Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0109 CARLSON LANE
r _ oxforcr NO. 1521/3 ORA MCE IN USA ESSELTE s s � • OF THE o_ Town of Barnstable Lk 200 Main Street Tel. 508 862-4038 INSPECTION REPORT Date: 41251201712:14 PM Inspector: mckechnr Permit Number: B-17-477 Name: MORRIS, GREGORY A Address: 109 CARLSON LANE,WEST BARNSTABLE Inspection Type Inspection Item Status Comment Building Final A- Inspection Results Pass Kitchen removed Inspection Overall Comment: Restored to Single Family on 04/25/17 Overall Inspection Status: PASS Re-Inspection Date: Inspector Initials: Person in Charge Initials: Total Score: 100 O)o kv�W v vn i lt�r � �� ; cwf ; P ` t 1 t I Cindy Dabkowski Accessory Affordable Apartment Coordinator o�n�r4rti Town of Barnstable Growth Management Department 367 Main Street, Hyannis,MA 02601 Tel:(508) 862-4743 Fax:(508) 862-4782 cindy.dabkowski@town.barnstable.ma.us [30 1 02t'd a� �� access � Co irit J sa XX , e date and time indic a more current copy of your transaction, select to "Download a Copy" from the C 3 Things to do today . . . d A cl ❑ - o ❑ ❑ ❑ -- ❑ G El El 508.428.8700 Fx 508.428.8524 info@lujeanprinting.com Plant: P U 4507 Route 28 Cotuit,MA 02635 �~ Mail: C�MPA� P.O.Box 571 Osterville,MA 02655 Things to do today . . . /� Li LI ❑ -t--tt LtAJ i ❑ (,✓ ❑ El ❑ _ � ��► �� -tom 5�-- ❑ LI ❑ re, ❑ l g je;V8.AX4700 aWrin'ting.com 4 n P C.1 43 Route Cotuit,MA 02635 Mail: COlVIPA� P.O.Box 571 Osterville,MA 2655 10� G�r-t sue, � w� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I 1 0 Parcel BUILDING OEPT Application # �� Health Division FEB 2 2 2017 Date Issued - a2 /7 /� `� Conservation Division Application Fee TOWN OF BAHNSTABL Planning Dept. Permit Fee 55 00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1 DCl 1C�'CLY- SByI LA VIA> Village yy e5T � YLS -rc.c��� Owner 51nct l GL �—i 0 rr► S Address s a-rrW_ Telephone 60S Z 3 7 —1 7 S 4- Permit Request 2 5` Ore t-0 S1 Le I [ btA rp mDv- SeGa-v�.� -�i o�r �.�-�cl�.er� �Gc�-b� -� . Go u..v�� ,•e-fz . Square feet: 1 st floor: existing(0(Sproposed 2nd floor: existing I S proposed Total new Zoning Districts Flood Plain Groundwater Overlay Project Valuation 3' 0 0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family @'*" Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sqA ( Number of Baths: Full: existing 3 new Half: existing I new Number of Bedrooms: existing _new Total Room'Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: dGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes &(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: dexisting ❑ 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) Name ��/to ( � 0f I S Telephone Number 50s 131 -riJ T" Address +� CQ��Sb LQ r\�;e- License# y V e 4 �c vAS+-&bl e "A O 7-(00 Home Improvement Contractor•# Email S�e t 10► - MX)r r 1 S @ bob/ (a . M Workers Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ; ' r SIGNATURE DATE r2-I2-2-1 (7 r • 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 DATE CLOSED OUT ASSOCIATION PLAN NO. 77ze Co omveah*ajfMassad iusetts Department afrudzastsratAcdde7z& -- Offike of�gataons 600 Washiugtou,`t-eet Boston,MA 02111 ` 1•VfN'Itr Ff1flST�gDY�I�t[I Wcwkers' Cuxnpensa�aulasura.nceAfEdavat S.mdei-lCuntracfarsMec&icianslPhl3mbers Applicant IufQrmathu Please Print C meIISiII_ QaairaEinn/fn e �{ c �� tD� CA.+r~I•St�Lcc� Are you an employer?Chackthe appropriate b= T of ect r L❑ I am a 1 with 4 ❑I am a beuesal confmctur and I � New { e;E ea employees(audkr part-fiime * have hiredthe sub�oahactoLs 6_ ❑beta oonsfrutti �.❑ I am a sole pmpietas orpartnev- listed on i$e attached sheen ?- ❑Remodeling sbip and have no employees . These sub-cofractors have 9. .❑Demolifiou wod-ng forme in any capadty_ employees and have wo&.ers' 9_ ❑B.uild"mg addition comp-msu=oa-1 eTire -I 5. ❑ We area•corporafim and ifs 1 ❑ElectFical repairs or additions 3. I am a homeou*ner doing all svmk officers have exer�-wed Titer 1L❑Plumbingrepaim or adcfitions myself[No iuorkem'gip- fight of em=ands r M L L-❑I�afregaiss ix�cr,ras�re reclaifsL�7 employees.[No Wort=, ail other camp-msm'e required] 'A:¢y spphr that chedsboz F1 mast else ffioatthe swffmbeiowshmdag fheirvm&ers'a=penmffimpo&cyiziffimnsuaa Demersmhu,submit ddsafiidwiEi agti�vyare�aiagslEcc�a3caa$�bar outsid¢ *�mastsubmitanewsiiada�tiadic sack TCaam�fastcherYibisbmcniastziierhe3�sradditimals5eetshnumgthenzmeoftbesab-cmrtacto-sandstafearLeih�arnotthnsee�tiesba� emphryees.I.�the 5pj},rnnd.srtnrch�e p�jQf +i tflCp�lStgIDL7�fi t�Leffi R"aC S'�P•PQI1Cy a�TEt I arrt are erripi�r t7i�isgrmddutg�<<crk¢rs'caarpertsrdialc utsrtra�ca for�}�cmgflvl�ee� $etnuv is 2'I[apalic}�aruI job srta krornzatiom Insurance Compaq NIame: Paficy Cr Self-in€Lic_ E�pisa4roaDate= Job Site Addres z cifylstafdzap: Attach z copy of the:wort-ers'corapensatioapolicy declaration page(shoving the-policy,ninuber and expiration date). Failmre to se'cmx-,cov=a a as required under Section 25A of M(H c-L5 can lead to the imposition of ctiminai penalties of a fine up 10$L,50DOD andfor azie-yearinpxisonmenf,as v ell as civil penalties m the farm of a STOP WORK OI=and a fine of up to$250-00 a day agai Ld the violator_ Be advised that a copy of this statement maybe Ex yarded to the f fLe of Itcvesfigafions o€tile DIh for insn+=e coverage vedficalicn- 1 do hergT csrtrf tnw and correct �Pl one � 7 3l `7-7 S"i ---- O ffidd um and. Do nvt tvrete in tlas ar aQ to be completed by city artoivu offidal City or'f uwru Pump tense;9 lssurhxg A (Circle flue): L Board of Health I BmTaing Depaa-bnmat 3.6iyETown.Clerk 4.Flectrical hmpettor S.Phanbing Emspecto r 6.Mar Cant act Person Phaat It: . hiformation and Instructions M ssaczi;,•rced3 GeneaalLaws chaptm M requires all=pIoy=to Fuvide 'conIPe'Ils�fnrtheir employe s. parru=tm is of anotbr-r under aELY ca±8d ofhfi-r,- emIT=orfinpHi.4 oral orwxittr " An eznp&y�is deffhed as'ran inTrvi aaA partner,associ finA ccmPDration or other legal entity,or any two or more of tl=faregomg=gad im a joint eotu�,and inchudmg tl=legal=pmsmdatives of a.deceased=3:2Iayer,or-d= rece%ver or tuste�of as mdMffi3 t,pa tacm �,amociaiion or offi=Iegal en ity,employing employers- However the owner of a.dwe;Mm9honSe fiavn�notmc¢e than.twee apadm=±s aadwho rmd&sffierem,arf3.e octet oftbe- dweBinghorse of aaa&er who employs pmsans to do m�ce,c or repair wad on soch dwcMag b=D or on the gm=& Or.bmdmg appvrLna3t-ffieret3 sbzUnotbmanse of such employment be deemedto be as employe" MM chapter 152,§25C(6)also st�xs ffid¢everysfate.nrl�ralliree agebcyshaIIwthhoId the issuance or renewal of a(cease or permit to operate a bgsnaess or to mnsiiucf buildings in the commonwealth for any applican- who has notproduced acceptable uddeuce of campliaur�Tvith the hsxrrauce.cove)�-age regaiir L" Add t;:n„a1Ty,'MQ,cbapter.ISl,§2SC(7)sbii `g� it the can�o�YsalihnM a'My C3 -PoItical snbcFvisions shall enter i�any ooafraa for the puree ofpnblic Vw urtil acceptable:evidzn_ce of=mp .=With the ice. ents of tTiis chapter have lieen p==trd fa the confrartffi anthouty_" Applicants please fa 0-at thin wori�as'.compensation affidavit completely,by rher�g the bows apply you sifnaiion and,if nary,supply sob cox nr(s)n=e(s). (es)andplwnenn m(s)alongwtththea=tEcafe(s)of T rce_ E±mited Lial ili y Companies(LLC)or Liz d iabffity`Pazinemhips(L.LP)wiano =:IpInyers other fban tb e members or pars,axe not rimed to eany woLke&cc=P=Saficm msmmx::-- If au LLC or LLP does have =PIoyeesapoIic:yisrcqufted. Pc advisedthatthis affidayitmaybe mjbrnitir�to the Department of Industrial Accidents for coz�abnn of ice coverage Also be sure to sign and data�fe afn<daYit Tbc affida vit should be mtrmaed to$e city cr town that the application fur the permit or license is b cin regnest-,d,no t the D epart neat of ; Trrinet,TAT i4s�-+ri�,Ea 131 n you have any gnesLims regarding the Iaw or ifyon are rcquir6d to obtaia a woilc=' comp®sationpoRc:LplmsecaIltbrDePartmemtat.fbennmbr-rlfi �-dbe.Io- Self- campauicssbonlden . their self-fi sarmc;d Hccnsa number cm the appropriate-line. City or Town OffE aLs r - pleasm be sm-c f ,-t the affidavit is complete andpriofedlegibby The Depa tnrmtba.s provided a space of iha bottom of the affidavt for you to f M out in the event the Office ofTnvesdgafi=has to coutact youregntft$ie applicant Pleasebes=toEUinthepenLh ceusem=berwhichVilbeU'sedasarefnmoceffimbra In-dditian,anapPlicaut fhat must submit nzUIEPIe peen s a applit Rfi=in any given year,need-only snbmt one affidavit mdicaimg cnn-eut policy infor atian.(if nay)and undcS"Job�e 1A "the applies should wry¢sII to ins in. (crLY or town) '•A copy of affidavitfhat has been.officially stamped or mimed bythe city or i o maybe provided to the applicant as proofthat a valid affidavit is on film fur fufnre permits or Hcenses A new affidavtm:aA br f cd oit carh year.Where a home owner ar cifi7im is obtaining a license or permit not relafrd to any busmcss cr commercial venom . (fie_a dog license orpermt to bum leaves eft.)said peroson is NOTrequiccdto co Iet,-this affidavit The Of E=oflnvesligsfis wuuldIrlretn ffiankyonmadvance for your cooPcaaiion and shonldyouhave any gnmfi=, please do not hesitate to g0 rs a call the De p ffi tment's a d&=s,tfleplione and fa--mmbe r_ - ' . �f c �of I .ch-a.�#s . - • . - ' c�flud�cialA to ' • fin=I�fA E�111 Fax#617 72'-'74r4 Kevise �24-Q7 - m c oarzgAra TOWn of Barnstable Regulatory Services. ` u Richard V. Scan,D vdDr 16 Building Division. Paul Roma,Bmlding commissioner 200 Main Street,Hyannis,MA 02601 www.town.barastablemaus Office: 508-8624.038 F'=. 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder..'. T ,as Owner of the subject property hereby authori7P to act on ray behalf in an matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the-responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Pant Name Print Name Date Q:FORMS 0VXMPERMMMD-NPMLS i Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division . Paul Roma,Building Commissioner 659. ` 200 Main Street, Hyannis,MA 02601 www.townbarnstableinz.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER I 02M E313 MON n �Z Please PrmE JOC+B-LOCAnw vMW �xOlEOwrlFlt: � G� O�'�I S stied50$ -7 37 ?7 S�- -�`'name home phone# work ph=# C_ RREN T.MAn.WG-ADDRESS:.. L �5 (olejang- AAA 02410�� City/Own start zip code The current exemption.for"homeowners"was extended to include owner-occoied dwellings of six units or less-and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who.owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- flimily dwelling,attached or detached structures accessary to such use and/or farm.structu es. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be reVonsible for all such work performed under the building permit {Section 109.1.1) - The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection s eats and that he/she will comply with said procedures and requirements. .CS' of - - wvcr'-'� - —��—' Approval of Building Official Note: ThreV family-dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code -Section 127.0 Construction Control. HOMEOWNER'S EXEA=ON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for him-edo do such work,that such Homeowner shall act as supervisor." Many homeowners who use this-exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section L15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with it licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she.understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. QMFII ESTORNIMbmZding pmmit f==\E3aTMS.doc 06/20/16 I 1 5 BEDROOM H A L L BEDROOM 12x12 15x12 I ---------- 1 -- --- I-- MASTER BEDROOM 22x18 BEDROOM LAUNDRY 10 x 14 BATHROOM 1 SO x 10 MASTER BATFH 17 x 10 1 1 EAVES _ 2ND FLOOR ------------- BATH i i ,t '....................... 6 x 11 1 .....................................................I I S o I a 7x9 I ( LIVING ROOM 12 x 19 BEDROOM 12 x 12 fr • I I � I 5 . BEDROOM H A L L BEDROOM 12x12 15x12 IS ---- MASTER BEDROOM -- --- -- P22x1B BEDROOM LAUNDRY -- ---------- C 30 x 14 =--- _-- -. BATHROOM 10 x 10 MASTER BATH 17 x 10 . EAVES - E --ND FLOOR Pennwe C-ouAx-r 6xii I Oy I I I — .aP> I tU o i 7x9 I to LIVING ROOM BEDROOM 12 x 12 TOi�T27 OF BARNSTABI,.S , BUILDING DEPARTMENT. COMPLAINT/INQUIRY riltpORT L� Date vf Reed ]w Assessor's No. Q last Name Name ORIGINATOR Street-` Villa e State Tele hone: Home Work Descri tion: _ 'COMPLAINT —INQUIRY Requestor's Signature COMPLAINT Street Address LOCATION — A OFFICE USE Only SNSPECTOR'S Date •�i Jr ACTION/ Ins ector COMMENTS 71 cT o1: ADD= ZO,,II,L "'Fo- ATTI:CEED CO?Y DIS:?IEUTI02:: �;p:__L — DPP:•.F,:Y`"1:T FILL INSPECTOR r R T�t� Zt:SPECTOR TO OFFICE Y.(;R,) �usci - -- �_. - -- - - -- - -- - _. _. �----- -— _ z _�. - -- -- --- -- - - _- - � - . - i a '' ����f C t�! ✓ T� i+:��C?- Y �?-( Ui� Assessor's 'offioe,(lst,floor): �FTHEt� Assessor's map_and lot number Board of Health (3rd floor)a Sewage Permit number" :.......... ..... �............/......................o (S U Z BAHd9TODLE. : rsea Engineering Department (3rd floor): to 9. House number �. .��...� ....'... k. o°•�omixd�O APPLICATIONS PROCESSED 8:30-9:30 A.M. and:,1:00=,2i00 P.M. only r TOWN OF BARNSTABLE BUILDING INSPECTOR Thmias Maronev/Sto-rlinQ Cu ►st. Cry. APPLICATION FOR PERMIT TO ................................... '..........,....... .............................................................. r- New TYPE OF CONSTRUCTION Singlewellitti? ........................ ........................................................................... .................... ........ ..............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ` Location ....Lot 29/Yaccel "A" Carlson Lane, baLiistable, Ma. Ma?? #13� ........................................................... ............... .... . ..... ....... Proposed Use .....Private Residential occupency_. ..................................................................................................... ....................................................... / Zoning District Fire District ....................................................................... .............................................................................. cName of Owner ...Patricia/Thgnias Marenev, Jr. Address 2/ Pawnee Rd. W.Yaniiouth, Ma. 0267.3 ....... .............................................. Thonias Marone #04009 7 SAME Nameof Builder ....................................................................Address .......... ...................................................................... Name of Architect ..Cambell..et...Upxbary..Mass...............Address ...,see :register Number of Rooms ....12..........................................................Foundation ..Pu11..Puured./Slab . ......................................... Exterior ..Clapboard/cedar, shingle..rear....................Roofing .Cedar._s 1 gle............. .. ............................. Floors Hardwood Tile,Carpet......................................Interior ..Plaster .................... . . ............................................................................ ,Heating t t..Water by Gil/Electric..back-up.........Plumbing z..Baths................. ............................... P Fireplace ,mow .....OA.eA-.........................................................Approximate Cost .lOU,UVU.. ...OU . / / J ............................................. Definitive Plan Approved by Planning Board Y__�6%f_________________19 g;/__ . Area ........:...:':.....:'.............:...... Diagram of Lot and Building with Dimensions Fee - f SUBJECT TO APPROVAL OF BOARD OF HEALTH c .a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ Name' .5 i:.a. ,tt (:b ra:=:.?=........t... ......................... Construction Supervisor's License .................................... MARONEY, PATRICIA-/ THOMAS, JR. A=110-031- 32688 BUILD DWELLING No ........ Permit for .................................... X Single Family Dwelling . ........ . ................. Location ..L.a t...#.2.9.y....1.09...C.a.rls.o.n..Lan.e........ West Barnstable .......................................................................... Thomas Owner ... ........... .............. ..... wood frame Type of Construction .......................................... ................................................................... Plot ........................... Lot ................................. I. Permit 'Granted ....Marc.h...7... ................19 89 Date of Inspection ....................................19 Date Completed ..................... ................19 ,� i� '� i mot//�'� J2 , PERMIT COMPLETED 1/1 1 CARTHY .= tc� RUCTION CO.. . sI' "-al and Commercial Builder }� � .. .TBIZATION SPECIALIST`, '.e. w1 . y _a Z d7 � ww. 70 _ October 21, 2014 Town of Barnstable sv p Thomas Perry CBO Building Commissioner _ 200 Main Stret c: Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#0 at 109 CARLSON WAY has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction Town of Barnstable BMWSMABIX Regulatory Services Thomas F. Geiler, Director AjFp�.lA 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 January 09,2013 Gregory A.Morris 109 Carlson Lane W. Barnstable,MA 02668 Re: Family Apartment Dear Mr. Morris: On December 26,2012, I had a conversation with you about the Family Apartment above your garage and asked that you contact Robin Anderson,as of today January 9,2013;you have not contact Robin Anderson to address the illegal Family Apartment,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor,conviction for which results in a criminal record and you can be fined up to$100.00 per day,per violation. You must contact this office within 14 days(January 30,2013)to either: • Apply for a building permit to restore the property to a single family home • Apply to Zoning Board of Appeals for a variance. • Apply to the Amnesty Program. If you have any questions,please call me at 508-862-4039. S ncerely,. Brenda Coyle Principal Building Div ion Assist nt Enclosure cc: Robin Anderson Zoning Enforcement Officer r Parcel Detail Page 1 of 3 w a - THE 0-�- V l�tld 1F.;9, Logged In As: Parcel Detail Wednesday,January 9 2013 Parcel Lookup Parcel Info Parcel ID 110 031 l Developeer rLOT 29&29A r l Location 109 CARLSON LANE v l Pri Frontage 1 - l �l Sec 77 Sec Road - — -- ---- -- -- -- ` Frontage) Village WEST BARNSTABLE �— �l Fire District,W BARNSTABLE Town sewer exists at this address No Road Index'1957 Asbuilt Septic Scan: Interactive 110031_1 Map orb� Owner Info Owner MORRIS,GREGORY A l Co-Owner - - —_l Streetl 1109 CARLSON LANE !l Street2 T l city,WEST BARNSTABLE - -1 State MA zip j02668 Country F Land Info Acres 11.26 use ISingle Fam MDL 01 I Zoning RF _ Nghbd 10108 Topography[[Rolling - 4 l Road iPaved utilities Septic,Well,All Public �l Location!Rear Location l Construction Info Building 1 of 1 YeaBuilt 1989 - - " l Roof Gab el /Hip 'l Ext Clapboard l FRONT Built Struct' Wall Living r3741 `rl Roof j Wood Shingle l AC None l Area' cover Type FUSt Style!Colonial l Wall IntPlastered Bed+l Rooms�4 Bedrooms l eMT 1 r ---- --- Int - _ - Bath .. M 1 Model I Residential i Floor[Carpet l Rooms 3 Full+ 1 H l ts' tst Grade Average Plus l Heat(Hot Water -1 Total 9 Rooms l Type Rooms K FHS GAR stories 12 Stories l Heat Oil l Found Typical Fuel ation q Gross'7058 l Area Permit History http://tssgl2/Intranet/propdata/ParcelDetall.aspx.ID-- 6337 1/9/2013 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 03/01/1989 IB32688 $100,000 �01/15/1991 00:00:00 WB 2 STOR - Visit History Date Who Purpose 08/14/2006 00:00:00 Paul Talbot Cyclical Inspection 08/26/2003 00:00:00 v Paul Talbot Meas/Est 03/06/2000 00:00:00 Donna Dacey Meas/Listed-Interior Access 101/15/1990 00:00:00 ML Meas/Listed-Interior Access - Sales History Line Sale Date Owner Book/Page Sale Price 1 07/15/1995 MORRIS, GREGORY A 9772/231 $280,000 2 08/15/1988 MARONEY,THOMAS F JR& PATRICIA A D 6388/339 $125,000 3 12/15/1984 BODFISH FARMS INC 4369/279 $725,000 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $302,000 $55,000 $6,400 $244,600 $608,000 2 2012 $308,900 $53,900 $5,100 $245,300 $613,200 3 2011 $362,200 $3,800 $0 $245,300 $611,300 4 2010 $362,700 $3,800 $0 $259,000 $625,500 5 2009 $480,600 $2,800 $0 $260,200 $743,600 6 2008 .$493,200 $2,800 $0 $290,600 $786,600 8 2007 $523,800 $2,800 $0 $290,600 $817,200 9 2006 $491,300 $2,800 $0 $284,400 ' $778,500 10 2005 $439,600 $2,800 $0 $284,200 $726,600 11 2004 $340,300 $2,800 $0 $284,200 $627,300 12 2003 $340,200 $2,800 $0 $110,800 $453,800 13 2002 $340,200 $2,800 $0 $110,800 $453,800 14 2001 $340,200 $2,900 $0 $110,800 $453,900 15 2000 $181,500 $3,600 $0 $81,100 $266,200 16 1999 $181,500 $3,600 $0 $81,100 $266,200 17 1998 $181,500 $3,600 $0 $81,100 $266,200 18 1997 $194,200 $0 $0 $63,000 $257,200 19 1996 $194,200 $0 $0 $63,000 $257,200 20 1995 $194,200 $0 $0 $63,000 $257,200 21 1994 $168,400 $0 $0 $55,700 $224,100 22 1993 $168,400 $0 $0 $56,400 $224,800 23 1992 $191,900 $0 $0 $61,900 $253,800 24 1991 $111,700 $0 $0 $101,300 $213,000 25 1990 $0 $0 $0 $101,300 $101,300 26 1989 $0 $0 $0 $101,300 $101,300 27 1988 $0 $0 $0 $43,000 $43,000 28 1987 $0 $0 $0 $43,000 $43,000 29 1986 $0 $0 $0 $21,400 $21,400 30 11985 1 $0 $0 $0 $0 $0 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6337 1/9/2013 Parcel Detail Page 3 of 3 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6337 1/9/2013 *INC TOWN OF BARNSTABLE Permit. No. ..... 32,688 1 BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash Yl t '639• X HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Patricia & Thomas Maroney, Jr. Address lot #29 109 Carlson Lane, West Barnstable USE GROUP 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. February 7 . 19...90.......... ......................... �............. Buildi g Inspector i f a INC � I TOWN OF BARNSTABLE 32688 Permit No. . BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash Y� 1 9'�teur HYANNIS.MASS.02601 Bond X CERTIFICATE OF USE AND OCCUPANCY s Issued to Patricia' & Thomas Maroney, Jr. Address lot #29 1.09 Carlson Lane, West Iarnstable S ' USE GROUP FIRE GRADING QCC�UPANCY LOAD t , -TH!IS PERMIT'`WtdL NO�-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. February 7 19...90.......... �� ., .••.Buildi g Inspector { y;,TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING "PERMIT''_ 3 t DATE APPLICANT 19_ PERMIT NO. • ADDRESS 1e IND.) (STREET) (CONY R'S LICENSE) •• i� PERMIT TO (_) STORY NUMBER OF (TYPE OF IMPROVEMENT) NO. DWELLING UNITS ' (PROPOSED USE) I Q 1Y ZONING AT (LOCATION) IN .) (STREET) DISTRICT BETWEEN AND - . • _ (CROSS STREET) (CROSS STREET) SUBDIVISION LOT 91 BLOCK-SIZELOT BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION I•` TO TYPE • USE GROUP BASEMENT WALLS OR FOUNDATION '(TYPE) REMARKS: �ONJ AREA OR VOLUME ES7IMATEO COST PERMIT (CUBIC .S U FEET) FEE OWNER C V s ADDRESS BUILDING DEPT. BY ,.� THIS PERMIT CONVEYS 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 ALL CONSTRUCTION WORK: CARD KEPT PASTED UN71L FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR 1. FOUNDATIONS OR. FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALBLIATIONS.D 2. PRIOR TO COVERING STRUCTURAL )' MEMBERS(,READY TO LATH). QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL .` { 3, FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, �.•.,,y ,�s� OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 �. 11,9 3 HEATING INSPECTION APPROVALS GINEERI DEPARTMENT OTHER CARD OF HEALTH a_7- 9a WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS,CARD CAN BE CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. 1 ' B't ,KeL,r DK P /z /r ssessor's offioe (1st floor): j 3/ .ssessor's map and lot number .../..le���.��.,� .,J�'........ o • oard of Health (3rd floor): SYqTE M ewage Permit number 7 �....... r S Engineering Department (3rd floor): ,r ' .+ + NAB& House number CC i639' ......................................./O.........�............. E . w:,i': �'�.�C , ,. � APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN REGULATION A P P R O v 'OWN OF BARNSTABLE sa able Conservation Com is U I L DING INSPECTOR 1111, / J C 8dAPPLICATION FOIP�MIT TO Thomas Maroe Sterlin Const. Co. ........................a—.................&........................................................................ TYPE OF CONSTRUCTION ...New. Single Dwelling........................................................................................ Feb,..J.$,.I% ..............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Lot,#29/Parcel ' ' Carlson Lane, Barnstable, Ma. Map #133 . . . ................................... . Proposed Use .....Private Residential..occupencY.......................................................................................................... ... ......��......................... ......... Zoning District ...........P.! -....!.............................................Fire District v ............................................................................. Name of Owner ...Patricia/Thomas MaroneY, j? . .....Address .27..Pawnee Rd. W.Yarmouth, Ma. 02673 ........................................................................ Name of Builder Thomas Maroney #040097 ..Address ........S ....................................................................... Name of Architect .Cambell of. Duxbary..Mass..... •..Address ....see register Number of Rooms ...12..........................................................Foundation ••Full Poured/Slab .................................................................... Exterior ..Clapboard/cedar shingle rear Roofing .Cedar shingle Floors ....Hardwood,Tile,Carpet .....Interior .Plaster. . .. . ....................................................................... Heating Heft Water..PY...Oil�Electric back-up 2z..baths................................................................. Fireplace "t't"'w Q ...........Approximate Cost ,100,000.00 Definitive Plan Approved by Planning Board v_1__ __l____--___-._ [� ^ 4 r 6/- ------19�-/-- • Area ....... ........... •'�r Diagram of Lot and Building with Dimensions rr�� ZS g 9 Fee ......o��....-!!-"".............. SUBJECT TO APPROVAL OF BOARD OF HEALTH Lly _ z 70 - D �v LP z �� �1 D I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..Sterling..Const,.,,Tom„M coney,.,,,,,, #040097 Construction Supervisor's License .................................... RICIA / THOMAS JR. Q a BUI D DWELLING v No ................. Permit for :i ....... ........................ single...family dwell .................... . Lot 29, �P9,-'�Carlson Lane Location ....................................... ....................... West Barr .................................... .........I............. Owner ....Maro ney.,....Rdtigicia 'Thomas, Jr. S-bd f -a Type of Construction ...w ....�q........ :.!4gne******** ..............I.............................. .........I........................ Plot ............................ Lot ................................. Permit Granted ...March...7......................1989 Date- of-Inspection ................19 Dateompleted �a..............19 Mckechnie, Robert To: sheila.morris@bobvila.com Subject: Questions About Building permit#B-17-477 Good Morning Sheila, To answer your question,.a copy of the plan of your house is not in the street file. I understand that you have already spoken to Robin Anderson and as a result the permit (#B-17-477)to restore the property to a single family home was applied for and issued. All elements of a kitchen are removed to restore a property to a single family residence. This includes the removal of certain elements by a plumber and electrician with their specific permits and inspections.After their work has been inspected and approved I will do a final inspection. Thank you Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 pF ZHE 7p� ;: o Town of Barnstable . ST,,�,E :;: 200 Main Street Tel.(508)862-4038 rEOMA<a .>. INSPECTION REPORT Date: 41251201712:14 PM inspector: mckechnr Permit Number! B-17-477 Name: MORRIS, GREGORY A Address: 109 CARLSON LANE,WEST BARNSTABLE Inspection Type Inspection Item Status Comment Building Final A- Inspection Results PASS Kitchen removed Inspection Overall Comment: Overall Inspection Status: Not Reviewe Re-Inspection Date: 2 ' I Inspector Initials: Person in Charge Initials: Total Score: 100 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /I Map 0 Parcel I Application d Health Division Date Issued Conservation Division Application Fee WK �J Planning Dept. Permit Fee & �s Date Definitive Plan Approved by Planning Board Q` Historic - OKH _ Preservation / Hyannis Project Street Address5�,fg�s... Village ��— Owner 64Xr , 17 ,n . Address �•n Telephone '771t-5x7-K'c` Permit Request a.- S C0 1.1% I, �e►.e r...r I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `'Sw Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach pporting ci©cum ntation. Dwelling Type: Single Family er"" Two Family ❑ Multi-Family(# units) _R U Age of Existing Structure Historic House: ❑Yes ❑ No On Old King H ighway:_0 Yes 0 No Basement Type: ❑ Full ❑ Crawl 0 Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)� n ' 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: 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 ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number Address west Dennis, MA 02670 License # e - 6964 CSL-58633 HIC-169393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO cdti• Jn SIGNATURE DATEi l�Y { FOR OFFICIAL USE ONLY APPLICATION# ATE ISSUED MAP-7 PARCEL NO. t 'f, ADDRESS VILLAGE �a OWNER < `: r. DATE OF INSPECTION: s v FOUNDATION C FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'FINAL BUILDING 3s 1 DATE CLOSED OUT ASSOCIATION PLAN.NO. The Commonwealth of Massachusettv Deparment of Industrial Accidents Office of Invesfigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit.Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly' �Milke McCarthy Name(Business/organizatlonadiv;duai): PO Box 52 West Dennis, MA Address: Cell 508) 280-6964 City/State/Zip: CSL-586 phone;IC-169393 Are u an employer? Check the appropriate box: Type of project(required): 1.Are 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.❑ I am a sole proprietor or partner- listed on the aifached 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. El 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 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12❑goof repairs insurance required.]t c. 152, §1(4),and we have no � employees. [No workers' comp.fimirance required.] *Any applicant that checks box#1 mast also 511 out the section below showing their workers'compensation policy informaliou. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit anew 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 mast provide then-workers'comp.policy mm�ber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information, yam, Insurance Company Name: d Policy#or Self-ins.Lic.#: �-�� 1/ll/l`�� -� Expiration Date; 7 U171Y Job Site Address: lam? 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$1,50D.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' ce erage verification. I do hereby certify and pail' �enaWesrjury that the information provided ave is flue and correct. Si mature: '. Date: Y 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.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnerap,I association,or''661er leg21:enhty,employing employees. However the owner of a dwelling house having not more than-three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons:to do�maintedance,;construction or repair work on such dwelling house or on the grounds or building appurtenant theretoFshall nabecause of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance.. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addresses)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insin-ed companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of kvestigations 6GQ washirt�tan Suet Boston,MA 02111 Tel, 9 617-72 -4900 ext 406 or 1-877-MASSFE Fax 9 617-727-7749 Revised 4-24-07 v,ww.mass_govf dia L)-3a-? OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) 6l� (Propefty Address) hereby authorize (Subcontractor) ' an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Sioal6re ate Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Superrj-isor License: CS-058633 MICHAEL J MCC �iR PO BOX 52 W DENNIS MA 02670. i 912— " "1 Expiration Commissioner 04/10/2016 Office of Consumer Affairs and Business Regulation w, 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Trtt 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 WEST DENNI , M 0267 Update Address and return card.Mark reason for change. SCA 1 ii 20M-05/11 Address Renewal Employment Lost Card I i =EDOD ACORO" CERTIFICATE OF LIABILITY INSURANCE THIS RATIFICATE IS ISSUED AS A TE DOES NOT AFF RMAT M MATTER LY NEGAOT MA AMEND, EXTEND, OR ALTER RTHET CERTIFICATES UPON THE TION ONLY AND CONFERS NO OF COVERAGE AFFORD DBY THE POLICIES I POLIC ES CERTIFIC BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ROGATION WAIVED, subject l holder DciSanlst the terms and conditions of the pocycertanpolicies mayrequi an endorsement. A statement on this certificate does notonferrghtsto the certificate holder in lieu of such endorsement(s). iCpMEACT PRODUCER 01962-001 I NAME: .. ..------------------ -------------•-- _.------.. ------------ HpNE 508 398-6060 _.._._':FA�c.No.: (508)394-2267- pNC.No_ExIL. -__�_._ 1..-. . Bryden 8�Sullivan Ins Agcy of Dennis Inc EMAIL - PO BOX 149' i ADDRESS: --- ------------------ ---T-----— So Dennis,MA 02660 -- - I SS.UAER(-)9FFORDIN-9 COVERAGE-_...._ 33758 I l[_S4R€139�_.A_LM^Mutual Insurance Company _ .....------- _. . INSURED t1R€L4�.-------•-------- ---------•-------- -----------._....__... --_ - Michael McCarthy Construction Inc ` P O Box 52 I IN$�E.F3.0_.__..-------- ------------ --...--------------�- - ._ West Dennis,MA 02670 -- I i REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: PIELOW HAVE BEEN ISSUED THE ED NAMED VE FOR THE INDICATED. THISTO CERTIFY NOTWITHSTANDING THAT THE E POLICIES REDO INSURANTE LISTED M OR CONDITION OF ANY CONTRACTOOR OTHER RDOCUMENT WIDTH RESPECT CT TO POLICY WHICH THOIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITICNS OF SUCH POLIC![S.LIMITS SHO`NN MAY HAVE BEEN REDUCED BY PAID CLAMS. - -- -- —_--- --- -.-... ----.......__..... _. -- D L�UBR POLICY NUMBER ) POLIO POLI LIMITS AP g D M INSR ... TYPE OF INSURANCE - -- INSR I WVD I-..-------------- - (MM10 L MID LTR.. __.-.._. _.._______ ._ - i EACH OCCURRENCE �b GENERAL LIABILITY i ; DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY I I rp.3FMSFU-(Fa occurrence)`_LS ___------ - - I !MED EXP(Any one person) ;b ----- I CLAIMS-MADE I OCCUR -'-' ---- - --- - I__....• I PERSONAL 8 ADV INJURY !$-- -- _ ------ I GENERAL----- - ----- AGGREGATE ; S PRODUCTS-COMP/OP AGG '$ — - '!GE N'L AGGREGATE LIMIT APPLIES PER: - PRO POLICY OC ilCE (E_ -Oa AUTOMOBILE LIABILITY MB --- -- -.. --- accrde�li IN I BODILY INJURY(Per person) ,S ANY AUTO BODILY i t Y INJURY(Per accident) I I SCHEDULED -- -'----- --...- I ALL OWNED - AUTOS I i PROPERTY DAMAGE I S _-!AUTOS NON-OWNED HIRED AUTOS i i AUTOS I I I I S - UMBRELLA LIAR j jOCCUR I I IAGGREGATE IS j EXCESS LIAB CLAIMS MADE '------ - -- DIED RETENTION S I —'- RY Alt i l O R- ------------ - WOoRKEERS Cppryry��SFNSA ?N 1 E.L.EACH ACCIDENT S 500,000.00 AND EMPLOYERS LIABILITY Y/1J i ! I --• ----_.._— A1'q yy PRROoPR�E��R/PEj1RTNFOit/E3CECUTNE, t I I E.L.DISEASE--EA EMPLOYEES 500,000.00 O�FICER/PAEM R XCCLUU ED. i Y I N/A i VWC-100 6017656-2013A 1711712013 i 7117120 r""'""- -- ' - :(Mandatory In NH) —_r- - j E.L.DISEASE-POLICY LIMIT I S 500,000.00 UTCRIIf(ON'6F9PERATIONSbelow.. I I -hed: ..-__ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required CERTIFICATE HOLDER CANCELLATION i TOWN OF SANDWICH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: BLDG DEPT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN HALL ANNEX ACCORDANCE WITH THE POLICY PROVISIONS. Sandwich,MA 02563 AUTHORIZED REPRESENTATIVE q Cad- S� ' O 1 20/06/2017 • Homeowner was in to explain she is applying for the Family Apartment; she was told that she needed to pull a permit and apply and she need whole house floor plans along with the application. I explained the process to her what is required to pull the permit. Brenda Coyle 2/11/2013 Mr. Morris was in today to inform us of his decision, whether to restore to single family or to go through the Amnesty Program. He is choosing to make this into a family apartment. Mr. Morris a few weeks ago was in and was going to review the information on the Amnesty Program; he did not have at this time he was in a family relative to live in this property. He could either restore to single family or apply for amnesty. We need to verify Mr. Morris's relatives; he will have an affidavit that will need to be recorded and notarized.