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HomeMy WebLinkAbout0175 CARLSON LANE - v 4� � F I 4 r a l' �1 i a 'o i `�NSENT• ���� u � W r^ dh��'4NIW•10� Y qllo IN—J �z 1 �"a Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept ""S Posted Until Final Inspection Has Been Made. Permit . .esv� .� Me. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1457 Applicant Name: Heather Capelle Approvals Date Issued: 06/15/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/15/2020 Foundation: Location: 175 CARLSON LANE,WEST BARNSTABLE Map/Lot: Zoning District: RF Sheathing: Owner on Record: STRACUZZI,CAROLANN M Contractor Name. NORTHEAST FOUNDATION Framing: 1 REPAIR LLC DBA RAMJACK NEW Address: 175 CARLSON LANE ENGLAND 2 WEST BARNSTABLE, MA 02668 l Chimney: Contractor License: 185517 y: Description: Underpin foundation with Installation of helical or push piles for I stabilization Est. Project Cost: $ 12,850.00 Insulation: Permit Fee: $ 135.00 Final: Reviewers Note: this is a foundation repair. RMCK Fee Paid: $ 135.00 Project Review Req:' Date 6/15/2020 Plumbing/Gas Rough Plumbing: Final Plumbing: EsullaIThis permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan �c�a Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Perso s coFfn—ir—a—arlsigwith unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: `� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building _ Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept BAMSrA MASS Posted Until Final Inspection Has Been Made. Permit :asp Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Applicant Name: Heather Capelle Permit No. B-20-1457 Approvals Date Issued: 06/15/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 12/15/2020 Foundation: . b1rka Aod— Location: 175 CARLSON LANE,WEST BARNSTABLE y Map/Lot: 110-028 Zoning District: RF Sheathing: -- Owner on Record: STRACUZZI,CAROLANN M Contractor Name -,NORTHEAST FOUNDATION Framing: 1 t REPAIR LLC DBA RAMJACK NEW Address: 175 CARLSON LANE ! ENGLAND 2 t __ WEST BARNSTABLE, MA 02668 r Contractor License: 185517 Chimney: Description: Underpin foundation with Installation of helical or push piles for I stabilization I Est. Project Cost: $ 12,850.00 Insulation: Permit Fee: $ 135.00 Final: Reviewers Note: this is a foundation repair. RMCK ' Fee Paid: $ 135.00 Project Review Req: Date 6/15/2020 Plumbing/Gas Rough Plumbing: Final Plumbing: Esul This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after i, uan icia Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.The Minimum of Five Call Inspections Required for All Construction Work: ` Rou h: 1.Foundation or Footing L-- -_ g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT °FVE . f. The Town of Barnstable • SARNS ML& � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 17, 1996 Mr. Robert D. Sullivan 204 Round Cove Road Chatham, MA 02633 Dear Mr. Sullivan: Our records indicate that Lot 28, #175 Carlson Lane, is buildable from a zoning standpoint. Sincere i Ralph M. Crossen Building Commissioner RMC:lb g960417a APR 16 '96 02:49PM JAMMEY MONTGOMERY EOOTT P.1 To:Ralph Crossen Building Inspector Town ofBarnstable From: Rob eit D. Sullivan Dear Mr, Crossen, As per our discussion I have provided the iufo:ry ation on the land we are purchasing on Carlson Lane. The bank which we are using is rquesting a letter of buildability on this lot. I appreciate your attention to this matter. V ours,y °Robe D. Sullivan 204 Round Cove Rd. Chatham, Ma. 02633 f f r . 2 • v 00 of 00 40 3dp W4L' 091 m or �d-` WOL' 04-lip. 00, O 1�f TV- Ilk, .. •�� :fix. ?O T S'd 11OOS .Q13W0`JiWOW A3WWdf WdOS:Z0 nrAPR 16 196 02:50PM JANNEY MONTGOMERY SCOTT P.2 r• Ui Residential Land_ - Lon R+�jn, orb 04/09/96 Page 1 175 Carlson Ln List Price $64,900 ;:Y Address Town Orig List Price $64,9 ��: r, ui '�'• .,}- �,,,.. List# 8016306 Listed Date 02/2 LiStType MLS Lisunq Status ACT DOM 44 ,q:.;. County Barnstable LvtSize 1-00 W Barnstable t villageRdFrn fi,� •''A'O �YY f7 I\ ;a° �f ,. Conven7o •Chrch,MjrHw • �Yr•.' r "r>` Area Subdiv Bodfish Farms Zip Code 02668 MlSech 2 Miles or More OthAcc SchD3G Bay DscAcc Street Pdv,Peved Bchow Public Water NdWell Electric AtStrt,Under _ Sewer PrvSep Phone AIStrt,Under Gas NoGas Cable AtStrt,Urider Assoc Yes MshpReq Yes YrlyFee FeeYear Feeincl AddittSvC LotWldth Depth Irregular Yes Lotpesc Cleard Ad Copy Choice 1.0 acre lot in Exleusive'Bodfish Farms'community... area of fine homes— level lot with great possibilities... Protective covenants and pFoposed plans available upon request... Directions Route 6A to High Street to Left Carlson Lane, Bodfish Fauns RmksAll LocalRmk Showhlstr Go Direct _ OwnrName Ramsey, Paul M AssrntStat Assessed Addr1 175 Carlson Lanee TitlRef S 7998 P 337 LCO LandAsmt $56,000 MinSs 1r Addr2 Plan 6 0 P 0 LCO Improvmnt $0 Twin/State W Barnstable, Ma 02668 PinLot 0 TotalAsmt $56,000 UTank N Ownrphne Zoning RES Taxes $ $750 Map# 110 AnnualBttr $0 Use 130• Developable land Tax Year 1995 Parcel# 028 UnpaidBttr $0 FloodP Not in Flood Plain DeedRestr Y Docson►tn Su0Pl,eid9Pi _ Expires 08/11/96 Listoffice Realty Executives, REAE OtcPhone- 508.362-1300 CoFeeBB 6% UstAgent Coy, Christopher CoFee3A 5% CoFeeDDA 0% Other 0016d f0!OHI¢e'dw aol+•lydarr.,ahv N rMtO AC"It.W 401 01 Quarantnee pnnina:+y CNi5tojM91 FOY,Knalry ViecurEves TOWN OF'BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 110 028 GEOBASE ID 31961 ADDRESS 175 CARLSON LANE PHONE W BARNSTABLE ZIP - :I LOT 9:.1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 35954 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#3.1679) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY • Department of Health, Safety CONTRACTORS:ARCHITECTS: and Environmental Services TOTAL FEES: Ox THE BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARN3rABM MASS. . FD MA'S BUILD Go I ISIO BY t DATE ISSUED O1/19/1999 EXPIRATION DATE �.0 - - PARCEL ID 110 028 ADDRESS 175 CARLSON LANE PHONE W BARNSTABLE `� ZIP - LOT 9. BLOCK LOT SIZE DBADEVELOPMENT DISTRICT WB PERMIT 31679 DESCRIPTION SINGLE FAMIIX DWELLING StlIAGE PMT 098-462, PERMIT.' TYPE. BUILD TITLE 14EVTTSIDENTIAL BL'DG PMT CONTRACTORS: PROPERTY OWNER ' _ � Department of Health, Safety AHCHI TEC`i'S: , %" and Environmental Services TOTAL"FEES: !� $55§.00 POND THE . CONSTRUCTION COSTS �"`�, $1g5.00_ O� 101 SINGLE FAM HOME _,I?ACHED ]. PRIVATE P , # + BARNSPABM • MA83. . 1639. BUILDING DIVISION BY DATE'ISSURD ' 06/1.0/`1.99B EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ��� ��� ��°��� ,fit ���'` • �3 9� APB 3 1 HEATING INSPECTION t5bVALS - ENGINEERING DEPARTMENT 7-q y 1 11) Pt)- bs 2 /9 09 B ARD OF HEA LTH ya-f-:7, OTHER: 4 Ag=n SITE PLAN VIEW APPROVAL - i WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCT . N WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUE- MONTHF. nF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- Ti NOTEr tv' A R TION. � 359s i I I • I I I � I I • I , I I ' I ' I I I I I I �r. f Engineering Dept. (3rd floor) Map Parcel Permit# . _ House# of Z5 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-43 Conservation Office (4th floor)(8:30- 9:30/1:00-2:00) `EFTIC SY MUST SE Planning Dept. (1st floor/School Admin. Bldg.) L PUANCE Definitive Plan Approved by Planning Board ___ a �--Y 19 2E;e- 'k- �-� 7 VI N DE AND TOWN OF BARNSTABLE TOWN ' TIONS Building Permit Application Project Street Address 17 6—/ n/ Village f Owner y Address yy,-f7 LW-1-7 67Z, Telephone — Permit Request c � ' First Floor Mo square feet Second Floor ,�YaQ square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size 1 lyJ / >-ee f Grandfathered ❑Yes &<O Dwelling Type: Single Family ud' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House es ❑No On Old King's Highway ❑Yes 5<0 Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)r�O Number of Baths: Full: Existing New_ Half: Existing New No. of Bedrooms: Existing New 17, Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: as ❑Oil ❑Electric ElOther Central Air ElYes ;;e0,_ Fireplaces: Existing New Existing wood/coal stove ❑Yes Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) �'rf�' ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Qq1o­ If yes, site plan review# Current Use Proposed Use Builder Information NameAM G° ' Telephone Number Address L License# �en=4�2GltiG2 D760/ Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2- BUILDING PERMIT DENIE OR THE FOLLOWING REASON(S) AIA �� QU i FOR OFFICIAL USE ONLY PERMIT NO. //6Q 7 .DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE' OWNER 2 DATE OF INSPECTION: FOUNDATION FRAME INSULATION (Of FIREPLACE ELECTRICAL: . ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUG� F- FINAL FINAL BUILDING . �.ya rm DATE CLOSED � tY � ASSOCIATION PC; N I N 43,5(3 s� / CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCATED ON FOR THE GROUND AS SHOWN HEREON AND LOT 9 CARLSON LANE WEST BARNSTABLE, MA. THAT IT CONFORMS TO THE MINIMUM PLAN BOOK 389 PAGE 5 BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR tH OF Mq�J STEVEN AGUSTINELLI NW. UMBA y SCALE: 1" = 60' AUGUST 10, 1998 1 , SURVO Weller & Associates 1645 Falmouth Rd.—Suite 4C Centerville, Ma. 02632 (508) 775-0735 The Town of Barnstable BARNSrABLE. p Department of Health Safety and Environmental Services MASS. 0 1639. �0 Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice - Type of Inspection Location (� C R So.� /r') Permit Number 3/6 Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: (� Q/ �7 !A S S �Sz �,.�JC "c C,�e _ `�4 C L& 2 z r Aj e-ecV S i7-3 P Tr'127�P4 PCj Vvl - Q�A c C O y Mw ✓siP/L S !^� �11)2 �,—P til tJPPdC `r—aAA l oqA,-,c P rL S U N dl P -le- iS `;yt o-1 ARP 7" 'cf J U •L- I n1f T'Z) ) Clo Ve (-j -A 1?'nA A.R C-(A, - A) I? :q n C" k I")C- fc- A S-r A A U34�; n, )� f(z) ck- A(( 0--Q J . �: �O' A, A I 1 0 e tz- A- 10-J-3 Please call: 508-790-6227 for re-inspection. Inspected by P Date (0 s��s ���� ��-s I C � �� } Az I I I I 1 11 it j Y uy Jim •II Id, I' Ili tl, I �I INr j•ii. I L�(� In'c� � � A ��I ul�t�l ilul�' ICI, I�II�i IIII I;III•;III� ! �? ;I� r• r. T", $ ' i ,.'.o• I I III ,j I l ,taul � !a: ' •it.tE� :dll''i,ll 1 it:i• I IIiAl�rl'hi INq P i ! t:. :J 6f � ti•`� j il.la ll• 'i t �. Pt u��� U aJ y u DAM x*� *a ELe\IATIohIS - NORTHSIDE DDVHMW PRcf..—Eb DESIGN' ASSOCIATES tiat■o ?. . °m" wA M DALE REVISIONS i 93_ 40. 'I a` \ cif .•,m`•,. 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DESIGN m;sa.nea ti.•M ana FWASSOCIATES MSTW E RESDEKx a wwccaca avu o":cs ..'•v..nma W.41J.15:t��.P,MerS. �4di yr.••�e e - "a+ as .DATE REN50N5 WCOfm �' I I ni g!A�_�pt�•�Nvgp�, � � , �g:.'���.�•ice S \:LI CI •;.,! I�I:� , •.!.I"., i..:;.1: I , , I•! ., ,��.:i'�j,p ll,u ...._I.;:: LII , I•.1 � i1; I,.i�lul!rl�rlM al���'H!s1!i i !QI_�t;��o��Q'n!r.'a ro!iI I. i�j' �!��161b•o d c � o o i ICI I ,,! x 'rR�i ��FI I °iR10.I4��`�•�'a,�Kp .I:�j., .''1,. vi�!?!Y Y''L• �°l.�i?'4!I` I !Ci a,cl 1{!lit;;�,v,=V, r ! I,:i I is �o�_I LI'013-� I !o:-•�, _I pl I I� a �w.01� �� .:I I"I;i'�i'eI!,I�ISL•�I�,� ...i..L.!.1 ! i I •A�dry I'•i 1 I I '�•'ppl r: III•! " I'I! ! mi i ��, � S, ! ' i I i '6; a'�' (� l (�- e I;is �.I'I�.,'I'I i I!II'IYi,I•1'I�I I�. �p' � ' ! I I I ! �• � 0 I L l',} � m �. I! .1 .i.,ll�. 1 I P!�I pyy i I. �I .I, I S• I Z I E i p i!, IrT- I y. (i 1 ;i i i � I � 1 9; 8 A � ✓� ). 8e �n i, :I 1 .I,•i 1 1 i �•�I') ! �� I I I�i,I � i• f'. j' j ° g�` I d d •�\ i F , m . I ; to*lg 'ti o I �!,r: IIII jlll y FT r • j �i I Y Tpa 7nu �2 °ATC.• .�=_+,!�!9. F3uI1.1711.1G sEcTlCxls e UNORTHSIDEDESIGN ASSOCIATES _ u,cm a mwto..w. f�Co 8 600I`9-cH FARMS rSIcE .tu,o.,--,�r:�,r.ers. •w:d:.:. •�.,y '.�^a°#,,.,_..,. m ux.. DATE REN90N5 at« f a c .a Pg _rn U a ° Vr� t DAM CWMCMt , NORTHSIDE wad. .ate. DESIGN ""'" ❑ASSOCIATES �' wOf �"ia aRRN1 DRAM •7 � 30'.7=!SN:.4QP�1�RE�.1�2h10E m-'°=m^ osmnrrt xrsmnmu A mw�atw oma i...o"ss.""o.•""�' -T"cx.sa s,. _,Yi.a r-r F,j3,Marr ... �... ` :.DCx na DATE RENSIDNS «� .. AO p • ^YNn N N R 4 Nn o .Y1... 3 0. UNORTH DESIGN ROOP FRAMIN.ICr Ft�tJ.. o DESIGNSIDE 91[E,■o. a nr�--- - ASSOCIATES " ° r 0.^oFISH FP?.MSRESICTNGE '°'°'� "�' '6.••.URL-al'?�Y,u.BGR/.1E.:41S,M�a54. •••:^•�:'�.,�"�°� �P:i,n_.'�'° - us��•r n.ansa DALE REN90N5 �� NOTES: ON 6/19/98 STEVEN AGOSTINELLI,HOMEOWNER,WAS ISSUED PERMIT#31679 TO BUILD A SINGLE FAMILY DWELLING ON MAP/PARCEL 133/057. HE PAID$558.00 FOR THIS PERMIT. 7/21/98 MR.AGOSTINELLI DECIDED NOT TO BUILD ON PARCEL 133/057. HE REQUESTED WE CANCEL THAT PERMIT AND APPLY THE FEE HE HAD PAID TO A BUILDING PERMIT FOR A SINGLE FAMILY DWELLING TO BE BUILT ON MAP/PARCEL 110/028. PERMIT#31679 HAS BEEN ALTERED TO REFLECT THIS CHANGE. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contrac: 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 c trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew: of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha- not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. E� ��RN City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peimit/license number which will be used as a reference number. The affidavits may be returned fe the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston; Ma. 02111 i fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 ..........� The Commonwealth of Massachusetts .:: Department of Industrial Accidents Office off/IYeStiffMAHS 600 Washington Street +r Boston,Mass. 02111 Workers' Com tion Insurance Affidavit name: ( location 7:Z city /L�1//!` ,/��A Phone ❑ I am a,homeowner performing all work myself. ❑ I am a sole pro rietor and have no one working in anv capacity ❑ I am an employer providing workers' compensation for my employees working on this job. company name address:' city: hone#: 0>0202/02 insurance co. RolicV# S ❑ I am a sole proprietor, general contractor, eye',circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address- ... dtv phone#: :: >:.:::;>;::::;:.;...>;::;:. .. insurance co cant anv name: _ ....:..,.:..>;:;. .. address: city-. phone#• intttrance co.. Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement•may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi the pad and penalties of perjury that the information provided above is tt r7uo and correct n 1g<lature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑He all th Department contact person: phone#; ❑Other (m sed 9/95 PIA) ABUTTING OWNERS 1 . Map1/24 Lot o / Abutter: 2. Map Zzi�_ tot Abutter: i 3. Map _ L Dla Abutter: BQX 1 � 4. . 'Map Lot Abutter: F,RN 572) LT 9/9- 5 . Map Lot Abutter: .0 C�rLS6 6. Map Lot -Abutter: R 7.FEV.1998 18:18 IONEGA INT. SA +4122 8797404 rer 1j.4 Town of Barnstable oid Kfngs M&M Efttorla Dkbid Commfttee SPEC SEEBT FOMMATIC tl SIDING TYPE r �/� C5 /fj ,i I C nn= TYPE �G COLOR ROOF. MATIn AL COLOR PITCS asc�wmmov /�� SIZE TRIbd COLOR Gy�I I DOORS /iZ COLOR I SIMTERS �. GUTTERS DECK GARAGE DOORS" ✓ COLOR G � NOTES: Fill out completely, including. measurements and : materials/colors to be used. Three copies. of this form are required for subm£ttal of an application, along vith three copies each of the plot plea, landscape plan acid elevation plans, when applicable. Plot play need not be "Certifiedw, but should show all structures on the lot to scale. SMzCS= Bottle Number: 857201 Date: 07/17/98 BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE t� BARNSTABLE,MASSACHUSETTS 02630 ASS PHONE:362-2511 Client: AGOSTINELLI , STEVE Collector: EDWARD MEEHAN LAB 337 Mailing 44 .ST. JOSEPH ST Affiliation: WELL DRILLER Address: HYANNIS , MA 02601 Type of Supply: W Telephone: 775-0066 Well Depth: 95 FT Sample Location: CARLSON LANE-LOT 9 Date of Collection: 07/16/98 Town: WEST BARNSTABLE Date of Analysis : 07/16/98 PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100mL ABSENT 0 pH 6.6 Conductivity (micromhos/cm) 155 500 Iron (ppm) < 0.1 0.3 Nitrate-Nitrogen (ppm) 0. 5 10.0 Sodium (ppm) 17 20.0 Copper (ppm) < 0. 1 1 .3 BASED ON THE ANALYSES PERFORMED, THE FOLLOWING ADVISORIES ARE GIVEN: * Water sample meets the recommended limits for drinking water of all above tested parameters . Thomas F. Bourne, Laboratory Director Barnstable County Health and Environmental Laboratory Superior Court House, Route 6A P.O. Box 427 Barnstable, MA 02630 (508) 362-2511 ext. 337 Volatile Organic Analysis Analytical Method: 524.2 Collection Date: 07/17/98 Date Received: 07/17/98, Analysis -Date: 07/17/98 Client: STEVE AGOSTINELLI Mailing STEVE AGOSTINELLI Sample Location: LOT 9 Address: 44 ST JOSEPH STREET CARLSON LANE HYANNIS MA 02601 WEST BARNSTABLE Sample' ID: 857901 Laboratory ID: 857901 . Sample Description: PRIVATE WELL Compound Amount MCL Reporting Detected (ug/L) (ug/L) Limit (ug/L) Benzene BRL 5.0 0.5 Bromobenzene BRL 0 A Bromochloromethane BRL 0.5 Brokodichloromethane BRL 0.5 Bromof orm BRL 0.5 Bromomethane BRL 0.5 n-Butylbenzene BRL 0.5 i sec-Butylbenzene BRL 0.5 tert-Butylbenzene BRL 0.5 Carbon tetrachloride BRL 5.0 0.5 Chlorobenzene BRL 100 0.5 Chloroethane BRL 0.5. Chloroform 1.3 0.5 Chloromethane BRL 0.5 2-Chlorotoluene BRL 0.5 4-Chlorotoluene BRL 0.5 Dibromochloromethane BRL 0.5 - 1,2-Dibromo-3-chloropropane BRL 0.5 1,2-Dibromoethane BRL 0.5 Dibromomethane BRL 0.5 1,2-Dichlorobenzene BRL 600 0.5 1,3-Dichlorobenzene BRL 0.5 1,4-Dichlorobenzene BRL 5.0 0.5 Dichlorodifluoromethane BRL 0.5 1,1-Dichloroethane BRL 0.5 1,2-Dichloroethane BRL 5.0 0.5 1,1-Dichloroethene BRL 7.0 0.5 cis-1,2-Dichloroethene BRL 70 0.5 trans-1,2-Dichloroethene BRL 100 0.5 1,2-Dichloropropane BRL 5.0 0.5 1,3-Dichloropropane BRL 0.5 2,2-Dichloropropane BRL 0.5 1,1-Dichloropropene BRL 0.5 cis-1,3-Dichloropropene BRL 0.5 trans-1,3-Dichloropropene BRL 0.5 Ethylbenzene BRL 700 0.5 Hexachlorobutadiene BRL 0.5 BRL: Below Reporting Limit MCL: Maximum Contaminant Level page 2 Sample ID: 857901 Laboratory ID: 857901 Compound Amount MCL Reporting Detected (ug/L) (ug/L) Limit (ug/L) Isopropylbenzene BRL 0.5 4-Isopropyltoluene BRL 0.5 Methylene chloride BRL 5.0 0.5 Naphthalene BRL 0.5 Propylbenzene BRL 0.5 Styrene BRL 100 0.5 1,1,1,2-Tetrachloroethane BRL 0.5 1, 1,2,2-Tetrachloroethane BRL 0.5 Tetrachloroethene BRL 5.0 0.5 Toluene BRL 1000 0.5 1,2,3-Trichlorobenzene BRL 0.5 1,2,4-Trichlorobenzene BRL 70 0.5 1,1, 1-Trichloroethane BRL 200 0.5 1,1,2-Trichloroethane BRL 5.0 0.5 Trichloroethene BRL 5.0 0.5 Trichlorofluoromethane BRL 0.5 1,2,3-Trichloropropane BRL 0.5 1,2,4-Trimethylbenzene BRL 0.5 1,3,5-Trimethylbenzene BRL 0.5 Vinyl chloride BRL 2.0 0.5 Total Xylenes BRL 10000 0..5 Methy-tertiary-butyl ether BRL 0.5 ' BRL: Below Reporting Limit MCL: Maximum Contaminant Level 7bAk- Thomas-- F- Bourne, Laboratory Director • /yam I AppWAkJ laWtA=b( t'racriptba P ka�forOas aad TkrF Q�Rnedms4113aiidiap Han"with Fena FO& E12 %11 Flow B�emt Vvats A•dw( R-v%W &vWuLJ Wilt-Fmi to 6w I{eutae 0.40 32 13 19 !0 6 Now am 30 19 19 !0 6 �030 3i 13 19 to 6 aAFUE 036 fd 13 2S WA WA Not=t 0.14 19 19 ID 6 Nam�1 V 13% am 33 13 25: WA WA 35 AFUE W IS% 032 30 19 19 t0 6 �AFIJE X 13% d32 38 13 ZS WA WA Norte Y Itt'1i OA2 31 19 23 NIA WA NO Z IVA OA2 38 13 19 t0 6 90 AME AA tE'fS 0J0 30 19 19 1 8 90A1W 1. ADDRESS OF PROPERTY: L Tr c516PA.,otJ 2. SQUARE FOOTAGE OF ALL l3XT MOR WALLS: 4GI I S 5,� _ 3. SQUARE FOOTAGE OF ALL GLAZING: �+j. 4. %GLAZING AREA(#3 DIVIDED BY#2): * S. SELECT PACKAGE(Q—AA-sm Chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q•t wm&4M303a .01 IMPORTANT MESSAGE For p�Lls—Day / Tim A.M.e 1Z P.M. M Of Phone FAX Area Code Number Extension MOBILE ,� 1(:>4 - Area Code Number Extension Telephoned Returned ur call RUSH Came to see you Please call Special attention Wants to see you Will call again Caller on hold Message Z W- ,� Signe universal.48023 LITHO IN U.S.A. c MCUkAppwdkj • •• [+r�criptia Pttdc�.ford'as aad Yti►«F��Resl6mrbl.Saitdtop t wit!Fina6 Fw1r MAXtM 11Mf M1!!1! {FaU Floor 8utaeot Slab lt�.� w tL."We WSW rem patrage 11.woe' 9701 to 66W Haftc I)AW Q 12'1i 0.40 3= 13 19 10 6 Noamal R 12% = 30 19 19 10 6 Noomsl S ills, M50 34 1J 19 la 6 WARM T 1S% i 36 is 13 2S WA WA llcMw u IPA 0.46 38 19 19 10 6 Normal V is% 0A4 38 13 1: MA WA tS AFVP W 13% &52 30 19 19 to 6 SI AME X Is% am 39 13 1 25 NIA !WA Normal Y 19% 0A2 38 19 21 wA AIIRA 0.42 J8 13 19 10 40 AFUE AAtt1S1i oJo Jo !9 19 1a 1. ADDRESS OF PROPERTY: L(7T # Uj • 50-�,S 4DLV , Mess. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: GI�rJ 5 1 I _ 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): _ / 3. SELECT PACKAGE(Q—AA-sea chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q•�A980303a - MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 7-20-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: ' [ ] 1. U-value: 0.35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-25 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checkedby/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-20-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 594 Your Home = 587 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2564 38.0 0.0 77 WALLS: Wood Frame, 16" O.C. 2573 13.0 3.0 183 GLAZING: Windows or Doors 533 0.400 213 DOORS 40 0.350 14 FLOORS: Over Unconditioned Space 2624 25.0 100 COMPLIANCE STATEMENT: The proposed building design represented in these P P g 9 P documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 ao s' Checked by/Efate CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-20-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 594 Your Home = 587 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2564 38.0 0.0 77 WALLS: Wood Frame, 16" O.C. 2573 13.0 3.0 183 GLAZING: Windows or Doors 533 0.400 213 DOORS 40 0.350 14 FLOORS: Over Unconditioned Space 2624 25.0 100 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date 1 M CUR App� • hWtdS.T.Ib(eeatla�oed) Pr+em p0ve Padcs;w for dair and Twe F*=9y ResldmsW-B tkUv Rem#why Fang Fuck M Aximum MMIMUM GIr6 (Hazing Cci11n8 wall FlowBaaamest Slab Him Am'(X) Uwaha l R•rr[ue' R vdw' RrvW=J Will ! ftdPgbm fimdwv? p R-value R-vak;4' S70119 6W Ham D D Q 12%' 0.40 33 13 19 10 6 Normal R 129E 01 30 19 19 10 6 Normal 9 12% 0.50 38 13 19. to 6 a ARM T 15% 0.36 3E 13 25 N/A NIA Normal U 15% 0.46 30 19 19 10 6 Nont+al v 15% OA4 33 13 25. WA N/A 85 AFUE w 1S% 032 30 19 19 i0 6 tS AFUE x 18% 0J2 39 13 25 N/A WA Normal Y 18% 0.42 39 19 23 N/A t&A Normal Z 18% 0.42 39 1 13 19 to 6 90 AFLJE AA 18% OJO 30 1 19 19 10 6 90AFVE 1. ADDRESS OF PROPERTY: Loa # 1 _GAPt;�PN tizWe f J • M L . 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 491 S S r I 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): . ��' 7o S. SELECT PACKAGE(Q—AA-see Chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q•forrdsd9110303a r TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system.. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is _ not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4. MISC REQUIREMENTS: [ ] -Refer to 78.0 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, .and circulating hot water systems. ----NOTES TO FIELD (Building Department Use ,Only)------------------------- "4erf The Town of Barnstable Department of Health Safety and Environmental Services Building Division BARNSTABL& ' 367 Main Street,Hyannis MA 02601 Mass. � 1659. ArFD fY1A'I A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: �/� Z � number //�f street village "HOMEOWNER": ��(ie�/t, 14Q&e name `` home phone# work phone# CURRENT MAILING ADDRESS: sty/town state zip code The current exemption for"homeowners"was extended to include owner-occupied 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. DEFINITION 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-family dwelling,attached or detached structures accessory to such use and/or farm structures. 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 responsible 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 undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and req S gnature of Homeowner Approval of Building Official Note: Three-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 EXEMPTION 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 hire to 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 2.15) 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 a 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 of 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. QTORMS:EXEMPT IICSic UNITED CASUALTY AND SURETY INSURANCE COMPANY LICENSE AND PERMIT BOND For County,City,Town or Village Only. Not Valid for Contract,Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. KNOW ALL MEN BY THESE PRESENTS: � L I E N T BOND NO: 001509R That we, Steven Agostinelli COPY of the Town/City of Hyannis, State of Massachusetts, as Principal, and UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation duly licensed to do business in the State of Massachusetts, as Surety,are held and firmly bound unto the Town of Barnstable, State of Massachusetts, as Obligee, in the amount of FIVE THOUSAND ($5,000.) DOLLARS, lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed and/or issued a permit for the purpose of opening and/or occupying a public way located at: 175 Carlson Lane, West Barnstable, Massachusetts 02668. by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and ordinances(including all amendments),pertaining to the license or permit,then this obligation to be void,otherwise to remain in full force and effect for a period commencing on the 7th day of July 1998, and ending on the 7th day of July, 1999, unless renewed by continuation certificate. This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal, in care of the Obligee or at such other addresses the Surety deems reasonable, and at the expiration of thirty-five days (35) days from the mailing of notice or as soon thereafter as permitted by applicable law, whichever is later, this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 7th day of July, 1998. St en Agostinelli- ncipal Witnessed UNIT CASUALTY AND SURETY URA MPANY By Dtr_ B 71tomas P.Carrigan.Jr. Vice President and Attorney-in-fact ss: ACKNOWLEDGEMENT OF SURETY STATE OF MASSACHUSETTS County of Suffolk On this 7th day of July, 1998,before me,the undersigned officer,personally appeared Thomas P.Carrigan, Jr., who acknowledged himself to be the aforesaid officer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation,and that he as such officer,being authorized sot , xecuted the forgoing instrument for the purpose therein contained, by signing the orati Dy himself as such officer. IN WITNESS WHEREOF, I have hereunto set my and and se Todd S.Carrigan, No Public • ucslc UNITED CASUALTY AND SURETY INSURANCE COMPANY BOSTON,MASSACHUSETTS POWER OF ATTORNEY Bond No: 001509R KNOW ALL MEN BY THESE PRESENTS: Principal: (Name and Address) Steven Agostinelli That UNITED CASUALTY AND SURETY INSURANCE 44 St. Joseph Street COMPANY,a corporation of the State of Massachusetts,does Hyannis, MA 02607 hereby make,constitute and appoint Thomas P. Carrigan,Jr.of Quincy,Massachusetts its true and lawful Attomey-in-Fact,with full power and authority, for and on behalf of the Company as surety,to execute and deliver and affix the seal of the Company thereto, if a seal is required, bonds, undertakings, recognizances, consents of surety or other Effective Date: 6' i8 98—=--------- written obligations in the nature thereof,as follows: Contract Amount: n/a-------------- Any and all bonds,undertakings,recognizances,consents of surety or other written obligations in the nature thereof Bond Amount: _______ $5;0.00 ------------- and to bind UNITED CASUALTY AND SURETY INSURANCE COMPANY, thereby,and all of the acts of said Attomey-in-Fact pursuant to these presents,are hereby ratified and confirmed. This power of attorney is signed and sealed by facsimile under and by authority of the following Resolutions adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY at a meeting duly called and held on the 1st day of July, 1993 which Resolutions are now in full force and effect: Resolved that the President,Treasurer,or Secretary be and they are hereby authorized and empowered to appoint Attorneys-in-Fact of the Company,in its name and as its acts. to execute and acknowledge for and on its behalf as Surety any and ad bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the n:uure thereof,with power to attach thereto the seal of the Company. Any such writings so executed by such Attomeys-in-Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons. This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Director; of UNITED CASUALTY AND SURETY INSURANCE COMPANY,at a meeting duly called and held on the 1 st day of July, 1993: That the signature of any officer authorized by Resolutions of this Board and the Company seal maybe affixed by facsimile to any power of attorney or special power of attomev or uatiSration of either gNsn for the execution of any bond,undertaking,recognisance or other written obligation in the nature thereof;such signature and seal,when soused being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,UNITED CASUALTY AND SURETY INSURANCE COMPANY has caused these presents to be signed by its proper officer and its corporate seal to be hereunto affixed this 29th day of October 1997. UNITED TY INSURANCE COMPANY w Todd S. Camga , State of Massachusetts.County of Suffolk ss: On this 29th day of October in the year 1997 before me personally came Todd S. Carrigan to me known,who,being by me duly swom,did depose and say:that he resides in the State of Massachusetts;that he is President(Surety)of UNITED CASUALTY AND SURETY INSURANCE COMPANY,the corporation described in and which executed the above instrument;that he signed his name thereto by the above quoted authority: that he knows the seal of said corporation;that said seal affixed to said instrument is such corporate seal,and that it was so affixed by authorit\* of his office under the by-lays of said corpora ' Notary Public-Dona ill Hemberg My commission expires:08/03/01 1,Todd S.Carrigan,President(Surety)of UNITED CASUALTY AND SURETY INSURANCE COMPANY,certify that the foregoing poker of attorney,and the above quoted Resolutions of the Board of Directors of July 1, 1993 have not been abridged or revoked and are now in full force and ctT'ect. Signed and sealed at Boston,Massachusetts,this 7tb day of Julv 1998 Todd S. Application to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a � (� 9 8 , 149 v CERTI FICATE 0P-APPROPRIATENESS 470, Application is hereby made, iri triplicate, for the issuance of a�Certificate of Appropriateness under Section 6 of Chapter a Acts and Resolves of Massachusetts, 1973, for .proposed work,,as_,described below and on.plans, drawings or photographs aphs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction:4 New•Building ❑ Addition . ❑ Alteration Indicate.type of building 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 ' ADDRESS OFF PROPOSED WORK —�AR�4'" � ASSESSORS MAP NO. �, ���/ ASSESSORS LOT NO. OWNER 6 016 / S7a/YEE7f�7�� - n. . �'L IQ 9 TEL.N0. HOME ADDRESS ' 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 61,62?4t5l f��--�` �� TEL NO.��Q!Arj�1 � . ' ADDRESS 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,give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). Me-w ce 51-091 A/:,* .,'e 41� r I. . (nle f ;! L.:J < Signed o ,er-Conaaccor. ger,c Space below line for committee use. R eei,ed bu I D. �' { s 261A 5GTI 1L5� �1J1 V D to Date The Certificate is her AIN --4 IT ime VWN OF BARNSTABLE Approved 0 _wIMPORTAN If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ r-- - ---- ----� �� I� 1 I hid �� �, KL+-�IIi NEW HOUSE APPLICATION PAC E MUST INCLUDE: If located North of Ro 6-needs certificate of appropriateness from OKH In Hyann' -Check to see if it's included in the Hyannis Historic Waterfront District- if so it n ds Certificate of Appropriateness from them Sign-offs from fig. g H Co n nr.. lector 5—r--Y Street ess. Owner' name address Permit req t- full description of proposed project Square fo tage Estimated pr a ost Buildin D it for Assessor's office Lo Me- mi um 1 acre OR documentation from attorney to prove grandfathering(letter+deeds) Builder' ' ormation Signa Plo plan 2 sets of reduc x I I"or 8.5"x 14")plans with cross section&framing schedule ------Worker's Comp form must include: Insurance company's name& Work.Comp. policy number Energy Compliance.Form \Copy of ction Supervisor's License OR Homeowner's License Exemption Form �&o Bond R q-forms-PERMITS 1 Rev 2110/98 i o, IV lie r i i I 7k i 4L v. • p V+ rn C) S cA CA �j :Zp _ RESIDENTIAL AMMONS OR ALTERATIONS If located //> North of Roiite 6-any work visible from outside-needs approval from OKH In Hyannis-If work visible from outside-Check to see if it's included in the Hyannis Historic Waterfront District-if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: Map/parcel number Sign-offs from m/ . Cons ati (if exterior work) T II or Street Owner's e&ad s Permit request hull description of proposed project Square foo e-proposed project Estimated p je cost Compl to D !ling informatibn for Assessor's Office BuiI is ' ormation Si ature Plot plIn Z sets reduced (8.5"x 11: or 8.5"x 14")plans with cross section&framing schedule .Home Improvement Contractor's Affidavit Worker's mp form must include: Insurance company's name&Worker's Comp policy number Ene Compliance Form Copy of Co ction Suspervisor's License&Home Improvement Specialist's License OR Homeowner's License _ption Form. Fee NOTES: CHIIVIIVEYS Need Home Improvement License No plot plan required PIERS&DOCKS Need Construction Super license AND Home Improvement License Owner cannot pull own permit a-fn""e.PFRMPTS I The Town of Barnstable • snxrrsrABL& » �. g Department of Health Safety and Environmental Services i639. �`` Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 19, 1998 Attorney Bernard Kilroy Kilroy&.Warren 67 School Street PO Box 960 Hyannis, MA 02601 RE: Buildability of 175 Carlson Lane, West Barnstable (110/028) Dear Mr. Kilroy, Based upon the information provided, 175 Carlson Lane,West Barnstable is a buildable lot. The parcel has 1 acre of upland and meets the frontage requirement in the RF Zoning District. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner KILROY & WARREN, P.C. ATTORNEYS AT LAW 67 SCHOOL STREET BERNARD T. KI LROY P.O. BOX 960 BANKRUPTCY COUNSEL LAURIE A. WARREN HYANNIS, MASSACHUSETTS 02601-0960 WILLIAM G. BILLINGHAM TELEPHONE (508) 771-6900 TELEFAX (508) 775-7526 SENDER'S EXTENSION #209 May 19, 1998 Ralph Crossen, Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 RE : Barnstable Assessors' Map 110 parcel 28 Dear Mr. Crossen: This office represents the prospective purchaser of the above property which is also shown as LOT 9 on the Bodfish Farm plan, a copy of which is enclosed. The lot is in an RF residential zone, contains 43561 square feet of land, has frontage of 186 . 03 feet on Carlson Lane and was properly released from the Planning Board covenant by instrument recorded in Book 4602 , Page 225, copy enclosed. The bank which is financing the purchase has asked for - a "buildability letter" to demonstrate that a single family residence may be built on the lot . If appropriate, please issue to this office a letter indicating that a -- single family residence may be built thereon under the Barnstable Zoning Bylaw. Ver truly yours, Bernard T. Kilroy enc . i - i f�. . i • ~ate �� :fir• .. . . _ O r i : . ♦ 0 ; 4J6 44 N • ` � � � ' r1� h' 4.3 - _. . _ -- . . •. W.y��-.ram u� I � � �` to �r t.$ �.; i , -- g f3 v gPPROYgL UNOCR JL/00/Y/ /ON �� CG/YTROL. LqW. /S REOI//�EO "�� BgRNST LE/L.9MY//1T Bd4R0 , Y S T R ♦•T� ® �� E s XY► 7b tacv[Y corms 7L).11c cOr A9Gi-3.a.00.r-ett -SR�1Y! JJ.1Y'00' 'L s/ aDm.KL.♦ J-♦].KRI6 A/L r4"..70f A�f�► aK.,W aL cnvrae`L orwor le t!K J]r WW \ I p a �<j� '• �s ♦ t' /a:i/ , "kLrso �R'tIa c'f> �' i PArc L'B• !r•�ddb'� 1°I 1` fTl 2!J.]-J f• y O .�, `; N 200 4 �t n O O .© , y��y\ , 1 ; .yam• �.�C k' . v D 0� mom 43,6" R,V M \ <•A -, 264.. 64. A)y 91 f w YrL�w1 \ \ � I�1 J -- mow!✓• �14N r / � M 44877 IL 47 /fIRC6L 1 <: 1�° M J► <. N !j H.d/-3s-/L I( .Afi.)e � \ /nf-*•r eae / �o-j .� U /7s�E� M ti:, � f� b� S4,S20 �\ -C,320, 49,910 47,232 . 5;776 a /7Soo - )>. l,cr TRAL RA/L ROAD / CG?TifY Avg?TNiJ.gAN.vgJ /F.fo/YciS q.L ANTE/i✓E CL ERK Ll<'THE BODE/SH FAR// Y. BEEN PRER9RE0%N CO•✓Fo4/Y/TY /ON/Y dF[fAR/YST.oCtc E .�iERlBY CERT/Fr 1I/TN nVE A7LCEJ AWD RLTL1gT/GY✓J TN.4r lyVE NoriCE OF.QPPROY.P[OF71V/S Ly rnrc.4f JTE J LLr L10EOJ O/THE O[qN ar TM!ANIIMfrgel! /fCgNN//✓f. covxwr�t7.i�c>r/ygssacntsErrs eoAKv 1✓AJ RLrEir>Eo w.vo RtcrxoEo .SUBQ/Y/S/GVY .CLAN OF L�gNO AT rN/S fYf/CEpV.i/K,O/WATyW�7/CyESOr.MJ9�fiK NIX�AFTEROJY.tEM RED//'.� �►ECWO- . G LAwO UQYETOR /MG of JNCN MOTiIE. /N �B�5i4NST.SiBLE/'s�4SS /CERTi/FVY THAT r,V/J PL�ON�,HOJ/M9LiE .oc1r.-Ol r J rr/TT/v/yy0��.4R� so+.+✓cL E/LY�Q• FAT ON EJMaI.•►YND. THE P EJ'/S G O!/ ———— OL D STAGE //YC• L Tl/►EO 4Aw0- poi saaeE:/'•HO' o&w L6T.,4/r&4 ,� ,..'./_.d.[i� oYL6 E/KJ✓/KL7C/T/Ad7 NJJOG.KTE�7 /NC g7 MOR/N. RVL. F.\9L/y0(/7N/1/93S — �C FORM G w4602?!GE CMS .i` Yx CERTIFICATE OF PERFORMANCE _ 35•?11 (Covenant Approval Release) Barnstable Massachusetts, -. ��� In P. The undersigned, being an authorized agent of the Planning Board of Barnstable, c!'' ' �?tassachusetts;.-hereby certify-thai:>the .requirements.-for:work on the Ground called for by the Covenant dated Cet. 24, 19 84 , and recorded in Earnstable District Deeds, Book 4172, Page 159 , (or recistered on Certificate of Title ;to. Document # have been completed to the satisfaction of the Planning Board as to the following enumerated lots shown on Plan entitled '8odf`_sh r^arars Plan of land in West Barns table,Barns table, Mass. Owned by Old Stage, Inc. recorded with said Deeds, Plan Scok 399 Page 5 (or registered in said Land Registry District, L. C. and said lots are hereby released from the restrictions as to sale and building_ specified thereon. Lots designated on said plan as follor:s: Lota, 8,9,12,19,20,22,23,24,25,26, & 30 .u-hori--ed Agent SUBDIVISION = 540 J rma udith J. rench, Chain Planning Board of the 7o,•:n cf Barnstable r'. COMMONWEALTH OF MASSACHUSETTS Barnstable, Massachusetts, ss J;o:e f5, 19 35 Then personally appeared Judith J. French an au•�orized agent of Planning Board of the Town of Barnstable, Massachusetts and going instrument to be the free act and deed or said Pl n7/11;x arcs-'c`�- L.� r 1� /votary\1 to, ��J p'�`z' ,, o ' My commission expires: ��//. ?':-`Z.rh''` After recording return to: �'` Town of Barnstable Planning Board Town Office 367 Main Street Hyannis, Mass. 02601 X � - I RECC`r,EEG JUN zs as :•Y r�. . 1 - t fr S Z� rY -r�L .. - ... .. _._... .e ..s.,.a . ....n__. .... e.._. �..., _ s s "— QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 05/19/98 PARCEL ID 110 028 GEO ID 31961 LOT/BLOCK 9 DBA PROPERTY ADDRESS OWNER RAMSEY 175 CARLSON LANE PAUL M W BARNSTABLE 175 CARLSON LANEE W BARNSTABLE MA 02668 PHONE DISTRICT WB DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? Y # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 43560 OPER/MGR NAME WET LANDS MULT ADDRESS USE 130 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT ------ 77-7 OZ 49 a 4c c C-9 41 je. ck :o IL on UJ-uj 4C) CL CL J �4 UN 2. TOWN OF OMNSTABLE --SMG C)Lr)rjNQ