �- 37 t0 • Minimum fee of$25.00 for work under$6000.00 �.
Owner's Name&Address J am, /V GC^ C
L C- T--1
Contractor's Name_ F .a— Telephone Number -IQ Q o�
Home Improvement Contractor License#(if applicable) 3(o
I
Construction Supervisor's License#(if applicable)
[oWorkman's`Compensation Insurance PERMIT
Chec`l�one: X-PRESS
❑ I am a sole proprietor
❑ I am the Homeowner MAR 2 6 2008
0J have Worker's Compensation Insurance
Insurance Company Name TOWN OF BARNSTABLE
Workman's Comp.Policy#_ O 5 5 p L 3,5 6 0
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
[&Re-roof(stripping old shingles) All construction debris will be taken to O-V�kLc)
❑Re-roof(not stripping. Going over existing layers of roof)
0 Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
"Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e�is 6 c;-Cronsdiiai'pn;;etc. 0.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License is required.
SIGNATURE: �~ 91
Q:Forms:expmtrg
Revise061306
i
9 ° ' MIR Fraser. Construction, LLC
CONSTRUCTION
P.O. Box 1845, Cotuit MA. 02635
ROOFING & SIDING Email: fraser construction u,verizon.net
508-428-2292 www1raserroofing.com
FAX 1-508-428-0123
RE-ROOFING PROPOSAL
DATE: March 7, 2008
NAME: Steve Hannigan d, 1- PHONE: 774-836-8012
MAIL ADDRESS: same
JOB ADDRESS: 49 Capes Trail West Barnstable, MA 02668
FRASER CONSTRUCTION hereby proposes to perform the following services in a neat
and professional like manner and in accordance with the manufacturer's
specifications and local building code.
-Remove and Haul away all of the old roofing material
-Re-nail all plywood sheathing as needed.
I
Supply and Install - CERTAINTEED LLAN DMA /WOODSCAPE AR 30: 30 - Year
Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant,
Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass
Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with
a Full 10 Year Warranty against ALGAE Containment. 5 year 70 mph wind-
resistance warranty or 5 year 80 mph wind-resistance warranty available with
six nails in common bond area, for an additional cost. See actual warranty for
specific details and limitations.
Colo:At
k�t�OLTC�. PRICE- $6,795 Initi �
!Ge/)I&-r..4�_
Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE PREMIUM:
Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE
Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Laminated Architectural
Style, Fiberglass Based Asphalt Shingle with New England's Exclusive
COPPER/CERAMIC Stones with a Full 10-year Warranty against ALGAE
Containment. 10 year 90 mph wind-resistance warranty or 10 year 110 mph wind
-resistance warranty available with six nails in common bond area, for an
additional cost. See actual warranty for specific details and limitations.
Color: PRICE- $7,995 Initial
i
f �
supply and Install - CERTAINTEED LANDMARK ULTIMATE: Lifetime Warranty,
10 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy
Weight, Self Sealing, Multi-Layered, triple-layer thickness, Laminated Architectural
Style, Fiberglass Based Asphalt Shingle with New England's Exclusive
COPPER/CERAMIC Stones with a Full 15-year Warranty against ALGAE
Containment. 10 year 110 mph wind-resistance warranty. See actual warranty for
specific details and limitations.
Color: PRICE-$8,695 Initial
Supply & Install - CertainTeed Winter - Guard: (ice 8v water shield)
Waterproof Underlayment System (3ft. on eves and
valleys, 18" on rakes, walls, and skylights)
Supply & Install - Roofer's Select Underlayment Paper (as recommended
by CertainTeed)
Supply & Install - Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge
Supply & Install - Aluminum & Neoprene Soil Pipe Flashing
Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed)
Clean & Remove - Debris from work area daily.
TRIM ROT: Prices include:
• Rakes on back dormer
Main back left rake
Main front left rake to chimney
• Back window sills (5 total)
• Left back corner boards above roof line
• Left gable window sill casing
i
Primed Pine RICE-$595 Initial
I
PVC PRICE-$1,095 Initial
X4 Star Warranty Upgrade will be applied if proposal is signed and
returned within 10 days. (see enclosed brochure)
2% Discount if paid by check immediately upon completion
r
NO MONEY DOWN— NO Payment at the start or part way thru
Payments accepted are:
CASH— CHECK— MASTERCARD—VISA—AMERICAN EXPRESS
* Any payments not made within 30 days of completion will.be charged 1.5%for every 30 days the
payment is late.
Possible Extra -After the shingles are removed from the roof, we will lift one sheet of
plywood to make sure that the insulation is not up against the plywood sheathing
preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be
installed by; removing the plywood sheathing, installing the panels, turning the
plywood over and then re-installing the plywood. If needed, this would be charged for
as an extra at the rate of$4.00 per panel including Materials & Labor. There are 6
Panels per sheet of plywood.
Possible Extra-Any rotted or otherwise deteriorated trim boards, plywood sheathing,
lead flashing, or other carpentry needing replacement will be done and charged for as
an extra at the rate of$50.00 per hour, plus materials, plus 20% overhead mark-up
on total extras.
FRASER CONSTRUCTION Warranties the labor for 12 years
FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years.
CERTAINTEED Warranties the shingles and labor 100% through the Sure Start
Warranty duration.
CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the
Sure Start Warranty depending on the shingle that was purchased.
Any deviation or alteration from above specification will be executed upon written
orders and will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents or delays are beyond our control. Owner should
carry fire, tornado and other necessary insurance upon the above work. We, if not
accepted within thirty days may withdraw this proposal.
FRASER CONSTRUCTION, LLC: Carnes Workman's Compensation and Public
Liability Insurance on the above work, certificate available upon request.
DATE OF ACCEPTANCE:
zj
Homeow r Fraser Co ru do)M, LLC
The Commonwealth of Massachusetts
Department of Industrial Accidents
y Office of Investigations
' 600 Washington Street r
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): FRf Sft �Q��T E—U— f- I D'A)
Address:
City/State/Zip: ( °y�,Cj,_1 -�- PA- QcZ 3_5Phone
Are you an employer? Check the appropriate box: Type of project(required):
1.0I am a employer with !!9 — 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers'
9. ❑ Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12,KRoof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
"Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: �nYy
Policy#or Self-ins. Lic.#: D gs D L 3 550 Expiration Date: Q
Job Site Address: y ' 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 certi er the airs and ties of perjury that the information provided above is true and correct
Signature: Date: 3 cQ 6,
Phone#: Jc—O oZ
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#:
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WISE & QUINN I T4i1S•.CERJY `>s><:�;v#:•#�<-;;i<c%f�`?•' :pis? rn
NS AGCY ONLY TIF.ICATE IS+ISSUED AS A :.... •,.,,'„}' 10-15-07
449 PLEASANT ST AWp COINFERS N10 RIGHTS MATTER OF Ii11FOR
FIOLDER, THIS CERTIFICATE DOES )ypTH THE CE TION
ALTER THE COVERAGE AFFORDED I3Y THE POLICIES®E oWCATE
BROCKTON AMEWp EXYEFI OR
24Wc6 Ma 0230 i CONIPAPIIES AFFORDING COVERAGE
INSURED COMPANY
A HARTFORD UNDERWRITERS INSURANCE COMPANY
ERASER CONSTRUCTION LLC COMPANY
PO BOX 1845 0
COTUIT MA 02635
COMPANY
C
COMPANY
THIS :r.'•:rY,;.,t+••Y'••• r Y':6..023:?'> <;i-+
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13 TO CERTIFY THAT THE Po'.LICIES OF INSURANCE
INDICATED NOTWRHS :: e'r::o„ :;:x;»?{ ,.t' ':Y``:; ;?3 ?<;` e{'} ;:c•{:, .:.r CERTIFICATE TANDINQ ANY REQUIREMENT LISTED BELOW HAVE BEEN ISSUED}x `J"'" ^K.'}` y} :. •.:' 'f'}•}':44•;:'. :.`''_,:,,`:'v;:•':`:r%;:c<;r`.:.:•-:�..:}::{:.::
MAY BE ISSUED OR TERM OR CONDITION OF o To T f HE INSURED + ° t x' ?}# <'
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POL C ES DESCRIBED HEREIN IS ROVE FOR THE POLICY PERIOD
EXCLUSIONS gryD CONDITIONS OF SUCH POLICIES.LIMITS SHOWN :AN.ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
MAY HAVE BEEN REDUCED BY 81D OLgIMS.
L TYPE of INSURANCE SUBJECT TO ALL THE TERMS,
ciENEpAL
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIDN
LUIBWTV t DATE("6"DXVV) DATE("Minalyy)
COMMERCIAL GEN LIM1TS
ERAL LIABILITY '
�rf•;ri. C GENERAL-AGGREGATE
LAIMB MADE OCCUR. E
OWNER'S S CONTRACTOR'S PROT, PRODUCTS-COMP/OP qGG,
PERSONAL&ADV $
INJURY $
1 EACH OCCURRENCE
AUTOMOBILE UADIUTY FIRE DAMAGE
(Any one flre) $
ANY AUTO MED.EXPENSE(Any one Person) $
� ALL OWNED AUTOS
SCHEDULED AUTOS COMBINED SINGLEUMR $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per Person) $
BODILY INJURY
(Per Accident) $
GARAGE LIABILITY �
DAMAGE
ANYAUTO PROPERTY $ i
AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY: r4':#:>{} k• .}:,• .
EXCESS LIABILITY ${''`r`+' a•;n4M&;
EACH ACCIDENT $
UMBRELLA FORM AGGREGATE $
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WORI�R'S COMP A $
A EMPLOYER'S UABWTY IUTV 0 GGREGATE AND $THE PROPRIETOR/ . �6S60UB=0850L35-5-07)
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ARE: k.'i3.c ;
EACH ACCIDENT > ,.
OTHER DISEASE-POLICY UMTT
DISEASE- $EACH EMPLOYEE $
50 00
I
)ESCRIPTION OF OPERATIONS/LOCATION9/VEHICLEg
/RESTR►C71ONS/SPECIAL I
T
I
HI5 REPLACES ANY PRIOR CERTIFIC
....;�, .�r�,.`: �:�IE'�,�.'I...:."�<> :;:>�<>;'<".;--^sx.".<.;•;. ;;e.}.;:•;ATE.�:ISSUED TO T -
• ` HE CERT
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-RASER ENTERPRISES LLC E>LPIRATION DATE THEREOF, IIFN BEFORE
,O BOX 1845 10 THE ISSUING COMPANyWILL:OTUIT DAYS WRITMN NOTICE TOTWE ENDEAVOR TOLRAIL I
LEFT. BUT FAILURE TO MAIL SUCH CERTIFICATE HOLDER NAMED TO THE
MA 02635 LIABILITY OF NOTICE SHALL IMPOSE NO OBLIGATION OR
An KIPoD UPON THE COiBP ANY.ITS AGENTS OR REPRESENTATNES.
.. t AUTHORIZED REPRRSENBa
...
.......:::::::..... ,.:+,:.:..:;{;:::.;c;•isv;}...:-::::::.::•::::::.;.......
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of
One Ashb n a ® ad Standards
Bost®n M
o lace - R®®ffi 1301
�v�°®
1FI®mac assachusetts 02108
ve cent' o actor R'
r�� ,��st�°�.tY®n
FRASER f ONST Re9lstratlon: 112536 !DEANF�SER �11CT1®1!1 C®. Type: SSA
P.®, BOX 1 45 Expiration: 3/23�2009
c®TUIT, MA 0263,5 Tr# 127920
DP8-Cq� diy fi01�}05/O�PC8490.
Update Address f
8II�
20ard of 7BURding e - - -•-_ 0 Address g al CarcL &Few®n f®g�g�
HOME Imp guLlA®ns and ftaaduz ds �mt � Lost Card
MINT CON771ACTOR b emse®r registration valid
Regitloe�: 12536 03 a the for�daad
�� �' 2 009 ® of]���tion date. If found tm�e only
T� 127920 One ¢l�ti®As and Stan a �:
' FR45ER fie' •D�j4l Boston,AshhmtID>a use$ffi Y3®Y d�a-ds
DEAN FRASERTRUCIIC`�I�I C�O.y:ja 1 021®�
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COTUIT,MA 02a35 -
_ Admh6imtar
Mot o
t sgmas
no
... v i
I
• i
Town of Barnstable
p4VE
o Regulatory Services
* Thomas F.Geiler,Director
BAR ABLE.
v� 16 q � Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# V QL FEE:
Z2-1-�:)-
SHED REGISTRATION
120 square feet or less
Location of shed(address) Village
C G
Pro erty owner's name Telephone number
� Xl
Size of Shed Ma0arcel
:v
� o
Sig ture Date w 1
f Q >
Hyannis Main Street Waterfront Historic District?
+ti
Old King's Highway Historic District Commission jurisdiction? cn c
--
ca r-
Conservation Commission(signature is required)
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE
ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION
FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
;v
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
c
Q-fonns-shedreg
REV:121901
1�
it
1HE,pk� Town of Barnstable
&ARHSTAa�
Old King's Highway Historic District Committee
'gA MASS.
200 Main Street, Hyannis, Massachusetts 02601
(508) 862-4787 Fax (508) 862-4784
CERTIFICATE OF EXEMPTION
Application is hereby made, with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter
470,Acts and Resolves of Massachusetts, 1973,as amended, for proposed work'as described below and on plans,'drawings,or photographs
accompanying this application:
Date Address of Proposed work, Assessor's Map and lot#
House# r./ Street IJ jP.l��'.S -� ^G / ( Village: �� 1��1' 17 S
This application is for an exemption of the proposed construction on the grounds that work:
Will not be visible from any way or public place
❑ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission
❑ Other
Description of Proposed Work: IW T A LL. P66 f a p)d 9&6-yl ,S HQ) B0411 jb
T. 70 i L —(2 vo ►` P, i e 14 i G
zo e-( )41 t -e- u 2 L- 6 f41 n3 L.
u2vN— I Ap o IDS — -,. 5 c C lC, L�r oa r
.�36, " 0EMT-L . ooiZ _ . y „ Y �f � � tv�N a-vS
lNiE O ( —XIS-TIVv� U�,
v ec7� c L ry I\Jb f bQ 30 LA-�J-T10 c.S
F F Fizo __ 130 ' v 1= r)[' L.1 N c
Agent or contractor(please print): P/ � 04-R 1�O1 # 67M(DS Tel. no.
Address�j (�{.� ��� Ct rl 1
Owner(please print): ,,C// L( I n CI /A}1 L Tel no.;�b7 3w -3
Owners mailin address: /
g �
Signed, Owner/Contractor/Agent s .-4r A
For Committee Use Only This.Certificate is hereby L�lpprove De�, Date: �-
Committee Members Signature '.-' Q ''
ra Dad _
NCO .. 3qc� c .10N
Any conditions of approval:
I .
O:IGMD-Ornun.rin/r k'invr'HivhwnvinKHA/nti,Annln,('HF--t; „Jr--,07.4—
"FILE# MIP 29094 CENSUS TRACT# 122
CLIEi` : DUNNING.& KIRRANE,.L,L.P. DEED BOOK 9181 PAGE 252
a PAGE 30-34 L T 35
PLICANT: STEPHEN&KATRINA-HANNAGAN ASSESSORS PLAN 108 PLOT 030"-
M O R T G A G E I NS P E C T I O N P—L A N O F L A N :
LOCATED AT
49 CAPES TRAIL
BA.RNSTABLE, MASSACHUSETTS
SCALE: 1"=60' MASS. STATE NG\W, — R1 E December 16, 2002
LOT 35
1 .01 Ac.
3c
L-45p
LOT 362 '
r` LoT 34-
.
�49
�% BTY.
BIT.
OR1VE
oil it" _....•I
15o.48'
CAPES TKAILfn
I.
CERTIFY TO: DUNNING&KIRRANE,L.L.P.,AMERICAN RESIDENTIAL MORTG GE;�UC rAN3
INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCIPT A
SHOWN AND THAT THUS PLAN WAS PREPARED UNDER MY IM1Ri EDIATE SUPERVISION.
THE LOCATION OF THE DWELLING AS SHOWN HEREON .._
IS IN COMPLIANCE WITH THE LOCAL APPLICABLE
ZONING - BY-LAWS . WITH RESPECT TO HORIZONTAL
DIMENSIONAL REQUIREMENTS. NE RA
FE
THE DWELLING SHOWN HERE' DOES NOT FALL WITHIN No. all
A SPECIAL FLOOD HAZARD ZONE AS-DELINEATED ON A
MA,P()P C` XAW TMTTVR'),gA AI_AAA cn n A•rt7rA 0/I n10c rev rrrrr ��lAI a •Id.±:::
/2PIvc. S � C� 7 — � S —cji�pw .
Assessor's office(1st Floor):
Assessor's map and lot number
Conservation s- i -G' SEPTIC SYSTE
Board of Health(3rd floor): . INSTALLED W C 9��
Sewage Permit number `, WITH TO ��assrrnt
Engineering Department(3rd floor): `� ENVIROm AI(ENTA�,
�/ r
House number - '- yG/ TOWN HEI GU�,¢�u
Definitive Plan Approved by Planning ard / —, &9
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2*0 P.M.only
TOWN ' OF BA'RNSTABLE
BUILDING ', .INSPECTOR
APPLICATION FOR PERMIT TO Build new
TYPE OF CONSTRUCTION Wood frame , single family dwelling
April 13 , 19 93
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Lot (49.) Capes`--Trail, West Barnstable , MA
Proposed Use New construction - single family dwelling
Zoning District /`r Fire District West Barnstable
NameofOwner Resources Group Trust Address P .O. Box 599 , Mashpee , MA 02649
NameofBuilder Donald H. Priestly Address 13 Steeple Street, Suite 202 , Mashpee
NameofArchitect Bruce Devlin Address 56 Kerry Drive , Marston's Mills , 02648
Number of Rooms 5 Foundation Poured concrete
Exterior Wood frame Roofing Asphalt
Floors Carpet Interior Pre-stained or painted
Heating Hot Air Plumbing PVC and copper
Fireplace Br i c k Approximate Cost $ 6 0 ,0 0 0
Area a
Diagram of Lot and Building with Dimensions Fee ��.—
(/lam
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above constructi
Name
ald H. Priestly, Tivrlder
E 001023
\ Construction Supervisor's License
RESOURCES GROUP TRUST
Ito
o
No 3-�-'-9 Permit For 11 Story
` Sirigle Family Dwelling
Location 49;_ Capes Trail
West Barnstable
Owner Resources Group Trust
Type of,.Construction, Frame
Plot Lot
Permit Granted Januar 2 19 94
�Q
Date of n pection 19
at elad 19
_ bHY LUU1IY hUPWII`Ib LIU.HHHRI t U 1J,, �,`) r'• '-"
+ �1=E'Ak;MF-NT OF LNDUSTRUS.L.ACCID.EN.*S ^-
600 WASHIIVGTaI`I57;REI'I'
a�i:s s car,-et BOSTON,MASSACHL'SETTS 02111
VORKI:RS' COMPENSAnON INSUMNCE AFFIDAVU
I. DONALD H. PRIESTLY..
tUms"Ipertaiaec)
with a principal place of busineaftesidentm ae
13 STEEPLE STREET, SUITE 202 , P.O.. BOX 599, MASHPEE, MA 02649-0599
.lGry/Sr�cefL:p)
do hcrt;b;certify, under the pars slid p6n.Ahies of perjury, t6c
l.asn In tmoloye:providing the following workers' eosupe.�don eoveragc•I'or nny employes worititig oft this
jab.
. LIBERTY MUTUAL WC200401
Insuranu Comp=y ,Policy N=bcf
t 1 am a solc propriver and have tit; one wotkihe 1"6t me.
(j l sn 7 sole pmprie:oe, geriit:itl cdtttaaot or homeowner (crce one) and-have hired dte eonelacrors listed beicw
Who have'tne tollowing workers comprruarion uuurncc polio
Name of Canrraaor lnsu=ce Comp=y/Poliry Ntunbe: • •
Dame of Contraetor. ltuu=c,e CompanylPoliry Number
Name of.Cont;wor lnnmru - Company/Policy Number
(1 1 eM I hd:rr:0*Uftlri psrfa=Ing MU the W6-vk mysaM
3:JTE Ple..se be swUe that*biia homeowners Ao employ persorro to ao mainteeaucc.�4atttur_ioQ or rt pair work ant
dwelling of Plot mor/thst;wt rra uwu is wipie?r tore 60r>ceQwger:lsa resis'cs or tin a$rotrads appu.MC=t theteca sit rant genera0y
eonsidere!to be C.—. loves under the'WorkCn' Can;p#wadea Act(GL C.151.set,. 1(5)), ipphadae by a bors+c�wruc:for a lieeasa
or permit r x>v endtut the l.gal sutus of so employer under the w erl<esi CAmpeosstion Act.
l andez;cid.tfut s eapy of this uaie::se. will be;orwyded to tke Depw c:.:efirtdusaW Aodjcla'ORR=of Ins.-::c for oove:sg•
Y-ct4on 7n- &6&c fa 6rz to scoutc eo•�cr4c as reyul"rA Wily SCL;dun 2:A aNCL 152%an kad ko the imposiuun
C"Si36tf,'Of a fine of up to S1500.00 Valor iirtpruar=errt ot'up to one ye::s.tddvr7 pertalues in tic form of a Stop Work Orde:zr-.a
fine of S100.00 a 43Y Munn:me.
$igncd trii TWENTY.,FIFTH dxr JANUARY 19a3 �
ef
Liccross,i'crmicc: •ON L H. PRIES X,BUILDERLc^.:iiorlPerminor
JAN 26 '94 14:12 MASS BAY EQUITY FUNDING LTD.AAAA P.3
t
a COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ; FslfMta to posa•as a 4affost
Masassatatttt Stott sewIn*
r OF ONE ASHBOR70N PLACE �,�
MASSACHUSETTS' BOSTON,MA 02108 CodthoartthtrlwadlM
LICENSE oitANNa CAUTION
EXPIRATION QAT<+ 5UF'ERV I SI_Ik FOR PROTECTION AGAINST
EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB
RESTRICTIONS PRINT IN APPROPRIATE
NCDNEr ¢ 04.-4 20/19513 00 BOX ON LICENSE.
o
17124 ►OrtfaLD N MOMRS",
0 F—•�' 8 1 po EtI_IX 5.-:,g MUST INCLUDE PHOTt� `' .
J +� -1_i
PHorGtTwggvpaNLn FEE:
MAS;,PI E MA C�2649
N01 VALID VNrL SIGNEO 8V u"mSEE AND Y .,. p 15 1993
'>
HEIGHT: ETA NANO•QR•SIGNATURE OF THE 0.
ER
1944' -!• ;,.� « SIGN NAME iN ilA.f.ABOVE SIGrwTVRE uNE
•'; r TMS DQCUMENT MUST BE
F LICENSEE
Q4RRIEOONTHEpER50N0F
.•,:;��y 1�� THE HOLDER WHEN EN• R
`A
Q '(tWMB:.PRWT GAGED IN THIBOGGUPA71ON.
• Y 3
I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON THE LOT AS SHOWN AND
CONFORMED TO THE TOWN OF ZO NGG EGULATIONS, REGARDING
SETBACKS FROM STREET LINES AND LOT .I S MERIT WAS CONSTRUCTED.
i JANUARYk 201994
ER ND, 'R'RL.S. DATE
157.00
S 56056'TN E
44l3SO±sf
LOT 35
h
R,
Z
41 �
IU O N
~ 04
►+ O
N mN
m rn
tt49
EXISTING
59 23 FOUNDATION
- 40.0t
A
to
L-150. 8
R-6025.'00. '•,,
CAPES TRAIL
40 2Q 0 40 80 120
SCALE IN FEET
THIS PLOT PLAN WAS MADE FROM AN INSTRUMENT SURVEY AND IS FOR THE
USE OF THE BANK ONLY. UNDER NO CIRCUMSTANCES ARE OFFSETS TO BE USED
FOR FENCES, WALLS, HEDGES, etc.
�tNOFffla FOUNDATION LOCATION PLAN
4a ROBERT � LOT 35(#4.9) CAPES TRAIL
o E.
" -1
RAYTvI583 �,� W BA NST MA.
�o No.21583� .�,�
Sr ARO ENGIN ERING INC. .,c„
FLOOD ZONE
n �" Wj°�'� 39 STRIPER LANE
COMM. NO. 250001 6015 C.
E. FALMOUTH, MA. 02536
EFFECTIVE DATEAUGUST 1.9,1985
JA1 Y • 9 4 SCALE 1"=40' DATEJANUARY 20,1994
Application to 3 ,
1-5
♦ PN�G "E JZN
NO 91 P P(PS
�
E� Old Kings Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: New Building ❑ Addition ❑ Alteration
Indicate type of building: 0 House Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE Sall
W, 13�N5'rAt��.
ADDRESS OF PROPOSED WORK' -�T �' 'E&I L - ASSESSORS MAP NO.
OWNER kr-12- SIOLAKCV151 4-r'V- 'UV-' TV.LIST ASSESSORS LOT NO.
HOME ADDRESS 13 sTyaWfk-r-, 52�' TEL. NO. Q'�1' 00Z '3
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
AGENT OR CONTRACTOR � �1-1Z" "f GN �SsdG TEL. NO. 1-7
ADDRESS ���b 22"( 7�� UIJI� �. G 1-1T :�IU— t }�jb. . �i�v7 -
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including
materials to be used, if specifications do not accompany plans. In the case of signs�uce leeations o existing signs and propose
locati new signs. ttach additional sheet, if necessary_)..
D n n np
ignener- o trac Agent
c I f r to u `
Gfs Hr o�!
to JAN 2 A 19RI ertificate is hereby Date
Ti OWN Or BARI
� -
OLD KiNg-5,HIQHWAY
By
Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period
provided in the Act.
Disapproved ❑
e
ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION
FOR A CERTIFICATE OF APPROPRIATENESS
The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a
separate form).
1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a
building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street,
way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show
existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or
alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground.
2. EXTERIOR PAINTING: An application is required for any portion .of a building; structure or sign to be painted that is
visible from a public street, way or public place. Color samples must be attached to these applications. An application is not
required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee.
3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the
following exceptions:
a. Existing signs or billboards on November 27: 1974 shall have until November 27, 1977 to secure an,approved Certificate
of Appropriateness.
b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are
removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from
the Act may be allowed with the prior permission of the Committee.
c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are
erected or displayed.
d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the
premises on which they are erected or displayed in a residential zone.
4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a
combination of materials other than a building, sign or billboard, but including,stone walls, flagpoles,hedges, gates, fences, etc.
-'� GENERAL REQUIREMENTS
5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town
Clerk by the Committee. Approval is subject to the 10day appeal period provided in the Act.
6. No changes shall be made from the original approved specifications without advance approval of the Commission on an
amended application filed with the Committee.
7. A separate application must be filed with each project requiring a Certificate of Appropriateness.
8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation,
chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color.
9. Unless application is complete and legible and all material required is supplied,application will not be accepted or acted upon.
Copies of the Act establishing the Regional Historic District may be obtained at the Town Hal.l.
OLD KING'S HIGHWAY HISTORIC DISTRICT
SPEC SHEET
FOUNDATION_ 11 Ga��-1 G i( i W 111+ ��-
W-G . s 11J Lis (3sIni�:� rLlK-A -
SIDING' TYPE COLOR O -11-F1"C
CHIMNEY TYPE_ lU� COLOR 4 11,
ROOF MATE I AL _ AS'i'-N4J--r IN COLOR
PITCH
WINDOWS S SIZE
TRIM COLOR
DOORS S. �. _ COLOR
SHUTTERS
GUTTERS 1—:-_.
.DECK �. .
GARAGE DOORS t--- . COLOR
® pinn
U
D _
Notes : Fill out completely, including measurements and
erials/colors to be used.
D ree copies of this form are required for submittal
an application, along with three copies each of
VAN Z 819M p1of plan, landscape plan and elevation plans ,
je
�n applicable.
P1 t plan need not be "Certified" , but should show
TOWN IN BS HIGHABLE a 1 1 structures on the I of to sca 1 e.
LD KINGS HIGHWAY
lvtl IU NMOJL. "'PEMT," ,
TOWN OF BARNSTABLE, MAS!ObddV BUILDING
:,6 , 9- , 94
DATE PERMIT NO.- NQ 36459
Do;-j,--!('; H. 11—L C s I- -(?T: r a o 4- j
�A
c I I�- S t
APPLICANT ADDRESS 1' �3 , su
INO.) (STREET) (CONTR*S LICENSE)
!:NUMBER OF
'PERMIT TO STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSEO USE)
49 r a i ZONING Rr
AT (LOCATION) DISTRICT
(No.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT-BLOCK SIZE
BUILDING IS TO BE-Ff. WIDE BY-FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
0 5
REMARKS: S c waq.-c_- 1:93-
AREA OR
VOLUME ESTIMATED COST $ 0 • C.0 FEEPERMIT s 0 o 0 Q
(CUBIC/SOUARE FEET)
OWNER
�1- BUILDING DEPT.
0'>A()Dp xj BY
THIS
PERMIT
N VEYS NO RIGHT TO OCCUPY ANY STREET,
ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK' CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN P
ELECTRICAL, PLUMBING AND
1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SMALL NOT BE OCCUPIED UNTIL
IVEMBERS(READY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILMG INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
��,..��
/7-
Ali L,?y
2 2 2
2G G DEPARTMENT
HEATING INSPECTION APPROVALS Z 7ERINRTMENT
_& . 1
BOA5,D OF HEALTH
OTHER SITE UN REVIEW APPROVAL
�J�7D (AG` 1:111.4
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONST RUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIOULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR
CONSTRUCTION. I PERMIT 1S ISSUED AS NOTED ABOVE. NOTIFICATION.
JAN 26 '94 14:12 MASS BAY EQUITY FUNDING LTD.AAAA P.3
COMMONWEALTH OEPARTMENT OF PUBLIC SAFETY FsllYro to 0962sds a 410frost
OF ONE ASHBORTON PLACE ; Ma"a.daartHEtaftBowb$
vy MASSACHUSETTS BOSTON,MA02109 �• G4&lSo*mwrwl wsllM
L I CENSE oiNNl(a CAUTION
EXPIRATION DATE CONSTR. SUPERVISOR '
FOR PROTECTION AGAINST
EFFECTIVE DATE LIC-NO, THEFT, PUT RIGHT THUMB
RESTRICTIONS PRINT IN APPROPRIATE
NONE ¢ 6 BOX ON LICENSE.
17124
R DONALD H F''R I ESTL.Y �� MST INCLUDE P�O'*'"'T
o26—;3'2-8:SA'1 U £(1-1 X 51r I w �
aHorUtetAATw44PPaNLn FEE:
NOf VAL O UNTIL SIGNED BY LICENSEE AND y .� OEC 15 4993
HEIGHT: STAMPEO-OR•SIGNATURE OF TKE C0
008.
10/1(*)/1944
THIS OOCUMfNT MUST 9E SIGN NAMEINEUTA.ABO SIGNATUREU ... �
��•�• C,ARRIEDONTHEPERSONOF W. gICN F LICENSEE
J } THE HOLDER WHEN EN• � ER O:.'�Fy' .�'• WTHIBOGCUPATION. p."A
rlu+iBPRwi GAGED Y� �, , ,.
JAN 26 '94 14 12 MASS BAY EQUITY FUNDING LTD.AA AAf�SACHU.,sl.J ) 10 P.2
.•�'$4e = �DAIr:M.)~N'T Ui✓I.NDUSTRIAI-ACCIIll•f.. _ _
600 WASHINGTON STEP
•ames s Gar-=et BOSTON, MASSACHL'SEM 0211i
Gorsm,ss�one• WORKERS' CO) PENSATIUN INSURANCE AFFIDAVrr
jI DONALD H. PRIESTLY_
flierasce/per:aiaec)
with a principal place of business/residence 1L
13 STEEPLE STREET, SUITE 202, P.O: BOX. 5991 MASHPEE, MA 02649-0599
•tGry/Sace26p) .
do hemby cerdfy, ande.•the pains artd pui:ities of perjury. this:
1.2m zn employe:providing the Following work---:' eosrapensaon eoveragc-for my.employees W6ric14g pn tras
job.
LIBERTY MUTUAL WC200401
lnsuranc: Company Policy Numbct
i,1 1 am I salt proprivor znd have Flo One War ' fat me.
ksn$
( ) 1 sn 1 tole Nroode;oe, geiit:tl cotit cror or homeowner (dree one) uid have nir:d die eostr.s:,crors listed b4:
%vho have"the following worice:s' conipo:nsation uL ante polio=
Name of Cotltraaor. lxt =ce Company/Policy Numbc
Dame of Contreror lamnct Company!PoIiey Number
Name o`.Cenm:per lasuma Companymolicy Numbe:
_ a l _M o.6mej .•ne!;,forming al] rho wak myvbm
• . FOM Mut be swish chit ii�I'tiie Iaorneowners A*employ posers LD do n7a,sittnaCcc.cooxtzzse_ioQ or tcpair wotlC oa s .
dwe!linj of not more ti%z three units is wDieb the homeowner also rai4rA or an*C grounds appv.rtr o=t thereto Ste Cot geaer:By
eonsiderel to be a.plovers under the Va&cn' Coiapcw2doa Aa(GL C 15L s ,m 10)),appliarloa by a bvrucawuc:kr s lic"m
or permit rssy evi4=cc the Egan status of zo employer under thc'WorW-s'CAtcpeosadoa Act.
I unde•ztw id tl v i apy or alas slue: c..-wit1b.forwuded to the Depwr-.;�-�.:eflndusaial Aecocsu'�l�su of Ins.-�:c for rave.-a�-
ven»e;rion 3.0? thae{.ilc/e to aeau►c eo•.cvrc as requited uu.lc ScWun 211A gNGL 151%an lead so dK i,nposiu+,n ord .::e:z. a
consisting el a fircar unto S1500.00 vZor j pricotsmestt of up to ont y=via sib pewldes Ln tic form of a Stop yioric z
fine of S100.00 a Coy agues: me.
$igttGd rhi TWENTY_FIFTH dxy f JANUARY 19 94
•1
Liccnss!i'crmirc_ DON L H. PRIES Y,BUILDERLcc:LtoClPciiriiRdr
.. .t^..-.. ,- •y•, _ .. ♦- �,..�..I'S.. .L."'n :.e;.':a .. g , ,Jr a � yr �1P; �r.`�t�,i' 7:��.1^.r'•�-` ..i•..� rim ..•. ice.- r�� ..!
• �"�m!FF�,-i}'!a� +'."�1�ir:X�r{,"'�+YS�r�i.r/'lt.�.`.1.'.f'�r+(�'. 7
��..° °•.w TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
� rua
°+ i639' �� HYANNIS, MASS. 02601.
MEMO TO: Town Clerk F
FROM: Building Department
DATE
An Occupancy Permit has been issued for the building authorized by
BuildingPermit—#......_...��...��... ...._..........................................................._..........._................._ _.__.... ......_ _ _
issued tp,,,,,,....Z,E,..
Please release the performance bond.
Y
TM�> TOWN OF BARNSTABLE 35 -
� . Permit No. ......:.........
BUILDING DEPARTMENT
I s.,,n I TOWN OFFICE BUILDING Cash '
� •aa
HYANNIS.MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to Resources Group Trust
rAddress
d9 ranPA Trail
TAlvci- RarnArab1ti�MA,
USE GROUP t , FIRE GRADING 'OCCUPANCY LOAD
THIS PERMIT WILL NOT .BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
March 30.!. ..... .. t9....9.4........ .. .. . ............................ . U.
Building�nspector
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