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0390 CEDAR STREET
;! 1 i I f 1 I h UPC 12543 0 No.53LOR .�..... `�r-co HASTINGS,WN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map E 3` Parcel 00-700 Application # 201�_O_y Health Division Date Issued i Conservation Division Application Fee Planning Dept. -Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 3 Ul/ �Pa�a�f S f Village Gf Owner Address /0 L-1 9 qe�� G i�� � �✓ L s�� Telephone Permit Request Aiwel//l1_v/11 7 s Aog 7X Square feet: 1 st floor: existing ZZEproposed 2�� 2nd floor: existing LSD proposed 2'' � Total new Zoning District Flood Plain Groundwater Overlay. Project Valuation or3-7/5 oo Construction Type - Lot Size Grandfathered: ❑Yes U/No If yes, attach supporting locume`ntation. CD ` Dwelling Type: Single Family "a-' Two Family ❑ Multi-Family (# units) __ - i" ' Age of Existing Structure Y Historic House: ❑ Yes ❑ No On Old King's ighway:_;, e U. No cn Basement Type: old-Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) - Basement Unfinished Area (sq.ft 2o& m Number of Baths: Full: existing �= new O Half: existing ® new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new �- First Floor Room Count Heat Type and Fuel: a Gas ❑ Oil . ❑ Electric ❑ Other Central Air: ❑Yes 0'No Fireplaces: Existing �—New LIC- Existing woodkoal stove: ❑Yes "I o /r%Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_ /0 Attached garage: ❑ existing 0 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 _ `B—UILDER_OR HOMEOWNER). _- - - -- - - - Name ��eye � °��L'`( Telephone Number 0 aaA0 Address �✓� o"/fie �'L License # G5- 1 e Gl. U 26�Z_ Home Improvement Contractor# G 2 7 Email 01--ScoA C4 C'd,"cc�5 �� /i Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �G� SIGNATURE DATE �✓ V/J FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED MAP/PARCEL N0. , 'ADDRESS VILLAGE OWNER f x . DATE OF INSPECTION: S -040 FOUNDATION '®�"•' ocl 04klvwck, s ®� 9 ! /�1 s .. MCA FRAME 3��IGOft 14/0� INSULATION FIREPLACE dCif//lf�®o�iz��rna� ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ^i DATE CLOSED OUT ASSOCIATION PLAN NO. THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY,THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPaESENTAtIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER KERRY INSURANCE AGENCY INC NCNTACT AME: EASTHAM COMMON RTE 6 PHONE FAX EaV1AIL PO BOX 1945 t• WC No): NORTH EASTHAM, MA 02651 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC q INSURER A: Liberty Mutual Fire Insurance 33600 INSURED INSURER B: CRESWELL CONSTRUCTION CO INC 195 PINE STREET INSURERC. CENTERVILLE MA 02632 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 19937277 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IEXP LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDY/YYYY MM EFFL DY/YYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S MED EXP(Any one person) S PERSONAL&ADV INJURY s GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY M PRO- JECT LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE S AUTOS Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETEPITION S S A WORKERS COMPENSATION 'WC2-31 S-342421-024 4719/2014 4/19/2015 �/ STATUTE I I EOT RH AND EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT S 500000 OFFICERIMEMBER EXCLUDED? ❑N N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S 500000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE Building Dept. Liberty Mutual Fire Insurance U U �` O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERTNO.: 19937277 ICLZEN'T CODE: 1364037 Anne Chandler 4/24/2014 6:48:07 AN (PDT) Page 1 of 1 ,6udlssiww00. Sam t/LZ/90 �'TIIA2I�ZI1c61 . "I'I�i1ciS�2i0 AA N�Id�.LS ;r 9£S91Q SO :.asua�l� roxcuailns ucluin�;suo� spepue�S:pue suoi;eln6aa.6uiplinge.p�eo8 . �(;a eSoilgnd;o;yaw}ledaa s asrly�esse�} r Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 021.16 Home Improvement Contractor Registration -' Registration: 160627 Type: Individual Expiration: 8/8/2016 Tr# 253341 s STEPHEN W. CRESWELL STEPHEN CRESWELL 195 PINE ST r- - CENTERVILLE, MA 02632 - '~ - Update Address and return card.Mark reason.for change. Address F1, Renewal Q.Employment C Lost Card SCA 1 0 20M-05/11 C=//c'irC_Mr1eriruaed'Al I/(---j;ecelra A .-Office of Consumer Affairs&.Business Regulation License or registration valid for.individul use.only OME IMPROVEMENT CONTRACTOR before the expiration date. If.found return to: egistration ;160627 Type: Office of Consumer Affairs and Business Regulation . 8/8/2016 t Individual 10 Park Plaza-Suite 5170 Expiration Boston,MA 02116 STEPHEN W.CRES1N.EkL STEPHEN CRESWELL 195 PINE ST CENTERVILLE,MA 02632-' ;.:` Undersecretary Not valid without signature Barnstable Old.Dings Highway Historic District Committee ,,, ,,, 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 lama 1039. f°""gyp APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply, 1. Building construction: ❑ New ZI Addition ❑ Alteration 2. Type of Building: 9 House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting,roof ❑ new roof ❑ color/material change, of trim, siding, window,door 4. Sipm : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date NOTE AU applications must be signed by the current owner Owner(print): c--►,7 Telephone#: 3 3 9 -Fr 3 Z- 9 S-7 � Address of Proposed Work:-3 9 d C e�P�.�-' S} . Village w .13 e- r-,7 Map Lot# Mailing Address(if different)P. o . ,z-7 G U c, pIlIQ c)yt 6 W ' Owner's Signature Description of Proposed Work: Give particulars of work to be done: c-,-,f L Q, , o 5- c '117 J Q Vh C c e.cy 1` f-L�-�4� cl yJ�.. C✓]7S L d—U f fT� r S c.� ..f�,G<i�"''•'c'"�.t� `'i..cpl/ r2 d G- 'r-•e<-�.� l�l�l t/c1/ ^r..� u�l \—a.-'r�Y/'I-�-d"'S ✓a' �7 . fri f Ru�� �t � ,�.C.Q G Agent or Contractor r r' r . Telephone#: U Addresses ;:' Zoa w Contrador/Agent' signature: �- For committee use only. This Certificate is hereby APPROVED/DENIED Dote l2 - j a-7--1 .� Members signatures r ` j r RECEIVED MV 2 0 2014 GROWTH MANAGEMENT E� 101�i1 0 of B H 9hWa1 1 Q:Woards and Commissions101d Kings HighwaylOKHApplications10KH2O11 Cert Appropriateness.doc CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) '3o6e) CO -Af-k- Sidin Type: Clapboard— shingle�/ other g �� Material: red cedar white cedar other Color: Chimney Material: AA I <! Color: Roof Material: (make&style) Color: p Roof Pitch(s)• (7/12 minimum) �`/ / 2 (specify on plans for new buildings, major additions) Window and door trim material: wood other material,specify f7 Size of cornerboards L( ()Ls size of casings(1 X 4 min.) } `( color t./ Rakes Ist member 2 d member lx Depth of overhang 1 gg y 00 3M°5 t Window: (make/model) G P v material color Q►1, e (Provide window schedule on plan for new buildings, major additions) Window grills (please check all that apply_: � true divided lights_ exterior glued grills_ grills between glass—removable interior uNone Door style and make: material Color: Garage Door,Style Size of opening Material Color Shutter Type/Style/Material: f/�-n Color: Gutter Type/Material: 114✓ �/V1 Color: W�i Ae Deck material: wood V r other material, specify Color: a/%P � Skylight,type/make/model/: 11V/1 material Color: Size: S' °size: e/Materials: ,r.,N 1 Color: p -�Q V l► VEIL Fence Type(max 6')Style material: Color: pN% �� � C�Y�14 Retaining wall: Material: r�� DEC i garny«�' Town, sHlghwaV GROWTI , �N Lighting,freestanding ( on building old r`,omm�ttee illuminating sign `�CTEMENT OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp poses ct Signed: (plan preparer) Print Name Q:Waards and Commissions101d Kings Highway10KHApp1icatwns10KH 2O11 Cert Appropriateness.doc File umber: 140527-0 UNREGISTERED LAND Allorn : MICHAEL R. PAbLINI I Deed Book 15345 Pn a 163 Lender: DEDHAM SAVINGS i Plait Book 430 Page 45 Lots 1&2 Owner: CEDAR STREET REALTY TRUST i REGISTERED LAND Reg,Book Sheet Lof(s): Date: 5/28/2014 Cerli rcate of Title Assessor's Map 131 Blk:7 Lol 1&2 Census Tract MOR TGA GE INSPECTION PLAN Scale:'1"=120' 390-370 CEDAR STREET, WEST BARNSTABLE, MA A.P; 132-1 140�t i / or A.P. 131-9 297.28' 0 194.52' h APPROVED 1 4J LOTS 1 & 2 ry A a4.0 AC. h A.P. 131-8 F DEC 10 2014 w Ca Town of Barnstable ny Old King's Highway Committee # 390 194.68' 257.48 9 /al as' r CEDAR STREET N � LOB CERTIFICATION Ca I CERTIFY TO THE ABOVE ATTORNEY,BANK AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING,FOUNDATION OR DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED.(WITH RESPECT TO STRUCTURAL SETBACK REQUIREMENT'S ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL LAW TITLE VII,CHAPTER 40A,SECTION 7. FLOOD DETERMINATION BY SCALE,THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY //2500010011 D AS ZONE C DATED 7-2-1992 BY THE NATIONAL FLOOD INSURANCE PROGRAM. i ., - .�` esgN OF 44SXJim . Olde Stone Plot Plan Service, LLC o�� NEIL Ll P.O. Box 1166 g J. T Lakeville, MA 02347- U 1 !(ELLY 6 y Tel:(800) 993-3302 Fax: (800) 993-3304 9 ESs �. !y SU PLEASE NOTE: This inspection is not the result of an instrument survey.The structures as shown are approximate nly.JAn it stru ent survey would be required for an accurate determination of building locations,encroachments,property line dimensions,fences and lot configuration and may reflect different information than shown here. The land as shown is based on client furnished information only or assessor's map& occupation and may be subject to further out-sales,takings,easements and rights of way. No responsibility is extended to the landowner or surveyor,or occupant. This is merely a mortgage inspection and is not be be recorded. � � ' �V w _ ;3'" ,Z"�!�'�i) F'E'✓d� � ;�`. G�' a �Lb) �'ar� /r/® Aw+ ��N ,l 1 � 'Jh• �,�:���� ��e`.•����'c►��.'rp��e, � �N. ��'at ) _.sn VIA ��• _^may i''a�`4 �' l�l �' :�4F��l •�q •'� �F r a t LV T Alb � ` i h,j�_.,_.,_.�� _ tvy. ,G� +� �.y� I� ��/rM.�r-+.f / z��T•�y'.'�'!. af." �.y.� '.'Q + g ?tP {a, y, ;�: ,..v„mi •� , ' ?� ..T�11 Y R ..1. _ �_... r, r r .... Kai • Sa -,7 i,. - _ `s + 1. � to 9S ri+V�. + '#;"1 TY+�,fl� �L.,rt�� y - (//,�y•.:/ "�+ J;�!�� e'� C .s � ,�� � __ � _. .. ``�Y."h/, .^'°x�3°F�` { � '`�Ip��n �, ��%j hl���,tp'`:� "^1+'•o y �.�� A. F h. ,m�Y b1 � P v�+'i7 r�: � !7 ti�°ir.s �r. � S qP �. .. >.•'� y�'y wY r �i•y k ��i ��.t �Z3f,.rj�°�','�' /.{ �rh � �E��.� e�;. ��p�, l I:• �Ji'�i ski+ ` n .a+ �� ,��F' 45•.i�.'iY$Jrt, „ "+ - ,,,, 1'� � �r' r,}'+ ZF: ,� k t.• �•i rIi•F►S, �t$G` .. {- I a1.y i _ ` }t kA ti4: , +�r:peg.R�+ "wgl�Rf,�P n} d jyP�gy ✓ f' 1� Mi v ,y y � O r i. • _ � � _' tic t�� Y 1-x9fi: � c r i�af J izl _yy . .la�cYM+�iw. � �t11['..auaA4�e�+t9iii 't�1/tt�. i Ono�l i p - kidOW Mom Oil -� � V �•-� Y. 'der t.'.- �.t!• yt,i�.;_._.. t � r { i .. f �rw 1 L L, 4 � - P-M Town of Barnstable Geographic Information System March 5,2015 ❑ O `t` • O 0 72 Feet ' - • -- DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:131 Parcel:007001 Selected Parcel EJ Owner: N boundary determination or regulatory interpretation. Enlargements beyond a scale of LANE,MARK&SUSAN E Total Assessed Value:$397700 1"=100'may not meet established map accuracy standards. The parcel lines on this map W E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:3.00 acres Abutters ••,•:::::::; boundaries and do not represent accurate relationships to physical features.on the map, Location:390 CEDAR STREET such as building locations. Buffer Town of Barnstable Geographic Information System November 20,2014 to90b3 ®132049 132� 109048 5 #60 1�2 109.028 109022 �030 $� #10 132046 10905E #49 060 1320D7 ♦4#176 0631 060 132036002 109029 0261 13203 132006 #1 i#54 #16 109 4 #57 10917&1 0651 c 109051 132023 Fp 0510 132005� 9186 A y� ' 09020 . #211 .0631083 631 s� 109019 10 20 132047• 132004 *# 11R#16'� 0279 #241 132024 109082 y #208 109067 #16 #615 0 4848 132001 OO,A� 5� 1090611 109089 #0 132003 0�� �PQ� 132025 A 2300 fin"68 #601' (#468, #285 9� #1 080 `0 109017 # A -- - - 108015 15 #460= 132002— -- -- — 108028k r 131066 0289 030,W 0 #430 108016 131010 • #25 0 131061 #309 131042 18014 108025 #456 •0 410 0 139 # .. 131009 1 108017 108013 131007001 #321 131011 0\41 108 g #45> 108018 #435' #390 ® •00 #�• 1#9123 077 131008 131012 131040 108019 0 108OD7002 #349 0320 at 109 93 108022 #416 •108023 082 ' 131007002 131055 131039 "#7 108021 #370 0332 , 093 108012 078 1 020 • 131038 * --#330 13 - 077 #11' 131000� 131013002 # #3S 131082 0 340 131013006 ®108006 0376 #34 131050 • 0483 # 07# 13100 1#69t #88 131058 0390 131013003 #312 131036 0� s131051 131047 131000 a t1 060 # #339' 131013005 t08005 #.16 13103S � #27 0 131052 #0 108005001 10 600 0 1g 3OM 1j 9 131014 # 131019 7 0 148 Cet #0272 131034 26 #1t DISCLAIMERS:This m is for planning purposes only.11 Is not adequate for le Map:131 Parcel:007001 map � Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner.LABOVITZ,PATRICIA A TR Total Assessed Value:$398000 V-100'may not meet estatdished map accuracy standards.The parcel tines on this map E are only graphic representations of Assessors tax parcels. They are not true property Co-Owner.%LANE,MARK 3 SUSAN E Acreage:3.00 acres Abutters boundaries and do not p map Location:390 CEDAR STREET Buffer represent accurate relationships to physical features on the Such as building locations. F' r AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 LANE RESIDENCE 390 CEDAR ST. WEST BARNSTABLE Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust)...................................................................................................................110 mph Q WindExposure Category................................................................................................................................B Q 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) ..... 2 stories <_2 stories Q RoofPitch ..........................................................................(Fig 2) ...................................................8<_ 12:12 Q MeanRoof Height .....................................................................(Fig 2)..................................................16 ft <_33' Q BuildingWidth,W ..............................................................(Fig 3) ................................................. 14 ft <_80' Q BuildingLength, L ..............................................................(Fig 3) ..................................................17 ft <_80' Q Building Aspect Ratio(L/VV) ...............:...............................(Fig 4) ..............................................1.25 s 3:1 Q Nominal Height of Tallest Opening2 ..........................................(Fig 4) .................................................6'-8"s 6'8" Q 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ Q 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. Q ConcreteMasonry.................................................................................................................................... N/A 2.2 ANCHORAGE TO FOUNDATION1,3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ................................. ........(Table 4).................................................... 32 in. Q . Bolt Spacing from endloint of plate ............................(Fig 5)........................................12 in._<6"—12" Q Bolt Embedment—concrete........................................(Fig 5)..................................................7 in.z 7" Q Bolt Embedment—masonry........................................(Fig 5)........................................... in.z 15" N/A PlateWasher...............................................................(Fig 5)............................:.................a 3"x 3"x 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Q Maximum Floor Opening Dimension...................................(Fig 6) ...................................................12 ft 5 12' Q Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ N/A Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)...................................................—ft <_d N/A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shea►wall................(Fig 8)...................................................—ft 5 d N/A FloorBracing at Endwalls...................................................(Fig 9)................................................................... Q Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... Q Floor Sheathing Thickness ................................................(per 780 CMR Chapter 55)..........................314 in. Q Floor Sheathing Fastening..................................................(Table 2)............8 d nails at 6 in edge/12 in field Q 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)...............................8 ft <_ 10' Q Non-Loadbearing walls................................................(Fig 10 and Table 5).............................18 ft <_20' Q Wall Stud Spacing ........................................................(Fig 10 and Table 5).....................24 in. 5 24"o.c. Q WallStory Offsets ........................................................(Figs 7&8)........................................... ft _<d N/A AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMx 5301.2.1.1)1 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls........................................................(Table 5)..........................................2x6-8 ft 0 in. Q Non-Loadbearing walls................................................(Table 5)........................................2x6-18 ft 0 in. Q Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).................................................................. Q WSP Attic Floor Length...............................................(Fig 11).............................................. ft>_W/3 N/A Gypsum Ceiling Length(if WSP not used)..................(Fig 11)..............................................26 ft>_0.9W Q and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11).............................. ............................... N/A or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Q Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).........................................8 ft Q Splice Connection(no.of 16d common nails).............(Table 6)..............................................................6 Q Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Tables 7)............................................................2 Q Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)...............................(Table 8)..............................................................3 Q Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..........................................6 ft 0 in.5 11' Q SillPlate Spans ........................................................(fable 9)..........................................3 ft 0 in.<_11' Q Full Height Studs (no.of studs)...................................(Table 9)..............................................................3 Q Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)..........................................9 ft 0 in.<_12' Q Sill Plate Spans...........................................................(Table 9).................................._ft_in.<_12" N/A Full Height Studs(no.of studs) ...................................(Table 9)..............................................................3 Q Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 .........................................................................6'-8"<_6'8" Q SheathingType.............................................(note 4)..........................................................WSP Q Edge Nail Spacing.........................................(Table 10 or note 4 if less).............................3 in. Q Field Nail Spacing.........................................(Table 10).....................................................12 in. Q Shear Connection(no.of 16d common nails)(Table 10)............................................................4 Q Percent Full-Height Sheathing.......................(Table 10).......................................................52% Q I 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Q Maximum Building Dimension, L Nominal Height of Tallest Opening2.....................................................................6'-8"<_6'8" Q SheathingType.............................................(note 4)..........................................................WSP Q Edge Nail Spacing.........................................(Table 11 or note 4 if less).............................3 in. Q Field Nail Spacing..........................................(Table 11).....................................................12 in. Q Shear Connection (no.of 16d common nails)(Table 11)............................................................4 Q Percent Full-Height Sheathing.......................(Table 11).......................................................36% Q 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... N/A Wall Cladding Ratedfor Wind Speed?.............................................................................................................................. Q AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Q Roof Overhang ...................................................(Figure 19)..............2/3 ft s smaller of 2'or U3 Q Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)..............................................U=236 plf Q Lateral.............................................(Table 12)...............................................L=176 plf Q Shear..............................................(Table 12).................................................S=77 plf Q Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf N/A Gable Rake Outlooker.........................................(Figure 20)............._ft<_smaller of 2'or U2 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................ U= lb. N/A Lateral(no.of 16d common nails)...(Table 14).......................................L= lb. N/A Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Q Roof Sheathing Thickness........................................... ...............................................5/8 in.z 7/16"WSP Q Roof Sheathing Fastening...........................................(Table 2)............................................................8d Q F390 CEDAR ST. WEST BARNSTABLE MEETS THIS CHECKLIST IN ITS ENTIRETY,THEREFORE THE: FOLLOWING NOTE APPLIES: Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7so CMR 5301.2.1.1)1 WHEN THE EDGE FUMM ON FRAMING,USE W NAILS AT 6b.G ' 11 11 1 11 11 1 1 11 11 1 Y 1.1 i 11 11 f 11 11 ' 11 Ir I 11 11 � 1 11 11 11 1 M H 1 11 II � 1 t 11 I{ 11 Il - I N Y 11 11,E I m le 'D t1 11 � i Z ro n it � Q It Ir g 1 a Ir 1 11 11 � fl Ir 1 V I � 11 11 11 yQQ+� 1 11 li ii is 1 11 11 1 r IILLii I IL IJ IJ 11 J u 11 � I 11 Q 11 tl W 1 11 II 11 1 1 I t 1 1 'T3 1 la t II rl 11 I 11 I I t} DOUBLE EDGE NAILSPACM t PANEL a See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5341.2.1.1)1 a I �aa I , � r a n4 ' FRAMING MEMBERS ® r r i i EDGE RaFJWEIMTE i r r _ 1_—_-- -ice STAGGERED 3• NAIL PATTERN PANEL PAWL EDGE DOUBLE MAIL EDGE SPAC94G DUAL Detail Vertical and Horizontal Nailing for Panel Attachment TOWN OF BARNSTABLE Permit No. ____20431 BuildingInspector t IMITAU icash wl?000.U0 9/Z1 7 �YL OCCUPANCY PERMIT Bond _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Charles Fulton Address 132 Way, W. B &14- -- 390 Cedar Street, Nest Barnstable Wiring Inspector �� Inspection date �) Plumbing Dispector � art, ,., Inspection date Gas Inspector l Inspection date ✓Engineering Department— �� , ' l�i`�' ��/.'�/��-� _ Inspection date 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.�_A0_................._ _ ........_..._, 19_ __ ................... Building Inspector r. As§essor's map and lot number l l..lot..?•...... SEPTIC SYSTEM INSTALLED IN COMPLIANCE Sewage Permit number ..................lj.......................................... WITH -ARTICLE-it STATE SANITARY CODE AND TOWN OF �BARN9'rAtLE TOWN �oF THE r0 L 33ARESTABLL BUILDING INSPECTOR' APPLICATION FOR PERMIT TO .........COnt.true.th ' .............,.......................................................................................... dwelling TYPEOF CONSTRUCTION ..............................................................................................................................:......... 390 ccoA2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............C.orner...of...C.edar„and...Mple... . arnstable....................................................... .. .. .. .. .. 0 ProposedUse dwelling................................................................................................................................................. ZoningDistrict ..........R .........................................................Fire District .................................................................... Name of Owner ..Charles•„E,.Njton ....Address ...132 Meetinghouse...Was...W,,.. 94mit.. same Nameof Builder ....................................................Address .................................................................................... same Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......................8 ........................................... J.Q.p...Row. d....09n.ore.U......................... Exlerior ....ClSpbo".d..Rnd,...Shingl4.&......................Roofing ...A,apk1au t............................................................ Floors Hardwood and pine.................................Interior ...Shestraak..................:. ................................................... ..................................... Heating F�Hw Plumbing Copper and PVC .......................................................................... ........................................................... 2...Heat.ala.to.r.s.,....1...b.r.i.ck......................Approximate Cost p3 0 000 Fireplace .... .......... ....... .... .. .. . .. .. .. . ..... ....................... . Definitive Plan Approved by Planning Board -----------______-----------19_______. Are . ..... ........... Diagram of Lot and Building with Dimensions Fee f da SUBJECT TO APPROVAL OF BOARD OF HEALTH // X/00 Qf •�� i t/ 7R T KA - n eC to*I? b' T' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .../. %/ r t .Fulton, Charles :No .2043.1..... Permit for .......Dwel2ing-........... ............................................................................... i-t Location ......3••9-41••Cedar•..St.• •W.•••Bar=tabie Y s .; C Ic ............................................................................... V i-� Owner ......Charles...F.ultan............................. c '-+ + Type of Construction c-+ ^. YP ci _. c' L L . 4 ............................................................................ C �4 .14 C Plot ...13-1.....Bot...7... Lot ................................ c c c c Permit Granted sILL],Y 3J....P...... .19 7 .:Date of Inspection ..r..... ... .... ..SIR....`:..19 Date Completed ... . ...`'f.. .. .t.—Z4�... ..19 PERMIT REFUSEDCA 0 ' ................................................................ 19 - 4 ............................................... �y >- :.. fV..y................... .y .. ............................... 0 •..• •.• T. . . •........................... •en Y-a Approved ... ......................................... 19 � • i?� C.�. .............................................................................. M�� �is� � �� �(j,� �-{-�°�S , ;^TeS c.. � ✓1 z• � Wig 1H 44 AL _�� :. . . .. � _ _ : :. . : . S'26• sS-Grp 5 • .. � (/� � ` �` all ZB Nam- gd x Rom. f 5'30- 40 4a.,, --i- 1440 .. _ PIT.. ..l._: MWU4WkkA N� i iVold- 6- THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Im ^ C � DATA U 1"ft a`f �� �4^ !�1 1Yy f�•, �'._L WAY � .., ,�, �...fr:'r� L.'. r� ,ems�• , f+ ,..«----......� ,.. � .... � _,„ JA IV PITS jai 1 � a ` �• 4. NV "7" Assessor's map and lot number 131...1Ot....?...........:,. Sewage Permit•number ...................?...:.................................. THE'°�. TOWN OF BAR.NSTABLE Z EAUSTADLE, i "6 9 BUILDING INSPECTOR am I►• w � APPLICATION FOR PERMIT TO Conttruct ............................................................................................................................. • I TYPE OF CONSTRUCTION dwelling July..1 .....19.78.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Corner of Cedar and Maple st t+l,._ Barnstable .........................................................................I.......... .................................................................. Proposed Use .......dwelling. . . .................................................................................................................................................. ....... .... .. .... ...................Fire District .............................................................................. Zoning District ..........................................RF........... Name of Owner ..Charles E......Ful.t.on.......................Address ..12._..Me.etinghouae...Way .. . .... .. .... , W. Barn r... same Nameof Builder ....................................................................Address .................................................................................... same Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......................8 ............................................ ..10'.'.. poured...Concrete ............................................. Exierior ...Clapboard...and, Shinn.les.......................Roofing ...ksnhault............................................................ Hardwood and pine Floors Interior ...SheetroCk ...................................................................................... .......................................................................... FHw Copper and PVC Heating .......................................... Plumbing ... ............................................................ 2 Heatalators, 1 brick $33,000 Fireplace ..................................................................................Approximate Cost ............................................ Definitive Plan Approved by Planning Board -------------------_-----------19_______ . Area ....2100 SQ. FT, ...................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH d .. i a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................................... ............................... FL;Yton, Charles .,, ���� / � � - • •i4o ...... Permit for .....Dwelldng............. i Location 39.Q..Cedar..St:...W.....Barnastable.... ............................................ /............................. Owner ....Charliez-FuLton......................... j Type of Construction a ......... ............................................... l` Plat ....l,3l....Lpdt...7... Lot ......./...................... 4 /ted Permit Gra ......juA Y........ 1.... .....::..19 78 J a , Date of Inspection ....................................19 Date Completed .................... .........19 ERMIT REF SED .. ...:.... ..........' .. 19 ................z. .................. ............................ .......3.. ....... ...................................... .............................. ........................................ ...../.°.......... .. ... ........6............ ................... Appr6tedI............................................... 19 3 ............................................................................... t ` 1 ..................... ......................................................... r ' Town of Barnstable *Permit 9. Expires 6 months frarn issue Regulatory.Services Fee. + MRNWARLE • e _ - �� 1MAE Richard V.Scali, Director 5 d s Building Division X.P:RESS PERMIT i . Tom Perry,CBO,Building.Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 TOWN (DFB,� STABLE EXPRESS PERART APPLICATION - RESIDENTIAL ONLY Not Valid without Bed X-Press Imprint Map/parcel Number - Property.Address [y %i/1 J� 'y� � � l��l� L Residential. Value of Work Minimum fee of$35:00 for work under$6000.00 Owner's Name,&Address ®f r��Y f��1� ���°�( / �?/ . !// ��i Contractor's Name � ���`/ t �� U� /t'7� Telephone Number ,SO�s'^ Home Improvement Contractor License#(if applicable) 110 6 G 2 Email: ��s�On 7 0,71 T �I Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I Ole proprietor❑ the Homeowner X�PRESS . PERMIT I have Worker's Compensation Insurance Insurance Company Name �07�dP ... ..DEC 04 2014 . Workman's comp.Policy# v�/ 3,3 TOWN OF BARN.STABLE Copy of Insurance Compliance Certificate must accompany each permit. Permit Re (Re-(roof check box) p (hurricane nailed)(stripping old shingles) All construction debris will be taken to fAl ❑Re- of(hurricane nailed)(not stripping. Going over existing layers of roof) e-side ' ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. . A copy o e t Contractors License&Construction Supervisors License is _..__..._....— —..-._....._._.....-_...... -........re..-....... ._.. ....... ........ ....... __......__ ..-.... __.._....... - —: ........: ' '- SIGNATURE: Q:\WPFUES\F RMS\building permit fbrms\EXPRESS.d.. Revised 061313 Creswell Construction 200 Whistleberry Drive Marstons Mills Ma. 508-280-6818 1111114 Contract for construction Job 390 Cedar st W. Barnstable THIS AGREEMENT is made in the county of Barnstable, Commonwealth of Mass. between CRESWELL CONSTRUCTION (hereinafter called Contractor) and Mark Lane - ("hereinafter called owner") Said contract to be honored by owner's heirs, administrator, executor or assigns. The Owner and Contractor agree as follows: DESCRIPTION OF WORK: The,undersigned proposes to supply all materials& perform all labor necessary to complete the following According to Plans and specifications provided by Fine Line Design dated 10/03/2014, spec's and allowances see attached spreadsheet All construction will conform to all the necessary and applicable building and zoning laws. CONTRACT SUM OR AGREED PAYMENT TO CONTRACTOR: The Owner,agre4 to pay the Contractor for the work described, complete in accordance with the above specifications for a sum of$159,407.50 Framing, exterior'windows&doors, exterior trim, decks (structural framing only ). Interior partitions, blocking & sofits PAYMENT SCHEDULE: Deposit $20,000.00 Foundation in, inspected,backfilled $25,000.00 Framing&trim complete $ 50,000.00 Roofing, siding $40,000.00 Completion $24,470.50 STARTING.DATE: Contractor will begin with work within30 days of the signing of this contract, estimated time of completion 10 weeks CLEAN UP The Contractor agrees to keep the premises and adjoining areas free of waste material and rubbish caused by his work or that of his subcontractors. Contractor will remove and legally dispose of all debris i The Commonwealth of Massachusetts ' Department of Industrial Accidents W. Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia _ Workers' Compensation Insurance Affidavit' Builders/Contractors/Electricians/Plumbers ApOlicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State p: �Ktklle_ i Phone#: .��� 2 � P/P . Are o ployer?Check the appropriate bo Type.of project(required): a employer with 4 `J �n a general contractor and I * 6. ❑New construction. employees(full and/or part-time): have hired the sub-contractors- 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have ship and have no employees. 8. [].Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp:insurance required.] *Any applicant that checks box#1 mus:also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compe ation insurance for my employees. Below is thepolicy and job site . information. �� . Insurance Company Name: Policy#or Self-ins.Lic. Expiration Date: ��� / Job Site Address: it�i .S� City/State/Zi�,�: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a`STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u e pains perjuryWthqermation provided above ' tru andcc ectSi ature // Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official .... .. - w .....-._................_....__.._.. __....._.__._._.:.........__......._.._..... - _......_..:.. ity or Ton: PermrtlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other I Contact Person: Phone#: Information and. InstructiQus - r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract.of hire, express or implied,oral.or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or.more Of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the . owner of-a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair woik on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152; §25C(6)also states that"every state.or local licensing agency shall withhold the issuance or. renewal:of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance wife the insurance requirements of this chapter,have.been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees.other than-t'he 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 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. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at-the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding,the applicant. Please be sure to fill in the.permit/license number which will be used as a reference number. In addition,an applicant. ; that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations.in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the.. applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e'. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not.hesitate to give us a call. The Department's address;telephone and fax number: The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations .600 Washington Street Boston,MA 02 111 Tel. #617-727-4900 ext 406 or 1-877-MASSA-FE Fax#617-727-7749 Revised 4-24-07 wwvv.mass.govfdia is - _ X I © Z http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8288 I File Edit View Favorites Tools Help - - f%�Favorites Parcel Lookup Parcel Detailii - Page- Safety Tools- ®� Ir= Fi re I! Village IWEST BARNSTABLE I District W BARNSTABLE '• Town sewer exists at this Road 0260 i address ,No I Index 'I Asbuilt Septic Scan: Interactive EV_ 131007001 1 Map l; ' Owner Info . Owner LABOVrrZ,PATRICIAA TR CO J° LA/o NE,MARK&SUSAN E — owner Streets 77 GREAT HILL DRIVE Street2,Po'BOX 627 City IWEST BARNSTABLE StateFMA I Zlp F02668 Country Land Info Acres !3.00 I Use jSingIeFam MDL-01 I Zoning IRF I Nghbd olos Topography'Levei Road{Paved Utilities IGas,Well,Septic Location- II I Construction Info !Building 1 of '`:;• �a �:7]Tk.120= "flStart - - Parcel Detail.;. I Main System ..I Application E;..I My Computer My Network Pla... » �jy� s u� 8.- AM NAM Town of Barnstable A, Regulatory Services Richard Scab,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,-MA 02601 www.town.barnatabl&m&us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must r Complete and Sign.This Section If Using A.Builder as E?avaer ofthe subject property hereby authorize �/<<v� ��5�� to act on tiny bet A in all matters relative to work authorized by this binding pemtt application for. F 5'/ lam" 6i r7191 67 '' C (Address of Job) - Signature of Owner Dane Print Name [ If Property Owner is appl)ft for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:IVVPFII�S�'•01tMS1b}a7dmgP�mitbande�dae .. Revised 050412 Regulatory Services pY Richard V.Scan, Director Q► Building Division jreau. = Tom Perry,Building Commissioner A 200 Main Street, Hyannis;"MA 02601 t, www.town.barnstable.ma.uus Office: 508-86211038 `" Fax: 508-790-6230 " HOMEOWNER LICENSE FaNI WON Please Print DATE: JOB LOcA-rlom-_ 2�o "C& 4'" s r ,�CL��J`, �6/� ,. e 3' s32 nema home phom:fi nror>c phone I cumsm ukaiNG ADDRESS: I t4 Gj e,f`,ZV W I G� /fl2�iZ6/trr6l� 1/l� " cityAo- state �E code The current exemption for"homeowners"was wad ded to ihclnde owner-occ�ed dwellings of'siac units or less and to allow homeowners to engage an individivai for hire who floes.notpossess a license,provided that the owner acts as supervisor. DEFT MON OF HOMEOWNER I ' 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 audlor 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 Rerformed under the building oerrnit:(Section 109.1.1) I " The undersigned"homeowner"assumes responsibUity for compliance with fue State.Building.CQd'e and other applicable codes,bylaws,rifles and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection s and requirements and that he/she will comply with said procedures and reQt1>remY� S>gnerun of Hoo3cowner Approval ofBaild ngOfficial I Note: Three-family dwellings containing 3.5.,000 cubic feet or larger will be required to Comply with the State Building Code Section 127.0 Construction Control._ HomEowmm s ERSA noN The Code states that: "Any homeowner performing work far which a building permitis"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 agalust.the unlicensed person as it would with a licensed Supervisor. lie homeowner acting as Supervisor is ultimately responsible:. - To ensure.that.the homeowner is fully aware of hislher responsibilities,many communities require, as part of the permit application,that the homeowner certify—that—he/she understands the Tesponsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/cerd0cation for use in your community. _ } I I 5y Z/LZ/80 lauotsstwwoo �gleatdx� �,V" , ' lrii� " ter ti o. a i z r-gai1,S ffMd S61 q -ITIMS"3 M mzma Ls ' £9910-S3 :asu aol� iostuadnS uotlan.11%u11.1 splepuetS pue suotleln6al{ 6uipltn8 to pjeo8 Aja1eg otlgnd to}uaw4ledaa-s14asnt4oesseW J Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 160627 Type: Individual Expiration: 8/8/2016 Tr# 253341 STEPHEN W. CRESWELL STEPHEN CRESWELL 195 PINE ST CENTERVILLE, MA 02632 Update Address and return card.Mark reason for change. ~° E] Address C Renewal Employment C Lost Card SCA 1 v 20M-05111 _ (517—/1e 61,11"tonmecAll Gllrrat�c�rcJe/I Office of Consumer Affairs&Business Regulation License or registration valid for individul use only VE ROVEMENT CONTRACTOR before the expiration date. If found return to: n: 160627Type: Office of Consumer Affairs and Business Regulation tion:,.--.8l8/201&. Individual 10 Park Plaza-Suite 5170 . Boston,MA 02116 STEPHEN W.CRESW.E .. ....... STEPHEN CRESWELL 195 PINE ST gam CENTERVILLE,MA 02632 Undersecretary Not valid without signature i :p DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T ''IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: MARK SYLVIA INS AGCY LLC PHONE FAX 404 MAIN STREET (A/C,No,Ext): (A/C,No): E-MAIL CENTERVILLE,MA 02632 ADDRESS: 29FRR INSURER(S)AFFORDING COVERAGE NAIC ft INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA AP CRESWELL CONSTRUCTION INC I INSURER B: INSURER C: - INSURER D: 200 WHISTLEBERRY DRIVE INSURER E: MARSTONS MILLS,MA 02648 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MM1DD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) VIED EXP(Any one person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY [::]PROJECT[:]LOC DRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINEDSINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ _ RETENTION $ J-P $ Cl A EMPLOYER'S LIABILITYYTION AND Y/N UB-2E462241-14 09/03/2014 09/03/2015 X LIMITORY )OTHER ANY PROPERITOR/PARTNER/EXECUTIVE N/A E.L.EACHENT l$ 1,000,000 OFFICER/MEMBER EXCLUDED? ED (Mandatory In NH) E.L.DISEASEMPLOYE .$ 1,0'Q0,000 .5.if yes, IPTIOe underE.L.DISEASLICY LIMIT $ 1.(4—.000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. J rr t-E'r CERTIFICATE HOLDER CANCELLATION a TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 200 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED a IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT47OVE 4 HYANNIS,MA 02601 ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Bk 29070 F'9173 a3�7b+� 2-2015 RESTRICTION � RESTRICTION We, Mark Lane and Susan E. Lane, of P.O Box 627, West Barnstable, MA, 02668, as owners of property at 370 Cedar Street, West Barnstable, Barnstable County, Massachusetts, which property is described as follows: Lot 1 as shown on plan entitled "Compiled Plan of Land in W. Barnstable, MA prepared for Stanley S. Labovitz" which plan is recorded in the Barnstable County Registry of Deeds in Plan Book 430 Page 45. Hereby impose on said Lot 1 a thirty foot minimum side yard setback from the boundary line with Lot 2 as shown on the aforesaid plan. No structures shall be constructed within the side yard setback imposed by this instrument. This restriction is imposed in connection with and as a condition of grant of Variance No. 2015-034 by the Town of Barnstable Zoning Board of Appeals and may be released or modified only with the consent of said Board. For our title see deed at Book 28241 Page 134: Property Address: 370 Cedar Street, West Barnstable, MA 02668 Witness our hands and seals this 3 day of July, 2015. Mark Lane Susan E. Lane Commonwealth of Massachusetts County of Barnstable July,23 , 2015 Before me the undersigned Notary Public, personally appearedMark lane and Susan e. Lane, proved to me on the basis of satisfactory evidence of identification, which was to be the persons whose names are signed in the preceding or attached document, and acknowledged to me that they signed it voluntarily for its stated purpose. Witness my hand and official seal. 4 GIANNA LEE REARHOS Notary Public {- COMMONWEALTH OFMASSACHUSETTS Notary Public /J t= My Commission Expires December 09, 2016 My Commission Expires: Gs 42 vl > �I1'A�L, REGISTRY OF DEEDS john F, Meade, Register 4. Bic 2907c i P:a 174 �33761 08-12-2 o 15 a 02 = 4r2P d"�` ► Town of Barnstable Zoning Board of Appeals Decision and Notice Variance No. 2015'034—Lane §240-14(E) RF District—Side Yard Setback To construct an addition 9.6 feet from the required side yard setback Summary: Granted with Conditions Petitioner: Mark &Susan Lane Property Address: 370 & 390 Cedar Street Assessor's Map/Parcel: 131/007/001 & 131/007/002 Zoning: Residence F, Resource Protection Overlay District Hearing Date: May 27, 2015 Recording Information: Deed: Book 28241 Page 134 Plan: Book 430 Page 45 Ij Background & Relief Requested In Appeal No. 2015-034, Mark and Susan E. Lane sought a variance to the 15 foot.side yard setback required in Section 240-14(E). The applicants proposed to construct an addition to the southeast side of their existing dwelling that would encroach about 6 feet into the 15 foot required side yard setback. The subject properties are three (3) acres and one (1) acre in area, respectively. The three-acre lot (390 Cedar) is improved with a 4,274 gross sq.ft (2,300 living area) single-family dwelling constructed in 1978. The dwelling is currently set back 137 feet from the street and approximately 25 feet from the nearest property line. The lot slopes away from-the road towards a cranberry bog at the rear of the property. It is served by a private on-site septic system and a private well. The one-acre lot (370 Cedar) is vacant. The lots, as shown on the Assessor's Map and on the plan submitted by the Applicant, were created by a 1987 Approval Not Required Plan. The vacant one-acre lot conformed to the applicable bulk and dimensional requirements immediately prior to the adoption of the Resource Protection Overlay District (two acre zoning), thus has protection and is a buildable lot. Procedural & Hearing Summary Appeal No. 2015-034 for a variance from the side yard setback requirements of §240-14 was filed at the Town Clerk's Office and office of the Zoning Board of Appeals on June 2, 2015. A public hearing before the Zoning Board of Appeals was duly advertised'.and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened, July 8, 2015 at which time the Board found to grant the variance subject to conditions. Board Members deciding this appeal were Brian Florence, Alex Rodolakis, George Zevitas, Herbert K, Bodensiek, and David A. Hirsch. Attorney Ben Losordo represented the Applicants before the Board. Attorney Losordo presented the proposal to the Board. He reviewed the existing conditions on the property, citing..the downward sloping topography to the rear of the house that limits the buildable area. He noted that the adjacent lot, also owned by the Lane's, is a buildable 'lot and presented the proposed restriction to increase the setback requirements on that lot. Attorney Losordo noted that the addition was not planned for the front of the dwelling, as the property is within a historic district and they are preserving the traditional character of the dwelling. In'response to questions from the Board, the Applicant agreed that the setback restriction could be recorded as a separate document, but that it would also be incorporated into the Board's variance conditions. i . Town of Barnstable Zoning Board of Appeals—Decision and Notice Variance No.2015-034—Lane Findings of Fact At the hearing on July 8, 2015, the Board unanimously made the following findings of fact for Appeal No. 2015-034, a request for a variance from the 15 minimum side yard setback requirements; 1. With Appeal No. 2015-034, Mark and Susan Lane seek relief from the 15 foot required side yard setback in the RF District.to construct an addition to the existing dwelling at 390 Cedar Street. The Applicants are proposing to construct a 14' x 17'addition and a 7' x 14' covered porch on the south side of the dwelling. The porch will be located 9.6 feet from the property line and the addition will be located 11.6 feet.from the property line; the RF District requires a minimum 15' side yard setback. 2. The subject properties are located at 370 and 390 Cedar Street, West Barnstable, MA as shown on Assessor's Map 131 as Parcels 007-001 and 007-002. They are located in the Residence F Zoning District and Resource Protection Overlay District. 3. There are circumstances related to shape or topography of such land or structures and especially affecting such land or structures but not affecting generally the zoning district in which it is located. The topography of the property and the location of the existing building limit the area the structure can be expanded. 4. A literal enforcement of the provisions of the zoning ordinance would involve substantial hardship, financial or otherwise to the petitioner. The topography of the property limits the buildable area of the property. 5. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance. The Applicants have agreed to impose additional setback requirements on the adjacent, commonly owned lot to uphold the intent and purpose of the ordinance.' .: The vote to accept the findings was: AYE: Brian Florence, Alex M. Rodolakis, George T. Zevitas, David A. Hirsch, Herbert K. Bodensiek NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Appeal No. 2015- . 034, a Variance from the 15 foot minimum side yard setback requirement, subject to the following . conditions: 1. Relief from the minimum side yard setback requirement of§240-14(E) RF District is granted to allow the construction of an addition located 9.6 feet from the nearest side property line to be constructed to the existing dwelling at 390 Cedar Street, West Barnstable (Lot 2 as shown on Plan Book 430 Page 45). 2. A minimum 30 foot side yard setback shall be imposed from the northern property line of•370 Cedar Street(Lot 1 as shown on Plan Book 430 Page 45). No structures shall be constructed within this required setback.. 3. A separate deed restriction imposing a 30 foot side yard setback from the northern property line of 370 Cedar Street (Lot 1 as shown on Plan Book 430 Page 45)) shall be recorded at the Barnstable County Registry of Deeds prior to the issuance of a building permit for the addition. 4. The addition to the dwelling at 390 Cedar Street shall be constructed.in substantial compliance with the plan entitled "Existing Conditions Plan —#370 Cedar Street & #390 Cedar Street, West Barnstable, MA" dated June 1, 2015 drawn and stamped by Baxter Nye Engineering and Page 2 of 3 Town of Barnstable Zoning Board of Appeals—Decision and Notice Variance No.2015-034—Lane Surveying and the elevations and floor plans entitled 'lane Residence" dated October 3, 2014 drawn by Fine Line Design. 5. There shall be no additional construction or expansion of the structure within the required 15' side yard setback without further relief from this Board. 6. This variance shall be recorded at the Barnstable County Registry of Deeds within one year from the date of issuance or this variance shall expire, unless extended by the Board. Copies . of the recorded decision shall be provided to the Zoning Board of Appeals and Building Division files prior to issuance of building permits. The vote was: AYE: Brian Florence, Alex M. Rodolakis, George T. Zevitas, David A. Hirsch, Herbert K. Bodensiek NAY: None Ordered Appeal No. 2015-034, a Variance from the 15 foot minimum side yard setback requirements of §240-14(E) RF District to allow an addition to be constructed 9.6:feet from the property line at 390 Cedar Street, West Barnstable has been granted with conditions. -This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within one year unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty days after the date of the filing of this decision, a copy of which must be filed in the office of the Barnstable Town Clerk. Brian Florenc , Chair Date Signed I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County,-Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of 4under the pains and penalties of perjury. Ann Quirk, Town Clerk .. i�^'�•h o ` CA Q W0�' •-, cam;!; b • :;<:. . �.Op. Page 3 of 3 IKE town of Barnstable • � = Assessing Division b 039. �� 367 Main Street,Hyannis MA 02601 www.town-.barnstable.ma.us Office; 508-8624022 Jeffery A.Rudziak,MAA FAX: 508-862-4722 Director of Assessing ABUTTERS LIST CERTIFICATION May 28, 2015 RE: Adjacent Abutters List For Parcel(s) : 131-007-002 307 Cedar Street W. Barnstable, MA. 02668 131-007-001 390 Cedar Street W. Barnstable, MA. 02668 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. Board of Assessors Town of Barnstable AbutterReport ) Page 1 of 2 Zoning Board of Appeals (ZBA) Abutter List for Map & Parcel(s): '131007002','131007001' Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring of the subject lot. Total Count: 21 Close Map&Parcel Ownerl 0wner2 Addressl Address 2 Mailing Country Deed CityStateZip SCANDURRA, WEST 108007002 PATRICIA M 415 CEDAR ST BARNSTABLE, 18210/295 MA 02668 HEALEY, RICHARD A WEST 108013 &LAWRENCE, 435 CEDAR ST BARNSTABLE, 6033/114 BETTY C MA 02668 C/O WALLACE, WEST 131006 WALLACE,JOAN M STEPHEN E&JOANNE P O BOX 490 BARNSTABLE, 10894/238 MA 02668 LANE MARK& 77 GREAT HILL WEST 131007001 SUSAN E DRIVE PO BOX 627 BARNSTABLE, 28241/134 MA 02668 LANE, MARK& 77 GREAT HILL WEST 131007002 ANE, E DRIVE PO BOX 627 BARNSTABLE, 28241/134 SUSAN MA 02668 MCCULLEY, ROBERT WEST 131008 M 349 MAPLE STREET BARNSTABLE, 24606/317 MA 02668 131009 BODOR, LESLIE M 10 KEARNEY LOWELL, MA 9214/210 SQUARE, *306 01852 CRUET, ELISABETH 17055 16TH AVE SEATTLE WA 131010 P&CARROLL, SW 98166 21810/164 DOUGLAS A WEST 131011 WARREN,CALEB PO BOX 624 BARNSTABLE, 22035/21 MA 02668 WEST 131012 DAVIDSON, MARY PO BOX 164 BARNSTABLE, 27988/238 MA 02668 LANE ARNOLD C WEST 131013001 JR 330 CEDAR STREET BARNSTABLE, 22612/343 MA 02668 MICHAUD, PHILLIP WEST 131013002 &FRANCES 340 CEDAR ST BARNSTABLE, 7896/156 MA 02668 131055 DAVIDSON, HARRY 20 WINSTON BOURNE, MA 25884/46 EJR AVENUE 02532 KELSALL,GEORGE R WEST 131056 &JOSEPHINE PO BOX 254 BARNSTABLE, 18122/271 MA 02668 WALLACE,STEPHEN WEST 131058 E&JOANNE P 0 BOX 490 BARNSTABLE, 2982/290 MA 02668 CHILDS, PETER B& WEST 131061 MAUREEN D P 0 BOX 161 BARNSTABLE, .2704/68 MA 02668 WEST 131062 SAMPOU, ELSIE TR 375 CEDAR STREET BARNSTABLE, 16317/348 MA 02668 ROSS, DAVID M& CAPE COD WEST 132001 DIANE F TRS CRANBERRY REALTY 60 WIDGEON LANE BARNSTABLE, 5109/73 TRUST MA 02668 http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 5/28/2015 AbutterReport Page 2 of 2 WEST 132002 POLA, KIM E 289 MAPLE ST BARNSTABLE, 10634/246I i MA 02668 PICKERING, WEST 132003 MICHAEL G&JOAN P 0 BOX 103 BARNSTABLE, 6377/160 MA 02668 CHARETTE ERNEST WEST 132047 G&JANE A 279 MAPLE ST BARNSTABLE, 10435/129 MA 02668 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 5/28/2015. i http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 5/28/2015 Town of Barnstable Geographic Information System May 28,2015 109048 09030 109028 , 132049 132028 132022 #558 109�9� 109052 r#52 #49 109022 #0 2 #33 #10 #146 #531 132007 w . 132046. It 542' #60 132036002 132006 #176 109029 #251 132037 #195 #15 109021 #67 109064 #34 #651 109051 #510 132023 .109 020 132005 #186 09 V �+ #2 0 211' 1 063 r 1 •' �'.13204 3 0 1 2 04 #531 e f#18� ::#279:i:i`v`':`:'`c::::`•:'f N#241 132024 #208 109062 109067 #515 109018 N '#484 #0.:' 'c•:':. i`•.:::;).'.''•`•. :`-`.:_•:i.`i;:r.:'••'.,.,:�::.li(%:':;;::. G� 132025 109061J1 109089 q 30 20 #501' - •.. #2 #468 t 9 w► '�► • (#1 10a015 A 0 7 • # 109 1 108 026 475 46032( 1080 31 #25 131061:.: 3 0 108014 #3 03 1 1 22 3 2 ..::.:::.:.... 108025 #455 ..�.:::::. ::. .:: :::•.. . . ..:::'� '`':•::: '•. 1104 #245 108017 108013`i:::°.. 1 1 0 r° :':131011•Y:::'::..r' :.:':. A .:.: 131041 #435.:,:: .-::,•.. • #390:�: :t.::.:. .::.. :'::; i:..:.;:':;.;: :A':'•':::#2a2 :'�::.:.:. :: 10a024 123 #77 1 31040 108019♦ 13100a #109 10a022 #93 108007002 #349;:;': #320.::::".:'.i::i:': 13104311 '#62' ::,#415 #128 108012 `'':131007002 131039 #7 - #93 #0 108021 131044 #78 10a020 A. #2 6 r 131055. .. 131038 131049)/ #. #77 #11 • 131013001 3 13104 013007 8- 10 1 1 �.: 1062:::.: :.:::,::::•.... :::. #340::::::::... 131013006 108006 .#375 #34 131037 #483 . :. 131013004 131050 • #431� �:`..:irj. '':>: #23 #591f #68 131047 #39 131036 #45 1131051 #331006* 39':::::'' 1111, 131013005 131020 108005 13#312 03 #.16 13#2 35_ V�� `31052 #307 #0 108005001 131014 +r #44 131019 #0 131005 't#272 • #325 108008#500 #319 O 131034 131053 130032 #11 #30 131032 108� 8 Feet #625 131003 131054 131018 #353 131026 #263 IL#236 #365 #340' DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:131 Parcel:007002 Zoning Board of Appeals(ZBA) Selected Parcel boundary determination or regulatory Interpretation. Enlargements beyond a scale of 1"=100'may not meet established map accuracy standards. The parcel lines on this map Abutter List Type-Parties of interest are those directly opposite subject lot on W P are only graphic representations of Assessor's tax parcels. They are not true property any public or private street or way and abutters to abutters. Notification of all Abutters . boundaries and do not represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot. such as building locations. Buffer 3arnstablePatriot.Com,': I !,F,(iday,June';19,2015.,,:.19: - - A ublic hearin before,the He aring.Officer.will be held on the following Comprehensive Permit applications, n ,,,-r »..■., made pursuant to Chapter 40B of the General Laws of :- Op foot required side yard setback.The property is located ,the,Commonwgalth of Massachusetts,arid Chapter 8, _n r— at39Q Cedar:Street,West'Bamstatilo�MA'as:shown:off Section 15,of the.Code of.the Town of Barnstable,the...: m Assessor's Map,131,as.Par6el•007 001':!t•is,located in "Accessory Affordable Apartment Program": CCD .the Residence F Zoning,Distnctand Resource Protection 6:00 PM Appeal No.2015-036 Bodo Q m Overlay District:` "' j`. ? + -'`• i - Blake,and Lita Bodo,have,applied,for a Comprehensives �t,..i;.t _, T:05 PM Appeal No.2015-035 Cwynar Permit Io'establish a one-bedroom accessory afford- Elaine R.Cwynar has•applied to;modify Conditions No.17::= able apartmentWlthin.an existing dwelling.The subject 70 i{ 2 of Variance No 2007-072 The applicant seeks to amend property is addressed''1115 Shoottlying Hi U �C the cwndltions'to'allow.for the construction of a 219"sq.ft i terv!IIe,IMA as:shown-bn•Assessor's'.Map 190,as.Percel.•. OR the floor loft Under Variance No.`2007-072 the"dwell ^' ` ' ". ,r224'IY-s in. Residence D-1 Zoning District. 1-CID .+in shall not be.increased In area,limited to,one.story"-and w 6 05 PM.Appeal No.2015.037Calle "the gross area of the bullding.shall not be expanded=The `� Luls'and Eva'Calle'Kave applied for a Comprehensive 111 m property is located'at 29 Norris Street,Hyannis,,MA.as ;'.8ir,:i:THE;TOWN OE:BARNSTABLE S;ipermifto establish atwo-bedroom accessory_afford p shown on Assessor's Map 306 as Parcel 033 If is:in the TOWN,OF BARNSTABLE, • able apartment within an existing dwellin The subject-. y + :Residence B Zoning District. ZONING BOARD OF APPEALS 1' P g , j propertyis.addressed 136 Linden Street,Hyannis,MA .7:10,PM Appeal.No.'2015-038 Atlantic Development -' S NOTICE OF PUBLIC HEARINGS•UNDER THE ZONING as shown on Assessor's Map 310 as Parcel'374.It is Atlantic Development has`petitoned`for a,yariance.to .iPdat?ORDINANCE„ in the;Residence B Zoning District. ,DULY 8 2015:.. ,,..•. Section 240-25(E)-Front Yard Setback,Requirements_ ' :, , + Zoning Board ofAppeals-7OO.PM„ . - -- - ":and to amend:the conditions of Variance No'.1995-21 Tq.all persons interested in or affected by the actions '.j;7:00RM.Appeal No.2015r034,Lane -- - - ,LEGAL NOTICE ;,The petit16ner,-seeks to demolish the.existing building and ..the.Zoning'Board of-Appeals,-you.are hereby notified; i Mark and Susan'E,Lane.have applied for a'variance to site features(pavement,aandsceping,fuei.storage tanks, pursuant'to':Section_'11.of.Chapter 40A:of the General-,,.'Section 240-14(E)=.Bulk Regulations.The applicants THE TOWN OF,BARNSTABLE?c,' utilities,etc)and construcCa new'self--service BJ's.fueling �__ Laws ofithe,Commonwealth of Massachusetts,and all; propose 4o.construct'an addition to the southeast side' TOWN OF.BARNSfAB1E station with canopy, `amendments thereto,.that`a;public he on-the fol- .,of their.existin dwellin that will encroach about 6 feet ZONING BOARD OF APPEALS py,attendant's kiosk and. -etc Varian drive I t 9 :ways,fuel.storage tanks;landscaping,,utilities,etc.Variance lowing appeals will be-held on Wednesday;July 8 2015, into the'15 fool required side yard setback.The property. NOTICE OF PUBLIC HEARINGS UNDER THE ZONING . relief is sought to decrease the required front yard setback at theaime indicated. .°. is located at 390 Cedar Street,West Barnstable,MA as ORDINANCE.' Accessory Affordable Apartment Pro ram-6:30 PM IDLY B.2015. from Hinckley Road.and-modify conditions regarding the• ry g. :shown on Assessor's Map 131 as Parcel 007-001.It.Is To all persons interested in or affected by the actions of the . 'number of curb cuts on IyannougKRoad�and Hinckley Road ` set forth in Variance.No::1995 21:.The property is.located. 7-7 Zoning Board ofAppeals;you are Hereby notified,pursuant oning District and Resource .T:10 PM App ;•-- n` eal.No.2015-039 Atlantie.Development to Section 11 of Chapter 40A of the General Laws of.the' at 590lyannough Road/Route•132,.Hyannis,,MAas shown .• located in the Residence F Z Commonwealth of Massachusetts,and all amendments on Assessors Map 31 I as Parce1.017 It is in the Fti hwa f antic Development has applied fora Special Permit 9 y 'Protection Overlay District •. Business Zoning District '.'"' 7:05 PM Appeal No.2015-03S Cwynar for extension of a preexisting nonconforming sitr±dimen- thereto,that a•public hearing on the following appeals will Y10 PM Appeal No.2015.039 Atlantic Development y fy sion per Section 240 a3 and expansion of a preexisting be held on Wednesday,July 8,2015,at the time indicated. p Elaine,R.Cw nor has applied to mode Conditions No.. P e g Accessory Affordable Apartment Program-690 PM Atlantic Development has applied for a Special.Permit for 1 8 2.of.Variance No.2007-072;The,applicantseeks , nonconforming use per Section_240-94.The applicant afore the Hearin Officecwill be, on:;.:'extension of a preexisting nonconforming site dimension to amend.the conditions to allow for the construction.of seeks to demolish the existing building and site features . A public hearing b 9 per Section 240-93 and expansion of a reexistin non- (P the following Comprehensive Permit applications,made.;.p P p• g' a 219 sq.ft,second floor.loft:(Jnder Variance No.2007 avement,Iandscaping,•fuel storage tanks,utilities,etc) pursuant to Cf{aPter408 of the General Laws apof plications, Com=' 'conforning use•perSectlon 240-94:'The applicant seeks'to- -072;the"dwelling'shall not be increased in area;limited. and construct a new self-service.BJ's fueling station with monwealth of Massachusetts and Chapter B,Section'15 demolish the existing-building and site features(pavement to.".one story"and"the gross,area of'the building shall.<.canopy,attendant's kiosk and associated driveways, -of the Code of the Town of Barnstable,the!Accessory landscaping,fuel storage tanks,utilities,etc)and construct ' �not be.expanded."The property is located at29.Norris fuel storage.tanks,.landscaping,utilities,.etc.Special ry "a new self-service BJ's fueling station withlcanopy,atten- Street,Hyannis,MA as shown on Assessor's Map 306' Permits are sought to extend existing nonconformities Affordable Apartment Program": dant's kiosk and associated driveways,fuel storage tanks, g :regarding 6:00 PM Appeal No.2015-036 Bodo y g as Parcel'.033..It is in the:Residence B Zonin District:. ' from 3impervious area(increase impervious area Blake and Lita Bodo have applied for a Comprehensive landscaping,utilities,etc.Special Permits:are sought to 7:10.PM Appeal,No.2015-038 Atlantic Development from 73.2%to 84..8%of the lot)and fuel storage(replace Permit to establish a one-bedroom accessory affordable extend existing nonconfornitles regarding impervious area Atlantic Development has petitioned for a variance to 30,000 gallons.of.fuel storage with three new 64,000 (increase Impervious area from 73.2%to 64.8%of the lot) Section,240-25(E)-Front Yafd.Setback Requirements gallon underground fuel storage tanks,plus 2Q0 gallons .apartment within an existing dwelling.The subject property and fuel story e re lace 30,000 alto' of fuel storage with is addressed 1115 Shootflying Hill Road,Centerville,MA g ( P g g and to amend the conditions of Variance No.1995-21. of diesel fuel for emergency generator):The property as shown on Assessor's Map 190 as Parcel 224.It is in three new,64,000 gallon underground fuel storage tanks, The,petitioner seeks to demolish the existing building is located at 590 tyannough Road/Route 132,Hyannis, the Residence D-1 Zoning District. plus 200 gallons of diesel fuel for emergency generator). and site features(pavement,.landscaping,fuel;storage-. MA as shown on.Assessor's Map 311 as Parcel 017. t 6 OS PM Appeal No.2015-037 Calla The property is located at 590 tyannough Road/Route 132, I tanks,utilities,etc)and:construct a'new self-service is in the Highway Business Zoning District. Luis and Eva Calla have applied for a Comprehensive Hyannis,MA as shown on Assessor's*Map 311 as Parcel BJ's.fueling station,with canopy,attendant's kiosk and These public hearings will be held at Barnstable Town Permit d establish a lave applied accessory affordable 017.It is in the Highway Business Zoning District l associated driveways,fuel storage tanks,landscaping, Hall,367 Main Street, Hyannis, MA, Hearing Room . apartment within an existing dwelling.The subject properly ' These public hearings will be held at Barnstable Town Hall, utilities,etc..Variance relief is sought.to decrease the., located on the 2nd Floor on Wednesday,July 8,2015. is addressed hin n existing dwden elling. Hyannis,subject A as shown on 367 Main Street,Hyannis,MA,Hearing Room located on' ! required front-yard setback from Hinckley Road and, Plans and applications may be reviewed at the Zoning Assessor's Map 310 as Parcel 374.It is in the Residence the 2nd Floor on Wednesday,July 8,2015.Plans and appli- ( modify conditions regarding the number of curb cuts on Board of Appeals Office,Growth Management Depart- Assessor's Zoning District. cations may be reviewed-at the Zoning Board of Appeals I 'tyannough Road and Hinckley Road set forth in Variance ment,Town Offices,200 Main Street,Hyannis,MA. Toning Board of Appeals-7 00 PM Office,Growth Management Department,Town Offices, I No.1995-21.The property is located at 590 tyannough. ,Brian Florence,Chair .2015-034 Lane 200 Main Street,Hyannis,MA. I Road/Route 1,32.Hyannis,MA as shown on Assessor's •Zoning Board of Appeals 7 00 PM.Appeal No Mark and Susan Lane have applied for a variance to Brian Florence,Chair I Map 311 as Parcel 017.It is in the Highway Business The Barnstable*Patriot Zoning Board of Appeals Zoning District. June 19 and June 26,2015 Section 240-14(E)-Bulk Regulations.The applicants pro- The Bamstable Patriot pose to construct an addition to the southeast side of their June 19 and June 26,2015 existing dwelling that will encroach about 6 feet into the 15 l� i , Mckechnie, Robert From: Mckechnie, Robert Sent: Friday, March 06, 2015 11:11 AM To: 'crescon@comcast.net' Subject: 390 Cedar Street WB Application#201408769 Hi Steve, The initial plan review has resulted in the following items that are needed to issue the permit: Need the MA Checklist for compliance or a stamped plan with that information specified on it. No mention of window protection. Required. XCovered porch attachments not shown on plan for wind code compliance. Deck attachments not shown on plan. Deck construction must meet the"Prescriptive Residential Wood Deck 3r1n struction Guide" (based on the 2009 International Residential Code) requirements. ddition, these comments apply: A.) The addition must meet the requirements of the RF Zoning District, i.e.: 15' rear and side yard setback. An as built is required after the foundation is installed. B.) Tempered glazing is required in any window within 24" of a doorjamb. C.) Window protection is required in the addition per code. D.)The fireplace must have an exterior air supply. E.) The smoke system in the house must be upgraded. I have provided this information via email so that you will have a copy of what I need. Items 1 thru 4 need to be addressed before the permit can be issued. Items 2 thru 4 can be explained thru an email. Thanks, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 l� a qAJ P 1 �1KEo� Town of Barnstable • Regulatory Services BARN$rABLE. j MASS, j t639�°� Building Division p�fD MA'S 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 i i Inspection Correction Notice Type of Inspection Location 320 �czw e sr w13 Permit Number Owner Builder 12�QFSGr/�G L iOne notice to remain on job site,one notice on file in Building Department. The following items need correcting: AO77 S IN .vow A;;U 7-A a DGl bmp .r A ,4 7`Pkl T/C',O�S AM-ic.Ya /"1/Q57 /VtW 6-&V72 /t✓ /;1vAl 2" GUf1l L G4�E 4,v'6 — AiX ttF�K s iC-A2 i t�q FJ % i �� u if2 VC 1x(-"#/C7-6W mac/ X470-F L0 J' 70 A)5U l Please call: 508-862-4049-€or re-inspection. ,---- Inspected by Date 3/��/ TOWN OF BARNSTABLE BUILDING PERMIT APPLICAff, 16 V Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee S = Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Rr- Project §treet Ad joss �►'ytl�i lLi� Village Owner le, Address Telephone Per i-Request Square feet: 1 st floor: existinA oposed 2nd floor: exist4=proposed Total new Zoning District Flood Plain I Groundwater Overlay Project Valuation Construction Type WCO&- Lot Size V�� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Struture H'storic House: Ell Yes ❑ No On Old King's Highway: Yes ❑ No Basement Type: Ur/Full ❑ Crawl ©'Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing —new Total Room Count (not incl ing baths): existing new First Floor Room Count Heat Type an20's Gas ❑ Oil ❑ Electric El Other Central Air: ❑ No Fireplaces: Existing 0-� 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 # -' "'-a Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) I Name Telephone Numbersp� / Address I r \ '� License # Home Improvement Contractor# Email orker's Compensation # Al ONSTRU TI DEBRIS RESULTING OM THIS PR JECT WILL BE TAKEN TO SIGNATURE -- DATE FOR`OFFICIAL USE ONLY klm APPLICATION# DATE ISSUED MAP/PARCEL NO. „ADDRESS VILLAGE OWNER ! ' DATE OF INSPECTION: F FOUNDATION " FRAME } INSULATION FIREPLACE t y ELECTRICAL: ROUGH FINAL :I PLUMBING: . ROUGH FINAL " GAS: ROUGH FINAL F" FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l:- Tli"e Comnromvealth of-Massadrusetts Deparfrnetrt of industrial Accidews - Office of Imwifigatiom 600 Washington Street Bastoyz#AM 02111 to ov niasmgovIdia Warkers' Compensation Insurance Affidavit:B>alders(Contractors/EIectricianslPlumbers lkant Inform,at au Please Print 'bI Name(BW azessXkZanizati 11- Address: ��44 City/Statel I ', oar; Are you an employer?Checkthe appropriate box-- Type of project(required).: I.❑ I a employer uith 4. ❑I am a general contractor and I / 6. ❑�� iruction loyees(full andfor part-timed* Dave hiredthe sub-contractors / 2. I am a sole proprietor orpartner- listed ontile attached sheet 7. odeling ship and have no employees. These sub-contractors have g_ ❑Demolition wod ing forme is any capacity employees andhave workers' 9. ❑Suildmg additiorp [No a-orbers.'comp.insurance comp-���1 - required-] 5. ❑ We are a corporation and its 14-❑Electrical repairs or additions 3.❑ I am homeoumer doing all u=ork officers have exercised their 11-0 Plumbing repairs or additions enysel€[No workers'comp. right of exemption per MGL 12-❑Roof repairs insurance required-]i c.152, §1(4h and we have no employees-[No workers' 13.❑Other comp-insurance required-] •pinyappKcau &atcbeftboxi5l IaLwfill out the sectionbelowshuwmgd1euwolkerecompensation policy in5anxtiaoL Sinmeawuers who snbxdt tltis afiida«r icating thry axe tlaiag all wooer sad then bite notate coatnumrs mast submit a new affidaYit induatiag sate" fCanttactms ff=check this b=mast atached as additiand sheet showing the name of the sub-couixvctan and state whether at not those entities ham emplayees.Ifthesnb-==ctc=lurve employees,dLeymvstpmv-ide their wnrkers'ramp.parley number- lain an entpLoper that is prai idng workers'compertsrriimi insurance for my employ-ees. ,Setoav is the palicY and job site inforrnrrliom Insurance Company Name: 'Policy'4'or Self-ins_Lic. EkpiratiaaDate: Job Site Address_ Citylstatelzip: Attach a copy of the work-ere compensationpolicp declaration page(shaving the policy number and expiration date). Failure to secure coverage as req*ed.under Section 25A of MGL c. M can lead to the imposition of criminal penalties of a fine up to$15-0a 00 aadlor one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 0.00 s day against the violator. Be advised that a copy ofthis statement maybe forwarded to the Office of Iavesti of a D1A foyinsurance coverage verification- I d'o h a er tit paces and peeeabLa a perfuep fleat tali e fb ' ' rtprot rtrtL abm :a aced rkedt Sitmatuce_ Date- phone ik OB&ial we only. Do not errite in this urea,to be cornpLeted by city artoma afficiaL City or Iowa: PermitUcense# Issuing AathGrity(Circle one): 1.Board of Health M BuiITing Department 3.Qtyl'own Clerk 4.Electrical Inspector S.Phimbmg Inspector 6.Other Contact Person: Phone#: ormatiou and Instructions Massaclrmctts General Laws chapter 152 requires all employers t i provide wo6-,='compensation for their empIoyees. Pmrsrzantto this stye,an anplayee is defined as_¢_.every person in the service of another under any contract ofhu e, express or implied;oral or written." An e npkyEr is defined as"an inclividnal,partnership,association,corporation or other legal entry,or any two or more of the foregoing engaged is a joint cats rgrise,and including the legal repmsenfaiives of a deceased employer,or the receiver or t ustee of an individnal,partnership,association or other Iegal entity,employingemployees- 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 mafi t m ce,construction or repair work on such dweIling house or on trio grounds or budding appu�therein shall not becanse of such employment be domed to be an.employer." _MCTL chapter 152, §25g6)also states that"every stab;or local Hceasiag agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for airy. applicantwho has not prodnced acceptable evidence of compliance with the insurance.coverage required." Additionally,M(H_cbaptrr 152, §2.5C(7)states`.`Neither the commonwealth 4or any of ifs political subdivisions shall enter into any contract for the perfomaum ofpublic work until acceptable evidence of compliance With the iDSUT n cB. regrmmmenfs of this chapter have been presented to the contracting aufhotity-', Applicants Please fill.oirt the woiicers'compensation affidavit completEly,by chec1dag the boxes that apply to your situation and,if necessary,supply sob-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of mnrrance. LimitEd Liability Companies(LLC)or Limited LiabilityParinerships(LLP)with no employees other than the members or partners,ara not required to carry workers' compensation insa=ce. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to tine Department of Industrial Accidents for confnmatioa of insurnece coverage. Also be sure to sign and date the aftdavit The affidavit should be mtn=d to the city or town that the application for the permit or license,is being requested,not the Department of Indust-iaT. ccide n s. Shouldyou have any que scions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed beIow Self-insured companies should enter their self-insriraace license number on the appropriate line. City or Town Officials t Please be sate that the affidavit is complete and pri»ied 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 coact you regarding the applicant- ' Please be sure to fill in the peumit/license number which will be used as a reference number. In addition,an applicant that must submit multipIe,pennitllicense applications in any given year,need only submit one affidavit indicating curr ea policy information if necessary)and under".lob Site Address"the applicant should wrifie"all locations in (may or awn)-'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 futare permits or licenses A new affidavit must be,filled o�rt each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venilse (i-e. a dog license or permit to bum leaves eta_)said person is NOT required to complete this affidavit The Office,Offic 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 caIL. The Department's address,telephone and fax number. The Co=jonWealft of Massaah�t[ Department of liidniat Accidents ' Office of Dlvegt�gatio= 600 washivmx S`fxeet Bow MA 0�111 Tf,-1.4 617- -49W=t 4€16 or 14M MA.SSAFF Fax 9 617`27 7M Kevised¢24--07 v 7Ma gov/dia u Massachusetts -Department of Public Safety Board of.Building Regulations Standards Construction Supet-visor Licbnse: CS-07'3395 ' - ,t Tl'X ,PETER J ilWitp)( . 444 NIISTIC DR arstons*us MR .r $- �.•�,,,�J .'r'°�`.:' Expiration., Commissioner _•11/02/1016 ' '� Unrestricted-Buildings of any use group which con less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts ' :. State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass:Gov/DPS Office of CoosumeAffairs&Business Rugvrati'ou: s` OME,aiion: fNfPj&EMENT CONTRACTOR : TYPE egis� <_ 8922 '' Jn, ividual. Expiration:_ _6 120U , Pete .i<ennedy �p°�peta� Ken �.• +� �Esr-� . ' ;444 MISIC'DRIVE ' ,s { '' �- 'rN,IARSTON: MILL6,MA 0264:8:• Underse�reta.ry� Ose ate 1f{0 ws\�es s a�J B betOe°t kyVaZaG.., ato4 ♦ a\\a. _ •! • •q T T6W13L of Barnsfable Regulatory S"■_..."„NAM lzfa=dv.SC4mmCbr . Building Dion • tQMrC riy,BuMd a,-,,:Co.===mna r 200 Mam.Sft=4 Hy=ds,MA:0MI. • ipyPpP fi,m„'isrnie(1�Tiii.a,.a;� ' Of= 508-8.6?-4038 Fs= 508-790-MO Properly Owner Must . CripIete and Sign This Section I US .BUAder CI, ,as Of..the SUbjectpMpe tT to art ou zoybehA II] uY c 1p. a D212. ''1'......i'u'.ic.+•ug pCL?�it �3t�IIOIl��Ox: r 3010a� e. (Additss'of job) - ""Fool fences and alaprns are the=ponsl of the 2p l*EM •Pools. arenox be fled or s ized before fence is'in�st lM and aIl fanal. inspections;are pe dformed and: and: of Ownrr .�� • May 19,2016 To: Town of Barnstable Building Department `fig From: Mark Lane cis Re: 390 Cedar Street,West Barnstable,MA w b� Please be advised that,in order to complete the work on this house,I am appointing Peter Kennedy as General Contractor. He will be replacing Paul Creswell,who has completed his tasks. I am giving Peter Kennedy permission to act as agent on my behalf for the permit process. If there are any questions, I may be reached at 339-832-9577 or, by email mark42258@aol.com. Thank you. 0�61-4 Mark Lane Owner LOCUS- Locus PLAN ti J Sea FS 19.4 CRRL fra-64-.Af J.=-er NOCA-4 e Y %. CQ 26S00, "5000, r .......... ce-jenpy 7war rmis~A�x— "m T—Rk"'C ,a ZaA.1 Cl-k PLAN.OFLANO—WEST-BAQNSTgBLF, MASS. 5&0 lwc.4-ao�.-&r l7nrewaeR.1977. 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